Exploración con biomicroscopio ocular : Técnicas y protocolo de intervención

Exploración con biomicroscopio ocular es un libro que puede ser utilizado desde los primeros semestres en los programas de Óptica y Optometría, por su manera clara y sencilla de explicar cada una de las partes del segmento anterior y las diferentes técnicas de iluminación a través del examen de biomicroscopía, entendiendo que éste examen es uno de los más importantes y necesarios para el manejo adecuado de la salud visual y ocular de nuestros pacientes. Es por ello que el libro inicia en su primer capítulo con el tema del “Rol social y profesional del contactólogo”, explicando el porqué debemos como profesionales de la salud visual capacitarnos y prepararnos para hacer de manera adecuada la atención primaria en salud visual. Continúa explicando las técnicas de iluminación paso por paso de manera sencilla y detallada, permitiendo de una manera clara y específica que el lector entienda el cómo utilizarlas de manera adecuada. Los demás capítulos profundizan en la descripción anatómica, fisiológica y patológica de las estructuras del segmento anterior. (del prólogo de Margarita María Ayala Cárdenas)Facultad de Ciencias Exacta

Covid-19 vaccine hesitancy in systemic sclerosis

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Aportaciones al conocimiento de la evolución paleoclimática y paleoambiental en la Península Ibérica durante los dos ultimos millones de años a partir del estudio de trasvertinos y espeleotemas

En este trabajo se contemplan los resultados principales del Proyecto" Reconstrucción Paleoclimática desde el Pleistoceno Medio a partir de análisis geocronológicos e isotópicos de travertinos españoles" (P. CEC FI2W-CT91-0075 " Paleoclimatological revision of climate evolution in the Western Mediterranean Region, Evaluation of altered scenarios) . Se seleccionaron cuatro áreas de depósitos travertínicos de carácter fluvial (Priego, Río Blanco), lacustre (Río Blanco, Banyoles) y aluvial (Tolox) así como una zona con depósitos espeleotémicos (Karst de la Cueva del Reguerillo). En ellas se obtuvieron datos sobre la evolución del paisaje y del clima, los travertinos y espeleotemas son indicadores de clima cálido s.l. que de forma abreviada son: O Mediante la geomorfología y dataciones (paleomagnetismo, U/Th, Resonancia de espín Resumen electrónico y racemización de aminoácidos), se determinó las historia fluvial de los travertinos de Priego y Río Blanco así como del Karst de la Cueva del Reguerillo donde, además, se dataron un paleosismo y fenómenos de neotectónica. La data más antigua obtenida mediante Resonancia de espín electrónico fue 950ka, mientras que mediante racemización de aminoácidos se dataron depósitos de más de 750ka. Mediante dataciones, sedimentología, análisis de isótopos estables y palinología se determinaron aspectos de la evolución climática de algunas áreas de la Península Ibérica. La correlación entre palinología e isotopía permitió la validación de algunos de los resultados. También se obtuvieron datos cualitativos sobre input hidraúlicos a los sistemas fluviales o kársticos

POS1246 COVID-19 IN ITALIAN PATIENTS WITH RHEUMATIC AUTOIMMUNE SYSTEMIC DISEASES: RESULTS OF A NATIONWIDE SURVEY STUDY

Background: SARS-CoV-2 infection poses a serious challenge for patients with rheumatic autoimmune systemic diseases (ASD), characterized by marked immune-system dysregulation and frequent visceral organ involvement. Objectives: To evaluate the impact of Covid-19 pandemic in a large series of Italian patients with ASD. Methods: Our multicenter telephone survey (8-week period, March-April 2020) included a large series of 2,994 patients (584 M, 2,410 F, mean age 58.9±13.4SD years) with ASD followed at 34 tertiary referral centers of 14 regions of northern, central, and southern Italian macro areas, characterized by different prevalence of SARS-CoV-2 infection. According to currently used criteria, Covid-19 was classified as definite Covid-19 (signs or symptoms of Covid-19 confirmed by positive oral/nasopharyngeal swabs at PCR testing) or highly suspected Covid-19 (signs or symptoms highly

New findings in osteoarthritis pathogenesis: therapeutic implications.

This review focuses on the new perspectives which can provide insight into the crucial pathways that drive cartilage-bone physiopathology. In particular, we discuss the critical signaling and effector molecules that can activate cellular and molecular processes in both cartilage and bone cells and which may be relevant in cross talk among joint compartments: growth factors (bone morphogenetic proteins and transforming growth factor), hypoxia-related factors, cell-matrix interactions [discoidin domain receptor 2 (DDR2) and syndecan 4], signaling molecules [WNT, Hedgehog (Hh)]. With the continuous progression of our knowledge on the molecular pathways involved in cartilage and bone changes in osteoarthritis (OA), an increasing number of potentially effective candidates for OA therapy are already under scrutiny in clinical trials to ascertain their possible safe use in an attempt to identify molecules active in slowing or halting OA progression and reducing joint pain. We then review the principal molecules currently under clinical investigation

Nailfold capillaroscopy in common non-rheumatic conditions: A systematic review and applications for clinical practice

Objective: The role of nailfold capillaroscopy (NC) in common non-rheumatic conditions has not been systematically reported. The aim of this review is to outline NC features observed in frequent non-rheumatic conditions, providing a practical tool to support rheumatologists for the interpretation of capillaroscopic abnormalities in patients with no established connective tissue disease (CTD). Methods: We undertook a systematic search in PubMed and Web of Science databases. Studies reporting adults or children with common non-rheumatic diseases or conditions in which quantitative and/or qualitative assessment of morphological nailbed capillary findings was obtained, were included. The presence of a control group composed by subjects not affected by the studied condition and direct comparison of findings between groups were needed. Results: We included 25 articles. Diabetes mellitus (11 studies), glaucoma (7 studies) and essential hypertension (3 studies) were the most represented diseases. Reduced capillary density, tortuosity, dilated capillaries, microhaemorrhages, ramified capillaries and avascular areas can be observed in diabetic patients. Association was reported between poor glycaemic control or longer duration of diabetes, or presence of microvascular complications as retinopathy and neuropathy, and more severe capillaroscopic abnormalities. Decreased capillary density, tortuosity, microhaemorrhages, dilated capillaries, avascular areas and ramifications might also be present in glaucoma, while in essential hypertension a reduced capillary density might be expected. Conclusion: Abnormal capillaroscopic findings are not uncommon even in individuals with no CTD. Therefore, presence of comorbidities known to potentially affect the microvascular array should always be investigated in patients undergoing NC and the interpretation of findings might be weighted accordingly

Sclerochoroidal calcifications associated with early-onset calcium pyrophosphate deposition disease

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