25th RCOphth Congress, President's Session paper:25 years of progress in medical retina

The quarter century since the foundation of the Royal College of Ophthalmologists has coincided with immense change in the subspecialty of medical retina, which has moved from being the province of a few dedicated enthusiasts to being an integral, core part of ophthalmology in every eye department. In age-related macular degeneration, there has been a move away from targeted, destructive laser therapy, dependent on fluorescein angiography to intravitreal injection therapy of anti-growth factor agents, largely guided by optical coherence tomography. As a result of these changes, ophthalmologists have witnessed a marked improvement in visual outcomes for their patients with wet age-related macular degeneration (AMD), while at the same time developing and enacting entirely novel ways of delivering care. In the field of diabetic retinopathy, this period also saw advances in laser technology and a move away from highly destructive laser photocoagulation treatment to gentler retinal laser treatments. The introduction of intravitreal therapies, both steroids and anti-growth factor agents, has further advanced the treatment of diabetic macular oedema. This era has also seen in the United Kingdom the introduction of a coordinated national diabetic retinopathy screening programme, which offers an increasing hope that the burden of blindness from diabetic eye disease can be lessened. Exciting future advances in retinal imaging, genetics, and pharmacology will allow us to further improve outcomes for our patients and for ophthalmologists specialising in medical retina, the future looks very exciting but increasingly busy.

Causes and consequences of changes in nutrient structure in the Jiaozhou Bay

Concentrations and ratios of nutrients in Jiaozhou Bay, China, have changed much in the past decades, with trends indicating an increase in nitrogen and a decrease in silicate. Statistical analysis has shown that the long-term variations of nutrients are associated with agricultural activities, precipitation, and anthropogenic factors. Stoichiometric calculations indicate that the nutrient structure has become more and more unbalanced. There has been almost no possibility for nitrogen limitation since the 1980s, the probability of P limitation has increased, and the probability of Si limitation has also increased markedly from the 1980s to the 1990s. As a consequence of changes in nutrient structure, a decrease in the abundance of net phytoplankton was evident, whereas total chlorophyll a levels have remained roughly unchanged at around 3.55 mu g/L. Thus, it is likely that smaller species have taken the niche vacated by the larger species. Changes in phytoplankton size and species composition may ultimately lead to various functional and structural changes at the system level.

Nutrient structure of seawater and ecological responses in Jiaozhou Bay, China

Nutrient concentrations in seawater, and C, N, P, Si and chlorophyll a content in different-sized particulates were measured in Jiaozhou Bay, and C, N, P, Si composition in different-sized fractions of phytoplankton and their ecological responses to nutrient structure of the seawater were studied. Microphytoplankton and nanophytoplankton were dominant in Jiaozhou Bay. High C (16.50-20.97 unol L-1), N (2.46-2.99 mu mol L-1) and low P (0.06-0.12 mu mol L-1), Si (0.18-0.57 mu mol L-1) content, and high N/P (24.7-64.6) and low SUP (4.4-10.8), Si/N (0.06-0.20) ratios were found in all sized groups of particulates. These values reflected the elemental compositions of different-sized fractions of phytoplankton as being an ecological response to the nutrients in the seawater. The ratios deviated significantly from the Redfield values. The nutrient composition of seawater and particulates and their relationship to chlorophyll a showed that phytoplankton growth was possibly limited by Si. Si limitation appears favorable for controlling the ecological equilibrium of Jiaozhou Bay. Different-sized fractions of phytoplankton had different suitability to nutrient structures of the seawater. Among phytoplankton size groups, nanophytoplankton and microphytoplankton growths were more adaptable in eutrophic Jiaozhou Bay, and more competitive for assimilation of Si. This is consistent with their diatom-dominated composition, controlling the biomass and productivity of phytoplankton in Jiaozhou Bay. (c) 2006 Elsevier Ltd. All rights reserved.

Isotopic Abundances Of Lead In Estuarine Sediments Swansea Bay Bristol Channel

A historical record for the deposition of lead in Swansea Bay, Bristol Channel, U.K. has been determined together with isotopic compositions. Analysis of the isotopic composition of lead in cores, dated by 210Pb-210Po chronology, illustrated a post ~ 1850 influx of lead originating from technically produced materials. Since ~ 1850 there has been a × 3 increase of lead in sediments of which only 25–30% can be accounted for from technical sources; the remainder is presumed to be derived from working of the South Wales Coal Measures.

Dating of sediments in the Biscay bay: Implication for pollution chronology

Important historical informations on the temporal changes of anthropogenic pollution in marine environment can be assessed using sediment analysis. Dating is a crucial prerequisite to reconstruct pollution events, to calculate fluxes, and thus to allow comparison between different sites. This work presents estimates of accumulation rates of sediments in the Bay of Biscay. Fives cores were collected during RIKEAU 2002 cruise on board o/v Thalia in order to study temporal changes in PAH and organohalogens compounds content of sediment. We compare chronostratigraphic estimates on cores derived from the natural radionuclide 210Pb in excess with estimates from the known times of introduction of the artificial radionuclide 137Cs to the environment. 210Pb, 226Ra and 137Cs were measured directly by non-destructive gamma spectrometry using a well type γ-detector. Total 210Pb and 226Ra activities vary from 30 to 150 mBq g-1, and 20 to 36 mBq g-1 respectively; 137Cs presents lower levels (< 5 mBq g-1). Profiles of 210Pb in three cores present a well mixed layer, from 2-3 to 10 cm, in the uppermost sediments, followed by an exponential decrease of activities, suitable for the determination of sedimentation rates. Under constant flux and sedimentation rate assumptions, vertical accretion rates derived from 210Pb present a large range from nearly 0.1 cm yr-1 up to almost 0.3 cm yr-1. Differences are mainly due to relative position of studied cores regarding the muddy patch. Although the moderate level of 137Cs limits the accuracy of this dating method, profiles of 137Cs with depth strengthen mean rates derived from 210Pb data. The implication of this dating on pollutant inputs in sediments of the Bay of Biscay is briefly discussed.