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1.
Ecol Evol ; 13(11): e10676, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37928194

RESUMO

Climate change is posing unprecedented pressure onto marine ecosystems worldwide. This makes it imperative to monitor the effects that are being experienced in these environments. Nudibranchs are benthic marine organisms that possess characteristics that have the potential to act as indicators of change within ecosystems such as coral reefs. Therefore, these species have the ability to provide valuable information on fine-scale changes in environmental conditions. It is thus essential for studies, such as this, to establish baseline analyses from which changes within nudibranch populations can be examined in order to investigate their ability to act as bioindicators. Recommendations can also be made for future sampling procedures through investigating environmental and experimental parameters that influence nudibranch communities. Nudibranch populations were sampled on Two-Mile Reef in Sodwana Bay, South Africa, through SCUBA where individuals were photographed and later identified. Data were collected within a sample-based dataset, as well as by citizen scientists within an incidence-based dataset. Across both datasets, a total of 85 species were identified. Nudibranch populations showed high levels of diversity within an uneven, unstable community. Citizen scientist data provided imperative information to the baseline assessment and, therefore, the inclusion of these data increased the robustness of this study. Environmental and experimental variables investigated did not influence the outcomes of this study and should therefore not be heavily focused on in designing future experiments. Future monitoring studies should continue to record oceanic pH in order to detect any possible changes due to ocean acidification. It is recommended that sampling events should be increased in order to capture all species present in these localities. These events should also encompass an extended temporal scale in order to cover a larger temperature range. Research on bioindicators is essential within today's rapidly changing climate, mainly due to human activities, particularly within an extremely vulnerable habitats such as coral reefs.

2.
Artigo em Inglês | MEDLINE | ID: mdl-27211013

RESUMO

High affinity aryl hydrocarbon receptor (AHR) ligands, such as certain polychlorinated biphenyls and 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD), cause severe cardiac teratogenesis in fish embryos. Moderately strong AHR agonists, for example benzo[a]pyrene and ß-naphthoflavone, are capable of causing similar cardiotoxic effects, particularly when coupled with cytochrome P450 1A (CYP1A) inhibitors (e.g., fluoranthene (FL). Additionally, some weaker AHR agonists (carbaryl, 2-methylindole, 3-methylindole, and phenanthrene) are known to also cause cardiotoxicity in zebrafish (Danio rerio) embryos when coupled with FL; however, the cardiotoxic effects were not mediated specifically by AHR stimulation. This study was performed to determine if binary exposure to weak AHR agonists and FL were also capable of causing cardiotoxicity in Atlantic killifish Fundulus heteroclitus embryos. Binary exposures were performed in both naïve and PAH-adapted killifish embryos to examine resistance to weak agonists and FL binary exposures. Weak agonists used in this study included the following: carbaryl, phenanthrene, 2-methylindole, 3-methylindole, indigo, and indirubin. Carbaryl, indigo, and indirubin induced the highest CYP1 activity levels in naïve killifish embryos, but no significant CYP1 induction was observed in the PAH-adapted killifish. Embryos were coexposed to subteratogenic levels of each agonist and 500µg/L FL to assess if binary administration could cause cardiotoxicity. Indigo and indirubin coupled with FL caused cardiac teratogenesis in naïve killifish, but coexposures did not produce cardiac chamber abnormalities in the PAH-adapted population. Knockdown of AHR2 in naïve killifish embryos did not prevent cardiac teratogenesis. The data suggest a unique mechanism of cardiotoxicity that is not driven by AHR2 activation.


Assuntos
Inibidores das Enzimas do Citocromo P-450/toxicidade , Família 1 do Citocromo P450/antagonistas & inibidores , Proteínas de Peixes/agonistas , Proteínas de Peixes/antagonistas & inibidores , Fluorenos/toxicidade , Fundulidae/metabolismo , Coração/efeitos dos fármacos , Miocárdio/enzimologia , Hidrocarbonetos Policíclicos Aromáticos/toxicidade , Receptores de Hidrocarboneto Arílico/agonistas , Poluentes Químicos da Água/toxicidade , Animais , Cardiotoxicidade , Família 1 do Citocromo P450/metabolismo , Relação Dose-Resposta a Droga , Embrião não Mamífero/efeitos dos fármacos , Embrião não Mamífero/enzimologia , Proteínas de Peixes/metabolismo , Fundulidae/embriologia , Fundulidae/genética , Regulação da Expressão Gênica , Técnicas de Silenciamento de Genes , Ligantes , Receptores de Hidrocarboneto Arílico/genética , Receptores de Hidrocarboneto Arílico/metabolismo , Medição de Risco
3.
Chem Commun (Camb) ; 51(45): 9294-7, 2015 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-25960368

RESUMO

Conjugated oligoelectrolytes (COEs) bearing pyridinium and carboxylate groups are synthesized, characterized, and compared to the trimethylammonium analogue from which they are derived. All COEs are able to spontaneously intercalate into liposomes, whereas only positively charged COEs intercalate into E. coli membranes. Membrane intercalation is determined necessary for performance enhancement in microbial fuel cells.


Assuntos
Membrana Celular/química , Escherichia coli/metabolismo , Eletrólitos , Escherichia coli/química , Íons , Microscopia Confocal , Estrutura Molecular
4.
J Anim Physiol Anim Nutr (Berl) ; 98(5): 958-67, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25356486

RESUMO

With the continued rise in feline obesity, novel weight management strategies are needed. To date, strategies aimed at altering physical activity, an important factor in weight maintenance, have been lacking. Photoperiod is known to cause physiological changes in seasonal mammals, including changes in body weight (BW) and reproductive status. Thus, our objective was to determine the effect of increased photoperiod (longer days) on voluntary physical activity levels, resting metabolic rate (RMR), food intake required to maintain BW, and fasting serum leptin and ghrelin concentrations in adult cats. Eleven healthy, adult, neutered, male domestic shorthair cats were used in a randomized crossover design study. During two 12-week periods, cats were exposed to either a short-day (SD) photoperiod of 8 h light: 16 h dark or a long-day (LD) photoperiod of 16 h light: 8 h dark. Cats were fed a commercial diet to maintain baseline BW. In addition to daily food intake and twice-weekly BW, RMR (via indirect calorimetry), body composition [via dual-energy X-ray absorptiometry (DEXA)] and physical activity (via Actical activity monitors) were measured at week 0 and 12 of each period. Fasting serum leptin and ghrelin concentrations were measured at week 0, 6 and 12 of each period. Average hourly physical activity was greater (p = 0.008) in LD vs. SD cats (3770 vs. 3129 activity counts/h), which was primarily due to increased (p < 0.001) dark period activity (1188 vs. 710 activity counts/h). This corresponded to higher (p < 0.0001) daily metabolizable energy intake (mean over 12-week period: 196 vs. 187 kcal/day), and increased (p = 0.048) RMR in LD cats (9.02 vs. 8.37 kcal/h). Body composition, serum leptin and serum ghrelin were not altered by photoperiod. More research is needed to determine potential mechanisms by which these physiological changes occurred and how they may apply to weight management strategies.


Assuntos
Ração Animal/análise , Gatos/fisiologia , Ingestão de Alimentos/fisiologia , Metabolismo Energético , Comportamento Alimentar/fisiologia , Fotoperíodo , Animais , Composição Corporal/fisiologia , Calorimetria Indireta/veterinária , Estudos Cross-Over , Masculino , Atividade Motora
5.
J Anim Sci ; 92(10): 4478-85, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25149332

RESUMO

Whole prey diets are commonly used in the zoo and home setting for captive exotic and domestic cats, respectively. Despite their increase in popularity, nutrient digestibility of such diets has been poorly studied. In this study, the precision-fed cecectomized rooster assay was used to determine the protein quality and nitrogen-corrected true ME (TMEn) of 17 whole prey samples (mice [1 to 2 , 10 to 13 , 21 to 25 , 30 to 40 , and 150 to 180 d old], rats [1 to 4, 10 to 13, 21 to 25, 32 to 42, and >60 d old], rabbits [stillborn, 30 to 45 d old, and >65 d old], chicken [1 to 3 d old], and quail [1 to 3, 21 to 40, and >60 d old]) and 2 ground poultry-based products (chicken and duck). Amino acid score (AAS) and protein digestibility corrected AAS (PDCAAS) were calculated using the nutrient profile recommendations for domestic cat food as a reference value (AAFCO, 2012). Average individual indispensable AA (IAA) and total IAA (TIAA) digestibility coefficients were variable anddepended on AA (84 to 94% TIAA, 85 to 95% Arg, 87 to 96% His, 82 to 92% Ile, 84 to 94% Leu, 85 to 93% Lys, 89 to 97% Met, 83 to 94% Phe, 80 to 95% Thr, 84 to 94% Trp, and 80 to 93% Val) and sample. For a majority of the whole prey items, AA concentrations were greater than the Association of American Feed Control Officials ( AAFCO: , 2012) domestic cat nutrient profile recommendations for growth and reproduction and adult maintenance; however, some whole prey had AA concentrations below the AAFCO (2012) recommendations: Met + Cys (1.10% DM) in ground duck (1.06% DM) and taurine (Tau; 0.20% DM) in 30-to-45- and >65-d-old rabbits (0.01 and 0.10% DM, respectively), 150-to-180-d-old mice (0.18% DM), and ground duck (0.15% DM). The TMEn (3.76 to 6.44 kcal/g DM) expressed as the percent of GE (i.e., TMEn/GE) ranged from 66 to 85%, demonstrating how variable the digestibility of these items may be and justifying more research in this area. Both Met and Tau are commonly added to commercial pet foods, so supplements are readily available to address potential deficiencies and improve protein quality. A direct comparison of the ME of whole prey items by in vivo feline and rooster experiments is needed.


Assuntos
Ração Animal/análise , Fenômenos Fisiológicos da Nutrição Animal/fisiologia , Gatos/fisiologia , Dieta/veterinária , Ingestão de Energia/fisiologia , Metabolismo Energético/fisiologia , Aminoácidos/metabolismo , Ração Animal/normas , Animais , Suplementos Nutricionais , Digestão/fisiologia , Camundongos , Aves Domésticas , Coelhos , Ratos
6.
Optom Vis Sci ; 81(1): 44-8, 2004 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-14747760

RESUMO

Biometric data on 897 Tibetan children living in Kathmandu, Nepal were collected over the period 1992 to 2000 with regular visits every 2 years. Measurements included cycloplegic autorefraction, A-scan ultrasonography, and video phakometry. Children who had not been studied at least once at age 12 years or older were not included in these analyses. The other subjects were divided into two groups; myopic if the refractive error was ever <-0.50 D, and emmetropic/hyperopic if the refractive error was never <-0.50 D, the nonmyopic group. Using all children who had been examined with four or five observations over time, the change of vitreous chamber depth with age by group was determined using a mixed-model regression method. The increase in vitreous length was 0.070 mm/year for the emmetropic group and 0.165 mm/year for the myopic group, with the differences apparent before the onset of myopia. An independent group of 59 children in whom there were two vitreous chamber depth measures before the age of 12 years and one measure taken after 12 years of age were used to assess the rate of increase in vitreous chamber depth as a predictor of myopia. Two other methods were examined using the independent group; the ratio of axial length to corneal radius of curvature and refractive error at age 10 years. Predictors based on rate of increase in vitreous chamber depth and axial length/corneal radius of curvature had sensitivities of 75% and 45%, respectively, and refractive error at age 10 years as a predictor for those who will not become myopic had a sensitivity of 88%.


Assuntos
Miopia/diagnóstico , Corpo Vítreo/patologia , Adolescente , Criança , Humanos , Estudos Longitudinais , Miopia/epidemiologia , Nepal/epidemiologia , Refração Ocular , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
7.
Conn Med ; 65(10): 597-604, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11702518

RESUMO

The establishment of "best clinical practices" founded upon evidence-based medicine has become an increasingly important priority. Frequently, management guidelines are derived from published research data and disseminated among practitioners to help optimize patient care. The ultimate clinical impact of these guidelines in the "real world," however, is often clouded by an incomplete assessment of patient outcomes throughout the continuum of health-care delivery models. In order to address this gap in clinical outcome assessment, we propose to establish the Connecticut Cardiovascular Consortium. The Consortium will consist of a collaborative partnership among all 31 Connecticut hospitals working in concert with Connecticut Office of Health Care Access (OHCA). The primary objective of the Consortium will be to assess, compare, and optimize clinical outcomes among Connecticut residents with cardiovascular disease. As an initial goal for the Consortium, we further propose to undertake a prospective, observational study of Connecticut residents who present with ST Segment Elevation Acute Myocardial Infarction (STEMI). Recent advances in pharmacologic and mechanical reperfusion for STEMI have resulted in a need to define the optimal use of these therapies in the community at large. The primary purpose of this study will be to determine the relative merits of different treatment patterns for STEMI with regard to the use of fibrinolytic therapy and percutaneous coronary intervention (PCI). Particular emphasis will be placed on assessing the relative benefits of urgent mechanical revascularization performed at the state's seven tertiary facilities with PCI capability compared to all other treatment modalities. Successful completion of this unique collaborative endeavor is expected to have significant impact on improved patient care and on current health-care policy for medical resource allocation. Moreover, continued collaboration of health-care providers within the Connecticut Cardiovascular Consortium infrastructure should serve as a useful mechanism for ongoing improvements in evidence-based cardiovascular medicine and clinical research in the state of Connecticut.


Assuntos
Cardiopatias/terapia , Avaliação de Resultados em Cuidados de Saúde , Connecticut , Medicina Baseada em Evidências , Humanos , Infarto do Miocárdio/terapia , Pesquisa
8.
Vision Res ; 41(8): 973-9, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11301072

RESUMO

The gradient refractive index of the crystalline lens in the Black Oreo Dory (Allocyttus Niger) was determined using two methods; an optimisation program based on finite ray-tracing and the path of laser beams through the lens, and magnetic resonance imaging (MRI) and the linear relationship between refractive index and nuclear transverse relaxation rates. The methods showed good agreement in the cortical zone of the lens, but the lack of free water in the core of the lens made MRI measurement impossible in this region. The laser-optimisation method gave mean values of 1.368 and 1.543 for the surface and core refractive indices respectively, with a radial distribution for the gradient refractive index given by n(r)=1.543-0.121r2-0.033r4-0.021r6.


Assuntos
Cristalino/fisiologia , Refração Ocular/fisiologia , Animais , Peixes , Lasers , Imageamento por Ressonância Magnética , Refratometria
10.
Vision Res ; 41(2): 235-43, 2001 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-11163857

RESUMO

The in vivo spherical aberration of the lenses of 26 subjects was estimated from the measured total aberration of the eye and that predicted from the measured shape of the anterior corneal surface. Since it was only possible to estimate the aberration contribution from the posterior corneal surface, its value led to an uncertainty in the final aberration level of the lens. For all the subjects and for a wide range of possible aberration levels at the posterior corneal surface, the spherical aberration of the relaxed lens was found to be negative.


Assuntos
Cristalino/anatomia & histologia , Computação Matemática , Adulto , Idoso , Envelhecimento/fisiologia , Topografia da Córnea , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
11.
Proc (Bayl Univ Med Cent) ; 14(4): 385-405, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-16369650
12.
Community Ment Health J ; 36(4): 363-82, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10917272

RESUMO

Although mental health consumers often prefer community living, the factors influencing community outcomes are not well understood. In order to address this issue in Connecticut, the Department of Mental Health and Addiction Services (DMHAS) commissioned a statewide study of 6,800 clients receiving the most intensive community-based mental health services funded by the state. DMHAS clinicians provided the ratings for their clients on a variety of variables including demographics, diagnosis, clinical stability, current psychotic symptomology, adherence to prescribed medications, substance abuse, history of violent crime, community trouble-making or victimization, likelihood of threatening behavior, frequency of social contacts, and difficulty in adjusting to life in the community. Also, the total length of stay and total number of admissions during a two year period were taken from the statewide management information system for each client in the study. Descriptive data analysis included frequencies and means to describe the demographic, the diagnostic, and the clinical profile of the DMHAS clients. A stepwise hierarchical multiple regression analysis (MRA) was performed to determine what factors predict a composite score of overall functioning, community adjustment, and psychiatric impairment. Clients with better composite scores were those who had a prescription for medications, adhered more to their medication regimen, perceived to be less threatening, and had more frequent social interactions. Implications of these findings for outpatient treatment are discussed.


Assuntos
Serviços Comunitários de Saúde Mental , Transtornos Mentais/terapia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Crime , Feminino , Pesquisas sobre Atenção à Saúde , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde , Pacientes Ambulatoriais , Cooperação do Paciente , Fatores de Risco , Comportamento Social
13.
Percept Mot Skills ; 90(2): 437-43, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10833736

RESUMO

Urban college student commuters (N = 407) were surveyed about their experiences with stress induced by driving. Of the participants 23.6% reported becoming angry at another driver more than once per day. They rated stress from other drivers as equal to the stress experienced during a college examination but gave slightly lower ratings to traffic congestion, road construction, and finding a parking place as sources of stress. Slow drivers, a child not restrained, and a vehicle following too closely were the highest rated annoying situations. Of participants, 21.6% had reported another driver to the police; nearly 22% said they carried a weapon for protection from other drivers (5.4% said a gun). Men were more than twice as likely as women to carry a weapon and three times as likely to carry a gun. Of the total sample, 19.1% feared being shot by another driver. Most participants (75.8%) said drivers were more aggressive and dangerous than they were five years ago.


Assuntos
Condução de Veículo , Estresse Psicológico/etiologia , Condução de Veículo/psicologia , Feminino , Armas de Fogo/estatística & dados numéricos , Humanos , Masculino , Condições Sociais , Estudantes/psicologia , Universidades , População Urbana
14.
Am J Bot ; 87(6): 769-73, 2000 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10860907

RESUMO

Two 2-yr crops of tropical spider lily (Hymenocallis littoralis) plants were grown in field soil in clear-plastic-wall open-top enclosures in the Sonoran Desert environment of central Arizona. Half of the plants were exposed to ambient air of 400 ppm atmospheric CO(2) concentration and half of them were exposed to air of 700 ppm CO(2). This 75% increase in the air's CO(2) content resulted in a 48% increase in aboveground plant biomass and a 56% increase in belowground (bulb) biomass. It also increased the concentrations of five bulb constituents that have been demonstrated to possess anticancer and antiviral activities. Mean percentage increases in these concentrations were 6% for a two-constituent (1:1) mixture of 7-deoxynarciclasine and 7-deoxy-trans-dihydronarciclasine, 8% for pancratistatin, 8% for trans-dihydronarciclasine, and 28% for narciclasine, for a mean active ingredient percentage concentration increase of 12%. Combined with the 56% increase in bulb biomass, these percentage concentration increases resulted in a mean active ingredient increase of 75% for the 75% increase in the air's CO(2) concentration used in our experiments.

16.
Optom Vis Sci ; 76(5): 282-5, 1999 May.
Artigo em Inglês | MEDLINE | ID: mdl-10375242

RESUMO

BACKGROUND: Tibetan and Sherpa children living in Nepal share a common ancestry in Tibet and areas to the north of Nepal, but it is evident that these people experience widely contrasting educational and environmental conditions. The purpose of this study was to compare the prevalence of myopia in children with similar genetic backgrounds but who are exposed to contrasting environments. METHODS: Unaided vision and refractive error was measured in 555 Tibetan children in Kathmandu and 270 Sherpa children in the Solu Khumbu region of Nepal. RESULTS: There were marked differences in vision and the prevalence of myopia in the two groups. Ninety-two percent of the Sherpa children had Snellen vision of 20/22 (0.89) or better compared with 70% of the Tibetan children. The range of refractive errors was -6.50 to +7.00 D for the Tibetan children and -1.00 to +3.50 D for the Sherpa children. The Sherpa children had a prevalence of myopia of 2.9% compared with 21.7% for the Tibetan children. CONCLUSIONS: The prevalence of myopia in Sherpa children is low and their rural lifestyle appears to be relatively unstressed. Tibetan children have a higher prevalence of myopia and more rigorous schooling. We did not establish a causal relationship between myopia and the type of schooling, or the environment in general, but we did demonstrate that a simple, rural lifestyle is at least compatible with a virtual absence of myopia.


Assuntos
Miopia/etnologia , Adolescente , Criança , Escolaridade , Feminino , Humanos , Estilo de Vida , Masculino , Miopia/etiologia , Nepal/epidemiologia , Prevalência , Refração Ocular , Fatores de Risco , Classe Social , Tibet/etnologia
17.
Phys Sportsmed ; 27(5): 33-43, 1999 May.
Artigo em Inglês | MEDLINE | ID: mdl-20086717

RESUMO

Allergic contact dermatitis from poison ivy, oak, or sumac is common among people who work or exercise outdoors. The plants, classified in the genus Rhus or Toxicodendron, contain allergens that can cause reactions ranging from mild pruritus to severe urticaria or generalized maculopapular eruptions. Initial management includes cleansing, cold compresses, and, possibly, oral antihistamines for symptomatic relief. Topical corticosteroids are given for localized nonfacial eruptions; systemic corticosteroids are used for severe eruptions. Prevention involves avoiding contact with the plants and washing exposed skin within 2 hours.

18.
J Nurs Care Qual ; 13(1): 27-40, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9753902

RESUMO

Lessons learned in developing and implementing a program evaluation model for a state case management program are described. Uniformity of standards, data collection, and uniform data formats are critical components to measuring system outcomes.


Assuntos
Administração de Caso/normas , Serviços Comunitários de Saúde Mental/normas , Garantia da Qualidade dos Cuidados de Saúde , Connecticut , Humanos , Avaliação de Programas e Projetos de Saúde , Administração em Saúde Pública/normas
19.
J Refract Surg ; 14(3): 318-24, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9641423

RESUMO

BACKGROUND: To report the 5 and 3 year results of photorefractive keratectomy for -1 to -6 D of myopia and less than 1.50 D astigmatism. METHODS: All eyes were treated with a VISX 20/20 excimer laser with an ablation diameter of 5 mm. Our initial series of 133 eyes were treated in four groups: IIA, IIB, III and III No Nitrogen and reported on previously with follow-up from 6 to 36 months. The present report extends the observation period to 3 and 5 years for 114 eyes. RESULTS: Groups IIA and IIB were followed for 5 years and Groups III and III No Nitrogen for 3 years. Group IIA achieved 77% (10 of 13 eyes) +/-1.00 D (54% within +/-0.50 D) of emmetropia with stability from 6 months and 54% (seven of 13 eyes) had visual acuity of 20/20 or better. In Group IIB, 35% (six of 17 eyes) were +/-1.00 D (18% within +/-0.50 D) of emmetropia and stable from 18 months. Two of 17 eyes (12%) had 20/20 or better visual acuity. Group III had 76% (42 of 55 eyes) within +/-1.00 D (51% within +/-0.50 D) of emmetropia with stability after 12 months; 60% (33 of 55 eyes) had 20/20 or better visual acuity. Group III No Nitrogen had 73% (11 of 15 eyes) within +/-1.00 D (60% within +/-0.50 D) of emmetropia and were stable after 6 months; 47% (seven of 15 eyes) had 20/20 or better visual acuity. There was no hyperopic refractive shift. No correlation was found between the percent of correction achieved and preoperative amount of myopia, age, or sex. CONCLUSION: Refractive stability was achieved from 6 to 12 months in most eyes; a few required 18 months to stabilize. Groups IIA and III continued to be stable; Groups HB and III No Nitrogen showed mild regression that was not statistically significant.


Assuntos
Córnea/cirurgia , Miopia/cirurgia , Ceratectomia Fotorrefrativa , Adulto , Feminino , Seguimentos , Humanos , Lasers de Excimer , Masculino , Pessoa de Meia-Idade , Nitrogênio/administração & dosagem , Refração Ocular , Resultado do Tratamento , Acuidade Visual
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