Early symptomatic presbyopes - what correction modality works best?

Purpose: To compare the performance of a low-addition silicone hydrogel multifocal soft lens with other soft lens correction options in a group of habitual soft lens wearers of distance correction who are symptomatic of early presbyopia.

Method: This clinical study was designed as a prospective, double-masked, randomized, crossover, dispensing trial consisting of four 1-week phases, one for each of the correction modalities: a low-addition silicone hydrogel multifocal soft lens, monovision, habitual correction, and optimized distance visual correction. The prescriptions of all modalities were finalized at a single fitting visit, and the lenses were worn according to a randomized schedule. All lenses were made from lotrafilcon B material. A series of objective vision tests were conducted: high- and low-contrast LogMAR under high- and low-room lighting conditions, stereopsis, and critical print size. A number of other data collection methods used were novel: some data were collected under controlled laboratory-based conditions and others under real-world conditions, some of which were completed on a BlackBerry hand-held communication device.

Results: All participants were able to be fit with all four correction modalities. Objective vision tests showed no statistical difference between the lens modalities except in the case of low-contrast near LogMAR acuity under low-lighting levels where monovision (+0.29 ± 0.10) performed better than the multifocal (+0.33 ± 0.11, P=0.027) and the habitual (+0.37 ± 0.12, P<0.001) modalities. Subjective ratings indicated a statistically better performance provided by the multifocal correction compared with monovision, particularly for the vision associated with driving tasks such as driving during the daytime (93.3 ± 8.8 vs. 84.2 ± 23.7, P=0.05), at nighttime (88.8 ± 11.7 vs. 74.9 ± 23.6, P=0.001), any associated haloes or glare (92.0 ± 10.6 vs. 78.0 ± 22.8, P=0.003), and observing road signs (90.1 ± 11.8 vs. 79.4 ± 20.2, P=0.027). Preference for the multifocal compared with monovision was also reported when watching television (95.0 ± 6.4 vs. 82.6 ± 20.1, P=0.001) and when changing focus from distance to near (87.0 ± 13.4 vs. 66.1 ± 32.2, P<0.001).

Conclusions: For this group of early presbyopes, the AIR OPTIX AQUA MULTIFOCAL-Low Add provided a successful option for visual correction, which was supported by the results of subjective ratings, many of which were made during or immediately after performing such activities as reading, using a computer, watching television, and driving. These results suggest that making a prediction of success or not based on consulting room acuity tests alone is probably unwise.

Textures and compressive properties of ferromagnetic shape-memory alloy Ni48Mn25Ga22Co5 prepared by isothermal forging process

A ferromagnetic shape-memory alloy Ni₄₈Mn₂₅Ga₂₂Co₅ was prepared by the induction melting and isothermal forging process. Dynamic recrystallization occurs during the isothermal forging. The deformation texture was studied by the neutron diffraction technique. The main texture components consist of (110)[112] and (001)[100], which suggested that in-plane plastic flow anisotropy should be expected in the as-forged condition. The uniaxial compression fracture strain in the forged alloy reaches over 9.5%. The final room-temperature fracture of the polycrystalline Ni₄₈Mn₂₅Ga₂₂Co₅ is controlled mainly by intergranular mode.

Crystal structures and textures in the hot-forged Ni-Mn-Ga shape memory alloys

Three ferromagnetic shape-memory alloys with the chemical compositions of Ni₅₃Mn₂₅Ga₂₂, Ni₄₈Mn₃₀Ga₂₂, and Ni₄₈Mn₂₅Ga₂₂Co₅ were prepared by the induction-melting and hot-forging process. The crystal structures were investigated by the neutron powder diffraction technique, showing that Ni₅₃Mn₂₅Ga₂₂ and Ni₄₈Mn₂₅Ga₂₂Co₅ have a tetragonal, 14/mmm martensitic structure at room temperature, while Ni₄₈Mn₃₀Ga₂₂ has a cubic, L2₁ austenitic structure at room temperature. The development of textures in the hot-forged samples shows the in-plane plastic flow anisotropy from the measured pole figures by means of the neutron diffraction technique. Significant texture changes were observed for the Ni₄₈Mn₂₅Ga₂₂Co₅ alloy after room temperature deformation, which is due to the deformation-induced rearrangements of martensitic variants. An excellent shape-memory effect (SME) with a recovery ratio of 74 pct was reported in this Ni₄₈Mn₂₅Ga₂₂Co₅ polycrystalline alloy after annealing above the martensitic transformation temperature, and the “shape-memory” influence also occurs in the distributions of grain orientations.

Crystal structures and textures of hot forged Ni48Mn30Ga22 alloy investigated by neutron diffraction technique

A ferromagnetic shape memory alloy of Ni48Mn30Ga22 prepared by induction melting was successfully hot forged. Strong textures and a large anisotropy of in plane plastic flow were developed during the hot forging process. The crystal structures, both in austenitic and martensitic states, were investigated by means of neutron powder diffraction technique. The result suggests that Ni48Mn30Ga22 has a cubic L21 Heusler structure at room temperature, the same as that in the stoichiometric Ni2MnGa. When cooled to 243 K, the Ni48Mn30Ga22 alloy changes into a seven layered orthorhombic martensitic structure. No substantial change of the neutron diffraction pattern was observed upon further cooling to 19 K, indicating that there is no intermartensitic transformation in the investigated alloy, which is different from the transformation processes in the Ni–Mn–Ga alloys with higher martensitic transformation temperatures.

Correction of presbyopia with GP contact lenses

Presbyopia can be safely and effectively corrected with gas permeable (GP) multifocal (bifocal) contact lenses, but statistics indicate that they remain the most underutilized contact lenses on the market. We believe that practitioners have been “turned off of” GP multifocals due to their experiences with older generations of these lenses, which tended to be difficult to fit, with poor visual results.

Fortunately, GP multifocals have come a long way, and practitioners who avoid fitting them are missing out on an important niche market. With this booklet, we hope to show you just how far GP multifocals have come and demonstrate the ease with which they can now be fit and managed.

Asymmetric rolling of interstitial-free steel using differential roll diameters. Part I : mechanical properties and deformation textures

IF steel sheets were processed by conventional symmetric and asymmetric rolling (ASR) at ambient temperature. The asymmetry was introduced in a geometric way using differential roll diameters with a number of different ratios. The material strength was measured by tensile testing and the microstructure was analyzed by optical and transmission electron microscopy as well as electron backscatter diffraction (EBSD) analysis. Texture was also successfully measured by EBSD using large surface areas. Finite element (FE) simulations were carried out for multiple passes to obtain the strain distribution after rolling. From the FE results, the velocity gradient along selected flow lines was extracted and the evolution of the texture was simulated using polycrystal plasticity modeling. The best mechanical properties were obtained after ASR using a roll diameter ratio of 2. The textures appeared to be tilted up to 12 deg around the transverse direction, which were simulated with the FE-combined polycrystal plasticity modeling in good agreement with measurements. The simulation work revealed that the shear component introduced by ASR was about the same magnitude as the normal component of the rolling strain tensor.

A panel error correction approach to explore spatial correlation patterns of the dominant housing market in Australian capital cities

Purpose - A panel error correction model has been developed to investigate the spatial correlation patterns among house prices. This paper aims to identify a dominant housing market in the ripple down process. Design/methodology/approach - Seemingly unrelated regression estimators are adapted to deal with the contemporary correlations and heterogeneity across cities. Impulse response functions are subsequently implemented to simulate the spatial correlation patterns. The newly developed approach is then applied to the Australian capital city house price indices. Findings - The results suggest that Melbourne should be recognised as the dominant housing market. Four levels were classified within the Australian house price interconnections, namely: Melbourne; Adelaide, Canberra, Perth and Sydney; Brisbane and Hobart; and Darwin. Originality/value - This research develops a panel regression framework in addressing the spatial correlation patterns of house prices across cities. The ripple-down process of house price dynamics across cities was explored by capturing both the contemporary correlations and heterogeneity, and by identifying the dominant housing market.

Does implicit motor imagery ability predict reaching correction efficiency? A test of recent models of human motor control

Neurocomputational models of reaching indicate that efficient purposive correction of movement midflight (e.g., online control) depends on one's ability to generate and monitor an accurate internal (neural) movement representation. In the first study to test this empirically, the authors investigated the relationship between healthy young adults’ implicit motor imagery performance and their capacity to correct their reaching trajectory. As expected, after controlling for general reaching speed, hierarchical regression demonstrated that imagery ability was a significant predictor of hand correction speed; that is, faster and more accurate imagery performance associated with faster corrections to reaching following target displacement at movement onset. They argue that these findings provide preliminary support for the view that a link exists between an individual's ability to represent movement mentally and correct movement online efficiently.