Corneal densitometry after photorefractive keratectomy, laser-assisted in situ keratomileusis, and small-incision lenticule extraction

PurposeThe aim of this study was to gain greater insight into the corneal densitometry changes occurring as a result of refractive surgery and to compare these changes across three widely used surgical techniques, namely, photorefractive keratectomy (PRK), laser-assisted in situ keratomileusis with a femtosecond laser (LASIK-FS), or ReLEx small-incision lenticule extraction (ReLEx SMILE).Patients and methodsThree hundred and thirty-six patients (184 male and 152 female patients) participated in this study. They were split into three groups according to the refractive surgery technique they had undergone: LASIK-FS (74 patients), PRK (153 patients), and ReLEx SMILE (109 patients). All participants underwent an exhaustive eye examination both before and after surgery. Pre- and postoperative corneal densitometry was measured using an Oculus Pentacam system.ResultsThe mean postoperative total corneal densitometry values were 16.53±1.94 for the LASIK-FS group, 15.53±1.65 for PRK, and 16.10±1.54 for ReLEx SMILE. When corneal densitometry was analyzed for specific corneal areas, the values corresponding to the 0-2, 2-6, and 6-10 mm annuli were similar across the three surgical techniques. The only region in which differences were found was the peripheral area (P<0.05), but these variations across techniques were not statistically significant.ConclusionsCorneal densitometry can be used as an objective metric to assess corneal response to refractive surgery, and to monitor patients over time. Corneal densitometry was not negatively affected by any of the refractive surgical procedures under evaluation.

Consensus guidelines for diagnosis, treatment and follow-up of patients with pancreatic cancer in Spain

The management of patients with pancreatic cancer has advanced over the last few years. We convey a multidisciplinary group of experts in an attempt to stablish practical guidelines for the diagnoses, staging and management of these patients. This paper summarizes the main conclusions of the working group. Patients with suspected pancreatic ductal adenocarcinoma should be rapidly evaluated and referred to high-volume centers. Multidisciplinary supervision is critical for proper diagnoses, staging and to frame a treatment plan. Surgical resection together with chemotherapy offers the highest chance for cure in early stage disease. Patients with advanced disease should be classified in treatment groups to guide systemic treatment. New chemotherapeutic regimens have resulted in improved survival. Symptomatic management is critical in this disease. Enrollment in a clinical trial is, in general, recommended.

Autologous stem cell transplantation (ASCT) in patients with mantle cell lymphoma: a retrospective study of the Spanish lymphoma group (GELTAMO)

Guidelines recommend autologous stem cell transplantation (ASCT) consolidation in first complete or partial response after regimens including rituximab (R) and high-dose AraC (HDAC), but its use beyond that response is questioned. We present a retrospective analysis of 268 patients with MCL who received ASCT. With a median follow-up for survival patients of 54 months, progression-free survival and overall survival for the whole series were 38 and 74 months, respectively, and for patients transplanted in first CR 49 and 97 months, respectively. Patients without CR before transplant were analyzed separately, those who achieved CR after transplantation had better PFS (48 vs 0.03 months, p < 0.001) and OS (92 vs 16 months, p < 0.001) than the remaining. In univariate analysis, first CR at transplant (p = 0.01) and prior rituximab (p = 0.02) were the variables associated with PFS. For OS, the same variables resulted significant (p = 0.03 and p < 0.001, respectively). In multivariate analysis, only the status at transplant (first CR) remained significant. This retrospective study concludes that ASCT consolidation in first CR induces high survival rates. In other stages of disease, the need of ASCT as consolidation may be questioned.

High-sulfate water consumption determines intake and metabolic responses to protein supplementation in lambs consuming low-quality forage

Twenty Hampshire lambs (31 ± 4 kg BW) in individual metabolism cages were used in a 10-treatment by 2-period ( = 4) trial to evaluate the interaction between protein supplementation and sulfate water on intake and metabolic responses when lambs were fed low-quality grass hay (; 6.4% CP, 79.5% NDF). The treatment structure was a 2 × 5 factorial: 2 water qualities (WQ; low-sulfate [LS] and high-sulfate [HS]; 442 and 8,358 mg/kg total dissolved solids, respectively) and 5 soybean meal levels (SBM; 0%, 0.25%, 0.50%, 0.75%, and 1.00% BW/d). After 15 d of adaptation, periods consisted of 5 d for determination of forage and water intake, nitrogen balance, and digestion measurements (d 16 to 20) and 1 d for blood sampling and determination of ruminal hydrogen sulfide (HS) concentration (d 21). Supplemental SBM × WQ interactions were significant for forage OM intake ( = 0.04) and total OM intake ( = 0.04), whereas a tendency was observed for total tract digestible OM intake ( = 0.07). Intake values of LS lambs were higher than those of HS lambs ( < 0.05) in only the first and second levels of SBM. Water intake increased linearly ( < 0.01) with SBM level but was not affected by WQ ( = 0.39). Water quality and SBM supplementation affected total tract OM digestibility (TTOMD; < 0.01); LS lambs had lower TTOMD than HS lambs ( < 0.01). Plasma urea N increased linearly in response to SBM ( < 0.01) but was not affected by WQ ( = 0.11). Nitrogen balance was not affected by SBM × WQ interaction ( > 0.12), except for N utilization (N retained/N intake ratio; < 0.01). Regardless of WQ, N intake ( > 0.01), N urine ( > 0.01), and N balance increased linearly ( > 0.01) with SBM level. Water quality adversely affected N intake and N balance, although at the highest level of SBM no differences in N balance were observed between LS and HS lambs ( = 0.85). No changes due to WQ were observed for either urea reabsorbed by kidneys ( = 0.63) or glomerular filtration rate ( = 0.30), but renal function was affected by SBM level ( < 0.01). There was a supplemental SBM × WQ interaction for ruminal HS concentration ( < 0.01) due mainly to a greater concentration from 0.25% BW SBM in HS than in LS lambs. In conclusion, these results confirmed the existence of an interaction between sulfate water and supplemental protein, which alters intake and metabolic responses when lambs are fed low-quality grass hay.

Prevalence of Mental Health problems in sentenced men in prisons from Andalucía (Spain)

OBJECTIVES

To estimate the prevalence of different mental health problems in men serving prison sentences in Andalusia.

METHODS

Descriptive, cross-sectional study of a random sample of 472 men interned in two prisons located in Andalusia. We collected socio-demographic and general criminal and penitentiary data, and we identified mental health problems with two validated instruments for epidemiological research in mental health: the SCID-I interview to diagnose Axis 1 disorders of the DSM-IV and the self-applied questionnaire IPDE to estimate personality disorders. We analyzed the data (proportions and confidence intervals) with the SPSS-18 statistical package.

RESULTS

82.6% of the sample had a history of having suffered some type of mental health problem throughout their life (prevalence-life) and 25.8 have suffered from them in the past month (month prevalence). The most common disorders of the Axis I (DSM-IV) are related to abuse of and dependence on psychoactive substances (prevalence life of 65.9% and month prevalence of 6.6%), with an important but less frequent presence of affective (31.4%-9.3%), anxiety (30.9%-10, 4%) and psychotic disorders (9.5%-3, 4%). As regards personality disorders, the estimated probable prevalence lies between the 56.6% ("5" cutoff point) and the 79.9 ("4" cut-off point).

CONCLUSIONS

The male inmate population in prisons in Andalucía shows a high prevalence of mental health problems, similar to that found in other Spanish and international prisons, but their care needs should take into account the different pathologies that they present.

Note: Quantification of Ascorbic Acid and Dehydroascorbic Acid in Fresh Olives and in Commercial Presentations of Table Olives

Ascorbic acid (AA) and dehydroascorbic acid (DHAA) were determined by high performance liquid chromatography (HPLC) in fresh green olives as well as a diversity of commercial presentations of table olives (based on both Spanish-style green olives and directly brined olives). Fresh green olives (Manzanilla cv.) immediately after harvest contained about 9mg total ascorbic acid/100g f.w., with DHAA representing more than 90% of this amount. During the post-harvest period (till 2 weeks) the total vitamin C remained stable when olives were stored at 6°C, but significant degradation occurred at ambient temperature (~35% loss after 7 days). In commercial presentations of table olives, in general, the main contribution to the total vitamin C level appeared to come from AA added as an antioxidant, the maximum level being found in Manzanilla olives stuffed with anchovy streams (36.1mg/100g f.w.). However, in some samples (e.g. plain olives) that did declare any added AA, very low levels (0.1-0.6mg total AA/100g f.w.) were found. Our hypothesis is that, in those samples, AA would be degraded by lactic acid bacteria and/or yeast from olive fermentation, whereas pasteurisation in other presentations (e.g. stuffed olives) would stabilise added AA.

Attenuation and diffusion produced by small-radius curvatures in POFs

Our aim is to characterize curvatures using a methodology previously applied to other localized disturbances in plastic optical fibers (POFs). The effects of several curvature radii and turn angles have been analyzed, so that for each condition, angular dependent attenuation and diffusion are obtained from experimental measurements to construct a matrix that accounts for the global effects of power loss and mode mixing introduced by the curvature over the angular power distribution. Power loss as a function of bend radius was calculated using the characteristic matrices and compared to experimental results to validate the model. This curvature model can be a useful tool to predict the impact of bends on transmission properties as is demonstrated in the example of a small network in a domestic environment.

Access to Endovascular Treatment in Remote Areas

Background and Purpose—

Since demonstration of the benefit of endovascular treatment (EVT) in acute ischemic stroke patients with proximal arterial occlusion, stroke care systems need to be reorganized to deliver EVT in a timely and equitable way. We analyzed differences in the access to EVT by geographical areas in Catalonia, a territory with a highly decentralized stroke model.

Methods—

We studied 965 patients treated with EVT from a prospective multicenter population-based registry of stroke patients treated with reperfusion therapies in Catalonia, Spain (SONIIA). Three different areas were defined: (A) health areas primarily covered by Comprehensive Stroke Centers, (B) areas primarily covered by local stroke centers located less than hour away from a Comprehensive Stroke Center, and (C) areas primarily covered by local stroke centers located more than hour away from a Comprehensive Stroke Center. We compared the number of EVT×100 000 inhabitants/year and time from stroke onset to groin puncture between groups.

Results—

Baseline characteristics were similar between groups. Throughout the study period, there were significant differences in the population rates of EVT across geographical areas. EVT rates by 100 000 in 2015 were 10.5 in A area, 3.7 in B, and 2.7 in C. Time from symptom onset to groin puncture was 82 minutes longer in group B (312 minutes [245–435]) and 120 minutes longer in group C (350 minutes [284–408]) compared with group A (230 minutes [160–407]; P <0.001).

Conclusions—

Accessibility to EVT from remote areas is hampered by lower rate and longer time to treatment compared with areas covered directly by Comprehensive Stroke Centers.

Association Between Time to Reperfusion and Outcome Is Primarily Driven by the Time From Imaging to Reperfusion

Background and Purpose—

A progressive decline in the odds of favorable outcome as time to reperfusion increases is well known. However, the impact of specific workflow intervals is not clear.

Methods—

We studied the mechanical thrombectomy group (n=103) of the prospective, randomized REVASCAT (Randomized Trial of Revascularization With Solitaire FR Device Versus Best Medical Therapy in the Treatment of Acute Stroke due to Anterior Circulation Large Vessel Occlusion Presenting Within Eight Hours of Symptom Onset) trial. We defined 3 workflow metrics: time from symptom onset to reperfusion (OTR), time from symptom onset to computed tomography, and time from computed tomography (CT) to reperfusion. Clinical characteristics, core laboratory-evaluated Alberta Stroke Program Early CT Scores (ASPECTS) and 90-day outcome data were analyzed. The effect of time on favorable outcome (modified Rankin scale, 0–2) was described via adjusted odds ratios (ORs) for every 30-minute delay.

Results—

Median admission National Institutes of Health Stroke Scale was 17.0 (14.0–20.0), reperfusion rate was 66%, and rate of favorable outcome was 43.7%. Mean (SD) workflow times were as follows: OTR: 342 (107) minute, onset to CT: 204 (93) minute, and CT to reperfusion: 138 (56) minute. Longer OTR time was associated with a reduced likelihood of good outcome (OR for 30-minute delay, 0.74; 95% confidence interval [CI], 0.59–0.93). The onset to CT time did not show a significant association with clinical outcome (OR, 0.87; 95% CI, 0.67–1.12), whereas the CT to reperfusion interval showed a negative association with favorable outcome (OR, 0.72; 95% CI, 0.54–0.95). A similar subgroup analysis according to admission ASPECTS showed this relationship for OTR time in ASPECTS<8 patients (OR, 0.56; 95% CI, 0.35–0.9) but not in ASPECTS≥8 (OR, 0.99; 95% CI, 0.68–1.44).

Conclusions—

Time to reperfusion is negatively associated with favorable outcome, being CT to reperfusion, as opposed to onset to CT, the main determinant of this association. In addition, OTR was strongly associated to outcome in patients with low ASPECTS scores but not in patients with high ASPECTS scores.

Clinical Trial Registration—

URL: http://www.clinicaltrials.gov . Unique identifier: NCT01692379.

Crecimiento y desarrollo intestinal de aves de engorde alimentadas con cepas probióticas

A través de la alimentación, los animales se exponen a agentes extraños, donde el epitelio intestinal actúa como una barrera natural contra las bacterias y sustancias tóxicas que estén presentes en el lumen intestinal. No obstante, la ingesta de bacterias probióticas podría influir sobre el desarrollo y función de órganos digestivos, específicamente el intestino, mejorando los parámetros fisiológicos, nutricionales e inmunológicos de este. El objetivo de este trabajo fue evaluar diferentes cepas probióticas sobre el crecimiento alométrico y desarrollo intestinal de pollos de engorde durante su etapa productiva. Se utilizaron 125 pollos machos (Cobb) de un día de edad y alimentados con dos dietas: dieta comercial con y sin la adición de antibiótico. Los diferentes probióticos (Lactobacillus casei, Lactobacillus acidophilus ó Enterococcus faecium) se suministraron en el agua de bebida de los animales que consumieron la dieta basal sin antibiótico garantizando una concentración de 107 UFC/ml. El diseño estadístico utilizado fue de bloques al azar en arreglo de parcelas divididas. La inclusión de probióticos, específicamente E. faecium, en la alimentación de pollos de engorde mejoraron el peso, desarrollo y crecimiento de órganos de importancia digestiva, específicamente intestino, lo cual se ve reflejado en vellosidades con mayor altura y ancho, y criptas menos profundas (p

A rigorous detection of interstellar CH3NCO: An important missing species in astrochemical networks

The recent analysis of the composition of the frozen surface of comet 67P/Churyumov-Gerasimenko has revealed a significant number of complex organic molecules. Methyl isocyanate (CH3NCO) is one of the more abundant species detected on the comet surface. In this work we report extensive characterization of its rotational spectrum resulting in a list of 1269 confidently assigned laboratory lines and its detection in space towards the Orion clouds where 399 lines of the molecule have been unambiguously identified. We find that the limited mm-wave laboratory data reported prior to our work require some revision. The abundance of CH3NCO in Orion is only a factor of ten below those of HNCO and CH3CN. Unlike the molecular abundances in the coma of comets, which correlate with those of warm molecular clouds, molecular abundances in the gas phase in Orion are only weakly correlated with those measured on the comet surface. We also compare our abundances with those derived recently for this molecule towards Sgr B2 (Halfen et al. 2015). A more accurate abundance of CH3NCO is provided for this cloud based on our extensive laboratory work.

[Isolated factor X deficiency in chronic myelomonocytic leukemia: Report of one case]

Bleeding disorders are commonly associated with hemato-oncologic diseases. We report a 68 years old male with a chronic myelomonocytic leukemia derived from a long lasting mielodysplastic syndrome that did not respond to treatment with Azacitidine. The patient was hospitalized due to tonic clonic seizures. A CAT scan showed a hematoma in the frontal lobe. A new assessment of hemostasis revealed an isolated deficiency of Factor X. We speculate that this deficit could be secondary to consumption due to the chronic Myelomonocytic Leukemia.

Good response to rituximab in a patient with granulomatosis with polyangiitis and pulmonary, renal manifestations and ophthalmoplegia

Cyclophosphamide (CYC) is a classical drug for the treatment of severe granulomatosis with polyangiitis (GPA). However, a considerable number of patients are resistant to standard treatment and it can show substantial toxicity. Therefore, alternative agents should be considered in refractory cases. We report the successful use of rituximab (RTX) in a 70-year-old patient diagnosed of GPA who developed ophthalmoplegia, an uncommon complication of GPA. The patient also had upper and lower respiratory tract involvement and kidney manifestations with good prognosis. We review the causes of ophtalmoparesis and the treatment with RTX in GPA.

Positive Predictive Value of Abdominal Sonography in the Diagnosis of Ischemic Colitis

AIM

The aim was to prospectively evaluate the positive predictive value of ultrasound in the diagnosis of ischemic colitis, with colonoscopy as the reference standard.

METHODS

During a 2-year period we included consecutive patients over 50 years of age with sudden abdominal pain and/or rectal bleeding who underwent abdominal sonography in an emergency setting with a thickened segment of colon with a length of more than 10 cm. This clinical-sonographic triad was considered diagnostic for ischemic colitis. A thickened bowel location or color Doppler flow findings on ultrasound examination were evaluated but were not considered to make the diagnosis of ischemic colitis. Basic descriptive statistics were used to characterize the study patients. The positive predictive value was calculated as: number of patients with the definitive diagnosis of ischemic colitis (colonoscopic or follow-up)/number of patients with a sonographic diagnosis of ischemic colitis.

RESULTS

A total of 48 patients had the clinical-sonographic triad; mean age: 74.3 years (range 54-90 years). The most frequent clinical manifestation was rectal bleeding (83% of the cases) followed by abdominal pain (81%) and diarrhea (45%). A total of 42 cases of ischemic colitis were confirmed by endoscopy (n=35) and biopsy (n=34) or clinical evaluation (n=7). The positive predictive value of the clinical-sonographic diagnosis of ischemic colitis was 87.5%. Thickening of the colon wall was detected on the left side in 35 patients with ischemic colitis, on the right side in 3 and pancolitis was identified in 5 patients.

CONCLUSION

In an appropriate clinical setting, ultrasound has a high positive predictive value for the diagnosis of ischemic colitis.

First records of Hippocampus algiricus in the Canary Islands (north-east Atlantic Ocean) with an observation of hybridization with Hippocampus hippocampus

Morphometric and genetic analyses confirmed the first records of the West African seahorse Hippocampus algiricus at Gran Canaria Island (north-east Atlantic Ocean), and also the first evidence of interspecific hybridization in seahorses. These results provide additional data on the distribution of H. algiricus that may help to establish future conservation strategies, and uncover a new potential sympatric scenario between H. algiricus and Hippocampus hippocampus.

Searching for trans ethyl methyl ether in Orion KL. Astron Astrophys 2015;582:L1. [PMID: 26869726 PMCID: PMC4747151 DOI: 10.1051/0004-6361/201526255]

We report on the tentative detection of trans ethyl methyl ether (tEME), t-CH₃CH₂OCH₃, through the identification of a large number of rotational lines from each one of the spin states of the molecule towards Orion KL. We also search for gauche-trans-n-propanol, Gt-n-CH₃CH₂CH₂OH, an isomer of tEME in the same source. We have identified lines of both species in the IRAM 30 m line survey and in the ALMA Science Verification data. We have obtained ALMA maps to establish the spatial distribution of these species. Whereas tEME mainly arises from the compact ridge component of Orion, Gt-n-propanol appears at the emission peak of ethanol (south hot core). The derived column densities of these species at the location of their emission peaks are ≤(4.0 ± 0.8) × 10¹⁵ cm^-2 and ≤(1.0 ± 0.2)× 10¹⁵ cm^-2 for tEME and Gt-n-propanol, respectively. The rotational temperature is ~100 K for both molecules. We also provide maps of CH₃OCOH, CH₃CH₂OCOH, CH₃OCH₃, CH₃OH, and CH₃CH₂OH to compare the distribution of these organic saturated O-bearing species containing methyl and ethyl groups in this region. Abundance ratios of related species and upper limits to the abundances of non-detected ethers are provided. We derive an abundance ratio N(CH₃OCH₃)/N(tEME) ≥ 150 in the compact ridge of Orion.

Actividad reproductiva después del anestro inducido con altrenogest en hembras de <i>Tursiops truncatus</i> en cautiverio en ambiente marino

<p>La necesidad de reproducir delfín nariz de botella (<em>Tursiops truncatus</em>) en cautiverio se ha incrementado debido a las restricciones internacionales para su comercialización y por el riesgo y dificultad logística para el traslado de ejemplares. Por lo anterior, se hace importante conocer su biología reproductiva en cautiverio. El objetivo de este trabajo, fue conocer los indicadores post tratamiento con altrenogest (Regumate^®), de citología vaginal, niveles de estradiol y reinicio de la actividad reproductiva en cautiverio de hembras de <em>T truncatus</em> en ambiente marino. Por un año, 12 hembras recibieron diariamente una dosis de 0,07mg kg^-1 de altrenogest. Se realizaron un total 420 citologías vaginales, una diaria de cada hembra, para determinar el porcentaje de células cornificadas.  También se obtuvieron de la red vascular, 60 muestras  sanguíneas, en las que se determinó los niveles de estradiol. En cuanto a la citología vaginal, al cuarto día de retirar la administración de altrenogest, el porcentaje total de células cornificadas incrementó del 60% a 70% hasta el día nueve y continuó ascendiendo al 80% entre los días 12 al 19. Los niveles de estradiol, presentaron un rango de 16 a 114pg ml^-1. Se encontró una correlación (r = 0,7062 P&lt;0.05) positiva entre estos indicadores. Se concluye que es posible la manipulación con altrenogest y el monitoreo del ciclo estral de las hembras mediante técnicas simples como la citología vaginal para el diseño de protocolos de reproducción asistida específicos para grupos en cautiverio de <em>T truncatus.</em></p>

Polimorfismo A192G de INHA y su asociación con características lecheras en ganado Holstein de Antioquia

El objetivo de esta investigación fue determinar el efecto del polimorfismo A192G en algunos parámetros productivos y reproductivos en vacas Holstein de Antioquia. Para esto, se utilizó la técnica PCR-RFLP para amplificar un segmento de 249 pb del gen de inhibina alfa bovina (INHA) el cual fue digerido con la enzima de restricción MspI. El efecto de los genotipos de INHA en las características productivas y reproductivas se determinó con un Modelo Linear Mixto y la prueba de Tukey se usó para establecer diferencias significativas entre las medias de los tres genotipos. El efecto de sustitución alélica se estudió a través de un modelo de regresión lineal donde los genotipos AA, AG y GG fueron transformados a una escala cuantitativa de 0, 1 y 2, respectivamente de acuerdo al número de alelos G poseídos. En el ganado Holstein de Antioquia el genotipo más común fue el AG (0,529) seguido por el AA (0,269) y el genotipo GG (0,201). Las frecuencias alélicas fueron 0,534 para A y 0.466 para G. Los genotipos de INHA no ejercieron un efecto significativo en los principales parámetros reproductivos, excepto para porcentaje de grasa donde los animales GG presentaron el mayor valor para esta característica. A pesar de que no hubo un efecto significativo de este polimorfismo en los parámetros reproductivos, la prueba de Tukey mostró que el alelo G tiende a tener un efecto negativo en la fertilidad de las hembras, aumentando el intervalo entre partos y el número de servicios por concepción, disminuyendo la eficiencia reproductiva de los hatos. Se requieren más estudios para determinar si estos SNP pueden ser utilizados como marcadores moleculares.

Sub-micrometric reflectometry for localized label-free biosensing

In this work we present an optical technique for characterizing sub-micrometric areas based on reflectivity of the light as a function of angle of incidence for the two pure polarizations s and p, covering a range of angles of incidence from -71.80° to 71.80° with a resolution of 0.1°. Circular areas with a diameter in the order of 600 nm can be characterized, and the spectra for the two polarizations can be obtained with a single measurement. For biosensing purposes, we have fabricated several Bio Photonic Sensing Cells (BICELLs) consisting of interferometers of 1240 nm of SU-8 polymer over silicon. An indirect immunoassay is performed over these BICELLs and compared experimentally with FT-VIS-NIR spectrometry and theoretical calculations. The Limit of Detection (LoD) achieved is comparable with standard high resolution spectrometry, but with the capability of analyzing sub-micrometric domains for immunoassays reactions onto a sensing surface.

(111)In-octreotide SPECT-CT in head and neck paragangliomas

Head and neck paragangliomas are rare neuroendocrine tumors expressing somatostatin receptors on their cell surface, particularly subtype 2. Due to this distinctive feature, images can be obtained in Nuclear Medicine using synthetic analogues of somatostatin, mainly octreotide, which allow selective display by planar scintigraphy, SPECT-CT or PET-CT imaging after radiolabeling with (111)In or (68)Ga. Three cases have been selected and presented from a series of patients that illustrate the utility of SPECT-CT studies with (111)In-octreotide in the diagnosis and monitoring of this type of tumor. These are characterization at initial diagnosis, staging, and detection of local recurrence or metastasis, with added value with respect to anatomical images (nuclear magnetic resonance, computed axial tomography, angiography), for example in the differentiation between functional tissue or scar in patients who had previously undergone surgery.

POF misalignment model based on the calculation of the radiation pattern using the Hankel transform

Here, we propose a method to estimate misalignment losses that is based on the calculation of the radiated angular power distribution as light propagates through space using the fiber far field pattern (FFP) and simplifying and speeding calculations with the Hankel transform. This method gives good estimates for combined transversal and longitudinal losses at short, intermediate and long offset distances. In addition, the same methodology can be adapted to describe not only scalar loss but also its angular dependence caused by misalignments. We show that this approach can be applied to upgrade a connector matrix included in a propagation model that is integrated into simulation software. This way, we assess the effects of misalignments at different points in the link and are able to predict the performance of different layouts at system level.

Preoperative tests recommendations in adult patients for ambulatory surgery

Anesthetic assessment traditionally included a series of laboratory tests intended to detect undiagnosed diseases, and to ensure that the patient undergoes surgery following safety criteria. These tests, without a specific clinical indication, are expensive, of questionable diagnostic value and often useless. In the context of outpatient surgery, recent evidence suggests that patients of any age without significant comorbidity, ASA physical status gradei and grade ii, do not need additional preoperative tests routinely. The aim of the present recommendations is to determine the general indications in which these tests should be performed in ASA gradei and grade ii patients undergoing ambulatory surgery.

Association between a polymorphism in intron 3 of the bovine growth hormone gene and growth traits in Holstein heifers in Antioquia

The aim of this study was to determine the association between a polymorphism in intron 3 of the bovine growth hormone (BGH) gene and growth traits related to the start of the reproductive life of Holstein heifers. This research was conducted using 480 Holstein heifers belonging to eight herds in three municipalities in the Department of Antioquia (Colombia). The phenotypic information used corresponded to information that had been historically recorded for each of the herds and was supplemented with information obtained through bimonthly visits to the herds over a period of 24 months. Genotyping was performed using the PCR-RFLP technique with DNA extracted from peripheral blood using the salting out technique. To determine association, statistical analyses were performed using parametric methods. Allele frequencies for the alleles (+) and (-) were 0.91 and 0.09, respectively. The genotype frequencies were 0.77, 0.2 and 0.03 for the genotypes (+/+), (+/-) and (-/-), respectively. There was an association between genotype and weight at first estrus and first calving (P < 0.01). The regression coefficients for both characteristics were significant, indicating that for each (+) allele, weight at first estrus and first calving decreased by 9.24 and 16.07 kg, respectively. The results indicated the existence of an association between a polymorphism in intron 3 of the BGH gene and both weight at first estrus and first calving, which can be used to facilitate the selection of animals with these genotypes for use in breeding programs.