Low Vision Services Provision throughout NHS Trusts in the UK

Background/Aims: The aim of this study was to understand the picture of low vision service provision within NHS Trusts in the United Kingdom, for children and adults. Method: A survey was distributed to all members of the British and Irish Orthoptic Society (BIOS) and to all Eye Clinic Liaison Officers (ECLOs) through the Royal National Institute for the Blind (RNIB). The survey was also directly emailed to Orthoptic contacts of all 238 Trusts/Health Boards, which covered the four nations of the United Kingdom. The survey asked whether their Trust had a clinical low vision service, which professions were involved in leading and working within it, where it was based, and whether provision was offered to children, adults, or both. Results: In the United Kingdom (UK), 117 out of 238 (49%) Trusts responded. Of these responders, 94% had a level of Trust-delivered low vision service provision; 90% had services for adults; 83% had services for children; and 79% had services for both adults and children. Service accessibility for patients of all ages had regional and national variation. Conclusion: Significant variation was found in low vision service provision throughout the UK, with some regions having no NHS-delivered provision for either children, adults, or both. This calls for further research to gain a more comprehensive understanding of low vision service provision and remove inequalities in provision, access and resourcing, aiming to ensure equitable access for all

Visual Advantage in Deaf Adults Linked to Retinal Changes

The altered sensory experience of profound early onset deafness provokes sometimes large scale neural reorganisations. In particular, auditory-visual cross-modal plasticity occurs, wherein redundant auditory cortex becomes recruited to vision. However, the effect of human deafness on neural structures involved in visual processing prior to the visual cortex has never been investigated, either in humans or animals. We investigated neural changes at the retina and optic nerve head in profoundly deaf (N = 14) and hearing (N = 15) adults using Optical Coherence Tomography (OCT), an in-vivo light interference method of quantifying retinal micro-structure. We compared retinal changes with behavioural results from the same deaf and hearing adults, measuring sensitivity in the peripheral visual field using Goldmann perimetry. Deaf adults had significantly larger neural rim areas, within the optic nerve head in comparison to hearing controls suggesting greater retinal ganglion cell number. Deaf adults also demonstrated significantly larger visual field areas (indicating greater peripheral sensitivity) than controls. Furthermore, neural rim area was significantly correlated with visual field area in both deaf and hearing adults. Deaf adults also showed a significantly different pattern of retinal nerve fibre layer (RNFL) distribution compared to controls. Significant correlations between the depth of the RNFL at the inferior-nasal peripapillary retina and the corresponding far temporal and superior temporal visual field areas (sensitivity) were found. Our results show that cross-modal plasticity after early onset deafness may not be limited to the sensory cortices, noting specific retinal adaptations in early onset deaf adults which are significantly correlated with peripheral vision sensitivity

What Are the Impacts of Deforestation on the Harvest of Non-Timber Forest Products in Central Africa?

The objective of the study is to evaluate the impact of forest transition on non-timber forest product (NTFP) harvesting in Central Africa. We analyze the evolution of several parameters, including distance from NTFP harvest site to road, proportion of dietary intake and villagers’ incomes. The research is based on field surveys, participatory mapping and the geolocation of activities in three study sites representing different stages along the Mather’s forest transition curve: (i) intact forest; (ii) partially degraded forest; and (iii) small areas of degraded forest with plantations of useful trees. The results show that the maximum distance from harvest site to road is higher in Site 2 compared to Site 1 as a consequence of a lower availability of NTFPs; and that this distance is significantly lower in Site 3 due to a drastically smaller village territory. The diversity of bushmeat decreases as game evolves from large to small species, commensurate with the progression of forest transition. As a consequence, there is also a reduction in the proportion of these products represented both in household dietary intake and cash income. This analysis establishes a strong link between the Mather’s forest transition curve and a decline in the importance of NTFPs in village production and livelihoods.CoForTip

Action video game players and deaf observers have larger Goldmann visual fields.

International audienceWe used Goldmann kinetic perimetry to compare how training and congenital auditory deprivation may affect the size of the visual field. We measured the ability of action video game players and deaf observers to detect small moving lights at various locations in the central (around 30 degrees from fixation) and peripheral (around 60 degrees ) visual fields. Experiment 1 found that 10 habitual video game players showed significantly larger central and peripheral field areas than 10 controls. In Experiment 2 we found that 13 congenitally deaf observers had significantly larger visual fields than 13 hearing controls for both the peripheral and central fields. Here the greatest differences were found in the lower parts of the fields. Comparison of the two groups showed that whereas VGP players have a more uniform increase in field size in both central and peripheral fields deaf observers show non-uniform increases with greatest increases in lower parts of the visual field

Cuadernos de pedagogía

Se analizan qué son y en qué se concretan las distintas formas de agrupamiento y su influencia en el aprendizaje emocional e instrumental. Estos agrupamientos son: la organización tradicional llamado “mixture”; la separación del alumnado por niveles “streaming” y la “inclusión”. Ésta se caracteriza por el trabajo en grupos heterogéneos y por la presencia en clase de profesionales y voluntarios que apoyan al docente. En este último agrupamiento se obtienen los mejores resultados según la investigación INCLUD-ED sobre educación escolar desarrollada con fondos de la Unión EuropeaMadrid (Comunidad Autónoma). Subdirección General de Formación del Profesorado. CRIF Las Acacias; Calle General Ricardos 179; 28025 Madrid; Tel. +34915250893; Fax +34914660991; [email protected]

Deaf and hearing children: a comparison of peripheral vision development.

International audienceThis study investigated peripheral vision (at least 30° eccentric to fixation) development in profoundly deaf children without cochlear implantation, and compared this to age-matched hearing controls as well as to deaf and hearing adult data. Deaf and hearing children between the ages of 5 and 15 years were assessed using a new, specifically paediatric designed method of static perimetry. The deaf group (N = 25) were 14 females and 11 males, mean age 9.92 years (range 5-15 years). The hearing group (N = 64) were 34 females, 30 males, mean age 9.13 years (range 5-15 years). All participants had good visual acuity in both eyes (< 0.200 LogMAR). Accuracy of detection and reaction time to briefly presented LED stimuli of three light intensities, at eccentricities between 30° and 85° were measured while fixation was maintained to a central target. The study found reduced peripheral vision in deaf children between 5 and 10 years of age. Deaf children (aged 5-10 years) showed slower reaction times to all stimuli and reduced ability to detect and accurately report dim stimuli in the far periphery. Deaf children performed equally to hearing children aged 11-12 years. Deaf adolescents aged 13-15 years demonstrated faster reaction times to all peripheral stimuli in comparison to hearing controls. Adolescent results were consistent with deaf and hearing adult performances wherein deaf adults also showed significantly faster reaction times than hearing controls. Peripheral vision performance on this task was found to reach adult-like levels of maturity in deaf and hearing children, both in reaction time and accuracy of detection at the age of 11-12 years

What do humans eat when forests disappear ?

To study the evolution of the alimentary bolus in relation with the loss of forest cover in the Congo Basin, we conducted semi-structured surveys on the composition, origin and amount spent to prepare meals in three study sites with a contrasted forest cover gradient. At global level, the cost price of meals increases as the forest cover decreases. The share of the alimentary bolus in relation with the use of natural resources such as hunting, fishing and harvesting drops to the benefit of proteins from livestock and agricultural commodities. This leads to a translocation of the demand but also pressures on other anthropized ecosystems. The effects of deforestation are subsequently felt at local level but also in neighboring areas

L'effet de la déforestation sur les maîtrises foncières en Afrique Centrale

The CoForTips project aims at the promotion of better management of the forest of the Congo Basin by presenting to the policy makers plausible scenarios of social and ecological systems evolution. In this paper, we focused on the impact of deforestation on land tenure mutation in Central Africa. Land tenure defines the level of ownership and management experienced by the local population on defined areas (Le Roy et al., 1996). We assume that the rules acting on objects of land tenure evolve from loose land control to privatization and the ability to dispose of resources when we progress on the forest transition curve designed by Mather (1992). We demonstrate that individual land tenure increases along with the deforestation process, and continue along with the reforestation process where this one is a consequence of agricultural plantations on deforested lands. We then draw a theoretical land tenure evolution with variation of population density in relation to forest cover that could be used as an indicator of SES shifting more sensitive than the evolution of forest cover to appreciate forest transition at the SES level and predict the presence and intensity of tipping points.CoForTip