RESUMO
Topography-guided photorefractive keratectomy (TG-PRK) combined with corneal collagen crosslinking (CXL) has been shown to potentially improve vision and stabilize progression in patients with keratoconus (KC). We attempted to reproduce the previously published results using a different laser platform (AMARIS 500E) in patients with KC and post-LASIK ectasia (PLE). All of the 9 included eyes showed improved topography (Kmax, Kmean, RMS HOA, vertical coma, cylinder; p < 0.05) and improved visual acuity (BCVA, UCVA; p < 0.05) after 18 months. Despite some still uncontrollable factors, the combination of TG-PRK and CXL may be a promising option to regularize and stabilize corneas with KC and PLE and improve visual acuity.
Assuntos
Topografia da Córnea/métodos , Ceratocone/terapia , Ceratomileuse Assistida por Excimer Laser In Situ/efeitos adversos , Ceratectomia Fotorrefrativa/métodos , Riboflavina/uso terapêutico , Terapia Ultravioleta/métodos , Adulto , Terapia Combinada/métodos , Reagentes de Ligações Cruzadas/uso terapêutico , Dilatação Patológica/etiologia , Dilatação Patológica/terapia , Feminino , Humanos , Ceratocone/diagnóstico , Masculino , Pessoa de Meia-Idade , Fotoquimioterapia/métodos , Fármacos Fotossensibilizantes/uso terapêutico , Cirurgia Assistida por Computador/métodos , Resultado do Tratamento , Acuidade Visual , Adulto JovemRESUMO
Impedance spectroscopy of many ceramics is a challenge due to their high electrical resistance. Small disturbances can significantly alter the measuring results. In the present paper, it is shown how impedance measurements can be performed in an electromagnetically noisy ac furnace, using consequent Faraday shielding of the sample and the electrical connections. As example, the conductivity data of alumina was measured between room temperature and 1000 °C and compared to literature data. In addition, a correction method for the calculation of permittivity was developed to consider the stray fields in the sample-electrode setup. The distribution of the electrical field was simulated by finite element (FE) methods for different sample geometries and electrode arrangements. The deviations from the behavior of an ideal plate capacitor follow a linear trend and are in the order of 5% to 20% for an experimentally reasonable range of sample thicknesses. To check the theoretical results experimentally, alumina samples of varying thickness were measured. The customary calculation of permittivity leads to a clear trend with sample thickness, whereas the correction from the FE-simulation produces almost constant values of the relative permittivity.
RESUMO
A 38-year-old white male patient was admitted to the hospital for elective surgery. General anesthesia was performed with propofol, alfentanil, nitrous oxide and mivacurium as neuromuscular blocker. Seven months before he had the same surgery without anesthetic problems (he received: propofol, vecuronium bromide, fentanil, nitrous oxide). Neuromuscular monitoring was carried out because the patient was included in a study assessing the clinical effect of mivacurium in microlaryngoscopy surgery. After mivacurium administration the first signs of recovery from neuromuscular block were observed after 255 min. The tracheal tube was withdrawn after 410 min from mivacurium administration, at this time the T1 was 80% of the control values and 7 min later the T1 reached 98%.