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.

Efficient Mitigation of Data and Control Flow Errors in Microprocessors

The use of microprocessor-based systems is gaining importance in application domains where safety is a must. For this reason, there is a growing concern about the mitigation of SEU and SET effects. This paper presents a new hybrid technique aimed to protect both the data and the control-flow of embedded applications running on microprocessors. On one hand, the approach is based on software redundancy techniques for correcting errors produced in the data. On the other hand, control-flow errors can be detected by reusing the on-chip debug interface, existing in most modern microprocessors. Experimental results show an important increase in the system reliability even superior to two orders of magnitude, in terms of mitigation of both SEUs and SETs. Furthermore, the overheads incurred by our technique can be perfectly assumable in low-cost systems.

Errors Associated to Keratoconus Grading using Systems based on Corneal Power

Purpose: To analyze and define the possible errors that may be introduced in keratoconus classification when the keratometric corneal power is used in such classification. Materials and methods: Retrospective study including a total of 44 keratoconus eyes. A comprehensive ophthalmologic examination was performed in all cases, which included a corneal analysis with the Pentacam system (Oculus). Classical keratometric corneal power (Pk), Gaussian corneal power (Pc Gauss), True Net Power (TNP) (Gaussian power neglecting the corneal thickness effect), and an adjusted keratometric corneal power (Pkadj) (keratometric power considering a variable keratometric index) were calculated. All cases included in the study were classified according to five different classification systems: Alió-Shabayek, Amsler-Krumeich, Rabinowitz-McDonnell, collaborative longitudinal evaluation of keratoconus (CLEK), and McMahon. Results: When Pk and Pkadj were compared, differences in the type of grading of keratoconus cases was found in 13.6% of eyes when the Alió-Shabayek or the Amsler-Krumeich systems were used. Likewise, grading differences were observed in 22.7% of eyes with the Rabinowitz-McDonnell and McMahon classification systems and in 31.8% of eyes with the CLEK classification system. All reclassified cases using Pkadj were done in a less severe stage, indicating that the use of Pk may lead to the classification of a cornea as keratoconus, being normal. In general, the results obtained using Pkadj, Pc Gauss or the TNP were equivalent. Differences between Pkadj and Pc Gauss were within ± 0.7D. Conclusion: The use of classical keratometric corneal power may lead to incorrect grading of the severity of keratoconus, with a trend to a more severe grading.

Rosa gallica l. var. officinalis (hort. ex Andrews) Ser. en el norte de Alicante (Comunidad Valenciana)

Se ha localizado en el margen de la carretera comarcal CV 795 en su kilómetro 17 próximo a Ulls de Canals y dentro del término de Banyeres de Mariola, una buena población asilvestrada de Rosa gallica L. var. officinalis (hort. ex Andrews) Ser., que corresponde a la segunda población localizada en Alicante, puesto que se conocía una población pero situada próxima al litoral en la comarca de la Marina Alta. La llamada rosa de Provins o provincialis (de Provenza) es una de las rosas cultivadas en Europa desde más antiguo, probablemente la primera. Aparece dibujada en los frescos de Pompeya, fue también la rosa de las boticas (“Officinalis”) y se corresponde con la famosa rosa roja o Rosa de Lancanster, símbolo de este bando en la Guerra de civil inglesa llamada de “las dos rosas”. Su cultivo en España fue muy importante y era frecuentemente citada en la literatura botánica antigua, fue llamada “rosa de Castilla” pero con el tiempo y el abandono del campo, su presencia fue disminuyendo y de forma asilvestrada solo aparece en unas pocas provincias españolas, aunque se sigue manteniendo su cultivo a pequeña escala en colecciones particulares y rosaledas. Precisamente, en la Rosaleda “Pere Dot” del Jardín Botánico de Torretes (Ibi) mantenemos en cultivo dos de las variedades botánicas reconocidas y muchos de los cultivares e híbridos de este rosal, que hemos adquirido de colecciones extranjeras. El hallazgo de este material asilvestrado probablemente procedente de antiguos cultivos en la zona, tiene gran valor etnobotánico y puede tener valor genético. Aunque en su morfología no se han encontrado diferencias relevantes, se ha procedido a su multiplicación vegetativa y será próximamente incluido en la rosaleda del Jardín Botánico, junto con pliegos de herbario y semillas.