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Purpose: The aim is to be able to advise patients on the choice of sports and exercises regarding the effects on the intraocular pressure.
Methods: The search engines Google Scholar and PubMed were used to search for suitable studies. The studies were summarized, and the most important data were collected in one table for each study. The effect on the IOP was extracted or, if not given in the article, calculated by the difference of means of the IOP after or during exercise, and the baseline IOP before, whenever these values were available.
Findings: A total of 47 studies out of the years 1990 to 2020 that investigated the influence on the IOP of the most popular sports actively practiced in Germany were reviewed and summarized: twelve for running, sixteen for fitness/ weight training, one for swimming/diving, twelve for cycling, four for hiking, and two for yoga.
Conclusions: Throughout all studies and sports it was seen that physical fitness stabilized the IOP. Higher
intensity of exercise led to higher fluctuations of the IOP. Moderate endurance training keeps the IOP fluctuations low and may lead to a lower baseline IOP if practiced on a regular base. Fitness and weight training lead to fluctuations of the IOP in a pronounced manner when performed at moderate and high intensity. Therefore, only a moderate training can be recommended if there is need to keep the IOP stable. Isometric exercise is not recommended as it provokes a rise of the IOP even when performed with light loads. The Valsalva Maneuver should always be avoided as it leads to additional fluctuations of the IOP. Also, the IOP behaved more stable during resistance training when higher fitness was present.
Strategy development is one of the crucial factors for a firm's performance. For it
to be developed, a strategic analysis has to be conducted first. It enables
companies to gain a deeper understanding of their internal and external
environment. In the present work, the specialty coffee market is closely analyzed through a strategic analysis. The focus of this study is the young company Tikuna, a coffee producer that aims to enter the German market. In this context, Tikuna's possible entry into the German market and the companies competitive capacities are analyzed. In order to implement the different tools of the analysis, extensive literature research, as well as one expert interview and a survey were conducted.
It was found that Tikuna possesses all characteristics to enter the German
market. However, due to the lack of a differentiation factor in Tikuna's value
proposition, its competitive capacity is limited to a short period of time. In this
sense, different recommendations are given in order to ensure long term success
in the market. The central one being that Tikuna has to use its main strength and
bring innovation to the market.
Novel myopia control spectacle lenses induce peripheral contrast reduction via optical diffusion. It is suggested, that the contrast reduction alters retinal processes in the low-level neural circuity, leading to an inhibition of eye growth. The purpose of this thesis is to evaluate the influence of full-field contrast reduction on low-level neural processing of the retina, described by the edge contrast sensitivity.
The direct ophthalmoscope is a retinal screening tool that has been in existence and development for more than 150 years, yet, the rapid influence of technological evolution in screening tools, has left the direct ophthalmoscope untouched. The main purpose of this master thesis is to determine if the direct ophthalmoscope has reached its maximum potential of development and, additionally, to determine if a further development, including a more electronic input, would be feasible.
This research project is of particular importance since there is a lack of adequate data on pediatric eye and vision disorders in Russia, particularly in the Volga region. In the present study, we estimate the prevalence of vision disorders among school-aged children who participated in a vision screening program in Samara, Russia. The relationship between learning-related visual dysfunctions is explored in depth, such to illustrate the connection between vision and learning. Hence, a key feature in this study is the inclusion of binocular vision disorders among the conditions tested.
The present study deals with the topic how a town can use its cultural heritage or,
more precisely, its industrial culture as a means to market itself as an innovative
business location and to foster a more pronounced sense of civic cohesion among
residents. Economic theory suggests that, nowadays, traditional location factors
such as access to resources and a performant infrastructure are less important than
in the industrial age. Recently, factors like a city’s potential to generate and retain
human and creative capital have emerged. Accordingly, the economic and social
role of cities has shifted – from a place where workers lived and manufactured
goods towards a deeply interwoven ecosystem of knowledge-intense value creation.
The question at the root of the present study is how Heidenheim’s rich industrial
cultural heritage can be used as a future-pointing source of power for rebranding
the town. This rebranding concept has to be developed according to the town’s role
in past, present and future, thus creating actual economic and societal value.
Industrial culture bears branding potential and is closely related to various aspects
of modern life and work. The study examines possibilities to create awareness for
these relations connecting past, present and future. Their relevance shall be
emphasized in order to establish both points of orientation and authenticity of place
in times when macroeconomic and societal trends are difficult to predict. Ideally,
residents shall be given a sort of local identification to hold on to, and potential
investors and entrepreneurs shall be encouraged to sustainably experience the
innovation-based DNA of Heidenheim. Therefore, the study searches for a value
proposition that takes into account the points mentioned above on terms of an
innovative theoretic framework. As a result of this thesis, precise suggestions for
the implementation of a new branding strategy based on the conceptual guidelines
developed in this study will be proposed to the municipality of Heidenheim and, in
addition, an interface using principles of virtual and augmented reality will be
introduced.
The increasing prevalence of myopia throughout the industrialized world in recent decades has caused costs and problems for the eye health. Changed lifestyle and behavior are the main causes. For the pathogenesis of myopia, the amount of time spent outdoor and near activities play an important role. Various options for the treatment of myopia have been described as effective in the literature. Normal single vision glasses and contact lenses can only provide clear vision, but do not reduce myopia progression. Orthokeratology shows a slowing of axial growth, but has an increased risk of infectious keratitis. Low-dose atropine (0.01%) is currently the best pharmacological option. It proved safe, effective and showed the least rebound effect with negligible side effects. Other options for the treatment of myopia include special glasses, behavioral changes and prolonged outdoor exposure (to prevent the onset of myopia), as well as other methods. An increasingly important myopia management option is multifocal contact lenses, that provide a peripheral treatment zone producing myopic defocus. Such myopia control lenses are available as customized or as daily or monthly lenses. Children benefit from wearing contact lenses more than just having refractive error correction and myopia control, they have a better self-esteem and improved quality of life. The numerous findings on the safety and efficacy of soft multifocal distance center contact lenses in children to reduce the progression of myopia suggest that this modality should be considered as a main treatment option. Less, but similar to orthokeratology, when wearing soft lenses there is a risk of developing potentially serious complications such as microbial keratitis. The introduction of child-appropriate risk minimization strategies, and patient and parent education with regular monitoring is essential and leads to successful contact lens wear. This literature review summarized the actual knowledge about myopia management, prevalence, etiology and the visual and healthy consequences of myopia.
The three currently most important strategies for slowing the progression of myopia are soft multifocal distance center contact lenses, Orthokeratology and low-dose atropine ophthalmic drops.