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"Morgan, William H."
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Label-Free Density Measurements of Radial Peripapillary Capillaries in the Human Retina
2015
Radial peripapillary capillaries (RPCs) comprise a unique network of capillary beds within the retinal nerve fibre layer (RNFL) and play a critical role in satisfying the nutritional requirements of retinal ganglion cell (RGC) axons. Understanding the topographical and morphological characteristics of these networks through in vivo techniques may improve our understanding about the role of RPCs in RGC axonal health and disease. This study utilizes a novel, non-invasive and label-free optical imaging technique, speckle variance optical coherence tomography (svOCT), for quantitatively studying RPC networks in the human retina. Six different retinal eccentricities from 16 healthy eyes were imaged using svOCT. The same eccentricities were histologically imaged in 9 healthy donor eyes with a confocal scanning laser microscope. Donor eyes were subject to perfusion-based labeling techniques prior to retinal dissection, flat mounting and visualization with the microscope. Capillary density and diameter measurements from each eccentricity in svOCT and histological images were compared. Data from svOCT images were also analysed to determine if there was a correlation between RNFL thickness and RPC density. The results are as follows: (1) The morphological characteristics of RPC networks on svOCT images are comparable to histological images; (2) With the exception of the nasal peripapillary region, there were no significant differences in RPC density measurements between svOCT and histological images; (3) Capillary diameter measurements were significantly greater in svOCT images compared to histology; (4) There is a positive correlation between RPC density and RNFL thickness. The findings in this study suggest that svOCT is a reliable modality for analyzing RPC networks in the human retina. It may therefore be a valuable tool for aiding our understanding about vasculogenic mechanisms that are involved in RGC axonopathies. Further work is required to explore the reason for some of the quantitative differences between svOCT and histology.
Journal Article
Correlation of Retinal Nerve Fibre Layer Thickness and Spontaneous Retinal Venous Pulsations in Glaucoma and Normal Controls
by
Georgevsky, Dana
,
Golzan, S. Mojtaba
,
Morgan, William H.
in
Aged
,
Analysis
,
Case-Control Studies
2015
To study the relationship between amplitude of spontaneous retinal venous pulsatility (SRVP) and retinal nerve fibre layer (RNFL) thickness in glaucomatous eyes, and to determine if this parameter may be a potential marker for glaucoma severity.
85 subjects including 50 glaucoma (21 males, 67±10 yrs) and 35 normals (16 males, 62±11 yrs) were studied. SRVP amplitude was measured using the Dynamic Vessel Analyser (DVA, Imedos, Germany) at four regions of the retina simultaneously within one disc diameter from the optic disc--temporal-superior (TS), nasal-superior (NS), temporal-inferior (TI) and nasal-inferior (NI)). This was followed by RNFL thickness measurement using spectral domain optical coherence tomography (Spectralis OCT). The correlation between SRVP amplitude and corresponding sectoral RNFL thickness was assessed by means of non-linear regression (i.e. logarithmic). Linear regression was also applied and slopes were compared using analysis of covariance (ANCOVA).
Greater SRVP amplitude was associated with thicker RNFL. Global SRVP amplitude was significantly lower in glaucoma eyes compared with normals (p<0.0001). The correlation coefficient of the linear regression between RNFL and SRVP at TS, NS, TI and NI quadrants in the glaucoma group were r = 0.5, 0.5, 0.48, 0.62. Mean SRVP amplitude and RNFL thickness for TS, NS, TI and NI quadrants were 4.3±1.5, 3.5±1.3, 4.7±1.6, 3.1±1 μm and 96±30, 75±22, 89±35 and 88±30 μm, respectively. The ANCOVA test showed that the slope of linear regression between the four quadrants was not significant (p>0.05). Since the slopes are not significantly different, it is possible to calculate one slope for all the data. The pooled slope equals 10.8 (i.e. RNFL = 10.8SRVP+41).
While SRVP was present and measurable in all individuals, the amplitude of SRVP is reduced in glaucoma with increasing RNFL loss. Our findings suggest the degree of SRVP may be an additional marker for glaucoma severity. Further studies are needed to determine the mechanism of reduction in SRVP, and whether changes can predict increased risk of progression.
Journal Article
Assessing diverse evidence to improve conservation decision‐making
by
Salafsky, Nick
,
Rezaie, Ali Mohammad
,
Boenisch, Nicolas
in
Conservation
,
conservation evidence
,
Decision making
2023
Meeting the urgent need to protect and restore ecosystems requires effective decision‐making through wisely considering a range of evidence. However, weighing and assessing evidence to make complex decisions is challenging, particularly when evidence is of diverse types, subjects, and sources, and varies greatly in its quality and relevance. To tackle these challenges, we present the Balance Evidence Assessment Method (BEAM), an intuitive way to weigh and assess the evidence relating to the core assumptions underpinning the planning and implementation of conservation projects, strategies, and actions. Our method directly tackles the question of how to bring together diverse evidence whilst assessing its relevance, reliability, and strength of support for a given assumption, which can be mapped, for example to a Theory of Change. We consider how simple principles and safeguards in applying this method could help to respectfully, and equitably, include more local forms of knowledge when assessing assumptions, such as by ensuring diverse groups of individuals contribute and assess evidence. The method can be flexibly applied within existing decision‐making tools, platforms, and frameworks whenever assumptions (i.e., claims and hypotheses) are made. This method could greatly facilitate and improve the weighing of diverse evidence to make decisions in a range of situations, from local projects to global policy platforms.
Journal Article
Objective Detection of Retinal Vessel Pulsation
2015
Retinal venous pulsation detection is a subjective sign, which varies in elevated intracranial pressure, venous obstruction and glaucoma. To date no method can objectively measure and identify pulsating regions.
Using high resolution video-recordings of the optic disk and retina we measured fluctuating light absorption by haemoglobin during pulsation. Pulsation amplitude was calculated from all regions of the retinal image video-frames in a raster pattern. Segmented retinal images were formed by objectively selecting regions with amplitudes above a range of threshold values. These were compared to two observers manually drawing an outline of the pulsating areas while viewing video-clips in order to generate receiver operator characteristics.
216,515 image segments were analysed from 26 eyes in 18 research participants. Using data from each eye, the median area under the receiver operator curve (AU-ROC) was 0.95. With all data analysed together the AU-ROC was 0.89. We defined the ideal threshold amplitude for detection of any pulsating segment being that with maximal sensitivity and specificity. This was 5 units (95% confidence interval 4.3 to 6.0) compared to 12 units before any regions were missed. A multivariate model demonstrated that ideal threshold amplitude increased with increased variation in video-sequence illumination (p = 0.0119), but between the two observers (p = 0.0919) or other variables.
This technique demonstrates accurate identification of retinal vessel pulsating regions with no areas identified manually being missed with the objective technique. The amplitude values are derived objectively and may be a significant advance upon subjective ophthalmodynamometric threshold techniques.
Journal Article
The association between retinal vein pulsation pressure and optic disc haemorrhages in glaucoma
by
McKendrick, Allison M.
,
Graham, Stuart L.
,
Yu, Dao-Yi
in
Aged
,
Aged, 80 and over
,
Archives & records
2017
To explore the potential relationship between optic disc haemorrhage, venous pulsation pressure (VPP), ocular perfusion pressures and visual field change in glaucomatous and glaucoma suspect eyes.
This prospective observational study examined 155 open angle glaucoma or glaucoma suspect eyes from 78 patients over 5 years. Patients were followed with 3 monthly non-mydriatic disc photographs, 6 monthly standard automated perimetry and annual ophthalmodynamometry. The number of disc haemorrhages in each hemidisc was counted across the study period. Visual field rate of change was calculated using linear regression on the sensitivity of each location over time, then averaged for the matching hemifield. VPP and central retinal artery diastolic pressure (CRADP) were calculated from the measured ophthalmodynanometric forces (ODF). The difference between brachial artery diastolic pressure (DiastBP) and CRADP was calculated as an index of possible flow pathology along the carotid and ophthalmic arteries.
Mean age of the cohort was 71.9 ± 7.3 Years. 76 out of 155 eyes (49%) followed for a mean period of 64.2 months had at least 1 disc haemorrhage. 62 (81.6%) of these 76 eyes had recurrent haemorrhages, with a mean of 5.94 recurrences over 64.2 months. Using univariate analysis, rate of visual field change (P<0.0001), VPP (P = 0.0069), alternative ocular perfusion pressure (CRADP-VPP, P = 0.0036), carotid resistance index (DiastBP-CRADP, P = 0.0108) and mean brachial blood pressure (P = 0.0203) were significantly associated with the number of disc haemorrhages. Using multivariate analysis, increased baseline visual field sensitivity (P = 0.0243, coefficient = 0.0275) was significantly associated with disc haemorrhage, in conjunction with higher VPP (P = 0.0029, coefficient = 0.0631), higher mean blood pressure (P = 0.0113, coefficient = 0.0190), higher carotid resistance index (P = 0.0172, coefficient = 0.0566), and rate of visual field loss (P<0.0001, coefficient = -2.0695).
Higher VPP was associated with disc haemorrhage and implicates the involvement of venous pathology, but the effect size is small. Additionally, a greater carotid resistance index suggests that flow pathology in the ophthalmic or carotid arteries may be associated with disc haemorrhage.
Journal Article
Intraocular Pressure Reduction Is Associated with Reduced Venous Pulsation Pressure
2016
To explore whether alterations in intraocular pressure (IOP) affect vein pulsation properties using ophthalmodynamometric measures of vein pulsation pressure.
Glaucoma patients had two retinal vein pulsation pressure (VPP) measurements from upper and lower hemiveins performed by ophthalmodynamometry at least 3 months apart. All subjects had VPP and IOP recorded at two visits, with standard automated perimetry, central corneal thickness (CCT) recorded at the initial visit. Where venous pulsation was spontaneous ophthalmodynamometry could not be performed and VPP was considered equal to IOP. Change in VPP was calculated and binarized with reduction in pressure scored 1 and no change or increase scored as 0. Data analysis used a mixed logistic regression model with change in VPP as response variable and change in IOP, visual field loss (mean deviation), CCT and time interval as explanatory variables.
31 subjects (20 females) with mean age 60 years (sd 11) were examined with change in VPP being significantly associated with change in IOP (odds ratio 1.6/mmHg, 95% CI 1.2 to 2.1 in the glaucoma patients but not suspect patients (p = 0.0005).
Change in VPP is strongly associated with change in IOP such that a reduced intraocular pressure is associated with a subsequent reduction in VPP. This indicates that reduced IOP alters some retinal vein properties however the nature and time course of these changes is not known.
Journal Article
Co‐designing a toolkit for evidence‐based decision making in conservation: Processes and lessons
by
Al‐Fulaij, Nida
,
Christie, Alec
,
Sutherland, William J.
in
Biodiversity
,
Co-design
,
Collaboration
2023
Improving the effectiveness of conservation practice requires better use of evidence. Since 2004, researchers from the Conservation Evidence group (University of Cambridge) have engaged with over 1100 named practitioners, policymakers, funders and other academics from across the world to identify needs and develop a range of principles, tools and resources to embed evidence in decision making. The goal of this engagement (the Conservation Evidence Programme) was to deliver improved conservation practice leading to benefits for nature and society. Together, we developed a theory of change with five key strategies for delivering change, alongside a freely available Evidence Toolkit to support decision makers in achieving that change. The authors describe the toolkit, a collection of freely available tools and resources developed by the collaborative programme, and how co‐design, employing different levels of partner engagement, enabled its development. Reflecting on our experiences highlighted a number of insights and recommendations, including the need to identify where deep engagement is a necessary condition for success; the importance of collective agreement of the roles of different partners; the need to consider how to facilitate uptake of new tools or practices, particularly where that requires changes to organisational practices or culture; and the importance of establishing processes/channels for ongoing engagement with stakeholders, with a willingness to be flexible and open to incorporating new suggestions and perspectives as needed. The Conservation Evidence Programme has enabled practitioners, funders and policymakers to become part of a network of forward‐thinking organisations that is working collaboratively to help drive more effective conservation practice through improved evidence use.
Journal Article
“Microbiota, symbiosis and individuality summer school” meeting report
by
Carlisle, Judith
,
Rodeck, Salome
,
Guerrero, Anna C.
in
Animal reproduction
,
Biochemistry, Molecular Biology
,
Bioinformatics
2020
How does microbiota research impact our understanding of biological individuality? We summarize the interdisciplinary summer school on “Microbiota, symbiosis and individuality: conceptual and philosophical issues” (July 2019), which was supported by a European Research Council starting grant project “Immunity, DEvelopment, and the Microbiota” (IDEM). The summer school centered around interdisciplinary group work on four facets of microbiota research: holobionts, individuality, causation, and human health. The conceptual discussion of cutting-edge empirical research provided new insights into microbiota and highlights the value of incorporating into meetings experts from other disciplines, such as philosophy and history of science.
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Video Abstract
Journal Article
Colonisation dynamics during range expansion is poorly predicted by dispersal in the core range
by
Cornulier, Thomas
,
Morgan, William H.
,
Lambin, Xavier
in
Animal behavior
,
Arvicola amphibius
,
Colonization
2019
The potential ranges of many species are shifting due to changing ecological conditions. Where populations become patchy towards the range edge, the realised distribution emerges from colonisation–persistence dynamics. Therefore, a greater understanding of the drivers of these processes, and the spatial scales over which they operate, presents an opportunity to improve predictions of species range expansion under environmental change. Species reintroductions offer an ideal opportunity to investigate the drivers and spatial scale of colonisation dynamics at the range edge. To this effect, we performed and monitored experimental translocations of water voles to quantify how colonisation and local persistence were influenced by habitat quality and occupancy. We used a novel statistical method to simultaneously consider effects across a range of spatial scales. Densely occupied neighbourhoods were highly persistent and frequently colonised. Persistence was more likely in high quality habitat, whereas the influence of habitat quality on colonisation was less clear. Colonisation of suitable habitat in distant, sparsely occupied areas was much less frequent than expected from the well documented high dispersal ability of the species. Persistence of these distant populations was also low, which we attribute to the absence of a rescue effect in sparsely populated neighbourhoods. Our results illustrate a mismatch between the spatial scales of colonisation dynamics in the core and edge of a species’ range, suggesting that recolonisation dynamics in established populations may be a poor predictor of colonisation dynamics at the range edge. Such a mismatch leads to predictions of long lags between the emergence and colonisation of new habitat, with detrimental consequences for a species’ realised distribution, conservation status and contribution to ecosystem function. Conservation translocations that also reinforce existing populations at the range edge might stimulate the rescue effect and mitigate lags in expansion.
Journal Article