Treatment of Partly Accommodative Esotropia With a High Accommodative Convergence-Accommodation Ratio

NARCIS (Netherlands)

H.J. Simonsz (Huib)

1988-01-01

textabstractIn the June 1987 issue of the Archives, the results were published of a study by Kushner et al1 on the treatment of accommodative convergence excess, with bilateral medial rectus recessions or recessions with 14-mm posterior fixation sutures. Posterior fixation surgery was considered an

Sensorial status in patients with pure accomodative esotropia.

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Castro-Vite, O I; Vargas-Ortega, A J; Aguilar-Ruiz, A; Murillo-Correa, C E

2016-12-01

To evaluate the sensorial status in patients with pure accommodative esotropia. Ambispective study, patients with pure accommodative esotropia that were found in orthotropy when using its correction glasses were included. 67 patients were included, mean age was 3.68±1.28 years, the near and far ocular deviation was 19±8.8 PD and 18.71±10.61 PD respectively. The visual acuity in the right eye was 0.183 ±0.11 logMAR, in the left eye was 0.188±0.12 logMAR. The average spherical equivalent was +5.50 diopters, for the right eye was +5.46 ±1.61 diopters and for the left eye +5.71 v±1.6 diopters. The average AC/A ratio was 5.19±0.92 Δ/1. 90% of the patients had a grade of near stereopsis: 42% had stereopsis equal or better to 70 arc seconds and 81% had stereopsis equal or better to 400 arc seconds, having an average of 205 arc seconds. 85% of the patients had some grade of far stereopsis: 16% had stereopsis equal or better to 70 arc seconds and 66% had a stereopsis equal or better to 400 arc seconds, having an average of 334.9 arc seconds. There was not statistically significant correlation between the grade of deviation and the stereopsis when using its correction. This study has detected that the sensorial status is compromised even with adequate and appropriate treatment, nevertheless, there is a low frequency of amblyopia. Copyright © 2016 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.

Factors predisposing to consecutive esotropia after surgery to correct intermittent exotropia.

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Jang, Jung Hyun; Park, Jung Min; Lee, Soo Jung

2012-10-01

To investigate the incidence of and factors predisposing to consecutive esotropia after intermittent exotropia surgery, and to prevent the onset of consecutive esotropia. We retrospectively surveyed 226 patients who had been followed up for more than 1 year after surgery for intermittent exotropia conducted between February 2005 and September 2010. Consecutive esotropia was defined as an esotropia of at least 10 prism diopters (PD) at distance or near at least once in 2 weeks after surgery. Presumed risk factors for consecutive esotropia were analyzed. Gender, age at surgery, average binocular spherical equivalent, anisometropia, high myopia, amblyopia, preoperative angle of deviation, vertical deviation, A-V pattern strabismus, exotropia type, type of surgery, stereopsis, and suppression were investigated to evaluate factors influencing the onset of consecutive esotropia. Consecutive esotropia occurred in 22 patients (9.7 %). Significant correlations with occurrence of the condition were found with high myopia (P = 0.013), amblyopia (P = 0.047), preoperative angle of deviation of 25-40 PD at distance (P = 0.016), deviation at distance - deviation at near > 10 PD (P = 0.041), lateral incomitance (P = 0.007), tenacious proximal convergence fusion type (P = 0.001), unilateral lateral rectus muscle recession and medial rectus muscle resection (P = 0.001). High myopia, amblyopia, and lateral incomitance were predisposing factors for consecutive esotropia. Furthermore, the preoperative angle of deviation at distance, differences between the angle of deviation at near and at distance, the type of intermittent exotropia, and the type of surgery affected the incidence of consecutive esotropia. More attention must be paid to patients with such factors.

The resurgence of botulinum toxin injection for strabismus in children.

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Mahan, Marielle; Engel, J Mark

2017-09-01

The present review discusses recent advances in the use of botulinum toxin for the management of strabismus in children. Botulinum toxin injection produces similar results compared to surgery for certain subtypes of strabismus, especially acute onset esotropia. It may be more effective in many subtypes of esotropia where surgery has been less reliable, including partially accommodative esotropia, esotropia associated with cerebral palsy, and thyroid eye disease. Small retrospective studies have demonstrated the efficacy of botulinum toxin in the treatment of many types of pediatric strabismus, providing some guidance for clinicians to determine which patients would benefit most from this intervention. Although administration of botulinum toxin is generally accepted as a reasonable option in select cases, many strabismus surgeons have not fully embraced the treatment, in part because of perceived disadvantages compared to surgery and difficulty in identifying subsets with the highest potential for therapeutic success. A recent study compared the administration of botulinum toxin in children with acute-onset esotropia to surgical correction and found botulinum toxin had a statistically equal success rate, but with the advantage of significantly less time under general anesthesia. In addition, botulinum toxin has been recently tried in patients with partially accommodative esotropia, esotropia associated with cerebral palsy, cyclic esotropia, and in patients with thyroid eye disease. The present review will discuss current clinical recommendations based on recent studies on the use of botulinum toxin in children with strabismus.

Costs and methods of preventive visual screening and the relation between esotropia and increasing hypermetropia

NARCIS (Netherlands)

H.J. Simonsz (Huib); B. Grosklauser; B. Leuppi

1992-01-01

textabstractAtkinson has shown that early correction of hypermetropia reduces the incidence of esotropia. If esotropia is reduced by prescribing glasses early, the rate of esotropia-induced amblyopia can be similarly reduced; this would have important economic consequences. We have studied (1) how

A Case Report of Acute Esotropia in a Young Woman following Heroin Withdrawal

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Bethel Shiferaw

2015-01-01

Full Text Available Introduction. Esotropia is a form of strabismus that can give the affected individual a “cross-eyed” appearance. Acute onset of esotropia is an uncommon form; in the vast majority of cases, no underlying neurological etiology is found. Case Presentation. A 22-year-old female with a long history of opiate abuse presented with acute onset of diplopia. She noted her eyes were crossing and started seeing double. She stopped using heroin 11 days prior to presentation. There was large inward deviation of her left eye. Convergence was difficult and accompanied by horizontal nystagmus. Diplopia resolved by covering each eye. Further investigations including imaging studies were normal. Discussion. Acute onset esotropia is rare and must be investigated right away to exclude central nervous system pathologies, where no opiates use is reported. Diplopia in the form of acute esotropia may manifest in up to 30% of individuals undergoing heroin withdrawal. Evaluating acute esotropia requires detailed information of medical history with an emphasis on drug use. Conclusion. Acute onset esotropia with double vision can be caused by abrupt withdrawal of opiates. This case should serve to raise awareness among health care professionals, to avoid costly and unnecessary diagnostic evaluations and interventions.

Esotropia do adulto durante o período gestacional: relato de caso Adult esotropia during pregnancy: case report

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Luciana Negrão Frota de Almeida

2007-02-01

Full Text Available Os autores relatam o caso de uma paciente que apresentou quadro reincidente de esotropia aguda e diplopia durante o período gestacional. Não havia história de trauma ou qualquer alteração sistêmica, excetuando-se a gravidez. Tratamento oclusivo alternado foi instituído, e após o parto houve remissão espontânea dos sinais e sintomas.The authors report a case of a female patient who presented, for the second time, diplopia and acute esotropia during pregnancy. There was no trauma involved neither was systemic disease. The patient was treated with conventional occlusion, and, soon after delivery, the squint was resolved.

Timing of surgery for infantile esotropia: sensory and motor outcomes

OpenAIRE

Wong, Agnes M.F.

2008-01-01

Infantile esotropia is a common ophthalmic disorder in childhood. It is often accompanied by profound maldevelopment of stereopsis, motion processing, and eye movements, despite successful surgical realignment of the eyes. The proper timing of surgery has been debated for decades. There is growing evidence from clinical and animal studies that surgery during the early critical periods enhances sensory and ocular motor development. The Congenital Esotropia Observational Study has defined a cli...

Correção cirúrgica da esotropia progressiva do alto míope pela técnica de Yamada: relato de dois casos Surgical correction of progressive high myopic esotropia by Yamada's technique: report of two cases

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Fábio Ejzenbaum

2005-08-01

Full Text Available A "esotropia fixa progressiva" se apresenta como um quadro de esotropia progressiva, em adultos altos míopes, que aumenta até que os olhos fiquem fixos numa esotropia de grande ângulo, geralmente associada a hipotropia, e que tem fracos resultados cirúrgicos. O objetivo deste trabalho é descrever a abordagem cirúrgica de 2 pacientes com "esotropia fixa adquirida progressiva" que foram operados segundo a técnica de Yamada (hemitransposição dos retos lateral e superior, e obtiveram bom resultado pós-operatório."Progressive esotropia fixus" is a disease present in high myopic patients with a large angle esotropia associated with hypotropia with poor surgical results. This paper has the purpose to describe Yamada's surgical technique (hemitranspositions of the superior rectus and lateral rectus applied to 2 patients with good surgical results.

Disparity-driven vs blur-driven models of accommodation and convergence in binocular vision and intermittent strabismus.

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Horwood, Anna M; Riddell, Patricia M

2014-12-01

To propose an alternative and practical model to conceptualize clinical patterns of concomitant intermittent strabismus, heterophoria, and convergence and accommodation anomalies. Despite identical ratios, there can be a disparity- or blur-biased "style" in three hypothetical scenarios: normal; high ratio of accommodative convergence to accommodation (AC/A) and low ratio of convergence accommodation to convergence (CA/C); low AC/A and high CA/C. We calculated disparity bias indices (DBI) to reflect these biases and provide early objective data from small illustrative clinical groups that fit these styles. Normal adults (n = 56) and children (n = 24) showed disparity bias (adult DBI 0.43 [95% CI, 0.50-0.36], child DBI 0.20 [95% CI, 0.31-0.07]; P = 0.001). Accommodative esotropia (n = 3) showed less disparity-bias (DBI 0.03). In the high AC/A-low CA/C scenario, early presbyopia (n = 22) showed mean DBI of 0.17 (95% CI, 0.28-0.06), compared to DBI of -0.31 in convergence excess esotropia (n=8). In the low AC/A-high CA/C scenario near exotropia (n = 17) showed mean DBI of 0.27. DBI ranged between 1.25 and -1.67. Establishing disparity or blur bias adds to AC/A and CA/C ratios to explain clinical patterns. Excessive bias or inflexibility in near-cue use increases risk of clinical problems. Copyright © 2014 The Authors. Published by Elsevier Inc. All rights reserved.

Reoperação nas esotropias congênita e essencial adquirida não acomodativa

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Fábio Ejzenbaum

2011-06-01

Full Text Available OBJETIVO: Analisar os resultados das reoperações nas esotropias congênita e essencial adquirida não acomodativa. MÉTODOS: Foram avaliados retrospectivamente 393 prontuários de pacientes com diagnóstico de esotropia (91 esotropias congênitas e 302 adquiridas no Departamento de Oftalmologia da Santa Casa de São Paulo, operados entre os anos de 2000 e 2004. RESULTADOS: No grupo dos portadores de esotropia congênita, 9 pacientes foram reoperados (9,9%. As indicações para a nova intervenção foram: subcorreções (3,3%, supercorreções (2,2%, anisotropia (V (1,1%, hipotropia (1,1% e divergências visuais dissociadas (2,2%. No grupo dos portadores de esotropia essencial adquirida não acomodativa 31 pacientes foram reoperados (10,3%. As indicações para a nova intervenção foram: subcorreções (n=6,6%, supercorreções (n=2% e hipertropias (n=1,7%. CONCLUSÕES: A porcentagem de reoperação nos casos de esotropia congênita e essencial adquirida não acomodativa foram 9,9% e 10,2% respectivamente, com predominância de subcorreções nas indicações para a realização de nova cirurgia. A presença de ambliopia e desvios maiores que 50∆ na esotropia essencial adquirida não acomodativa (EEANA foram os mais importantes fatores para maus resultados.

Acute Acquired Comitant Esotropia in Adults: Is It Neurologic or Not?

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Kadriye Erkan Turan

2016-01-01

Full Text Available Objectives. Acute acquired comitant esotropia (AACE can be a diagnostic challenge for ophthalmologists and neurologists because of its association with neurological pathologies. Our study describes a series of adult patients with AACE of undetermined etiology. Methods. Data on the clinical findings of patients presented with AACE of undetermined etiology with a minimum follow-up of 1 year were retrieved from the medical records and the results analyzed. Results. A series of 9 esotropia cases (age range: 20–43 years was reviewed. All patients had full duction and versions, without an A-pattern or V-pattern. All patients had esotropia for distance and near. Neurological evaluation in all cases was normal. Among patients, 3 were treated with prisms, 4 were treated with strabismus surgery, and 1 was treated with botulinum toxin injections; 1 patient declined treatment. In treated patients posttreatment sensory testing indicated restoration of binocularity that remained stable throughout follow-up of 1–9 years. The patient that declined treatment had binocular function with base-out prisms. Conclusion. Acute onset esotropia may be seen without a neurological pathology in adults. Good motor and sensory outcomes can be achieved in these patients with AACE of undetermined etiology via surgical and nonsurgical methods.

The relationship between abduction deficit and reoperation among patients with infantile esotropia.

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Rajavi, Zhale; Sabbaghi, Hamideh; Torkian, Pooya; Behradfar, Narges; Yaseri, Mehdi; Feizi, Mohadeseh; Faghihi, Mohammad; Sheibani, Kourosh

2018-01-01

To determine the relationship between abduction deficit and reoperation among patients with infantile esotropia (IET). The records of 216 patients (432 eyes) with IET who underwent surgery, from 2010 to 2015 were studied. Patients with IET whose deviation appeared before 6mo of age and had stable preoperative deviation in two examinations with at least 2wk apart and a minimum 3mo postoperative follow up were included. Cases with early onset accommodative esotropia, congenital cataract, retinopathy of prematurity (ROP), manifest nystagmus, fundus lesions, neurologic and ophthalmic anomalies, 6 th nerve palsy and Duane's syndrome were excluded. Preoperative abduction deficit was considered from -1 to -3 grading scale. Three months after surgery, children were classified into no-need reoperation [deviation≤15 prism diopters (PD)], and need-reoperation groups (deviation>15 PD). In this retrospective study, 117 female and 99 male patients with the mean surgical age of 4.7±6.4y were included. Reoperation rate was 33.3% and 16.0% in IET patients with and without abduction deficit, respectively in patients who had a history of late surgery. Abduction deficit increased the odds of reoperation by 82% [OR=1.82, 95% confidence interval (CI) =1.05 to 3.19, P =0.003] in patients who had a history of late surgery (>2 years old, P =0.021). Abduction deficit was improved significantly after operation ( P <0.001). Based on our results, abduction deficit can be considered as a risk factor of reoperation in IET patients who are operated at the age of more than 2y.

Resultados da correção cirúrgica de esotropias de grande ângulo, em portadores de baixa de acuidade visual unilateral Results of surgical treatment of large angle esotropia in patients with low visual acuity

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Jorge Antonio Meireles-Teixeira

2000-10-01

Full Text Available Objetivo: Avaliar os resultados cirúrgicos de esotropias de grande ângulo (no mínimo 60 dioptrias prismáticas - dp, associadas à baixa de acuidade visual (BAV unilateral, cuja cirurgia foi planejada com o intuito de não se operar o olho de melhor visão. Casuística e Métodos: Foram selecionados 17 casos de esotropias não-acomodativas, associadas à BAV (AV 15 dp ou rotações de ± 4. Resultados: 13 (76,4% tinham AV de conta-dedos no olho não-fixador, 2 (11,7% atingiam 0,1 e outros 2 (11,7% 0,4. Em 3 havia alta miopia (equivalente esférico > ou = -6,00 dioptrias esféricas em ambos os olhos. Entre os 17 pacientes, 12 (70,5% obtiveram bom resultado cirúrgico, 3 (17,6% foram regulares e 2 (11,7% ruins. Conclusão: A cirurgia de estrabismo sob anestesia tópica mostrou ser eficaz e segura nestes casos especiais de BAV em um dos olhos, sendo que na maioria das vezes consegue-se não operar o olho de melhor visão; o que a nosso ver, só se tornou possível pelo uso da anestesia tópica.Purpose: To evaluate the surgical outcome of large angle esotropia (minimum of 60 prism diopters -- pd associated with unilateral low visual acuity (LVA in which the surgical strategy was applied in order to operate only the non-fixating eye. Patients and Methods: We selected 17 patients with non-accommodative esotropia, LVA (VA<= 0,4 in the non-fixating eye with the better visual correction and no previous treatment. Patients were classified as good result if they had a postoperative deviation of maximally 10 pd with binocular rotations of up to --2 of medial rectus and +2 of lateral rectus. Exotropia/esotropia between 10 and 15 pd or binocular rotations of ±3 were considered as a regular outcome. Deviations greater than 15 pd or binocular rotations of ±4 were included regarded as poor results. Results: Thirteen (76.4% patients had counts fingers VA in the non-fixating eye, 2 (11.7% achieved 0.1 and another two had 0.4. Three of them were also highly

The relationship between abduction deficit and reoperation among patients with infantile esotropia

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Zhale Rajavi

2018-03-01

Full Text Available AIM: To determine the relationship between abduction deficit and reoperation among patients with infantile esotropia (IET. METHODS: The records of 216 patients (432 eyes with IET who underwent surgery, from 2010 to 2015 were studied. Patients with IET whose deviation appeared before 6mo of age and had stable preoperative deviation in two examinations with at least 2wk apart and a minimum 3mo postoperative follow up were included. Cases with early onset accommodative esotropia, congenital cataract, retinopathy of prematurity (ROP, manifest nystagmus, fundus lesions, neurologic and ophthalmic anomalies, 6th nerve palsy and Duane’s syndrome were excluded. Preoperative abduction deficit was considered from -1 to -3 grading scale. Three months after surgery, children were classified into no-need reoperation [deviation≤15 prism diopters (PD], and need-reoperation groups (deviation>15 PD. RESULTS: In this retrospective study, 117 female and 99 male patients with the mean surgical age of 4.7±6.4y were included. Reoperation rate was 33.3% and 16.0% in IET patients with and without abduction deficit, respectively in patients who had a history of late surgery. Abduction deficit increased the odds of reoperation by 82% [OR=1.82, 95% confidence interval (CI =1.05 to 3.19, P=0.003] in patients who had a history of late surgery (>2 years old, P=0.021. Abduction deficit was improved significantly after operation (P<0.001. CONCLUSION: Based on our results, abduction deficit can be considered as a risk factor of reoperation in IET patients who are operated at the age of more than 2y.

Cirurgia monocular para esotropias de grande ângulo: um novo paradigma Monocular surgery for large-angle esotropias: a new paradigm

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Edmilson Gigante

2009-02-01

Full Text Available OBJETIVO: Demonstrar a viabilidade da cirurgia monocular no tratamento das esotropias de grande ângulo, praticando-se amplos recuos do reto medial (6 a 10 mm e grandes ressecções do reto lateral (8 a 10 mm. MÉTODOS: Foram operados, com anestesia geral e sem reajustes per ou pósoperatórios, 46 pacientes com esotropias de 50δ ou mais, relativamente comitantes. Os métodos utilizados para refratometria, medida da acuidade visual e do ângulo de desvio, foram os, tradicionalmente, utilizados em estrabologia. No pós-operatório, além das medidas na posição primária do olhar, foi feita uma avaliação da motilidade do olho operado, em adução e em abdução. RESULTADOS: Foram considerados quatro grupos de estudo, correspondendo a quatro períodos de tempo: uma semana, seis meses, dois anos e quatro a sete anos. Os resultados para o ângulo de desvio pós-cirúrgico foram compatíveis com os da literatura em geral e mantiveram-se estáveis ao longo do tempo. A motilidade do olho operado apresentou pequena limitação em adução e nenhuma em abdução, contrariando o encontrado na literatura estrabológica. Comparando os resultados de adultos com os de crianças e de amblíopes com não amblíopes, não foram encontradas diferenças estatisticamente significativas entre eles. CONCLUSÃO:Em face dos resultados encontrados, entende-se ser possível afirmar que a cirurgia monocular de recuo-ressecção pode ser considerada opção viável para o tratamento das esotropias de grande ângulo, tanto para adultos quanto para crianças, bem como para amblíopes e não amblíopes.PURPOSE: To demonstrate the feasibility of monocular surgery in the treatment of large-angle esotropias through large recessions of the medial rectus (6 to 10 mm and large resections of the lateral rectus (8 to 10 mm. METHODS: 46 patients were submitted to surgery. They had esotropias of 50Δor more that were relatively comitant. The patients were operated under general

Surgical correction of congenital esotropia alternating and subsequent abnormal correspondence retinal: a case report

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Luigi Mazzeo

2015-10-01

Full Text Available Introduction: Accomodative esotropia is secondary to inappropriate convergence during accomodative effort in an uncorrected hyperope and is often familial. Case presentation: we report the case of 20 year old Caucasian patient with congenital esotropia alternating, of 30 prism diopters distance (5 m and 40 prism diopters of esotropia at near, in both eyes. Measures: Was performed strabismus, in peribulbar anesthesia, the right medial rectus was cashed 3.0mm, the left medial rectus was collected 3.5 mm. Results: Immediately after surgery, the patient complained of intermittent diplopia, resolved with orthotic exercise which stimulated binocular vision, Conclusion: This case report suggests that the surgical correction strabismus, should be considered with due caution in the treatment of congenital esotropia alternating and branches, and in some clinical scenarios selected to avoid the complication of postoperative diplopia, that in the case report resolved so benign. After three months surgical treatmen, remains a small angle strabismus aesthetically acceptable, has not given double vision and remains abnormal retinal correspondence with orthotic exercise.

Acute acquired comitant esotropia of childhood

DEFF Research Database (Denmark)

Hesgaard, Helena; Vinding, Troels

2015-01-01

acute onset of comitant esotropia, available data on ophthalmologic, orthoptic and neurologic examinations. Children with neurological signs, AACE recurrence or hyperopia followed. RESULTS...... no obvious neurological signs at onset. Four significant risk factors for intracranial disease were identified as follows: larger esodeviation at distance, recurrence of AACE, neuro signs (papilledema) and older age at onset (>6 years). CONCLUSION: In a large case series of children with AACE and by review...

Is the incidence of constant esotropia in childhood reducing?

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Carney, C V; Lysons, D A; Tapley, J V

1995-01-01

Episodes of strabismus surgery in the under-14 year age group in West Berkshire have reduced by 42%, from 22.7 to 13.2 per 10,000 population, between 1968 and 1985. Clinical audit of patterns of referral shows that the incidence of constant esotropia has reduced by 55%, from 28.3 to 12.8 per 10,000 population, between 1971 and 1991.

Acute acquired comitant esotropia related to excessive Smartphone use.

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Lee, Hyo Seok; Park, Sang Woo; Heo, Hwan

2016-04-09

To describe the clinical characteristics and outcomes of acute acquired comitant esotropia (AACE) related to excessive smartphone use in adolescents. The medical records of 12 patients with AACE and a history of excessive smartphone use were retrospectively reviewed, and the duration of smartphone use, angle of deviation, refractive error, stereopsis, and treatment options were analyzed. All patients showed convergent and comitant esotropia ranging from 15 to 45 prism diopters (PD; average: 27.75 ± 11.47 PD) at far fixation. The angle of deviation was nearly equivalent for far and near fixation. Every patient used a smartphone for more than 4 h a day over a period of several months (minimum 4 months). Myopic refractive errors were detected in eight patients (average:-3.84 ± 1.68 diopters (D]), and the remaining four patients showed mild hyperopic refractive error (average: +0.84 ± 0.53 D). Reductions in esodeviation were noted in all patients after refraining from smartphone use, and bilateral medial rectus recession was performed in three patients with considerable remnant esodeviation. Postoperative exams showed orthophoria with good stereoacuity in these patients. Excessive smartphone use might influence AACE development in adolescents. Refraining from smartphone use can decrease the degree of esodeviation in these patients, and remnant deviation can be successfully managed with surgical correction.

Mudanças na refração após cirurgia de correção de esotropia Refractive changes following surgery for correction of esotropia

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Marcelo F. Gaal Vadas

2001-08-01

Full Text Available Objetivo: Estudar o comportamento da refração e da curvatura corneana em pacientes com esotropia essencial submetidos à cirurgia monocular para correção do estrabismo. Métodos: Estudo prospectivo em que 42 olhos de 21 pacientes com esotropia essencial de ângulo moderado, sem quaisquer outros estrabismos associados, foram selecionados e submetidos ao exame oftalmológico completo e à cirurgia monocular. O olho contralateral serviu como grupo controle. Foram feitas avaliações de pré-operatório, pós-operatório de 1 mês e pós-operatório de 6 meses. O astigmatismo pré-operatório foi confrontado com os astigmatismos pós-operatórios por análise vetorial e cálculo do valor polar. Resultados: Obtivemos, nos olhos operados, redução significante (pPurpose: To evaluate changes in refraction and corneal curvature following surgery for correction of acquired esotropia. Methods: 42 eyes of 21 patients with acquired moderate angle esotropia without any other form of strabismus were prospectively enrolled and submitted to a complete ophthalmological examination followed by recess/resect procedure in a single eye. Data from the fellow eye were selected as control. Ophthalmological assessment was carried out preoperatively, 1 month after surgery and 6 months after surgery, where astigmatism was compared using vector analysis and the polar value concept. Results: The eyes submitted to surgery revealed a significant (p<0.05 decrease in spherical equivalent, from 3.28 ± 1.98 diopters to 3.05 ± 1.95 diopters. Refraction data disclosed a significant increase in the 90° component of net astigmatism, from 0.458 ± 0.594 diopters to 1.002 ± 0.718 diopters, which was also observed in keratometric readings:1.083 ± 0.560 diopters to 1.690 ± 0.591 diopters. Surgically induced astigmatism, assessed using refraction data was 0.63 ± 0.27 diopters at an average axis of 92.30 ± 14.91 degrees, and 0.71 ± 0.27 diopters at an average axis of 94.45 �

Health-related quality of life and binocular vision in patients with diplopia in acute-onset comitant esotropia with press-on prism improves

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Qian Wang

2017-11-01

Full Text Available AIM: To assess the effect of press-on prisms in patients with acute-onset comitant esotropia and diplopia, focusing primarily on vision-related quality of life and binocular vision. METHODS: Retrospective case-series study. Totally 16 acute-onset comitant esotropia patients with diplopia who received treatment in the Huzhou Central Hospital were included in this study from March 2014 to March 2017. Vision-related quality of life before press-on prism correction and 1mo after press-on prism correction were performed with the Chinese version of the 25-item National Eye Institute Visual Functioning Questionnaire(CHI-NEI-VFQ-25. In each time of follow-up, we made a minute examination, includes worth four dot test and stereo tests. Data was statistically analyzed with paired sample t test, Chi-square test and Fisher's exact test. RESULTS: Except the degree of eye pain, color vision and perimetry, the indicators from CHI-NEI-VFQ-25 table including general health status, overall vision, mental health, social role difficulties, social functional, near activities, distant activities, independency and driving of acute-onset comitant esotropia patients with diplopia were obviously significant improved 1mo after press-on prism correction(PPCONCLUSION: Press-on prism correction may be helpful for binocular vision recovery in acute-onset comitant esotropia patients with diplopia, so as improve the vision-related quality of life.

Horizontal gaze palsy and progressive scoliosis in a patient with congenital esotropia and inability to abduct. A case report.

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Fernández-Vega Cueto, A; Rodríguez-Ezcurra, J J; Rodríguez-Maiztegui, I

2016-12-01

The case is presented on a 4- year-old child with congenital esotropia, limitation of abduction, cross-fixation, and thoracolumbar scoliosis. Genetic testing of ROBO3 gene confirmed the diagnosis of horizontal gaze palsy and scoliosis (HGPSS) DISCUSSION: HGPPS is a rare congenital disorder characterised by absence of conjugate horizontal eye movements and progressive scoliosis developed in childhood and adolescence. We highlight this motility disorder as a part of the differential diagnosis of early childhood esotropia with cross- fixation and limitation of abduction. Copyright © 2016 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.

Phacoemulsification and implantation of an accommodating IOL after PRK.

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Aslanides, loannis M; Plainis, Sotiris; Kumar, Vinod; Ginis, Harilaos

2006-01-01

To present a case of phacoemulsification and implantation of an accommodating intraocular lens (IOL) in a patient with cataract formation after previous refractive surgery. A 50-year-old man, who initially had photorefractive keratectomy to correct moderate myopia, developed a cataract in one eye. He subsequently underwent phacoemulsification and implantation of a 1CU accommodating IOL, as he wished to remain spectacle independent. The patient's distance vision was fully restored. However, accommodative function, which was assessed using subjective and novice objective techniques, was only partially restored. Although the accommodating IOL fully restored the patient's distance vision, accommodative function was only partially restored.

Two horizontal rectus eye muscle surgery combined with botulinum toxin for the treatment of very large angle esotropia. A pilot study.

Science.gov (United States)

Khan, Arif O

2005-01-01

To evaluate the effectiveness of a proposed new protocol for the primary treatment for very large angle esotropia: two muscle horizontal rectus muscle surgery with simultaneous botulinum toxin A injection in a small pilot study. Eight patients who had esotropia at near (ET') greater than 60 prism diopters (in actuality 70 to 100 prism diopters ET') underwent 2 muscle horizontal rectus surgery with simultaneous botulinum toxin A injection of the medial rectus intraoperatively. This was the only surgical procedure for all patients included in this report. Seven patients underwent bilateral medial rectus recession and bilateral injection, and one patient underwent a unilateral medial rectus recession / lateral rectus resection procedure with unilateral medial rectus injection. Postoperatively, 6 of the 8 patients demonstrated residual esotropia at near of less than 10 prism diopters and were considered "successful" by the conventional criteria of binocular alignment within 8 prism diopters of orthotropia. Two undercorrections occurred in patients with 100 and 85 prism diopters of preop ET' respectively. But 3 other patients with such large deviations had satisfactory results. All patients and families were satisfied with postoperative binocular alignment, so no further surgery was undertaken. The patient who underwent unilateral surgery had the least surgical effect and was the largest undercorrection, probably because only one medial rectus received a Botox injection. Considering only the bilateral cases, results were "successful" in 6 of 7 cases. Most patients suffered an extended period of Botox induced exotropia in the postop' period before recovery from the paresis. One patient had a transient, successfully treated, postoperative strabismic amblyopia while exotropic. Bilateral medial rectus recession with simultaneous botulinum injection is a safe and effective primary surgical procedure for very large angle esotropia. A more extensive study is indicated to

The role of interactions between accommodation and vergence in human visual development

Science.gov (United States)

Teel, Danielle F. W.

Even in early infancy accommodation and vergence interact through neural coupling such that accommodation drives vergence (AC/A ratio) and vergence drives accommodation (CA/C ratio), to assist coordination and development of clear and single binocular vision. Infants have narrow inter-pupillary distances (IPD) requiring less vergence in angular units (degrees or prism diopters), and are typically hyperopic, requiring larger accommodative responses (diopters) than adults. The relative demands also change with emmetropization (decreasing hyperopia) and head growth (increasing IPD) over time. Therefore, adult-like couplings may not be optimal during development and the couplings may play a role in abnormality such as esotropia. A range of cues can drive accommodation and vergence. In addition to blur and disparity, proximity in the form of looming, size and perceived distance has been shown to influence the interactions between accommodation and vergence in adults. The role of this cue in measures of coupling is also poorly understood and may impact key clinical AC/A estimates in young children. Utilizing principles of eccentric photorefraction and Purkinje image eye tracking, this research examines the AC/A and CA/C ratios in infants, preschoolers and adults as a function of age, refractive error and interpupillary distance, plus the role proximity, specifically looming and size cues, plays in estimating the AC/A ratio in three year olds and adults. The AC/A (PD/D) was significantly higher in adults than three-year-olds or infants but similar across age groups in MA/D units. The CA/C was higher in infants than adults or three-year-olds (D/MA and D/PD). Although, not fully reciprocally related, a significant negative relationship was found between the response AC/A and CA/C. Similarly, higher AC/As (PD/D) and lower CA/Cs (D/PD) were associated with larger IPDs and less hyperopia. Although, not statistically significant the absence of proximity resulted in a trend

Ellis van creveld syndrome with unusual association of essential infantile esotropia

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D Das

2010-01-01

Full Text Available Ellis-van Creveld syndrome is a rare short-limbed disproportionate dwarfism characterized by postaxial polydactyly, several skeletal, oral mucosal and dental anomalies, nail dysplasia and in 50-60% cases of congenital cardiac defects. It is an autosomal recessive disorder with mutations of the EVC1 and EVC2 genes located on chromosome 4p16. Patients with this syndrome usually have a high mortality in early life due to cardiorespiratory problems. We present the case of a six- month-old female infant with Ellis-van Creveld syndrome - essential infantile esotropia, which has been infrequently documented in the literature.

Correção cirúrgica da esotropia em portadores de fixação excêntrica Surgical correction of esotropia in eccentric fixation patients

Directory of Open Access Journals (Sweden)

Andréa Alejandra González Martinez

2005-10-01

Full Text Available OBJETIVO: Avaliar o resultado da correção cirúrgica da esotropia em pacientes com fixação excêntrica e compará-lo com o de pacientes esotrópicos operados que não possuíam essa alteração sensorial. MÉTODOS: Estudo retrospectivo do resultado da correção cirúrgica da esotropia essencial de 19 pacientes com fixação excêntrica do Serviço de Motilidade Ocular Extrínsica da Santa Casa de São Paulo. Como grupo-controle, foram estudados 17 pacientes esotrópicos com ambliopia estrábica e fixação central e 16 pacientes esotrópicos sem ambliopia. O teste estatístico utilizado foi aplicação de variância para proporções (ANOVA. RESULTADOS: Nos 3 grupos estudados prevaleceu a subcorreção, 12 (63,2% casos no grupo I, 13 (76,5% casos no grupo II e 13 (81,3% pacientes no grupo III. O sucesso cirúrgico (desvios ABSTRACT PURPOSE: To evaluate the result of the surgical correction of esotropic patients with eccentric fixation and to compare it with operated on esotropic patients who did not have this sensorial disorder. METHODS: A retrospective study of the result of the surgical correction of essential esotropia in 19 patients with eccentric fixation of the "Santa Casa de São Paulo". As group controls, 17 esotropic patients with strabismic amblyopia and central fixation and 16 esotropic patients without amblyopia who had been operated on. The statistical test was application of variance for proportions (ANOVA. RESULTS: In the 3 studied groups undercorrection prevailed, 12 (63,2% cases in group I, 13(76,5% cases in group II and 13 (81,3% patients in group III. The surgical success occurred in 7 (36,8% patients of the group with eccentric fixation, of whom 4 cases were overcorrected and 3 of orthotropia. In group II, of the 7 cases of surgical success, 3 (17,6% had orthotropia and 1 (5,9% case presented with overcorrection. In group III, we had 5 (31,3% cases of surgical success, 1 (6,3% of them with orthotropia. Among the 36

ANALYTICAL STUDY OF ESSENTIAL INFANTILE ESOTROPIA AND ITS MANAGEMENT

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Kandasamy Sivakumar

2017-06-01

Full Text Available BACKGROUND Essential Infantile Esotropia (EIE is the most common type of strabismus. About 0.1% of the newborn are found to have esotropia. 1 Though present since birth, it becomes manifest and remains constant around six months of age. The features are large angle constant strabismus, defective Binocular Single Vision (BSV, cross fixation, DVD and latent nystagmus. Most of the patients have mild-to-moderate hyperopia; the amount of deviation is unrelated to the amount and type of refractive error. MATERIALS AND METHODS Fifty cases with EIE were included in this prospective study. A thorough ophthalmic and orthoptic evaluation was done in all the patients. For patients more than three years of age, the angle of deviation was measured with prism bar cover test, and for patients less than three years of age, angle of deviation was measured with Hirschberg’s test. Associated features like cross fixation, abduction limitation, Dissociated Vertical Deviation (DVD, nystagmus, amblyopia and Inferior Oblique Overaction (IOOA were documented. Occlusion therapy was given to amblyopic patients prior to surgery. All these patients underwent surgery and were followed up for a period of six months. RESULTS The prevalence of EIE in our centre was 0.33%. Of the fifty patients, 28 were males and 22 were female patients. 39 patients (78% had deviation of 30-50 Prism Dioptres (PD. Incidence of DVD, inferior oblique overaction and nystagmus was found to be lower when compared to western population. Amblyopia should be diagnosed early and treated adequately before surgery. Standard surgical option is bimedial recession. Monocular recession-resection surgery in one eye can be opted for in cases of irreversible amblyopia. Three or four muscle surgery can be done if deviation is very large. If marked inferior oblique overaction is present, the same should be weakened in addition to the horizontal muscle surgery. CONCLUSION EIE is the most common type of strabismus

Spectacles in Children‑ Do's and Don'ts

African Journals Online (AJOL)

Conclusions: Children have visual needs that differ from adults, and therefore, the prescription of glasses has to ... treatment of myopia, hypermetropia, astigmatism, and anisometropia. ... accommodative esotropia, strabismic amblyopia, and.

Differences in the Stimulus Accommodative Convergence/Accommodation Ratio using Various Techniques and Accommodative Stimuli.

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Satou, Tsukasa; Ito, Misae; Shinomiya, Yuma; Takahashi, Yoshiaki; Hara, Naoto; Niida, Takahiro

2018-04-04

To investigate differences in the stimulus accommodative convergence/accommodation (AC/A) ratio using various techniques and accommodative stimuli, and to describe a method for determining the stimulus AC/A ratio. A total of 81 subjects with a mean age of 21 years (range, 20-23 years) were enrolled. The relationship between ocular deviation and accommodation was assessed using two methods. Ocular deviation was measured by varying the accommodative requirement using spherical plus/minus lenses to create an accommodative stimulus of 10.00 diopters (D) (in 1.00 D steps). Ocular deviation was assessed using the alternate prism cover test in method 1 at distance (5 m) and near (1/3 m), and the major amblyoscope in method 2. The stimulus AC/A ratios obtained using methods 1 and 2 were calculated and defined as the stimulus AC/A ratios with low and high accommodation, respectively, using the following analysis method. The former was calculated as the difference between the convergence response to an accommodative stimulus of 3 D and 0 D, divided by 3. The latter was calculated as the difference between the convergence response to a maximum (max) accommodative stimulus with distinct vision of the subject and an accommodative stimulus of max minus 3.00 D, divided by 3. The median stimulus AC/A ratio with low accommodation (1.0 Δ/D for method 1 at distance, 2.0 Δ/D for method 1 at near, and 2.7 Δ/D for method 2) differed significantly among the measurement methods (P accommodation (4.0 Δ/D for method 1 at distance, 3.7 Δ/D for method 1 at near, and 4.7 Δ/D for method 2) between method 1 at distance and method 2 were statistically significant (P accommodative stimuli. However, differences caused by measurement technique may be reduced by using a high accommodative stimulus during measurements.

Non-linearity of the response accommodative convergence to accommodation ratio.

Science.gov (United States)

Johnston, Miriam S; Firth, Alison Y

2013-09-01

Previous studies have reported variation in stimulus accommodative convergence to accommodation (AC/A) ratio across differing accommodative stimuli. Response AC/A ratio was assessed across 4 accommodative demands to determine if these differences could be due to accommodative inaccuracies to stimuli. Twenty-three student participants aged 18 to 26 years (mean age 20.3 ± 1.7 years) successfully completed all testing conditions. The modified Thorington technique was used at 4 m to measure heterophoria. The Shin Nippon SRW 5000 infrared autorefractor was used to determine accommodative change to -1.50, -3.00, -4.50, and -6.00D lens stimuli. Significant differences were found in response AC/A ratio between different minus lens stimulated accommodative demands (p accommodative stimuli, but tended to increase with accommodative demand. Significant variability in response AC/A ratio was found, both within individuals to different accommodative demands, and between individuals across the data set.

An eigenstrain approach to predict phase transformation and self-accommodation in partially stabilized zirconia

International Nuclear Information System (INIS)

Hensl, Th.; Mühlich, U.; Budnitzki, M.; Kuna, M.

2015-01-01

Highlights: • Analytical model to predict phase transformation in PSZ is developed. • Analytical model to predict number of twins in monoclinic inclusions in PSZ. • Models consider inclusions size, shape, temperature, remote loading and surface energy. - Abstract: This work focuses on micromechanical modeling of the tetragonal to monoclinic phase transformation (t–m transformation) in partially stabilized zirconia (PSZ). Tetragonal particles dispersed in a cubic matrix may transform into the monoclinic phase under sufficiently high mechanical loading or if the material is cooled down below a critical temperature. This phase transformation is supposed to be responsible for the so called transformation toughening effect of PSZ. The transformation is usually accompanied by a self-accommodation process, which reduces the occurring eigenstresses in the surrounding matrix. The influences of particle size and geometry, chemical driving force, temperature, surface energy and remote loading on the t–m transformation are estimated by a thermostatic approach. We assume, that transformations occur, once the Gibbs free energy of the transformed equilibrium state is lower than that of the untransformed reference state. To obtain an analytical solution, the microstructure is modeled as an inclusion of rectangular cross section, restrained by an infinite elastic matrix, under plane strain conditions. The developed model for phase transformation captures the well-known size and temperature dependencies. Furthermore, it indicates a significant influence of the particle geometry, that large aspect ratios of the inclusion’s cross section lower the trigger stress for phase transformation

[Monochromatic aberration in accommodation. Dynamic wavefront analysis].

Science.gov (United States)

Fritzsch, M; Dawczynski, J; Jurkutat, S; Vollandt, R; Strobel, J

2011-06-01

Monochromatic aberrations may influence the visual acuity of the eye. They are not stable and can be affected by different factors. The subject of the following paper is the dynamic investigation of the changes in wavefront aberration with accommodation. Dynamic measurement of higher and lower order aberrations was performed with a WASCA Wavefront Analyzer (Carl-Zeiss-Meditec) and a specially constructed target device for aligning objects in far and near distances on 25 subjects aged from 15 to 27 years old. Wavefront aberrations showed some significant changes in accommodation. In addition to the characteristic sphere reaction accompanying miosis and changes in horizontal prism (Z(1) (1)) in the sense of a convergence movement of the eyeball also occurred. Furthermore defocus rose (Z(2) (0)) and astigmatism (Z(2) (-2)) changed. In higher-order aberrations a decrease in coma-like Zernike polynomials (Z(3) (-1), Z(3) (1)) was found. The most obvious change appeared in spherical aberration (Z(4) (0)) which increased and changed from positive to negative. In addition the secondary astigmatism (Z(4) (-2)) and quadrafoil (Z(4) (4)) rise also increased. The total root mean square (RMS), as well as the higher-order aberrations (RMS-HO) significantly increased in accommodation which is associated with a theoretical reduction of visual acuity. An analysis of the influence of pupil size on aberrations showed significant increases in defocus, spherical aberration, quadrafoil, RMS and RMS HO by increasing pupil diameter. By accommodation-associated miosis, the growing aberrations are partially compensated by focusing on near objects. Temporal analysis of the accommodation process with dynamic wavefront analysis revealed significant delays in pupil response and changing of prism in relation to the sphere reaction. In accommodation to near objects a discrete time ahead of third order aberrations in relation to the sphere response was found. Using dynamic wavefront measurement

African Journal of Neurological Sciences - 2009 Vol. 28 No 1

African Journals Online (AJOL)

with slit-ventricles develop shunt-induced craniostenosis, which causes ... the inability of the skull to expand and accommodate brain growth because of functional fusion of cranial ... She had mild right esotropia and her upgaze was normal; ophthalmoscopy was not performed. ... The shunt was left in situ and not altered.

Can current models of accommodation and vergence predict accommodative behavior in myopic children?

Science.gov (United States)

Sreenivasan, Vidhyapriya; Irving, Elizabeth L; Bobier, William R

2014-08-01

Investigations into the progression of myopia in children have long considered the role of accommodation as a cause and solution. Myopic children show high levels of accommodative adaptation, coupled with accommodative lag and high response AC/A (accommodative convergence per diopter of accommodation). This pattern differs from that predicted by current models of interaction between accommodation and vergence, where weakened reflex responses and a high AC/A would be associated with a low not high levels of accommodative adaptation. However, studies of young myopes were limited to only part of the accommodative vergence synkinesis and the reciprocal components of vergence adaptation and convergence accommodation were not studied in tandem. Accordingly, we test the hypothesis that the accommodative behavior of myopic children is not predicted by current models and whether that departure is explained by differences in the accommodative plant of the myopic child. Responses to incongruent stimuli (-2D, +2D adds, 10 prism diopter base-out prism) were investigated in 28 myopic and 25 non-myopic children aged 7-15 years. Subjects were divided into phoria groups - exo, ortho and eso based upon their near phoria. The school aged myopes showed high levels of accommodative adaptation but with reduced accommodation and high AC/A. This pattern is not explained by current adult models and could reflect a sluggish gain of the accommodative plant (ciliary muscle and lens), changes in near triad innervation or both. Further, vergence adaptation showed a predictable reciprocal relationship with the high accommodative adaptation, suggesting that departures from adult models were limited to accommodation not vergence behavior. Copyright © 2014 Elsevier Ltd. All rights reserved.

Clinical characteristics of spontaneous late-onset comitant acute nonaccommodative esotropia in children

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Kothari Mihir

2007-01-01

Full Text Available Purpose: To describe the clinical characteristics of spontaneous, late-onset comitant acute, nonaccommodative esotropia (ANAET in children. Materials and Methods: Clinical characteristics of a cohort of patients under 16 years of age with ANAET were studied retrospectively. Results: Of 15 patients eight were females. Mean age was 7.15 years (range 2.5-13, SD 3.34. Mean age of the onset of deviation was 3.2 years (range 1.5-9, SD 2.26. Mean duration of strabismus was 36 months (range 3-132, SD 43. History of a precipitating event was present in five patients (33.3%. Mean cycloplegic refraction was 1.84 diopter sphere (range -5.75 to +7.25, SD 3.55. Mean esodeviation for near and distance fixation was 40 prism diopter (range 15-90, SD 23.9. None had near/distance disparity of more than 5 prism diopter. Amblyopia was present in 13 cases (87%. Strabismus surgery was performed for eight patients. Five patients had orthophoria and three were aligned within 8 prisms esodeviation. Conclusion: ANAET is more common than previously reported, has a variable time of onset and high incidence of amblyopia. Timely management would avert emergence of amblyopia and vertical incomitance thereby promising better binocular outcome.

The impact on social relationships of moving from congregated settings to personalized accommodation.

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McConkey, Roy; Bunting, Brendan; Keogh, Fiona; Garcia Iriarte, Edurne

2017-01-01

A natural experiment contrasted the social relationships of people with intellectual disabilities ( n = 110) before and after they moved from congregated settings to either personalized accommodation or group homes. Contrasts could also be drawn with individuals who had enduring mental health problems ( n = 46) and who experienced similar moves. Face-to-face interviews were conducted in each person's residence on two occasions approximately 24 months apart. Multivariate statistical analyses were used to determine significant effects. Greater proportions of people living in personalized settings scored higher on the five chosen indicators of social relationships than did persons living in grouped accommodation. However, multivariate statistical analyses identified that only one in five persons increased their social relationships as a result of changes in their accommodation, particularly persons with an intellectual disability and high support needs. These findings reinforce the extent of social isolation experienced by people with disabilities and mental health problems that changes in their accommodation only partially counter.

Accommodative loss after retinal cryotherapy.

Science.gov (United States)

Uno, Tsuyoshi; Okuyama, Michiko; Tanabe, Tatsuro; Kawamura, Ryosuke; Ideta, Hidenao

2009-01-01

To investigate the effects of peripheral retinal cryotherapy on accommodative amplitude in patients with retinal lattice degeneration. Prospective, observational case series. We studied 92 eyes in 69 patients (age range, 13 to 79 years) treated with cryotherapy for lattice degeneration between December 2001 and September 2004. Pretreatment and posttreatment accommodative amplitudes were measured. Acute accommodative loss was calculated from the difference between accommodative amplitudes before treatment and one week after treatment. We investigated the time course of accommodative amplitudes, acute accommodative loss in different age groups and in pretreatment accommodative amplitude groups, the influence of cryotherapy numbers on accommodative amplitude, and the influence of cryotherapy sites on accommodative amplitude. No significant difference was noted between pretreatment and posttreatment accommodative amplitudes in the overall subject cohort. Dividing subjects by age revealed significant decreases in accommodative amplitude only among patients in their 10s and 20s at one and three weeks after treatment. Accommodative amplitude was lowest among those in their 10s, followed by that among those in their 20s (P < .01). Accommodative amplitudes recovered to pretreatment level by six weeks. Acute accommodative loss was greatest in those in their 10s compared with other age groups (P < .01). A significant correlation was observed between acute accommodative loss and cryotherapy numbers (P = .03; r = 0.41). The decrease in accommodative amplitude was greatest at one week after treatment and recovered to pretreatment levels after six weeks. Accommodative amplitude showed the greatest decrease after cryotherapy among patients in their 10s and 20s. A decrease in accommodative amplitude was observed with increased numbers of cryotherapy spots administered.

The influence of interactions between accommodation and convergence on the lag of accommodation.

Science.gov (United States)

Schor, C

1999-03-01

Several models of myopia predict that growth of axial length is stimulated by blur. Accommodative lag has been suggested as an important source of blur in the development of myopia and this study has modeled how cross-link interactions between accommodation and convergence might interact with uncorrected distance heterophoria and refractive error to influence accommodative lag. Accommodative lag was simulated with two models of interactions between accommodation and convergence (one with and one without adaptable tonic elements). Simulations of both models indicate that both uncorrected hyperopia and esophoria increase the lag of accommodative and uncorrected myopia and exophoria decrease the lag or introduce a lead of accommodation in response to the near (40 cm) stimulus. These effects were increased when gain of either cross-link, accommodative convergence (AC/A) or convergence accommodation (CA/C), was increased within a moderate range of values while the other was fixed at a normal value (clamped condition). These effects were exaggerated when both the AC/A and CA/C ratios were increased (covaried condition) and affects of cross-link gain were negated when an increase of one cross-link (e.g. AC/A) was accompanied by a reduction of the other cross-link (e.g. CA/C) (reciprocal condition). The inclusion of tonic adaptation in the model reduced steady state errors of accommodation for all conditions except when the AC/A ratio was very high (2 MA/D). Combinations of cross-link interactions between accommodation and convergence that resemble either clamped or reciprocal patterns occur naturally in clinical populations. Simulations suggest that these two patterns of abnormal cross-link interactions could affect the progression of myopia differently. Adaptable tonic accommodation and tonic vergence could potentially reduce the progression of myopia by reducing the lag of accommodation.

Age-related distance esotropia: Clinical features and therapeutic outcomes.

Science.gov (United States)

Gómez de Liaño Sánchez, P; Olavarri González, G; Merino Sanz, P; Escribano Villafruela, J C

2016-12-01

To describe the clinical characteristics and surgical outcomes of a group of patients with age-related distance esotropia (ARDE). A retrospective study was conducted on a consecutive case series of 16 adult patients diagnosed with ARDE between 2008 and 2015. The clinical features evaluated included mean age and gender, primary position deviations at distance and near, measured in prism dioptres (pd), treatment offered in each case, and post-surgical deviations. Ductions and versions were full, with no evidence of lateral rectus paresis. None of these patients had any obvious underlying neurological disorder, such as, high myopia or thyroid disease. A good result is considered to be the disappearance of diplopia in all positions of gaze. A total of 16 patients (11 females [68.8%]) were identified. The mean age at diagnosis was 78.19±6.77 years. The mean initial esodeviation was 2.25±3.08 pd at near (-4 to +8 pd) and 9.5±4.18 pd at distance (2 to 18 pd). Treatment was not necessary in 5 cases because the symptoms were intermittent or well-tolerated. Of the 11 patients with symptoms, one was corrected with an external base therapeutic prism. Botulinum toxin was administered in another patient, without satisfactory results. Unilateral medial rectus muscle recession was performed on one patient, and unilateral lateral rectus plication on 7 patients, indicating prisms before surgery. One patient refused surgery despite continuous diplopia in far vision. After a mean follow-up of 16.5 months, all operated patients were asymptomatic. Not all patients with ARDE require treatment, as the tolerance to diplopia varies from one subject to another. Both medial rectus weakening and lateral rectus strengthening provides excellent results. Crown Copyright © 2016. Publicado por Elsevier España, S.L.U. All rights reserved.

Disabling accommodation barriers: A study exploring how to better accommodate government employees with anxiety disorders.

Science.gov (United States)

Mellifont, Damian; Smith-Merry, Jennifer; Scanlan, Justin Newton

2016-11-22

Accommodating mental health in the workplace is challenging. Despite policy efforts to encourage the availability of mental health accommodations in the workplace, employees experiencing mental illness are missing out on accommodations that they need. To inform vocational rehabilitation professionals and managers in the public service of best practice accommodations for government employees with anxiety disorders. Thematic analysis was applied to data collected from the online Accommodating Government Employees with Anxiety Disorders Survey undertaken by 71 Australian public service employees diagnosed with at least one anxiety disorder. Our research results include theme and sub-theme representations of accommodations received, accommodations reported as missing, accommodations that study participants felt they couldn't request, along with rejected accommodations. From the study participants' accounts, three key findings supporting desirable vocational outcomes become apparent. First, that the availability of 'standard' flexible work arrangements, along with personalised accommodations, can assist persons with anxiety disorders (where needed) to reach and retain government positions. Second, the chief barriers reported to making accommodation requests revolve around fears of being stigmatised and penalised. Finally, there is a need for managerial decision-makers to remain open-minded, particularly when assessing requests for accommodations that may break from government norms.

Morphology and accommodative function of the vitreous zonule in human and monkey eyes.

Science.gov (United States)

Lütjen-Drecoll, Elke; Kaufman, Paul L; Wasielewski, Rainer; Ting-Li, Lin; Croft, Mary Ann

2010-03-01

To explore the attachments of the posterior zonule and vitreous in relation to accommodation and presbyopia in monkeys and humans. Novel scanning electron microscopy (SEM) and ultrasound biomicroscopy (UBM) techniques were used to visualize the anterior, intermediate, and posterior vitreous zonule and their connections to the ciliary body, vitreous membrane, lens capsule, and ora serrata, and to characterize their age-related changes and correlate them with loss of accommodative forward movement of the ciliary body. alpha-Chymotrypsin was used focally to lyse the vitreous zonule and determine the effect on movement of the accommodative apparatus in monkeys. The vitreous attached to the peripheral lens capsule and the ora serrata directly. The pars plana zonule and the posterior tines of the anterior zonule were separated from the vitreous membrane except for strategically placed attachments, collectively termed the vitreous zonule, that may modulate and smooth the forward and backward movements of the entire system. Age-dependent changes in these relationships correlated significantly with loss of accommodative amplitude. Lysis of the intermediate vitreous zonule partially restored accommodative movement. The vitreous zonule system may help to smoothly translate to the lens the driving forces of accommodation and disaccommodation generated by the ciliary muscle, while maintaining visual focus and protecting the lens capsule and ora serrata from acute tractional forces. Stiffening of the vitreous zonular system may contribute to age-related loss of accommodation and offer a therapeutic target for presbyopia.

Cultural accommodation and language priming : Competitive versus cooperative behavior in a prisoner's dilemma game

NARCIS (Netherlands)

Akkermans, D.H.M.; Harzing, A.W.; van Witteloostuijn, A.

2010-01-01

This paper explores three arguments. First, cultural accommodation by living in another culture for a while may have a long-lasting but partially dormant influence on behavior. Second, foreign language is a prime, activating behavior associated with this language. Third, a foreign language is

[Energy and memory efficient calculation of the accommodation demand in the artificial accommodation system].

Science.gov (United States)

Nagel, J A; Beck, C; Harms, H; Stiller, P; Guth, H; Stachs, O; Bretthauer, G

2010-12-01

Presbyopia and cataract are gaining more and more importance in the ageing society. Both age-related complaints are accompanied with a loss of the eye's ability to accommodate. A new approach to restore accommodation is the Artificial Accommodation System, an autonomous micro system, which will be implanted into the capsular bag instead of a rigid intraocular lens. The Artificial Accommodation System will, depending on the actual demand for accommodation, autonomously adapt the refractive power of its integrated optical element. One possibility to measure the demand for accommodation non-intrusively is to analyse eye movements. We present an efficient algorithm, based on the CORDIC technique, to calculate the demand for accommodation from magnetic field sensor data. It can be shown that specialised algorithms significantly shorten calculation time without violating precision requirements. Additionally, a communication strategy for the wireless exchange of sensor data between the implants of the left and right eye is introduced. The strategy allows for a one-sided calculation of the demand for accommodation, resulting in an overall reduction of calculation time by 50 %. The presented methods enable autonomous microsystems, such as the Artificial Accommodation System, to save significant amounts of energy, leading to extended autonomous run-times. © Georg Thieme Verlag KG Stuttgart · New York.

[Effects of orthokeratology lenses on the magnitude of accommodative lag and accommodativeconvergence/accommodation].

Science.gov (United States)

Ren, Qiujin; Yue, Hui; Zhou, Qing

2016-02-01

To evaluate the change in accommodative lag and accommodation convergence/accommodation (AC/A) after patients with myopia wear orthokeratology lenses. 
 A total of 48 myopic subjects (a test group), who wore orthokeratology lenses regularly, and 48 myopic subjects (a control group), who wore spectacles regularly, were enrolled for this study from January 2011 to January 2013 in Optometric Center, the Forth Hospital of Changsha. Accommodative lag was measured by fused cross cylinder method, where the patients should gaze at the front optotypes 40 cm away. Gradient of the AC/A ratio was measured by Von Grafe method to check closer distance heterophoria. Accommodative lag and AC/A ratio were analyzed by statistics.
 After 1-year follow-up, accommodative lag and AC/A rate in patients with low or moderate myopia in the test group was decreased in 1, 3, 6 months or 1 year compared with that in the control group (Paccommodative lag and high AC/A rate in patients with low or moderate myopia. The relationship between accommodation and convergence is improved by orthokeratology lenses. Orthokeratology is an effective way to control myopia.

EBooks and Accommodations: Is This the Future of Print Accommodation?

Science.gov (United States)

Cavanaugh, Terence

2002-01-01

This article explains the three components of eBooks: an eBook file, software to read the eBook, and a hardware device to read it on. The use of eBooks for students with special needs, the advantages of eBooks, built in accommodations, and creating accommodations are discussed. EBook resources are included. (Contains references.) (CR)

Cycloplegic Refraction in Hyperopic Children: Effectiveness of a 0.5% Tropicamide and 0.5% Phenylephrine Addition to 1% Cyclopentolate Regimen.

Science.gov (United States)

Yoo, Seul Gi; Cho, Myung Jin; Kim, Ungsoo Samuel; Baek, Seung Hee

2017-06-01

To evaluate the effectiveness of a cycloplegic regimen using 0.5% tropicamide and 0.5% phenylephrine (Tropherine, Hanmi Pharm), in addition to 1% cyclopentolate, in hyperopic children. The medical records of hyperopic patients below the age of 14 years who had undergone cycloplegic retinoscopy were retrospectively reviewed. Cycloplegic refractions were performed using one of two cycloplegic regimens. Regimen 1 was a Tropherine-added regimen comprising the administration of one drop of 1% cyclopentolate followed by two to three drops of Tropherine added at 15-minute intervals. Regimen 2 was a cyclopentolate-only regimen comprising the administration of three to four drops of 1% cyclopentolate at 15-minute intervals. The mean difference between noncycloplegic and cycloplegic refraction was compared between the two regimens. A total of 308 eyes of 308 hyperopic children were included. The mean difference (±standard deviation) in the spherical equivalent (SE) between cycloplegic and noncycloplegic refraction was significantly larger in regimen 2 than in regimen 1, with values of +1.70 ± 1.03 diopters (D) and +1.25 ± 0.89 D, respectively (p=0.001). The SE change after cycloplegia was significantly different between the two regimens only in patients aged 5 years or younger (p=0.001), particularly in those with high hyperopia with an SE ≥5 D (p=0.005) or fully accommodative esotropia (p=0.009). There was no significant difference between the two regimens in patients older than 5 years, regardless of the presence of high hyperopia or fully accommodative esotropia. The Tropherine-added regimen exerted a weaker cycloplegic effect than the cyclopentolate-only regimen, particularly in children under the age of 5 years with high hyperopia or fully accommodative esotropia. However, the difference in refraction between the two regimens was small. A Tropherine-added regimen can be effective in hyperopic children, with less associated discomfort than the instillation of

Nonverbal Accommodation in Healthcare Communication

OpenAIRE

D’Agostino, Thomas A.; Bylund, Carma L.

2013-01-01

This exploratory study examined patterns of nonverbal accommodation within healthcare interactions and investigated the impact of communication skills training and gender concordance on nonverbal accommodation behavior. The Nonverbal Accommodation Analysis System (NAAS) was used to code the nonverbal behavior of physicians and patients within 45 oncology consultations. Cases were then placed in one of seven categories based on patterns of accommodation observed across the interaction. Results...

THE ROLE OF ECONOMIC EFFICIENCY OF ACCOMMODATION UNITS IN DETERMINATION OF PURCHASE INTENTIONS OF TOURIST SERVICES

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Simona Cristina Martin

2014-10-01

Full Text Available The indicators of demand distribution for various types of accommodation provide information regarding changing tourist preferences for different ways of tourist accommodation. Appreciation of economic efficiency for hotels activity is done through quantitative results obtained in accommodation units. For this purpose it uses, currently, a partial or synthetic indicators system. Taking into account the fact that, in appreciation of hotel business, it must start from the premise that it may not be fully reflected only in terms of economic results, but also through social results, appear obvious the need to maintain costs at a level that satisfies both requirements at the same time. Achieving superior social-financial indicators, remains one of the main goals also in hotel activities, but do not be overlooked the fact that it is necessary that these indicators must be obtained by ensuring a higher level of satisfaction of consumers requirements. Only simultaneous achievement of these two objectives can provide raising efficiency in accommodation sector.

Retinal image quality during accommodation.

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López-Gil, Norberto; Martin, Jesson; Liu, Tao; Bradley, Arthur; Díaz-Muñoz, David; Thibos, Larry N

2013-07-01

We asked if retinal image quality is maximum during accommodation, or sub-optimal due to accommodative error, when subjects perform an acuity task. Subjects viewed a monochromatic (552 nm), high-contrast letter target placed at various viewing distances. Wavefront aberrations of the accommodating eye were measured near the endpoint of an acuity staircase paradigm. Refractive state, defined as the optimum target vergence for maximising retinal image quality, was computed by through-focus wavefront analysis to find the power of the virtual correcting lens that maximizes visual Strehl ratio. Despite changes in ocular aberrations and pupil size during binocular viewing, retinal image quality and visual acuity typically remain high for all target vergences. When accommodative errors lead to sub-optimal retinal image quality, acuity and measured image quality both decline. However, the effect of accommodation errors of on visual acuity are mitigated by pupillary constriction associated with accommodation and binocular convergence and also to binocular summation of dissimilar retinal image blur. Under monocular viewing conditions some subjects displayed significant accommodative lag that reduced visual performance, an effect that was exacerbated by pharmacological dilation of the pupil. Spurious measurement of accommodative error can be avoided when the image quality metric used to determine refractive state is compatible with the focusing criteria used by the visual system to control accommodation. Real focusing errors of the accommodating eye do not necessarily produce a reliably measurable loss of image quality or clinically significant loss of visual performance, probably because of increased depth-of-focus due to pupil constriction. When retinal image quality is close to maximum achievable (given the eye's higher-order aberrations), acuity is also near maximum. A combination of accommodative lag, reduced image quality, and reduced visual function may be a useful

Exploring the Relationship Between Students with Accommodations and Instructor Self-Efficacy in Complying with Accommodations

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Anna M. Wright

2017-06-01

Full Text Available The willingness and flexibility of university instructors to comply with and provide accommodations for students with disabilities is critical to academic success. The authors examine how communication between students needing accommodations and university instructors impacts instructor self-efficacy, or instructors’ perception that they can meet the accommodation. Specifically, the authors’ explored the relationship between student self-disclosure of a disability and instructor empathy, flexibility, and self-efficacy in meeting student accommodation needs. Results revealed that the more a student self-discloses about a needed accommodation, the more self-efficacy an instructor has in making that accommodation. For the low-disclosure condition, empathy and flexibility were both significant predictors of self-efficacy, whereas, for the high-disclosure condition, only flexibility was a significant predictor of self-efficacy. Finally, instructors’ levels of empathy and flexibility both decreased after reading both the high and low self-disclosure scenarios.

Accommodation | Information | Indian Academy of Sciences

Indian Academy of Sciences (India)

Accommodation. The Academy has made arrangements to accommodate all participants who have requested for it. Details ​of accommodation ​have been sent to ​all registered participants. Volunteers at the airport will assist the participants in reaching their respective places of accommodation. For any queries ...

Vestibular-ocular accommodation reflex in man

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Clark, B.; Randle, R. J.; Stewart, J. D.

1975-01-01

Stimulation of the vestibular system by angular acceleration produces widespread sensory and motor effects. The present paper studies a motor effect which has not been reported in the literature, i.e., the influence of rotary acceleration of the body on ocular accommodation. The accommodation of 10 young men was recorded before and after a high-level deceleration to zero velocity following 30 sec of rotating. Accommodation was recorded continuously on an infrared optometer for 110 sec under two conditions: while the subjects observed a target set at the far point, and while they viewed the same target through a 0.3-mm pinhole. Stimulation by high-level rotary deceleration produced positive accommodation or a pseudomyopia under both conditions, but the positive accommodation was substantially greater and lasted much longer during fixation through the pinhole. It is hypothesized that this increase in accommodation is a result of a vestibular-ocular accommodation reflex.

Influence of accommodative lag upon the far-gradient measurement of accommodative convergence to accommodation ratio in strabismic patients.

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Miyata, Manabu; Hasebe, Satoshi; Ohtsuki, Hiroshi

2006-01-01

To determine the influence of the lag of accommodation (LOA) on the accommodative convergence to accommodation (AC/A) ratio measured by the far-gradient method in strabismic patients. The AC/A ratio was measured with a distance target viewed with and without -3.00 diopter (D) addition lenses in 63 patients with different types of strabismus (age range, 7-34 years; range of strabismic angle, -60 to +40 prism diopters; refractive error range, -7.33 to +6.63 D). The LOA for the same lens was measured with an open-view-type autorefractometer. The stimulus AC/A ratio and the AC/A ratio adjusted by the individually measured LOA (adjusted AC/A ratio) were compared. The mean +/- SD of the LOA to the -3.00 D lenses was 1.06 +/- 0.43 D. The mean adjusted AC/A ratio was 41% greater than the stimulus AC/A ratio. The LOA differed widely among patients (0.13 to 2.14 D), and a large LOA tended to appear in myopic or young patients. The AC/A ratio obtained using the conventional far-gradient method is significantly biased by the LOA, and thus does not always represent the actual relationship between accommodation and vergence control systems. Copyright Japanese Ophthalmological Society 2006.

Esotropías: resultados con la técnica de mediciones a partir del limbo Esotropias: results obtained by using the technique of measurements starting from the limbus

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Rosa María Naranjo Fernández

2001-06-01

Full Text Available Se realizó un estudio prospectivo de 66 pacientes intervenidos de esotropías con la técnica de recesión del recto medial con medición a partir del limbo, operados en el servicio de visión binocular del Hospital Oftalmológico Docente "Ramón Pando Ferrer", a todos los pacientes se les realizó valoración preoperatoria de la agudeza visual con su corrección, fijación y ángulo de desviación, y valoración posoperatoria del ángulo de desviación a los 3 meses y 1 año. Se encontró que 38 pacientes (57,5 % eran esotropías congénitas; en la valoración posoperatoria al año se alcanzó la ortotropía en el 67 % de los casos y estéticamente aceptables en el 26 %.A retrospective study of 66 patients operated on of esotropias by the technique of recession of the medial rectus with measurement starting from the limbus was conducted at the Service of Binocular Vision of "Ramón Pando Ferrer" Ophthalmoloigc Teaching Hospital. All the patients underwent a preoperative assessment of the visual acuity with its correction, fixation and deviation angle and a postoperative evaluation of the deviation angle at 3 months and at a year. It was found that 38 patients (57.5 % were congenital esotropias. On concluding the postoperative assessment after a year, orthotropia was attained in 67 % of the cases and 26 % were aesthetically acceptable.

Accommodative Ability in Prepresbyopic Diabetic Patients

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Mohammad Etezad Razavi

2015-04-01

Full Text Available Introduction: To compare various accommodative parameters in prepresbyopic diabetic patients with age-matched healthy individuals. Materials and Methods: Study populationconsisted of 32 younger-onset diabetic patients (30-40 years of age and 28 age-matched healthy normal individuals. Using the best correction for distance visual acuity (20.20 by Snellen chart, multiple accommodative ability tests such as near point of accommodation, accommodative amplitude, negative or positive accommodative facility and near point of convergence were measured in both groups. Results: Mean near point of accommodation in diabetic patients was significantly greater than the control group (18.5±4.4 centimeters [cm] versus 9.5±2 centimeters, p= 0.000. Mean accommodative amplitude was (5.93±1.75 Diopter (D and (10.95±2.16 Diopter in diabetics and normal individuals, respectively (p=0.000. Mean accommodation facility was (3.19±3.04 cycle/minute [cyl/min] in patients and 10.01±5.09 cycle/minute in the control group (p= 0.000. Mean positive relative accommodation was (–3.37±1.19 D in diabetic and (-2.11±0.99 D in healthy participants (p=0.000. Mean negative relative accommodation was lower in diabetic patients compared with the control group, however, this difference did not reach statistical significance (2.61±0.65 D versus (2.61±0.60 D, p= 0.23. Mean near point of convergence was (8.23±1.43 cm and (7.13±0.67 cm in normal and diabetic groups, respectively which had insignificant difference (p= 0.45. Conclusion: Majority of accommodative ability functions decreased in prepresbyopic diabetic patients. Early detection and rehabilitation of such patients with corrective near spectacles are strongly recommended.

Reasonable Accommodation Information Tracking System

Data.gov (United States)

U.S. Environmental Protection Agency — The Reasonable Accommodation Information Tracking System (RAITS) is a case management system that allows the National Reasonable Accommodation Coordinator (NRAC) and...

Nonverbal accommodation in health care communication.

Science.gov (United States)

D'Agostino, Thomas A; Bylund, Carma L

2014-01-01

This exploratory study examined patterns of nonverbal accommodation within health care interactions and investigated the impact of communication skills training and gender concordance on nonverbal accommodation behavior. The Nonverbal Accommodation Analysis System (NAAS) was used to code the nonverbal behavior of physicians and patients within 45 oncology consultations. Cases were then placed in one of seven categories based on patterns of accommodation observed across the interaction. Results indicated that across all NAAS behavior categories, physician-patient interactions were most frequently categorized as joint convergence, followed closely by asymmetrical-patient convergence. Among paraverbal behaviors, talk time, interruption, and pausing were most frequently characterized by joint convergence. Among nonverbal behaviors, eye contact, laughing, and gesturing were most frequently categorized as asymmetrical-physician convergence. Differences were predominantly nonsignificant in terms of accommodation behavior between pre- and post-communication skills training interactions. Only gesturing proved significant, with post-communication skills training interactions more likely to be categorized as joint convergence or asymmetrical-physician convergence. No differences in accommodation were noted between gender-concordant and nonconcordant interactions. The importance of accommodation behavior in health care communication is considered from a patient-centered care perspective.

Novel Eye Movement Disorders in Whipple’s Disease—Staircase Horizontal Saccades, Gaze-Evoked Nystagmus, and Esotropia

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Aasef G. Shaikh

2017-07-01

Full Text Available Whipple’s disease, a rare systemic infectious disorder, is complicated by the involvement of the central nervous system in about 5% of cases. Oscillations of the eyes and the jaw, called oculo-masticatory myorhythmia, are pathognomonic of the central nervous system involvement but are often absent. Typical manifestations of the central nervous system Whipple’s disease are cognitive impairment, parkinsonism mimicking progressive supranuclear palsy with vertical saccade slowing, and up-gaze range limitation. We describe a unique patient with the central nervous system Whipple’s disease who had typical features, including parkinsonism, cognitive impairment, and up-gaze limitation; but also had diplopia, esotropia with mild horizontal (abduction more than adduction limitation, and vertigo. The patient also had gaze-evoked nystagmus and staircase horizontal saccades. Latter were thought to be due to mal-programmed small saccades followed by a series of corrective saccades. The saccades were disconjugate due to the concurrent strabismus. Also, we noted disconjugacy in the slow phase of gaze-evoked nystagmus. The disconjugacy of the slow phase of gaze-evoked nystagmus was larger during monocular viewing condition. We propose that interaction of the strabismic drifts of the covered eyes and the nystagmus drift, putatively at the final common pathway might lead to such disconjugacy.

Effect of heterophoria measurement technique on the clinical accommodative convergence to accommodation ratio.

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Escalante, Jaime Bernal; Rosenfield, Mark

2006-05-01

Measurement of the stimulus accommodative convergence to accommodation (AC/A) ratio is a standard procedure in clinical optometric practice. Typically, heterophoria is assessed at several accommodative stimulus levels, and the gradient of the vergence to accommodation function computed. A number of procedures are available for the subjective measurement of heterophoria, but it is unclear whether the use of different vergence measurement techniques will alter the obtained AC/A value. Accordingly, the current study compared AC/A ratios measured using 3 clinical subjective heterophoria tests, namely the von Graefe (VG), Maddox Rod (MR), and Modified Thorington (MT) procedures. The AC/A ratio was measured in 60 visually normal subjects between 20 and 25 years of age using each of the 3 procedures listed above. The accommodative stimulus was varied by the introduction of +/-1.00 diopter (D) spherical lenses over the distance refractive correction while subjects viewed a target at a viewing distance of 40 cm. To examine the repeatability of each procedure, the AC/A ratio was measured on 2 separate occasions for each measurement technique, with the 2 sessions being separated by at least 24 hours. Mean values of stimulus AC/A ratio measured using the VG, MR, and MT procedures were 3.47, 2.99, and 2.46Delta/D, respectively. These differences were significant (p=0.0001). In addition, the coefficient of repeatability for the 3 techniques was 2.22, 1.99, and 1.20 Delta/D, respectively. Ratios obtained using the Modified Thorington technique with +/-1.00 D lenses showed the best repeatability, whereas the poorest repeatability was found with the von Graefe technique when only +1.00 D lenses were used to vary the accommodative stimulus. Accordingly, we recommend that that Modified Thorington procedure with +/-1.00 D lenses be used to quantify heterophoria during clinical measurement of the stimulus AC/A ratio.

A review of non-strabismic accommodative and vergence anomalies in school-age children. Part 2: Accommodative anomalies

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Samuel O. Wajuihian

2015-08-01

Full Text Available Comfortable reading and the performance of related near point activities involve efficient accommodative and vergence systems. However, accommodative and convergence anomalies are associated with various symptoms of asthenopia that impair efficient near point tasks. In Part 1 of this two-part article, studies on vergence anomalies were reviewed. In the current paper (Part 2, anomalies of accommodation are reviewed. The aims of the latter paper were to derive the prevalence and distribution estimates of anomalies of accommodation in school-age children and address variations in the study methods and findings. Despite variations in the study methods and findings, anomalies of accommodation are prevalent among school-age populations. Variations and limitations of previous studies are discussed and recommendations for improving future studies are suggested.

46 CFR 108.143 - Accommodation space.

Science.gov (United States)

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Accommodation space. 108.143 Section 108.143 Shipping... EQUIPMENT Construction and Arrangement Structural Fire Protection § 108.143 Accommodation space. (a) Each corridor bulkhead in an accommodation space must be an A class or B class bulkhead except if an A class...

Effect of elimination of nitrogen and/or hypoxia or restricted visual environment on color vision and range of accommodation

Science.gov (United States)

Wolbarsht, M. L.; White, C. W.; Anderson, W. B., Jr.

1973-01-01

The effects upon range of accommodation and color vision of reduced atmospheric pressure, at partial and complete elimination of nitrogen, of hypoxia, and of exposure for varying periods of time to restricted visual environment, have been studied alone or in various combinations. Measurements were made on the electroretinogram, the electrooculogram, and the diameter of the retinal vessels as an indicator of blood flow to the retina at the time of total elimination of nitrogen. An objective method was used to test range of accommodation. In the color vision test the flicker colors of a Benham's top were matched with a colorimeter.

Accommodation, accommodative convergence, and response AC/A ratios before and at the onset of myopia in children.

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Gwiazda, Jane; Thorn, Frank; Held, Richard

2005-04-01

The purpose of this study was to investigate accommodation, accommodative convergence, and AC/A ratios before and at the onset of myopia in children. Refractive error, accommodation, and phorias were measured annually over a period of 3 years in 80 6- to 18-year-old children (mean age at first visit = 11.1 years), including 26 who acquired myopia of at least -0.50 D and 54 who remained emmetropic (-0.25 to + 0.75 D). Refraction was measured by noncycloplegic distance retinoscopy. Concomitant measures of accommodation and phorias were taken for letter targets at 4.0 m and 0.33 m using the Canon R-1 open field-of-view autorefractor with an attached motorized Risley prism and Maddox rod. The accommodation and phoria measurements were used to calculate response AC/A ratios. Compared with children who remained emmetropic, those who became myopic had elevated response AC/A ratios at 1 and 2 years before the onset of myopia, in addition to at onset and 1 year later (t's = -2.97 to -4.04, p accommodation. Accommodative convergence was significantly greater in myopes only at onset. These findings suggest that the abnormal oculomotor factors found before the onset of myopia may contribute to myopigenesis by producing hyperopic retinal defocus when a child is engaged in near-viewing tasks.

Family accommodation of anxiety symptoms in youth undergoing intensive multimodal treatment for anxiety disorders and obsessive-compulsive disorder: Nature, clinical correlates, and treatment response.

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La Buissonnière-Ariza, Valérie; Schneider, Sophie C; Højgaard, Davíð; Kay, Brian C; Riemann, Bradley C; Eken, Stephanie C; Lake, Peter; Nadeau, Joshua M; Storch, Eric A

2018-01-01

Family accommodation is associated with a range of clinical features including symptom severity, functional impairment, and treatment response. However, most previous studies in children and adolescents investigated family accommodation in samples of youth with obsessive-compulsive disorder (OCD) or anxiety disorders receiving non-intensive outpatient services. In this study, we aimed to investigate family accommodation of anxiety symptoms in a sample of youth with clinical anxiety levels undergoing an intensive multimodal intervention for anxiety disorders or OCD. We first assessed the internal consistency of the Family Accommodation Scale - Anxiety (FASA). We next examined family accommodation presentation and correlates. The FASA showed high internal consistency for all subscales and total score, and good item and subscale correlations with the total score. All parents reported at least mild accommodation, and the mean levels of family accommodation were particularly high. Child age, anxiety severity, and comorbid depressive symptoms predicted baseline accommodation. However, the association between anxiety severity and family accommodation no longer remained significant after adding the other factors to the model. In addition, family accommodation partially mediated the relationship between anxiety severity and functional impairment. Finally, post-treatment changes in family accommodation predicted changes in symptom severity and functional impairment. These findings suggest the FASA is an appropriate tool to assess family accommodation in intensive treatment samples. Further, they underline the importance of addressing family accommodation in this population given the particularly high levels of accommodating behaviors and the evidence for adverse outcomes associated with this feature. Copyright © 2017 Elsevier Inc. All rights reserved.

A Review of Worksite Lactation Accommodations.

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Hilliard, Elizabeth Dianne

2017-01-01

The purpose of this review was to examine workplace lactation accommodations, and their association with breastfeeding duration, and identify strategies occupational health professionals can use to promote lactation improvements. This study included literature published from 1985 through 2015 and listed in PubMed and CINAHL. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), 11 articles were identified for review. Presence of a corporate lactation program, on-site child care, and return to work/telephone lactation consultation were consistently associated with breastfeeding at 6 months. Other breastfeeding accommodations (i.e., lactation spaces, lactation breaks, worksite lactation policies, and supervisor/coworker support) were not consistently associated with breastfeeding duration. Occupational health professionals can play key roles in improving the effectiveness of lactation accommodations. Assuring adequate implementation of accommodations, increasing communication and marketing of accommodations, and promoting supervisor and coworker support are areas that occupational health professionals should explore for improving lactation duration.

BRANDING ORIENTATION IN THE ACCOMMODATION INDUSTRY

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Melissa Li Sa Liow

2015-04-01

Full Text Available This paper starts by clarifying the role of branding orientation (BO among academic studies. It shortly introduces the development of the BO concepts. The empirical part consists of a search for and analysing of academic articles using a meta-analysis that consider BO in the accommodation industry. According to the results, significant appraisal of the branding building activities among higher star rating and luxury accommodation businesses are taking place due to the increasingly demanding guests. Thus, there is an upward pressure on small and medium accommodation businesses to survive or perform well. This paper recommends that scholars study the owners-managers, employees, and customer perspectives altogether, to better comprehend how large accommodation businesses displaying BO can generate superior performance. For the small and medium accommodation businesses, the emphasis is the owners-managers perceptions since they are the main decision-makers, and due to infancy of the small and medium enterprise (SME branding application.

Accommodative spasm in siblings: A unique finding

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Rutstein Robert

2010-01-01

Full Text Available Accommodative spasm is a rare condition occurring in children, adolescents, and young adults. A familial tendency for this binocular vision disorder has not been reported. I describe accommodative spasm occurring in a brother and sister. Both children presented on the same day with complaints of headaches and blurred vision. Treatment included cycloplegia drops and bifocals. Siblings of patients having accommodative spasm should receive a detailed eye exam with emphasis on recognition of accommodative spasm.

Accommodative spasm in siblings: A unique finding

Science.gov (United States)

Rutstein, Robert P

2010-01-01

Accommodative spasm is a rare condition occurring in children, adolescents, and young adults. A familial tendency for this binocular vision disorder has not been reported. I describe accommodative spasm occurring in a brother and sister. Both children presented on the same day with complaints of headaches and blurred vision. Treatment included cycloplegia drops and bifocals. Siblings of patients having accommodative spasm should receive a detailed eye exam with emphasis on recognition of accommodative spasm. PMID:20534925

Accommodative Amplitude in School-Age Children

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Ikaunieks Gatis

2017-10-01

Full Text Available In children, intensive near-work affects the accommodation system of the eye. Younger children, due to anatomical parameters, read at smaller distance than older children and we can expect that the accommodation system of younger can be affected more than that of older children. We wanted to test this hypothesis. Some authors showed that the norms of amplitude of accommodation (AA developed by Hofstetter (1950 not always could be applied for children. We also wanted to verify these results. A total of 106 (age 7-15 children participated in the study. Distance visual acuity was measured for all children and only data of children with good visual acuity 1.0 or more (dec. units were analysed (73 children. Accommodative amplitude was measured before and after lessons using subjective push-up technique (with RAF Near Point Ruler. The results showed that the amplitude of accommodation reduced significantly (p < 0.05 during the day and decrease of AA was similar in different age groups (about ~0.70 D. Additional measurements are needed to verify that the observed changes in AA were associated with fatigue effect. The results showed lower accommodation values compared to average values calculated according to the Hofstetter equation (p < 0.05.

Update on strabismus and amblyopia.

Science.gov (United States)

Campos, E C

1995-01-01

This review analyzes progress in the field of infantile strabismus and amblyopia. Only works which are of clinical interest have been reviewed. A brief survey is provided also of subjects matter of international debate, as surgery for accommodative esotropia, the prism adaptation test and the use of sectors for amblyopia treatment. Mention is made of new developments in the field which are not yet applicable to clinical practice. Finally, progress in the approach towards ocular nystagmus is considered as well.

Effect of Phenylephrine on the Accommodative System

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José J. Esteve-Taboada

2016-01-01

Full Text Available Accommodation is controlled by the action of the ciliary muscle and mediated primarily by parasympathetic input through postganglionic fibers that originate from neurons in the ciliary and pterygopalatine ganglia. During accommodation the pupil constricts to increase the depth of focus of the eye and improve retinal image quality. Researchers have traditionally faced the challenge of measuring the accommodative properties of the eye through a small pupil and thus have relied on pharmacological agents to dilate the pupil. Achieving pupil dilation (mydriasis without affecting the accommodative ability of the eye (cycloplegia could be useful in many clinical and research contexts. Phenylephrine hydrochloride (PHCl is a sympathomimetic agent that is used clinically to dilate the pupil. Nevertheless, first investigations suggested some loss of functional accommodation in the human eye after PHCl instillation. Subsequent studies, based on different measurement procedures, obtained contradictory conclusions, causing therefore an unexpected controversy that has been spread almost to the present days. This manuscript reviews and summarizes the main research studies that have been performed to analyze the effect of PHCl on the accommodative system and provides clear conclusions that could help clinicians know the real effects of PHCl on the accommodative system of the human eye.

Privately Provided Accommodation Service Quality and Customer Satisfaction

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Joshua Mugambwa

2016-04-01

Full Text Available Privately provided accommodation is a growing service in Uganda’s higher education sector due to education liberalization and demand for education. This research took a case study of Nsamizi Training Institute of Social Development (NTISD to determine the relationship between privately provided accommodation service quality and customer satisfaction. Specifically, the objectives of the study were (a to find out the relationship between security and NTISD students’ satisfaction with privately provided accommodation, and (b to find out the hierarchical level of importance of NTISD student satisfaction of the three service quality dimensions (reliability, security, and tangibles with privately provided accommodation. Using quantitative and qualitative modes of data analysis and a sample of 300 students from 20 private hostels, this study established a strong positive significant relationship between security and satisfaction regarding privately provided accommodation. This implies that accommodation service providers should increase the quality of security so as to increase the satisfaction of students regarding privately provided accommodation. The study established the hierarchical order of importance from the most important service quality dimension, respectively, as follows: reliability, security, and tangibles. Therefore, private accommodation service managers should pay extra attention to the dimensions in the same order.

Decreased accommodation during decompensation of distance exotropia.

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Horwood, Anna M; Riddell, Patricia M

2012-04-01

Disparity cues can be a major drive to accommodation via the convergence accommodation to convergence (CA/C) linkage, but, on decompensation of exotropia, disparity cues are extinguished by suppression so this drive is lost. This study investigated accommodation and vergence responses to disparity, blur and proximal cues in a group of distance exotropes aged between 4 and 11 years both during decompensation and when exotropic. 19 participants with distance exotropia were tested using a PlusoptiXSO4 photo refractor set in a remote haploscopic device that assessed simultaneous vergence and accommodation to a range of targets incorporating different combinations of blur, disparity and proximal cues at four fixation distances between 2 m and 33 cm. Responses on decompensation were compared with those from the same children when their deviation was controlled. Manifest exotropia was more common in the more impoverished cue conditions. When decompensated for near, mean accommodation gain for the all-cue (naturalistic) target was significantly reduced (paccommodation of 2.33 D at 33 cm. The profile of near cues usage changed after decompensation, with blur and proximity driving residual responses, but these remaining cues did not compensate for loss of accommodation caused by the removal of disparity. Accommodation often reduces on decompensation of distance exotropia as the drive from convergence is extinguished, providing a further reason to try to prevent decompensation for near.

77 FR 38833 - Job Accommodation Network

Science.gov (United States)

2012-06-29

... DEPARTMENT OF LABOR Job Accommodation Network AGENCY: Office of Disability Employment Policy, Department of Labor. Announcement Type: New Notice of Availability of Funds and Solicitation for Grant... cooperative agreement to manage and operate its Job Accommodation Network (JAN), a national technical...

Chromatic aberration, accommodation, and color preference in asthenopia.

Science.gov (United States)

Drew, Stefanie A; Borsting, Eric; Stark, Lawrence R; Chase, Chris

2012-07-01

Asthenopia is a common problem associated with near work and reports suggest that colored lenses or overlays may be applied to reduce symptoms. In this study, we examine the relationship between eyestrain, color preferences, and function of the accommodation and vergence system. Specifically, we examine whether symptomatic observers select colors that reduce accommodative demand based on longitudinal chromatic aberration (LCA). Forty-seven undergraduate students participated in this study. Visual discomfort symptoms were assessed using the Conlon survey. A Mark 2 Intuitive Colorimeter was used to obtain optimal colored light preferences. LCA was modeled using the Chromatic Eye and spectral power density data. A comprehensive evaluation of accommodation and vergence was performed following standard procedures. A significant negative correlation (r = -0.51) was found between eyestrain symptoms and the International Commission on Illumination (CIE) v' axis of colors preferences. Additionally, a significant negative correlation (r = -0.31) was found between eyestrain symptoms and LCA accommodation. Two thirds of the participants in the high discomfort group chose colors that decreased accommodative demand. Accommodative amplitude and vergence facility also correlated with LCA, accounting for 25% of the variance. The color preferences of individuals are systematically influenced by the functioning of their accommodation and vergence systems with increased symptomatology resulting in color selections that reduce LCA accommodative stimulus demand.

Experimental investigations of pupil accommodation factors.

Science.gov (United States)

Lee, Eui Chul; Lee, Ji Woo; Park, Kang Ryoung

2011-08-17

PURPOSE. The contraction and dilation of the iris muscle that controls the amount of light entering the retina causes pupil accommodation. In this study, experiments were performed and two of the three factors that influence pupil accommodation were analyzed: lighting conditions and depth fixations. The psychological benefits were not examined, because they could not be quantified. METHODS. A head-wearable eyeglasses-based, eye-capturing device was designed to measure pupil size. It included a near-infrared (NIR) camera and an NIR light-emitting diode. Twenty-four subjects watched two-dimensional (2D) and three-dimensional (3D) stereoscopic videos of the same content, and the changes in pupil size were measured by using the eye-capturing device and image-processing methods: RESULTS. The pupil size changed with the intensity of the videos and the disparities between the left and right images of a 3D stereoscopic video. There was correlation between the pupil size and average intensity. The pupil diameter could be estimated as being contracted from approximately 5.96 to 4.25 mm as the intensity varied from 0 to 255. Further, from the changes in the depth fixation for the pupil accommodation, it was confirmed that the depth fixation also affected accommodation of pupil size. CONCLUSIONS. It was confirmed that the lighting condition was an even more significant factor in pupil accommodation than was depth fixation (significance ratio: approximately 3.2:1) when watching 3D stereoscopic video. Pupil accommodation was more affected by depth fixation in the real world than was the binocular convergence in the 3D stereoscopic display.

Ecotourism and Ecolodge Accommodation

Directory of Open Access Journals (Sweden)

Dragan Bulatović

2017-12-01

Full Text Available In ecotourism, as a specific form of tourism, conscientious individuals and groups participate, who by its influence on nature are trying to reduce effects produced by so called mass tourism. Ecotourism product should be developed on the contemporary tourism trends, with full respect of local specificity which represent commitment in regard to competitive destinations. Existence of receptive factors, such as facilities for accommodation, nutrition, entertainment and recreation, represent one of the basic prerequisites for the development of any ecotourism destination. Ecotourists seek accommodation which is ecologically acceptable, modest but cozy at the same time and provides unique experience in natural surroundings. In accordance with these demands protected areas all around the world offer its visitors high quality Ecolodge facilities, which are fully submerged into nature. During their construction and management strict criteria of protection of the environment are followed with optimal waste and energy management. Montenegro has enviable spacious potential for this kind of accommodation in protected areas, especially in its five national parks, so this form of accommodation has to find its place in the future development of tourism. Designing and construction of ecotourism facilities has to be strategically planned and the fact, that it is not enough just to have attractive location but also specific content it has to offer, has to be respected. Ecolodge facilities should be designed and built in accordance with traditional architecture and surrounding materials, to influence as little as possible on the environment and to use alternative energy sources. In other words, it is necessary to provide sustainability of these facilities.

Clínica y cirugía del síndrome de esotropía miópica adquirida progresiva Clinical method and surgery of acquired progressive myopic esotropia

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Teresita de Jesús Méndez Sánchez

2011-12-01

Full Text Available Objetivo: Determinar las características clínicas y los resultados quirúrgicos en pacientes con esotropía miópica adquirida progresiva. Métodos: Se realizó un estudio prospectivo en 9 pacientes remitidos al servicio de oftalmología pediátrica y estrabismo desde septiembre de 2006 a diciembre de 2009. Se analizaron las siguientes variables: edad, defecto refractivo, longitud axial, limitación de movimientos oculomotores, desviación horizontal y vertical antes y después de la cirugía. Se aplicaron retrocesos amplios de rectos medios para resolver la esotropía y diferentes variantes quirúrgicas para eliminar la hipotropía. Resultados: La edad promedio fue de 44,3 años. En el 67 % de los pacientes la afectación era bilateral. La media de la longitud axial para el ojo derecho fue de 28,1 mm y para el ojo izquierdo de 29,7 mm. La media del ángulo de desviación horizontal preoperatorio fue de 74,4 dioptrías prismáticas; la media de la desviación vertical fue de 14,4 dioptrías prismáticas. El 67 % obtuvo ortotropía horizontal y vertical, mientras el 22 % quedó estéticamente aceptable y el 11 % resultó en un estrabismo residual horizontal y vertical. Conclusiones: La recesión amplia de los rectos medios resolvió la esotropía en las 3/4 partes de los pacientes. La técnica de Yokoyama no produjo la corrección de la hipotropía en 1/4 parte de los pacientes; mientras que con la técnica de supraposición del recto lateral se obtuvo un 100 % de éxito.Objective: To determine the clinical characteristics and surgical outcomes in patients with acquired progressive myopic esotropia. Methods: A prospective study of nine patients referred to the Service of Pediatric Ophthalmology and Strabismus from September 2006 to December 2009 was conducted. It analyzed the following variables: age, refractive error, axial length, limited ocular movements, horizontal and vertical deviation before and after surgery. There were applied wide

[Comparison study on subjective and objective measurements of the accommodative convergence to accommodation ratio].

Science.gov (United States)

Xu, Jing-jing; Xu, Dan; Huang, Tao; Jiang, Jian; Lü, Fan

2012-05-01

To detect the accommodative convergence to accommodation (AC/A) ratios measured respectively by objective and subjective methods. The differences and its relative factors were explored. Forty young volunteers were measured by eye tracker to get the amount of convergence when fixating at the target at 100 cm, 50 cm, 33 cm and 25 cm and were measured by infrared auto-refractor to get corresponding accommodative responses. AC/A ratio based on these two measurements were compared with the calculated and the gradient AC/A ratio from Von Graefe tests. Mean value of stimulated AC/A ratio measured by eye tracker was higher than the calculated and gradient AC/A ratio by Von Graefe method (P = 0.003, 0.001). There are statistic correlation (r = 0.871, P = 0.000) and difference (P = 0.000) between stimulated AC/A ratio and response AC/A ratios both measured by eye tracker, and the difference trends to be greater with the higher AC/A ratio. The objective AC/A ratio is usually higher than the clinical subjective measurement because of more proximal effect. The response AC/A ratio measured objectively may reveal realistically the mutual effect and relationship between accommodation and convergence and it seems to be more credible to be the monitor parameter on progression of myopia in clinics.

Long-term follow-up of acute isolated accommodation insufficiency.

Science.gov (United States)

Lee, Jung Jin; Baek, Seung-Hee; Kim, Ungsoo Samuel

2013-04-01

To define the long-term results of accommodation insufficiency and to investigate the correlation between accommodation insufficiency and other factors including near point of convergence (NPC), age, and refractive errors. From January 2008 to December 2009, 11 patients with acute near vision disturbance and remote near point of accommodation (NPA) were evaluated. Full ophthalmologic examinations, including best corrected visual acuity, manifest refraction and prism cover tests were performed. Accommodation ability was measured by NPA using the push-up method. We compared accommodation insufficiency and factors including age, refractive errors and NPC. We also investigated the recovery from loss of accommodation in patients. Mean age of patients was 20 years (range, 9 to 34 years). Five of the 11 patients were female. Mean refractive error was -0.6 diopters (range, -3.5 to +0.25 diopters) and 8 of 11 patients (73%) had emmetropia (+0.50 to -0.50 diopters). No abnormalities were found in brain imaging tests. Refractive errors were not correlated with NPA or NPC (rho = 0.148, p = 0.511; rho = 0.319, p = 0.339; respectively). The correlation between age and NPA was not significant (rho = -395, p = 0.069). However, the correlation between age and NPC was negative (rho = -0.508, p = 0.016). Three of 11 patients were lost to follow-up, and 6 of 8 patients had permanent insufficiency of accommodation. Accommodation insufficiency is most common in emmetropia, however, refractive errors and age are not correlated with accommodation insufficiency. Dysfunction of accommodation can be permanent in the isolated accommodation insufficiency.

Accommodation training in foreign workers.

Science.gov (United States)

Takada, Masumi; Miyao, Masaru; Matsuura, Yasuyuki; Takada, Hiroki

2013-01-01

By relaxing the contracted focus-adjustment muscles around the eyeball, known as the ciliary and extraocular muscles, the degree of pseudomyopia can be reduced. This understanding has led to accommodation training in which a visual target is presented in stereoscopic video clips. However, it has been pointed out that motion sickness can be induced by viewing stereoscopic video clips. In Measurement 1 of the present study, we verified whether the new 3D technology reduced the severity of motion sickness in accordance with stabilometry. We then evaluated the short-term effects of accommodation training using new stereoscopic video clips on foreign workers (11 females) suffering from eye fatigue in Measurement 2. The foreign workers were trained for three days. As a result, visual acuity was statistically improved by continuous accommodation training, which will help promote ciliary muscle stretching.

[Work accommodation at the time of Return-to-Work for workers on sick leave: a qualitative systematic review with recommendations for Return-to-work Guidance 2017].

Science.gov (United States)

Nogawa, Kazuhiro; Kojimahara, Noriko

2018-03-12

We conducted a systematic review to determine whether work accommodation at the time of return-to-work (RTW) following a period of sick leave would improve work-related outcomes. Using a Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach, we developed recommendations applicable to the field of occupational health in Japan. We approached our review question for "Evidence-based Return-to-work Guidance in Occupational Health 2017 (RTW 2017)" using a PICO framework (P: workers on sick leave; I: work accommodation; C: usual care; O: improvement of work-related outcomes, such as shortened sick leave period or lower rate of sick leave recurrence). To identify relevant intervention studies about work accommodation at the time of RTW, for example, modified work or partial RTW, we searched Cochrane Library, PubMed, and ICHUSHI Web using keywords/phrases such as workplace accommodation, partial RTW, rehabilitation, and modified work. Although we found no systematic reviews, we did identify 632 randomized controlled trials and cohort studies. Two researchers screened them independently using selection and exclusion criteria defined by the RTW guidance committee in the scope. For intervention studies, we extracted PICO and evaluated risk of bias using RevMan 5.3. For cohort studies, we applied the Newcastle-Ottawa scale for evaluation of risk of bias. We then evaluated the body of evidence based on risk of bias, indirectness, inconsistency, imprecision, and publication bias using GRADEPro GDT. Finally, we adopted Evidence to Decision from GRADE and developed recommendations based on anonymous panels' votes. We identified three relevant studies, which were one randomized controlled trial and two cohort studies, on Partial RTW or modified work for musculoskeletal disorders. Although we could not conduct a meta-analysis, our qualitative systematic review of these studies led us to conclude that partial RTW could shorten the period of sick leave and

Employment Accommodations for People with Disabilities: Does Gender Really Matter?

Directory of Open Access Journals (Sweden)

Helen P Hartnett

2014-06-01

Full Text Available AbstractThe Americans with Disabilities Act (ADA requires employersto provide reasonable accommodations for any qualified individual with adisability. By examining the ongoing evaluation data from the Job AccommodationNetwork (JAN, this study seeks to investigate whether or not genderdifferences are present in the reasonable accommodation process. Open andclosed-ended data are collected using a 20-minute structured telephoneinterview of JAN customers (n= 1,247; 44% response rate. The results show veryfew differences between men’s and women’s accommodation request types, whetheror not accommodations were granted, the costs of requested accommodations, andsatisfaction with JAN. A significant difference, however, was found by genderon the effectiveness of the accommodation.  Key Words: Accommodations, Disabilities, Gender, Employment, Social Work Practice

Bearing-Mounting Concept Accommodates Thermal Expansion

Science.gov (United States)

Nespodzany, Robert; Davis, Toren S.

1995-01-01

Pins or splines allow radial expansion without slippage. Design concept for mounting rotary bearing accommodates differential thermal expansion between bearing and any structure(s) to which bearing connected. Prevents buildup of thermal stresses by allowing thermal expansion to occur freely but accommodating expansion in such way not to introduce looseness. Pin-in-slot configuration also maintains concentricity.

Massification of Higher Education and Students' Accommodation ...

African Journals Online (AJOL)

Massification of Higher Education and Students' Accommodation: The ... of students' accommodation at the University of Dar es salaam (UDSM) over the past 50 years. ... and the quality of learning, as well as the quality of students' life.

Adaptability : How to accommodate changing user preferences

NARCIS (Netherlands)

Remoy, H.T.; van der Voordt, D.J.M.

2013-01-01

Purpose: When current accommodation is unsatisfactorily, office organisations consider relocating to new accommodation that optimally facilitate their main processes, supporting image and financial yield. However, due to high vacancy levels, public opinion and governmental awareness oppose new

Partially nested designs in psychotherapy trials: A review of modeling developments.

Science.gov (United States)

Sterba, Sonya K

2017-07-01

Individually-randomized psychotherapy trials are often partially nested. For instance, individuals assigned to a treatment arm may be clustered into therapy groups for purposes of treatment administration, whereas individuals assigned to a wait-list control are unclustered. The past several years have seen rapid expansion and investigation of methods for analyzing partially nested data. Yet partial nesting often remains ignored in psychotherapy trials. This review integrates and disseminates developments in the analysis of partially nested data that are particularly relevant for psychotherapy researchers. First, we differentiate among alternative partially nested designs. Then, we present adaptations of multilevel model specifications that accommodate each design. Next, we address how moderation by treatment as well as mediation of the treatment effect can be investigated in partially nested designs. Model fitting results, annotated software syntax, and illustrative data sets are provided and key methodological issues are discussed. We emphasize that cluster-level variability in the treatment arm need not be considered a nuisance; it can be modeled to yield insights about the treatment process.

Family accommodation in adult obsessive–compulsive disorder: clinical perspectives

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Albert U

2017-09-01

Full Text Available Umberto Albert, Alessandra Baffa, Giuseppe Maina Rita Levi Montalcini Department of Neuroscience, A.O.U. San Luigi Gonzaga, University of Turin, Turino, Italy Abstract: The term accommodation has been used to refer to family responses specifically related to obsessive–compulsive (OC symptoms: it encompasses behaviors such as directly participating in compulsions, assisting a relative with obsessive–compulsive disorder (OCD when he/she is performing a ritual, or helping him/her to avoid triggers that may precipitate obsessions and compulsions. At the opposite side, family responses to OCD may also include interfering with the rituals or actively opposing them; stopping accommodating OC symptoms or actively interfering with their performance is usually associated with greater distress and sometimes even with aggressive behaviors from the patients. This article summarizes progress of the recent research concerning family accommodation in relatives of patients with OCD. Family accommodation is a prevalent phenomenon both among parents of children/adolescents with OCD and relatives/caregivers of adult patients. It can be measured with a specific instrument, the Family Accommodation Scale, of which there are several versions available for use in clinical practice. The vast majority of both parents of children/adolescents with OCD and family members of adult patients show at least some accommodation; providing reassurances to obsessive doubts, participating in rituals and assisting the patient in avoidance are the most frequent accommodating behaviors displayed by family members. Modification of routine and modification of activities specifically due to OC symptoms have been found to be equally prevalent. Specific characteristics of patients (such as contamination/washing symptoms and of relatives (the presence of anxiety or depressive symptoms or a family history positive for another anxiety disorder are associated with a higher degree of family

28 CFR 36.310 - Transportation provided by public accommodations.

Science.gov (United States)

2010-07-01

... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Transportation provided by public... BASIS OF DISABILITY BY PUBLIC ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Specific Requirements § 36.310 Transportation provided by public accommodations. (a) General. (1) A public accommodation that provides...

Evaluation of periosteal fixation of lateral rectus and partial VRT for cases of exotropic Duane retraction syndrome

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Pradeep Sharma

2014-01-01

Full Text Available Purpose: The purpose of this study is to evaluate the lateral rectus periosteal fixation and partial vertical rectus transpositioning (VRT as treatment modalities to correct exotropic Duane retraction syndrome (Exo-DRS. Materials and Methods: Prospective interventional case study of cases of Exo-DRS with limitation of adduction. A total of 13 patients were subdivided into two groups. Six patients underwent only lateral rectus periosteal fixation (group A and seven patients also underwent partial VRT (group B. Assessment involved prism bar cover test, abduction and adduction range, extent of binocular single visual field and exophthalmometry. These tests were repeated at 1 week, 1 month and 3 months post-operatively and data analyzed. Results: The pre-operative mean values and ranges were 26.2 Δ (22-35 exotropia for group A and −21.3 Δ (14-30 exotropia for group B. The post-operative mean and range was +0.6 Δ esotropia (+20 to −8 for group A and 8 Δ (−2 to −20 exotropia for group B. Mean grade of limitation of abduction changed from −3.8 to −3.6 versus −3.6 to −2.8 and mean grade of limitation of adduction changed from −1.9 to −0.7 versus −1.5 to −0.5 in the groups A and B respectively. Mean binocular single visual field changed from 14.7° to 23.3° in group A and 11.8° to 26.4° in the group B respectively. Conclusion: Lateral rectus periosteal fixation is an effective surgery to correct the exodeviation, anomalous head posture and improving adduction in Exo-DRS and partial VRT in addition is effective in improving abduction and binocular single visual fields.

Computer-animated model of accommodation and presbyopia.

Science.gov (United States)

Goldberg, Daniel B

2015-02-01

To understand, demonstrate, and further research the mechanisms of accommodation and presbyopia. Private practice, Little Silver, New Jersey, USA. Experimental study. The CAMA 2.0 computer-animated model of accommodation and presbyopia was produced in collaboration with an experienced medical animator using Autodesk Maya animation software and Adobe After Effects. The computer-animated model demonstrates the configuration and synchronous movements of all accommodative elements. A new classification of the zonular apparatus based on structure and function is proposed. There are 3 divisions of zonular fibers; that is, anterior, crossing, and posterior. The crossing zonular fibers form a scaffolding to support the lens; the anterior and posterior zonular fibers work reciprocally to achieve focused vision. The model demonstrates the important support function of Weiger ligament. Dynamic movement of the ora serrata demonstrates that the forces of ciliary muscle contraction store energy for disaccommodation in the elastic choroid. The flow of aqueous and vitreous provides strong evidence for our understanding of the hydrodynamic interactions during the accommodative cycle. The interaction may result from the elastic stretch in the choroid transmitted to the vitreous rather than from vitreous pressue. The model supports the concept that presbyopia results from loss of elasticity and increasing ocular rigidity in both the lenticular and extralenticular structures. The computer-animated model demonstrates the structures of accommodation moving in synchrony and might enhance understanding of the mechanisms of accommodation and presbyopia. Dr. Goldberg is a consultant to Acevision, Inc., and Bausch & Lomb. Copyright © 2015 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Symptomatic accommodative disorders and asthenopia: Prevalence and association in Ghanaian children

Directory of Open Access Journals (Sweden)

Charles Darko-Takyi

2016-11-01

Full Text Available Background: There is a scarcity of data on asthenopia and accommodative disorders in children in Ghana as optometrists sometimes fail to carry out comprehensive assessments because of the lack of appropriate instruments. Aim: To establish the prevalence of asthenopic symptoms and symptomatic accommodative disorders among Junior High School children in Cape Coast metropolis (in their habitual vision state and to investigate if there are any associations between asthenopic symptoms and the disorders. Method: A prospective cross-sectional school-based study using a multistage sample of 627 participants aged 12–17 years from Junior High Schools in Cape Coast metropolis, Ghana, was conducted. Participants completed a reliable asthenopic symptoms questionnaire (Cronbach’s α = 0.866, and 220 participants who expressed two or more severe or very severe symptoms were selected for comprehensive accommodative system assessment over their habitual vision state. Results: The prevalence of symptoms of asthenopia (two or more severe or very severe and symptomatic accommodative disorders were 35.1% and 17.4% respectively. For specific symptomatic accommodative disorders, the prevalence was as follows: 7.7% accommodative insufficiency, 4.5% accommodative infacility, 1.4% accommodative excess and 3.8% accommodative fatigue. There were significant associations between some specific accommodative disorders and some specific asthenopic symptoms even though these asthenopic symptoms overlapped in other accommodative disorders. Conclusion: Specific asthenopic symptoms do not discriminate between the presences of specific types of accommodative disorders. A comprehensive accommodative system assessment with appropriate instruments is relevant to the diagnosis and management of accommodative disorders to relieve asthenopic symptoms.

Corneal changes with accommodation using dual Scheimpflug photography.

Science.gov (United States)

Sisó-Fuertes, Irene; Domínguez-Vicent, Alberto; del Águila-Carrasco, Antonio; Ferrer-Blasco, Teresa; Montés-Micó, Robert

2015-05-01

To assess whether corneal parameters and aberrations are affected by accommodation. Optics Department, University of Valencia, Valencia, Spain. Prospective cross-sectional study. The Galilei G4 dual Scheimpflug device was used to obtain data on the anterior and posterior axial curvatures, total corneal power (TCP), and corneal pachymetry from 3 corneal zones (central: 0.0 up to 4.0 mm; paracentral or mid: 4.0 up to 7.0 mm; peripheral: 7.0 up to 10.0 mm) in young emmetropic eyes in the unaccommodated and 4 accommodated states (from -1.0 to -4.0 diopters [D] in 1.0 D steps). The 2nd-, 3rd-, and 4th-order aberrations as well as the root mean square (RMS) were also determined for the entire cornea at the same accommodative demands. The study evaluated 7 subjects (12 eyes). No significant changes in any measured parameter were found during accommodation for any corneal zone (P > .05). Statistically significant differences were found in the various corneal zones when it was assumed they were constant with accommodation (P the high standard deviation values. Different parameters in various zones of the cornea as well as corneal aberrations were stable during accommodation. Crown Copyright © 2015. Published by Elsevier Inc. All rights reserved.

Marketing of Accommodation services : Case-Hotel Azam Cameroon

OpenAIRE

Youkam, Germaine

2012-01-01

Cameroon is Africa in miniature with a lot of tourist attractions owing to its geological and cultural diversity. Natural features include beaches, deserts, mountains, rainforests, and savannas. Accommodation services have been a grand phenomenon within the tourism industry in Cameroon. The accommodation sector has developed tremendously within the past decades. The objective of this research work was to find about out the marketing of accommodation services in Cameroon with Hotel Azam as...

Workplace accommodations for people with mental illness: a scoping review.

Science.gov (United States)

McDowell, Caitlin; Fossey, Ellie

2015-03-01

Disability discrimination legislation means that employees with a disability or mental illness are legally entitled to reasonable workplace accommodations that enable them to work effectively and safely. This scoping review aims to investigate the types of workplace accommodations provided for people with mental illness, and their costs and benefits. A literature search was conducted using five electronic databases. Peer reviewed research articles published between 1993 and June 2013 were included in this scoping review and their quality was assessed. Opinion papers, reports, and case descriptions were excluded. Nine studies explored workplace accommodations for people with mental illness. The most commonly reported work-related accommodations were flexible scheduling/reduced hours, modified training and supervision, and modified job duties/descriptions. The least common type of accommodation was physical modification to the workplace. For employees with persistent mental illness who were accessing a supported employment agency, the majority of accommodations related to support from the job coach or employment specialist, such as facilitating communication with the employer during hiring or on the job. The quality of the studies varied considerably and the benefits of the accommodations are not yet well documented. There is limited evidence that a larger number of workplace accommodations are associated with longer job tenure. Workplace accommodations appear to be important to support employees with mental illness, but more accessible information about how disability discrimination legislation applies to this population is needed. Future research should address the implementation and effectiveness of mental health-related workplace accommodations.

Vergence driven accommodation with simulated disparity in myopia and emmetropia.

Science.gov (United States)

Maiello, Guido; Kerber, Kristen L; Thorn, Frank; Bex, Peter J; Vera-Diaz, Fuensanta A

2018-01-01

The formation of focused and corresponding foveal images requires a close synergy between the accommodation and vergence systems. This linkage is usually decoupled in virtual reality systems and may be dysfunctional in people who are at risk of developing myopia. We study how refractive error affects vergence-accommodation interactions in stereoscopic displays. Vergence and accommodative responses were measured in 21 young healthy adults (n=9 myopes, 22-31 years) while subjects viewed naturalistic stimuli on a 3D display. In Step 1, vergence was driven behind the monitor using a blurred, non-accommodative, uncrossed disparity target. In Step 2, vergence and accommodation were driven back to the monitor plane using naturalistic images that contained structured depth and focus information from size, blur and/or disparity. In Step 1, both refractive groups converged towards the stereoscopic target depth plane, but the vergence-driven accommodative change was smaller in emmetropes than in myopes (F 1,19 =5.13, p=0.036). In Step 2, there was little effect of peripheral depth cues on accommodation or vergence in either refractive group. However, vergence responses were significantly slower (F 1,19 =4.55, p=0.046) and accommodation variability was higher (F 1,19 =12.9, p=0.0019) in myopes. Vergence and accommodation responses are disrupted in virtual reality displays in both refractive groups. Accommodation responses are less stable in myopes, perhaps due to a lower sensitivity to dioptric blur. Such inaccuracies of accommodation may cause long-term blur on the retina, which has been associated with a failure of emmetropization. Copyright © 2017 Elsevier Ltd. All rights reserved.

Effect of Vision Therapy on Accommodation in Myopic Chinese Children

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Martin Ming-Leung Ma

2016-01-01

Full Text Available Introduction. We evaluated the effectiveness of office-based accommodative/vergence therapy (OBAVT with home reinforcement to improve accommodative function in myopic children with poor accommodative response. Methods. This was a prospective unmasked pilot study. 14 Chinese myopic children aged 8 to 12 years with at least 1 D of lag of accommodation were enrolled. All subjects received 12 weeks of 60-minute office-based accommodative/vergence therapy (OBAVT with home reinforcement. Primary outcome measure was the change in monocular lag of accommodation from baseline visit to 12-week visit measured by Shinnipon open-field autorefractor. Secondary outcome measures were the changes in accommodative amplitude and monocular accommodative facility. Results. All participants completed the study. The lag of accommodation at baseline visit was 1.29 ± 0.21 D and it was reduced to 0.84 ± 0.19 D at 12-week visit. This difference (−0.46 ± 0.22 D; 95% confidence interval: −0.33 to −0.58 D is statistically significant (p<0.0001. OBAVT also increased the amplitude and facility by 3.66 ± 3.36 D (p=0.0013; 95% confidence interval: 1.72 to 5.60 D and 10.9 ± 4.8 cpm (p<0.0001; 95% confidence interval: 8.1 to 13.6 cpm, respectively. Conclusion. Standardized 12 weeks of OBAVT with home reinforcement is able to significantly reduce monocular lag of accommodation and increase monocular accommodative amplitude and facility. A randomized clinical trial designed to investigate the effect of vision therapy on myopia progression is warranted.

New Compact Accommodometer to Measure Accommodation Amplitude as a Biomarker.

Science.gov (United States)

Ide, Takeshi; Negishi, Kazuno; Yamaguchi, Takefumi; Hara, Shuya; Toda, Ikuko; Tsubota, Kazuo

2012-01-01

This study aimed to evaluate a newly designed compact accommodometer (CA) and compare this with a conventional accommodometer for measuring accommodation as a biomarker for aging and lifestyle. This is an observational case series. Accommodative amplitude was measured using 2 different accommodometers in 114 patients. We obtained the data of the near-point accommodation amplitude. Subsequently, we used smoking habit as an example of lifestyle-related factor to evaluate its effect on the accommodative power. The first part of the study included 60 eyes of 60 men and 54 eyes of 54 women, with a mean (SD) age of 43.8 (12.9) years (range, 18-58 years). There was a consistency within each measuring method despite a significant difference between the 2 devices (P the second part of the study, we found a significant correlation between age and accommodative amplitude both in smokers and in nonsmokers. The accommodative amplitude of the smoker group was significantly lower than that of the nonsmoker group (P the conventional accommodometer for measuring accommodative amplitude as an aging biomarker. Lifestyle factors can affect the magnitude of accommodation, which can be measured by this newly developed CA.

The provision of workplace accommodations following cancer: survivor, provider, and employer perspectives.

Science.gov (United States)

Stergiou-Kita, Mary; Pritlove, Cheryl; van Eerd, Dwayne; Holness, Linn D; Kirsh, Bonnie; Duncan, Andrea; Jones, Jennifer

2016-06-01

With improvements in screening, diagnosis, and treatment, the number of persons surviving cancer and staying at or returning to work is increasing. While workplace accommodations optimize workers' abilities to participate in the workforce, there has been little in-depth investigation of the types of accommodations reported to have been provided to cancer survivors and the processes relevant to ensuring their successful implementation. We employed an exploratory qualitative method and conducted 40 semi-structured interviews with three groups: (i) cancers survivors (n = 16), (ii) health/vocational service providers (n = 16), and (iii) employer representatives (n = 8) to explore return to work and accommodation processes, successes, and challenges. An inductive thematic analysis approach was used to analyze the data. Four types of accommodations were recommended: (1) graduated return to work plans and flexible scheduling, (2) modification of work duties and performance expectations, (3) retraining and supports at the workplace, and (4) modification of the physical work environment and/or the provision of adaptive aids/technologies. Processes relevant to ensuring effective accommodations included: (1) developing knowledge about accommodations, (2) employer's ability to accommodate, (3) negotiating reasonable accommodations, (4) customizing accommodations, and (5) implementing and monitoring accommodation plans. Accommodation challenges included: (1) survivors' fears requesting accommodations, (2) developing clear and specific accommodations, (3) difficult to accommodate jobs, and (4) workplace challenges, including strained pre-cancer workplace relationships, insufficient/inflexible workplace policies, employer concerns regarding productivity and precedent setting, and limited modified duties. Accommodations need to be customized and clearly linked to survivors' specific job demands, work context, and available workplace supports. Survivors need to feel

Accommodating Different Learning Styles

DEFF Research Database (Denmark)

Ovesen, Nis

2014-01-01

Design engineering educations often struggle to accommodate a highly diverse group of students as it combines an equally diverse range of topics in one education. This paper investigates how a specific course, Mathematics and Form, integrates two distinct areas into one course with the aim of fac...... shapes and form, whereas other types of students do not. The results thereby underpin that learning is typically based on individual preferences and that cross-disciplinary educational programmes have to accommodate this....... of facilitating learning across this diverse group of students. The paper is based on a survey with 99 former participants of the course as respondents. The results of the survey imply that certain types of students benefit from the combination of mathematical theory and practical exercises related to basic...

Accommodating Picky Palates

Science.gov (United States)

Lum, Lydia

2007-01-01

Healthy gourmet offerings are fast becoming the norm at college dining halls around the country. At a time when the children of Baby Boomers are hitting higher education in record numbers, college officials have scrambled to accommodate their picky palates and their insistence for healthier meals than were served to past generations. At the same…

Emission of partial dislocations from triple junctions of grain boundaries in nanocrystalline materials

International Nuclear Information System (INIS)

Gutkin, M Yu; Ovid'ko, I A; Skiba, N V

2005-01-01

A theoretical model is suggested that describes emission of partial Shockley dislocations from triple junctions of grain boundaries (GBs) in deformed nanocrystalline materials. In the framework of the model, triple junctions accumulate dislocations due to GB sliding along adjacent GBs. The dislocation accumulation at triple junctions causes partial Shockley dislocations to be emitted from the dislocated triple junctions and thus accommodates GB sliding. Ranges of parameters (applied stress, grain size, etc) are calculated in which the emission events are energetically favourable in nanocrystalline Al, Cu and Ni. The model accounts for the corresponding experimental data reported in the literature

Ophthalmic manifestations of head injury.

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Kowal, L

1992-02-01

Head injuries are frequently associated with ophthalmic problems. The commonest problems seen in this series of 161 patients with head injury were problems with poor accommodation (16% of patients; 58% of these persisted), convergence (14% of patients; 35% of these persisted), pseudomyopia (19%; 55% persisted) and optic atrophy (26% of the patients; 78% of these were mild and easily missed on routine testing, and 22% were severe). Motility disorders were common, especially cranial nerve palsies. Other less frequent motility disturbances included apparent inferior oblique palsy, comitant esotropia, and exotropia which was often of the convergence insufficiency type.

Occlusal accommodation and mouthguards for prevention of orofacial trauma.

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Geary, Julian Lindsay; Clifford, Thomas Joseph; Kinirons, Martin James

2009-01-01

The aim of this study was to investigate the effect of two types of occlusal accommodation on the arch separation in centric and eccentric arch positions and to assess the opposing tooth contacts in professionally made, thermoformed sports mouthguards. Maxillary and mandibular alginate impressions, a wax interocclusal record of centric occlusion together with maxillary/condylar face-bow registrations, were recorded clinically for 10 undergraduate dental students who are sports activist volunteers of the School of Medicine and Dentistry, Queen's University Belfast. Two ethylene vinyl acetate thermoformed maxillary mouthguards were made for each player (N = 20) using a standardised procedure. Ten mouthguards served both as the control (i.e. the non-accommodated) group and also the accommodated, occlusally 'imprinted' group. The other 10 mouthguards served as the accommodated, occlusally 'ground' group. Casts were articulated, each non-accommodated and accommodated mouthguard was seated and the extent of the interocclusal opening was recorded in all three arch relationships. The number of mouthguard and mandibular tooth contacts were also recorded in each position. The increased vertical occlusal dimension that was found in the presence of non-accommodated mouthguards equated to the full-sheet thickness of the material that was used to form the mouthguards. Only mouthguards accommodated by grinding retained high levels of occlusal contact in all arch relationships that were tested. Within the limitations of this study, the modification of the occlusal surface made by flat grinding reduced the arch separation in eccentric movements and increased the opposing tooth contacts in custom-made mouthguards. This may contribute to increased comfort, compliance and the protective effect of these appliances thus resulting in a reduction of injuries to the teeth, arches and soft tissues.

Comparison of tests of accommodation for computer users.

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Kolker, David; Hutchinson, Robert; Nilsen, Erik

2002-04-01

With the increased use of computers in the workplace and at home, optometrists are finding more patients presenting with symptoms of Computer Vision Syndrome. Among these symptomatic individuals, research supports that accommodative disorders are the most common vision finding. A prepresbyopic group (N= 30) and a presbyopic group (N = 30) were selected from a private practice. Assignment to a group was determined by age, accommodative amplitude, and near visual acuity with their distance prescription. Each subject was given a thorough vision and ocular health examination, then administered several nearpoint tests of accommodation at a computer working distance. All the tests produced similar results in the presbyopic group. For the prepresbyopic group, the tests yielded very different results. To effectively treat symptomatic VDT users, optometrists must assess the accommodative system along with the binocular and refractive status. For presbyopic patients, all nearpoint tests studied will yield virtually the same result. However, the method of testing accommodation, as well as the test stimulus presented, will yield significantly different responses for prepresbyopic patients. Previous research indicates that a majority of patients prefer the higher plus prescription yielded by the Gaussian image test.

The Assessment of Accommodation and Convergence System in the Bank Employees

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Monireh Mahjoob

2013-02-01

Full Text Available Background: Regarding the high outbreak rate of the eye disorders and problems particularly accommodation disorders and convergence insufficiency in computer users, the study tries to determine the convergence, accommodation system, condition, fusion reserves and vision dimension in bank employees (who work with computers and the control group (who are not computer users and then to compare the mentioned parameters in the two groups. Materials and Methods: In this cross-sectional and observational study a total of 44 bank employees and 44 people as the control group members were selected randomly. Initially, refractive problems were reformed, and then accommodation, convergence and vision dimension evaluative tests were conducted. The test included measuring the near point of convergence, jump convergence, phoria, accommodation range (one eye, both eyes, ease of accommodation (one eye, both eyes, positive and negative related accommodation, near fusion versions and TNO.Results: Our results showed that there was a not significant difference among the near point of convergence, jump convergence, near phoria, accommodation range (one eye and both eyes, ease of accommodation (one eye, both eyes, positive and negative related accommodation in bank employees and control group.Conclusion: Regarding the studies, the outbreak rate of accommodation and convergence disorders is higher in bank employees than the control group which would be due to over working with computer within a fixed interval.

Evidence that convergence rather than accommodation controls intermittent distance exotropia.

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Horwood, Anna M; Riddell, Patricia M

2012-03-01

This study considered whether vergence drives accommodation or accommodation drives vergence during the control of distance exotropia for near fixation. High accommodative convergence to accommodation (AC/A) ratios are often used to explain this control, but the role of convergence to drive accommodation (the CA/C relationship) is rarely considered. Atypical CA/C characteristics could equally, or better, explain common clinical findings. Nineteen distance exotropes, aged 4-11 years, were compared while controlling their deviation with 27 non-exotropic controls aged 5-9 years. Simultaneous vergence and accommodation responses were measured to a range of targets incorporating different combinations of blur, disparity and looming cues at four fixation distances between 2 m and 33 cm. Stimulus and response AC/A and CA/C ratios were calculated. Accommodation responses for near targets (p = 0.017) and response gains (p = 0.026) were greater in the exotropes than in the controls. Despite higher clinical stimulus AC/A ratios, the distance exotropes showed lower laboratory response AC/A ratios (p = 0.02), but significantly higher CA/C ratios (p = 0.02). All the exotropes, whether the angle changed most with lenses ('controlled by accommodation') or on occlusion ('controlled by fusion'), used binocular disparity not blur as their main cue to target distance. Increased vergence demand to control intermittent distance exotropia for near also drives significantly more accommodation. Minus lens therapy is more likely to act by correcting overaccommodation driven by controlling convergence, rather than by inducing blur-driven vergence. The use of convergence as a major drive to accommodation explains many clinical characteristics of distance exotropia, including apparently high near stimulus AC/A ratios. © 2012 The Authors. Acta Ophthalmologica © 2012 Acta Ophthalmologica Scandinavica Foundation.

Location as a determinant of accommodation prices: managerial approach

OpenAIRE

Napierała, Tomasz; Leśniewska, Katarzyna

2014-01-01

In the presentation authors discuss the location-based factors’ impact on accommodation prices. The aim of the presentation is to compare the results of qualitative and quantitative research on location-based determinants of accommodation prices in Lodz Metropolitan Area (Poland). The authors employ methodological triangulation (Yeung 2000), both to explore statistical significance of location-based determinants of accommodation prices, and to present managerial opinions about the influence o...

The rate of change of vergence-accommodation conflict affects visual discomfort.

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Kim, Joohwan; Kane, David; Banks, Martin S

2014-12-01

Stereoscopic (S3D) displays create conflicts between the distance to which the eyes must converge and the distance to which the eyes must accommodate. Such conflicts require the viewer to overcome the normal coupling between vergence and accommodation, and this effort appears to cause viewer discomfort. Vergence-accommodation coupling is driven by the phasic components of the underlying control systems, and those components respond to relatively fast changes in vergence and accommodative stimuli. Given the relationship between phasic changes and vergence-accommodation coupling, we examined how the rate of change in the vergence-accommodation conflict affects viewer discomfort. We used a stereoscopic display that allows independent manipulation of the stimuli to vergence and accommodation. We presented stimuli that simulate natural viewing (i.e., vergence and accommodative stimuli changed together) and stimuli that simulate S3D viewing (i.e., vergence stimulus changes but accommodative stimulus remains fixed). The changes occurred at 0.01, 0.05, or 0.25 Hz. The lowest rate is too slow to stimulate the phasic components while the highest rate is well within the phasic range. The results were consistent with our expectation: somewhat greater discomfort was experienced when stimulus distance changed rapidly, particularly in S3D viewing when the vergence stimulus changed but the accommodative stimulus did not. These results may help in the generation of guidelines for the creation and viewing of stereo content with acceptable viewer comfort.

Space Station Freedom - Accommodation for technology R&D

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Holt, Alan C.

1989-01-01

The paper examines the features of the accommodation equipment designed for the candidate technology payloads of the Space Station, which include magnetic plasma thruster systems and a hypothetical advanced electromagnetic propulsion system utilizing high-temperature superconductivity materials. The review of the accommodation-equipment concepts supports the assumption that some propulsion technologies can be tested on the Space Station while being attached externally to the station's truss structure. For testing technologies with inherent operation or performance hazards, space platforms and smaller free-flyers coordinated with the Space Station can be used. Diagrams illustrating typical accommodation equipment configurations are included.

A meta-analysis of family accommodation and OCD symptom severity.

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Wu, Monica S; McGuire, Joseph F; Martino, Charitie; Phares, Vicky; Selles, Robert R; Storch, Eric A

2016-04-01

Family accommodation in obsessive-compulsive disorder (OCD) is characterized by myriad behaviors, such as modifying family routines, facilitating avoidance, and engaging in compulsions to reduce obsessional distress. It has been linked to various deleterious outcomes including increased functional impairment and poorer treatment response for OCD. Although extant literature suggests a linear relationship between family accommodation and OCD symptom severity, the magnitude and statistical significance of this association has been inconsistent across studies, indicating that moderators may be influencing this relationship. The present study examined this relationship using meta-analytic techniques, and investigated sample-dependent (age, gender, comorbid anxiety/mood disorders) and methodological (administration method and number of items used in family accommodation measure, informant type, sample size, publication year) moderators. Forty-one studies were included in the present meta-analysis, and the overall effect size (ES) for the correlation between family accommodation and OCD symptom severity was moderate (r=.42). Moderator analyses revealed that the number of items on the family accommodation scale moderated the ES. No other sample-dependent or methodological characteristics emerged as moderators. In addition to being the first systematic examination of family accommodation moderators, these results highlight the moderate relationship between family accommodation and OCD severity that is influenced by measurement scales. Findings may be used to guide clinical care and inform future investigations by providing a more nuanced understanding of family accommodation in OCD. Copyright © 2016 Elsevier Ltd. All rights reserved.

Gain and movement time of convergence-accommodation in preschool children.

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Suryakumar, R; Bobier, W R

2004-11-01

Convergence-accommodation is the synkinetic change in accommodation driven by vergence. A few studies have investigated the static and dynamic properties of this cross-link in adults but little is known about convergence-accommodation in children. The purpose of this study was to develop a technique for measuring convergence-accommodation and to study its dynamics (gain and movement time) in a sample of pre-school children. Convergence-accommodation measures were examined on thiry-seven normal pre-school children (mean age = 4.0 +/- 1.31 yrs). Stimulus CA/C (sCA/C) ratios and movement time measures of convergence-accommodation were assessed using a photorefractor while subjects viewed a DOG target. Repeated measures were obtained on eight normal adults (mean age = 23 +/- 0.2 yrs). The mean sCA/C ratios and movement times were not significantly different between adults and children (0.10 D/Delta [0.61 D/M.A.], 743 +/- 70 ms and 0.11 D/Delta [0.50 D/M.A.], 787 +/- 216 ms). Repeated measures on adults showed a non-significant mean difference of 0.001 D/Delta. The results suggest that the possible differences in crystalline lens (plant) characteristics between children and adults do not appear to influence convergence-accommodation gain or duration.

Accommodation Paralysis after Pheniramine Maleate Injection: A Case Report.

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Bingol Kiziltunc, Pinar; Atilla, Huban; Yalcindag, F Nilufer

2013-01-01

We present a case in which Gilbert syndrome was diagnosed following a neuro-ophthalmic complaint. Adverse effects of drugs as well as various systemic, neurological, and local ocular pathologies can cause accommodative insufficiency and loss of accommodation. A 29-year-old man was admitted to an ophthalmology department with blurred vision and diagnosed as suffering from acute accommodation paralysis. He had a history of being given a pheniramine maleate injection for pruritus 20 days previously. Symptoms began immediately following the injection. After systemic evaluation and laboratory tests, he was diagnosed as having Gilbert syndrome. His complaints and symptoms recovered in approximately a further 10 days. Metabolism of pheniramine maleate can be impaired in Gilbert syndrome and anticholinergic effects can cause accommodation paralysis.

Evaluation of Accommodation Companies Recreation Activities in İstanbul

OpenAIRE

Aslı ALBAYRAK

2012-01-01

Recreation activities represent quality of company, image and attractiveness for both staying guests and day use guests. At the same time recreation can be important income source for accommodation companies. This study investigate the web page of 82 five star accommodation company in Istanbul from the side of recreation activities. At the end of the study find that most of accommodation company don't have in place recreation activities, recreation tab and representation about activities in t...

A NOVELTY MODEL OF ONLINE ACCOMMODATION PRESENTATION AND DISCOVERY

OpenAIRE

Sjekavica, Tomo; Žitnik, Marjan; Miličević, Mario

2017-01-01

Extreme expansion of digital technologies and social networks in recent years has had a huge impact on the travel market and online tourism. Along with the digitalization of tourism and travel business, every day more and more accommodation bookings take place online. Most popular online travel web sites are commonly charging provision for the accommodation booking and don't allow direct contact with the accommodation owners. Today tourists demand more for their money, so they are more likely...

Comparing family accommodation in pediatric obsessive-compulsive disorder, anxiety disorders, and nonanxious children.

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Lebowitz, Eli R; Scharfstein, Lindsay A; Jones, Johnna

2014-12-01

Family accommodation describes ways in which parents modify their behavior to help a child avoid or alleviate distress caused by emotional disorders. Accommodation is associated with increased symptom severity, lower functioning, and poorer treatment outcomes. Accommodation is prevalent in childhood obsessive-compulsive disorder (OCD) and anxiety disorders (ADs) but no studies have compared accommodation in these groups or compared them to healthy controls to ascertain if accommodation is prevalent in the general population. This study addresses these gaps by comparing patterns of accommodation, factors that maintain accommodation, and its relation to symptom severity in OCD and AD, relative to healthy controls. We directly compared reports of accommodation to childhood OCD (N = 26) and AD (N = 31), and a comparison group of nonanxious (NA) children (N = 30). Mothers completed measures of accommodation (Family Accommodation Scale (FAS)/Family Accommodation Scale-Anxiety (FASA)), anxiety (Screen for Childhood Anxiety Related Emotional Disorders-Parent Report (SCARED-PR)), and OCD (Children's Yale-Brown Obsessive Compulsive Scale (CYBOCS)). Family accommodation is prevalent among mothers of children with OCD and AD. Few differences were found between the two clinical groups who reported more accommodation (F[2,84] = 23.411, P anxiety in AD (r = .426, P = .017) and OCD (r = .465, P = .017), but not in the NA group. Findings highlight family accommodation as a phenomenon that applies broadly and in a similar manner to children with AD and OCD. Evaluating accommodation provides useful information for clinical care and is an important part of the assessment of children with AD and OCD. © 2014 Wiley Periodicals, Inc.

Convergence and Accommodation Development Is Preprogrammed in Premature Infants.

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Horwood, Anna M; Toor, Sonia S; Riddell, Patricia M

2015-08-01

This study investigated whether vergence and accommodation development in preterm infants is preprogrammed or is driven by experience. Thirty-two healthy infants, born at mean 34 weeks gestation (range, 31.2-36 weeks), were compared with 45 healthy full-term infants (mean 40.0 weeks) over a 6-month period, starting at 4 to 6 weeks postnatally. Simultaneous accommodation and convergence to a detailed target were measured using a Plusoptix PowerRefII infrared photorefractor as a target moved between 0.33 and 2 m. Stimulus/response gains and responses at 0.33 and 2 m were compared by both corrected (gestational) age and chronological (postnatal) age. When compared by their corrected age, preterm and full-term infants showed few significant differences in vergence and accommodation responses after 6 to 7 weeks of age. However, when compared by chronological age, preterm infants' responses were more variable, with significantly reduced vergence gains, reduced vergence response at 0.33 m, reduced accommodation gain, and increased accommodation at 2 m compared to full-term infants between 8 and 13 weeks after birth. When matched by corrected age, vergence and accommodation in preterm infants show few differences from full-term infants' responses. Maturation appears preprogrammed and is not advanced by visual experience. Longer periods of immature visual responses might leave preterm infants more at risk of development of oculomotor deficits such as strabismus.

Disability disclosure and workplace accommodations among youth with disabilities.

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Lindsay, Sally; Cagliostro, Elaine; Leck, Joanne; Shen, Winny; Stinson, Jennifer

2018-03-20

Many youths with disabilities find it challenging to disclose their medical condition and request workplace accommodations. Our objective was to explore when and how young people with disabilities disclose their condition and request workplace accommodations. We conducted 17 in-depth interviews (11 females, six males) with youth with disabilities aged 15-34 (mean age 26). We analyzed our data using an interpretive, qualitative, and thematic approach. Our results showed the timing of when youth disclosed their disability to their employer depended on disability type and severity, comfort level, type of job, and industry. Youth's strategies and reasons for disclosure included advocating for their needs, being knowledgeable about workplace rights, and accommodation solutions. Facilitators for disclosure included job preparation, self-confidence, and self-advocacy skills, and having an inclusive work environment. Challenges to disability disclosure included the fear of stigma and discrimination, lack of employer's knowledge about disability and accommodations, negative past experiences of disclosing, and not disclosing on your own terms. Our findings highlight that youth encounter several challenges and barriers to disclosing their condition and requesting workplace accommodations. The timing and process for disclosing is complex and further work is needed to help support youth with disclosing their condition. Implications for rehabilitation Clinicians, educators, and employers should emphasize the importance of mentoring and leadership programs to give youth the confidence and self-advocacy skills needed to disclose and ask for accommodations in the workplace. Clinicians should advocate for the inclusion of youth with disabilities in the workforce and educate employers on the importance of doing so. Youth with disabilities need more opportunities for employment training and particularly how to disclose their disability and request workplace accommodations.

Work accommodations and natural supports for maintaining employment.

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Corbière, Marc; Villotti, Patrizia; Lecomte, Tania; Bond, Gary R; Lesage, Alain; Goldner, Elliot M

2014-06-01

Job tenure for people with severe mental disorders, even for those enrolled in supported employment programs, is typically brief. Few studies to date have investigated the relationship between accommodations and natural supports available in the workplace, and job tenure for this population. The main objectives of this study were to develop and to validate a new measure to describe work accommodations and natural supports available in the workplace and to determine which of them are significantly related to job tenure for participants enrolled in supported employment services. In total, 124 people with a severe mental disorder enrolled in supported employment programs and who obtained only one competitive employment at the 9-month follow-up answered the Work Accommodation and Natural Support Scale (WANSS). They also provided information regarding their disclosure (or non-) of mental disorders in the workplace and the length of their job tenure. Confirmatory factor analysis conducted on the WANSS showed 40 items distributed on 6 dimensions (e.g., Schedule flexibility). Correlation results showed that disclosure was significantly related to the number of work accommodations and natural supports available in the workplace. Survival analyses indicated that one WANSS dimension was more salient in predicting job tenure: Supervisor and coworker supports. The WANSS is a valid and useful tool to assess work accommodations and natural supports available in the workplace that employment specialists could use in their practice.

The influence of family accommodation on pediatric hospital experience in Canada.

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Franck, Linda S; Ferguson, Deron; Fryda, Sarah; Rubin, Nicole

2017-08-15

The goals of our study were to describe the types of family accommodation for parents of hospitalized children and to examine their influence on the pediatric hospital experience. This multi-site cohort survey included 10 hospitals in Ontario Province, Canada. Participants were parents of inpatient children (n = 1240). Main outcome measures included ratings of three parent-reported measures of hospital experience: overall hospital experience; willingness to recommend the hospital to family or friends; and how much the accommodation type helped parent stay involved in their child's hospital care. Parents most often stayed in the child's room (74.7%), their own home (12.3%), hotel (4.0%) or a Ronald McDonald House (3.0%). Accommodation varied based on hospital, parent and child factors. Length of stay and the child's health status were significant predictors for overall hospital experience and recommending the hospital to family or friends, but accommodation type was not. Families who stayed at a Ronald McDonald House reported greater involvement in their child's care compared with other accommodation types (odds ratio: 1.54-20.73 for contrasted accommodation types). Use of different overnight accommodations for families of hospitalized pediatric patients in Canada is similar to a previous report of U.S. family hospital accommodations. In contrast to the previous U.S. findings, Canadian hospital experience scores were lower and accommodation type was not a significant predictor of overall hospital experience or willingness to recommend the hospital. In Canada, as in the U.S., families who stayed at a Ronald McDonald House reported that this accommodation type significantly improved their ability to be involved in their child's care.

Effect of different reading interfaces and conditions on the accommodation response

Directory of Open Access Journals (Sweden)

Xiao-Feng Wang

2016-04-01

Full Text Available AIM:To compare the difference of accommodation response under the variety reading conditions including computer screen, mobile phone screen and printed texts. The investigation also included the accommodation response under these conditions with different distances, brightness, dynamic and static testing status. METHODS:Thirty volunteer subjects were included with normal vision function. The reading target on computer screen, mobile screen and paper were used, respectively. Grand Seiko WAM 5500 infrared automatic refractometer was applied to measure accommodation response. The influence of different reading conditions on accommodation was compared using variance analysis with SPSS17.0.RESULTS:Accommodation lag under the computer screen with high brightness was 0.52±0.24D, that under papers was 0.73±0.28D, that under mobile phone was 0.72±0.29D. Accommodation lag under the computer screen with high brightness was less than that under mobile phones and paper, the differences were statistically significant(PCONCLUSION:Accommodation lag under the computer screen with high brightness is relatively smaller than that under mobile phone or paper. There is no significant difference between those under phones and paper. With the brightness of computers in a certain range, there is no effect for accommodation response.

Attention-deficit/hyperactivity disorder children exhibit an impaired accommodative response.

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Redondo, Beatriz; Vera, Jesús; Molina, Rubén; García, José Antonio; Ouadi, Miriam; Muñoz-Hoyos, Antonio; Jiménez, Raimundo

2018-05-01

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common paediatric neurobehavioural disorders causing multiple functional impairments in children. Based on the relationship between the neural system that controls attention and ocular dynamics, the present study compares the magnitude and variability of accommodation between a group of non-medicated ADHD children and an age-matched control group. The magnitude and variability of the accommodative response were objectively measured in 36 children using the WAM-5500 autorefractometer for 90 consecutive seconds at three static viewing distances (500, 40, and 20 cm). Participants were divided into ADHD (n = 18) or control (n = 18) groups based on clinically validated criteria. Children with ADHD exhibited higher lags of accommodation (p = 0.024), increasing at closer viewing distances, in comparison to the control group. Marginal statistical differences were found for the variability of accommodation (p = 0.066), with the ADHD group showing a trend towards higher variability. Our analysis showed that the magnitude and variability of accommodation did not vary over time between groups (p > 0.05). Our data suggest that children with ADHD have a less accurate accommodative response. These results provide a new ocular index that could help to clarify the relationship between accommodative response and attentional deficits, which could have a direct impact on the academic, cognitive, and visual performance of ADHD children.

Guidelines for Providing Accommodations Using CASAS Assessment for Learners with Disabilities

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CASAS - Comprehensive Adult Student Assessment Systems (NJ1), 2005

2005-01-01

These guidelines address methods for administering Comprehensive Adult Student Assessment System (CASAS) assessments using accommodations for learners with documented disabilities. The suggested accommodations for disability categories include provisions for: (1) Accommodations in test administration procedures; and (2) Use of appropriate CASAS…

Family Accommodation in Obsessive-Compulsive Disorder: A Study on Associated Variables

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Teresa Cosentino

2015-10-01

Full Text Available The present study aimed to examine family accommodation in relatives of obsessive-compulsive disease (OCD patients. Accommodation was assessed in a sample of 31 relatives of OCD patients by means of the Family Accommodation Scale. Other variables measured as predictors of accommodation were the tendency of a family member to feel guilty, sensitivity to guilt, anxiety sensitivity and the prevalence of a passive communication style. Accommodation was found to be rather widespread in the family members who took part in our study, and they tended to show more accommodation the greater their sensitivity to guilt and the stable tendency to experience this emotion as well as anxiety sensitivity and a passive communication style. Multiple linear regression analyses showed that, among the variables considered, the family member’s sensitivity to guilt is the only factor which can predict accommodation with regard to the patient’s demands for involvement. On the other hand, the small number of family members in the sample and the lack of clinical data on patients (such as the severity, typology and duration of their obsessive-compulsive disorder pose limits to the generalizability of the results and point to the need for further research.

Variations in accommodation and convergence responses in a minimally controlled photorefractive setting.

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Horwood, A M; Turner, J E; Houston, S M; Riddell, P M

2001-11-01

A remote haploscopic photorefractor, designed for assessment of accommodation and convergence in infants and clinical groups, was used to determine heterophoria accommodative convergence/accommodation (AC/A) ratios in normal naïve adults. These were compared with conventional clinical measures. Twenty-one naïve subjects were used to compare occluded and unoccluded prism cover test responses with the remote haploscopic photorefractor using a text and picture target. Although luminance was generally low for both targets, binocular vergences were appropriate for target demand in both studies. Binocular accommodation showed greater lag for the highest target accommodative demand and the less demanding target. Occlusion not only reduced vergence response, but also frequently caused a marked reduction in accommodation, especially to the picture target. Normal mean AC/A values were found, but with wide variations between individual subjects. Although mean accommodation, vergence, and AC/A values were comparable with published data, we suggest that in these conditions using naïve subjects, accommodation is frequently inaccurate, especially on occlusion, without concomitant loss of vergence, at least at low light levels. Accommodative convergence may play a less important part in, and other cues contribute more to, the near reflex than has been previously suggested.

Cultural value orientations, internalized homophobia, and accommodation in romantic relationships.

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Gaines, Stanley O; Henderson, Michael C; Kim, Mary; Gilstrap, Samuel; Yi, Jennifer; Rusbult, Caryl E; Hardin, Deletha P; Gaertner, Lowell

2005-01-01

In the present study, we examined the impact of cultural value orientations (i.e., the personally oriented value of individualism, and the socially oriented values of collectivism, familism, romanticism, and spiritualism) on accommodation (i.e., voice and loyalty, rather than exit and neglect, responses to partners' anger or criticism) in heterosexual and gay relationships; and we examined the impact of internalized homophobia (i.e., attitudes toward self, other, and disclosure) on accommodation specifically in gay relationships. A total of 262 heterosexuals (102 men and 162 women) and 857 gays (474 men and 383 women) participated in the present study. Consistent with hypotheses, among heterosexuals and gays, socially oriented values were significantly and positively related to accommodation (whereas the personally oriented value of individualism was unrelated to accommodation); and among gays in particular, internalized homophobia was significantly and negatively related to accommodation. Implications for the study of heterosexual and gay relationships are discussed.

Amplitude of Accommodation and its Relation to Refractive Errors

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Abraham Lekha

2005-01-01

Full Text Available Aims: To evaluate the relationship between amplitude of accommodation and refractive errors in the peri-presbyopic age group. Materials and Methods: Three hundred and sixteen right eyes of 316 consecutive patients in the age group 35-50 years who attended our outpatient clinic were studied. Emmetropes, hypermetropes and myopes with best-corrected visual acuity of 6/6 J1 in both eyes were included. The amplitude of accommodation (AA was calculated by measuring the near point of accommodation (NPA. In patients with more than ± 2 diopter sphere correction for distance, the NPA was also measured using appropriate soft contact lenses. Results: There was a statistically significant difference in AA between myopes and hypermetropes ( P P P P P P >0.5. Conclusion: Our study showed higher amplitude of accommodation among myopes between 35 and 44 years compared to emmetropes and hypermetropes

Family accommodation in obsessive-compulsive and anxiety disorders: a five-year update.

Science.gov (United States)

Lebowitz, Eli R; Panza, Kaitlyn E; Bloch, Michael H

2016-01-01

Family accommodation describes changes that individuals make to their behavior, to help their relative who is dealing with a psychiatric and/or psychological disorder(s), avoid or alleviate distress related to the disorder. Research on family accommodation has advanced rapidly. In this update we aim to provide a synthesis of findings from the past five years. A search of available, peer-reviewed, English language papers was conducted through PubMed and PsycINFO, cross referencing psychiatric disorders with accommodation and other family-related terms. The resulting 121 papers were individually reviewed and evaluated and the main findings were discussed. Family accommodation is common in obsessive-compulsive disorder (OCD) and in anxiety disorders, and manifests similarly across these disorders. Family accommodation is associated with more severe psychopathology and poorer clinical outcomes. Treatments have begun to focus on the reduction of family accommodation as a primary therapeutic goal and finally, neurobiological underpinnings of family accommodation are beginning to be investigated.

Hyperelastic modelling of the crystalline lens: Accommodation and presbyopia

Science.gov (United States)

Lanchares, Elena; Navarro, Rafael; Calvo, Begoña

2012-01-01

Purpose The modification of the mechanical properties of the human crystalline lens with age can be a major cause of presbyopia. Since these properties cannot be measured in vivo, numerical simulation can be used to estimate them. We propose an inverse method to determine age-dependent change in the material properties of the tissues composing the human crystalline lens. Methods A finite element model of a 30-year-old lens in the accommodated state was developed. The force necessary to achieve full accommodation in a 30-year-old lens of known external geometry was computed using this model. Two additional numerical models of the lens corresponding to the ages of 40 and 50 years were then built. Assuming that the accommodative force applied to the lens remains constant with age, the material properties of nucleus and cortex were estimated by inverse analysis. Results The zonular force necessary to reshape the model of a 30-year-old lens from the accommodated to the unaccommodated geometry was 0.078 newton (N). Both nucleus and cortex became stiffer with age. The stiffness of the nucleus increased with age at a higher rate than the cortex. Conclusions In agreement with the classical theory of Helmholtz, on which we based our model, our results indicate that a major cause of presbyopia is that both nucleus and cortex become stiffer with age; therefore, a constant value of the zonular forces with aging does not achieve full accommodation, that is, the accommodation capability decreases.

Lens Accommodation, Ocular Convergence and the Brain(Physiology of Vision)

OpenAIRE

坂東, 武彦; 戸田, 春男; 安藤, 誠男; 高木, 峰夫; 吉沢, 豊久; 原, 直人; Bando, Takehiko; Toda, Haruo; Ando, Tomoo; Takagi, Mineo; Yoshizawa, Toyohisa; Hara, Naoto

1993-01-01

Experimental findings obtained by our group were reviewed, and functional significance of the visual association cortex in controlling lens accommodation and ocular convergence was discussed. By intracortical microstimulation in an extrastriate visual area in the cat, lens accommodation and vergence eye movement were evoked. In the same cortical area, a group of neurons was also activated in correlation with lens accommodation or ocular convergence. In addition, after the lesion in this area,...

‘His home is his castle. And mine is a cage’: a new partial defence for primary victims who kill

OpenAIRE

Wake, Nicola

2015-01-01

This article provides an in-depth analysis of the Crimes Amendment (Abolition of Defensive Homicide) Act 2014 which had the effect of repealing Victoria’s only general ‘partial defence’ of defensive homicide, and replaced the existing statutory self-defence in murder/manslaughter provisions and general common law self- defence rules with a single test. The abolition of defensive homicide means there is now no general ‘partial defence’ to accommodate cases falling short of self-defence. The ch...

Bilateral posterior crystalline lens dislocations in an otherwise healthy child

Directory of Open Access Journals (Sweden)

AlShehri, Omar A.

2017-10-01

Full Text Available Introduction: Ectopia lentis is defined as a crystalline lens displacement, either partially or completely, due to zonular abnormalities. It can be a result of trauma, hereditary ocular disease, or part of systemic diseases, like Marfan syndrome and homocystinuria.Case description: We report a case of a medically free 16-year-old girl, who was referred to our hospital complaining of poor vision and a squint in both eyes since childhood. Her history included a traffic accident when she was one-year-old. She was previously diagnosed with alternating esotropia, which was treated with glasses, alternating patching, and bilateral Botox injections. On examination, she had a visual acuity of 6/7.5 with correction in the right eye and 6/6 with correction in the left eye. She had an esotropia of 60 prism diopters, which was partially corrected to 40 prism diopters for near and distance vision. Fundus examination showed myopic changes in each eye and dislocated lenses in the posterior pole at 6 o’clock. Our case was stable, so we used conservative management with contact lenses.Conclusion: Bilateral posterior lens dislocation is very rare. A proper examination is important and early diagnosis can prevent serious complications, such as retinal detachment or pupillary block glaucoma.

Effect of third-order aberrations on dynamic accommodation.

Science.gov (United States)

López-Gil, Norberto; Rucker, Frances J; Stark, Lawrence R; Badar, Mustanser; Borgovan, Theodore; Burke, Sean; Kruger, Philip B

2007-03-01

We investigate the potential for the third-order aberrations coma and trefoil to provide a signed cue to accommodation. It is first demonstrated theoretically (with some assumptions) that the point spread function is insensitive to the sign of spherical defocus in the presence of odd-order aberrations. In an experimental investigation, the accommodation response to a sinusoidal change in vergence (1-3D, 0.2Hz) of a monochromatic stimulus was obtained with a dynamic infrared optometer. Measurements were obtained in 10 young visually normal individuals with and without custom contact lenses that induced low and high values of r.m.s. trefoil (0.25, 1.03 microm) and coma (0.34, 0.94 microm). Despite variation between subjects, we did not find any statistically significant increase or decrease in the accommodative gain for low levels of trefoil and coma, although effects approached or reached significance for the high levels of trefoil and coma. Theoretical and experimental results indicate that the presence of Zernike third-order aberrations on the eye does not seem to play a crucial role in the dynamics of the accommodation response.

Frequency of convergence and accommodative disorders in a clinical population of Mashhad, Iran.

Science.gov (United States)

Hoseini-Yazdi, Seyed Hosein; Yekta, AbbasAli; Nouri, Hosein; Heravian, Javad; Ostadimoghaddam, Hadi; Khabazkhoob, Mehdi

2015-01-01

To investigate the frequency of convergence and accommodation anomalies in an optometric clinical setting in Mashhad, Iran, and to determine tests with highest accuracy in diagnosing these anomalies. From 261 patients who came to the optometric clinics of Mashhad University of Medical Sciences during a month, 83 of them were included in the study based on the inclusion criteria. Near point of convergence (NPC), near and distance heterophoria, monocular and binocular accommodative facility (MAF and BAF, respectively), lag of accommodation, positive and negative fusional vergences (PFV and NFV, respectively), AC/A ratio, relative accommodation, and amplitude of accommodation (AA) were measured to diagnose the convergence and accommodation anomalies. The results were also compared between symptomatic and asymptomatic patients. The accuracy of these tests was explored using sensitivity (S), specificity (Sp), and positive and negative likelihood ratios (LR+, LR-). Mean age of the patients was 21.3 ± 3.5 years and 14.5% of them had specific binocular and accommodative symptoms. Convergence and accommodative anomalies were found in 19.3% of the patients; accommodative excess (4.8%) and convergence insufficiency (3.6%) were the most common accommodative and convergence disorders, respectively. Symptomatic patients showed lower values for BAF (p = .003), MAF (p = .001), as well as AA (p = .001) compared with asymptomatic patients. Moreover, BAF (S = 75%, Sp = 62%) and MAF (S = 62%, Sp = 89%) were the most accurate tests for detecting accommodative and convergence disorders in terms of both sensitivity and specificity. Convergence and accommodative anomalies are the most common binocular disorders in optometric patients. Including tests of monocular and binocular accommodative facility in routine eye examinations as accurate tests to diagnose these anomalies requires further investigation.

Disabilities in the workplace: recruitment, accommodation, and retention.

Science.gov (United States)

Davis, Linda

2005-07-01

Who has never had a need for accommodation to perform a job because of age-related changes, gender issues related to family care, religious practices, health status, or disability? Who has never had the benefit of universal accommodations designed to provide access for individuals with disabilities, such as using the handicap button to open a door when one's arms are loaded? All of society has had the benefit of inclusion of individuals with disabilities within the work force. Occupational health nurses are essential to accommodating new employees with disabilities, assisting ill or injured employees in returning to work, and changing attitudes toward disabled workers. Additionally, nurses have the skills and knowledge for leading and managing newly emerging disease management programs for workers with disabilities caused by chronic illness.

Caffeine intake is associated with pupil dilation and enhanced accommodation.

Science.gov (United States)

Abokyi, S; Owusu-Mensah, J; Osei, K A

2017-04-01

PurposeIt is purported that caffeine, an autonomic stimulant, affects visual performance. This study sought to assess whether caffeine intake was associated with changes in pupil size and/or amplitude of accommodation.Patients and methodsA double-masked, crossover study was conducted in 50 healthy subjects of age range 19 to 25 years. Subjects were randomized to treatments such that subjects consumed either 250 mg caffeine drink or vehicle on separate days. Amplitude of accommodation was measured by the push-up technique, and pupil size using a millimeter ruler fixed to a slit lamp biomicroscope in dim illumination (5 lux). Amplitude of accommodation and pupil size were taken at baseline, and at 30, 60 and 90 min time points post treatment. Repeated measures one-way ANOVA and paired t-test were used in analyzing data.ResultsAmplitude of accommodation and pupil size after caffeine intake were significantly greater than vehicle (Pcaffeine beverage was associated with significant increases in amplitude of accommodation and pupil size with time (Pcaffeine. This study suggests caffeine may have some influence on visual functions.

Utility accommodation and conflict tracker (UACT) installation and configuration manual.

Science.gov (United States)

2009-02-01

Project 0-5475 performed a comprehensive analysis of utility conflict data/information flows between utility : accommodation stakeholders in the Texas Department of Transportation project development process, : developed data models to accommodate wo...

Testing the Contingency Theory of Accommodation in Public Relations.

Science.gov (United States)

Cancel, Amanda E.; Mitrook, Michael A.; Cameron, Glen T.

1999-01-01

Interviews 18 public-relations professionals to provide grounding and refinement of the contingency theory of accommodation in public relations. Supports a continuum from pure accommodation to pure advocacy and a matrix of variables affecting the continuum. Concludes that the practitioners' view of their communication world offers validity to the…

Relationship of ocular accommodation and motor skills performance in developmental coordination disorder.

Science.gov (United States)

Rafique, Sara A; Northway, Nadia

2015-08-01

Ocular accommodation provides a well-focussed image, feedback for accurate eye movement control, and cues for depth perception. To accurately perform visually guided motor tasks, integration of ocular motor systems is essential. Children with motor coordination impairment are established to be at higher risk of accommodation anomalies. The aim of the present study was to examine the relationship between ocular accommodation and motor tasks, which are often overlooked, in order to better understand the problems experienced by children with motor coordination impairment. Visual function, gross and fine motor skills were assessed in children with developmental coordination disorder (DCD) and typically developing control children. Children with DCD had significantly poorer accommodation facility and amplitude dynamics compared to controls. Results indicate a relationship between impaired accommodation and motor skills. Specifically, accommodation anomalies correlated with visual motor, upper limb and fine dexterity task performance. Consequently, we argue accommodation anomalies influence the ineffective coordination of action and perception in DCD. Furthermore, reading disabilities were related to poorer motor performance. We postulate the role of the fastigial nucleus as a common pathway for accommodation and motor deficits. Implications of the findings and recommended visual screening protocols are discussed. Copyright © 2015 Elsevier B.V. All rights reserved.

Accommodating Elementary Students' Learning Styles.

Science.gov (United States)

Wallace, James

1995-01-01

Examines the perceptual learning style preferences of sixth- and seventh-grade students in the Philippines. Finds that the visual modality was the most preferred and the auditory modality was the least preferred. Offers suggestions for accommodating visual, tactile, and kinesthetic preferences. (RS)

Accommodation and convergence during sustained computer work.

Science.gov (United States)

Collier, Juanita D; Rosenfield, Mark

2011-07-01

With computer usage becoming almost universal in contemporary society, the reported prevalence of computer vision syndrome (CVS) is extremely high. However, the precise physiological mechanisms underlying CVS remain unclear. Although abnormal accommodation and vergence responses have been cited as being responsible for the symptoms produced, there is little objective evidence to support this claim. Accordingly, this study measured both of these oculomotor parameters during a sustained period of computer use. Subjects (N = 20) were required to read text aloud from a laptop computer at a viewing distance of 50 cm for a sustained 30-minute period through their habitual refractive correction. At 2-minute intervals, the accommodative response (AR) to the computer screen was measured objectively using a Grand Seiko WAM 5500 optometer (Grand Seiko, Hiroshima, Japan). Additionally, the vergence response was assessed by measuring the associated phoria (AP), i.e., prism to eliminate fixation disparity, using a customized fixation disparity target that appeared on the computer screen. Subjects were asked to rate the degree of difficulty of the reading task on a scale from 1 to 10. Mean accommodation and AP values during the task were 1.07 diopters and 0.74∆ base-in (BI), respectively. The mean discomfort score was 4.9. No significant changes in accommodation or vergence were observed during the course of the 30-minute test period. There was no significant difference in the AR as a function of subjective difficulty. However, the mean AP for the subjects who reported the least and greatest discomfort during the task was 1.55∆ BI and 0, respectively (P = 0.02). CVS, after 30 minutes was worse in subjects exhibiting zero fixation disparity when compared with those subjects having a BI AP but does not appear to be related to differences in accommodation. A slightly reduced vergence response increases subject comfort during the task. Copyright © 2011 American Optometric

[Effects of visual optical stimuli for accommodation-convergence system on asthenopia].

Science.gov (United States)

Iwasaki, Tsuneto; Tawara, Akihiko; Miyake, Nobuyuki

2006-01-01

We investigated the effect on eyestrain of optical stimuli that we designed for accommodation and convergence systems. Eight female students were given optical stimuli for accommodation and convergence systems for 1.5 min immediately after 20 min of a sustained task on a 3-D display. Before and after the trial, their ocular functions were measured and their symptoms were assessed. The optical stimuli were applied by moving targets of scenery images far and near around the far point position of both eyes on a horizonal place, which induced divergence in the direction of the eye position of rest. In a control group, subjects rested with closed eyes for 1.5 min instead of applying the optical stimuli. There were significant changes in the accommodative contraction time (from far to near) and the accommodative relaxation time (from near to far) and the lag of accommodation at near target, from 1.26 s to 1.62 s and from 1.49 s to 1.63 s and from 0.5 D to 0.65 D, respectively, and in the symptoms in the control group after the duration of closed-eye rest. In the stimulus group, however, the changes of those functions were smaller than in the control group. From these results, we suggest that our designed optical stimuli for accommodation and convergence systems are effective on asthenopia following accommodative dysfunction.

Magnifications of Single and Dual Element Accommodative Intraocular Lenses: Paraxial Optics Analysis

Science.gov (United States)

Ale, Jit B; Manns, Fabrice; Ho, Arthur

2010-01-01

Purpose Using an analytical approach of paraxial optics, we evaluated the magnification of a model eye implanted with single-element (1E) and dual-element (2E) translating-optics accommodative intraocular lenses (AIOL) with an objective of understanding key control parameters relevant to their design. Potential clinical implications of the results arising from pseudophakic accommodation were also considered. Methods Lateral and angular magnifications in a pseudophakic model eye were analyzed using the matrix method of paraxial optics. The effects of key control parameters such as direction (forward or backward) and distance (0 to 2 mm) of translation, power combinations of the 2E-AIOL elements (front element power range +20.0 D to +40.0 D), and amplitudes of accommodation (0 to 4 D) were tested. Relative magnification, defined as the ratio of the retinal image size of the accommodated eye to that of unaccommodated phakic (rLM1) or pseudophakic (rLM2) model eyes, was computed to determine how retinal image size changes with pseudophakic accommodation. Results Both lateral and angular magnifications increased with increased power of the front element in 2E-AIOL and amplitude of accommodation. For a 2E-AIOL with front element power of +35 D, rLM1 and rLM2 increased by 17.0% and 16.3%, respectively, per millimetre of forward translation of the element, compared to the magnification at distance focus (unaccommodated). These changes correspond to a change of 9.4% and 6.5% per dioptre of accommodation, respectively. Angular magnification also increased with pseudophakic accommodation. 1E-AIOLs produced consistently less magnification than 2E-AIOLs. Relative retinal image size decreased at a rate of 0.25% with each dioptre of accommodation in the phakic model eye. The position of the image space nodal point shifted away from the retina (towards the cornea) with both phakic and pseudophakic accommodation. Conclusion Power of the mobile element, and amount and direction of

Partner Accommodation Moderates Treatment Outcomes for Couple Therapy for Posttraumatic Stress Disorder

Science.gov (United States)

Fredman, Steffany J.; Pukay-Martin, Nicole D.; Macdonald, Alexandra; Wagner, Anne C.; Vorstenbosch, Valerie; Monson, Candice M.

2015-01-01

Objective Partner accommodation of posttraumatic stress disorder (PTSD) symptoms (i.e., altering one’s own behaviors to minimize patient distress and/or relationship conflict due to patients’ PTSD symptoms) has been shown to be positively associated with patient and partner psychopathology and negatively associated with patient and partner relationship satisfaction cross-sectionally. However, the prognostic value of partner accommodation in treatment outcomes is unknown. The goals of the present study were to determine if partner accommodation decreases as a function of couple therapy for PTSD and if pretreatment partner accommodation moderates the efficacy of couple therapy for PTSD. Method Thirty-nine patients with PTSD and their intimate partners (n = 39) were enrolled in a randomized controlled trial of cognitive-behavioral conjoint therapy (CBCT) for PTSD (Monson & Fredman, 2012) and received CBCT for PTSD immediately or after three months of waiting. Blinded assessors determined clinician-rated PTSD symptoms and patient-rated PTSD and depressive symptoms and relationship satisfaction at baseline, mid-treatment/4 weeks of waiting, and posttreatment/12 weeks of waiting. Results Contrary to expectation, partner accommodation levels did not change over time for either treatment condition. However, baseline partner accommodation significantly moderated treatment outcomes. Higher levels of partner accommodation were associated with greater improvements in PTSD, depressive symptoms, and relationship satisfaction among patients receiving CBCT for PTSD compared with waiting list. At lower levels of partner accommodation, patients in both groups improved or remained at low levels of these outcomes. Conclusions Individuals with PTSD who have more accommodating partners may be particularly well-suited for couple therapy for PTSD. PMID:26501498

Spasm of accommodation associated with closed head trauma.

Science.gov (United States)

Chan, R V Paul; Trobe, Jonathan D

2002-03-01

Spasm of accommodation, creating pseudomyopia, is generally associated with miosis and excess convergence as part of spasm of the near reflex. It may also exist as an isolated entity, usually attributed to psychogenic causes. We present six cases of accommodative spasm associated with closed head injury. All patients were male, ranging in age between 16 and 37 years. The degree of pseudomyopia, defined as the difference between manifest and cycloplegic refraction, was 1.5 to 2 diopters. A 3-year trial of pharmacologically induced cycloplegia in one patient did not lead to reversal of the spasm when the cycloplegia was stopped. All patients required the manifest refraction to see clearly at distance. The pseudomyopia endured for at least 7 years following head trauma. This phenomenon may represent traumatic activation or disinhibition of putative brain stem accommodation centers in young individuals.

Spinal circuits can accommodate interaction torques during multijoint limb movements.

Science.gov (United States)

Buhrmann, Thomas; Di Paolo, Ezequiel A

2014-01-01

The dynamic interaction of limb segments during movements that involve multiple joints creates torques in one joint due to motion about another. Evidence shows that such interaction torques are taken into account during the planning or control of movement in humans. Two alternative hypotheses could explain the compensation of these dynamic torques. One involves the use of internal models to centrally compute predicted interaction torques and their explicit compensation through anticipatory adjustment of descending motor commands. The alternative, based on the equilibrium-point hypothesis, claims that descending signals can be simple and related to the desired movement kinematics only, while spinal feedback mechanisms are responsible for the appropriate creation and coordination of dynamic muscle forces. Partial supporting evidence exists in each case. However, until now no model has explicitly shown, in the case of the second hypothesis, whether peripheral feedback is really sufficient on its own for coordinating the motion of several joints while at the same time accommodating intersegmental interaction torques. Here we propose a minimal computational model to examine this question. Using a biomechanics simulation of a two-joint arm controlled by spinal neural circuitry, we show for the first time that it is indeed possible for the neuromusculoskeletal system to transform simple descending control signals into muscle activation patterns that accommodate interaction forces depending on their direction and magnitude. This is achieved without the aid of any central predictive signal. Even though the model makes various simplifications and abstractions compared to the complexities involved in the control of human arm movements, the finding lends plausibility to the hypothesis that some multijoint movements can in principle be controlled even in the absence of internal models of intersegmental dynamics or learned compensatory motor signals.

Spinal circuits can accommodate interaction torques during multijoint limb movements

Directory of Open Access Journals (Sweden)

Thomas eBuhrmann

2014-11-01

Full Text Available The dynamic interaction of limb segments during movements that involve multiple joints creates torques in one joint due to motion about another. Evidence shows that such interaction torques are taken into account during the planning or control of movement in humans. Two alternative hypotheses could explain the compensation of these dynamic torques. One involves the use of internal models to centrally compute predicted interaction torques and their explicit compensation through anticipatory adjustment of descending motor commands. The alternative, based on the equilibrium-point hypothesis, claims that descending signals can be simple and related to the desired movement kinematics only, while spinal feedback mechanisms are responsible for the appropriate creation and coordination of dynamic muscle forces. Partial supporting evidence exists in each case. However, until now no model has explicitly shown, in the case of the second hypothesis, whether peripheral feedback is really sufficient on its own for coordinating the motion of several joints while at the same time accommodating intersegmental interaction torques. Here we propose a minimal computational model to examine this question. Using a biomechanics simulation of a two-joint arm controlled by spinal neural circuitry, we show for the first time that it is indeed possible for the neuromusculoskeletal system to transform simple descending control signals into muscle activation patterns that accommodate interaction forces depending on their direction and magnitude. This is achieved without the aid of any central predictive signal. Even though the model makes various simplifications and abstractions compared to the complexities involved in the control of human arm movements, the finding lends plausibility to the hypothesis that some multijoint movements can in principle be controlled even in the absence of internal models of intersegmental dynamics or learned compensatory motor signals.

ICT Adoption and Development: Issues in Rural Accommodation

OpenAIRE

Reino, Sofia; Frew, Andrew J; Albacete-Saez, Carlos

2010-01-01

Purpose – The work described in this paper is of direct relevance to those with an interest in the phenomena surrounding ICT (Information and Communication Technologies) adoption by the rural accommodation sector. The paper provides the results from a preliminary study, which examined differences in the level of inter-firm technology adoption between rural and urban accommodation establishments within a major tourism destination, Scotland. Design/methodology/approach – A survey was conducted,...

Accommodating World Englishes in Developing EFL Learners' Oral Communication

Science.gov (United States)

Mukminatien, Nur

2012-01-01

This article aims to discuss issues of World Englishes (WEs) and the implications in ELT. It explores the extent to which WEs are taken into account as emerging English varieties different from inner circle varieties, how WEs should be accommodated by English teachers, and which standard to adopt to accommodate learner's linguistic needs for…

Convergence and accommodation development is pre-programmed in premature infants

Science.gov (United States)

Horwood, Anna M; Toor, Sonia S; Riddell, Patricia M

2015-01-01

Purpose This study investigated whether vergence and accommodation development in pre-term infants is pre-programmed or is driven by experience. Methods 32 healthy infants, born at mean 34 weeks gestation (range 31.2-36 weeks) were compared with 45 healthy full-term infants (mean 40.0 weeks) over a 6 month period, starting at 4-6 weeks post-natally. Simultaneous accommodation and convergence to a detailed target were measured using a Plusoptix PowerRefII infra-red photorefractor as a target moved between 0.33m and 2m. Stimulus/response gains and responses at 0.33m and 2m were compared by both corrected (gestational) age and chronological (post-natal) age. Results When compared by their corrected age, pre-term and full-term infants showed few significant differences in vergence and accommodation responses after 6-7 weeks of age. However, when compared by chronological age, pre-term infants’ responses were more variable, with significantly reduced vergence gains, reduced vergence response at 0.33m, reduced accommodation gain, and increased accommodation at 2m, compared to full-term infants between 8-13 weeks after birth. Conclusions When matched by corrected age, vergence and accommodation in pre-term infants show few differences from full-term infants’ responses. Maturation appears pre-programmed and is not advanced by visual experience. Longer periods of immature visual responses might leave pre-term infants more at risk of development of oculomotor deficits such as strabismus. PMID:26275135

Accommodating ‘design’

DEFF Research Database (Denmark)

Karpova, Yulia

2013-01-01

This article investigates the background of Soviet industrial design in Soviet art theory. Instead of considering design's interconnection with technology and science, or with consumption and everyday life, the author traces its conceptualisation as a new artistic phenomenon. Using archival records...... of professional discussions, polemical articles in the art press and design projects, the author looks at how industrial design was incorporated into the Soviet order of things. She concludes that accommodation of the Western model was the way to reform the system of socialism from inside, typical for the Soviet...

EDRP public local inquiry, UKAEA/BNFL precognition on: Contractor accommodation

International Nuclear Information System (INIS)

Scott, W.

1986-01-01

The availability of accommodation for contractors working on the proposed EDRP at Dounreay is discussed. It is predicted that the contractors could be accommodated without the need for special arrangement and with no adverse effect on the tourist industry. (U.K.)

Modelling the mechanics of partially mineralized collagen fibrils, fibres and tissue

Science.gov (United States)

Liu, Yanxin; Thomopoulos, Stavros; Chen, Changqing; Birman, Victor; Buehler, Markus J.; Genin, Guy M.

2014-01-01

Progressive stiffening of collagen tissue by bioapatite mineral is important physiologically, but the details of this stiffening are uncertain. Unresolved questions about the details of the accommodation of bioapatite within and upon collagen's hierarchical structure have posed a central hurdle, but recent microscopy data resolve several major questions. These data suggest how collagen accommodates bioapatite at the lowest relevant hierarchical level (collagen fibrils), and suggest several possibilities for the progressive accommodation of bioapatite at higher hierarchical length scales (fibres and tissue). We developed approximations for the stiffening of collagen across spatial hierarchies based upon these data, and connected models across hierarchies levels to estimate mineralization-dependent tissue-level mechanics. In the five possible sequences of mineralization studied, percolation of the bioapatite phase proved to be an important determinant of the degree of stiffening by bioapatite. The models were applied to study one important instance of partially mineralized tissue, which occurs at the attachment of tendon to bone. All sequences of mineralization considered reproduced experimental observations of a region of tissue between tendon and bone that is more compliant than either tendon or bone, but the size and nature of this region depended strongly upon the sequence of mineralization. These models and observations have implications for engineered tissue scaffolds at the attachment of tendon to bone, bone development and graded biomimetic attachment of dissimilar hierarchical materials in general. PMID:24352669

Workplace Accommodation for Persons With IBD: What Is Needed and What Is Accessed.

Science.gov (United States)

Chhibba, Tarun; Walker, John R; Sexton, Kathryn; Restall, Gayle; Ivekovic, Melony; Shafer, Leigh Ann; Singh, Harminder; Targownik, Laura E; Bernstein, Charles N

2017-10-01

People with inflammatory bowel disease (IBD) often experience periods of illness that interfere with their ability to work. We aimed to understand the need for workplace accommodation during periods of acute illness among persons IBD. Participants were recruited from the population-based University of Manitoba Research Registry and received a survey including questions assessing experiences with workplace accommodations. Data were analyzed using descriptive statistics and multivariate logistic regression modelling. A total of 1143 individuals responded to the survey (46% response rate), of whom 881 had experienced IBD symptoms in the workplace and were included in the analysis. The mean age was 48.3 years (standard deviation, 10.9); 61% were female. Mean IBD duration was 20.6 years (standard deviation, 10.5). Most respondents (73%) described IBD symptoms experienced in the workplace as severe to very severe. The most commonly required accommodations were time to go to medical appointments during working hours (81%), easy access to a toilet (71%), and a chance to take a break when not feeling well (54%). Most accommodations were arranged informally or through a supervisor. The accommodations required were very or somewhat easy to arrange about half the time. Being female, having high symptom severity, and high level of current distress were associated with a need for more accommodations, difficulty implementing accommodations, and not asking for needed accommodations. This study provides important information as to the types of accommodations that are necessary, common practices arranging for these, and level of difficulty arranging accommodations. Furthermore, characteristics associated with greater need for accommodation, reluctance to ask for them, and difficulty in arranging them were identified. Copyright © 2017 AGA Institute. Published by Elsevier Inc. All rights reserved.

Is There a Downside of Job Accommodations? An Employee Perspective on Individual Change Processes

Science.gov (United States)

Kensbock, Julia M.; Boehm, Stephan A.; Bourovoi, Kirill

2017-01-01

By modifying the work environments, work routines, and work tasks of employees with health restrictions, organizations can effectively help them continue to perform their jobs successfully. As such, job accommodations are an effective tool to secure the continued employment of aging workers who develop disabilities across their life span. However, while accommodations tackle health-related performance problems, they might create new challenges on the part of the affected employee. Building on the organizational change and accommodations literatures, we propose a theoretical framework of negative experiences during accommodation processes and apply it to qualitative data from group interviews with 73 manufacturing workers at a German industrial company who were part of the company's job accommodation program. Although problems associated with health-related impairments were mostly solved by accommodation, affected employees with disabilities reported about interpersonal problems and conflicts similar to those that typically occur during organizational change. Lack of social support as well as poor communication and information were raised as criticisms. Furthermore, our findings indicate that discrimination, bullying, and maltreatment appear to be common during accommodation processes. To make accommodation processes more successful, we derive recommendations from the organizational change literature and apply it to the accommodation context. We also emphasize unique characteristics of the accommodation setting and translate these into practical implications. PMID:28979218

Equivalent refractive index of the human lens upon accommodative response

NARCIS (Netherlands)

Hermans, E.A.; Dubbelman, M.; van der Heijde, R.G.L.; Heethaar, R.M.

2008-01-01

PURPOSE.: To experimentally verify the suggestion of Gullstrand (1909), i.e., that the equivalent refractive index of the human lens increases with accommodation. METHODS.: The left eye of five subjects was focused on different accommodation stimuli, while the right eye was imaged with Scheimpflug

Effects of Accommodation, Vergence and Pupil Diameter on Size Estimation When Viewing Displays

National Research Council Canada - National Science Library

Charman, W

1995-01-01

... subtense but lying at different distances, allied to errors in accommodation. Thus an error in accommodation, caused perhaps by the tendency of the accommodation system to revert to its somewhat myopic tonic or resting state (Toates, 1972...

Numerical study of effects of accommodation coefficients on slip phenomena

Energy Technology Data Exchange (ETDEWEB)

Choi, Young Jae; Kwon, Oh Joon [KAIST, Daejeon (Korea, Republic of)

2015-05-15

An unstructured mesh Navier-Stokes solver employing a Maxwell slip boundary condition was developed. The present flow solver was applied to the simulation of flows around an axisymmetric hollow cylinder in a Mach 10.4 free stream, known as Calspan-UB Research Center (CUBRC) Run 14 case, and the velocity slip and the temperature jump on the cylinder surface were investigated. The effect of tangential momentum and thermal accommodation coefficients used in the Maxwell condition was also investigated by adjusting their values. The results show that the reverse flow region is developed on the body surface due to the interaction between the shock and the boundary layer. Also, the shock impingement makes pressure high. The flow properties on the surface agree well with the experimental data, and the velocity slip and the temperature jump vary consistently with the local Knudsen number change. The accommodation coefficients affect the slip phenomena and the size of the flow region. The slip phenomena become larger when both tangential momentum and thermal accommodation coefficients are decreased. However, the range of the reverse flow region decreases when the momentum accommodation coefficient is decreased. The characteristics of the momentum and thermal accommodation coefficients also are overlapped when they are altered together.

A survey of anthropometry and physical accommodation in ergonomics curricula.

Science.gov (United States)

Garneau, Christopher J; Parkinson, Matthew B

2016-01-01

The size and shape of users are an important consideration for many products and environments. Designers and engineers in many disciplines must often accommodate these attributes to meet objectives such as fit and safety. When practitioners have academic training in addressing these issues, it is typically through courses in Human Factors/Ergonomics (HF/E). This paper investigates education related to physical accommodation and offers suggestions for improvement. A survey was conducted wherein 21 instructors at 18 universities in the United States provided syllabi for 29 courses, which were analysed to determine topics related to anthropometry and resources used for the courses. The results show that within the U.S., anthropometry is covered in the majority of courses discussing physical ergonomics, but important related concepts were often omitted (e.g., digital human modelling, multivariate accommodation and variability across global populations). Curricula could be improved by incorporating more accurate anthropometry, multivariate problems and interactive online tools. This paper describes a study investigating collegiate ergonomics courses within the U.S. in the area of physical accommodation. Course schedules and texts were studied for their treatment of several topics related to accommodating the spatial requirements (anthropometry) of users. Recommendations are made for improving course curricula.

Improving Meaningful Use of Accommodations by Multilingual Learners

Science.gov (United States)

Shafer Willner, Lynn; Mokhtari, Kouider

2018-01-01

For more than two decades, accommodations have served as the primary strategy for ensuring the valid participation of multilingual learners (MLLs) in high-stakes summative assessments. Using historical analyses of the evolution of testing accommodation guidelines and related instructional practices, the authors explain how the application of…

Is There a Downside of Job Accommodations? An Employee Perspective on Individual Change Processes

Directory of Open Access Journals (Sweden)

Julia M. Kensbock

2017-09-01

Full Text Available By modifying the work environments, work routines, and work tasks of employees with health restrictions, organizations can effectively help them continue to perform their jobs successfully. As such, job accommodations are an effective tool to secure the continued employment of aging workers who develop disabilities across their life span. However, while accommodations tackle health-related performance problems, they might create new challenges on the part of the affected employee. Building on the organizational change and accommodations literatures, we propose a theoretical framework of negative experiences during accommodation processes and apply it to qualitative data from group interviews with 73 manufacturing workers at a German industrial company who were part of the company's job accommodation program. Although problems associated with health-related impairments were mostly solved by accommodation, affected employees with disabilities reported about interpersonal problems and conflicts similar to those that typically occur during organizational change. Lack of social support as well as poor communication and information were raised as criticisms. Furthermore, our findings indicate that discrimination, bullying, and maltreatment appear to be common during accommodation processes. To make accommodation processes more successful, we derive recommendations from the organizational change literature and apply it to the accommodation context. We also emphasize unique characteristics of the accommodation setting and translate these into practical implications.

Effects of partial reinforcement and time between reinforced trials on terminal response rate in pigeon autoshaping.

Science.gov (United States)

Gottlieb, Daniel A

2006-03-01

Partial reinforcement often leads to asymptotically higher rates of responding and number of trials with a response than does continuous reinforcement in pigeon autoshaping. However, comparisons typically involve a partial reinforcement schedule that differs from the continuous reinforcement schedule in both time between reinforced trials and probability of reinforcement. Two experiments examined the relative contributions of these two manipulations to asymptotic response rate. Results suggest that the greater responding previously seen with partial reinforcement is primarily due to differential probability of reinforcement and not differential time between reinforced trials. Further, once established, differences in responding are resistant to a change in stimulus and contingency. Secondary response theories of autoshaped responding (theories that posit additional response-augmenting or response-attenuating mechanisms specific to partial or continuous reinforcement) cannot fully accommodate the current body of data. It is suggested that researchers who study pigeon autoshaping train animals on a common task prior to training them under different conditions.

An initial study of family accommodation in children and adolescents with chronic tic disorders.

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Storch, Eric A; Johnco, Carly; McGuire, Joseph F; Wu, Monica S; McBride, Nicole M; Lewin, Adam B; Murphy, Tanya K

2017-01-01

This initial study examined the nature, incidence, and clinical correlates of family accommodation in youth with tic disorders, and validated a brief self-report measure of tic-related family accommodation, the Tic Family Accommodation Scale (TFAS). Seventy-five youth aged 6-18 who were diagnosed with a tic disorder and their parent completed a diagnostic clinical interview, and clinician and parent-report measures of tic severity, depressive symptoms, anxiety symptoms, behavioral problems, family accommodation and impairment. An exploratory factor analysis of the TFAS showed a two-factor structure, with good internal consistency for the Total score, Modification of Child Environment and Modification of Parent Environment subscales (α = 0.88, 0.86, and 0.81, respectively). Family accommodation was not associated with tic severity. Family accommodation was associated with increased anxiety and depressive symptoms, higher externalizing, rule breaking, aggressive behaviors and social problems, and with greater tic-related functional impairment. Anxiety and externalizing problems (but not depressive symptoms) predicted family accommodation when controlling for tic severity. Family accommodation predicted high levels of functional impairment over and above the effect of tic severity, anxiety, depression and externalizing problems. Family accommodation is a common phenomenon for youth with tic disorders, with modifications typically encompassing changes to the child and/or parent environments. Accommodation was not associated with tic severity, but was related to higher levels of anxiety, depressive symptoms, externalizing symptoms, aggression, and rule breaking behaviors. Results suggest that other emotional symptoms are more likely to drive accommodation practices than the tic symptoms per se.

[Spasm of accommodation].

Science.gov (United States)

Lindberg, Laura

2014-01-01

Spasm of accommodation refers to prolonged contraction of the ciliary muscle, most commonly causing pseudomyopia to varying degrees in both eyes by keeping the lens in a state of short sightedness. It may also be manifested as inability to allow the adaptation spasticity prevailing in the ciliary muscle relax without measurable myopia. As a rule, this is a functional ailment triggered by prolonged near work and stress. The most common symptoms include blurring of distance vision, varying visual acuity as well as pains in the orbital region and the head, progressing into a chronic state. Cycloplegic eye drops are used as the treatment.

Assessing the accommodation response after near visual tasks using different handheld electronic devices

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Aikaterini I. Moulakaki

Full Text Available ABSTRACT Purpose: To assess the accommodation response after short reading periods using a tablet and a smartphone as well as determine potential differences in the accommodation response at various stimulus vergences using a Hartmann- Shack aberrometer. Methods: Eighteen healthy subjects with astigmatism of less than 1 D, corrected visual acuity of 20/20 or better, and normal findings in an ophthalmic examination were enrolled. Accommodation responses were obtained under three different conditions: accommodation system of the eye relaxed and visually stressed with a tablet and an smartphone for 10 min, at a distance of 0.25 m from the subject's eyes. Three measurements of accommodation response were monocularly acquired at stimulus vergences ranging from 0 to 4 D (1-D step. Results: No statistically significant differences were found in the accommodation responses among the conditions. A moderate but gradually increasing root mean square, coma-like aberration was found for every condition. Conversely, the spherical aberration decreased as stimulus vergences increased. These outcomes were identified in comparison to the one-to-one ideal accommodation response, implying that a certain lag value was present in all stimulus vergences different from 0 D. Conclusions: The results support the hypothesis that the difference between the ideal and real accommodation responses is mainly attributed to parameters associated with the accommodation process, such as the near visual acuity, depth of focus, pupil diameter, and wavefront aberrations. The wavefront aberrations were dependent on the 3-mm pupil size selected in this study. The accommoda tion response was not dependent on the electronic device employed in each condition, and it was mainly associated with young age and level of amplitude of accommodation of the subjects.

Workplace accommodations for employees with disabilities: A multilevel model of employer decision-making.

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Telwatte, Apsara; Anglim, Jeromy; Wynton, Sarah K A; Moulding, Richard

2017-02-01

Existing research suggests that the decision to grant or deny workplace accommodations for people with disabilities is influenced by a range of legal and nonlegal factors. However, less is known about how these factors operate at the within-person level. Thus, we proposed and tested a multilevel model of the accommodation decision-making process, which we applied to better understand why people with psychological disabilities often experience greater challenges in obtaining accommodations. A sample of 159 Australian adults, composed mostly of managers and HR professionals, read 12 vignettes involving requests for accommodations from existing employees. The requests differed in whether they were for psychological or physical disabilities. For each vignette, participants rated their empathy with the employee, the legitimacy of the employee's disability, the necessity for productivity, the perceived cost, and the reasonableness, and indicated whether they would grant the accommodation. Multilevel modeling indicated that greater empathy, legitimacy, and necessity, and lower perceived cost predicted perceptions of greater reasonableness and greater granting. Accommodation requests from employees with psychological disabilities were seen as less reasonable and were less likely to be granted; much of this effect seemed to be driven by perceptions that such accommodations were less necessary for productivity. Ratings on accommodations were influenced both by general between-person tendencies and within-person appraisals of particular scenarios. The study points to a need for organizations to more clearly establish guidelines for how decision-makers should fairly evaluate accommodation requests for employees with psychological disabilities and disability more broadly. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Effects of positive relative accommodation on adolescent pseudomyopia with visual training

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Jiang Yue

2014-04-01

Full Text Available AIM:To investigate the changes of the positive relative accommodation in adolescent pseudomyopia with visual training.METHODS: A total of 42 cases(84 eyeswere randomly divided into the visual training group and the control group. Visual acuity, average refraction of two groups 4wk after the training were measured, as well as positive relative accommodation(5mwere checked before the training and repeated 1, 2, 4wk after the training. Correlation analysis were given.RESULTS: There was statistically significant difference in visual acuity 4wk after the training between the two groups(PP>0.05. There was statistically significant difference in positive relative accommodation(5m1, 2, 4wk after the training between the two groups(PPCONCLUSION: Visual training has significant effect on the positive relative accommodation on adolescent pseudomyopia.

Dynamic distance direct ophthalmoscopy, a novel technique to assess accommodation in children

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Mihir Kothari

2012-01-01

Full Text Available Aim: To describe and compare dynamic distance direct ophthalmoscopy (DDDO with dynamic retinoscopy (DR in assessment of accommodation in children. Materials and Methods: This prospective observational study had four components. Component 1: to understand the characteristic digital images of DDDO. Component 2: to compare DDDO with DR for detection of accommodative defects in children (1-16 years. Component 3: to compare DDDO with DR for the detection of completeness of pharmacologically induced cycloplegia in children (5-16 years and Component 4: to assess which one of the two techniques was more sensitive to detect onset of cycloplegia after instillation of 1% cyclopentolate eye drops. Results: Component 1: image analysis of DDDO on two subjects (7 years and 35 years demonstrated superior pupillary crescent that progressively disappeared with increasing accommodation. Concurrently an inferior crescent appeared that became bigger in size with increasing accommodation. Component 2: the prevalence of defects in accommodation was 3.3% (33/1000 children. Three had unilateral accommodation failure. Sensitivity of DDDO was 94%, specificity 100%, positive predictive value 100%, negative predictive value 99%, and clinical agreement (kappa 0.97. Component 3: in the detection of completeness of pharmacologically induced cycloplegia (n=30, the sensitivity of DDDO was 94%, specificity 96%, positive predictive value 97%, negative predictive value 93% and kappa 0.9. DR had two false positives. DDDO had one false negative. Component 4: DDDO detected onset of pharmacologically induced cycloplegia 5 min earlier than DR (n=5. Conclusion: DDDO is a novel, simple, clinical and reliable method to assess accommodation in young children. This test can assess the accommodative response of both eyes simultaneously.

Accommodation services for competitive tourism in Sub-Saharan Africa: Historical evidence from Malawi

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Magombo Alice

2017-12-01

Full Text Available The accommodation services sector is a vital underpinning of the competitiveness of destinations in especially emerging tourism regions of the global economy. Within the environment of Africa building the competitiveness of countries as tourism destinations is inseparable from the challenge of establishing a network of different forms of accommodation at competitive prices and internationally acceptable quality standards. This paper uses a longitudinal approach to analyse the development of the accommodation services sector in one African country - Malawi - which is scaling up its tourism industry. Using historical evidence the objective is to examine the unfolding evolution of accommodation services as a factor in enhancing tourism destination competitiveness. The chequered pathway followed in Malawi to building the country’s network of hotels and small-scale accommodation establishments is traced from the colonial period to post-independence developments. It is argued that in understanding the historical evolution of accommodation services policy re-orientations have been significant drivers of change.

Regional Sign Language Varieties in Contact: Investigating Patterns of Accommodation

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Stamp, Rose; Schembri, Adam; Evans, Bronwen G.; Cormier, Kearsy

2016-01-01

Short-term linguistic accommodation has been observed in a number of spoken language studies. The first of its kind in sign language research, this study aims to investigate the effects of regional varieties in contact and lexical accommodation in British Sign Language (BSL). Twenty-five participants were recruited from Belfast, Glasgow,…

Accommodative insufficiency in a student population in Iran.

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Hashemi, Hassan; Khabazkhoob, Mehdi; Nabovati, Payam; Shahraki, Fatemeh Azad; Ostadimoghaddam, Hadi; Faghihi, Mohammad; Aghamirsalim, Mohamadreza; Doostdar, Asgar; Yekta, Abbasali

2018-05-22

To determine the prevalence of accommodative insufficiency (AI) and its relation with age, gender, and refractive errors in a college-age student population in Iran. The present study was conducted cross-sectionally in 2017. All students had optometric tests including measurement of visual acuity, objective and subjective refraction, as well as binocular vision and accommodative examinations. Amplitude of accommodation was measured with the Donders' push-up method using the Royal Air Force (RAF) rule. Monocular accommodative facility was measured with ±2.00diopter flipper lenses. The accommodative response was tested using dynamic retinoscopy with the monocular estimation method (MEM). The prevalence of AI in the studied population was 4.07% (95% CI: 2.61-5.52). The rate was 6.04% (95% CI: 3.58-8.50) in females and 2.01% (95% CI: 0.53-3.48) in males, and logistic regression showed a significantly higher odds of AI in females (OR=3.14, 95% CI: 1.33-7.45, p-value=0.009). The prevalence of AI was 2.59% (95% CI: 0.55-7.56) in the 18-19-year-old age group and 4.08% (95% CI: 0.09-8.07) in the 24-25-year-old group (p-value=0.848). The prevalence of AI among emmetropic, myopic, and hyperopic individuals was 3.74% (95% CI: 1.88-5.61), 4.44% (95% CI: 2.07-6.81), and 5.26% (95% CI: 4.79-16.32), respectively (p-value=0.869). In the multiple regression model, only gender showed significant relationship with AI (Odds ratio=3.14, 95% CI: 1.33-7.45; p-values=0.009). The prevalence of AI in the present study is lower than the most prevalence rates reported in previous studies. In the present study, gender and AI showed a strong association, such that AI prevalence was significantly higher in females than males. Copyright © 2018 Spanish General Council of Optometry. Published by Elsevier España, S.L.U. All rights reserved.

Workplace accommodations for persons with physical disabilities: evidence synthesis of the peer-reviewed literature.

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Padkapayeva, Kathy; Posen, Andrew; Yazdani, Amin; Buettgen, Alexis; Mahood, Quenby; Tompa, Emile

2017-10-01

To identify and synthesize research evidence on workplace accommodations used by employers to recruit, hire, retain, and promote persons with physical disabilities. A structured search of six electronic journal databases was undertaken to identify peer-reviewed literature on the topic published from January 1990 to March 2016. Articles describing or evaluating workplace disability accommodation policies and practices were given a full-text review. Topic experts were contacted to identify additional studies. Details on specific accommodations described in 117 articles were synthesized and organized into three groups comprised of a total of 12 categories. The majority of studies did not rigorously evaluate effectiveness or cost-effectiveness of the accommodations under study. This evidence synthesis provides an overview of the peer-reviewed literature of value to occupational rehabilitation professionals and employers seeking guidance on workplace accommodation policies and practices for persons with physical disabilities. A wide range of accommodation options is available for addressing physical, social, and attitudinal barriers to successful employment. Besides physical/technological modifications, accommodations to enhance workplace flexibility and worker autonomy and strategies to promote workplace inclusion and integration are important. More comprehensive reporting and evaluations of the effectiveness of accommodations in research literature are needed to develop best practices for accommodating persons with disabilities. Implications for rehabilitation There is a substantial peer-reviewed literature that provides insights into the barriers for persons with physical disabilities and the workplace accommodation practices to address them, though rigorous evaluations of effectiveness and cost-effectiveness are uncommon. Attitudinal and social barriers stemming from stereotypes, ignorance and lack of knowledge are as important as physical barriers to employment for

Problems and accommodation strategies reported by computer users with rheumatoid arthritis or fibromyalgia.

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Baker, Nancy A; Rubinstein, Elaine N; Rogers, Joan C

2012-09-01

Little is known about the problems experienced by and the accommodation strategies used by computer users with rheumatoid arthritis (RA) or fibromyalgia (FM). This study (1) describes specific problems and accommodation strategies used by people with RA and FM during computer use; and (2) examines if there were significant differences in the problems and accommodation strategies between the different equipment items for each diagnosis. Subjects were recruited from the Arthritis Network Disease Registry. Respondents completed a self-report survey, the Computer Problems Survey. Data were analyzed descriptively (percentages; 95% confidence intervals). Differences in the number of problems and accommodation strategies were calculated using nonparametric tests (Friedman's test and Wilcoxon Signed Rank Test). Eighty-four percent of respondents reported at least one problem with at least one equipment item (RA = 81.5%; FM = 88.9%), with most respondents reporting problems with their chair. Respondents most commonly used timing accommodation strategies to cope with mouse and keyboard problems, personal accommodation strategies to cope with chair problems and environmental accommodation strategies to cope with monitor problems. The number of problems during computer use was substantial in our sample, and our respondents with RA and FM may not implement the most effective strategies to deal with their chair, keyboard, or mouse problems. This study suggests that workers with RA and FM might potentially benefit from education and interventions to assist with the development of accommodation strategies to reduce problems related to computer use.

Force and Accommodation in World Politics

National Research Council Canada - National Science Library

Spangler, Stanley

1991-01-01

..." and "carrots" to achieve political objectives. Clearly the subject-the use of force and accommodation to achieve political ends-is a topic that has been analyzed over the years by a host of observers, ranging from Niccol Machiavelli to John F. Kennedy...

The Evolution of the Number of Tourists accommodated in Arad

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Sergiu Rusu

2014-12-01

Full Text Available The paper analyses the evolution of the number of tourists accommodated in Arad between January 2006 and September 2009. For this purpose we have used the statistics data from the official sites. As variables we chose: X – independent variable - Total tourist arrival and accommodated in Arad, Y - dependent variable - Tourists staying in hotels.

Study on accommodation by autorefraction and dynamic refraction in children

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Prabhakar Srinivasapur Krishnacharya

2014-10-01

Conclusions: The performance of TOPCON AR RM-8000B autorefractor was comparable to dynamic retinoscopy. Presence of many children, and in turn, large number of accommodative response data in 11–13 and 14–15 years group is probably linked to prolonged reading/writing. The accuracy and the agreement of the actual accommodative measurements revealed after cycloplegia.

Holocene reef development where wave energy reduces accommodation

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Grossman, Eric E.; Fletcher, Charles H.

2004-01-01

Analyses of 32 drill cores obtained from the windward reef of Kailua Bay, Oahu, Hawaii, indicate that high wave energy significantly reduced accommodation space for reef development in the Holocene and produced variable architecture because of the combined influence of sea-level history and wave exposure over a complex antecedent topography. A paleostream valley within the late Pleistocene insular limestone shelf provided accommodation space for more than 11 m of vertical accretion since sea level flooded the bay 8000 yr BP. Virtually no net accretion (pile-up of fore-reef-derived rubble (rudstone) and sparse bindstone, and (3) a final stage of catch-up bindstone accretion in depths > 6 m. Coral framestone accreted at rates of 2.5-6.0 mm/yr in water depths > 11 m during the early Holocene; it abruptly terminated at ~4500 yr BP because of wave scour as sea level stabilized. More than 4 m of rudstone derived from the upper fore reef accreted at depths of 6 to 13 m below sea level between 4000 and 1500 yr BP coincident with late Holocene relative sea-level fall. Variations in the thickness, composition, and age of these reef facies across spatial scales of 10-1000 m within Kailua Bay illustrate the importance of antecedent topography and wave-related stress in reducing accommodation space for reef development set by sea level. Although accommodation space of 6 to 17 m has existed through most of the Holocene, the Kailua reef has been unable to catch up to sea level because of persistent high wave stress.

The impact of regulatory approaches targeting collaborative economy in the tourism accommodation sector:

DEFF Research Database (Denmark)

Dredge, Dianne; Gyimóthy, Szilvia; Birkbak, Andreas

This paper has been commissioned by the European Commission’s DG GROWTH to examine the impact of regulatory approaches targeting collaborative economy in the tourism accommodation sector in the cities of Barcelona, Berlin, Amsterdam and Paris. In relation to tourism, the growth of the collaborative...... economy peer-to-peer accommodation sector has significant impacts for traditional tourism industry structures and relationships. The growth of the collaborative economy peer-to-peer accommodation market has led to a diversification of accommodation stock, it has led to increased competition, and it has...... governments and host communities are also raising concerns over the impact of unregulated tourist accommodation within residential neighbourhoods and the conflicts that are emerging due to the changing commercial nature of traditional residential areas close to city centres. In many cities across Europe...

Electrical properties of Lupinus angustifolius L. stem. II. Accommodation and anode break excitation

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Tadeusz Zawadzki

2015-01-01

Full Text Available Under electrical stimulation of Lupinus stem phenomena of accommodation and anode break excitation appear. Their characteristic is the same as in the axon or nerve. Only their duration is about 103-104 longer in plants. The constant characterizing the rate of accommodation was calculated. A limiting threshold value was found beyond which excitation occurs, irrespective of the rate of stimulus rise (voltage gradient. The accommodation rate is approximately constant, whereas the range of accommodation varies and is dependent on the difference between the rheobase value and the limiting threshold value. Hence plants with a low rheobase are characterized by a wider range of accommodation. It is suggested that the changes in potential (including AP recorded on the stem surface are connected with changes of the potential on cell membranes (Sibaoka, 1962.

Risk Factors Associated with Childhood Strabismus: The Multi-Ethnic Pediatric Eye Disease and Baltimore Pediatric Eye Disease Studies

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Cotter, Susan; Varma, Rohit; Tarczy-Hornoch, Kristina; McKean-Cowdin, Roberta; Lin, Jesse; Wen, Ge; Wei, Jolyn; Borchert, Mark; Azen, Stan; Torres, Mina; Tielsch, James M.; Friedman, David S.; Repka, Michael X.; Ibironke, Joanne Katz Josephine; Giordano, Lydia

2011-01-01

Objective To investigate risk factors associated with esotropia or exotropia in infants and young children. Design Population-based cross-sectional prevalence study. Participants Population-based samples of 9970 children ages 6 to 72 months from California and Maryland. Methods Participants were preschool African-American, Hispanic, and non-Hispanic white children participating in the Multiethnic Pediatric Eye Disease Study and the Baltimore Eye Disease Study. Data were obtained by parental interview and ocular examination. Odd ratios and 95% confidence intervals were calculated to evaluate the association of demographic, behavioral, and clinical risk factors with esotropia and exotropia. Main Outcome Measures Odds ratios (ORs) for various risk factors associated with esotropia or exotropia diagnosis based on cover testing. Results In multivariate logistic regression analysis, esotropia was independently associated with prematurity, maternal smoking during pregnancy, older preschool age (48–72 months), anisometropia, and hyperopia. There was a severity-dependent association of hyperopia with the prevalence of esotropia, with ORs increasing from 6.4 for 2.00 Diopters (D) to strabismus, female sex, astigmatism (OR 2.5 for 1.50 to <2.50 D, and 5.9 for ≥ 2.5 D of astigmatism), and aniso-astigmatism in the J0 component (OR ≥ 2 for J0 aniso-astigmatism ≥ 0.25 D). Conclusions Prematurity and maternal smoking during pregnancy are associated with a higher risk of having esotropia and exotropia. Refractive error is associated in a severity-dependent manner to the prevalence of esotropia and exotropia. Because refractive error is correctable, these risk associations should be considered when developing guidelines for the screening and management of refractive error in infants and young children children. PMID:21856012

[Magnetic resonance imaging study of effects of accommodation on human lens morphological characters].

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Zheng, Sui-lian; Zhang, Ai; Shi, Jian-jing; Zhou, Yun-xin

2013-11-05

To evaluate the effects of accommodation on lens morphological characters. From January 2011 to June 2011, magnetic resonance images of eyes were acquired from 30 subjects aged 20 to 24 years during accommodation and at rest. The optimal images were analyzed by Autocad 2010 to obtain the total lens cross-sectional area (CSA) and CSA of anterior and posterior portions of lens, anterior chamber depth, lens thickness, lens diameter, vitreous chamber depth and axial length during accommodation and at rest. Paired-t test was performed. The anterior curvature radius (mm), posterior curvature radius (mm), CSA of anterior portion (mm(2)), CSA of posterior portion (mm(2)), total lens CSA (mm(2)) was (8.7 ± 0.8), (6.2 ± 0.5), (7.5 ± 2.1), (12.0 ± 2.6), (20 ± 4) during relaxed accommodation; anterior curvature radius (mm), posterior curvature radius (mm), CSA of anterior portion (mm(2)), CSA of posterior portion (mm(2)), total lens CSA (mm(2)) was (7.1 ± 1.3), (5.6 ± 0.5), (14.7 ± 2.9), (12.2 ± 2.1) and (27 ± 4) during accommodation. The total lens CSA (t = -11.556, P 0.05) under a statistically independent accommodative state. There was significant difference in the anterior chamber depth (t = 4.366, P 0.05) and axial length (t = 0.418, P > 0.05) under accommodative states. During accommodation, the anterior chamber depth decreases, lens thickness increases and diameter of lens decreases while anterior portions and total lens CSA increase. There are insignificant changes in posterior portions of lens CSA, vitreous chamber depth and axial length. The accommodative changes in CSA indicate that the anterior portion of lens may be related with the properties of anterior capsule and lens material, the position of zonular attachments and the location of fetal nucleus. Helmholtz theory is supported.

Comparative reference of accommodation tension in schoolchildren of junior classes depending on emotional state

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L. E. Fedorischeva

2013-01-01

Full Text Available Purpose: to study the change of adaptation mechanisms in children of junior classes during working on close distance depending on their psychoemotional state.Methods: 52 children of the second classes of grammar school were included into the study. There were allocated 30 emotional labile schoolchildren with choleric temperament. The children were examined by pediatrician, neurologist and in laboratory. Standard ophthalmic examination was performed. Accommodation was examined by subjective (reserve of relative accommodation and objective (familiar tone of accommodation methods.Results: All children had low reserve of relative accommodation (RRA and high familiar tone of accommodation (FTA in the end of educational week especially in emotional labile children. After course of treatment (hygiene of visual activity; restoration of accommodation and therapy of visual tiredness; gymnastics for cervical spine; preparations with microelements, vitamins C,E, B-carotene; fenibute RRA was increased and FTA was decreased even in emotional labile children.Conclusion: There is correlation between refractive-accommodative apparatus and psychoemotional state in schoolchildren ofjunior classes.

Comparative reference of accommodation tension in schoolchildren of junior classes depending on emotional state

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L. E. Fedorischeva

2014-07-01

Full Text Available Purpose: to study the change of adaptation mechanisms in children of junior classes during working on close distance depending on their psychoemotional state.Methods: 52 children of the second classes of grammar school were included into the study. There were allocated 30 emotional labile schoolchildren with choleric temperament. The children were examined by pediatrician, neurologist and in laboratory. Standard ophthalmic examination was performed. Accommodation was examined by subjective (reserve of relative accommodation and objective (familiar tone of accommodation methods.Results: All children had low reserve of relative accommodation (RRA and high familiar tone of accommodation (FTA in the end of educational week especially in emotional labile children. After course of treatment (hygiene of visual activity; restoration of accommodation and therapy of visual tiredness; gymnastics for cervical spine; preparations with microelements, vitamins C,E, B-carotene; fenibute RRA was increased and FTA was decreased even in emotional labile children.Conclusion: There is correlation between refractive-accommodative apparatus and psychoemotional state in schoolchildren ofjunior classes.

Transfusion Refusal and the Shifting Limits of Multicultural Accommodation.

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DeMichelis, Carey

2017-12-01

The refusal of blood products by Jehovah's Witness patients has provoked court proceedings, social science research, and contemporary fiction, all of which emphasize a seemingly intractable conflict between religious and secular ways of being. This article takes a different approach, focusing instead on the space that Witness patients have carved out for their accommodation in a major pediatric research hospital. Using discourse analysis and interview data, I map the way moralizing discourses surrounding Witness families have shifted over the past 70 years alongside advancements in bloodless medicine. I argue that Witnesses have helped to enable their present accommodation and recognition by marshaling particular forms of economic, human, and social capital, and consider whether their success might be attainable by other treatment-resisting patient groups. Thus, this article explores the shifting limits of multicultural accommodation and the conditions that make understanding, collaboration, and compromise possible.

Accommodative load from handheld game consoles in kindergarten children.

Science.gov (United States)

Sakata, T; Miyao, M; Ishigaki, H; Shiraiwa, Y; Ishihara, S; Furuta, M; Kondo, T; Toyoshima, H

2001-07-01

We analyzed and compared the visual accommodation of kindergarten children who were gazing fixedly at images from three different sources: Nintendo Game Boy DMG-01(TM) (non-backlit type game console: NBGC), NEC PC EnginePI-TG6(TM) (color backlit-type game console: CBGC) and a cartoon drawing (drawing). Subjects for the experiment were 13 4- to 5-year-old kindergarten children. The contrast ratios were, in the order, 1.1 (NBGC), 3.1 (drawing), and 3.4 (CBGC). These values show that the contrast of the NBGC screen was considerably lower than the others. The mean accommodative power increased when looking at all three types of image: a drawing (1.75±0.52 D; mean±S.D.), CBGC (1.82±0.61 D), and NBGC (2.26±0.50 D). Compared with the other 2 targets, NBGC required stronger accommodation, indicating that the legibility of the NBGC was poor. Repeated measures ANOVA was used for the values of accommodation for each type of target. There were significant differences among the 3 targets (p<0.01). Significant differences were seen between NBGC and drawings (p<0.01) and NBGC and CBGC (p<0.05) using paired Scheffe test, but not between CBGC and drawings. This supports the finding that the legibility of NBGC is low due to dark and low contrast screens with poor resolution.

The availability of smoking-permitted accommodations from Airbnb in 12 Canadian cities

OpenAIRE

Kennedy, Ryan David; Douglas, Ornell; Stehouwer, Lindsay; Dawson, Jackie

2017-01-01

Purpose Airbnb is a web-based peer-to-peer (P2P) service that enables potential hosts and guests to broker accommodations in private homes as an alternative to traditional hotels. The hospitality sector has increasingly gone smoke-free over the last decade. This study identified the availability and cost of smoking-permitted accommodations identified on Airbnb. Methods The study team searched for Airbnb accommodations in 12 Canadian cities across each of Canada’s 10 provinces. Searches includ...

Disentangling Mathematics Target and Access Skills: Implications for Accommodation Assignment Practices

Science.gov (United States)

Ketterlin-Geller, Leanne R.; Jamgochian, Elisa M.; Nelson-Walker, Nancy J.; Geller, Joshua P.

2012-01-01

Appropriate assignment of accommodations is predicated on a clear distinction between target skills and access skills. In this study, we examine the agreement between test developer/researchers' and educators' classification of target and access skills as a possible explanatory mechanism for assigning accommodations. Findings indicate that…

Factors influencing pricing in the accommodation sector in South Africa

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Engelina du Plessis

2011-12-01

Full Text Available Price is a significant factor of competitiveness. Price is a complex issue and is determined by a variety of demand and supply factors. These factors also differ from industry to industry. The purpose of this article is to determine the factors that influence pricing in the South African accommodation sector. In order to generate proper data, a survey was conducted at various South African accommodation establishments that were obtained from the databases of the three major associations in the accommodation sector. Two-hundred and forty seven questionnaires completed by managers from accommodation establishments were used in this research. Principal component factor analyses with Varimax rotation in STATISTICA were carried out. These resulted in ten factors, namely environmental qualities, amenities, image, management factor, positioning, quality service factor, infrastructure service factor, location, marketing and product quality factor. The results revealed that the major factors in pricing are service quality, image and product quality. Consequently this article can be used to assist managers in pricing and in obtaining a better competitive position in the industry by revising management structures and marketing campaigns. Keywords and phrases: Tourism industry, price competitiveness, service quality, image, product quality, entrepreneur and factor analysis

Comparison of approaches for measuring the mass accommodation coefficient for the condensation of water and sensitivities to uncertainties in thermophysical properties.

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Miles, Rachael E H; Reid, Jonathan P; Riipinen, Ilona

2012-11-08

We compare and contrast measurements of the mass accommodation coefficient of water on a water surface made using ensemble and single particle techniques under conditions of supersaturation and subsaturation, respectively. In particular, we consider measurements made using an expansion chamber, a continuous flow streamwise thermal gradient cloud condensation nuclei chamber, the Leipzig Aerosol Cloud Interaction Simulator, aerosol optical tweezers, and electrodynamic balances. Although this assessment is not intended to be comprehensive, these five techniques are complementary in their approach and give values that span the range from near 0.1 to 1.0 for the mass accommodation coefficient. We use the same semianalytical treatment to assess the sensitivities of the measurements made by the various techniques to thermophysical quantities (diffusion constants, thermal conductivities, saturation pressure of water, latent heat, and solution density) and experimental parameters (saturation value and temperature). This represents the first effort to assess and compare measurements made by different techniques to attempt to reduce the uncertainty in the value of the mass accommodation coefficient. Broadly, we show that the measurements are consistent within the uncertainties inherent to the thermophysical and experimental parameters and that the value of the mass accommodation coefficient should be considered to be larger than 0.5. Accurate control and measurement of the saturation ratio is shown to be critical for a successful investigation of the surface transport kinetics during condensation/evaporation. This invariably requires accurate knowledge of the partial pressure of water, the system temperature, the droplet curvature and the saturation pressure of water. Further, the importance of including and quantifying the transport of heat in interpreting droplet measurements is highlighted; the particular issues associated with interpreting measurements of condensation

The relationship between refractive and biometric changes during Edinger–Westphal stimulated accommodation in rhesus monkeys

Science.gov (United States)

Vilupuru, Abhiram S.; Glasser, Adrian

2010-01-01

Experiments were undertaken to understand the relationship between dynamic accommodative refractive and biometric (lens thickness (LT), anterior chamber depth (ACD) and anterior segment length (ASL=ACD+LT)) changes during Edinger–Westphal stimulated accommodation in rhesus monkeys. Experiments were conducted on three rhesus monkeys (aged 11·5, 4·75 and 4·75 years) which had undergone prior, bilateral, complete iridectomies and implantation of a stimulating electrode in the Edinger–Westphal (EW) nucleus. Accommodative refractive responses were first measured dynamically with video-based infrared photorefraction and then ocular biometric responses were measured dynamically with continuous ultrasound biometry (CUB) during EW stimulation. The same stimulus amplitudes were used for the refractive and biometric measurements to allow them to be compared. Main sequence relationships (ratio of peak velocity to amplitude) were calculated. Dynamic accommodative refractive changes are linearly correlated with the biometric changes and accommodative biometric changes in ACD, ASL and LT show systematic linear correlations with increasing accommodative amplitudes. The relationships are relatively similar for the eyes of the different monkeys. Dynamic analysis showed that main sequence relationships for both biometry and refraction are linear. Although accommodative refractive changes in the eye occur primarily due to changes in lens surface curvature, the refractive changes are well correlated with A-scan measured accommodative biometric changes. Accommodative changes in ACD, LT and ASL are all well correlated over the full extent of the accommodative response. PMID:15721617

Peer-to-peer as a travel accommodation option and the customer value

OpenAIRE

Rakovets, Elizaveta

2016-01-01

The purpose of the study was to investigate the concept of peer-to-peer accommodation as a travel lodging option from the customers’ point of view and the reasons for choosing that. Airbnb and Couchsurfing were used as examples of peer-to-peer accommodation. The theoretical section of the thesis covers the history of the homestay concept as the original form of peer-to-peer accommodation, its features as a part of hospitality exchange network, and the influence of modern technologies. The...

Analysis and Countermeasures of Wind Power Accommodation by Aluminum Electrolysis Pot-Lines in China

Science.gov (United States)

Zhang, Hongliang; Ran, Ling; He, Guixiong; Wang, Zhenyu; Li, Jie

2017-10-01

The unit energy consumption and its price have become the main obstacles for the future development of the aluminum electrolysis industry in China. Meanwhile, wind power is widely being abandoned because of its instability. In this study, a novel idea for wind power accommodation is proposed to achieve a win-win situation: the idea is for nearby aluminum electrolysis plants to absorb the wind power. The features of the wind power distribution and aluminum electrolysis industry are first summarized, and the concept of wind power accommodation by the aluminum industry is introduced. Then, based on the characteristics of aluminum reduction cells, the key problems, including the bus-bar status, thermal balance, and magnetohydrodynamics instabilities, are analyzed. In addition, a whole accommodation implementation plan for wind power by aluminum reduction is introduced to explain the theoretical value of accommodation, evaluation of the reduction cells, and the industrial experiment scheme. A numerical simulation of a typical scenario proves that there is large accommodation potential for the aluminum reduction cells. Aluminum electrolysis can accommodate wind power and remain stable under the proper technique and accommodation scheme, which will provide promising benefits for the aluminum plant and the wind energy plant.

The Use of Computer Technology in Designing Appropriate Test Accommodations for English Language Learners

Science.gov (United States)

Abedi, Jamal

2014-01-01

Among the several forms of accommodations used in the assessment of English language learners (ELLs), language-based accommodations are the most effective in making assessments linguistically accessible to these students. However, there are significant challenges associated with the implementation of many of these accommodations. This article…

Accommodative intraocular lens versus standard monofocal intraocular lens implantation in cataract surgery.

Science.gov (United States)

Ong, Hon Shing; Evans, Jennifer R; Allan, Bruce D S

2014-05-01

Following cataract surgery and intraocular lens (IOL) implantation, loss of accommodation or postoperative presbyopia occurs and remains a challenge. Standard monofocal IOLs correct only distance vision; patients require spectacles for near vision. Accommodative IOLs have been designed to overcome loss of accommodation after cataract surgery. To define (a) the extent to which accommodative IOLs improve unaided near visual function, in comparison with monofocal IOLs; (b) the extent of compromise to unaided distance visual acuity; c) whether a higher rate of additional complications is associated the use of accommodative IOLs. We searched CENTRAL (which contains the Cochrane Eyes and Vision Group Trials Register) (The Cochrane Library 2013, Issue 9), Ovid MEDLINE, Ovid MEDLINE in-Process and Other Non-Indexed Citations, Ovid MEDLINE Daily Update, Ovid OLDMEDLINE (January 1946 to October 2013), EMBASE (January 1980 to October 2013), Latin American and Caribbean Health Sciences Literature Database (LILACS) (January 1982 to October 2013), the metaRegister of Controlled Trials (mRCT) (www.controlled-trials.com), ClinicalTrials.gov (www.clinicaltrial.gov) and the WHO International Clinical Trials Registry Platform (ICTRP) (www.who.int/ictrp/search/en). We did not use any date or language restrictions in the electronic searches for trials. We last searched the electronic databases on 10 October 2013. We include randomised controlled trials (RCTs) which compared implantation of accommodative IOLs to implantation of monofocal IOLs in cataract surgery. Two authors independently screened search results, assessed risk of bias and extracted data. All included trials used the 1CU accommodative IOL (HumanOptics, Erlangen, Germany) for their intervention group. One trial had an additional arm with the AT-45 Crystalens accommodative IOL (Eyeonics Vision). We performed a separate analysis comparing 1CU and AT-45 IOL. We included four RCTs, including 229 participants (256 eyes

Worker Adaptation and Workplace Accommodations after the Onset of an Illness

DEFF Research Database (Denmark)

Høgelund, Jan; Holm, Anders

of 809 workers who were continuously sick-listed more than eight weeks. Using a joint proportional mixed hazard rate model, we simultaneously estimate the duration until returning to work (in an accommodated job with the current employer, in a non-accommodated job with the current employer, or in a job...

Comparative study of the accommodative convergence/accommodation after refractive correction

Directory of Open Access Journals (Sweden)

Peng-Fei Lin

2013-11-01

Full Text Available AIM: To study the ortho-k lens and frame glasses in patients with juvenile myopia the influence of the accommodative convergence/accommodation(AC/A, further clear the effectiveness of controlling the myopia development and security.METHODS: Randomly select 60 patients to our hospital check-up successfully with ortho-k lens of juvenile myopia patients as experimental group, and 60 cases were randomly selected given frame glasses as control group. we observed two groups of patients before and after refractive correction the changes of AC/A and spherical equivalent. Observation time was 1 month, 3 months, 6 months, 1 year.RESULTS: The AC/A of experimental group worn glasses before and after 1 month, 3 months, 6 months, 1 year were 4.05±2.03, 3.05±1.85, 3.31±1.02, 3.14±1.64 and 3.20±1.55,respectively with statistically significant difference(PP>0.05. Three months after worn glasses there was significant difference(PP>0.05. Wearing glasses after 1 month, 6 months, 12 months, the two groups had significant difference(PP>0.05. Spherical equivalent, observation time was 1 year: experimental group spherical equivalent degrees increased by 0.38±0.35DS, the control group spherical equivalent degrees increased by 0.84±0.56DS, the two groups were statistically significant difference(PCONCLUSION: Both groups could reduce the AC/A value. The experimental group than the control group was better and faster to improve the relationship between the adjustment and collection. The AC/A value was on the high side after myopic degree growth. The ortho-k lens is an effective lens for the moderate myopia.It can more effectively control the growth of juvenile myopia than frame glasses, which is an effective way to control myopia. The mechanism of improving his visual function remains to be further studied.

[The relationship between accommodative accuracy at different near-work distances and early-onset myopia].

Science.gov (United States)

Yu, Q W; Zhang, P; Zhou, S B; Hu, Y; Ji, M X; Luo, Y C; You, H L; Yao, Z X

2016-07-01

To observe the accommodative accuracy of children with early-onset myopia at different near-work distances, and discuss the relationship between accommodative accuracy and early-onset myopia. This was a case-control study. Thirty-seven emmetropic children, 41 early-onset myopic children without correction, and 39 early-onset myopic children with spectacles, aged 7 to 13 years, were included. Measures of refractive errors and accommodative accuracy at four near-work distances, including 50 cm, 40 cm, 30 cm, and 20 cm, were made using the binocular fusion cross cylinder (FCC) of an automatic phoropter. Most candidates showed accommodative lags, including the children with emmetropia. The ratio of lags in all candidates at different near-work distances was 75.21% (50 cm), 87.18% (40 cm), 92.31% (30 cm), and 98.29% (20 cm), respectively. All accommodative accuracies became worse, and the accommodative lag ratio and values of FCC increased, along with the shortening of the distance. The difference in accommodative accuracy among groups was statistically significant at 30 cm (χ(2)=7.852, P= 0.020) and 20 cm (χ(2)=6.480, P=0.039). The values of FCC among groups were significantly different at 30 cm (F=3.626, P=0.030) and 20 cm (F=3.703, P=0.028), but not at 50 cm and 40 cm (P>0.05). In addition, the FCC values of 30 cm and 20 cm had a statistically significant difference between myopic children without correction [(1.25±0.44) D and (1.76±0.43) D] and emmetropic children [(0.95±0.52) D and (1.41±0.58) D] (P=0.012, 0.008). The correlation between diopters of myopia and accommodative accuracy at different nearwork distances was not statistically significant (P>0.05). However, the correlation between diopters of myopia and the accommodative lag value (FCC) at 20 cm was statistically significant (r=0.246, P=0.028). The closer the near-work distance is, the worse the accommodative accuracy is. This is more significant in early-onset myopia, especially myopia without

Adaptations for English Language Learners: Differentiating between Linguistic and Instructional Accommodations

Science.gov (United States)

Pappamihiel, N. Eleni; Lynn, C. Allen

2016-01-01

While many teachers and teacher educators in the United States K-12 system acknowledge that the English language learners (ELLs) in our schools need modifications and accommodations to help them succeed in school, few attempt to parse out how different types of accommodations may affect learning in the mainstream classroom, specifically linguistic…

Computer Testing as a Form of Accommodation for English Language Learners

Science.gov (United States)

Abedi, Jamal

2009-01-01

This study compared performance of both English language learners (ELLs) and non-ELL students in Grades 4 and 8 under accommodated and nonaccommodated testing conditions. The accommodations used in this study included a computerized administration of a math test with a pop-up glossary, a customized English dictionary, extra testing time, and…

Accommodations quality for students who are d/Deaf or hard of hearing.

Science.gov (United States)

Cawthon, Stephanie W; Leppo, Rachel

2013-01-01

Students who are d/Deaf or hard of hearing often receive accommodations that are intended to increase access to the educational environment. The authors provide the results of a large national study of accommodations use in secondary and postsecondary settings. The article focuses on three aspects of accommodations use: access, quality, and consistency. The participants were 1,350 professionals working with a diverse group of students who were d/Deaf or hard of hearing in a variety of roles, including educators, administrators, interpreters, vocational rehabilitation agency staff, and allied service providers. Data were collected from both a national survey and a series of focus groups conducted over a 1-year period. The authors discuss the results in light of the crucial nature of accommodations during the transition into a variety of educational, training, and employment options.

WORK CONTINUATION WHILE TREATED FOR BREAST CANCER: THE ROLE OF WORKPLACE ACCOMMODATIONS

Science.gov (United States)

Neumark, David; Bradley, Cathy J.; Henry, Miguel

2015-01-01

Given the short- and long-term disabilities associated with breast cancer and its treatment, the authors investigate the influence of workplace accommodations on the employment and hours worked of women newly diagnosed with breast cancer. Accommodations that allow women to work fewer hours or that ease the burden of work could also generate health benefits by reducing workplace demands and allowing women more time to tend to treatment needs and recovery. In prior research, the authors found modest labor supply impacts on employment for this group of women. Evidence from this study suggests that some accommodations are associated with fewer hours worked, while some are associated with higher employment or hours. In addition, some of the accommodations that may affect hours of work—sometimes positively and sometimes negatively—are associated with positive health benefits. PMID:26778848

Análise do duplo retrocesso de retos mediais em pacientes esotrópicos portadores de incomitância longe/perto Analysis of double medium rectus recession in esotropic patients with near/distance incomitance

Directory of Open Access Journals (Sweden)

Ronaldo Boaventura Barcellos

2001-06-01

Full Text Available Introdução: Convergência acomodativa (CA é a convergência induzida por determinado grau de acomodação (A. Apesar de haver inúmeras técnicas cirúrgicas descritas para correção de esotropias, a presença de grandes incomitâncias longe/perto associadas acrescenta o desafio de se evitar o surgimento de exodesvio para longe, ou esodesvio residual para perto. Objetivo: Comparar as correções cirúrgicas obtidas com o duplo retrocesso dos retos mediais em pacientes esotrópicos quanto aos desvios de longe e de perto, comparando-se baixas e altas hipermetropias. Material: Foram analisados retrospectivamente os prontuários de 33 pacientes esotrópicos com incomitância longe/perto, operados com duplo retrocesso dos retos mediais na Santa Casa de São Paulo entre 1980 e 1990. Os pacientes foram divididos em 2 grupos: com mais de 3,50 dioptrias esféricas (DE de hipermetropia e com menos de 3,50 DE. Resultados: A magnitude da correção obtida no grupo I foi de 18,18 dioptrias prismáticas (DP (72,72% de correção para longe e 27,64 DP (62,36% para perto. A correção no grupo II foi de 20,20 DP para longe (87,83% e 34,60 DP (82,78% para perto. Conclusão: Não há diferença (estatisticamente significante na redução da incomitância longe/perto entre os pacientes com hipermetropia até 3,50 DE e pacientes com hipermetropia maior que 3,50 DE. O valor absoluto da redução em dioptrias do desvio para perto foi maior do que o encontrado para longe, no entanto, em porcentagem, a correção do desvio foi semelhante entre as medidas para perto e para longe.Introduction: Accommodative convergence (AC is the convergence induced by a determined amount of accommodation (A. Besides the many techniques described to correct esotropias, great distance/near incomitance is still a challenge in avoiding secondary exotropias and esotropias. Objective: To compare the surgical results obtained with double medial rectus recession and its relationship to

Accommodation and age-dependent eye model based on in vivo measurements.

Science.gov (United States)

Zapata-Díaz, Juan F; Radhakrishnan, Hema; Charman, W Neil; López-Gil, Norberto

2018-03-21

To develop a flexible model of the average eye that incorporates changes with age and accommodation in all optical parameters, including entrance pupil diameter, under photopic, natural, environmental conditions. We collated retrospective in vivo measurements of all optical parameters, including entrance pupil diameter. Ray-tracing was used to calculate the wavefront aberrations of the eye model as a function of age, stimulus vergence and pupil diameter. These aberrations were used to calculate objective refraction using paraxial curvature matching. This was also done for several stimulus positions to calculate the accommodation response/stimulus curve. The model predicts a hyperopic change in distance refraction as the eye ages (+0.22D every 10 years) between 20 and 65 years. The slope of the accommodation response/stimulus curve was 0.72 for a 25 years-old subject, with little change between 20 and 45 years. A trend to a more negative value of primary spherical aberration as the eye accommodates is predicted for all ages (20-50 years). When accommodation is relaxed, a slight increase in primary spherical aberration (0.008μm every 10 years) between 20 and 65 years is predicted, for an age-dependent entrance pupil diameter ranging between 3.58mm (20 years) and 3.05mm (65 years). Results match reasonably well with studies performed in real eyes, except that spherical aberration is systematically slightly negative as compared with the practical data. The proposed eye model is able to predict changes in objective refraction and accommodation response. It has the potential to be a useful design and testing tool for devices (e.g. intraocular lenses or contact lenses) designed to correct the eye's optical errors. Copyright © 2018 Spanish General Council of Optometry. Published by Elsevier España, S.L.U. All rights reserved.

Partial Overhaul and Initial Parallel Optimization of KINETICS, a Coupled Dynamics and Chemistry Atmosphere Model

Science.gov (United States)

Nguyen, Howard; Willacy, Karen; Allen, Mark

2012-01-01

KINETICS is a coupled dynamics and chemistry atmosphere model that is data intensive and computationally demanding. The potential performance gain from using a supercomputer motivates the adaptation from a serial version to a parallelized one. Although the initial parallelization had been done, bottlenecks caused by an abundance of communication calls between processors led to an unfavorable drop in performance. Before starting on the parallel optimization process, a partial overhaul was required because a large emphasis was placed on streamlining the code for user convenience and revising the program to accommodate the new supercomputers at Caltech and JPL. After the first round of optimizations, the partial runtime was reduced by a factor of 23; however, performance gains are dependent on the size of the data, the number of processors requested, and the computer used.

IDENTIFYING TOURISTS INTERESTED IN ECO-CERTIFIED ACCOMMODATION UNITS FROM BRASOV, ROMANIA

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Cristinel Petrisor Constantin

2014-02-01

Full Text Available Ecolabels are key instruments for a sustainable tourism development and implementation of environmental certification of tourist accommodation facilities and services. The present paper aimes to analyze whether eco-certification is considered by tourists in the choice of accommodation in Romanian destinations. We have chosen as a case study the city of Brasov in order to evaluate if certification as a sustainability policy tool is needed for accommodation facilities. A survey was conducted among 940 tourists from the analyzed destination. Data collected in the survey was analyzed using the Statistical Package for Social Sciences (SPSS and several statistical methods have been used: descriptive analysis, crosstabs, Cluster Analysis. The results of the research outline the necessity for Brasov’s accommodation managers to consider the eco-certification of their businesses. However, since some tourists remain unaware regarding the existence of tourism certification programs and far fewer understand their meaning, they would have to consider educating tourists with respect to the utility and scope of tourism ecolabels alongside efforts towards creating or adopting tourism ecolabeling programs.

Persistent accommodative spasm nine years after head trauma.

Science.gov (United States)

Bohlmann, B J; France, T D

1987-09-01

Spasm of the near reflex is most often seen on a functional basis in young adults with underlying emotional problems. In particular, when convergence spasm is associated with miosis on attempted lateral gaze, a functional basis for the disorder should be suspected. Patients who experience spasm of the near reflex following trauma commonly follow a benign course with spontaneous resolution of their ocular complaints within 1-2 years. Accommodative spasm, manifested by pseudomyopia, or spasm of convergence, alone, or in combination with miosis, may be found as isolated signs of spasm of the near reflex. We report a patient who continues to demonstrate accommodative spasm 9 years after a motor vehicle accident.

24 CFR 100.204 - Reasonable accommodations.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Reasonable accommodations. 100.204 Section 100.204 Housing and Urban Development Regulations Relating to Housing and Urban Development OFFICE... dog. The building has a no pets policy. It is a violation of § 100.204 for the owner or manager of the...

78 FR 10263 - Proposed Collection; Comment Request for ADA Accommodations Request Packet

Science.gov (United States)

2013-02-13

... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for ADA... the ADA Accommodations Packet. DATES: Written comments should be received on or before April 15, 2013...: ADA Accommodations Request Packet. OMB Number: 1545-2027. Abstract: Information is collected so that...

ABOUT GENERAL INFRASTRUCTURE AND ACCOMMODATION SYSTEM IN ROMANIAN BALNEOLOGY

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ILIE ROTARIU

2013-12-01

Full Text Available A strong infrastructure is a precondition for the development of balneology. On this base new tourism might build the modern services that supply the experiences. The key factor is the labor force: an EU project about labor force in Romania and Bulgaria in balneology allow us to present the preliminary findings focusing on general infrastructure and accommodation which allow the development of the balneology as well as the additional conditions as the existence of a social pact, easy access facilities etc. Our paper gives more details about the accommodation facilities in Romania insisting about the results of the transition and privatization of the former socialist facilities and the transformation of the property into private ones and the consequences of this. It also present the capability of new developed accommodation units built after 1990 and how they might compete in an international competition. The findings force us to conclude that the actual facilities do not allow the balneology resorts to compete in the international competition and might fill only a poor and low demanding tourists

Accommodation and convergence palsy caused by lesions in the bilateral rostral superior colliculus.

Science.gov (United States)

Ohtsuka, Kenji; Maeda, Sachie; Oguri, Naomi

2002-03-01

To report a patient who developed accommodation and convergence palsy caused by lesions in the bilateral rostral superior colliculus. Observational case report. A 30-year-old right-handed man experienced sudden onset of diplopia and blurred vision at near vision. The patient showed accommodation and convergence palsy. Magnetic resonance imaging revealed lesions located in the bilateral rostral superior colliculus. These findings suggest that the rostral superior colliculus is involved in the control of accommodation and vergence eye movements.

Changes in lens stiffness due to capsular opacification in accommodative lens refilling

NARCIS (Netherlands)

Nibourg, Lisanne M.; Sharma, Prashant K.; van Kooten, Theo G.; Koopmans, Steven A.

Accommodation may be restored to presbyopic lenses by refilling the lens capsular bag with a soft polymer. After this accommodative lens refilling prevention of capsular opacification is a requirement, since capsular opacification leads to a decreased clarity of the refilled lens. It has been

Convergence accommodation to convergence (CA/C) ratio in patients with intermittent exotropia and decompensated exophoria.

Science.gov (United States)

Nonaka, Fumitaka; Hasebe, Satoshi; Ohtsuki, Hiroshi

2004-01-01

To evaluate the convergence accommodation to convergence (CA/C) ratio in strabismic patients and to clarify its clinical implications. Seventy-eight consecutive patients (mean age: 12.9 +/- 6.0 years) with intermittent exotropia and decompensated exophoria who showed binocular fusion at least at near viewing were recruited. The CA/C ratio was estimated by measuring accommodative responses induced by horizontal prisms with different magnitudes under accommodation feedback open-loop conditions. The CA/C ratios were compared with accommodative convergence to accommodation (AC/A) ratios and other clinical parameters. A linear regression analysis indicated that the mean (+/-SD) CA/C ratio was 0.080 +/- 0.043 D/prism diopter or 0.48 +/- 0.26 D/meter angle. There was no inverse or reciprocal relationship between CA/C and AC/A ratios. The patients with lower CA/C ratios tended to have smaller tonic accommodation under binocular viewing conditions and larger exodeviation at near viewing. The CA/C ratio, like the AC/A ratio, is an independent parameter that characterizes clinical features. A lower CA/C may be beneficial for the vergence control system to compensate for ocular misalignment with minimum degradation of accommodation accuracy.

36 CFR 5.9 - Discrimination in furnishing public accommodations and transportation services.

Science.gov (United States)

2010-07-01

... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Discrimination in furnishing public accommodations and transportation services. 5.9 Section 5.9 Parks, Forests, and Public Property... furnishing public accommodations and transportation services. (a) The proprietor, owner or operator and the...

Impact of Information Incongruity and Authors Group Membership on Assimilation and Accommodation

Science.gov (United States)

Moskaliuk, J.; Matschke, C.

2018-01-01

Learning is a complex process that can be differentiated into assimilation and accommodation. The Internet enables both types of learning through collaboration. There is, however, little research investigating the specific impact of social and information incongruity on assimilation and accommodation. The current research investigates how the…

ACCOMMODATION INFRASTRUCTURE AND TOURISM FLOWS ON FELEACU HILL (CLUJ COUNTY

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DANIELA-LIVIA GHEORGHIEȘ

2016-06-01

Full Text Available Accommodation Infrastructure and Tourism Flows on Feleacu Hill (Cluj County. Feleacu Hill experienced tourism development between 2001 and 2015. The INS data indicates that the number of accommodation units increased from one (2001 to four (2015 and there are a few more which are not registered in the INS database. The accommodation capacity increases, as many guesthouses are expanding their premises to receive more tourists and new accommodation units emerge, such as Hotel Premier in Vâlcele (Feleacu commune. Tourism flows also registered a highly positive trend. The number of arrivals increased from 95 tourists in 2002 to 7791 tourists in 2015. However, there was a downturn between 2009 and 2012, due to the economic crisis and the opening of the Turda – Gilău motorway (A3, which redirected transit routes outside the region and led to the closure of Paradis Hotel in 2012. Since 2012, the number of arrivals and overnight stays increased steadily due to the development of new forms of tourism – rural tourism, agrotourism, extreme tourism and complex tourism, materialized in growing numbers of tourists at the two guesthouses in Ciurila commune (“La Mesteceni” and “Domeniul Regilor”. Tourism brings obvious benefits to the rural communities on Feleacu Hill, even if the average duration of stay is still low.

From forced migration to forced arrival: the campization of refugee accommodation in European cities.

Science.gov (United States)

Kreichauf, René

2018-01-01

In the aftermath of large refugee arrivals in 2015, EU regulations and national asylum laws were tightened, especially those regarding reception and accommodation. The current contribution introduces the concept of "campization" to explain the impact of law and policy changes on the socio-spatial configuration and functions of refugee accommodation in European capital regions. Based on qualitative research concerning case studies for Athens, Berlin, and Copenhagen, I argue that refugee accommodation has increasingly been transformed into large, camp-like structures with lowered living standards and a closed character. This is shown by the structural, functional, and socio-spatial characteristics of the accommodation in the three case studies, as well as the political and administrative objectives that determine the campization of accommodation. The contribution lastly highlights changing notions and forms of containment, exclusion, and temporality as part of campization, and links this process to current trends in asylum and urban development.

A Structural Equation Analysis of Family Accommodation in Pediatric Obsessive-Compulsive Disorder

Science.gov (United States)

Caporino, Nicole E.; Morgan, Jessica; Beckstead, Jason; Phares, Vicky; Murphy, Tanya K.; Storch, Eric A.

2012-01-01

Family accommodation of symptoms is counter to the primary goals of cognitive-behavioral therapy for pediatric obsessive-compulsive disorder (OCD) and can pose an obstacle to positive treatment outcomes. Although increased attention has been given to family accommodation in pediatric OCD, relatively little is known about associated child and…

Determining Appropriate Accommodations for Postsecondary Students with Reading and Written Expression Disorders

Science.gov (United States)

Lindstrom, Jennifer H.

2007-01-01

One of the most significant barriers facing postsecondary students with reading and written expression disorders who are eligible to receive specific accommodations is the lack of professional knowledge pertaining to issues surrounding accommodations. Though guided by Section 504 of the Rehabilitation Act of 1973 and the Americans with…

Everyday Experiences of Homeless Young People in Supported Accommodation Programmes in Australia

Science.gov (United States)

Danby, Susan; Farrell, Ann; Leiminer, Michele

2006-01-01

This paper investigates young people's accounts of governance in their everyday lives within a Supported Accommodation Assistance Program (SAAP) in regional Australia. The SAAP is a joint Commonwealth and State/Territory programme for assisting people who are homeless or at risk of homelessness by providing transitional supported accommodation and…

RECREATION OFFER AND COMPETENCES NEEDED FOR ITS DEVELOPMENT IN ACCOMMODATION ENTERPRISES OF KURZEME REGION IN LATVIA

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Diāna Līduma

2017-12-01

Full Text Available Due to changes in tourism habits when planning development of tourism industry both on national and regional scale, the significance of recreation is highlighted. As a result, in tourism products made by guest accommodation enterprises the recreation offer is included more and more often. Within the research it has been found out that in guest accommodation enterprises in Kurzeme, in addition to accommodation opportunities, the offer of catering dominates, but regarding recreation activities- walking and relaxation in nature. The offer of bath-house treatment and cycling are more popular than SPA procedure and water attractions. The tendency of relaxation and entertainment event organization also increases in the companies. One realized imperfection of the offer is the tendency that in half of the regional accommodation enterprises the arrangement of relaxation activities has to be provided by the clients themselves. The aim of the research is to find out the offer of the current recreation in guest accommodation enterprises in Kurzeme Region and the necessary employees’ competences for its further development. Within the research a survey of 32 managers of guest accommodation enterprises in Kurzeme Region was carried out. The outcomes of the research reveal that additional services to accommodation are offered by 55% guest accommodation enterprises of Kurzeme. However, in 53.1% cases the clients, staying at a guest accommodation enterprise in Kurzeme Region, have to provide arrangement of relaxation activities themselves. Only one fifth (21.9% of the companies provide it involving a specialist working for the company. Complex recreation programmes are offered by 9.7%, but separate recreation activities by 29% guest accommodation enterprises. Managers of guest accommodation enterprises in Kurzeme are aware of the potential in sports recreation events and relaxation activity organization. The outcomes of the research showed that the main

Change in convergence and accommodation after two weeks of eye exercises in typical young adults.

Science.gov (United States)

Horwood, Anna M; Toor, Sonia S; Riddell, Patricia M

2014-04-01

Although eye exercises appear to help heterophoria, convergence insufficiency, and intermittent strabismus, results can be confounded by placebo, practice, and encouragement effects. This study assessed objective changes in vergence and accommodation responses in naive young adults after a 2-week period of eye exercises under controlled conditions to determine the extent to which treatment effects occur over other factors. Asymptomatic young adults were randomly assigned to one of two no-treatment (control) groups or to one of six eye exercise groups: accommodation, vergence, both, convergence in excess of accommodation, accommodation in excess of convergence, and placebo. Subjects were tested and retested under identical conditions, except for the second control group, who were additionally encouraged. Objective accommodation and vergence were assessed to a range of targets moving in depth containing combinations of blur, disparity, and proximity/looming cues. A total of 156 subjects were included. Response gain improved more for less naturalistic targets where more improvement was possible. Convergence exercises improved vergence for near across all targets (P = 0.035). Mean accommodation changed similarly but nonsignificantly. No other treatment group differed significantly from the nonencouraged control group, whereas encouraging effort produced significantly increased vergence (P = 0.004) and accommodation (P = 0.005) gains in the second control group. True treatment effects were small, significantly better only after vergence exercises to a nonaccommodative target, and rarely related to the response they were designed to improve. Exercising accommodation without convergence made no difference to accommodation to cues containing detail. Additional effort improved objective responses the most. Copyright © 2014 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.

The availability of smoking-permitted accommodations from Airbnb in 12 Canadian cities

Science.gov (United States)

Kennedy, Ryan David; Douglas, Ornell; Stehouwer, Lindsay; Dawson, Jackie

2018-01-01

Purpose Airbnb is a web-based peer-to-peer (P2P) service that enables potential hosts and guests to broker accommodations in private homes as an alternative to traditional hotels. The hospitality sector has increasingly gone smoke-free over the last decade. This study identified the availability and cost of smoking-permitted accommodations identified on Airbnb. Methods The study team searched for Airbnb accommodations in 12 Canadian cities across each of Canada’s 10 provinces. Searches included availability for a single person for a private room, or double occupancy for an entire home/apartment; searches were for 1-night and 1-week stays. Results Cities across Canada, including Regina, Fredericton and Charlottetown, had no smoking-permitted accommodations available for the searches conducted. The proportion of private rooms available for one night that permitted smoking ranged from 2% in Calgary, 4% in Winnipeg and St. John’s, 10% in Halifax and Victoria, 18% in Toronto, 45% in Vancouver and 69% in Montréal. The average cost for a private room for one night in Vancouver was $128, while the cost for a private room that permits smoking was $62; however, in other markets prices were more similar. Discussion Across Canada, there is a wide range of smoking-permitted accommodations available through Airbnb. In some markets, smoking-permitted accommodation may be significantly less expensive than smoke-free options. As hotel chains increasingly go smoke-free, it is possible that the marketplace will respond with offerings to fulfil consumer demand. As policy makers consider how to regulate P2P services like Airbnb, public health considerations should be included. PMID:28219974

Correlation between the use of the accommodation and symptoms of asthenopia in hyperopic patients

Directory of Open Access Journals (Sweden)

Juan Carlos Luna da Costa

2015-08-01

Full Text Available ABSTRACT Purpose: The objective of this paper was to compare the symptoms of asthenopia in patients at different levels of hyperopia and corrected for different accommodative efforts. Methods: This study is an experimental design and quantitative approach. Sixty-nine hyperopic patients aged between 15 and 40 were selected. Individuals with a diagnosis of accommodative insufficiency and paralysis, accommodative spasm or any type of ocular deviation were excluded. Subjects were randomly divided into four groups. Each one performed a nearvision task with different corrective lenses, varying the value of the accommodative effort. Results: There is significant reduction in the asthenopia score during the near-vision task when leaving 35% or more of the amplitude of accommodation in reserve. The linear regression showed that the variables total hyperopia (r = 0.109 and the difference between static and dynamic refraction (r = 0.135 did not obtain significant linear relationship to the asthenopia score. Conclusions: There is significant reduction in the asthenopia score when leaving 35% or more of the amplitude of accommodation in reserve. The symptoms of asthenopia are not associated to the severity of the hyperopic refractive error. The search for symptoms before the near vision task, using a questionnaire, related to the symptoms during the accommodative effort task, revealing the importance of searching for complaints about asthenopia during anamnesis, which can help ophthalmologists with prescriptions of glasses for hyperopic patients with asthenopia.

Workplace accommodations and job success for persons with bipolar disorder.

Science.gov (United States)

Tremblay, Carol Horton

2011-01-01

This research seeks to identify job characteristics and workplace policies conducive to the job success of individuals with bipolar disorder, and to examine the interactions between employers and bipolar employees regarding requested workplace accommodations. The study population consists of 39 adults who were in outpatient care and diagnosed with bipolar I or II disorder. Each participant completed a mail-in questionnaire regarding workplace characteristics that would enhance job performance. Primary beneficial work characteristics reported are schedule flexibility, autonomy, and supervisor willingness to provide accommodations. Specific helpful characteristics noted by participants include allowances for working at home, leaves of absence, frequent breaks, barriers between work spaces, control over goal-setting, creativity, and avoidance of jobs with pace set by machinery. Twelve of the 26 workers requested workplace changes, and of the 12 requests, 10 were implemented. Incidents of employer bias were reported. The experiences of the survey participants regarding beneficial workplace accommodations may help to improve the productivity and well-being of other individuals with bipolar disorder.

41 CFR 301-10.121 - What classes of airline accommodations are available?

Science.gov (United States)

2010-07-01

... higher than coach and lower than first-class, in both cost and amenities. This class of accommodation is...-class. The basic class of accommodation by airlines that is normally the lowest fare offered regardless of airline terminology used. For reference purposes only, coach-class may also be referred to by...

7 CFR 1744.30 - Automatic lien accommodations.

Science.gov (United States)

2010-01-01

... Government mortgage to secure the private lender notes including, but not limited to, those of the private... affiliated companies with the proceeds of private lender notes qualifying for an automatic lien accommodation... forth in this section. (b) Private lender responsibility. The private lender is responsible for ensuring...

Managing Guest as an Asset: a Conceptual Review in the Context of Accommodation Services

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Dwi Suhartanto

2015-10-01

Full Text Available This article discusses the concept of a customer as an asset of business in the accommodation industry. The purpose of this article is to examine the value of guests as a firm asset and to propose a model for managing guests as an asset in the context of accommodation services. A guest is considered an asset due to its role in providing revenue to the accommodation firm. Because of this role, the accommodation guest needs to be managed appropriately. This article argues that guest service evaluation (i.e. service quality, perceived value, and guest satisfaction and service loyalty are important factors in the development of guest lifetime value. The proposed model of managing guests as an asset consists of marketing instruments, service evaluation, guest loyalty, and financial outcomes provides a comprehensive guide on how accommodation firms can manage the lifetime value of their guests. Finally, as there are limited studies examining this issue, future research should test the proposed model.

A meta-analytic review of the relationship between family accommodation and OCD symptom severity.

Science.gov (United States)

Strauss, Clara; Hale, Lucy; Stobie, Blake

2015-06-01

Accommodation of obsessive compulsive disorder (OCD) symptoms by family members is common. This paper presents a systematic meta-analytic review on family accommodation and OCD symptom severity. Fourteen studies investigating the relationship between family accommodation and OCD symptoms were selected. The medium effect size of the relationship between family accommodation and OCD symptom severity was significant (r = .35; 95% CI: .23 to .47), based on a Hunter-Schmidt random effects model with a total of 849 participants. Although there was some evidence of publication bias, Rosenthal's fail-safe N suggested that 596 studies with zero effect would be needed to reduce the mean effect size to non-significant. Findings are discussed in the context of the limitations of the studies, and in particular the reliance on cross-sectional designs which impede causal conclusions. Future research to evaluate a family accommodation intervention in a randomized controlled design and using mediation analysis to explore change mechanisms is called for. Copyright © 2015 Elsevier Ltd. All rights reserved.

Effect of vergence adaptation on convergence-accommodation: model simulations.

Science.gov (United States)

Sreenivasan, Vidhyapriya; Bobier, William R; Irving, Elizabeth L; Lakshminarayanan, Vasudevan

2009-10-01

Several theoretical control models depict the adaptation effects observed in the accommodation and vergence mechanisms of the human visual system. Two current quantitative models differ in their approach of defining adaptation and in identifying the effect of controller adaptation on their respective cross-links between the vergence and accommodative systems. Here, we compare the simulation results of these adaptation models with empirical data obtained from emmetropic adults when they performed sustained near task through + 2D lens addition. The results of our experimental study showed an initial increase in exophoria (a divergent open-loop vergence position) and convergence-accommodation (CA) when viewing through +2D lenses. Prolonged fixation through the near addition lenses initiated vergence adaptation, which reduced the lens-induced exophoria and resulted in a concurrent reduction of CA. Both models showed good agreement with empirical measures of vergence adaptation. However, only one model predicted the experimental time course of reduction in CA. The pattern of our empirical results seem to be best described by the adaptation model that indicates the total vergence response to be a sum of two controllers, phasic and tonic, with the output of phasic controller providing input to the cross-link interactions.

Work Barriers Experienced and Job Accommodations Used by Persons with Arthritis and Other Rheumatic Diseases.

Science.gov (United States)

Allaire, Saralynn H.; Li, Wei; LaValley, Michael P.

2003-01-01

Many people with arthritis become work disabled, but little is known about the types of work barriers they experience and their use of job accommodations. This article describes work barriers and use of accommodations and examines factors associated with accommodation use in persons with arthritis at risk for work disability. (Contains 30…

The effect of longitudinal chromatic aberration on the lag of accommodation and depth of field.

Science.gov (United States)

Jaskulski, Mateusz; Marín-Franch, Iván; Bernal-Molina, Paula; López-Gil, Norberto

2016-11-01

Longitudinal chromatic aberration is present in all states of accommodation and may play a role in the accommodation response and the emmetropisation process. We study the change of the depth of field (DOFi) with the state of accommodation, taking into account the longitudinal chromatic aberration. Subjective DOFi was defined as the range of defocus beyond which the blur of the target (one line of optotypes of 0.1 logMAR shown on a black-and-white microdisplay, seen through different colour filters) was perceived as objectionable. The subject's eye was paralysed and different, previously-measured accommodative states (corresponding to the accommodative demands of 0D, 2D and 4D) were simulated with a deformable mirror. Different colour conditions (monochromatic red, green and blue and polychromatic (white) were tested. The DOFi was measured subjectively, using a motorised Badal system. Taking as reference the average accommodative response for the white stimulus, the blue response exhibits on average a lead of 0.45 ± 0.09D, the green a negligible lead of 0.07 ± 0.02D and red a lag of 0.49 ± 0.10D. The monochromatic DOFi, calculated by averaging DOFi over the red, green and blue colour conditions for each accommodative demand was 1.10 ± 0.10D for 0D, 1.20 ± 0.08D for 2D, and 1.26 ± 0.40D for 4D. The polychromatic white DOFi were greater than the average monochromatic DOFi by 19%, 9% and 14% for 0D, 2D, and 4D of accommodative demand, respectively. The longitudinal chromatic aberration causes a dioptric shift of the monochromatic accommodation response. The study did not reveal this shift to depend on the accommodative demand or to have an effect on the DOFi. © 2016 The Authors Ophthalmic & Physiological Optics © 2016 The College of Optometrists.

Agreement between clinical and laboratory methods assessing tonic and cross-link components of accommodation and vergence.

Science.gov (United States)

Neveu, Pascaline; Priot, Anne-Emmanuelle; Philippe, Matthieu; Fuchs, Philippe; Roumes, Corinne

2015-09-01

Several tests are available to optometrists for investigating accommodation and vergence. This study sought to investigate the agreement between clinical and laboratory methods and to clarify which components are actually measured when tonic and cross-link of accommodation and vergence are assessed. Tonic vergence, tonic accommodation, accommodative vergence (AC/A) and vergence accommodation (CA/C) were measured using several tests. Clinical tests were compared to the laboratory assessment, the latter being regarded as an absolute reference. The repeatability of each test and the degree of agreement between the tests were quantified using Bland-Altman analysis. The values obtained for each test were found to be stable across repetitions; however, in most cases, significant differences were observed between tests supposed to measure the same oculomotor component. Tonic and cross-link components cannot be easily assessed because proximal and instrumental responses interfere with the assessment. Other components interfere with oculomotor assessment. Specifically, accommodative divergence interferes with tonic vergence estimation and the type of accommodation considered in the AC/A ratio affects its magnitude. Results on clinical tonic accommodation and clinical CA/C show that further investigation is needed to clarify the limitations associated with the use of difference of Gaussian as visual targets to open the accommodative loop. Although different optometric tests of accommodation and vergence rely on the same basic principles, the results of this study indicate that clinical and laboratory methods actually involve distinct components. These differences, which are induced by methodological choices, must be taken into account, when comparing studies or when selecting a test to investigate a particular oculomotor component. © 2015 The Authors. Clinical and Experimental Optometry © 2015 Optometry Australia.

Synthesis of Available Accommodations for Students with Visual Impairments on Standardized Assessments

Science.gov (United States)

Smith, Derrick W.; Amato, Sheila

2012-01-01

Because of the mandates found in the Individuals with Disabilities Education Act that specifically focus on assessment, most states have developed a set of policies that focus on the types of accommodations that can be provided to students with disabilities. Students with visual impairments require a unique set of accommodations. Braille and large…

EVALUATION OF SERVICES’ QUALITY IN UPPER SILESIA ACCOMMODATION FACILITIES

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Iwona Cieślik

2013-12-01

Full Text Available This paper presents the results of study about impact of accommodation services’ quality, particularly quality of work and qualifications of staff, on the guests’ opinion, and thus promoting the accommodation facilities, and making a choice of a hotel in the Upper Silesia. The study involved 200 people, taking into account their gender, age, place of residence, education and occupational status. The research tool was a survey questionnaire. The results indicate close correlation between the quality of staff services (individual approach, aesthetics, discretion, understanding and the customer is satisfaction. Particular attention was paid to the quality of service by the guests with high professional status, and higher education.

A Model of Supervisor Decision-Making in the Accommodation of Workers with Low Back Pain.

Science.gov (United States)

Williams-Whitt, Kelly; Kristman, Vicki; Shaw, William S; Soklaridis, Sophie; Reguly, Paula

2016-09-01

Purpose To explore supervisors' perspectives and decision-making processes in the accommodation of back injured workers. Methods Twenty-three semi-structured, in-depth interviews were conducted with supervisors from eleven Canadian organizations about their role in providing job accommodations. Supervisors were identified through an on-line survey and interviews were recorded, transcribed and entered into NVivo software. The initial analyses identified common units of meaning, which were used to develop a coding guide. Interviews were coded, and a model of supervisor decision-making was developed based on the themes, categories and connecting ideas identified in the data. Results The decision-making model includes a process element that is described as iterative "trial and error" decision-making. Medical restrictions are compared to job demands, employee abilities and available alternatives. A feasible modification is identified through brainstorming and then implemented by the supervisor. Resources used for brainstorming include information, supervisor experience and autonomy, and organizational supports. The model also incorporates the experience of accommodation as a job demand that causes strain for the supervisor. Accommodation demands affect the supervisor's attitude, brainstorming and monitoring effort, and communication with returning employees. Resources and demands have a combined effect on accommodation decision complexity, which in turn affects the quality of the accommodation option selected. If the employee is unable to complete the tasks or is reinjured during the accommodation, the decision cycle repeats. More frequent iteration through the trial and error process reduces the likelihood of return to work success. Conclusion A series of propositions is developed to illustrate the relationships among categories in the model. The model and propositions show: (a) the iterative, problem solving nature of the RTW process; (b) decision resources necessary

Family accommodation mediates the association between anxiety ...

African Journals Online (AJOL)

Objective: The link between child anxiety and maternal anxiety has been well established but the factors underlying this association are not well understood. One potential factor is family accommodation, which describes ways in which parents change their behaviour to help a child avoid or alleviate anxiety. Family ...

Usage of CISS and Conlon surveys in eye accommodation studies

Science.gov (United States)

Panke, Karola; Svede, Aiga; Jaschinski, Wolfgang; Krumina, Gunta

2017-08-01

To date, there is no assessment of more than one survey used for a clinical research study that address subjects with and without symptoms related to accommodative or binocular vision disorders. Thus, the purpose of this study was to investigate two different surveys - CISS and Conlon for the same subject group and analyse also critical visual function parameters. Monocular and binocular accommodative response for 20 subjects was measured for dominant eye with openfield infrared autorefractometer (Shin-Nippon SRW-5000) at three distances (24 cm, 30 cm and 40 cm). Subjects were divided into symptomatic and asymptomatic group using cut off score 21 for CISS and 20 for Conlon survey. We found positive exponential growth relationship between CISS and Conlon scores (R² = 0.7), but separation between symptomatic and asymptomatic group differed significantly depending on which survey was used. We found positive correlation between Conlon score and exophoria at 30 cm (r=0.41, p=0.01) and 24 cm (r=0.27, p=0.03). Relationship between subjective symptoms and following clinical parameters - accommodation lag (r accommodation (r convergence near point (r = 0.26, p < 0.05) were not significant. Our results confirmed that using different subjective symptom surveys can provide different results within the same subject group, therefore we recommend to use surveys as a part of case history and tool to measure patient satisfaction and results of treatment effectiveness instead of using them for clinical trials as a criteria to divide symptomatic and asymptomatic group.

Accommodative insufficiency as cause of asthenopia in computer-using students

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Husnun Amalia

2010-08-01

Full Text Available To date the use of computers is widely distributed throughout the world and the associated ocular complaints are found in 75-90% of the population of computer users. Symptoms frequently reported by computer users were eyestrain, tired eyes, irritation, redness, blurred vision, diplopia, burning of the eyes, and asthenopia (visual fatigue of the eyes. A cross-sectional study was conducted to determine the etiology of asthenopia in computer-using students. A questionnaire consisting of 15 items was used to assess symptoms experienced by the computer users. The ophthalmological examination comprised visual acuity, the Hirschberg test, near point accommodation, amplitude accommodation, near point convergence, the cover test, and the alternate cover test. A total of 99 computer science students, of whom 69.7% had asthenopia, participated in the study. The symptoms that were significantly associated with asthenopia were visual fatigue (p=0.031, heaviness in the eye (p=0.002, blurred vision (p=0.001, and headache at the temples or the back of the head (p=0.000. Refractive asthenopia was found in 95.7% of all asthenopia patients with accommodative insufficiency (AI, constituting the most frequent cause at 50.7%. The duration of computer use per day was not significantly associated with the prevalence of asthenopia (p=0.700. There was a high prevalence of asthenopia among computer science students, mostly caused by refractive asthenopia. Accommodation measurements should be performed more routinely and regularly, maybe as screening, especially in computer users

Accommodative insufficiency as cause of asthenopia in computer-using students

Directory of Open Access Journals (Sweden)

Husnun Amalia

2016-02-01

Full Text Available To date the use of computers is widely distributed throughout the world and the associated ocular complaints are found in 75-90% of the population of computer users. Symptoms frequently reported by computer users were eyestrain, tired eyes, irritation, redness, blurred vision, diplopia, burning of the eyes, and asthenopia (visual fatigue of the eyes. A cross-sectional study was conducted to determine the etiology of asthenopia in computer-using students. A questionnaire consisting of 15 items was used to assess symptoms experienced by the computer users. The ophthalmological examination comprised visual acuity, the Hirschberg test, near point accommodation, amplitude accommodation, near point convergence, the cover test, and the alternate cover test. A total of 99 computer science students, of whom 69.7% had asthenopia, participated in the study. The symptoms that were significantly associated with asthenopia were visual fatigue (p=0.031, heaviness in the eye (p=0.002, blurred vision (p=0.001, and headache at the temples or the back of the head (p=0.000. Refractive asthenopia was found in 95.7% of all asthenopia patients with accommodative insufficiency (AI, constituting the most frequent cause at 50.7%. The duration of computer use per day was not significantly associated with the prevalence of asthenopia (p=0.700. There was a high prevalence of asthenopia among computer science students, mostly caused by refractive asthenopia. Accommodation measurements should be performed more routinely and regularly, maybe as screening, especially in computer users.

The availability of smoking-permitted accommodations from Airbnb in 12 Canadian cities.

Science.gov (United States)

Kennedy, Ryan David; Douglas, Ornell; Stehouwer, Lindsay; Dawson, Jackie

2018-01-01

Airbnb is a web-based peer-to-peer (P2P) service that enables potential hosts and guests to broker accommodations in private homes as an alternative to traditional hotels. The hospitality sector has increasingly gone smoke-free over the last decade. This study identified the availability and cost of smoking-permitted accommodations identified on Airbnb. The study team searched for Airbnb accommodations in 12 Canadian cities across each of Canada's 10 provinces. Searches included availability for a single person for a private room, or double occupancy for an entire home/apartment; searches were for 1-night and 1-week stays. Cities across Canada, including Regina, Fredericton and Charlottetown, had no smoking-permitted accommodations available for the searches conducted. The proportion of private rooms available for one night that permitted smoking ranged from 2% in Calgary, 4% in Winnipeg and St. John's, 10% in Halifax and Victoria, 18% in Toronto, 45% in Vancouver and 69% in Montréal. The average cost for a private room for one night in Vancouver was $128, while the cost for a private room that permits smoking was $62; however, in other markets prices were more similar. Across Canada, there is a wide range of smoking-permitted accommodations available through Airbnb. In some markets, smoking-permitted accommodation may be significantly less expensive than smoke-free options. As hotel chains increasingly go smoke-free, it is possible that the marketplace will respond with offerings to fulfil consumer demand. As policy makers consider how to regulate P2P services like Airbnb, public health considerations should be included. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

A Qualitative Comparison on Guidelines for Construction Workers Accommodation and Facility

OpenAIRE

Khamis Norasyikin; Suratkon Azeanita; Mohammad Hairuddin; Yaman Siti Khalijah

2017-01-01

Construction industry in Malaysia covers almost 1.3 million workers. Thus, realizing the importance of human-centred trait, a long-term plan that is led by the Construction Industry Development Board Malaysia (CIDB) has been designed to improve accommodation and facilities of workers at construction site. In conjunction to that, the Institute for Industrial Research and Standards Malaysia (SIRIM) has developed Malaysia Standard (MS 2593:2015) as the guideline for improvement of accommodation ...

The Assessment of Accommodation and Convergence System in the Bank Employees

OpenAIRE

Monireh Mahjoob; Abbas Azimi-Khorasani; Hamed Momeni-Moghadam; Masoud Raeisi; Jalil Nejati

2013-01-01

Background: Regarding the high outbreak rate of the eye disorders and problems particularly accommodation disorders and convergence insufficiency in computer users, the study tries to determine the convergence, accommodation system, condition, fusion reserves and vision dimension in bank employees (who work with computers) and the control group (who are not computer users) and then to compare the mentioned parameters in the two groups. Materials and Methods: In this cross-sectional and observ...

Geographies of studentification and purpose-built student accommodation: leading separate lives?

OpenAIRE

Phil Hubbard

2009-01-01

Off-campus student accommodation in the form of shared rental housing has become increasingly significant in the UK, with studies suggesting that this is having important consequences for housing markets in university towns. However, the continuing expansion of higher education, the increased involvement of private investment capital, and changing student demands are seen to be encouraging a move away from houses in multiple occupation towards purpose-built accommodation. Drawing on housing s...

Home Stay Accommodation for Tourism Development in East Coast Economic Region

OpenAIRE

Md. Anowar Hossain Bhuiyan; Chamhuri Siwar; Shaharuddin Mohamad Ismail; Rabiul Islam

2012-01-01

Problem statement: Home stay program provided tourists multi ethnic life condition with cultural experiences and economic well beings for the local people. Malaysian home stay program differed from the other commercial home stay in the world. Home stay accommodation can create a scope to the local communities for active participation in tourism activities. Home stay accommodation might be a potential economic activity in the East Coast Economic Region (ECER). The study examined the potentiali...

Accommodation Decision Making for Postsecondary Students with Learning Disabilities: Individually Tailored or One Size Fits All?

Science.gov (United States)

Weis, Robert; Dean, Emily L.; Osborne, Karen J.

2016-01-01

Clinicians uniformly recommend accommodations for college students with learning disabilities; however, we know very little about which accommodations they select and the validity of their recommendations. We examined the assessment documentation of a large sample of community college students receiving academic accommodations for learning…

Supervisor Autonomy and Considerate Leadership Style are Associated with Supervisors' Likelihood to Accommodate Back Injured Workers.

Science.gov (United States)

McGuire, Connor; Kristman, Vicki L; Shaw, William; Williams-Whitt, Kelly; Reguly, Paula; Soklaridis, Sophie

2015-09-01

To determine the association between supervisors' leadership style and autonomy and supervisors' likelihood of supporting job accommodations for back-injured workers. A cross-sectional study of supervisors from Canadian and US employers was conducted using a web-based, self-report questionnaire that included a case vignette of a back-injured worker. Autonomy and two dimensions of leadership style (considerate and initiating structure) were included as exposures. The outcome, supervisors' likeliness to support job accommodation, was measured with the Job Accommodation Scale (JAS). We conducted univariate analyses of all variables and bivariate analyses of the JAS score with each exposure and potential confounding factor. We used multivariable generalized linear models to control for confounding factors. A total of 796 supervisors participated. Considerate leadership style (β = .012; 95% CI .009-.016) and autonomy (β = .066; 95% CI .025-.11) were positively associated with supervisors' likelihood to accommodate after adjusting for appropriate confounding factors. An initiating structure leadership style was not significantly associated with supervisors' likelihood to accommodate (β = .0018; 95% CI -.0026 to .0061) after adjusting for appropriate confounders. Autonomy and a considerate leadership style were positively associated with supervisors' likelihood to accommodate a back-injured worker. Providing supervisors with more autonomy over decisions of accommodation and developing their considerate leadership style may aid in increasing work accommodation for back-injured workers and preventing prolonged work disability.

Kinematic and ground reaction force accommodation during weighted walking.

Science.gov (United States)

James, C Roger; Atkins, Lee T; Yang, Hyung Suk; Dufek, Janet S; Bates, Barry T

2015-12-01

Weighted walking is a functional activity common in daily life and can influence risks for musculoskeletal loading, injury and falling. Much information exists about weighted walking during military, occupational and recreational tasks, but less is known about strategies used to accommodate to weight carriage typical in daily life. The purposes of the study were to examine the effects of weight carriage on kinematics and peak ground reaction force (GRF) during walking, and explore relationships between these variables. Twenty subjects walked on a treadmill while carrying 0, 44.5 and 89 N weights in front of the body. Peak GRF, sagittal plane joint/segment angular kinematics, stride length and center of mass (COM) vertical displacement were measured. Changes in peak GRF and displacement variables between weight conditions represented accommodation. Effects of weight carriage were tested using analysis of variance. Relationships between peak GRF and kinematic accommodation variables were examined using correlation and regression. Subjects were classified into sub-groups based on peak GRF responses and the correlation analysis was repeated. Weight carriage increased peak GRF by an amount greater than the weight carried, decreased stride length, increased vertical COM displacement, and resulted in a more extended and upright posture, with less hip and trunk displacement during weight acceptance. A GRF increase was associated with decreases in hip extension (|r|=.53, p=.020) and thigh anterior rotation (|r|=.57, p=.009) displacements, and an increase in foot anterior rotation displacement (|r|=.58, p=.008). Sub-group analysis revealed that greater GRF increases were associated with changes at multiple sites, while lesser GRF increases were associated with changes in foot and trunk displacement. Weight carriage affected walking kinematics and revealed different accommodation strategies that could have implications for loading and stability. Copyright © 2015 Elsevier B

Solid NMR study of lithium ions accommodated in various transition metal oxides

International Nuclear Information System (INIS)

Kanzaki, Yasushi; Suzuki, Noriko

2008-01-01

Solid NMR was used to elucidate the lithium accommodation/extraction reaction in various transition metal oxides. The first study was the lithium ion exchange reaction of titanium antimonic acid (TiSbA). The effect of hydration on the selectivity of lithium ion in the solid phase was examined using 7 Li NMR. The second study was the irreversible ion exchange behavior of HNbO 3 . The selectivity for the lithium ion and the irreversible behavior were examined using 1 H and 7 Li NMR. The third study was the isotope separation between 6 Li and 7 Li in various inorganic ion exchangers. The high isotope separation coefficient was ascribed to the degree of dehydration during the ion exchange reaction. The degree of dehydration was examined by 1 H and 7 Li NMR studies. The last study was determining the mechanism of the lithium accommodation/extraction reaction of λ-MnO 2 in an aqueous solution. The different paths between the accommodation and extraction and the formation of MnO 4- during the accommodation were determined by chemical analysis. The Knight shift in the 7 Li MAS-NMR spectra of Li 0.5 MnO 2 suggested the localization of the electron density on the lithium nuclei. An XPS study also suggested the presence of an electron density on the lithium nuclei. A pH-independent redox couple was assumed to account for the accommodation/extraction reaction of lithium ions, such as Li(I)/Li(0). (author)

Kinetic modeling of solid-state partitioning phase transformation with simultaneous misfit accommodation

International Nuclear Information System (INIS)

Song, Shaojie; Liu, Feng

2016-01-01

Considering a spherical misfitting precipitate growing into a finite elastic-perfectly plastic supersaturated matrix, a kinetic modeling for such solid-state partitioning phase transformation is presented, where the interactions of interface migration, solute diffusion and misfit accommodation are analyzed. The linkage between interface migration and solute diffusion proceeds through interfacial composition and interface velocity; their effects on misfit accommodation are mainly manifested in an effective transformation strain, which depends on instantaneous composition field and precipitate size. Taking γ to α transformation of a binary Fe-0.5 at.% C alloy under both isothermal and continuous cooling conditions as examples, the effects of misfit accommodation on the coupling interface migration and solute diffusion are well evaluated and discussed. For the isothermal transformation, a counterbalancing influence between mechanical and chemical driving forces is found so that the mixed-mode transformation kinetics is not sensitive with respect to the elastic–plastic accommodation of the effective misfit strain. Different from the isothermal process, during the continuous cooling condition, the effects of misfit accommodation on the kinetics of solid-state partitioning phase transformation are mainly manifested in the great decrease of the transformation starting temperature and the thermodynamic equilibrium composition. The present kinetic modeling was applied to predict the experimentally measured γ/α transformation of Fe-0.47 at.% C alloy conducted with a cooling rate of 10 K min −1 and a good agreement was achieved.

The standpoint of persons with hearing loss on work disparities and workplace accommodations.

Science.gov (United States)

Shaw, Lynn; Tetlaff, Britta; Jennings, Mary Beth; Southall, Kenneth E

2013-01-01

The perspectives of persons who live and work with hearing loss were sought to examine workplace accommodation challenges and strategies. A convenience sample of seven older adults with hearing loss participated in in-depth interviews. A systematic grounded theory approach informed the study design and analysis. Categories of facilitators and challenges in the data were identified through axial coding and clustering. Core categories of social processes emerged through constant comparison and theoretical sampling of the data to reveal the actions and interactions used to negotiate or implement adaptations or workplace accommodations. Persons with hearing loss use a realm of strategies to live and work with a hearing loss. Social processes used to navigate the challenges to working with hearing loss and to manage optimal work performance included: self-accommodation, self-advocacy, self-management of hearing loss, and lobbying. Success in overcoming work disparities for persons with hearing loss requires individuals to take control of identifying their needs within the workplace and at home, and to negotiate for specific accommodations. These strategies and processes draw attention to the need for a repository on contextualized workplace accommodation strategies for improving communication and hearing in the workplace. Further to this a best practice guide for use by workers, employers, and work rehabilitation and health care workers is indicated.

Accommodation in human eye models: a comparison between the optical designs of Navarro, Arizona and Liou-Brennan.

Science.gov (United States)

Zoulinakis, Georgios; Esteve-Taboada, Jose Juan; Ferrer-Blasco, Teresa; Madrid-Costa, David; Montés-Micó, Robert

2017-01-01

To simulate and compare accommodation in accommodative and non-accommodative human eye models. Ray tracing and optical design program was used. Three eye models were designed and studied: the Navarro, the Arizona and the Liou-Brennan. In order to make the Navarro and Liou-Brennan models to accommodate, specific geometric parameters of the models were altered with values that were chosen from the literature. For the Arizona model, its' mathematical functions for accommodation were used for the same accommodative demands. The simulation included four distances of accommodation for each model: at infinity, 3, 1 and 0.5 m.The results were diffraction images of a "letter F" for graphical comparison, spot diagrams on the retinal field and Modulation Transfer Function (MTF) graphs. Zernike coefficients for the aberrations, Airy disk diameter, root mean square (RMS) error diameter and total axial length of the model were provided from the program. These were compared between them in all distances. The Navarro model had the smallest axial length change as a simple model. The Arizona did not change its axial length because it is designed to be accommodative. The Liou-Brennan model had different results concerning the aberrations because of the decentration of the pupil. The MTF graphs showed small differences between the models because of the differences in their designs. All the three models are able to simulate accommodation with the expected results. There is no model that can be assumed as the best choice. Accommodation can be simulated in non-accommodativemodels and in customized ones.

Employers’ Perspectives on Hiring and Accommodating Workers With Mental Illness

Directory of Open Access Journals (Sweden)

Janki Shankar

2014-08-01

Full Text Available Many individuals with mental illness want to return to work and stay in employment. Yet, there is little research that has examined the perspectives of employers on hiring and accommodating these workers and the kinds of supports employers need to facilitate their reintegration into the workforce. The aim of the current research was to explore the challenges employers face and the support they need to hire and accommodate workers with mental illness (WWMI. A qualitative research design guided by a grounded theory approach was used. In-depth interviews were conducted with 28 employers selected from a wide range of industries in and around Edmonton, Canada. The employers were a mix of frontline managers, disability consultants, and human resource managers who had direct experience with hiring and supervising WWMI. Data were analyzed using the principles of grounded theory. The findings highlight several challenges that employers face when dealing with mental health issues of workers in the workplace. These challenges can act as barriers to hiring and accommodating WWMI.

Columbus stowage optimization by cast (cargo accommodation support tool)

Science.gov (United States)

Fasano, G.; Saia, D.; Piras, A.

2010-08-01

A challenging issue related to the International Space Station utilization concerns the on-board stowage, implying a strong impact on habitability, safety and crew productivity. This holds in particular for the European Columbus laboratory, nowadays also utilized to provide the station with logistic support. The volume exploitation has to be maximized, in compliance with the given accommodation rules. At each upload step, the stowage problem must be solved quickly and efficiently. This leads to the comparison of different scenarios to select the most suitable one. Last minute upgrades, due to possible re-planning, may, moreover arise, imposing the further capability to rapidly readapt the current solution to the updated status. In this context, looking into satisfactory solutions represents a very demanding job, even for experienced designers. Thales Alenia Space Italia has achieved a remarkable expertise in the field of cargo accommodation and stowage. The company has recently developed CAST, a dedicated in-house software tool, to support the cargo accommodation of the European automated transfer vehicle. An ad hoc version, tailored to the Columbus stowage, has been further implemented and is going to be used from now on. This paper surveys the on-board stowage issue, pointing out the advantages of the proposed approach.

MULTIDISCIPLINARY APPROACH TO THE CORRECTION OF ACCOMMODATION REFRACTION DISORDERS IN VISUALLY INTENSIVE LABOR PERSONS

Directory of Open Access Journals (Sweden)

I. G. Ovechkin

2015-01-01

Full Text Available Increased load on the visual analyzer of an operator, increase in everyday visual performance, universal introduction of information displaying on cathode-ray tubes result in temporary and stable visual disturbances. Accommodative refractive apparatus of an eye is one of the key points of application of visually intensive labor. Work associated with permanent eyestrain overloads oculomotor and accommodative apparatus thus provoking myopic shift, increase in dynamic refraction, exophoric or esophoric shift of initial visual equilibrium. Accommodation disorders are accompanied by changes in ciliary muscle blood supply, abnormalities of vegetative segment regulation, parasympathetic brain vascular dystonia due to the decreased tonus of sympathetic nervous system. Evaluation of certain kind of activity in terms of ergonomics includes examination of visual status and visual working capacity, development of visual professiograms and vision standards for certain professions, justification of methods and tools of visual work optimization. Visual disturbances in operators developing in the course of visually intensive occupational work should be considered from the viewpoint of traditional accommodation and refraction disorders as well as functional manifestations of general fatigue or thoracic cervical spine dysfunction. Symptoms of accommodative asthenopia can be regarded as a functional manifestation of general fatigue syndrome or functional neurosis. Development of multidisciplinary approach to the correction of accommodation refraction disorders in visually intensive labor persons is of scientific urgency and practical reasonability. There is a long-felt need in additional attraction of different specialists who use in their work physical factors for accommodative asthenopia correction. Development of multidisciplinary approach to accommodation refraction disorder correction in visually intensive labor persons is based on syndromic pathogenic

Reflection of a shock wave from a thermally accommodating wall - Molecular simulation.

Science.gov (United States)

Deiwert, G. S.

1973-01-01

Reflection of a plane shock wave from a wall has been simulated on a microscopic scale using a direct simulation Monte Carlo technique of the type developed by Bird. A monatomic gas model representing argon was used to describe the fluid medium and a simple one-parameter accommodation coefficient model was used to describe the gas-surface interaction. The influence of surface accommodation was studied parametrically by varying the accommodation coefficient from zero to one. Results are presented showing the temporal variations of flow field density, and mass, momentum, and energy fluxes to the wall during the shock wave reflection process. The energy flux was used to determine the wall temperature history. Comparisons with experiment are found to be satisfactory where data are available.

Small tourism accommodation business owners in Ghana: a factor analysis of motivations and challenges

Directory of Open Access Journals (Sweden)

J Mensah-Ansah

2014-01-01

Full Text Available Five hundred and five small tourism accommodation business owners in Ghana were surveyed to determine their motivation for owning/operating a small tourism business and the challenges they encounter. Tourism accommodation business owners indicated factors such as maintaining lifestyle, being their own bosses, capitalising on a business opportunity, generation of retirement income influence the decision to own/operate a small tourism accommodation businesses. These variables can be categorized as non-economic and economic factors. It was found that though the owners were motivated by commercial enterprise goals, these are subordinated to the pursuit of socially driven lifestyle motivation factors. Small tourism accommodation business owners in Ghana perceive the non-availability of skilled hospitality personnel and limited access to structured hospitality training programmes as the greatest challenge facing their industry.

Supervisor Autonomy and Considerate Leadership Style are Associated with Supervisors’ Likelihood to Accommodate Back Injured Workers

Science.gov (United States)

McGuire, Connor; Kristman, Vicki L; Williams-Whitt, Kelly; Reguly, Paula; Shaw, William; Soklaridis, Sophie

2015-01-01

PURPOSE To determine the association between supervisors’ leadership style and autonomy and supervisors’ likelihood of supporting job accommodations for back-injured workers. METHODS A cross-sectional study of supervisors from Canadian and US employers was conducted using a web-based, self-report questionnaire that included a case vignette of a back-injured worker. Autonomy and two dimensions of leadership style (considerate and initiating structure) were included as exposures. The outcome, supervisors’ likeliness to support job accommodation, was measured with the Job Accommodation Scale. We conducted univariate analyses of all variables and bivariate analyses of the JAS score with each exposure and potential confounding factor. We used multivariable generalized linear models to control for confounding factors. RESULTS A total of 796 supervisors participated. Considerate leadership style (β= .012; 95% CI: .009–.016) and autonomy (β= .066; 95% CI: .025–.11) were positively associated with supervisors’ likelihood to accommodate after adjusting for appropriate confounding factors. An initiating structure leadership style was not significantly associated with supervisors’ likelihood to accommodate (β = .0018; 95% CI: −.0026–.0061) after adjusting for appropriate confounders. CONCLUSIONS Autonomy and a considerate leadership style were positively associated with supervisors’ likelihood to accommodate a back-injured worker. Providing supervisors with more autonomy over decisions of accommodation and developing their considerate leadership style may aid in increasing work accommodation for back-injured workers and preventing prolonged work disability. PMID:25595332

a comparative study of the gradient accommodative convergence

African Journals Online (AJOL)

power by the eye in order to maintain a clear images as objects ... to work harmoniously for clear single binocular vision to be ... a balance between accommodation and convergence ... activity of life of the child especially with respect to school ...

Tuition and Living Accommodation Costs at Canadian Universities, 1978-79 and 1979-80.

Science.gov (United States)

Dulac, Claude

Tuition and living accommodation costs for students at most Canadian universities are summarized in this publication from Statistics Canada. Extensive data tables include information on accommodation costs for university-operated residences and housing and tuition fees. The range of tuition fees at the undergraduate level reflects a fee structure…

Effect of correction of aberration dynamics on chaos in human ocular accommodation.

Science.gov (United States)

Hampson, Karen M; Cufflin, Matthew P; Mallen, Edward A H

2013-11-15

We used adaptive optics to determine the effect of monochromatic aberration dynamics on the level of chaos in the accommodation control system. Four participants viewed a stationary target while the dynamics of their aberrations were either left uncorrected, defocus was corrected, or all aberrations except defocus were corrected. Chaos theory analysis was used to discern changes in the accommodative microfluctuations. We found a statistically significant reduction in the chaotic nature of the accommodation microfluctuations during correction of defocus, but not when all aberrations except defocus were corrected. The Lyapunov exponent decreased from 0.71 ± 0.07 D/s (baseline) to 0.55 ± 0.03 D/s (correction of defocus fluctuations). As the reduction of chaos in physiological signals is indicative of stress to the system, the results indicate that for the participants included in this study, fluctuations in defocus have a more profound effect than those of the other aberrations. There were no changes in the power spectrum between experimental conditions. Hence chaos theory analysis is a more subtle marker of changes in the accommodation control system and will be of value in the study of myopia onset and progression.

Is there any evidence for the validity of diagnostic criteria used for accommodative and nonstrabismic binocular dysfunctions?

Science.gov (United States)

Cacho-Martínez, Pilar; García-Muñoz, Ángel; Ruiz-Cantero, María Teresa

2014-01-01

To analyze the diagnostic criteria used in the scientific literature published in the past 25 years for accommodative and nonstrabismic binocular dysfunctions and to explore if the epidemiological analysis of diagnostic validity has been used to propose which clinical criteria should be used for diagnostic purposes. We carried out a systematic review of papers on accommodative and non-strabic binocular disorders published from 1986 to 2012 analysing the MEDLINE, CINAHL, PsycINFO and FRANCIS databases. We admitted original articles about diagnosis of these anomalies in any population. We identified 839 articles and 12 studies were included. The quality of included articles was assessed using the QUADAS-2 tool. The review shows a wide range of clinical signs and cut-off points between authors. Only 3 studies (regarding accommodative anomalies) assessed diagnostic accuracy of clinical signs. Their results suggest using the accommodative amplitude and monocular accommodative facility for diagnosing accommodative insufficiency and a high positive relative accommodation for accommodative excess. The remaining 9 articles did not analyze diagnostic accuracy, assessing a diagnosis with the criteria the authors considered. We also found differences between studies in the way of considering patients' symptomatology. 3 studies of 12 analyzed, performed a validation of a symptom survey used for convergence insufficiency. Scientific literature reveals differences between authors according to diagnostic criteria for accommodative and nonstrabismic binocular dysfunctions. Diagnostic accuracy studies show that there is only certain evidence for accommodative conditions. For binocular anomalies there is only evidence about a validated questionnaire for convergence insufficiency with no data of diagnostic accuracy. Copyright © 2012 Spanish General Council of Optometry. Published by Elsevier Espana. All rights reserved.

Accommodation and convergence in 10-year-old prematurely born and full-term children: a population-based study.

Science.gov (United States)

Larsson, Eva; Rydberg, Agneta; Holmström, Gerd

2012-09-01

To examine the accommodative amplitude and convergence in 10-year-old prematurely born children previously screened for retinopathy of prematurity (ROP) and to compare with full-term controls of the same age. Two-hundred and thirteen prematurely born and 217 children born at term were included. Accommodative amplitude and near-point convergence were assessed, together with best-corrected visual acuity (VA). A questionnaire was answered regarding possible problems at school. Binocular accommodation (P = 0.03) and convergence (P = 0.003) were significantly poorer in prematurely born children. Accommodation was correlated to neurological findings in the preterm group, but not to the degree of prematurity or stage of ROP. Regarding convergence there were no correlations to neurology, stage of ROP, or degree of prematurity. For neither accommodation nor convergence were any correlations with distance and near VA found. Preterm children had a higher prevalence of school problems, and there was an association with poor accommodation. Prematurely born children had poorer accommodation and convergence than full-term children, but no association with near VA was found. The reduction of accommodative amplitude and convergence was small and was probably of little clinical significance. However, it may have additional effects on other ophthalmological problems and school problems in the preterm group.

Quality of work life of front office employees in selected accommodation establishments / Rosa Naudé

OpenAIRE

Naudé, Rosa-Anne

2010-01-01

The South African hospitality industry, and more specifically the accommodation sector, is a booming industry within South African Tourism. Annually thousands of tourists, nationally and internationally, come to stay in accommodation establishments which offer a variety of services to guests (South Africa, 2009:499). What differentiates one accommodation establishment from another is the type and quality of service offered to guests. This service offered to guests can only be generated by ...

76 FR 47078 - Make Inoperative Exemptions; Vehicle Modifications To Accommodate People With Disabilities, Head...

Science.gov (United States)

2011-08-04

... minimum height, width, backsets, gaps, energy absorption, height retention, backset retention... Accommodate People With Disabilities, Head Restraints AGENCY: National Highway Traffic Safety Administration... in the context of vehicle modifications to accommodate people with disabilities. The rule facilitates...

Sustainable development of the today accommodation; Developpement durable de l'habitat existant

Energy Technology Data Exchange (ETDEWEB)

NONE

2003-07-01

This first colloquium deals with the energy mastership and the greenhouse gases reduction in the today accommodation. The accommodation represent u=indeed the main part of the energy consumption in front of the industry, the transports, the ternary buildings and the agricultural. This document proposes six papers presented during this day: the importance of the accommodation improvement market; the energy performance of buildings and the main requirements of the french directive; the energy performance of buildings and the german regulations in existing buildings; the energy performance standards in existing buildings in UK; the example of the danish certification; the home energy conservation Act (HECA) in United Kingdom. (A.L.B.)

Effects of positive relative accommodation on adolescent pseudomyopia with visual training

OpenAIRE

Jiang Yue; Hui Yue; Qiu-Jin Ren; Qing Zhou; Jing Huang

2014-01-01

AIM:To investigate the changes of the positive relative accommodation in adolescent pseudomyopia with visual training.METHODS: A total of 42 cases(84 eyes)were randomly divided into the visual training group and the control group. Visual acuity, average refraction of two groups 4wk after the training were measured, as well as positive relative accommodation(5m)were checked before the training and repeated 1, 2, 4wk after the training. Correlation analysis were given.RESULTS: There was statist...

Development and psychometric properties of the client's assessment of treatment scale for supported accommodation (CAT-SA).

Science.gov (United States)

Sandhu, Sima; Killaspy, Helen; Krotofil, Joanna; McPherson, Peter; Harrison, Isobel; Dowling, Sarah; Arbuthnott, Maurice; Curtis, Sarah; King, Michael; Leavey, Gerard; Shepherd, Geoff; Priebe, Stefan

2016-02-25

Patient-Reported Outcome Measures (PROMs) are important for evaluating mental health services. Yet, no specific PROM exists for the large and diverse mental health supported accommodation sector. We aimed to produce and validate a PROM specifically for supported accommodation services, by adapting the Client's Assessment of Treatment Scale (CAT) and assessing its psychometric properties in a large sample. Focus groups with service users in the three main types of mental health supported accommodation services in the United Kingdom (residential care, supported housing and floating outreach) were conducted to adapt the contents of the original CAT items and assess the acceptability of the modified scale (CAT-SA). The CAT-SA was then administered in a survey to service users across England. Internal consistency was assessed using Cronbach's alpha. Convergent validity was tested through correlations with subjective quality of life and satisfaction with accommodation, as measured by the Manchester Short Assessment of Quality of Life (MANSA). All seven original items of the CAT were regarded as relevant to appraisals of mental health supported accommodation services, with only slight modifications to the wording required. In the survey, data were obtained from 618 clients. The internal consistency of the CAT-SA items was 0.89. Mean CAT-SA scores were correlated with the specific accommodation item on the MANSA (r s  = 0.37, p ˂ .001). The content of the CAT-SA has relevance to service users living in mental health supported accommodation. The findings from our large survey show that the CAT-SA is acceptable across different types of supported accommodation and suggest good psychometric properties. The CAT-SA appears a valid and easy to use PROM for service users in mental health supported accommodation services.

ADHD symptoms and benefit from extended time testing accommodations.

Science.gov (United States)

Lovett, Benjamin J; Leja, Ashley M

2015-02-01

To investigate the relationship between ADHD symptoms, executive functioning problems, and benefit from extended time testing accommodations. College students completed a battery of measures assessing processing speed and reading fluency, reading comprehension (under two different time limits), symptoms of ADHD, executive functioning deficits, and perceptions of need for extended time. Students reporting more symptoms of ADHD and executive functioning deficits actually benefited less from extended time, and students' perceptions of their timing needs did not predict benefit. Students with more ADHD symptoms are less likely to use extended time effectively, possibly because of their associated executive functioning problems. These results suggest there may be little justification for examining a student's ADHD symptoms when making extended time accommodation decisions. © 2013 SAGE Publications.

SIBIU EUROPEAN CULTURAL CAPITAL PROGRAM: MEASURING THE IMPACT ON THE ACCOMMODATION SYSTEM

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Rotariu Ilie

2010-07-01

Full Text Available The Sibiu 2007 European Cultural Capital (ECOC was monitored in order to highlight the long-term impacts of the event. Preliminary findings on the tourism impacts are presented based on field research among visitors and statistics and field inventory. The most visible as well as the most significant impact on the city is the growth of accommodation supply. Not only did the number of licensed units and room grow substantially, but there was also considerable growth in the informal accommodation sector. Not only the city of Sibiu, but also the surrounding region benefited from the ECOC opportunity. The research shows that although the informal sector was able to respond fastest to the growth in accommodation demand, the greatest economic impact came from the development of large commercial hotels in the city itself.

Near-unity mass accommodation coefficient of organic molecules of varying structure.

Science.gov (United States)

Julin, Jan; Winkler, Paul M; Donahue, Neil M; Wagner, Paul E; Riipinen, Ilona

2014-10-21

Atmospheric aerosol particles have a significant effect on global climate, air quality, and consequently human health. Condensation of organic vapors is a key process in the growth of nanometer-sized particles to climate relevant sizes. This growth is very sensitive to the mass accommodation coefficient α, a quantity describing the vapor uptake ability of the particles, but knowledge on α of atmospheric organics is lacking. In this work, we have determined α for four organic molecules with diverse structural properties: adipic acid, succinic acid, naphthalene, and nonane. The coefficients are studied using molecular dynamics simulations, complemented with expansion chamber measurements. Our results are consistent with α = 1 (indicating nearly perfect accommodation), regardless of the molecular structural properties, the phase state of the bulk condensed phase, or surface curvature. The results highlight the need for experimental techniques capable of resolving the internal structure of nanoparticles to better constrain the accommodation of atmospheric organics.

Symptomatology associated with accommodative and binocular vision anomalies.

Science.gov (United States)

García-Muñoz, Ángel; Carbonell-Bonete, Stela; Cacho-Martínez, Pilar

2014-01-01

To determine the symptoms associated with accommodative and non-strabismic binocular dysfunctions and to assess the methods used to obtain the subjects' symptoms. We conducted a scoping review of articles published between 1988 and 2012 that analysed any aspect of the symptomatology associated with accommodative and non-strabismic binocular dysfunctions. The literature search was performed in Medline (PubMed), CINAHL, PsycINFO and FRANCIS. A total of 657 articles were identified, and 56 met the inclusion criteria. We found 267 different ways of naming the symptoms related to these anomalies, which we grouped into 34 symptom categories. Of the 56 studies, 35 employed questionnaires and 21 obtained the symptoms from clinical histories. We found 11 questionnaires, of which only 3 had been validated: the convergence insufficiency symptom survey (CISS V-15) and CIRS parent version, both specific for convergence insufficiency, and the Conlon survey, developed for visual anomalies in general. The most widely used questionnaire (21 studies) was the CISS V-15. Of the 34 categories of symptoms, the most frequently mentioned were: headache, blurred vision, diplopia, visual fatigue, and movement or flicker of words at near vision, which were fundamentally related to near vision and binocular anomalies. There is a wide disparity of symptoms related to accommodative and binocular dysfunctions in the scientific literature, most of which are associated with near vision and binocular dysfunctions. The only psychometrically validated questionnaires that we found (n=3) were related to convergence insufficiency and to visual dysfunctions in general and there no specific questionnaires for other anomalies. Copyright © 2014. Published by Elsevier Espana.

The influence of crystalline lens accommodation on post-saccadic oscillations in pupil-based eye trackers.

Science.gov (United States)

Nyström, Marcus; Andersson, Richard; Magnusson, Måns; Pansell, Tony; Hooge, Ignace

2015-02-01

It is well known that the crystalline lens (henceforth lens) can oscillate (or 'wobble') relative to the eyeball at the end of saccades. Recent research has proposed that such wobbling of the lens is a source of post-saccadic oscillations (PSOs) seen in data recorded by eye trackers that estimate gaze direction from the location of the pupil. Since the size of the lens wobbles increases with accommodative effort, one would predict a similar increase of PSO-amplitude in data recorded with a pupil based eye tracker. In four experiments, we investigated the role of lens accommodation on PSOs in a video-based eye tracker. In Experiment 1, we replicated previous results showing that PSO-amplitudes increase at near viewing distances (large vergence angles), when the lens is highly accommodated. In Experiment 2a, we manipulated the accommodative state of the lens pharmacologically using eye drops at a fixed viewing distance and found, in contrast to Experiment 1, no significant difference in PSO-amplitude related to the accommodative state of the lens. Finally, in Experiment 2b, the effect of vergence angle was investigated by comparing PSO-amplitudes at near and far while maintaining a fixed lens accommodation. Despite the pharmacologically fixed degree of accommodation, PSO-amplitudes were systematically larger in the near condition. In summary, PSOs cannot exhaustively be explained by lens wobbles. Possible confounds related to pupil size and eye-camera angle are investigated in Experiments 3 and 4, and alternative mechanisms behind PSOs are probed in the discussion. Copyright © 2014 Elsevier Ltd. All rights reserved.

Accommodation stresses in hydride precipitates by synchrotron x-ray diffraction

International Nuclear Information System (INIS)

Santisteban, J R; Vicente, M A; Vizcaino, P; Banchik, A D; Almer, J

2012-01-01

Hydride-forming materials (Zr, Ti, Nb, etc) are affected by a sub-critical crack growth mechanism that involves the diffusion of H to the stressed region ahead of a crack, followed by nucleation and fracture of hydrides at the crack tip [1]. The phenomenon is intermittent, with the crack propagating through the hydride and stopping when it reaches the matrix. By repeating these processes, the crack propagates through a component at a rate that is highly dependent on the temperature history of the component. Most research effort to understand this phenomenon has occurred within the nuclear industry, as it affects the safe operation of pressure tubes (Zr2.5%Nb) and the long-term storage of nuclear fuel (Zircaloy cladding). Stress-induced hydride formation is a consequence of the volume dilatation that accompanies hydride formation (of the order of 15%), which is elastoplastically accommodated by the matrix and precipitate. Compressive stresses are expected within hydride precipitates due to the constraint imposed by the matrix. Such 'accommodation' stresses are essential ingredients in all theoretical models developed to assess the crack growth rate dependence on operational variables such as temperature, applied stress intensity factor, or overall H concentration [2]. Yet little experimental information is available about the magnitude and directionality of such accommodation stresses. Synchrotron X-ray diffraction is the only technique capable of quantifying such stresses. Here we briefly describe the fundaments of the technique, when used through an area detector placed in transmission geometry. The results of the experiments have allowed us to produce a comprehensive picture about the magnitude and origin of accommodation stresses in δ zirconium hydride platelets (author)

Accommodations and Modifications: What Parents Need To Know = Facilidades y modificaciones: Lo que los padres necesitan saber.

Science.gov (United States)

Beech, Marty

This English-Spanish language booklet is designed to help parents understand two important features of special education services, accommodations and modifications for students with disabilities. Examples of accommodations and modifications are provided, federal laws requiring schools to provide accommodations and modifications are cited, and…

Analysis on the accommodation of renewable energy in northeast China

Science.gov (United States)

Liu, Jun; Zhang, Jinfang; Tian, Feng; Mi, Zhe

2017-01-01

The accommodation and curtailment of renewable energy in northeast China have attracted much attention with the rapid growth of wind and solar power generation. Large amount of wind power has been curtailed or abandoned in northeast China due to several reasons, such as, the redundancy of power supplies, inadequate power demands, imperfect power structure with less flexibility and limited cross-regional transmission capacity. In this paper, we use multi-area production simulation to analyse the accommodation of renewable energy in northeast China by 2020. Furthermore, we suggest the measures that could be adopted in generation, grid and load side to reduce curtailment of renewables.

Measurement of Crystalline Lens Volume During Accommodation in a Lens Stretcher.

Science.gov (United States)

Marussich, Lauren; Manns, Fabrice; Nankivil, Derek; Maceo Heilman, Bianca; Yao, Yue; Arrieta-Quintero, Esdras; Ho, Arthur; Augusteyn, Robert; Parel, Jean-Marie

2015-07-01

To determine if the lens volume changes during accommodation. The study used data acquired on 36 cynomolgus monkey lenses that were stretched in a stepwise fashion to simulate disaccommodation. At each step, stretching force and dioptric power were measured and a cross-sectional image of the lens was acquired using an optical coherence tomography system. Images were corrected for refractive distortions and lens volume was calculated assuming rotational symmetry. The average change in lens volume was calculated and the relation between volume change and power change, and between volume change and stretching force, were quantified. Linear regressions of volume-power and volume-force plots were calculated. The mean (± SD) volume in the unstretched (accommodated) state was 97 ± 8 mm3. On average, there was a small but statistically significant (P = 0.002) increase in measured lens volume with stretching. The mean change in lens volume was +0.8 ± 1.3 mm3. The mean volume-power and volume-load slopes were -0.018 ± 0.058 mm3/D and +0.16 ± 0.40 mm3/g. Lens volume remains effectively constant during accommodation, with changes that are less than 1% on average. This result supports a hypothesis that the change in lens shape with accommodation is accompanied by a redistribution of tissue within the capsular bag without significant compression of the lens contents or fluid exchange through the capsule.

Student Accommodation in Higher Education in the United Kingdom: Changing Post-War Attitudes

Science.gov (United States)

Tight, Malcolm

2011-01-01

This article explores the changing attitudes towards student accommodation in higher education in the United Kingdom since the end of the Second World War. In the first part of this period there was a firm assumption, in universities and teacher training colleges, that the accommodation of students in or close to their university or college,…

The Effect of "Read-Aloud" as a Test Accommodation for Students with Visual Impairments in South Korea

Science.gov (United States)

Kim, Jung Sook

2012-01-01

Arguing the issue of fairness and the additional advantage for test takers with visual impairments, some professionals have expressed negative attitudes toward test accommodation. However, researchers have found that the validity of test accommodations increases when the test scores of students who need a particular accommodation increases, while…

Taxation of income from tourists’ accommodation: case of Romanian boarding houses

Directory of Open Access Journals (Sweden)

Doina Pacurari

2012-12-01

Full Text Available This paper presents the main aspects regarding taxation of income which the boarding houses’ owners get from tourists’ accommodation services. Whether they unfold the activity as legal person or obtain receipts as natural person, the boarding houses’ owners must pay tax to the budget. The tax calculation, term of payment, submission of tax declaration, these are some issues approached in this paper. The level of taxation affects accommodation tariffs and so their competitiveness. The fiscal optimization represents a very important aspect for business administration, irrespective of size of the economic entity.

A framework for providing telecommuting as a reasonable accommodation: some considerations on a comparative case study.

Science.gov (United States)

Kaplan, Shelley; Weiss, Sally; Moon, Nathan W; Baker, Paul

2006-01-01

Telecommuting, whether full time, part time, or over short periods when the need arises, can be an important accommodation for employees with disabilities. Indeed, telecommuting may be the only form of accommodation that offers employees whose disabilities fluctuate a means to stay consistently and gainfully employed. This article describes one employer's experience in considering a request for telecommuting as a reasonable accommodation for a particular employee. Drawing on real-life examples, both positive and negative, this article provides a win/win framework for decision-making that can help employers evaluate the use of telecommuting as a possible accommodation and facilitates open and ongoing communication between employer and employee.

Reimbursement of education fees / accommodation fees

CERN Multimedia

2003-01-01

Your attention is drawn to the 20 km distance limit set in Article R A 8.01 of the Staff Regulations, namely, that only accommodation fees of students attending an educational establishment which is more than 20 km from the place of residence and the duty station of the member of the personnel are reimbursed by the Organization, subject to the percentage rate and maximum amounts set out in this article and in Administrative Circular N° 12. Human Resources Division Tel: 72862 / 74474

Cross-coupling between accommodation and convergence is optimized for a broad range of directions and distances of gaze.

Science.gov (United States)

Nguyen, Dorothy; Vedamurthy, Indu; Schor, Clifton

2008-03-01

Accommodation and convergence systems are cross-coupled so that stimulation of one system produces responses by both systems. Ideally, the cross-coupled responses of accommodation and convergence match their respective stimuli. When expressed in diopters and meter angles, respectively, stimuli for accommodation and convergence are equal in the mid-sagittal plane when viewed with symmetrical convergence, where historically, the gains of the cross coupling (AC/A and CA/C ratios) have been quantified. However, targets at non-zero azimuth angles, when viewed with asymmetric convergence, present unequal stimuli for accommodation and convergence. Are the cross-links between the two systems calibrated to compensate for stimulus mismatches that increase with gaze-azimuth? We measured the response AC/A and stimulus CA/C ratios at zero azimuth, 17.5 and 30 deg of rightward gaze eccentricities with a Badal Optometer and Wheatstone-mirror haploscope. AC/A ratios were measured under open-loop convergence conditions along the iso-accommodation circle (locus of points that stimulate approximately equal amounts of accommodation to the two eyes at all azimuth angles). CA/C ratios were measured under open-loop accommodation conditions along the iso-vergence circle (locus of points that stimulate constant convergence at all azimuth angles). Our results show that the gain of accommodative-convergence (AC/A ratio) decreased and the bias of convergence-accommodation increased at the 30 deg gaze eccentricity. These changes are in directions that compensate for stimulus mismatches caused by spatial-viewing geometry during asymmetric convergence.

Accommodating Oversize and Overweight Loads : Instructor and Student Guide

Science.gov (United States)

2012-08-01

This instructor and student guide is designed to guide the instructor in conveying information at the district level concerning Research Project 0-6404 Accommodating Oversize and Overweight Loads. The specific information focuses on the Bryan D...

Accommodating interruptions: A grounded theory of young people with asthma.

Science.gov (United States)

Hughes, Mary; Savage, Eileen; Andrews, Tom

2018-01-01

The aim of this study was to develop an explanatory theory on the lives of young people with asthma, issues affecting them and the impact of asthma on their day-to-day lives. Accommodating Interruptions is a theory that explains young people's concerns about living with asthma. Although national and international asthma management guidelines exist, it is accepted that the symptom control of asthma among the young people population is poor. This study was undertaken using Classic Grounded Theory. Data were collected through in-depth interviews and clinic consultations with young people aged 11-16 years who had asthma for over 1 year. Data were also collected from participant diaries. Constant comparative analysis, theoretical coding and memo writing were used to develop the substantive theory. The theory explains how young people resolve their main concern of being restricted by Accommodating Interruptions in their lives. They do this by assimilating behaviours in balance finding, moderating influence, fitting in and assuming control minimising the effects of asthma on their everyday lives. The theory of Accommodating Interruptions explains young people's asthma management behaviours in a new way. It allows us to understand how and why young people behave the way they do because they want to participate and be included in everyday activities, events and relationships. The theory adds to the body of knowledge on how young people with asthma live their day-to-day lives and it challenges some existing viewpoints in the literature regarding their behaviours. The findings have implications for developing services to support young people in a more meaningful way as they accommodate the interruptions associated with asthma in their lives. © 2017 John Wiley & Sons Ltd.

E-TOURISM AND HOW TO PROMOTE ACCOMMODATION SERVICES IN RURAL MARAMUREŞ

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Anca-Petruţa NAN

2011-12-01

Full Text Available There are few regions in Romania where ancestral traditions, costumes and ancient art are still preserved. Maramureş is indeed the zone where they have managed to stay unaltered by modern influences. Thus, the tourism in Maramureş is centred on the village and its folklore, exploited through rural tourism. The development of rural tourism in Maramureş is mainly based on its diversified potential, but it is directly dependent on the accommodation offer available and on the methods of promoting it. Under these circumstances, our study aims at undertaking a comprehensive analysis of the existing accommodation units, of their distribution, and of the various ways of promoting tourist offers.The online tourist market in Maramureş is rather developed and diversified in its product and service offer, due to the listing of accommodation units on many online portals. In order to help and guide users towards a well-defined goal through the chaos on the Internet, we suggest the implementation of expert systems within sites. Expert systems can bring many benefits to both consumers and tourist service providers.

46 CFR 169.631 - Separation of machinery and fuel tank spaces from accommodation spaces.

Science.gov (United States)

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Separation of machinery and fuel tank spaces from accommodation spaces. 169.631 Section 169.631 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED... machinery and fuel tank spaces from accommodation spaces. (a) Machinery and fuel tank spaces must be...

THE WEB PAGE – MARKETING COMMUNICATION MEAN IN THE ACCOMMODATION UNITS’ ACTIVITY

OpenAIRE

Codruţa-Adina BĂLTESCU; Dana BOŞCOR

2013-01-01

The market of hotel services from Romania has been characterized in recent years, by the significant extension of the accommodation offer. The difficulties inherent associated to the setting up of an accommodation unit are multiplied on the period of its functioning, because the essential problem which needs to be solved is to assure the constant flow of customers which can bring the revenues and the expected profitability. The article aims to highlight some specific elements in the managemen...

Accommodating Students' Sensory Learning Modalities in Online Formats

Science.gov (United States)

Allison, Barbara N.; Rehm, Marsha L.

2016-01-01

Online classes have become a popular and viable method of educating students in both K-12 settings and higher education, including in family and consumer sciences (FCS) programs. Online learning dramatically affects the way students learn. This article addresses how online learning can accommodate the sensory learning modalities (sight, hearing,…

Vibration analysis of partially cracked plate submerged in fluid

Science.gov (United States)

Soni, Shashank; Jain, N. K.; Joshi, P. V.

2018-01-01

The present work proposes an analytical model for vibration analysis of partially cracked rectangular plates coupled with fluid medium. The governing equation of motion for the isotropic plate based on the classical plate theory is modified to accommodate a part through continuous line crack according to simplified line spring model. The influence of surrounding fluid medium is incorporated in the governing equation in the form of inertia effects based on velocity potential function and Bernoulli's equations. Both partially and totally submerged plate configurations are considered. The governing equation also considers the in-plane stretching due to lateral deflection in the form of in-plane forces which introduces geometric non-linearity into the system. The fundamental frequencies are evaluated by expressing the lateral deflection in terms of modal functions. The assessment of the present results is carried out for intact submerged plate as to the best of the author's knowledge the literature lacks in analytical results for submerged cracked plates. New results for fundamental frequencies are presented as affected by crack length, fluid level, fluid density and immersed depth of plate. By employing the method of multiple scales, the frequency response and peak amplitude of the cracked structure is analyzed. The non-linear frequency response curves show the phenomenon of bending hardening or softening and the effect of fluid dynamic pressure on the response of the cracked plate.

Religious values and healthcare accommodations: voices from the American Muslim community.

Science.gov (United States)

Padela, Aasim I; Gunter, Katie; Killawi, Amal; Heisler, Michele

2012-06-01

Minority populations receive a lower quality healthcare in part due to the inadequate assessment of, and cultural adaptations to meet, their culturally informed healthcare needs. The seven million American Muslims, while ethnically and racially diverse, share religiously informed healthcare values that influence their expectations of healthcare. There is limited empirical research on this community's preferences for cultural modifications in healthcare delivery. Identify healthcare accommodations requested by American Muslims. Using community-based participatory research (CBPR) methods, we partnered with four community organizations in the Greater Detroit area to design and conduct thirteen focus groups at area mosques serving African American, Arab American, and South Asian American Muslims. Qualitative content analysis utilized a framework team-based approach. Participants reported stigmatization within the healthcare system and voiced the need for culturally competent healthcare providers. In addition, they identified three key healthcare accommodations to address Muslim sensitivities: the provision of (1) gender-concordant care, (2) halal food and (3) a neutral prayer space. Gender concordance was requested based on Islamic conceptions of modesty and privacy. Halal food was deemed to be health-promoting and therefore integral to the healing process. Lastly, a neutral prayer space was requested to ensure security and privacy during worship. This study informs efforts to deliver high-quality healthcare to American Muslims in several ways. We note three specific healthcare accommodations requested by this community and the religious values underlying these requests. Healthcare systems can further cultural sensitivity, engender trust, and improve the healthcare experiences of American Muslims by understanding and then attempting to accommodate these values as much as possible.

Differences of accommodative responses between two eyes under binocular viewing condition mediated by polarizing glasses

Directory of Open Access Journals (Sweden)

Rui-Qing Wang

2016-04-01

Full Text Available AIM:To study the differences of accommodative responses between the two eyes under 3 different polarized viewing conditions. METHODS:Fifteen volunteers with emmetrope were recruited into this study(aged 18～38, 6 males and 9 females. Three different viewing conditions were set up by using polarizing glasses and liquid crystal display:(1right eye could see the visual target on the screen, but left eye cannot see it;(2left eye could see the visual target on the screen, but right eye cannot see it;(3both eyes could see the target. Accommodative responses were measured by infrared auto-refractor when fixating at the target at 5, 2, 1, 0.5 and 0.33m under the above 3 viewing conditions. The differences of accommodative responses under different viewing conditions were compared by using variance analysis of repeated measuring and t test. RESULTS:Significant differences of accommodative responses between the two eyes were found under condition(1and(2at all the fixating distance. The accommodative responses in used eyes which can see the visual target were higher than in non-used eyes which cannot see the visual target(PP>0.05. CONCLUSION:Ciliary muscles in the used eyes were more relatively tonic than non-used eyes under binocular open viewing condition. The imbalance of accommodative responses between two eyes may be one of the risk factors resulting into the occurrence of myopia.

Legal Protections in Public Accommodations Settings: A Critical Public Health Issue for Transgender and Gender-Nonconforming People.

Science.gov (United States)

Reisner, Sari L; Hughto, Jaclyn M White; Dunham, Emilia E; Heflin, Katherine J; Begenyi, Jesse Blue Glass; Coffey-Esquivel, Julia; Cahill, Sean

2015-09-01

Since 2012, Massachusetts law has provided legal protections against discrimination on the basis of gender identity in employment, housing, credit, public education, and hate crimes. The law does not protect against discrimination based on gender identity in public accommodations settings such as transportation, retail stores, restaurants, health care facilities, and bathrooms. A 2013 survey of Massachusetts transgender and other gender minority adults found that in the past 12 months, 65% had experienced public accommodations discrimination since the law was passed. This discrimination was associated with a greater risk of adverse emotional and physical symptoms in the past 30 days. Nondiscrimination laws inclusive of gender identity should protect against discrimination in public accommodations settings to support transgender people's health and their ability to access health care. Gender minority people who are transgender or gender nonconforming experience widespread discrimination and health inequities. Since 2012, Massachusetts law has provided protections against discrimination on the basis of gender identity in employment, housing, credit, public education, and hate crimes. The law does not, however, protect against discrimination in public accommodations (eg, hospitals, health centers, transportation, nursing homes, supermarkets, retail establishments). For this article, we examined the frequency and health correlates of public accommodations discrimination among gender minority adults in Massachusetts, with attention to discrimination in health care settings. In 2013, we recruited a community-based sample (n = 452) both online and in person. The respondents completed a 1-time, electronic survey assessing demographics, health, health care utilization, and discrimination in public accommodations venues in the past 12 months. Using adjusted multivariable logistic regression models, we examined whether experiencing public accommodations discrimination in

Adaptive model of the aging emmetropic eye and its changes with accommodation.

Science.gov (United States)

Navarro, Rafael

2014-11-20

A general schematic model of the optical system of the emmetropic human eye is proposed, capable of adapting to changes with age and accommodation through adjustment of the optical surfaces and the internal gradient index structure of the lens. The specific models of the cornea and lens consist of minor generalizations of previous work by assuming them to be the sum of a biconic plus three higher order Zernike modes. The internal gradient index distribution adapts to the external shape so that the analytical expression is invariant with the changes with age and accommodation. The model also includes tips, tilts, and decentrations of the surfaces according to experimental findings. The specific parameters of these models are either constants or functions of age and/or accommodation. The model is polychromatic, and its optical performance was evaluated along the keratometric axis. Chromatic aberrations (longitudinal and transverse), astigmatism, coma, trefoil, and spherical aberration show good agreement with experimental averages. The change of these aberrations as a function of age or accommodation is also consistent with experimental findings (except for trefoil in eyes older than 50 years). This means that the average structure seems to predict the average performance. Nevertheless, the present model is too schematic to account for other higher order aberrations, such as tetrafoil, also present in real eyes. © 2014 ARVO.

The Improvement of the Accommodation Offer in Vojvodina (Serbia as a Factor of its Competitiveness on the Market

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Svetlana Vukosav

2009-06-01

Full Text Available The accommodation offer, particularly hotel industry in Vojvodina is experiencing significant changes today both in quality and in quantity compared to the period 10 years ago. These positive changes and the improvement of the receptive base are a direct consequence of the transition process, ownership transformation and investment in accommodation facilities, which is reflected through the constant increase of foreign tourists, foreign exchange input, as well as market share and competitiveness of certain types of accommodation. Investments in the accommodation offer in Vojvodina are one of the priorities in the Strategy of Tourism Development of Serbia, where a significant increase in the number of accommodation units in the Province is expected.

Occlusal accommodation and mouthguards for prevention of orofacial trauma.

LENUS (Irish Health Repository)

Geary, Julian Lindsay

2009-01-01

The aim of this study was to investigate the effect of two types of occlusal accommodation on the arch separation in centric and eccentric arch positions and to assess the opposing tooth contacts in professionally made, thermoformed sports mouthguards.

Priorities in Accommodating office user preferences : Impact on office users decision to stay or go

NARCIS (Netherlands)

Remøy, HT; van der Voordt, Theo

2014-01-01

Purpose When current accommodation is unsatisfactory, office organisations consider relocating to new accommodation that optimally facilitates their main processes and supports image and financial yield. However, due to high vacancy levels, public opinion and governmental awareness oppose new office

Ameliorating effect of transcutaneous electroacupuncture on impaired gastric accommodation induced by cold meal in healthy subjects.

Science.gov (United States)

Huang, Zhihui; Zhang, Nina; Xu, Feng; Yin, Jieyun; Dai, Ning; Chen, Jiande D Z

2016-03-01

Impaired gastric accommodation is recognized as one of major pathophysiologies in functional dyspepsia and gastroparesis. Electroacupuncture has been shown to improve gastric accommodation in laboratory settings. It is, however, unknown whether it exerts similar ameliorating effect in humans and whether needleless transcutaneous electroacupuncture (TEA) is also effective in improving gastric accommodation. The aim was to investigate the effects of TEA on gastric accommodation, gastric slow waves, and dyspeptic related symptoms. Thirteen healthy volunteers were studied in four randomized sessions: control, cold nutrient liquid, cold nutrient liquid + sham-TEA, and cold nutrient liquid + TEA. The subjects were requested to drink Ensure until reaching maximum satiety. The electrogastrogram (EGG) and electrocardiogram (ECG) were recorded to assess the gastric and autonomic functions respectively. 1) Gastric accommodation was reduced with the cold drink in comparison with the warm drink (P = 0.023). TEA improved the impaired gastric accommodation from 539.2 ± 133.8 ml to 731.0 ± 185.7 ml (P = 0.005). 2) The percentage of normal gastric slow waves in six subjects was significantly decreased in the cold session (P = 0.002) and improved in the TEA session (P = 0.009 vs sham; P  0.05). TEA improves impaired gastric accommodation and slow waves induced by cold drink and the effect does not seem to be mediated via the vagal mechanisms. © 2016 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.

Cirurgias de músculos retos horizontais: análise de planejamentos e resultados Surgeries of the horizontal recti muscles: analysis of plannings and results

Directory of Open Access Journals (Sweden)

Rosália M. Simões Antunes Foschini

2001-11-01

Full Text Available Objetivo: Estudo retrospectivo dos resultados de cirurgias para correção de estrabismo horizontal num hospital-escola. Métodos: Selecionados casos de eso ou exotropias aproximadamente concomitantes, sem sinais evidentes de paralisias musculares ou de processos de contenção das rotações oculares, em que se realizaram, apenas, cirurgias de recuo dos retos mediais (grupo A, ou laterais (grupo C, ou de recuo e ressecção em esotropias (grupo B, ou exotropias (grupo D, com ou sem transposições das inserções dos músculos operados. Resultados: Esotropias foram mais freqüentes que exotropias (nA = 66; nB = 28; nC = 27; nD = 22 e cirurgias com transposições (96 superaram as sem (47. A distribuição dos ângulos pré-operatórios (m = 42,49D, s = 11,68D nas esotropias; m = 35,39D; s = 9,93D nas exotropias e a das correções obtidas (m = 38,95D, s = 13,57D nas esotropias; m = 31,64D, s = 14,58D nas exotropias são praticamente equivalentes e, além disso, altas correlações foram observadas entre o ângulo pré-operatório e a quantidade da operação respectiva. Todavia, as correlações entre os ângulos pré-operatórios e os resultados proporcionais da cirurgia (em D/mm foram, todas, baixas. As quantidades de correções adequadas quando considerados ângulos residuais de desvio de ±5D, ±10D e ±15D, foram respectivamente de 31,9%, 62,8%, e 80,8% nas esotropias e 40,8%, 55,1% e 73,5% nas exotropias. Conclusões: Embora planejamentos cirúrgicos e suas execuções produzam resultados coletivos satisfatórios, os individuais mostram ainda uma imprevisibilidade muito alta.Purpose: Retrospective study of surgical results of the correction of horizontal strabismus in a University Hospital. Methods: In selected cases of comitant eso- and exotropias, without signs of oculomotor paralyses or restricted ocular rotations, surgeries of: recessions of both medial recti (group A, or both lateral recti (group C were performed, recession

The Impact of Accommodative Coping on Well-Being in Childhood and Adolescence: Longitudinal Findings

Science.gov (United States)

Thomsen, Tamara; Fritz, Viktoria; Mößle, Regine; Greve, Werner

2015-01-01

Coping research has consistently shown that accommodative coping is positively correlated with individuals' health. Until now, however, there have been little to no studies on the prognostic impact of accommodative coping on health, and only a few studies investigating its buffering effect on the relation between stress and health in childhood and…

Self accommodation morphology of martensite variants in Zr-2.5wt%Nb alloy

International Nuclear Information System (INIS)

Srivastava, D.; Madangopal, K.; Banerjee, S.; Ranganathan, S.

1993-01-01

The role of self accommodation of the different martensite variants in controlling the morphologies of the Zr-2.5wt%Nb alloy martensite has been examined. Three distinct types of grouping of martensite variants have been found to be predominantly present. Crystallographic descriptions of these groups have been provided and the degrees of self accommodation for these have been estimated and compared with those corresponding to other possible variant groupings around the symmetry axes of the parent phase. The frequently observed 3-variant group, which shows an indentation mark morphology when viewed along β directions in the transmission electron microscope, has been seen to have the highest degree of self accommodation amongst the cases considered. Based on the observations made, a growth sequence leading to the formation of the final martensitic structure has been proposed

Maximising the local development potential of Nature Tourism accommodation establishments in South Africa

Directory of Open Access Journals (Sweden)

Jayne M Rogerson

2014-01-01

Full Text Available Within extant scholarship on tourism and local development one knowledge gap concerns the role of the accommodation sector as a base for tourism-led local development in rural areas and small towns. The focus is upon nature tourism accommodation establishments which cluster mainly in geographically marginal areas in South Africa where poverty levels are high and the imperative exists for new drivers of economic and social development. A national audit of nature tourism accommodation establishments confirms their potential critical relevance for local development planning in many parts of the country. Nevertheless, existing evidence points to limitations in local linkages through the food supply chain. A critical review is given of several constraints which impact upon tourism-agriculture linkages with policy conclusions for strengthening such linkages.

Near Point of Accommodation and Convergence after Photorefractive Keratectomy (PRK) for Myopia.

Science.gov (United States)

Hashemi, Hassancourtney; Samet, Behnaz; Mirzajani, Ali; Khabazkhoob, Mehdi; Rezvan, Bijan; Jafarzadehpur, Ebrahim

2013-01-01

Near point of convergence (NPC) and near point of accommodation (NPA) were evaluated before and after photorefractive keratectomy (PRK) in normal myopic eyes. In this prospective cross sectional study, NPC and NPA were measured in 120 myopic eyes (60 patients) before and 3 months after PRK. Excluding criteria were manifest tropia, previous eye surgery, amblyopia, and any other ocular pathology. All subjects were younger than35 years old. Fifty-one females (85%) and nine males (15%) participated in the study. The average age of the participants was 25.75 years. Before the operation, the average NPC and NPA were 4.35 cm and 6.9 cm (14.5 D), respectively. NPC and NPA increased significantly 5.63 (p = 0.025) and (p 0.05) to 7.983 cm (12.5 D) (p 0.001), respectively, after 3 months. NPC and NPA may increase significantly after PRK. Convergence and accommodation problems may affect near visual performance. Therefore, for any PRK candidate, accommodation and convergence should be evaluated.

The Use of Test Accommodations as a Gaming Strategy: A State-Level Exploration of Potential Gaming Tendencies in the 2007-2009 Period and Implications for Re-Directing Research on Gaming through Test Accommodations

Science.gov (United States)

Saatcioglu, Argun; Skrtic, Thomas M.; DeLuca, Thomas A.

2016-01-01

The overuse of test accommodations (e.g., test readers, extra time, and calculators) for students with disabilities is a potential means of gaming the accountability system because it can inflate proficiency gains. However, no direct evidence on this problem exists, and findings on whether or not test accommodations improve test scores are…

Some experimental data on accommodation coefficients for the noble ions on metal surfaces

International Nuclear Information System (INIS)

Gusev, K.I.; Rijov, Y.A.; Shkarban, I.I.

1974-01-01

Methods and results of experimental measurements of energy accommodation for Ar + , Kr + , and Xe + ions with initial energy E 0 - 100-500eV bombarding Cu, Mo, Ag and other (including Mo - monocrystal) foil target are presented. The angular dependencies for the energy accommodation coefficient are obtained within the range of angle phi=0+70 deg (phi is the angle between the target surface normal and the beam direction)

The influence of first near-spectacle reading correction on accommodation and its interaction with convergence.

Science.gov (United States)

Vedamurthy, Indu; Harrison, Wendy W; Liu, Yue; Cox, Ian; Schor, Clifton M

2009-09-01

Accommodation and convergence can adapt to blur and disparity stimuli and to age-related changes in accommodative amplitude. Does this ability decline with age? The authors investigated short-term adaptation to first near-spectacle reading correction on the accommodative-stimulus response (ASR) function, accommodative amplitude (AA), AC/A, and CA/C ratios in a pre-presbyopic and an incipient presbyopic population and determined whether changes in these functions recovered after discontinuation of the use of near spectacles. Thirty subjects with normal vision participated; their ages ranged from 21 to 30 years (n = 15) and 38 to 44 years (n = 15). Oculomotor functions were measured before and after single-vision reading spectacles were worn for near tasks over a 2-month period and then 2 months after the use of near spectacles was discontinued. The slope of the ASR function and the AC/A and CA/C ratios did not change significantly after near spectacles were worn. There was a hyperopic shift of the ASR function that significantly reduced the near point of accommodation (NPA) and lowered the far-point refraction. These changes were age invariant and did not recover after 2 months of discontinuation of near spectacle wear. These results imply that the NPA may be enhanced normally by tonic bias of accommodation that elevates the entire ASR function and produces myopic refraction bias. When this bias relaxes after reading spectacles are worn, there is a hyperopic shift of the refractive state and a reduction of the NPA, specified from optical infinity.

Job Accommodations Availability and Utilization Among People With Lupus: An Examination of Workplace Activity Limitations and Work Context Factors.

Science.gov (United States)

Al Dhanhani, Ali M; Gignac, Monique A M; Beaton, Dorcas E; Su, Jiandong; Fortin, Paul R

2015-11-01

The aim of this study was to examine the availability of diverse job accommodations (or flexible working arrangements) and to describe their use among people with systemic lupus erythematosus (lupus), as well as to examine factors associated with the use of job accommodations. A mail survey was sent to adult lupus patients receiving care from a lupus clinic based in Toronto, Canada. The survey assessed demographic information, self-reported disease activity, work history, workplace activity limitations, job strain, and the availability and use of job accommodations. Standard multivariable linear regression analysis was used to examine factors associated with the use of job accommodations. We received 362 responses of 604 mailed surveys (60% response rate). Participants who were employed within the last 5 years, but who were not currently working, were less likely than currently employed participants to report having had job accommodations available to them at their last place of employment. The use of job accommodations was reported by 70% of currently employed respondents and by 72% of those not currently employed. The most common job accommodation used was sick leave days. Factors positively associated with the use of job accommodations among those who were employed included higher levels of education, being diagnosed with fibromyalgia, at least 1 episode of short-term work disability, not belonging to a union, greater workplace activity limitations, and greater job strain. The use of job accommodations among people with lupus is common. Work context factors, such as workplace activity limitations and job strain, are the main factors associated with the use of job accommodations. © 2015, American College of Rheumatology.

41 CFR 301-10.162 - When may I use other than coach-class train accommodations?

Science.gov (United States)

2010-07-01

... 10-TRANSPORTATION EXPENSES Common Carrier Transportation Train § 301-10.162 When may I use other than... require other than coach-class rail accommodations. Exceptional security circumstances are determined by... accommodations on an authorized/approved foreign rail carrier do not provide adequate sanitation or health...

Peripheral Defocus of the Monkey Crystalline Lens With Accommodation in a Lens Stretcher

Science.gov (United States)

Maceo Heilman, Bianca; Manns, Fabrice; Ruggeri, Marco; Ho, Arthur; Gonzalez, Alex; Rowaan, Cor; Bernal, Andres; Arrieta, Esdras; Parel, Jean-Marie

2018-01-01

Purpose To characterize the peripheral defocus of the monkey crystalline lens and its changes with accommodation. Methods Experiments were performed on 15 lenses from 11 cynomolgus monkey eyes (age: 3.8–12.4 years, postmortem time: 33.5 ± 15.3 hours). The tissue was mounted in a motorized lens stretcher to allow for measurements of the lens in the accommodated (unstretched) and unaccommodated (stretched) states. A custom-built combined laser ray tracing and optical coherence tomography system was used to measure the paraxial on-axis and off-axis lens power for delivery angles ranging from −20° to +20° (in air). For each delivery angle, peripheral defocus was quantified as the difference between paraxial off-axis and on-axis power. The peripheral defocus of the lens was compared in the unstretched and stretched states. Results On average, the paraxial on-axis lens power was 52.0 ± 3.4 D in the unstretched state and 32.5 ± 5.1 D in the stretched state. In both states, the lens power increased with increasing delivery angle. From 0° to +20°, the relative peripheral lens power increased by 10.7 ± 1.4 D in the unstretched state and 7.5 ± 1.6 D in the stretched state. The change in field curvature with accommodation was statistically significant (P lens has greater curvature or relative peripheral power. Conclusions The cynomolgus monkey lens has significant accommodation-dependent curvature of field, which suggests that the lens asserts a significant contribution to the peripheral optical performance of the eye that also varies with the state of accommodation.

Legal Protections in Public Accommodations Settings: A Critical Public Health Issue for Transgender and Gender-Nonconforming People

Science.gov (United States)

Reisner, Sari L; Hughto, Jaclyn M White; Dunham, Emilia E; Heflin, Katherine J; Begenyi, Jesse Blue Glass; Coffey-Esquivel, Julia; Cahill, Sean

2015-01-01

Context Gender minority people who are transgender or gender nonconforming experience widespread discrimination and health inequities. Since 2012, Massachusetts law has provided protections against discrimination on the basis of gender identity in employment, housing, credit, public education, and hate crimes. The law does not, however, protect against discrimination in public accommodations (eg, hospitals, health centers, transportation, nursing homes, supermarkets, retail establishments). For this article, we examined the frequency and health correlates of public accommodations discrimination among gender minority adults in Massachusetts, with attention to discrimination in health care settings. Methods In 2013, we recruited a community-based sample (n = 452) both online and in person. The respondents completed a 1-time, electronic survey assessing demographics, health, health care utilization, and discrimination in public accommodations venues in the past 12 months. Using adjusted multivariable logistic regression models, we examined whether experiencing public accommodations discrimination in health care was independently associated with adverse self-reported health, adjusting for discrimination in other public accommodations settings. Findings Overall, 65% of respondents reported public accommodations discrimination in the past 12 months. The 5 most prevalent discrimination settings were transportation (36%), retail (28%), restaurants (26%), public gatherings (25%), and health care (24%). Public accommodations discrimination in the past 12 months in health care settings was independently associated with a 31% to 81% increased risk of adverse emotional and physical symptoms and a 2-fold to 3-fold increased risk of postponement of needed care when sick or injured and of preventive or routine health care, adjusting for discrimination in other public accommodations settings (which also conferred an additional 20% to 77% risk per discrimination setting endorsed

Symptomatology associated with accommodative and binocular vision anomalies

Directory of Open Access Journals (Sweden)

Ángel García-Muñoz

2014-10-01

Conclusions: There is a wide disparity of symptoms related to accommodative and binocular dysfunctions in the scientific literature, most of which are associated with near vision and binocular dysfunctions. The only psychometrically validated questionnaires that we found (n=3 were related to convergence insufficiency and to visual dysfunctions in general and there no specific questionnaires for other anomalies.

23 CFR 645.211 - State transportation department accommodation policies.

Science.gov (United States)

2010-04-01

... ENGINEERING AND TRAFFIC OPERATIONS UTILITIES Accommodation of Utilities § 645.211 State transportation... effects of any loss of productive agricultural land or any impairment of the productivity of any agricultural land that would result from the disapproval. The environmental and economic effects on productive...

Recognizing and Accommodating Employees with PTSD: The Intersection of Human Resource Development, Rehabilitation, and Psychology

Science.gov (United States)

Hughes, Claretha; Lusk, Stephanie L.; Strause, Stephanie

2016-01-01

All employees within the workplace must be treated fairly and equitably including those with disabilities who may require accommodations that serve to increase access to and maintenance of competitive employment. Human Resource Development (HRD) researchers and practitioners have experience in accommodating employees with disabilities but are now…

Accommodative spasm with bilateral vision loss due to untreated intermittent exotropia in an adult.

Science.gov (United States)

Shanker, V; Ganesh, S; Sethi, S

2012-01-01

Intermittent exotropia (IXT) is an exodeviation intermittently controlled by fusional mechanisms. Patients with IXT may present with asthenopic symptoms, blurred vision, headaches, diplopia or visual confusion and reading difficulties; especially after prolonged periods of near work. To report the presentation and management of a young adult with intractable accommodative spasm secondary to long standing intermittent exotropia. The patient was found to have bilateral accommodative spasm with high pseudomyopia and severe impairment of vision. There was a tendency for recurrence with discontinuation of cycloplegics. A total relief of symptoms was noticed after strabismus surgery was undertaken for the exotropia. A detailed orthoptic evaluation with emphasis on recognizing accommodative spasm as an unusual presentation of IXT, could aid in appropriate diagnosis and treatment of such cases. © NEPjOPH.

Health Care Provider Accommodations for Patients with Communication Disorders

Science.gov (United States)

Burns, Michael I.; Baylor, Carolyn; Dudgeon, Brian J.; Starks, Helene; Yorkston, Kathryn

2017-01-01

Health care providers can experience increased diffculty communicating with adult patients during medical interactions when the patients have communication disorders. Meeting the communication needs of these patients can also create unique challenges for providers. The authors explore Communication Accommodation Theory (H. Giles, 1979) as a guide…

Disclosure of disease status among employed multiple sclerosis patients: association with negative work events and accommodations.

Science.gov (United States)

Frndak, Seth E; Kordovski, Victoria M; Cookfair, Diane; Rodgers, Jonathan D; Weinstock-Guttman, Bianca; Benedict, Ralph H B

2015-02-01

Unemployment is common in multiple sclerosis (MS) and detrimental to quality of life. Studies suggest disclosure of diagnosis is an adaptive strategy for patients. However, the role of cognitive deficits and psychiatric symptoms in disclosure are not well studied. The goals of this paper were to (a) determine clinical factors most predictive of disclosure, and (b) measure the effects of disclosure on workplace problems and accommodations in employed patients. We studied two overlapping cohorts: a cross-sectional sample (n = 143) to determine outcomes associated with disclosure, and a longitudinal sample (n = 103) compared at four time points over one year on reported problems and accommodations. A case study of six patients, disclosing during monitoring, was also included. Disclosure was associated with greater physical disability but not cognitive impairment. Logistic regression predicting disclosure status retained physical disability, accommodations and years of employment (p work problems and accommodations over time. The case study revealed that reasons for disclosing are multifaceted, including connection to employer, decreased mobility and problems at work. Although cognitive impairment is linked to unemployment, it does not appear to inform disclosure decisions. Early disclosure may help maintain employment if followed by appropriate accommodations. © The Author(s), 2014.

Access to Workplace Accommodations to Support Breastfeeding after Passage of the Affordable Care Act.

Science.gov (United States)

Kozhimannil, Katy B; Jou, Judy; Gjerdingen, Dwenda K; McGovern, Patricia M

2016-01-01

This study examines access to workplace accommodations for breastfeeding, as mandated by the Affordable Care Act, and its associations with breastfeeding initiation and duration. We hypothesize that women with access to reasonable break time and private space to express breast milk would be more likely to breastfeed exclusively at 6 months and to continue breastfeeding for a longer duration. Data are from Listening to Mothers III, a national survey of women ages 18 to 45 who gave birth in 2011 and 2012. The study population included women who were employed full or part time at the time of survey. Using two-way tabulation, logistic regression, and survival analysis, we characterized women with access to breastfeeding accommodations and assessed the associations between these accommodations and breastfeeding outcomes. Only 40% of women had access to both break time and private space. Women with both adequate break time and private space were 2.3 times (95% CI, 1.03-4.95) as likely to be breastfeeding exclusively at 6 months and 1.5 times (95% CI, 1.08-2.06) as likely to continue breastfeeding exclusively with each passing month compared with women without access to these accommodations. Employed women face unique barriers to breastfeeding and have lower rates of breastfeeding initiation and shorter durations, despite compelling evidence of associated health benefits. Expanded access to workplace accommodations for breastfeeding will likely entail collaborative efforts between public health agencies, employers, insurers, and clinicians to ensure effective workplace policies and improved breastfeeding outcomes. Copyright © 2016 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

Accommodating multilingualism in IT classrooms in the Free State ...

African Journals Online (AJOL)

This article explores the language context of Information Technology (IT) classes in the Free State province. An overview of the multilingual context within which the research was done is provided through a brief historical background of language accommodation and recognition in South Africa in general, and then ...

Predicting crystalline lens fall caused by accommodation from changes in wavefront error

Science.gov (United States)

He, Lin; Applegate, Raymond A.

2011-01-01

PURPOSE To illustrate and develop a method for estimating crystalline lens decentration as a function of accommodative response using changes in wavefront error and show the method and limitations using previously published data (2004) from 2 iridectomized monkey eyes so that clinicians understand how spherical aberration can induce coma, in particular in intraocular lens surgery. SETTINGS College of Optometry, University of Houston, Houston, USA. DESIGN Evaluation of diagnostic test or technology. METHODS Lens decentration was estimated by displacing downward the wavefront error of the lens with respect to the limiting aperture (7.0 mm) and ocular first surface wavefront error for each accommodative response (0.00 to 11.00 diopters) until measured values of vertical coma matched previously published experimental data (2007). Lens decentration was also calculated using an approximation formula that only included spherical aberration and vertical coma. RESULTS The change in calculated vertical coma was consistent with downward lens decentration. Calculated downward lens decentration peaked at approximately 0.48 mm of vertical decentration in the right eye and approximately 0.31 mm of decentration in the left eye using all Zernike modes through the 7th radial order. Calculated lens decentration using only coma and spherical aberration formulas was peaked at approximately 0.45 mm in the right eye and approximately 0.23 mm in the left eye. CONCLUSIONS Lens fall as a function of accommodation was quantified noninvasively using changes in vertical coma driven principally by the accommodation-induced changes in spherical aberration. The newly developed method was valid for a large pupil only. PMID:21700108

The changing accommodation landscape of Free State, 1936-2010 ...

African Journals Online (AJOL)

From the 1970s the pattern of hotels becomes more closely linked to tourism market considerations and areas of potential demand for leisure and business travellers. In spatial terms, a polarization of the accommodation sector is observed and paralleled by the hollowing out and closure of hotels in many small towns.

Evaluation of web sites of accommodation companies

OpenAIRE

Çubukcu, Muhammed İhsan

2010-01-01

OBJECTIVE: In a situation in which present economy is called as a digital economy, all organizations have to make up their informatics infrastructures. The societies that can use and share the information by using the technology as it requires will be societies that have the power of competition; and the power of competition will just be measured by the ability of reaching the information. This applicational study includes the analysis of the web pages of the five star accommodation companies...

Bimatoprost (0.03%)-induced accommodative spasm and pseudomyopia

OpenAIRE

Padhy, Debananda; Rao, Aparna

2015-01-01

Bimatoprost is a prostaglandin analogue used topically in the treatment of glaucoma. Commonly known side effects include eyelash growth, iris pigmentation and conjunctival hyperemia. While pseudomyopia is reported to be caused by parasympathomimetics, such an effect precipitated by bimatoprost has not yet been reported. We report a case demonstrating pseudomyopia and accommodative spasm caused after starting bimatoprost 0.03% in a young patient with glaucoma.

Axial movement of the dual-optic accommodating intraocular lens for the correction of the presbyopia: Optical performance and clinical outcomes

Directory of Open Access Journals (Sweden)

Javier Tomás-Juan

2015-04-01

Full Text Available Presbyopia occurs in the aging eye due to changes in the ciliary muscle, zonular fibers, crystalline lens, and an increased lens sclerosis. As a consequence, the capacity of accommodation decreases, which hampers to focus near objects. With the aim of restoring near vision, different devices that produce multiple focuses have been developed and introduced. However, these devices are still unable to restore accommodation. In order to achieve that goal, dual-optic accommodating Intraocular Lenses have been designed, whose anterior optic displaces axially to increase ocular power, and focus near objects. Although dual-optic accommodating IOLs are relatively new, their outcomes are promising, as they provide large amplitudes of accommodation and a greater IOL displacement than single-optic accommodating IOLs. The outcomes show comfortable near vision, higher patients’ satisfaction rates, and minimal postoperative complications like Posterior Capsular Opacification and Anterior Capsular Opacification, due to their design and material.

Cast Partial Denture versus Acrylic Partial Denture for Replacement of Missing Teeth in Partially Edentulous Patients

Directory of Open Access Journals (Sweden)

Pramita Suwal

2017-03-01

Full Text Available Aim: To compare the effects of cast partial denture with conventional all acrylic denture in respect to retention, stability, masticatory efficiency, comfort and periodontal health of abutments. Methods: 50 adult partially edentulous patient seeking for replacement of missing teeth having Kennedy class I and II arches with or without modification areas were selected for the study. Group-A was treated with cast partial denture and Group-B with acrylic partial denture. Data collected during follow-up visit of 3 months, 6 months, and 1 year by evaluating retention, stability, masticatory efficiency, comfort, periodontal health of abutment. Results: Chi-square test was applied to find out differences between the groups at 95% confidence interval where p = 0.05. One year comparison shows that cast partial denture maintained retention and stability better than acrylic partial denture (p< 0.05. The masticatory efficiency was significantly compromising from 3rd month to 1 year in all acrylic partial denture groups (p< 0.05. The comfort of patient with cast partial denture was maintained better during the observation period (p< 0.05. Periodontal health of abutment was gradually deteriorated in all acrylic denture group (p

Indiana Teachers' Perspectives on Testing Accommodations for Limited English Proficient Students Taking the Graduation Qualifying Exam

Science.gov (United States)

Hetler, Angela Dawn

2010-01-01

This qualitative case study examines teachers' perspectives on testing accommodations for Limited English Proficient (LEP) students taking Indiana's Graduation Qualifying Exam (GQE). The Indiana Department of Education (IDOE) states that the purpose of testing accommodations is to "level the playing field" between LEP students and their…

Well-being, the Decision making process in residential care facilities and accommodation in Denmark

DEFF Research Database (Denmark)

Knudstrup, Mary-Ann; Harder, Henrik

process. 3. Alternatives to "the living environments”. In general a discussion about “the living environments” as the only and right solution for organising the residential care facilities and accommodation in Denmark is recommended. Maybe there should be a possibility given to create more private...... for assisted living residential care facilities and accommodation for senior citizens selected from different parts of Denmark. The case study will provide important knowledge on municipal activities in the area of residential care facilities, as well as discuss the different actors’ roles in the decision......-based knowledge is needed: There is a need for research-based knowledge manuals among the actors involved in the planning and project design process which describe systematically the importance of working with the different aspects on well-being in residential care facilities and accommodation in Denmark. 2. More...

Medical students' and GP registrars' accommodation needs in the rural community: insight from a Victorian study.

Science.gov (United States)

Han, Gil-Soo; Wearne, Ben; O'Meara, Peter; McGrail, Matthew; Chesters, Janice

2003-01-01

Medical education in Australia is currently entering a new era, including support for the significant extension of medical students and general practitioner (GP) registrars' training programs in rural communities. This commitment to rural medical student and general practitioner recruitment and retention has made the provision of accommodation in rural communities a vital issue. This study has found that approximately half of all medical students on placement with rural GPs are currently accommodated with their GP supervisor or with other practice staff. This is a burden for many GPs and when the anticipated increase in the frequency and length of rural placements occurs what is currently a burden will become unsustainable. The changing gender and cultural demographics of medical students and rural general practitioners will also contribute to stresses on this accommodation system. It is important to have a systematic approach towards more appropriate and sustainable models of accommodation for both medical students and GP registrars.

Reminder : Reimbursement of education fees / accommodation fees

CERN Multimedia

2003-01-01

Your attention is drawn to the 20 km distance limit set in Article R A 8.01 of the Staff Regulations, namely, that only accommodation fees of students attending an educational establishment which is more than 20 km from the place of residence and the duty station of the member of the personnel are reimbursed by the Organization, subject to the percentage rate and maximum amounts set out in this article and in Administrative Circular N° 12. Human Resources Division Tel : 72862 / 74474

Radon Infiltration in Rented Accommodation

DEFF Research Database (Denmark)

Rasmussen, Torben Valdbjørn

2017-01-01

in homes was measured and the Buildings were registered for a series of variables describing upgrades, facilities, building components, Construction characteristics and used materials. In addition, the radon level was measured in the basement in 9 of the buildings. The mean year value of the indoor radon......Indoor radon levels were measured in 221 homes located in 53 buildings, including 28 multi-occupant houses and 25 single-family terraced houses. The homes consisted of rented accommodation located in buildings recorded as being constructed before 2010 and after the year 1850. The radon level...... radon levels exceeding 100 Bq/m3 in homes in multi-occupant houses was found to be very low, but the risk was highest on the ground floor in a building constructed with slab on ground....

Preliminary study of family accommodation in youth with autism spectrum disorders and anxiety: Incidence, clinical correlates, and behavioral treatment response.

Science.gov (United States)

Storch, Eric A; Zavrou, Sophia; Collier, Amanda B; Ung, Danielle; Arnold, Elysse B; Mutch, P Jane; Lewin, Adam B; Murphy, Tanya K

2015-08-01

Anxiety symptoms are common in youth with autism spectrum disorders (ASD) and directly associated with symptom severity and functional impairment. Family accommodation occurs frequently among individuals with obsessive-compulsive and anxiety disorders; to date, no data exist on the nature and correlates of family accommodation in youth with ASD and anxiety, as well as its relationship to cognitive-behavioral therapy outcome. Forty children with ASD and a comorbid anxiety disorder participated. Clinicians administered measures of ASD and anxiety disorder caseness, anxiety symptom severity, and family accommodation; parents completed questionnaires assessing social responsiveness, internalizing and externalizing behaviors, and functional impairment. A subsample of youth (n = 24) completed a course of cognitive-behavioral therapy. Family accommodation was common and positively correlated with anxiety symptom severity, but not functional impairment, general internalizing symptoms, externalizing behavior, or social responsiveness. Family accommodation decreased following cognitive-behavioral therapy with decreases in family accommodation being associated with decreases in anxiety levels. Treatment responders reported lower family accommodation frequency and lower parent impact relative to non-responders. Clinical implications of this study in assessing and psychotherapeutically treating youth with ASD and comorbid anxiety are discussed. Copyright © 2015 Elsevier Ltd. All rights reserved.

Semiautomated analysis of optical coherence tomography crystalline lens images under simulated accommodation.

Science.gov (United States)

Kim, Eon; Ehrmann, Klaus; Uhlhorn, Stephen; Borja, David; Arrieta-Quintero, Esdras; Parel, Jean-Marie

2011-05-01

Presbyopia is an age related, gradual loss of accommodation, mainly due to changes in the crystalline lens. As part of research efforts to understand and cure this condition, ex vivo, cross-sectional optical coherence tomography images of crystalline lenses were obtained by using the Ex-Vivo Accommodation Simulator (EVAS II) instrument and analyzed to extract their physical and optical properties. Various filters and edge detection methods were applied to isolate the edge contour. An ellipse is fitted to the lens outline to obtain central reference point for transforming the pixel data into the analysis coordinate system. This allows for the fitting of a high order equation to obtain a mathematical description of the edge contour, which obeys constraints of continuity as well as zero to infinite surface slopes from apex to equator. Geometrical parameters of the lens were determined for the lens images captured at different accommodative states. Various curve fitting functions were developed to mathematically describe the anterior and posterior surfaces of the lens. Their differences were evaluated and their suitability for extracting optical performance of the lens was assessed. The robustness of these algorithms was tested by analyzing the same images repeated times.

Fault Detection, Isolation, and Accommodation for LTI Systems Based on GIMC Structure

Directory of Open Access Journals (Sweden)

D. U. Campos-Delgado

2008-01-01

Full Text Available In this contribution, an active fault-tolerant scheme that achieves fault detection, isolation, and accommodation is developed for LTI systems. Faults and perturbations are considered as additive signals that modify the state or output equations. The accommodation scheme is based on the generalized internal model control architecture recently proposed for fault-tolerant control. In order to improve the performance after a fault, the compensation is considered in two steps according with a fault detection and isolation algorithm. After a fault scenario is detected, a general fault compensator is activated. Finally, once the fault is isolated, a specific compensator is introduced. In this setup, multiple faults could be treated simultaneously since their effect is additive. Design strategies for a nominal condition and under model uncertainty are presented in the paper. In addition, performance indices are also introduced to evaluate the resulting fault-tolerant scheme for detection, isolation, and accommodation. Hard thresholds are suggested for detection and isolation purposes, meanwhile, adaptive ones are considered under model uncertainty to reduce the conservativeness. A complete simulation evaluation is carried out for a DC motor setup.

Intra-examiner repeatability and agreement in accommodative response measurements.

Science.gov (United States)

Antona, B; Sanchez, I; Barrio, A; Barra, F; Gonzalez, E

2009-11-01

Clinical measurement of the accommodative response (AR) identifies the focusing plane of a subject with respect to the accommodative target. To establish whether a significant change in AR has occurred, it is important to determine the repeatability of this measurement. This study had two aims: First, to determine the intraexaminer repeatability of AR measurements using four clinical methods: Nott retinoscopy, monocular estimate method (MEM) retinoscopy, binocular crossed cylinder test (BCC) and near autorefractometry. Second, to study the level of agreement between AR measurements obtained with the different methods. The AR of the right eye at one accommodative demand of 2.50 D (40 cm) was measured on two separate occasions in 61 visually normal subjects of mean age 19.7 years (range 18-32 years). The intraexaminer repeatability of the tests, and agreement between them, were estimated by the Bland-Altman method. We determined mean differences (MD) and the 95% limits of agreement [coefficient of repeatability (COR) and coefficient of agreement (COA)]. Nott retinoscopy and BCC offered the best repeatability, showing the lowest MD and narrowest 95% interval of agreement (Nott: -0.10 +/- 0.66 D, BCC: -0.05 +/- 0.75 D). The 95% limits of agreement for the four techniques were similar (COA = +/- 0.92 to +/-1.00 D) yet clinically significant, according to the expected values of the AR. The two dynamic retinoscopy techniques (Nott and MEM) had a better agreement (COA = +/-0.64 D) although this COA must be interpreted in the context of the low MEM repeatability (COR = +/-0.98 D). The best method of assessing AR was Nott retinoscopy. The BCC technique was also repeatable, and both are recommended as suitable methods for clinical use. Despite better agreement between MEM and Nott, agreement among the remaining methods was poor such that their interchangeable use in clinical practice is not recommended.

Bimatoprost (0.03%)-induced accommodative spasm and pseudomyopia.

Science.gov (United States)

Padhy, Debananda; Rao, Aparna

2015-11-23

Bimatoprost is a prostaglandin analogue used topically in the treatment of glaucoma. Commonly known side effects include eyelash growth, iris pigmentation and conjunctival hyperemia. While pseudomyopia is reported to be caused by parasympathomimetics, such an effect precipitated by bimatoprost has not yet been reported. We report a case demonstrating pseudomyopia and accommodative spasm caused after starting bimatoprost 0.03% in a young patient with glaucoma. 2015 BMJ Publishing Group Ltd.

Cultural value orientations, internalized homophobia, and accommodation in romantic relationships

NARCIS (Netherlands)

Gaines, S.O.; Henderson, M.C.; Kim, M.; Gilstrap, S.; Yi, J.; Rusbult, C.E.; Hardin, D.P.; Gaertner, L.A.

2005-01-01

In the present study, we examined the impact of cultural value orientations (i.e., the personally oriented value of individualism, and the socially oriented values of collectivism, familism, romanticism, and spiritualism) on accommodation (i.e., voice and loyalty, rather than exit and neglect,

Private actions in the construction of a tourist destination. Boutique accommodation in Purmamarca, province of Jujuy, Argentina

Directory of Open Access Journals (Sweden)

Tania Porcaro

2014-09-01

Full Text Available Purmamarca, a small town located in Quebrada de Humahuaca (World Heritage, UNESCO, 2003, province of Jujuy, suffered a great transformation since the last years of the 20th century. This process is the result of touristic promotion within de province and private actions, both at regional and national scale, turning this town of about 500 inhabitants, into one of the main development poles of this activity. Even though Purmamarca still has a small stable population, its profile has completely changed, from low productivity peasant agriculture to a recreation and rest center for high level society from the largest cities in the country. This paper belongs to a series of studies published by its authors, who are interested in analysing material and cultural transformations of Purmamarca and Quebrada de Humahuaca, focusing on touristic processes. The objective of this article is to describe the development of new accommodation that influenced in the transformation of Purmamarca and to analyse their links to some of the new international tendencies in accommodation. In order to reach that goal, the characteristics and evolution of Purmamarca’s accommodation were studied, through the use of various sources, such as accommodation and tourism authorities websites, touristic brochures, information collected through local surveys and interviews, statistic information and bibliographic resources. The results of this research indicate that the growth in the amount of accommodation, since the beginning of 2000, is high for this small town. These accommodations are characterized by little capacity, personalized attention, exclusive services, and are directed to a select audience, many of them being identified as boutique hotels. These accommodations make their mark in Purmamarca and participate in the transformation processes of this town.

Axial movement of the dual-optic accommodating intraocular lens for the correction of the presbyopia: optical performance and clinical outcomes.

Science.gov (United States)

Tomás-Juan, Javier; Murueta-Goyena Larrañaga, Ane

2015-01-01

Presbyopia occurs in the aging eye due to changes in the ciliary muscle, zonular fibers, crystalline lens, and an increased lens sclerosis. As a consequence, the capacity of accommodation decreases, which hampers to focus near objects. With the aim of restoring near vision, different devices that produce multiple focuses have been developed and introduced. However, these devices are still unable to restore accommodation. In order to achieve that goal, dual-optic accommodating Intraocular Lenses have been designed, whose anterior optic displaces axially to increase ocular power, and focus near objects. Although dual-optic accommodating IOLs are relatively new, their outcomes are promising, as they provide large amplitudes of accommodation and a greater IOL displacement than single-optic accommodating IOLs. The outcomes show comfortable near vision, higher patients' satisfaction rates, and minimal postoperative complications like Posterior Capsular Opacification and Anterior Capsular Opacification, due to their design and material. Copyright © 2014. Published by Elsevier Espana.

CROSS-COUPLING BETWEEN ACCOMMODATION AND CONVERGENCE IS OPTIMIZED FOR A BROAD RANGE OF DIRECTIONS AND DISTANCES OF GAZE

OpenAIRE

Nguyen, Dorothy; Vedamurthy, Indu; Schor, Clifton

2008-01-01

Accommodation and convergence systems are cross-coupled so that stimulation of one system produces responses by both systems. Ideally, the cross-coupled responses of accommodation and convergence match their respective stimuli. When expressed in diopters and meter angles respectively, stimuli for accommodation and convergence are equal in the mid-sagittal plane when viewed with symmetrical convergence, where historically, the gains of the cross coupling (AC/A and CA/C ratios) have been quanti...

The impact of regulatory approaches targeting collaborative economy in the tourism accommodation sector::Barcelona, Berlin, Amsterdam and Paris

OpenAIRE

Dredge, Dianne; Gyimóthy, Szilvia; Birkbak, Andreas; Jensen, Torben Elgaard; Madsen, Anders Koed

2016-01-01

This paper has been commissioned by the European Commission’s DG GROWTH to examine the impact of regulatory approaches targeting collaborative economy in the tourism accommodation sector in the cities of Barcelona, Berlin, Amsterdam and Paris. In relation to tourism, the growth of the collaborative economy peer-to-peer accommodation sector has significant impacts for traditional tourism industry structures and relationships. The growth of the collaborative economy peer-to-peer accommodation m...

Clear lens extraction for the treatment of persistent accommodative spasm after head trauma.

Science.gov (United States)

McMurray, Catherine J; Burley, Celeste D; Elder, Mark J

2004-12-01

We report the case of a 28-year-old man with decreased visual acuity after closed head trauma sustained in a motor vehicle accident 16 weeks earlier. Several structures thought to be associated with the control of accommodation were injured. The patient had a persistent accommodative spasm causing up to 7.0 diopters of pseudomyopia. We present the patient's progress through the clinic, including manifest and cycloplegic refractions and results of a trial with atropine drops, and successful transition to bilateral pseudophakia 2 years and 9 months after the accident.

Cultural Diversity and Reasonable Accommodation. An Approach based on Freedom as Non-domination

Directory of Open Access Journals (Sweden)

Isabel Wences

2015-12-01

Full Text Available One of the challenges that culturally diverse societies now face is that of learning to live with differences. Harmonization practices such as concerted adjustment and reasonable accommodation are some of the mechanisms proposed by cultural diversity management policies to deal with this contemporary situation. In the case of reasonable accommodation, this practice can be justified not only because it is based on a recognition of equality in difference, but also on a belief in freedom as a form of non domination, given the inequality present in power relations.

Accommodation, Cafes and Restaurants. Industry Training Monograph No. 8.

Science.gov (United States)

Dumbrell, Tom

Australia's accommodation, cafes, and restaurants industry represents more than half of the nation's total tourism and hospitality employment. It accounts for roughly 4.5% of all jobs in Australia (400,000 workers). Since 1987, the number of jobs in the sector has risen from about 257,000 to about 372,000. Approximately 57% of employees are…

The Impact of the Location on the Price Offered by Accommodation Establishments in Urban Areas

Directory of Open Access Journals (Sweden)

Roman Švec

2014-01-01

Full Text Available The aim of this paper is to assess the relationship between the price of accommodation and the urban space and character of the place. The price and spatial connections (together with the quality of the provided services become an important motive for clients when choosing a concrete accommodation establishment. As the competition is very difficult in the field of accommodation establishments and the supply multiply surpasses the demand, there is an intensive search for miscellaneous strategies of engaging in the competition. The built-up territory of the town České Budějovice was chosen as a model territory. The prices of the summer season 2012 have been entered into the analysis. The impact of the location was assessed on the level of the type of land-use. The distribution of the accommodation establishments in the studied is highly uneven, without any more significant tendency to the creation of the spatial clusters. It is fundamentally influenced especially by the distance of the historical center. A price map was formed identifying the zones with the above-average prices, as well as the zones with the highly below-average prices.

Maternal emotion regulation during child distress, child anxiety accommodation, and links between maternal and child anxiety.

Science.gov (United States)

Kerns, Caroline E; Pincus, Donna B; McLaughlin, Katie A; Comer, Jonathan S

2017-08-01

Environmental contributions are thought to play a primary role in the familial aggregation of anxiety, but parenting influences remain poorly understood. We examined dynamic relations between maternal anxiety, maternal emotion regulation (ER) during child distress, maternal accommodation of child distress, and child anxiety. Mothers (N=45) of youth ages 3-8 years (M=4.8) participated in an experimental task during which they listened to a standardized audio recording of a child in anxious distress pleading for parental intervention. Measures of maternal and child anxiety, mothers' affective states, mothers' ER strategies during the child distress, and maternal accommodation of child anxiety were collected. Mothers' resting respiratory sinus arrhythmia (RSA) reactivity during the recording was also acquired. Higher maternal negative affect and greater maternal ER switching (i.e., using multiple ER strategies in a short time without positive regulatory results) during child distress were associated with child anxiety. Sequential mediation modeling showed that maternal anxiety predicted ineffective maternal ER during child distress exposure, which in turn predicted greater maternal accommodation, which in turn predicted higher child anxiety. Findings support the mediating roles of maternal ER and accommodation in linking maternal and child anxiety, and suggest that ineffective maternal ER and subsequent attempts to accommodate child distress may act as mechanisms underlying the familial aggregation of anxiety. Copyright © 2017 Elsevier Ltd. All rights reserved.

Cooperating or competing in three languages : Cultural accommodation or alienation?

NARCIS (Netherlands)

Gargalianou, Vasiliki; Urbig, D.; van Witteloostuijn, Arjen

Purpose The purpose of this paper is to study the effect of using foreign languages on cooperative behavior in a prisoner’s dilemma setting. The cultural accommodation hypothesis suggests that people are less cooperative in English, associated with the Anglophone cultural cluster, than in French,

13 CFR 113.3-3 - Structural accommodations for handicapped clients.

Science.gov (United States)

2010-01-01

... handicapped clients. 113.3-3 Section 113.3-3 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION... ADMINISTRATOR General Provisions § 113.3-3 Structural accommodations for handicapped clients. (a) Existing... by handicapped clients. Where structural changes are necessary to make the recipient's goods or...

Cooperating or competing in three languages : Cultural accommodation or alienation?

NARCIS (Netherlands)

Gargalianou, Vasiliki; Urbig, Diemo; Van Witteloostuijn, Arjen

2017-01-01

Purpose - The purpose of this paper is to study the effect of using foreign languages on cooperative behavior in a prisoner's dilemma setting. The cultural accommodation hypothesis suggests that people are less cooperative in English, associated with the Anglophone cultural cluster, than in French,

[Encapsulation of a mechatronic implant that restores the ability to accommodate].

Science.gov (United States)

Rheinschmitt, L; Gengenbach, U; Bretthauer, G

2010-12-01

In order to restore the ability of accommodation of the human eye, a lens implant manufactured by micro system technology can be used. This highly integrated Artificial Accommodation System contains sensitive electronics as well as moving components in order to adapt its refractive power. One challenge of the production of this system is the encapsulation. It has to be a biocompatible and long-term reliable package. In this paper the advantages of a hermetic glass package over other approaches of encapsulation are introduced. Concepts of production for a glass package are presented. The package is thereby optimised to be placed in the optical path of the eye, but it can also be used for the encapsulation of other implants. © Georg Thieme Verlag KG Stuttgart · New York.

Translation Accommodations Framework for Testing English Language Learners in Mathematics

Science.gov (United States)

Solano-Flores, Guillermo

2012-01-01

The present framework is developed under contract with the Smarter Balanced Assessment Consortium (SBAC) as a conceptual and methodological tool for guiding the reasonings and actions of contractors in charge of developing and providing test translation accommodations for English language learners. The framework addresses important challenges in…

Modeling the convergence accommodation of stereo vision for binocular endoscopy.

Science.gov (United States)

Gao, Yuanqian; Li, Jinhua; Li, Jianmin; Wang, Shuxin

2018-02-01

The stereo laparoscope is an important tool for achieving depth perception in robot-assisted minimally invasive surgery (MIS). A dynamic convergence accommodation algorithm is proposed to improve the viewing experience and achieve accurate depth perception. Based on the principle of the human vision system, a positional kinematic model of the binocular view system is established. The imaging plane pair is rectified to ensure that the two rectified virtual optical axes intersect at the fixation target to provide immersive depth perception. Stereo disparity was simulated with the roll and pitch movements of the binocular system. The chessboard test and the endoscopic peg transfer task were performed, and the results demonstrated the improved disparity distribution and robustness of the proposed convergence accommodation method with respect to the position of the fixation target. This method offers a new solution for effective depth perception with the stereo laparoscopes used in robot-assisted MIS. Copyright © 2017 John Wiley & Sons, Ltd.

Reasonable accommodation in the workplace: To be or not to be ...

African Journals Online (AJOL)

In the workplace this conflict arises "where the employer's right to the employee's ... the rights of the employer to manage his business operations efficiently with the ... to accommodate diversity and promote religious freedom in the workplace.

[Displacement of the posterior part of the eyeball in myopia].

Science.gov (United States)

Akizawa, Yasuko; Masahiro, Ida

2006-12-01

The principal aim of this study was to investigate displacement of the posterior part of the eyeball within the muscle cone in myopic eyes, particularly in moderately myopic subjects as well as in high myopes. Secondly, the correlation of the amount of displacement and the outer axial length of the globe was studied. The direction of displacement was also examined to clarify whether the eyeball tends to shift toward a certain direction. Seven patients with moderate myopia (moderate myopia group), fifteen patients with high myopia without esotropia (high myopia group), five patients with high myopia and esotropia (myopic esotropia group), and twenty-two controls (control group) were examined. Using magnetic resonance imaging, the outer axial length and the displacement of the posterior portion of the eyeball in the muscle cone were measured. In order to eliminate interindividual differences in the facial configuration, the coronal scanning was done perpendicularly to the orbital axis. The displacement was measured in a plane 4 mm anterior to the globe-optic nerve junction. The displacement was represented by the distance and direction of the globe center from the center of the muscle cone. In the moderate myopia group, there was no displacement of the posterior part of the eyeball in the muscle cone. It was the same as in the control group. But among the three groups, the displacement (mean standard deviation) was significantly greater in the myopic esotropia group (1.53 +/- 0.49 mm) and the high myopia group (0.94 +/- 0.52 mm) than in the control group (0.11 +/- 0.18 mm) (one way ANOVA and multiple comparison). The outer axial length and the distance of the displacement in all cases was significantly correlated (r = 0.87, p = 0.01). Moreover, the posterior part of the eyeball of the myopic esotropia group and the high myopia group was displaced superiorly and temporally. The posterior part of the eyeball of myopic eyes was displaced superotemporally in the muscle

Accommodation and vergence status among the 3rd and 4th graders in a mainstream school in Gauteng*

Directory of Open Access Journals (Sweden)

I. T. Metsing

2012-12-01

Full Text Available Aim: The data presented in this paper is obtained from the study on the prevalence of visual deficien-cies in mainstream and learning disabled schools which revealed no difference in the prevalence of visual deficiencies in both schools. One of the objectives of this study was to determine the visual status of each learner in each of the two groups (mainstream and learning disabled. The findings of the study revealed that both groups presented with different visual deficiencies including accommodation, vergence deficiencies and poor ocular motilities which can contribute towards influencing the children’s learning skills negatively. The visual profile on the accommodative and vergence systems of the children from the mainstream school is further analysed in this paper to determine the prevalence of deficiencies in the 8-13 year-olds, and to support inclusion of the evaluation of these visual skills in the school vision screening protocol. Method: One hundred and twelve (112 children had an expanded vision screening, with eighty (80 from the mainstream school in Johannesburg aged 8-13 years. The expanded vision screeningincluded the measurement of visual acuity (Snellen Acuity, refractive error (static retinoscopy, accommodation (accuracy, facility and amplitude, evaluation of the vergence system (accuracy, facility and amplitude and ocular motilities (direct ob-servation. Of the 80 children from the mainstream school, only 73 children’s results were consideredlearning performance of children, especially those of school-going-age. The study therefore supports the expanded vision screening of all school-going-children in South Africa to include visual efficiency skills (accommodation and vergence systems for appropriate and early identification of the barriers and seven subjects were excluded due to their poor responses to the tests.Kolmogorov-Smirnov test was utilized to assess the normality of distribution of accommodative and vergence

Wind Farm-LA Coordinated Operation Mode and Dispatch Model in Wind Power Accommodation Promotion

Directory of Open Access Journals (Sweden)

Li Lin

2018-05-01

Full Text Available With the support of a smart grid, a load aggregator (LA that aggregates the demand response resources of small- and medium-sized customers to participate in the electricity market would be a novel way to promote wind power accommodation. This paper proposes a wind farm–LA coordinated operation mode (WLCOM, which enables LAs to deal with wind farms directly at an agreement price. Afterwards, according to the accommodation demand of the wind farm, a coordinated dispatch model taking advantage of the various response capabilities of different flexible loads is set up to maximize the revenue of the LA. A case study was conducted to demonstrate the effectiveness of the proposed WLCOM and the coordinated dispatch model. The demonstration indicates that: (a load fluctuations and wind curtailment were obviously reduced; and (b both the LA and the wind farm participating in coordinated operation obtained higher revenues. Factors that influence the accommodation level, as well as revenues of wind farms and LA, are also investigated.

Spatiotemporal Patterns and Socioeconomic Dimensions of Shared Accommodations: the Case of Airbnb in LOS Angeles, California

Science.gov (United States)

Sarkar, A.; Koohikamali, M.; Pick, J. B.

2017-10-01

In recent years, disruptive innovation by peer-to-peer platforms in a variety of industries, notably transportation and hospitality have altered the way individuals consume everyday essential services. With growth in sharing economy platforms such as Uber for ridesharing and Airbnb for short-term accommodations, interest in examining spatiotemporal patterns of participation in the sharing economy by suppliers and consumers is increasing. This research is motivated by key questions: who are the sharing economy workers, where are they located, and does their location influence their participation in the sharing economy? This paper is the first systematic effort to analyze spatiotemporal patterns of participation by hosts in the shared accommodation-based economy. Using three different kinds of shared accommodations listed in a 3-year period in the popular short-term accommodation platform, Airbnb, we examine spatiotemporal dimensions of host participation in a major U.S. market, Los Angeles CA. The paper also develops a conceptual model by positing associations of demographic, socioeconomic, occupational, and social capital attributes of hosts, along with their attitudes toward trust and greener consumption with hosts' participation in a shared accommodation market. Results confirm host participation to be influenced by young dependency ratio, the potential of supplemental income, as well as the sustainability potential of collaborative consumption, along with finance, insurance, and real estate occupation, but not so much by trust for our overall study area. These results add new insights to limited prior knowledge about the sharing economy worker and have policy implications.

Changes in Central Walker Lane Strain Accommodation near Bridgeport, California; as told by the Stanislaus Group

Science.gov (United States)

Carlson, C. W.; Pluhar, C. J.; Glen, J. M.; Farner, M. J.

2012-12-01

Accommodating ~20-25% of the dextral-motion between the Pacific and North American plates the Walker Lane is represented as an elongate, NW oriented, region of active tectonics positioned between the northwesterly-translating Sierra Nevada microplate and the east-west extension of the Basin and Range. This region of transtension is being variably accommodated on regional-scale systems of predominantly strike-slip faulting. At the western edge of the central Walker Lane (ca. 38°-39°N latitude) is a region of crustal-scale blocks bounded by wedge-shaped depositional-basins and normal-fault systems, here defined as the west-central Walker Lane (WCWL). Devoid of obvious strike-slip faulting, the presence of tectonic-block vertical-axis rotations in the WCWL represents unrecognized components of dextral-shearing and/or changes of strain-accommodation over time. We use paleomagnetic reference directions for Eureka Valley Tuff (EVT) members of the late Miocene Stanislaus Group as spatial and temporal markers for documentation of tectonic-block vertical-axis rotations near Bridgeport, CA. Study-site rotations revealed discrete rotational domains of mean vertical-axis rotation ranging from ~10°-30° with heterogeneous regional distribution. Additionally, the highest measured magnitudes of vertical-axis rotation (~50°-60° CW) define a 'Region of High Strain' that includes the wedge-shaped Bridgeport Valley (Basin). This study revealed previously-unrecognized tectonic rotation of reference direction sites from prior studies for two (By-Day and Upper) of the three members of the EVT, resulting in under-estimates of regional strain accommodation by these studies. Mean remanent directions and virtual geomagnetic poles utilized in our study yielded a recalculated reference direction for the By-Day member of: Dec.=353.2°; Inc.= 43.7°; α95=10.1, in agreement with new measurements in the stable Sierra Nevada. This recalculated direction confirmed the presence of previously

English language proficiency and the accommodations for language non-concordance amongst patients utilizing chiropractic college teaching clinics.

Science.gov (United States)

Saporito, Richard P

2013-02-01

The number of households in the United States that are not proficient in the English language is growing and presenting a challenge to the health care system. Over nineteen percent of the US population speak a language other than English in the home. This increase in language discordance generates a greater need to find and implement accommodations in the clinical setting to insure accurate and efficient diagnosis and treatment as well as provide for patient safety. The purpose of this study is to determine the percentage of patients accessing the chiropractic college teaching clinics who are not proficient in the English language and to what extent the colleges provide accommodations for that language disparity. The clinic directors and deans of the Association of Chiropractic Colleges were surveyed via an on-line survey engine. The survey queried the percentage of the patient population that is not English language proficient, the accommodations the college currently has in place, if the college has a language specific consent to treat document and if the college has a written policy concerning patients without English proficiency. Fifty percent of the contacted chiropractic colleges responded to the survey. In the respondent college clinics 16.5% of the patient population is not proficient in English, with over 75% speaking Spanish. All but one of the respondents provide some level of accommodation for the language non-concordance. Forty five percent of the responding colleges employ a language specific consent to treat form. The implementation of accommodations and the use of a language specific consent to treat form is more prevalent at colleges with a higher percentage of non-English speaking patients. The percentage of patients with limited English proficiency accessing services at the teaching clinics of the chiropractic colleges mirrors the numbers in the general population. There is a wide disparity in the accommodations that the individual colleges make

Panel Analysis of Internet Booking of Travel and Holiday Accommodation Indicators

Directory of Open Access Journals (Sweden)

Ksenija Dumičić

2016-01-01

Full Text Available In the article four development indicators have been carefully selected and their impact on the level of acceptance of the Internet booking of travel and holiday accommodation in selected European countries has been observed. The statistical panel analysis approach was used to determine the individual and the common impact of the development indicators. The analysis has shown that an individual’s wealth, the public expenditure on education, and the Internet penetration rate have a positive statistically significant impact on the level of acceptance of the Internet booking of travel and holiday accommodation whereas the share of individuals with low level Internet skills has a negative statistically significant impact. These results carry significant importance for economists, politicians and all other stakeholders responsible for tourism development in a country. The use of the unbalanced panel is the main limitation of the article.

Can mergers-in-progress be unmerged in speech accommodation?

Science.gov (United States)

Babel, Molly; McAuliffe, Michael; Haber, Graham

2013-01-01

This study examines spontaneous phonetic accommodation of a dialect with distinct categories by speakers who are in the process of merging those categories. We focus on the merger of the NEAR and SQUARE lexical sets in New Zealand English, presenting New Zealand participants with an unmerged speaker of Australian English. Mergers-in-progress are a uniquely interesting sound change as they showcase the asymmetry between speech perception and production. Yet, we examine mergers using spontaneous phonetic imitation, which is phenomenon that is necessarily a behavior where perceptual input influences speech production. Phonetic imitation is quantified by a perceptual measure and an acoustic calculation of mergedness using a Pillai-Bartlett trace. The results from both analyses indicate spontaneous phonetic imitation is moderated by extra-linguistic factors such as the valence of assigned conditions and social bias. We also find evidence for a decrease in the degree of mergedness in post-exposure productions. Taken together, our results suggest that under the appropriate conditions New Zealanders phonetically accommodate to Australian English and that in the process of speech imitation, mergers-in-progress can, but do not consistently, become less merged.

Can mergers-in-progress be unmerged in speech accommodation?

Directory of Open Access Journals (Sweden)

Molly eBabel

2013-09-01

Full Text Available This study examines spontaneous phonetic accommodation of a dialect with distinct categories by speakers who are in the process of merging those categories. We focus on the merger of the NEAR and SQUARE lexical sets in New Zealand English, presenting New Zealand participants with an unmerged speaker of Australian English. Mergers-in-progress are a uniquely interesting sound change as they showcase the asymmetry between speech perception and production. Yet, we examine mergers using spontaneous phonetic imitation, which is phenomenon that is necessarily a behavior where perceptual input influences speech production. Phonetic imitation is quantified by a perceptual measure and an acoustic calculation of mergedness using a Pillai-Bartlett trace. The results from both analyses indicate spontaneous phonetic imitation is moderated by extra-linguistic factors such as the valence of assigned conditions and social bias. We also find evidence for a decrease in the degree of mergedness in post-exposure productions. Taken together, our results suggest that under the appropriate conditions New Zealanders phonetically accommodate to Australian English and that in the process of speech imitation, mergers-in-progress can, but do not consistently, become less merged.

A preliminary evaluation of the ability of from-reactor casks to geometrically accommodate commercial LWR spent nuclear fuel

International Nuclear Information System (INIS)

Andress, D.; McLeod, N.B.; Rahimi, M.; Joy, D.S.; Peterson, R.W.

1991-01-01

The DOE has sponsored a number of cask design efforts to define several transportation casks to accommodate the various assemblies expected to be accepted by the Federal Waste Management System. At this time, three preliminary cask designs have been selected for the final design - the GA-4 and GA-9 truck casks and the BR-100 rail cask. The GA-4 cask is designed for PWR fuel only; the GA-9 cask is a longer cask with less shielding designed for BWR fuel only; and the BR-100 cask is designed to accommodate both PWR and BWR fuels. In total, this assessment indicates that the current Initiative I cask designs can be expected to dimensionally accommodate 100% of the PWR fuel assemblies (other than the extra-long South Texas Fuel) with control elements removed, and >90% of the assemblies having the control elements as an integral part of the fuel assembly. For BWR assemblies, >99% of the assemblies can be accommodated with fuel channels removed. Because of the button and spring interference, the basket openings in these casks will not accommodate assemblies in the BWR/2,3 and BWR/4-6 fuel classes with the fuel channels in place

Teaching Disability Employment Discrimination Law: Accommodating Physical and Mental Disabilities

Science.gov (United States)

Kulow, Marianne DelPo

2012-01-01

Disability employment discrimination is often treated summarily in legal environment courses. This is actually a topic with significant practical application in the workplace since managers are often those who are confronted with accommodation requests. It is therefore desirable to include a class with hands-on exercises for students to begin to…

Read-Aloud Accommodations, Expository Text, and Adolescents with Learning Disabilities

Science.gov (United States)

Meyer, Nancy K.; Bouck, Emily C.

2017-01-01

Adolescents with learning disabilities in reading have difficulties with reading and understanding difficult gradelevel curricular material. One frequently used method of support is using read-aloud accommodations, which can be live read-alouds or text-to-speech (TTS) read-alouds. A single case alternating treatment design was used to examine the…

Availability, need for, and use of work accommodations and benefits: are they related to employment outcomes in people with arthritis?

Science.gov (United States)

Gignac, Monique A M; Cao, Xingshan; McAlpine, Jessica

2015-05-01

To examine the availability, need, and use of workplace policies for workers with osteoarthritis (OA) and inflammatory arthritis (IA) and their association with employment outcomes. Participants (n = 219) were employed, ages ≥25 years, and diagnosed with OA or IA. They were recruited through community advertising and rheumatology clinics in 2 Canadian provinces. Respondents completed a 35-45-minute telephone interview assessing demographics (age, sex), health (diagnosis, pain, activity limitations), work context (job control), employment outcomes (workplace activity limitations, absenteeism, productivity losses, reduced hours), benefits (extended health, short-term leaves), and accommodations (flexible hours, modified schedules, special equipment/adaptations, work-at-home arrangements). Regression analyses examined differences in benefit/accommodation need and use. Many participants reported that arthritis impacted their work. But with the exception of extended health benefits, ∼50-65% of participants reported not needing each individual benefit/accommodation, although only 7.3% of respondents reported needing no benefits or accommodations at all. Greater job control and education were associated with greater perceived need and use of benefits/accommodations. Need was also associated with greater activity limitations, and disclosure of arthritis was related to use of benefits/accommodations. Participants needing but not using workplace policies often had significantly poorer employment outcomes compared to those using benefits/accommodations. Findings are relevant to workers with arthritis and to employers. Results suggest that individuals with arthritis are unlikely to be a drain on workplace resources. Many individuals do not use benefits/accommodations until needed, and among those using them, there were generally positive relationships with diverse employment outcomes. © 2015, American College of Rheumatology.

Hospital design to accommodate multi- and extensively drug-resistant TB patients

CSIR Research Space (South Africa)

Parsons, SA

2008-10-01

Full Text Available This paper provides an overview of hospital design solutions to accommodate M(X)DR-TB patients and methodologies adopted to fast track the provision of much needed beds in the various high burden provinces in South Africa...

Reasonable Accommodation In The Workplace: To Be Or Not To Be?

Directory of Open Access Journals (Sweden)

Rowena Bronwen Bernard

2014-12-01

Full Text Available Freedom of religion is a fundamental right enshrined in and protected by section 15 of the Constitution. This right allows for the practice of religion without interference from the state and individuals. A question which often arises relates to the extent to which freedom of religion can be exercised in the workplace. Religious practice often extends beyond societal norms, but religious intolerance has proven to be a source of conflict. In the workplace this conflict arises "where the employer's right to the employee's labour and service conflicts with the employee's inability or refusal to render services because of a religious or cultural belief". The courts have played an important role in balancing the rights of the employer to manage his business operations efficiently with the rights of the employee to practice his religious or cultural beliefs. The critical question is how the employer is expected to balance and maintain an orderly, disciplined and efficient workplace whilst accommodating an employee's right to religious freedom. The case of Department of Correctional Services v Police and Prison Civil Rights Union (POPCRU 2011 32 ILJ 2629 (LAC is one where the employer's application of rules relating to the dress code of employees impacted on the religious beliefs and practices of five staff. In this note, this decision and the decisions in other recent cases are analysed in order to determine how the courts have dealt with the issue of the reasonable accommodation of religious practices in the workplace. The employer in the POPCRU case was justified in wanting to improve the discipline and standards within the prison. The findings of the LAC and SCA were indeed correct: while the dress code appeared to be neutral, the actual impact resulted in the disparate treatment of the employees. They were discriminated against as a result of wearing dreadlocks. The employer failed to reasonably accommodate the religious beliefs of the employees

A survey of tourist attitudes to renewable energy supply in Australian hotel accommodation

Energy Technology Data Exchange (ETDEWEB)

Dalton, G.J.; Lockington, D.A.; Baldock, T.E. [School of Engineering, University of Queensland, Brisbane, Qld 4072 (Australia)

2008-10-15

The results of a survey are presented describing the attitudes of Australian tourists to micro-generation renewable energy supply (RES) for hotel accommodation. The average positive response rate to all questions was above 50%, implying a desire by tourists for environmentally friendly accommodation and renewable energy supply. Tourists indicated that they perceived RES to be reliable and expressed a willingness to cooperate with RES initiatives and possible resultant inconveniences. However, there were mixed opinions with regard to consumer willingness to pay for the product. Of the 49% of respondents who were willing to pay extra for RES, 92% replied they would pay between 1% and 5%. Analysis of the variation in response due to accommodation type revealed a 'city' hotel versus 'eco-resort' difference. Likewise, a breakdown of responses according to country of origin indicated that Australians had a more positive attitude to RES than overseas visitors, including Japanese and Americans. While no variation in response was detected according to gender, age had a measurable bearing on response, with older guests returning a higher positive response rate. Visual queue questions querying aesthetic opinions and 'not-in-my-backyard' (NIMBY) attitude to RES revealed that there was virtually no opposition to photovoltaics. Opinions regarding wind energy conversion systems (WECS) varied with type and location, with rooftop WECS receiving more acceptance than stand-alone varieties. A high level of visual acceptance was shown by respondents for onshore wind farms located close to a tourist accommodation centre, with less enthusiasm for offshore farms. A strong NIMBY attitude to WECS was not observed among Australian or local respondents. (author)

Is there any evidence for the validity of diagnostic criteria used for accommodative and nonstrabismic binocular dysfunctions?

Directory of Open Access Journals (Sweden)

Pilar Cacho-Martínez

2014-01-01

Conclusions: Scientific literature reveals differences between authors according to diagnostic criteria for accommodative and nonstrabismic binocular dysfunctions. Diagnostic accuracy studies show that there is only certain evidence for accommodative conditions. For binocular anomalies there is only evidence about a validated questionnaire for convergence insufficiency with no data of diagnostic accuracy.

Recurrent Partial Words

Directory of Open Access Journals (Sweden)

Francine Blanchet-Sadri

2011-08-01

Full Text Available Partial words are sequences over a finite alphabet that may contain wildcard symbols, called holes, which match or are compatible with all letters; partial words without holes are said to be full words (or simply words. Given an infinite partial word w, the number of distinct full words over the alphabet that are compatible with factors of w of length n, called subwords of w, refers to a measure of complexity of infinite partial words so-called subword complexity. This measure is of particular interest because we can construct partial words with subword complexities not achievable by full words. In this paper, we consider the notion of recurrence over infinite partial words, that is, we study whether all of the finite subwords of a given infinite partial word appear infinitely often, and we establish connections between subword complexity and recurrence in this more general framework.

Acute Effect of Caffeine on Amplitude of Accommodation and Near ...

African Journals Online (AJOL)

Caffeine is widely consumed in kola nuts and in other products in Sub-Saharan Africa. We examined the acute effect of caffeine on the amplitude of accommodation and near point of convergence of healthy Nigerians. Forty volunteers between ages of 20 and 27 years with refractive power± 0.50 DS were employed.

Changes in the accommodation-convergence relationship after the Artisan phakic intraocular lens implantation for myopic patients.

Science.gov (United States)

Ryu, Ik Hee; Han, Jinu; Lee, Hyung Keun; Kim, Jin Kook; Han, Sueng-Han

2014-04-01

To evaluate the change of accommodation-convergence parameters after implantation of Artisan phakic intraocular lens (PIOL). Prospective study for the patients with the Artisan PIOL implantation was performed. A total of 37 patients (3 males and 34 females) enrolled the study. Preoperatively, convergence amplitude, the stimulus accommodative convergence per unit of accommodation (AC/A) ratio and the near point of convergence (NPC) were evaluated. After the Artisan PIOL implantation, the identical evaluations were repeated at 1 week, 1, 3, and 6 months after the surgery. Mean age was 24.3 ± 4.8 years old, and preoperative refractive error was -8.92 ± 4.13 diopters (D). After the implantation, mean refractive errors significantly decreased to within ±1.00 D, and noticeable complications were not found. The convergence amplitude and the stimulus AC/A ratio increased 1 month after the surgery, but progressively stabilized afterward to near preoperative values. NPC didn't show any significant change over follow-up period up to 6 months. These results regarding implantation of the Artisan PIOL revealed the increase of accommodation-convergence relationship within first 1 month after the surgery, but progressive stabilization was noted during follow-up periods.

An analytical method for predicting the geometrical and optical properties of the human lens under accommodation.

Science.gov (United States)

Sheil, Conor J; Bahrami, Mehdi; Goncharov, Alexander V

2014-05-01

We present an analytical method to describe the accommodative changes in the human crystalline lens. The method is based on the geometry-invariant lens model, in which the gradient-index (GRIN) iso-indicial contours are coupled to the external shape. This feature ensures that any given number of iso-indicial contours does not change with accommodation, which preserves the optical integrity of the GRIN structure. The coupling also enables us to define the GRIN structure if the radii and asphericities of the external lens surfaces are known. As an example, the accommodative changes in lenticular radii and central thickness were taken from the literature, while the asphericities of the external surfaces were derived analytically by adhering to the basic physical conditions of constant lens volume and its axial position. The resulting changes in lens geometry are consistent with experimental data, and the optical properties are in line with expected values for optical power and spherical aberration. The aim of the paper is to provide an anatomically and optically accurate lens model that is valid for 3 mm pupils and can be used as a new tool for better understanding of accommodation.

Framing effectiveness in impact assessment: Discourse accommodation in controversial infrastructure development

Energy Technology Data Exchange (ETDEWEB)

Rozema, Jaap G., E-mail: j.rozema@uea.ac.uk [Science, Society and Sustainability (3S) Research Group, School of Environmental Sciences, University of East Anglia, Norwich NR4 7TJ (United Kingdom); Department of Development and Planning, Aalborg University, A.C. Meyers Vænge 15, DK-2450 København SV (Denmark); Bond, Alan J. [Science, Society and Sustainability (3S) Research Group, School of Environmental Sciences, University of East Anglia, Norwich NR4 7TJ (United Kingdom); School of Geo and Spatial Sciences, Internal Box 375, North West University (Potchefstroom campus) (South Africa)

2015-01-15

There is ongoing debate about the effectiveness of impact assessment tools, which matters both because of the threat to future practice of the tools which are frequently perceived to be ineffective, and because of the disillusionment that can ensue, and controversy generated, amongst stakeholders in a decision context where opportunities for meaningful debate have not been provided. In this article we regard debate about the meaning of effectiveness in impact assessment as an inevitable consequence of increased participation in environmental decision-making, and therefore frame effectiveness based on an inclusive democracy role to mean the extent to which impact assessment can accommodate civil society discourse. Our aim is to investigate effectiveness based on this framing by looking at one type of impact assessment – environmental impact assessment (EIA) – in two controversial project proposals: the HS2 rail network in England; and the A4DS motorway in the Netherlands. Documentary analysis and interviews held with key civil society stakeholders have been deployed to identify discourses that were mobilised in the cases. EIA was found to be able to accommodate only one out of four discourses that were identified; for the other three it did not provide the space for the arguments that characterised opposition. The conclusion in relation to debate on framings of effectiveness is that EIA will not be considered effective by the majority of stakeholders. EIA was established to support decision-making through a better understanding of impacts, so its ineffectiveness is unsurprising when its role is perceived to be broader. However, there remains a need to map discourses in different decision contexts and to analyse the extent to which the range of discourses are accommodated throughout the decision process, and the role of impact assessment in those processes, before recommendations can be made to either improve impact assessment effectiveness, or whether it is

Framing effectiveness in impact assessment: Discourse accommodation in controversial infrastructure development

International Nuclear Information System (INIS)

Rozema, Jaap G.; Bond, Alan J.

2015-01-01

There is ongoing debate about the effectiveness of impact assessment tools, which matters both because of the threat to future practice of the tools which are frequently perceived to be ineffective, and because of the disillusionment that can ensue, and controversy generated, amongst stakeholders in a decision context where opportunities for meaningful debate have not been provided. In this article we regard debate about the meaning of effectiveness in impact assessment as an inevitable consequence of increased participation in environmental decision-making, and therefore frame effectiveness based on an inclusive democracy role to mean the extent to which impact assessment can accommodate civil society discourse. Our aim is to investigate effectiveness based on this framing by looking at one type of impact assessment – environmental impact assessment (EIA) – in two controversial project proposals: the HS2 rail network in England; and the A4DS motorway in the Netherlands. Documentary analysis and interviews held with key civil society stakeholders have been deployed to identify discourses that were mobilised in the cases. EIA was found to be able to accommodate only one out of four discourses that were identified; for the other three it did not provide the space for the arguments that characterised opposition. The conclusion in relation to debate on framings of effectiveness is that EIA will not be considered effective by the majority of stakeholders. EIA was established to support decision-making through a better understanding of impacts, so its ineffectiveness is unsurprising when its role is perceived to be broader. However, there remains a need to map discourses in different decision contexts and to analyse the extent to which the range of discourses are accommodated throughout the decision process, and the role of impact assessment in those processes, before recommendations can be made to either improve impact assessment effectiveness, or whether it is

The impact of safety design consideration on future LMFBR developments. (R and D needs related to accident accommodation)

International Nuclear Information System (INIS)

Justin, F.

1985-04-01

Accident accommodation for design accidents or even beyond design basis accidents is based on components and systems for which important research and development work is needed. Main issues are treated: fuel failure faults, sodium fires, decay heat removal, accommodation of energetics and debris

SPATIOTEMPORAL PATTERNS AND SOCIOECONOMIC DIMENSIONS OF SHARED ACCOMMODATIONS: THE CASE OF AIRBNB IN LOS ANGELES, CALIFORNIA

Directory of Open Access Journals (Sweden)

A. Sarkar

2017-10-01

Full Text Available In recent years, disruptive innovation by peer-to-peer platforms in a variety of industries, notably transportation and hospitality have altered the way individuals consume everyday essential services. With growth in sharing economy platforms such as Uber for ridesharing and Airbnb for short-term accommodations, interest in examining spatiotemporal patterns of participation in the sharing economy by suppliers and consumers is increasing. This research is motivated by key questions: who are the sharing economy workers, where are they located, and does their location influence their participation in the sharing economy? This paper is the first systematic effort to analyze spatiotemporal patterns of participation by hosts in the shared accommodation-based economy. Using three different kinds of shared accommodations listed in a 3-year period in the popular short-term accommodation platform, Airbnb, we examine spatiotemporal dimensions of host participation in a major U.S. market, Los Angeles CA. The paper also develops a conceptual model by positing associations of demographic, socioeconomic, occupational, and social capital attributes of hosts, along with their attitudes toward trust and greener consumption with hosts’ participation in a shared accommodation market. Results confirm host participation to be influenced by young dependency ratio, the potential of supplemental income, as well as the sustainability potential of collaborative consumption, along with finance, insurance, and real estate occupation, but not so much by trust for our overall study area. These results add new insights to limited prior knowledge about the sharing economy worker and have policy implications.

A stepwise approach for the management of capsular contraction syndrome in hinge-based accommodative intraocular lenses.

Science.gov (United States)

Page, Timothy P; Whitman, Jeffrey

2016-01-01

The aims of this study are to define the various stages of capsular contraction syndrome (CCS) and its effect on refractive error with hinge-based accommodating intraocular lenses (IOLs) and to describe a systematic approach for the management of the different stages of CCS. Hinge-based accommodative IOLs function via flexible hinges that vault the optic forward during accommodation. However, it is the flexibility of the IOL that makes it prone to deformation in the event of CCS. The signs of CCS are identified and described as posterior capsular striae, fibrotic bands across the anterior or posterior capsule, and capsule opacification. Various degrees of CCS may affect hinge-based accommodating IOLs in a spectrum from subtle changes in IOL appearance to significant increases in refractive error and loss of uncorrected visual acuity. The signs of CCS and its effect on IOL position and the resulting changes in refractive error are matched to appropriate treatment plans. A surgeon can avoid CCS and manage the condition if familiar with the early signs of CCS. If CCS is identified, yttrium-aluminum-garnet laser capsulotomy should be considered. If moderate CCS occurs, it may be effectively treated with insertion of a capsular tension ring. If CCS is allowed to progress to advanced stages, an IOL exchange may be necessary. Surgeons should be familiar with the stages of CCS and subsequent interventions. The steps outlined in this article help to guide surgeons in the prevention and management of CCS with hinge-based accommodative IOLs in order to provide improved refractive outcomes for patients.

Motion in the north Iceland volcanic rift zone accommodated by bookshelf faulting

Science.gov (United States)

Green, Robert G.; White, Robert S.; Greenfield, Tim

2014-01-01

Along mid-ocean ridges the extending crust is segmented on length scales of 10-1,000km. Where rift segments are offset from one another, motion between segments is accommodated by transform faults that are oriented orthogonally to the main rift axis. Where segments overlap, non-transform offsets with a variety of geometries accommodate shear motions. Here we use micro-seismic data to analyse the geometries of faults at two overlapping rift segments exposed on land in north Iceland. Between the rift segments, we identify a series of faults that are aligned sub-parallel to the orientation of the main rift. These faults slip through left-lateral strike-slip motion. Yet, movement between the overlapping rift segments is through right-lateral motion. Together, these motions induce a clockwise rotation of the faults and intervening crustal blocks in a motion that is consistent with a bookshelf-faulting mechanism, named after its resemblance to a tilting row of books on a shelf. The faults probably reactivated existing crustal weaknesses, such as dyke intrusions, that were originally oriented parallel to the main rift and have since rotated about 15° clockwise. Reactivation of pre-existing, rift-parallel weaknesses contrasts with typical mid-ocean ridge transform faults and is an important illustration of a non-transform offset accommodating shear motion between overlapping rift segments.

Quantifying Arabia-Eurasia convergence accommodated in the Greater Caucasus by paleomagnetic reconstruction

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van der Boon, A.; van Hinsbergen, D. J. J.; Rezaeian, M.; Gürer, D.; Honarmand, M.; Pastor-Galán, D.; Krijgsman, W.; Langereis, C. G.

2018-01-01

Since the late Eocene, convergence and subsequent collision between Arabia and Eurasia was accommodated both in the overriding Eurasian plate forming the Greater Caucasus orogen and the Iranian plateau, and by subduction and accretion of the Neotethys and Arabian margin forming the East Anatolian plateau and the Zagros. To quantify how much Arabia-Eurasia convergence was accommodated in the Greater Caucasus region, we here provide new paleomagnetic results from 97 volcanic sites (∼500 samples) in the Talysh Mountains of NW Iran, that show ∼15° net clockwise rotation relative to Eurasia since the Eocene. We apply a first-order kinematic restoration of the northward convex orocline that formed to the south of the Greater Caucasus, integrating our new data with previously published constraints on rotations of the Eastern Pontides and Lesser Caucasus. This suggests that north of the Talysh ∼120 km of convergence must have been accommodated. North of the Eastern Pontides and Lesser Caucasus this is significantly more: 200-280 km. Our reconstruction independently confirms previous Caucasus convergence estimates. Moreover, we show for the first time a sharp contrast of convergence between the Lesser Caucasus and the Talysh. This implies that the ancient Paleozoic-Mesozoic transform plate boundary, preserved between the Iranian and East-Anatolian plateaus, was likely reactivated as a right-lateral transform fault since late Eocene time.

Trapezius muscle activity increases during near work activity regardless of accommodation/vergence demand level.

Science.gov (United States)

Richter, H O; Zetterberg, C; Forsman, M

2015-07-01

To investigate if trapezius muscle activity increases over time during visually demanding near work. The vision task consisted of sustained focusing on a contrast-varying black and white Gabor grating. Sixty-six participants with a median age of 38 (range 19-47) fixated the grating from a distance of 65 cm (1.5 D) during four counterbalanced 7-min periods: binocularly through -3.5 D lenses, and monocularly through -3.5 D, 0 D and +3.5 D. Accommodation, heart rate variability and trapezius muscle activity were recorded in parallel. General estimating equation analyses showed that trapezius muscle activity increased significantly over time in all four lens conditions. A concurrent effect of accommodation response on trapezius muscle activity was observed with the minus lenses irrespective of whether incongruence between accommodation and convergence was present or not. Trapezius muscle activity increased significantly over time during the near work task. The increase in muscle activity over time may be caused by an increased need of mental effort and visual attention to maintain performance during the visual tasks to counteract mental fatigue.

Knowledge Transfer and Accommodation Effects in Multinational Corporations

DEFF Research Database (Denmark)

Geisler Asmussen, Christian; Foss, Nicolai J.; Pedersen, Torben

2013-01-01

Foreign subsidiaries in multinational corporations (MNCs) possess knowledge that has different sources (e.g., the firm itself or various sources in the environment). How such sources influence knowledge transfer is not well understood. Drawing on the "accommodation effect" from cognitive psychology...... if a certain tipping point of internally sourced knowledge has been surpassed. This suggests that subsidiary knowledge stocks that are balanced in terms of their origins tend to be more valuable, congruous, and fungible, and therefore more likely to be transferred to other MNC units...

The determinants of transitions into sheltered accommodation in later life in England and Wales

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Vlachantoni, Athina; Maslovskaya, Olga; Evandrou, Maria; Falkingham, Jane

2016-01-01

Background Population ageing is a global challenge and understanding the dynamics of living arrangements in later life and their implications for the design of appropriate housing and long-term care is a critical policy issue. Existing research has focused on the study of transitions into residential care in the UK. This paper investigates transitions into sheltered accommodation among older people in England and Wales between 1993 and 2008. Methods The study uses longitudinal data constructed from pooled observations across waves 2–18 of the British Household Panel Survey (BHPS) data, focusing on individuals aged 65 and over who lived in private housing at baseline and who were observed for two consecutive time points. A discrete-time logistic regression model was used to examine the association of transitioning into sheltered accommodation with a range of demographic, health and socioeconomic predictors. Results Demographic (age, region), socioeconomic factors (housing tenure, having a washing machine) and contact with health professionals (number of visits to the general practitioner, start in use of health visitor) were significant determinants of an older person's move into sheltered accommodation. Conclusions Transitions into sheltered accommodation are associated with a range of demographic and socioeconomic characteristics as well as service use but not with health. Such results indicate that this type of housing option may be accessible by individuals with relatively good health, but may be limited to those who are referred by gatekeepers. Policymakers could consider making such housing option available to everyone, as well as providing incentives for building lifecourse-sensitive housing in the future. PMID:26896519

Yellow filters can improve magnocellular function: motion sensitivity, convergence, accommodation, and reading.

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Ray, N J; Fowler, S; Stein, J F

2005-04-01

The magnocellular system plays an important role in visual motion processing, controlling vergence eye movements, and in reading. Yellow filters may boost magnocellular activity by eliminating inhibitory blue input to this pathway. It was found that wearing yellow filters increased motion sensitivity, convergence, and accommodation in many children with reading difficulties, both immediately and after three months using the filters. Motion sensitivity was not increased using control neutral density filters. Moreover, reading-impaired children showed significant gains in reading ability after three months wearing the filters compared with those who had used a placebo. It was concluded that yellow filters can improve magnocellular function permanently. Hence, they should be considered as an alternative to corrective lenses, prisms, or exercises for treating poor convergence and accommodation, and also as an aid for children with reading problems.

The impact of visitor segments on the perception of the quality of the product of accommodation establishments

Directory of Open Access Journals (Sweden)

Roman Švec

2012-01-01

Full Text Available The aim of the paper is to evaluate differences in the quality perception among particular segments of demand. Data for analysis were collected by means of the questionnaire survey among clients of accommodation establishments. The research in accommodation establishments succeeded to identify four factors of the perception of quality of services provided in those establishments, when only accommodation and catering services were taken into consideration. Age appeared to be an important criterion for the evaluation the of the quality of offered services as the differences in the quality perception among particular age groups were proved for three of four identified factors of the quality perception. The factors are as follows: “environment of the accommodation establishment”, “hygiene in accommodation establishment”, “service in the catering part of the establishment” and “quality of the meals”. The duration of stay as well as the gender of the respondents influences the quality of perception only in the perception of the “quality of meal” factor. Compared to the duration of stay, the repetition of the stay is a considerably important factor in causing the variability of the answers on the rate of the quality perception. The purpose of travel was also proven to be a criterion affecting the rate of the quality perception of the first three factors, whereas the impact of the criterion “client’s travel companionship” was proven in case of the first and third factor.

Science Language Accommodation in Elementary School Read-Alouds

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Glass, Rory; Oliveira, Alandeom W.

2014-03-01

This study examines the pedagogical functions of accommodation (i.e. provision of simplified science speech) in science read-aloud sessions facilitated by five elementary teachers. We conceive of read-alouds as communicative events wherein teachers, faced with the task of orally delivering a science text of relatively high linguistic complexity, open up an alternate channel of communication, namely oral discussion. By doing so, teachers grant students access to a simplified linguistic input, a strategy designed to promote student comprehension of the textual contents of children's science books. It was found that nearly half (46%) of the read-aloud time was allotted to discussions with an increased percentage of less sophisticated words and reduced use of more sophisticated vocabulary than found in the books through communicative strategies such as simplified rewording, simplified definition, and simplified questioning. Further, aloud reading of more linguistically complex books required longer periods of discussion and an increased degree of teacher oral input and accommodation. We also found evidence of reversed simplification (i.e. sophistication), leading to student uptake of scientific language. The main significance of this study is that it reveals that teacher talk serves two often competing pedagogical functions (accessible communication of scientific information to students and promotion of student acquisition of the specialized language of science). It also underscores the importance of giving analytical consideration to the simplification-sophistication dimension of science classroom discourse as well as the potential of computer-based analysis of classroom discourse to inform science teaching.

Worker adaptation and workplace accommodations after the onset of an illness

DEFF Research Database (Denmark)

Holm, Anders; Høgelund, Jan

2014-01-01

Workers who become work-incapacitated may try to change employer or stay with their current employer in an accommodated job. We study the effect of these strategies on sick-listed workers’ employment durations. We use survey and register data of 809 workers. We simultaneously estimate the duratio...

Can the EU’s constitutional framework accommodate democratic politics?

Directory of Open Access Journals (Sweden)

Scicluna Nicole

2017-11-01

Full Text Available The robustness of the EU’s constitutional framework – and its ability to accommodate democratic politics – is challenged as never before. The growing disconnect between formally democratic procedures and substantive choice is well illustrated by the Greek crisis. Since its first bailout in May 2010, Greece has held four general elections and a referendum. Yet, the anti-austerity preferences of the Greek electorate have not been effectively translated into policy.

Plant and animal accommodation for Space Station Laboratory

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Olson, Richard L.; Gustan, Edith A.; Wiley, Lowell F.

1986-01-01

An extended study has been conducted with the goals of defining and analyzing relevant parameters and significant tradeoffs for the accommodation of nonhuman research aboard the NASA Space Station, as well as conducting tradeoff analyses for orbital reconfiguring or reoutfitting of the laboratory facility and developing laboratory designs and program plans. The two items exerting the greatest influence on nonhuman life sciences research were identified as the centrifuge and the specimen environmental control and life support system; both should be installed on the ground rather than in orbit.

Laser alteration of accommodation coefficient for isotope separation

International Nuclear Information System (INIS)

Keck, J.C.

1976-01-01

This patent describes a method and an apparatus for separating isotope types by inducing an isotopically selective vibrational excitation of molecules containing at least one atom of the element type whose isotopes are to be separated. Vibrational excitation is induced in the molecules by finely tuned, narrow bandwidth laser radiation applied to a gaseous flow of the molecules. Isotopic separation of the molecules is achieved from the enhanced difference in diffusion rates for the molecules due to an alteration of the accommodation coefficients in the excited molecules. 40 claims, 4 figures

Change in the accommodative convergence per unit of accommodation ratio after bilateral laser in situ keratomileusis for myopia in orthotropic patients: prospective evaluation.

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Prakash, Gaurav; Choudhary, Vandana; Sharma, Namrata; Titiyal, Jeewan S

2007-12-01

To analyze the effect of bilateral laser in situ keratomileusis (LASIK) on the accommodative convergence per unit of accommodation (AC/A) ratio in otherwise normal orthotropic myopic patients. Cornea and refractive services of a tertiary-care ophthalmic center. This prospective clinical trial consisted of 61 myopic patients who had bilateral LASIK. Those with manifest tropia, previous squint surgery, amblyopia, or absent or impaired binocularity or those in whom monovision was planned were excluded. The preoperative examination included visual acuity, cycloplegic refraction, assessment of binocularity, a prism cover test, and evaluation of the stimulus AC/A ratio by the gradient method. All patients had LASIK using the Zyoptix platform (Bausch & Lomb). Postoperative evaluation included uncorrected and best corrected visual acuities, residual refraction, and the AC/A ratio. All patients had a follow-up of 9 months. There was significant decrease in the mean AC/A ratio at the 1-week and 1-month follow-ups. The AC/A progressively recovered to near preoperative values between 3 months and 9 months after surgery (analysis of variance test). There was a significant reduction in the number of symptomatic patients from the first month onward (chi square = 89.23; Paccommodation-convergence relationship after LASIK occurs in the first 3 months.

OSHA and ADA: "Reasonable Accommodation" in Training Persons with Developmental Disabilities.

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Sandoz, Charles J.

This paper documents an approach to meeting the training requirements of the Occupational Safety and Health Act (OSHA) and the "reasonable accommodation" requirements of the Americans with Disabilities Act (ADA) for individuals with developmental disabilities. It describes a training program used with three adult workers with mild mental…

Partial tooth gear bearings

Science.gov (United States)

Vranish, John M. (Inventor)

2010-01-01

A partial gear bearing including an upper half, comprising peak partial teeth, and a lower, or bottom, half, comprising valley partial teeth. The upper half also has an integrated roller section between each of the peak partial teeth with a radius equal to the gear pitch radius of the radially outwardly extending peak partial teeth. Conversely, the lower half has an integrated roller section between each of the valley half teeth with a radius also equal to the gear pitch radius of the peak partial teeth. The valley partial teeth extend radially inwardly from its roller section. The peak and valley partial teeth are exactly out of phase with each other, as are the roller sections of the upper and lower halves. Essentially, the end roller bearing of the typical gear bearing has been integrated into the normal gear tooth pattern.

Displacement of the posterior part of the eyeball in myopia

International Nuclear Information System (INIS)

Akizawa, Yasuko; Ida, Masahiro

2006-01-01

The principal aim of this study was to investigate displacement of the posterior part of the eyeball within the muscle cone in myopic eyes, particularly in moderately myopic subjects as well as in high myopes. Secondly, the correlation of the amount of displacement and the outer axial length of the globe was studied. The direction of displacement was also examined to clarify whether the eyeball tends to shift toward a certain direction. Seven patients with moderate myopia (moderate myopia group), fifteen patients with high myopia without esotropia (high myopia group), five patients with high myopia and esotropia (myopic esotropia group), and twenty-two controls (control group) were examined. Using magnetic resonance imaging, the outer axial length and the displacement of the posterior portion of the eyeball in the muscle cone were measured. In order to eliminate interindividual differences in the facial configuration, the coronal scanning was done perpendicularly to the orbital axis. The displacement was measured in a plane 4 mm anterior to the globe-optic nerve junction. The displacement was represented by the distance and direction of the globe center from the center of the muscle cone. In the moderate myopia group, there was no displacement of the posterior part of the eyeball in the muscle cone. It was the same as in the control group. But among the three groups, the displacement (mean±standard deviation) was significantly greater in the myopic esotropia group (1.53±0.49 mm) and the high myopia group (0.94±0.52 mm) than in the control group (0.11±0.18 mm) (one way ANOVA and multiple comparison). The outer axial length and the distance of the displacement in all cases was significantly correlated (r=0.87, p=0.01). Moreover, the posterior part of the eyeball of the myopic esotropia group and the high myopia group was displaced superiorly and temporally. The posterior part of the eyeball of myopic eyes was displaced superotemporally in the muscle cone

A cross-sectional study of insight and family accommodation in pediatric obsessive-compulsive disorder

Science.gov (United States)

2013-01-01

Background Factors predicting treatment outcome in pediatric patients with obsessive-compulsive disorder (OCD) include disease severity, functional impairment, comorbid disorders, insight, and family accommodation (FA). Treatment of pediatric OCD is often only partly successful as some of these predictors are not targeted with conventional therapy. Among these, insight and FA were identified to be modifiable predictors of special relevance to pediatric OCD. Despite their clinical relevance, insight and FA remain understudied in youth with OCD. This study examined the clinical correlates of insight and FA and determined whether FA mediates the relationship between symptom severity and functional impairment in pediatric OCD. Methods This was a cross-sectional, outpatient study. Thirty-five treatment-naive children and adolescentswith DSM-IV diagnosis of OCD (mean age: 13.11 ± 3.16; 54.3% males) were included. Standard questionnaires were administered for assessing the study variables. Insight and comorbidities were assessed based on clinician’s interview. Subjects were categorized as belonging to a high insight or a low insight group, and the differences between these two groups were analyzed using ANOVA. Pearson’s correlation coefficients were calculated for the remaining variables of interest. Mediation analysis was carried out using structural equation modeling. Results Relative to those in the high insight group, subjects in the low insight group were younger, had more severe disease and symptoms, and were accommodated to a greater extent by their families. In addition, comorbid depression was more frequent in subjects belonging to the low insight group. Family accommodation was positively related to disease severity, symptom severity, and functional impairment. Family accommodation totally mediated the relationship between symptom severity and functional impairment. Conclusions Results support the differences in the diagnostic criteria between adult and

[Clinical features of strabismus in psychomotor retardation].

Science.gov (United States)

Arias-Cabello, Belina; Arroyo-Yllanes, María Estela; Pérez-Pérez, José Fernando; Fonte-Vázquez, Anselmo

2016-01-01

In psychomotor retardation there is an abnormal development of mental, sensory and motor skills associated with ocular manifestations. There are biological and psychosocial risk factors that predispose an individual to neurological damage. From 50% to 80% of patients with strabismus retardation have special features that differentiate it from the rest of strabismus in healthy patients. To determine the most common type of strabismus in patients with psychomotor retardation and their clinical features. Patients with psychomotor retardation and strabismus were included. An ophthalmological examination was performed, as well as an evaluation of the characteristics of strabismus, including perinatal and post-natal history. Esotropia was the most frequent squint with 65.3%, followed by exotropia with 32.7%. The variability in the squint magnitude was 60% in both types, and 6 patients had dissociated vertical deviation. Most of the patients started to present strabismus since they were born. The most frequent perinatal risk factors were threatened miscarriage, pre-eclampsia, foetal distress, and hypoxia. Esotropia is the most common type of strabismus in psychomotor retardation. The variability of squint magnitude is a characteristic in these patients. The moderate variability is the most frequent in both esotropia and exotropia. The most common refractive error is hyperopic astigmatism in esotropia and the myopic kind in exotropia. Copyright © 2015 Academia Mexicana de Cirugía A.C. Published by Masson Doyma México S.A. All rights reserved.

Applied force and elongation in the medial rectus in esotropic patients with and without movement restriction.

Science.gov (United States)

Krieger, Fernanda; Cvintal, Tadeu; Bicas, Harley

2004-12-01

To study the different ways of expressing the force-elongation relationship in medial rectus muscles in esotropia with and without muscular restriction. Twenty-nine passive force-elongation curves were obtained without restriction (group I, n = 13) and with restriction (group II, n = 10) by means of a manual pachymeter and a digital dynamometer. In group I, the mean age was 14 years and 7 days and the mean esotropia was 53.88(Delta) while in group II the mean age was 35 years and 5 days and the mean esotropia was 60.5(Delta). Comparisons of structural muscular parameters between groups I and II were made for length (38.69 +/- 0.75 vs. 32.48 +/- 1.84 mm, p elongation relationship, whether normalized or not, followed an exponential curve. The constant c, which represents force when the elongation is zero, remained the same in all curves. In contrast, the constant b, which represents the slope of the curve, showed a significant difference between the two groups only for the curves of force-absolute elongation and tension-absolute elongation. The results imply that the constant b is better for characterizing the difference between the behavior of the medial rectus in esotropia with and without restriction. In addition, the elongation normalization showed that the contractile component is similar between the two groups and, therefore, the classical way of analysis, which does not employ normalization, is appropriate to correlate muscle properties with clinical findings.

A Dyadic Perspective on Speech Accommodation and Social Connection: Both Partners’ Rejection Sensitivity Matter

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Aguilar, Lauren; Downey, Geraldine; Krauss, Robert; Pardo, Jennifer; Lane, Sean; Bolger, Niall

2014-01-01

Objective Findings from confederate paradigms predict that mimicry is an adaptive route to social connection for rejection sensitive individuals (Lakin et al., 2008). However, dyadic perspectives predict that whether mimicry leads to perceived connection depends on the rejection sensitivity (RS) of both partners in an interaction. Method We investigated these predictions in 50 college women who completed a dyadic cooperative task in which members were matched or mismatched in being dispositionally high or low in RS. We used a psycholinguistics paradigm to assess, through independent listeners’ judgments (N = 162), how much interacting individuals accommodate phonetic aspects of their speech toward each other. Results Results confirmed predictions from confederate paradigms in matched RS dyads. However, mismatched dyads showed an asymmetry in levels of accommodation and perceived connection: Those high in RS accommodated more than their low RS partner but emerged feeling less connected. Meditational analyses indicated that low RS individuals’ nonaccommodation in mismatched dyads helped explain their high RS partners’ relatively low perceived connection to them. Conclusions Establishing whether mimicry is an adaptive route to social connection requires analyzing mimicry as a dyadic process influenced by the needs of each dyad member. PMID:25393028

The Role of Sex, Gender, Health Factors, and Job Context in Workplace Accommodation Use Among Men and Women with Arthritis.

Science.gov (United States)

Gignac, Monique A M; Ibrahim, Selahadin; Smith, Peter M; Kristman, Vicki; Beaton, Dorcas E; Mustard, Cameron A

2018-04-18

With the aging of populations in many countries, workers are expected to remain employed longer but may struggle with the onset of common, chronic conditions like arthritis. To date, few studies have examined workplace policies and practices that could help accommodate individuals with arthritis, and fewer still have used a sex and gender-based approach to explore similarities and differences between women and men. This study compared the health and work contexts of workers aged ≥50 years to better understand similarities and differences between women and men in accommodation availability, need, use, and unmet needs. A cross-sectional survey of men and women with osteoarthritis (OA), inflammatory arthritis (IA), or both OA and IA was administered online or by telephone and assessed demographics (e.g. age, education), health (e.g. pain, fatigue, workplace activity limitations), work context factors (e.g. job sector, full/part-time work, job control), and workplace accommodations (e.g. health benefits, flexible hours, special equipment/adaptations, modified duties). Sex and gender-based analyses examined similarities and differences between men and women and included descriptive statistics, multivariable multinomial analyses, and nested regression analyses. There was a 58.9% response rate and final sample of 463 participants (women, n = 266; men, n = 197; OA = 59.0%; IA/both IA and OA = 23.7%; unsure = 17.3%). Women and men were significantly different in a number of health (e.g. fatigue, health variability, workplace activity limitations) and work context factors (e.g. job sector, part-time work, job stress). However, in other respects, they were similar (e.g. pain, job involving physical demands, size of organization, shift work, union membership, job control). There were no differences between men and women in the availability or use of workplace accommodations. However, women reported significantly more accommodation needs and had greater unmet needs

The Role of Sex, Gender, Health Factors, and Job Context in Workplace Accommodation Use Among Men and Women with Arthritis

Science.gov (United States)

Gignac, Monique A M; Ibrahim, Selahadin; Smith, Peter M; Kristman, Vicki; Beaton, Dorcas E; Mustard, Cameron A

2018-01-01

Abstract Background With the aging of populations in many countries, workers are expected to remain employed longer but may struggle with the onset of common, chronic conditions like arthritis. To date, few studies have examined workplace policies and practices that could help accommodate individuals with arthritis, and fewer still have used a sex and gender-based approach to explore similarities and differences between women and men. Objectives This study compared the health and work contexts of workers aged ≥50 years to better understand similarities and differences between women and men in accommodation availability, need, use, and unmet needs. Methods A cross-sectional survey of men and women with osteoarthritis (OA), inflammatory arthritis (IA), or both OA and IA was administered online or by telephone and assessed demographics (e.g. age, education), health (e.g. pain, fatigue, workplace activity limitations), work context factors (e.g. job sector, full/part-time work, job control), and workplace accommodations (e.g. health benefits, flexible hours, special equipment/adaptations, modified duties). Sex and gender-based analyses examined similarities and differences between men and women and included descriptive statistics, multivariable multinomial analyses, and nested regression analyses. Results There was a 58.9% response rate and final sample of 463 participants (women, n = 266; men, n = 197; OA = 59.0%; IA/both IA and OA = 23.7%; unsure = 17.3%). Women and men were significantly different in a number of health (e.g. fatigue, health variability, workplace activity limitations) and work context factors (e.g. job sector, part-time work, job stress). However, in other respects, they were similar (e.g. pain, job involving physical demands, size of organization, shift work, union membership, job control). There were no differences between men and women in the availability or use of workplace accommodations. However, women reported significantly more

SURGICAL INTERVENTION AND ACCOMMODATIVE RESPONSES: I. CENTRIPETAL CILIARY BODY, CAPSULE AND LENS MOVEMENT IN RHESUS MONKEYS OF VARYING AGE

Science.gov (United States)

Croft, Mary Ann; Mcdonald, Jared P.; James, Rebecca J.; Heatley, Gregg A.; Lin, Ting-Li; Lütjen-Drecoll, Elke; Kaufman, Paul L.

2009-01-01

Purpose To determine how surgically altering the normal relationship between the lens and the ciliary body in rhesus monkeys affects centripetal ciliary body and lens movement. Methods In 18 rhesus monkey eyes (aged 6–27 years), accommodation was induced before and after surgery by electrical stimulation of the Edinger-Westphal (E–W) nucleus. Accommodative amplitude was measured by coincidence refractometry. Goniovideography was performed before and after intra- and extra-capsular lens extraction (ICLE, ECLE) and anterior regional zonulolysis. Centripetal lens/capsule movements, centripetal ciliary process (CP) movements, and circumlental space were measured by computerized image analysis of the goniovideography images. Results Centripetal accommodative CP and capsule movement increased in velocity and amplitude post-ECLE compared to pre-ECLE regardless of age (n=5). The presence of the lens substance retarded capsule movement by ~21% in the young eyes and by ~62% in the older eyes. Post-ICLE compared to pre-ICLE centripetal accommodative CP movement was dampened in all eyes in which the anterior vitreous was disturbed (n=7), but not in eyes in which the anterior vitreous was left intact (n=2). Following anterior regional zonulolysis (n=4), lens position shifted toward the lysed quadrant during accommodation. Conclusions The presence of the lens substance, capsule zonular attachments, and Wiegers ligament may play a role in centripetal CP movement. The capsule is still capable of centripetal movement in the older eye (although at a reduced capacity) and may have the ability to produce ~6 diopters of accommodation in the presence of a normal young crystalline lens or a similar surrogate. PMID:18552393

Viability of oxide fiber coatings in ceramic composites for accommodation of misfit stresses

International Nuclear Information System (INIS)

Kerans, R.J.

1996-01-01

The C and BN fiber coatings used in most ceramic composites perform a less obvious but equally essential function, in addition to crack deflection; they accommodate misfit stresses due to interfacial fracture surface roughness. Coatings substituted for them must also perform that function to be effective. However, in general, oxides are much less compliant materials than C and BN, which raises the question of the feasibility of oxide substitutes. The viability of oxide coatings for accommodating misfit stresses in Nicalon fiber/SiC composites was investigated by calculating the maximum misfit stresses as functions of coating properties and geometries. Control of interfacial fracture path was also briefly considered. The implications regarding composite properties were examined by calculating properties for composites with mechanically viable oxide coatings

The use of cues to convergence and accommodation in naïve, uninstructed participants.

Science.gov (United States)

Horwood, Anna M; Riddell, Patricia M

2008-07-01

A remote haploscopic video refractor was used to assess vergence and accommodation responses in a group of 32 emmetropic, orthophoric, symptom free, young adults naïve to vision experiments in a minimally instructed setting. Picture targets were presented at four positions between 2 m and 33 cm. Blur, disparity and looming cues were presented in combination or separately to asses their contributions to the total near response in a within-subjects design. Response gain for both vergence and accommodation reduced markedly whenever disparity was excluded, with much smaller effects when blur and proximity were excluded. Despite the clinical homogeneity of the participant group there were also some individual differences.

Finite element modelling of radial lentotomy cuts to improve the accommodation performance of the human lens.

Science.gov (United States)

Burd, H J; Wilde, G S

2016-04-01

The use of a femtosecond laser to form planes of cavitation bubbles within the ocular lens has been proposed as a potential treatment for presbyopia. The intended purpose of these planes of cavitation bubbles (referred to in this paper as 'cutting planes') is to increase the compliance of the lens, with a consequential increase in the amplitude of accommodation. The current paper describes a computational modelling study, based on three-dimensional finite element analysis, to investigate the relationship between the geometric arrangement of the cutting planes and the resulting improvement in lens accommodation performance. The study is limited to radial cutting planes. The effectiveness of a variety of cutting plane geometries was investigated by means of modelling studies conducted on a 45-year human lens. The results obtained from the analyses depend on the particular modelling procedures that are employed. When the lens substance is modelled as an incompressible material, radial cutting planes are found to be ineffective. However, when a poroelastic model is employed for the lens substance, radial cuts are shown to cause an increase in the computed accommodation performance of the lens. In this case, radial cuts made in the peripheral regions of the lens have a relatively small influence on the accommodation performance of the lens; the lentotomy process is seen to be more effective when cuts are made near to the polar axis. When the lens substance is modelled as a poroelastic material, the computational results suggest that useful improvements in lens accommodation performance can be achieved, provided that the radial cuts are extended to the polar axis. Radial cuts are ineffective when the lens substance is modelled as an incompressible material. Significant challenges remain in developing a safe and effective surgical procedure based on this lentotomy technique.

A stepwise approach for the management of capsular contraction syndrome in hinge-based accommodative intraocular lenses

Directory of Open Access Journals (Sweden)

Page TP

2016-06-01

Full Text Available Timothy P Page,1 Jeffrey Whitman2 1Department of Ophthalmology, Oakland University William Beaumont School of Medicine, Royal Oak, MI, 2Key-Whitman Eye Center, Dallas, TX, USA Purpose: The aims of this study are to define the various stages of capsular contraction syndrome (CCS and its effect on refractive error with hinge-based accommodating intraocular lenses (IOLs and to describe a systematic approach for the management of the different stages of CCS. Methods: Hinge-based accommodative IOLs function via flexible hinges that vault the optic forward during accommodation. However, it is the flexibility of the IOL that makes it prone to deformation in the event of CCS. The signs of CCS are identified and described as posterior capsular striae, fibrotic bands across the anterior or posterior capsule, and capsule opacification. Various degrees of CCS may affect hinge-based accommodating IOLs in a spectrum from subtle changes in IOL appearance to significant increases in refractive error and loss of uncorrected visual acuity. The signs of CCS and its effect on IOL position and the resulting changes in refractive error are matched to appropriate treatment plans. Results: A surgeon can avoid CCS and manage the condition if familiar with the early signs of CCS. If CCS is identified, yttrium–aluminum–garnet laser capsulotomy should be considered. If moderate CCS occurs, it may be effectively treated with insertion of a capsular tension ring. If CCS is allowed to progress to advanced stages, an IOL exchange may be necessary. Conclusion: Surgeons should be familiar with the stages of CCS and subsequent interventions. The steps outlined in this article help to guide surgeons in the prevention and management of CCS with hinge-based accommodative IOLs in order to provide improved refractive outcomes for patients. Keywords: z-syndrome, pseudophakic tilt, IOL subluxation, CTR, capsular tension ring, capsular fibrosis

A novel experimental method for measuring vergence and accommodation responses to the main near visual cues in typical and atypical groups.

Science.gov (United States)

Horwood, Anna M; Riddell, Patricia M

2009-01-01

Binocular disparity, blur, and proximal cues drive convergence and accommodation. Disparity is considered to be the main vergence cue and blur the main accommodation cue. We have developed a remote haploscopic photorefractor to measure simultaneous vergence and accommodation objectively in a wide range of participants of all ages while fixating targets at between 0.3 and 2 m. By separating the three main near cues, we can explore their relative weighting in three-, two-, one-, and zero-cue conditions. Disparity can be manipulated by remote occlusion; blur cues manipulated by using either a Gabor patch or a detailed picture target; looming cues by either scaling or not scaling target size with distance. In normal orthophoric, emmetropic, symptom-free, naive visually mature participants, disparity was by far the most significant cue to both vergence and accommodation. Accommodation responses dropped dramatically if disparity was not available. Blur only had a clinically significant effect when disparity was absent. Proximity had very little effect. There was considerable interparticipant variation. We predict that relative weighting of near cue use is likely to vary between clinical groups and present some individual cases as examples. We are using this naturalistic tool to research strabismus, vergence and accommodation development, and emmetropization.

Contribution of the crystalline lens gradient refractive index to the accommodation amplitude in non-human primates: in vitro studies.

Science.gov (United States)

Maceo, Bianca M; Manns, Fabrice; Borja, David; Nankivil, Derek; Uhlhorn, Stephen; Arrieta, Esdras; Ho, Arthur; Augusteyn, Robert C; Parel, Jean-Marie

2011-11-30

The purpose of this study was to determine the contribution of the gradient refractive index to the change in lens power in hamadryas baboon and cynomolgus monkey lenses during simulated accommodation in a lens stretcher. Thirty-six monkey lenses (1.4-14.1 years) and twenty-five baboon lenses (1.8-28.0 years) were stretched in discrete steps. At each stretching step, the lens back vertex power was measured and the lens cross-section was imaged with optical coherence tomography. The radii of curvature for the lens anterior and posterior surfaces were calculated for each step. The power of each lens surface was determined using refractive indices of 1.365 for the outer cortex and 1.336 for the aqueous. The gradient contribution was calculated by subtracting the power of the surfaces from the measured lens power. In all lenses, the contribution of the surfaces and gradient increased linearly with the amplitude of accommodation. The gradient contributes on average 65 ± 3% for monkeys and 66 ± 3% for baboons to the total power change during accommodation. When expressed in percent of the total power change, the relative contribution of the gradient remains constant with accommodation and age in both species. These findings are consistent with Gullstrand's intracapsular theory of accommodation.

A preliminary evaluation of the ability of from-reactor casks to geometrically accommodate commercial LWR spent nuclear fuel

International Nuclear Information System (INIS)

Andress, D.; Joy, D.S.; McLeod, N.B.; Peterson, R.W.; Rahimi, M.

1991-01-01

The Department of Energy has sponsored a number of cask design efforts to define several transportation casks to accommodate the various assemblies expected to be accepted by the Federal Waste Management System. At this time, three preliminary cask designs have been selected for the final design--the GA-4 and GA-9 truck casks and the BR-100 rail cask. In total, this assessment indicates that the current Initiative I cask designs can be expected to dimensionally accommodate 100% of the PWR fuel assemblies (other than the extra-long South Texas Fuel) with control elements removed, and >90% of the assemblies having the control elements as an integral part of the fuel assembly. For BWR assemblies, >99% of the assemblies can be accommodated with fuel channels removed. This paper summarizes preliminary results of one part of that evaluation related to the ability of the From-Reactor Initiative I casks to accommodate the physical and radiological characteristics of the Spent Nuclear Fuel projected to be accepted into the Federal Waste Management System. 3 refs., 5 tabs

[Importance of occlusion therapy for amblyopia in partial unilateral congenital cataracts that are discovered late].

Science.gov (United States)

Denion, E; Dedes, V; Bonne, M; Labalette, P; Berger, C; Guilbert, F; Bouckehove, S; Rouland, J-F

2004-11-01

The aim of this study is to investigate the importance of occlusion therapy for amblyopia in patients with partial unilateral congenital cataracts that were discovered after 24 months of age. A retrospective study was conducted on 11 patients, each of whom underwent a clinical examination including a cycloplegic refraction with atropine. The average age when the cataract was diagnosed was 35 months. The average distance visual acuity was 6/78 and the average near visual acuity was 35/175. Occlusion therapy using adhesive patches was started after refractive error correction. In two cases, observance was mediocre. Ametropia was found in every patient, with anisometropia in nine patients (alpha occlusion therapy for amblyopia, the average visual acuity significantly improved to 6/22 in distance vision (alpha Amblyopia is related to lens opacities as well as frequently associated anisometropia. Functional improvement is greater in near vision than in distance vision. With occlusion therapy for amblyopia, accommodation is preserved. This factor is of utmost importance as near vision is preferential in young children. This study provides an opportunity to recall the importance of refraction and occlusion therapy for amblyopia, which must be systematically attempted in cases of partial unilateral congenital cataracts before considering a surgical procedure.

Residual limb fluid volume change and volume accommodation: Relationships to activity and self-report outcomes in people with trans-tibial amputation.

Science.gov (United States)

Sanders, Joan E; Youngblood, Robert T; Hafner, Brian J; Ciol, Marcia A; Allyn, Katheryn J; Gardner, David; Cagle, John C; Redd, Christian B; Dietrich, Colin R

2018-02-01

Fluctuations in limb volume degrade prosthesis fit and require users to accommodate changes using management strategies, such as donning and doffing prosthetic socks. To examine how activities and self-report outcomes relate to daily changes in residual limb fluid volume and volume accommodation. Standardized, two-part laboratory protocol with an interim observational period. Participants were classified as "accommodators" or "non-accommodators," based on self-report prosthetic sock use. Participants' residual limb fluid volume change was measured using a custom bioimpedance analyzer and a standardized in-laboratory activity protocol. Self-report health outcomes were assessed with the Socket Comfort Score and Prosthesis Evaluation Questionnaire. Activity was monitored while participants left the laboratory for at least 3 h. They then returned to repeat the bioimpedance test protocol. Twenty-nine people were enrolled. Morning-to-afternoon percent limb fluid volume change per hour was not strongly correlated to percent time weight-bearing or to self-report outcomes. As a group, non-accommodators ( n = 15) spent more time with their prosthesis doffed and reported better outcomes than accommodators. Factors other than time weight-bearing may contribute to morning-to-afternoon limb fluid volume changes and reported satisfaction with the prosthesis among trans-tibial prosthesis users. Temporary doffing may be a more effective and satisfying accommodation method than sock addition. Clinical relevance Practitioners should be mindful that daily limb fluid volume change and prosthesis satisfaction are not dictated exclusively by activity. Temporarily doffing the prosthesis may slow daily limb fluid volume loss and should be investigated as an alternative strategy to sock addition.

Visual acuity, amplitude of accommodation and near point of convergence and academic achievement in primary school learners in Bloemfontein

Directory of Open Access Journals (Sweden)

Mariette Nel

2014-08-01

Conclusion: Of the three visual functions evaluated in this study, the only visual function associated with academic achievement was amplitude of accommodation. It would thus be recommended that learners are screened for optimal visual function earlier in life if especially the amplitude of accommodation is receded.

Destinations and accommodations--how linked are they from a customer's perspective?

Science.gov (United States)

Mi Ran Kim; Christine Vogt; Annette Rummel

2008-01-01

Success in the hotel and tourism industry depends on understanding the key factors of customer satisfaction. Customer satisfaction leads to purchase repetition, intention to revisit, and potential increased future patronage of the hotel. The purpose of this research is to better understand (1) the factors that influence overnight accommodation decisions; (2) how these...

Comparison of 2D and 3D Vision Gaze with Simultaneous Measurements of Accommodation and Convergence

OpenAIRE

Hori, Hiroki; Shiomi, Tomoki; Hasegawa, Satoshi; Takada, Hiroki; Omori, Masako; Matsuura, Yasuyuki; Ishio, Hiromu; Miyao, Masaru

2014-01-01

Accommodation and convergence were measured simultaneously while subjects viewed 2D and 3D images. The aim was to compare fixation distances between accommodation and convergence in young subjects while they viewed 2D and 3D images. Measurements were made three times, 40 seconds each, using 2D and 3D images. The result suggests that ocular functions during viewing of 3D images are very similar to those during natural viewing. Previously established and widely used theories, such that within a...

Appraisal of Passive and Active Fire Protection Systems in Student’s Accommodation

Directory of Open Access Journals (Sweden)

Ismail I.

2014-03-01

Full Text Available Fire protection systems are very important systems that must be included in buildings. They have a great significance in reducing or preventing the occurrences of fire. This paper presents an assessment of fire protection systems in student’s accommodation. Student accommodation is a particular type of building that provides shelter for students at University. In addition, it is also supposed to be an attractive environment, conducive to learning, and importantly, safe for occupation. The fire safety of occupants in a building, must be in accordance with the requirements of the building’s code. Therefore, the design of the building must comply with the Uniform Building By-Law (UBBL 1984 of Malaysia, and provide all of the required safety features. This paper describes the findings from investigations of passive and active fire protection systems installed in buildings, based on fire safety requirements, UBBL (1984.

The Theory of Planned Behavior and Acceptance of Disability: Understanding Intentions to Request Instructional Accommodations in Post-Secondary Institutions

Science.gov (United States)

Rivas, JoAnn

2013-01-01

Graduating high-school students with disabilities are making the decision to pursue a post-secondary education in greater numbers. While many students with disabilities self-identify at enrollment as having a disability and thereby qualify for instructional accommodations, few of them request accommodations to assist with meeting course…

Performance analysis of Ethernet PON system accommodating 64 ONUs

Science.gov (United States)

Tanaka, Keiji; Ohara, Kazuho; Miyazaki, Noriyuki; Edagawa, Noboru

2007-05-01

We report the performance of an IEEE 802.3 standard compliant Ethernet passive optical network (EPON) system accommodating 64 optical network units (ONUs). After investigating the optical transmission performance, we successfully demonstrate that a high throughput of more than 900Mbits/s can be achieved in a 64-ONU EPON system using multiple logical link identifiers per ONU within a range of 10km. In addition, we confirm the feasibility of IP-based high-quality triple play services in the EPON system.

The Effects of Branding on Purchasing Preferences of Tourists at Accommodation Enterprises: An Implementation at Chain Accommodation Enterprises in Antalya

Directory of Open Access Journals (Sweden)

Banu Yıldız

2013-09-01

Full Text Available The aim of this study is to determine the effect of branding on the purchasing preferences of tourists at accommodation enterprises. Towards this end questionnaire technique was used and 398 questionnaires were considered to be evaluated. The data, gathered, analyzed by using statistical methods. As a result it is revealed that branding (brad awareness, perceived quality, brand image, brand trust, brand attitude and brand loyalty parameters has a positive effect on purchasing preferences of tourists and a negative effect on the volume of perceived risk. Factors contributing to more on purchasing preferences of tourists, respectively, brand attitude, brand loyalty and brand awareness.

Interpreting Sustainability through Co-Evolution: Evidence from Religious Accommodations in Rome

Directory of Open Access Journals (Sweden)

Paola M. A. Paniccia

2017-12-01

Full Text Available In recent decades, concepts such as sustainability, innovation, and competitiveness have become fundamental for the development of tourist destinations, and thus, particularly, for the generation of value co-creation processes. To understand the role of tourism firms in these processes, more theoretical and empirical research is required. This paper addresses this need by examining the increasing role played by religious accommodations, adopting a co-evolutionary approach to sustainability and the resulting value co-creation processes. The study focuses on the dynamics of the relationship between this new hospitality model, territories, and tourists, through the analysis of six case studies localized in the historic centre of Rome (Italy. Findings show that religious accommodations can be considered as a new sustainability-oriented hospitality model that, by creating effective multi-level co-evolutionary adaptations with its territory and tourists, positively affects sustainable development as well as the generation of value co-creation processes. The paper contributes significantly both to sustainability literature and to the study of new hospitality models. Thus, theoretical and managerial implications emerge, together with suggestions for future research.

Adaptive FTC based on Control Allocation and Fault Accommodation for Satellite Reaction Wheels

DEFF Research Database (Denmark)

Baldi, P.; Blanke, Mogens; Castaldi, P.

2016-01-01

and fault accommodation module directly exploiting the on-line fault estimates. The use of the nonlinear geometric approach and radial basis function neural networks allows to obtain a precise fault isolation, independently from the knowledge of aerodynamic disturbance parameters, and to design generalised......This paper proposes an active fault tolerant control scheme to cope with faults or failures affecting the flywheel spin rate sensors or satellite reaction wheel motors. The active fault tolerant control system consists of a fault detection and diagnosis module along with a control allocation...... estimation filters, which do not need a priori information about the internal model of the signal to be estimated. The adaptive control allocation and sensor fault accommodation can handle both temporal faults and failures. Simulation results illustrate the convincing fault correction and attitude control...

36 CFR 1005.9 - Discrimination in furnishing public accommodations and transportation services.

Science.gov (United States)

2010-07-01

... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Discrimination in furnishing public accommodations and transportation services. 1005.9 Section 1005.9 Parks, Forests, and Public Property PRESIDIO TRUST COMMERCIAL AND PRIVATE OPERATIONS § 1005.9 Discrimination in furnishing public...

Energy accommodation... tomorrow which responsibility for the local authorities?; Energie habitat... demain quelles responsabilite pour les collectivite locales?

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-07-01

This document summarizes the 2 days of meetings and debates of these 2. national sittings on energy and accommodation. The colloquium was organized around 4 working groups: 1 - energy, accommodation and territories (the new rules of the urban game, fluxes and stocks, the end of the 'city in the country' myth, the energy-accommodation marriage of convenience), Dunkerque and the sustainable development; 2 - the technological dimension (buildings size, equipments, appliances, comfort, health); 3 - the social dimension (housing rights, heating rights, energy choices); 4 - the economical dimension (energy and environment, who will profit from the market deregulation?). The document comprises also a summary of the opening talks and plenary sessions (challenges, risks and margins of maneuver, municipal actions for a durable energy policy). (J.S.)

Experts' understanding of partial derivatives using the Partial Derivative Machine

OpenAIRE

Roundy, David; Dorko, Allison; Dray, Tevian; Manogue, Corinne A.; Weber, Eric

2014-01-01

Partial derivatives are used in a variety of different ways within physics. Most notably, thermodynamics uses partial derivatives in ways that students often find confusing. As part of a collaboration with mathematics faculty, we are at the beginning of a study of the teaching of partial derivatives, a goal of better aligning the teaching of multivariable calculus with the needs of students in STEM disciplines. As a part of this project, we have performed a pilot study of expert understanding...

Accommodating life sciences on the Space Station

Science.gov (United States)

Arno, Roger D.

1987-01-01

The NASA Ames Research Center Biological Research Project (BRP) is responsible for identifying and accommodating high priority life science activities, utilizing nonhuman specimens, on the Space Station and is charged to bridge the gap between the science community and the Space Station Program. This paper discusses the approaches taken by the BRP in accomodating these research objectives to constraints imposed by the Space Station System, while maintaining a user-friendly environment. Consideration is given to the particular research disciplines which are given priority, the science objectives in each of these disciplines, the functions and activities required by these objectives, the research equipment, and the equipment suits. Life sciences programs planned by the Space Station participating partners (USA, Europe, Japan, and Canada) are compared.

Near-point string: Simple method to demonstrate anticipated near point for multifocal and accommodating intraocular lenses.

Science.gov (United States)

George, Monica C; Lazer, Zane P; George, David S

2016-05-01

We present a technique that uses a near-point string to demonstrate the anticipated near point of multifocal and accommodating intraocular lenses (IOLs). Beads are placed on the string at distances corresponding to the near points for diffractive and accommodating IOLs. The string is held up to the patient's eye to demonstrate where each of the IOLs is likely to provide the best near vision. None of the authors has a financial or proprietary interest in any material or method mentioned. Copyright © 2016 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Analysis of pumping tests of partially penetrating wells in an unconfined aquifer using inverse numerical optimization

Science.gov (United States)

Hvilshøj, S.; Jensen, K. H.; Barlebo, H. C.; Madsen, B.

1999-08-01

Inverse numerical modeling was applied to analyze pumping tests of partially penetrating wells carried out in three wells established in an unconfined aquifer in Vejen, Denmark, where extensive field investigations had previously been carried out, including tracer tests, mini-slug tests, and other hydraulic tests. Drawdown data from multiple piezometers located at various horizontal and vertical distances from the pumping well were included in the optimization. Horizontal and vertical hydraulic conductivities, specific storage, and specific yield were estimated, assuming that the aquifer was either a homogeneous system with vertical anisotropy or composed of two or three layers of different hydraulic properties. In two out of three cases, a more accurate interpretation was obtained for a multi-layer model defined on the basis of lithostratigraphic information obtained from geological descriptions of sediment samples, gammalogs, and flow-meter tests. Analysis of the pumping tests resulted in values for horizontal hydraulic conductivities that are in good accordance with those obtained from slug tests and mini-slug tests. Besides the horizontal hydraulic conductivity, it is possible to determine the vertical hydraulic conductivity, specific yield, and specific storage based on a pumping test of a partially penetrating well. The study demonstrates that pumping tests of partially penetrating wells can be analyzed using inverse numerical models. The model used in the study was a finite-element flow model combined with a non-linear regression model. Such a model can accommodate more geological information and complex boundary conditions, and the parameter-estimation procedure can be formalized to obtain optimum estimates of hydraulic parameters and their standard deviations.

Accommodation and supply—a dual control on stratigraphic sequences

Science.gov (United States)

Schlager, Wolfgang

1993-07-01

It is widely accepted that both eustatic and tectonically controlled regional changes of sea level have contributed to the record of stratigraphic sequences. I suggest that environmental change be added as a third, autonomous control. Sedimentologic principles clearly indicate that sequences and their systems tracts are controlled by the interplay of two rates —the rate of change in accommodation (space available for sedimentation) and the rate of sediment supply. Sea level has direct control on accommodation, but its influence on sediment supply is remote and easily overshadowed by environmental factors. For instance, the record of the most recent sea-level rise is a transgressive systems tract where supply is low; it is a prograding highstand systems tract in deltas where the supply is high. Examples of sequence boundaries generated by changes in sediment supply include tectonically driven shifts in sediment input into basins, changes in ocean currents, pulsating supply from failure of submarine slopes and drowning of carbonate platforms by environmental stress. Furthermore, the stratigraphic sequences in fluviatile continental basins are physically removed from sea-level induced changes in accommodation and must have formed by changes in the rate and pattern of supply. Subaerial exposure of marine sediments at the sequence boundary is a most important criterion for recognizing sea level cycles as opposed to supply cycles. Other criteria include downstepping of shelf breaks and characteristic patterns in the spacing of time lines within sequences. Some third-order cycles (ca. 0.5-3 Ma duration) meet these criteria, others do not. Cycle-stacking patterns and the shifting facies belts on cratons indicate that many second- and third-order cycles lack pronounced exposure unconformities and represent gradual changes superimposed on more rapid, shorter oscillations. Seismic data yield poor images of these gradational changes because they lack resolution. Seismic

"Accommodating" smoke-free policies: tobacco industry's Courtesy of Choice programme in Latin America.

Science.gov (United States)

Sebrié, Ernesto M; Glantz, Stanton A

2007-10-01

To understand the implementation and effects of the Courtesy of Choice programme designed to "accommodate" smokers as an alternative to smoke-free policies developed by Philip Morris International (PMI) and supported by RJ Reynolds (RJR) and British American Tobacco (BAT) since the mid-1990s in Latin America. Analysis of internal tobacco industry documents, BAT "social reports", news reports and tobacco control legislation. Since the mid-1990s, PMI, BAT and RJR promoted Accommodation Programs to maintain the social acceptability of smoking. As in other parts of the world, multinational tobacco companies partnered with third party allies from the hospitality industry in Latin America. The campaign was extended from the hospitality industry (bars, restaurants and hotels) to other venues such as workplaces and airport lounges. A local public relations agency, as well as a network of engineers and other experts in ventilation systems, was hired to promote the tobacco industry's programme. The most important outcome of these campaigns in several countries was the prevention of meaningful smoke-free policies, both in public places and in workplaces. Courtesy of Choice remains an effective public relations campaign to undermine smoke-free policies in Latin America. The tobacco companies' accommodation campaign undermines the implementation of measures to protect people from second-hand smoke called for by the World Health Organization Framework Convention on Tobacco Control, perpetuating the exposure to tobacco smoke in indoor enclosed environments.

A systematic review of workplace disclosure and accommodation requests among youth and young adults with disabilities.

Science.gov (United States)

Lindsay, Sally; Cagliostro, Elaine; Carafa, Gabriella

2017-08-10

The objective of this systematic review is to critically appraise the literature on disability disclosure and workplace accommodations for youth and young adults with disabilities. Systematic searches of nine international databases identified 27 studies meeting our inclusion criteria. These studies were analyzed with respect to the characteristics of the participants, methodology, results of the studies and the quality of the evidence. Among the 27 studies, 18,419 participants (aged 14-33, mean 23.9 years) were represented across seven countries. Barriers to disability disclosure and requests for workplace accommodations were found at the individual (i.e., disability type, severity, poor self-concept, and advocacy skills), employment (i.e., type of industry, and working conditions, lack of supports), and societal levels (i.e., stigma/discrimination). Facilitators of disability disclosure included individual factors (i.e., knowledge of supports and workplace rights, self-advocacy skills), employment (i.e., training/supports, effective communication with employers, realizing the benefits of accommodations), and societal factors (i.e., positive attitudes toward people with disabilities). There was little consensus on the processes and timing of how disability should be discussed in the workplace among youth with disabilities. Our findings highlight the complexities of disability disclosure for youth with disabilities. More studies are needed to explore issues of workplace disclosure and accommodations for young people to improve disclosure strategies and the process of providing appropriate accommodations. Implications for Rehabilitation Clinicians, educators, and parents should support youth to become self-aware and build self-advocacy skills so they can make an informed decision about how and when to disclose their condition to employers. Clinicians, educators, and employers should help youth with disabilities to understand the benefits of disclosing their

State court rejects estoppel in job accommodation case.

Science.gov (United States)

1997-07-25

The Supreme Judicial Court of Massachusetts ruled that a person who applies for disability benefits does not forfeit his right to pursue an employment discrimination claim if the employer refuses to accommodate his disability. The court ruled in favor of [name removed], who sued the law firm of [name removed] and [name removed] in Boston for violating the State's Anti-Discrimination Law. The law firm cited Federal and State precedents to show that [name removed] should be estopped from pursuing his lawsuit. [Name removed], who had multiple sclerosis, proved that he was capable of performing the tasks required of him as long as his schedule was flexible.

Perception of service quality in agrotourism accommodations: Impact on guest loyalty and re-visit intentions

Directory of Open Access Journals (Sweden)

Chryssoula Chatzigeorgiou

2017-03-01

Full Text Available This study presents the development of a conceptual model that demonstrates the dynamic nature of the relationship between service quality and guest satisfaction in the agrotourism accommodation sector, based on theories derived from social psychology and previous research in the marketing, management, and services literature. The model was tested using sample data from guests of four different agrotourism firms, and was modified because of empirical results. The final model improves understanding of the relationship between service quality and guest satisfaction because these constructs were examined from the process perspective of an agrotourism accommodation experience; it portrays service quality and satisfaction in the context of a complete system.

TARDEC FIXED HEEL POINT (FHP): DRIVER CAD ACCOMMODATION MODEL VERIFICATION REPORT

Science.gov (United States)

2017-11-09

Public Release Disclaimer: Reference herein to any specific commercial company, product , process, or service by trade name, trademark, manufacturer , or...not actively engaged HSI until MSB or the Engineering Manufacturing and Development (EMD) Phase, resulting in significant design and cost changes...and shall not be used for advertising or product endorsement purposes. TARDEC Fixed Heel Point (FHP): Driver CAD Accommodation Model Verification

School Accommodation and Modification Ideas for Students Who Receive Special Education Services. PACER Center ACTion Information Sheets: PHP-c49

Science.gov (United States)

PACER Center, 2013

2013-01-01

Some students with disabilities who receive special education services need accommodations or modifications to their educational program in order to participate in the general curriculum and to be successful in school. While the Individuals with Disabilities Education Act (IDEA) and its regulations do not define accommodations or modifications,…

28 CFR Appendix B to Part 36 - Preamble to Regulation on Nondiscrimination on the Basis of Disability by Public Accommodations...

Science.gov (United States)

2010-07-01

... inclusion of the word “temporary” in the definition of “disability.” The preamble indicated that impairments... Nondiscrimination on the Basis of Disability by Public Accommodations and in Commercial Facilities (Published July... THE BASIS OF DISABILITY BY PUBLIC ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Pt. 36, App. B Appendix...

Type-Directed Partial Evaluation

DEFF Research Database (Denmark)

Danvy, Olivier

1998-01-01

Type-directed partial evaluation uses a normalization function to achieve partial evaluation. These lecture notes review its background, foundations, practice, and applications. Of specific interest is the modular technique of offline and online type-directed partial evaluation in Standard ML...

Type-Directed Partial Evaluation

DEFF Research Database (Denmark)

Danvy, Olivier

1998-01-01

Type-directed partial evaluation uses a normalization function to achieve partial evaluation. These lecture notes review its background, foundations, practice, and applications. Of specific interest is the modular technique of offline and online type-directed partial evaluation in Standard ML of ...

['Life satisfaction' as a moderator or mediator of accommodation category and loneliness for rural school students].

Science.gov (United States)

Huang, Zhao-Hui; Tao, Fang-Biao; Hao, Jia-Hu; Yang, Ling; Cheng, Dai-Juan; Xiao, Li-Min

2009-03-01

To examine life satisfaction as a moderator or mediator of accommodation category and loneliness for elementary and middle school students in rural areas so as to provide evidence for psychological health intervention among said students. All participants were asked to complete an anonymous questionnaire battery which including an 18-item General Health Questionnaire, Children's Loneliness Scale and Multidimensional Students' Life Satisfaction. The average score of loneliness scale (35.0 +/- 9.5) among boarding-school students was significantly higher than those students living at home (33.1 +/- 10.1) (P mediated by school-satisfaction (the standardized coefficients of loneliness was reduced from 0.043 (P 0.05) and partly mediated by self-satisfaction and friend-satisfaction. Data through Moderation analyses indicated that self-satisfaction, school-satisfaction and friend-satisfaction did not serve as moderators. Accommodation category, life satisfaction seemed to be good predictors on loneliness among elementary and middle school students and the fully mediated effect of school-satisfaction between accommodation category and loneliness was significant, suggesting that intervention of loneliness should focus on these variables.

The application of security provisions in accommodation facility – hotel

OpenAIRE

Rotbauer, Josef

2010-01-01

This thesis treats of security provisions, which hotels are using to protect health and property of accommodated persons. In the opening part is caught the progress of attendance and capacities of hotels in the Czech republic during a specific time period. The next chapter focuses on possible threats, which are imminent to hotels during the operation. The third part of the thesis solves particular methods of application of security provisions, these are verified in two concrete hotels in the ...

Performance Measurement and Accommodation: Students with Visual Impairments on Pennsylvania's Alternate Assessment

Science.gov (United States)

Zebehazy, Kim T.; Zigmond, Naomi; Zimmerman, George J.

2012-01-01

Introduction: This study investigated the use of accommodations and the performance of students with visual impairments and severe cognitive disabilities on the Pennsylvania Alternate System of Assessment (PASA)yCoan alternate performance-based assessment. Methods: Differences in test scores on the most basic level (level A) of the PASA of 286…

Adaptation of a Developmental Test to Accommodate Young Children with Low Vision

Science.gov (United States)

Ferreira, Viviana; Albuquerque, Cristina P.

2017-01-01

Introduction: This study analyzed the effects of accommodations for children with low vision in the Griffiths Mental Development Scales--Extended Revised (GMDS-ER). Methods: The sample comprised 25 children with low vision and chronological ages between 28 and 76 months. There were two assessment phases: in the first, the Griffiths Scales were…

Compatriot partiality and cosmopolitan justice: Can we justify compatriot partiality within the cosmopolitan framework?

Directory of Open Access Journals (Sweden)

Rachelle Bascara

2016-10-01

Full Text Available This paper shows an alternative way in which compatriot partiality could be justified within the framework of global distributive justice. Philosophers who argue that compatriot partiality is similar to racial partiality capture something correct about compatriot partiality. However, the analogy should not lead us to comprehensively reject compatriot partiality. We can justify compatriot partiality on the same grounds that liberation movements and affirmative action have been justified. Hence, given cosmopolitan demands of justice, special consideration for the economic well-being of your nation as a whole is justified if and only if the country it identifies is an oppressed developing nation in an unjust global order.This justification is incomplete. We also need to say why Person A, qua national of Country A, is justified in helping her compatriots in Country A over similarly or slightly more oppressed non-compatriots in Country B. I argue that Person A’s partiality towards her compatriots admits further vindication because it is part of an oppressed group’s project of self-emancipation, which is preferable to paternalistic emancipation.Finally, I identify three benefits in my justification for compatriot partiality. First, I do not offer a blanket justification for all forms of compatriot partiality. Partiality between members of oppressed groups is only a temporary effective measure designed to level an unlevel playing field. Second, because history attests that sovereign republics could arise as a collective response to colonial oppression, justifying compatriot partiality on the grounds that I have identified is conducive to the development of sovereignty and even democracy in poor countries, thereby avoiding problems of infringement that many humanitarian poverty alleviation efforts encounter. Finally, my justification for compatriot partiality complies with the implicit cosmopolitan commitment to the realizability of global justice

Postactivation Potentation Effects From Accommodating Resistance Combined With Heavy Back Squats on Short Sprint Performance.

Science.gov (United States)

Wyland, Timothy P; Van Dorin, Joshua D; Reyes, G Francis Cisco

2015-11-01

Applying accommodating resistance combined with isoinertial resistance has been demonstrated to be effective in improving neuromuscular attributes important for sport performance. The main purpose of this study was to determine whether short sprints can be acutely enhanced after several sets of back squats with or without accommodating resistance. Twenty recreationally resistance-trained males (age: 23.3 ± 4.4 years; height: 178.9 ± 6.5 cm; weight: 88.3 ± 10.8 kg) performed pre-post testing on 9.1-m sprint time. Three different interventions were implemented in randomized order between pre-post 9.1-m sprints. On 3 separate days, subjects either sat for 5 minutes (CTRL), performed 5 sets of 3 repetitions at 85% of their 1 repetition maximum (1RM) with isoinertial load (STND), or performed 5 sets of 3 repetitions at 85% of their 1RM, with 30% of the total resistance coming from elastic band tension (BAND) between pre-post 9.1-m sprint testing. Posttesting for 9.1-m sprint time occurred immediately after the last set of squats (Post-Immediate) and on every minute for 4 minutes after the last set of squats (Post-1min, Post-2min, Post-3min, and Post-4min). Repeated-measures analysis of variance statistical analyses revealed no significant changes in sprint time across posttesting times during the CTRL and STND condition. During the BAND condition, sprint time significantly decreased from Post-Immediate to Post-4min (p = 0.002). The uniqueness of accommodating resistance could create an optimal postactivation potentiation effect to increase neuromuscular performance. Coaches and athletes can implement heavy accommodating resistance exercises to their warm-up when improving acute sprint time is desired.

The German Physical Society in the Third Reich physicists between autonomy and accommodation

CERN Document Server

Walker, Mark

2012-01-01

This is a history of one of the oldest and most important scientific societies, the German Physical Society, during the Nazi regime and immediate postwar period. When Hitler was appointed chancellor of Germany in 1933, the Physical Society included prominent Jewish scientists as members, including Fritz Haber and Albert Einstein. As Jewish scientists lost their jobs and emigrated, the Society gradually lost members. In 1938, under pressure from the Nazi Ministry of Science, Education, and Culture, the Society forced out the last of its Jewish colleagues. This action was just the most prominent example of the tension between accommodation and autonomy that characterized the challenges facing physicists in the society. They strove to retain as much autonomy as possible, but tried to achieve this by accommodating themselves to Nazi policies, which culminated in the campaign by the Society’s president to place physics in the service of the war effort.

I do…do you? Dependence and biological sex moderate daters' cortisol responses when accommodating a partner's thoughts about marriage.

Science.gov (United States)

Schoenfeld, Elizabeth A; Loving, Timothy J

2013-06-01

We examined how daters' levels of relationship dependence interact with men's and women's degree of accommodation during a likelihood of marriage discussion to predict cortisol levels at the conclusion of the discussion. Upon arriving at the laboratory, couple members were separated and asked to graph their perceived likelihood of one day marrying each other. Couples were reunited and instructed to create a joint graph depicting their agreed-upon chance of marriage. For the majority of couples, negotiating their likelihood of marriage required one or both partners to accommodate each other's presumed likelihood of marriage. Multilevel analyses revealed a significant Dependence×Accommodation×Sex interaction. For women who increased their likelihood of marriage, feelings of dependence predicted heightened levels of cortisol relative to baseline; we suggest such a response is indicative of eustress. Among men, those who accommodated by decreasing their likelihood of marriage experienced significantly lower levels of cortisol to the extent that they were less dependent on their partners. Discussion focuses on why men and women show different physiological reactions in response to seemingly favorable outcomes from a relationship discussion. Copyright © 2012 Elsevier B.V. All rights reserved.

Essays on partial retirement

NARCIS (Netherlands)

Kantarci, T.

2012-01-01

The five essays in this dissertation address a range of topics in the micro-economic literature on partial retirement. The focus is on the labor market behavior of older age groups. The essays examine the economic and non-economic determinants of partial retirement behavior, the effect of partial

41 CFR 301-10.160 - What classes of train accommodations are available?

Science.gov (United States)

2010-07-01

... above coach class, but is lower than first-class, as described above. Note to § 301-10.160: If a train... available? (a) Coach-class—The basic class of accommodations offered by a rail carrier to passengers that includes a level of service available to all passengers regardless of the fare paid. Coach-class includes...

Culture Change from Tobacco Accommodation to Intolerance: Time to Connect the Dots

Science.gov (United States)

Livingood, William C., Jr.; Allegrante, John P.; Green, Lawrence W.

2016-01-01

Broad changes in normative health behavior are critical to overcoming many of the contemporary challenges to public health. Reduction in tobacco use during the last third of the 20th century--one of the greatest improvements in public health--illustrates such change. The culture change from accommodation to intolerance of smoking is irrefutable.…

Unraveling the diverse nature of service quality in a sharing economy:A social exchange theory perspective of Airbnb accommodation

OpenAIRE

Priporas, Constantinos-Vasilios; Stylos, Nikolaos; Rahimi, Roya; Vedanthachari, Lakshmi Narasimhan

2017-01-01

Purpose - This study investigates customers’ perceptions of the service quality facets of Airbnb accommodation using social exchange theory as a suitable conceptual framework to explain aspects of interactivity between guests and hosts.\\ud \\ud Design/methodology/approach - A self-administered questionnaire consisting of 25 accommodation- specific service quality attributes, structured according to Akbaba’s (2006) measurement scale and based on the service quality hierarchical conceptualizatio...

[State of accommodation depending on age of emmetropic and hypermetropic subjects engaged in diamond sorting].

Science.gov (United States)

Feĭgin, A A; Korniushina, T A

1995-01-01

Accommodation was studied in 449 diamond sorters aged 17 to 51 engaged in this work for 1 to 34 years with emmetropic and hypermetropic refraction. Questionnaires helped detect subjects who had no complaints of vision (group A) and those with asthenopia complaints (group B). In both groups, in emmetropic and hypermetropic subjects, the furthest point of clear vision was converging the eye by 1.96 +/- 0.04 diopters on an average, that is, there was pseudomyopia. In hypermetropic subjects with occupational ophthalmopathy the nearest point is withdrawn starting from the age of 31-35 till it merges with the furthest point in subjects over 45, that is, the accommodation volume becomes nearly nuel. The results of this study contradict the assumption existing in ophthalmology about an earlier onset of presbyopia in hypermetropia than in other types of refraction. Early correction of near vision is connected with superimposition of accommodation deterioration in ametropia. It is recommended to carry out rehabilitative measure as soon as the first asthenopia signs manifest; these measures should be aimed at weakening of refraction by the site of the furthest clear vision point. In subjects aged 31-35 with occupational ophthalmopathy refraction by the nearest clear vision point should be enhanced if possible.

Development of an accommodating intra-ocular lens - In vitro prevention of re-growth of pig and rabbit lens capsule epithelial cells

NARCIS (Netherlands)

van Kooten, Theo G.; Koopmans, Steven; Terwee, Thom; Norrby, Sverker; Hooymans, J. M. M.; Busscher, Henk J.

2006-01-01

Cataract surgery is routinely performed to replace the clouded lens by a rigid polymeric intra-ocular lens unable to accommodate. By implanting a silicone gel into an intact capsular bag the accommodating properties of the natural lens can be maintained or enhanced. The implantation success of

Facilitated disclosure versus clinical accommodation of infidelity secrets: an early pivot point in couple therapy. Part 1: couple relationship ethics, pragmatics, and attachment.

Science.gov (United States)

Butler, Mark H; Harper, James M; Seedall, Ryan B

2009-01-01

A critical and potentially polarizing decision in treating infidelity is whether facilitating partner disclosure or accommodating nondisclosure is most beneficial following private disclosure of infidelity to the therapist. Given couple distress and volatility following disclosure, understandably some therapists judge accommodating an infidelity secret both efficient and compassionate. Employing Western ethics and an attachment/intimacy lens, we consider ethical, pragmatic, and attachment intimacy implications of accommodating infidelity secrets. Issues bearing on the decision to facilitate disclosure or accommodate nondisclosure include (a) relationship ethics and pragmatics; (b) attachment and intimacy consequences; and (c) prospects for healing. We conclude that facilitating voluntary disclosure of infidelity, although difficult and demanding, represents the most ethical action with the best prospects for renewed and vital attachment intimacy.

Analysis of All Inclusive System Applied by the Accommodation Businesses in Turkey in the Context of Target Costing

OpenAIRE

Durmus Acar; Hasan Senol

2014-01-01

That the accommodation managements could sustain their existences operating in a competition in which the sale price of services they provide is ascertained show parallelism with controls of their costs. In this context, accommodation managements should provide demands and expectations of customers with low cost, short time and high quality targets by realizing at the same time and level. That’s why, they have focused on target cost (TC) method which aims to present on cost level that actuali...

The interactive processes of accommodation and vergence.

Science.gov (United States)

Semmlow, J L; Bérard, P V; Vercher, J L; Putteman, A; Gauthier, G M

1994-01-01

A near target generates two different, though related stimuli: image disparity and image blur. Fixation of that near target evokes three motor responses: the so-called oculomotor "near triad". It has long been known that both disparity and blur stimuli are each capable of independently generating all three responses, and a recent theory of near triad control (the Dual Interactive Theory) describes how these stimulus components normally work together in the aid of near vision. However, this theory also indicates that when the system becomes unbalanced, as in high AC/A ratios of some accommodative esotropes, the two components will become antagonistic. In this situation, the interaction between the blur and disparity driven components exaggerates the imbalance created in the vergence motor output. Conversely, there is enhanced restoration when the AC/A ratio is effectively reduced surgically.

Rural Tourism Accommodation Prices by Land Use-Based Hedonic Approach: First Results from the Case Study of the Self-Catering Cottages in Asturias

Directory of Open Access Journals (Sweden)

Celia Bilbao-Terol

2017-09-01

Full Text Available This study analyses the impacts of environmental amenities associated with agricultural and silvicultural land use on the price of rural tourism accommodation in Asturias (Spain. A hedonic price model that relates the price of rural accommodation to environmental amenities as well as equipment, services offered, and the locational characteristics of the accommodation is estimated. The rural accommodations in the study are the self-catering cottages, the intrinsic features of which promote the development of rural tourism sustainability. Geographic information systems (GIS data are used to measure the location and the proximity to amenities of these self-catering cottages. The main results indicate that agricultural land use has an important impact on the price of accommodation in self-catering cottages. Specifically, a high percentage of grassland in the municipality where the self-catering cottage is sited has a positive effect on rental prices, while a high percentage of arable crops has the opposite effect. The analysis is interesting for decision-making in the context of environmental policies, land use conflict resolution, and rural tourism sustainability.

Augmented surgical amounts for intermittent exotropia to prevent recurrence

Directory of Open Access Journals (Sweden)

Hatice Arda

2014-01-01

Full Text Available Purpose: The purpose was to evaluate the results of bilateral lateral rectus (BLR recession which is based on augmented surgical amounts of classical surgical table of Parks′ for basic and pseudo-divergence excess type intermittent exotropia [X(T]. Materials and Methods: Patients with X(T operated by the same surgeon and followed-up for at least 6 months were included. Patients with prior surgery, neurobehavioral and musculoskeletal conditions, strabismus different from that mentioned above X(T were excluded. All the patients received BLR only. The amount of the recession was increased by the amount needed to correct 5 prism diopters (PD more X(T than what was measured. After the operation, 1 st week, 2 nd and 6 months measurements were recorded. The patients were grouped according to their 1 st week (3-7 days postoperative examination as: >10 PD esotropia (Group 1, ≤10 PD esotropia (Group 2, exotropia (Group 3, and orthotropic (Group 4, respectively. Final surgical outcomes were classified as "good" (≤10 PD exotropia and ≤5 PD esotropia, "recurrence" (>10 PD exotropia and "overcorrected" (>5 esotropia. Results: Thirty-seven patients were included. The mean age was 6.78 ± 2.87 years (range: 2-12 years. Mean preoperative deviation was 29.72 ± 8.07 PD (range: 15-45 PD at distance and 20.94 ± 11.65 PD (range: 10-45 PD at near (P < 0.0001. There were 21 (56.8% patients in Group 1, 9 (24.3% patients in Group 2, 1 (2.7% patient in Group 3 and 6 (16.2% patients in Group 4. Initial esotropia was achieved in 30 (30/37 of the patients. Twenty-eight of them had good results at the end of the 6 months. Overall "motor surgical" success rate was found to be 89.2% (33/37 patients, with 1 (2.7% overcorrection and 3 (8.1% recurrences at the end of the 6 months. Conclusion: This study demonstrated that early overcorrection of 10-20 PD after X(T surgery can achieve acceptable motor outcomes in the first 6 months postoperative period.

75 FR 12167 - Virginia Graeme Baker Pool and Spa Safety Act; Public Accommodation

Science.gov (United States)

2010-03-15

... pool or spa that is ``open exclusively to patrons of a hotel or other public accommodations facility... Web site at http://www.cpsc.gov . B. Legal Analysis In adopting a reasonable interpretation of... ``an inn, hotel, motel, or other place of lodging, except for an establishment located within a...

Technology and Engineering Education Accommodation Service Profile: An Ex Post Facto Research Design

Science.gov (United States)

Ernst, Jeremy V.; Williams, Thomas O., Jr.

2014-01-01

Technology and engineering educators have an opportunity to serve a vital role in contributing to or assisting in the guidance of educational programming for students qualifying for accommodation services. Within this article, students referred to as at-risk were from two specific special populations within this group: individuals with…

The impact of direct provision accommodation for asylum seekers on organisation and delivery of local primary care and social care services: a case study.

Science.gov (United States)

Pieper, Hans-Olaf; Clerkin, Pauline; MacFarlane, Anne

2011-05-15

Many western countries have policies of dispersal and direct provision accommodation (state-funded accommodation in an institutional centre) for asylum seekers. Most research focuses on its effect on the asylum seeking population. Little is known about the impact of direct provision accommodation on organisation and delivery of local primary care and social care services in the community. The aim of this research is to explore this issue. In 2005 a direct provision accommodation centre was opened in a rural area in Ireland. A retrospective qualitative case study was designed comprising in-depth interviews with 37 relevant stakeholders. Thematic analysis following the principles of framework analysis was applied. There was lack of advance notification to primary care and social care professionals and the community about the new accommodation centre. This caused anxiety and stress among relevant stakeholders. There was insufficient time to plan and prepare appropriate primary care and social care for the residents, causing a significant strain on service delivery. There was lack of clarity about how primary care and social care needs of the incoming residents were to be addressed. Interdisciplinary support systems developed informally between healthcare professionals. This ensured that residents of the accommodation centre were appropriately cared for. Direct provision accommodation impacts on the organisation and delivery of local primary care and social care services. There needs to be sufficient advance notification and inter-agency, inter-professional dialogue to manage this. Primary care and social care professionals working with asylum seekers should have access to training to enhance their skills for working in cross-cultural consultations.

I Do…Do You? Dependence and Biological Sex Moderate Daters’ Cortisol Responses When Accommodating a Partner’s Thoughts about Marriage

Science.gov (United States)

Schoenfeld, Elizabeth A.; Loving, Timothy J.

2012-01-01

We examined how daters’ levels of relationship dependence interact with men’s and women’s degree of accommodation during a likelihood of marriage discussion to predict cortisol levels at the conclusion of the discussion. Upon arriving at the laboratory, couple members were separated and asked to graph their perceived likelihood of one day marrying each other. Couples were reunited and instructed to create a joint graph depicting their agreed-upon chance of marriage. For the majority of couples, negotiating their likelihood of marriage required one or both partners to accommodate each other’s presumed likelihood of marriage. Multilevel analyses revealed a significant Dependence x Accommodation x Sex interaction. For women who increased their likelihood of marriage, feelings of dependence predicted heightened levels of cortisol relative to baseline; we suggest such a response is indicative of eustress. Among men, those who accommodated by decreasing their likelihood of marriage experienced significantly lower levels of cortisol to the extent they were less dependent on their partners. Discussion focuses on why men and women show different physiological reactions in response to seemingly favorable outcomes from a relationship discussion. PMID:22801249

Anatomic partial nephrectomy: technique evolution.

Science.gov (United States)

Azhar, Raed A; Metcalfe, Charles; Gill, Inderbir S

2015-03-01

Partial nephrectomy provides equivalent long-term oncologic and superior functional outcomes as radical nephrectomy for T1a renal masses. Herein, we review the various vascular clamping techniques employed during minimally invasive partial nephrectomy, describe the evolution of our partial nephrectomy technique and provide an update on contemporary thinking about the impact of ischemia on renal function. Recently, partial nephrectomy surgical technique has shifted away from main artery clamping and towards minimizing/eliminating global renal ischemia during partial nephrectomy. Supported by high-fidelity three-dimensional imaging, novel anatomic-based partial nephrectomy techniques have recently been developed, wherein partial nephrectomy can now be performed with segmental, minimal or zero global ischemia to the renal remnant. Sequential innovations have included early unclamping, segmental clamping, super-selective clamping and now culminating in anatomic zero-ischemia surgery. By eliminating 'under-the-gun' time pressure of ischemia for the surgeon, these techniques allow an unhurried, tightly contoured tumour excision with point-specific sutured haemostasis. Recent data indicate that zero-ischemia partial nephrectomy may provide better functional outcomes by minimizing/eliminating global ischemia and preserving greater vascularized kidney volume. Contemporary partial nephrectomy includes a spectrum of surgical techniques ranging from conventional-clamped to novel zero-ischemia approaches. Technique selection should be tailored to each individual case on the basis of tumour characteristics, surgical feasibility, surgeon experience, patient demographics and baseline renal function.

Students' Thinking Process in Solving Combination Problems Considered from Assimilation and Accommodation Framework

Science.gov (United States)

Jalan, Sukoriyanto; Nusantara, Toto; Subanji, Subanji; Chandra, Tjang Daniel

2016-01-01

This study aims to explain the thinking process of students in solving combination problems considered from assimilation and accommodation frameworks. This research used a case study approach by classifying students into three categories of capabilities namely high, medium and low capabilities. From each of the ability categories, one student was…

75 FR 47489 - Make Inoperative Exemptions; Vehicle Modifications To Accommodate People With Disabilities

Science.gov (United States)

2010-08-06

... identification. (a) Any motor vehicle repair business that modifies a motor vehicle to enable a person with a... [Docket No. NHTSA-2010-0075] Make Inoperative Exemptions; Vehicle Modifications To Accommodate People With...'' prohibition of the National Traffic and Motor Vehicle Safety Act. This action responds to a letter from the...

Why Interculturalisation? A Neo-Marxist Approach to Accommodate Cultural Diversity in Higher Education

Science.gov (United States)

Jiang, Xiaoping

2011-01-01

The paper offers a neo-Marxist framework of interculturalisation to accommodate the increasing cultural diversity in the internationalisation of higher education with specific reference to Chinese students in New Zealand. At present, there are few official strategies in place to provide for the needs of international students in New Zealand…

Lactation accommodation in the workplace and duration of exclusive breastfeeding.

Science.gov (United States)

Bai, Yeon; Wunderlich, Shahla M

2013-01-01

The purpose of this study was to assess current lactation accommodations in a workplace environment and to examine the association between the different dimensions of support and the duration of exclusive breastfeeding. A survey was conducted with employees of a higher-education institution and clients of an obstetric hospital in New Jersey. Factor analysis identified dimensions of workplace support. The dimensions were correlated with the duration of exclusive breastfeeding using Pearson's r correlation analysis. One hundred and thirteen working mothers participated in the study. The mean (SD) number of working hours of the participants was 34.3 (2.8) hours per week. Participants were primarily white (89.4%), older (mean age, 33.8 [6.0] years), highly educated (>82% above college graduate), and married (92%). Participants indicated that in their workplaces, breastfeeding was not common, breast pumps were not available, and on-site day care was not always an option. The analysis identified 4 dimensions of breastfeeding accommodation: break time, workplace environment, technical support, and workplace policy. Technical support (r = 0.71, P = .01) and workplace environment (r = 0.26, P = .01) were significantly associated with the duration of exclusive breastfeeding. Employers can strengthen technical support and workplace environment to encourage breastfeeding continuation in working mothers. New federal laws should consider specific guidelines for minimum requirements for functional lactation support to achieve comprehensive breastfeeding benefits. © 2013 by the American College of Nurse-Midwives.

Space station accommodations for lunar base elements: A study

Science.gov (United States)

Weidman, Deene J.; Cirillo, William; Llewellyn, Charles; Kaszubowski, Martin; Kienlen, E. Michael, Jr.

1987-01-01

The results of a study conducted at NASA-LaRC to assess the impact on the space station of accommodating a Manned Lunar Base are documented. Included in the study are assembly activities for all infrastructure components, resupply and operations support for lunar base elements, crew activity requirements, the effect of lunar activities on Cape Kennedy operations, and the effect on space station science missions. Technology needs to prepare for such missions are also defined. Results of the study indicate that the space station can support the manned lunar base missions with the addition of a Fuel Depot Facility and a heavy lift launch vehicle to support the large launch requirements.

Severe symptoms of short tear break-up time dry eye are associated with accommodative microfluctuations

Directory of Open Access Journals (Sweden)

Kaido M

2017-05-01

Full Text Available Minako Kaido,1,2 Motoko Kawashima,1 Reiko Ishida,1,3 Kazuo Tsubota1 1Department of Ophthalmology, Keio University School of Medicine, Tokyo, 2Wada Eye Clinic, Chiba, 3Ishida Eye Clinic, Shizuoka, Japan Aim: Validating the hypothesis that accommodative microfluctuations (AMFs may be associated with severe symptoms in short tear break-up time (BUT dry eye (DE. Methods: This study included 12 subjects with short BUT DE (age: 49.6±18.3 years. Diagnoses were performed based on the presence of DE symptoms, BUT ≤5 s, Schirmer score >5 mm, and negative keratoconjunctival epithelial damage. Tear evaluation, AMF, and functional visual acuity (VA examinations were conducted before and after DE treatment. The AMF parameters evaluated were: total high-frequency component (HFC, HFC with low accommodation for the task of staring into the distance (HFC1, HFC with high accommodation for deskwork (HFC2. A subjective questionnaire of DE symptoms was also performed. Results: Mean BUT increased from 1.9±2.0 to 6.4±2.5 s after treatment (P<0.05. The mean logarithm of the minimum angle of resolution functional VA significantly improved (from 0.19±0.19 to 0.12±0.17; P<0.05. Mean power spectrum values for total HFC and HFC1 decreased (from 61.3±5.7 to 53.8±6.6 dB and from 62.9±10.5 to 52.4±6.2 dB, respectively; P<0.05, while the mean HFC2 power spectrum values did not differ before and after treatment (P>0.05. Subjective DE symptoms were reduced in nine patients. Conclusion: Along with the improvement of BUT after treatment, DE symptoms diminished and HFC1 and functional VA improved, suggesting that tear film instability is associated with deterioration of functional VA, AMF, and DE symptoms. Keywords: accommodative microfluctuation, ciliary muscle spasm, dry eye, ocular fatigue, tear break-up time, functional visual acuity 

Accommodating High Transformation Strains in Battery Electrodes via the Formation of Nanoscale Intermediate Phases