scholarly journals Age-Related Long-Term Functional Results after Riboflavin UV A Corneal Cross-Linking

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Aldo Caporossi ◽  
Cosimo Mazzotta ◽  
Stefano Baiocchi ◽  
Tomaso Caporossi ◽  
Rosario Denaro

Purpose. To report a comparative prospective long-term functional analysis after Riboflavin UV A corneal cross-linking (CXL) in three different age groups of patients affected by progressive keratoconus (KC).Methods. Functional analysis comprised paediatric patients (≤18 years) included 152 eyes (29.5%); intermediate group (19–26 years) 286 eyes (55.4%), and adults (≥27 years) 78 eyes (15.1%). CXL was performed according to the Siena protocol by using the Vega CBM (Caporossi-Baiocchi-Mazzotta) X linker (CSO, Florence, Italy) at Siena University by the same authors. Pre- and post-op examinations included UCVA, BSCVA, corneal topography, and surface aberrometry (CSO Eye Top, Florence, Italy), at 48 months followup.Results. At 48 months followup paediatrics, intermediate, and adult patients showed a mean gain in UCVA of +0.2, +0.14 and +0.12 Snellen lines. BSCVA gained by a mean of +0.21, +0.2, and +0.1 Snellen lines.Kmaxwas reduced by a mean value of −0.9 D, −0.6 D, and −0.5 D, respectively. Coma values improved by a mean of −0.45 μm, −0.91 μm, and −0.19 μm, respectively. Treatment ensured a long-term keratoconus stabilization in over 90% of treated patients.Conclusion. According to our long-term comparative results, epithelium-off Riboflavin UV A cross-linking should be the first choice therapy of progressive KC, particularly in paediatric age and patients under 26 years.

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Cristina Nicula ◽  
Radu Pop ◽  
Anca Rednik ◽  
Dorin Nicula

Purpose. The purpose of the current study was to evaluate the long-term functional results based on keratometric measurements, spherical and cylinder equivalent in patients with progressive keratoconus treated with conventional “epi-off” corneal collagen cross-linking (CXL). Methods. We conducted a retrospective study in which 113 eyes from 90 keratoconus-treated patients with CXL between 2006 and 2008 in Oculens Eye Clinic from Cluj-Napoca, Romania, were included. The diagnosis of keratoconus was based on corneal topography and its clinical signs. All patients were evaluated preoperatively, and a follow-up was performed at 1, 3, and 6 months and every year from 1 to 10 years after conventional CXL. Results. All keratometry measurements improved significantly during the follow-up. Compared to preoperative values, the improvement of Kmax become statistically significant at 1 year after CXL (mean change compared to baseline −0.9 D, p<0.001) and remained statistically significant thereafter up to 10 years (mean change compared to baseline −2.3 D, p<0.001). As compared to preoperative values, mean spherical equivalent and mean cylinder improved during the follow-up, from a mean of −6.22 D before CXL to a mean value of −5.0 at 10 years, following CXL for spherical equivalent and from −4.4 D at baseline to −3.4 D at 10 years for cylinder (p<0.05 for both). Uncorrected visual acuity increased, remaining statistically significant, by 0.104 logMAR at 10 years after CXL (p=0.0015), and best-corrected visual acuity increased by 0.135 logMAR at 10 years after CXL (p=0.015). We did not observe any case of severe complication. Conclusion. Our results show that CXL has a favorable effect on the progression of KC. The reduced K values, cylinder and spherical equivalent, and increased visual acuity remained the same 10 years after the procedure.


2019 ◽  
Vol 104 (6) ◽  
pp. e14.2-e14
Author(s):  
N Smeets ◽  
B van Groen ◽  
J Pertijs ◽  
M Wilmer ◽  
B Smeets ◽  
...  

BackgroundIn adults, the organic cation transporter 2 (protein name OCT2, gene name SLC22A2) is localised in the kidney proximal tubules where it mediates organic cation secretion. Hence, the transporter plays a role in the disposition and excretion of several drugs and drug-drug interactions. To better understand the disposition of OCT2 substrate drugs in children, we studied OCT2 localisation and expression in paediatric kidney tissue.MethodsThe expression of OCT2 was visualised in tissue using immunohistochemical staining. Tissues were derived post-mortem from children aged 0 -14 years. Gestational age varied between 24 and 40 weeks. Intensity of the staining at the basolateral membrane was scored by two individual observers using three categories; negative, detectible and high. Agreement between two observers was determined using Cohen’s kappa.Results44 kidney samples (n=17 neonates, n=17 infants, n=7 children, n=3 adolescent) were analysed and scored. There was substantial agreement between two judgements with a kappa of 0.773 (p< 0.005). No age related pattern was observed in the expression of OCT2. Even in the youngest age group, the expression of OCT2 was clearly visible.ConclusionThe kidney expression of OCT2 did not show an age-related pattern. In all age groups, expression levels were similar and OCT2 was properly localised at the basolateral membrane. These findings suggest that, with increasing age, OCT2 will not influence the renal excretion of its substrates.Disclosure(s)Nothing to disclose


2020 ◽  
Vol 48 (7) ◽  
pp. 1196-1213
Author(s):  
Alicia Forsberg ◽  
Wendy Johnson ◽  
Robert H. Logie

Abstract The decline of working memory (WM) is a common feature of general cognitive decline, and visual and verbal WM capacity appear to decline at different rates with age. Visual material may be remembered via verbal codes or visual traces, or both. Souza and Skóra, Cognition, 166, 277–297 (2017) found that labeling boosted memory in younger adults by activating categorical visual long-term memory (LTM) knowledge. Here, we replicated this and tested whether it held in healthy older adults. We compared performance in silence, under instructed overt labeling (participants were asked to say color names out loud), and articulatory suppression (repeating irrelevant syllables to prevent labeling) in the delayed estimation paradigm. Overt labeling improved memory performance in both age groups. However, comparing the effect of overt labeling and suppression on the number of coarse, categorical representations in the two age groups suggested that older adults used verbal labels subvocally more than younger adults, when performing the task in silence. Older adults also appeared to benefit from labels differently than younger adults. In younger adults labeling appeared to improve visual, continuous memory, suggesting that labels activated visual LTM representations. However, for older adults, labels did not appear to enhance visual, continuous representations, but instead boosted memory via additional verbal (categorical) memory traces. These results challenged the assumption that visual memory paradigms measure the same cognitive ability in younger and older adults, and highlighted the importance of controlling differences in age-related strategic preferences in visual memory tasks.


2019 ◽  
Vol 65 (3) ◽  
pp. 414-421
Author(s):  
Yuliya Gavrish ◽  
Anna Artemeva ◽  
Yu. Trifanov ◽  
A. Nyuganen ◽  
Anna Sidoruk ◽  
...  

On the basis of the Department of Oncogynecology together with the pathoanatomical department of the N.N. Petrov Research Institute of Oncology conducted a comparative assessment of age-related features of endometrial cancer. The study included 309 patients, which were divided into two groups: group 1 - from 50 to 69 years (n = 150), group 2 - 70 years and older (n = 159). The article presents a comparative assessment of treatment, morphological characteristics of the tumor and the prevalence of the tumor process in two age groups, as well as the long-term results of treatment.


2009 ◽  
Vol 24 (1) ◽  
pp. 32 ◽  
Author(s):  
Su-Yeon Choi ◽  
Hyuk-Jae Chang ◽  
Sang-Il Choi ◽  
Kwang-Il Kim ◽  
Yong-Seok Cho ◽  
...  

2020 ◽  
Vol 10 (12) ◽  
pp. 4107 ◽  
Author(s):  
Nikola Majstorović ◽  
Milivoj Dopsaj ◽  
Vladimir Grbić ◽  
Zoran Savić ◽  
Aleksandar Vićentijević ◽  
...  

Physical abilities modelling has a profound connection with long-term athlete development and talent identification. There is not enough data to support evidence about age-related changes in volleyball players’ isometric strength. This study aimed to define the age-related model of volleyball players multidimensional muscles’ contractile characteristics. The participants were divided according to gender (male n = 112, female n = 371) and according to age into four groups: under 15 (U15), under 17 (U17), under 19 (U19), and under 21 (U21) years old. Participants performed three isometric strength tests: handgrip, lumbar extensors, and ankle extensors. Maximal force and rate of force development results from all three tests were transformed into a single Score value as a representation of contractile potentials using principal component analysis. The main findings were that Score values of both genders showed significant differences between age groups (male: F = 53.17, p < 0.001; Female: F = 41.61, p < 0.001). Trends of those yearly changes were slightly more balanced for female subjects (3.9%) compared to male subjects (6.3%). These findings could help in strength training adjustments when working with volleyball players of a certain age, and enable coaches to detect ones that stand out positively, considering them as strong in regard to their age.


Author(s):  
Lerzan Doğan ◽  
Duygu Emine Güdük ◽  
İlkay Kısa Özdemir ◽  
Tuğçe Sarıkaya

Objective: Sedation in the intensive care unit plays a key role in patient management as it helps suppress agitation, increases tolerance to stress, and facilitates medical interventions, such as noninvasive ventilation (NIV) Our purpose was to determine the long-term hemodynamic effects of dexmedetomidine in elderly patients with acute respiratory failure who require NIV. Methods: We recorded the data concerning age, comorbidities, doses of dexmedetomidine, hemodynamic parameters, use of vasopressors and length of ICU stay, from the hospital electronic medical recor system Due to the possibility of causing hemodynamic instability in ICU, patients with reduced ventricular contractility, hypothermia, septic shock, endocrine pathologies and neurosurgery cases, were excluded from the study. Results: The patients were evaluated in four age groups: Group I: 18-39 years; Group II, 40-64 years; Group III, 65-80 years, and Group IV, aged >80 years The patients in group IV were found to be at a higher risk for a decrease in MAP following onset of dexmedetomidine treatment (p=0.005*). Notably, most of the vasoactive agents were used in patients over 85 years old (54.2%, p=0.005). With increasing age hypotension and vasopressor needs were found to exhibit a corresponding augmentation. Conclusion: Dexmedetomidine meets requirements for sedation during NIV in the ICU. Even without loading dose the drug can induce hemodynamic instability, therefore close monitoring is necessary. In elderly, dexmedetomidine should be started at the lowest possible dose and slowly titrated according to the patient’s response.


2019 ◽  
Vol 75 (9) ◽  
pp. 1841-1849 ◽  
Author(s):  
Vanessa M Loaiza ◽  
Sabina Srokova

Abstract Objectives It is well known that age differentially impacts aspects of long-term episodic memory (EM): Whereas a binding deficit indicates that older adults are less capable than younger adults to encode or retrieve associations between information (e.g., the pairing between two memoranda, such as lock – race), item memory is relatively intact (e.g., recognizing lock without its original pairing). Method We tested whether this deficit could be corrected by facilitating establishment of the bindings in working memory (WM) through adapting the semantic relatedness of studied pairs according to participants’ ongoing performance (Experiments 1 and 2). We also examined whether this was evident for the long-term retention of pairs that were not tested in WM (Experiment 2). Results The results revealed matched binding and item memory in WM and EM between age groups. Most importantly, older adults required increased semantic strength between word pairs to achieve similar performance to that of younger adults, regardless of whether pairs were immediately tested during the WM task. Discussion These findings indicate that relying on their superior semantic memory can correct the commonly exhibited profound deficit in binding memory in older age.


PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e6236 ◽  
Author(s):  
Antonio Cejudo ◽  
Francisco Javier Robles-Palazón ◽  
Francisco Ayala ◽  
Mark De Ste Croix ◽  
Enrique Ortega-Toro ◽  
...  

Background Muscle flexibility is a main component of health-related fitness and one of the basic components of fitness for the performance in some sports. Sport and health professionals require the flexibility profile of soccer to define quantitative aims in the training of flexibility. The aim of this study was to identify age-related differences in lower extremity flexibility in youth soccer players. Methods Seventy-two young male soccer players (age: 13.0 ± 3.1 y; body mass: 50.5 ± 15.3 kg; stature 158.2 ± 16.8 cm; BMI: 19.6 ± 2.6 kg/m2) completed this study. Measures of eleven passive hip (hip extension (HE), hip adduction with hip flexed 90°(HAD-HF90°), hip flexion with knee flexed (HF-KF) and extended (HF-KE), hip abduction with hip neutral (HAB) and hip flexed 90°(HAB-HF90°), hip external (HER) and internal (HIR) rotation), knee (knee flexion (KF)) and ankle dorsiflexion (ankle dorsiflexion with knee flexed (ADF-KF) and extended (ADF-KE)) ranges of motion (ROM) were taken. Descriptive statistics were calculated for hip, knee and ankle ROM measured separately by leg (dominant and non-dominant) and age-group (U10, U12, U14, U16 and U19). The data was analysed using a one-way analysis of variance (ANOVA) to examine the interaction of 11 ROM in the different players’ age-group. Results Generally, U10 and/or U12 soccer players obtain the highest mean value in almost all ROM evaluated (U10: HAD-HF [39.6° ± 4.3°], ADF-KE [32.3° ± 4.1°], HER [63.5° ± 5.6°] and HAB-HF90°[64.1° ± 7.5°]; U12: HE [17.7° ± 6.2°], HAB [35.6° ± 3.0], HIR [60.8° ± 4.7°] and KF [133.8° ± 7.1°]). Nonetheless, significant differences between the players’ age-groups are just found in HAD-HF90°(p = .042; ES = .136), HAB (p = .001; ES = .252), HIR (p = .001; ES = .251), HER (p < .001; ES = .321) and HAB-HF90°(p < .001; ES = .376) ROM, showing a progressive and irregular decrease in these ROM until the U19 team. Conclusion The findings of this study reinforce the necessity of prescribing exercises aimed at improving HAD-HF90°  ROM in U16, HAB ROM in U14, HIR ROM in U16 and U19, HER ROM in U12 and U19, and HAB-HF90°  ROM in U16 and U19 players within everyday soccer training routines.


2013 ◽  
Vol 18 (3) ◽  
pp. 158-168 ◽  
Author(s):  
Emily Frankenberg ◽  
Katharina Kupper ◽  
Ruth Wagner ◽  
Stephan Bongard

This paper reviews research on young migrants in Germany. Particular attention is given to the question of how Germany’s history of migration, immigration policies, and public attitude toward migrants influence the transcultural adaptation of children and adolescents from different ethnic backgrounds. We combine past research with the results of new empirical studies in order to shed light on migrants’ psychological and sociocultural adaptation. Studies comparing young migrants and their German peers in terms of psychological well-being, life satisfaction, and mental health outcome suggest higher rates of emotional and behavioral problems among migrants of most age groups. With regard to adolescent populations between the ages of 14 and 17 years, however, the existence of differences between migrants and natives appears to be less clear. Research has also yielded inconsistent findings regarding the time trajectory of transcultural adaptation among adolescents. The coincidence of acculturation and age-related change is discussed as a possible source of these inconsistencies. Further, we provide an overview of risk and protective factors such as conflicting role expectations and ethnic discrimination, which may cause heightened vulnerability to adverse adaptation outcomes in some groups. Large-scale studies have repeatedly shown migrants of all age groups to be less successful within the German school system, indicating poor sociocultural adaptation. Possible explanations, such as the idiosyncrasies of the German school system, are presented. Our own studies contribute to the understanding of young migrants’ adaptation process by showing that it is their orientation to German culture, rather than the acculturation strategy of integration, that leads to the most positive psychological and sociocultural outcomes. The paper concludes by discussing implications for future cross-cultural research on young migrants and by suggesting recommendations for multicultural policies.


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