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《Contact lens & anterior eye》2021,44(2):192-219
This paper outlines changes to the ocular surface caused by contact lenses and their degree of clinical significance. Substantial research and development to improve oxygen permeability of rigid and soft contact lenses has meant that in many countries the issues caused by hypoxia to the ocular surface have largely been negated. The ability of contact lenses to change the axial growth characteristics of the globe is being utilised to help reduce the myopia pandemic and several studies and meta-analyses have shown that wearing orthokeratology lenses or soft multifocal contact lenses can reduce axial length growth (and hence myopia).However, effects on blinking, ptosis, the function of Meibomian glands, fluorescein and lissamine green staining of the conjunctiva and cornea, production of lid-parallel conjunctival folds and lid wiper epitheliopathy have received less research attention. Contact lens wear produces a subclinical inflammatory response manifested by increases in the number of dendritiform cells in the conjunctiva, cornea and limbus. Papillary conjunctivitis is also a complication of all types of contact lenses. Changes to wear schedule (daily disposable from overnight wear) or lens materials (hydrogel from SiHy) can reduce papillary conjunctivitis, but the effect of such changes on dendritic cell migration needs further study. These changes may be associated with decreased comfort but confirmatory studies are needed. Contact lenses can affect the sensitivity of the ocular surface to mechanical stimulation, but whether these changes affect comfort requires further investigation.In conclusion, there have been changes to lens materials, design and wear schedules over the past 20+ years that have improved their safety and seen the development of lenses that can reduce the myopia development. However, several changes to the ocular surface still occur and warrant further research effort in order to optimise the lens wearing experience. 相似文献
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Debadyuti Das 《国际生产研究杂志》2018,56(17):5776-5794
The present work is an attempt to investigate the adoption of sustainable supply chain management (SSCM) practices amongst manufacturing and process based organisations in India and its impact on organisational performance encompassing all three dimensions of sustainability. SSCM practices conceived in the present study include environmental management practices (EMP), socially inclusive practices for employees (SPE), socially inclusive practices for community (SPC), operations practices (OP) and supply chain integration (SCI) which were treated as exogenous variables. Organisational performance considered in this study includes five dimensions, namely environmental performance (EPR), employee-centred social performance (ESP), community-centred social performance (CSP), operations performance (OPR) and competitiveness, which were regarded as endogenous variables. The analysis was carried out with the help of structural equation modelling considering natural logarithm of manpower as a control variable. Few major findings are mentioned. EMP does not have any significant association with OPR, nor does it result in competitiveness. However, when jointly mediated through both EPR and OPR, EMP leads to competitiveness. SPC has significant negative association with competitiveness, when only direct relationship is considered. However, indirect relationship between SPC and competitiveness shows significant positive association when mediated through CSP. The resultant total effect between SPC and competitiveness turns out to be insignificant. Further, OPR fully mediates the relationship between OP and competitiveness. Managerial implications of the findings are discussed. 相似文献
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随着产业集群的蓬勃发展,很多产业集群都亟需提升竞争力,需要实现产业升级,而有效利用社会资本可以维持产业集群内和谐的竞争与合作关系,对提升产业集群竞争力有着不容忽视的作用。本文采用实证研究,以社会资本的3个维度(即结构维度、关系维度和认知维度)、组织学习能力为基本要素,构建社会资本影响产业集群竞争力的概念模型,然后提出相关假设,最后运用结构方程模型,并借助Lisrel软件对本文的假设进行验证。研究结果表明:社会资本的3个维度对组织学习能力有促进作用;组织学习能力对产业集群竞争力具有促进作用;社会资本对产业集群竞争力的促进既有直接作用又有间接作用,并通过组织学习能力发挥间接作用。因此,研究社会资本、组织学习能力及产业集群竞争力之间的相互关系以解释其对产业集群竞争力的影响,是对相关理论的有效补充。 相似文献
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This paper uses a mixed-methods approach to examine the relation between online academic disclosure and academic performance. A multi-ethnic sample of college students (N = 261; male = 66; female = 195; M age ≈ 22 years) responded to open-ended questions about their Facebook use. Thematic analysis revealed that over 14% of the Facebook wall posts/status updates (N = 714) contained academic themes; positive states were more frequent than negative and neutral states and students with lower GPAs expressed negative states more often. A path analysis suggested that academic performance may determine college students’ Facebook use, rather than the reverse. Implications for student support services are discussed. 相似文献
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文章基于对脆弱性和综合竞争力的认知和理解,构建脆弱性及综合竞争力模型,然后运用熵权-TOPSIS法和PCA法分别对中原经济区资源型城市脆弱性和综合竞争力进行测算,最后通过线性函数对两者的关系进行分析和评价。研究表明:1)从时间上来看,2006-2016年中原经济区资源型城市的脆弱性整体呈先上升后下降态势,从空间上来看,濮阳、亳州、宿州、三门峡和鹤壁的脆弱性最低;2)从时间上来看,中原经济区资源型城市的综合竞争力呈现整体上升局部下降的态势,从空间上来看,晋城、长治、淮北、洛阳的综合竞争力居前4位;3)利用线性系数分析得出,洛阳、平顶山、濮阳、南阳、宿州、亳州、邯郸和邢台的脆弱性与综合竞争力呈负相关关系,鹤壁、焦作、三门峡、晋城、运城、淮北和长治的脆弱性与综合竞争力呈正相关关系。 相似文献
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男装品牌研发竞争力的认知与管理是品牌实力强化运作中的关键。男装品牌研发竞争力的内容包括:研发投入、研发人才与研发形象、研发模式、研发待遇与政策等,其评价指标体系的认知及其构建是研究和讨论的重点。该系列研究成果将促使男装企业提升品牌认知水平和发展管理意识,更加理解品牌研发运作和竞争力管理的重要性,最终全面理解并重视应用研发竞争力的提升途径和方式方法。 相似文献
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通过笔者在贵州大学《化工学院大学生科研训练及学科竞赛指导课》授课过程中的所感所悟,联系该门课程中本科生科研项目申报、专业文章撰写及发表、专利撰写及申请、科技文献检索等四个教学环节,提出了一些行之有效的方法,对该门课程在贵州大学与其他高校的进一步推广有一定的指导意义。 相似文献