142 research outputs found

    Amniotic membrane, review of its ophthalmic use and results in the last five years (2013-2017) in Granada. Preliminary study

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    Propósito: Analizar los resultados obtenidos del trasplante de membrana amniótica con fines oftalmológicos en la provincia de Granada entre los años 2013-2017 para identificar posibles variables que influyan en mayor o menor medida en un buen pronóstico postquirúrgico. Materiales y métodos: Estudio retrospectivo de serie de casos. Se estudiaron 44 pacientes con lesiones en la superficie ocular, los cuales recibieron trasplante de membrana amniótica entre 2013-2017 en la provincia de Granada (España) con un seguimiento mínimo de 8 meses. Los pacientes presentaron: abrasiones corneales, descematoceles, perforaciones, pterigium recidivantes, queratopatías en banda, queratitis numular, simbléfaron y úlceras recidivantes. Las variables recogidas en cada caso fueron las siguientes: sexo, edad, fecha del trasplante, técnica empleada, número de membrana amniótica implantadas en cada paciente, número de capas de membrana amniótica implantadas, tipo de membrana amniótica, motivo del trasplante, ¿hubo complicaciones?, ¿cuándo?, ¿se puso una segunda membrana amniótica?, ¿se realizó otra intervención?, ¿infecciones postquirúrgicas?,¿mejoría agudeza visual?,¿transparencia corneal ? y ¿éxito o fracaso global de la intervención?. Para el análisis estadístico, se compararon los resultados del grupo de éxito frente a los del grupo de fracaso mediante la prueba de Mann-Whitney, aplicándose el test de Kendall para identificar correlación entre grupos. Resultados: Respecto al éxito o fracaso del tratamiento, se encontraron diferencias estadísticamente significativas entre el grupo de éxito y el de fracaso para las siguientes variables: motivo de implante por perforación corneal (la mayoría fracasaban), existencia de complicaciones y la transparencia corneal, las cuales se correlacionaron de forma positiva o negativa con el éxito del trasplante. Con respecto a estos últimos dos parámetros (la ausencia de complicaciones y una buena trasparencia corneal) se relacionaron con el éxito postquirúrgico. Conclusión: El presente estudio preliminar sugiere que el trasplante de membrana amniótica podría ser útil en oftalmología, existiendo una clara asociación entre el éxito de esta técnica y ciertos factores relacionados con la evolución del paciente. Asimismo, la membrana amniótica no debería utilizarse de forma aislada en pacientes con perforación ocular, debido al elevado riesgo de fracaso de la técnica, siendo necesaria su realización junto a tratamientos coadyuvantes y recomendándose el estudio de tratamientos más definitivosPurpose: To analyze the results obtained from the amniotic membrane transplant for ophthalmological purposes in the province of Granada between the years 2013-2017 to identify possible variables that influence, to a greater or lesser extent, a good postoperative prognosis. Materials and methods: Retrospective study of case series. Forty-four patients with lesions on the ocular surface were studied, who received an amniotic membrane transplant between 2013-2017 in the province of Granada (Spain) with a minimum follow-up of 8 months. The patients presented: corneal abrasions, descemetoceles, perforations, recurrent pterygium, band keratopathies, nummular keratitis, symblepharon and recurrent ulcers. The variables collected in each case were: sex, age, date of transplant, technique used, number of amniotic membrane implanted in each patient, number of implanted amniotic membrane layers, type of amniotic membrane, reason for the transplant, were there complications?, when?, did you put a second amniotic membrane?, did you perform another intervention?, were there postoperative infections?, improvement in acuity visual, corneal transparency? and global success or failure of the intervention ?. For the statistical analysis, the results of the success group were compared with those of the failure group using the Mann-Whitney test, applying the Kendall test to identify correlation between groups. Results: Regarding the success or failure of the treatment, statistically significant differences were found between the success group and the failure group for the following variables: implant motive due to corneal perforation (most failed), existence of complications and corneal transparency, which correlated positively or negatively with the success of the transplant. With regard to these last two parameters (the absence of complications and a good corneal transparency) were related to postoperative success. Conclusion: This preliminary study suggests that amniotic membrane transplantation could be useful in ophthalmology, there being a clear association between the success of this technique and certain factors related to the evolution of the patient. Likewise, the amniotic membrane should not be used in isolation in patients with ocular perforation, due to the high risk of failure of the technique, being necessary to perform along with adjuvant treatments and recommended the study of more definitive treatments

    Planning rapid transit networks

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    [EN] Rapid transit construction projects are major endeavours that require long-term planning by several players, including politicians, urban planners, engineers, management consultants, and citizen groups. Traditionally, operations research methods have not played a major role at the planning level but several tools developed in recent years can assist the decision process and help produce tentative network designs that can be submitted to the planners for further evaluation. This article reviews some indices for the quality of a rapid transit network, as well as mathematical models and heuristics that can be used to design networks. © 2011 Elsevier Ltd.This research was partly funded by the Canadian Natural Sciences and Engineering Research Council under grant no. 39682-10, the Spanish Ministry of Science and Innovation under grant no. MTM 2009-14243 and the Junta de Andalucía, Spain, under grant no. P09-TEP-5022. This support is gratefully acknowledged. Fig. 10 was kindly provided by Giuseppe Bruno. Thanks are due to a referee who provided several valuable comments on an earlier version of this paper.Laporte, G.; Mesa, J.; Ortega, F.; Perea Rojas Marcos, F. (2011). Planning rapid transit networks. Socio-Economic Planning Sciences. 45(3):95-104. https://doi.org/10.1016/j.seps.2011.02.001S9510445

    Desempenho da alface em cultivo orgânico com e sem cobertura morta e diferentes lâminas d'água.

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    O experimento foi conduzido no período de 27/05/2006 a 02/08/2006 no SIPA (Sistema Integrado de Produção Agroecológica), localizado no município de Seropédica-RJ. Nesse trabalho, objetivou-se avaliar o desempenho da cultura da alface (Lactuca sativa L.)cultivada sob diferentes lâminas de irrigação em um solo sem e com cobertura de palhada da leguminosa gliricídia. Foram conduzidos dois experimentos simultâneos, utilizando o delineamento experimental de blocos ao acaso, em ambos os experimentos, nos quais foram aplicadas 5 lâminas de irrigação, correspondendo a 25, 50, 80, 100, 115 % da evapotranspiração da cultura (ETc), sendo a produção final avaliada por meio da determinação da massa fresca, área foliar e número de folhas. Até o nível de 100% ETc, todas as variáveis analisadas tiveram seus valores aumentados, e para o nível de 115%, houve um decrescimento das mesmas. Na produção de massa fresca total, o sistema de cultivo com utilização de cobertura morta foi superior ao sem cobertura não diferenciando estatisticamente ao nível de 5 % probabilidade pelo teste F somente nas lâminas de 25 e 115% ETc
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