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CLINICAL SCIENCE
Why are there defaulters in eye health projects?
Regina NomaI,
Corresponding author
reginanoma@hotmail.com

Tel.: 55 15 3212 5009
, Regina de S. CarvalhoII, Newton Kara-JoséI
I Ophthalmology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo/SP, Brazil.
II Pedagogue, Faculdade de Medicina da Universidade de São Paulo, São Paulo/SP, Brazil.
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="cesec10" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle60">INTRODUCTION</span><p id="para10" class="elsevierStylePara elsevierViewall">The lack of optical correction is the main cause of low vision and the second cause of blindness worldwide&#46;<a class="elsevierStyleCrossRef" href="#bib1">1</a> Although it is easily corrected&#44; the optical correction problem is complex and depends on the following&#58; suspected problem&#44; demand&#44; availability&#44; access to medical assistance&#44; acquisition and use of spectacles&#44; and replacement in case of loss or damage&#46;<a class="elsevierStyleCrossRefs" href="#bib2">2&#44;3</a></p><p id="para20" class="elsevierStylePara elsevierViewall">In Brazil&#44; 78&#46;8&#37; of the population depends on the public health system&#46;<a class="elsevierStyleCrossRef" href="#bib4">4</a> Despite the great improvement over recent years&#44; the Public Health System &#40;SUS&#41; still presents a low availability of specialized services&#44; as well as difficulties with access to optical correction and related compliance conditions&#46;<a class="elsevierStyleCrossRef" href="#bib4">4</a></p><p id="para30" class="elsevierStylePara elsevierViewall">When the public health system is poor&#44; the communities&#39; campaigns are a way to investigate a given problem&#39;s frequency&#44; the existing coverage and the importance and enforceability of the solution&#46; This increase in support is useful to the managers and those involved in the public health area&#44; as guidance for future actions&#46; The campaigns are also a means to educate the population to adopt preventive actions and to demonstrate the acceptance rate of the proposed treatment&#46;<a class="elsevierStyleCrossRef" href="#bib5">5</a></p><p id="para40" class="elsevierStylePara elsevierViewall">Brazil has a extensive experience in school-based community campaigns&#44; which have been orchestrated since 1970s&#46;<a class="elsevierStyleCrossRefs" href="#bib6">6&#8211;12</a> One of the problems related to these projects in several countries worldwide is the high level of absenteeism&#44; which varies from 31&#46;2 to 68&#46;7&#37;&#46;<a class="elsevierStyleCrossRefs" href="#bib11">11&#8211;17</a> The main reasons provided by the parents or guardians to not attend the visit are&#58; lack of guidance &#40;day&#44; time and place of the exam&#41; from the school&#59; financial difficulty in taking transportation to the locale of the exam&#59; distance from the locale of the visit&#59; not having someone else to look after other children&#59; weather changes&#59; preference to have a visit scheduled by his&#47;her private medical practitioner&#59; disease&#59; trip&#59; forgetfulness&#59; lack of awareness of the importance of the ophthalmologic exam or denial of the child&#39;s low vision&#46;<a class="elsevierStyleCrossRefs" href="#bib7">7&#44;12&#44;13&#44;17&#8211;20</a></p><p id="para50" class="elsevierStylePara elsevierViewall">To reduce absenteeism&#44; some campaigns in Brazil offer facilities such as&#58; free transportation and exam dates on the weekend&#44; so the parents do not need to lose a work day&#59; a second chance for an exam and the performance of the exam close to the school area where the visual screening was performed&#46;<a class="elsevierStyleCrossRef" href="#bib12">12</a></p></span><span id="cesec20" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle70">PURPOSE</span><p id="para60" class="elsevierStylePara elsevierViewall">To identify the reasons for non-attendance at the community projects that offer transportation facilities&#44; meal&#44; free ophthalmological exams performed during the weekends&#44; a second opportunity for examination and spectacle donation&#46;</p></span><span id="cesec30" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle80">METHODS</span><p id="para70" class="elsevierStylePara elsevierViewall">The city of Guarulhos belongs to the metropolitan region of S&#227;o Paulo &#40;Brazil&#41;&#44; located 17 km from the capital and is the 12<span class="elsevierStyleSup">th</span> most populated city of the country&#46; In Guarulhos&#44; 97&#46;9&#37; of the children are enrolled in schools&#46;<a class="elsevierStyleCrossRef" href="#bib21">21</a></p><p id="para80" class="elsevierStylePara elsevierViewall">A cross-sectional&#44; descriptive study investigated students in grades 1-4 in elementary school in Guarulhos&#44; who were submitted to visual acuity screening by trained teachers in 2006&#46; Children were referred to complete ophthalmologic evaluation if they presented visual acuity equal to or less than 0&#46;7 in at least one eye or with a visual difference between the eyes of two lines or more&#59; presence of strabismus&#59; asthenopia&#59; or use of spectacles&#46;<a class="elsevierStyleCrossRef" href="#bib22">22</a> The exam was scheduled for the weekends &#40;Saturday and Sunday&#41; in the student&#39;s own municipality&#46; Free transportation and meals were offered&#46; The spectacles were donated and delivered to the schools&#46; For students who were absent at the first call&#44; a second chance for an exam was offered&#44; at the same facilities&#46;</p><p id="para90" class="elsevierStylePara elsevierViewall">A questionnaire&#44; validated by an exploratory study and pre-tested in previous campaigns&#44; was prepared&#46; The following variables were studied&#58;<ul class="elsevierStyleList" id="celist10"><li class="elsevierStyleListItem" id="celistitem10"><span class="elsevierStyleLabel">-</span><p id="para100" class="elsevierStylePara elsevierViewall">Personal characteristics of the students&#58; gender&#44; age &#40;in years&#41;&#59;</p></li><li class="elsevierStyleListItem" id="celistitem20"><span class="elsevierStyleLabel">-</span><p id="para110" class="elsevierStylePara elsevierViewall">Ophthalmological evaluation previously received by the student &#40;yes&#47;no&#41;&#44; type of health service used &#40;public&#44; covenant&#44; private&#41;&#59;</p></li><li class="elsevierStyleListItem" id="celistitem30"><span class="elsevierStyleLabel">-</span><p id="para120" class="elsevierStylePara elsevierViewall">Reasons for absence at the ophthalmological exam &#40;did not receive guidelines&#47;transmittal guide&#59; could not miss the day of work&#59; child&#39;s or family&#39;s disease&#59; other appointment&#59; did not have someone else to look after the other children&#59; recent or scheduled ophthalmological exam&#41;&#59;</p></li><li class="elsevierStyleListItem" id="celistitem40"><span class="elsevierStyleLabel">-</span><p id="para130" class="elsevierStylePara elsevierViewall">Need of optical correction&#46;</p></li></ul></p><p id="para140" class="elsevierStylePara elsevierViewall">The instrument was applied through an interview with the parents or guardians who took his&#47;her children to the second-chance exam&#46;</p><p id="para150" class="elsevierStylePara elsevierViewall">This study was approved by the Investigational Review Board for Research Project Analysis of the Clinical Directory of Hospital das Cl&#237;nicas and Faculdade de Medicina da Universidade de S&#227;o Paulo&#47;SP &#8211; Study Protocol n&#176; 0557&#47;07&#46; Informed consent was obtained from each parent or guardian who participated in the study&#46; The parents or guardians were informed that the not answering to the questionnaire would not affect the Campaign service&#46;</p></span><span id="cesec40" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle90">RESULTS</span><p id="para160" class="elsevierStylePara elsevierViewall">Fifty-one thousand&#44; five hundred and nine &#40;51&#44;509&#41; students were screened&#44; and 14&#46;651 &#40;28&#46;4&#37;&#41; were referred for an ophthalmological exam&#46; Among these patients&#44; 8&#46;683 &#40;59&#46;3&#37;&#41; attended the first call&#46; The 5&#46;968 absent students were recalled&#44; and 2&#46;228 &#40;37&#46;3&#37;&#41; attended this second-chance exam &#40;<a class="elsevierStyleCrossRef" href="#fig1">Figure 1</a>&#41;&#46; Among the 2&#46;228 students who attended the second-chance exam&#44; 1&#46;461 &#40;65&#46;6&#37;&#41; were released during the screening period&#46; The questionnaire was administered to 767 students who attended the second-chance exam and underwent the complete ophthalmological examination &#40;<a class="elsevierStyleCrossRef" href="#fig1">Figure 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig1"></elsevierMultimedia><p id="para170" class="elsevierStylePara elsevierViewall">Among the students examined&#44; 50&#46;8&#37; were female&#44; with ages ranging from seven to ten years old&#46;</p><p id="para180" class="elsevierStylePara elsevierViewall">For 461 students &#40;60&#46;1&#37;&#41;&#44; it was the first opportunity for an ophthalmological exam &#40;<a class="elsevierStyleCrossRef" href="#tbl2">Table 2</a>&#41;&#46; Among the 39&#46;9&#37; who had already submitted to an ophthalmological exam&#44; 48&#46;0&#37; used the public health service &#40;<a class="elsevierStyleCrossRef" href="#tbl2">Table 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl2"></elsevierMultimedia><p id="para190" class="elsevierStylePara elsevierViewall">The reasons for not attending the exam are shown in <a class="elsevierStyleCrossRef" href="#tbl3">Table 3</a>&#46;</p><elsevierMultimedia ident="tbl3"></elsevierMultimedia><p id="para200" class="elsevierStylePara elsevierViewall">The likelihood of a spectacle prescription at each appointment is described in <a class="elsevierStyleCrossRef" href="#tbl4">Table 4</a>&#46;</p><elsevierMultimedia ident="tbl4"></elsevierMultimedia><p id="para210" class="elsevierStylePara elsevierViewall">The recall facilitated a 15&#46;2&#37; &#40;59&#46;3&#37; to 74&#46;5&#37;&#41; increase in campaign coverage&#46; Overall&#44; 10&#44;911 students were examined&#59; 74&#46;5&#37; of those were referred for the exam &#40;<a class="elsevierStyleCrossRef" href="#tbl1">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl1"></elsevierMultimedia></span><span id="cesec50" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle100">DISCUSSION</span><p id="para220" class="elsevierStylePara elsevierViewall">Ophthalmological campaigns for students performed in the last 40 years in Brazil<a class="elsevierStyleCrossRefs" href="#bib6">6&#44;12</a> introduced children and their parents to facilities to increase the attendance&#46; However&#44; the projects still present a high percentage of absenteeism&#44; which results in unnecessary costs and loss of exam opportunities for the children&#46;</p><p id="para230" class="elsevierStylePara elsevierViewall">Even with the access to facilities&#44; attendance during the weekends&#44; free transportation&#44; spectacle donation&#44; and two opportunities for free exams&#44; 25&#46;5&#37; of the parents did not take their children for the examination&#46; Ultimately&#44; 51&#44;509 students were screened&#59; 14&#44;651 &#40;28&#46;4&#37;&#41; were referred for an ophthalmological exam and 59&#46;3&#37; &#40;8&#44;683&#41; attended the first call&#46; Of the 5&#44;968 who missed the first call&#44; only 37&#46;3&#37; &#40;2&#44;228&#41; attended the recall&#46; The recall increased overall attendance from 59&#46;3&#37; to 74&#46;5&#37; &#40;15&#46;2&#37;&#41; &#8211; <a class="elsevierStyleCrossRef" href="#tbl1">Table 1</a>&#46; Regarding the number of students who attended&#44; the first call was&#44; approximately&#44; four times more efficient than the recall&#44; although the cost for staging it was similar&#46;</p><p id="para240" class="elsevierStylePara elsevierViewall">The main reason for non-attendance was lack of awareness or failure to receive the notice about the day and place where the exam would be performed &#40;35&#46;6&#37;&#41; &#8211; <a class="elsevierStyleCrossRef" href="#tbl3">Table 3</a>&#46; Each school was in charge of this communication step&#46; Similar study performed in S&#227;o Paulo six years ago reported 53&#46;7&#37; absenteeism at the first call and 54&#46;3&#37; at the second call&#46; It also identified failure to receive an orientation or transmittal guide as the main reason for the absence&#46;<a class="elsevierStyleCrossRef" href="#bib13">13</a> This issue could easily be resolved with a referral letter&#44; explaining that the child failed the school vision screening test&#44; how the vision test was done and the importance of the follow-up eye examination&#46; It is also important to confirm receipt of the letter and awareness of the information&#46; However&#44; a study performed in North Carolina&#44; revealed that 35&#37; did not attend exams&#44; even after they had received the referral letter&#46;<a class="elsevierStyleCrossRef" href="#bib20">20</a> These findings show that interventions to improve follow-up on school vision screening referrals represent an important component of screening programs&#46; It also calls attention to the need to reinforce the involvement of the teachers and directors at the school in the ocular heath program&#44; as well as the need to further develop the campaign&#39;s logistic protocol&#46;</p><p id="para250" class="elsevierStylePara elsevierViewall">In previous campaigns&#44; difficulties related to transportation were also shown as an important limiting factor&#44;<a class="elsevierStyleCrossRefs" href="#bib13">13&#44;18</a> however&#44; the offering of free transportation and the performance of the exam close to the screening place did not influence the level of absenteeism &#40;<a class="elsevierStyleCrossRef" href="#tbl3">Table 3</a>&#41;&#46;</p><p id="para260" class="elsevierStylePara elsevierViewall">Even with the exam during the weekend&#44; 20&#46;6&#37; of the parents reported that they did not attend the project because they could not miss work &#40;<a class="elsevierStyleCrossRef" href="#tbl3">Table 3</a>&#41;&#59; however&#44; they were able to overcome the problem and attended the recall&#46; These patients were probably encouraged by the results from students who attended the first examination&#46;</p><p id="para270" class="elsevierStylePara elsevierViewall">The fact that 10&#46;0&#37; of the parents did not attend the exam due to other appointments &#40;<a class="elsevierStyleCrossRef" href="#tbl3">Table 3</a>&#41; indicates the non-prioritization of the exam by the parents&#44; even in cases when a visual problem was suspected by teachers&#46; In a study conducted in S&#227;o Paulo six years ago&#44; 19&#46;4&#37; could not miss work&#59; 8&#46;5&#37; did not have money for transportation and 9&#46;0&#37; missed the exams due to other appointments&#46;<a class="elsevierStyleCrossRef" href="#bib13">13</a> It was noted that 83&#46;9&#37; of the reasons for missing the first call could have been avoided&#46;</p><p id="para280" class="elsevierStylePara elsevierViewall">Similarly&#44; in this study&#44; the difficulties that justified absence at the first call were overcome for 87&#46;1&#37; of those who attended the recall&#46; Only reasons related to disease &#40;12&#46;4&#37;&#41; and bad weather &#40;0&#46;5&#37;&#41; are insurmountable impediments that could justify absenteeism on the day of the exam&#46; However&#44; the absenteeism at the recall was much higher &#40;62&#46;7&#37; at the recall and 49&#46;7&#37; at the first call&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl1">Table 1</a>&#41;&#46;</p><p id="para290" class="elsevierStylePara elsevierViewall">Non-attendance at the first call was also not related to the optical correction needed&#44; as the results showed that those who were absent had a higher frequency of visual problems &#40;<a class="elsevierStyleCrossRef" href="#tbl4">Table 4</a>&#41;&#46;</p><p id="para300" class="elsevierStylePara elsevierViewall">These findings confirm that there are additional barriers inhibiting follow-up after visual referral&#44; as has been demonstrated by several studies&#46;<a class="elsevierStyleCrossRefs" href="#bib19">19&#44;20&#44;30</a></p><p id="para310" class="elsevierStylePara elsevierViewall">The use of the health system involves not only availability and access&#44; but also the behavior necessary to look for existing services&#46;<a class="elsevierStyleCrossRefs" href="#bib2">2&#44;23</a> Other studies showed that&#44; after suspicion of possible ocular problems based on visual acuity screening exam&#44; several parents or guardians waited up to four years to book an exam&#46;<a class="elsevierStyleCrossRefs" href="#bib20">20&#44;24</a></p><p id="para320" class="elsevierStylePara elsevierViewall">Medical service barriers can be related to the user &#40;lack of knowledge&#44; fear&#44; poverty&#44; emotional difficulties&#44; geographical distance&#44; and cultural and behavioral aspects&#41; and to the providers of these services &#40;lack of motivation&#44; training&#44; material resources&#44; and communication&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib19">19&#44;20&#44;25&#8211;30</a> The results of this study confirmed results of previous studies<a class="elsevierStyleCrossRefs" href="#bib19">19&#44;20&#44;24&#44;30</a> and support the hypothesis that there are multiple factors affecting follow-up compliance after failed school vision screenings&#46; Parental reasons for not following up on referrals are complex and interventions must address multiple barriers&#46;<a class="elsevierStyleCrossRefs" href="#bib20">20&#44;30</a></p><p id="para330" class="elsevierStylePara elsevierViewall">Among the students screened due to suspicion of visual problems and who attended the second call&#44; this campaign was the first opportunity for ophthalmological exam among 60&#46;1&#37; of the cases&#44; which indicates insufficient coverage provided by the health system &#40;<a class="elsevierStyleCrossRef" href="#tbl2">Table 2</a>&#41;&#46; This condition should be considered by the health managers involved with ophthalmological services&#46;</p><p id="para340" class="elsevierStylePara elsevierViewall">There is no consensus about the recommended age for the first ophthalmological exam&#46; In some countries&#44; it is recommended for patients between four and seven years old<a class="elsevierStyleCrossRef" href="#bib31">31</a> or is mandatory when registering the child in school&#46;<a class="elsevierStyleCrossRefs" href="#bib32">32&#8211;34</a> In Brazil&#44; several attempts to institute this policy had little success&#46;<a class="elsevierStyleCrossRef" href="#bib12">12</a></p><p id="para350" class="elsevierStylePara elsevierViewall">Considering the extent of existing ocular health coverage&#44; the routine eye exam required at the time the child starts going to school becomes even more important&#44; not only to detect refractive errors&#44; but also due to its educational role within the community&#46; It is necessary to educate the population regarding the importance of ophthalmological exams and the adoption of ocular health-promoting behaviors&#44;<a class="elsevierStyleCrossRef" href="#bib35">35</a> which would increase the attendance at campaigns and the patient-motivated search for health services&#46; The perception of physical and mental health is one of the most significant human values&#46; One study showed that a significant number of parents &#40;29&#37;&#41; felt there was no need for a professional eye exam&#46; Another 38&#37; expressed lack of confidence in the screening results&#46; These parents stated that they saw no signs of vision problems or that the child denied vision difficulties&#46;<a class="elsevierStyleCrossRef" href="#bib30">30</a></p><p id="para360" class="elsevierStylePara elsevierViewall">It is noted that&#44; after six years&#44; the rates and reasons for absenteeism are the same and remain unaddressed&#46; The measures used to increase the attendance did not have detectable influence on the rate of absenteeism&#46;</p><p id="para370" class="elsevierStylePara elsevierViewall">To increase attendance&#44; restructuring of the campaigns is recommended&#44; with emphasis on improved information-sharing&#44; teacher involvement and community education regarding the importance of the exam&#46; Optimal information-sharing could influence even the 25&#46;5&#37; of parents who did not take their children to the second-chance exam&#46;</p><p id="para380" class="elsevierStylePara elsevierViewall">Aside from the technical-scientific studies&#44; a reorientation of the research in the health area&#44; including political-institutional aspects and assessment of the incorporation of new technologies&#44; should be instituted&#46; The promotion of strategic research is important to identify the priority areas that demand resource capitation and immediate application of the results&#46; This study shows that restructuring of the campaigns could improve the efficiency of the campaigns &#40;of attended students&#41; by up to 15&#46;2&#37;&#46;</p></span><span id="cesec60" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle110">CONCLUSION</span><p id="para390" class="elsevierStylePara elsevierViewall">A significant number of parents did not take their children for ophthalmological exams&#44; even when facilities &#40;free transportation&#44; free exam performed over the weekend&#44; spectacle donation&#44; and second opportunity for exam&#41; were offered&#46; The main causes of absenteeism were lack of awareness and work&#46; For 87&#46;1&#37; of the absenteeism cases&#44; the difficulties could have been overcome via improved structuring of the first call&#46; A recall increases attendance coverage of the target population by only 15&#46;2&#37; &#40;59&#46;3 to 74&#46;5&#37;&#41;&#46; Notably&#44; the eye exam campaign was the first exam for most of the absent students&#46;</p></span></span>"
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        1 => array:2 [
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          "titulo" => "INTRODUCTION"
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        2 => array:2 [
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        3 => array:2 [
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          "titulo" => "METHODS"
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          "titulo" => "RESULTS"
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          "titulo" => "DISCUSSION"
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        6 => array:2 [
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          "titulo" => "CONCLUSION"
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          "titulo" => "ACKNOWLEDGMENTS"
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        8 => array:1 [
          "titulo" => "REFERENCES"
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      ]
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    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2011-04-01"
    "fechaAceptado" => "2011-06-01"
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "KEYWORDS"
          "identificador" => "xpalclavsec1582745"
          "palabras" => array:5 [
            0 => "Children"
            1 => "Vision screening"
            2 => "Acess to Care"
            3 => "Refractive error"
            4 => "Ophthalmic evaluation"
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    "resumen" => array:1 [
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        "resumen" => "<span id="ceabs10" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle10">PURPOSE&#58;</span><p id="spara60" class="elsevierStyleSimplePara elsevierViewall">To identify barriers to attendance for eye examination of schoolchildren&#46;</p></span> <span id="ceabs20" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle20">METHODS&#58;</span><p id="spara70" class="elsevierStyleSimplePara elsevierViewall">Cross-sectional study&#46; Students in grades 1-4 in elementary school in Guarulhos &#40;Brazil&#41; were screened and referred for ophthalmic examination in 2006&#46; Facilities offered in this project were&#58; examination arranged during weekends&#44; free transportation&#44; spectacle donation and two different opportunities for exam&#46; A questionnaire was applied&#44; by interview&#44; to a sample consisted of students&#39; parents attended in a community project who missed the first call and attended the recall&#44; to identify the reasons for non-attendance&#46;</p></span> <span id="ceabs30" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle30">RESULTS&#58;</span><p id="spara80" class="elsevierStyleSimplePara elsevierViewall">The sample consisted of 767 parents or guardians&#44; corresponding to an equal number of schoolchildren&#46; Personal characteristics of the students&#58; 49&#46;2&#37; male and 50&#46;8&#37; female&#44; 60&#46;2&#37; of them had never received previous ophthalmologic evaluation&#46; Reported reasons for no-show to the project&#58; parents had not received appropriate orientation &#40;35&#46;6&#37;&#41;&#44; loss of working day &#40;20&#46;6&#37;&#41;&#44; illness &#40;12&#46;4&#37;&#41;&#44; had another appointment &#40;10&#46;0&#37;&#41;&#46; The need for eyeglasses was higher in the recall&#46;</p></span> <span id="ceabs40" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle40">CONCLUSIONS&#58;</span><p id="spara90" class="elsevierStyleSimplePara elsevierViewall">A significant number of parents did not take their children for ophthalmological exams&#44; even when a second opportunity was offered in projects with transportation facilities&#44; free exams performed during weekends and spectacle donation&#46; The main causes of absenteeism were lack of awareness and work&#46; For 87&#46;1&#37; of the absenteeism cases&#44; the difficulties could be overcome via improved structuring of the first call&#46; A recall increases attendance coverage of target population by only 15&#46;2&#37; &#40;59&#46;3 to 74&#46;5&#37;&#41;&#46; Notably&#44; the eye exam campaign was the first exam for most of the absent students&#46;</p></span>"
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="justify" valign="top" scope="col">Call&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="top" scope="col">Referred&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="top" scope="col">Attended&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="top" scope="col">Coverage &#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="top">-&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="top">51&#44;509&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">14&#44;651&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">8&#44;683&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " align="center" valign="top">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="justify" valign="top">Recall&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="top">5&#44;968&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="top" scope="col">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="top">Previous ophthalmological exam&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">n &#61; 767&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="justify" valign="top"><span class="elsevierStyleHsp" style=""></span>Yes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">306&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="top">39&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="justify" valign="top"><span class="elsevierStyleHsp" style=""></span>No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">461&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">60&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="justify" valign="top">Service&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">n &#61; 306&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="justify" valign="top"><span class="elsevierStyleHsp" style=""></span>Public Service&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">147&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="top">48&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="justify" valign="top"><span class="elsevierStyleHsp" style=""></span>Covenant System&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">26&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="justify" valign="top"><span class="elsevierStyleHsp" style=""></span>Private System&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">74&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">24&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="justify" valign="top" style="border-bottom: 2px solid black"><span class="elsevierStyleHsp" style=""></span>Do not remember&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top" style="border-bottom: 2px solid black">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top" style="border-bottom: 2px solid black">1&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spara30" class="elsevierStyleSimplePara elsevierViewall">Previous ophthalmological evaluations of the students&#46;</p>"
        ]
      ]
      3 => array:7 [
        "identificador" => "tbl3"
        "etiqueta" => "Table 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:1 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="top" scope="col">Reason for non-attendance&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="top" scope="col"><span class="elsevierStyleItalic">f</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="top" scope="col">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="top">Did not know&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">273&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">35&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="top">Work&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">158&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">20&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="top">Disease&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">95&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">12&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="top">Other appointment&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">77&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">10&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="top">Forgot&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">48&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">6&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="top">Missed the time&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">39&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">5&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="top">Did not have anyone else to look after the other children&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">36&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">4&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="top">Think the child has good vision&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">2&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="top">Medical appointment scheduled&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">2&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="top">Bad weather&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">0&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="top">Lack of money&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">0&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="top" style="border-bottom: 2px solid black">TOTAL&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top" style="border-bottom: 2px solid black">767&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top" style="border-bottom: 2px solid black">100&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spara40" class="elsevierStyleSimplePara elsevierViewall">Reason for not attending the first appointment&#46;</p>"
        ]
      ]
      4 => array:7 [
        "identificador" => "tbl4"
        "etiqueta" => "Table 4"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:1 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="4" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Appointment</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="justify" valign="top" scope="col">Spectacles&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="top" scope="col">First</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="top" scope="col">Recall</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="top" scope="col">Total</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="top" scope="col"><span class="elsevierStyleItalic">p-</span>value&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " align="center" valign="top">2&#44;069&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="top">32&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="top">2&#46;782&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="top">25&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="top">6&#44;614&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="top">76&#46;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="top">8&#44;129&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="justify" valign="top" style="border-bottom: 2px solid black">Total&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                              ER Gon&#231;alves \n
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