Binocular summation in comitant exotropia: Change after surgery

Purpose: To assess the change in binocular summation (BiS) in comitant exotropia (XT) after strabismus surgery. Methods: This is a prospective study on 20 patients who underwent surgery for comitant XT over a one year period. Patients with sensory exotropia and nystagmus were excluded. Best?corrected visual acuity (VA) and contrast sensitivity (CS) of both eyes separately and together (binocularly) were recorded. BiS score was calculated as binocular score minus better eye score. BiS score at the end of 3 months was compared with the preoperative data. Results: The mean ± SD of BiS score increased from 2.95 ± 0.88 to 4.55 ± 0.68 (P?value < 0.0001) for VA (on ETDRS letters) and from 2.75 ± 0.44 to 4.5 ± 0.76 (P?value < 0.001 for CS (on Pelli–Robson chart) after surgery. Conclusion: There is significant improvement in BiS in XT after strabismus surgery. Authors recommend its inclusion in evaluation of functional outcome of XT surgery

Natural Rehabilitation of Fractured Anterior Tooth Using Reattachment, a Single Visit Endo- Esthetic Approach- A Case Report.

Anterior teeth crown fracture of a growing child requires immediate attention, not only because of damage to the dentition but also due to unsightly smile and facial appearance affected by trauma to the child. Thus esthetic management of anterior tooth fracture has been one of the most important aspects of dentistry and when it has to be done using the tooth’s own structure, it sounds psychologically more acceptable. And with the development of resin-based materials that offer high bond strength values, it has made possible to undoubtedly go for reattachment technique with ease. For further simplification, single visit rotary endodontics using ProTaper Universal system is recommended as it is designed to offer better features like flexibility and less chairside time than hand instrumentation. Presented here is one such case in which a combination of single visit rotary endodontics and adhesive reattachment using flowable composites has been carried out to reframe the broken tooth and comply with the patient’s concern. The treatment was found to be successful both functionally and aesthetically at the 18-month follow-up.

To study the Prevalence and Antibiotic Sensitivity Pattern of Isolated Bacteria from the Blood, Urine, CSF and Pus Samples in a Tertiary Care Teaching Hospital

Introduction: The worldwide escalation in both community- and hospital-acquired antimicrobial-resistant bacteria is threatening the ability to effectively treat patients, emphasizing the need for continued surveillance, more appropriate antimicrobial prescription, prudent infection control, and new treatment alternatives. Objective: To study the prevalence of bacteria from the different samples (Blood, Urine, CSF, PUS) and to examine the antibiotic sensitivity pattern of isolated organisms. Methods: Around n=150 samples of Urine, Blood, CSF and Pus sample were collected from the patient attending Teerthanker Mahaveer medical Hospital college and Research Centre. Results: Out of 150 clinical samples, highest number of isolates were gram-positive, Staphylococcus aureus n=47 (31.33%) followed by E. Coli n=37(24.66%), Klebseilla n=33(22.00%), Pseudomonas n=11(07.33%). S. aureus was highly sensitive to Gentamycin (88.09%) and least sensitive to Co-trimoxazole (14.28%). Tobramycin & Linezolid were 95.23% sensitive followed by Amikacin (90.47%), Meropenem (90.47%), Levofloxacin (88.09%). Conclusion: In our study Staphylococcus aureus to be most common isolates followed by Escherichia coli, Klebseilla, Pseudomonas, Citrobacter, Proteus.