bluuebunny/crossref_metadata_2025 huggingface dataset:
Ellis Van Creveld Syndrome: Cardiac Anomalies and Anesthetic Implications
Authors: Guha Amrita , Malhotra Rohit , Saxena Rachit , Keshri Vikas K.
Published: July 2023

Ellis–Van Creveld syndrome (EVC), also known as mesoectodermal dysplasia, is a rare autosomal recessive disorder with a tetrad of clinical features, comprising dwarfism, polydactyly, ectodermal dysplasia with sparse hair, hypoplastic nails and enamel, hypodontia and conical teeth and congenital heart disease (CHD). We report an 18-year-old girl with short stature and polydactyly, who got admitted to our hospital with shortness of breath on exertion for the last 2 years. On echocardiography, a partial atrioventricular canal (AV canal) defect was diagnosed, which was repaired surgically. The patient had an uneventful perioperative period.
Prognostic role of metabolic 18F-FDG PET/CT parameters and hematological prognostic indicators in patients with colorectal cancer
Authors: Cengiz Arzu , Yersal Özlem , Ömürlü İmran Kurt , Yürekli Yakup
Published: July 2023

Background:

The aim of this study is to evaluate the role of preoperative 18F-fluorodeoxyglucose (FDG) positron emission tomography–computed tomography (PET/CT) parameters, including maximum standardized uptake value (SUVmax), metabolic tumor volume (MTV), and total lesion glycolysis (TLG), hematologic prognostic indicators in patients with colorectal cancer (CRC) in terms of predicting prognosis.

Methods:

One hundred and one patients who had undergone 18F-FDG PET/CT for initial staging were evaluated retrospectively. Patient data including pathologic stage at presentation, histology, tumor location, and overall survival (OS) were analyzed. Neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), serum carcinoembryonic antigen (CEA) (ng/mL), CA-125 (cancer antigen 125) (U/mL), and CA19-9 (U/mL) levels, which were obtained within 2 weeks of the PET/CT examination, were used for hematological data.

Results:

The TNM Classification of Malignant Tumors stage and PET/CT parameters, including SUVmax, MTV, and TLG, were found to be correlated with survival rate in univariate analysis (P < 0.05). All hematological markers excluding PLR were also significantly associated with survival time. Receiver operating characteristics (ROC) analysis revealed that the optimal SUVmax cutoff value for predicting survival time in patients with CRC was >17.9 (Area under curve (AUC) = 0.625; P < 0.05). The calculated sensitivity and specificity values for this cutoff were 60% and 65.7%, respectively. To predict the survival time in these patients, the optimal MTV cutoff value was >34.29 (AUC = 0.775; P < 0.001; sensitivity = 85%; specificity = 62.3%). The optimal TLG cutoff value for predicting survival time was >270.4 (AUC = 0.790; P < 0.001; sensitivity = 77.5%; specificity = 68.9%).

Conclusions:

FDG PET/CT metabolical parameters are useful for predicting the prognosis in patients with CRC. High preoperative NLR and high tumor markers were also shown to be negative independent prognostic factors in these patients.
Novel approach of autologous simple limbal epithelial transplantation (autoSLET) in eyes with acute unilateral severe ocular chemical injury
Authors: Jain Rajat , Mohan Neha , Basu Sayan
Published: July 2023

A 19-year-old boy was presented 4 days after left eye acute chuna injury grade 4 (Dua). BCVA was finger counting 1 m, limbal ischemia, ground glass cornea, and corneal epithelial defect involving adjacent conjunctiva. Autologous contralateral simple limbal epithelial transplantation (SLET) was performed. Complete ocular surface epithelization was noted at day 21. At 8-months follow-up, there was a stable ocular surface with 20/20p BCVA. AutoSLET achieves rapid epithelialization in severe chemical injuries thereby preventing adverse effects of delayed epithelial healing avoiding the need for visual rehabilitative procedures later. Larger case series with longer follow-up is required.
Enophthalmos as a sole clinical manifestation in advanced breast carcinoma
Authors: Panda Bijnya B , Mishra Priyadarshini , Panda Soumyasarath , Senapati Swagatika
Published: July 2023

Orbital metastases from breast carcinoma presenting as enophthalmos are a rare occurrence and must be carefully investigated to stage the disease and initiate management, which can be lifesaving in such patients. We report our experience in diagnosing and managing a case of enophthalmos that, on histopathology, revealed orbital metastases from lobular breast carcinoma.
A rare presentation of corneal blood staining
Authors: Sethi Sahebaan , Sethi Aditya
Published: July 2023

We report an easily missed diagnosis of the blood-stained cornea that can simulate crystalline lens in the anterior chamber (AC), especially when associated with low intraocular pressure (IOP), a rare occurrence. A 10-year-old boy presented with loss of vision in the left eye since 15 days following a cricket ball injury. Ocular examination revealed an amber-colored disciform appearance in the cornea and visual acuity of light perception. The eye was hypotonus. The patient underwent an ultrasound B-scan, which demonstrated an infero-posterior displacement of the lens. The empirical diagnosis of crystalline lens in AC was then revised and a rare association with low IOP was picked up.
Persistent cyanopsia following non-diffractive extended depth-of-focus intraocular lens implantation
Authors: Chao Jonathan T , Omari Amro A , Herrera Amanda B , Siegel Les I , Siegel Michael J
Published: July 2023

We report the first case of cyanopsia following implantation of a non-diffractive extended depth-of-focus (EDOF) intraocular lens (IOL). A 79-year-old male artist underwent cataract extraction with a non-diffractive EDOF ultraviolet absorbing toric IOL (Alcon AcrySof IQ Vivity DAT315) and then experienced persistent cyanopsia in fluorescent lighting following surgery. His symptoms persisted and were visually debilitating. He underwent secondary IOL exchange with a yellow-tinted non-diffractive EDOF toric IOL (Alcon AcrySof IQ Vivity DFT315) and the recurrent cyanosis abated. Surgeons should be aware of cyanopsia following implantation of ultraviolet absorbing IOLs and be prepared to address these complaints should they arise.
Craniosynostosis, osteopetrosis, and Arnold-Chiari malformation type 1 – Ophthalmic manifestations
Authors: Warkad Vivekanand Uttamrao , Alam Danish , Majhi Debasmita , Panigrahy Bharat
Published: July 2023

We report an interesting rare case of a child with a constellation of craniosynostosis (CS), osteopetrosis (OP), and Arnold-Chiari malformation type 1 (ACM1), presenting with developmental delay and progressive vision loss since infancy with normal intellect. The ophthalmic examination revealed bilateral advanced visual loss, bilateral proptosis, optic atrophy, and large angle esotropia in primary gaze. A systemic examination revealed facial dysmorphism, abnormal shape of the head, malunion fracture of the right arm, and scoliosis. Neuroimaging revealed features suggestive of CS, OP, and ACM-1. Neurosurgical consultation was sought, and the ventriculoperitoneal shunt was advised.
Idiopathic bilateral multiple peripheral pigment epithelial detachment in Parkinson's disease
Authors: Varadarassou Danalakshmi , Bosco Arokiam John , Thanikachalam S , Sharma Karen
Published: July 2023

A case of a 40-year-old female diagnosed with young onset Parkinson's disease with bilateral normal central fundus and normal subfoveal choroidal thickness associated with bilateral multiple peripheral pigment epithelial detachments and peripheral pachychoroid features in enhanced depth imaging-optical coherence tomography (EDI-OCT).
Gossypiboma of the eye
Authors: Kumar Madhu , Sriram Simakurthy , Kanakamedla Ashok , Gudimetla Jayamadhury , Shandil Anurag , Agrawal Manit
Published: July 2023

A 50-year-old male patient with proliferative diabetic retinopathy with vitreous hemorrhage underwent vitrectomy with oil tamponade. At 1 week post-operative visit, we noticed a retained cotton fiber with adjacent exudation. Patient was started on oral steroids with a subsequent clearing of exudation within 2 weeks. Inadvertent foreign body implantation after an intraocular surgery occurs more frequently than expected. To date, there is no published report of retained cotton fiber in the vitreous cavity. We present a rare case of pre-retinal retained cotton fiber post-vitrectomy with resultant inflammation and its clinical course.
Perioperative ischemic optic neuropathy following subtotal petrosectomy
Authors: Mohankumar Arthi , Rajan Mohan , Aravind Vandana , Nandhan Raghu , Kameswaran Mohan
Published: July 2023

Perioperative vision loss (POVL) is unilateral or bilateral, partial or complete loss of vision occurring in patients undergoing non-ophthalmic surgical procedures. They are commonly known to occur following cardiac, spine, and other orthopedic surgeries. The exact mechanism is not known and a variety of systemic and intraoperative risk factors including patient positioning, fluid loss, and use of vasopressors are implicated. The most common cause of POVL are ischemic optic neuropathies which occur due to disturbance in blood flow to the optic nerve. In this case report, we describe a case of perioperative ischemic optic neuropathy occurring following inner ear surgery and its management.
A rare case of congenital ectopic eyelid tissue
Authors: Pal Sandeep , Mehta Ayush , Agrawal Poonam Arora , Patidar Narendra , Kulsum Farheena
Published: July 2023

Ectopic eyelid, an extremely rare entity, is a congenital disturbance in embryogenesis in which lid tissue is present in an abnormal position near the eyelid. We herein report a case of a six-year-old child with a soft mass near the lateral canthus of the left eye having cilia overlying it, with a similar family history in her father. A surgical excision biopsy was performed under general anesthesia. A histopathology report revealed stratified squamous epithelium with numerous dermal pilous units consisting of a central hair shaft and clusters of Moll's glands, suggesting eyelid tissue. Therefore, an ectopic eyelid tissue can be considered a differential diagnosis for any congenital, non-progressive, soft tissue mass near the eyelid with overlying cilia. However, histopathology is required to confirm the diagnosis.
A rare case of complete anterior capsular occlusion following phacoemulsification with acrylic intraocular lens and capsular tension ring implantation in pseudoexfoliation syndrome
Authors: Mathur Vaishali , Das Anamika
Published: July 2023

A 72-year-old man presented with bilateral brunescent cataract with pseudoexfoliation syndrome and subtle phacodonesis. He underwent right eye phacoemulsification with a 5-mm continuous curvilinear capsulorrhexis and implantation of an acrylic hydrophilic intraocular lens (IOL) with a polymethyl methacrylate (PMMA) capsular tension ring (CTR). Six months postoperatively, anterior capsule fibrosis and complete closure of the capsulorhexis opening were noted. A neodymium: YAG (Nd: YAG) laser anterior capsulotomy was performed for visual recovery. The centripetal forces of capsular fibrosis after cataract surgery may exceed the centrifugal resistance of the standard CTR in patients with pseudoexfoliation. Such patients must be frequently monitored postoperatively. A Nd: YAG laser anterior capsulotomy is a safe and effective option to manage even thick membranous anterior capsular occlusion. This is a unique case report since anterior capsular fibrosis and complete occlusion despite CTR in situ are extremely rare (reported only once to the best of our knowledge).
Nyctalopia in alcoholic liver disease–induced vitamin A deficiency
Authors: Nadig Ramya R , Kashyap Himanshu , Nagarajan Rajesh , Raman Rajiv
Published: July 2023

We report a case of a 52-year-old man with diminution of vision in both eyes at night for 15 days with mild retinal pigment epithelium changes at the macula and a tessellated background on fundus examination. Given his history of chronic alcohol consumption and jaundice two weeks back, vitamin A deficiency was contemplated. Electroretinogram (ERG) showed diminished responses. Serum retinol was 17 μg/dl. On supplementation with vitamin A, symptoms improved and ERG was normal; however, serum retinol levels were still low at 8.98 μg/dl. Thus, serum retinol does not necessarily indicate response to treatment, and ERG is necessitated in such cases.
Unilateral Tolosa–Hunt syndrome with bilateral cavernous sinus involvement – A very rare presentation
Authors: Das Sujit , Mehrotra Neelima , Aggarwal Abhishek
Published: July 2023

Tolosa–Hunt syndrome (THS) is a rare, idiopathic, inflammatory process of the cavernous sinus and remains a diagnosis of exclusion. It is characterized by unilateral orbital pain and is often associated with diplopia due to the involvement of one or more oculomotor nerves. Involvement of the cranial nerve V, cranial nerve VII, or the ipsilateral sympathetic pupillary pathway, has also been described. Bilateral cranial nerve involvement is very infrequent. Herein, we are presenting a case of unilateral THS with bilateral cavernous sinus involvement.
Presumed viral endotheliitis following topical mitomycin C for the treatment of ocular surface squamous neoplasia in a glaucoma patient
Authors: Rajagopal Rama , Ravichandran Swetha , Balaji Janarthanam Jothi
Published: July 2023

Corneal endotheliitis and ocular surface neoplasia are known to be associated with altered immune status especially in the elderly. We reviewed an interesting case where endotheliitis occurred for the first time while on topical chemotherapy for ocular surface neoplasia in a patient with glaucoma. We have addressed the practical concerns in decision-making given multiple ocular comorbidities and highlighted a successful outcome with no recurrence of both the tumor and the endotheliitis for over 16 months.
Vitreous prolapse with intraocular lens decentration – An uncommon complication following neodymium-yttrium aluminum garnet laser capsulotomy
Authors: Kumar Madhu , Devasia Tudymol , Sriram Simakurthy , Kanakamedala Ashok , Gudimetla Jayamadhury , Sumanth IM
Published: July 2023

Vitreous prolapse and intraocular lens decentration following neodymium-doped yttrium aluminum garnet (Nd:YAG) laser posterior capsulotomy is rare. We report a case of a patient who developed blurring of vision, due to vitreous prolapse and decentration of the intraocular lens, following Nd:YAG laser capsulotomy for posterior capsular opacification (PCO), which was restored to complete visual recovery with surgical management. The report aims to highlight the importance of precise focusing, usage of minimum optimal power required, and appropriate sizing of Nd:YAG laser posterior capsulotomy. Although Nd:YAG laser posterior capsulotomy is a safe procedure for treating PCO, it is not free from complications.
Spontaneous closure of full-thickness macular hole after intravitreal brolucizumab injection for neovascular age-related macular degeneration
Authors: Chakraborty Somnath , Sheth Jay Umed
Published: July 2023

The authors describe the first case report of spontaneous closure of full-thickness macular hole (FTMH) in a 74-year-old female patient with macular neovascularization (MNV) secondary to age-related macular degeneration (AMD) after intravitreal injection (IVI) of brolucizumab. A significant improvement in the pigment epithelial detachment (PED) morphology seems to have facilitated the hole closure by relieving the centrifugal traction onto the overlying retina. Another proposed mechanism for hole closure is glial cell proliferation caused by the brolucizumab molecule acting on the underlying MNV. However, more histologic validation is needed to confirm the same.
Trigeminal nerve sheath tumor presenting as trochlear nerve palsy
Authors: Bijlani Madhavi , Narayanamoorthy Jayasri , Kowsalya Akkayasamy , Kumar Shanmugam Mahesh
Published: July 2023

A 73-year-old woman presented with vertical diplopia which was diagnosed as a trigeminal nerve sheath tumor. This case was unusual because the principal symptom was a vertical diplopia due to involvement of the trochlear nerve. Trigeminal function was preserved on initial presentation. The patient was advised neuroimaging along with baseline blood investigations. On subsequent follow-ups she developed trigeminal symptoms in the form of tingling and numbness along her left cheek and below her left eye. Eventually, radiodiagnosis showed a dumbbell-shaped necrotic lesion originating from the trigeminal nerve sheath suggestive of a schwannoma. The case was then referred to a neurosurgeon for appropriate management.
Persistent corneal epithelial defect associated with sleeping position
Authors: Li Yingsi , Chen Shudi , Song Wenjing , Cheng Yu , Gao Yuan , Xie Luoying , Huang Meiting , Yan Xiaoming
Published: July 2023

Herein, we report a rare case of persistent corneal epithelial defect (PCED) in a 9-year-old child with floppy eyelid syndrome (FES) and abnormal sleeping position. The boy presented with a two-month history of foreign body sensation in the right eye, a 4 × 5 mm2 corneal epithelial defect, irregular astigmatism, a long history of snoring, and intermittent nasal congestion. However, no improvement was observed after basic treatment for one month. The child slept in the prone position and was obese. After changing the sleeping position and undergoing nasal therapy in combination with artificial tear therapy, his corneal epithelial defects disappeared, and corneal astigmatism was reduced.
Cavernous hemangioma of zygomatic bone - A rare case report
Authors: Kusagur Shivayogi R , Gaddi Daneshwari S
Published: July 2023

A 45-year-old woman presented with a history of unilateral fixed, painless, gradually progressive swelling in the right frontal part of the zygomatic bone for 6 years. On examination, the best-corrected visual acuity (BCVA) of the right and left eye was 20/20. On palpation, the swelling was a solitary mass of hard consistency, painless, adhering to deep planes under normal-looking skin. Orbital computed tomography (CT) scanning showed monostotic fibrous dysplasia of the lateral wall of the right bony orbit of the zygoma. The right orbital mass was managed by excisional biopsy with bone grafting. The histopathological report revealed a cavernous hemangioma of the zygomatic bone.
Goltz syndrome in male
Authors: Kumari Neha , Bhaskar Gyan , Sinha Bibhuti P , Anmol Kumar
Published: July 2023

Goltz syndrome or focal dermal hypoplasia is a rare meso-ectodermal, X-linked dominant genetic disorder with female preponderance. Though the involvement of multiple systems is present, the hallmark of this syndrome is typical cutaneous features. Here, we report a unique case of Goltz syndrome in a 21-year-old male who presented to us with multiple growths on the palpebral conjunctiva of the right eye along with abnormal ice pick–type lesions on the skin. No significant family history was present. The affected eye also had iris and choroidal coloboma. Mild mental retardation and gingival hyperplasia were noted on systemic examination. Being a multisystem disorder, an ophthalmologist should be aware of its extraocular manifestations that can be fatal.
Malignant peripheral nerve sheath tumor
Authors: Likhari Kamalpreet
Published: July 2023

A 57-year-old male presented with a fleshy mass encroaching on the limbus in the right eye. With a clinical diagnosis of invasive squamous neoplasia, topical interferon-alpha was started. Since the patient had unremitting pain, exenteration was done. Histopathology revealed conjunctival spindle cell neoplasia, and immunohistochemistry markers favored malignant peripheral nerve sheath tumor (MPNST). To the best of our knowledge, this is the first description of orbital MPNST presenting as a surface malignancy.
Glittering Christmas tree cataract – The role of Scheimpflug, anterior segment optical coherence tomography, and biochemical analysis
Authors: Rajagopal Rama , Kohli Anupriya , Narayanasamy Angayarkanni , Jayavel Karthick , Chidambaram Hemalatha
Published: July 2023

Christmas tree cataract has rarely been described. It is characterized by a polychromatic luster, the exact etiology of which is unclear. Postulated causes for this include the possible role of cholesterol or calcium deposition. We describe a case of a unilateral Christmas tree cataract in a patient who underwent cataract surgery and highlight the role of Scheimpflug and anterior segment optical coherence tomography (ASOCT) in complementing the clinical diagnosis. Further, biochemical analysis of the lens matter revealed an increase in calcium and cholesterol.
Antipsychotic pitfalls
Authors: Balraj Arumugam
Published: July 2023

Idiopathic intracranial hypertension (IIH) is a rare but potentially severe condition causing visual loss. Use of many drugs has been associated with the occurrence of IIH. We report the case of a 47-year-old female treated with risperidone for schizophrenia who presented with features of IIH. Withdrawing the offending drug, in addition to acetazolamide, drastically improved her symptoms within a month. We report this rare case to emphasize that a commonly used atypical antipsychotic medication (risperidone) can rarely cause IIH.
Anemia and idiopathic intracranial hypertension – A coincidence or a correlation
Authors: Balraj Arumugam , Hinge Shreeya
Published: July 2023

Idiopathic intracranial hypertension (IIH) is commonly seen in females of reproductive age (15–45 years). Here, we report a unique case of a 22-year-old female presenting with complaints of headache and vomiting with a history of polycystic ovarian syndrome for which she was on treatment. The patient had bilateral optic disc edema on fundus examination. Hematological investigations showed severe iron deficiency anemia with hemoglobin 3.7 g/dl. Lumbar puncture showed raised cerebrospinal fluid opening pressure of 270 cm of H2O. Magnetic resonance imaging brain showed partially empty sella and T2 hyperintensity in optic nerve canal, suggestive of IIH. The patient was treated subsequently with blood transfusion followed by iron therapy. After treatment, she showed drastic improvement with the resolution of papilledema and normalization of visual field analysis. Our findings emphasize the importance of hematological investigations and prompt treatment in IIH, which ensure a better prognosis by shortening the disease course.
Six-year follow-up of toric intra-ocular lens implantation for post keratoplasty astigmatism and cataract – Case reports
Authors: Nath Manas , Odayappan Annamalai , Bhatia Karan , Khodifad Ashish M , Nachiappan Sivagami , Shivananda Narayana
Published: July 2023

We describe the long-term outcomes of two patients who underwent toric intra-ocular lens (IOL) implantation for cataract with post-keratoplasty astigmatism. At 6 years, the IOL was found to be stable with a rotation of less than 2°. Neither of our patients had graft rejection after IOL implantation. There was no significant increase in the corneal thickness, and graft clarity was maintained. The endothelial cell loss in our patients was 10.8% at 1 year, 13.2% at 2 years, and 7.8% at 6 years in case 1 and 9.3% at 1 year, 12.4% at 2 years, and 37.3% at 6 years in case 2.
Hard cataract or heart attack
Authors: Jha Rakesh Kumar , Kaushik Jaya , Singh Ankita
Published: July 2023

Miscommunication arises when interacting members connect, but one or more of its members in the communication chain does not fully understand what has been conveyed. This can happen for a variety of reasons, including the initiator's inappropriate word selection, existence of communication barrier between the initiator and receiver, the receiver's misperception, and less frequently, the receiver being “off-target” to the communication chain. This case involves a 54-year-old woman with no known comorbid conditions who experienced an acute panic attack just before the start of scheduled cataract surgery, which was managed with abandonment of surgery followed by monitoring and treatment in the intensive care, conducting the departmental root cause analysis, and subsequent performance of uneventful surgery with satisfactory outcome after addressing the root cause.
Restrictive medial rectus myositis in orbital sarcoidosis
Authors: Kataria Prerna , Sethi Neha K , Dihana Ashu , Dhillon Ramneet Kaur
Published: July 2023

Sarcoidosis is a systemic multiorgan granulomatous disease of unknown etiology in middle age group women. Orbital sarcoidosis is uncommon and the most common orbital manifestation is dacryoadenitis (70%). Extraocular muscle involvement is rare; if present, the superior rectus/levator complex and lateral rectus are most commonly involved. We report a 57-year-old male, a known case of biopsy-proven sarcoidosis, with medial rectus myopathy and lacrimal dacryoadenitis in the left eye, and angle closure with raised intraocular pressure (IOP) in both eyes. Imaging by computed tomography (CT) also confirmed the above findings. The forced duction test was positive confirming restrictive myopathy of the left medial rectus muscle. Orbital sarcoidosis has a highly diverse presentation; medial rectus involvement is a rare occurrence.
Double trouble – Acute kidney injury complicating pediatric acute retinal necrosis
Authors: Thomas Nicey R , Mohankumar Arthi , Gautam Supriya D , Rajan Mohan
Published: July 2023

Acute retinal necrosis (ARN) occurs due to secondary reactivation of previous herpes simplex or varicella zoster infection. In children, ARN is rare and challenging to manage due to late presentation caused by difficulty in the communication of symptoms to caregivers and lack of treatment guidelines.[1] Acyclovir used for treatment can cause direct tubular injury or crystal deposit in the tubules, causing acute kidney injury (AKI). Prompt management of AKI is required to avoid lethal complications. In this case report, we describe the case of a 14-year-old boy with ARN secondary to primary varicella infection developing AKI following intravenous acyclovir.
Large-angle hypertropia managed by modified Nishida's procedure
Authors: Murthy Sowmya Raveendra , Tripathi Prerana
Published: July 2023

Treating vertical squints especially large-angle hypertropia caused by inferior rectus palsy is a challenge. Superior rectus recession in presence of positive forced duction tests is the first step in surgical management. Following this, full tendon transposition of horizontal recti inferiorly (Inverse Knapp's procedure) is the standard procedure of choice. Modified Nishida's procedure has been described to treat vertical deviations like MED and inferior rectus aplasia. We describe a case of large-angle hypertropia treated by Modified Nishida's procedure.
Myofascial pain syndrome of the occipitofrontalis muscle and its ophthalmological implications
Authors: Jain Shilpa , Goyal Ramesh K , Ajmera Puneeta , Mozhi Ranganathan Arun
Published: July 2023

Myofascial pain syndrome associated with occipitofrontalis muscle most of the time undergo underdiagnosed after eye surgery, and the exact cause remain to be ascertained. The present study is a case report which indicates that it may be one of the reasons for eye pain and/or headache that is misinterpreted as glaucoma or increased intraocular pressure. A systematic study is warranted to avoid the use of medicine in similar cases.
Functional Outcome of Osteosynthesis with PHILOS in Elderly Patients: Experience at Tertiary Care Centre
Authors: Kushwaha Narendra Singh , Saini Sushil Kumar , Verma Ashutosh , Mohan Ravindra , Saroj Atul Kumar , Singh Arpit , Prajwal M. C.
Published: July 2023

Background:

Increased risk of proximal humerus fractures are seen in elderly group as their bones are osteoporotic or brittle. Mode of trauma in elderly patients with severe osteoporosis, fractures usually resulted from low velocity indirect trauma while high velocity trauma like road traffic accident was the cause of these fractures in younger age group. Surgery can be an option to obtain a better functional outcome or when a complex fracture needs to be fixed. With the advantages and the paucity of data on the functional outcome and efficacy of the following internal fixation with the PHILOS plate for displaced proximal humerus fractures in mind, the present study was planned.

Methodology:

Patients who fulfilled the selection criteria were informed about the study and were then enrolled. Following the surgery, patients were followed up regularly at six weeks, three months, and six months. Final outcome was analyzed by Constant Shoulder Score. Christopher Constant, with the help of the late Alan Murley during the years 1981–1986, devised the Constant Score, which was first presented in a university thesis in 1986 and whose methodology was later published in 1987.

Results:

A total of 30 patients sustained with proximal humerus fractures were studied. In this study of final assessment were Found 73.2 % good to excellent outcome by using the Constant Shoulder Score.

Conclusion:

Following this study, the inference can be drawn that proximal humerus internal locking system for the management of proximal humerus fractures give a good functional outcome in most patients. Hence PHILOS plate application for fixation of fracture proximal humerus in elderly patients hence allowing early mobilization of the shoulder.
Annual Zoledronic Acid for the Treatment of Osteoporosis: A Randomized Controlled Trial
Authors: Hussain Asif , Saini Sushil Kumar , Patel Jaydeep , Pal Chandra Prakash , Chahar Hemant Singh , Yadav Rohit
Published: July 2023

Context:

Osteoporosis remains a significant public health problem in many parts of the world, including India. The efficacy of oral bisphosphonates is lower because of poor compliance. Annual treatment with zoledronic acid has been reported to improve outcomes.

Objective:

To study the benefits and side effects of zoledronic acid in patients with osteoporosis.

Methods:

This is a blinded randomized clinical trial conducted at a government hospital. Patients aged 50–89 years with bone mineral density (BMD) T score < −2.5 or < −1.5 with 2 mild vertebral fractures or 1 moderate vertebral fractures were randomized to receive placebo versus zoledronic acid. A total of 200 patients were be studied, 100 in each arm. Zoledronic acid was given in single dose (15-min infusion). Serum calcium, dual-energy X-ray absorptiometry, and lateral spine radiographs were performed at enrollment and after 12 months. The primary endpoint was combined risk of new-onset vertebral and hip fractures. The secondary endpoints were new-onset vertebral and hip fractures and BMD.

Results:

The primary outcome was reduced by 79% during the 1-year period in zoledronic acid, compared to placebo (3% in the treatment group vs. 14% in the placebo group; relative risk (RR): 0.21; 95% confidence interval [CI]: 0.06–0.72, P = 0.01). Treatment with zoledronic acid reduced the risk of new-onset vertebral fracture by 82% (RR: 0.18; 95% CI: 0.04 to 0.79; P = 0.02). No significant differences in new-onset hip fractures were noted (RR: 0.33; 95% CI: 0.03–3.15; P = 0.33). A significant increase in BMD score was found after treatment with zoledronic acid compared to placebo group (P < 0.05). No serious adverse events were noted.

Conclusion:

Annual infusion of zoledronic acid reduces the risk of combined fracture of vertebra and hip and improves the bone mineral density in osteoporotic patients.
Functional Outcome (Short Term) of Modular Cementless Bipolar HemiArthroplasty (Hydroxyapatite-Coated Stem) for Fracture Neck of Femur in the Elderly
Authors: Shukla Navin K. , Keshkar Lata , Mukherjee Jayanta , Kumar Ratnesh , Singh Shivendra , Agrawal Alok C.
Published: July 2023

Background:

Bipolar hemiarthroplasty (BHA) is commonly used to treat fracture neck of femur (NOF) in the elderly, despite the fact that the appropriate treatment of fracture NOF is still controversial. In this prospective study, the functional outcomes of NOF fracture after surgery in the elderly, who underwent BHA with a fully coated hydroxyapatite stem with a collar (CORAIL Stem).

Materials and Methods:

Forty-three consecutive elderly patients with NOF fracture underwent BHA through the lateral Hardinge approach. They were followed up after surgery for 1 year. Two patients expired and one was lost to follow-up and were not included in the study. Postoperative follow-up was done every 4–20 weeks and thereafter at intervals of 3–12 months. Harris hip score (HHS) was recorded at each follow-up visit and complications were noted.

Results:

Forty patients with a mean age of 77 (62–93) years were followed up after surgery for 1 year. Two patients (4.7%) expired and one (2.3%) was lost to follow-up and were not included in the study. HHS of our cohort of patients averaged 86 (72–99), which falls in the category of a good outcome (80–90). A mild negative correlation (correlation index − 0.2) of age and HHS was observed but was not significant (P = 0.56). Significantly more female patients suffered from NOF fracture (male - 13 [32.5%]: female - 27 [67.5%]; P = 0.03). The left side was injured more often than the right (left 23 [57.5%], right 17 [42.5%]; P = 0.34). Thirty-three patients (83.5%) had one or more comorbid conditions. The mean HHS of female and male patients was 86.41 and 85.39, respectively. This difference was not significant (P = 0.33). There was no difference in outcome, whether an injury occurred to the dominant or nondominant extremity. Complications occurred in seven (17.5%) patients.

Conclusions:

In the first follow-up year, a good functional outcome with a low complication (17.5%) and mortality rate (4.7%) was observed. Twenty-seven patients (62%) were absolutely pain-free. There were no dislocations, revisions, or additional surgeries in any patients. Most patients returned to their preinjury activity level. To conclude, the procedure is safe and rewarding in the elderly.
Prospective Study of Surgical Management of Midshaft Clavicle Fractures
Authors: Kumar Pawan , Kumar Mritunjay
Published: July 2023

Introduction:

Fractures of the clavicle constitute 2.6% of all fractures, account for 44% of the injuries around the shoulder girdle, approximately 70%–80% of which occur in the middle third. Even when significantly displaced, conventionally these fractures are treated without surgery. Conservative treatments either by sling/figure of eight bandage/clavicular brace are favored by patients, but the results are much inferior to what was reported previously. The present study conducted to operate fresh fracture with displacement >2 cm, nonunion by open reduction and internal fixation (ORIF) with locking plate with or without bone grafting. The objective is relief from pain, restoration of activities as far as possible and better cosmetic appearance.

Materials and Methods:

Twenty-eight cases of the clavicle in healthy active individuals between 18 and 65 years of age operated between December 2019 and September 2022 in Hazaribag Medical College, Hazaribag, Jharkhand. Patients with minimally displaced fracture were excluded from the study. Fracture is classified by Allman in three groups as middle 1/3rd, distal 1/3rd, and medial 1/3rd. Indications for surgery are either open fracture, vascular injuries, initial displacement >2 cm, nonunion, cosmetically conscious patients.

Results:

Fifteen cases of fresh, 6 cases of symptomatic delayed union, and 7 cases of nonunion operated with precontoured plate with or without bone grafting. The average hospital stay was 3–7 days. The average time of fracture union was 10 weeks (8–12 weeks). Patients were followed weekly up to 4 weeks and then after 2 and 6 months. The functional outcome according to Constant and Murley score is excellent in 17 (60.7%) patients, good in 10 (35.7%) patients and satisfactory in 1 (3.6%) case. There was no major complication, one patient had superficial infection, deep infection in 1 case, nonunion in 1 case and plate breakage in one patient. Results were compared with cases treated conservatively.

Conclusion:

In the present era of competition, cosmesis and advancement with least morbidity and excellent results is required. ORIF in selected cases is a very good option in comparison to accept morbidity, cosmetic disfigurement and below-average functional results.
To Study the Outcome of Low-Cost Negative-Pressure Wound Therapy Using Wall-Mounted Vacuum Device in the Treatment of Open Wounds
Authors: Jain Neeraj , Jain Ravi Kant , Sabhnani Ajay
Published: July 2023

Background:

The Primary objective of this prospective study is to study the rate of infection, number of days required for formation of healthy granulation tissue, healing of soft tissue injury and number of days of hospital stay and cost effectiveness associated with soft tissue injury treated by Vacuum Assisted closure therapy.

Methods:

This is a prospective observational study of 30 patients presenting with open musculoskeletal injuries in extremities that required coverage procedures in the department of Orthopaedics, Sri Aurobindo Medical College and PG Institute, Indore. All these patients had undergone wound debridement and fracture fixation. This was followed by application of Vacuum Assisted Closure (VAC). The infection rate analysed by clinical findings and investigations. Assessment of these wound(s) were done on a regular basis by wound bed score. Assessment of rate of granulation was done on every 3rd day. Based on the rate of granulation, definitive surgical intervention (skin grafting, secondary closures and flap cover procedures) was done. The patient was sent home after performing the definitive surgical intervention.

Results:

The infection rate was low when compared to literature study of conventional dressings. The primary wound coverage can be done earlier wound healing was also faster in patients.

Conclusion:

This is a simple and low cost method for treating soft tissue injury associated with severe open fractures. It can be done even in peripheral hospitals with low resources. The rate of granulation tissue formation is good with vacuum assisted closure. Also compliance of patient is good in vacuum assisted closure therapy.VAC dressing also provided the wound ready for SSG or flap rotation early as assessed by wound bed score.
La política económica de las izquierdas en la revista La Ciudad Futura (1986-1988)
Authors: Rossi Ignacio Andrés
Published: July 2023

El estudio de las revistas viene recibiendo un tratamiento importante en la argentina de las últimas décadas. Desde la historia económica los abordajes proponen conjugar herramientas de la economía, la historia cultural y política para enriquecer los análisis. En este trabajo proponemos abordar la revista La Ciudad Futura (LCF), ligada al pensamiento de izquierda en los años del presidente Raúl Alfonsín (1983-1989), que contara con algunos de los intelectuales más renombrados. Se realiza una construcción de los perfiles de sus columnistas, del proyecto editorial y la tipología de la misma. Luego se analizan los debates en torno a la política económica y la economía a partir de los cambios que el capitalismo venía presentando desde la década de 1970. Se concluye en que la dimensión económica introdujo tensiones importantes en una izquierda renovada que apostaba a una democracia socialista, motivando la discusión por un reformismo modernizador para insertar al país en una nueva dinámica mundial.
Narrativas sobre las relaciones de pareja en hombres chilenos heterosexuales: entre el machismo y la igualdad
Authors: Valenzuela-Somogyi Mariana
Published: July 2023

Desde    la    perspectiva    de    los    procesos de   individuación  en   la   sociedad   chilena contemporánea,  se  presentan  los  resultados de un estudio cualitativo de corte exploratorio sobre la producción de narrativas acerca de las relaciones de pareja elaboradas por hombres heterosexuales,    con    estudios    superiores completos y con un rango etario adulto. Los resultados  ahondan  en  el  trabajo  individual para sostenerse a sí mismos en respuesta a la demanda de horizontalidad en las relaciones entre  los  sexos  elaborada  desde  un  marco interpretativo   sobre   un   modelo   tradicional jerárquico  encarnado  por  las  generaciones anteriores, implicando una referencia constante a sí mismos desde los significados asociados al machismo y las tensiones del sustento de la autoridad masculina desde el rol de proveedor. Se demuestra cómo la lectura que orienta la producción de narrativas sobre las relaciones de pareja se articula desde la expansión de principios   democráticos   asociados   al   ideal societal  de  la  igualdad,  discutiendo  con  los s que han abordado la temática.
Acciones creativas: tradiciones inventadas y renovadas. Marianismo en el Norte Grande de Chile
Authors: Guerrero Bernardo , Basaure Francisca
Published: July 2023

En la región de Tarapacá, en la provincia del Tamarugal, nos acercamos a dos ceremonias religiosas que se desarrollan inmersas en las fiestas más importante de la región, la fiesta en honor a la Virgen del Carmen en la Tirana y la fiesta en honor a San Lorenzo en la quebrada de Tarapacá. Las ceremonias son la Romería de los Músicos y La Rompía del Día. Ambas no aparecen en la programación oficial.

Las interpretamos bajo la conceptualización de acciones creativas y tradiciones inventadas a través de un trabajo etnográfico en el que realizamos entrevistas, observación directa y registros audiovisuales. Concluimos subrayando el rol de mediadores que en ambas fiestas cumplen personas creativas y carismáticas.
Entre desposesión y resistencia: experiencias barriales de mujeres en Valparaíso, Chile
Authors: Colin Clément , Benitt-Navarrete Alexandra , Rojas-Mora Macarena , Calderón-Peñaloza Natalie , Ureta-Martínez Karina
Published: July 2023

El artículo se interesa en los relatos de experiencias barriales pasadas y presentes de mujeres de edad y trayectoria familiar distinta, obtenidos en el marco de trabajo de terreno realizado en 2019 y 2020 en tres barrios de Valparaíso (Chile). Entre desposesión y resistencia, sus experiencias barriales ponen en tensión la idea dominante de barrio como espacio compartido y soporte de construcción identitaria colectiva. A partir del análisis de sus relatos, el artículo explora las ideas de recuperación y de identi ad barrial desde una mirada crítica de género.
ICC: Prosecutor v. Dominic Ongwen
Authors: Mareček Lukáš
Published: July 2023

The International Criminal Court for the first time found guilty and sentenced a perpetrator of gender-based crimes under international law. Moreover, it did so by defining a new crime of forced marriage, which was considered by the international criminal law as “other inhumane act.” In its judgements, the International Criminal Court dealt with the challenges based on violation of legality and non-retroactivity principles. Further, it dealt with distinguishing the crime from sexual-based crime of sexual slavery. It upheld that the forced marriage is distinctive crime from the sexual-based crimes like forced pregnancy, sexual slavery, or rape, and that the principle of speciality does not bar cumulative convictions. Regarding the definition of forced marriage, it is not necessary for its commission to conclude valid marriage and the crime itself is continuing one, thus not only the act of entry into marriage is considered as criminal, but the whole duration of forced marriage. The third chapter puts the present development of international criminal law in the broader perspective of attempts to prosecute gender-based crimes and to distinguish them from the sexual-based crimes. Author comes to conclusions that the gender has to be interpreted in a conservative way and more extensive understandings of gender would require revision of the Rome Statute. International Law Commission itself was not firm in answering what the current rules on gender are.
The Beauty, the Beast and the Cinema. “The Chain Scheme” in Chinese Literature and Cinematography. Part 2
Authors: Sarakaeva Elina A.
Published: July 2023

In the first part of the work, entitled “The Beauty, the Beast and the Red Hare” published in “Corpus Mundi” Vol. 3(2), 2022, I trace the origin of the “Chain Scheme” legend in the Chinese historical chronicles, analyze the development of the plot in the poetry, fiction and other works of art and make conclusions about the interpretation of the main characters’ morals and motivations in pre-modern Chinese culture. In the present paper, which is the second part of the same research, I analyze artistic devices and narrative tropes in TV versions of “Three Kingdoms”, I comment on the changes that the plot has undergone in the course of history and especially in modern TV-dramas and make some conclusions as to the clash of traditional and modern value systems.
Multimodal transport system challenges & prospects in Ethiopia
Authors: Aman A. M.
Published: July 2023

The article examines the importance of transport for the Federal Democratic Republic of Ethiopia, and also characterizes the existing state of the main types of land transport: road and rail. The article defines the territorial location of the industrial parks of Ethiopia, on the basis of which possible directions of multimodal transport corridors, existing, under construction and promising railway and road transport facilities are assigned. The external and internal factors influencing the formation of variants of the multimodal transport network scheme based on the methodology of designing theintegrated development of a multimodal transport network are determined. This will be used to develop the scheme of the multimodal transport network of Ethiopia. The scheme will become the basis for the formation of a variety of possible strategies for gradually changing the appearance and capacity of multimodal transport network facilities and calculating options for the required freight and passenger flows along multimodal transport corridors.
Infusing Military Culture in Multicultural Counseling Frameworks: A Phenomenological Study
Authors: Atkins Katherine M. , Tollerud Toni R. , Roy-White Tilottama (Tanya) , Brdecka Lauren E. , Chrones Deanna
Published: July 2023

This descriptive phenomenological study focused on counselor educators’ (CESs) experiences infusing military culture into counseling curriculum. Specifically, this study sought to learn what counseling programs can do to best prepare counselors-in-training to work with military families. The researchers used the McCracken (1988) method to interview ten participants who had terminal degrees in counselor education or a highly related field, experience providing services to military-connected clients, and were aware of military cultural facets (e.g., implicit and explicit expectations, rules, and ways of being). The findings support the need to redefine multiculturalism and intentional infusion of military culture in counseling curriculum to increase counselors’ awareness of military culture to provide more effective services.
ANALYSIS OF DEVELOPMENT OF SAVINGS AND LOANS UNIT IN THE COOPERATIVE OF THE REPUBLIC OF INDONESIA PROSPEROUS OF CIREBON DISTRICT
Authors: Agus Arifin  , Fauziah  , Yolanda Rakawati  , Taufik Ridwan
Published: July 2023

The development of the savings and loan cooperativesystem today needs an increase that can make the system evenbetter and correct according to the rules and laws of theRepublic of Indonesia. The current cooperative systemprovides many loans and savings so that to make a goodsystem it must do research that discusses it.Thus in this study discusses how the analysis of thedevelopment of cooperative systems in the savings and loanunits of the cooperative of the Republic of Indonesiaprosperous employees of Cirebon district, in this studyexplained how the process and review of the savings and loancooperative system so far, its development, role and what arethe factors that exist in the system this savings and loancooperativeKeyword: Analysis, Cooperative Unit, Development ofSaving.