Visual outcome of cataract surgery with pupillary sphincterotomy in eyes with coexisting corneal opacity

BACKGROUND: To evaluate the visual outcome following cataract surgery with pupillary sphincterotomy in eyes with coexisting corneal opacity. METHODS: Patients with leucomatous corneal opacity with significant cataract were enrolled for the study. The uncorrected visual acuity and best-corrected visual acuity (BCVA) were recorded and the anterior segment was thoroughly evaluated by a slit lamp biomicroscope before the surgery. Only those patients who had some amount of clear peripheral cornea were selected. Posterior segment pathology was ruled out by indirect ophthalmoscopy after pupillary dilatation, if possible, or by B-scan ultrasonography. Conventional extracapsular cataract extraction with pupillary sphincterotomy was performed and an intraocular lens was implanted. Postoperatively, the eyes were evaluated on day 1, and 1 week and 6 weeks following surgery for similar parameters. RESULTS: Fourteen eyes of 14 patients were included in the study, of which 13 (92.85%) patients were male. The mean age of the patients was 47.85 ± 7.37 years. All the eyes had a dense central leucomatous corneal opacity. Twelve (85.71%) eyes had two or more quadrants of deep vascularisation. Sphincterotomy was performed mostly (71.42%) in the nasal or inferonasal quadrant. The intraocular lens was implanted in 13 (92.85%) eyes, and one (7.1%) eye was left aphakic due to the occurrence of a large posterior capsular tear. Preoperatively, all eyes had BCVA < 6/60. At 6 weeks after surgery, all eyes had BCVA ≥ 6/60 and four (28.57%) eyes had BCVA ≥ 6/18. The mean BCVA preoperatively in these eyes was 0.015 ± 0.009, which changed to 0.249 ± 0.102 at 6 weeks following surgery. CONCLUSIONS: Extracapsular cataract extraction and intraocular lens implantation with pupillary sphincterotomy provides ambulatory and useful vision to patients of cataract with coexisting central leucomatous corneal opacity

Rising trends of caesarean section: a retrospective study

Background: The indications of Caesarean Section (CS) have been changing over time, along with a visible, much talked about rise in the rate. Without a doubt, C-sections can effectively prevent maternal and perinatal mortality when done for a medical indication. However, little is researched about the extent of maternal indications and the fetal outcomes of C-sections.Methods: Data of January to March 2012 and January to March 2017 was obtained by detailed study of the patient files from the Medical Records Department of the hospital. A predesigned proforma was used to record the relevant information. Data was analysed using standard statistical methods.Results: Cephalo pelvic disproportion (CPD) and fetal distress (FD) remained the major causes of CS in both the groups, being 50.4% in group2012 and 60.5% in group2017. Trends of CS due to maternal demand and tubal ligations are emerging. Though the rise in CS was not significant in the 5 year period having gone up from 45.41% to 48.81%, there was significant increase in deliveries without complications, having jumped up from 74.8% to 88.3%.Conclusions: As per the study, there was non-significant rise in the incidence of C-sections in the time period of study. Major contributory factors observed were CPD and FD, in which it is imperative to perform C-sections

Epidemiology of MTP in a tertiary care center over a period of 3 years

Background: Medical termination of pregnancy was legalized in India under the MTP act of 1971 which states that all the women can legally have an abortion up to 20 weeks of gestation if indicated. This study is a retrospective analysis of incidence, indication, the age group availing the facility, socio-demographic and obstetric profile of MTP seekers and the method of contraception followed after MTP.Methods: A retrospective 3-year data was analyzed by MTP register of the hospital as a reference.Results: The incidence rate of MTP is 96/1000 live births in the institute. The main reason for MTP is failure of contraception which highlights the unmet need of contraception and counselling. Majority of the age group availing MTP belonged to 16-20 years. Most of the women were   from urban slums, were illiterate and belonged to class IV and V according to Prasad’s classification. Mostly MTP seekers were parous, having ≥2 living children, and maximum no. of them went to private hospitals for their previous MTP. Medical method was the most favoured method of the care giver as well as of the patient. OCP was the choice of contraception after MTP. Religious difference is still very evident in availing   MTP services which can be minimized by tactful counselling. Conclusion: MTP act of 1971 opened new horizons for the unwanted pregnancies. Young population opting for MTP indicates the unmet need of contraception and counselling suggesting that implementation and integration of MTP services should be at the root level

Visually guided vergence in a new stereo camera system

People move their eyes several times each second, to selectivelyanalyze visual information from specific locations. This is impor-tant, because analyzing the whole scene in foveal detail would re-quire a beachball-sized brain and thousands of additional caloriesper day. As artificial vision becomes more sophisticated, it mayface analogous constraints. Anticipating this, we previously devel-oped a robotic head with biologically realistic oculomotor capabil-ities. Here we present a system for accurately orienting the cam-eras toward a three-dimensional point. The robot’s cameras con-verge when looking at something nearby, so each camera shouldideally centre the same visual feature. At the end of a saccade,we combine priors with cross-correlation of the images from eachcamera to iteratively fine-tune their alignment, and we use the ori-entations to set focus distance. This system allows the robot toaccurately view a visual target with both eyes

A retrospective study of emergency obstetric hysterectomy in a tertiary care center for a period of 5 years

Background: The study was conducted to determine the frequency, demographic characteristics, indication and fetomaternal outcome associated with emergency obstetric hysterectomy in a tertiary care center.Methods: Thirty cases of emergency obstetric hysterectomy performed during the five-year period from April 2011 to April 2016 were analyzed in the dept. of Gynae and obs. in Shri Guru Ram Rai Institute of Medical Sciences in Dehradun.Results: During the study period there were 30 cases of obstetric hysterectomy out of 8084 deliveries giving an incidence of 0.37%. Majority of the patients (60%) were unbooked and were in the age group of 26-30 (43.3%). Common parity group were 3, 4 and 5. Morbid adherent placenta was the most common indication contributing to 40% of the cases. There were four maternal deaths in the study. All were unbooked and three of them died of hypovolemic shock with cardiopulmonary arrest and one died of septicemia. Whereas there were 60% perinatal mortality and 26.66% NICU admissions.Conclusions: Emergency obstetric hysterectomy is a potentially lifesaving procedure which often puts obstetrician in dilemma at the time of decision making

Integrating planetary citizenship as a cross-curricular theme and a whole-school approach: using a value-creating approach to learning

This article reflects on the double planetary crises of climate impacts and Covid-19 from a study of certain Indigenous perspectives. An early review of the impact of these crises suggests the importance of resilience at the national and regional level to combat these challenges. Value-creating global citizenship education is a pedagogical approach developed from a study of certain Indigenous perspectives to enhance the United Nations 2030 Agenda for Sustainable Development, and beyond. The key focus of this approach is to build resilience and hope through engaged relationships between learners and their natural, social and educational environments. Using this approach, education for planetary citizenship is proposed as a cross-curricular theme, and a whole-school orientation for education across nation states, within formal and non-formal settings. Under this banner, the study of human relationship to Nature and its exploitation, risks such as climate change crisis, threats from global pandemics and lessons from Green Schools and Eco-Schools are suggested as focal points of study. In discussing these issues, this article enacts a dialogic engagement with multiple world views that brings into focus different ways of thinking about ourselves, society and Nature, such as reflected in the Earth Charter, which can enhance the intercultural dimension of education

Optimization of Financial Resources for Growth of Spiritual Learning (Nishkam Karma Yoga—Desire Less Action) for Stress Management in Business Corporate Sector

This paper deals with the Optimization of Financial Resources for Growth of Spiritual Learning (Nishkam Karma Yoga—Desire Less action) for Stress Management in Business Corporate Sector. The concept of Nishkam Karma Yoga—Activity without Desire has been explained, and it’s role in improving the performance of the managers to optimize the working of the firms has been discussed with a reference to the control of the financial resources for the growth of Institutes of spiritual learning on the basis of experiments performed by framing some Questionnaires, followed by certain mathematical computations

A Short Note on Role of Bhagavat Gita in Strategic Planning and Management in Corporate Sector

The purpose of the present paper is to present a novel approach for Strategic Planning and Management The Role of Bhagirathi Gita in Strategic Planning and Management in the Corporate Sector has been proposed and stressed We have incorporated the Mathematical Tools and Formulae for analyzing this Technique The similarities of the process with War- games have been pointed ou

Education of Bhagavat Gita’s Philosophy, Spiritualism and Ethics and Their Role in Stress Management in Corporate Sector involving Economic and Financial Resources

An attempt has been made in presenting a broad overview of Spiritualism and Ethics in Business and their Role in Stress Management of Managers in Corporate Sector, involving Economic and Financial Resources. Emphasis of the role of Bhagavat Gita and Christian Spirituality on stress management has been outlined. Ideas and statements of great Management Gurus in support of the use of Spiritualism and Ethics in Business, and their Role in Stress Management of Managers have been discussed. An expression has been suggested to relate spirituality factor of the manager and his stress. It is felt that the paper should be of good utility for the managers to reduce their stress level, and hence improve their performance, along with creating a good environment at the work place

Surgical outcomes of patients with early cervical cancer treated with radical hysterectomy in a tertiary care hospital

Background: This study was undertaken to evaluate the surgical outcomes of patients with early cervical cancer treated with radical hysterectomy.Methods:  A total of 50 patients who underwent modified radical hysterectomy between April 2006 and April 2016 at Shri Dharmasthala Manjunatheswara medical college and hospital, Dharwad, Karnataka were retrospectively reviewed. The analysis included clinical and pathologic variables including age, tumour size, clinical stage, lymphovascular space involvement, tumour type and grade, lymph node metastases, surgical margin involvement, intraoperative and postoperative complications and pattern of adjuvant therapy were analysed. Results: The median age of the patient who underwent radical hysterectomy was 47.8 years, the mean parity being 3.6. Histologically, the most common type of malignancy encountered was squamous cell carcinoma of the cervix, which occurred in 42 patients (84 %). 8 (16%) showed involvement of 1 or more lymph nodes and evidence of lymphovascular invasion. Involvement of the resected vaginal margins was noted in 11 patients (22%). The average hospital stay was 19.8 days, the prolonged stay resulting from postoperative morbidity. Postoperative concurrent chemoradiation with cisplatin was administered in eight (16%) cases due to pelvic lymph node metastases. Postoperative vaginal brachytherapy was given in 11 (22%) cases because of positive vaginal margins.Conclusions: The present study shows that general gynaecologists with significant experience in general gynaecologic surgery may, with adequate but abbreviated training, become competent in performing a modified radical hysterectomy.