Specifically, we used hierarchical models to incorporate

Specifically, we used hierarchical models to incorporate CHIR98014 inhibitor the spatial variability in phenological responses

to temperature to then forecast species’ overall and site-specific responses to global warming. We found that for most species, spring phenology is advancing and autumn phenology is getting later, with the timing of events changing more quickly in autumn compared with the spring. Temporal trends and phenological responses to temperature in East Asia contrasted with results from comparable studies in Europe, where spring events are changing more rapidly than are autumn events. Our results emphasize the need to study multiple species at many sites to understand and forecast regional changes in phenology.”
“Study Design. Systematic review.

Objective. The objective of this study is to determine safety, benefits, outcomes, and costs of early versus late stabilization of spine injuries using data available in the current literature.

Summary of Background Data. There is currently a lack of consensus regarding the timing of surgical stabilization of the injured spine. This is limited by the reality that a randomized clinical trial to evaluate early versus late surgery is difficult to design and perform.

Methods. Dibutyryl-cAMP supplier A computer-aided search using

the keywords Spine or Spinal, Trauma, Spinal Cord Injury, and Surgery that included MEDLINE, EMBASE, HealthSTAR, Cumulative Index to Nursing and Allied Health Literature, Cochrane Database of Systematic Reviews, ACP Journal Club, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, from January 1990 to July 2009 was done.

Results. Eleven articles directly comparing two cohorts that had early or late

surgery were identified. All of the studies consistently demonstrated shorter hospital and intensive care unit length of stays, fewer days on mechanical ventilation and lower pulmonary complications in patients who are treated with early surgical spine decompression and stabilization. Ruboxistaurin order These advantages are more marked in patients with polytrauma. Consequently, costs associated with late surgery were higher compared with early surgery.

Conclusion. There is evidence in the current literature to show that early surgical stabilization leads to shorter hospital stays, shorter intensive care unit stays, less days on mechanical ventilation and lower pulmonary complications. This effect is more evident in patients who have more severe associated injuries as measured by ISS. This benefit is seen in patients who have cord injury as well as those who do not. There is some evidence that early stabilization does not increase the complication rates compared with late surgery.”
“Background: The Seattle Heart Failure Model (SHFM) is a multimarker risk assessment tool able to predict outcome in heart failure (HF) patients.

Importantly, this new knowledge hits led to the development of So

Importantly, this new knowledge hits led to the development of Some new, effective medications. A symposium was held in Ottawa (Ontario) to review the current understanding of the prahophysiology, classification, 4EGI-1 molecular weight diagnosis and management

of pulmonary hypertension.”
“The aim of this study is to compare the Colpexin pull test (CPT) with the Oxford muscle grading scale (OMGS) in assessing pelvic floor muscle strength.

In phase 1, 15 asymptomatic women underwent OMGS and CPT using three different spheres to select the ideal size. CPT values as well as patient/examiner comfort and ease of CPT performance were recorded. In phase 2, 30 women with stress urinary incontinence underwent CPT and Torin 2 mw OMGS by two examiners during two separate sessions. Statistical analysis was performed.

In phase 1, the 36-mm sphere was selected based on resting (p < 0.001), contraction CPT (p < 0.001), patient ease (p = 0.018), patient comfort (p = 0.004), and examiner comfort (p < 0.001). In phase 2, there was good intra-rater and inter-rater agreement in maximum CPT. Both tests were positively correlated (r = 0.50, p < 0.001).

CPT is an objective measure of pelvic floor strength and provides consistent, reproducible results.”
“Peste des petits ruminants virus (PPRV) has a non-segmented negative sense RNA genome and is classified within the Morbillivirus

genus of the Paramyxoviridae. Using the Bac-to-Bac (R) baculovirus expression system, we constructed recombinant baculoviruses that were able to co-express the PPRV matrix and nucleocapsid proteins in insect cells under the control

of the polyhedron and p10 promoters, respectively. The results showed that although both structural proteins were expressed at a relatively low level, the interaction between them caused the formation of virus-like particles (VLPs) by viewing of transmission electron microscopy. The VLPs morphologically resembled authentic PPRVs but lacked spikes protruding from the particulate surfaces. Interestingly, the diameter of PPRV VLPs ranged from 100 to 150 nm, far less than the mean diameter (400-500 nm) of parental virions. (C) 2013 Elsevier Ltd. All rights reserved.”
“Here, we review recent transcranial magnetic stimulation studies and investigations in patients with neurological disease such as Parkinson’s PFTα supplier disease and stroke, showing that the neural processing of time requires the activity of wide range-distributed brain networks. The neural activity of the cerebellum seems most crucial when subjects are required to quickly estimate the passage of brief intervals, and when time is computed in relation to precise salient events. Conversely, the circuits involving the striatum and the substantia nigra projecting to the prefrontal cortex (PFC) are mostly implicated in supra-second time intervals and when time is processed in conjunction with other cognitive functions.

Each case of CDAD was matched by three sex- and age-matched contr

Each case of CDAD was matched by three sex- and age-matched controls randomly selected Captisol manufacturer from the rest of the cohort. Not every case was confirmed by C. difficile cytotoxins.

RESULTS: Among 38 cases studied, the incidence of CDAD, which was 28.2 (95%CI 20.3-38.3) per 100000 patient-days overall, increased from 12.9 (95%CI 5.8-25.3) for patients aged <60 years to 26.6 (95%CI 15.5-42.8) for those aged between 60 and 79 years, and 66.9 (95%CI 39.8-106.1) for those aged >79 years. Univariate analysis showed a significant association between CDAD and age, FQs, non-FQ antibiotics, serum albumin level, duration of hospital stay and nasogastric feeding. Only duration of hospital stay and nasogastric feeding remained

significant on multivarlable analysis.

CONCLUSION: The risk of CDAD due to FQs among TB patients is probably modest after controlling for sex, age, non-FQ antibiotics, serum albumin level, duration of

hospital stay and nasogastric feeding.”
“Ritodrine hydrochloride has been widely used for tocolysis, although serious side-effects have been reported. We report two cases of agranulocytosis induced by ritodrine hydrochloride, which probably occurred by different mechanisms. Two patients were hospitalized because of preterm labor and were given intravenous ritodrine https://www.selleckchem.com/products/AZD0530.html hydrochloride. The nadir of neutrocytes was 199/mm3 and 13/mm3 in the two cases, respectively. The total dose of ritodrine hydrochloride was calculated to be 7800 mg for 26 days and 2500 mg for 22 days, respectively. The total doses were heavier and administration duration was longer in Case 1, which suggested a toxic mechanism of agranulocytosis, while in Case 2, they were smaller and shorter, suggesting an immunological mechanism. For patients receiving ritodrine hydrochloride, the white blood cell count should be checked frequently regardless of the duration of therapy and a drug lymphocyte stimulation test should be performed.”
“Feline infectious peritonitis (FIP) is a common, fatal, systemic disease of cats.

BIIB057 This case report describes the antemortem diagnosis of FIP in a 2-year-old spayed female Sphinx cat that presented with a bilateral panuveitis and multiple papular cutaneous lesions. Histopathologically, the skin lesions were characterized by perivascular infiltrates of macrophages, neutrophils, with fewer plasma cells, mast cells, and small lymphocytes in the mid- to deep dermis. Immunohistochemistry for intracellular feline coronavirus (FeCoV) antigen demonstrated positive staining in dermal macrophages providing an antemortem diagnosis of a moderate, nodular to diffuse, pyogranulomatous perivascular dermatitis due to FIP infection. Obtaining an antemortem diagnosis of FIP can be a challenge and cutaneous lesions are rare in the disease. Recognition and biopsy of any cutaneous lesions in cats with panuveitis and suspected FIP can help establish an antemortem diagnosis of the disease.

Statin therapy was associated with reduced all-cause mortality in

Statin therapy was associated with reduced all-cause mortality in patients with CKD and CAD after PCI.”
“BACKGROUND: Liquid emulsion membrane (LEM)-encapsulated live cells can be used to produce various products. This work reports on LEM-encapsulated cells for producing xylitol and models the production process.

RESULTS: Encapsulated cells of Candida mogii ATCC 18364 were used to produce xylitol from xylose. Soybean oil LEM consisting of 5% (w/v) lanolin and microwaxes was found most suitable for this process. The LEM-encapsulated cells were immobilized in a tubular biocatalytic loop. Xylitol was produced under oxygen-limited and aerobic conditions. Xylitol productivity Daporinad and yield were 0.005 g L-1 h(-1) and

0.52 g g(-1), respectively, for oxygen-limited operation. Under aerobic conditions, xylitol productivity increased greatly to 0.022 g L-1 h(-1), but yield on xylose declined to 0.49 g g(-1). Selleck A-1210477 A mathematical model successfully described substrate consumption

and product formation in the LEM-immobilized cell system.

CONCLUSION: Potentially, immobilized cell LEM systems are useful for certain fermentations and they can be successfully modeled, as shown by the example of xylitol from xylose process. (C) 2009 Society of Chemical Industry”
“The study assessed radiation exposure during EVAR. Two types of patient dose were estimated: effective dose (ED), which allows estimation of radiation risk to the EVAR patient population; and Peak Skin Dose (PSD), which allows us assess the potential for an individual

selleck products patient to receive a radiation skin injury. An ancillary aim was to examine dose optimization in EVAR procedures.

Based on 111 EVAR cases we estimated average ED as 12.4 mSv. Cumulative patient dose in our centre was lower than other studies because the follow up of EVAR patients is based on ultrasound rather than CT. PSD calculated using a published conversion formula closely matched measurements with calibrated gafchromic film. 99% of patients had an estimated PSD of < 2Gy. Results indicate that skin injuries are possible, but very unlikely in EVAR procedures at our centre.

EVAR is a high dose procedure and emphasis on dose optimisation is important. We broke the EVAR procedure into 15 steps and, in a phantom study, showed how skin dose changes as procedure steps are varied. The resulting dose matrix has the potential to be used as an educational tool to promote dose optimization. (C) 2012 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.”
“Purpose of reviewTo provide information on the role of the essential trace element selenium, which enables appropriate thyroid hormone synthesis, secretion, and metabolism, and to discuss supplementation with various selenium compounds, which prevent thyroid diseases such as goiter and exert beneficial effects in thyroid autoimmune diseases.

05) Furthermore, There was a statistically significant increase

05). Furthermore, There was a statistically significant increase in homocysteine concentration during folate deficiency in NSCs (p<0.05). These data suggest that folate affects the cell proliferation, apoptosis and homocysteine generation in NSC cells.”
“Background: An imbalance of cytokines is believed to contribute to the immunopathogenesis of inflammatory bowel diseases SYN-117 (IBD). Serum cytokine levels

may correlate with disease activity and acute phase reactivity.

Aim: To determine the correlation of systemic interleukin-18 (IL-18) levels with disease activity and other markers of inflammation using a cross-sectional pilot study in outpatients with IBD.

Methods: Peripheral venous blood was obtained from 84 patients with Crohn’s disease (CD) and from 46 patients with ulcerative EPZ5676 ic50 colitis (UC). Serum levels of C-reactive protein (CRP), IL-8, IFN-gamma, IL-12p70 and IL-18 were assessed by ELISA. Disease activity was expressed by the Crohn’s Disease Activity Index (CDAI) and the Clinical Activity Index (CAI), respectively.

Statistical analysis comprised correlation coefficients and linear regression analysis.

Results: In CD IL-18 and other cytokine concentrations, CRP levels, leukocyte and platelet counts did not correlate with the CDAI. However, IL-18 as well as IL-8 and platelets positively correlated with CRP levels (p <0.001), while IFN-gamma and IL-12p70 did not. In contrast, in UC only the CAI and CRP levels showed a significant positive correlation.

Conclusions: In CD IL-18 lacks significant correlation with the CDAI, as do serum acute phase protein and other cytokine markers of inflammination. As opposed to UC, IL-18 and IL-8 may, however, serve as indicators of acute phase reactivity in CD and should be explored in a larger study.”
“The present study was performed to provide computed tomographic (CT) reference values for structures in the thorax of 26 clinically normal Saanen goats. Animals were anesthetized, positioned in sternal recumbency and transverse images with a reconstructed 1.5 mm slice thickness were obtained by use of a 40-slice CT scanner. Absolute and relative measurements

of the trachea, heart, cranial vena cava, thoracic aorta, caudal vena cava, find more right and left principal bronchus, right and left caudal lobar bronchus and the concomitant branch of the right and left pulmonary artery and vein, large caudal mediastinal lymph node and lung density were performed with dedicated software. Minimal to moderate interstitial or bronchopneumonia was incidentally found on CT in 24 animals. In conclusion, CT images obtained in this study can be used as a reference for the evaluation of thoracic diseases in goats. (C) 2010 Elsevier Ltd. All rights reserved.”
“An oxidized frying oil (OFO) diet has been reported to induce an increase in lipid peroxidation and a reduction in vitamin E status in animal tissues.

The three groups were compared to a control group (n = 68) to eva

The three groups were compared to a control group (n = 68) to evaluate cognitive effects of the antiepileptic drugs. We examined drug effects cross-sectionally

at baseline, 6 months, and 12 months. There were no significant differences in efficacy among the three AEDs. LEV caused fewer adverse events than the other AEDs. PB produced persistent negative Tariquidar cognitive side effects. LEV was associated with improved cognitive performance, specifically attention level and oral fluency items. LTG had a better effect on mood. LEV had a benign neuropsychological side effect profile, making it a cognitively safe drug to use for controlling established seizures in elderly RSL3 patients with Alzheimer’s disease. (C) 2010 Elsevier Inc. All rights reserved.”
“The overall goal of this study was

to develop a rapid method based on optical imaging and spectroscopy for real time characterization of interactions of free radicals with oil in water emulsions. The method was based on encapsulation of a lipid soluble, free radical sensitive dye that transforms from a non-fluorescent to a fluorescent state upon reaction with hydroxyl radicals. Using this approach, interaction of hydroxyl radicals generated using the Fenton’s reagents in aqueous phase with free radical sensitive dye encapsulated in the oil phase of whey protein isolate (WPI) stabilized emulsion was characterized. The results based on fluorescence imaging and spectroscopy showed a linear increase in fluorescence of free radical sensitive dye during the initial time period (-30 min) of incubation with the Fenton’s reagents. The results showed a high degree of correlation between spectroscopy and quantitative fluorescence imaging measurements. Increase in fluorescence of free radical sensitive dye https://www.selleckchem.com/products/AZD1152-HQPA.html was a function of concentration of ferrous ions and hydrogen peroxide. Incorporation of EDTA reduced the rate of increase in fluorescence of the dye due to the chelation of metal ions (p < 0.05). The addition of alpha-tocopherol in the lipid phase also significantly reduced the rate of increase in

fluorescence ( p 0.05). Lipid oxidation was measured to validate propagation of radicals in the oil phase of the emulsion. The results showed a positive correlation between an increase in fluorescence of the free radical sensitive dye and the level of lipid peroxidation. In summary, the method developed in this study is sensitive for real time quantitative measurement of interactions of free radicals with emulsions. (C) 2010 Elsevier Ltd. All rights reserved.”
“Amphoteric polymer hydrogels were prepared by the copolymerization of three kinds of N,N’-dimethyll-N-alkylmethacryloxylethyl ammoniumbromide (DMAEA) with different lengths of alkyl chains (DMAEA-RB) (R-ehtyl/hexyl/dodecyl), acrylic acid (AA), and acrylamide (AM).


“Background:


“Background: https://www.selleckchem.com/products/loxo-101.html Cannabis withdrawal is not recognized in DSM-IV because of doubts about its clinical significance.

Objectives: Assess the phenomenon of cannabis withdrawal and its relationship to relapse in non-treatment-seeking adults.

Subjects: Convenience sample of 469 adult cannabis smokers who had made a quit attempt while not in a controlled environment.

Methods:

Subjects completed a 176-item Marijuana Quit Questionnaire collecting information on sociodemographic characteristics, cannabis use history, and their “”most difficult”" cannabis quit attempt.

Results: 42.4% of subjects had experienced a lifetime withdrawal syndrome, of whom 70.4% reported using cannabis in response to withdrawal. During the index quit attempt, 95.5% of subjects reported >= 1 individual withdrawal Trichostatin A Epigenetics inhibitor symptom (mean

[SD] 9.5 [6.1], median 9.0); 43.1% reported >= 10. Number of withdrawal symptoms was significantly associated with greater frequency and amount of cannabis use, but symptoms occurred even in those using less than weekly. Symptoms were usually of >= moderate intensity and often prompted actions to relieve them. Alcohol (41.5%) and tobacco (48.2%) were used more often than cannabis (33.3%) for this purpose. There was little change during withdrawal in use of other legal or illegal substances.

Conclusions: Cannabis withdrawal is a common syndrome among adults not seeking treatment. The intention to relieve withdrawal symptoms can drive relapse during quit attempts, giving cannabis withdrawal clinical significance as a target of treatment. Published by Elsevier Ireland Ltd.”
“A synthesized cationic reagent named polyamide-epichlorohydrin (PAE) was used to cationize cotton fabrics which were dyed with nanoscale pigments after PAE modification. The results showed that when the PAE concentration was

below 7% (owf), the K/S value increased nearly linearly with increasing of PAE concentration, and excess that concentration the K/S value did not ��-catenin signaling increase further. With increasing the pH value of cationization bath, the K/S value increased first and then decreased, the maximum K/S value appeared at pH 9-10. Cotton fabrics cationized at 80 degrees C for 20 mm exhibited the best cationizing result. Both the pigment uptake and the color strength reached their own maximum values when the dye bath was neutral. When the pigment concentration was 1% (owf) the addition of 1g/L sodium chloride in the dye bath could decrease the pigment uptake while for 5% (owf) pigment concentration the uptake increased with increasing the amount of sodium chloride. (C) 2010 Wiley Periodicals, Inc.

Whether daytime oxygen saturation (SpO(2)) predicts nocturnal hyp

Whether daytime oxygen saturation (SpO(2)) predicts nocturnal hypoxemia in pPH patients has not been conclusively studied. Objectives: To investigate the prevalence of nocturnal hypoxemia in comparison to daytime

SpO(2) and disease severity in ambulatory selleckchem patients with pulmonary hypertension. Methods: Consecutive patients diagnosed with pPH classified as either pulmonary arterial (PAH) or chronic thromboembolic pPH (CTEPH) had daytime resting and exercise SpO(2) (at the end of a 6-min walk test); thereafter, they underwent overnight pulse oximetry at home. Functional class, pro-brain natriuretic peptide (pro-BNP) and the tricuspid pressure gradient were assessed. Results: Sixty-three patients [median (quartiles) age 62 (53; 71), 43 females] with PAH (n = 44) and CTEPH (n = 19) were included. The resting SpO(2), exercise SpO(2), and mean nocturnal SpO(2) were 95% (92; 96), 88% (81; 95), and 89%

(85; 92), respectively. Forty-nine patients (77%) spent >10% of the night with SpO(2) <90% (desaturators), and 33 (52%) spent >50% of the night with SpO(2) <90% (sustained desaturators). The positive predictive values of daytime SpO(2) >90% for being selleck products a nocturnal nondesaturator or sustained nondesaturator were 25 and 53%, respectively. Nocturnal SpO(2) was negatively correlated with the tricuspid pressure gradient, but not with functional class, 6-min walk test, or pro-BNP. Conclusions: Nocturnal hypoxemia is very common in PAH and CTEPH despite often normal daytime SpO(2) and reflects disease severity. Nocturnal pulse oximetry should be considered in the routine evaluation of pPH patients and research should be directed toward the treatment of nocturnal desaturation in pPH. Copyright (c) 2012 S. Karger AG, Basel”
“Based on an interdisciplinary perspective, we discuss how primary-process, anoetic

forms of consciousness emerge into higher forms of awareness such as knowledge-based episodic knowing and self-aware forms of higher-order consciousness like autonoetic awareness. Anoetic consciousness is defined as the rudimentary state of affective, homeostatic, and sensory-perceptual mental experiences. click here It can be considered as the autonomic flow of primary-process phenomenal experiences that reflects a fundamental form of first-person “”self-experience,”" a vastly underestimated primary form of phenomenal consciousness. We argue that this anoetic form of evolutionarily refined consciousness constitutes a critical antecedent that is foundational for all forms of knowledge acquisition via learning and memory, giving rise to a knowledge-based, or noetic, consciousness as well as higher forms of “”awareness”" or “”knowing consciousness”" that permits “”time-travel”" in the brain-mind.

Bilateral Visual field abnormalities are common in the treated ep

Bilateral Visual field abnormalities are common in the treated epilepsy population, irrespective of drug history. find more Assessment by

conventional static perimetry may neither be sufficiently sensitive nor specific to reliably identify retinal toxicity associated with VGB. (C) 2009 Elsevier Inc. All rights reserved.”
“Objectives: The aim of this study was the first identification of Leptospira isolates from Azorean inpatients.

Methods: Whole blood samples from 68 inpatients attending the Sao Miguel Hospital between 2006 and 2008, with a clinical and epidemiological suspicion of leptospirosis, were inoculated in a transport medium broth at the patient’s bedside and further processed using a serial dilution technique prior to culture. At admission, 62 (91%) patients were also analyzed for the presence of leptospiral DNA by a nested PCR and 40 (59%) for specific agglutinins by microscopic agglutination test (MAT). The isolates obtained were first assigned at the serogroup level by both MAT reactivity with hyperimmune rabbit antisera and a PCR-based assay with the single primer iRep1. The species identification was performed by DNA sequencing. The use of monoclonal antibodies allowed intraspecific discrimination AZD1480 cell line at the serovar level.

Results: Of the 10 (14.7%) human Leptospira isolates, seven were identified as Leptospira

interrogans serovar Copenhageni and three as Leptospira borgpetersenii serovar Arborea, which is in agreement with previous data from the Azorean rodent population.

Conclusions: This study represents a great step towards the definitive identification of the pathogenic leptospires in Azorean patients and confirms the bacteriological human-rodent connection for the first time. (C) 2010 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.”
“Approximately 20 percent of right-sided colon cancers and 5 percent of left-sided colon and rectal cancers have Pexidartinib ic50 a deficient DNA mismatch repair system. This results

in the widespread accumulation of mutations to nucleotide repeats, some of which occur within the coding regions of cancer-related genes such as TGF beta RII and BAX. A standardized definition for microsatellite instability (MSI) based on the presence of deletions to mononucleotide repeats is gaining widespread acceptance in both research and the clinic. Colorectal cancer (CRC) with MSI are characterized histologically by an abundance of tumor-infiltrating lymphocytes, poor differentiation and a signet ring or mucinous phenotype. In younger patients these tumors usually develop along the chromosomal instability pathway, in which case the mismatch repair genes are inactivated by germline mutation, somatic mutation and loss of heterozygosity. In older patients MSI CRC usually develops against a background of widespread hypermethylation that includes methylation-induced silencing of the mismatch repair gene MLH1.

Mixture of Tween80 and 1, 2-dimyristoyl-sn-glycero-3-phosphocholi

Mixture of Tween80 and 1, 2-dimyristoyl-sn-glycero-3-phosphocholine as a surfactant

to disperse tributyrin produced homogeneous emulsions with nanometer sizes, even without a harsh homogenization procedure. Tributyrin emulsion was more potent than butyrate in inhibiting the growth of B16-F10 melanoma cells. Accumulation of cells at sub G(0)/G(1) phase and the DNA fragmentation induced by tributyrin emulsion treatment revealed that tributyrin emulsion inhibited the growth of B16-F10 cells by inducing apoptosis. Treatment with tributyrin emulsion suppressed the colony formation of melanoma cells click here in a dose-dependent manner. Furthermore, after intraperitoneal administration into mice, tributyrin emulsion inhibited the formation of tumor colonies in the lung following intravenous injection of melanoma cells.

Taken together, our data suggests that tributyrin emulsion may be developed as a potent anti-cancer agent against melanoma.</.”
“Synthetic skin as an ideal human-tissue substitute is needed for the research and assessment of hair-and skin-care products. In this study, a systematic study was carried out of the surface, tribological, and mechanical properties of two synthetic skins and rat skin with and without skin-cream treatment with scanning electron microscopy, atomic force microscopy, and a nanoindenter. The film thickness, adhesive force, coefficient of friction, surface roughness, and contact angle of the two synthetic Lazertinib skins and rat skin were comparable. Selleckchem PLX4032 The hardness of one synthetic skin was more similar to rat skin. After treatment with skin cream, the trends of the properties of the two synthetic skins and rat skin were similar. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci 120: 2881-2890, 2011″
“PURPOSE: To determine agreement between partial coherence

interferometry (PCI) and anterior segment optical coherence tomography (AS-OCT) measurements of anterior chamber depth (ACD) and axial intraocular lens (IOL) movement in eyes with an accommodating IOL.

SETTING: Department of Ophthalmology, St. Thomas’ Hospital, London, United Kingdom.

METHODS: In this prospective pilot study of cataract patients, the central ACD was measured by PCI (ACMaster) and AS-OCT (Visante) 6 months after unilateral OPAL-A accommodating IOL implantation. Measurements were performed with a distance target and 1.00 diopter (D) and 2.00 D accommodative targets and after administration of topical pilocarpine 4%. Agreement between PCI and AS-OCT ACD measurements and IOL movement was calculated.

RESULTS: Measurements were obtained in 18 patients. There was a consistent and statistically significant bias toward shallower ACD measurements with AS-OCT than with PCI, with the bias most pronounced after pilocarpine (mean 4.117 mm +/- 0.291 [SD] versus 4.054 +/- 0.287 mm; bias 0.063 mm; P<.0001). Limited IOL movement to 1.00 D and 2.