Human disturbance is the most limiting factor driving habitat selection of a large carnivore throughout Continental Europe

Habitat selection is a multi-scale process driven by trade-offs between benefits, such as resource abundance, and disadvantages, such as the avoidance of risk. The latter includes human disturbances, to which large carnivores, with their large spatial requirements, are especially sensitive. We investigated the ecological processes underlying multi-scale habitat selection of a large carnivore, namely Eurasian lynx, across European landscapes characterized by different levels of human modification. Using a unique dataset of 125 lynx from 9 study sites across Europe, we compared used and available locations within landscape and home-range scales using a novel Mixed Effect randomForest approach, while considering environmental predictors as proxies for human disturbances and environmental resources. At the landscape scale, lynx avoided roads and human settlements, while at the home-range scale natural landscape features associated with shelter and prey abundance were more important. The results showed sex was of relatively low variable importance for lynx's general habitat selection behaviour. We found increasingly homogeneous responses across study sites with finer selection scales, suggesting that study site differences determined coarse selection, while utilization of resources at the finer selection scale was broadly universal. Thereby describing lynx's requirement, if not preference, for heterogeneous forests and shelter from human disturbances and implying that regional differences in coarse-scale selection are driven by availability rather than preference. These results provide crucial information for conserving this species in human-dominated landscapes, as well as for the first time, to our knowledge, generalising habitat selection behaviour of a large carnivore species at a continental scale.acceptedVersio

Clinical management outcomes of childhood glaucoma suspects

To investigate the outcomes of childhood glaucoma suspects. Retrospective case series. Records of childhood glaucoma suspects were identified using financial claims data; medical history, baseline biometric and exam findings were recorded. Conversion from suspect to glaucoma was determined based on the Childhood Glaucoma Research Network criteria. The study adheres to the tenets of the Declarations of Helsinki. 214 subjects were enrolled, with median age at initial presentation of 6.37 years (interquartertile range: Q1 = 2.46, Q3 = 8.90). 22 (10.2%) subjects developed glaucoma, 64 (29.9%) had ocular hypertension but no glaucoma, 9 (4.2%) had high-risk condition or syndrome without either ocular hypertension or glaucoma after a mean follow up of 39 +/- 34 months. Neither a family history of glaucoma nor patient gender was significantly different between the groups. 40.2% of subjects (86 of 214) had two or more episodes of intraocular pressure (IOP) > 21 mmHg, among which 25.6% (22 of 86) developed glaucoma after a mean duration of 32.8 +/- 33.5 months. Up to 25% of children with 2 or more episodes of elevated IOP may develop glaucoma. In 50% of suspects who converted to glaucoma, elevated IOP was not present at the initial evaluation. There is no significant difference in gender, family history, or baseline central corneal thickness between suspects who developed glaucoma compared to the rest. While suspects who converted to glaucoma had higher average, maximum and minimum IOP measurements, there is no clear cutoff between the groups

Assessment of the anterior segment of patients with primary congenital glaucoma using handheld optical coherence tomography.

PURPOSE: To investigate the potential of handheld optical coherence tomography (HH-OCT) in assessing the anterior segment of the eye in patients with primary congenital glaucoma. DESIGN: A prospective, case-controlled observational study. PARTICIPANTS: Twenty-two patients with primary congenital glaucoma (PCG, 9 females and 13 males; mean age 4.36 ± 3.4 years) and age-, gender- and ethnicity-matched healthy participants. METHODS: Anterior OCT was performed in all participants using a high-resolution HH SD-OCT device (Envisu 2300, Leica Microsystems, Germany) without anaesthesia or sedation. RESULTS: Anterior HH-OCT in PCG visualised Haab's striae in 14.3%, uneven internal cornea in 9.5% and epithelial thickening in 11.9% of patients with central corneal thickening (CCT, p < 0.001). CCT was significantly correlated with the intraocular pressure (IOP, p < 0.001). The flat iris with a thin collarette zone was found in 59.5%, anterior iris insertion in 11.90% of eyes affected by PCG. Two independent examiners showed sensitivity and specificity of 87% and 77%, respectively, by instating iris thinning and flattening of the anterior profile. CONCLUSIONS: Anterior HH-OCT has significant potential to improve diagnosis and management of PCG. Clinically relevant information can be obtained non-invasively and without sedation. High specificity makes anterior HH-OCT an important adjunct for management of PCG. Excellent visualisation of the iris insertion on OCT indicates potential for AS OCT to assist with surgical planning, including decision on the type of surgery and location of the incision