This two-year follow-up assessment was performed on 721 elementary (Grades 2-4) and middle (Grade 1) school students who used, and 62 Grade 4 (Control) students who did not use, E-learning environments from schools in Beijing and Shandong Province, China. Statistical analysis included repeated-measures single-factor and two-factor analyses of variance, and analysis of covariance (ANCOVA). In three assessments over two years, the students' visual acuity, visual field, depth perception, and horary visual acuity were monitored, along with the related differences and developmental changes and the effect of the E-learning environment on these indexes: (1) For the first time, the average values of four indexes of visual function of the students exposure to the E-learning environment were obtained, among which the ratio of poor visual acuity was still high;(2) visual acuity and depth perception in middle school students was poorer than that of elementary school students, but their visual field and horary visual acuity was higher; (3) for the two years, the four indexes of the visual function of students in different grades showed different change trends; and (4) the comparison for G4 and control demonstrated that the frequency of E-learning environment use (6.75 h/week for G4) had no significant effect on the visual acuity and depth perception of the Grades 4 and 5 students in elementary school but had a significant effect on their visual field and horary visual acuity. However, in all of the included students, the E-learning environment use time significantly affected the left and right eye visual acuity in the students, except in G4.
Background: The Naxi people, living in Southwest China, have a long history and a rich characteristic culture. Their ancestors recorded their life practices by ancient hieroglyphs and gradually formed the Dongba Sutras, which, among other knowledge, included the traditional knowledge of Naxi medicine. In the past, most studies on the Dongba Sutras focused on the humanistic culture of Naxi people, whereas studies have rarely focused on Naxi herbal medicinal plants described in the Dongba Sutras. Studying this aspect is helpful for exploring the traditional culture of Naxi people from the perspective of traditional medicine.Methods: From February to September 2019, we screened the medicinal plants from the Dongba Sutras with the help of Dongba. Then, we carried out field investigatios and collected voucher specimens of traditional medicinal plants with the help of 104 Naxi folk healers. The specimens were identified and stored in the Herbarium of Yunnan Branch, Institute of Medicinal Plants, Chinese Academy of Medical Sciences (IMDY). Through semi-structured interviews, we obtained ethnobotanical information of medicinal plants. The obtained quantitative data were analysed using the informant consensus factor (ICF) method and the number of citations.Results: A total 85 species of medicinal plants belonging to 51 families and 71 genera were recorded in the Dongba Sutras. Among them, 25 species were endemic to China, and eight species were only distributed in Naxi distribution areas. These medicinal plants were mainly obtained from the wild, and 22 species could be used as food. The most frequent method of taking medicinal materials was oral-taking after decoction, followed by topical and sometimes buccal. The methods of processing these medicinal materials included water decoction, warm water flushing, and drinking after soaking. The medicinal plants in the Dongba Sutras are used to treat 96 conditions classified into 13 disease groups according to the International Classification of Primary Care second edition. Further analysis indicated that most of these plant species were utilised for treating diseases from the digestive (D) group, followed by the those from the respiratory (R) group, musculoskeletal (L) group, general, and unspecified (A) group. Moreover, the Naxi people have high consensus on the treatments of diseases from these four pathological groups. Conclusions: Naxi traditional medicine is simple and unique. The ancient Naxi people recorded their highly developed medical culture in the Dongba Sutras. Natural plant resources found around them were their primary choices for both medicine and diet therapy. The ecological ethics of Naxi people have positive significance for the conservation of wild resources in their area.
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