Alicante Coastal Management for Sustainable Development

Human intervention on the coast has been intense, due to the source of wealth that the coastal areas represent, especially in the form of tourism, which has resulted in a rapid erosion of its beaches. This paper discusses the current state of beach management in the various competent public administrations on the Costa Blanca (SE Spanish-Mediterranean), in relation to urban development and regression on the waterfront. To this end, an analysis has been carried out of the responses to a survey of those responsible for managing each of the 19 coastal municipalities of the Alicante coast, covering 244 km of coastline, 91 beaches and their personnel. Also, an investigation has been conducted as to whether this management’s aim is to protect the coastline and maintain the flora and fauna or just to manage recreation as the main economic activity is tourism. The analysis shows that the beach is simply regarded as a product or service offered to the user thereof. However, local authorities have not detected problems, possibly for two reasons: they do not have sufficient knowledge and this is understandable, given their lack of responsibilities in this area. This causes many beaches to have a high occupancy rate and there is a shift of users towards natural beaches. The study gives us information about the complex administrative process in the coastal system that often proves ineffective on this narrow strip of land

Balanced Hermitian metrics from SU(2)-structures

We study the intrinsic geometrical structure of hypersurfaces in 6-manifolds carrying a balanced Hermitian SU(3)-structure, which we call {\em balanced} SU(2)-{\em structures}. We provide conditions which imply that such a 5-manifold can be isometrically embedded as a hypersurface in a manifold with a balanced SU(3)-structure. We show that any 5-dimensional compact nilmanifold has an invariant balanced SU(2)-structure as well as new examples of balanced Hermitian SU(3)-metrics constructed from balanced SU(2)-structures. Moreover, for $n=3,4$, we present examples of compact manifolds, endowed with a balanced SU(n)-structure, such that the corresponding Bismut connection has holonomy equal to SU(n)

Homogeneous heterotic supergravity solutions with linear dilaton

I construct solutions to the heterotic supergravity BPS-equations on products of Minkowski space with a non-symmetric coset. All of the bosonic fields are homogeneous and non-vanishing, the dilaton being a linear function on the non-compact part of spacetime.Comment: 36 pages; v2 conclusion updated and references adde

Prevalence and correlates of frailty in an older rural African population:findings from the HAALSI cohort study

Background: Frailty is a key predictor of death and dependency, yet little is known about frailty in sub-Saharan Africa despite rapid population ageing. We describe the prevalence and correlates of phenotypic frailty using data from the Health and Aging in Africa: Longitudinal Studies of an INDEPTH Community cohort. Methods: We analysed data from rural South Africans aged 40 and over. We used low grip strength, slow gait speed, low body mass index, and combinations of self-reported exhaustion, decline in health, low physical activity and high self-reported sedentariness to derive nine variants of a phenotypic frailty score. Each frailty category was compared with self-reported health, subjective wellbeing, impairment in activities of daily living and the presence of multimorbidity. Cox regression analyses were used to compare subsequent all-cause mortality for non-frail (score 0), pre-frail (score 1–2) and frail participants (score 3+). Results: Five thousand fifty nine individuals (mean age 61.7 years, 2714 female) were included in the analyses. The nine frailty score variants yielded a range of frailty prevalences (5.4% to 13.2%). For all variants, rates were higher in women than in men, and rose steeply with age. Frailty was associated with worse subjective wellbeing, and worse self-reported health. Both prefrailty and frailty were associated with a higher risk of death during a mean 17 month follow up for all score variants (hazard ratios 1.29 to 2.41 for pre-frail vs non-frail; hazard ratios 2.65 to 8.91 for frail vs non-frail). Conclusions: Phenotypic frailty could be measured in this older South African population, and was associated with worse health, wellbeing and earlier death

Global wealth disparities drive adherence to COVID-safe pathways in head and neck cancer surgery

Peer reviewe

Assessment of a Genomic Assay in Patients with ERBB2 -Positive Breast Cancer Following Neoadjuvant Trastuzumab-Based Chemotherapy with or Without Pertuzumab

Importance: Biomarkers to guide the use of pertuzumab in the treatment of early-stage ERBB2 (formerly HER2)-positive breast cancer beyond simple ERBB2 status are needed. Objective: To determine if use of the HER2DX genomic assay (Reveal Genomics) in pretreatment baseline tissue samples of patients with ERBB2-positive breast cancer is associated with response to neoadjuvant trastuzumab-based chemotherapy with or without pertuzumab. Design, Setting, and Participants: This is a retrospective diagnostic/prognostic analysis of a multicenter academic observational study in Spain performed during 2018 to 2022 (GOM-HGUGM-2018-05). In addition, a combined analysis with 2 previously reported trials of neoadjuvant cohorts with results from the assay (DAPHNe and I-SPY2) was performed. All patients had stage I to III ERBB2-positive breast cancer, signed informed consent, and had available formalin-fixed paraffin-embedded tumor specimens obtained prior to starting therapy. Exposures: Patients received intravenous trastuzumab, 8 mg/kg, loading dose, followed by 6 mg/kg every 3 weeks in combination with intravenous docetaxel, 75 mg/m2, every 3 weeks and intravenous carboplatin area under the curve of 6 every 3 weeks for 6 cycles, or this regimen plus intravenous pertuzumab, 840 mg, loading dose, followed by an intravenous 420-mg dose every 3 weeks for 6 cycles. Main Outcome and Measures: Association of baseline assay-reported pathologic complete response (pCR) score with pCR in the breast and axilla, as well as association of baseline assay-reported pCR score with response to pertuzumab. Results: The assay was evaluated in 155 patients with ERBB2-positive breast cancer (mean [range] age, 50.3 [26-78] years). Clinical T1 to T2 and node-positive disease was present in 113 (72.9%) and 99 (63.9%) patients, respectively, and 105 (67.7%) tumors were hormone receptor positive. The overall pCR rate was 57.4% (95% CI, 49.2%-65.2%). The proportion of patients in the assay-reported pCR-low, pCR-medium, and pCR-high groups was 53 (34.2%), 54 (34.8%), and 48 (31.0%), respectively. In the multivariable analysis, the assay-reported pCR score (as a continuous variable from 0-100) showed a statistically significant association with pCR (odds ratio [OR] per 10-unit increase, 1.43; 95% CI, 1.22-1.70; P <.001). The pCR rates in the assay-reported pCR-high and pCR-low groups were 75.0% and 28.3%, respectively (OR, 7.85; 95% CI, 2.67-24.91; P <.001). In the combined analysis (n = 282), an increase in pCR rate due to pertuzumab was found in the assay-reported pCR-high tumors (OR, 5.36; 95% CI, 1.89-15.20; P <.001) but not in the assay-reported pCR-low tumors (OR, 0.86; 95% CI, 0.30-2.46; P =.77). A statistically significant interaction between the assay-reported pCR score and the effect of pertuzumab in pCR was observed. Conclusions and Relevance: This diagnostic/prognostic study demonstrated that the genomic assay predicted pCR following neoadjuvant trastuzumab-based chemotherapy with or without pertuzumab. This assay could guide therapeutic decisions regarding the use of neoadjuvant pertuzumab

Pattern formation in crystal growth: Liesegang rings

Liesegang rings in precipitation reactions are an example of pattern formation in chemical reaction--diffusion systems. Such patterns arise from the interplay between the reaction kinetics and the diffusion of chemical species. We discuss the occurrence of Liesegang rings in crystal growth experiments with two competing crystalline phases, and compare computational predictions with the results of laboratory experiments. Liesegang patterns have been the subject of scientific investigation for over a century now. The structures, which are often rings in circular geometries, and bands in linear geometries, are formed by the nonuniform spatial distribution of crystals in a precipitation reaction in a gel [1]. The reactions are usually performed in gels to prevent convection and sedimentation that would destroy the patterns. Liesegang rings are spatial, time independent structures, however unlike many other pattern formation systems, such as Turing patterns and waves and spirals in excitab..

Microstructured polyacrylamide hydrogels prepared via inverse microemulsion polymerization

The synthesis by a two-stage polymerization process of microstructured polyacrylamide hydrogels with large swelling capacity and improved mechanical properties is reported. First, crosslinked polyacrylamide particles of nanosize scale are made by inverse microemulsion polymerization. These particles are then dried and redispersed in an aqueous solution of acrylamide and polymerized in the presence of a crosslinking agent. The microstructured hydrogels, in contrast to transparent conventional polyacrylamide hydrogels, are translucid due to the presence of the dispersed particles. The swelling capacity of these hydrogels increases as the particle content increases and their Young and elastic moduli (at equilibrium swelling) diminish only slightly. Mechanical tests disclose that the microstructured hydrogels have larger Young moduli than conventional hydrogels with an identical degree of swelling. © 2001 Academic Press