The Lantern Vol. 75, No. 2, Spring 2008

• In a French Courtyard at the Philadelphia Museum of Art • Picky Mangoes • And for My Un-Birthday I Drank Poets\u27 Tea and Got to See • Tree-Baby • Wrestling With Plants • I Smile • Walking Home • The Wall Between • Phalangese, or the Art of Speaking to Fingers • Early Spring • Karma Kids • A Bazaar Triptych • The Joys of Ritual Circumcision • [Of] Archetype[s] or I Don\u27t Like Your Poetry • Truth and Beauty Bombed • Chevalier Anachronistic • Kinds of Birds • Sparknotes Entry for The Changing Tide by Eric Relvas • Thirst • The Devil\u27s Dictionary • Portrait of an Artist Who Loves Icarus • Dinner at the Old House • The Meaning of a Dust-Busterhttps://digitalcommons.ursinus.edu/lantern/1172/thumbnail.jp

A separated jet and coastal counterflow during upwelling relaxation off Cape São Vicente (Iberian Peninsula)

21 pages, 15 figures.-- Available online Nov 11, 2004.Full-text version available Open Access at: http://www.iim.csic.es/~barton/html/pdfs.htmlThe circulation and structure of the coastal upper ocean during the relaxation after an upwelling event around Cape São Vicente, the southwestern tip of Iberian Peninsula, are described. Hydrographic, ADCP, wind, and remotely sensed SST data during the upwelling season reflect the interplay of two contrasting regimes in the region: coastal upwelling and a nearshore countercurrent. The observations revealed a 40 km wide jet-like flow, separated from the coast, that advected cold water southward off the west coast and eastward around the Cape. It originated prior to the cruise in the upwelling that occurred off the prominent west coast capes, north of the sampling region. Adjacent to the coast, a narrow inshore counterflow advected warm water westward along the south coast, curled anticyclonically around the Cape with velocities up to 0.4 m s−1, and progressed poleward inshore of the previously upwelled water. The cold equatorward jet interacted with offshore waters and inshore countercurrent by generating small-scale instabilities, and weakened as it proceeded south and around the Cape. The inshore countercurrent was suppressed during the final part of the survey by an eastward flow associated with a return to an upwelling favourable wind off the south coast of Portugal.This work was partially funded by Fundação para a Ciência e Tecnologia Grants Ciência BD/1532/91-IG and PRAXIS XXI BD/4079/94.Peer reviewe

Current practice in the management of ocular toxoplasmosis

Background Ocular toxoplasmosis is common across all regions of the world. Understanding of the epidemiology and approach to diagnosis and treatment have evolved recently. In November 2020, an international group of uveitis-specialised ophthalmologists formed the International Ocular Toxoplasmosis Study Group to define current practice. Methods 192 Study Group members from 48 countries completed a 36-item survey on clinical features, use of investigations, indications for treatment, systemic and intravitreal treatment with antiparasitic drugs and corticosteroids, and approach to follow-up and preventive therapy. Results For 77.1% of members, unilateral retinochoroiditis adjacent to a pigmented scar accounted for over 60% of presentations, but diverse atypical presentations were also reported. Common complications included persistent vitreous opacities, epiretinal membrane, cataract, and ocular hypertension or glaucoma. Most members used clinical examination with (56.8%) or without (35.9%) serology to diagnose typical disease but relied on intraocular fluid testing-usually PCR-in atypical cases (68.8%). 66.1% of members treated all non-pregnant patients, while 33.9% treated selected patients. Oral trimethoprim-sulfamethoxazole was first-line therapy for 66.7% of members, and 60.9% had experience using intravitreal clindamycin. Corticosteroid drugs were administered systemically by 97.4%; 24.7% also injected corticosteroid intravitreally, almost always in combination with an antimicrobial drug (72.3%). The majority of members followed up all (60.4%) or selected (35.9%) patients after resolution of acute disease, and prophylaxis against recurrence with trimethoprim-sulfamethoxazole was prescribed to selected patients by 69.8%. Conclusion Our report presents a current management approach for ocular toxoplasmosis, as practised by a large international group of uveitis-specialised ophthalmologists