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Intense pulsed light‑based treatment for the improvement of symptoms in glaucoma patients treated with hypotensive eye drops

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Eye and Vision 2024年第2期10卷 12-21页

作者： Jose Maria.martinez‑de‑la‑Casa carlos Oribio‑Quinto Almudena Milans‑del‑Bosch Pilar perez‑Garcia Laura Morales‑Fernandez Javier Garcia‑Bella Jose Manuel Benitez‑del‑Castillo Julian Garcia‑Feijoo David P.Pinero Ophthalmology Unit Department of Ophthalmology and ORLFaculty of MedicineHospital Clinico San-CarlosUniversidad Complutense de MadridInstituto de Investigacion Sanitaria del Hospital Clinico San-Carlos(IdISSC)28040 MadridSpain Department of Immunology Ophthalmology and ORLSchool of MedicineInstituto de Investigaciones Oftalmologicas Ramon CastroviejoUniversidad Complutense de MadridMadridSpain Department of Optics Pharmacology and AnatomyUniversity of AlicanteAlicanteSpain

Background:Ocular surface disease in glaucoma patients is a significant ocular co-morbidity that can affect 40%to 59%of these patients *** current study was aimed at evaluating the potential clinical benefit of an intense pulsed light(IPL)-based treatment in glaucomatous patients with ocular surface disease due to prolonged hypotensive eyedrop *** our knowledge,this is the first series analyzing the therapeutic effect of this treatment option in this type of ***:This non-comparative prospective case series study enrolled a total of 30 glaucoma patients ranging in age from 57 to 94 years old and treated with hypotensive eyedrops for years with dry eye *** patients received four sessions of IPL treatment using the Optima IPL system(Lumenis,Yokneam,Israel)adjusted to the official optimized Lumenis *** in symptomatology,corneal staining,conjunctival hyperemia,non-invasive break-up time(NIBUT),tear osmolarity,tear meniscus height(TMH),meiboscore and meibomian gland expressibility was analyzed after ***:Statistically significant reductions were observed after IPL treatment in the symptomatology scores measured with different questionnaires[ocular surface disease index(OSDI),standard patient evaluation of eye dryness(SPEED)and symptom assessment questionnaire in dry eye(SANDE)]as well as with the visual analogue scale(P<0.001).Mean change in OSDI was−15.0±11.3.A significant reduction was found after treatment in the corneal staining score(P<0.001).A significant reduction was found in tear film meniscus height(P=0.012),as well as in tear film osmolarity(P=0.001).A significant reduction was also found in meibomian gland expressibility(P=0.003),changing the percentage of grade 3 eyes from 44.4%before IPL to 17.2%after ***:IPL therapy combined with meibomian gland expression(MGX)seems to be an effective option to improve symptomatology in glaucomatous patients with ocular surface diseas

关键词： Glaucoma Intense pulsed light Dry eye Meibomian glands

Muscle strength deficits are associated with low bone mineral density in young pediatric cancer survivors:The iBoneFIT project

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Journal of Sport and Health Science 2024年第3期13卷 419-427页

作者： Andres Marmol-perez Jose J.Gil-Cosano Esther Ubago-Guisado Francisco J.Llorente-Cantarero Juan Francisco Pascual-Gázquez Kirsten K.Ness Vicente martinez-Vizcaino Jonatan R.Ruiz Luis Gracia-Marco Department of Physical Education and Sports Faculty of Sport SciencesSport and Health University Research Institute(iMUDS)University of GranadaGranada 18011Spain Department of Epidemiology and Cancer Control St.Jude Children's Research HospitalMemphisTN 38105USA Department of Communication and Education Loyola University AndalusiaSeville 41704Spain Biosanitary Research Institute ibs.GranadaGranada 18012Spain Maimonides Biomedical Research Institute of Cordoba(IMIBIC) Cordoba 14004Spain CIBEROBN Biomedical Research Networking Center for Physiopathology of Obesity and NutritionCarlos III Health InstituteMadrid 28029Spain Department of Specific Didactics Faculty of EducationUniversity of CordobaCordoba 14071Spain Pediatric and adolescent hematology and oncology service Pediatrics and Pediatric Surgery Clinical Management UnitVirgen de las Nieves University HospitalGranada 18014Spain Health and Social Research Center Universidad de Castilla-La ManchaCuenca 13001Spain

Background Pediatric cancer survivors are at increased risk of muscle weakness and low areal bone mineral density(aBMD).However,the prevalence of muscle strength deficits is not well documented,and the associations of muscle strength with aBMD are unknown in this ***,this study aimed to investigate the prevalence of upper-and lower-body muscle strength deficits and to examine the associations of upper-and lower-body muscle strength with age-,sex,and race-specific aBMD Z-scores at the total body,total hip,femoral neck,and lumbar *** This cross-sectional study included 116 pediatric cancer survivors(12.1±3.3 years old,mean±SD;42.2%female).Upper-and lower-body muscle strength were assessed by handgrip and standing long jump test,***‑energy X‑ray absorptiometry was used to measure aBMD(g/cm2).Associations between muscle strength and aBMD were evaluated in multivariable linear regression *** regression was used to evaluate the contribution of muscle strength(1-decile lower)to the odds of having low aBMD(Z-score≤1.0).All analyses were adjusted for time from treatment completion,radiotherapy exposure,and body mass *** More than one-half of survivors were within the 2 lowest deciles for upper-(56.9%)and lower-body muscle strength(60.0%)in comparison to age-and sex-specific reference *** strength deficits were associated with lower aBMD Z-scores at all sites(B=0.133–0.258,p=0.001–0.032).Each 1-decile lower in upper-body muscle strength was associated with 30%–95%higher odds of having low aBMD Z-scores at all *** 1-decile lower in lower-body muscle strength was associated with 35%–70%higher odds of having low aBMD Z-scores at total body,total hip,and femoral *** Muscle strength deficits are prevalent in young pediatric cancer survivors,and such deficits are associated with lower aBMD Z-scores at all *** results suggest that interventions designed to improve muscle strength in t

关键词： Bone health Childhood cancer DXA Lean mass Resistance training

A Script-Based Prototyping Framework to Boost Agile-UX Developments

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Journal of Computer Science & Technology 2016年第6期31卷 1246-1261页

作者： Pedro Luis Mateo Navarro Gregorio martinez perez Diego Sevilla Ruiz Catedra Sociedad Anonima de Electrdnica Submarina ( SAES) Laboratories University of Murcia Murcia 30100 Spain

Prototypes are described as a successful mechanism to incorporate user-experience design （UX） into Agile de- velopments, but their integration into such developments is not exempt from difficulties. Prototypes and final applications are often developed using different tools, which hinders the collaboration between designers and developers and also compli- cates reuse. Moreover, integrating stakeholders such as clients and users into the Agile process of designing, evaluating, and refining a prototype is not straightforward mainly because of its iterative nature. In an attempt to tackle these problems, this work presents the design and implementation of a new framework in which scripting languages are used to code prototyped behaviors. Prototyping is then treated as a separate aspect that coexists and runs together with final functionality. Using this framework communication is enhanced because designers and developers work in parallel on the same software artifact. Prototypes are fully reused and iteratively added with final functionality while prototyped behaviors are removed. They can be also modified on the fly to implement participatory design techniques.

关键词： prototype Agile development aspect-oriented development scripting language participatory design

Topological protection of partially coherent light

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Photonics Research 2022年第5期10卷 1223-1231页

作者： KONRAD TSCHERNIG GABRIEL martinez-NICONOFF KURT BUSCH MIGUEL A.BANDRES ARMANDO perez-LEIJA Max-Born-lnstitut 12489 BerlinGermany Humboldt-Universität zu Berlin Institut fur PhysikAG Theoretische Optik&Photonik12489 BerlinGermany Coordinacidn deÓptica Instituto Nacional de AstrofisicaÓpticay Electronica72840 TonantzintlaPueblaMexico CREOL The College of Optics and PhotonicsUniversity of Central FloridaOrlandoFlorida 32816USA

Topological physics exploits concepts from geometry and topology to implement systems capable of guiding waves in an unprecedented *** ideas have led to the development of photonic topological insulators,which are optical systems whose eigenspectral topology allows the creation of light states that propagate along the edge of the system without any coupling into the bulk or backscattering even in the presence of ***,topological protection is a fully coherent effect,and it is not clear to what extent topological effects endure when the wavefronts become partially ***,we study the interplay of topological protection and the degree of spatial coherence of classical light propagating in disordered photonic topological *** results reveal the existence of a well-defined spectral window in which partially coherent light is topologically *** opens up the design space to a wider selection of light sources,possibly yielding smaller,cheaper,and more robust devices based on the topological transport of light.

关键词： topological coherent topology

Ligaments disruption:a new perspective in the prognosis of spinal cord injury

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Neural Regeneration Research 2014年第5期9卷 456-457页

作者： Rafael martinez-perez Luis Jimenez-Roldan Alfonso Lagares Department of Neurosurgery of Hospital 12 de Octubre Universidad Complutense de Madrid Faculty of Medicine

The worldwide prevalence of spinal cord injury （SCI） ranges from 233 to 755 per million inhabitants, whereas the report- ed incidence lies between 10.4 and 83 per million inhabitants annually （Wyndaele and Wyndaele, 2006）. Thus, the socio- economic impact of SCI associated with cervical trauma is high enough that it could become an important concern in the vast majority of developed countries.

关键词： Ligaments disruption SCI

The “Brain Stress Timing” phenomenon and other misinterpretations of randomized clinical trial on aneurysmal subarachnoid hemorrhage

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Neural Regeneration Research 2019年第8期14卷 1364-1366页

作者： Rafael martinez-perez Natalia Rayo Agustin Montivero Jorge Marcelo Mura Division of Neurosurgery Institute of Clinical Neurosciences Universidad Austral de Chile Valdivia Chile Division of Cerebrovascular and Skull Base Neurosurgery Institute of Neurosurgery Dr Asenjo Santiago Chile Western University London ON Canada

Clipping and coiling are currently the two alternatives in treatment of ruptured cerebral aneurysms. In spite of some meritorious analysis, further discussion is helpful to understand the actual state of art. Retreatment and rebleeding rates clearly favors clipping, although short-term functional outcome seems to be beneficial for clipping, while this different is not such if we perform the comparison at a longer follow up. Longterm follow ups and cost analysis are mandatory to have a clear view of the current picture in treatment of subarachnoid hemorrhage. Treatment strategy should be made by a multi-disciplinary team in accredited centers with proficient experience in both techniques.

关键词： sAH subarachnoid hemorrhage coiling clipping ruptured aneurysm timing intracranial

Mid and late Holocene forest fires and deforestation in the subalpine belt of the Iberian range,northern Spain

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Journal of Mountain Science 2016年第10期13卷 1760-1772页

作者： Jose M.GARCIA-RUIZ Yasmina SANJUAN Graciela GIL-ROMERA Penelope GONZALEZ-SAMPERIZ Santiago BEGUERIA Jose ARNAEZ Paz COBA-perez Amelia GOMEZ-VILLAR Javier ALVAREZ-martinez Noemi LANA-RENAULT Estela perez-CARDIEL carlos LOPEZ DE CALLE Instituto Pirenaico de Ecologfa Consejo Superior de Investigaciones Cientificas(IPE-CSIC)Campus de Aula DeiP.O.Box 13.03450.080-ZaragozaSpain Estacion Experimental de Aula Dei Consejo Superior de Investigaciones Cientificas(EEAD-CSIC)Campus de Aula DeiP.O.Box 13.03450.080-ZaragozaSpain Area of Physical Geography University ofLa Rioja26.004-LogronoSpain Centro de Investigaciones en Geografia Ambiental Universidad Nacional Autonoma de MexicoUnidad MoreliaAntigua Carretera a Patzcuaro 870158190-MoreliaMichoacanMexico Departamento de Geografia y Geologia Faeultad de Filosofia y LetrasUniversidad de LeonCampus de Vegazana24.071-LeonSpain Departamento de Ingenieria Agricola y Forestal Universidad de ValladolidCampus La Yutera34.071-PalenciaSpain Department of Geography and Land Management University of Zaragoza50.009-ZaragozaSpain Freelance archaeologist Auda.Colon426003-LogronoSpain

The conversion of subalpine forests into grasslands for pastoral use is a well-knownphenomenon, although for most mountain areas the timing of deforestation has not been determined. The presence of charcoal fragments in soil profiles affected by shallow landsliding enabled us to date the occurrence of fires and the periods of conversion ofsubalpine forest into grasslands in the Urbión Mountains, Iberian Range, Spain. We found that the treeline in the highest parts of the northwestern massifs of the Iberian Range(the Urbión, Demanda, Neila, and Cebollera massifs) is currently between 1500 and 1600 m a.s.l., probably because of pastoral use of the subalpine belt, whereas in the past it would have reached almost the highest divides(at approximately 2100–2200 m a.s.l.). The radiocarbon dates obtained indicate that the transformation of the subalpine belt occurred during the Late Neolithic, Chalcolithic, Bronze Age, Iron Age, and Middle Ages. Forest clearing was probably moderate during fires prior to the Middle Ages, as the small size of the sheep herds and the local character of the markets only required small clearings, and therefore more limited fires. Thus, it is likely that the forest recovered burnt areas in a few decades; this suggests the management of the forest and grasslands following a slash-andburn system. During the Middle and Modern Ages deforestation and grassland expansion affected most of the subalpine belt and coincided with the increasing prevalence of transhumance, as occurred in other mountains in the Iberian Peninsula(particularly the Pyrenees). Although the occurrence of shallow landslides following deforestation between the Neolithic and the Roman Period cannot be ruled out, the most extensive shallow landsliding processes would have occurred from the Middle Ages until recent times.

关键词： Forest fires Holocene Subalpinegrasslands Shallow landslides Landscape changes Iberian Range

Preparation of Rod-like Aluminum Doped Zinc Oxide Powders by Sol-gel Technique Using Metal Chlorides and Acetylacetone Precursors

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Journal of Wuhan University of Technology(Materials Science) 2018年第6期33卷 1293-1297页

作者： KESHTKAR Javad VARGAS GARCIA Jorge Roberto GALAVIZ perez Jorge martinez TRINIDAD José Escuela Superior de Ingenieria Mecánica y Eléctrica Instituto Politécnico NacionalMéxico07738CDMXMéxico Escuela Superior de Ingenieria Quimica e Industrias Extractivas Instituto Politécnico NacionalMéxico07738CDMXMéxico Universidad Juárez Autònoma de Tabasco DivisiònAcadémica Multidisciplinaria de Jalpa de MéndezRibera AltaJalpa de MéndezTabasco86205México

Al-doped ZnO(AZO) powders were prepared by using metal chloride precursors and the sol-gel technique. IR peaks observed at 1590 cm-1 and 1620 cm-1indicated the formation of metal chelate as a consequence of the addition of acetylacetone to the metal chloride solution. TG-DSC analysis of the AZO gels confirmed the formation of metal chelate as evidenced by the development of several weight loss peaks accompanied by the introduction of new endothermic peaks. The resulting AZO gels were annealed at 500, 600, and 800 ℃ to study the effect of annealing temperature. XRD and SEM results showed that crystallization of AZO gels takes place around 600 ℃. Hexagonal wurtzite structure was identified as the main phase for all the samples. In addition, small shift of the XRD(002) peak coupled with XPS results from the AZO powders confirmed the successful doping of the ZnO powders. Micron sized rod-like AZO powders were uniform in dimension and morphology and remained stable even at 800 ℃.

关键词： aluminum doped ZnO rod-like metal chloride sol gel acetylacetone

Non-alcoholic fatty liver disease in patients with intestinal, pulmonary or skin diseases: Inflammatory cross-talk that needs a multidisciplinary approach

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World Journal of Gastroenterology 2021年第41期27卷 7113-7124页

作者： Mercedes perez-Carreras Begoña Casis-Herce Raquel Rivera Inmaculada Fernandez Pilar martinez-Montiel Victoria Villena Gastroenterology and Hepatology Unit 12 de Octubre Universitary HospitalMadrid 28041Spain Faculty of Medicine Complutense UniversityMadrid 28040Spain Dermatology Department 12 de Octubre Universitary HospitalMadrid 28041Spain Pneumology Service 12 de Octubre Universitary HospitalMadrid 28041Spain

Non-alcoholic fatty liver disease(NAFLD)is currently considered the most common cause of liver *** prevalence is increasing in parallel with the obesity and type 2 diabetes mellitus(DM2)epidemics in developed *** recent studies have suggested that NAFLD may be the hepatic manifestation of a systemic inflammatory metabolic disease that also affects other organs,such as intestine,lungs,skin and vascular *** appears that local and systemic proinflammatory/anti-inflammatory cytokine imbalance,together with insulin resistance and changes in the intestinal microbiota,are pathogenic mechanisms shared by NAFLD and other *** is more common in patients with extrahepatic diseases such as inflammatory bowel disease(IBD),obstructive syndrome apnea(OSA)and psoriasis than in the general ***,there is evidence that this association has a negative impact on the severity of liver *** risk characteristics for NAFLD have been identified in populations with IBD(***,obesity,DM2,previous bowel surgery,IBD evolution time,methotrexate treatment),OSA(***,DM2,OSA severity,increased transaminases)and psoriasis(***,metabolic factors,severe psoriasis,arthropathy,elevated transaminases,methotrexate treatment).These specific phenotypes might be used by gastroenterologists,pneumologists and dermatologists to create screening algorithms for *** algorithms should include non-invasive markers of fibrosis used in NAFLD to select subjects for referral to the ***,controlled studies in NAFLD patients with extrahepatic comorbidities are required to demonstrate a causal relationship and also that appropriate multidisciplinary management improves these patients’prognosis and survival.

关键词： Non-alcoholic fatty liver disease Liver fibrosis Psoriasis Obstructive sleep apnea Metabolic syndrome Inflammatory bowel disease