Fate and pathways of dredged estuarine sediment spoil in response to variable sediment size and baroclinic coastal circulation

Most of the world’s megacities are located in estuarine regions supporting commercial ports. Such locations are subject to sedimentation and require dredging to maintain activities. Liverpool Bay, northwest UK, is a region of freshwater influence and hypertidal conditions used to demonstrate the impact of baroclinicity when considering sediment disposal. Although tidal currents dominate the time-varying current and onshore sediment movement, baroclinic processes cause a 2-layer residual circulation that influences the longer-term sediment transport. A nested modelling system is applied to accurately simulate the circulation during a three month period. The hydrodynamic model is validated using coastal observations, and a Lagrangian particle tracking model is used to determine the pathways of 2 sediment mixtures representative of locally dredged material: a mix of 70% silt and 30% medium sand and a mix of 50% fine sand and 50% medium sand. Sediments are introduced at 3 active disposal sites within the Mersey Estuary in 2 different quantities (500 and 1500 Tonnes). Following release the majority (83% or more) of the particles remain within the estuary due to baroclinic influence. However, particles able to leave follow 2 distinct pathways, which primarily depend on the sediment grain size. Typically the finer sediment moves north and the coarser sediment west. Under solely barotropic conditions larger sediment volumes (up to 5 times more) can leave the estuary in a diffuse plume moving north. This demonstrates the necessity of considering baroclinic influence even within a hypertidal region with low freshwater inflow for accurate particle tracking

The staining pattern of brilliant blue G during macular hole surgery: a clinicopathologic study

Purpose.: To describe the intraoperative staining pattern of the internal limiting membrane (ILM)-specific dye Brilliant Blue G (BBG) in a cohort of patients with idiopathic macular holes; to analyze the associations of the staining pattern with pre- and postoperative variables and to correlate the staining pattern with transmission electron microscopy (TEM) of the excised ILM. Methods.: Fifty-five consecutive patients were studied. The staining pattern was divided into three subtypes based on the intraoperative appearance. The presence of a narrow rim of nonstaining around the macular hole (MH) edge was noted and measured. In the final 21 patients, the excised ILM was examined with TEM. Results.: The pattern of staining observed was categorized as uniform in 33 patients (60%), patchy nonstaining in 17 (31%), and no visible staining in 5 (9%). The staining pattern correlated with the MH stage. In the patients with uniform or patchy staining, a nonstaining rim was observed in 26 (52%) of the 50. The presence of a rim was associated with a greater hole diameter and lower postoperative visual acuity. The stain pattern correlated significantly with the amount of cellular tissue on the vitreous side of the ILM on TEM, with a greater proportion of multicellular layer membranes and new collagen in the incomplete staining groups. Conclusions.: A variety of nonstaining patterns around macular holes can be observed using BBG, and these patterns correlate to the amount of cellular tissue on the vitreous side of the ILM seen histologically. These patterns could be used to guide the ILM peeling requirement or extent in future studies

The Extremely Luminous Quasar Survey in the Pan-STARRS 1 Footprint (PS-ELQS)

We present the results of the Extremely Luminous Quasar Survey in the $3\pi$ survey of the Panoramic Survey Telescope and Rapid Response System (Pan-STARRS; PS1). This effort applies the successful quasar selection strategy of the Extremely Luminous Survey in the Sloan Digital Sky Survey footprint ($\sim12,000\,\rm{deg}^2$) to a much larger area ($\sim\rm{21486}\,\rm{deg}^2$). This spectroscopic survey targets the most luminous quasars ($M_{1450}\le-26.5$; $m_{i}\le18.5$) at intermediate redshifts ($z\ge2.8$). Candidates are selected based on a near-infrared JKW2 color cut using WISE AllWISE and 2MASS photometry to mainly reject stellar contaminants. Photometric redshifts ($z_{\rm{reg}}$) and star-quasar classifications for each candidate are calculated from near-infrared and optical photometry using the supervised machine learning technique random forests. We select 806 quasar candidates at $z_{\rm{reg}}\ge2.8$ from a parent sample of 74318 sources. After exclusion of known sources and rejection of candidates with unreliable photometry, we have taken optical identification spectra for 290 of our 334 good PS-ELQS candidates. We report the discovery of 190 new $z\ge2.8$ quasars and an additional 28 quasars at lower redshifts. A total of 44 good PS-ELQS candidates remain unobserved. Including all known quasars at $z\ge2.8$, our quasar selection method has a selection efficiency of at least $77\%$. At lower declinations $-30\le\rm{Decl.}\le0$ we approximately triple the known population of extremely luminous quasars. We provide the PS-ELQS quasar catalog with a total of 592 luminous quasars ($m_{i}\le18.5$, $z\ge2.8$). This unique sample will not only be able to provide constraints on the volume density and quasar clustering of extremely luminous quasars, but also offers valuable targets for studies of the intergalactic medium.Comment: 34 pages, 10 figures, accepted to ApJ

‘I felt like I deserved it because I was autistic’: Understanding the impact of interpersonal victimisation in the lives of autistic people

Research suggests that there is a high prevalence of interpersonal violence and victimisation within the autistic population, and that this accounts for poor mental health outcomes. This study aimed to examine the impact of interpersonal violence and victimisation on autistic adults from their own perspective and explore what helps or hinders their recovery. In total, 102 autistic adults completed either an online survey or a spoken interview about their experiences of interpersonal violence and victimisation. We analysed the data using a thematic analysis, and found four themes: (1) The usual for autism (expectations of victimisation, experiences of othering), (2) Personhood revoked: The cost of living (being part of a neurominority, trauma, masking and burnout), (3) Unpacking the baggage (impact of hermeneutical injustice) and (4) ‘If you want to make an apple pie from scratch, you have to invent the universe first’ (structural inequality/power dynamics, support and community). Findings highlight the importance of considering the relationship between stigma and victimisation, and the relationship between trauma, masking, and burnout in autistic people. Reducing barriers to support and recovery are contingent on reducing structural inequality and providing better training about autistic people to frontline professionals

Effect of high-vacuum setting on phacoemulsification efficiency

Purpose To evaluate the effect of a high-vacuum setting versus a low-vacuum setting on the efficiency of phacoemulsification. Setting Sunderland Eye Infirmary, Sunderland, United Kingdom. Design Prospective clinical trial. Methods Consecutive patients having cataract surgery in 2014 were recruited. Cataract surgery was performed by 2 experienced surgeons using a phacoemulsification machine with monitored forced infusion. The cataractous lens was split into 2 heminuclei using the stop-and-chop technique; in 1 heminucleus, phacoemulsification and aspiration used a high-vacuum setting (600 mm Hg; treatment group) and in the other heminucleus, a low-vacuum setting (350 mm Hg; control group). The high and low settings were alternated by case per the operating list to reduce surgeon bias. The main outcome measures were cumulative dissipated energy (CDE) and active heminucleus removal time. Results One hundred sixty patients (160 eyes) were enrolled in the study, and 158 were included in the analysis. The CDE per heminucleus was significantly lower with the high-vacuum setting than with the low-vacuum setting (mean 2.81 percent-seconds; 95% confidence interval (CI), 2.44-3.21 versus 3.81 percent-seconds; 95% CI, 3.38-4.20; P < .001). The active heminucleus removal time was significantly shorter in the high-vacuum group than the low-vacuum group (mean 27.77 seconds; 95% CI, 25.26-30.19 versus 33.59 seconds; 95% CI, 31.07-35.92; P < .001). The observed differences were independent of the surgeon, patient age and sex, incision size, and nucleus density. No intraoperative complications were observed in either group. Conclusion A high-vacuum setting improved phacoemulsification efficiency using an active fluidics system and torsional phacoemulsificatio

Optic disc pit maculopathy: a two-year nationwide prospective study.

Purpose To identify the incidence, presenting features, treatment, and clinical course of optic disc pit maculopathy (ODPM) in the United Kingdom (UK). Design A 2-year nationwide prospective population-based study. Subjects All new incident cases of ODPM presenting to UK ophthalmologists using the British Ophthalmic Surveillance Unit monthly reporting system. Methods All reporting ophthalmologists were sent an initial questionnaire requesting data on previous medical and ophthalmic history, presentation details, investigation findings, and management. A further questionnaire was sent at 12 months post diagnosis to ascertain further outcome data. Main Outcome Measures Visual acuity at initial presentation, at 1 year, and after any intervention. Foveal involvement and optical coherence tomography (OCT) findings, including retinal layers affected, and the location and size of the optic disc pit. Management, including observation, vitrectomy, and associated procedures. Results There were 74 confirmed new cases, giving an annual incidence of approximately 1 per 2 million. Complete data were available on 70 patients (70 eyes) at baseline and 68 after 1 year. There were 35 (50%) female patients with a mean age of 35 years (range, 3–82 years). Visual acuity at baseline ranged from 6/5 to hand movements. In 43 patients (61%) subretinal fluid (SRF) was present, whereas 27 (39%) had intraretinal fluid only. The presence of SRF was associated with worse vision and foveal involvement. Of the 53 eyes initially observed with 1-year follow-up, 10 (19%) deteriorated and 9 (16%) improved on OCT; eyes with SRF were more likely to worsen and those without SRF were more likely to improve. Fifteen of the 70 patients (21%) at baseline had primary surgery and a further 10 had deferred surgery within 1 year of presentation; 19 of these 25 eyes (76%) showed anatomic success with a dry fovea at 1 year of follow-up, and 15 (60%) had a greater than 0.1 logMAR improvement in visual acuity. Conclusion The incidence and presenting features of ODPM were defined. Patients with SRF had worse vision and were more likely to deteriorate than patients with intraretinal fluid only. Surgery was anatomically successful in 75% of cases. Patients without SRF tended to remain stable with observation

Foveal sparing internal limiting membrane peeling for idiopathic macular hole; effects on anatomical restoration of the fovea and visual function

Purpose: Muller cells appear to be important in maintaining foveal morphology through connections between their foot processes and the Internal limiting membrane (ILM). ILM peeling causes Muller cell trauma. We hypothesised that leaving a rim of unpeeled ILM around idiopathic macular holes (MH) undergoing vitrectomy surgery would improve postoperative foveal morphology and vision. Methods: Prospective pilot study of fovea-sparing ILM peeling in a consecutive cohort of patients with MHs over a 12-month period. SD-OCT and ETDRS letters visual acuity (BCVA) were assessed pre- and postoperatively, and foveal morphology and metamorphopsia postoperatively. The foveal sparing group (FSG) were compared to a second consecutive cohort who received standard ILM peeling (Control group, CG). Results: 34 eyes of 34 patients were included in each group. Groups showed no significant preoperative differences. 34/34 holes were successfully closed with surgery in FSG and 32/34 in CG. FSG showed better postoperative BCVA (67.7 versus 63.8, p=0.003) and BCVA improvement (25.1 versus 20.2, p=0.03). FSG demonstrated thicker minimum foveal thickness (211 versus 173 microns, p=0.002) and less steep foveal depression (158 versus 149, p=0.002). Conclusion: Preserving non-peeled ILM around MHs resulted in a high closure rate, improved foveal morphology and better postoperative BCVA. An appropriately powered randomised controlled study is warranted