Delayed Corneal Epithelial Healing after Intravitreal Bevacizumab: A Clinical and Experimental Study

Purpose: To report corneal epithelial defects (CEDs) and delayed epithelial healing after intravitreal bevacizumab (IVB) injection and to describe delayed corneal epithelial healing with topical administration of bevacizumab in an experimental rabbit model. Methods: A retrospective chart review was performed on 850 eyes of 850 patients with neovascular eye disease and diabetic macular edema who had received 1.25 to 2.5 mg IVB. In the experimental arm of the study, photorefractive keratectomy was used to create a 3 mm CED in the right eyes of 18 New Zealand rabbits which were then randomized to three equal groups. All rabbits received topical antibiotics, additionally those in group A received topical bevacizumab and animals in group B were treated with topical corticosteroids. The rate of epithelial healing was assessed at different time points using slitlamp photography. Results: In the clinical study, seven eyes of seven subjects developed CEDs the day after IVB injection. All of these eyes had preexisting corneal edema. The healing period ranged from 3 to 38 days (average 11 days) despite appropriate medical management. In the experimental study, topical bevacizumab and corticosteroids both significantly hindered corneal epithelial healing at 12 and 24 hours. Conclusion: Bevacizumab was demonstrated to cause CEDs in clinical settings. Moreover, corneal epithelial healing was delayed by topical application of bevacizumab, in the experimental model. These short-term results suggest that corneal edema may be considered as a risk factor for epithelial defects after IVB

Sodium‑glucose cotransporter 2 inhibitors (SGLT2i): renal implications

Type 2 diabetes mellitus (DM2) is a chronic condition that affects more than 400 million individuals worldwide. In DM2 patients, an appropriate glycemic control slows the onset and delays the progression of all its micro and macrovascular complications. Even though there are several glucose-lowering drugs, only approximately half of patients achieve glycemic control, while undesirable adverse effects (e.g., low serum glucose) normally affect treatment. Therefore, there is a need for new types of treatments. Sodium-glucose cotransporter 2 inhibitors (SGLT2i) have just been developed for treating DM2. Renal hyperfiltration as a marker of increased intraglomerular pressure in diabetic patients, and the role of renin–angiotensin– aldosterone system (RAAS) in this phenomenon have been studied. Nevertheless, RAAS blockade does not completely reduce hyperfiltration or diabetic renal damage. In this sense, the contribution of renal tubular factors to the hyperfiltration state, including sodium–glucose cotransporter (SGLT), has been currently studied. SGLT2i reduce proximal tubular sodium reabsorption, therefore increasing distal sodium delivery to the macula densa, causing tubule-glomerular feedback activation, afferent vasoconstriction, and reduced hyperfiltration in animal models. In humans, SGLT2i was recently shown to reduce hyperfiltration in normotensive, normoalbuminuric patients suffering from type 1 diabetes mellitus. In DM2 clinical trials, SGLT2 is associated with significant hyperfiltration and albuminuria reduction. The aim of this article is to compile the information regarding SGLT2i drugs, emphasizing its mechanism of renal repercussion

Immunohistochemical localization of low density lipoprotein receptor-related protein 1 and α2-Macroglobulin in retinal and choroidal tissue of proliferative retinopathies

The immunolocalization of the low density lipoprotein receptor-related protein 1 (LRP1) and its ligand α 2-Macroglobulin (α2M) was examined in tissues from human donor eyes of normal, diabetic and sickle cell disease subjects. Streptavidin alkaline phosphatase immunohistochemistry was performed with a mouse anti-human LRP1 and rabbit anti-human α2M antibodies. Retinal and choroidal blood vessels were labeled with mouse anti-human CD34 antibody in adjacent tissue sections. Mean scores for immunostaining from the pathological and control eyes were statistically compared.LRP1 immunoreactivity was very weak to negative in the neural retina of normal subjects except in scattered astrocytes. LRP1 expression in diabetic eyes was detected in the internal limiting membrane (ILM), astrocytes, inner photoreceptor matrix, choriocapillaris and choroidal stroma. The ligand α2M, however, was limited mainly to blood vessel walls, some areas of the inner nuclear layer (INL), photoreceptors, RPE-Bruch's membrane-choriocapillaris complex, intercapillary septa, and choroidal stroma. In sickle cell eyes, avascular and vascular retina as well as choroidal neovascularization (CNV) were analyzed. In avascular areas, LRP1 immunoreactivity was in innermost retina (presumably ILM, astrocytes, and Muller cells) and INL as well as RPE-Bruch's membrane-choriocapillaris complex and choroidal stroma α2M was very weak in avascular peripheral retina compared to vascularized areas and limited to stroma in choroid. In contrast, in areas with CNV, LRP1 immunoreactivity was significantly decreased in overlying retina and in RPE-Bruch's membrane and choroidal stroma compared to the controls, while α2M was elevated in RPE-Bruch's membrane near CNV compared to normal areas in sickle cell choroid. The mean scores revealed that LRP1 and α2M in neural retina were significantly elevated in astrocytes and ILM in diabetic eyes (p ≤ 0.05), whereas in sickle cell eyes scores were elevated in ILM and INL (p ≤ 0.05). In addition, α2M immunoreactivity was in photoreceptors in both ischemic retinopathies. In choroid, the patterns of LRP1 and α2M expression were different and not coincident.This is the first demonstration of the presence of LRP1 and α2M in human proliferative retinopathies. Elevated LRP1 expression in sickle cell neural retina and diabetic inner retina and choroid suggests that LRP1 plays an important role in ischemic neovascular diseases. © 2010 Elsevier Ltd.Fil: Barcelona, Pablo Federico. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba. Centro de Investigaciones en Bioquímica Clínica e Inmunología; ArgentinaFil: Luna, J. D.. Fundación VER. Departamento de Oftalmología; ArgentinaFil: Chiabrando, Gustavo Alberto. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba. Centro de Investigaciones en Bioquímica Clínica e Inmunología; ArgentinaFil: Juarez, P. C.. Fundación VER. Departamento de Oftalmología; ArgentinaFil: Bhutto IA. University Johns Hopkins; Estados UnidosFil: McLeod, D. S.. University Johns Hopkins; Estados UnidosFil: Sanchez, Maria Cecilia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba. Centro de Investigaciones en Bioquímica Clínica e Inmunología; ArgentinaFil: Lutty, G. A.. University Johns Hopkins; Estados Unido

(Serie: Conservación y Manejo de Áreas Naturales Protegidas del Altiplano Mexicano)

El Programa de Manejo del Área Natural Protegida Parque Estatal Otomí – Mexica es un instrumento de planeación incluyente, dinámico, flexible y congruente con lo que establece el Código para la Biodiversidad del Estado de México (CBEM) y la Ley General del Equilibrio Ecológico y la Protección al Ambiente (LGEEPA), teniendo como propósito cumplir con los objetivos de su decreto.El Programa de Manejo del Área Natural Protegida Parque Estatal Otomí – Mexica es un instrumento de planeación incluyente, dinámico, flexible y congruente con lo que establece el Código para la Biodiversidad del Estado de México (CBEM) y la Ley General del Equilibrio Ecológico y la Protección al Ambiente (LGEEPA), teniendo como propósito cumplir con los objetivos de su decreto.Gobierno del Estado de México Universidad Autónoma del Estado de México Colegio de Ciencias Geográficas del Estado de México, A. C

Análisis geográfico, ambiental y ecológico del Cerro de Coatepec Universidad Autónoma del Estado de México

El libro “Los espacios universitarios como objeto de estudio. Análisis geográfico, ambiental y ecológico del Cerro de Coatepec, Universidad Autónoma del Estado de México”, es resultado de la participación de un grupo multidisciplinario integrado por investigadores, profesores y estudiantes de la Universidad Autónoma del Estado de México, así como del grupo de asesores y consultores del Colegio de Ciencias Geográficas del Estado de México, A. C. (COCIGEM), interesados en la problemática ambiental y ecológica que ocurre en la Ciudad Universitaria ubicada geográficamente en el Cerro de Coatepec, Toluca Estado de México, en el cual se encuentran establecidas algunas edificaciones de dependencias de educación superior, centros e institutos de investigación, difusión cultural, dependencias administrativas, bibliotecas, museos e instalaciones deportivas.Los ejes rectores de análisis contenidos en este volumen son siete: a) la caracterización geográfica, ecológica, ambiental, sociocultural e infraestructural del espacio que comprende el Cerro de Coatepec; b) el análisis del Cerro de Coatepec como un ecosistema urbano en el contexto de la Zona Metropolitana del Valle de Toluca, Estado de México; c) la multifuncionalidad de las áreas verdes, las áreas arboladas y los espacios naturales del ecosistema; d) los impactos ambientales que han ocasionado y que ocasionan las etapas de preparación del sitio, la construcción de edificaciones y la ejecución de actividades docentes, de investigación, difusión, deportivas y socioculturales; e) los riesgos que ocurren y pueden ocurrir en las áreas verdes, las áreas arboladas, los ambientes naturales y la infraestructura de las edificaciones; f) la responsabilidad ambiental e importancia de la participación de los actores universitaritos en el cuidado del entorno universitario; y g) propuesta de acciones generales para el mejoramiento de las condiciones del paisaje y manejo del entorno universitario. Estos ejes rectores no se analizan de manera independiente, sino en una dimensión integral, ya que la alteración de algún componente del ambiente o la existencia de riesgos puede tener diferentes causas y por consiguiente diversos efectos.Universidad Autónoma del Estado de México Colegio de Ciencias Geográficas del Estado de México AC

Responsabilidad e Impacto Ambiental en un Territorio del Altiplano Mexicano. Análisis ambiental, sociodemográfico y económico

El presente libro se sustenta en lo que establece el documento titulado Elaboración, aprobación, publicación e inscripción de los Planes de Desarrollo Urbano de competencia Municipal, el cual en el numeral 2.3 Contenido de los Planes Municipales de Desarrollo Urbano, señala lo siguiente: “Para el caso de los Planes Municipales de Desarrollo Urbano, la Secretaría de Desarrollo Urbano y Obras Públicas, por conducto de la Dirección General de Administración Urbana, formuló una metodología para la elaboración de estos instrumentos de planeación”. Con base en el documento referido anteriormente, la estructura, contenido, terminología y demás elementos complementarios que conforman este libro cumple, con lo establecido en los lineamientos oficiales para la elaboración de PMDU en el Estado de México, sin embargo, es importante considerar que los espacios geográficos y condiciones territoriales de los municipios del Estado de México no son homogéneos, por lo que, en algunos aspectos o numerales, la información y análisis se exponen de manera general o muy específica, en algunos casos, se excluyeron numerales considerados no relevantes para el territorio del Municipio de Calimaya, además se incluye información sobre temas de responsabilidad ambiental, límites, impacto ambiental, sustentabilidad y desarrollo urbano sustentable

VizieR Online Data Catalog: FeSt 1-457 IRAM and PdBI maps (Juarez+, 2017)

IRAM 30m (FTS correlator) and PdBI 3mm observations towards the starless core FeSt 1-457 in the Pipe nebula. Dense core tracer N2H+ (1-0) was observed with a better spectral resolution with the IRAM 30m VESPA correlator (0.06km/s)

Using a 3-tier Training Model for Effective Exchange of Good Practices in as ERASMUS+ Project

VISIR+ is an Erasmus+ project that aims to develop educational modules for electric and electronic circuits theory and practice following an enquiry-based teaching and learning methodology. The project has installed five new VISIR remote labs in Higher Education Institutions located in Argentina and Brazil, to allow students doing more experiments and hence acquire better experimental skills, through a combination of traditional (hands-on), remote and virtual laboratories. A key aspect for the success of this project was to motivate and train teachers in the underpinning educational methodology. As such, VISIR+ adopted a 3-tier training process to effectively support the use of VISIR in the Institutions that received it. This process is based on the “train the trainer” approach, which required the participating partner institutions to identify and engage a number of associated partners, interested in using their newly installed remote lab. To measure the quality of the training process, the same satisfaction questionnaire was used in all training actions. This paper presents a detailed description of the training actions along with the analysis of the satisfaction questionnaire results. Major conclusions are that the quality level of the training process remained practically the same across all training actions and that trainees sometimes considered the practical use of the VISIR remote lab as difficult, irrespectively of where and when the training action took place.info:eu-repo/semantics/publishedVersio

Calibration and first results of relative humidity sensor MEDA HS onboard M2020 rover

MEDA HS is the relative humidity sensor on the Mars 2020 Perseverance rover provided by theFinnish Meteorological Institute (FMI). The sensor is a part of Mars Environmental DynamicAnalyzer (MEDA), a suite of environmental sensors provided by Centro de Astrobiología in Madrid,Spain. MEDA HS, along with METEO-H in ExoMars 2022 surface platform, is a successor of REMS-Hon board Curiosity.Calibration of relative humidity (RH) instruments for Mars missions is challenging due to the rangeof RH (from 0 to close to 100%) and temperature conditions (from about -90 ºC to + 22 ºC) thatneed to be simulated in the lab. Thermal gradients in different parts of the system need to be wellknown and controlled to ensure reliable reference RH readings. For MEDA HS the calibration testshave been performed for different models of MEDA HS in three Martian humidity simulatorlaboratories: FMI laboratory, Michigan Mars Environmental Chamber (MMEC) and DLR PASLAB(Planetary Analog Simulation Laboratory). MEDA HS flight model was tested at FMI together with flight spare and ground reference models inlow pressure dry CO2 gas from +22ºC to -70ºC and in saturation conditions from -40ºC down to-70ºC. Further, the MEDA HS flight model final calibration is complemented by calibration datatransferred from an identical ground reference model which has gone through rigorous testingalso after the flight model delivery. During the test campaign at DLR PASLAB that started inAutumn 2020, MEDA HS has been calibrated over the full relative humidity scale between -70 to-40ºC in CO2 in the pressure ranges from 5.5 to 9.5 hPa, representative of Martian surfaceatmospheric pressure. The results can be extrapolated to higher and lower temperatures.In this presentation the final flight calibration and performance of the MEDA HS will be presentedtogether with first results expected from the surface of Mars by the Perseverance rover

Halorhabdus tiamatea: Proteogenomics and glycosidase activity measurements identify the first cultivated euryarchaeon from a deep-sea anoxic brine lake as potential polysaccharide degrader.

Euryarchaea from the genus Halorhabdus have been found in hypersaline habitats worldwide, yet are represented by only two isolates: Halorhabdus utahensis AX-2T from the shallow Great Salt Lake of Utah, and Halorhabdus tiamatea SARL4BT from the Shaban deep-sea hypersaline anoxic lake (DHAL) in the Red Sea. We sequenced the H. tiamatea genome to elucidate its niche adaptations. Among sequenced archaea, H. tiamatea features the highest number of glycoside hydrolases, the majority of which were expressed in proteome experiments. Annotations and glycosidase activity measurements suggested an adaptation towards recalcitrant algal and plant-derived hemicelluloses. Glycosidase activities were higher at 2% than at 0% or 5% oxygen, supporting a preference for low-oxygen conditions. Likewise, proteomics indicated quinone-mediated electron transport at 2% oxygen, but a notable stress response at 5% oxygen. Halorhabdus tiamatea furthermore encodes proteins characteristic for thermophiles and light-dependent enzymes (e.g. bacteriorhodopsin), suggesting that H. tiamatea evolution was mostly not governed by a cold, dark, anoxic deep-sea habitat. Using enrichment and metagenomics, we could demonstrate presence of similar glycoside hydrolase-rich Halorhabdus members in the Mediterranean DHAL Medee, which supports that Halorhabdus species can occupy a distinct niche as polysaccharide degraders in hypersaline environments