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1.
Talanta ; 269: 125473, 2024 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-38064933

RESUMEN

The determination of boron isotopes (δ11B) represents a powerful tool for a variety of applications such as the reconstruction of past ocean pH and atmospheric pCO2 from the analysis of marine biogenic carbonates. In recent years, MC-ICP-MS has gained popularity over other techniques thanks to its superior sample throughput and high ionization efficiency. This study evaluates, for the first time, the performance of the Nu Instruments Plasma 3 MC-ICP-MS for measuring δ11B using different sample introduction systems and detector configurations. The main goal is to provide a detailed methodology for nanogram-scale boron isotope analysis through a straightforward approach that can be easily adopted. Boron (B) purification from the carbonate matrix was performed through micro-distillation, using a temperature of 95 °C and a minimum heating duration of 15 h, allowing the full recovery of B from up to 3 mg of carbonate mass. We attained blank values (on average 14 ± 6 pg, 1 SD, n = 27) comparable to the lowest micro-distillation blanks reported in the literature. Three sample introduction systems were tested, and the 30 µL min-1 nebuliser system outperformed the 50 and 170 µL min-1 systems in terms of signal intensity per mass of B. Two detector configurations were used based on the total boron signal intensity achieved: (1) FC11/FC12, with two Faraday cups fitted to 1011 Ω and 1012 Ω amplifier resistors to detect 11B and 10B ion beams, respectively, and (2) FC12/IC, with which we investigated, for the first time, the feasibility of combining an ion counter for detecting 10B, and a Faraday cup fitted to a 1012 Ω amplifier for 11B. The FC12/IC configuration provided accurate results compared to the use of two Faraday cups for total boron signals lower than 0.35 V (∼12 ng of B in the analysed solution). The proposed analytical procedure was validated through the analysis of several reference materials with varying boron amounts, including clam JCt-1, coral JCp-1, NIST RM 8301 Foram and Coral solutions, and boric acid ERM-AE121. Furthermore, the long-term reproducibility was assessed with two in-house standards (coral CLD-1 and foraminifera GINF-1), providing values of 25.68 ± 0.23 ‰ (2SD, n = 53; with 14-36 ng of B) and 14.90 ± 0.16 ‰ (2SD, n = 12; with 11-16 ng of B), respectively.

2.
Nat Commun ; 14(1): 5390, 2023 Sep 04.
Artículo en Inglés | MEDLINE | ID: mdl-37666864

RESUMEN

The high-resolution paleoclimate records on the Iberian Margin provide an excellent archive to study the mechanism of abrupt climate events. Previous studies on the Iberian Margin proposed that the surface cooling reconstructed by the alkenone-unsaturation index coincided with surface water freshening inferred from an elevated percentage of tetra-unsaturated alkenones, C37:4%. However, recent data indicate that marine alkenone producers, coccolithophores, do not produce more C37:4 in culture as salinity decreases. Hence, the causes for high C37:4 are still unclear. Here we provide detailed alkenone measurements to trace the producers of alkenones in combination with foraminiferal Mg/Ca and oxygen isotope ratios to trace salinity variations. The results indicate that all alkenones were produced by coccolithophores and the high C37:4% reflects decrease in SST instead of freshening. Furthermore, during the millennial climate changes, a surface freshening did not always trigger a cooling, but sometimes happened in the middle of multiple-stage cooling events and likely amplified the temperature decrease.

3.
Nat Commun ; 13(1): 3819, 2022 07 02.
Artículo en Inglés | MEDLINE | ID: mdl-35780147

RESUMEN

The rate and consequences of future high latitude ice sheet retreat remain a major concern given ongoing anthropogenic warming. Here, new precisely dated stalagmite data from NW Iberia provide the first direct, high-resolution records of periods of rapid melting of Northern Hemisphere ice sheets during the penultimate deglaciation. These records reveal the penultimate deglaciation initiated with rapid century-scale meltwater pulses which subsequently trigger abrupt coolings of air temperature in NW Iberia consistent with freshwater-induced AMOC slowdowns. The first of these AMOC slowdowns, 600-year duration, was shorter than Heinrich 1 of the last deglaciation. Although similar insolation forcing initiated the last two deglaciations, the more rapid and sustained rate of freshening in the eastern North Atlantic penultimate deglaciation likely reflects a larger volume of ice stored in the marine-based Eurasian Ice sheet during the penultimate glacial in contrast to the land-based ice sheet on North America as during the last glacial.


Asunto(s)
Agua Dulce , Cubierta de Hielo , Congelación , América del Norte , Temperatura
4.
Proc Natl Acad Sci U S A ; 114(38): 10047-10052, 2017 09 19.
Artículo en Inglés | MEDLINE | ID: mdl-28874530

RESUMEN

The Late Quaternary glacial-interglacial transitions represent the highest amplitude climate changes over the last million years. Unraveling the sequence of events and feedbacks at Termination III (T-III), including potential abrupt climate reversals similar to those of the last Termination, has been particularly challenging due to the scarcity of well-dated records worldwide. Here, we present speleothem data from southern Europe covering the interval from 262.7 to 217.9 kyBP, including the transition from marine isotope stage (MIS) 8 to MIS 7e. High-resolution δ13C, δ18O, and Mg/Ca profiles reveal major millennial-scale changes in aridity manifested in changing water availability and vegetation productivity. uranium-thorium dates provide a solid chronology for two millennial-scale events (S8.1 and S8.2) which, compared with the last two terminations, has some common features with Heinrich 1 and Heinrich 2 in Termination I (T-I).

5.
Graefes Arch Clin Exp Ophthalmol ; 255(1): 179-188, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-27873014

RESUMEN

PURPOSE: To analyze the binocular function changes produced on subjects undergoing overnight orthokeratology (OK) treatment over short-term (3 months) and long-term (3 years) wear. METHODS: A prospective, longitudinal study on young adult subjects with low to moderate myopia was carried out. Binocular function was assessed by the following sequence of tests: Distance and near horizontal phoria (Von Graefe technique), distance and near horizontal vergence ranges (Risley rotary prisms), accommodative convergence/accommodation (AC/A) ratio (gradient method) and the near point of convergence (standard push-up technique). The short-term sample consisted of: 21 subjects in the control group, 26 in a corneal refractive therapy (CRT) treatment lenses group and 25 in a Seefree treatment lenses group. Those subjects were evaluated at baseline and at a 3-month follow-up visit. Twenty one subjects were old CRT wearers that attended a 3-year follow-up visit (long-term group). RESULTS: A statistically significant difference over the 3-month treatment was found for divergence at distance: the break point decreased 1.4 Δ (p = 0.0006) in the CRT group and the recovery point increased 1.2 Δ (p = 0.001) in the Seefree group. Also, the Seefree group had an exophoric trend of 2.3 Δ at near (p = 0.02) and a base-out break decrease of 2.3 Δ (p = 0.03). For the long-term group, only the base-out break point at distant vision showed a statistically significant difference of 4.9 Δ (p = 0.02). CONCLUSIONS: OK induces minimal changes in the binocular function for either short-term or long-term periods, apart from a near exophoric trend over the short-term period.


Asunto(s)
Exotropía/rehabilitación , Miopía/rehabilitación , Procedimientos de Ortoqueratología/métodos , Visión Binocular/fisiología , Adulto , Exotropía/fisiopatología , Femenino , Estudios de Seguimiento , Humanos , Masculino , Miopía/fisiopatología , Estudios Prospectivos , Factores de Tiempo , Adulto Joven
6.
Biosemiotics ; 8(3): 483-491, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26640606

RESUMEN

Currently, the concept of the cell as a society or an ecosystem of molecular elements is gaining increasing acceptance. The basic idea arose in the 19th century, from the surmise that there is not just a single unit underlying an individual's appearance, but a plurality of entities with both collaborative and conflicting relationships. The following hypothesis is based around this model. The incompatible activities taking place between different original elements, which were subsumed into the first cell and could not be eliminated, had to be controlled very closely. Similarly, a strong level of control had to be developed over many cellular elements after the cell changed its genome to DNA. We assume that at least some of those original RNA agents and other biomolecules which carry incompatibilities and risks, are retained within current cells, although they are now under strict control. A virus functions as a signal informing these repressed cellular RNAs and other elements of ancient origin how to restore suppressed degrees of molecular freedom, favoring pre-existing molecular affinities and activities, re-establishing ancient molecular webs of interactions, and giving fragments of ancient coded information (mostly in the form of RNA structural motifs) the opportunity to be re-expressed. Collectively, these newly activated mechanisms lead to different possibilities for pathological cell states. All these processes are opposed by cell-control mechanisms. Thus, in this new scenario, the battle is considered intracellular rather than between the virus and the cell. And so the virus is treated as the signal that precipitates the cell's change from a latent to an active pathological state.

7.
Nat Commun ; 6: 7420, 2015 Jul 03.
Artículo en Inglés | MEDLINE | ID: mdl-26137976

RESUMEN

Consistent evidence for a poorly ventilated deep Pacific Ocean that could have released its radiocarbon-depleted carbon stock to the atmosphere during the last deglaciation has long been sought. Such evidence remains lacking, in part due to a paucity of surface reservoir age reconstructions required for accurate deep-ocean ventilation age estimates. Here we combine new radiocarbon data from the Eastern Equatorial Pacific (EEP) with chronostratigraphic calendar age constraints to estimate shallow sub-surface reservoir age variability, and thus provide estimates of deep-ocean ventilation ages. Both shallow- and deep-water ventilation ages drop across the last deglaciation, consistent with similar reconstructions from the South Pacific and Southern Ocean. The observed regional fingerprint linking the Southern Ocean and the EEP is consistent with a dominant southern source for EEP thermocline waters and suggests relatively invariant ocean interior transport pathways but significantly reduced air-sea gas exchange in the glacial southern high latitudes.

8.
J Ophthalmol ; 2015: 683895, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26167293

RESUMEN

Purpose. To compare the intraocular pressure (IOP) before and after Laser In Situ Keratomileusis (LASIK), measured by Diaton, Perkins, and noncontact air pulse tonometers. Methods. Fifty-seven patients with a mean age of 34.88 were scheduled for myopia LASIK treatment. Spherical equivalent refraction (SER), corneal curvature (K), and central corneal thickness (CCT) and superior corneal thickness (SCT) were obtained before and after LASIK surgery. IOP values before and after surgery were measured using Diaton, Perkins, and noncontact air pulse tonometers. Results. The IOP values before and after LASIK surgery using Perkins tonometer and air tonometers were statistically significant (p < 0.05). However, no significant differences were found (p > 0.05) for IOP values measured with Diaton tonometer. CCT decreases significantly after surgery (p < 0.05) but no statistical differences were found in SCT (p = 0.08). Correlations between pre- and postsurgery were found for all tonometers used, with p = 0.001 and r = 0.434 for the air pulse tonometer, p = 0.008 and r = 0.355 for Perkins, and p < 0.001 and r = 0.637 for Diaton. Conclusion. Transpalpebral tonometry may be useful for measuring postsurgery IOP after myopic LASIK ablation because this technique is not influenced by the treatment.

9.
Proc Natl Acad Sci U S A ; 112(21): 6568-72, 2015 May 26.
Artículo en Inglés | MEDLINE | ID: mdl-25964366

RESUMEN

Greenland Stadial 1 (GS-1) was the last of a long series of severe cooling episodes in the Northern Hemisphere during the last glacial period. Numerous North Atlantic and European records reveal the intense environmental impact of that stadial, whose origin is attributed to an intense weakening of the Atlantic Meridional Overturning Circulation in response to freshening of the North Atlantic. Recent high-resolution studies of European lakes revealed a mid-GS-1 transition in the climatic regimes. The geographical extension of such atmospheric changes and their potential coupling with ocean dynamics still remains unclear. Here we use a subdecadally resolved stalagmite record from the Northern Iberian Peninsula to further investigate the timing and forcing of this transition. A solid interpretation of the environmental changes detected in this new, accurately dated, stalagmite record is based on a parallel cave monitoring exercise. This record reveals a gradual transition from dry to wet conditions starting at 12,500 y before 2000 A.D. in parallel to a progressive warming of the subtropical Atlantic Ocean. The observed atmospheric changes are proposed to be led by a progressive resumption of the North Atlantic convection and highlight the complex regional signature of GS-1, very distinctive from previous stadial events.

10.
Graefes Arch Clin Exp Ophthalmol ; 253(4): 619-26, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25488570

RESUMEN

BACKGROUND: To evaluate short-term (3 months) and long-term (3 years) accommodative changes produced by overnight orthokeratology (OK). METHODS: A prospective, longitudinal study on young adult subjects with low to moderate myopia was carried out. A total of 93 patients took part in the study. Out of these, 72 were enrolled into the short-term follow-up: 21 were on a control group, 26 on a Paragon CRT contact lenses group, and 25 on a Seefree contact lenses group. The other 21 patients were old CRT wearers on long-term follow-up. Accommodative function was assessed by means of negative and positive relative accommodation (NRA / PRA), monocular accommodative amplitude (MAA), accommodative lag, and monocular accommodative facility (MAF). These values were compared among the three short-term groups at the follow-up visit. The long- and short-term follow-up data was compared among the CRT groups. RESULTS: Subjective accommodative results did not suffer any statistically significant changes in any of the accommodative tests for any of the short-term groups when compared to baseline. There were no statistically significant differences between the three short-term groups at the follow-up visit. When comparing the short- and long-term groups, only the NRA showed a significant difference (p = 0.0006) among all the accommodation tests. CONCLUSIONS: OK does not induce changes in the ocular accommodative function for either short-term or long-term periods.


Asunto(s)
Acomodación Ocular/fisiología , Lentes de Contacto , Miopía/terapia , Procedimientos de Ortoqueratología , Adolescente , Adulto , Femenino , Estudios de Seguimiento , Humanos , Masculino , Miopía/fisiopatología , Estudios Prospectivos , Refracción Ocular/fisiología , Agudeza Visual/fisiología , Adulto Joven
11.
Acta Ophthalmol ; 92(1): e5-e11, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23901874

RESUMEN

PURPOSE: To study the concentrations of diadenosine polyphosphates in the ocular surface after PRK and LASIK. METHODS: Sixty-one patients (30 males and 31 females) with ages ranging from 20 to 63 (34.04 ± 9.13 years) were recruited in Balear Institute of Ophthalmology, Palma de Mallorca, Spain. LASIK was performed in 92 eyes of 46 patients and PRK in 25 eyes of 15 patients. Variations in the levels of diadenosine polyphosphate (Ap4 A and Ap5 A), Schirmer I (Jones test), TBUT, corneal staining together with the Dry Eye Questionnaire to evaluate discomfort and dryness were studied. All tests were performed at the preoperative visit and at 1-day, 2-week, 1-month and 3-month postoperative visits. RESULTS: Ap4 A showed a 5 and 3.5 fold increase at the 1-day visit for LASIK and PRK, respectively. LASIK patients continued having higher statistically significant concentrations (p = 0.01) all over the follow-up. Ap5 A showed no significant differences at any visit. Tear volume decreased during the 3 months in LASIK. The PRK cases had a normal volume at 1 month. TBUT in LASIK increased at the 1-day visit (p = 0,002) and decreased from the 2 weeks onwards and for the PRK, decreased by a 35% at the 1-day visit and kept reduced for a month. Discomfort only increased at the 1-day visit (p = 0.007). Dryness frequency was similar in all visits. CONCLUSIONS: Ap4 A levels only are increased in refractive surgery patients during the first day after the surgery. This increasing suggests that Ap4 A may help accelerating the healing process.


Asunto(s)
Fosfatos de Dinucleósidos/metabolismo , Proteínas del Ojo/metabolismo , Queratomileusis por Láser In Situ , Queratectomía Fotorrefractiva , Lágrimas/metabolismo , Adulto , Cromatografía Líquida de Alta Presión , Síndromes de Ojo Seco/diagnóstico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Miopía/cirugía , Encuestas y Cuestionarios , Cicatrización de Heridas/fisiología , Adulto Joven
12.
Proc Natl Acad Sci U S A ; 108(14): 5537-41, 2011 Apr 05.
Artículo en Inglés | MEDLINE | ID: mdl-21422283

RESUMEN

Understanding oceanic processes, both physical and biological, that control atmospheric CO(2) is vital for predicting their influence during the past and into the future. The Eastern Equatorial Pacific (EEP) is thought to have exerted a strong control over glacial/interglacial CO(2) variations through its link to circulation and nutrient-related changes in the Southern Ocean, the primary region of the world oceans where CO(2)-enriched deep water is upwelled to the surface ocean and comes into contact with the atmosphere. Here we present a multiproxy record of surface ocean productivity, dust inputs, and thermocline conditions for the EEP over the last 40,000 y. This allows us to detect changes in phytoplankton productivity and composition associated with increases in equatorial upwelling intensity and influence of Si-rich waters of sub-Antarctic origin. Our evidence indicates that diatoms outcompeted coccolithophores at times when the influence of Si-rich Southern Ocean intermediate waters was greatest. This shift from calcareous to noncalcareous phytoplankton would cause a lowering in atmospheric CO(2) through a reduced carbonate pump, as hypothesized by the Silicic Acid Leakage Hypothesis. However, this change does not seem to have been crucial in controlling atmospheric CO(2), as it took place during the deglaciation, when atmospheric CO(2) concentrations had already started to rise. Instead, the concomitant intensification of Antarctic upwelling brought large quantities of deep CO(2)-rich waters to the ocean surface. This process very likely dominated any biologically mediated CO(2) sequestration and probably accounts for most of the deglacial rise in atmospheric CO(2).


Asunto(s)
Atmósfera , Dióxido de Carbono/análisis , Modelos Biológicos , Fitoplancton/crecimiento & desarrollo , Movimientos del Agua , Biomarcadores/análisis , Biomasa , Isótopos de Carbono/análisis , Cromatografía de Gases , Diatomeas/crecimiento & desarrollo , Cromatografía de Gases y Espectrometría de Masas , Sedimentos Geológicos/química , Cetonas/análisis , Biología Marina , Océano Pacífico , Temperatura , Torio/química
13.
Optom Vis Sci ; 87(5): 344-9, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-20386356

RESUMEN

PURPOSE: To investigate the relationship between clinical impairment measures and reading performance in a large population with age-related macular degeneration. METHODS: The following clinical measures were evaluated on 243 patients with age-related macular degeneration: better eye distance visual acuity (ETDRS chart); threshold near word reading acuity (Bailey-Lovie Word Reading chart); maximum reading speed and critical print size (MNREAD chart); letter contrast sensitivity (Pelli-Robson); and kinetic perimetry (Bjerrum screen) to determine the nearest non-scotomatous point to fovea (NNPF; in degrees) and the central scotoma area (mm2). RESULTS: Distance acuity correlated well to threshold near word acuity (r = 0.71), but word acuity was usually poorer. Critical print size was strongly related (p < 0.001) to near visual acuity (r2 = 0.31 and beta = 0.47) and was poorer than threshold near word visual acuity by a mean difference of -0.41 (range, -1.10 to 0.34), which represents a mean acuity reserve of 2.5:1. On single regression, distance (p < 0.0001, r2 = 0.35, and beta = -102.37) and near acuities (p < 0.0001, r2 = 0.52, beta = -126.53), critical print size (p = 0.0001, r2 = 19, and beta = 0.002), contrast sensitivity (p < 0.0001, r2 = 19, and beta = 79.47), scotoma size (p = 0.006, r2 = 12, and beta = -0.04), and NNPF (p = 0.001, r2 = 12, and beta = -4.39) were all highly significantly related to reading speed although these predicted only a low percentage of variance. Best prediction of reading speed was obtained on multiple regression, where NNPF and near word acuity explained 60% of the variance (p < 0.0001). CONCLUSIONS: Optimal prediction of reading speed with clinical parameters appears to be based on the combination of near word acuity and scotoma area, explaining 60% of the variance. Other factors not measured in this study are likely to account for the rest of the prediction.


Asunto(s)
Dislexia/fisiopatología , Degeneración Macular/fisiopatología , Lectura , Trastornos de la Visión/fisiopatología , Agudeza Visual/fisiología , Campos Visuales/fisiología , Anciano , Anciano de 80 o más Años , Progresión de la Enfermedad , Dislexia/diagnóstico , Femenino , Estudios de Seguimiento , Humanos , Degeneración Macular/diagnóstico , Masculino , Persona de Mediana Edad , Pronóstico , Trastornos de la Visión/diagnóstico , Pruebas de Visión
14.
J Mol Biol ; 397(4): 865-77, 2010 Apr 09.
Artículo en Inglés | MEDLINE | ID: mdl-20152841

RESUMEN

Experimental evidence that RNA virus populations consist of distributions of mutant genomes, termed quasispecies, was first published 31 years ago. This work provided the earliest experimental support for a theory to explain a system that replicated with limited fidelity and to understand the self-organization and adaptability of early life forms on Earth. High mutation rates and quasispecies dynamics of RNA viruses are intimately related to both viral disease and antiviral treatment strategies. Moreover, the quasispecies concept is being applied to other biological systems such as cancer research in which cellular mutant spectra can be also detected. This review addresses some of the unanswered questions regarding viral and theoretical quasispecies concepts as well as more practical aspects concerning resistance to antiviral treatments and pathogenesis.


Asunto(s)
Adaptación Biológica , Evolución Biológica , Virus ARN/clasificación , Virus ARN/genética , Selección Genética , Antivirales/uso terapéutico , Farmacorresistencia Viral , Humanos , Virus ARN/efectos de los fármacos , Virus ARN/patogenicidad , Virosis/tratamiento farmacológico
15.
Optom Vis Sci ; 84(6): 487-95, 2007 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-17568318

RESUMEN

PURPOSE: To compare "single letter" (SL) acuity, "crowded letter" (CL) acuity, and "repeated letter" (RL) acuity for patients with age-related macular degeneration (AMD) and investigate if differences between these visual acuities are associated with fixation characteristics. METHODS: A total of 243 patients with AMD had their best-corrected visual acuity measured on an ETDRS chart. SL, CL, and RL acuities were measured using Landolt C targets on a monitor. Fifty-degree-field red-free fundus photographs were taken and a static target was used to calculate the Preferred Retinal Locus (PRL) distance and direction from the fovea. Quality of fixation (consistency and oculomotor response) was also assessed using a fundus camera and a dynamic target. RESULTS: RL acuity was almost always better than CL acuity and SL acuity was almost always better than CL acuity. The mean (+/-SD) RL-CL and SL-CL acuity differences were -0.13 (+/-0.15) logMAR and -0.11 (+/-0.13) logMAR respectively. The median PRL distance was 3.73 degrees and the preferred retinal areas for the location of the PRL were the left (left quadrant of visual field; 39.5% of cases) and superior (inferior quadrant of visual field; 25.4%). Visual acuity was significantly associated with PRL distance but PRL distance only explained 10% of the variation in visual acuity. PRL distance was found to be a significant but weak predictor of the SL-CL acuity difference but fixation quality was not a good predictor of the RL-CL acuity difference. CONCLUSIONS: Although the acuity measured under different stimulus conditions varies, the absolute differences are small. This suggests that these techniques would not be helpful in determining fixation characteristics, or predicting the outcome of rehabilitation in individual patients with AMD.


Asunto(s)
Fijación Ocular/fisiología , Degeneración Macular/fisiopatología , Agudeza Visual/fisiología , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pronóstico , Índice de Severidad de la Enfermedad , Pruebas de Visión
16.
Arch Ophthalmol ; 123(8): 1042-50, 2005 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-16087836

RESUMEN

OBJECTIVE: To determine the effectiveness of prism spectacles in people with age-related macular degeneration by relocating the retinal image. METHODS: We implemented a randomized, placebo-controlled, double-masked trial. Participants with age-related macular degeneration received a standard low-vision assessment and the prescription of conventional low-vision aids 6 weeks before the study intervention. Participants were randomized to receive 1 of the following, including the optimal refractive correction: (1) custom, incorporating bilateral prisms to match participants' preferred power and base direction; (2) standard, incorporating standard bilateral prisms (6 prism diopters [Delta] base up for logMAR [logarithm of the minimum angle of resolution] visual acuity (VA) of 0.48-1.00 and 10Delta base up for logMAR VA of 1.02-1.68); or (3) placebo, consisting of spectacles matched in weight and thickness to prism spectacles but without prism. MAIN OUTCOME MEASURES: Outcomes measured binocularly at baseline and 3-month follow-up included distance logMAR VA, reading speed, critical print size, visual functioning questionnaires, and observed visual task performance. Scores on the 25-item National Eye Institute Visual Functioning Questionnaire and the Melbourne Low-Vision ADL (Activities of Daily Living) Index were converted to linear estimates using Rasch analysis. The Manchester Low Vision Questionnaire was used to collect descriptive data. RESULTS: A total of 225 participants completed the trial (median age, 81 years). We found no significant effect of treatment group on any of the outcome measures, including VA, the primary outcome (adjusted for baseline) (P = .63). Participants' responses to the Manchester Low Vision Questionnaire suggested that the prism spectacles added to their problems. CONCLUSIONS: Prism spectacles are no more effective than conventional spectacles for people with age-related macular degeneration.


Asunto(s)
Anteojos , Degeneración Macular/terapia , Actividades Cotidianas , Anciano , Anciano de 80 o más Años , Evaluación de la Discapacidad , Método Doble Ciego , Femenino , Humanos , Degeneración Macular/fisiopatología , Masculino , Satisfacción del Paciente , Encuestas y Cuestionarios , Resultado del Tratamiento , Agudeza Visual/fisiología
17.
Science ; 306(5702): 1762-5, 2004 Dec 03.
Artículo en Inglés | MEDLINE | ID: mdl-15576615

RESUMEN

A continuous high-resolution Western Mediterranean sea surface temperature (SST) alkenone record spanning the past 250,000 years shows that abrupt changes were more common at warming than at cooling. During marine isotope stage (MIS) 6, SST oscillated following a stadial-interstadial pattern but at lower intensities and rates of change than in the Dansgaard/Oeschger events of MIS 3. Some of the most prominent events occurred over MISs 5 and 7, after prolonged warm periods of high stability. Climate during the whole period was predominantly maintained in interglacial-interstadial conditions, whereas the duration of stadials was much shorter.

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