健康信息素养内涵探析

阐述信息素养及健康素养概念与内涵,分析二者与健康信息素养的关系以及健康信息素养的演化路径,从健康知识与信息、健康信息需求、健康信息背景等角度构建健康信息素养模型,以期为相关研究提供参考。

Posterior scleral reinforcement combined with vitrectomy for myopic foveoschisis

AIM： To investigate the effects of posterior scleral reinforcement （PSR） combined with vitrectomy for myopic foveoschisis. ~ METHODS： Thirty-nine highly myopic eyes of 39 patients with myopic foveoschisis underwent PSR combined with vitrectomy. Best corrected visual acuity （BCVA）, refraction error, and the foveal thickness by optical coherence tomography （OCT） were recorded before and after the surgery, and complications were noted. RESULTS： The follow-up period was 12mo, and the main focus was on the results of the 12-month follow-up visit. The mean preoperative BCVA was 0.96±0.43 IogMAR. At the final follow-up visit, the mean BCVA was 0.46± 0.28 IogMAR, which significantly improved compared with the preoperative one （P =0.003）. The BCVA improved in 33 eyes （84.62%）, and unchanged in 6 eyes （15.38%）. At the end of follow-up, the mean refractive error was -15.13 ±2.55 D, and the improvement was significantly compared with the preoperative one （-17.53±4.51 D） （P= 0.002）. Twelve months after surgery, OCT showed complete resolution of the myopic foveoschisis and a reattachment of the fovea in 37 eyes （94.87%） and partial resolution in the remained two eyes （5.13%）. The foveal thickness was obviously reduced at 12-month follow-up visit （196.45±36.35um） compared with the preoperative one （389,32±75.56um） （P=0.002）. There were no serious complications during the 12mo follow-up period. CONCLUSION： PSR combined with vitrectomy is a safe and effective procedure for myopic foveoschisis with both visual and anatomic improvement.

Posterior scleral reinforcement for the treatment of pathological myopia

AIM： To investigate the effects of posterior scleral reinforcement（PSR） in the treatment of pathological myopia.·METHODS： The study included 52 eyes in 43 patients with pathological myopia who underwent PSR（PSR group）, and 52 eyes in 36 age- and myopia-matched patients who did not undergo such treatment as control group. Axial length, refraction error, best corrected visual acuity（BCVA）, and macular scans by optical coherence tomography（OCT） were recorded at baseline, 6mo, 1, 3and 5y after the surgery, and the complications were noted.·RESULTS： There were no statistical differences in axial length, refractive error, or BCVA between the PSR group and the control group at baseline. At the end of the follow-up, the mean axial length was 29.79 ±1.26 mm in the PSR group, which was significantly shorter than that in the control group（30.78±1.30 mm）（P 〈0.01）, and the mean refractive error was-16.86 ±2.53 D in the PSR group, which was significantly lower than that in the control group（-19.18 ±2.12 D）（P 〈0.01）. A statistically significant difference in BCVA was found between the PSR group（0.51 ±0.25 log MAR） and the control group（0.62±0.26 log MAR） at the postoperative 5-year follow-up（P 〈0.01）. There were no serious complications during the 5-year follow-up period.·CONCLUSION： PSR can prevent axial elongation and myopia progression in eyes with pathological myopia.

奥斯瓦尔德熟化过程的控制

作为一种热力学的必然过程,奥斯瓦尔德熟化通常会发生在材料生长的后期阶段,并导致材料的性能参数变差.几十年来,如何阻止或控制奥斯瓦尔德熟化一直是材料制备领域的一个挑战.尤其在纳米材料制备中,奥斯瓦尔德熟化已经成为了获得优良材料的一大障碍.在大量实验和分析的基础上,本文发现临界浓度和时间窗口是阻止和抑制奥斯瓦尔德熟化发生的两个关键因素.我们利用全自动纳米材料合成仪,对制备NaREF4纳米材料的过程进行一系列精确控制,探明了奥斯瓦尔德熟化的规律,将熟化划分为三种类型.通过控制奥斯瓦尔德熟化的发生,不仅获得了高质量的纳米晶体,而且还开发了核-壳纳米材料制备策略.考虑到奥斯瓦尔德熟化的普遍性,这种方法可以应用于许多纳米材料的制备过程.

Nano-Cs_(x)WO_(3):Ultra-broadband nonlinear optical modulator for near-infrared and mid-infrared ultrafast fiber lasers generation

Saturable absorbers(SAs)covering wavelengths from near-infrared(NIR)to mid-infrared(MIR)band are required for mode-locking and Q-switching lasers in muti-band wavelengths.Here,broadband nonlinear optical property was discovered in Cs_(x)WO_(3) nanorods(NRs),which as a novel non-stoichiometric SA for realizing ultrafast fiber lasers is first demonstrated.The Cs_(x)WO_(3) NRs based SA exhibited good mode-locking ability in three key wavelengths from NIR to MIR region,which is a key advantage over the most reported broadband SAs.The given Cs_(x)WO_(3) NRs showed a broadband optical absorption from 800 to 3,200 nm,and excellent SA properties at 1-μm,1.5-μm,and 2-μm optical bands.Employing such SA,the ultrashort pulse lasers with a pulse duration/repetition rate of 530 fs/37.42 MHz at 1,567 nm and 5.6 ps/41.50 MHz at 1,965 nm from Er-and Tm-doped fiber lasers(TDFL)were realized separately.In addition,a stable mode locked operation at 1,030 nm with a repetition rate of 48.80 MHz was also achieved from Yb-doped fiber laser(YDFL).This work not only offers a new and reliable broadband mode locker for ultrafast laser generation,but also broadens the application of Cs_(x)WO_(3) materials in the field of nonlinear fiber optics.

ntravitreal Ranibizumab for Aggressive Posterior Retinopathy of Prematurity

Retinopathy ofprematurity （ROP） is a proliferative disease that affects infants of young gestational age （GA） and low birth weight （BW）. Aggressive posterior ROP （AP-ROP） is a rapidly progressing and severe presentation of ROP. It is characterized as posterior location （zone 1 or posterior zone I1）, Stage 3, and with plus disease （arterial tortuosity and venous dilation）. It can quickly lead to retinal detachment and blindness if not treated in time.

Growth regularity and phase diagrams of NaLu_(0.795−x)Y_(x)F_(4) upconversion nanocrystals synthesized by automatic nanomaterial synthesizer

The growth regularities of nanomaterials are often concealed by the contingency of preparation. Therefore, it is always very difficult to figure out growth regularities of nanomaterials due to the accompanying undulation of products. A series of precise synthesis was performed by using an automatic nanomaterial synthesizer (ANS) in order to explore the growth regularity of complex NaREF4 (RE: rare earth) upconversion nanocrystals (UCNCs). The use of ANS significantly enhances the experimental controllability, repeatability, and success rate. Mass experimental research exhibited that the NaLu_(0.795−x)Y_(x)F_(4):Yb^(3+)/Tm^(3+) (x = 0−0.795) UCNCs can vary their sizes continuously in a wide range to accurately meet the experimenter’s design merely by controlling the concentration of Y^(3+). A notable growth regularity was obtained and intuitively shown in growth phase diagrams. Furthermore, in the case of having excellent monodispersity, pure hexagonal phase, and uniform morphology, the prepared UCNCs still retained superior upconversion luminescent (UCL) properties. The regular changes in UCL properties further confirmed the growth regularity of the UCNCs. After analyzing the experimental data, we found that NaLu_(0.795−x)Y_(x)F_(4) combined the advantages of NaYF_(4) and NaLuF_(4) hosts with desired sizes. These results provide a guidance for the exploration of growth regularities of other similar nanomaterials and also for the structure design of the required nanomaterials.