Choriocapillaris flow impairment predicts the development and enlargement of drusen

Purpose: To evaluate the choriocapillaris flow in regions of enlarged or new incident drusen in patients with early and intermediate age-related macular degeneration (AMD). Methods: We retrospectively reviewed and analyzed structural optical coherence tomography (OCT) and OCT angiography (OCTA) images of consecutive patients with early or intermediate AMD evaluated at the Doheny-UCLA Eye Centers between 2015 and 2018. All patients were imaged using a Cirrus OCT, and only one eye was included in the study. To be eligible for this analysis, patients were required to have a 3 7 3-mm OCTA scan acquired during the first visit (considered as baseline) and a fovea-centered 512 7 128 macular cube (6 7 6 mm) acquired at both the baseline visit and after a minimum of 1 year follow-up. The drusen maps generated from the macular cubes were used to generate a drusen area (DA) measurement and compute the difference between baseline and follow-up (\u394DA). After registering the structural OCTs to the baseline choriocapillaris (CC) OCTA, we analyzed and compared the baseline flow deficits (FD) within drusen-free region (FDDF), regions into which drusen enlarged or expanded at follow-up (FDEN), and regions in which new incident drusen (FDND) appeared at follow-up. Results: Forty-six patients were eligible for the analysis and had a mean follow-up of 1.47 years. Twelve eyes of 12 subjects had a \u394DA < 0.1 mm2. In these eyes, only the FDDF was calculated (40.37 \ub1 2.29%) and it was not significantly different from the FDDF of eyes with \u394DA 65 0.1 mm2 (40.25 \ub1 4.37%, p = 0.849). When comparing the different regions within the eyes with \u394DA 65 0.1 mm2, there was no significant difference between FDED and FDND (43.61 \ub1 4.36% and 44.16 \ub1 2.38%, p = 528), but both were significantly higher than FDDF (p = 0.001 and p < 0.001, respectively). Conclusions: Significant CC flow impairment is present under regions of intact retinal pigment epithelium (RPE) where existing drusen will enlarge into or new drusen will appear within 2 years. These findings suggest that location of drusen may not be stochastic but may be driven by regional deficits in the choriocapillaris

Categorical and dimensional approaches in the evaluation of the relationship between attachment and personality disorders: An empirical study

Although several studies have highlighted the relationship between attachment states of mind and personality disorders (PD), their findings have not been consistent, possibly due to the application of the traditional taxonomic classification model of attachment. A more recently developed dimensional classification of attachment representations, including more specific aspects of trauma-related representations, may have advantages. In this study we compare specific associations and predictive power of the categorical attachment and dimensional models applied to 230 Adult Attachment Interview transcripts obtained from personality disordered and non-psychiatric subjects. We also investigate the role that current levels of psychiatric distress may have in the prediction of PD. The results showed that both models predict the presence of PD, with the dimensional approach doing better in discriminating overall diagnosis of PD. However, both models are less helpful in discriminating specific PD diagnostic subtypes. Current psychiatric distress was found to be the most consistent predictor of PD capturing a large share of the variance and obscuring the role played by attachment variables. The results suggest that attachment parameters correlate with the presence of PD alone and has no specific associations with particular PD subtypes when current psychiatric distress is taken into account

Production and Extraction of Protons by Solid Hydrogenated Targets via UV Laser Ablation

In this work we present the preliminary investigations about the production of proton beams by pulsed laser ablation of solid disks produced by compressed Titanium dihydride powder. The laser we used was an excimer KrF, operating at low intensity and ns pulse duration. The ion emission was analyzed by the time-of-flight technique using a Faraday cup as ion collector. We performed studies on the produced plasma for different laser fluence values and accelerating voltage. In free expansion mode we obtained protons and titanium ions having kinetic energy of some hundred of eV; by applying a postaccelerating voltage we obtained beams up to 15 keV

Choroidal Structure after Half-Dose Photodynamic Therapy in Chronic Central Serous Chorioretinopathy

The study aims to analyze the changes produced by half-dose photodynamic therapy (HD-PDT) in the choroid of eyes with chronic central serous chorioretinopathy (CSC) applying the binarization method to spectral domain optical coherence tomography (SDOCT) and OCT Angiography (OCTA) images. SDOCT and OCTA were performed before, one hour, one week, and one month after HD-PDT. Binarization with a modified Niblack method and analysis by ImageJ were applied. An average ratio between luminal part and total structure was calculated. Twenty-two eyes of 21 patients (20 male and 1 female; mean age 54.8 years) were enrolled. A statistically significant reduction of the central choroidal thickness was observed one week (from 407 µm to 362 µm, p = 0.034) and one month (from 407 µm to 341.5 µm, p = 0.0004) after HD-PDT. The baseline average ratio between luminal part and total structure was 33.4% in SDOCT, and 61.1% in OCTA. These values were 35.3% and 61% one hour, 33.9% and 60.4% one week, and 34.5% and 60.6% one month after HD-PDT, respectively. Overall, PDT seems to produce short-term changes on the luminal component of both choriocapillaris and choroid, which return to baseline status after one month from treatment. However, choroid stays significantly thinner after one month, with both luminal and interstitial components significantly reduced

Application of XeCl308nm excimer laser radiation to mutate industrial microorganisms

EnIn this study, we have investigated the effects of an XeCl308 nm excimer laser radiation on bacterial mutagenesis. Our experiments have revealed that the mutagenesis inducted by the XeCl308 nm excimer laser radiation is independent from RecA protein, the regulator of the SOS response, unlike UV254 nm radiation that is not mutagenic for Escherichia coli mutants lacking the RecA protein. This found suggests that the UV308 nm laser radiation might be mutagenic also in microorganisms naturally lacking the SOS response. To test this hypothesis, we applied our innovative mutagenesis approach on Nonomuraea ATCC 39727, an industrial strain producing an antibiotic, which is relatively refractory to UV254 nm radiation-induced mutagenesis. Our results demonstrated the efficiency of XeCl308 nm excimer laser radiation to induce mutagenesis in Nonomuraea ATCC 39727

Analysis of the Radish Seed Germination and Growth by Radiofrequency Stresses

In this work we report a study on the behavior of radish seed (Raphanus sativum L.) germination and growth under radiofrequency stresses. Groups of uniform seeds were irradiated at five duration time values of 60, 210, 375, 470 and 830 h at medium frequency of 1 Mhz, (MF/1), (MF/2), (MF/3), (MF/4) and (MF/5), respectively; at very high frequency of 100 Mhz, (VHF/1), (VHF/2) f(VHF/3), (VHF/4) and (VHF/5), respectively; at ultra high frequency of 900Mhz, (UHF/1), (UHF/2), (UHF/3), (UHF/4) and (UHF/5), respectively. The exhibited magnetic field for the three frequencies was of about 240 nT and the associate electric field inside the samples was less than 71 V/m, owing to the electric permittivity exposed sample. Another group of uniform radish seeds, irradiated by static magnetic (SM) field of 80 mT for the same time duration, was used as comparison, whereas untreated ones were used as control. The results showed that all physical stresses induced by magnetic fields did not have effect on seed germination as well as on cell elongation growth of the radish hypocotyls. On the contrary, a stimulating effect was observed on root growth

Effects of physical stresses on radish seed germination and growth

In this work we explore the consequences on variable magnetic fields applied to radish seeds (Raphanus sativum L.) on germination and seedling growth. Three, different alternate magnetic fields have been tested having a high intensity, 40 mT, at very low frequency, 0.2 Hz (B0.2), a low intensity, 577 µT, at low frequency, 370 kHz (B370), and a very low intensity, about 250 nT, at ultra high frequency, 900 MHz (RF900). These last generate electromagnetic waves which are nowadays very used for mobile communications. Groups of uniform radish seeds were exposed to alternate magnetic fields at three duration time values: i) 120 h (BO.2/1), 260 h (B0.2/2) and 360 h (B0.2/3) at high intensity and very low frequency, 0.2 Hz; ii) 120 h (B370/1), 260 h (B370/2), 360 h (B370/3) at low intensity and low frequency, 370 kHz; iii) 120 h (RF/1), 260 h (RF/2), 360 h (RF/3) at very low intensity and ultra high frequency, 900 MHz. Furthermore, another group of seeds was treated by laser beams of 248 nm wavelength whose magnetic field is coupled to an electric field. These two fields, by the Planck theory, origin the quantum energy, expresses by photons. Therefore, in the laser-matter interaction photons are absorbed dependent on laser shots. Again, we performed experiments at three duration time values that applied: 30 kshots (KrF/1), 80 kshots (KrF/2) and 135 kshots (KrF/3) at 40 mJcm2/ fluence. The magnetic field and electric field presented by the laser beam are approximatively 250 kVm/ and 850 µT, respectively. All treatments were performed at room temperature. Both untreated seeds and each group of seeds exposed to the physical stresses were transferred in Petri dishes and followed for their germination and seedling growth up to 96 h. The results showed that all physical stresses induced by alternate magnetic fields, radiofrequency and laser radiations did not have effect on seed germination as well as on cell elongation growth of the radish hypocotyls in comparison to control seeds. On the contrary, all physical stresses showed a significate stimulation on root growth

DNA damage by a single intense shot of soft X-rays emitted by a laser-produced plasma

EnA suitable plane transmission line was developed and its behaviour analysed at 900 MHz radiofrequency fields to study the DNA mutability and repair of microorganisms. In this work, utilizing such a device, we investigated the behaviour of the DNA mutability and repair of Escherichia coli strains. The transmission line was very simple and versatile in changing its characteristic resistance and field intensity by varying its sizes. In absence of cell samples inside the transmission line, the relative modulation of the electric and/or magnetic field was ±31% with respect to the mean values, allowing the processing of more samples at different exposure fields in a single run. Slight decrease in spontaneous mutability to rifampicin-resistance of the E. Coli JC411 strain, was demonstrated in mismatch-repair proficient samples exposed to the radio-frequency fields during their growth on solid medium

Ion beams delivered by two accelerating gaps for industrial and therapeutic applications

Laser ion sources offer the possibility to get ion beams utilizable to improve particle accelerators. Today many laboratories, as well as the LEAS, are involved to develop accelerators of very contained dimensions, easy to be installed in little laboratories and hospitals. Pulsed lasers at intensities of the order of 108 W/cm2 and of ns pulse duration, interacting with solid matter in vacuum, produce plasma of high temperature and density. The charge state distribution of the plasma generates high electric fields which accelerate ions along the normal to the target surface. The energy of emitted ions has a shifted Maxwell-Boltzmann distribution which depends on the ion charge state. To increase the ion energy, a post-acceleration system can be employed by means of high voltage power supplies of about 100 kV. The post acceleration system results a good method to obtain high ion currents using a not expensive system and the final ion beams find interesting applications in the field of the ion implantations, hadrontherapy, scientific applications and industrial use. In this work we study the electromagnetic and geometric proper-ties, like the emittance of the beams delivered by Cu target. Plasma‟s characterization was performed us-ing a Faraday cup for the electromagnetic characteris-tics, while for the geometric ones by adopting a pep-per pot system. Applying 60 kV of accelerating volt-age and a laser irradiance of 0.1 GW/cm2, we obtain 5.5 mA of output current and a normalized beam emittance of 0.2 π mm mrad. The brightness of the beams was 137 mA(p mm mrad)-2

Choriocapillaris impairment around the atrophic lesions in patients with geographic atrophy: A swept-source optical coherence tomography angiography study

Aims To evaluate the choriocapillaris (CC) flow alterations around geographic atrophy (GA) in eyes with dry age-related macular degeneration. Methods Using a swept-source optical coherence tomography angiography (SS-OCTA) device, two volume 6 76 mm scans were acquired in patients with GA presenting between June and December 2017 at the Doheny-UCLA Eye Centers. The area of GA was delineated on the en face structural OCT fundus images. For each eye, the en face OCTA slabs at the level of the CC from the two acquisitions were averaged and compensated for signal loss using the corresponding structural en face images. The resulting images were binarised and analysed for the percentage of flow voids in the para-atrophy zone (a 500 \u3bcm wide ring around the immediate edge of the atrophy) and in the peri-atrophy zone (a 500 \u3bcm wide ring around the para-atrophy zone edge), the latter considered as a reference in the comparative analysis. Results Thirty eyes of 20 patients were enrolled. The percentage of flow voids in the para-atrophy zone was 27.23%\ub16.29% and was significantly higher than in the surrounding peri-atrophy zone (23.4%\ub16.01%; p<0.001). There was no significant correlation between the flow void percentage in these regions and age, visual acuity, extent of the atrophic area or central choroidal thickness. Conclusions A significant impairment of the CC flow is present in the zone immediately surrounding the GA lesions strengthening the hypothesis that CC alterations may be relevant to the progression of GA