Shortwave Sand Transport in the Shallow Surf Zone.

Empirical parameterizations of the shortwave sand transport that are used in practical engineering models lack the representation of certain processes to accurately predict morphodynamics in shallow water. Therefore, measurements of near-bed velocity and suspended sand concentration, collected during two field campaigns (at the Sand Engine and Ameland, the Netherlands) and one field-scale laboratory experiment (BARDEXII), were here analyzed to study the magnitude and direction of the shortwave sand flux in the shallow surf zone. Shortwave sand fluxes dominated the total sand flux during low-energetic accretive conditions, while the mean cross-shore current (undertow) dominated the total flux during high-energetic erosive conditions. Under low-energetic conditions, the onshore-directed shortwave sand flux scales with the root-mean-square orbital velocity urms and velocity asymmetry Au but not with the velocity skewness. Under more energetic conditions the shortwave flux reduces with an increase in the cross-shore mean current u¯ and can even become offshore directed. For all data combined, the contribution of the shortwave flux to the total flux scales with (-Auurms)/|u¯| , with a high contribution of the shortwave flux (∼70%) when this ratio is high (∼ 10) and low contributions (∼0%) when this ratio is low (∼1). We argue that the velocity asymmetry is a good proxy for the net effect of several transport mechanisms in the shallow surf zone, including breaking-induced turbulence. These field and laboratory measurements under irregular waves thus support the hypothesis that the inclusion of velocity asymmetry in transport formulations would improve the performance of morphodynamic models in shallow water.

A simple method to test if the internal mammary lymph nodes are covered by the wide tangent technique in radiotherapy for high-risk breast cancer.

AIM: It is often complicated to include the internal mammary lymph nodes in the radiation field after breast-conserving therapy. Using the wide tangent technique the internal mammary lymph nodes are generally presumed to be included if the medial tangential field border is placed 3 cm across the midline. The current study was designed to test the validity of this assumption, and if possible, to correct the wide tangents without using computed tomography (CT) scanning. PATIENTS AND METHODS: Twenty-one consecutive, high-risk, post-lumpectomy patients were included. An arrangement of three copper wires was mounted in wax placed perpendicular to the skin surface at the ipsilateral border of sternum at intercostal spaces 2 to 4. During a standard simulation for wide tangents, it was examined if the length of the copper wires projected beneath the skin surface (representing the depth of the internal mammary lymph nodes, measured by ultrasound) were included in the wide tangent fields. RESULTS: In only one patient were the internal mammary lymph nodes covered by the wide tangent technique. In 14 of the remaining 20 patients the lateral tangential field border was subsequently moved in the posterior direction, and the internal mammary lymph nodes could be included without unacceptable normal tissue involvement. In the last six patients the irradiated heart and lung volumes exceeded acceptable tolerance levels with this correction, and these patients were referred for three-dimensional CT dose planning. CONCLUSION: The presented simple technique may be helpful if CT scanning is not available. In all other cases CT-based dose plan should ideally be used as a standard in the planning of radiotherapy after breast-conserving surgery to assure optimal inclusion of the relevant target, and to avoid irradiation of large volumes of critical normal tissue.

Lactate and H+ uptake in inactive muscles during intense exercise in man.

1. The present study examined how uptake of lactate and H+ in resting muscle is affected by blood flow, arterial lactate concentration and muscle metabolism. 2. Six males subjects performed intermittent arm exercise in two separate 32 min periods (Part I and Part II) and in one subsequent 20 min period in which one leg knee-extensor exercise was also performed (Part III). The exercise was performed at various intensities in order to obtain different steady-state arterial blood lactate concentrations. In the inactive leg, femoral venous blood flow (draining about 7.7 kg of muscles) was measured and femoral arterial and venous blood was collected frequently. Biopsies were taken from m. vastus lateralis of the inactive leg at rest and 10 and 30 min into both Part I and Part II as well as 10 min into recovery from Part II. 3. The arterial plasma lactate concentrations were 7, 9 and 16 mmol l-1 after 10 min of Parts I, II and III, respectively, and the corresponding arterial-venous difference (a-vdiff) for lactate in the resting leg was 1.3, 1.4 and 2.0 mmol l-1. The muscle lactate concentration was 2.8 mmol (kg wet wt)-1 after 10 min of Part I and remained constant throughout the experiment. During Parts I and II, a-vdiff lactate decreased although the arterial lactate concentration and plasma-muscle lactate gradient were unaltered throughout each period. Thus, membrane transport of lactate decreased during each period. 4. Blood flow in the inactive leg was about 2-fold higher during arm exercise compared to the rest periods, resulting in a 2-fold higher lactate uptake. Thus, lactate uptake by inactive muscles was closely related to blood flow. 5. Throughout the experiment a-vdiff for actual base excess and for lactate were of similar magnitude. Thus, in inactive muscles lactate uptake appears to be coupled to the transport of H+.