BACKGROUND Visual impairment during early childhood can hinder motor,language,and social development,yet data on its developmental impact across common pediatric ocular diseases remain limited.AIM To investigate the d...BACKGROUND Visual impairment during early childhood can hinder motor,language,and social development,yet data on its developmental impact across common pediatric ocular diseases remain limited.AIM To investigate the developmental impact of low vision and blindness on children under six with common ocular diseases.METHODS This retrospective study reviewed records of new patients under six with visual impairment at Siriraj Hospital’s low vision rehabilitation center(January 2017-October 2022).We collected ocular,systemic,and developmental data;recorded visual acuity in the better-seeing eye after refractive correction;and assessed developmental domains with the DenverⅡ.Univariable and multi-variable logistic regression identified factors associated with developmental delay.RESULTS A total of 161 pediatric patients(mean age 24.9±18.9 months)were enrolled and evaluated based on their ability to fix on and follow an object or light source.Some were further assessed using the Allen picture chart and all had visual acuity worse than 1.07±0.58 LogMAR,and 83.2%were identified as having global developmental delay(GDD).The three most common ocular causes were cortical visual impairment(CVI),optic neuropathy/atrophy,and optic nerve hypoplasia.Extremely poor visual acuity(inability to fixate and follow)was significantly associated with GDD[adjusted odds ratio(AOR)41.0]and delays in all developmental domains:Gross motor(AOR 10.0),fine motor(AOR 12.8),language(AOR 5.3),and personal-social skills(AOR 13.4)(P≤0.002).Multiple disabilities,most often visual impairment with cerebral palsy,were also significantly associated with gross motor delays(AOR 7.7)and fine motor delays(AOR 4.0)(P<0.05).CVI was also related to delays in language and personal-social skills(AOR 9.1 each)(P<0.05).CONCLUSION This study underscores the developmental issues in children with visual impairment,especially those with poorer acuity,CVI,and multiple disabilities.Significant delays were observed in all domains,including GDD.A timely referral to specialists is strongly recommended.展开更多
Using optical visual aids, visual rehabilitation was performed in 14 low vision patients(25 eyes) with age-related macular degeneration. With distance aids, visual acuity improvement appeared in 24 eyes(95%) out of th...Using optical visual aids, visual rehabilitation was performed in 14 low vision patients(25 eyes) with age-related macular degeneration. With distance aids, visual acuity improvement appeared in 24 eyes(95%) out of the 25 eyes. Twelve eyes(48%) obtained a visual acuity equal to or better than 0.4. With near visual aids, near acuity of all eyes(100%) was improved. Thirteen eyes(52%) got the near vision equal to or better than 0.5. Ten patients could read No.5 Chinese Reading Card. The reading success rat...展开更多
Background:In recent decades,several studies have been performed in the field of(non-)use of assistive technology devices(ATs)and have found that many variables are likely to be involved in the decision-making process...Background:In recent decades,several studies have been performed in the field of(non-)use of assistive technology devices(ATs)and have found that many variables are likely to be involved in the decision-making process of whether a person with a disability uses or abandons their aids.In low vision rehabilitation,high variability rates and a variety of reasons for non-use of low vision aids has been reported.Determinants of non-use of ATs have previously been categorized into personal factors,ATs factors,environmental factors of the user,and intervention factors.It is probable that some of these factors are also associated with the use of optical low vision aids(OLVAs).Thus,using a framework about adherence with medical interventions,the aim of this scoping review was to explore barriers and facilitators related to OLVAs(non-)use.Methods:Existing guidelines of the scoping review Methods were used to examine and summarize the extent,range,and nature of findings regarding factor categories associated to OLVAs usage.Searches were conducted using the following online databases:Embase,MedLine,and ERIC without limitation on publication dates.A combination of key words and MeSH terms was used based upon the identified core concepts of the research question:(I)low vision;(II)assistive technology;and(III)adherence.A charting form,a flow chart of the study selection process,and a combination of a descriptive numerical analysis and a thematic analysis of 24 studies were performed.Results:The results of this review indicate high variability rates(range:13-50%,M=24%,SD=10%)of people possessing OLVAs but not using them.Most authors do not use a precise definition of“non-use”,and when a definition is provided,the terminology is inconsistent.As expected,the four categories of variables identified are likely to be involved in OLVAs’(non-)use:(I)the largest number of concerns were personal factors.Several aspects regarding personal characteristics were identified,such as demographic,physical,psychological,social-emotional,and occupational factors.Some variables,such as age,diagnosis and visual acuity were reported as contradictorily influencing the OLVAs’usage;(II)ATs factors were associated with quality,appearance,practical aspects of use and the very type of OLVAs;(III)environmental factors referred to social support,physical barriers,expectations of the social environment,presence of a helper,and stigmatization;(IV)finally,intervention factors consisted of taking into account user’s opinions,positive health care experiences,instruction and training,provision processes,delivery periods,and follow-up services.Conclusions:This scoping review provides the preliminary evidence that factors related to OLVAs non-use could be classified into the same four typical categories described in the theory of non-adherence.These results suggest that strategies intended to enhance adherence might be for OLVAs should focus on these four aspects of device use.展开更多
AIM:To adapt the low vision-related quality of life(LVQOL) instrument into Turkish language and to assess its validity and reliability.METHODS:The study was conducted in 387 patients attending the Centre of Low Vision...AIM:To adapt the low vision-related quality of life(LVQOL) instrument into Turkish language and to assess its validity and reliability.METHODS:The study was conducted in 387 patients attending the Centre of Low Vision Rehabilitation,Faculty of Medicine,Ankara University.For statistical analyses,the Spearman's correlation coefficient,Cronbach's alpha coefficient and Confirmatory Factor Analysis(CFA) were used.RESULTS:According to results of CFA,the item in the 'Adjustment' subscale because of having the factor loading below 0.40,was excluded from the questionnaire.The reliability of the questionnaire was assessed according to Cronbach's alpha coefficients.The reliability of the 'Distance Vision,Mobility,and Lighting' subscale was ?琢=0.863;of the 'Adjustment' subscale was ?琢=0.694;'Reading and Fine Work' was ?琢=0.791,and 'Activities of Daily Living' was ?琢= 0.770.So these results indicate that the questionnaire is reliable to measure the vision related quality of life of low-vision patients.The correlations between the subscales were also analyzed,and the correlation between 'Adjustment' and 'Reading and Fine Work' was found to be the lowest(rs=0.336,P <0.001),whereas the strongest correlation was found between the 'Reading and Fine Work',and 'Activities of Daily Living'.Additionally,the 'Adjustment' dimension showed the strongest correlation with only 'Distance Vision,Mobility,and Lighting' dimension.CONCLUSION:After removing the last item in the second dimension,the Turkish adaptation of all dimensions of the LVQOL has been shown to be reliable,valid and suitable for use in patients with low vision in Turkey.展开更多
The Belle Corporation is a Chinese domestic shoe maker and seller. It also belongs to an industry that has come to be representative of the ubiquitous "Made in China" label. One of the main reasons the compa...The Belle Corporation is a Chinese domestic shoe maker and seller. It also belongs to an industry that has come to be representative of the ubiquitous "Made in China" label. One of the main reasons the company is favored by global investors is due to its unique business pattern-a pattern that sets manufacturing as its base and is active in exploring industrial chain downstream links and establishing its own individual retail channels. Ever since its first inception in the stock market, Belle has set out to acquire several upstream manufacturing companies, indicating its desire for increasing channel terminals. Using a vertically integrated competition strategy, Belle stands out amongst its rivals as being particularly successful in the non-mainstream manufacturing sector. Consequently, its business practices can be used as a model for other domestic manufacturing companies in their efforts to meet the challenges posed by globalization.展开更多
AIM: To determine the prevalence and risk factors for eye diseases, blindness, and low vision in Tibet, and to assist the development of eye disease prevention and treatment schemes.METHODS: We carried out a survey of...AIM: To determine the prevalence and risk factors for eye diseases, blindness, and low vision in Tibet, and to assist the development of eye disease prevention and treatment schemes.METHODS: We carried out a survey of eye diseases among a population living at high altitude. A total of 1 115 Tibetan permanent residents aged 40 years or older from the towns and villages of Qushui County, Lhasa Prefecture, Tibet Autonomous Region, participated in this study. All participants completed a detailed questio-nnaire, and underwent presenting and pinhole visual acuity tests,and a comprehensive ophthalmic examination.RESULTS: There were 187 blind eyes (8.43%), 231 eyes with low vision (10.41% ). The leading cause of visual impairment was cataract of 55.0% (101/187) blindness and of 50.2% (116/231) low vision, followed by fundus lesions of 22.9% blindness and 23.8% low vision, while only a low prevalence of glaucoma of 9.6% blindness and 1.7% low vision was observed. The analysis of 2 219 eyes showed that the most common external eye disease was pterygium (27.2%) in Tibet.CONCLUSION: The high prevalence of blindness and low vision in the Tibetan population at high altitude is a serious public health issue. There is a need to establish and maintain an appropriate effective eye care program in Tibet.展开更多
AIM: To investigate the Chinese version of the Low Vision Quality of Life Questionnaire(CLVQOL) as an instrument for obtaining clinically important changes after cataract surgery.METHODS: Patients underwent cataract s...AIM: To investigate the Chinese version of the Low Vision Quality of Life Questionnaire(CLVQOL) as an instrument for obtaining clinically important changes after cataract surgery.METHODS: Patients underwent cataract surgery in Shanghai General Hospital, Shanghai Jiao Tong University, who fit the inclusion criteria were recruited. Two CLVQOLs were administered, including a preoperative CLVQOL and a CLVQOL at the end of the 3 mo follow-up period, and were completed using face-to-face interviews or phone interviews conducted by trained investigators. The minimal clinically important difference(MCID) was calculated using an anchor-based method and a distribution method. In addition, the responsiveness of the questionnaire was measured.RESULTS: A total of 155 residents were enrolled. The average visual acuity(VA) preoperatively was 0.08(SD=0.05), and it increased to 0.47(SD=0.28) at the end of followup. Statistically significant positive changes in the CLVQOL scores indicated significant improvement of vision related quality of life after cataract surgery. With the larger value between the two results as the final value, the MCID values of the CLVQOL(scores of the four scales as well as the total score) were 8.94, 2.61, 4.34, 3.10 and 17.63, respectively. The CLVQOL has both good internal and external responsiveness.CONCLUSION: CLVQOL scores are appropriate instruments for obtaining clinically important changes after cataract surgery. This study is an effective exploration for establishingcataract surgery efficacy standards, which helps clinical and scientific research workers in ophthalmology to gain a more in-depth understanding when using CLVQOL.展开更多
To assess functional outcomes of optical low vision aids(LVAs) for pediatric visual impairment due to central nervous system(CNS) tumors. A prospective case study was conducted on 15 children with history of CNS tumor...To assess functional outcomes of optical low vision aids(LVAs) for pediatric visual impairment due to central nervous system(CNS) tumors. A prospective case study was conducted on 15 children with history of CNS tumors with mean age of 10.47±1.85 y. Lighthouse distance, near visual acuity tests, cycloplegic refraction, reading speed measurement and visual field examination were done. Prescription of far and near LVAs followed by training sessions. LVPrasad-functional vision questionnaire was done to evaluate performance. Visual impairment was moderate(13.3%), severe(73.3%), profound(6.7%) and near blindness in 6.7%. Telescopes prescribed in 33.4%, video magnifier in 46.7%. Questionnaire scores were significantly improved for distant rather than near tasks(P≤0.05) after training. LVAs rehabilitation is an effective method of improving vision in pediatric visual defects secondary to CNS tumors.展开更多
Objectives: To identify causes of low vision among the patients in the Eye clinic of University of Nigeria Teaching Hospital (UNTH). Methods: This was a cross-sectional study of all new consecutive low vision patients...Objectives: To identify causes of low vision among the patients in the Eye clinic of University of Nigeria Teaching Hospital (UNTH). Methods: This was a cross-sectional study of all new consecutive low vision patients seen at the eye clinic of University of Nigeria Teaching Hospital-(UNTH) Ituku-Ozalla. All patients with low vision were evaluated by the researcher and the findings entered on a research protocol. Data were analyzed using descriptive statistics to generate frequency and percentage distributions and analytical statistics to test for significance of observed inter-group differences. In all comparisons, statistical significance was indicated by p < 0.05. Results: A total of 197 patients were seen comprising of 120 males and 77 females (M:F = 1.6:1) aged 39.3 ± 22.9 SD years. The main causes of low vision in the study population were glaucoma (36.0%), followed by oculocutaneous albinism (14.7%). The mean presenting distant VA was logMAR 1.1 (95% CI), while the mean near VA is logMar 1.0 (6/60, 20/200). After refraction, the mean distant VA was logMar 1.0, using unpaired t-test, the difference between the distant presenting and refracted VA were not statistically significant. 57.9% had distant VA after optical low vision assessment of logMar 0.9 - logMar - 0.2 while the mean distant VA was logMar 0.8 which was statistically significant. Near vision after optical assessment improved with a mean of logMar 0.8, which was statistically significant. Conclusion: Glaucoma was the commonest cause of low vision in this study. Optical low vision aids improved the visual functions of majority of the patients in this study.展开更多
Due to effectiveness of network layer on general performance of networks, designing routing protocols is very important for lifetime and traffic efficiency in wireless sensor networks. So in this paper, we are going t...Due to effectiveness of network layer on general performance of networks, designing routing protocols is very important for lifetime and traffic efficiency in wireless sensor networks. So in this paper, we are going to represent an efficient and scalable version of depth-based routing (DBR) protocol that is limited by depth divisions-policy. In fact the new version is a network information independent routing protocol for acoustic communications. Proposed method by use of depth clustering is able to reduce consumed energy and end-to-end delay in dense underwater sensor networks (DUSNs) and this issue is proved by simulation.展开更多
The contrast sensitivity of 51 low vision patients (95 eyes) showed a substantial decrease in all spatial frequencies. The peak contrast sensitivity was shifted to 1 C/D from the normal 3-4 C/D. The high-frequency cut...The contrast sensitivity of 51 low vision patients (95 eyes) showed a substantial decrease in all spatial frequencies. The peak contrast sensitivity was shifted to 1 C/D from the normal 3-4 C/D. The high-frequency cut off is correlated to the visual acuity positively. Of the 33 patients, the preferred eye was the eye with better peak sensitivity in 28 patients (84%), while the preferred eye was the eye with better visual acuity in 22 patients (66%). It seems that the peak sensitivity is more important t...展开更多
Flicker electroretinograms(FERGs)of 30Hz were recorded for 46eyes(23 cases)of low vision,including 38 eyes with retinal diseases and 8eyes with optic neuropathy,and for 39 normal eyes(33 cases).The recordedwave forms ...Flicker electroretinograms(FERGs)of 30Hz were recorded for 46eyes(23 cases)of low vision,including 38 eyes with retinal diseases and 8eyes with optic neuropathy,and for 39 normal eyes(33 cases).The recordedwave forms were analysed by two methods:(1)to measure the peak to peakamplitude and pseudophase directly,and(2)to measure the amplitude andphase of fundamental response component(30Hz)by discrete Fourier trans-form(DFT).The abnormality ratios between these two methods were com-pared in low vision pati...展开更多
Background:Charles Bonnet syndrome(CBS)is characterized by vivid lifelike visual hallucinations and is typically seen in individuals with visual impairment.In this systematic review,we summarize current knowledge on t...Background:Charles Bonnet syndrome(CBS)is characterized by vivid lifelike visual hallucinations and is typically seen in individuals with visual impairment.In this systematic review,we summarize current knowledge on the prevalence of CBS in patients with low vision.Methods:We searched 11 literature databases on 21 April 2021 for studies on the prevalence of CBS in low vision populations.Our protocol was registered in the PROSPERO database(reg.No.CRD42021255021).Eligible studies were defined as those on a population of low vision patients wherein the prevalence of CBS was evaluated(without any further restriction on the method for diagnosis of CBS).No restriction was enforced on study design,but we expected observational cross-sectional studies due to the nature of our research question.Two authors independently extracted data and evaluated risk of bias of individual studies using the Agency for Healthcare Research and Quality checklist for cross-sectional studies.Studies underwent qualitative review in the text and quantitatively in a prevalence meta-analysis using the random-effects model.Sensitivity analysis was made to evaluate the robustness of the summary estimate.Results:We identified 11 studies,which summarized data on 4,521 individuals with visual impairment.Diagnosis of CBS was based on screening questions or interviews,which in positive cases often was explored in more detail with follow-up questions or interviews.Most studies either had normal mental state as a participant eligibility criterion or as a part of the diagnosis of CBS.The pooled prevalence of CBS in low vision patients aged≥40 years was 19.7%(95%CI:13.8%to 26.4%).The sensitivity analysis showed certain robustness in the summary prevalence estimate wherein prevalence estimates ranged from 16.9%to 22.5%.Conclusions:CBS is a prevalent condition in patients with low vision at a rate of approximately one in five patients.Considering that an estimated 239 million individuals have moderate visual impairment or worse,we estimate a global number of patients with CBS at approximately 47.2 million.展开更多
Background:Taking part in productive and enjoyable recreational activities has been shown improve quality of life for people of all ages and capabilities.However,vision loss can have a significant impact on participat...Background:Taking part in productive and enjoyable recreational activities has been shown improve quality of life for people of all ages and capabilities.However,vision loss can have a significant impact on participation in important leisure activities.This is especially the case for the elderly,whose lowered mobility is further impacted by vision loss.Technology can offer solutions to bridging some barriers caused by these deficits by bringing leisure activities to the user in the form of mobile applications.As such,the purpose of the present study was to evaluate the accessibility and usability of the ArtOnTheBrain application,a visual art based mobile health solution to promote brain health and well-being,by older adults with low vision due to age-related macular degeneration(AMD).Methods:There were a total of 16 participants(age range,65-93 years,M=79,10 males).All had a diagnosis of AMD with visual acuities in the better eye between 20/60 and 20/200.Additionally,all participants had accessed rehabilitation services and most had experience using a computer at home.Using an Apple iPad Air(2013),they were asked to interact with the ArtOnTheBrain website’s Learn(e.g.,Listen to artwork description)and Play(e.g.,complete a word-search game)features with either the Safari or Google Chrome Internet apps.Using the Concurrent Think Aloud method,participants were asked to continuously comment on their activities and experiences with the app and verbalize their internal monologue while being audio and video recorded.These recordings were later transcribed verbatim and analysed using qualitative description and thematic analysis.Results:Participants’behaviours and verbal feedback were divided based on whether they presented as barriers or facilitators.Beginning with barriers,these were mostly related to the accessibility of the visual aspects of the applications interface(i.e.,contrast and font size),whereby participants requested additional control over the magnification options,both for text as well as images of the artwork.The main facilitator was the audio option built into the Learn tab,which allowed participants to listen to the artwork descriptions.Facilitators also included the aesthetics of the app,the perceived boost in confidence in interacting with technology,and the educational and leisure benefits.Conclusions:Older adults with low vision are faced with a decreased ability to engage in leisure activities.The development of technologies aimed at increasing the accessibility of leisure activities for these individuals is an important step in increasing their quality of life.As such,despite some of the accessibility challenges,the majority of participants viewed ArtontheBrain positively.Identifying the barriers and facilitators to its use is an important step in the development of this application in order to optimize its accessibility for older adults with low vision.Future work to be done with this application will be to evaluate the cognitive impact of ArtontheBrain on low vision users.展开更多
This paper investigates a peak to average power ratio （PAPR） reduction method in multicarrier code division multiple access （MC-CDMA） system. Variable code sets （VCS）, a spreading codes selection scheme, can imp...This paper investigates a peak to average power ratio （PAPR） reduction method in multicarrier code division multiple access （MC-CDMA） system. Variable code sets （VCS）, a spreading codes selection scheme, can improve the PAPR property of the MC-CDMA signals, but this technique requires an exhaustive search over the combinations of spreading code sets. It is observed that when the number of active users increases, the search complexity will increase exponentially. Based on this fact, we propose a low complexity VCS （LC-VCS） method to reduce the computational complexity. The basic idea of LC-VCS is to derive new signals using the relationship between candidature signals. Simulation results show that the proposed approach can reduce PAPR with lower comtational pucomplexity. In addition, it can be blindly received without any side information.展开更多
The rapid advancements in computer vision(CV)technology have transformed the traditional approaches to material microstructure analysis.This review outlines the history of CV and explores the applications of deep-lear...The rapid advancements in computer vision(CV)technology have transformed the traditional approaches to material microstructure analysis.This review outlines the history of CV and explores the applications of deep-learning(DL)-driven CV in four key areas of materials science:microstructure-based performance prediction,microstructure information generation,microstructure defect detection,and crystal structure-based property prediction.The CV has significantly reduced the cost of traditional experimental methods used in material performance prediction.Moreover,recent progress made in generating microstructure images and detecting microstructural defects using CV has led to increased efficiency and reliability in material performance assessments.The DL-driven CV models can accelerate the design of new materials with optimized performance by integrating predictions based on both crystal and microstructural data,thereby allowing for the discovery and innovation of next-generation materials.Finally,the review provides insights into the rapid interdisciplinary developments in the field of materials science and future prospects.展开更多
In the competitive retail industry of the digital era,data-driven insights into gender-specific customer behavior are essential.They support the optimization of store performance,layout design,product placement,and ta...In the competitive retail industry of the digital era,data-driven insights into gender-specific customer behavior are essential.They support the optimization of store performance,layout design,product placement,and targeted marketing.However,existing computer vision solutions often rely on facial recognition to gather such insights,raising significant privacy and ethical concerns.To address these issues,this paper presents a privacypreserving customer analytics system through two key strategies.First,we deploy a deep learning framework using YOLOv9s,trained on the RCA-TVGender dataset.Cameras are positioned perpendicular to observation areas to reduce facial visibility while maintaining accurate gender classification.Second,we apply AES-128 encryption to customer position data,ensuring secure access and regulatory compliance.Our system achieved overall performance,with 81.5%mAP@50,77.7%precision,and 75.7%recall.Moreover,a 90-min observational study confirmed the system’s ability to generate privacy-protected heatmaps revealing distinct behavioral patterns between male and female customers.For instance,women spent more time in certain areas and showed interest in different products.These results confirm the system’s effectiveness in enabling personalized layout and marketing strategies without compromising privacy.展开更多
Ship operations are crucial to global trade,and their decarbonization is essential to mitigate climate change.This study evaluates the economic viability of existing and emerging decarbonization technologies in mariti...Ship operations are crucial to global trade,and their decarbonization is essential to mitigate climate change.This study evaluates the economic viability of existing and emerging decarbonization technologies in maritime shipping using the levelized cost of energy methodology.It includes a detailed comparative analysis based on essential criteria and sensitivity assessments to highlight the economic impacts of technological advancements.Key factors influencing total costs include fuel costs,carbon pricing,and energy demands for carbon capture.The findings reveal that methanol is more cost-effective than heavy fuel oil(HFO)when priced below 3000 CNY/t,assuming HFO costs 4400 CNY/t.Additionally,methanol with post-combustion carbon capture is less expensive than pre-combustion carbon capture.When carbon prices rise above 480 CNY/t,carbon capture technologies prove more economical than purchasing carbon emission allowances for HFO and liquefied natural gas.Enhanc-ing the use of exhaust gas waste heat is recommended for cost savings.Post-combustion carbon capture also shows greater efficiency,requiring about 1.1 GJ/t less energy than pre-combustion methods,leading to lower overall costs.Future research should focus on market mechanisms to stabilize fuel prices and develop less energy-intensive carbon capture technologies.This study offers critical insights into effective decarbonization strategies for advancing global maritime trade in the present and future.展开更多
文摘BACKGROUND Visual impairment during early childhood can hinder motor,language,and social development,yet data on its developmental impact across common pediatric ocular diseases remain limited.AIM To investigate the developmental impact of low vision and blindness on children under six with common ocular diseases.METHODS This retrospective study reviewed records of new patients under six with visual impairment at Siriraj Hospital’s low vision rehabilitation center(January 2017-October 2022).We collected ocular,systemic,and developmental data;recorded visual acuity in the better-seeing eye after refractive correction;and assessed developmental domains with the DenverⅡ.Univariable and multi-variable logistic regression identified factors associated with developmental delay.RESULTS A total of 161 pediatric patients(mean age 24.9±18.9 months)were enrolled and evaluated based on their ability to fix on and follow an object or light source.Some were further assessed using the Allen picture chart and all had visual acuity worse than 1.07±0.58 LogMAR,and 83.2%were identified as having global developmental delay(GDD).The three most common ocular causes were cortical visual impairment(CVI),optic neuropathy/atrophy,and optic nerve hypoplasia.Extremely poor visual acuity(inability to fixate and follow)was significantly associated with GDD[adjusted odds ratio(AOR)41.0]and delays in all developmental domains:Gross motor(AOR 10.0),fine motor(AOR 12.8),language(AOR 5.3),and personal-social skills(AOR 13.4)(P≤0.002).Multiple disabilities,most often visual impairment with cerebral palsy,were also significantly associated with gross motor delays(AOR 7.7)and fine motor delays(AOR 4.0)(P<0.05).CVI was also related to delays in language and personal-social skills(AOR 9.1 each)(P<0.05).CONCLUSION This study underscores the developmental issues in children with visual impairment,especially those with poorer acuity,CVI,and multiple disabilities.Significant delays were observed in all domains,including GDD.A timely referral to specialists is strongly recommended.
文摘Using optical visual aids, visual rehabilitation was performed in 14 low vision patients(25 eyes) with age-related macular degeneration. With distance aids, visual acuity improvement appeared in 24 eyes(95%) out of the 25 eyes. Twelve eyes(48%) obtained a visual acuity equal to or better than 0.4. With near visual aids, near acuity of all eyes(100%) was improved. Thirteen eyes(52%) got the near vision equal to or better than 0.5. Ten patients could read No.5 Chinese Reading Card. The reading success rat...
文摘Background:In recent decades,several studies have been performed in the field of(non-)use of assistive technology devices(ATs)and have found that many variables are likely to be involved in the decision-making process of whether a person with a disability uses or abandons their aids.In low vision rehabilitation,high variability rates and a variety of reasons for non-use of low vision aids has been reported.Determinants of non-use of ATs have previously been categorized into personal factors,ATs factors,environmental factors of the user,and intervention factors.It is probable that some of these factors are also associated with the use of optical low vision aids(OLVAs).Thus,using a framework about adherence with medical interventions,the aim of this scoping review was to explore barriers and facilitators related to OLVAs(non-)use.Methods:Existing guidelines of the scoping review Methods were used to examine and summarize the extent,range,and nature of findings regarding factor categories associated to OLVAs usage.Searches were conducted using the following online databases:Embase,MedLine,and ERIC without limitation on publication dates.A combination of key words and MeSH terms was used based upon the identified core concepts of the research question:(I)low vision;(II)assistive technology;and(III)adherence.A charting form,a flow chart of the study selection process,and a combination of a descriptive numerical analysis and a thematic analysis of 24 studies were performed.Results:The results of this review indicate high variability rates(range:13-50%,M=24%,SD=10%)of people possessing OLVAs but not using them.Most authors do not use a precise definition of“non-use”,and when a definition is provided,the terminology is inconsistent.As expected,the four categories of variables identified are likely to be involved in OLVAs’(non-)use:(I)the largest number of concerns were personal factors.Several aspects regarding personal characteristics were identified,such as demographic,physical,psychological,social-emotional,and occupational factors.Some variables,such as age,diagnosis and visual acuity were reported as contradictorily influencing the OLVAs’usage;(II)ATs factors were associated with quality,appearance,practical aspects of use and the very type of OLVAs;(III)environmental factors referred to social support,physical barriers,expectations of the social environment,presence of a helper,and stigmatization;(IV)finally,intervention factors consisted of taking into account user’s opinions,positive health care experiences,instruction and training,provision processes,delivery periods,and follow-up services.Conclusions:This scoping review provides the preliminary evidence that factors related to OLVAs non-use could be classified into the same four typical categories described in the theory of non-adherence.These results suggest that strategies intended to enhance adherence might be for OLVAs should focus on these four aspects of device use.
文摘AIM:To adapt the low vision-related quality of life(LVQOL) instrument into Turkish language and to assess its validity and reliability.METHODS:The study was conducted in 387 patients attending the Centre of Low Vision Rehabilitation,Faculty of Medicine,Ankara University.For statistical analyses,the Spearman's correlation coefficient,Cronbach's alpha coefficient and Confirmatory Factor Analysis(CFA) were used.RESULTS:According to results of CFA,the item in the 'Adjustment' subscale because of having the factor loading below 0.40,was excluded from the questionnaire.The reliability of the questionnaire was assessed according to Cronbach's alpha coefficients.The reliability of the 'Distance Vision,Mobility,and Lighting' subscale was ?琢=0.863;of the 'Adjustment' subscale was ?琢=0.694;'Reading and Fine Work' was ?琢=0.791,and 'Activities of Daily Living' was ?琢= 0.770.So these results indicate that the questionnaire is reliable to measure the vision related quality of life of low-vision patients.The correlations between the subscales were also analyzed,and the correlation between 'Adjustment' and 'Reading and Fine Work' was found to be the lowest(rs=0.336,P <0.001),whereas the strongest correlation was found between the 'Reading and Fine Work',and 'Activities of Daily Living'.Additionally,the 'Adjustment' dimension showed the strongest correlation with only 'Distance Vision,Mobility,and Lighting' dimension.CONCLUSION:After removing the last item in the second dimension,the Turkish adaptation of all dimensions of the LVQOL has been shown to be reliable,valid and suitable for use in patients with low vision in Turkey.
文摘The Belle Corporation is a Chinese domestic shoe maker and seller. It also belongs to an industry that has come to be representative of the ubiquitous "Made in China" label. One of the main reasons the company is favored by global investors is due to its unique business pattern-a pattern that sets manufacturing as its base and is active in exploring industrial chain downstream links and establishing its own individual retail channels. Ever since its first inception in the stock market, Belle has set out to acquire several upstream manufacturing companies, indicating its desire for increasing channel terminals. Using a vertically integrated competition strategy, Belle stands out amongst its rivals as being particularly successful in the non-mainstream manufacturing sector. Consequently, its business practices can be used as a model for other domestic manufacturing companies in their efforts to meet the challenges posed by globalization.
基金National Natural Science Foundation of China (No. 81070716)
文摘AIM: To determine the prevalence and risk factors for eye diseases, blindness, and low vision in Tibet, and to assist the development of eye disease prevention and treatment schemes.METHODS: We carried out a survey of eye diseases among a population living at high altitude. A total of 1 115 Tibetan permanent residents aged 40 years or older from the towns and villages of Qushui County, Lhasa Prefecture, Tibet Autonomous Region, participated in this study. All participants completed a detailed questio-nnaire, and underwent presenting and pinhole visual acuity tests,and a comprehensive ophthalmic examination.RESULTS: There were 187 blind eyes (8.43%), 231 eyes with low vision (10.41% ). The leading cause of visual impairment was cataract of 55.0% (101/187) blindness and of 50.2% (116/231) low vision, followed by fundus lesions of 22.9% blindness and 23.8% low vision, while only a low prevalence of glaucoma of 9.6% blindness and 1.7% low vision was observed. The analysis of 2 219 eyes showed that the most common external eye disease was pterygium (27.2%) in Tibet.CONCLUSION: The high prevalence of blindness and low vision in the Tibetan population at high altitude is a serious public health issue. There is a need to establish and maintain an appropriate effective eye care program in Tibet.
文摘AIM: To investigate the Chinese version of the Low Vision Quality of Life Questionnaire(CLVQOL) as an instrument for obtaining clinically important changes after cataract surgery.METHODS: Patients underwent cataract surgery in Shanghai General Hospital, Shanghai Jiao Tong University, who fit the inclusion criteria were recruited. Two CLVQOLs were administered, including a preoperative CLVQOL and a CLVQOL at the end of the 3 mo follow-up period, and were completed using face-to-face interviews or phone interviews conducted by trained investigators. The minimal clinically important difference(MCID) was calculated using an anchor-based method and a distribution method. In addition, the responsiveness of the questionnaire was measured.RESULTS: A total of 155 residents were enrolled. The average visual acuity(VA) preoperatively was 0.08(SD=0.05), and it increased to 0.47(SD=0.28) at the end of followup. Statistically significant positive changes in the CLVQOL scores indicated significant improvement of vision related quality of life after cataract surgery. With the larger value between the two results as the final value, the MCID values of the CLVQOL(scores of the four scales as well as the total score) were 8.94, 2.61, 4.34, 3.10 and 17.63, respectively. The CLVQOL has both good internal and external responsiveness.CONCLUSION: CLVQOL scores are appropriate instruments for obtaining clinically important changes after cataract surgery. This study is an effective exploration for establishingcataract surgery efficacy standards, which helps clinical and scientific research workers in ophthalmology to gain a more in-depth understanding when using CLVQOL.
文摘To assess functional outcomes of optical low vision aids(LVAs) for pediatric visual impairment due to central nervous system(CNS) tumors. A prospective case study was conducted on 15 children with history of CNS tumors with mean age of 10.47±1.85 y. Lighthouse distance, near visual acuity tests, cycloplegic refraction, reading speed measurement and visual field examination were done. Prescription of far and near LVAs followed by training sessions. LVPrasad-functional vision questionnaire was done to evaluate performance. Visual impairment was moderate(13.3%), severe(73.3%), profound(6.7%) and near blindness in 6.7%. Telescopes prescribed in 33.4%, video magnifier in 46.7%. Questionnaire scores were significantly improved for distant rather than near tasks(P≤0.05) after training. LVAs rehabilitation is an effective method of improving vision in pediatric visual defects secondary to CNS tumors.
文摘Objectives: To identify causes of low vision among the patients in the Eye clinic of University of Nigeria Teaching Hospital (UNTH). Methods: This was a cross-sectional study of all new consecutive low vision patients seen at the eye clinic of University of Nigeria Teaching Hospital-(UNTH) Ituku-Ozalla. All patients with low vision were evaluated by the researcher and the findings entered on a research protocol. Data were analyzed using descriptive statistics to generate frequency and percentage distributions and analytical statistics to test for significance of observed inter-group differences. In all comparisons, statistical significance was indicated by p < 0.05. Results: A total of 197 patients were seen comprising of 120 males and 77 females (M:F = 1.6:1) aged 39.3 ± 22.9 SD years. The main causes of low vision in the study population were glaucoma (36.0%), followed by oculocutaneous albinism (14.7%). The mean presenting distant VA was logMAR 1.1 (95% CI), while the mean near VA is logMar 1.0 (6/60, 20/200). After refraction, the mean distant VA was logMar 1.0, using unpaired t-test, the difference between the distant presenting and refracted VA were not statistically significant. 57.9% had distant VA after optical low vision assessment of logMar 0.9 - logMar - 0.2 while the mean distant VA was logMar 0.8 which was statistically significant. Near vision after optical assessment improved with a mean of logMar 0.8, which was statistically significant. Conclusion: Glaucoma was the commonest cause of low vision in this study. Optical low vision aids improved the visual functions of majority of the patients in this study.
文摘Due to effectiveness of network layer on general performance of networks, designing routing protocols is very important for lifetime and traffic efficiency in wireless sensor networks. So in this paper, we are going to represent an efficient and scalable version of depth-based routing (DBR) protocol that is limited by depth divisions-policy. In fact the new version is a network information independent routing protocol for acoustic communications. Proposed method by use of depth clustering is able to reduce consumed energy and end-to-end delay in dense underwater sensor networks (DUSNs) and this issue is proved by simulation.
文摘The contrast sensitivity of 51 low vision patients (95 eyes) showed a substantial decrease in all spatial frequencies. The peak contrast sensitivity was shifted to 1 C/D from the normal 3-4 C/D. The high-frequency cut off is correlated to the visual acuity positively. Of the 33 patients, the preferred eye was the eye with better peak sensitivity in 28 patients (84%), while the preferred eye was the eye with better visual acuity in 22 patients (66%). It seems that the peak sensitivity is more important t...
文摘Flicker electroretinograms(FERGs)of 30Hz were recorded for 46eyes(23 cases)of low vision,including 38 eyes with retinal diseases and 8eyes with optic neuropathy,and for 39 normal eyes(33 cases).The recordedwave forms were analysed by two methods:(1)to measure the peak to peakamplitude and pseudophase directly,and(2)to measure the amplitude andphase of fundamental response component(30Hz)by discrete Fourier trans-form(DFT).The abnormality ratios between these two methods were com-pared in low vision pati...
文摘Background:Charles Bonnet syndrome(CBS)is characterized by vivid lifelike visual hallucinations and is typically seen in individuals with visual impairment.In this systematic review,we summarize current knowledge on the prevalence of CBS in patients with low vision.Methods:We searched 11 literature databases on 21 April 2021 for studies on the prevalence of CBS in low vision populations.Our protocol was registered in the PROSPERO database(reg.No.CRD42021255021).Eligible studies were defined as those on a population of low vision patients wherein the prevalence of CBS was evaluated(without any further restriction on the method for diagnosis of CBS).No restriction was enforced on study design,but we expected observational cross-sectional studies due to the nature of our research question.Two authors independently extracted data and evaluated risk of bias of individual studies using the Agency for Healthcare Research and Quality checklist for cross-sectional studies.Studies underwent qualitative review in the text and quantitatively in a prevalence meta-analysis using the random-effects model.Sensitivity analysis was made to evaluate the robustness of the summary estimate.Results:We identified 11 studies,which summarized data on 4,521 individuals with visual impairment.Diagnosis of CBS was based on screening questions or interviews,which in positive cases often was explored in more detail with follow-up questions or interviews.Most studies either had normal mental state as a participant eligibility criterion or as a part of the diagnosis of CBS.The pooled prevalence of CBS in low vision patients aged≥40 years was 19.7%(95%CI:13.8%to 26.4%).The sensitivity analysis showed certain robustness in the summary prevalence estimate wherein prevalence estimates ranged from 16.9%to 22.5%.Conclusions:CBS is a prevalent condition in patients with low vision at a rate of approximately one in five patients.Considering that an estimated 239 million individuals have moderate visual impairment or worse,we estimate a global number of patients with CBS at approximately 47.2 million.
文摘Background:Taking part in productive and enjoyable recreational activities has been shown improve quality of life for people of all ages and capabilities.However,vision loss can have a significant impact on participation in important leisure activities.This is especially the case for the elderly,whose lowered mobility is further impacted by vision loss.Technology can offer solutions to bridging some barriers caused by these deficits by bringing leisure activities to the user in the form of mobile applications.As such,the purpose of the present study was to evaluate the accessibility and usability of the ArtOnTheBrain application,a visual art based mobile health solution to promote brain health and well-being,by older adults with low vision due to age-related macular degeneration(AMD).Methods:There were a total of 16 participants(age range,65-93 years,M=79,10 males).All had a diagnosis of AMD with visual acuities in the better eye between 20/60 and 20/200.Additionally,all participants had accessed rehabilitation services and most had experience using a computer at home.Using an Apple iPad Air(2013),they were asked to interact with the ArtOnTheBrain website’s Learn(e.g.,Listen to artwork description)and Play(e.g.,complete a word-search game)features with either the Safari or Google Chrome Internet apps.Using the Concurrent Think Aloud method,participants were asked to continuously comment on their activities and experiences with the app and verbalize their internal monologue while being audio and video recorded.These recordings were later transcribed verbatim and analysed using qualitative description and thematic analysis.Results:Participants’behaviours and verbal feedback were divided based on whether they presented as barriers or facilitators.Beginning with barriers,these were mostly related to the accessibility of the visual aspects of the applications interface(i.e.,contrast and font size),whereby participants requested additional control over the magnification options,both for text as well as images of the artwork.The main facilitator was the audio option built into the Learn tab,which allowed participants to listen to the artwork descriptions.Facilitators also included the aesthetics of the app,the perceived boost in confidence in interacting with technology,and the educational and leisure benefits.Conclusions:Older adults with low vision are faced with a decreased ability to engage in leisure activities.The development of technologies aimed at increasing the accessibility of leisure activities for these individuals is an important step in increasing their quality of life.As such,despite some of the accessibility challenges,the majority of participants viewed ArtontheBrain positively.Identifying the barriers and facilitators to its use is an important step in the development of this application in order to optimize its accessibility for older adults with low vision.Future work to be done with this application will be to evaluate the cognitive impact of ArtontheBrain on low vision users.
文摘This paper investigates a peak to average power ratio （PAPR） reduction method in multicarrier code division multiple access （MC-CDMA） system. Variable code sets （VCS）, a spreading codes selection scheme, can improve the PAPR property of the MC-CDMA signals, but this technique requires an exhaustive search over the combinations of spreading code sets. It is observed that when the number of active users increases, the search complexity will increase exponentially. Based on this fact, we propose a low complexity VCS （LC-VCS） method to reduce the computational complexity. The basic idea of LC-VCS is to derive new signals using the relationship between candidature signals. Simulation results show that the proposed approach can reduce PAPR with lower comtational pucomplexity. In addition, it can be blindly received without any side information.
基金financially supported by the National Science Fund for Distinguished Young Scholars,China(No.52025041)the National Natural Science Foundation of China(Nos.52450003,U2341267,and 52174294)+1 种基金the National Postdoctoral Program for Innovative Talents,China(No.BX20240437)the Fundamental Research Funds for the Central Universities,China(Nos.FRF-IDRY-23-037 and FRF-TP-20-02C2)。
文摘The rapid advancements in computer vision(CV)technology have transformed the traditional approaches to material microstructure analysis.This review outlines the history of CV and explores the applications of deep-learning(DL)-driven CV in four key areas of materials science:microstructure-based performance prediction,microstructure information generation,microstructure defect detection,and crystal structure-based property prediction.The CV has significantly reduced the cost of traditional experimental methods used in material performance prediction.Moreover,recent progress made in generating microstructure images and detecting microstructural defects using CV has led to increased efficiency and reliability in material performance assessments.The DL-driven CV models can accelerate the design of new materials with optimized performance by integrating predictions based on both crystal and microstructural data,thereby allowing for the discovery and innovation of next-generation materials.Finally,the review provides insights into the rapid interdisciplinary developments in the field of materials science and future prospects.
文摘In the competitive retail industry of the digital era,data-driven insights into gender-specific customer behavior are essential.They support the optimization of store performance,layout design,product placement,and targeted marketing.However,existing computer vision solutions often rely on facial recognition to gather such insights,raising significant privacy and ethical concerns.To address these issues,this paper presents a privacypreserving customer analytics system through two key strategies.First,we deploy a deep learning framework using YOLOv9s,trained on the RCA-TVGender dataset.Cameras are positioned perpendicular to observation areas to reduce facial visibility while maintaining accurate gender classification.Second,we apply AES-128 encryption to customer position data,ensuring secure access and regulatory compliance.Our system achieved overall performance,with 81.5%mAP@50,77.7%precision,and 75.7%recall.Moreover,a 90-min observational study confirmed the system’s ability to generate privacy-protected heatmaps revealing distinct behavioral patterns between male and female customers.For instance,women spent more time in certain areas and showed interest in different products.These results confirm the system’s effectiveness in enabling personalized layout and marketing strategies without compromising privacy.
基金supported by the National Key R&D Program of China(No.2022YFC3701500)the Key R&D Plan Projects of Zhejiang Province(No.2024SSYS0072)Zhejiang Provincial Natural Science Foundation(No.LDT23E0601).
文摘Ship operations are crucial to global trade,and their decarbonization is essential to mitigate climate change.This study evaluates the economic viability of existing and emerging decarbonization technologies in maritime shipping using the levelized cost of energy methodology.It includes a detailed comparative analysis based on essential criteria and sensitivity assessments to highlight the economic impacts of technological advancements.Key factors influencing total costs include fuel costs,carbon pricing,and energy demands for carbon capture.The findings reveal that methanol is more cost-effective than heavy fuel oil(HFO)when priced below 3000 CNY/t,assuming HFO costs 4400 CNY/t.Additionally,methanol with post-combustion carbon capture is less expensive than pre-combustion carbon capture.When carbon prices rise above 480 CNY/t,carbon capture technologies prove more economical than purchasing carbon emission allowances for HFO and liquefied natural gas.Enhanc-ing the use of exhaust gas waste heat is recommended for cost savings.Post-combustion carbon capture also shows greater efficiency,requiring about 1.1 GJ/t less energy than pre-combustion methods,leading to lower overall costs.Future research should focus on market mechanisms to stabilize fuel prices and develop less energy-intensive carbon capture technologies.This study offers critical insights into effective decarbonization strategies for advancing global maritime trade in the present and future.
