scholarly journals Comparative Study of Outcomes by Surgical Procedures and Monocular Elevation Deficiency Syndrome in Indian Population

Author(s):  
Shreya Shah ◽  
Mehul A Shah ◽  
Shkshi Makhloga ◽  
Ashvini Korane ◽  
Meera Sanghani

Abstract Introduction:Monocular elevation deficiency syndrome (MEDS) is a monocular elevation deficiency in abduction and adduction characterised by the hypofunction of superior rectus (SR) and inferior oblique muscles. Only a limited number of studies are published on the management of this problem. Herein, the indications and types of surgery for monocular elevation deficiency syndrome are reported.Methods: In this retrospective cohort study, all MEDS patients reported during 2010 to 2020 were retrieved from Electronic Medical Records after approval from the Hospital Ethical Committees. The data were exported in a pre-tested online format. The demographic and clinical information and data of surgeries, including strabismus and ptosis, were reported. The follow-up data were collected in a specific format. Strabismus was managed using Knapp procedure, Inferior Rectus recession and a combination of both approaches. Ptosis was corrected by Levator Palpebral Superioris (LPS) resection and brow suspension. The data were analysed using SPSS 22 based on descriptive analysis and cross-tabulation.Results: The cohort consists of 62 cases (females 26, males 36) of patients with mean age 17.00±12.31 years 40/62 cases comprised the paediatric age group. Knapp was carried out in 39, IR recession was carried out in 35, and combined Knapp+IR recession was performed in 17 cases based on FDT and FGT data. The comparative study found significant difference amongst these techniques (P=0.04). Ptosis correction was carried out by LPS resection in 21 and brow suspension in 23 cases depending on LPS function. This comparative study did not find any significant difference in the results (P=0.234).Conclusion: MEDS is a rare disease with various clinical features. The surgical management of strabismus may have more success for the combined technique than for those applied alone.

2021 ◽  
Author(s):  
Shreya Shah ◽  
Mehul A Shah ◽  
Sakshi Makhloga ◽  
Ashvini Korane ◽  
Nirav Dadia ◽  
...  

Abstract Introduction: Monocular elevation deficiency syndrome (MEDS) is a monocular elevation deficiency in abduction and adduction characterised by the hypofunction of superior rectus (SR) and inferior oblique muscles. Only a limited number of studies are published on the management of this problem. Herein, the indications and types of surgery for monocular elevation deficiency syndrome are reported.Methods: In this retrospective cohort study, all MEDS patients reported during 2010 to 2020 were retrieved from Electronic Medical Records after approval from the Hospital Ethical Committees. The data were exported in a pre-tested online format. The demographic and clinical information and data of surgeries, including strabismus and ptosis, were reported. The follow-up data were collected in a specific format. Strabismus was managed using Knapp procedure, Inferior Rectus recession and a combination of both approaches. Ptosis was corrected by Levator Palpebral Superioris (LPS) resection and brow suspension. The data were analysed using SPSS 22 based on descriptive analysis and cross-tabulation.Results: The cohort consists of 62 cases (females 26, males 36) of patients with mean age 17.00±12.31 years 40/62 cases comprised the paediatric age group. Knapp was carried out in 39, IR recession was carried out in 35, and combined Knapp+IR recession was performed in 17 cases based on FDT and FGT data. The comparative study found significant difference amongst these techniques (P=0.04). Ptosis correction was carried out by LPS resection in 21 and brow suspension in 23 cases depending on LPS function. This comparative study did not find any significant difference in the results (P=0.234).Conclusion: MEDS is a rare disease with various clinical features. The surgical management of strabismus may have more success for the combined technique than for those applied alone.


Manuskripta ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. 67
Author(s):  
Novarina Novarina

Abstract: This research is a comparative literary study that uses Malay and Javanese versions of Mahabarata text sources. The research objects used were the text edition of Pandhawa Gubah (PG) by Sudibjo Z. Hadisutjipto and the text of Cheritera Pandawa Lima (CPL) by Khalid Hussain. The research method used is descriptive-analysis method. In the comparative study used a comparative literary theory proposed by Endraswara (2011). The results of the text comparison reveal the similarities and differences in the image of Bima figures in the Javanese and Malay versions. The equation as a whole is that both texts contain the same heroic storyline and heroic character, Bima. In addition, Indian influence is still evident in the two texts seen from the nuances of Hinduism that exist in both texts. While the difference is seen in the events that accompany Bima's struggle in achieving his victory. Based on these similarities and differences, it can be seen that the authors attempt to represent the concept of metaphysical interactions vertically and horizontally expressed through PG text. --- Abstrak: Penelitian ini adalah satu kajian sastra bandingan yang menggunakan sumber teks Mahabarata versi Melayu dan Jawa. Objek penelitian yang digunakan adalah edisi teks Pandhawa Gubah (PG) karya Sudibjo Z. Hadisutjipto dan teks Cheritera Pandawa Lima (CPL) karya Khalid Hussain. Metode penelitian yang digunakan adalah metode deskriptif-analisis. Dalam telaah perbandingan digunakan teori sastra bandingan yang dikemukakan Endraswara (2011). Hasil perbandingan teks mengungkapkan adanya persamaan dan perbedaan citra tokoh Bima dalam versi Jawa maupun versi Melayu. Persamaan secara keseluruhan adalah kedua teks tersebut mengandung alur cerita kepahlawanan dan tokoh pahlawan yang sama yaitu Bima. Selain itu, pengaruh India masih tampak dalam kedua teks tersebut dilihat dari nuansa Hinduisme yang ada dalam kedua teks. Sementara perbedaannya tampak pada peristiwa-peristiwa yang menyertai perjuangan Bima dalam mencapai kemenangannya. Berdasarkan persamaan dan perbedaan tersebut tampak adanya upaya penulis untuk merepresentasikan konsep interaksi metafisik secara vertikal dan horizontal yang diungkapkan melalui teks PG.


Humaniora ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 83-90
Author(s):  
Anak Agung Ayu Wulandari ◽  
Ade Ariyani Sari Fajarwati

The research would look further at the representation of the human body in both Balinese and Javanese traditional houses and compared the function and meaning of each part. To achieve the research aim, which was to evaluate and compare the representation of the human body in Javanese and Balinese traditional houses, a qualitative method through literature and descriptive analysis study was conducted. A comparative study approach would be used with an in-depth comparative study. It would revealed not only the similarities but also the differences between both subjects. The research shows that both traditional houses represent the human body in their way. From the architectural drawing top to bottom, both houses show the same structure that is identical to the human body; head at the top, followed by the body, and feet at the bottom. However, the comparative study shows that each area represents a different meaning. The circulation of the house is also different, while the Balinese house is started with feet and continued to body and head area. Simultaneously, the Javanese house is started with the head, then continued to body, and feet area.


Author(s):  
Harpreet Singh ◽  
Malay P. Gandhi ◽  
Aliasgar J. Rampurwala ◽  
Tej S. Rudani

<p class="abstract"><strong>Background:</strong> Plantar fasciitis (PF) is considered as degenerative tendinopathies. Repeated micro trauma is the major etiology of these diseases. Autologous platelet rich plasma (PRP) injections are becoming more popular in the treatment of enthesopathies like PF. The growth factors in PRP cause tissue healing. We compared the result of injecting intra-lesional autologous PRP injections versus steroid infiltration in chronic PF.</p><p class="abstract"><strong>Methods:</strong> A prospective, interventional and analytic comparative study was done and 81 patients (120 heels) were included in this study and were followed up for 6 months. We assessed the outcome of each patient using visual analog score (VAS) and foot and ankle disability index (FADI) on follow-up at 1, 3, and 6 months. <strong></strong></p><p class="abstract"><strong>Results:</strong> In our study, female preponderance was seen. Left side was more common as compared to right side. Unilateral PF is more common than bilateral. The difference with in the individual group at baseline and at 1,3 and 6 months was statistically highly significant in terms of VAS and FADI (p=0.0001) But the difference in the between the two groups was insignificant for VAS and FADI at 1, 3 and 6 months.</p><p class="abstract"><strong>Conclusions:</strong> In our study, as there is no significant difference in VAS and FADI score between corticosteroid injection group and PRP injection group at 1, 3 and 6 months follow up. So, it’s reasonable to conclude that both are equally effective in PF. But as PRP injection comes out to be more time consuming and more costly, corticosteroid seems to be more efficient, cost and time wise. Hence, the latter should be a better choice.      </p>


2018 ◽  
Vol 26 (2) ◽  
pp. 230949901877312 ◽  
Author(s):  
Zi-Yang Chia ◽  
Jade N Chee ◽  
Hamid Rahmatullah Bin-Abd-Razak ◽  
Denny TT Lie ◽  
Paul CC Chang

Purpose: Reconstruction of the anterior cruciate ligament (ACL) is the most frequently performed reconstructive surgery in the knee. Biomechanical studies have shown that double bundle (DB) reconstruction is better than single bundle (SB) reconstruction with regard to rotational stability. It is postulated that resection of ACL fibres that remain in continuity may be counterproductive for the knee as these fibres have the capacity to produce collagen. In this study, we aimed to evaluate the efficacy among selective bundle, DB and SB ACL reconstructions over a 2-year post-operative follow-up period. Methods: A retrospective comparative study was conducted for comparison between selective bundle, DB and SB reconstructions. Between 2012 and 2014, 291 ACL reconstructions were performed. Of these, 68 patients had selective ACL reconstructions (group SLB), 147 had DB ACL reconstructions (group DB) and 76 had SB ACL reconstructions (group SB). Institutional Review Board approval was obtained, and all patients provided informed consent. Clinical results were assessed with the International Knee Documentation Committee (IKDC), Lysholm and Tegner scores. Stability was measured using Lachman, pivot shift and anterior drawer stress tests using the KT1000 at 30° of knee flexion. Results: There was no significant difference in ligament grade, function grade, IKDC grade, as well as Tegner and Lysholm means among all three groups after a 2-year follow-up period. Conclusion: Selective bundle reconstruction provides comparable results to DB and SB reconstruction techniques. It is a viable alternative for patients with partial tears.


2021 ◽  
Vol 9 (01) ◽  
pp. 705-708
Author(s):  
Mohd Iqbal Dar ◽  

The objective of the present study was to access the comparative study different variables between athletes and non athletes of Kashmir division. Physical fitness is a dynamic concept and is continuously growing in its importance to everyday life and health. Although being an attribute that has a genetic basis, it is also sensitive to changes in type and amount of physical activity, mortality and injury. The criterion measures selected for the study were, Explosive Leg strength, Speed, Agility, Resting pulse rate, Blood pressure (Systolic and dia-Systolic),Breath holding capacity. The Mean, Standard deviation and T value of Athletes and Non-Athletes was calculated. The results showed significant difference between Athletes and Non-Athletes (p<0.005) in case of Explosive Leg strength, Speed, Agility, Resting pulse rate and Blood pressure (Systolic), but no significant difference between Breathing capacity and Diastolic Blood pressure of Athletes and Non-Athletes was observed. It is therefore concluded that the athletes are at higher levels of their physical and physiological fitness levels which enhance their performance in sports and also in daily life activities.


2021 ◽  
Vol 29 (2) ◽  
pp. 207-232
Author(s):  
Ali Trigiyatno

This article compares dowry regulations in Indonesia and Morocco. Bearing in mind that Indonesia and Morocco have different characteristics in dowry matter, the regulations are worth comparing for. As understood in Islamic marriages, dowry is an important obligation and must be fulfilled by the bridegroom for the bride. Normative Islamic teaching advocates for dowry that is simple and reasonable, but in practice, sometimes dowry becomes expensive and difficult to be given, and thus, causing unfavorable effects. In addition, dowry also has the potentials to be subjected to disputes between husband and wife if not regulated by legislation in details. The author uses a comparative study of law guided by a normative approach through library research. The main source is the statutes of two countries. Analysis technique used is content analysis. As a result, it is found that with different backgrounds of fiqh school in Indonesia and Morroco-one being strongly influenced by Shāfi‘ī school and the other is influenced by Mālikī school-have similar rules on dowry. The only significant difference is that the Mālikī School and its legislation in Morocco considers dowry as a marriage pillar. Meanwhile, the Shāfi‘ī school and its legislation in Indonesia, even though the dowry is regarded as compulsory, it does not become a condition or a marriage pillar. Other differences are the definition of dowry, regulation of wife’s luggage, lost dowry, defective dowry, introduction of mithil dowry, regulation of dowry disputes before entering the household, and regulation of furniture disputes other than the wife’s luggage.


2018 ◽  
Vol 5 (5) ◽  
pp. 1657
Author(s):  
Hytham R. Yassin ◽  
Soliman ALShakhs ◽  
Mohammed Hamed ◽  
Adel Karam ◽  
Mohammed Mouneer

Background: Objective of present study was to compare the results of lymphaenectomy (pelvic and para-aortic) between laparoscopy and laparotomy in gynecological malignancies.Methods: Authors analyze the results of 30 patients suffering from gynecological malignancies (Enometrial, Ovarian and cervical) submitted to surgery as apart of treatment. Patients were classified in Two Groups Group (1) included15 patients were submitted to open radical surgery and group (2) included 15 patients Were submitted to laparoscopic radical surgery between May 2016 and October 2017.Results: In present comparative study, there was significant difference regarding intra operative blood loss, operative time and post operative hospital stay (P<0.001) and there was no significant difference regarding intra-operative complications, post-operative complications, total number of lymph node harvested, number of positive lymphnodes (P>0.05).Conclusions: Laparoscopic lymphadenectomy is a technically feasible and safe procedure. Authors recommend further study in large number of patients with longer duration and follow up period for assessment of oncological out-come.


2017 ◽  
Vol 5 (4) ◽  
pp. 285-291
Author(s):  
Montazeri Mahmood ◽  
Hiyam Hosseini ◽  
Behroz Jokar

Suicide, an act in which individuals sacrifice voluntarily themselves, is considered as a serious psychosocial problem. The main objective of the present study was to determine the comparative study of completed suicide based on season and diseases in Bushehr during 2006-2015. This consideration has been done as a retrospective cross-sectional study; the data were collected by the check list. After coordination to the medico legal 343 cases of completed suicide lead to death over a ten year period from 2006 to 2015 were extracted and the data were analyses by SPSS software. Completed suicides were most prevalent in spring 29.7% (102), whereas least prevalent in autumn 20.1% (69). There was no significantly in different seasons in year (P=0.065). But, was a statistically significant difference observed in the different gender and different seasons of the year (P=0.001). The maximum number of completed suicides 10.2% (35) was observed in April, while the minimum number 6.1% (21) was reported in September and October, too. The value Chi square test was statistically significant differences diseases and different seasons (P=0. 001). The psychological disease was observed most in spring and winter seasons. Also was a significant relationship between season of the year and the method of suicide (P=0.001). The number of completed suicides was higher in moderate and cold seasons.


2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Milind A. Peshave ◽  
Rajashree Gujarathi

Productivity management is a big challenge to organizations especially when the product is in the form of a service. The characteristics of service industry make productivity management in such industries more difficult and challenging. Hotel industry being a part of such a service industry faces a similar problem. This study is aimed at analyzing the challenges faced by hotels in measuring employee productivity and to suggest the most suitable method of measuring employee productivity in hotel industry. In an effort to do so, a survey in the form of a questionnaire and interviews was conducted from the sample comprising of 365 hotel employees from the management and the associates categories to understand their views on the entire process. The findings of his research state that Intangible Product is the biggest challenge in measuring employee productivity in hotels and Number of guest praises / positive feedbacks received per department / person and Percentage of repeat guests generated are the most suitable methods to measure employee productivity in hotels. However, a significant difference has been observed in the comparative study of hotel industry of Pune, Hyderabad & Bangalore cities.


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