Visual impairment and eye care among Alaska native people

Purpose: To estimate the prevalence of visual impairment, eye disease and eye care in the Alaska Native (AN) population, by demographic and socioeconomic factors.

Methods: Population-based cross-sectional study of 3,793 AN adults aged 18–94 years enrolled in the Education and Research Towards Health (EARTH) Study from March 2004–March 2006. Data on self-reported visual impairment, cataract, glaucoma, diabetic eye disease and previous dilated eye examinations were collected using audio computer-assisted self-administered questionnaires.

Results: The unadjusted prevalence of self-reported visual impairment was 8.7% (95% confidence interval (CI): 7.9–9.7), cataract 5.9% (95% CI: 5.2–6.7), glaucoma 2.5% (95% CI: 2.0–3.0) and diabetic eye disease 1.3% (95% CI: 0.9–1.7). In all cases, age-sex adjusted prevalence estimates for the AN population were greater than available estimates for the general U.S. population. Prevalence of visual impairment and each eye disease increased with age (P < 0.01). Additional factors associated with visual impairment were education and annual household income. Overall, 70.0% (95% CI: 68.5–71.6) of participants reported a dilated eye examination within the previous two years. Dilated eye examination within the previous two years was associated with increasing age (P < 0.001). However, men and participants with lower formal education were less likely to report recent dilated eye examination. Among those with diabetes, only 67.7% (95% CI: 60.8–74.1) reported a dilated eye examination within the recommended previous one year.

Conclusions: Self-reported visual impairment, cataract, glaucoma and diabetic eye disease are prevalent in the AN population. These data may be useful in healthcare planning and education programs.

Chronic disease and impairment among Alaska native elders : the Alaska Education and Research Towards Health (EARTH) study

Background: Chronic diseases and impairments are prevalent among older Americans. However, prevalence data for Alaska Native (AN) elders are limited, with estimates usually extrapolated from national studies in which AN elders may not be well-represented. The aim of this study was to describe the prevalence of selected chronic diseases, impairments, and measured medical risk factors among a large community sample of AN elders.

Methods: Design, setting, and participants. A community-based cross-sectional study of baseline information from 656 AN elders aged 55 years or over who participated in the Alaska Education and Research Towards Health (EARTH) Study, March 2004 to August 2006. Measurements. Self-reported lifetime prevalence of 17 doctor-diagnosed chronic diseases, and point prevalence of vision, hearing, oral, and general health impairment were estimated from data collected using audio computer-assisted self-administered questionnaires. In addition, height, weight, blood pressure, fasting blood lipids, and fasting blood glucose levels were measured.

Results: The four most prevalent chronic diseases among AN elders were high blood pressure (55%), arthritis (49%), high cholesterol (42%), and adult bone fracture/break (35%). The median number of chronic diseases reported was three (inter-quartile range, 2 to 5). The prevalence of self-reported vision impairment was 15%, hearing impairment 18%, and having had all natural teeth removed 25%. Almost 50% were obese. High blood pressure (systolic ≥ 140 mm Hg and/or diastolic ≥ 90 mm Hg) was measured in 23%, high low density lipoprotein (LDL) cholesterol (≥ 130 mg/dL) in 39%, and high fasting plasma glucose (> 125 mg/dL) in 9%. Obesity was more prevalent among women than men. There were also significant regional differences in rates of obesity and high LDL cholesterol.

Conclusion: These data may be useful in public health programs and health services planning.

Wire - a formal intermediate language for binary analysis

Wire is a intermediate language to enable static program analysis on low level objects such as native executables. It has practical benefit in analysing the structure and semantics of malware, or for identifying software defects in closed source software. In this paper we describe how an executable program is disassembled and translated to the Wire intermediate language. We define the formal syntax and operational semantics of Wire and discuss our justifications for its language features. We use Wire in our previous work Malwise, a malware variant detection system. We also examine applications for when a formally defined intermediate language is given. Our results include showing the semantic equivalence between obfuscated and non obfuscated code samples. These examples stem from the obfuscations commonly used by malware.

Towards a video browser for the digital native

Almost every aspect of how we create, transmit, and consume video has changed, but video interfaces still mimic those from video's inception. We extend Temporal Semantic Compression for interactive video browsing, which uses an arbitrary frame-by-frame interest measure to sub-sample video in real time, with user interface elements that visualize these measures and the effect of compressing on them. We experiment with a novel interest measure for popularity, and design novel visualizations for expressing interest measures and the compression interaction. We conduct the first formative evaluation of the TSC paradigm, with 8 subjects, and report design implications arising from it.

Effects of an invasive species on refuge-site selection by native fauna : the impact of cane toads on native frogs in the Australian tropics

Invasive species can induce shifts in habitat use by native taxa: either by modifying habitat availability, or by repelling or attracting native species to the vicinity of the invader. The ongoing invasion of cane toads (Rhinella marina) through tropical Australia might affect native frogs by affecting refuge-site availability, because both frogs and toads frequently shelter by day in burrows. Our laboratory and field studies in the wet-dry tropics show that native frogs of at least three species (Litoria tornieri, Litoria nasuta and Litoria dahlii) preferentially aggregate with conspecifics, and with (some) other species of native frogs. However, the frogs rarely aggregated with cane toads either in outdoor arenas or in standardized experimental burrows that we monitored in the field. The native frogs that we tested either avoided burrows containing cane toads (or cane toad scent) or else ignored the stimulus (i.e. treated such a burrow in the same way as they did an empty burrow). Native frogs selected a highly non-random suite of burrows as diurnal retreat sites, whereas cane toads were less selective. Hence, even in the absence of toads, frogs do not use many of the burrows that are suitable for toads. The invasion of cane toads through tropical Australia is unlikely to have had a major impact on retreat-site availability for native frogs.

Comparison of genetic diversities in native and alien populations of hoary mustard (Hirschfeldia incana [L.] Lagreze-Fossat)

Increased selfing and inbreeding and, consequently, depauperate genetic diversities are commonly expected for alien colonies. We compared RAPDs data for native (southern Europe) and alien (British Isles) populations of hoary mustard (Hirschfeldia incana). This species is normally out-breeding, but it is capable of self- fertilization. Contrary to the common expectations, genetic diversities in native and alien populations were similar, without any strong evidence of decreased levels of genetic diversities in alien populations. A variety of factors may have contributed to this observation, including high variation in founding groups, founders originating from multiple H. incana source populations, and high rates of past and/or current gene flow. A review of other studies showed that this pattern of similar genetic diversities in native and alien populations was not unusual but has been regularly observed in other invasive plant species.

Networks of Meaning: Learning How Native Speakers Think and Use Language

This article discusses the way in whic language learners master meaning, particularly of on-literal language. This issue is discussed in the context of the learner's cognitive framework with specific reference to Indonesian and English.