Extraocular Muscle Imbalance and Outcomes of Scleral Buckling Surgery for Primary Rhegmatogenous Retinal Detachment

Objective: The objective was to study the muscle imbalance, restrictive motility in unlike gazes and the outcomes of the scleral buckling surgery for rhegmatogenous retinal detachment. Study design: Prospective follow-up study Settings and duration: The study was conducted at Al-Shifa Trust Eye Hospital Rawalpindi from Aug 2015 to Jan 2016. Methodology: The patients were checked prior to surgery and two follow up visits were done afterwards. Thorough history was taken along with full orthoptic assessment and ocular motility in all four main gazes including elevation, depression, adduction and abduction. Vision, type and position of explants, site of detachment, and risk factors of detachment were also observed. Results: A total of 48 eyes of 46 patients were taken. Mean age of the study participants was 37.16±20.37 years. Horizontal, vertical and combined deviations were observed in study population. Exo deviation was most common deviation among patients. Most reported risk factors of retinal detachment included trauma, pseudophakia, aphakia and myopia. Motility limitations of all four gazes was observed and it was found out that after buckling the squint and restriction is been increased up till two months. Conclusion: Ocular restriction among the patients was observed over a period of 2 months and it depicted that encircling with sclera buckling elicited an increase in restrictive ocular motility from pre-operative to 1 week and 2 months after surgery

Evaluation of Records of Oral and Maxillofacial Surgery Cases Reported at Abbasi Shaheed Hospital and Karachi Medical and Dental College, Pakistan

Background: Oral and Maxillofacial Surgery department is a diverse field in dentistry. Record maintenance has been established as one of the key factors in the success and integrity of health care institutes.Objective: The objective of the study was to evaluate the records of oral and maxillofacial surgery casesreported to oral and maxillofacial surgery department, Abbasi Shaheed Hospital and oral surgery OPD ofKarachi Medical and Dental College.Methods: Cross sectional study was conducted in at ASH and KMDC from July 2019 to September 2019.The data from January 2017 to July 2019 was retrospectively noted through electronic surgical recordof ASH and records of the Oral Surgery OPD of KMDC. Inclusion criteria was patients records of bothgenders of 5–70 years age, having complaint of any oral or dental pathology or pathologies, trauma andimpactions. Data was calculated manually by calculating frequencies and percentages for the trauma,impaction and pathology cases of patients.Results: In 2017, 239 cases were treated under general anesthesia from which trauma 11. 45% (n=11),followed by 48. 11% (n=115) cases of oral pathologies, total 11.7% (n=28) cases of complicated exodontias. In2018, among 211, 51.1% (n=108) cases were trauma followed by 39.3% (n=83) cases of oral pathologies,whereas, total 9.4% (n=20) complicated exodontias cases were observed. During 2019 (January to July),168 cases 36.2% (n=62) cases were diagnosed as trauma, in oral pathology, overall 36.2% (n=62) caseswere surgically excised. Total 23.2% (n=39) complicated exodontias. In 2017, 25122 cases were reported in Surgery OPD of Karachi Medical and Dental College. Total 36.2% (n=9097) teeth were extracted from which 1.93% (n=486) cases were surgical impaction. On the other hand, 1.65% (n=416) patients were treated through minor oral surgeries. In 2018, 29008 cases were reported in Surgery OPD. Total 42.7% (n=12377) teeth were extracted from which 0.92% (n=268) cases were surgical impaction. On the other hand, 0.71% (n=208) patients were treated through minor surgeries. In 2019, January till July 13028 cases were reported in Surgery OPD. Total42.6% (n=5559) teeth were extracted from which 0.66% (n=87) cases were surgical impaction. On the other hand, 0.68% (n=89) patients were treated through minor surgeries.Conclusion: It has been concluded that evaluation of the records of oral and maxillofacial surgery casesreported to oral and maxillofacial surgery department, Abbasi Shaheed Hospital and oral surgery OPD ofKarachi Medical and Dental College were high and appropriate measures should be taken in order tomanage these problems timely and effectively

The Effect of Breakfast on Academic Performance among High School Students in Abu Dhabi

Background: The claim that breakfast is the most important meal of the day has an abundance of sound science behind it. Breakfast is continually suggested to be a critical feature of eating regimens since it is associated with a healthier intake of nutrients, BMI and lifestyle. Several studies have shown the importance of having breakfast to the body's performance. Moreover, recent studies have demonstrated that breakfast enhances intellectual capacity, concentration, attention and academic performance. However, there is a paucity of studies which examine the relationship between breakfast consumption and academic performance in the UAE, a gap this study is designed to address. Objective: The aim of this study is to examine the effect of breakfast intake on the academic performance of young female students in the emirate of Abu Dhabi. Methods: Data was collected through a self-administered questionnaire from 130 female students aged 15-19 years, who were selected from two private schools in Abu Dhabi. The questionnaire was used to explore the students’ breakfast consumption habits. The data collected was analyzed to examine the association between breakfast intake and academic performance. Academic performance was assessed according to the average grade for all subjects in the final exam. Results: Sixty-two percent of the 130 students eat breakfast regularly. Breakfast consumption is associated with increased academic performance among high school female students. The association of breakfast intake was found to be statistically significant (p=0.00). Conclusion: The findings of the current study indicate that there is a positive correlation between breakfast intake and the students’ scores. Regular breakfast consumption improves students' academic performance, whereas the performance of students who frequently skip breakfast is lower

Image Segmentation using Two-Layer Pulse Coupled Neural Network with Inhibitory Linking Field

For over a decade, the Pulse Coupled Neural Network(PCNN) based algorithms have been used for imagesegmentation. Though there are several versions of the PCNNbased image segmentation methods, almost all of them use singlelayerPCNN with excitatory linking inputs. There are fourmajor issues associated with the single-burst PCNN which needattention. Often, the PCNN parameters including the linkingcoefficient are determined by trial and error. The segmentationaccuracy of the single-layer PCNN is highly sensitive to the valueof the linking coefficient. Finally, in the single-burst mode,neurons corresponding to background pixels do not participatein the segmentation process. This paper presents a new 2-layernetwork organization of PCNN in which excitatory andinhibitory linking inputs exist. The value of the linkingcoefficient and the threshold signal at which primary firing ofneurons start are determined directly from the image statistics.Simulation results show that the new PCNN achieves significantimprovement in the segmentation accuracy over the widelyknown Kuntimad’s single burst image segmentation approach.The two-layer PCNN based image segmentation methodovercomes all three drawbacks of the single-layer PCNN