Self-refraction, ready-made glasses and quality of life among rural myopic Chinese children: a non-inferiority randomized trial.

PURPOSE: To study, for the first time, the effect of wearing ready-made glasses and glasses with power determined by self-refraction on children's quality of life. METHODS: This is a randomized, double-masked non-inferiority trial. Children in grades 7 and 8 (age 12-15 years) in nine Chinese secondary schools, with presenting visual acuity (VA) ≤6/12 improved with refraction to ≥6/7.5 bilaterally, refractive error ≤-1.0 D and <2.0 D of anisometropia and astigmatism bilaterally, were randomized to receive ready-made spectacles (RM) or identical-appearing spectacles with power determined by: subjective cycloplegic retinoscopy by a university optometrist (U), a rural refractionist (R) or non-cycloplegic self-refraction (SR). Main study outcome was global score on the National Eye Institute Refractive Error Quality of Life-42 (NEI-RQL-42) after 2 months of wearing study glasses, comparing other groups with the U group, adjusting for baseline score. RESULTS: Only one child (0.18%) was excluded for anisometropia or astigmatism. A total of 426 eligible subjects (mean age 14.2 years, 84.5% without glasses at baseline) were allocated to U [103 (24.2%)], RM [113 (26.5%)], R [108 (25.4%)] and SR [102 (23.9%)] groups, respectively. Baseline and endline score data were available for 398 (93.4%) of subjects. In multiple regression models adjusting for baseline score, older age (p = 0.003) and baseline spectacle wear (p = 0.016), but not study group assignment, were significantly associated with lower final score. CONCLUSION: Quality of life wearing ready-mades or glasses based on self-refraction did not differ from that with cycloplegic refraction by an experienced optometrist in this non-inferiority trial.

Rehydroxylation Dating: Assessment for Archaeological Application

Investigations are carried out into the mass gain behaviour of fired clay ceramics following drying (130°C) and reheating (500°C), and the application of these mass gain properties to the dating of archaeological ceramics using a modified rehydroxylation dating (RHX) methodology, a component based approach. Gravimetric analysis is conducted using a temperature and humidity controlled glove box arrangement (featuring a top-loading balance) on eighteen samples of varied known ages and contexts; this occurs following transfer from environmentally controlled chambers where subsamples of these samples are aged at three temperatures (25°C, 35°C, 45°C) following drying and reheating. The sample set consists principally of post-medieval bricks, but also includes some post-medieval pottery as well as both Etruscan and Roman ceramics. A suite of techniques are applied to characterise these ceramics, including XRD, FTIR, p-XRF, thin-section petrography, BET analysis, TG-MS and permeametry.