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2.
Materials (Basel) ; 16(9)2023 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-37176330

RESUMO

The use of curved layers in fused filament fabrication could lead to various advantages in surface finishing and mechanical properties. Here, the influence of three different structural and manufacturing parameters (volume fraction, raster arrangement, and the use of curved or planar layers) on the mechanical properties of lattice structures under three-point bending is studied. Two different raster arrangements were considered, i.e., those with rasters at planes parallel to the principal axes of the samples and those diagonally arranged, all at four different volume fractions. All different samples were additively manufactured using planar and curved layers. Samples were further dimensionally inspected to refine the computational models before their analysis via finite element simulations. The linear elastic region of the load-displacement curves was further analyzed numerically via finite element models. Predictions with finite element models resulted in good agreement with errors below 10%. Samples with diagonal rasters were 70% softer than those parallel to the principal axes.

3.
J Clin Med ; 9(9)2020 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-32878150

RESUMO

Graves' orbitopathy (GO) is the most common extrathyroidal manifestation of Graves' disease (GD). Our aim was to assess the efficacy and safety of Tocilizumab (TCZ) in GO refractory to conventional therapy. This was an open-label multicenter study of glucocorticoid-resistant GO treated with TCZ. The main outcomes were the best-corrected visual acuity (BVCA), Clinical Activity Score (CAS) and intraocular pressure (IOP). These outcome variables were assessed at baseline, 1st, 3rd, 6th and 12th month after TCZ therapy onset. The severity of GO was assessed according to the European Group on Graves' Orbitopathy (EUGOGO). We studied 48 (38 women and 10 men) patients (95 eyes); mean age ± standard deviation 51 ± 11.8 years. Before TCZ and besides oral glucocorticoids, they had received IV methylprednisolone (n = 43), or selenium (n = 11). GO disease was moderate (n =29) or severe (n = 19) and dysthyroid optic neuropathy (DON) (n = 7). TCZ was used in monotherapy (n = 45) or combined (n = 3) at a dose of 8 mg/kg IV every four weeks (n = 43) or 162 mg/s.c. every week (n = 5). TCZ yielded a significant improvement in all of the main outcomes at the 1st month that was maintained at one year. Comparing the baseline with data at 1 year all of the variables improved; BCVA (0.78 ± 0.25 vs. 0.9 ± 0.16; p = 0.0001), CAS (4.64 ± 1.5 vs. 1.05 ± 1.27; p = 0.0001) and intraocular pressure (IOP) (19.05 ± 4.1 vs. 16.73 ± 3.4 mmHg; p = 0.007). After a mean follow-up of 16.1 ± 2.1 months, low disease activity (CAS ≤ 3), was achieved in 88 eyes (92.6%) and TCZ was withdrawn in 29 cases due to low disease activity (n = 25) or inefficacy (n = 4). No serious adverse events were observed. In conclusion, TCZ is a useful and safe therapeutic option in refractory GO treatment.

4.
Orphanet J Rare Dis ; 15(1): 168, 2020 06 29.
Artigo em Inglês | MEDLINE | ID: mdl-32600370

RESUMO

BACKGROUND: The aim of our study is to study the association between eye lesions in Hereditary Hemorrhagic Telangiectasia (HHT) and other signs of the disease, as well as to characterize its genetics. METHODS: A cross-sectional study was conducted of a cohort of 206 patients studied in the HHT Unit of Hospital de Sierrallana, a reference centre for Spanish patients with HHT. Odds ratios for several symptoms or characteristics of HHT and ocular lesions were estimated using logistic regression adjusting for age and sex. RESULTS: The ocular involvement was associated with being a carrier of a mutation for the ENG gene, that is, suffering from a type 1 HHT involvement (OR = 2.09; 95% CI [1.17-3.72]). p = 0.012). In contrast, patients with ocular lesions have less frequently mutated ACVRL1/ALK1 gene (OR = 0.52; 95% CI [0.30-3.88], p = 0.022). CONCLUSIONS: In conclusion, half of the patients with HHT in our study have ocular involvement. These eye lesions are associated with mutations in the ENG gene and ACVRL1/ALK1 gene. Thus, the ENG gene increases the risk of ocular lesions, while being a carrier of the mutated ACVRL1/ALK1 gene decreases said risk.


Assuntos
Telangiectasia Hemorrágica Hereditária , Receptores de Activinas Tipo II/genética , Estudos Transversais , Endoglina/genética , Humanos , Mutação/genética , Telangiectasia Hemorrágica Hereditária/genética
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