Bilateral simultaneous rotational ankle fractures: case series and literature review

Bilateral Simultaneous rotational ankle injuries are rare entities with little number of cases reported in literature. Unlike axial type ankle fractures, they tend to happen as a result of pivoting trauma on the supportive limb. We conducted a case series and literature review of patients who presented with simultaneous bilateral ankle injuries and discussed their presentation and imaging. A total of Four cases in our institute and 6 separate cases reported in literature were found who sustained bilateral simultaneous rotational ankle fractures. There were 10 cases, nine of which were simultaneous and symmetrical ankle injuries. Injuries found were; Maisonneuve fracture, Tillaux fracture, Syndesmotic injury, Lauge-Hansen’s supination external rotation (SER), pronation external rotation (PER), supination adduction (SAD), and pronation abduction (PA). Four cases were presented in our institute over the last 10 years. A single case was asymmetrical in nature given the presence of an associated distal tibial metaphyseal fracture. Bilateral rotational ankle injuries are rare entity presenting simultaneously unlike axial type ankle fractures. When they present, they are likely caused by higher mechanism of injury than typical unilateral rotational ankle fractures. SER injuries are the most commonly found mechanism in both unilateral and bilateral ankle injuries.

International Consensus Statement on Rhinology and Allergy: Rhinosinusitis

Background: The 5 years since the publication of the first International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR‐RS) has witnessed foundational progress in our understanding and treatment of rhinologic disease. These advances are reflected within the more than 40 new topics covered within the ICAR‐RS‐2021 as well as updates to the original 140 topics. This executive summary consolidates the evidence‐based findings of the document. Methods: ICAR‐RS presents over 180 topics in the forms of evidence‐based reviews with recommendations (EBRRs), evidence‐based reviews, and literature reviews. The highest grade structured recommendations of the EBRR sections are summarized in this executive summary. Results: ICAR‐RS‐2021 covers 22 topics regarding the medical management of RS, which are grade A/B and are presented in the executive summary. Additionally, 4 topics regarding the surgical management of RS are grade A/B and are presented in the executive summary. Finally, a comprehensive evidence‐based management algorithm is provided. Conclusion: This ICAR‐RS‐2021 executive summary provides a compilation of the evidence‐based recommendations for medical and surgical treatment of the most common forms of RS

COVAC: A Blockchain-based COVID Testing and Vaccination Tracking System

Blockchain is an emerging technology based on a distributed digital ledger system. Decentralized trust is one of the key factors behind the blockchain-based system. The transparency of such a system is better than a conventional centralized ledger system. By using a blockchain-based transaction system, any business organization can harness key benefits like data integrity, confidentiality, and anonymity without involving any third party in control of the transactions. Since the blockchain is used in numerous applications, the horizon is expanding at an unprecedented pace. It was found that tracking COVID vaccination in a transparent and accountable way is an emerging need, especially after the pandemic outbreak around the world. The blockchain platform is a good match for such applications. In this study, a blockchain-based COVID-19 testing and vaccination tracking system, called COVAC, has been designed to manage the COVID testing and vaccination process for local organizations. The “Prototype Software Development" approach was used to determine the system requirements according to the practical knowledge obtained through the vaccine monitoring and screening tests process and then communicated with local healthcare facilities to determine whether these requirements were satisfied. The blockchain-based implementation ensured the system transparency, integrity, and security of data on COVID-19 testing and vaccinatio