Functional Outcomes of the Low Vision Depression Prevention Trial in Age-Related Macular Degeneration.

Purpose: To compare the efficacy of behavioral activation (BA) plus low vision rehabilitation with an occupational therapist (OT-LVR) with supportive therapy (ST) on visual function in patients with age-related macular degeneration (AMD). Methods: Single-masked, attention-controlled, randomized clinical trial with AMD patients with subsyndromal depressive symptoms (n = 188). All subjects had two outpatient low vision rehabilitation optometry visits, then were randomized to in-home BA + OT-LVR or ST. Behavioral activation is a structured behavioral treatment aiming to increase adaptive behaviors and achieve valued goals. Supportive therapy is a nondirective, psychological treatment that provides emotional support and controls for attention. Functional vision was assessed with the activity inventory (AI) in which participants rate the difficulty level of goals and corresponding tasks. Participants were assessed at baseline and 4 months. Results: Improvements in functional vision measures were seen in both the BA + OT-LVR and ST groups at the goal level (d = 0.71; d = 0.56 respectively). At the task level, BA + OT-LVR patients showed more improvement in reading, inside-the-home tasks and outside-the-home tasks, when compared to ST patients. The greatest effects were seen in the BA + OT-LVR group in subjects with a visual acuity ≥20/70 (d = 0.360 reading; d = 0.500 inside the home; d = 0.468 outside the home). Conclusions: Based on the trends of the AI data, we suggest that BA + OT-LVR services, provided by an OT in the patient\u27s home following conventional low vision optometry services, are more effective than conventional optometric low vision services alone for those with mild visual impairment. (ClinicalTrials.gov number, NCT00769015.)

Airborne gravimetry from a small twin engine aircraft over the Long Island Sound

In January 1990, a test of the feasibility of airborne gravimetry from a small geophysical survey aircraft, a Cessna 404, was conducted over the Long Island Sound using a Bell Aerospace BGM-3 sea gravity meter. Gravity has been measured from large aircraft and specially modified de Havilland Twin Otters but never from small, standard survey aircraft. The gravity field of the Long Island Sound is dominated by an asymmetric positive 30 mGal anomaly which is well constrained by both marine and land gravity measurements. Using a Trimble 4000 GPS receiver to record the aircraft's horizontal position and radar altimeter elevations to recover the vertical accelerations, gravity anomalies along a total of 65 km were successfully measured. The root mean square (rms) difference between the airborne results and marine measurements within 2 km of the flight path was 2.6 mGal for 15 measured values. The anomalies recovered from airborne gravimetry can also be compared with the gridded regional free air gravity field calculated using all available marine and land gravity measurements. The rms difference between 458 airborne gravity measurements and the regional gravity field is 2.7 mGal. This preliminary experiment demonstrates that gravity anomalies, with wavelengths as short as 5 km, can be measured from small aircraft with accuracies of 2.7 mGal or better. The gravity measurements could be improved by higher quality vertical and horizontal positioning and tuning the gravimeter's stabilized platform for aircraft use

Examination of Annular-Electrode Spark Discharges in Flowing Oxygen - An Overview

A parametric study of annular spark gaps, pressures, and spark discharges in flowing oxygen gas was performed with a Champion spark exciter. The range of the pressure-distance product for the experiment is from approximately 50 torr-cm to 2500 torr-cm. Measurements of breakdown voltage qualitatively trend with Paschen's curve. Spark duration remained constant until the pressure-distance product exceeded 200 torr-cm, and then steadily increased. The mean spark energy increases linearly with the pressure-distance on a log-log plot indicating that a definite power relationship exists. The distribution of sparks at low energies and low pressures is not Gaussian and has no dominant peaks. Moderate and high spark energies are bimodal, with the dominant mode near 80 mJ. As pressure increases, dominant and secondary modes approach the same probability

Infants Exposed To Homelessness: Health, Health Care Use, And Health Spending From Birth To Age Six

Homeless infants are known to have poor birth outcomes, but the longitudinal impact of homelessness on health, health care use, and health spending during the early years of life has received little attention. Linking Massachusetts emergency shelter enrollment records for the period 2008-15 with Medicaid claims, we compared 5,762 infants who experienced a homeless episode with a group of 5,553 infants matched on sex, race/ethnicity, location, and birth month. Infants born during a period of unstable housing resulting in homelessness had higher rates of low birthweight, respiratory problems, fever, and other common conditions; longer neonatal intensive care unit stays; more emergency department visits; and higher annual spending. Differences in most health conditions persisted for two to three years. Asthma diagnoses, emergency department visits, and spending were significantly higher through age six. While screening and access to health care can be improved for homeless infants, long-term solutions require a broader focus on housing and income

Psychological and cognitive determinants of vision function in age-related macular degeneration.

OBJECTIVE: To investigate the effect of coping strategies, depression, physical health, and cognition on National Eye Institute Visual Function Questionnaire scores obtained at baseline in a sample of older patients with age-related macular degeneration (AMD) enrolled in the Improving Function in AMD Trial, a randomized controlled clinical trial that compares the efficacy of problem-solving therapy with that of supportive therapy to improve vision function in patients with AMD. METHODS: Baseline evaluation of 241 older outpatients with advanced AMD who were enrolled in a clinical trial testing the efficacy of a behavioral intervention to improve vision function. Vision function was characterized as an interval-scaled, latent variable of visual ability based on the near-vision subscale of the National Eye Institute Vision Function Questionnaire-25 plus Supplement. RESULTS: Visual ability was highly correlated with visual acuity. However, a multivariate model revealed that patient coping strategies and cognitive function contributed to their ability to perform near-vision activities independent of visual acuity. CONCLUSIONS: Patients with AMD vary in their coping strategies and cognitive function and in their visual acuity, and that variability determines patients\u27 self-report of vision function. Understanding patient coping mechanisms and cognition may help increase the precision of vision rating scales and suggest new interventions to improve vision function and quality of life in patients with AMD. Trial Registration clinicaltrials.gov Identifier: NCT00572039

Methods for Extremely Sparse-Angle Proton Tomography

Proton radiography is a widely-fielded diagnostic used to measure magnetic structures in plasma. The deflection of protons with multi-MeV kinetic energy by the magnetic fields is used to infer their path-integrated field strength. Here, the use of tomographic methods is proposed for the first time to lift the degeneracy inherent in these path-integrated measurements, allowing full reconstruction of spatially resolved magnetic field structures in three dimensions. Two techniques are proposed which improve the performance of tomographic reconstruction algorithms in cases with severely limited numbers of available probe beams, as is the case in laser-plasma interaction experiments where the probes are created by short, high-power laser pulse irradiation of secondary foil targets. The methods are equally applicable to optical probes such as shadowgraphy and interferometry [M. Kasim et al. Phys. Rev. E 95, 023306 (2017)], thereby providing a disruptive new approach to three dimensional imaging across the physical sciences and engineering disciplines.Comment: 11 pages, 6 figures, companion article to arXiv:2103.1126