Spectacle-wearing compliance and its associated determinants among infants with bilateral corrective refractive errors: An observational study.

This study aimed to evaluate spectacle-wearing compliance and identify the determinants associated with it in infants with bilateral corrective refractive errors. Infants aged < 3 years with bilateral corrective refractive errors who were supplied with spectacles for > 1 month were enrolled at the pediatric comprehensive clinic of Zhongshan Ophthalmic Center. Spectacle-wearing compliance was evaluated by calculating the percentage of spectacle-wearing time in the awake time (STIT), and its potential determinants were identified based on interviews with the infants' caregivers using univariate and multivariate logistic regression analysis. Pearson correlation analysis was performed to further determine the degree of correlation between spectacle-wearing compliance and weight of spectacles. A total of 366 infants (age: 20.85 ±â€…9.06 months, male: 54.92%) were included. The mean percentage of STIT was 64.00%±41.69%. The communication between caregivers of different infants regarding spectacle-wearing experience (P = .004, OR = 2.290, 95% confidence interval [CI] for OR = 1.301-4.029), perceptions of spectacle-wearing importance (P = .000, OR = 6.337, 95% CI for OR = 3.664-10.961), and weight of spectacles (P = .000, OR = 7.271, 95% CI for OR = 4.141-12.769) were significantly associated with spectacle-wearing compliance. Besides, spectacle-wearing compliance was positively correlated with the weight of spectacles (P < .01), exhibiting a decreasing trend with the weight of spectacles. Overall, spectacle-wearing compliance requires improvement. Moreover, efficient strategies aimed at improving spectacle-wearing compliance, such as enhancing communication between caregivers of different infants regarding spectacle-wearing experience, raising awareness about the importance of wearing spectacles, and reducing the weight of spectacles, are urgently needed.

Study of Tribological Properties of Fullerenol and Nanodiamonds as Additives in Water-Based Lubricants for Amorphous Carbon (a-C) Coatings.

The tribological performances of fullerenol and nanodiamonds (NDs) as additives in water-based lubricants for amorphous carbon (a-C) coatings are investigated to avoid disadvantage factors, such as chemical reactions and deformation of particles. The effects of size and additive amount on tribological properties of nanoparticles are studied by rigid nanoparticles within the dot size range. The results show that owing to its small particle size (1-2 nm), fullerenol cannot prevent direct contact of the friction pair at low concentration conditions. Only when the quantity of fullerenol increased to support the asperity contact loads in sufficient concentration did nano-bearings perform well in anti-friction and anti-wear effects. Unlike fullerenol, nanodiamond particles with a diameter of about 5-10 nm show friction-reducing effect based on the nano-bearing effects at ultra-low concentration (0.01 wt.%), whereas particles at higher concentration block the rolling movement, hence increasing the coefficient of friction (COF) and wear. As a result of the effect of difference in size, fullerenol provides a better overall lubrication, but it is hard to reach a friction coefficient as low as NDs even under the optimal conditions.

Fabrication of Bi2MoO6/ZnO Heterojunction Nanosheet Array with High Photoelectrochemical Property.

Herein, we demonstrate the synthesis of Bi2MoO6 nanosheet array followed with in-situ electrodepositing ZnO layer, resulting in Bi2MoO6/ZnO heterojunction nanosheet array. The thickness of nanoparticle-based ZnO layer on the surface of Bi2MoO6 nanosheets can be rational controlled by regulating the electrodepositing time. The combination of oriented Bi2MoO6 nanosheet array and ZnO layer could not only enhance the conductivity and surface area but also facilitate the charge separation. As expected, the heterojunction electrode yields a photocurrent density of 430 µA/cm² at 0.8 VSCE, which is much higher than that of pristine Bi2MoO6 and ZnO nanosheet array.

Hierarchical W18O49-MoS2 Nanospheres with Enhanced Electrochemical Performance for Energy Storage.

Herein, the regularly hierarchical W18O49-MoS2 nanospheres comprising the urchin-like W18O49 nanospheres and MoS2 nanosheets are facile constructed. The MoS2 nanosheets wrapped around the nanochains of W18O49 nanospheres not only provide synergistic effect, but also enhance the structural stability. As expected, the hybrid hierarchical materials exhibit superior electrochemical performance.

Prevalence and Determinants Associated With Spectacle-Wear Compliance in Aphakic Infants.

PURPOSE: We assess the prevalence of spectacle wear and the factors associated with compliance among aphakic infants with congenital cataracts who underwent lens extraction in South China. METHODS: Infants aged 3 months to 3 years were enrolled from among participants in the Childhood Cataract Program of the Chinese Ministry of Health (CCPMOH). The prevalence and potential determinants of spectacle-wearing compliance were identified from interviews with the infants' caregivers. RESULTS: Among 192 infant caregivers, the mean (SD) age of the infants was 1.89 (0.50) years, and 57% were males. Compliance was 30.9% in the 3-month- to 1-year-old age group, 78.0% in the 1- to 2-year-old age group, and 87.0% in the 2- to 3-year-old age group. The following two factors were associated with spectacle-wearing compliance: softness of the spectacles frame (ß = 1.273, P = 0.002, odds ratio [OR] = 3.6, 95% confidence interval [CI] = 1.6-8.0) and communication with other caregivers regarding the spectacle-wearing experience (ß = -2.955, P = 0.034, OR = 0.1, 95% CI = 0-0.8). CONCLUSIONS: Compliance with spectacle wear was low during the earlier stage, but increased with time in aphakic infants. However, overall compliance should be improved. Therefore, efficient strategies aimed at improving spectacle-wearing compliance are needed. TRANSLATIONAL RELEVANCE: These findings reveal the low spectacle-wearing compliance in aphakic infants and support useful information to improve compliance.

Hierarchical nanosheet-based Bi2MoO6 microboxes for efficient photocatalytic performance.

Hierarchical nanosheet-based Bi2MoO6 microboxes are synthesized by a facile template-assisted strategy. MnCO3 microcubes are prepared as templates for the growth of Bi2MoO6 nanosheets and then etched by using HCl aqueous solution. In particular, the hierarchical Bi2MoO6 microboxes provide a large surface area, and facilitate visible-light absorption and charge separation, demonstrating efficient photocatalytic performance. This work highlights a new method to prepare hollow nanosheet-built Bi2MoO6 structures with high photocatalytic properties.

Patient participation in free cataract surgery: a cross-sectional study of the low-income elderly in urban China.

OBJECTIVES: To explore the characteristics of the low-income elderly who underwent free cataract surgery and to determine the degree of patient satisfaction with the free cataract surgery programme in urban China. METHODS: A free cataract surgery management workflow was designed as a poverty relief project in Guangzhou. In this study, participants who underwent free cataract surgery between January and August 2014 received a telephone interview based on a structured questionnaire. Data were collected on patient demographics, resources, health conditions, reasons for undergoing the free surgery and overall evaluation of the free cataract surgery programme. RESULTS: Among the 833 participants, the mean surgical age was 76.85±7.46 years (95% CI 76.34 to 77.36), and the male to female ratio was 385:448. The majority (94.31%, 746/791) of patients resided in the main urban districts. Patients underwent surgery 61.08±60.15 months (95% CI 56.17 to 66.00) after becoming aware of the cataract, although 66.83% of them reported that their daily lives were influenced by cataracts. Only 21.5% of the respondents underwent physical examinations that included regular eye screening, and only 6.30% were highly educated patients. Financial problems were the primary reason cited by patients for participating in the free surgery programme. Those patients with a monthly family income of 1000-2999¥ (US$161-482) per capita constituted the largest patient population. The free clinics in the parks and the free cataract surgery were highly rated (9.46 and 9.11 of 10 points) by the beneficiaries. CONCLUSIONS: The telephone survey revealed a high level of patient satisfaction regarding the free cataract surgery programme. Most of the patients who participated in the programme resided in major urban districts and had poor health awareness and a low level of education. The information provided by this study is crucial for improving and expanding the management of free cataract surgery programmes. TRIAL REGISTRATION NUMBER: NCT02633865; Post-results.

Improved Tribological Performance of Amorphous Carbon (a-C) Coating by ZrO2 Nanoparticles.

Nanomaterials, such as Graphene, h-BN nanoparticles and MoS2 nanotubes, have shown their ability in improving the tribological performance of amorphous carbon (a-C) coatings. In the current study, the effectiveness of ZrO2 nanoparticles (ZrO2-NPs) in lubricating the self-mated nonhydrogenated a-C contacts was investigated in boundary lubrication regime. The results showed that 13% less friction and 50% less wear compared to the base oil were achieved by employing ZrO2-NPs in the base oil in self-mated a-C contacts. Via analyzing the ZrO2-NPs and the worn a-C surface after tests, it was found that the improved lubrication by ZrO2-NPs was based on "polishing effects", which is a new phenomenon observed between a-C and nanoparticles. Under the "polishing effect", micro-plateaus with extremely smooth surface and uniform height were produced on the analyzed a-C surface. The resulting topography of the a-C coating is suitable for ZrO2-NPs to act as nano-bearings between rubbing surfaces. Especially, the ZrO2-NPs exhibited excellent mechanical and chemical stability, even under the severe service condition, suggesting that the combination of nonhydrogenated a-C coating with ZrO2-NPs is an effective, long lasting and environment-friendly lubrication solution.