Transect based analysis versus area based analysis to quantify shoreline displacement: spatial resolution issues.

Field surveys, aerial photographs, and satellite images are the most commonly employed sources of data to analyze shoreline position, which are further compared by area based analysis (ABA) or transect based analysis (TBA) methods. The former is performed by computing the mean shoreline displacement for the identified coastal segments, i.e., dividing the beach area variation by the segment length; the latter is based on the measurement of the distance between each shoreline at set points along transects. The present study compares, by means of GIS tools, the ABA and TBA methods by computing shoreline displacements recorded on two stretches of the Tuscany coast (Italy): the beaches of Punta Ala, a linear coast without shore protection structures, and the one at Follonica, which is irregular due to the presence of groins and detached breakwaters. Surveys were carried out using a differential global positioning system (DGPS) in RTK mode. For each site, a 4800-m-long coastal segment was analyzed and divided into ninety-six 50-m-long sectors for which changes were computed using both the ABA and TBA methods. Sectors were progressively joined to have a length of 100, 200, 400, and 800 m to examine how this influenced results. ABA and TBA results are highly correlated for transect distance and sector length up to 100 m at both investigated locations. If longer transects are considered, the two methods still produce good correlated data on the smooth shoreline (i.e. at Punta Ala), but correlation became significantly lower on the irregular shoreline (i.e., at Follonica).

Natural history and manifestations of the hypermobility type Ehlers-Danlos syndrome: a pilot study on 21 patients.

Hypermobility type Ehlers-Danlos syndrome (HT-EDS) is a relatively frequent, although commonly misdiagnosed variant of Ehlers-Danlos syndrome, mainly characterized by marked joint instability and mild cutaneous involvement. Chronic pain, asthenia, and gastrointestinal and pelvic dysfunction are characteristic additional manifestations. We report on 21 HT-EDS patients selected from a group of 40 subjects with suspected mild hereditary connective tissue disorder. General, mucocutaneous, musculoskeletal, cardiovascular, neurologic, gastrointestinal, urogynecological, and ear-nose-throat abnormalities are investigated systematically and tabulated. Six distinct clinical presentations of HT-EDS are outlined, whose tabulation is a mnemonic for the practicing clinical geneticist in an attempt to diagnose this condition accurately. With detailed clinical records and phenotype comparison among patients of different ages, the natural history of the disorder is defined. Three phases (namely, hypermobility, pain, and stiffness) are delineated based on distinguishing manifestations. A constellation of additional, apparently uncommon abnormalities is also identified, including dolichocolon, dysphonia, and Arnold-Chiari type I malformation. Their further investigation may contribute to an understanding of the pathogenesis of the protean manifestations of HT-EDS, and a more effective approach to the evaluation and management of affected individuals.

Heart rate, conduction and ultrasound abnormalities in adults with joint hypermobility syndrome/Ehlers-Danlos syndrome, hypermobility type.

Joint hypermobility syndrome (JHS) and Ehlers-Danlos syndrome, hypermobility type (EDS-HT) are two clinically overlapping heritable connective tissue disorders strongly associating with pain, fatigue and other secondary aspects. Though not considered a diagnostic criterion for most EDS subtypes, cardiovascular involvement is a well-known complication in EDS. A case-control study was carried out on 28 adults with JHS/EDS-HT diagnosed according to current criteria, compared to 29 healthy subjects evaluating resting electrocardiographic (ECG), 24-h ECG and resting heart ultrasound data. Results obtained in the ECG studies showed a moderate excess in duration of the PR interval and P wave, an excess of heart conduction and rate abnormalities and an increased rate of mitral and tricuspid valve insufficiency often complicating with "true" mitral valve prolapse in the ecocardiographic study. These variable ECG subclinical anomalies reported in our sample may represent the resting surrogate of such a subnormal cardiovascular response to postural changes that are known to be present in patients with JHS/EDS-HT. Our findings indicate the usefulness of a full cardiologic evaluation of adults with JHS/EDS-HT for the correct management.