[Myopia prevalence and influencing factor analysis of primary and middle school students in our country].

OBJECTIVES: To explore the situation and the affect factors of myopia and scientificalness and effectiveness of eye exercises about primary and middle school students. METHODS: Through the random cluster sampling method, 20 000 students of 90 schools including key and non-key primary or junior or senior school in country and city of shandong, qinghai, yunnan, Shanghai and wenzhou were random selected. Primary students is 11 246 junior students is 3673 senior students is 4220.We surveyed related situation of eye exercises, myopia. a total of 19 139 valid questionnaires were received. By random sampling stratification method, freshmen were selected and retrospective surveyed. 929 freshmen have normal vision when they graduated primary school. 338 freshmen have normal vision when they graduated primary school.2 groups are considered analysis object, and Myopic students of the former in junior school stages and the latter in senior school stages are considered case group, normal vision are considered control group, and then through the Logistic multiple stepwise regression analysis, a regression analysis model is established. RESULTS: This survey show that myopia prevalence was 13.7% of primary students, 42.9% of junior students, 69.7% of senior students. According to the significant P < 0.001, Rsquare = 0.14, the result shows that the model has the significant statistical significance. Among the influence factors, whether to long-term excessive use eye is the most significant, and following by outdoor activities and gender. A chi-square test χ(2) = 0.371 and P = 0.543 show that doing eye exercises was not statistically significant to prevalence of myopia. CONCLUSION: The influence factors are changed, and the preventive methods should be adjusted with the social environment.

[Impact factor of timeliness lag for seeing a doctor about cataract patient in Wenzhou region of Zhejiang province].

OBJECTIVE: Investigation the impact factor of timeliness lag about cataract patient of operation. METHODS: Through Opportunistic Screening , from January 2007 to January 2012, we extracted people aged 50 or above and carried out the cataract screening in 10 towns of Wenzhou region of Zhejiang province. People extracted was checked by slit lamp microscope and ophthalmoscope directly, and the people who are suit for operation were brought to a first-rate of level three eye hospital and operated by MSICS . At the same time we have made questionnaire about five aspect including basic situation, economic status, basic life status, health and medical status and health needs for the operator and this questionnaire involves twenty-three relevant indexes about the timeliness, these factors of timeliness for patients seeing a doctor are judged. RESULTS: 36 681 people are checked for five years and 10 326 people(10 326 eyes) are suitable for surgery. Through analyzing sixteen relevant indexes about the timeliness , there are ten indexes which have Statistical Significance including in transportation, the distance for nearest medical aid post , care knowledge, population of family, income of family, respondents degree , the highest degree of family members type of work, structure of building, government subsidies. The first reason that the people can't be operated in time are economic difficulties, next are older and making children trouble for seven factors of no operation in time. The people for this three reason is more than 75% for not seeing a doctor in time. CONCLUSION: The key work of blindness prevention and treatment is the cataract surgery for our country.Eye doctors pay attention to new surgical technique , at the same time we should promote MSICS which is technique of low cost and have good effect of the operation.

[Analysis of correlative factors and prevalence on China's youth myopia].

OBJECTIVE: To understand and address our vision changes in primary and secondary students, in order to explore the prevention of juvenile myopia to provide a response and suggestions. METHODS: A random cluster sampling method, random sample of 90 rural and urban schools in Shandong, Qinghai, Yunnan, Shanghai and Wenzhou from May 2008 to September 2009, including 20 000 students (per province, 4000 x 5) from elementary school and junior high school of focus and non-focus, primary 11 246, junior high school students 3673, high school 4220, of which 11 177 were from the urban students, rural students in 7962, aged 6 to 19 years old, male to female ratio is basically the same. For myopia and related survey, a total of 19, 139 valid questionnaires were recovered. Using SPSS 13.0 software statistical analysis, different regions and different grades was used to compare the prevalence of myopia chi(2) test, using Logistic regression analysis on the major risk factors for myopia. RESULTS: The survey are as follows, the prevalence of myopia in primary was 13.7%; the prevalence of myopia in junior high was 42.9%, the prevalence of myopia in high school was 69.7%. The highest rate of myopia prevalence of primary school students in Shandong was 19.7%, the lowest was 11.9% in Qinghai, Shanghai, Wenzhou and Yunnan are similar; prevalence myopia of junior high in Wenzhou up to 50.6%, followed by Shanghai, and 47.2%, the lowest was 33.6% in Qinghai; the highest prevalence of myopia and high school students in Shandong, reaching 87.3%, followed by 72.0% in Wenzhou, and the lowest was 60.2% in Shanghai. CONCLUSION: This survey shows that the prevalence of myopia of China's primary and secondary schools in coastal was higher than areas of mainland, in developed regions was higher than in less developed regions, and the plateau region and the strong ultraviolet light similar to the plain areas. Provincial prevalence of myopia increased from primary to high school continued the same trend.

The Impact of the COVID-19 Pandemic on Pediatric Clinical Practice in Wenzhou, China: A Retrospective Study.

Introduction: The COVID-19 pandemic has affected all aspects of life worldwide. The aim of the present study was to review and describe and acknowledge the impact of COVID-19 on the pediatric health care system at a pediatric tertiary hospital in Wenzhou. Methods: A retrospective study was conducted at Yuying Children's Hospital of Wenzhou Medical University, a public pediatric tertiary hospital in Southern Zhejiang Province that specializes in pediatrics. The data regarding the primary diagnosis of patients were extracted from the electronic medical records system of the hospital. Data for outpatients and inpatients treated at the pediatric department were analyzed in the time frame of 22 weeks since the beginning of the pandemic (from December 30, 2019 to June 2, 2020) and compared with data from the same period in 2019. Results: The total number of outpatient cases in the previous 22 weeks of the year declined from 560,620 in 2019 to 247,030 in 2020, and inpatient cases decreased from 14,177 to 7,555. This negative trend settled by week 6 and 7 and subsequently approached the 2019 numbers. The most noticeable decrease in the number of cases was observed in children of preschool age. Moreover, the number of weekly visits decreased at the beginning of the epidemic, reached the lowest value during the lockdown period, and recovered after the lockdown. Conclusion: Based on the results of this study, clinical practice in a pediatric department in Wenzhou was substantially affected by the epidemic and measures such as physical distancing and increased personal hygiene, particularly in preschool-age children. An understanding of the trends and impacts of the pandemic on pediatric patients and health systems will facilitate better preparation of pediatricians in the future.

Relevant factors of estrogen changes of myopia in adolescent females.

BACKGROUND: Gender is one of the risk factors accounting for the high prevalence of adolescent myopia. Considerable research results have shown that myopia incidence of female is higher than that of male. This study aimed to analyze the correlation between ocular parameters and serum estrogen level and to investigate the vision changes along with estrogen change in menstrual cycle of adolescent females. METHODS: A total of 120 young females aged between 15 and 16 years, diagnosed with myopia were recruited. Spherical lens, cylindrical lens, axis, interpupillary distance (IPD), and vision in each tested eye of the same subject were measured by automatic optometry and comprehensive optometry, with repetition of all measurements in the menstrual cycle of the 2 nd or 3 rd days, 14 th days, and 28 th days, respectively. Serum estradiol (E 2 ) levels were assayed by chemiluminescence immunoassay at the same three times points of the menstrual cycle mentioned above. RESULTS: In young females with myopia, the spherical lens showed a statistically significant difference among all different time in menstrual cycle (all P < 0.0001). The cylindrical lens, axis, and IPD were changed significantly during the menstrual cycle (P < 0.05). The vision of the three different time points in menstrual cycle had a significant difference (χ2 = 6.35, P = 0.042). The vision during the 14 th and 28 th day was higher compared to that on the 2 nd or 3 rd days (P = 0.021). Serum E 2 levels were significantly different at different time points in menstrual cycle (P < 0.05). E 2 levels reached its maximum value on the 14 th day and the minimum value on the 2 nd or 3 rd day. CONCLUSIONS: In adolescent females, the spherical lens and other related ocular parameters vary sensitively with different levels of E 2 in menstrual cycle. Vision in late menstrual stage is significantly higher than that in premenstrual stage.