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Purpose: Implementation of the International Consortium for Health Outcomes Measurements (ICHOM) standard for cataract surgery into clinical practice at an Italian tertiary referral centre. Methods: Prospective, observational, descriptive study consisting of the registry and analysis of cataract surgeries performed during a 6-month enrolment period at the University Eye Clinic of Trieste, Trieste, Italy. Outcomes were recorded and analysed according to the ICHOM Cataract Standard Set version 2.0.1. Records included clinician-reported outcome measures (CROMs) – visual outcome and complications – and patient-reported outcome measures (PROMs) – self-assessed vision with the Catquest-9SF questionnaire. Correlations between PROMs and CROMs were evaluated. A multiple linear regression was used for predicting the change in PROMs with surgery. Results: A total of 218 eyes (of 218 patients) were analysed. Postoperative corrected distance visual acuity (CDVA) was ⩾0.3 in 89.0% (194/218) of eyes. There was a statistically significant improvement of the post-operative Catquest-9SF global average score. ( p 2: 0.527) based on preoperative Catquest-9SF total score, presence or not of macular degeneration, presence or not of intraoperative complications, age >75 years old, and preoperative CDVA. Conclusions: Cataract surgery improves the functional vision, with some factors limiting the outcomes such as comorbidities. Self-perceived improvement in intermediate vision significantly influenced the improvement in self-assessed vision.

Purpose To evaluate in a large sample of patients from 10 different European centers the results of cataract surgery, characterizing the relationship between patient-reported outcomes (PROMs) and clinician-reported outcome measures (CROMs). Methods Prospective non-interventional multicenter observational descriptive study analyzing the clinical outcomes of a total of 3799 cases undergoing cataract surgery (mean age: 72.7 years). In all cases, the cataract surgery standard developed by the International Consortium for Health Outcomes Measurements (ICHOM) was used to register the clinical data. Three-month postoperative visual acuity and refraction data were considered CROMs, whereas Rasch-calibrated item 2 (RCCQ2) and total Catquest-9SF score (CQ) were considered PROMs. Results Postoperative corrected distance visual acuity (CDVA) was 0.3 logMAR or better in 88.7% (2505/2823) of eyes. Mean differences between preoperative and postoperative RCCQ2 and CQ scores were −3.09 and −2.39, respectively. Visual function improvement with surgery was reported by 91.5% (2163/2364) of patients. Statistically significant, although weak, correlations of postoperative CDVA with postoperative refraction, PROMs, and complications were found (0.133 ≤ r ≤0.289, p < 0.001). A predictive model (R2: 0.254) of postoperative CDVA considering 10 variables was obtained, including preoperative CDVA, different ocular comorbidities, age, gender and intraoperative complications. Likewise, another predictive model (R2: 0.148) of postoperative CQ considering a total of 14 variables was obtained, including additionally preoperative CQ, target refraction and previous surgeries. Conclusions Cataract surgery provides an improved functional vision in most of patients although this improvement can be limited by ocular comorbidities and complications. The relationship between PROMs and CROMs is multifactorial and complex. This study has been sponsored by a grant from Johnson & Johnson Vision. The author David P Piñero has been supported by the Ministry of Economy, Industry and Competitiveness of Spain within the program Ramón y Cajal, RYC-2016-20471.

In 2006 the Canadian federal government began to respond to demands to redress historic wrongs committed against “immigrant minorities” through the Community Historical Recognition Program (CHRP). This article focuses on a major Italian Canadian project created by this program and analyzes the public history version of the internment narrative that it produces. That narrative is based on a variety of sources—including interviews with the descendants of internees and collections of photographs—that were brought together for the first time by this project. This study argues that even if one of the major CHRPfunded projects apparently circumvented the government’s effort to control the recognition message, the resulting history remains problematic. The version of the recognition message that emerges from the Italian Canadians as Enemy Aliens website fails to analyze the complicated information contained in its own sources, particularly the photographs of Italian Canadians.

Through the use of various published and original sources this study outlines the reception and settlement of Italian immigrants in a modern Canadian urban environment. Substantial Italian migration and immigration to Toronto began in the late nineteenth century. The first migrants and immigrants were dispersed across at least four relatively distinct, inner-city neighbourhoods. Over time, and in particular after World War Two, one of these neighbourhoods grew to become one of the largest settlements of its type outside of Italy. Now in the process of gentrification, the area known as College Street Little Italy served a pivotal role in the accommodation of Italian immigrants in Toronto.

Introduction 1. The Beginnings: Falmenta, the Cannobino Valley, and Emigration 2. "Dear Son Write to Me": Those Left Behind and Life on the North Shore 3. Lawrence Grassi in the Mountains 4. The Trail Maker Epilogue: "A Symbol and a Legend of the Canadian Rockies" Appendix: Letters from the Grassi Collection, in Translation