To analyze in vivo the architecture of clear corneal incisions (CCIs) for phacoemulsification usi... more To analyze in vivo the architecture of clear corneal incisions (CCIs) for phacoemulsification using optical coherence tomography (OCT).Anterior Segment Department, Asociacion Para Evitar la Ceguera en Mexico, Hospital Dr Luis Sanchez Bulnes, Mexico.A prospective masked study analyzed 20 unsutured CCIs placed superiorly and created in a uniplanar fashion with a 3.2 mm slit-angled metal keratome. All wounds were evaluated with a retinal OCT model 1, 3, and 30 days postoperatively. Intraocular pressure (IOP) and incision leakage were checked. The architecture was described according to the angle of incidence, apposition of the epithelial and endothelial margins, and wound sealing.No leakage was detected. The angle varied from 33 to 85 degrees; angles greater than 75 degrees were done by a surgeon in training. Wound apposition at the epithelial margin was achieved in all cases. In contrast, imperfect apposition of the endothelial margin was seen in 45% of incisions on day 1 and in 15% on day 30. Incomplete sealing of the wound was seen by OCT in 25% of cases at 24 hours and persisted in 10% of all cases at 1 month. This gaping occurred on the endothelial side and never translated to the epithelial margin. No statistical correlation was found between gaping and the angle of the incision, IOP variations, or surgeon experience.Although in vivo CCIs caused minor anatomic imperfections, they were clinically stable independent of incision angle, IOP variation, and surgeon experience. Incision stability may be related to careful wound construction, epithelial viability, stromal edema, and efficient endothelial pumping.
Mentally retarded patients with keratoconus who underwent penetrating keratoplasty (PK) were revi... more Mentally retarded patients with keratoconus who underwent penetrating keratoplasty (PK) were reviewed to determine long-term graft survival outcome. This longitudinal retrospective study included 20 mentally retarded patients who underwent PK at the University Hospital of Alicante during the years 1978-2007. Variables included donor corneal study, type and level of mental retardation, demographic data, age at which PK was performed, preoperative ocular and corneal study, surgical technique, histopathologic study, complications, immunological graft rejection, mean suture permanency, corneal endothelium study, and final anatomic and visual outcome. Thirty-nine penetrating keratoplasties were performed on 28 eyes of 20 patients. Mean age at time of surgery was 29.6 years (range 17-54 years). Follow-up ranged from 8 to 324 months, with a mean of 83.93 months. Vernal keratoconjunctivitis, cataract, and posterior capsular opacification were the most frequent complications during follow-up. Fifteen episodes of immunological graft rejection were registered. At the final examination, 23 grafts remain clear and 5 cloudy. Causes of corneal opacification were self-trauma, corneal ulceration, and immunological graft rejection. Four eyes developed ptisis bulbi. PK is a safe procedure in mild and moderately mentally retarded patients without compulsive ocular patterns. In patients with associated eye rubbing or ocular self-trauma, the election has to be made individually and carefully assuming an additional risk of serious complications. Providing medical education to caregivers is essential for the correct management of these patients.
Background: Sclopetaria is a rare ophthalmic finding in trauma Case Presentation: This is a repor... more Background: Sclopetaria is a rare ophthalmic finding in trauma Case Presentation: This is a report of a patient who developed macular holes from sclopetaria induced by indirect trauma. A 22-year-old male, suffered a gunshot wound that passed behind his eyes, resulting in bilateral macular hole formation Conclusion: To our knowledge, this is the first reported case in which trauma posterior to the globes caused bilateral macular hole formation
The Jamaican boa (Epicrates subflavus; also called Yellow boa) is an endemic species whose natura... more The Jamaican boa (Epicrates subflavus; also called Yellow boa) is an endemic species whose natural populations greatly and constantly declined since the late 19th century, mainly because of predation by introduced species, human persecution, and habitat destruction. In-situ conservation of the Jamaican boa is seriously hindered by the lack of information on demographic and ecological parameters as well as by a poor understanding of the population structure and species distribution in the wild. Here, using nine nuclear microsatellite loci and a fragment of the mitochondrial cytochrome b gene from 87 wild-born individuals, we present the first molecular genetic analyses focusing on the diversity and structure of the natural populations of the Jamaican boa. A model-based clustering analysis of multilocus microsatellite genotypes identifies three groups that are also significantly differentiated on the basis of F-statistics. Similarly, haplotypic network reconstruction methods applied on the cytochrome b haplotypes isolated here identify two well-differentiated haplogroups separated by four to six fixed mutations. Bayesian and metaGA analyses of the mitochondrial data set combined with sequences from other Boidae species indicate that rooting of the haplotypic network occurs most likely between the two defined haplogroups. Both analyses (based on nuclear and mitochondrial markers) underline an Eastern vs. (Western + Central) pattern of differentiation in agreement with geological data and patterns of differentiation uncovered in other vertebrate and invertebrate Jamaican species. Our results provide important insights for improving management of ex-situ captive populations and for guiding the development of proper in-situ species survival and habitat management plans for this spectacular, yet poorly known and vulnerable, snake.
The Jamaican boa (Epicrates subflavus; also called Yellow boa) is an endemic species whose natura... more The Jamaican boa (Epicrates subflavus; also called Yellow boa) is an endemic species whose natural populations greatly and constantly declined since the late 19th century, mainly because of predation by introduced species, human persecution, and habitat destruction. In-situ conservation of the Jamaican boa is seriously hindered by the lack of information on demographic and ecological parameters as well as by a poor understanding of the population structure and species distribution in the wild. Here, using nine nuclear microsatellite loci and a fragment of the mitochondrial cytochrome b gene from 87 wild-born individuals, we present the first molecular genetic analyses focusing on the diversity and structure of the natural populations of the Jamaican boa. A model-based clustering analysis of multilocus microsatellite genotypes identifies three groups that are also significantly differentiated on the basis of F-statistics. Similarly, haplotypic network reconstruction methods applied on the cytochrome b haplotypes isolated here identify two well-differentiated haplogroups separated by four to six fixed mutations. Bayesian and metaGA analyses of the mitochondrial data set combined with sequences from other Boidae species indicate that rooting of the haplotypic network occurs most likely between the two defined haplogroups. Both analyses (based on nuclear and mitochondrial markers) underline an Eastern vs. (Western + Central) pattern of differentiation in agreement with geological data and patterns of differentiation uncovered in other vertebrate and invertebrate Jamaican species. Our results provide important insights for improving management of ex-situ captive populations and for guiding the development of proper in-situ species survival and habitat management plans for this spectacular, yet poorly known and vulnerable, snake.
Published records of amphibians preying on either large spiders or snakes in the wild are rare; t... more Published records of amphibians preying on either large spiders or snakes in the wild are rare; this note documents predation by individuals of one amphibian species on both large spiders and snakes. Mountain chicken frogs (Leptodactylus fallax), which are amongst the largest frogs in the world, were observed successfully consuming the theraphosid spider Cyrtopholis femoralis on two occasions and attempting to consume another one on a further occasion on Montserrat. They were also found to have consumed the colubrid snake Liophis juliae on Dominica. This is the first theraphosid and the fourth snake species identified in the diet of L. fallax, and this frog is the first confirmed predator of C. femoralis.
The mountain chicken Leptodactylus fallax, the largest amphibian in the Caribbean, restricted to ... more The mountain chicken Leptodactylus fallax, the largest amphibian in the Caribbean, restricted to Dominica and Montserrat, is Critically Endangered. We investigated the presence of disease in the mountain chicken and in the sympatric cane toad Bufo marinus and Johnstone's whistling frog Eleutherodactylus johnstonei in the Centre Hills on Montserrat. Skin swabs of mountain chickens and B. marinus, and toe clips from E. johnstonei, were tested for Batrachochytrium dendrobatidis, the causative organism of cutaneous chytridiomycosis. Addition-ally, mountain chicken blood serum samples (n 5 57) were examined for exposure to ranavirus. No chytrid or exposure to ranavirus was detected. We draw tentative conclusions about disease threats to the Montserrat mountain chicken population, and present preliminary recommendations for safeguarding this species.
... camp varies, but usually consists of members of a single Les Augre` s Manor, Trinity, Jersey ... more ... camp varies, but usually consists of members of a single Les Augre` s Manor, Trinity, Jersey JE3 5BP, Channel Islands, British Isles. family, and normally the only food that they bring into E-mail:[email protected] the forest is rice. Women will often fish and collect local ...
Alojar la página de administración del supermercado creada con Oracle Developer Forms en un host ... more Alojar la página de administración del supermercado creada con Oracle Developer Forms en un host de no-ip, de forma que el cliente pueda acceder desde cualquier lugar.
To analyze in vivo the architecture of clear corneal incisions (CCIs) for phacoemulsification usi... more To analyze in vivo the architecture of clear corneal incisions (CCIs) for phacoemulsification using optical coherence tomography (OCT).Anterior Segment Department, Asociacion Para Evitar la Ceguera en Mexico, Hospital Dr Luis Sanchez Bulnes, Mexico.A prospective masked study analyzed 20 unsutured CCIs placed superiorly and created in a uniplanar fashion with a 3.2 mm slit-angled metal keratome. All wounds were evaluated with a retinal OCT model 1, 3, and 30 days postoperatively. Intraocular pressure (IOP) and incision leakage were checked. The architecture was described according to the angle of incidence, apposition of the epithelial and endothelial margins, and wound sealing.No leakage was detected. The angle varied from 33 to 85 degrees; angles greater than 75 degrees were done by a surgeon in training. Wound apposition at the epithelial margin was achieved in all cases. In contrast, imperfect apposition of the endothelial margin was seen in 45% of incisions on day 1 and in 15% on day 30. Incomplete sealing of the wound was seen by OCT in 25% of cases at 24 hours and persisted in 10% of all cases at 1 month. This gaping occurred on the endothelial side and never translated to the epithelial margin. No statistical correlation was found between gaping and the angle of the incision, IOP variations, or surgeon experience.Although in vivo CCIs caused minor anatomic imperfections, they were clinically stable independent of incision angle, IOP variation, and surgeon experience. Incision stability may be related to careful wound construction, epithelial viability, stromal edema, and efficient endothelial pumping.
Mentally retarded patients with keratoconus who underwent penetrating keratoplasty (PK) were revi... more Mentally retarded patients with keratoconus who underwent penetrating keratoplasty (PK) were reviewed to determine long-term graft survival outcome. This longitudinal retrospective study included 20 mentally retarded patients who underwent PK at the University Hospital of Alicante during the years 1978-2007. Variables included donor corneal study, type and level of mental retardation, demographic data, age at which PK was performed, preoperative ocular and corneal study, surgical technique, histopathologic study, complications, immunological graft rejection, mean suture permanency, corneal endothelium study, and final anatomic and visual outcome. Thirty-nine penetrating keratoplasties were performed on 28 eyes of 20 patients. Mean age at time of surgery was 29.6 years (range 17-54 years). Follow-up ranged from 8 to 324 months, with a mean of 83.93 months. Vernal keratoconjunctivitis, cataract, and posterior capsular opacification were the most frequent complications during follow-up. Fifteen episodes of immunological graft rejection were registered. At the final examination, 23 grafts remain clear and 5 cloudy. Causes of corneal opacification were self-trauma, corneal ulceration, and immunological graft rejection. Four eyes developed ptisis bulbi. PK is a safe procedure in mild and moderately mentally retarded patients without compulsive ocular patterns. In patients with associated eye rubbing or ocular self-trauma, the election has to be made individually and carefully assuming an additional risk of serious complications. Providing medical education to caregivers is essential for the correct management of these patients.
Background: Sclopetaria is a rare ophthalmic finding in trauma Case Presentation: This is a repor... more Background: Sclopetaria is a rare ophthalmic finding in trauma Case Presentation: This is a report of a patient who developed macular holes from sclopetaria induced by indirect trauma. A 22-year-old male, suffered a gunshot wound that passed behind his eyes, resulting in bilateral macular hole formation Conclusion: To our knowledge, this is the first reported case in which trauma posterior to the globes caused bilateral macular hole formation
The Jamaican boa (Epicrates subflavus; also called Yellow boa) is an endemic species whose natura... more The Jamaican boa (Epicrates subflavus; also called Yellow boa) is an endemic species whose natural populations greatly and constantly declined since the late 19th century, mainly because of predation by introduced species, human persecution, and habitat destruction. In-situ conservation of the Jamaican boa is seriously hindered by the lack of information on demographic and ecological parameters as well as by a poor understanding of the population structure and species distribution in the wild. Here, using nine nuclear microsatellite loci and a fragment of the mitochondrial cytochrome b gene from 87 wild-born individuals, we present the first molecular genetic analyses focusing on the diversity and structure of the natural populations of the Jamaican boa. A model-based clustering analysis of multilocus microsatellite genotypes identifies three groups that are also significantly differentiated on the basis of F-statistics. Similarly, haplotypic network reconstruction methods applied on the cytochrome b haplotypes isolated here identify two well-differentiated haplogroups separated by four to six fixed mutations. Bayesian and metaGA analyses of the mitochondrial data set combined with sequences from other Boidae species indicate that rooting of the haplotypic network occurs most likely between the two defined haplogroups. Both analyses (based on nuclear and mitochondrial markers) underline an Eastern vs. (Western + Central) pattern of differentiation in agreement with geological data and patterns of differentiation uncovered in other vertebrate and invertebrate Jamaican species. Our results provide important insights for improving management of ex-situ captive populations and for guiding the development of proper in-situ species survival and habitat management plans for this spectacular, yet poorly known and vulnerable, snake.
The Jamaican boa (Epicrates subflavus; also called Yellow boa) is an endemic species whose natura... more The Jamaican boa (Epicrates subflavus; also called Yellow boa) is an endemic species whose natural populations greatly and constantly declined since the late 19th century, mainly because of predation by introduced species, human persecution, and habitat destruction. In-situ conservation of the Jamaican boa is seriously hindered by the lack of information on demographic and ecological parameters as well as by a poor understanding of the population structure and species distribution in the wild. Here, using nine nuclear microsatellite loci and a fragment of the mitochondrial cytochrome b gene from 87 wild-born individuals, we present the first molecular genetic analyses focusing on the diversity and structure of the natural populations of the Jamaican boa. A model-based clustering analysis of multilocus microsatellite genotypes identifies three groups that are also significantly differentiated on the basis of F-statistics. Similarly, haplotypic network reconstruction methods applied on the cytochrome b haplotypes isolated here identify two well-differentiated haplogroups separated by four to six fixed mutations. Bayesian and metaGA analyses of the mitochondrial data set combined with sequences from other Boidae species indicate that rooting of the haplotypic network occurs most likely between the two defined haplogroups. Both analyses (based on nuclear and mitochondrial markers) underline an Eastern vs. (Western + Central) pattern of differentiation in agreement with geological data and patterns of differentiation uncovered in other vertebrate and invertebrate Jamaican species. Our results provide important insights for improving management of ex-situ captive populations and for guiding the development of proper in-situ species survival and habitat management plans for this spectacular, yet poorly known and vulnerable, snake.
Published records of amphibians preying on either large spiders or snakes in the wild are rare; t... more Published records of amphibians preying on either large spiders or snakes in the wild are rare; this note documents predation by individuals of one amphibian species on both large spiders and snakes. Mountain chicken frogs (Leptodactylus fallax), which are amongst the largest frogs in the world, were observed successfully consuming the theraphosid spider Cyrtopholis femoralis on two occasions and attempting to consume another one on a further occasion on Montserrat. They were also found to have consumed the colubrid snake Liophis juliae on Dominica. This is the first theraphosid and the fourth snake species identified in the diet of L. fallax, and this frog is the first confirmed predator of C. femoralis.
The mountain chicken Leptodactylus fallax, the largest amphibian in the Caribbean, restricted to ... more The mountain chicken Leptodactylus fallax, the largest amphibian in the Caribbean, restricted to Dominica and Montserrat, is Critically Endangered. We investigated the presence of disease in the mountain chicken and in the sympatric cane toad Bufo marinus and Johnstone's whistling frog Eleutherodactylus johnstonei in the Centre Hills on Montserrat. Skin swabs of mountain chickens and B. marinus, and toe clips from E. johnstonei, were tested for Batrachochytrium dendrobatidis, the causative organism of cutaneous chytridiomycosis. Addition-ally, mountain chicken blood serum samples (n 5 57) were examined for exposure to ranavirus. No chytrid or exposure to ranavirus was detected. We draw tentative conclusions about disease threats to the Montserrat mountain chicken population, and present preliminary recommendations for safeguarding this species.
... camp varies, but usually consists of members of a single Les Augre` s Manor, Trinity, Jersey ... more ... camp varies, but usually consists of members of a single Les Augre` s Manor, Trinity, Jersey JE3 5BP, Channel Islands, British Isles. family, and normally the only food that they bring into E-mail:[email protected] the forest is rice. Women will often fish and collect local ...
Alojar la página de administración del supermercado creada con Oracle Developer Forms en un host ... more Alojar la página de administración del supermercado creada con Oracle Developer Forms en un host de no-ip, de forma que el cliente pueda acceder desde cualquier lugar.
Uploads
Papers by Gerardo Garcia