Assessment of the anterior scleral thickness in central serous chorioretinopathy patients by optical coherence tomography

Purpose

To assess the anterior scleral thickness (AST) and describe the presence of a visible supraciliary space (SCS) in central serous chorioretinopathy (CSC) patients by swept-source optical coherence tomography (SS-OCT).

Study design

Cross-sectional comparative study.

Material and Methods

Three groups were studied: 1) 64 eyes of 54 patients with CSC with persistent subretinal fluid (SRF); 2) 42 fellow eyes of CSC patients without SRF; 3) 65 eyes of 65 controls matched by age, sex and axial length (AL). The AST was measured in the temporal and nasal quadrants at 0, 1, and 2 mm from the scleral spur by SS-OCT. The presence of a visible SCS was also assessed.

Results

No differences were observed in the AST0 among the three groups (p≥ 0.665). The temporal AST1 was significantly thicker in the CSC group (530.3 ±67.1 µm) than in the controls (505.5 ±73.9; p=0.041). Mean AST2 was also thicker in the CSC group and the fellow eyes both for the temporal (519.4 ±89.1 µm and 519.8 ±98.5 µm respectively) and nasal quadrants (564.2 ±124.9 µm and 570.5 ±131.0 µm) than in the controls (450.1 ±76.8 and 473.3 ±111.6 µm) (all p≤0.001). A visible SCS was detected in the eyes of 8 CSC patients, in 4 fellow eyes and only in 1 control eye.

Conclusions

AST measured by SS-OCT was significantly greater in CSC eyes than in healthy eyes. Also, a visible SCS was detected in CSC eyes. Thus, thicker sclera in CSC eyes could be associated with the physiopathology of this disease.

     

Phylogeography of aedes aegypti in Argentina: long-distance colonization and rapid restoration of fragmented relicts after a continental control campaign

Aedes (Stegomyia) aegypti, the main vector of Dengue and Yellow Fever viruses, is present in all the northern and central provinces of Argentina. During 2009, a Dengue outbreak spread broadly throughout the country, causing 27,752 infections in 13 provinces. In Argentina, little is known about the demographic history of this vector, which suffered a drastic decrease in abundance and distribution during a major control campaign performed in the Americas between 1950 and 1960. With the aim of uncovering the past and present events that determined the present distribution of the genetic variability in Ae. aegypti populations, we analyzed the distribution and abundance of mitochondrial haplotypes obtained by sequencing a 450-bp fragment of the ND5 gene. We detected 14 haplotypes among the sequences of 197 individuals from 22 populations that cover most of the distribution of the species in Argentina; one population from Bolivia and one from Paraguay were also included. A high heterogeneity in the geographical distribution of the genetic polymorphism was observed, with a pattern of isolation by distance in the north-west of Argentina. Haplotypes nested in three haplogroups, representing different colonization events and evolutionary histories in distant geographical areas. North-western and north-eastern populations correspond to independent introduced stocks for which a past fragmentation and rapid restoration from highly polymorphic relicts were inferred. By contrast, a unique genetic variant was detected in the east, probably as the result of a recent re-colonization event after the major control campaign; in this area, the mosquito would have been practically eradicated as a consequence of the continental control campaign.     

Relationship between dental status and family, school and socioeconomic level

The aim of this study was to analyze the association between the knowledge, attitudes, practices and formal schooling ofparents and the oral health status in schoolchildren enrolled in educational institutions of different socioeconomic levels, using dental caries as the tracer disease. A convenience sample of 300 school children aged 6-14 years old and living in Mar del Plata city, Argentina, was composed according to income characterization in three strata: low, middle and high income. The children were grouped according to age (6-8, 9-11 and 12-14 years old). A validated questionnaire on knowledge, attitudes and oral health practices was administered to parents. Children were examined for dental and gingival status. DMFS, dmfs, plaque and gingival bleeding indexes were determined. Mean and SEM and/or frequency distribution of each variable were determined and diferences assessed by ANOVA, chi-squared, Yates chi-squared and Scheffé tests (p < 0.05). Association among variables was tested by chi-squared test. The children from low income families showed significantly higher levels oforal disease in all the studied age groups. These families revealed significantly less healthy practices and attitudes along with lower formal schooling level. Dental indicators were inversely and significantly associated with parents' knowledge, attitudes and formal schooling and with plaque index. Bleeding on probing was inversely and significantly associated with plaque index, parents 'formal schooling and practices. Plaque index was found to be inversely associated with parents' knowledge, attitudes and formal schooling. Parents 'knowledge, formal schooling, attitudes and health practices are intervening variables on oral health status ofschool children and an intervention field with potential impactfor the oral component of health.     

A Study of Incidence and Characteristics of Infections in 476 Patients from a Single Center Undergoing Autologous Blood Stem Cell Transplantation

Infectious complications are a major cause of morbidity and mortality in patients who undergo autologous stem cell transplantation (ASCT). We examined 476 patients with hematologic malignancies (401) or solid tumors (75) who underwent ASCT between February 1990 and May 2005. Anti-infectious prophylaxis consisted of different combinations of ciprofloxacin, cotrimoxazole, fluconazole, aerosolized amphotericin B, acyclovir, and intravenous immunoglobulins. Overall, 454 patients (95%) developed fever in the first 60 days after ASCT. In the majority of patients, initial antibiotic therapy consisted of broad-spectrum beta-lactamic with or without amikacin. A glycopeptide was administered as initial therapy in 86 cases. Overall, there were 132 (29%) clinically documented infections (37 pneumonias), 79 (17%) microbiologically documented infections (65 bacteremias), and 243 (54%) fevers of unknown origin. Coagulase-negative staphylococci (18, 25%) and E coli (18, 25%) were the organisms most frequently isolated. The pattern of infection did not change throughout the study except for a significantly higher incidence of bacteremia due to gram-positive bacteria in the first 5 years of the study. Infection-related mortality was 5% (21 cases), with pneumonia the most frequent cause of death. ASCT should be considered a low-risk procedure, although new therapeutic approaches for patients developing severe respiratory infections are still needed.     

Mycoviruses are common among different species of endophytic fungi of grasses

A survey of mycoviruses was made in a collection of 103 isolates belonging to 53 different species of endophytic fungi of grasses. Double-stranded RNA (dsRNA) elements were detected in isolates of 12 of the species analyzed. The banding characteristics and sizes of some of the dsRNA elements suggest that they might belong to previously described mycovirus families. The observed incidence (22.6%) indicates that the presence of mycoviruses could be common among species of this group of ubiquitous fungi.