Salt marsh resilience to sea-level rise and increased storm intensity

Salt marshes are important ecosystems but their resilience to sea-level rise and possible increases in storm intensity is largely uncertain. The current paradigm is that a positive sediment budget supports the survival and accretion of salt marshes while sediment deprivation causes marsh degradation. However, few studies have investigated the combined impact of sea-level rise and increased storm intensity on the sediment budget of a salt marsh. This study investigates marsh resilience under the combined impact of various storm surge (0 m, 0.25 m, 0.5 m, 1.0 m, 2.0 m, 3.0 m and 4.0 m) and sea-level (+0 m, +0.3 m, +0.5 m, +0.8 m and + 1.0 m) scenarios by using a sediment budget approach and the hydrodynamic model Delft3D. The Ribble Estuary, North-West England, whose salt marshes have been anthropogenically restored and have a high economic and environmental value, has been chosen as test case. We conclude that storm surges can positively contribute to the resilience of the salt marsh and estuarine system by promoting flood dominance and by triggering a net import of sediment. Conversely, sea-level rise can threaten the stability of the marsh by promoting ebb dominance and triggering a net export of sediment. Our results suggest that storm surges have a general tendency to counteract the decrease in sediment budget caused by sea-level rise. The timing of the storm surge relative to high or low tide, the duration of the surge, the change in tidal range and vegetation presence can also cause minor changes in the sediment budget

Dataset of results from numerical simulations of increased storm intensity in an estuarine salt marsh system

This article contains data outlining the effects of increased storm intensity on estuarine salt marshes, previously evaluated in Pannozzo et al. (2021), using the Ribble Estuary, in North West England, as a case study. The hydrodynamic model Delft3D was used to simulate various surge height scenarios and evaluate the effects of increasing surge height on the sediment budget of the system. The data shows that an increase in storm intensity (i.e. surge height) promotes flood dominance and triggers a net import of sediment, positively contributing to the sediment budget of the marsh platform and the estuarine system. The timing of the storm surge relative to high or low tide, the duration of the surge and the presence of vegetation do not cause major changes in the sediment budget. This dataset could be used to evaluate how increased storm intensity might influence the sediment budget of estuaries in comparison to other types of coastal systems (e.g., bays) to illustrate how the response of salt marshes to increased storm intensity varies with a change in the hydrodynamics and sediment delivery dynamics of the system

Storm sediment contribution to salt marsh accretion and expansion

Salt marshes are ecosystems with significant economic and environmental value. However, the accelerating rate of sea-level rise is a significant threat to these ecosystems. Storms significantly contribute to the sediment budget of salt marshes, playing a critical role in salt marsh survival to sea-level rise. There are, however, uncertainties on the extent to which storms contribute sediments to different areas of marsh platforms (e.g., outer marsh vs marsh interior) and on the sediment sources that storms draw on (e.g., offshore vs nearshore). This study uses field analyses from an eight-month field campaign in the Ribble Estuary, North-West England, to understand storms' influence on the sediment supply to different marsh areas and whether storms can deliver new material onto the salt marsh platform which would otherwise not be sourced in fair-weather conditions. Field data from sediment traps indicate that storm activity caused an increase in inorganic sediment supply to the whole salt marsh platform, especially benefitting the marsh interior. Geochemistry and particle size distribution analysis indicate that the majority of the sediment supplied to the salt marsh platform during the stormy periods was generated by an increase in erosion and resuspension of mudflat and tidal creek sediments, while only a minimal contribution was given by the sediments transported from outside the intertidal system. This suggests that, in the long term, storms will promote salt marsh vertical accretion but might simultaneously reduce the overall larger-scale sediment availability with implications for the marsh lateral retreat

Novel luminescence diagnosis of storm deposition across intertidal environments.

Salt marshes provide valuable nature-based, low-cost defences protecting against coastal flooding and erosion. Storm sedimentation can improve the resilience of salt marshes to accelerating rates of sea-level rise, which poses a threat to salt marsh survival worldwide. It is therefore important to be able to accurately detect the frequency of storm activity in longer-term sediment records to quantify how storms contribute to salt marsh resilience. Luminescence is able to infer how long mineral grains were exposed to sunlight prior to burial (e.g., the presence or absence of sediment processing). This study used sediment cores collected from the Ribble Estuary, North West England, to show that luminescence properties of sand-sized K-feldspar grains can diagnose the differential modes of deposition across intertidal settings (i.e., sandflat, mudflat and salt marsh) in longer-term sediment records by detecting the variability in sediment bleaching potential between settings (i.e., sediment exposure to sunlight), thus establishing a framework for the interpretation of luminescence properties of intertidal sediments. It then used modern sediment samples collected before and after a storm event to show how such properties can diagnose changes in sediment processing (i.e., bleaching potential) of mudflat sediments caused by storm activity, despite no changes in sediment composition being recorded by geochemical and particle size distribution analyses. This new luminescence approach can be applied to longer-term sediment records to reveal (and date) changes in the environment of deposition and/or depositional dynamics where there is no obvious stratigraphic evidence of such

An Integration of Numerical Modeling and Paleoenvironmental Analysis Reveals the Effects of Embankment Construction on Long‐Term Salt Marsh Accretion

There are still numerous uncertainties over the influence of anthropogenic interventions on salt marsh dynamics. This study uses the Ribble Estuary as a test case and an integrated approach of numerical modeling and paleoenvironmental analysis to investigate the contribution of embankment construction to long-term marsh accretion. Accretion rates derived using optically stimulated luminescence dating (OSL) were combined with a multi-proxy paleoenvironmental investigation on sediment cores extracted from the salt marsh, the mobile seafloor of the central Irish Sea and the river catchment area. These analyses provided a first evolutionary perspective on the Ribble Estuary preceding any management interventions. The paleoenvironmental analyses were then compared to simulations conducted using the hydrodynamic model Delft3D to investigate the effects of embankment construction on estuarine hydrodynamics and morphodynamics of the salt marsh over the period constrained by the OSL. The numerical simulations showed that embankments were responsible for an overall intensification of the ebb currents in the system which promoted sediment export. The paleoenvironmental analyses showed that the marsh has been accreting at a rate of 4.61 to 0.86 cm yr−1 over the last ca. 190 years and that the high sedimentation rate was caused by a naturally high rate of sediment supply. The model-data integration showed that the effects of the embankment construction on sediment transport did not compromise the long-term resilience of the salt marsh because of the high rates of sediment supply and the river dredging which enhanced the flood dominance of the tide near the tidal flat

An integration of numerical modelling and paleoenvironmental analysis reveals the effects of embankment construction on long‐term salt marsh accretion

This dataset contains the results discussed in the journal article titled 'An integration of numerical modelling and paleoenvironmental analysis reveals the effects of embankment construction on long-term salt marsh accretion'

Testicular germ-cell tumours and penile squamous cell carcinoma: Appropriate management makes the difference

Germ-cell tumours (GCT) of the testis and penile squamous cell carcinoma (PeSCC) are a rare and a very rare uro-genital cancers, respectively. Both tumours are well defined entities in terms of management, where specific recommendations - in the form of continuously up-to-dated guide lines-are provided. Impact of these tumour is relevant. Testicular GCT affects young, healthy men at the beginning of their adult life. PeSCC affects older men, but a proportion of these patients are young and the personal consequences of the disease may be devastating. Deviation from recommended management may be a reason of a significant prognostic worsening, as proper treatment favourably impacts on these tumours, dramatically on GCT and significantly on PeSCC. RARECAREnet data may permit to analyse how survivals may vary according to geographical areas, histology and age, leading to assume that non-homogeneous health-care resources may impact the cure and definitive outcomes. In support of this hypothesis, some epidemiologic datasets and clinical findings would indicate that survival may improve when appropriate treatments are delivered, linked to a different accessibility to the best health institutions, as a consequence of geographical, cultural and economic barriers. Finally, strong clues based on epidemiological and clinical data support the hypothesis that treatment delivered at reference centres or under the aegis of a qualified multi-institutional network is associated with a better prognosis of patients with these malignancies. The ERN EURACAN represents the best current European effort to answer this clinical need

Treatment challenges in and outside a specialist network setting: Pancreatic neuroendocrine tumours

Pancreatic Neuroendocrine Neoplasms comprise a group of rare tumours with special biology, an often indolent behaviour and particular diagnostic and therapeutic requirements. The specialized biochemical tests and radiological investigations, the complexity of surgical options and the variety of medical treatments that require individual tailoring, mandate a multidisciplinary approach that can be optimally achieved through an organized network. The present study describes currents concepts in the management of these tumours as well as an insight into the challenges of delivering the pathway in and outside a Network

Treatment challenges in and outside a network setting: Head and neck cancers

Head and neck cancer (HNC) is a rare disease that can affect different sites and is characterized by variable incidence and 5-year survival rates across Europe. Multiple factors need to be considered when choosing the most appropriate treatment for HNC patients, such as age, comorbidities, social issues, and especially whether to prefer surgery or radiation-based protocols. Given the complexity of this scenario, the creation of a highly specialized multidisciplinary team is recommended to guarantee the best oncological outcome and prevent or adequately treat any adverse effect. Data from literature suggest that the multidisciplinary team-based approach is beneficial for HNC patients and lead to improved survival rates. This result is likely due to improved diagnostic and staging accuracy, a more efficacious therapeutic approach and enhanced communication across disciplines. Despite the benefit of MTD, it must be noted that this approach requires considerable time, effort and financial resources and is usually more frequent in highly organized and high-volume centers. Literature data on clinical research suggest that patients treated in high-accrual centers report better treatment outcomes compared to patients treated in low-volume centers, where a lower radiotherapy-compliance and worst overall survival have been reported. There is general agreement that treatment of rare cancers such as HNC should be concentrated in high volume, specialized and multidisciplinary centers. In order to achieve this goal, the creation of international collaboration network is fundamental. The European Reference Networks for example aim to create an international virtual advisory board, whose objectives are the exchange of expertise, training, clinical collaboration and the reduction of disparities and enhancement of rationalize migration across Europe. The purpose of our work is to review all aspects and challenges in and outside this network setting planned for the management of HNC patients

Incidence trends of colorectal cancer in the early 2000s in Italy. Figures from the IMPATTO study on colorectal cancer screening

We utilised the IMPATTO study's archives to describe the 2000-2008 colorectal cancer (CRC) incidence rate trends in Italy, once screening programmes based on the faecal immunochemical test were implemented in different areas. Data on CRCs diagnosed in Italy from 2000 to 2008 in subjects aged 40-79 years were collected by 23 cancer registries. Incidence rate trends were evaluated as a whole and by macro-area (North-Centre and South-Islands), presence of a screening programme, sex, ten-year age class, anatomic site, stage at diagnosis, and pattern of diagnosis (screen-detected, non-screen-detected). The annual percent change (APC) of incidence rate trends, with 95% confidence intervals (95%CI), were computed. The study included 46,857 CRCs diagnosed in subjects aged 40-79 years, of which 2,806 were screendetected. The incidence rates in the North-Centre were higher than in the South and on the Islands. During the study period, screening programmes had been implemented only in the North-Centre and had a significant effect on incidence rates, with an initial sharp increase in incidence, followed by a decrease that started in the 3rd-4th years of screening. These incidence rate trends were exclusively due to modifications in the rates of stage I cases. After screening programmes started, incidence increased in all anatomic sites, particularly in the distal colon. The differential figures introduced by the implementation of screening programmes warrant a continuous surveillance of CRC incidence and mortality trends to monitor the impact of screening at a national level