PMID: 29783237May 22, 2018Paper

Evaluation on changes in risk of spasm of accommodation in pupils due to implementation of prevention program

Wiadomości lekarskie : organ Polskiego Towarzystwa Lekarskiego
Maryna O Starynets, Oleksandr M Ocheredko

Abstract

Introduction: Number of children with myopia increased 3-fold while those with spasm of accommodation followed a suit by 5-fold increase over last decade to some extend due to computerization. These tidings necessitate the development and implementation of primordial prevention programs. The aim was to evaluate the changes in risk of spasm of accommodation in pupils due to implementation of prevention program. Materials and methods: Data collection was based on dynamic panel of pupils padding by first-formers over 2012-2015 and tracing up to 2017, sample size is 1115. Program was administered randomly at the entrance point to 594 pupils. We used 3 models to analyze the impact of program and possible confounders on spans to spasm development, i.e. base log-logistic survival model (1), survival fraction model (2), and survival fraction frailty model (3). Results: Program effect was significant by all models, the highest by model 3 with median effect of .-2,4340, i.e. with annual risk decrease of 0,72%. Fraction of non-sensitives was next to zero. Data rebutted group segregation by innate propensity to spasm development. Conclusions: Program effect proved to be significant by all models. The most validated estimation was by surviv...Continue Reading

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