Effects of monocular blur on clinical measurements of stereopsis and binocular contrast sensitivity

Visual conditions such as anisometropia, monovision and monocular undercorrection affect the combination of visual input from both eyes. This study investigated the effects of monocular blur, in binocularly normal participants, on stereoacuity and binocular contrast sensitivity. Fifteen young adults (age range between 19 and 23 years old) with normal visual acuity and binocular vision participated in this study. Stereopsis was measured using the TNO test with a series of positive spherical lenses placed before the dominant eye. The procedure was repeated using the Titmus Stereotest on five participants as a control experiment. Monocular and binocular contrast sensitivities were also measured using the Pelli-Robson Contrast Sensitivity Chart. Blur was induced monocularly with a series of positive spherical lenses placed before the dominant eye and binocular contrast sensitivity was re-measured. Stereopsis scores decreased significantly when monocular blur was imposed. Across blur levels, absolute stereopsis scores measured with TNO test were worse than those measured with Titmus stereotest (all p < 0.05). However, the ratio of scores obtained without blur and under monocular blur appeared to be similar for both tests. Stereopsis without blur was between 6.82× to 8× better than that obtained with the highest level of imposed monocular blur. Binocular contrast sensitivity score decreased significantly with increasing level of monocular blur (p < 0.01). Binocular contrast sensitivity score without blur was 1.62× better than that obtained under binocular viewing with highest level of imposed blur. Stereopsis tests are more sensitive than measurements of binocular contrast sensitivity as an indicator of interocular acuity discrepancies which could occur in anisometropic or monovision patients. However, the choice of stereopsis test is crucial, as the TNO test appears to be more sensitive to monocular blur than the Titmus stereostest

Challenges and experiences faced by Malaysian undergraduates in coping with low academic motivation during the COVID-19 pandemic

COVID-19 pandemic has impacted educational institutions worldwide due to a sudden transition of the learning system, which has affected students' academic performances in several aspects. This qualitative study examines Malaysian undergraduates' challenges and experiences in coping with low academic motivation during the COVID-19 pandemic with this qualitative study. One to one semi-structured interviews were conducted among a total of 24 undergraduates in Malaysia between the age of 19 to 24 through online platforms. The data collected was analysed by interpretative phenomenological analysis (IPA). Four analytic themes are presented: (1) intrinsic challenges; (2) extrinsic challenges; (3) intrinsic motivation, and (4) extrinsic motivation. Future research is suggested to take cultural differences, quality of mental health and student’s perception of stress into consideration

Patient-defined recovery from depression in primary care in Singapore

Research on consumer-defined recovery from mental illness has been criticised for a lack of quantitative analyses and conceptual clarity. This study aims to address this by statistically testing the possible associations between a major model of the stages of recovery and five postulated processes that have been theorised to drive recovery. Eighty-eight participants, who attended psychological consultation for depression at the National Healthcare Group Polyclinics, were recruited. Questionnaires on recovery stages and the five recovery processes were directly administered, while the measure for depressive symptoms were extracted from case file data. Results showed that the five recovery processes were associated with the recovery stages in a manner that supported this recovery model for patients with depression in primary care. However, most of these associations became nonsignificant when the severity of depression was controlled for. Thus, further research is needed to precisely identify the impact of the severity of depression on the patients’ experience of their recovery journeys

PBio: Enabling Cross-organizational Biometric Authentication Service through Secure Sharing of Biometric Templates

Prior works in privacy-preserving biometric authentication mostly focus on the following setting. An organization collects users\u27 biometric data during registration and later authorized access to the organization services after successful authentication. Each organization has to maintain its own biometric database. Similarly each user has to release her biometric information to multiple organizations; Independently, government authorities are making their extensive, nation-wide biometric database available to agencies and organizations, for countries that allow such access. This will enable organizations to provide authentication without maintaining biometric databases, while users only need to register once. However privacy remains a concern. We propose a privacy-preserving system, PBio, for this new setting. The core component of PBio is a new protocol comprising distance recoverable encryption and secure distance computation. We introduce an encrypt-then-split mechanism such that each of the organizations holds only an encrypted partial biometric database. This minimizes the risk of template reconstruction in the event that the encrypted partial database is recovered due to leak of the encryption key. PBio is also secure even when the organizations collude. A by-product benefit is that the use of encrypted partial templates allows quicker rejection for non-matching instances. We implemented a cloud-based prototype with desktop and Android applications. Our experiment results based on real remote users show that PBio is highly efficient. A round-trip authentication takes approximately 74ms (desktop) and 626ms (Android). The computation and communication overhead introduced by our new cryptographic protocol is only about 10ms (desktop) and 54ms (Android)

Paroxysmal Supraventricular Tachycardia in an Infant with Hand, Foot, and Mouth Disease

An 11-month-old male infant was admitted to our hospital with fever, fussiness, poor feeding, vomiting, and tachypnea for two days prior. Physical examination revealed sporadic papules and vesicles occurring on his hands, feet, face, and perianal mucosa. Enterovirus 71 was identified from both throat swab and vesicle fluid using virus isolation techniques. The patient's heart rate fluctuated in a very narrow range from 180~210/beats/min regardless of his physiologic state. An electrocardiogram showed P-waves buried within or occurring just after regular, narrow, QRS complexes. The patient was diagnosed as having hand, foot, and mouth disease in combination with paroxysmal supraventricular tachycardia (PSVT). The child recovered well with symptomatic treatment, including intravenous administration of acyclovir, glucocorticoids, immunoglobulin, adenosine, and sotalol. PSVT was terminated within 36 hours of hospitalization. The skin lesions became crusted on the third day, and then proceeded to heal spontaneously. Here we report on this unusual case and review the associated literature

Integration of Brassinosteroid Signal Transduction with the Transcription Network for Plant Growth Regulation in Arabidopsis

SummaryBrassinosteroids (BRs) regulate a wide range of developmental and physiological processes in plants through a receptor-kinase signaling pathway that controls the BZR transcription factors. Here, we use transcript profiling and chromatin-immunoprecipitation microarray (ChIP-chip) experiments to identify 953 BR-regulated BZR1 target (BRBT) genes. Functional studies of selected BRBTs further demonstrate roles in BR promotion of cell elongation. The BRBT genes reveal numerous molecular links between the BR-signaling pathway and downstream components involved in developmental and physiological processes. Furthermore, the results reveal extensive crosstalk between BR and other hormonal and light-signaling pathways at multiple levels. For example, BZR1 not only controls the expression of many signaling components of other hormonal and light pathways but also coregulates common target genes with light-signaling transcription factors. Our results provide a genomic map of steroid hormone actions in plants that reveals a regulatory network that integrates hormonal and light-signaling pathways for plant growth regulation

rad21 Is Involved in Corneal Stroma Development by Regulating Neural Crest Migration

Previously, we identified RAD21(R450C) from a peripheral sclerocornea pedigree. Injection of this rad21 variant mRNA into Xenopus laevis embryos disrupted the organization of corneal stroma fibrils. To understand the mechanisms of RAD21-mediated corneal stroma defects, gene expression and chromosome conformation analysis were performed using cells from family members affected by peripheral sclerocornea. Both gene expression and chromosome conformation of cell adhesion genes were affected in cells carrying the heterozygous rad21 variant. Since cell migration is essential in early embryonic development and sclerocornea is a congenital disease, we studied neural crest migration during cornea development in X. laevis embryos. In X. laevis embryos injected with rad21 mutant mRNA, neural crest migration was disrupted, and the number of neural crest-derived periocular mesenchymes decreased significantly in the corneal stroma region. Our data indicate that the RAD21(R450C) variant contributes to peripheral sclerocornea by modifying chromosome conformation and gene expression, therefore disturbing neural crest cell migration, which suggests RAD21 plays a key role in corneal stroma development

Identifying central symptom clusters and correlates in children with acute leukemia undergoing chemotherapy: a network analysis

BackgroundPrevious studies have examined symptom clusters in children with acute leukemia, yet a knowledge gap persists regarding central symptom clusters and their influencing factors. By identifying these central clusters and associated factors, healthcare providers can enhance their understanding and effective management of symptoms. Our study seeks to address this gap by identifying symptom clusters, exploring central clusters, and investigating the demographic and health-related factors associated with these clusters in children with acute leukemia undergoing chemotherapy.MethodsA total of 586 children with acute leukemia from January 2021 to April 2023 were recruited from China. They were investigated using Memorial Symptom Assessment Scale 10-18 during chemotherapy. The principal component analysis was used to identify the symptom clusters. An association network was conducted to describe the relationships among symptoms and clusters. A multiple linear model was used to investigate the associated factors for the severity of overall symptoms and each symptom cluster.ResultsFive clusters were identified, including oral and skin cluster, somatic cluster, self-image disorder cluster, gastrointestinal cluster and psychological cluster. Gastrointestinal cluster was the most central symptom cluster. Age, sex, clinical classification, number of having chemotherapy and education degree and marital status of the primary caregiver are associated with the severity of these five symptom clusters.ConclusionOur study highlights the importance of evaluating symptom clusters in children with acute leukemia during chemotherapy. Specifically, addressing gastrointestinal symptoms is crucial for effective symptom management and overall care

Predictors of motivation for type 2 diabetes mellitus self management of patients in primary care in Singapore

Background: Diabetes is among the top 10 causes of death in Singapore, which has the second-highest proportion of diabetics among all developed nations. Diabetic patients’ self-management is often driven by their perceptions about their own chronic condition. This study explored specific aspects of patients’ (1) cognitive appraisal, (2) emotional distress and (3) a motivational measure in relation to their diabetic condition and attitude toward self-management. Methods: Seventy adult participants (41 female and 29 male) with type-2 diabetes were recruited in this cross-sectional study from patients who sought psychological consultation at polyclinics. The questionnaires administered were (1) Brief Illness Perception Questionnaire, (2) Diabetes Distress Scale, (3) Generalised Anxiety Disorder-7, (4) Insomnia Severity Index, (5) Patient Health Questionnaire-9, (6) Readiness-to-Change Ruler and (7) Sheehan Disability Scale. Results: Multiple regression analysis showed that severity of insomnia symptoms (β = -.26 , p < .05), emotional distress of diabetes (β = -.48 , p < .05), interpersonal distress of diabetes (β = -.35 , p < .05), total distress of diabetes (β = .58 , p < .05), and perception of personal control over diabetes (β = .-.30, p < .05) were significantly associated with reported motivation for engaging in diabetes self-management (R2 = .26, F(5, 62) = 4.26, p < 0.01). Conclusion: Insomnia, emotional distress and perception of personal control over diabetes significantly predicted patients’ reported motivation for diabetes self-management. It may be more productive for clinicians to focus their interventions on these particular aspects of diabetic patients’ experience in promoting self-management behaviour. Future studies may involve (1) the measurement of actual self-management behaviour beyond participants’ report of their motivation to engage in such desirable behavior and (2) qualitative approaches for understanding subjective dimensions of “insomnia,” “distress” and “personal control” in relation to diabetes self-management