<p class="abstract"><strong>Background:</strong> The Milch and Spaso methods are used for reduction of anterior shoulder dislocation of the shoulder. This study was undertaken to compare the efficacy of these two methods<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> Sixty patients with anterior glenohumeral dislocation were included in this study. 30 patients were reduced by each of the 2 methods and the efficacy and the pain experienced by the patient was studied.<strong></strong></p><p class="abstract"><strong>Results:</strong> Both methods were found to be equally efficacious. The pain felt by the patient was lower in the Milch method but this was not statistically significant<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Both the Milch and the Spaso methods are equally effective methods for reduction of anterior dislocation of the shoulder<span lang="EN-IN">.</span></p>
BACKGROUND:To study the effect of paired opposite clear corneal incisions on the steep axis on preexisting corneal astigmatism in phacoemulsification. MATERIALS AND METHODS:This study was performed on 30 eyes of 30 patients who had keratometric astigmatism of more than 1 diopter. All patients underwent clear corneal phacoemulsification with a 3.2mm clear corneal incision on the steep axis. An additional similar incision was placed on the steep axis opposite to the first incision at the end of surgery. Preoperative keratometric astigmatism was compared with postoperative keratometric astigmatism at 6 weeks postoperatively. RESULTS: The difference between the median score of preoperative keratometric astigmatism and postoperative astigmatism was 1 diopter. Results were analyzed with wilcoxon signed rank test and were significant p value. (<1) CONCLUSION: Paired opposite clear corneal incisions is a simple method to correct mild to moderate corneal astigmatism in phacoemulsification.
ABSTRACT:The fracture of the lower pole of the patella is a common type of fracture of the patella. The treatment involves internal fixation or excision of the lower fragment. This study was undertaken to study the efficacy of cancellous screw fixation combined with tension band wiring in the treatment of these fractures. Twenty patients with lower pole patellar fractures were treated by this technique and evaluated by Gaur's criteria for knee evaluation. Excellent good results were noted in 19 cases and fair result in one case. There were no poor results and there were no major complications hence it was concluded that cancellous screw fixation combined with tension band wiring is a good method for treating lower pole patellar fractures. KEYWORDS: Distal Pole Patella, Fracture, Cancellous Screw, Encerclage. INTRODUCTION:Fracture of the patella constitutes almost 1% of all skeletal injury 1 and fracture of the lower pole of the patella is a commonly encountered type of fracture patella. The fracture patella occurs as a result of direct or indirect force. 2, 3 It is twice as common in men as women. 2 Fracture of the lower pole is commonly an avulsion injury as a result of violent contraction of the quadriceps muscle or as a result of subluxation or dislocation of patella 4 especially as a sports injury occurring in young individuals. Hence there is more likelihood of extensive retinacular tear. 2 This retinacular tear precludes conservative treatment and operative treatment is the mainstay of lower pole patellar fractures.Various treatment modalities have been advocated for fracture of the lower pole of patella including Magnusson wiring, cancellous screw fixation, tension band wiring, cerclage wiring, fixation of the lower pole augmented by a patellotibial SS wire loop, basket plate fixation and excision of the lower pole of the patella. [1][2][3][5][6][7][8] However in spite of having these myriad of options for treatment there is no consensus about the treatment of choice for these fractures. Some surgeons prefer excision of the lower pole with fixation of the patellar tendon to the upper fragment by non-absorbable sutures and others swear by internal fixation as the better method of treatment 5 . This study was undertaken to evaluate the efficacy of cancellous screw fixation augmented by tension band wiring in fractures of lower pole of patella.
Gait walking patterns are one of the key research topics in natural biometrics. The temporal information of the unique gait sequence of a person is preserved and used as a powerful data for access. Often there is a dive into the flexibility of gait sequence due to unstructured and unnecessary sequences that tail off the necessary sequence constraints. The authors in this work present a novel perspective, which extracts useful gait parameters regarded as independent frames and patterns. These patterns and parameters mark as unique signature for each subject in access authentication. This information extracted learns to identify the patterns associated to form a unique gait signature for each person based on their style, foot pressure, angle of walking, angle of bending, acceleration of walk, and step-by-step distance. These parameters form a unique pattern to plot under unique identity for access authorization. This sanitized data of patterns is further passed to a residual deep convolution network that automatically extracts the hierarchical features of gait pattern signatures. The end layer comprises of a Softmax classifier to classify the final prediction of the subject identity. This state-of-the-art work creates a gait-based access authentication that can be used in highly secured premises. This work was specially designed for Defence Department premises authentication. The authors have achieved an accuracy of 90 % ± 1.3 % in real time. This paper mainly focuses on the assessment of the crucial features of gait patterns and analysis of gait patterns research.
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