6,740 research outputs found
Sandhill Crane Roost Selection, Human Disturbance, and Forage Resources
Sites used for roosting represent a key habitat requirement for many species of birds because availability and quality of roost sites can influence individual fitness. Birds select roost sites based on numerous factors, requirements, and motivations, and selection of roosts can be dynamic in time and space because of various ecological and environmental influences. For sandhill cranes (Antigone canadensis) at their main spring staging area along the Platte River in south-central Nebraska, USA, past investigations of roosting cranes focuse donphysical channel characteristics related to perceived security as motivating roost distribution.We used 6,310 roost sites selected by 313 sandhill cranes over 5 spring migration seasons (2003–2007) to quantify resource selection functions of roost sites on the central Platte River using a discrete choice analysis. Sandhill cranes generally showed stronger selection for wider channels with shorter bank vegetation situated farther from potential human disturbance features such as roads, bridges, and dwellings.Furthermore, selection for roost sites with preferable physical characteristics (wide channels with short bank vegetation) was more resilient to nearby disturbance features than more narrow channels with taller bank vegetation. The amount of cornfields surrounding sandhill crane roost sites positively influenced relative probability of use but only for more narrow channels \u3c100m and those with shorter bank vegetation. We confirmed key resource features that sandhill cranes selected at river channels along the Platte River, and after incorporating spatial variation due to human disturbance, our understanding of roost site selection was more robust, providing insights on how disturbance may interact with physical habitat features. Managers can use information on roost-site selection when developing plans to increase probability of crane use at existing roost sites and to identify new areas for potential use if existing sites become limited
Predicting the sound insulation of lightweight sandwich panels
The sound insulation of three sandwich panels was modelled using simple sound insulation prediction methods, but the agreement between theory and experiment was not very good. The effective Young's modulus was determined over a wide frequency from the resonant frequencies of three beams of different lengths. The effective Young's modulus was found to reduce with increasing frequency as has been predicted in the literature. This decrease is due to the core starting to shear rather than bend because its Young's modulus is much less than the Young's moduli of the skins. Unfortunately the agreement between theory and experiment was still not very good. This is because many of the prediction frequencies occur in the critical frequency dip because of the variation of the Young's modulus with frequency
Observational study of the effects of age, diabetes mellitus, cirrhosis and chronic kidney disease on sublingual microvascular flow.
BACKGROUND: Sidestream dark field (SDF) imaging has been used to demonstrate microcirculatory abnormalities in a variety of critical illnesses. The microcirculation is also affected by advancing age and chronic comorbidities. However, the effect of these conditions on SDF microcirculatory parameters has not been well described. METHODS: SDF images were obtained from five groups of 20 participants: healthy volunteers under the age of 25, healthy volunteers over the age of 55, and clinic patients over the age of 55 with one of diabetes mellitus, cirrhosis and stage 5 chronic kidney disease. Microcirculatory parameters between the groups were then compared for significance using analysis of variance for parametric and the Kruskal-Wallis test for non-parametric data. RESULTS: Median microvascular flow index was 2.85 (interquartile range 2.75 to 3.0) for participants aged 55, 2.88 (2.75 to 3.0) for those with diabetes mellitus, 3.0 (2.83 to 3.0) for those with cirrhosis and 3.0 (2.78 to 3.0) for those with chronic kidney disease (P for difference between groups = 0.14). Similarly, there were no significant differences in the proportion of perfused vessels and perfused vessel density between the groups. CONCLUSIONS: Older age, diabetes, and chronic kidney and liver disease need not be considered confounding factors for comparison of SDF microcirculatory parameters in the critically ill
Predicting optical coherence tomography-derived diabetic macular edema grades from fundus photographs using deep learning
Diabetic eye disease is one of the fastest growing causes of preventable
blindness. With the advent of anti-VEGF (vascular endothelial growth factor)
therapies, it has become increasingly important to detect center-involved
diabetic macular edema (ci-DME). However, center-involved diabetic macular
edema is diagnosed using optical coherence tomography (OCT), which is not
generally available at screening sites because of cost and workflow
constraints. Instead, screening programs rely on the detection of hard exudates
in color fundus photographs as a proxy for DME, often resulting in high false
positive or false negative calls. To improve the accuracy of DME screening, we
trained a deep learning model to use color fundus photographs to predict
ci-DME. Our model had an ROC-AUC of 0.89 (95% CI: 0.87-0.91), which corresponds
to a sensitivity of 85% at a specificity of 80%. In comparison, three retinal
specialists had similar sensitivities (82-85%), but only half the specificity
(45-50%, p<0.001 for each comparison with model). The positive predictive value
(PPV) of the model was 61% (95% CI: 56-66%), approximately double the 36-38% by
the retinal specialists. In addition to predicting ci-DME, our model was able
to detect the presence of intraretinal fluid with an AUC of 0.81 (95% CI:
0.81-0.86) and subretinal fluid with an AUC of 0.88 (95% CI: 0.85-0.91). The
ability of deep learning algorithms to make clinically relevant predictions
that generally require sophisticated 3D-imaging equipment from simple 2D images
has broad relevance to many other applications in medical imaging
Strategies for improving early detection and diagnosis of neovascular age-related macular degeneration
Treatment of the neovascular form of age-related macular degeneration (AMD) has been revolutionized by the introduction of such agents as ranibizumab, bevacizumab, and aflibercept. As a result, the incidence of legal blindness occurring secondary to AMD has fallen dramatically in recent years in many countries. While these agents have undoubtedly been successful in reducing visual impairment and blindness, patients with neovascular AMD typically lose some vision over time, and often lose the ability to read, drive, or perform other important activities of daily living. Efforts are therefore under way to develop strategies that allow for earlier detection and treatment of this disease. In this review, we begin by providing an overview of the rationale for, and the benefits of, early detection and treatment of neovascular AMD. To achieve this, we begin by providing an overview of the pathophysiology and natural history of choroidal neovascularization, before reviewing the evidence from both clinical trials and "real-world" outcome studies. We continue by highlighting an area that is often overlooked: the importance of patient education and awareness for early AMD detection. We conclude the review by reviewing an array of both established and emerging technologies for early detection of choroidal neovascularization, ranging from Amsler chart testing, to hyperacuity testing, to advanced imaging techniques, such as optical coherence tomography
Subretinal Fluid in Eyes with Active Ocular Toxoplasmosis Observed Using Spectral Domain Optical Coherence Tomography
Purpose To describe the clinical finding of subretinal fluid (SRF) in the
posterior pole by spectral domain optical coherence tomography (SD-OCT) in
eyes with active ocular toxoplasmosis (OT). Design Retrospective case series.
Participants Thirty-eight eyes from 39 patients with active OT. Methods Eyes
with active OT which underwent SD-OCT were reviewed. SRFs in the posterior
pole were further analyzed. Main Outcome Measures Presence of SRF; its
accompanying features, e.g. retinal necrosis, cystoid macular edema (CME),
choroidal neovascularization (CNV); and longitudinal changes of SRF, including
maximum height and total volume before and after treatment. Results SRF
presented in 45.5% (or 15/33) of eyes with typical active OT and in 51.3% (or
20/39) of eyes with active OT. The mean maximum height and total volume of SRF
were 161.0 (range: 23–478) µm and 0.47 (range: 0.005–4.12) mm3, respectively.
For 12 eyes with SRF related to active retinal necrosis, SRF was observed with
complete absorption after conventional anti-toxoplasmosis treatment. The mean
duration for observation of SRF clearance was 33.8 (range: 7–84) days. The
mean rate of SRF clearance was 0.0128 (range: 0.0002–0.0665) mm3/day.
Conclusions SRF (i.e., serous retinal detachment) is a common feature in
patients with active OT when SD-OCT is performed. The majority of SRF was
associated with retinal necrosis and reacted well to conventional therapy,
regardless of total fluid volume. However, SRF accompanying with CME or CNV
responded less favorably or remained refractory to conventional or combined
intravitreal treatment, even when the SRF was small in size
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