The relationship between classroom environment and myopia / 中华流行病学杂志

Objective: Based on a cohort and intervention study of the Eastern Chinese Student Surveillance, Cohort and Intervention Study (ES-SCI), this research aims to explore the correlation between monitor of the school environment and longitudinal data on myopia and provide evidence for the government myopia intervention strategy. Methods: This survey adopts the stratified cluster sampling method with the school as the unit. Students from grade 1 to grade 3 were selected according to the whole class to monitor the school environment in the classroom. Students will use the full-automatic computer optometer (TOPCON RM800) to conduct optometry from 2019 to 2021 under the condition of mydriasis to perform refractive eye examinations. Meantime eye axis length monitoring was also conducted. Cox proportional risk regression model was used to explore the relationship between school environmental monitoring and the occurrence and development of students' myopia. Results: From 2019 to 2021, 2 670 students from 77 classrooms participated in the observation study. The students' diopter after right/left eye mydriasis decreased in varying degrees (P<0.001), and the axial length of the right/left eye increased in various degrees (P<0.001). The weighted qualified rate of per capita area of primary school classrooms increased from 18.0% in 2019 to 26.0% in 2021, the weighted average illuminance pass rate of blackboard surface increased from 23.8% in 2019 to 26.4% in 2021, and the weighted average illuminance pass rate of classroom table decreased from 86.7% in 2019 to 77.5% in 2021. The trend chi-square test was significant (P<0.05). Cox proportional risk regression showed that after correcting for the grade, gender, parental myopia, diet, sleep, near work (sitting posture, working time, electronic mobile equipment, eye exercises), and outdoor activities, the per capita area of 1.36- m2 was the protective factor of eye axis length (HR=0.778, 95%CI: 0.659-0.918, P=0.003); The average reflection ratio of blackboard 0.15-0.19 was the protective factor of eye axis length (HR=0.685, 95%CI: 0.592-0.793, P<0.001); The average illumination of the blackboard 150-, 300-, 500- lx was the protective factor of the eye axis length (HR=0.456, 95%CI: 0.534-0.761, P<0.001; HR=0.794, 95%CI: 0.705-0.895, P<0.001; HR=0.690, 95%CI: 0.619-0.768, P<0.001). The blackboard evenness 0.40-0.59 was the risk factor of eye axis length (HR=1.528, 95%CI: 1.018-2.293, P=0.041), and the blackboard evenness 0.80- was the protection factor of eye axis length (HR=0.542, 95%CI: 0.404-0.726, P<0.001). The evenness of the desktop 0.40-0.59 was the protective factor of eye axis length (HR=0.820, 95%CI: 0.698-0.965, P=0.017). The average illuminance of 150-, 300-, 500- lx was the protective factor of a diopter (HR=0.638, 95%CI: 0.534-0.761, P<0.001; HR=0.911, 95%CI: 0.848-0.978, P=0.011; HR=0.750, 95%CI: 0.702-0.801, P<0.001). The average illumination of desktop 500- lx was a protective factor of a diopter (HR=0.855, 95%CI: 0.763-0.958, P=0.007). Conclusion: School environmental monitoring indicators, such as meeting per capita area standards, passing blackboard, and desk top-related indicators, all play protective effects on myopia development in students.

Influence of Interleukin-10 on Pneumonic Anaphylacticitis in Mice with Asthma / 实用儿科临床杂志

Objective To explore the inhibition effect of interleukin-10(IL-10)on pneumonic anaphylacticitis in mice with asthma and its effects on the level of serum IgE.Methods Thirty BALB/c male mice whose weight were(20?2)g were randomly divided into 3 groups:normal group(n=10),asthma model group(n=10)and IL-10 treatment group(n=10).Asthma model group and IL-10 group were sensitized with 1 g?L-1 ovalbumin,then asthma model was made with inhallating 10 g?L-1 VOA 20 mL.The normal group was not administered anything as a negative group.Before inhallating with 10 g?L-1 VOA,asthma model group was administered inhalation with 9 g?L-1 saline 0.1 mL,and IL-10 treatment group was administered inhalation with 0.1 mL IL-10 whose concentration was 0.2 ?g?L-1.The level of IgE was measured by ELISA reagent box,eviscerated lungs after collecting blood and then made them into pathological slices.Results There was an obvious distinction in the mice pathological change of lungs and bronchus between asthma model group and other groups,but no significant difference between IL-10 treatment group and normal group.There was no obvious infiltration of inflammatory cells in the airways of IL-10 treatment group and normal group.However,there were a great number of inflammatory cells in the interstitial and peribronchovascular regions of asthma model group.The levels of serum IgE were(5.219?0.427)?g?L-1,(6.633?0.145)?g?L-1 and(5.503?0.566)?g?L-1 in normal group,asthma model group and IL-10 treatment group,respectively.The level of serum IgE in asthma model group increased obviously compared with normal group and IL-10 treatment group,with significant differences(Pa0.05).Conclusions Inhalation of IL-10 can optimally control the pneumonic anaphylacticitis,improve the situation of airway inflammation in mice asthmatic model and reduce the IgE serum level.