Dense water (DW) formation commonly occurs in the shallow Northern Adriatic Sea during winter outbreaks, when there is a combination of the cooling of surface waters by the winds and high salinity as a result of reduced river inputs. These DWs subsequently propagate southwards over a period of weeks/months, eventually arriving in the Southern Adriatic Sea. The investigation is based on a new nonhydrostatic (NH) formulation of the 3D finite element model SHYFEM that is validated for a number of theoretical test cases. Subsequently this model is used to simulate, through high-resolution numerical simulations, an extreme DW event that occurred in the Adriatic Sea in 2012. We perform both hydrostatic (HY) and NH simulations in order to explicitly see the impact of NH processes on the DW dynamics. The modeled results are compared to observations collected in the field campaign of March–April 2012 in the Southern Adriatic Sea. The NH run correctly reproduces the across isobath bottom-trapped gravity current characterizing the canyon DW pathways. It also more accurately captures the frequency and intensity of dense water cascading pulsing events, as the inclusion of NH processes produces stronger currents with different DW mixing characteristics. Finally, the NH run simulates internal gravity waves (IGW), generated during the cascading at the edge of the canyon, which propagate downslope. This IGW activity is not captured in the HY case.

PURPOSE:With the advent of new very selective techniques like thermal laser ablation to treat drug-resistant focal epilepsy, the controversy of resection size in relation to seizure outcome versus cognitive deficits has gained new relevance. The purpose of this study was to test the influence of the selective amygdalohippocampectomy (SAH) versus nonselective temporal lobe resection (TLR) on seizure outcome and cognition in patients with mesial temporal lobe epilepsy (MTLE) and histopathological verified hippocampal sclerosis (HS).METHODS:We identified 108 adults (>16years) with HS, operated between 1995 and 2009 in Denmark. Exclusion criteria are the following: Intelligence below normal range, right hemisphere dominance, other native languages than Danish, dual pathology, and missing follow-up data. Thus, 56 patients were analyzed. The patients were allocated to SAH (n=22) or TLR (n=34) based on intraoperative electrocorticography. Verbal learning and verbal memory were tested pre- and postsurgery.RESULTS:Seizure outcome did not differ between patients operated using the SAH versus the TLR at 1year (p=0.951) nor at 7years (p=0.177). Verbal learning was more affected in patients resected in the left hemisphere than in the right (p=0.002). In patients with left-sided TLR, a worsening in verbal memory performance was found (p=0.011). Altogether, 73% were seizure-free for 1year and 64% for 7years after surgery.CONCLUSION:In patients with drug-resistant focal MTLE, HS and no magnetic resonance imaging (MRI) signs of dual pathology, selective amygdalohippocampectomy results in sustained seizure freedom and better memory function compared with patients operated with nonselective temporal lobe resection.