Retinal Vein Occlusion (RVO) is a blinding disease caused by one or more occluded retinal veins. Current treatment methods only focus on symptom mitigation rather than targeting a solution for the ...root cause of the disorder. Retinal vein cannulation is an experimental eye surgical procedure which could potentially cure RVO. Its goal is to dissolve the occlusion by injecting an anticoagulant directly into the blocked vein. Given the scale and the fragility of retinal veins on one end and surgeons’ limited positioning precision on the other, performing this procedure manually is considered to be too risky. The authors have been developing robotic devices and instruments to assist surgeons in performing this therapy in a safe and successful manner. This work reports on the clinical translation of the technology, resulting in the world-first in-human robot-assisted retinal vein cannulation. Four RVO patients have been treated with the technology in the context of a phase I clinical trial. The results show that it is technically feasible to safely inject an anticoagulant into a
100
μ
m
-thick retinal vein of an RVO patient for a period of 10 min with the aid of the presented robotic technology and instrumentation.
Purpose
Elevated intra‐ocular pressure (IOP) has been identified as a major risk factor for glaucoma. Additionally, extensive literature depicts a vascular dysfunction to exist in these patients. ...However, a large ocular blood flow‐oriented trial to integrate these findings in the clinical setting is lacking. This study would likely help to identify which of these vascular data can be used as a clinical tool for screening and disease stratification.
Method
Prospective, cross‐sectional, case–control hospital‐based study. Patients with primary open‐angle glaucoma (POAG), normal‐tension glaucoma (NTG), ocular hypertension (OHT), glaucoma suspects and healthy volunteers were recruited. In addition to a comprehensive ophthalmological examination, a vascular‐oriented questionnaire was completed and ocular blood flow assessment (colour Doppler imaging of retrobulbar vessels, retinal oximetry, dynamic contour tonometry, optical coherent tomography enhanced‐depth imaging of the choroid) were performed. Statistical analysis was based on multiple imputation to account for missingness.
Results
A total of 614 subjects (291 males) were recruited between March and December 2013 (POAG: 214, NTG: 192; OHT: 27; glaucoma suspect: 41; healthy controls: 140). Glaucoma groups (NTG and POAG) were age and gender matched with the control group (p > 0.05). Glaucoma groups were paired in terms of functional and structural parameters (p > 0.08). Mean ocular perfusion pressure was higher in the glaucoma groups than in controls (p < 0.001). Glaucoma groups had lower retrobulbar velocities, higher retinal venous saturation and choroidal thickness asymmetries when compared to the healthy group, in line with the current literature.
Conclusions
The Leuven Eye Study stands as one of the largest clinical trials on ocular blood flow in glaucoma. The creation of this vast database may help integrate the vascular aspects of glaucoma into the clinical practice of glaucoma.
Introduction Growing grass-legume mixtures for forage production improves both yield productivity and nutritional quality, while also benefiting the environment by promoting species biodiversity and ...enhancing soil fertility (through nitrogen fixation). Consequently, assessing legume proportions in grass-legume mixed swards is essential for breeding and cultivation. This study introduces an approach for automated classification and mapping of species in mixed grass-clover swards using object-based image analysis (OBIA). Methods The OBIA procedure was established for both RGB and ten band multispectral (MS) images capturedby an unmanned aerial vehicle (UAV). The workflow integrated structural (canopy heights) and spectral variables (bands, vegetation indices) along with a machine learning algorithm (Random Forest) to perform image segmentation and classification. Spatial k-fold cross-validation was employed to assess accuracy. Results and discussion Results demonstrated good performance, achieving an overall accuracy of approximately 70%, for both RGB and MS-based imagery, with grass and clover classes yielding similar F1 scores, exceeding 0.7 values. The effectiveness of the OBIA procedure and classification was examined by analyzing correlations between predicted clover fractions and dry matter yield (DMY) proportions. This quantification revealed a positive and strong relationship, with R2 values exceeding 0.8 for RGB and MS-based classification outcomes. This indicates the potential of estimating (relative) clover coverage, which could assist breeders but also farmers in a precision agriculture context.
Crop diversification in spatial and temporal patterns can optimize the synchronization of nutrients plant demand and availability in soils, as plant diversity and soil microbial communities are the ...main drivers of biogeochemical C and nutrient cycling. The introduction of multi-cropping in organic vegetable production can represent a key strategy to ensure efficient complementation mediated by soil microbiota, including beneficial mycorrhizal fungi. This study shows the effect of the introduction of multi-cropping in five European organic vegetable systems (South-West: Italy; North-West: Denmark and Belgium; North-East: Finland and Latvia) on: (i) soil physicochemical parameters; (ii) soil microbial biomass stoichiometry; (iii) crop root mycorrhization; (iv) bacterial and fungal diversity and composition in crop rhizosphere; (v) relative abundance of selected fungal pathogens species. In each site, three cropping systems were considered: (1) crop 1—monocropping; (2) crop 2—monocropping; (3) crop 1—crop 2—intercropping or strip cropping. Results showed that, just before harvest, multi-cropping can increase soil microbial biomass amount and shape microbial community toward a predominance of some bacteria or fungi phyla, in the function of soil nutrient availability. We mainly observed a selection effect of crop type on rhizosphere microbiota. Particularly,
Bacteroidetes
and
Mortierellomycota
relative abundances in rhizosphere soil resulted in suitable ecological indicators of the positive effect of plant diversity in field, the first ones attesting an improved C and P cycles in soil and the second ones a reduced soil pathogens' pressure. Plant diversity also increased the root mycorrhizal colonization between the intercropped crops that, when properly selected, can also reduce the relative abundance of potential soil-borne pathogens, with a positive effect on crop productivity in long term.
Purpose
To evaluate the feasibility of robot‐assisted retinal vein cannulation for retinal vein occlusion.
Methods
Prospective experimental study performed in in vivo porcine eyes. A standard three ...port pars plana vitrectomy was followed by laser‐induced branch retinal vein occlusion. Consequently, a retinal vein cannulation with the help of a surgical robot and a microneedle was performed. Complete success was defined as a stable intravenous position of the needle tip confirmed by blood washout for at least 3 min. Secondary outcomes were the occurrence of intra‐operative complications and technical failures.
Results
Cannulation was successful in 15 of 18 eyes with a complete success rate (duration of infusion of more than 3 min) of 73% after exclusion of two eyes from analysis due to failure in establishing a blood clot. There were no technical failures regarding the robotic device. The intravessel injections of ocriplasmin in two of two eyes led to a clot dissolution. In a subset of five eyes, a second cannulation attempt at the border of the optic disc resulted in a stable intravessel position and infusion during 362 (±138) seconds.
Conclusion
Robot‐assisted retinal vein cannulation with prolonged infusion time is technically feasible. Human experiments are required to analyse the clinical benefit of this new therapy.
To investigate the correlation between peripapillary choroidal thickness (CT) and retinal vessel oxygen saturation (SO2) in young healthy individuals and open-angle glaucoma (OAG) patients.
...Fifty-four young healthy volunteers (aged 21.6 ± 1.1 years) and 48 OAG patients (aged 72.0 ± 9.1 years, visual field mean deviation -9.0 ± 8.1 dB) were included. Peripapillary CT was obtained using enhanced depth imaging optical coherence tomography (EDI-OCT). Arterial (SaO2) and venous (SvO2) retinal oxygen saturation were measured by a spectrophotometric retinal oximeter.
Arterial and SvO2 retinal oxygen saturation were significantly higher in the glaucoma group (95.1 ± 3.3% vs. 92.3 ± 3.0% and 60.8 ± 6.3% vs. 55.4 ± 4.6%, P < 0.001, respectively), while arteriovenous oxygen difference was significantly lower (34.4 ± 6.0% vs. 36.8 ± 3.8%, P = 0.014). Arterial and SvO2 retinal oxygen saturation were positively correlated with peripapillary CT in the healthy group (Spearman's ρ = 0.48, P < 0.001 and ρ = 0.41, P = 0.002, respectively), but not in the glaucoma group (P > 0.05). Multivariate analysis confirmed that these findings were independent of age, intraocular pressure, and mean arterial blood pressure and revealed a negative correlation between arteriovenous oxygen difference and CT in the healthy group (β = -0.337, P = 0.03).
In this study, we found a significant positive correlation between retinal vessel SO2 and peripapillary CT in young healthy individuals, but not in open-angle glaucoma patients. Further research is warranted to investigate whether the lack of correlation reflects a disturbance in the blood flow regulation in glaucoma patients. (ClinicalTrials.gov number, NCT01840202.).
When crops are cultivated on fields fertilized with animal manure, the risk exists that plants may take up antibiotic residues and may be exposed to antibiotic resistance genes and antibiotic ...resistant bacteria. During cultivation in a greenhouse pot experiment, leek (Allium porrum) was fertilized with either pig slurry or mineral fertilizer and exposed to either no antibiotics, doxycycline (10,000 μg/kg manure), sulfadiazine (1000 μg/kg manure), or lincomycin (1000 μg/kg manure). At harvest, 4.5 months later, lincomycin, sulfadiazine or doxycycline were not detected in any of the leek samples nor in their corresponding soil samples. Further, antimicrobial susceptibility testing was performed on 181 Bacillus cereus group isolates and 52 Pseudomonas aeruginosa isolates from the grown leek. For the B. cereus group isolates, only a small shift in MIC50 for lincomycin was observed among isolates from the lincomycin and control treatment. For P. aeruginosa, only in the setup with doxycycline treatment a higher MIC50 for doxycycline was observed compared to the control, specifically the isolates selected from growth media supplemented with 8 mg/L doxycycline. Nine antibiotic resistance genes (tet(B), tet(L), tet(M), tet(O), tet(Q), tet(W), erm(B), erm(F) and sul2) were investigated at harvest in the leek and soil samples. In the leek samples, none of the antibiotic resistance genes were detected. In the soil samples fertilized with pig slurry, the genes erm(B), erm(F), tet(M), sul2, tet(W) and tet(O) were detected in significantly higher copy numbers in the lincomycin treatment as compared to the other antibiotic treatments. This could be due to a shift in soil microbiota induced by the addition of lincomycin. The results of this study indicate that consumption of leek carries a low risk of exposure to antibiotic residues or antibiotic resistance to doxycycline, sulfadiazine or lincomycin.
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•Four strawberry trials in double cropping system of cv. Elsanta.•Several mixtures with 20–100% compost versus peat-based growing media.•Compost has potential for use in sustainable ...and agro-ecological growing media.•Horticulture meets the circular economy by recycling nutrients in compost.•Fertigation strategy in case of compost-amended substrates is optimized.
Peat replacement by compost in growing media can increase the sustainability of soilless cultivation. Compost, when mixed into growing media, is a source of fiber, i.e., a rooting medium, as well as an important source of nitrogen (N), phosphorus (P) and potassium (K). Physical properties as well as nutrient levels in growing media are known to affect plant growth and health. Therefore we monitored the evolution of nutrient release in compost-amended growing media for strawberry in greenhouse culture with drip fertigation for a double cropping system of cv. Elsanta, i.e., autumn culture with continued culture in spring. Compost amended and other alternative growing media for strawberry production were tested during four years of trials at full-scale level in a professional greenhouse growing system, in order to optimize the new cropping system with alternative substrates. Compost amended substrates contained 20–100% (v/v) compost, with different compost types tested. We assessed effects on yield and nutrients, i.e. nutrient availability in the substrate, uptake in the plants, and losses with the drainage water, as well as effect on diseases and pests (infection by powdery mildew (Podosphaera aphanis), aphids (Chaetosiphon fragefolii), and the anthracnose pathogen (Colletotrichum acutatum)). Adding compost to growing media has potential to increase the sustainability of soilless strawberry culture. Results show that growing strawberries on alternative substrates is feasible, but the substrate mixtures containing compost required adjusted fertigation due to nutrients supplied by the compost. This study revealed that strawberry plants made highly efficient use of the P and K in the compost when P and K input by fertigation was reduced, and that compost addition results in reduced export and potential losses of nutrients with the drain water and spent growing media. In general, the compost-amended substrates with lower N fertigation performed well as a growing medium during the autumn culture, but in the continued spring culture, these substrates needed an adapted fertigation regime for N, P and K. The N supply by the tested composts during the autumn culture allowed for significant reductions in N supplied by fertigation, i.e., 50% reduction when 100% (v/v) compost was used, and 10% reduction when 20% (v/v) compost was used. Degree of infection with powdery mildew and aphids was strongly positively correlated with the N status of the crop, pointing at the risks of high N supply for the crop. At the end of the autumn culture, no significant positive or negative effect of the compost treatments on the latent survival of C. acutatum on the strawberry leaves was found.
One of the key issues in compost research is to assess when the compost has reached a mature stage. The maturity status of the compost determines the quality of the final soil amendment product. The ...nematode community occurring in a Controlled Microbial Composting (CMC) process was analyzed with the objective of assessing whether the species composition could be used as a bio-indicator of the compost maturity status. The results obtained here describe the major shifts in species composition that occur during the composting process. Compared to terrestrial ecosystems, nematode succession in compost differs mainly in the absence of K-strategists and numerical importance of diplogastrids. At the beginning of the composting process (thermophilic phase), immediately after the heat peak, the nematode population is primarily built by bacterial feeding enrichment opportunists (cp-1) (Rhabditidae, Panagrolaimidae, Diplogastridae) followed by the bacterial-feeding general opportunists (cp-2) (Cephalobidae) and the fungal-feeding general opportunists (Aphelenchoididae). Thereafter, during the cooling and maturation stage, the bacterial-feeding-predator opportunistic nematodes (
Mononchoides sp.) became dominant. Finally, at the most mature stage, the fungal-feeding Anguinidae (mainly
Ditylenchus filimus) were most present. Both, the Maturity Index (MI) and the fungivorous/bacterivorous ratio (f/b ratio), increase as the compost becomes more mature (ranging, respectively, from 1 to 1.86 and from 0 to 11.90). Based on these results, both indices are suggested as potential suitable tools to assess compost maturity.
•Reduced tillage and compost application counteracted soil degradation.•Compost application positively affected the pH, irrespective of dose.•Non-inversion tillage reduced leaching of base cations ...and organic carbon compounds.•Soil management affected the microbial community structure in the topsoil.•Cover crops were included in the rotation for reasons of good agricultural practice.
Soil quality in vegetable cropping systems is seriously threatened by intensive tillage and fertilization practices and by limited crop rotations. Inclusion of cover crops, compost application and reduced tillage may help to sustain soil quality. A three-year field trial was set up on horticultural land to explore the combined effects of compost amendment at three rates (0, 15 and 45Mgha−1year−1) and tillage practices (reduced tillage versus conventional ploughing) on soil quality. Cover crop was not a factor in the experiment, but cover crops were included in the rotation for reasons of good agricultural practice. The highest compost dose supported the initial level of total organic carbon in the arable layer. The decrease in pH in the arable layer was considerably limited by compost application, irrespective of the dose applied. Reduced tillage resulted in a favorable stratification for different soil quality indicators both by placement of organic inputs near the soil surface and by a reduction of leaching of base cations and organic carbon compounds. Differences between tillage practices and compost doses were most striking in the 0–10cm soil layer. Compost application at the highest rate enhanced organic C content by 16% compared to the content in the non-amended soil. Reduced tillage induced a 13% higher organic C content in the 0–10cm soil layer than that in the underlying 10–30cm layer. Combining reduced tillage and recurrent compost application resulted in a different soil microbial community structure in the 0–10cm surface layer, as revealed by phospholipid fatty acids analysis. Total microbial biomass was 44% higher under reduced compared to conventional tillage and increased by 27% due to compost application at a rate of 45Mgha−1year−1. Fungal biomass doubled in the surface layer by reduced tillage. Actinomycetes and arbuscular mycorrhizal fungi were favored by both reduced tillage and compost application. Conversion to reduced tillage allowed for sustaining crop production in this intensive vegetable cropping system. Compost application and reduced tillage counteracted soil degradation.
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