Research progress on commonly used visual acuity charts for preschool children / 国际眼科杂志(Guoji Yanke Zazhi)

Preschool age(3-6 years old)is a critical period for visual development, and it is crucial to detect and treat visual problems in preschool children as early as possible. Visual acuity charts are important tools for screening visual issues in children. In China, the commonly used charts are the standard logarithmic visual acuity chart and the pediatric optotype chart, while overseas, the Lea, HOTV, and ETDRS visual acuity charts are frequently employed. Numerous studies have reported the measurability, repeatability, and sensitivity of these three charts in diagnosing visual-related problems in children. However, the application of these three charts is relatively limited in China. This article provides a comprehensive review of the design principles, clinical applications, and characteristics of these three visual acuity charts, so as to better understand their applicability and limitations in preschool children, and provide reference for the selection and improvement of vision examination methods in the future.

Characterization of AhLea-3 and its enhancement of salt tolerance in transgenic peanut plants

BACKGROUND: Late embryogenesis abundant (LEA) proteins were reported to be related to adversity stress and drought tolerance. Lea-3 from Arachis hypogaea L. (AhLea-3) was previously found to be related to salt tolerance according to the result of transcriptome profiling and digital gene expression analysis. So, AhLea-3 was cloned and the salt tolerance was validated by transgenic peanut plants. RESULTS: AhLea-3 was isolated from M34, a salt-resistant mutant of peanut, with its cDNA as the template. AhLea-3 contains one intron and two extrons, and the full-length cDNA sequence contains 303 bp. AhLea3 was ligated to pCAMBIA1301 to obtain the overexpression vector pCAMBIA1301-AhLea-3, which was then transferred into peanut variety Huayu23. The expression level of AhLea-3, as determined by qRTPCR analysis, was >10 times higher in transgenic than in non-transgenic plants. Five days after they were irrigated with 250 mM NaCl, the transgenic plants showed less severe leaf wilting, higher activities of antioxidant enzymes (superoxide dismutase, peroxidase, and catalase), and lower malonic dialdehyde content than non-transgenic plants. Relative to non-transgenic plants, the transgenic plants had a higher photosynthetic net rate, stomatal conductance, and transpiration rate, and a lower intercellular CO2 concentration after salt stress treatment (250 mM NaCl). CONCLUSIONS: These results indicate that overexpression of AhLea-3 increased the salt tolerance of transgenic peanut plants. AhLea-3 might become a useful gene resource for the variety breeding of salinity tolerance in peanut.

Comparative analysis of Lea Symbols chart and ETDRS chart in Chinese preschool children's vision examination / 中华实验眼科杂志

Objective@#To compare cooperation degree and visual acuity difference between Lea Symbols chart and ETDRS chart in Chinese preschool children.@*Methods@#A prospective self-control study design was performed.Two hundred and forty-one children aged from 42 months to 78 months in Quanzhou Quangang Experimental Kindergarten were enrolled and the mean age was (61.9±10.3) months.Among them, 132 pre-school children had normal refractive index.All children completed comprehensive ophthalmological examinations and measurement of monocular visual acuity using Lea Symbols chart and ETDRS chart.All monocular visual acuity scores were recorded in LogMAR form.This study followed the Declaration of Helsinki and this study protocol was approved by Medical Ethics Committee of The Second Affiliated Hospital of Fujian Medical University (No.2017[62]). Written informed consent was obtained from all guardians before entering the study.@*Results@#The cooperation degrees of Lea Symbols chart and ETDRS chart were 96.7% and 95.0% in 42-78 months of children, respectively, with no significant difference between the two visual acuity tables (χ2=1.669, P>0.05). The visual acuity measured by Lea Symbols chart was positively correlated with that measured by ETDRS chart (rs=0.726, P<0.001). The measurement consistency of the two chart was good (Kappa=0.531). Among 132 normal refractive children, the visual acuity level measured by Lea Symbols chart was higher than that measured by ETDRS chart (W=-7.461, P<0.001); the measurement consistency of the two visual acuity chart was good (Kappa=0.467). There was no significant difference between the two charts in measuring the binocular vision difference (W=-0.889, P=0.374); the visual acuity levels of boys measured by Lea Symbols chart and ETDRS chart were higher than those of girls, and the difference was statistically significant (U=-3.352, -4.679; both at P<0.001); the visual acuity values measured by Lea Symbols chart and ETDRS chart were negatively correlated with age (rs=-0.423, -0.437; both at P<0.001); the visual acuity measured by Lea Symbols chart was higher than that measured by ETDRS chart in different age groups, and the differences were statistically significant (all at P<0.001).@*Conclusions@#The measurement of visual acuity by Lea Symbols chart and ETDRS chart can be achieved with a high cooperation degree in 42 months and older children.The visual acuity measured by Lea Symbols chart is higher than that measured by ETDRS chart.In the preschool children's vision screening, we should pay attention to the difference between the two kinds of visual charts, and be careful to judge the abnormal vision.

Comparative analysis of Lea Symbols chart and ETDRS chart in Chinese preschool children ' s vision examination / 中华实验眼科杂志

Objective To compare cooperation degree and visual acuity difference between Lea Symbols chart and ETDRS chart in Chinese preschool children. Methods A prospective self-control study design was performed. Two hundred and forty-one children aged from 42 months to 78 months in Quanzhou Quangang Experimental Kindergarten were enrolled and the mean age was (61. 9±10. 3) months. Among them,132 pre-school children had normal refractive index. All children completed comprehensive ophthalmological examinations and measurement of monocular visual acuity using Lea Symbols chart and ETDRS chart. All monocular visual acuity scores were recorded in LogMAR form. This study followed the Declaration of Helsinki and this study protocol was approved by Medical Ethics Committee of The Second Affiliated Hospital of Fujian Medical University ( No. 2017 [ 62 ] ) . Written informed consent was obtained from all guardians before entering the study. Results The cooperation degrees of Lea Symbols chart and ETDRS chart were 96. 7％ and 95. 0％ in 42-78 months of children,respectively, with no significant difference between the two visual acuity tables (χ2=1. 669,P>0. 05). The visual acuity measured by Lea Symbols chart was positively correlated with that measured by ETDRS chart (rs=0. 726,P<0. 001). The measurement consistency of the two chart was good ( Kappa=0. 531 ) . Among 132 normal refractive children, the visual acuity level measured by Lea Symbols chart was higher than that measured by ETDRS chart (W=-7. 461,P<0. 001);the measurement consistency of the two visual acuity chart was good (Kappa=0. 467). There was no significant difference between the two charts in measuring the binocular vision difference (W=-0. 889,P=0. 374);the visual acuity levels of boys measured by Lea Symbols chart and ETDRS chart were higher than those of girls,and the difference was statistically significant (U=-3. 352,-4. 679;both at P<0. 001);the visual acuity values measured by Lea Symbols chart and ETDRS chart were negatively correlated with age ( rs =-0. 423,-0. 437;both at P<0. 001 );the visual acuity measured by Lea Symbols chart was higher than that measured by ETDRS chart in different age groups,and the differences were statistically significant (all at P<0. 001). Conclusions The measurement of visual acuity by Lea Symbols chart and ETDRS chart can be achieved with a high cooperation degree in 42 months and older children. The visual acuity measured by Lea Symbols chart is higher than that measured by ETDRS chart. In the preschool children's vision screening,we should pay attention to the difference between the two kinds of visual charts, and be careful to judge the abnormal vision.

Comparison of the efficacy of Lea Symbol chart and Sheridan Gardiner chart for preschool vision screening

Purpose: To compare the efficacy of Lea symbols (LS) chart and Sheridan Gardiner (SG) chart for vision screening among preschool children, in a semi-urban district of South India. Methods: Vision screening was conducted among 260 preschool children aged 3–5 years in cluster sampled kindergartens using LS chart and SG chart. Pass/fail scores and time taken for visual acuity (VA) estimation were compared. VA scores and time taken were compared using unpaired t-test. Sensitivity, specificity, and positive and negative predictive values were compared between the charts. Results: There was a significant difference between LS and SG charts in the VA score in both the eyes (P = 0.04). LS showed 76.09% pass score and 23.90% fail score, whereas SG showed 87.65% pass score and 12.35% fail score with a cutoff value of > 0.3 log MAR. Time for screening using LS was higher, when compared to SG, both for the right eyes (P < 0.001) and the left eyes (P < 0.001). The sensitivity of the LS was 94.74% (95% confidence interval [CI]: 70.13%–81.06%) and that of SG was 52.63% (95% CI: 45.29%–59.8%). The specificity of LS was 66.67% (95% CI: 90.26%–97.30%) and SG was 83.33% (95% CI: 70.12%–91.30%). Conclusion: LS chart showed better sensitivity and negative predictive value when compared to SG chart. However, SG chart showed better specificity and positive predictive value, and screening was less time-consuming. Considering the high sensitivity and negative predictive value, LS is the preferred tool, when compared to SG chart in preschool vision screening in our population.

Review on visual acuity charts for preschool children / 中华实验眼科杂志

The preschool age is an important stage for the development of children's vision.Visual problems can affect visual development of children,so it is necessary for preschool children to have vision examination.As an important method of preschool vision screening,visual acuity charts can be used for early screening of eye diseases in children.The benefits of screening before school entry have been demonstrated in practice.There are many kinds of visual acuity charts that can be used to test the vision acuity of preschool children aged 3 to 6 years.This review introduced the design of visual acuity charts and lists several types of charts for screening of preschool children.Simultaneously,we have analyzed a number of papers that compared preschool vision screening methods.The vision examination on children aged 3 to 6 years was necessary to discover various visual impairments.Choosing an appropriate visual acuity chart is the focus of low vision rehabilitation research.

Prognostic significance of non-enteric blood culture in diabetic foot disease

The diabetic foot is a group of syndromes in which ischemia, neuropathy and infection leads to tissue breakdown resulting in morbidity and possible lower extremity amputation. The diagnosis is based on clinical criteria investigations. It is imperative that such patients are managed by a team of Physician, Surgeon, Social care worker, Physiotherapist and a Podiatrist. In this study we included 100 diabetic foot patients in the age group of 30 to 80 years. The study was done for a period of one year. 47% of our patients had Meggit Wagner grade 3 and 10% had grade 5. 27% of the patients had renal failure and 30% had anemia. These patients were subjected to non-enteric culture of blood under sterile precautions. 80% of our patients showed positive culture. The organisms commonly isolated were Staphylococcus aureus, beta haemolytic Streptococcus and Klebsiella pneumoniae. Less commonly isolated were Citrobacter species, Proteus mirabilis and anaerobes. 40% of patients with positive culture went on to have lower extremity amputation. Thus we concluded that non enteric culture in diabetic foot disease has prognostic significance and the spectrum of infection in diabetic foot disease is polymicrobial in nature and at par with the literature.

Cloning,expression and function analysis of DOLEA2 gene from Dendrobium officinale / 药学学报

LEA (late embryogenesis abundant) proteins that are highly hydrophilic and thermally stable play a role in plant defense. The full-length cDNA of DoLEA2 was cloned by rapid amplification of cDNA ends (RACE) from Dendrobium officinale (GenBank number:KY626329). The cDNA is 1 224 bp and encodes 313 amino acids. The deduced DoLEA2 protein contained LEA_2 and WHy domains. Multiple sequence alignment revealed that DoLEA2 shared a high homology with other species. Phylogenetic tree showed that DoLEA2 belonged to the monocotyledon and its closest relative was P. aphrodite. DoLEA2 was differentially expressed in the different organ. The expression was most abundant in the leaves, followed by that of the roots and stem. DoLEA2 could express in Escherichia coli BL21 (DE3), and the best induction conditions were 0.5 mmol·L-1 IPTG at 37℃ for 4 h. The growth curves of E. coli BL21 (DE3) showed that the recombinant DoLEA2 protein improved tolerate against salt stress over the control. This study represents the first time of cloning and identification of the function of LEA2 in D. officinale. The result sets up an important foundation for the molecular mechanism of stress resistance in Dendrobium officinale.

Correlation between Expression of LEA2 Gene from Gastrodia elata and Cold Resistance / 中国药学杂志

OBJECTIVE: To find out the correlation between LEA2 gene from Gastrodia elata and cold resistance. METHODS: Two LEA2 cDNA sequences were obtained by screening the transcriptome of seeds from Gastrodia elata. Recombinant plasmid was obtained and imported into Escherichia coli. Then the transformed Escherichia coli(pET28a-LEA2) received low temperature treatment. RESULTS: GeLEA2-1 had a complete 477 bp ORF encoding 158 amino acids and its molecular weight was 17.3×103. In addition, GeLEA2-2 had a complete 942 bp ORF encoding 313 amino acids and its molecular weight was 34.85×103. Phylogenetic analysis showed the two GeLEA2 were highly homologous with LEA2 from Arabidopsis thaliana and Oryza sativa. The growth curves of E. coli BL21(DE3) showed that the strain expressing GeLEA2 tolerated low temperature more poorly than the control. CONCLUSION: Our work reveals that GeLEA2 could response to low temperature stress by negative regulation.

Genetic use restriction technologies and possible applications in the integrated pest management / Tecnologias genéticas de restrição de uso e possíveis aplicações no manejo integrado de pragas

ABSTRACT: Genetic use restriction technologies (GURTs) were developed to preserve the intellectual property of genetically modified crops (GM) and ensure the return of investments made by industry to obtain technology delivered through seeds. The aims of this review are to discuss the GURTs and analyze their possible applications in integrated management of agricultural pests. There are two classes of GURTs: T-GURTs (trait-based GURTs), wherein the generated seed are viable, but the next generation does not express the trait of agronomic interest, and V-GURT (variety-based GURTs), in which plants produce non viable seeds. However, beyond the seed protection purpose, the GURTs could have also other application to solve agronomic problems. One of the most important is the use of GURTs as a tool to restrict gene flow of GM traits to relative weeds. In addition, it is proposed the use of this technology in integrated weed management by preventing the GMs seed germination, which produces volunteer plants that compete with the crop of interest. Also, these volunteer plants may serve as alternative hosts for insects and pathogens in between crop seasons. The GURTs could contribute to the control of undesirable agents in agricultural systems, reducing the use of pesticides and increasing crop yields.

RESUMO: As tecnologias genéticas de restrição de uso (GURTs) foram idealizadas a fim de preservar a propriedade intelectual de culturas geneticamente modificadas (GMs) e garantir o retorno dos investimentos feitos pelas empresas para a obtenção de tecnologias transmitidas via sementes. Os objetivos dessa revisão são discutir as GURTs e analisar suas possíveis aplicações no manejo integrado de pragas agrícolas. Existem duas classes de GURTs: a T-GURT (trait-based GURT), na qual as sementes produzidas são viáveis, porém as plantas da geração seguinte não expressam o caractere de interesse agronômico, e a V-GURT (variety-based GURT), na qual as plantas produzem sementes inviáveis. Contudo, além do propósito da proteção das sementes, o uso de GURTs poderia também ter outras aplicações na resolução de problemas agronômicos. Um dos mais importantes é o uso das GURTs como ferramenta para impedir o fluxo de genes de culturas transgênicas para plantas daninhas coespecificas. Além disso, propõe-se o uso dessa tecnologia no manejo integrado de plantas daninhas, por meio da prevenção da germinação de sementes GMs, que geram plantas voluntárias que competem com a cultura de interesse. Além disso, essas plantas voluntárias podem servir como hospedeiros alternativos para insetos e patógenos nos períodos de entressafra. Dessa forma, as GURTs poderiam contribuir no controle de agentes indesejáveis em sistemas agrícolas, reduzindo a utilização de agrotóxicos e aumentando a produtividade dos cultivos.

Comparison of the Lea Symbols and HOTV charts for preschool vision screening from age 3 to 4 . 5 years old / 国际眼科杂志(Guoji Yanke Zazhi)

AlM:To evaluate the applicability and the development of the normal visual acuity from age 3 to 3. 5 years using Lea Symbols and HOTV charts. METHODS:lt was a survey research study. Totally, 133 preschoolers ( 266 eyes ) between 3 to 4. 5 years old recruited from two kid-gardens in Guangzhou were tested with both the Lea Symbols chart and the HOTV chart. Outcome measures were monocular logarithm of the minimum angle of resolution ( logMAR) visual acuity and inter-eye acuity difference in logMAR units for each test. RESULTS: The testability rates of the two charts were high (96. 24% vs 92. 48%, respectively), but difference was not statistically significant (P>0. 05). The difference between the two kind of monocular vision was not statistically significant (the right eye: t=0. 517, P=0. 606;the left eye: t = - 0. 618, P = 0. 538 ). There was no significant difference between different eye ( Lea Symbols chart:t=0. 638, P=0. 525; HOTV chart: t= -0. 897, P=0. 372). The visual acuities of the boys were better than those of the girls, but the difference was not statistically significant (P>0. 05). The results which came from visual acuities with the two charts for the corresponding age groups (3-year-old group, 3. 5-year-old group, 4-year-old group, 4. 5-year-old group) indicated that the visual acuities of the preschoolers were improving with increasing age, but the difference among the visual acuities with the Lea Symbols chart was not statistically significant (the right eye:F=2. 662, P=0. 052;the left eye:F=1. 850, P=0. 143). However the difference among the visual acuities with the HOTV chart was statistically significant (the right eye:F=4. 518, P=0. 005;the left eye:F=3. 893, P=0. 011). CONCLUSlON: Both Lea Symbols and HOTV chars are accepted and appropriate for preschool vision screening from 3 to 4. 5 years old. The monocular visual acuity of preschoolers from age 3 to 4. 5 years could be assessed was similar using the two charts. There is no correlation between visual acuity and different eye. There is no statistical difference between the genders. The results further demonstrate that the preschoolers whose age reached three years old have the ability to accept the Subjective vision checks. Also the development of the normal visual acuity is faster in the early stage.

2014 updated recommendations for preschool vision screening: Guidelines for Filipino children entering the Philippine public school system

@#In 2004, the University of the Philippines Manila published the Philippine Guidelines on Periodic Health Examination (PHEX): Effective Screening for Diseases among Apparently Healthy Filipinos. 1 The document was envisioned to “contribute… to the quality and efficiency of health care and health maintenance for all Filipinos… It was an appeal for rational medical decision-making, and an important step toward “equitable distribution of health and health resources.” The guidelines were prepared by designated task forces, with vision disorders, specifically vision impairment, and glaucoma identified as areas of interest. PHEX recommendations were drafted using standardized principles and a common protocol, with each statement undergoing four phases of development: (1) preparation of the evidence- based draft; (2) en banc meeting that gave panelists a chance to assess and revise the draft, where issues of feasibility, resource limitations, value judgment, and experts’ opinions were taken into account. A consensus was declared when at least 75% agreed on a recommendation; (3) for unresolved issues, modified Delphi technique was employed by correspondence until a consensus was reached or a maximum of three circulations were accomplished. If still unresolved, the issue was labeled as such and included in the final draft; (4) lastly, a public forum was conducted before the final draft was written. In this manner, the recommendations for Screening for Visual Impairment were written by the Task Force for Vision Disorders.

Antioxidant response and Lea genes expression under salt stress and combined salt plus water stress in two wheat cultivars contrasting in drought tolerance.

Two wheat cultivars, C306 and PBW343 contrasting in drought tolerance were compared for their antioxidant response and Lea genes’ expression under salt stress (SS) and combined stress (CS) of salt stress plus water stress during seedlings growth. The drought susceptible cultivar (PBW343) behaved different towards SS/CS than towards WS. It accumulated more dry masses in shoots, more ascorbate, had higher ascorbate to dehydroascorbate ratio, lesser dehydroascorbate, lesser malondialdehyde (MDA), more proline and higher antioxidant enzymes under SS than under WS. CS increased dry masses, ascorbate, ascorbate to dehydroascorbate ratio, antioxidant enzymes and decreased dehydroascorbate and MDA contents from levels under WS. The drought tolerant cultivar (C306) though showed higher levels of ascorbate, ascorbate to dehydroascorbate ratio, lower levels of dehydroascorbate, showed lesser dry biomasses in shoots, higher MDA and lesser ascorbate peroxidase and catalase activities under SS than under WS and these features were improved on combining WS with SS. All lea genes were induced under all stresses in both cultivars except Wrab17 in C306 only, was not induced under any stress. Eight Lea genes out of ten were induced higher under WS than SS in C306 but induced same in PBW343. Wdhn13 gene was higher salt-responsive than other lea genes in both cultivars.

Comparison of lea gratings with cardiff acuity cards for vision testing of preverbal children.

Aims: To create a normative data for lea grating (LG) in the Indian population and to compare LG with Cardiff Acuity Card (CAC). Settings and Design: Normative Data was acquired from normal children between 6 months-3 years coming to the ‘Immunisation Clinic’ and ‘Well-Baby Clinic’ at a Civil Hospital. To compare LG with CAC, normal and amblyopic children between 6 months-3 years were evaluated, Materials and Methods: Monocular and binocular visual acuity (VA) was measured using LG and then CAC. VA and time taken to perform the test were compared. Statistical Analysis Used: Pearson's Correlation Coefficient to compare VA and Student paired t-test (significance P<0.005) to compare time. Results: Two standard deviations of VA of 100 normal children overlapped with that published by Lea. Of the 30 amblyopic children aged 18.32 ± 10.5 months (2-36), 18 were females. VA was 0.95 ± 0.3 logMAR (0.7–1.2) and 1.0 ± 0.6 logMAR (0.5–2.1) binocularly and 1.32 ± 0.08 logMAR (0.2-0.6) and 1.15 ± 0.15 logMAR (0.88-1.48) monocularly on CAC and LG respectively. Pearson's correlation coefficient was 0.98 and 0.63 for binocular and monocular assessment respectively. Time taken to perform LG monocularly and binocularly was significantly less (P<0.001) than CAC. Conclusion: Normative data acquired in Indian pre-verbal children is similar to that published by Lea. Though VA by CAC is better than LG, the two tests are comparable.

Reproducibilidad y concordancia para la carta snellen y lea en la valoración de la agudeza visual en infantes de primaria / Test-retest reliability and agreement for snellen and lea visual chart to assessment visual acuity in elementary school children

Introducción: la evaluación de la visión de un infante se determina empleandolas cartas de agudeza visual, aunque se les conoce comúnmente con el nombre de “optotipos”, de las cuales la más frecuentemente empleada es la Snellen.Objetivo: determinar la reproducibilidad inter observadores y la concordancia dedos test que miden la agudeza visual en infantes escolares. Materiales y métodos: se evaluaron 61 niños (122 ojos) visualmente sanos conedades entre los 6 a10 años de un colegio de la ciudad de Pereira. La agudeza visual (AV) fue valorada con una carta Snellen de letras y con una carta LEA por parte de dos evaluadores independientemente. Resultados: la AV promedio fue de 0.0 unidades del logaritmo del mínimo ángulo de resolución (logMAR) (20/20) y la diferencia media entre los test fue -0.05 (IC95 porciento-0.064 a -0.037) logMAR; el coeficiente de reproducibilidad (COR) fue mejor parala carta LEA que Snellen (±0.08 y 0.12) superior a lo reportado en estudios previos (±0.15).Conclusión: la concordancia con el coeficiente de correlación intraclase mostró ser moderada (0.493) y los límites de acuerdo mostraron que había una mayor variación entre las mediciones para cuando la AV era más alta. Las cartas LEA y Snellen mostraron una buena reproducibilidad, no obstante la variabilidad en las mediciones entre ellas indica que no son pruebas intercambiables.

Introduction: the evaluation of the vision of an infant is determined using the visual acuity charts, although they are commonly referred to as the “optotypes”, of which the most frequently used is the Snellen.Objetive: to determinate test retest reliability and the agreement of two tests used to assess elementary school children visual acuity. Methods: we evaluated 61 visual healthy children (122 eyes) ages 7 through 10enrolled in elementary school of Pereira. Visual acuity (VA) was measured with Snellen letters chart and LEA symbols chart by two evaluators.Results: the average of VA was 0.0 of logarithm of minimum angle of resolution(logMAR), the mean difference between the test was -0.05 (CI95% -0.064 to -0.037) logMAR; the coefficient of repeatability (COR) was better for LEA symbols and Snellen chart (±0.08 and 0.12) than those reported in previous papers (±0.15). Conclusion: the coefficient correlation Intraclass (CCI) has indicated a moderateconcordance (0.493) and the 95% limits of agreement showed a wider difference between the both charts measurements as while visual acuity was better. LEA symbols and Snellen chart have showed good test retest reliability, although the variability between both measurements indicates that they are not interchangeabletest.

Pruebas para la evaluación de la agudeza visual en pacientes pediátricos / Tests for the visual acuity assessment in pediatric patients

La medición de la agudeza visual en niños representa un importante reto para el optómetra por ser laboriosa y requerir conocimiento y paciencia. Según el estímulo, la agudeza visual puede dividirse en tres tipos: de detección, de resolución y de reconocimiento. Los valores de estas pueden ser diferentes y se alteran en diferente proporción en presencia de problemas visuales. El presente artículo hace una revisión de los tests de agudeza visual para niños, sobre los que se han realizado gran número de investigaciones en los últimos años: Teller, Cardiff, Lea, HOTV y las cartillas logMAR que podrían emplearse en el grupo de escolares.Conclusiones: las pruebas contempladas en esta revisión no son necesariamente las más utilizadoas en nuestra práctica clínica cotidiana; sin embargo, la actividad investigativa en torno a éstas ha aportado a la construcción de protocolos diagnósticos. El referente para una mejor práctica clínica debe ser la optometría basada en la evidencia, ya que ésta permite a los profesionales disponer de nuevos elementos de juicio objetivos, con fundamento científico, que contribuyan a la elección de la mejor alternativa para determinar la agudeza visual en los niños. El optómetra debe seguir rigurosamente los protocolos de evaluación de la agudeza visual para dar a sus mediciones mayor confiabilidad y analizar los resultados obtenidos dentro del contexto de la historia clínica. Los métodos para la evaluación de la agudeza visual pueden adaptarse de acuerdo con las habilidades, el conocimiento y la experiencia del niño que va a examinarse. Con esta revisión se evidencia la importancia de realizar estudios sobre la aplicación de estos tests en nuestro medio con el fin de evaluar su confiabilidad y utilidad en nuestros pacientes.

The visual acuity measurement in children is an important Challenger for the optometrist, given de complexity of the task and to require knowledge and patience. According to the stimulus, the visual acuity can be divided in three types: detection, resolution and recognition. The values of these can be different and they are altered in different proportion in the presence of visual problems. The present article makes an overhaul of the test of the visual acuity for children which years have generated great number of investigations in the past years: Teller, Cardiff, Lea, HOTV and logMAR charts that could be used in the school age group.Conclusions: The tests reviewed are not necessarily used commonly used our clinical daily practice, nevertheless the investigative activity concerning these has reached in the construction of diagnostic protocols. The reference for a better clinical practice must be the optometry based on the evidence, since this one allows to the professionals to have new facts that contribute to the election of the best alternative to determine the visual acuity in the children. The optometrist a must follow rigorously the protocols of evaluation of the visual acuity to give to measurements major reliability and to analyze the results obtained inside the context of the history. The methods for the evaluation of the visual acuity can be adapted in agreement with the skills, knowledge and experience of the child being examinated. There is evident the importance of realizing studies on the application of these test in order to evaluate their reliability and utility in our patients

Significance of colorectal carcinoma - associated antigen LEA in diagnosis of patients with colorectal carcinoma / 中国免疫学杂志

Objective:To probe into the expression and the clinic significance of LEA on colorectal carcinoma. Methods:The expression of LEA and CEA in 140 colorectal cancer specimens and 100 colorectal non-cancerous specimens had been detectd by immunohistcchemistry S-P method.Results:The expression of LEA was relative to tumor differentiation degree and exhibits higher selectivity in high differentiation ade-nocarcinoma ( P 0.05) . The positive rate of LEA in adenoma was much higher than surrounding non-cancerous mucosa and normal mucosa. In normal mucosa the positive rate of LEA was obviously lower than that of CEA ( P

Frequency and distribution of unexpected antibodies of Koreans / 대한수혈학회지

BACKGROUND: Several studies on the frequency and distribution of unexpected antibodies of Koreans have been done by some investgators. But more studies are necessory to grasp the real frequency and distribution. We hoped to investigate the frequency and distribution of unexpected antiboddis of Koreans. METHODS: We performed 188 unexpected antibody identification tests to evaluate the distribution of unexpected antibodies from May 1997 to June 1998. The sera we tested are antibody screening positive ones sent from 11 hospitals and 1 blood center. We also analized the frequecny of unexpected antibodues from the data of Dongsan Medical Center's antibody screening tests. RESULTS: The frequency of unexpected antibody of this study (using tube method) was 1.0%. Both anti-Lea and anti-E (with anti-c) antibodies were the most frequent antibodies up to 31 cases (33.0%) each. Among the identified antibodies from Dongsan Medical Center which used tube method, anti-Lea antibody was the most frequent antibody (41.3%). Otherwise among the identified antibodies from other two hospitals which used gel card method, anti-E (with anti-c) antibody was the most frequent antibody (45.5%). The cause of all four cases of hemolytic disease of newborn was anti-E antibody. About half of the specimens' antibodies were not identified due to the problemes of identification cells, tested sera, test methods. CONCLUSION: Anti-Lea and anti-E (with anti-c) antibodies were the most frequent ones in Korean people. But the prequency was varied according to antibody screenig test methods. Anti-E antibody is the most important unexpected antibidy for hemolytic disease of newborn in Korea. To decrease the missed cases of antibody identification tests both Korean and foreign identification cells, enzyme method should be used.

Embryogenesis in flowering plants: Recent approaches and prospects.

The overall architectural pattern of the mature plant is established during embryogenesis. Very little is known about the molecular processes that underlie embryo morphogenesis. Last decade has, nevertheless, seen a burst of information on the subject. The synchronous somatic embryogenesis system of carrot is largely being used as the experimental system. Information on the molecular regulation of embryogenesis obtained with carrot somatic embryos as well as observations on sandalwood embryogenic system developed in our laboratory are summarized in this review. The basic experimental strategy of molecular analysis mostly relied on a comparison between genes and proteins being expressed in embryogenic and non-embryogenic cells as well as in the different stages of embryogenesis. Events such as expression of totipotency of cells and establishment of polarity which are so critical for embryo development have been characterized using the strategy. Several genes have been identified and cloned from the carrot system. These include sequences that encode certain extracellular proteins (EPs) that influence cell proliferation and embryogenesis in specific ways and sequences of the abscisic acid (ABA) inducible late embryogenesis abundant (LEA) proteins which are most abundant and differentially expressed mRNAs in somatic embryos. That LEAs are expressed in the somatic embryos of a tree flora also is evidenced from studies on sandalwood. Several undescribed or novel sequences that are enhanced in embryos were identified. A sequence of this nature exists in sandalwood embryos was demonstrated using a Cuscuta haustorial (organspecific) cDNA probe. Somatic embryogenesis systems have been used to assess the expression of genes isolated from non-embryogenic tissues. Particular attention has been focused on both cell cycle and histone genes.

Investigation on the best desiccative technics of fresh water mussel from Hyriopsis cumingii / 中国海洋药物

Objective To confirm the best dry technics,the colormetry of anthrone-sulfuric method was employed to determine the content of polysaccarides in fresh water mussel and three factors of temperature,dry time and tiled destiny were compared.Method Colorimetry of anthrone-sulfuric acid.Results and ConclusionThe best dry technics was: 2.5 kg/m2 tiled destiny,temperature at 90 ℃ and drying within 2 hours.The content of total amylase in polysaccharides in fresh water mussel was 21%.The method appeared to be reliable and operable for quality control.