Coastal safety may be influenced by climate change, as changes in wave conditions (height, period, direction) may increase the vulnerability of dunes and other coastal defences. Dune erosion depends on mean water level, storm surge height and wave conditions. In this paper, we investigate the change in wave conditions in the North Sea in a changing climate. Until now, the effect of climate chan...

BACKGROUND Studies evaluating the return to sports and work after shoulder arthroplasty are rare, and there are no studies evaluating return to work after total shoulder arthroplasty (TSA). HYPOTHESIS Patients undergoing TSA will be able to return to their preoperative sports levels and occupations. STUDY DESIGN Case series; Level of evidence, 4. METHODS A total of 154 patients with 170 T...

INTRODUCTION Open prostatectomy is the conventional surgical treatment of benign prostatic hyperplasia. The major early complication of this procedure is bleeding. We introduce a technique of prostatectomy in order to prevent significant bleeding, reduce morbidity, and shorten convalescence and hospital stay periods. MATERIALS AND METHODS We enrolled 202 consecutive patients diagnosed with be...

According to the concept of Guyton, cardiac output is largely controlled by venous return, which is determined by the difference between mean systemic venous pressure and right atrial pressure. In the analysis of the venous return curve, other authors have suggested that right atrial pressure is the dependent variable and venous return is the independent variable (right atrial pressure decrease...

Flood management is more and more adopting a risk based approach, whereby flood risk is the product of the probability and consequences of flooding. One of the most common approaches in flood risk assessment is to estimate the damage that would occur for floods of several exceedance probabilities (or return periods), to plot these on an exceedance probability-loss curve (risk curve) and to esti...