The ocular position under general anesthesia was reported as a key factor in the surgical treatment of subjects with esotropia; therefore, its clinical determinants were assessed. The authors observed that preoperative ocular deviation and patient age were the main factors that influenced the ocular position under general anesthesia.

IntroductionThe COVID-19 pandemic has posed major challenges for infection control within training centres, both civilian and military. Here we present a narrative review of an outbreak that occurred at the Royal Military Academy Sandhurst (RMAS) in January–March 2021, in the context of the circulating, highly transmissible SARS-CoV-2 variant B.1.1.7.MethodsTesting for SARS-CoV-2 was performed using a combination of reverse transcriptase PCR and Lateral Flow Devices (LFDs). Testing and isolation procedures were conducted in line with a pre-established symptom stratification system. Genomic sequencing was performed on 10 sample isolates.ResultsBy the end of the outbreak, 185 cases (153 Officer Cadets, 32 permanent staff) had contracted confirmed COVID-19. This represented 15% of the total RMAS population. This resulted in 0 deaths and 0 hospitalisations, but due to necessary isolation procedures did represent an estimated 12 959 person-days of lost training. 9 of 10 (90%) of sequenced isolates had a reportable lineage. All of those reported were found to be the Alpha lineage B.1.1.7.ConclusionsWe discuss the key lessons learnt from the after-action review by the Incident Management Team. These include the importance of multidisciplinary working, the utility of sync matrices to monitor outbreaks in real time, issues around Officer Cadets reporting symptoms, timing of high-risk training activities, infrastructure and use of LFDs. COVID-19 represents a vital learning opportunity to minimise the impact of potential future pandemics, which may produce considerably higher morbidity and mortality in military populations.

Objective: To assess the quality of adequate control of hypertension, during the pandemic and in the year after it in 100 previously treated patients as well as the percentage of hypertensive emergencies (HE). Design and method: From July 2020 to July 2021, we studied 100 patients with hypertension, 60 women and 40 men with an age of 72±8 years, who have previously been diagnosed and treated for hypertension. In the first consultation after the pandemic and at 6 months, they underwent an AMPA and a study with home control to all of them. Subsequently, they were asked at 12 months to perform a new home control. The following parameters were measured: systolic and diastolic blood pressure (TAS, TAD), treatment completion (Ctto), control by family doctor (Cmap), the number of times they have gone to the emergency room for uncontrolled tension. Results between the first measurement and 6 months later were compared. Results: The BP per home control at baseline was 148±6/98±4 compared at 6 months was 135±2/84±3 (p<0.05). The baseline ABPM: 152±4/89±3 and at 6 months were 135±2/79±3 (p<0.05). The completion was assessed using the Morisky-Green method and basally we found that 45% of patients were compliant, while, at one year it was 100% (at 6 months of the study 68%). Regarding the number of patients who were controlled by their MAP in these first months was only 5% while at the end of the study they were 55% (80% telephone). Of these P, 18 have gone to the emergency room for an HE (18%). Conclusions: