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PURPOSE: To quantitatively analyze corneal esthesia in patients undergoing photorefractive keratectomy (PRK) surgery. METHODS: Forty-five patients selected for PRK in one eye underwent corneal esthesia using a Cochet-Bonnet esthesiometer preoperatively and 30 and 90 days postoperatively. Patients with a refractive diopter error of 4 or greater received intraoperative 0.02% mitomycin C for 20 s. RESULTS: Twenty-four (53.3%) of the 45 eyes received intraoperative 0.02% mitomycin. Decreased sensitivity was observed on postoperative day 30. By postoperative day 90, corneal esthesia had normalized but remained 14.9% lower than preoperative levels. In the mitomycin group, no recovery of corneal esthesia to normal sensitivity levels was observed. The mean esthesiometer level was 39.2 mm on postoperative day 90 (P<0.001). CONCLUSIONS: The results of the present study demonstrate recovery of corneal esthesia to normal levels at 90 days postoperatively in patients who did not receive mitomycin C. In patients administered mitomycin C, a 23.59% reduction in the corneal touch threshold was observed compared with preoperative levels indicating a failure of recovery to normal levels.
Assuntos
Córnea/fisiopatologia , Córnea/cirurgia , Lasers de Excimer/uso terapêutico , Ceratectomia Fotorrefrativa/métodos , Adulto , Feminino , Humanos , Período Intraoperatório , Lasers de Excimer/efeitos adversos , Masculino , Pessoa de Meia-Idade , Mitomicina/uso terapêutico , Inibidores da Síntese de Ácido Nucleico/uso terapêutico , Ceratectomia Fotorrefrativa/efeitos adversos , Período Pós-Operatório , Estudos Prospectivos , Valores de Referência , Transtornos de Sensação/etiologia , Fatores de Tempo , Resultado do Tratamento , Adulto JovemRESUMO
ABSTRACT Purpose: To quantitatively analyze corneal esthesia in patients undergoing photorefractive keratectomy (PRK) surgery. Methods: Forty-five patients selected for PRK in one eye underwent corneal esthesia using a Cochet-Bonnet esthesiometer preoperatively and 30 and 90 days postoperatively. Patients with a refractive diopter error of 4 or greater received intraoperative 0.02% mitomycin C for 20 s. Results: Twenty-four (53.3%) of the 45 eyes received intraoperative 0.02% mitomycin. Decreased sensitivity was observed on postoperative day 30. By postoperative day 90, corneal esthesia had normalized but remained 14.9% lower than preoperative levels. In the mitomycin group, no recovery of corneal esthesia to normal sensitivity levels was observed. The mean esthesiometer level was 39.2 mm on postoperative day 90 (P<0.001). Conclusions: The results of the present study demonstrate recovery of corneal esthesia to normal levels at 90 days postoperatively in patients who did not receive mitomycin C. In patients administered mitomycin C, a 23.59% reduction in the corneal touch threshold was observed compared with preoperative levels indicating a failure of recovery to normal levels.
RESUMO Objetivo: Análise quantitativa da estesia corneal em pacientes submetidos à cirurgia refrativa (PRK). Métodos: Estudo prospectivo, longitudinal e intervencionista, analisando 45 olhos com estesiômetro de Cochet Bonnet no período pré-operatório, no 30º dia após a cirurgia e no 90º dia após cirurgia refrativa. Os pacientes com erro refracional maior ou igual a 4 dioptrias, foram submetidos ao uso de mitomicina 0,02%, por período de 20 segundos no intraoperatório. Resultados: Observou-se diminuição da sensibilidade corneal no 30º dia em todos os olhos, retornando a níveis próximo ao normal no 90º dia, apresentando redução média final de 14,9%. Mitomicina C foi utilizada em 24 (53,3%) dos 45 olhos examinados. No grupo que recebeu mitomicina C, não houve recuperação da estesia normal (média de 39,2 mm) (p<0,001), após 90 dias de cirurgia. Conclusão: Com base nos resultados obtidos, verificamos que ocorreu recuperação da estesia corneal próximo ao normal 90 dias após a cirurgia, porém inferior aos valores iniciais, no grupo sem o uso de mitomicina C intraoperatória. No entanto, no grupo submetido ao uso de mitomicina, não houve a recuperação da sensibilidade corneal a níveis normais, mesmo após o período de 90 dias.
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Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Córnea/fisiopatologia , Córnea/cirurgia , Lasers de Excimer/uso terapêutico , Ceratectomia Fotorrefrativa/métodos , Período Intraoperatório , Lasers de Excimer/efeitos adversos , Mitomicina/uso terapêutico , Inibidores da Síntese de Ácido Nucleico/uso terapêutico , Período Pós-Operatório , Estudos Prospectivos , Ceratectomia Fotorrefrativa/efeitos adversos , Valores de Referência , Transtornos de Sensação/etiologia , Fatores de Tempo , Resultado do TratamentoRESUMO
This is a comprehensive review of the combination of scanning probe microscopy (SPM) with various optical spectroscopies, with a particular focus on Raman spectroscopy. Efforts to combine SPM with optical spectroscopy will be described, and the technical difficulties encountered will be examined. These efforts have so far focused mainly on the development of tip-enhanced Raman spectroscopy, a powerful technique to detect and image chemical signatures with single molecule sensitivity, which will be reviewed. Beyond tip-enhanced Raman spectroscopy and/or topography measurements, combinations of SPM with optical spectroscopy have a great potential in the characterization of structure and quantitative measurements of physical properties, such as mechanical, optical, or electrical properties, in delicate biological samples and nanomaterials. The different approaches to improve the spatial resolution, the chemical sensitivity, and the accuracy of physical properties measurements will be discussed. Applications of such combinations for the characterization of structure, defects, and physical properties in biology and materials science will be reviewed. Due to the versatility of SPM probes for the manipulation and characterization of small and/or delicate samples, this review will mainly focus on the apertureless techniques based on SPM probes.
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Microscopia de Varredura por Sonda/instrumentação , Microscopia de Varredura por Sonda/métodos , Análise Espectral Raman/instrumentação , Análise Espectral Raman/métodosRESUMO
Manganese acetate was found to catalyze the oxidative delignification of wood with hydrogen peroxide at room temperature. The delignification reaction was monitored by optical and Raman microscopy, and liquid chromatography/mass spectrometry. When exposed to H(2)O(2) and Mn(OAc)(3) in aqueous solution, poplar wood sections were converted into a fine powder-like material which consisted of individual wood cells within 4 days at room temperature and without agitation. Optical and Raman microscopy provided the spatial distribution of cellulose and lignin in the wood structure, and showed the preferential oxidation of lignin-rich middle lamellae. Raman spectra from the solid residue revealed a delignified and cellulose-rich material. Glucose yields following enzymatic hydrolysis were 20-40% higher in poplar sawdust pretreated with Mn(OAc)(3) for 2, 4, and 7 days at room temperature than those in sawdust exposed to water only for identical durations, suggesting the viability of this mild, inexpensive method for pretreatment of lignocellulosic biomass.
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Acetatos/química , Peróxido de Hidrogênio/química , Lignina/química , Lignina/isolamento & purificação , Compostos de Manganês/química , Populus/química , Madeira/química , Catálise , Oxirredução , TemperaturaRESUMO
Time-resolved autofluorescence, Raman microspectroscopy, and scanning microprobe X-ray diffraction were combined in order to characterize lignocellulosic biomass from poplar trees and how it changes during treatment with the ionic liquid 1-n-ethyl-3-methylimidazolium acetate (EMIMAC) at room temperature. The EMIMAC penetrates the cell wall from the lumen, swelling the cell wall by about a factor of two towards the empty lumen. However, the middle lamella remains unchanged, preventing the cell wall from swelling outwards. During this swelling, most of the cellulose microfibrils are solubilized but chain migration is restricted and a small percentage of microfibrils persist. When the EMIMAC is expelled, the cellulose recrystallizes as microfibrils of cellulose I. There is little change in the relative chemical composition of the cell wall after treatment. The action of EMIMAC on the poplar cell wall at room temperature would therefore appear to be a reversible swelling and a reversible decrystallization of the cell wall.
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Biomassa , Parede Celular/química , Parede Celular/efeitos dos fármacos , Líquidos Iônicos/farmacologia , Populus/citologia , Populus/efeitos dos fármacos , Temperatura , Fluorescência , Análise Espectral Raman , Difração de Raios XRESUMO
Lignocellulosic biomass offers economic and environmental advantages over corn starch for biofuels production. However, its fractionation currently requires energy-intensive pretreatments, due to the lignin chemical resistance and complex cell wall structure. Recently, ionic liquids have been used to dissolve biomass at high temperatures. In this study, thin sections of poplar wood were swollen by ionic liquid (1-ethyl-3-methylimidazolium acetate) pretreatment at room temperature. The samples contract when rinsed with deionized water. The controlled expansion and contraction of the wood structure can be used to incorporate enzymes and catalysts deep into the wood structure for improved pretreatments and accelerated cellulose hydrolysis. As a proof of concept, silver and gold nanoparticles of diameters ranging from 20 to 100 nm were incorporated at depths up to 4 mum. Confocal surface-enhanced Raman images at different depths show that a significant number of nanoparticles were incorporated into the pretreated sample, and they remained on the samples after rinsing. Quantitative X-ray fluorescence microanalyses indicate that the majority of nanoparticle incorporation occurs after an ionic liquid pretreatment of less than 1 h. In addition to improved pretreatments, the incorporation of materials and chemicals into wood and paper products enables isotope tracing, development of new sensing, and imaging capabilities.
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Biocombustíveis , Imidazóis/química , Nanopartículas , Populus/química , Temperatura , Microanálise por Sonda Eletrônica , Fluorescência , Lignina/química , Microscopia Eletrônica de Varredura , Papel , Sulfadiazina de Prata/química , Solventes/química , Análise Espectral Raman , ResíduosRESUMO
Carbon nanotubes (CNTs) are well known for their exceptional thermal, mechanical and electrical properties. For many CNT applications it is of the foremost importance to know their frictional properties. However, very little is known about the frictional forces between an individual nanotube and a substrate or tip. Here, we present a combined theoretical and experimental study of the frictional forces encountered by a nanosize tip sliding on top of a supported multiwall CNT along a direction parallel or transverse to the CNT axis. Surprisingly, we find a higher friction coefficient in the transverse direction compared with the parallel direction. This behaviour is explained by a simulation showing that transverse friction elicits a soft 'hindered rolling' of the tube and a frictional dissipation that is absent, or partially absent for chiral CNTs, when the tip slides parallel to the CNT axis. Our findings can help in developing better strategies for large-scale CNT assembling and sorting on a surface.
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The Young's modulus of ZnO nanobelts was measured with an atomic force microscope by means of the modulated nanoindentation method. The elastic modulus was found to depend strongly on the width-to-thickness ratio of the nanobelt, decreasing from about 100 to 10 GPa, as the width-to-thickness ratio increases from 1.2 to 10.3. This surprising behavior is explained by a growth-direction-dependent aspect ratio and the presence of stacking faults in nanobelts growing along particular directions.