RESUMEN

The study aimed to evaluate the retinal ganglion cell structure using optical coherence tomography and the visual pathway function employing visual evoked potentials in the diagnosis and monitoring of patients with pituitary macroadenoma. A descriptive, cross-sectional, and longitudinal study (3 and 12 months follow-up) was conducted on forty-two patients. Thirty-five age-matched healthy controls were used in the cross-sectional one. Full neuro-ophthalmological evaluation (structural and functional) was carried out including global and segmented retinal nerve fiber layer/ganglion cell complex analysis and amplitude and latency of P100 component in the electrophysiology. Statistical data analysis was conducted with R version 3.6.3 and Python version 3.8. Associations were evaluated using Spearman's correlations. Amplitude sensitivities were 0.999, and bi-nasal sectors of ganglion cell complex thickness specificities were 0.999. This structural parameter had the highest diagnostic value (area under curve = 0.923). Significant associations were found between bi-nasal sectors with amplitude at 12' (rho > 0.7, p < 0.01) and median deviation of the visual field (rho > 0.5, p < 0.01) at 3 months. Pre-surgical values of bi-nasal sectors and amplitude can predict post-surgically median deviation and amplitude (Oz, 12') at 3 months with r 2 > 0.5. Bi-nasal sectors of ganglion cell complex and visual evoked potentials P100 amplitude are efficient biomarkers of visual pathway damage for pituitary macroadenoma patients' management. Pre-surgical values of the bi-nasal sector and visual evoked potentials' amplitude could help to predict the restoration of parvocellular pathway traffic after decompression.

RESUMEN

RESUMEN Se realizó el análisis por activación neutrónica instrumental de sedimentos superficiales de la bahía de La Habana, Cuba. Se reportaron las concentraciones de 23 elementos (metales pesados y trazas), reportándose, por primera vez un grupo importante de elementos tierras raras (La, Ce, Nd, Sm, Eu, Tb, Yb y Lu). La normalización de los resultados a un metal de referencia demostró la presencia antropogénica de Sb, Ba, As, Cr y Zn producto de la descarga de residuales domésticos e industriales.

ABSTRACT Surface sediments from the Havana Bay (Cuba) were analyzed by instrumental neutron activation analysis (INAA). Concentrations of 23 heavy and trace elements in the sediments were reported, including for the first time, an important group of REE (La, Ce, Nd, Sm, Eu, Tb, Yb and Lu). The normalization of the results for a reference metal shows that an anthropogenic Sb, Ba, As, Cr and Zn inputs are due to discharges of sewage and industrial effluent.