Introduction:
Migraine is one of the most common causes of transient visual loss. Optical coherence tomography angiography (OCTA) provides fast and non-invasive imaging of the retinal vessels. We ...report one case of monocular retinal oligemia demonstrated using OCTA during a migraine attack with aura.
Case description:
A 27-year-old man with a previous history of migraine with visual aura was seen in the emergency room due to acute left hemicranial pain with positive visual symptoms in his right eye. The patient reported a blue stain in his right eye. Optical coherence tomography angiography (OCT-A) showed an extensive area of hypoperfusion in the macular region of his right eye. Forty-eight hours later visual symptoms had improved and the OCT-A showed a significant reduction in the area of hypoperfusion. Seven days later the patient was asymptomatic and retinal perfusion had returned to normal values.
Conclusion:
Monocular involvement suggests that these retinal vascular changes are independent from cerebral vascular changes, supporting the hypothesis of selective retinal ganglion cell layer spreading depression as the possible cause of some cases of retinal migraine.
The objective of this study is to study the influence of ocular variables in the perception of #thedress and to develop a logistic regression model that could help predict it. This is a ...cross-sectional study on 1,100 subjects. People who did not report one of the two main perceptions were excluded from the study. Dress perception was codified as 0 (white&gold) or 1 (black&blue). The association between dress perception and demographic and main ocular variables (age, gender, binocular visual acuity, grade of nuclear cataract, crystalline lens status phakic/pseudophakic, spherical equivalent, and ocular health status) was tested using logistic regression. Receiver operation curves were used to test the predictive value of the model. Several variables were found to be related with dress perception. The best model included three variables—Age: adjusted odds ratio (OR) = 1.02 (1.01–1.03), p = 0.08; ocular refraction: adjusted OR = 1.07 (1.02–1.12), p = 0.009; and nuclear cataract grade: adjusted OR = 1.45 (1.05–1.99), p = 0.026. The predictive value of the model was low (area under the curve = 0.62). Older age, nuclear cataract grade, and hyperopia were associated with black&blue perception. The predictive capacity of the developed model was poor. Only a small proportion of the variability in the #thedress perception can be explained by ocular examination.
Resumen El presente trabajo es un análisis y estudio referente a las transformaciones que ha manifestado el sistema de seguridad social en México, cómo ha llegado a lo que conocemos hoy día, así como ...el desafío que tiene que enfrentar ante los trabajos informales y los retos en materia laboral actuales, emergentes a las necesidades del Estado, empresas y los trabajadores. Mucho se ha hablado de la seguridad social y la obligación que tiene el estado de proporcionarla. Sin embargo, en ocasiones no es posible identificar cuál es la situación de ésta en México respecto de otros países. Algunos expertos en la materia aseguran que los puestos de trabajo sin seguridad social son resultado de la precarización del empleo y el crecimiento de la informalidad en el País. Con el propósito de lograr un aumento de los derechohabientes en el sistema de seguridad social y al mismo tiempo evitar, disminuir y atacar algunos esquemas de abuso en los que se priva de la protección social a trabajadores, los legisladores en México han reformado las leyes correspondientes con la finalidad de regular la subcontratación o intermediación laboral, y a la vez establecer un mecanismo legal para que el IMSS garantice y haga efectiva la seguridad social a los trabajadores, evitando que los patrones desconozcan u oculten su relación laboral. Lo referente a materia laboral – fiscal se torna más rígido y las presiones para que se cumplas las normas van en aumento. Lo más conveniente para ambas partes es implementar una gestión estratégica y cumplir adecuadamente las normas legales – fiscales y hacerle frente a los retos laborales que se presentan hoy en día.
Our aim was to find the best evidence on the prevalence of idiopathic scoliosis (IS) in subjects with eye diseases (EDs) and to determine the most common visual alterations that are present. ...Following the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA), a bibliographic search up to June 2023 in the PubMed, PsycINFO, SCOPUS, and CINAHL Complete databases was performed. Observational studies were selected and the results were analyzed with prevalence odds ratio (OR). A total of six studies, including 18,396 subjects, were selected. The group of subjects with EDs was made up of 6048 individuals, of whom 655 (10.83%) had IS. The group of subjects without EDs was made up of 12,348 individuals of whom 444 (3.60%) presented with IS with an OR = 2.91, CI (95%) = 1.75, 4.83. Blindness was assessed in a single study with an OR = 7.83, CI (95%) = 1.66, 36.90; all three studies in the refractive error subgroup yielded an OR = 2.24, CI (95%) = 1.10, 4.58; and the two studies that included subjects with strabismus showed an OR = 3.09, CI (95%) = 1.38, 7.00. EDs were associated with an almost three times greater odds of having IS. We recommend the inclusion of vision testing in children with IS.
The presence of eye diseases is associated with an almost three times greater odds of having scoliosis. The conditions that showed the greatest association were a severe decrease in visual acuity, followed by strabismus, and lastly refractive errors such as myopia and anisometropia.
We describe the feasibility of monitoring with a Textile Wearable Holter (TWH) in patients included in Crypto AF registry.
We monitored cryptogenic stroke patients from stroke onset (<3days) ...continuously during 28days. We employed a TWH composed by a garment and a recorder. We compared two garments (Lead and Vest) to assess rate of undiagnosed Atrial Fibrillation (AF) detection, monitoring compliance, comfortability (1 to 5 points), skin lesions, and time analyzed. We describe the timing of AF detection in three periods (0–3, 4–15 and 16–28days).
The rate of undiagnosed AF detection with TWH was 21.9% (32 out of 146 patients who completed the monitoring). Global time compliance was 90% of the time expected (583/644h). The level of comfortability was 4 points (IQR 3–5). We detected reversible skin lesions in 5.47% (8/146). The comfortability was similar but time compliance (in hours) was longer in Vest group 591 (IQR 521–639) vs. Lead 566 (IQR 397–620) (p=0.025). Also, time analyzed was more prolonged in Vest group 497 (IQR 419–557) vs. Lead (336h (IQR 140–520) (p=0.001)). The incidence of AF increases from 5.6% (at 3days) to 17.5% (at 15th day) and up to 20.9% (at 28th day). The percentage of AF episodes detected only in each period was 12.5% (0–3days); 21.7% (4–15days) and 19% (16–28days).
28days Holter monitoring from the acute phase of the stroke was feasible with TWH. Following our protocol, only five patients were needed to screen to detected one case of AF.
some patients with inflammatory bowel disease (IBD) treated with antiTNF develop drug-induced psoriasis (antiTNF-IP). Several therapeutic strategies are possible.
to assess the management of ...antiTNF-IP in IBD, and its impact in both diseases.
patients with antiTNF-IP from ENEIDA registry were included. Therapeutic strategy was classified as continuing the same antiTNF, stopping antiTNF, switch to another antiTNF or swap to a non-antiTNF biologic. IP severity and IBD activity were assessed at baseline and 16, 32 and 54 weeks.
234 patients were included. At baseline, antiTNF-IP was moderate-severe in 60 % of them, and IBD was in remission in 80 %. Therapeutic strategy was associated to antiTNF-IP severity (p < 0.001). AntiTNF-IP improved at week 54 with all strategies, but continuing with the same antiTNF showed the worst results (p = 0.042). Among patients with IBD in remission, relapse was higher in those who stopped antiTNF (p = 0.025). In multivariate analysis, stopping antiTNF, trunk and palms and soles location were associated with antiTNF-IP remission; female sex and previous surgery in Crohn´s disease with IBD relapse.
skin lesions severity and IBD activity seem to determine antiTNF-IP management. Continuing antiTNF in mild antiTNF-IP, and swap to ustekinumab or switch to another antiTNF in moderate-severe cases, are suitable strategies.
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