No evidence for retinal damage evolving from reduced retinal blood flow in carotid artery disease

Introduction. Carotid artery disease (CAD) comprising high-grade internal carotid artery stenosis (CAS) or carotid artery occlusion (CAO) may lead to ipsilateral impaired cerebral blood flow and reduced retinal blood supply. Objective. To examine the influence of chronic CAD on retinal blood flow, retinal morphology, and visual function. Methods. Patients with unilateral CAS ≥ 50% (ECST criteria) or CAO were grouped according to the grade of the stenosis and to the flow direction of the ophthalmic artery (OA). Retinal perfusion was measured by transorbital duplex ultrasound, assessing central retinal artery (CRA) blood flow velocities. In addition, optic nerve and optic nerve sheath diameter were measured. Optical coherence tomography (OCT) was performed to study retinal morphology. Visual function was assessed using high- and low-contrast visual paradigms. Results. Twenty-seven patients were enrolled. Eyes with CAS ≥ 80%/CAO and retrograde OA blood flow showed a significant reduction in CRA peak systolic velocity (no-CAD side: 0.130 ± 0.035 m/s, CAS/CAO side: 0.098 ± 0.028; p = 0.005; n = 12). OCT, optic nerve thicknesses, and visual functional parameters did not show a significant difference. Conclusion. Despite assessable hemodynamic effects, chronic high-grade CAD does not lead to gaugeable morphological or functional changes of the retina

Thosaganth and Rama (Bangkok Dolls)

Wood figures in silk cloth, created in 2008 in Thailand by Tongkorn Chandavimol, depicting the nativity of Jesus. Exhibition label originally written by Fr. Johann G. Roten, S.M. for exhibit entitled At The Manger and held at Roesch Library, University of Dayton.https://ecommons.udayton.edu/imri_creches/1138/thumbnail.jp

Anticipating the occurrence and type of critical transitions

Critical transition can occur in many real-world systems. The ability to forecast the occurrence of transition is of major interest in a range of contexts. Various early warning signals (EWSs) have been developed to anticipate the coming critical transition or distinguish types of transition. However, no effective method allows to establish practical threshold indicating the condition when the critical transition is most likely to occur. Here, we introduce a powerful EWS, named dynamical eigenvalue (DEV), that is rooted in bifurcation theory of dynamical systems to estimate the dominant eigenvalue of the system. Theoretically, the absolute value of DEV approaches 1 when the system approaches bifurcation, while its position in the complex plane indicates the type of transition. We demonstrate the efficacy of the DEV approach in model systems with known bifurcation types and also test the DEV approach on various critical transitions in real-world systems

Le glaucome à angle ouvert et son traitement par les analogues des prostaglandines F2a[alpha]

ANGERS-BU Médecine-Pharmacie (490072105) / SudocSudocFranceF