Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 51
Filtrar
1.
Taiwan J Ophthalmol ; 14(2): 143-150, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39027063

RESUMEN

The objective of this article is to comprehensively review the effect of environmental lighting on ocular growth and refractive status in both animal and clinical studies, with an emphasis on the underlying mechanisms. This review was performed by searching research articles and reviews utilizing the terms "myopia," "light therapy," "axial length," "refractive error," and "emmetropization" in PubMed datasets. The review was finalized in December 2023. In the animal studies, high lighting brightness, illumination periods aligning with circadian rhythm, and color contrast signals including multiple wavelengths all help regulate ocular growth against myopia. Long wavelengths have been found to induce myopia in chicks, mice, fish, and guinea pigs, whereas shorter wavelengths lead to hyperopia. In contrast, red light has been observed to have a protective effect against myopia in tree shrews and rhesus monkeys. Apart from wavelength, flicker status also showed inconsistent effects on ocular growth, which could be attributed to differences in ocular refractive status, evolutionary disparities in retinal cone cells across species, and the selection of myopia induction models in experiments. In the clinical studies, current evidence suggests a control effect with red light therapy. Although the lighting conditions diverge from those in animal experiments, further reports are needed to assess the long-term effects. In conclusion, this review encompasses research related to the impact of light exposure on myopia and further explores the retinoscleral signaling pathway in refractive development. The aim is to establish a theoretical foundation for optimizing environmental factors in lighting design to address the epidemic of childhood myopia.

2.
J Formos Med Assoc ; 2024 Apr 05.
Artículo en Inglés | MEDLINE | ID: mdl-38580610

RESUMEN

BACKGROUND: Previous research on the factors associated with surgical dose-response in strabismus surgery for exotropia has yielded inconsistent results. This study determined the factors influencing surgical dose-response in exotropia patients who underwent recession and resection (R&R). METHODS: Exotropia patients who underwent unilateral R&R at the National Taiwan University Hospital between 2006 and 2021 were evaluated. Deviation-angle differences in prism diopters (PD) were measured preoperatively and at 1 month postoperatively. Surgical dose-response (PD/mm) was defined as the difference in deviation angle (in PD) divided by the surgical dose in millimeters. Linear and non-linear regression models were used to evaluate the influence of variables including age, sex, axial length, and preoperative deviation on surgical dose-response. RESULTS: Overall, 295 patients (162 children; 133 adults) were included. Average surgical dose-response in the pediatric and adult groups was 2.82 ± 0.60 PD/mm and 3.02 ± 0.62 PD/mm, respectively. Male sex was negatively correlated with surgical dose-response in children. The surgical dose-response was larger in adults with longer axial length (>25.64 mm) and patients with larger preoperative deviation (>42.6 PD and >38.7 PD in pediatric and adult groups, respectively). Surgical dose-responses peaked at 35.1 years. CONCLUSION: Age, axial length, and preoperative deviation have a nonlinear effect on surgical dose-responses in exotropia patients undergoing R&R. Surgical dose-responses were larger in patients in young adulthood, with longer axial length and larger preoperative deviation angle. A table with fitted values for surgical dose-response based on age, axial length, and preoperative deviation was established for clinical reference.

3.
Environ Res ; 243: 117824, 2024 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-38061592

RESUMEN

The sustainable management of multiple concurrent ecosystem services (ESs) requires a comprehensive understanding of the interconnections between various ESs. In this study, we develop spatial maps for six distinct ESs using a variety of models, and we quantify their trade-offs, synergies, and bundling patterns through spatial mapping and statistical methodologies. We further delve into the antagonistic and synergistic dynamics between different ESs within each Ecosystem Service Bundle (ESB), and employ GeoDetector to pinpoint the key drivers of each ES. Our findings reveal that: (1) The spatial distributions of ESs are heterogeneous, with most ESs exhibiting a downward trend except for GP and SC, which are on the rise. CS shows positive correlations with all other five ES indicators. HQ exhibits positive correlations with SC and RS, whereas negative correlations are observed between HQ-GP and WC-RS. Six ES pairs demonstrate a decline in synergistic relationships, but an increase in trade-off relationships. (2) We distinguish six types of ESBs, each differing in their combination and extent of ES provision. The trade-offs and synergies within these distinct ESBs display both commonalities and differences. In certain ESBs, supply services display synergistic relationships with other ESs. We leverage ES bundles as the foundation for studying spatial planning zoning, revealing a diversity in the interactions between different ES pairs and the driving factors of ES. Therefore, we establish the theoretical basis for formulating spatial planning on the interrelationships and drivers of ES under spatial and temporal changes. We anticipate that our findings will offer valuable scientific insight for the development of future ecological conservation and spatial planning strategies in the region.


Asunto(s)
Conservación de los Recursos Naturales , Ecosistema , Conservación de los Recursos Naturales/métodos , China
4.
Ophthalmol Ther ; 13(2): 541-552, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38127196

RESUMEN

INTRODUCTION: To evaluate the efficacy and safety of myopia control using a multifocal soft contact lens designed with high peripheral add power in schoolchildren. METHODS: This 1-year multi-center, prospective, randomized, double-blind, controlled study enrolled myopic schoolchildren aged 6-15 years with refractive errors between - 1.0 D and - 10.0 D. Each participant was randomly allocated to wear a daily disposable multifocal soft contact lens as the treatment in one eye and a single-vision soft contact lens as the control in the other eye. The primary endpoints were changes in the cycloplegic spherical equivalent (SE) and axial length at 1 year. RESULTS: Fifty-two of the 59 participants (88.1%) completed the study protocol. The mean change in SE was - 0.73 ± 0.40 D in the treatment group. and - 0.85 ± 0.51 D in the control group (mean difference: - 0.12 ± 0.34 D, p = 0.012). The mean change in axial length was 0.25 ± 0.14 mm in the treatment group, and 0.33 ± 0.17 mm in the control group (mean difference: 0.08 ± 0.10 mm, p < 0.001). The treatment was well tolerated, and no serious adverse events were observed. CONCLUSIONS: Treatment with multifocal soft contact lenses with high peripheral add power was effective in controlling the progression of myopia and axial length elongation in myopic schoolchildren.

5.
Soc Sci Med ; 338: 116304, 2023 12.
Artículo en Inglés | MEDLINE | ID: mdl-37907059

RESUMEN

Understanding how built environment attributes affect health remains important. While many studies have explored the objective characteristics of built environments that affect health outcomes, few have examined the role of human perceptions of built environments on physical health. Baidu Street View images and computer vision technological advances have helped researchers overcome the constraints of traditional methods of measuring human perceptions (e.g., these methods are laborious, time-consuming, and costly), allowing for large-scale measurements of human perceptions. This study estimated human perceptions of the built environment (e.g., beauty, boredom, depression, safety, vitality, and wealth) by adopting Baidu Street View images and deep learning algorithms. Negative binomial regression models were employed to analyze the relationship between human perceptions and cardiovascular disease in older adults (e.g., ischemic heart disease and cerebrovascular disease). The results indicated that wealth perception is negatively related to the risk of cardiovascular disease. However, depression and vitality perceptions are positively associated with the risk of cardiovascular disease. Furthermore, we found no relationship between beauty, boredom, safety perceptions, and the risk of cardiovascular disease. Our findings highlight the importance of human perceptions in the development of healthy city planning and facilitate a comprehensive understanding of the relationship between built environment characteristics and health outcomes in older adults. They also demonstrate that street view images have the potential to provide insights into this complicated issue, assisting in the formulation of refined interventions and health policies.


Asunto(s)
Enfermedades Cardiovasculares , Aprendizaje Profundo , Humanos , Anciano , Características de la Residencia , Entorno Construido , Planificación Ambiental , Caminata
6.
Lab Chip ; 23(15): 3328-3352, 2023 07 25.
Artículo en Inglés | MEDLINE | ID: mdl-37439827

RESUMEN

Printable biosensors have gained numerous exciting advancements towards downstream applications in fundamental biomedical research, healthcare, food safety, environmental monitoring and governance, and to name a few. Particularly, paper-based printable biosensors have gained rising popularity in providing affordable platforms due to their merits, such as cost-effective, accurate, simple, and efficient detection of diseases for clinical diagnosis. In addition to advantages and opportunities in point-of-care detection, printable biosensors are also facing challenges. Herein, this review aims to provide a systematic summary of the development of printable biosensors, with a special focus on paper-based printable biosensors. Different types of substrates for printable biosensors are highlighted with a focus on paper substrates which have superior properties like low-cost, simple, flexible, lightweight, recyclable, etc. In addition, current printing technologies to fabricate paper-based sensors, including wax printing, photolithography, screen printing, inkjet printing, and laser printing summarize, are discussed, together with strategies for biomolecular fabrication on substrates and transducers. Finally, we also discuss the challenges and possible future perspectives, hoping to provide researchers and clinicians with informative insights into paper-based printable biosensors for smart and effective point-of-care detection.


Asunto(s)
Técnicas Biosensibles , Sistemas de Atención de Punto , Tecnología , Impresión
7.
Health Place ; 83: 103048, 2023 09.
Artículo en Inglés | MEDLINE | ID: mdl-37348293

RESUMEN

To examine what built environment characteristics improve the health outcomes of human beings is always a hot issue. While a growing literature has analyzed the link between the built environment and health, few studies have investigated this relationship across different spatial scales. In this study, eighteen variables were selected from multi-source data and reduced to eight built environment attributes using principal component analysis. These attributes included socioeconomic deprivation, urban density, street walkability, land-use diversity, blue-green space, transportation convenience, ageing, and street insecurity. Multiscale geographically weighted regression was then employed to clarify how these attributes relate to cardiovascular disease at different scales. The results indicated that: (1) multiscale geographically weighted regression showed a better fit of the association between the built environment and cardiovascular diseases than other models (e.g., ordinary least squares and geographically weighted regression), and is thus an effective approach for multiscale analysis of the built environment and health associations; (2) built environment variables related to cardiovascular diseases can be divided into global variables with large scales (e.g., socioeconomic deprivation, street walkability, land-use diversity, blue-green space, transportation convenience, and ageing) and local variables with small scales (e.g., urban density and street insecurity); and (3) at specific spatial scales, global variables had trivial spatial variation across the area, while local variables showed significant gradients. These findings provide greater insight into the association between the built environment and lifestyle-related diseases in densely populated cities, emphasizing the significance of hierarchical and place-specific policy formation in health interventions.


Asunto(s)
Enfermedades Cardiovasculares , Humanos , Enfermedades Cardiovasculares/epidemiología , Ciudades , Entorno Construido , Análisis Espacial , Regresión Espacial , Características de la Residencia , Planificación Ambiental
8.
Travel Behav Soc ; 31: 37-48, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-36405767

RESUMEN

After successfully inhibiting the first wave of COVID-19 transmission through a city lockdown, Wuhan implemented a series of policies to gradually lift restrictions and restore daily activities. Existing studies mainly focus on the intercity recovery under a macroscopic view. How does the intracity mobility return to normal? Is the recovery process consistent among different subareas, and what factor affects the post-pandemic recovery? To answer these questions, we sorted out policies adopted during the Wuhan resumption, and collected the long-time mobility big data in 1105 traffic analysis zones (TAZs) to construct an observation matrix (A). We then used the nonnegative matrix factorization (NMF) method to approximate A as the product of two condensed matrices (WH). The column vectors of W matrix were visualized as five typical recovery curves to reveal the temporal change. The row vectors of H matrix were visualized to identify the spatial distribution of each recovery type, and were analyzed with variables of population, GDP, land use, and key facility to explain the recovery driving mechanisms. We found that the "staggered time" policies implemented in Wuhan effectively staggered the peak mobility of several recovery types ("staggered peak"). Besides, different TAZs had heterogeneous response intensities to these policies ("staggered area") which were closely related to land uses and key facilities. The creative policies taken by Wuhan highlight the wisdom of public health crisis management, and could provide an empirical reference for the adjustment of post-pandemic intervention measures in other cities.

9.
BMC Public Health ; 22(1): 1637, 2022 08 30.
Artículo en Inglés | MEDLINE | ID: mdl-36038863

RESUMEN

BACKGROUND: Preventive parental behavior may play an important role in the outcomes of children's myopia. We investigated associations between parental behavior and children's myopia status and daily activities using data from the most recent myopia survey in Taiwan. METHODS: In total, 3845 children aged 3 to 18 years who completely responded to the questionnaire were included (total score ranging from 0 to 75). A score of ≥ 50 was considered to indicate beneficial parental behavior. Time allocation data for near-work activities, using electronic devices, and outdoor activities were collected using a separate self-reported questionnaire. Associations between beneficial parental behavior and children's myopia status and activity patterns were analyzed and stratified by school level. RESULTS: Beneficial parental behavior was positively associated with children's myopia in the overall samples [adj. odds ratio (OR): 1.31, 95% confidence interval (CI): 1.08-1.59, p = 0.006)] and at the elementary school level (adj. OR: 1.43, 95% CI: 1.11-1.83, p = 0.005). However, a negative association with high myopia was observed in the overall samples (adj. OR: 0.71, 95% CI: 0.50-0.99, p = 0.049) and high school level (adj. OR: 0.62, 95% CI: 0.41-0.92, p = 0.02). Beneficial parental behavior was associated with less time spent on near work (≥ 180 min/day) and electronic device use (≥ 60 min/day), but not with outdoor activities. CONCLUSION: In Taiwan, children's myopia is associated with higher rate of parents' beneficial behaviors, which suggests that regular vision surveillance is necessary to promote better parental behavior toward children's eye care. Certain parental practices may influence children's behavior pattern and reduce the risk of children's high myopia development in the long run.


Asunto(s)
Miopía , Niño , Humanos , Miopía/epidemiología , Miopía/prevención & control , Oportunidad Relativa , Padres , Instituciones Académicas , Encuestas y Cuestionarios
10.
Health Place ; 74: 102766, 2022 03.
Artículo en Inglés | MEDLINE | ID: mdl-35172261

RESUMEN

The importance and sensitivity of the time dimension in the emergency medical service (EMS) field have been widely recognized in recent years. However, the EMS spatio-temporal disparity remains partially uncovered in traditional accessibility measurements due to EMS's context-sensitive characteristics and demand specificity. In this study, we obtained dynamic traffic conditions and realistic EMS demand from online map services and historical emergency calls-out data, and then developed three location-based spatio-temporal EMS accessibility measurements. The empirical results demonstrate that the three different spatio-temporal EMS accessibility have a complex relationship, and are beneficial for measuring the EMS spatio-temporal disparity in different scenarios with distinct competitive effects. Ultimately, we emphasized four original EMS accessibility patterns, which helped us uncover significantly well-served or underserved areas. This study contributes to optimize the layout of EMS resources by understanding the regularity of EMS spatio-temporal disparity.


Asunto(s)
Servicios Médicos de Urgencia , Recolección de Datos , Humanos
11.
Artículo en Inglés | MEDLINE | ID: mdl-34948674

RESUMEN

Many scholars have conducted in-depth research on the theme of land use change and food security, and formed fruitful research results, but there is a lack of quantitative analysis and comprehensive evaluation of research achievements. Therefore, based on the relevant literature on the theme of land use change and food security in the core collection of the Web of Science (WOS) database, this paper takes the advantage of CiteSpace and VOSviewer bibliometric software to draw the cooperative network and keyword cooccurrence map to analyze the research progress and frontier. The results reveal that: (1) The research started in 1999 and can be divided into three stages: initial research, rapid development, and a stable in-depth stage. This topic has increasingly become a research hotspot in the academic community. (2) The distribution of research institutions is concentrated and forms a small cluster, and the research networks between developed and developing countries have been established, and developed countries are in the core position, but the cooperation network is not prominent. (3) The research content is becoming increasingly organized and systematic, and the research hot topics are divided into seven aspects. (4) The research area of the subject covers multiple levels, such as global, national, and specific natural geographical regions, and has formed a research system of geographic information technology and satellite remote sensing technology. It also presents the trend of cross integration with economics, land management and soil science. In the future, theoretical innovation still needs to be strengthened, and we should strengthen the research on the impact of agricultural chemical fertilizers on food security and study the impact of urban expansion on land use change.


Asunto(s)
Bibliometría , Publicaciones , Bases de Datos Factuales , Seguridad Alimentaria , Programas Informáticos
12.
Life (Basel) ; 11(11)2021 Oct 26.
Artículo en Inglés | MEDLINE | ID: mdl-34833015

RESUMEN

Strabismus is associated with amblyopia and a lower quality of life. Attention-deficit hyperactivity disorder (ADHD) is common among children and adolescents, and influences their academic, vocational, and social life. Previous studies have suggested an association between strabismus and ADHD. Using data from the Taiwan National Health Insurance Research Database between 2000 and 2010, we performed a large-scale cohort study comparing the incidence, risk factors, and severity of ADHD in children with and without strabismus. A total of 2049 patients <18 years old with newly diagnosed strabismus (esotropia: 404; exotropia: 1645) were identified, and 8196 age- and sex-matched controls without strabismus were also included. After an average of 6.5 ± 2.9 years of follow-up, the incidence of ADHD per 1000 person-years was 5.39 in the strabismus group (esotropia: 9.93; exotropia: 4.11) and 3.23 in the control group. The cumulative incidence of ADHD was significantly greater in the esotropia (hazard ratio [HR]: 2.04; 95% confidence interval [CI]:1.36-3.06; p = 0.0007) and exotropia groups (HR: 1.44; 95% CI: 1.03-2.03; p = 0.038) than in the controls. Patients with strabismus had more comorbidities than those without (p < 0.05). In summary, this large-scale study found a higher cumulative incidence of ADHD in patients with strabismus, especially in those with esotropia.

13.
Environ Pollut ; 291: 118128, 2021 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-34530244

RESUMEN

Previous studies have mostly focused on using visible-to-near-infrared spectral technique to quantitatively estimate soil cadmium (Cd) content, whereas little attention has been paid to identifying soil Cd contamination from a perspective of spectral classification. Here, we developed a framework to compare the potential of two spectral transformations (i.e., raw reflectance and continuum removal [CR]), three optimization strategies (i.e., full-spectrum, Boruta feature selection, and synthetic minority over-sampling technique [SMOTE]), and three classification algorithms (i.e., partial least squares discriminant analysis, random forest [RF], and support vector machine) for diagnosing soil Cd contamination. A total of 536 soil samples were collected from urban and suburban areas located in Wuhan City, China. Specifically, Boruta and SMOTE strategies were aimed at selecting the most informative predictors and obtaining balanced training datasets, respectively. Results indicated that soils contaminated by Cd induced decrease in spectral reflectance magnitude. Classification models developed after Boruta and SMOTE strategies out-performed to those from full-spectrum. A diagnose model combining CR preprocessing, SMOTE strategy, and RF algorithm achieved the highest validation accuracy for soil Cd (Kappa = 0.74). This study provides a theoretical reference for rapid identification of and monitoring of soil Cd contamination in urban and suburban areas.


Asunto(s)
Contaminantes del Suelo , Suelo , Cadmio/análisis , Análisis de los Mínimos Cuadrados , Contaminantes del Suelo/análisis , Espectroscopía Infrarroja Corta
14.
J Environ Manage ; 285: 112054, 2021 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-33556701

RESUMEN

Cropland protection strategies have provided a strong contribution to limit cropland transformation worldwide. However, it negatively affects ecological land (e.g., forest, grassland, and wetland). Identifying a win-win approach for cropland protection and ecological conservation is important. Land use optimization plays a vital role in solving conflicts among land uses. Thus, in this research, taking China (mainland) as the study area, we optimized the spatial distribution of urban land and cropland to balance the requirement of cropland protection strategies and their negative effects on ecological land according to the spatial heterogeneity of land agricultural production capacity by using the LAND System Cellular Automata model for Potential Effects (LANDSCAPE). Specifically, we developed three optimization scenarios from compensational, occupancy, and occupancy and compensational sectors. We also developed one non-optimization scenario to remain comparable. Results show that compared with the non-optimization scenario, the reduced loss of ecological land in compensational, occupancy, and occupancy and compensational optimization scenario is 7180, 247, and 7277 km2, respectively. Our research indicates that we should prioritize the quality of compensated cropland when developing cropland protection strategies and planning, considering the low efficiency of the occupancy optimization and the cost of policymaking and implementing.


Asunto(s)
Conservación de los Recursos Naturales , Bosques , Agricultura , China , Productos Agrícolas , Ecosistema
15.
Sci Total Environ ; 754: 142120, 2021 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-32911155

RESUMEN

The accurate mapping of farmland soil organic carbon density (SOCD) is crucial for evaluating carbon (C) sequestration potential and forecasting climate change. Natural factors such as soil types and topographical factors are important variables in mapping soil properties. Moreover, cropping systems are important components of agricultural activities and are significantly correlated with soil properties. Therefore, integrating cropping systems and natural factors can improve the accuracy of mapping farmland SOCD. This study aimed to obtain and incorporate cropping system information in mapping SOCD in plains by combining normalized difference vegetation index (NDVI) time-series data and the regression Kriging (RK) method. We collected 230 topsoil samples in Jianghan Plain, China and (i) obtained the spatial patterns of crops in summer and winter using NDVI time-series data derived from HJ-1A/1B satellite images, (ii) investigated the differences in SOCD under different cropping systems, and (iii) evaluated the performance of the RK_CS model in integrating cropping systems and natural factors into mapping SOCD. ANOVA results showed significant differences in SOCD under different cropping systems. Specifically, the SOCD of single rice was higher than that of rice-wheat rotation and dry crops. Meanwhile, the regression results showed that SOCD was affected by natural factors and cropping system, with the latter playing a major role. The integration of soil types, slope and cropping systems explained approximately 26.3% of the variation in SOCD. Model validation results confirmed the effectiveness of the RK_CS model. The findings reveal single cropping rice sequences more C than other cropping systems. Cropping system is an important environmental variable in improving mapping farmland SOCD in plains.

16.
J Formos Med Assoc ; 120(1 Pt 1): 137-144, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32223997

RESUMEN

PURPOSE: To establish an appropriate clinical protocol for early photoscreening in 12-to-24-month-old children at pediatric well-baby clinics. METHODS: This prospective study included a total of 277 children aged 12-24 months who visited a pediatric well-baby clinic. All participants underwent: 1) inquiry of medical history; 2) photoscreening with PlusoptiX A12; and 3) comprehensive ophthalmologic examinations. The optimal referral cut-off point for PlusoptiX was determined by receiver operating characteristic analyses. A high-risk subgroup was defined as having a birth weight <3000 g or a history of major systemic diseases, based on the results of multivariable risk factor analysis from children's medical history. A strategy of selective photoscreening focusing on the high-risk subgroup was evaluated. The main outcome measures included sensitivity, specificity, and positive and negative predictive values. RESULTS: The prevalence of amblyopia risk factors in our study population was 12.3%. A total of 172 children (62.1%) were assigned to the high-risk subgroup. Compared with the nonselective photoscreening of all 277 children, selective photoscreening of the high-risk children yielded a higher positive predictive value (59.6% vs. 46.7%, p = 0.001) while showing no difference in sensitivity (82.3% vs. 85.3%, p = 0.32), specificity (92.2% vs, 86.4%, p = 0.05), and negative predictive value (97.4% vs. 97.6%, p = 0.50). CONCLUSION: At pediatric well-baby clinics, selective photoscreening among 12-to-24-month-old children with a birth weight <3000 g or a history of major systemic diseases helped reducing the number of children need to be screened and conserving medical resources yet identifying children at risk for timely eye care.


Asunto(s)
Ambliopía , Selección Visual , Ambliopía/diagnóstico , Ambliopía/epidemiología , Preescolar , Humanos , Lactante , Valor Predictivo de las Pruebas , Estudios Prospectivos , Reproducibilidad de los Resultados , Factores de Riesgo
17.
Ophthalmology ; 128(2): 290-301, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-32679159

RESUMEN

PURPOSE: The aim of this study was to evaluate the changes in the prevalence of myopia in Taiwanese schoolchildren over the past few decades and to analyze the risk factors for myopia. DESIGN: Analysis of 8 consecutive population-based myopia surveys conducted from 1983 through 2017. PARTICIPANTS: An average of 8917 (5019-11 656) schoolchildren 3 to 18 years of age were selected using stratified systematic cluster sampling or by probability proportional to size sampling. METHODS: All participants underwent complete ophthalmic evaluations. Three drops of 0.5% tropicamide were used to obtain the cycloplegic refractive status of each participant. Questionnaires were used to acquire participant data from the 1995, 2005, 2010, and 2016 surveys. MAIN OUTCOME MEASURES: Prevalence of myopia (spherical equivalence of ≤-0.25 diopter [D]) and high myopia (≤-6.0 D) was assessed. Multivariate analyses of risk factors were conducted. RESULTS: The prevalence of myopia among all age groups increased steadily. From 1983 through 2017, the weighted prevalence increased from 5.37% (95% confidence interval [CI], 3.50%-7.23%) to 25.41% (95% CI, 21.27%-29.55%) for 7-year-olds (P = 0.001 for trend) and from 30.66% (95% CI, 26.89%-34.43%) to 76.67% (95% CI, 72.94%-80.40%) for 12-year-olds (P = 0.001 for trend). The prevalence of high myopia also increased from 1.39% (95% CI, 0.43%-2.35%) to 4.26% (95% CI, 3.35%-5.17%) for 12-year-olds (P = 0.008 for trend) and from 4.37% (95% CI, 2.91%-5.82%) to 15.36% (95% CI, 13.78%-16.94%) for 15-year-olds (P = 0.039 for trend). In both the 2005 and 2016 survey samples, children who spent less than 180 minutes daily on near-work activities showed significantly lower risks for myopia developing (<60 minutes: odds ratio [OR], 0.48 and 0.56; 60-180 minutes: OR, 0.69 and 0.67). In the 2016 survey, spending more than 60 minutes daily on electronic devices was associated significantly with both myopia and high myopia (OR, 2.43 and 2.31). CONCLUSIONS: The prevalence of myopia among schoolchildren increased rapidly from 1983 through 2017 in Taiwan. The major risk factors are older age and time spent on near-work activities. Use of electronic devices increased the amount of time spent on near-work and may increase the risk of developing myopia.


Asunto(s)
Miopía/epidemiología , Adolescente , Niño , Preescolar , Femenino , Encuestas Epidemiológicas/estadística & datos numéricos , Humanos , Masculino , Midriáticos/administración & dosificación , Oportunidad Relativa , Prevalencia , Factores de Riesgo , Instituciones Académicas , Taiwán/epidemiología , Tropicamida/administración & dosificación , Pruebas de Visión
18.
Taiwan J Ophthalmol ; 10(3): 231-234, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33110758

RESUMEN

Closed-head trauma is a well-recognized etiology of acquired superior oblique (SO) palsy. However, combined SO palsy and ipsilateral Brown's syndrome after a closed-head trauma is rare. We describe a patient with this ocular motility disorder and conduct a brief review of the literature.

19.
Artículo en Inglés | MEDLINE | ID: mdl-32344851

RESUMEN

Ecosystem services (ESs) are facing challenges from urbanization processes globally. Exploring how ESs respond to urbanization provides valuable information for ecological protection and urban landscape planning. Previous studies mainly focused on the global and single-scaled responses of ESs but ignored the spatially heterogenous and scale-dependent characteristics of these responses. This study chose Wuhan City in China as the study area to explore the spatially varying and scale-dependent responses of ESs, i.e., grain productivity, carbon sequestration, biodiversity potential and erosion prevention, to urbanization using geographically weighted regression (GWR). The results showed that the responses of ESs were spatially nonstationary evidenced by a set of local parameter estimates in GWR models, and scale-dependent indicated by two kinds of scale effects: effect of different bandwidths and effect of grid scales. The stationary index of GWR declined rapidly as the bandwidth increased until reaching to a distance threshold. Moreover, GWR outperformed ordinary least square at both grid scales (i.e., 5 km and 10 km scales) and behaved better at finer scale. The spatially non-stationary and scale-dependent responses of ESs to urbanization are expected to provide beneficial guidance for ecologically friendly urban planning.


Asunto(s)
Ecosistema , Urbanización , China , Ciudades , Conservación de los Recursos Naturales/métodos , Humanos
20.
Sci Total Environ ; 717: 137212, 2020 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-32062284

RESUMEN

Determining the factors that control the spatial variation of heavy metals in suburban soil is important in identifying and preventing pollution sources. Soil intrinsic factors combined with environmental variables can effectively explain the spatial distribution of heavy metals. Compared with classical statistical methods, such as multiple linear regression (MLR) models, spatial regression models that can cope with the spatial dependence of heavy metals have greater potential in establishing an accurate relationship between influencing factors and heavy metals. This study aims to identify the factors that influence the spatial variation of lead (Pb) and cadmium (Cd) in 138 topsoil samples from the suburbs of Wuhan City, China, by using spatial regression models with MLR as the reference. Moran's I values reveal the spatial autocorrelation of Pb and Cd. The spatial lag model (SLM) outperforms MLR and has higher R2 and lower spatial dependence of residuals. The significant coefficients of the spatial lag term in SLMs indicate that the spatial variation of Pb and Cd depends on their surrounding observations. SLM results show that Pb content depends on the distance from the nearest industrial enterprises and suggest that industrial pollution is the main source of Pb. Cd content depends on pH, soil organic matter, and the topographic wetness index, indicating that intrinsic and topographical factors contribute to the spatial variation of Cd. Parent materials and application of phosphorus fertilizer are the most likely sources of Cd. The findings highlight the spatial autocorrelation of heavy metals and the effects of intrinsic factors and environmental variables on the spatial variation of such metals. Moreover, this study reveals the effectiveness of spatial regression models in identifying the influencing factors of heavy metals.

SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA