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1.
J Opt Soc Am A Opt Image Sci Vis ; 41(6): 1128-1139, 2024 Jun 01.
Article in English | MEDLINE | ID: mdl-38856427

ABSTRACT

Photoacoustic (PA) spectroscopy is considered to be one of the most effective ways to measure the levels of hematocrit (H) and oxygenation saturation (S O 2) of blood, which are essential for diagnosing blood-related illnesses. This simulation study aims to investigate the impact of individual optical parameters, i.e., optical absorption coefficient (µ a), scattering coefficient (µ s), and anisotropy factor (g), on the accuracy of this technique in estimating the blood properties. We first performed the Monte Carlo simulations, using realistic optical parameters, to obtain the fluence maps for various samples. The wavelengths of the incident light were chosen to be 532, 700, 1000, and 1064 nm. Thereafter, the k-Wave simulations were executed, incorporating those fluence maps to generate the PA signals. The blood properties were obtained using the PA signals. We introduced variations in µ a, µ s, and g ranging from -10% to +10%, -10% to +10%, and -5% to +1%, respectively, at 700 and 1000 nm wavelengths. One parameter, at both wavelengths, was changed at a time, keeping others fixed. Subsequently, we examined how accurately the blood parameters could be determined at physiological hematocrit levels. A 10% variation in µ a induces a 10% change in H estimation but no change in S O 2 determination. Almost no change has been seen for µ s variation. However, a 5% (-5% to 0%) variation in the g factor resulted in approximately 160% and 115% changes in the PA signal amplitudes at 700 and 1000 nm, respectively, leading to ≈125% error in hematocrit estimation and ≈14% deviation in S O 2 assessment when nominal S O 2=70%. It is clear from this study that the scattering anisotropy factor is a very sensitive parameter and a small change in its value can result in large errors in the PA estimation of blood properties. In the future, in vitro experiments with pathological blood (inducing variation in the g parameter) will be performed, and accordingly, the accuracy of the PA technique in quantifying blood H and S O 2 will be evaluated.


Subject(s)
Monte Carlo Method , Oxygen Saturation , Photoacoustic Techniques , Hematocrit , Photoacoustic Techniques/methods , Humans , Oxygen/metabolism , Oxygen/blood , Optical Phenomena
2.
Proc Jpn Acad Ser B Phys Biol Sci ; 100(6): 320-334, 2024.
Article in English | MEDLINE | ID: mdl-38866479

ABSTRACT

Carbon nanotubes are a telecom band emitter compatible with silicon photonics, and when coupled to microcavities, they present opportunities for exploiting quantum electrodynamical effects. Microdisk resonators demonstrate the feasibility of integration into the silicon platform. Efficient coupling is achieved using photonic crystal air-mode nanobeam cavities. The molecular screening effect on nanotube emission allows for spectral tuning of the coupling. The Purcell effect of the coupled cavity-exciton system reveals near-unity radiative quantum efficiencies of the excitons in carbon nanotubes.


Subject(s)
Nanotubes, Carbon , Silicon , Nanotubes, Carbon/chemistry , Silicon/chemistry , Air , Optical Phenomena
3.
Luminescence ; 39(6): e4802, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38923760

ABSTRACT

Erbium-incorporated silicophosphate glasses are very desirable in principal sectors such as photonics, optoelectronics, lasers, and illuminating diodes. The focus of the current investigation has been on determining how the erbium dopant affects the optical, physical, and structural characteristics of the silicophosphate-based glasses. The pure silicophosphate glasses and doped with various contents of erbium were prepared by the sol-gel process in this work. The noncrystalline character of the glasses synthesized was confirmed by the XRD patterns that were obtained. The optical measurement showed that the addition of trivalent erbium ions resulted in an increase in the refractive index of the samples and a decrease in their energy band gap values. It demonstrated the presence of P-O-P linkage stretching vibration modes that were both symmetrical and asymmetrical, P-O in PO4 bending vibration modes, OH group elongating and flexure vibrations, and P-O-H water absorption in glasses. The theoretical values of the optical basicity (Ʌth) increased from 0.465 to 0.472, while the values of the interaction parameter (A) decreased from 0.218 to 0.214 Š- 3 $$ {\overset{\ocirc }{\mathrm{A}}}^{-3} $$ . Silicophosphate glasses doped with trivalent erbium ions show promise as optoelectronic and optical filter system materials.


Subject(s)
Erbium , Glass , Phosphates , Glass/chemistry , Erbium/chemistry , Phosphates/chemistry , Optics and Photonics , Optical Phenomena , X-Ray Diffraction
4.
Med Eng Phys ; 128: 104175, 2024 06.
Article in English | MEDLINE | ID: mdl-38789219

ABSTRACT

OBJECTIVE: To record and extract features of fetal cardiac activities with a semi-rigid prototype optically-pumped magnetometers (OPM) sensor array. METHODS: Fetal magnetocardiography (fMCG) data were collected from 15 pregnant women between 28 and 40 weeks gestation. Mothers were lying flat in a customized bed with sensors touching their abdomen from below using a prototype grid. fMCG was extracted to perform standard fetal heart rate variability (FHRV) analysis. RESULTS: fMCG was observed in 13 of the 15 pregnant women. OPM FHRV indicators were in the range of previous SQUID studies. CONCLUSION: Semi-rigid prototype OPM system has the ability to record quality fMCG. fMCG is capable of identifying lethal cardiac rhythm disturbances in the fetus. Our novel application of OPM technology may lower costs and increase maternal comfort, thus expanding fMCG's generalizability.


Subject(s)
Magnetocardiography , Humans , Magnetocardiography/instrumentation , Magnetocardiography/methods , Female , Pregnancy , Adult , Heart Rate, Fetal , Fetus/physiology , Optical Phenomena , Optical Devices
5.
Phys Med Biol ; 69(12)2024 Jun 10.
Article in English | MEDLINE | ID: mdl-38815615

ABSTRACT

Objective. Time-of-flight (TOF) is an important factor that directly affects the image quality of PET systems, and various attempts have been made to improve the coincidence resolving time (CRT) of PET detectors. For independent readout detectors, the timing is acquired for each silicon photomultiplier (SiPM), so they are less sensitive to diffused scintillation light, resulting in a better CRT. Further improvement can be expected if the light can be focused on a single SiPM. However, existing SiPM arrays have a thin protective cover on the SiPM and the gap between the SiPMs is filled with either air or the protective cover, so the light must diffuse through the cover. In this work, we investigated optical crosstalk in the protective cover to improve the CRT.Approach. We used 3.1 × 3.1 × 20 mm3fast LGSO crystals and 3 mm square 8 × 8 multi pixel photon counter (MPPC) arrays. Pitch of the MPPCs was 3.2 mm and thickness of the protective cover on them was 150µm. To reduce diffusion of scintillation light in the protective cover, the part of the inactive areas on the MPPC array were optically separated using reflective material. Specifically, 50, 100, 150, and 350µm deep grid-shaped slits were made along the inactive area of the MPPCs and they were filled with BaSO4powder as the reflective material.Main results. Coincidence counts were measured with a pair of TOF detectors, and the CRT was shorter with a deeper slit depth. The CRT before improvement was 235 ps, and using the cover having the 350µm deep slits filled with reflective material lowered the CRT to 211 ps.Significance. Up to 10% of the scintillation light was diffused to other MPPCs by the protective cover, and the CRT was degraded by 10% due to optical crosstalk of the cover. The proposed method promises to improve the CRT of the TOF detector.


Subject(s)
Positron-Emission Tomography , Positron-Emission Tomography/instrumentation , Optical Phenomena , Scintillation Counting/instrumentation , Time Factors , Photons
6.
Int J Biol Macromol ; 271(Pt 2): 132689, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38806084

ABSTRACT

This work involves preparing zinc manganite nanoparticles (ZnMn2O4 NPs) using the Sol-gel method. Polymer nanocomposites of polyvinyl alcohol (PVA)/Sodium alginate (NaAlg)- ZnMn2O4 NPs were created using the solution casting technique. The polymer nanocomposites films were made with varying weight percentages of ZnMn2O4 nanoparticles. With the addition of nanofiller, the reduced direct and indirect energy band gap values and increased Urbach energy values were discovered in the UV-Vis data. XRD data showed a reduction in crystallinity degree with dopant. ZnMn2O4 NPs had a strong interaction with PVA/NaAlg blend, as confirmed by FTIR. The addition of ZnMn2O4 NPs led to improved thermal stability of the polymer nanocomposites films. Additionally, the nanocomposites films' mechanical characteristics were examined. The loading of ZnMn2O4 nanoparticles has been associated with an increasing trend in the mechanical properties of the nanocomposites, including its toughness, Young's modulus, Tensile strength (Ts), and elongation. The antibacterial activity of the nanocomposites against fungus and bacteria was studied. Additionally, PVA/NaAlg-ZnMn2O4 nanocomposites films had good antibacterial characteristics against environmental microorganisms such as Gram-positive (G+) S. aureus and Gram-negative(G-) E. coli bacteria as well as fungi C. albicans and A. niger. It was observed that the biodegradability of the nanocomposite films was lower compared to the pure PVA/NaAlg film. Compared to pure film, the water solubility was decreased upon the addition of ZnMn2O4 NPs. After ZnMn2O4 was added to the pure blend, the WVTR decreased. The produced polymer nanocomposites films appear to be a promising material for food packing, according to these results.


Subject(s)
Alginates , Anti-Bacterial Agents , Food Packaging , Nanocomposites , Polyvinyl Alcohol , Polyvinyl Alcohol/chemistry , Nanocomposites/chemistry , Food Packaging/methods , Alginates/chemistry , Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/chemistry , Tensile Strength , Mechanical Phenomena , Optical Phenomena , Staphylococcus aureus/drug effects , Temperature , Zinc Compounds/chemistry
7.
J Mech Behav Biomed Mater ; 155: 106580, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38759588

ABSTRACT

OBJECTIVES: To investigate the influence of the zirconia and sintering parameters on the optical and mechanical properties. METHODS: Three zirconia materials (3/4Y-TZP, 4Y-TZP, 3Y-TZP) were high-speed (HSS), speed (SS) or conventionally (CS) sintered. Disc-shaped specimens nested in 4 vertical layers of the blank were examined for grain size (GS), crystal phases (c/t'/t/m-phase), translucency (T), and biaxial flexural strength. Fracture load (FL) of three-unit fixed dental prostheses was determined initially and after thermomechanical aging. Fracture types were classified, and data statistically analyzed. RESULTS: 4Y-TZP showed a higher amount of c + t'-phase and lower amount of t-phase, and higher optical and lower mechanical properties than 3Y-TZP. In all materials, T declined from Layer 1 to 4. 3/4Y-TZP showed the highest FL, followed by 3Y-TZP, while 4Y-TZP showed the lowest. In 4Y-TZP, the sintering parameters exercised a direct impact on GS and T, while mechanical properties were largely unaffected. The sintering parameters showed a varying influence on 3Y-TZP. Thermomechanical aging resulted in comparable or higher FL. CONCLUSION: 3/4Y-TZP presenting the highest FL underscores the principle of using strength-gradient multi-layer blanks to profit from high optical properties in the incisal area, while ensuring high mechanical properties in the lower areas subject to tensile forces. With all groups exceeding maximum bite forces, the examined three-unit FDPs showed promising long-term mechanical properties.


Subject(s)
Flexural Strength , Materials Testing , Zirconium , Zirconium/chemistry , Mechanical Phenomena , Particle Size , Stress, Mechanical , Optical Phenomena
8.
J Dent ; 146: 105031, 2024 07.
Article in English | MEDLINE | ID: mdl-38710315

ABSTRACT

OBJECTIVES: To investigate and compare the chemical and optical stability of four restorative composite materials: two injectable resins, one flowable resin and one compomer. METHODS: Two injectable nano-filled composite resins: G-aenial Universal (GU) and Beautifil Injectable XSL (BI), a flowable composite resin: Filtek Supreme Flowable (FS) and a compomer: Dyract Flow (DF), in A2 shade were tested and compared. Water sorption and solubility were conducted according to ISO4049:2019 standard; ICP-OES and F-ion selective electrode were used to test the elemental release; Degree of conversion (DC) was obtained by using FTIR; water contact angle was obtained by static sessile drop method, and a spectrophotometer was used for optical properties (ΔE⁎, ΔL⁎ and TP). SPSS 28.0 was used for statistical analysis and the significant level was pre-set as α = 0.05. RESULTS: GU performed the best in water sorption and solubility, FS had the lowest elemental release, the best colour stability, and the highest DCIM and DC24-h. DF, the compomer had the lowest, and GU and BI, the injectable composites had the largest water contact angle, respectively. Correlations were found between water sorption and water solubility. CONCLUSIONS: The four composite restorative materials showed different chemical and optical behaviours. Overall, composite resins performed better than compomer, while additional laboratory and in vivo tests are necessary to obtain a more comprehensive comparison between injectable and flowable composite resins. Wsp and Wsl are influenced by many common factors, and the values are highly positively related. CLINICAL SIGNIFICANCE: A comprehensive understanding of materials is crucial before selecting materials for clinical practice. Composite resins rather than compomers are recommended because of their exceptional properties, which make them eligible for a wide range of clinical applications and an elongated lifespan.


Subject(s)
Color , Compomers , Composite Resins , Dental Materials , Materials Testing , Solubility , Water , Composite Resins/chemistry , Dental Materials/chemistry , Water/chemistry , Compomers/chemistry , Humans , Dental Restoration, Permanent/methods , Spectrophotometry , Spectroscopy, Fourier Transform Infrared , Methacrylates/chemistry , Injections , Polyurethanes/chemistry , Nanocomposites/chemistry , Surface Properties , Optical Phenomena , Bisphenol A-Glycidyl Methacrylate
9.
Med Phys ; 51(6): 4044-4055, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38682574

ABSTRACT

BACKGROUND: High-resolution brain positron emission tomography (PET) scanner is emerging as a significant and transformative non-invasive neuroimaging tool to advance neuroscience research as well as improve diagnosis and treatment in neurology and psychiatry. Time-of-flight (TOF) and depth-of-interaction (DOI) information provide markedly higher PET imaging performance by increasing image signal-to-noise ratio and mitigating spatial resolution degradation due to parallax error, respectively. PET detector modules that utilize light sharing can inherently carry DOI information from the multiple timestamps that are generated per gamma event. The difference between two timestamps that are triggered by scintillation photons traveling in opposite directions signifies the event's depth-dependent optical photon TOF (oTOF). However, light leak at the crystal-readout interface substantially degrades the resolution of this oTOF-based depth encoding. PURPOSE: We demonstrate the feasibility of oTOF-based depth encoding by mitigating light leak in single-ended-readout Prism-PET detector modules using tapered crystals. Minimizing light leak also improved both energy-based DOI and coincidence timing resolutions. METHODS: The tapered Prism-PET module consists of a 16  × $\times$  16 array of 1.5  × $\times$  1.5  × $\times$  20  mm 3 ${\rm {mm}}^3$ lutetium yttrium oxyorthosillicate (LYSO) crystals, which are tapered down to 1.2  × $\times$  1.2  mm 2 ${\rm {mm}}^2$ at the crystal-readout interface. The LYSO array couples 4-to-1 to an 8  × $\times$  8 array of 3  × $\times$  3  mm 2 ${\rm {mm}}^2$ silicon photomultiplier (SiPM) pixels on the tapered end and to a segmented prismatoid light guide array on the opposite end. Performance of tapered and non-tapered Prism-PET detectors was experimentally characterized and evaluated by measuring flood histogram, energy resolution, energy-, and oTOF-based DOI resolutions, and coincidence timing resolution. Sensitivities of scanners using different Prism-PET detector designs were simulated using Geant4 application for tomographic emission (GATE). RESULTS: For the tapered (non-tapered) Prism-PET module, the measured full width at half maximum (FWHM) energy, timing, energy-based DOI, and oTOF-based DOI resolutions were 8.88 (11.18)%, 243 (286) ps, 2.35 (3.18) mm, and 5.42 (13.87) mm, respectively. The scanner sensitivities using non-tapered and tapered crystals, and 10 rings of detector modules, were simulated to be 30.9 and 29.5 kcps/MBq, respectively. CONCLUSIONS: The tapered Prism-PET module with minimized light leak enabled the first experimental report of oTOF-based depth encoding at the detector module level. It also enabled the utilization of thinner (i.e., 0.1 mm) inter-crystal spacing with barium sulfate as the reflector while also improving energy-based DOI and timing resolutions.


Subject(s)
Photons , Positron-Emission Tomography , Positron-Emission Tomography/instrumentation , Image Processing, Computer-Assisted/methods , Optical Phenomena
10.
J Biophotonics ; 17(6): e202300536, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38616109

ABSTRACT

Information about tissue oxygen saturation (StO2) and other related important physiological parameters can be extracted from diffuse reflectance spectra measured through non-contact imaging. Three analytical optical reflectance models for homogeneous, semi-infinite, tissue have been proposed (Modified Beer-Lambert, Jacques 1999, Yudovsky 2009) but these have not been directly compared for tissue parameter extraction purposes. We compare these analytical models using Monte Carlo (MC) simulated diffuse reflectance spectra and controlled gelatin-based phantoms with measured diffuse reflectance spectra and known ground truth composition parameters. The Yudovsky model performed best against MC simulations and measured spectra of tissue phantoms in terms of goodness of fit and parameter extraction accuracy followed closely by Jacques' model. In this study, Yudovsky's model appeared most robust; however, our results demonstrated that both Yudovsky and Jacques models are suitable for modeling tissue that can be approximated as a single, homogeneous, semi-infinite slab.


Subject(s)
Gelatin , Monte Carlo Method , Phantoms, Imaging , Gelatin/chemistry , Models, Biological , Diffusion , Optical Phenomena
11.
Colloids Surf B Biointerfaces ; 238: 113878, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38565007

ABSTRACT

Nitrogen-doped carbon dots (NCD) were synthesized using a simple and fast hydrothermal route, employing citric acid and urea as precursors. The resulting NCDs were non-covalently functionalized (conjugated) with aromatic amino acids, namely phenylalanine (Phe) and tryptophan (Trp). Atomic force microscopy revealed that the NCDs exhibit a disk-like morphology with an average diameter of approximately 60 nm and an average height of about 0.5 nm. Following conjugation, the particle height increased to around 3 nm. UV-vis spectroscopy analysis indicated successful conjugation of the amino acids to the NCD nanostructures. Additionally, DFT numerical calculations based on three differently N-doped clusters were performed to elucidate the nature of the non-covalent interactions between NCDs and the corresponding amino acids. Photoluminescent spectra demonstrated a stable and strong fluorescence signal for both hybrids in the UV region. The most significant changes were observed in the case of Trp-conjugation. In contrast to phenylalanine, the non-covalent bonding of tryptophan to NCDs strongly influenced the visible emission (around 500 nm) originating from surface states of the dots.


Subject(s)
Amino Acids, Aromatic , Carbon , Nanostructures , Nitrogen , Carbon/chemistry , Nitrogen/chemistry , Amino Acids, Aromatic/chemistry , Nanostructures/chemistry , Quantum Dots/chemistry , Surface Properties , Phenylalanine/chemistry , Particle Size , Tryptophan/chemistry , Microscopy, Atomic Force , Optical Phenomena , Density Functional Theory
12.
Talanta ; 275: 126131, 2024 Aug 01.
Article in English | MEDLINE | ID: mdl-38663064

ABSTRACT

The development of an ultra-sensitive detection method for carbohydrate antigen 19-9 (CA19-9) is very important for the early diagnosis of pancreatic cancer. In this work, we developed a new strategy to achieve a variety of Au-Ag hybrid nanoparticles from janus to core-satellite which is controlled by the volume of AgNO3 and the concentration of benzimidazolecarboxylic acid (MBIA). With the volume of AgNO3 increased, Au-Ag hybrid nanoparticles changed from janus to core-satellite and the characteristic absorption peak showed two opposite trends. The size and number of Ag islands were determined by the concentration of MBIA. Au-Ag core-satellites nanoparticles with a large number of small-sized Ag have the highest SERS intensity. Then we used them as SERS nanotags and Au-Polystyrene nanospheres modified by captured anti-CA19-9 antibody as solid substrates to realize the ultra-sensitive detection of CA19-9 with a low limit of detection of 1.25 × 10-6 IU/mL and a wide linear range of 1.00 × 10-5 -1.00 × 104 IU/mL. This work not only demonstrates that MBIA and AgNO3 were the key factors in the growth of Au-Ag hybrid nanoparticles from 2D to 3D structure but also supplies an ultra-sensitive detection method for CA19-9 which has a potential practicability in the clinical early diagnoses of pancreatic cancer.


Subject(s)
CA-19-9 Antigen , Gold , Metal Nanoparticles , Silver , Spectrum Analysis, Raman , Gold/chemistry , Silver/chemistry , Spectrum Analysis, Raman/methods , Metal Nanoparticles/chemistry , Immunoassay/methods , Humans , CA-19-9 Antigen/blood , Limit of Detection , Pancreatic Neoplasms/diagnosis , Optical Phenomena
13.
Biosensors (Basel) ; 13(4)2023 Mar 30.
Article in English | MEDLINE | ID: mdl-37185514

ABSTRACT

The global need for accurate and efficient cancer cell detection in biomedicine and clinical diagnosis has driven extensive research and technological development in the field. Precision, high-throughput, non-invasive separation, detection, and classification of individual cells are critical requirements for successful technology. Lab-on-a-chip devices offer enormous potential for solving biological and medical problems and have become a priority research area for microanalysis and manipulating cells. This paper reviews recent developments in the detection of cancer cells using the microfluidics-based lab-on-a-chip method, focusing on describing and explaining techniques that use optical phenomena and a plethora of probes for sensing, amplification, and immobilization. The paper describes how optics are applied in each experimental method, highlighting their advantages and disadvantages. The discussion includes a summary of current challenges and prospects for cancer diagnosis.


Subject(s)
Biosensing Techniques , Neoplasms , Lab-On-A-Chip Devices , Optics and Photonics , Optical Phenomena , Spectrum Analysis, Raman , Biosensing Techniques/methods , Neoplasms/diagnosis
14.
Sci Rep ; 13(1): 4494, 2023 03 18.
Article in English | MEDLINE | ID: mdl-36934126

ABSTRACT

Many image processing operations involve the modification of the spatial frequency content of images. Here we demonstrate object-plane spatial frequency filtering utilizing the angular sensitivity of a commercial spectral bandstop filter. This approach to all-optical image processing is shown to generate real-time pseudo-3D images of transparent biological and other samples, such as human cervical cancer cells. This work demonstrates the potential of non-local, non-interferometric approaches to image processing for uses in label-free biological cell imaging and dynamical monitoring.


Subject(s)
Image Processing, Computer-Assisted , Optical Phenomena , Humans , Image Processing, Computer-Assisted/methods
17.
Biophys Chem ; 292: 106935, 2023 01.
Article in English | MEDLINE | ID: mdl-36410107

ABSTRACT

We developed the new IR super-resolution microscope by using a 4-wave mixing (4-wave), which is a third-order nonlinear optical process, and carried out the IR super-resolution imaging of the cross section of the rachis of an avian feather. We clearly observed strong signals in the entire region of the rachis at the amide I vibration of ß-keratin in both of the XXYY and YYXX polarization combination. These results are different from images detected by using the vibrational sum-frequency generation (VSFG) method. While the VSFG imaging detects molecules only from the interface, the 4-wave method enables us to observe the signal from the bulk area. We concluded that the four repeating units of ß-keratins in the bulk area which are suggested by X-ray diffraction studies are visualized in the 4-wave detected method. We also applied two IR super-resolution microscopies for the barb and discuss the site dependence of the orientation, distribution and concentration of ß-keratin.


Subject(s)
beta-Keratins , Animals , Feathers , Optical Phenomena , Microscopy , Vibration
18.
In. Cárdenas Díaz, Taimi. Óptica y optometría. Principios y aplicación clínica. Volumen 1. La Habana, Editorial Ciencias Médicas, 2023. , ilus, tab.
Monography in Spanish | CUMED | ID: cum-79159
19.
In. Cárdenas Díaz, Taimi. Óptica y optometría. Principios y aplicación clínica. Volumen 1. La Habana, Editorial Ciencias Médicas, 2023. , ilus, tab.
Monography in Spanish | CUMED | ID: cum-79158
20.
In. Cárdenas Díaz, Taimi. Óptica y optometría. Principios y aplicación clínica. Volumen 1. La Habana, Editorial Ciencias Médicas, 2023. , ilus.
Monography in Spanish | CUMED | ID: cum-79157
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