Apometria Clinica 5n4q46

c

cc c c cc c c cc c c ccccccc cc ! "#c$%c&'c(&c)%%cc*%c +&#c+',c*%,c-((#c*%,c&.%*#c*%,c(%+c&c'&+/c ccccccc cc01c$%-c&c&*')cc&c20+20&%c(&%#c -%'c,&('&#c&+&'&(c&$(/c cccccccc c01c&%&c('&%+#c3 c3 #c c " #c" cc4 ccc cccccccccc c&(#c&(,%$%'cc&c20+20&%c ,%&+)#c(,(#c',+&(c&c*),(/c c cc c3c " 3c c %c&'c*c*)5%c c 3 #c c /c c 6cc " " c3c " 3c ccccccc cc(c&&%$(c&c 7c&c 3"/c c 8cc cc9 " cc c /cc cccccc3:c*'ccc%&(&*c0c30c&c cc')c

)'c%/c cccccc c cc )'c (cc '%#c0%cc31&%#c :0+cc9%*#c9.c&c;c/c *%%c&'c*c*)*5%c c c#c43"/c c ;(0+:%cc ! "c$%cc(&c)%%c&'c%(c*%&(c 0%#c:0+#c&%&#c%(#c&*/c *&%&c(&c&'c(&0c*%*/c $%&*&cc20,&c&(,%0+c20&c<0%'cc+',&:/c

c+&cc-%&20&*c1%%/c=&%c*c*'c'&0(c $0(>/c c 1(c3&c&0c0(%c&(c(c'&0(c&'&(c,%'&*&%c&%cc '&%51)c&cc-'c%&,cc,%*&&'c&c+',&:/c c c c c

? 3c 3c c cc cc !cc ! "c c

c c c 3 #cc #c0'c*)'c+&#c -:&c0'c%%&0%cc'1&&#c&'c(c(c&(,*(#c*'(#c&*/c ',c%('0c(c(c*%$(c,(20*(#c-%'c,&('&#c &+&'&(c&$(#c'('(c&c+%(/c c c c c c 3c@3c3 3c c c

&Ac*'ccc,%&(&*c0c30c&c *cc )'c%/c

'Bc c )'c (cc'%#c0%cc(&1%#c :0+c c9%*#c9.c&c&c/c cc )c &Ac*'c &0c&0c&c 9'+c */c c c &+*c

'Bc3+*cc%&*cc (&+)c+0cc&%%/c c 3:%cc9%&20&*cc 'c(c '&(c&c3c('&%+/c

'Bc cc &Ac*'c(c20,&(c&c 0%c&c &($&cc

'c(c('&%+c&c3c '&(/c c c3)'+'c

'Bc cc &Ac*'c(c20,&(c3)'+'c&c *%c(c 9%*(c&c&%&(cc0%&:/c c

&Ac*'c &(%&(c&c &%&(c0(c

&Ac*'c(c,%*&+(c (*&((cc9'+c *ccc

'Bc c&c-%+&*&cc )c &Ac*'c'&0(c &(%&(#c 0(#c &%&(c&c%*&+(c(/c c 6c c9 " c3c3 3cc c c

'Bc c'c+()#c4&()#c'c $0&+/c9&*)c(c(c &(*0(c'&*(c&c&',%(c&c%&*/c

c cc c=,+*%ccc ,'&%c@0*c&c &%%>c c c cc C3 c c33 c9 @ c cc c

'Bc c&('&c(:cc')c-%&20&*c'&+c *'cc-%&20&*cc*',c&&%$&*#c(%+#c&'*+c&c'&+cc ,*&&/c c c c ; c3c9 3cc 7 cc c c 3c @3c3 3cc c c c(+*'(cc,&%'((ccc%&(&*c0c30c&c 20,&(c(,%0(cc,*&&DD//cc c 3#c c #c 3 c 3 cc ; c=*+*%cc'cc*%*c&c*'&*%cc '%%>c c c %c 3 3cc Cc c 6cc ! cc 3cc9 7 3c c c c 1%c(c(c*%,(='&+#&'*+#(%+>#c 1%c(c(c9A(c'&((#ccc)c&',%+c&c (c&c *&*c20&c,%&*('c(&%c%1+)(c)<&/c c 8cc ; cc!c 9 c c c c cc01c%-c c c c c c c c c c c

cc ccc? #c " 3c " c

#c@ c 3c c c Fc c c cc

c93 c c33 /c3 c9 c" c c3 c !3 ; cc ; /c c 3!3 Fc c c3:c*'c(c&20,&(c&c*0%c%&($&cc3c '&(c&c3c ('&%+c c cc9%*+cc9$cc&c9%*+cc&%%/c c c*')cc&c20+20&%c&&%$c&(20+-*c20&c &(&<cc*',c'&+#c(%+c&c&'*+cc,*&&DD//c c &*c(c9%&20&*cc (&+)c+0c &+*c c3:c(c9%&20&*(c(c&&(cc(&%&'c*')(c &('&/c c c c 3 c c c4 cc *')%c(c&+(c,%c%'&c&c*0%/c c 9:&%c0'c%%&0%c&'ccc*%,cc,*&&c*'c(&c&(&((&c +',/c c c(c-%*(cc9$#cc $0G#cc %#cc&%%#cc&%c&cc ;&%&/c %1+)%c(c,(c(c%*0+*&(c=cc-%+#c6c*c1%*#cc&'c *c%+)#cc*c<&+)#cc&'c*c%:&+>c c c c

Ãcc ; #c " #c cc c3c

" 3c c %1+)%c*'cc,&0+c&'c*'c&c*c*)*%c*cc,*&&/c c c %c&'c(&c)%G%cc20+H1%c&c)%'c c %c&'c(&cc)%G%cc&(%'I*cc c 3&'c''&c,%&&cc&(&&%$:c c &,(c&c&-&0cc+JKc,%*&&'(cc+',&:/c c +*%c(c+0(c&&%*(cc*%c+&c&c,(*%cc0'c(c'K(c &*'cc*)*%/c c ;(0+:'(cc%c+&cc&c(c9%*(c&c 0%c0cc%&$Kcc &20c((c c$%c&'c(&c)%%/c c c&'cc*c*)*%cc0'cL%*&c&c+0:c&%&#c0%#c%(#c 9%*+cc?&%#cc $0Gc#cc&%%#c %c&c&'0/c c ;+%c*'cc,&0+c&c&%-*%c*'c&(c(c*)*%(/c c c (%cc-&*)'&cc&+c!0*c(&c-%c&%'%cc%1+)c c 9&*)%cc&+c!0*c c

'Bc9&*)c ',cM0%*c&c&+c!0*/c c ccc c '%&+c0%#c0%cH20c;+cc +)c c c c c c c c c c c c

acc ; c 33 ccc #c cc 33 3/c c 0*c&(20&*&%c&c,&%$0%c(&c,&c(&%c%1+)cc,*&&/c

+*cc,&0+c0'c&&%'c,c0cL%$Kc,&'(c-:&%cc '&JKc,&%$0c3(&'c&%(c&(c&&%$:Nc3(&'c $&(c&(c&&%$:Nc//////c c c cc c 3c c3c9 /c

'Bc c%c+&#c-%*+cc-$/c (c(c'K(ccc+',&:c&c%('0JKc&((c*%$(/c c ,L(cc&%'cc+',&:cc%c0'c%c&%&c&('&%+=c,%c &&%$:%>c c

'Bc %cc-%*+cc&%%#-%*+cc.&%#c %c&c&'0/c c (%cc-&*)'&cc&+c!0*c(&c-%c&%'%cc%1+)c c 9&*)%cc&+c!0*c c

'Bc9&*)c ',cM0%*c&c&+c!0*/c c ccc c '%&+c0%#c0%cH20c;+cc +)c c c c c c c c c c c c c c c

cc c3c 3cc c c 3c 3c" M 3c c &%cc'&cc,&((c20&c&'cc&%c*'cc+$JKc(c*%O&(/c %1+)%c&'c*c*)*%/c c &*cc,&%'(c,%ccc,%c&(&c%1+)c&c*0%cc&cc c,%c20&c'1(c,(('c&%c&'c)%'c&c&20+H1%ccc

',AKc&cc ((&%*%ccc(&0(c %JO&(/c c

)*%c %G%c((*c&c*%c(c*%O&(c&(*0%(c20&c+$%'c cc*'cc&(cc0c&'c0c/c ((*cc20+20&%c-+c&c-.c20&c&%'c0c%&$&%'cc(0(c %$&'/c cc*%c+&c(c-(c*+%(c)%':c&c &20+1%cc*)*%c %G%/c c

)*%c9%+cc((*c&c*%c(c*%O&(c&(*0%(c20&c+$'cc c*'ccc&(cc0c&'c0%c/c((*c&c &(,%$%'c20+20&%cc-%'c&c*',%&&&%c0'cc0%#c&A&*&((c &c&$&#c%ccc'0#c'&%+('c&A*&((/c cc*%c :0+$c(c-(c*+%(c)%':c&c&20+1%cc *)*%c-%+/c c

)*%c%H$&cc((*c&c*%c(c*%O&(c&(*0%(c20&c+$'cc c*'ccc&(cc0c&'c0%c/c((*c&c &(,%$%'cc20+20&%c(&'&c%&,%'cc20&c,&c&%c&A(c &'%&c(c(c#c&cKc&%c*(&$0c&A,%&((%c(c(&'&(/c cc*%c :0+c(c-(c*+%(c)%':c&c&20+1%cc*)*%c +%H$&/c c

)*%c %H*cc((*c&c*%c(c*%O&(c&(*0%(c20&c+$'cc c*'ccc&(cc0c&'c0%c/c((*c&c &(,%$%'c20+20&%c-+c&c*',%&&(Kc20&c,&c&%c&A(#c ,$%c(c%(&:#c%*%&(c20&c$0%'c&%cc*%JK#c,&%'c 20&c-+c&(c&&$c&c '%cc20&c'1(c,&%'&'cc*',%&&(K/c cc*%c;&%&c(c-(c*+%(c)%':c&c&20+1%cc *)*%c*%H*/c c c

)*%c(%*cc((*c&c*%c(c*%O&(c&(*0%(c20&c+$'cc c*'ccc&(cc0c&'c0%c/c((*c&c &(,%$%'c20+20&%c,c&c%#c'&#c(&$0%J#c*0+,#c %%&,&'&(#c+&%Q*/c&c,&%%c&c,&%%ccc *'c-%*cc&0c*%JK/c cc*%c '%&+c(c-(c*+%(c)%':c&c&20+1%cc *)*%c$(%*c c c

)*%cc3&A0+cc((*c&c*%c(c*%O&(c&(*0%(c20&c+$'cc c*'ccc&(cc0c&'c0%c/c((*c&c &(,%$%'c(c-*0+&(c20&c&%'cc%&+*'&c*<0$+c *'c,+%(c-&*(#c-+c&c*',%&&(/c cc*%c%<c(c-(c*+%(c)%':c&c&20+1%cc *)*%c3&A0+/c c

)*%c!G(*cc((*c&c*%c(c*%O&(c&(*0%(c20&c+$'cc c*'ccc&(cc0c&'c0%c/c((*c&c &(%$%'c20+20&%c1%$c20&c&%'c,%c-+c&c)&%#c ,%1+&'(c-'+%&(#c-+c&c+&c20&c,&c&%c*+(c &(&'&cc'0(c&:&(/c cc*%c;&%'&+)c(c-(c*+%(c)%':c&c&20+1%cc *)*%c!G(*/c c c c &()0c&c &+%A/c=c(c*)*%>c c &(,+%:JKcc c c +*%c(c'K(c&(&(c(1%&cc*1&Jcc,*&&/c c +*%c(c'K(c(c(c)&'(-.%(c*&+&1%(c*'c0'c -%&c',0+(c&&%$.*#c*cc%*c&'c(&$0cc,(JKc (c'K(#c20&c-20&c&'c)&'(-.%(c-&%&&(cc&c&(c&c ,%<&%'(c0%c',0+(c*cc&c(('c,%c&c.ca#c(&',%&c %*c(c,(JO&(c(c'K(/c c c c

+%:JKc c (('(cc(&%%c(c-%'(c,&('&(c&c'%#c-&+*&#c*0%#c (1&%#c*',%&&(#c0c,%*0%cc'&'L%c&c0'c&*%JKcc &'c20&c&0c*'c+&$%c&c-&+*&#c,+('c&((&c&(c&c **&*/c c c c " 3c3c 3c c

'Bc c '&)c&'c(c(c*)%*%(/c c c c c c c c c c c c c c c c c c c c c c c c c c c

9 " 3c3c ! "3c c 9&*)%cc&+c!0*c c

'Bc9&*)c ',cM0%*c&c&+c!0*/c c ccc c '%&+c0%#c0%cH20c;+cc +)c c c <0(cc-%&2RS*c1%L%c&c-&*)c(c(c*%,(#c-A(#c '&(O&(/c c'c *)#c'c %#cc%#c&*)c&c4&()/c $%&*&'(c(c)&%%20(c20&c(c<0%'c&c(c%&%'/c &*+:c )'c (#c )'c0%c&cc )'c :0+/c c c c c c c c c c c c

c

cc c c

c

cc c c