Visual morbidity due to inaccurate spectacles among school children in rural China: the See Well to Learn Well Project, report 1.

PURPOSE: Inadequately corrected refractive error is the leading cause of visual disability among children in China; inaccurate spectacles are a potential cause. The prevalence and visual impact of spectacle inaccuracy were studied among rural, secondary-school children, to determine the optimal timing for updating of refraction. METHODS: A random sample of children from years 1 and 2 in all junior and senior high schools in Fuyang Township, Guangdong Province, underwent ocular examination. All children who reported wearing glasses received cycloplegic refraction, vision assessment, and measurement of current spectacles. RESULTS: Among 3226 examined children, 733 (22.7%) reported owning spectacles. Refractive error and spectacle power were assessed for 588 (80.2%) children. They had a mean age of 15.0 +/- 1.6 years; 70.2% were girls, 83.3% had more than -1.5 D of myopia, and 17.9% had presenting vision < or = 6/12 in the better eye. The glasses of 48.8% of children were inaccurate by > or = 1 D; inaccuracy was > or = 2 D in 17.7%. Children with inaccurate glasses (> or = 1 D) had presenting vision in the better eye significantly (P < 0.001) worse than that of children with accurate glasses, and 30.3% had presenting acuity < or = 6/12. In multivariate models, younger age (P = 0.004), more myopic refractive error (P < 0.001), and having glasses > or = 1 year old (P = 0.04) were associated with inaccurate spectacles. DISCUSSION: Inaccurate spectacles are common and are associated with significant visual impairment among children in rural China. Reducing outdated glasses could lessen the visual burden, although refractive services may have to be offered on an annual basis for optimal benefit.

Quality of life and near vision impairment due to functional presbyopia among rural Chinese adults.

PURPOSE: To evaluate the impact of near-vision impairment on visual functioning and quality of life in a rural adult population in Shenyang, northern China. METHODS: A population-based, cross-sectional study was conducted among persons aged 40+ years, during which functional presbyopia (correctable presenting near vision < 20/50 [N8] at 40 cm) was assessed. Near-vision-related quality of life and spectacle usage questionnaires were administered by trained interviewers to determine the degree of self-rated difficulty with near tasks. RESULTS: A total of 1008 respondents (91.5% of 1102 eligible persons) were examined, and 776 (78%) of completed the questionnaires (mean age, 57.0 ± 10.2 years; 63.3% women). Near-vision spectacle wearers obtained their spectacles primarily from markets (74.5%) and optical shops (21.7%), and only 1.14% from eye clinics. Among 538 (69.3%) persons with functional presbyopia, self-rated overall (distance and near) vision was worse (P < 0.001) and difficulty with activities of daily living greater (P < 0.001) than among nonpresbyopes. Odds of reporting any difficulty with daily tasks remained higher (OR = 2.32; P < 0.001) for presbyopes after adjustment for age, sex, education and distance vision. Compared to persons without presbyopia, presbyopic persons were more likely to report diminished accomplishment due to vision (P = 0.01, adjusted for age, sex, education, and distance vision.) CONCLUSIONS: Difficulties with activities of daily living and resulting social impediments are common due to presbyopia in this setting. Most spectacle wearers with presbyopia in rural China obtain near correction from sources that do not provide comprehensive vision care.

Planeamento do território: metodologias, actores e participação

O argumento que compagina esta investigação sustenta que, no contexto actual de crescente complexidade dos problemas territoriais e de densidade de actores com interesses contraditórios e conflituantes, o desenvolvimento de metodologias de planeamento territorial promotoras da participação dos actores pode ser particularmente útil, possibilitando a construção de compromissos entre actores, alinhando as suas motivações e mobilizando os seus meios, gerando novas formas de “acção colectiva” em torno dos objectivos de planeamento. Procurou-se, assim: i) perceber o que é território, objecto da actividade do planeamento; ii) estabelecer um conceito de planeamento do território; iii) produzir um quadro de referência sobre planeamento territorial, com particular enfoque para o papel dos actores e participação e iv) desenvolver uma análise crítica de um conjunto de experiências de planeamento territorial, à luz do anterior quadro de referência. Do ponto de vista empírico, ambicionava-se examinar um conjunto de experiências de planeamento territorial onde a participação dos actores tivesse sido particularmente relevante, em diferentes contextos quanto ao entendimento dos objectivos de planeamento e sua concretização, com a particularidade de em ambas ter havido um forte envolvimento do investigador num duplo papel: investigador/cidadão e investigador/promotor do planeamento do território. Durante o trajecto de investigação percorrido, revisitaram-se as principais referências sobre a problemática do planeamento do território e suas metodologias, com enfoque particular nos actores e formas de participação. Assume-se a conceptualização do planeamento do território como uma actividade desenvolvida por um promotor público de planeamento (Estado), o qual, num determinado contexto e em defesa do interesse colectivo, define objectivos para um determinado objecto de planeamento (território, temática e escala). Para os cumprir, mobiliza os meios e actores necessários, produzindo um quadro de referência e identificando as acções, os palcos e os métodos para os alcançar. Identificaram-se seis famílias de metodologias de planeamento do território. Discutiu-se o conceito de actor em planeamento e propôs-se uma tipologia de actores, consoante meios, motivações e palcos. Em seguida, produziu-se uma conceptualização e tipologia de formas de participação dos actores, que vai para além da tradicional participação dos cidadãos. Concluiu-se com a sugestão de princípios de orientação metodológica para o planeamento territorial e participação dos actores. Os dados da análise empírica efectuada permitiram concluir que o papel dos diferentes actores e a forma como foram tidos em conta os seus meios disponíveis e as suas motivações foram determinantes nos resultados alcançados nos dois contextos analisados. Num conjunto de experiências, o envolvimento dos actores visou fortalecer o quadro social e institucional de apoio, o fomento à criação de plataformas de diálogo e colaboração, de valorização de diferentes formas de conhecimento (técnico-científico e “local”) e a mobilização para a construção de políticas ou para a validação do processo de decisão. Noutro conjunto de experiências, o entendimento da participação dos actores foi desvalorizado, produzido de forma burocrática, sem o devido reconhecimento das suas motivações e valorização dos meios disponíveis, sem um adequado envolvimento, o que conduziu a situações de elevada conflitualidade, fragilização e descredibilização do exercício de planeamento e a resultados que contrariam os objectivos inicialmente definidos. Neste contexto, parece pois confirmar-se a hipótese de que as metodologias de planeamento onde a participação dos actores é considerada de forma explícita, coerente e consequente, condicionam de forma clara o envolvimento e alinhamento dos actores e determinam os resultados do planeamento do território.

Wind energy resource modelling in Portugal and its future large-scale alteration due to anthropogenic induced climate changes

The high dependence of Portugal from foreign energy sources (mainly fossil fuels), together with the international commitments assumed by Portugal and the national strategy in terms of energy policy, as well as resources sustainability and climate change issues, inevitably force Portugal to invest in its energetic self-sufficiency. The 20/20/20 Strategy defined by the European Union defines that in 2020 60% of the total electricity consumption must come from renewable energy sources. Wind energy is currently a major source of electricity generation in Portugal, producing about 23% of the national total electricity consumption in 2013. The National Energy Strategy 2020 (ENE2020), which aims to ensure the national compliance of the European Strategy 20/20/20, states that about half of this 60% target will be provided by wind energy. This work aims to implement and optimise a numerical weather prediction model in the simulation and modelling of the wind energy resource in Portugal, both in offshore and onshore areas. The numerical model optimisation consisted in the determination of which initial and boundary conditions and planetary boundary layer physical parameterizations options provide wind power flux (or energy density), wind speed and direction simulations closest to in situ measured wind data. Specifically for offshore areas, it is also intended to evaluate if the numerical model, once optimised, is able to produce power flux, wind speed and direction simulations more consistent with in situ measured data than wind measurements collected by satellites. This work also aims to study and analyse possible impacts that anthropogenic climate changes may have on the future wind energetic resource in Europe. The results show that the ECMWF reanalysis ERA-Interim are those that, among all the forcing databases currently available to drive numerical weather prediction models, allow wind power flux, wind speed and direction simulations more consistent with in situ wind measurements. It was also found that the Pleim-Xiu and ACM2 planetary boundary layer parameterizations are the ones that showed the best performance in terms of wind power flux, wind speed and direction simulations. This model optimisation allowed a significant reduction of the wind power flux, wind speed and direction simulations errors and, specifically for offshore areas, wind power flux, wind speed and direction simulations more consistent with in situ wind measurements than data obtained from satellites, which is a very valuable and interesting achievement. This work also revealed that future anthropogenic climate changes can negatively impact future European wind energy resource, due to tendencies towards a reduction in future wind speeds especially by the end of the current century and under stronger radiative forcing conditions.

Assessing soil erosion due to land use change at the Alqueva reservoir surrounding area

Tese de doutoramento, Ciências do Mar, da Terra e do Ambiente, Faculdade de Ciências e Tecnologia, Universidade do Algarve, 2015

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