Reducing visual deficits caused by refractive errors in school and preschool children: results of a pilot school program in the Andean region of Apurimac, Peru

Background: Refractive error is defined as the inability of the eye to bring parallel rays of light into focus on the retina, resulting in nearsightedness (myopia), farsightedness (Hyperopia) or astigmatism. Uncorrected refractive error in children is associated with increased morbidity and reduced educational opportunities. Vision screening (VS) is a method for identifying children with visual impairment or eye conditions likely to lead to visual impairment. Objective: To analyze the utility of vision screening conducted by teachers and to contribute to a better estimation of the prevalence of childhood refractive errors in Apurimac, Peru. Design: A pilot vision screening program in preschool (Group I) and elementary school children (Group II) was conducted with the participation of 26 trained teachers. Children whose visual acuity was<6/9 [20/30] (Group I) and≤6/9 (Group II) in one or both eyes, measured with the Snellen Tumbling E chart at 6 m, were referred for a comprehensive eye exam. Specificity and positive predictive value to detect refractive error were calculated against clinical examination. Program assessment with participants was conducted to evaluate outcomes and procedures. Results: A total sample of 364 children aged 3–11 were screened; 45 children were examined at Centro Oftalmológico Monseñor Enrique Pelach (COMEP) Eye Hospital. Prevalence of refractive error was 6.2% (Group I) and 6.9% (Group II); specificity of teacher vision screening was 95.8% and 93.0%, while positive predictive value was 59.1% and 47.8% for each group, respectively. Aspects highlighted to improve the program included extending training, increasing parental involvement, and helping referred children to attend the hospital. Conclusion: Prevalence of refractive error in children is significant in the region. Vision screening performed by trained teachers is a valid intervention for early detection of refractive error, including screening of preschool children. Program sustainability and improvements in education and quality of life resulting from childhood vision screening require further research.

Social Changes Reflected in Specialized Languages: Lexical Re-/deconstruction in Lesbian Studies

One of the most important factors of recognition, belonging and identification in scientific communities is their specialized language: doctors, mathematicians and anthropologists feel they are part of a group with which they can interact because they share a common “language”. While ideology is present in all academic registers, it is in human sciences where its presence (or absence) leads to more visible linguistic phenomena. An interesting example is that of lesbian studies: as non-heterosexual members of society have become less stigmatized, lesbian studies have developed a language of their own. In our paper, we shall explore the mechanisms used in the creation of specific vocabulary in this academic area, paying special attention to the refashioning or deconstruction of meaning of established terms as a result of changes in social perception or the challenging of pre-determined meanings.

Evaluación del practicum en la formación de posgrado en los estudios de comunicación desde una orientación profesional y discente

La investigación evaluativa se erige como una herramienta necesaria para reorientar las propuestas docentes desarrolladas con los estudiantes. A través de este estudio se evalúa la consecución de los objetivos relacionados con las prácticas profesionales de los alumnos del Master Comunicación en Industrias Creativas, durante el curso académico 2011-2012, en la Universidad de Alicante. Los resultados obtenidos permiten establecer una reflexión en torno a la orientación futura que debemos otorgar a este proceso de intervención didáctica, reforzando los objetivos de aprendizaje menos consolidados.