Surgical Options for the Refractive Correction of Keratoconus: Myth or Reality

Keratoconus provides a decrease of quality of life to the patients who suffer from it. The treatment used as well as the method to correct the refractive error of these patients may influence on the impact of the disease on their quality of life. The purpose of this review is to describe the evidence about the conservative surgical treatment for keratoconus aiming to therapeutic and refractive effect. The visual rehabilitation for keratoconic corneas requires addressing three concerns: halting the ectatic process, improving corneal shape, and minimizing the residual refractive error. Cross-linking can halt the disease progression, intrastromal corneal ring segments can improve the corneal shape and hence the visual quality and reduce the refractive error, PRK can correct mild-moderate refractive error, and intraocular lenses can correct from low to high refractive error associated with keratoconus. Any of these surgical options can be performed alone or combined with the other techniques depending on what the case requires. Although it could be considered that the surgical option for the refracto-therapeutic treatment of the keratoconus is a reality, controlled, randomized studies with larger cohorts and longer follow-up periods are needed to determine which refractive procedure and/or sequence are most suitable for each case

Unveiling a cluster of protostellar disks around the massive protostar GGD 27 MM1

Context. Most stars form in clusters and thus it is important to characterize the protostellar disk population in dense environments to assess whether the environment plays a role in the subsequent evolution. Specifically, it is critical to evaluate whether planet formation is altered with respect to more isolated stars formed in dark clouds. Aims. We seek to investigate the properties of the protostellar disks in the GGD 27 cluster and compare these with those obtained from disks formed in nearby regions. Methods. We used ALMA to observe the star-forming region GGD 27 at 1.14 mm with an unprecedented angular resolution, 40 mas (∼56 au), and sensitivity (∼0.002 M·). Results. We detected a cluster of 25 continuum sources, most of which likely trace disks around Class 0/I protostars. Excluding the two most massive objects, disks masses are in the range 0.003-0.05 M·. The analysis of the cluster properties indicates that GGD 27 displays moderate subclustering. This result, combined with the dynamical timescale of the radio jet (∼104 years), suggests the youthfulness of the cluster. The lack of disk mass segregation signatures may support this as well. We found a clear paucity of disks with Rdisk > 100 au. The median value of the radius is 34 au; this value is smaller than the median of 92 au for Taurus but comparable to the value found in Ophiuchus and in the Orion Nebula Cluster. In GGD 27 there is no evidence of a distance-dependent disk mass distribution (i.e., disk mass depletion due to external photoevaporation), most likely due to the cluster youth. There is a clear deficit of disks for distances 0.04 pc. This suggests that dynamical interactions far from the cluster center are weaker, although the small disks found could be the result of disk truncation. This work demonstrates the potential to characterize disks from low-mass young stellar objects in distant and massive (still deeply embedded) clustered environments.Fil: Busquet, G.. Instituto de Estudios Espaciales de Cataluña; España. Instituto de Ciencias del Espacio (ice); EspañaFil: Girart, J. M.. Instituto de Estudios Espaciales de Cataluña; España. Instituto de Ciencias del Espacio (ice); EspañaFil: Estalella, R.. Universidad de Barcelona; EspañaFil: Fernandez Lopez, Manuel. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Instituto Argentino de Radioastronomía. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto Argentino de Radioastronomía; ArgentinaFil: Galván Madrid, R.. Universidad Nacional Autónoma de México; MéxicoFil: Anglada, G.. Instituto de Astrofísica de Andalucía; EspañaFil: Carrasco González, C.. Universidad Nacional Autónoma de México; MéxicoFil: Añez López, N.. Instituto de Ciencias del Espacio (ice); EspañaFil: Curiel, S.. Universidad Nacional Autónoma de México; MéxicoFil: Osorio, M.. Instituto de Astrofísica de Andalucía; EspañaFil: Rodríguez, L. F.. Universidad Nacional Autónoma de México; MéxicoFil: Torrelles, J. M.. Instituto de Estudios Espaciales de Cataluña; España. Instituto de Ciencias del Espacio (ice); Españ

El campo de túmulos de Mata del Fraile (Brañosera-Barruelo de Santullán, Palencia):Un espacio ritual de alta montaña

The existence of pre- and protohistoric ritual structures in highland locations is a characteristic phenomenon in several areas of the Cantabrian region. This paper analyses the evidence from Mata del Fraile, a group of tumuli located in the hinter-lands of the oppidum of Monte Bernorio. The recent excavation of two barrows has provided one stele as the only archaeological evidence associated with the structu-res. Taking these results as a starting point, an interpretation of these structures as ritual spaces that differ from burials strictly speaking is suggested.La existencia de estructuras rituales de época prehistórica y protohistórica en espacios de montaña es un fenómeno característico de diversas zonas del área can-tábrica. En el presente artículo se analiza el conjunto de Mata del Fraile, una zona tumular situada en el entorno del oppidum de Monte Bernorio. La reciente excava-ción de dos túmulos ha proporcionado únicamente un cipo como toda evidencia arqueológica asociada a las estructuras. Tomando estos resultados como punto de partida, se ofrece una interpretación de estas estructuras como espacios rituales que difieren de enterramientos propiamente dichos

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Perturbations of Noise: The origins of Isothermal Flows

We make a detailed analysis of both phenomenological and analytic background for the "Brownian recoil principle" hypothesis (Phys. Rev. A 46, (1992), 4634). A corresponding theory of the isothermal Brownian motion of particle ensembles (Smoluchowski diffusion process approximation), gives account of the environmental recoil effects due to locally induced tiny heat flows. By means of local expectation values we elevate the individually negligible phenomena to a non-negligible (accumulated) recoil effect on the ensemble average. The main technical input is a consequent exploitation of the Hamilton-Jacobi equation as a natural substitute for the local momentum conservation law. Together with the continuity equation (alternatively, Fokker-Planck), it forms a closed system of partial differential equations which uniquely determines an associated Markovian diffusion process. The third Newton law in the mean is utilised to generate diffusion-type processes which are either anomalous (enhanced), or generically non-dispersive.Comment: Latex fil