Patient and practitioner compliance with silicone hydrogel and daily disposable lens replacement in the United States

Objective: The objectives of this study were to assess current recommendations for replacement frequency (RF) of silicone hydrogel (SH) and daily disposable (DD) lenses, to determine compliance with these recommendations, and to investigate the reasons given for noncompliance.

Methods: A package containing 20 patient surveys was sent to 309 eye care practitioners (ECPs) in the United States who had agreed to participate in the study. One thousand eight hundred fifty-nine completed surveys were received from 158 ECPs and 1,654 surveys were eligible for analysis. Questions related to patient demographics, lens type, lens wearing patterns, the ECP instructions for RF, and the actual patient reported RF. ECPs were asked to provide lens information and their recommendation for RF after the surveys had been completed and sealed in envelopes. All responses were anonymous.

Results: Sixty-six percent of patients were women and their mean age was 34 ± 12 years. Eighty-eight percent of lenses were worn for daily wear, 12.8 ± 3.2 hours a day, 6.2 ± 1.5 days a week. Lens type distribution was 16% DD, 45% 2 week (2W) SH, and 39% 1 month (1M) SH. ECP recommendations for RF varied according to the lens type; 1% of 1M (95% CI 0.2-1.7), 4% of DD (95% CI 2.1-7.2), and 18% of 2W (95% CI 15.1-20.7) patients were given instructions that did not conform to the manufacturers' recommended RF (MRRF). When considering only those patients who were given the correct instructions for RF, 38% were not compliant with the MRRF; noncompliance rates varied according to the lens type and were 12% for DD (95% CI 8.6-17.2), 28% for 1M (95% CI 24.9-32.1), and 52% for 2W (95% CI 47.8-55.8). The most frequent reasons for over wearing lenses were forgetting which day to replace lenses (51%) and to save money (26%). Fifty-three percent believed that a reminder system would aid compliance; the most popular methods being a cell phone reminder or text message (29%) and a nominated day each week or month (26%). Discussions between the ECPs and the patients were more extensive for patients who were compliant with the MRRF.

Conclusions: ECPs recommended RFs more frequently with DD and 1M SH lenses than with 2W SH lenses, consistent with manufacturers' recommendations. Patients were less compliant with RF than ECPs for all lens types investigated. Patients were most compliant with RF when wearing DD lenses and least compliant when wearing 2W SH lenses. Better communication facilitated greater compliance with RF. More than half of those not replacing lenses, when recommended, reported that this was because they forgot which day to replace their lenses.

Study of the innovation management process in the development of a discontinuous product case: Motorola RAZR V3

This study will collaborate by bringing some detailed analysis and findings on a special case study of a discontinuous product development process, trying to answer how the discontinuous product development process takes place and the main factors that influence this process. Additionally, it tried to explore some explanations for the difficulties generally faced by the companies to sustain innovation. The case is about the Motorola cell phone RAZR V3, launched in 2004. RAZR V3 was noted by industry experts as game-changing feat of design and engineering, selling more than 110 million units by end of 2008 and recognized as one of the fastest selling products in the industry. The study uses a single case methodology, which is appropriate given the access to a phenomenon that happened inside corporate dominium and it is not easily accessed for academic studies, besides being a rare case of success in the cellular phone industry. In order to magnify the understanding of the phenomenon, the exploration was extended to contrast the RAZR development process and the standard product development process in Motorola. Additionally, it was integrated a longitudinal reflection of the company product development evolution until the next breakthrough product hitting the cellular phone industry. The result of the analysis shows that discontinuous products do not fit well traditional product development process (in this case, stage-gate). This result reinforces the results obtained on previous studies of discontinuous product development conducted by other authors. Therefore, it is clear that the dynamics of discontinuous product development are different from the continuous product development, requiring different treatment to succeed. Moreover, this study highlighted the importance of the management influence in all the phases of the process as one of the most important factors, suggesting a key component to be carefully observed in future researches. Some other findings of the study that were considered very important for a discontinuous product development process: have champions (who believe and protect the project) and not only one champion; create a right atmosphere to make flow the creative process; question paradigms to create discontinuous products; simple guiding light to focus the team; company culture that accepts and knows how to deal with risks; and undoubtedly, have a company strategy that understands the different dynamics of continuous and discontinuous product development processes and treat them accordingly.

A ferramenta VoiceThread em uma abordagem hibrida: o desenvolvimento da produção oral e da habilidade de noticing na aprendizagem de inglês como L2

VoiceThread (VT) is a collaborative and asynchronous web 2.0 tool, which permits the creation of oral presentations with the help of images, documents, texts and voice, allowing groups of people to browse and contribute with comments using several options: voice (microphone or cell phone), text and audio-file or video (webcam) (BOTTENTUIT JUNIOR, LISBÔA E COUTINHO, 2009). The hybrid experience with VoiceThread allows learners to plan their speech before recording it, without the pressure often existent in the classroom. Furthermore, the presentations can be recorded several times, enabling students to listen to them, notice the gaps in their oral production (noticing) and edit innumerous times before publishing them online. In this perspective, oral production is seen as a process of L2 acquisition, not only as practice of already existent knowledge, because it can stimulate the learner to process the language syntactically (SWAIN, 1985; 1995). In this context, this study aims to verify if there is a relation between the oral production of the learners more specifically the grammatical accuracy and the global oral grade and their noticing capacity, how the systematic practice with VoiceThread, in a hybrid approach, can impact the learners global oral development, their oral production in terms of fluency (number of words per minute), accuracy (number of errors in hundred words), and complexity (number of dependent clauses per minute), and on their noticing capacity (SCHMIDT, 1990; 1995; 2001), that is, the learner s capacity of noticing the gaps existent in their oral production. In order to answer these research questions, 49 L2 learners of English were divided into an experimental group (25 students) and a control group (24 students). The experimental group was exposed to the hybrid approach with VT during two months and, through a pre- and post-test, we verified if this systematic practice would positively influence these participants oral production and noticing capacity. These results were compared to the pre- and post-test scores from the control group, which was not exposed to VT. Finally, learners impressions in relation to the use of this tool were also sought through a questionnaire applied after the post-test. The results indicate that there is a statistically significant correlation between the learners speech production (accuracy and global oral grade) and their noticing capacity. Besides, it was verified a positive impact of VoiceThread on the learners speech production variables and on their noticing capacity. They also reveal a positive reaction by the learners in relation to the hybrid experience with this web tool

Alocação de canais em sistemas de comunicação celular empregando algoritmo genético distribuído

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise de tensões induzidas em linhas de distribuição de baixa tensão frente a uma descarga atmosférica

Neste trabalho são apresentadas simulações computacionais inéditas para o cálculo de tensões induzidas em linhas de baixa tensão provenientes de descargas atmosféricas em estações rádio-base de telefonia celular (ERBs). Foram construídas estruturas representativas que denotam um grau de complexidade bastante avançado e semelhante ao encontrado em campo, visando assim a obtenção o de resultados bem próximos aos da realidade. Para tal, desenvolveu-se um software, no qual as equações de Maxwell são resolvidas numericamente utilizando o Método das Diferenças Finitas no Domínio do Tempo (FDTD), associado à truncagem de domínio de análise pela técnica da UPML e representação de condutores elétricos pela formulação de fio fino para meios condutivos, gerando soluções de onda completa para o problema.

Redes, território e competitividade: a estratégia das empresas de telefonia celular no Estado do Pará

Neste trabalho investigamos as territorialidades das empresas de telefonia móvel celular que operam no Estado do Pará (Vivo, Tim, Amazônia Celular e Oi). Para atingir esse objetivo, fazemos uso de um caminho teórico que aborda duas categorias analíticas: a rede e o território, que são permeados por outros dois conceitos derivados: a territorialidade e o que denominamos circuitos de poder. Utilizamos como corpus os dados obtidos junto as operadoras de telefonia móvel e os dados oficiais da Agência Nacional de Telecomunicações (ANATEL), com destaque ao cadastro nacional de Estações Radiobase (2007). A metodologia utilizada consiste no levantamento de dados secundários, seguido da elaboração de mapas, gráficos e quadros com base no estado do Pará. Esses instrumentos são analisados com intuito de definir o cenário da competição, os circuitos de poder e as áreas privilegiadas. Verificamos que as empresas de telefonia móvel utilizam o território como segmento de mercado, equiparando o cidadão à figura do consumidor. As operadoras selecionam suas áreas de atuação através de critérios eminentemente econômicos, privilegiando as áreas de maior atrativo para a acumulação da capitais e, também, as localidades geridas por grandes grupos econômicos, como a Companhia Vale do Rio Doce (CVDR).

Processos comunicacionais em Cajazeirinha: estudo exploratório em Ilhas do Lago da Usina Hidrelétrica de Tucuruí

Esta pesquisa aborda processos comunicacionais em uma comunidade amazônica, denominada Cajazeirinha, situada no Lago da Usina Hidrelétrica de Tucuruí, no estado do Pará. O objetivo central da investigação foi identificar e analisar os processos comunicacionais das crianças no cotidiano da Cajazeirinha. Esta comunidade tem a especificidade de localizar-se a poucos metros da usina hidrelétrica e, contraditoriamente, não ter acesso ao fornecimento de energia elétrica, o que faz com que a população busque fontes alternativas de eletricidade (bateria de carro, placa solar ou gerador) para, entre outras coisas, utilizar meios de comunicação, como a televisão, o rádio e o celular. Inicialmente, partiu-se do pressuposto de que, para se analisar a comunicação de uma comunidade ou grupo de pessoas é necessário compreender o seu campo de ação e sua constituição, e então observar a realidade de maneira contextualizada, não dissociada no tempo e no espaço. Assim, procurou-se compreender os processos comunicacionais da comunidade, baseando-se nos conceitos teóricos de processos comunicativos de Vera França, processos comunicacionais de José Luiz Braga, no conceito de mediações de Jesús Martín-Barbero e nas bases teóricas dos Estudos de Recepção Latino Americano, a partir das autoras Ana Carolina Escosteguy e Nilda Jacks, além da noção de interação social, de John Thompson. O caminho metodológico trilhado tem como perspectiva a pesquisa exploratória com análise de dados qualitativos, a partir de pesquisas bibliográficas, de entrevistas em profundidade (com crianças, mães e formadores de opinião), da observação não participante sistemática e do diário de campo. O intuito foi identificar e analisar os processos comunicacionais da comunidade Cajazeirinha e mapear os meios de comunicação massivos existentes em Tucuruí e nas ilhas dessa comunidade. Nessa pesquisa, verificou-se que na Cajazeirinha os processos comunicacionais são constituídos a partir de mediações socioculturais, com destaque para a família, a igreja e a escola. Também foram observadas as interações comunicacionais que ocorrem em momentos de lazer e a presença dos meios de comunicação no cotidiano da comunidade, principalmente no que concerne a conteúdos como telenovelas, telejornais e desenhos animados. Por fim, verificou-se que os modos de recepção na Cajazeirinha são permeados por características espaço-temporais locais, por conta do ritmo do rio que determina a vida da comunidade.

Avaliação de desempenho de respostas motoras combinadas à digitação em diferentes teclados utilizados em dispositivos móveis

Pós-graduação em Desenvolvimento Humano e Tecnologias - IBRC

Literatura, leitor e mass media: um estudo sobre a recepção de A Metamorfose, de Franz Kafka

Pós-graduação em Letras - IBILCE

Efeito distrator do telefone celular sobre a condução simulada de automóveis: situações de uso manual e viva-voz

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Air pollution and health: bridging the gap from sources to health outcomes: conference summary

Air Pollution and Health: Bridging the Gap from Sources to Health Outcomes, an international specialty conference sponsored by the American Association for Aerosol Research, was held to address key uncertainties in our understanding of adverse health effects related to air pollution and to integrate and disseminate results from recent scientific studies that cut across a range of air pollution-related disciplines. The Conference addressed the science of air pollution and health within a multipollutant framework (herein "multipollutant" refers to gases and particulate matter mass, components, and physical properties), focusing on five key science areas: sources, atmospheric sciences, exposure, dose, and health effects. Eight key policy-relevant science questions integrated across various parts of the five science areas and a ninth question regarding findings that provide policy-relevant insights served as the framework for the meeting. Results synthesized from this Conference provide new evidence, reaffirm past findings, and offer guidance for future research efforts that will continue to incrementally advance the science required for reducing uncertainties in linking sources, air pollutants, human exposure, and health effects. This paper summarizes the Conference findings organized around the science questions. A number of key points emerged from the Conference findings. First, there is a need for greater focus on multipollutant science and management approaches that include more direct studies of the mixture of pollutants from sources with an emphasis on health studies at ambient concentrations. Further, a number of research groups reaffirmed a need for better understanding of biological mechanisms and apparent associations of various health effects with components of particulate matter (PM), such as elemental carbon, certain organic species, ultrafine particles, and certain trace elements such as Ni, V, and Fe(II), as well as some gaseous pollutants. Although much debate continues in this area, generation of reactive oxygen species induced by these and other species present in air pollution and the resulting oxidative stress and inflammation were reiterated as key pathways leading to respiratory and cardiovascular outcomes. The Conference also underscored significant advances in understanding the susceptibility of populations, including the role of genetics and epigenetics and the influence of socioeconomic and other confounding factors and their synergistic interactions with air pollutants. Participants also pointed out that short-and long-term intervention episodes that reduce pollution from sources and improve air quality continue to indicate that when pollution decreases so do reported adverse health effects. In the limited number of cases where specific sources or PM2.5 species were included in investigations, specific species are often associated with the decrease in effects. Other recent advances for improved exposure estimates for epidemiological studies included using new technologies such as microsensors combined with cell phone and integrated into real-time communications, hybrid air quality modeling such as combined receptor-and emission-based models, and surface observations used with remote sensing such as satellite data.

UMTS base station-like exposure, well-being, and cognitive performance

BACKGROUND: Radio-frequency electromagnetic fields (RF EMF) of mobile communication systems are widespread in the living environment, yet their effects on humans are uncertain despite a growing body of literature. OBJECTIVES: We investigated the influence of a Universal Mobile Telecommunications System (UMTS) base station-like signal on well-being and cognitive performance in subjects with and without self-reported sensitivity to RF EMF. METHODS: We performed a controlled exposure experiment (45 min at an electric field strength of 0, 1, or 10 V/m, incident with a polarization of 45 degrees from the left back side of the subject, weekly intervals) in a randomized, double-blind crossover design. A total of 117 healthy subjects (33 self-reported sensitive, 84 nonsensitive subjects) participated in the study. We assessed well-being, perceived field strength, and cognitive performance with questionnaires and cognitive tasks and conducted statistical analyses using linear mixed models. Organ-specific and brain tissue-specific dosimetry including uncertainty and variation analysis was performed. RESULTS: In both groups, well-being and perceived field strength were not associated with actual exposure levels. We observed no consistent condition-induced changes in cognitive performance except for two marginal effects. At 10 V/m we observed a slight effect on speed in one of six tasks in the sensitive subjects and an effect on accuracy in another task in nonsensitive subjects. Both effects disappeared after multiple end point adjustment. CONCLUSIONS: In contrast to a recent Dutch study, we could not confirm a short-term effect of UMTS base station-like exposure on well-being. The reported effects on brain functioning were marginal and may have occurred by chance. Peak spatial absorption in brain tissue was considerably smaller than during use of a mobile phone. No conclusions can be drawn regarding short-term effects of cell phone exposure or the effects of long-term base station-like exposure on human health.

The Technocrat - v. 35, no. 5

In this issue...Martin Karplus, Noble Prize, Dodgeball Duel, President Obama, community college, Pintler mountains, cell phone evolution, Facebook, social media

Podcasting and the use of portable music/video players at the School of Nursing

Introduction As students become more connected with the internet and other current technologies, the school of nursing has continued to investigate more innovative, meaningful, and effective uses of technology. One particular technology whose use has increased is the portable music/video player. Like the cell phone, mp3 players and iPods have become a standard accessory for students. To capitalize on this popular technology the School has started several pilot projects involving podcasting under graduate and graduate nursing classes and has also been involved in one research project using video iPods. [See PDF for complete abstract]

Sistema de guía para personas invidentes a través de bluetooth

El planteamiento inicial era proveer al individuo invidente de un sistema autónomo capaz de guiarle según sus preferencias. El resultado obtenido al finalizar este proyecto ha sido un dispositivo autónomo configurable por el usuario mediante una aplicación sw , desarrollada en la plataforma móvil Android capaz de comunicarse con el dispositivo autónomo(móvil personal). La idea de utilizar como plataforma de desarrollo sw Android, se basó fundamentalmente en que es código open source, es gratuito y está presente en el 70 por ciento de los móviles de Europa. La idea inicial era que ambos hubieran sido integrados en un mismo dispositivo, pero una vez comenzado el proyecto y habiendo evaluado los hábitos actuales, decidimos adaptar la idea general del proyecto, a nuestros días. Para ello hicimos uso del dispositivo móvil más usado hoy en día, como es nuestros teléfonos móviles, o más bien los llamado Smartphone, con los cuales podemos desde su aplicación originaria que es llamar, hasta realizar multitud de operaciones al mismo tiempo como puede ser comunicación por internet, posicionamiento via GPS, intercambio de ficheros por bluetooth… tantas como podamos programar. Sobre este último atributo, intercambio de información a través de bluetooth, es la interfaz que vamos a aprovechar para la realización de nuestro proyecto. Hoy en día el 90% de los Smartphone tiene entre sus características de conectividad la posibilidad de intercambiar información vía bluetooth. Una vez se tiene resuelto el interfaz entre el medio y el usuario se debe solucionar la forma de transformar la información para que los dispositivos móviles recojan la información y sepan discernir entre la información importante y la que no lo es. Para ello hemos desarrollado una tarjeta configurable, con un módulo bluetooth comercial para enviar la información. El resultado final de esta tarjeta proporciona una manera fácil de configurar diferentes mensajes que serán utilizados según la situación. ABSTRACT The initial approach consisted of a system that shows the way for blind people to get somewhere or something or provide to them important information, an autonomous system able to guide to their preference. After several analyses the project accomplish is a standalone device configurable by the user via an application sw, developed in Android mobile platform capable of communicating with the standalone device (personal cell phone). The decision of using the sw development platform of Android was due to the open source code concept and the great extent of presence on 70 percent of European mobiles. The first idea was that the sw and the device were integrated into a single device, but once the project had been started and having assessed the current habits, it has changed to be adapted to the present technology to get a better usability on the present-day. To achieve the project goals the most used mobile device today was used, our mobile phones, or rather called Smartphone, which you could use to phone your mother or perform many operations simultaneously such as communication online, positioning via GPS, bluetooth file trading program, etc. On this last attribute, information sharing via bluetooth, is the interface that it has been taken to complete the project. Today 90% of the Smartphone include in its connectivity features the ability to exchange information via bluetooth. Once that it was solved the interface between the environment and the final user, the next step incorporates the transformation of the information that the mobile devices collect from the environment to discern between the information the user configure to be notified or not. The hardware device that makes it possible is a configurable card with a bluetooth module that is able to send the information. The final result of this card provides an easy way to configure different messages, that we could use depending of the situation.