Time outdoors and the prevention of myopia

Recent epidemiological evidence suggests that children who spend more time outdoors are less likely to be, or to become myopic, irrespective of how much near work they do, or whether their parents are myopic. It is currently uncertain if time outdoors also blocks progression of myopia. It has been suggested that the mechanism of the protective effect of time outdoors involves light-stimulated release of dopamine from the retina, since increased dopamine release appears to inhibit increased axial elongation, which is the structural basis of myopia. This hypothesis has been supported by animal experiments which have replicated the protective effects of bright light against the development of myopia under laboratory conditions, and have shown that the effect is, at least in part, mediated by dopamine, since the D2-dopamine antagonist spiperone reduces the protective effect. There are some inconsistencies in the evidence, most notably the limited inhibition by bright light under laboratory conditions of lens-induced myopia in monkeys, but other proposed mechanisms possibly associated with time outdoors such as relaxed accommodation, more uniform dioptric space, increased pupil constriction, exposure to UV light, changes in the spectral composition of visible light, or increased physical activity have little epidemiological or experimental support. Irrespective of the mechanisms involved, clinical trials are now underway to reduce the development of myopia in children by increasing the amount of time they spend outdoors. These trials would benefit from more precise definition of thresholds for protection in terms of intensity and duration of light exposures. These can be investigated in animal experiments in appropriate models, and can also be determined in epidemiological studies, although more precise measurement of exposures than those currently provided by questionnaires is desirable

The epidemics of myopia: Aetiology and prevention

There is an epidemic of myopia in East and Southeast Asia, with the prevalence of myopia in young adults around 80-90%, and an accompanying high prevalence of high myopia in young adults (10-20%). This may foreshadow an increase in low vision and blindness due to pathological myopia. These two epidemics are linked, since the increasingly early onset of myopia, combined with high progression rates, naturally generates an epidemic of high myopia, with high prevalences of "acquired" high myopia appearing around the age of 11-13. The major risk factors identified are intensive education, and limited time outdoors. The localization of the epidemic appears to be due to the high educational pressures and limited time outdoors in the region, rather than to genetically elevated sensitivity to these factors. Causality has been demonstrated in the case of time outdoors through randomized clinical trials in which increased time outdoors in schools has prevented the onset of myopia. In the case of educational pressures, evidence of causality comes from the high prevalence of myopia and high myopia in Jewish boys attending Orthodox schools in Israel compared to their sisters attending religious schools, and boys and girls attending secular schools. Combining increased time outdoors in schools, to slow the onset of myopia, with clinical methods for slowing myopic progression, should lead to the control of this epidemic, which would otherwise pose a major health challenge. Reforms to the organization of school systems to reduce intense early competition for accelerated learning pathways may also be important

IRAC Observations of M81

IRAC images of M81 show three distinct morphological constituents: a smooth distribution of evolved stars with bulge, disk, and spiral arm components; a clumpy distribution of dust emission tracing the spiral arms; and a pointlike nuclear source. The bulge stellar colors are consistent with M-type giants, and the disk colors are consistent with a slightly younger population. The dust emission generally follows the blue and ultraviolet emission, but there are large areas that have dust emission without ultraviolet and smaller areas with ultraviolet but little dust emission. The former are presumably caused by extinction, and the latter may be due to cavities in the gas and dust created by supernova explosions. The nucleus appears fainter at 8 um than expected from ground-based 10 um observations made four years ago.Comment: ApJS in press (Spitzer special issue); 15 pages, 3 figures. Changes: unused references removed, numbers and labels in Table 1 change

The impact of bars on the mid-infrared dust emission of spiral galaxies: global and circumnuclear properties

We study the mid-infrared properties of a sample of 69 nearby spiral galaxies, selected to avoid Seyfert activity contributing a significant fraction of the central energetics, or strong tidal interaction, and to have normal infrared luminosities. These observations were obtained with ISOCAM, which provides an angular resolution of the order of 10 arcsec (half-power diameter of the point spread function) and low-resolution spectro-imaging information. Between 5 and 18 microns, we mainly observe two dust phases, aromatic infrared bands and very small grains, both out of thermal equilibrium. On this sample, we show that the global F15/F7 colors of galaxies are very uniform, the only increase being found in early-type strongly barred galaxies, consistent with previous IRAS studies. The F15/F7 excesses are unambiguously due to galactic central regions where bar-induced starbursts occur. However, the existence of strongly barred early-type galaxies with normal circumnuclear colors indicates that the relationship between a distortion of the gravitational potential and a central starburst is not straightforward. As the physical processes at work in central regions are in principle identical in barred and unbarred galaxies, and since this is where the mid-infrared activity is mainly located, we investigate the mid-infrared circumnuclear properties of all the galaxies in our sample. We show how surface brightnesses and colors are related to both the available molecular gas content and the mean age of stellar populations contributing to dust heating. Therefore, the star formation history in galactic central regions can be constrained by their position in a color-surface brightness mid-infrared diagram.Comment: 22 pages, 25 figures, accepted for publication in A&A ; small errors corrected and references update

Infrared Array Camera (IRAC) Observations of M81

Infrared Array Camera (IRAC) images of M81 show three distinct morphological constituents: a smooth distribution of evolved stars with bulge, disk, and spiral arm components; a clumpy distribution of dust emission tracing the spiral arms; and a pointlike nuclear source. The bulge stellar colors are consistent with M-type giants, and the disk colors are consistent with a slightly younger population. The dust emission generally follows the blue and ultraviolet emission, but there are large areas that have dust emission without ultraviolet and smaller areas with ultraviolet but little dust emission. The former are presumably caused by extinction, and the latter may be due to cavities in the gas and dust created by supernova explosions. The nucleus appears fainter at 8 μm than expected from ground-based 10 μm observations made 4 years ago

Anchors aweigh: the sources, variety, and challenges of mission drift

The growing number of studies which reference the concept of mission drift imply that such drift is an undesirable strategic outcome related to inconsistent organizational action, yet beyond such references little is known about how mission drift occurs, how it impacts organizations, and how organizations should respond. Existing management theory more broadly offers initial albeit equivocal insight for understanding mission drift. On the one hand, prior studies have argued that inconsistent or divergent action can lead to weakened stakeholder commitment and reputational damage. On the other hand, scholars have suggested that because environments are complex and dynamic, such action is necessary for ensuring organizational adaptation and thus survival. In this study, we offer a theory of mission drift that unpacks its origin, clarifies its variety, and specifies how organizations might respond to external perceptions of mission drift. The resulting conceptual model addresses the aforementioned theoretical tension and offers novel insight into the relationship between organizational actions and identity

Changes in the expression of Pax6 RNA transcripts in the retina during periods of altered ocular growth in chickens

Genome-wide mapping studies have suggested a possible role for Pax6 in the development of myopia. We therefore investigated the expression of Pax6 RNA transcripts in the chicken retina during periods of increased ocular growth, induced by form-deprivation and negative lens-wear, and during periods of decreased ocular growth, induced by diffuser removal from previously form-deprived eyes, and plus lens-wear. Levels of Pax6 RNA transcripts in the chicken retina were measured using semi-quantitative real-time RT-PCR, at times between 1 h and 10 days after the fitting of diffusers or negative lenses, and at times between 1h and 3 days following the removal of diffusers from previously form-deprived eyes, or the addition of plus lenses. Pax6 expression was unaffected during the initial 3 days of the response to form-deprivation or negative lens-wear, when rapid rates of growth are well-established. Alterations in the expression of Pax6 RNA transcripts were only observed after 7–10 days of form-deprivation (7 days, −15.7 ± 5.3%; 10 days, −32.0 ± 10.3%), with a similar response not seen during negative lens-wear, when eye growth also increases, suggesting that these alterations are specific to form-deprivation, rather to changes in the rate of eye growth. The late changes in Pax6 expression observed during form-deprivation were rapidly reversed after diffuser removal, with the levels of Pax6 RNA transcripts returning to those seen in control birds by 3 days (1 h, −27.8 ± 4.7%; 1 day, −16.9 ± 4.8%; 3 days + 1.0 ± 8.6%). Analogous changes were not seen in response to positive lenses in which eye growth is also slowed. Overall, the findings of this study do not support a role for Pax6 in the modulation of ocular growth during visual manipulation

Changes in retinal αB-crystallin (cryab) RNA transcript levels during periods of altered ocular growth in chickens

Changes in retinal crystallin gene expression have been implicated in the development of myopia in animal models. We therefore investigated the expression of αB-crystallin (cryab) in the chicken retina during periods of increased ocular growth induced by form-deprivation and negative lens-wear, and during periods of decreased ocular growth induced by diffuser removal from previously form-deprived eyes, and plus lens-wear. Cryab RNA transcript levels in the chicken retina were measured using semi-quantitative real-time RT-PCR, at times between 1 h and 10 days after the fitting of diffusers or negative lenses, and at times between 1 h and 3 days following the removal of diffusers from previously form-deprived eyes, or the addition of plus lenses. Changes in expression for each condition at each time-point are analysed relative to expression in retinas from age-matched untreated control birds. No change in relative expression of cryab RNA transcript was detected 1 h after fitting diffusers to induce form-deprivation myopia. A transient increase in cryab RNA transcript expression was detected around 1 day later (p = 0.02), but expression returned to control levels after three days. After 7 (p = 0.005) and 10 (p = 0.001) days, retinal cryab RNA transcript expression progressively increased relative to controls. After removal of the diffusers, to initiate recovery, cryab RNA transcript expression remained elevated, with only a slight return to control levels. During the development of lens-induced myopia, no changes in cryab RNA transcript expression relative to controls were seen on day 1, but increases were seen at 10 days (p = 0.004). No significant changes in retinal cryab RNA transcript expression were seen in response to plus lenses compared to either contralateral control values (MANOVA; F = 0.60, p = 0.48) or age-matched untreated values (MANOVA; F = 4.10, p = 0.08). Changes in retinal cryab RNA transcript expression were not systematically related to changes in the rate of eye growth. The role of the transient increase in cryab expression observed after 1 day of form-deprivation, which was not seen after fitting negative lenses, is unclear. The later increases in relative cryab expression seen during the development of form-deprivation and lens-induced myopia occur too late to have a major role in the differential regulation of eye growth between experimental and control eyes. Given that cryab is a member of the small heat shock protein family, the later increases may reflect the emergence of cell damage related to high myopic pathology in the experimentally enlarged eyes and retina