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Efficacy of alzer<sup>®</sup>and Diamel, Nutritional Supplements, in the Prevention of Severe Diabetic Macular Edema

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Open Journal of Ophthalmology 2020年第4期10卷 307-322页

作者： Juana Elvira Maciques Rodríguez Maria Emoé Pérez Muñoz Eduardo Cabrera Rode Laura Rosa Redondo Piño Raísa Beltrán Sainz Teresa González Calero Manuel Licea Puig Juan Lence Anta Rosaralis Paneca Santiesteban Yordanka Marrero Álvarez Eduardo Sanz Navares Instituto Nacional de Endocrinología Havana Cuba Hospital Universitario Salvador Allende Havana Cuba Instituto Nacional de Oncologia Havana Cuba Catalysis SL. Madrid Spain

Introduction: Macular edema is the main cause of low vision in diabetic patients. Laser photocoagulation continues to be the treatment of choice in conjunction with the use of steroids and anti-angiogenics, but these treatments include possible ocular complications. The nutritional supplement Alzer (whose primary active ingredient is Ginkgo biloba, a powerful antioxidant that acts on vascular factors and oxidative damage, which are two of the mechanisms implicated in the pathogenesis of diabetic macular edema), which has been used on other non-diabetic macular conditions, along with the Diamel nutritional supplement has been shown to be effective on glycemic control and could represent a treatment alternative for mild to moderate macular edema by reducing the thickness of the macular retina and preventing the progression of other more advanced clinical presentations that are harder to treat. Objective: Identify the effect of Alzer along with Diamel in reduction of the thickness of the macular retina among patients with mild to moderate diabetic macular edema. Materials and Methods: A phase II double-blind clinical trial was conducted in 64 patients with non-severe diabetic macular edema over the course of non-proliferative diabetic retinopathy, who attended the ophthalmology service of the Institute of Endocrinology of Havana from January 2016 to December 2016. The treatment was randomly assigned to two groups: one received alzer plus Diamel (n

关键词： alzer Diamel Ginkgo Biloba Macular Edema Macular Thickness Nutritional Supplement

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Fifty Years of Global Justice:Five Theses

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Fudan Journal of the Humanities and Social Sciences 2019年第2期12卷 177-192页

作者： Charles R.Beitz Department of Politics Princeton UniversityPrincetonNJ 08540USA

The subject of"global justice"did not exist in the literature of transatlantic political philosophy 50 years ***,it is a focus of vigorous philosophical *** paper offers five theses about the linkage between the origins of the literature in the political and philosophical ferment of the late 1960s and the state of the philosophical literature today.

关键词： Global justice osmopolitanism tatism awls alzer

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