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Shukla N, Gulia S, Goyal P, Dey S, Bosu P, Goyal SK. Performance-based protocol for selection of economical portable sensor for air quality measurement. Environ Monit Assess 2023; 195:845. [PMID: 37318651 DOI: 10.1007/s10661-023-11438-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 10/23/2022] [Accepted: 06/01/2023] [Indexed: 06/16/2023]
Abstract
An effective micro-level air quality management plan requires high-resolution monitoring of pollutants. India has already developed a vast network of air quality monitoring stations, both manual and real time, located primarily in urban areas, including megacities. The air quality monitoring network consists of conventional manual stations and real time Continuous Ambient Air Quality Monitoring Stations (CAAQMS) which comprise state-of-the-art analysers and instruments. India is currently in the early stages of developing and adopting economical portable sensor (EPS) in air quality monitoring systems. Protocols need to be established for field calibration and testing. The present research work is an attempt to develop a performance-based assessment framework for the selection of EPS for air quality monitoring. The two-stage selection protocol includes a review of the factory calibration data and a comparison of EPS data with a reference monitor, i.e. a portable calibrated monitor and a CAAQMS. Methods deployed include calculation of central tendency, dispersion around a central value, calculation of statistical parameters for data comparison, and plotting pollution rose and diurnal profile (peak and non-peak pollution measurement). Four commercially available EPS were tested blind, out of which, data from EPS 2 (S2) and EPS 3 (S3) were closer to reference stations at both locations. The selection was made by evaluating monitoring results, physical features, measurement range, and frequency along with examining capital cost. This proposed approach can be used to increase the usability of EPS in the development of micro-level air quality management strategies, other than regulatory compliance. For regulatory compliance, additional research is needed, including field calibration and evaluating EPS performance through additional variables. This proposed framework may be used as starting point, for such experiments, in order to develop confidence in the use of EPS.
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Affiliation(s)
- Nidhi Shukla
- Delhi Zonal Centre, CSIR-National Environmental Engineering Research Institute, Naraina, New Delhi, 110028, India
| | - Sunil Gulia
- Delhi Zonal Centre, CSIR-National Environmental Engineering Research Institute, Naraina, New Delhi, 110028, India.
| | - Prachi Goyal
- Delhi Zonal Centre, CSIR-National Environmental Engineering Research Institute, Naraina, New Delhi, 110028, India
| | - Swagata Dey
- Environmental Defense Fund, New Delhi, India
| | | | - S K Goyal
- Delhi Zonal Centre, CSIR-National Environmental Engineering Research Institute, Naraina, New Delhi, 110028, India
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Dwivedi R, Goyal P, Yadav SS, Dwivedi P, Singh P, Singh K. Mapping of traditional healthcare providers and their healing approaches in a tribal community of district Sirohi, Rajasthan. J Family Med Prim Care 2023; 12:1150-1157. [PMID: 37636156 PMCID: PMC10451593 DOI: 10.4103/jfmpc.jfmpc_1610_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2022] [Revised: 01/17/2023] [Accepted: 02/02/2023] [Indexed: 08/29/2023] Open
Abstract
Introduction Traditional applications of medicinal plants in healthcare practices provide indication to new therapeutic concepts; hence, their relevance is highly recognized. The objective of the study was to map the traditional healers from the aspirational district and scientific documentation of their healing practices to treat various diseases. Method This was community-based study in tribal subpopulation zone of district Sirohi. The data was collected through field survey and interviews of tribal healers by using semi-structured questionnaire. Result We identified 1015 tribal healers (68% male and 32% female), and all belong to Bhil, Meena, and Garasia communities of district Sirohi. The mean age was 60.45 ± 16.56 years, 82.6% healers were uneducated, and 12.6% had primary education, while 1.2% were graduates. Tribal healers act as primary point of care for tribal community and practiced various treatment modalities including herbal healing (32.7%), diviners (28.9%), child birth attendant (24.7%), and bone setters (13.7%). We recorded 88 herbal healing practices from tribal communities of district Sirohi and scientifically documented. The common diseases treated by tribal healers included wound healing, skin infection, fever, arthritis, pain, diarrhea, cough, and cold. The Fabaceae family was credited with highest number (17%) of plants used by herbal healers. It was also noted that some of the plants used for medicinal purpose are endangered and overexhausted. Conclusion Ethnopharmacological data is the foundation for further validation and value addition of herbal healthcare practices. The mapping of indigenous knowledge holders and scientific documentation of their knowledge might be a crucial step for providing clue regarding new therapeutic molecules.
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Affiliation(s)
- Rakhi Dwivedi
- Centre of Excellence for Tribal Health, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Prachi Goyal
- Centre of Excellence for Tribal Health, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Suraj S. Yadav
- Centre of Excellence for Tribal Health, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Pradeep Dwivedi
- Centre of Excellence for Tribal Health, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
- Department of Pharmacology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Pratibha Singh
- Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Kuldeep Singh
- Centre of Excellence for Tribal Health, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
- Department of Paediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
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Goyal P, Jenkins K, Hohlastos E, Salem R, Mouli S. Abstract No. 283 Impact of Repeat Prostate Artery Embolization on Sexual Function. J Vasc Interv Radiol 2023. [DOI: 10.1016/j.jvir.2022.12.350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023] Open
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Goyal P, Jenkins K, Salem R, Mouli S. Abstract No. 281 Impact of Pre-Procedural Medications on Prostate Artery Embolization Outcomes. J Vasc Interv Radiol 2023. [DOI: 10.1016/j.jvir.2022.12.348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023] Open
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Modi S, Goyal P, Desai D, Verma R. 57P International ovarian tumor analysis (IOTA) simple ultrasound rules and risk of malignancy index in differentiating benign from malignant ovarian masses. ESMO Open 2023. [DOI: 10.1016/j.esmoop.2023.100837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023] Open
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Hawk K, Weiner S, Rothenberg C, Mendez-Hernandez C, Finmch M, Sharma D, Goyal P, Venkatesh A. 41 A Nation-Wide Emergency Department Quality Initiative to Improve Care of Patients With Opioid Use Disorder. Ann Emerg Med 2022. [DOI: 10.1016/j.annemergmed.2022.08.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Goyal P, Gulia S, Goyal SK. Quantitative assessment and mitigation measures of air pollution from crematoria in NCT of Delhi. Environ Sci Pollut Res Int 2022; 29:74784-74796. [PMID: 35639324 DOI: 10.1007/s11356-022-21150-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Accepted: 05/24/2022] [Indexed: 06/15/2023]
Abstract
The modernization of crematoria and replacement of existing fuel requirements for better air quality is a key challenge in view of the associated religious beliefs in India where conventional open pyre funeral practices are followed. Unlike developed nations, the lack of appropriate site selection criteria, combustion efficient crematorium oven designs, and pollution control devices at these facilities necessitates formulation of appropriate policy measures to reduce emissions. The existing practices do not address such localized sources that affects the micro air pollution patterns owing to their marginal contribution in the total air pollution load of the city. The present study is thus an attempt to estimate emissions from 51 cremation grounds identified in NCT of Delhi. The study considers both particulate and gaseous pollutants which are released due to burning of fuels like wood, CNG, and cow dung. It is estimated that cremation activities contributed 393 tons/year of PM2.5, 142 tons/year of NOx, 29 tons/year of SO2, and 2686 tons/year of CO in year 2019. The maximum load was emitted from Central district as only Nigambodh Ghat crematoria receives on an average 60 bodies per day. Furthermore, air quality impact zone around crematoria has been demarcated using dispersion modelling considering crematorium with minimum and maximum number of bodies burnt in a day. The study also suggests control measures for reduction of pollution from cremation activities and delineates a buffer zone that could aid policymakers in establishing a site selection criterion to prevent the immediate population from likely exposure.
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Affiliation(s)
- Prachi Goyal
- CSIR-National Environmental Engineering Research Institute (NEERI), Delhi Zonal Centre, New Delhi, 110028, India
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, 201002, India
| | - Sunil Gulia
- CSIR-National Environmental Engineering Research Institute (NEERI), Delhi Zonal Centre, New Delhi, 110028, India.
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, 201002, India.
| | - Sanjeev Kumar Goyal
- CSIR-National Environmental Engineering Research Institute (NEERI), Delhi Zonal Centre, New Delhi, 110028, India
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, 201002, India
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Sahu P, Goyal P, Mehta N, Bhattacharjee S. Perinatal outcome of babies born to mothers with antepartum eclampsia: A study from tertiary care hospital of Central India. Asian J Med Sci 2022. [DOI: 10.3126/ajms.v13i7.43177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Background: Eclampsia is a major cause of perinatal mortality. There is a need for studies that will correlate maternal factors and perinatal outcome, which will provide potential strategies to improve fetal outcomes in pregnancies complicated by eclampsia.
Aims and Objectives: This study aims to study perinatal outcome of babies born to mothers with antepartum eclampsia and to correlate outcomes with convulsion delivery interval.
Materials and Methods: A study included 200 patients diagnosed and managed as antepartum eclampsia in the Department of Obstetrics and Gynaecology in MGM Medical College, Indore. A detailed pro forma was prepared and was filled with patient’s information, investigations, treatment, and birth details. The final outcome of both, the mother and her newborn, including stillbirths and early neonatal deaths was included in the study and the perinatal outcome was correlated with convulsion delivery interval.
Results: Incidence of antepartum eclampsia in our study was 2.1%. About 86.4% of women lack regular antenatal care at health care center. Only 7% of women delivered within 6 h of onset of convulsion. Case fatality rate was found to be 13%. There were 59.5% premature deliveries. Perinatal mortality (stillbirth and early neonatal deaths) was 42.5%. Significant association was found between convulsion delivery interval and perinatal outcome (P<0.05). Furthermore, association between use of multiple antiepileptic agents and perinatal outcomes was statistically significant.
Conclusion: Eclampsia being a major cause of perinatal mortality need early diagnosis, prompt referral from peripheral health centers, and timely intervention for improvising both perinatal and maternal outcomes.
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Joga S, Goyal S, Mehta A, Sharma M, Koyyala V, Doval D, Goyal P, Aggarwal C, M. swamy, Patel A, Nathani S, Suryavanshi M, Narayan S, Soni S, Jain A, Redhu P. P-21 Molecular subtypes (profile) of colorectal cancer and their correlation with clinical and pathological profile in a tertiary care centre in India. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.04.112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Shukla G, Arya S, Goyal P, Channa U. Comparative microbial analysis and assessment of paired umbilical cord blood culture and peripheral venous blood culture in neonates with high risk factors to detect early onset neonatal sepsis: A study from tertiary care hospital of central India. Asian J Med Sci 2022. [DOI: 10.3126/ajms.v13i4.41253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Background: Neonatal sepsis is a prime cause of neonatal morbidity and mortality. Peripheral venous blood (PVB) culture is a gold standard for the diagnosis of neonatal sepsis. Low sensitivity of blood culture in newborn is due to small volume of blood sample and antibiotics given before sampling.
Aims and Objectives: The study aims to compare and analyze the microbial spectrum in the Umbilical cord blood (UCB) culture with PVB culture and evaluation of both for detection of early onset neonatal sepsis (EONS) in high risk neonates and to use appropriate microorganism specific antibiotic for treating the sepsis.
Materials and Methods: About 100 inborn neonates with two or more risk factors for EONS, chosen by sequential sampling method were included in this prospective analytical study. Blood samples were collected from umbilical cord and peripheral vein for culture. Sepsis screen was done to substantiate the diagnosis of neonatal sepsis.
Results: Out of 100 neonates, 21 belongs to sepsis; 14 to probable sepsis; 65 to no sepsis. Among these 27 had UCB culture & 24 had PVB culture +ve. Organisms grown on culture were Klebsiella(m/c isolate), Staphylococcus aureus, Escherichia coli, Acinetobacter, Coagulase-ve Staphylococcus (blood culture contaminant), Pseudomonas and Enterococcus.
Conclusion: UCB culture is simple and convenient method for the diagnosis of neonatal sepsis as compared to PVB culture with Sensitivity of 66% and specificity of 93%. Organisms grown are comparable to PVB culture sample (Klebsiella - most common isolate).
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Homan E, McDonald D, Lu D, Krishnan U, Karas M, Majure D, Goyal P, Worku B, Goldstone A, Bacha E, Naka Y, Horn E, Sobol I, Singh H. Ventricular Assist Device (VAD) Implantation in a Patient with Complex Congenital Heart Disease (CHD). J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Arya S, Shukla G, Goyal P, Channa U. Comparative assessment of umbilical cord blood with peripheral venous blood using hematological scoring system as an early predictive screening method for the detection of early-onset neonatal sepsis in the tertiary care center of Central India. Asian J Med Sci 2022. [DOI: 10.3126/ajms.v13i1.40594] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Background: Sepsis is one of the major causes of neonatal morbidity and mortality. Early recognition and diagnosis of early-onset neonatal sepsis (EONS) is difficult because of the variable and non-specific clinical presentation of this condition. Hence, there is a need for early predictive screening method for EONS.
Aims and Objectives: To compare the umbilical cord blood Haematological Scoring System (HSS) with peripheral venous blood as an early predictive screening method for detection of EONS.
Materials and Methods: 100 inborn neonates with two or more risk factors for EONS, chosen by sequential sampling method were included in this prospective analytical study. Blood samples were collected from the umbilical cord and peripheral vein analyzed for hematological parameters, sepsis screen, and peripheral smear for HSS of Rodwell et al., send for blood culture. Blood cultures were performed as gold standard for diagnosing neonatal sepsis and sepsis screen was done to corroborate the diagnosis of neonatal sepsis.
Results: Of 100 neonates, 21 belongs to sepsis; 14 to probable sepsis; 65 to no sepsis. HSS in umbilical cord blood (UCB) had Sensitivity-74.28%, Specificity-92.30%, PPV-83.87%, NPV-86.95% and HSS in PVB had Sensitivity-62.85%, Specificity- 87.69%, PPV-75.86%, NPV-81.69%.
Conclusion: HSS score in UCB can be used as a simple, quick, cost-effective, and readily available screening test with decent sensitivity and high specificity, for the detection of EONS.
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Goyal P, Gulia S, Goyal SK. Identification of air pollution hotspots in urban areas - An innovative approach using monitored concentrations data. Sci Total Environ 2021; 798:149143. [PMID: 34375264 DOI: 10.1016/j.scitotenv.2021.149143] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Revised: 07/07/2021] [Accepted: 07/15/2021] [Indexed: 06/13/2023]
Abstract
Critical assessment of spatio-temporal variations in pollution levels is a crucial step for identifying and prioritizing air pollution hotspots (APH) in urban areas. There is no universally accepted methodology for defining and delineating air pollution hotspot which can be source-specific, pollutant-specific and time-specific. The present research article is an attempt to develop a protocol for identifying APH for any pollutant within a city where-in three criteria-based innovative methodology has been derived. The three criteria are frequency of exceedance (% of days), scale of exceedance and consistency in exceedance (consecutive number of days) to the specified standards that need to be met continuously for at least three years. The suggested methodology has been applied on a three-year database (2018-2021) of 37 continuous ambient air quality stations to identify PM2.5 specific APH. The analysis indicates 11 APH in April, 9 in May, 2 in June and almost the entire city during the October-February months. Given prioritization of implementation of control actions, the identified APH during summer has been further physically examined to map source activity types and their suitability for ambient air quality monitoring stations as per the guidelines. The APH can be the priority areas for the implementation of control actions by urban local bodies. The management of air pollution at these priority areas would be more effective instead of city-scale management practice, which is difficult to implement and monitor.
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Affiliation(s)
- Prachi Goyal
- CSIR-National Environmental Engineering Research Institute, Delhi Zonal Centre, New Delhi 110028, India; Academy of Scientific and Innovative Research (AcSIR), Ghaziabad 201002, Uttar Pradesh, India
| | - Sunil Gulia
- CSIR-National Environmental Engineering Research Institute, Delhi Zonal Centre, New Delhi 110028, India.
| | - S K Goyal
- CSIR-National Environmental Engineering Research Institute, Delhi Zonal Centre, New Delhi 110028, India
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Koyyala V, Kulkarni P, Goel V, Goteti S, Purohit SR, Jajodia A, Ch S, Medisetty P, Goyal P, La Mantia M, Dodagoudar C, Pasricha S, Sen S. 67P Challenges to molecular testing for selecting targeted therapies for oncology patients in India. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.2063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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15
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Sharma D, Cullather M, Malcom W, Goyal P, Schneider S. 336 Pediatric Emergency Department Visits in US Hospitals Across 2019 and 2020. Ann Emerg Med 2021. [DOI: 10.1016/j.annemergmed.2021.09.350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Gettel C, Tinloy B, Nedza S, Granovsky M, Goyal P, Terry A, Venkatesh A. 171 The Future of Value-Based Emergency Care: Development of a Framework for Emergency Medicine Performance-Based Payment. Ann Emerg Med 2021. [DOI: 10.1016/j.annemergmed.2021.09.182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Goel V, Jain P, Goyal P, Patnaik N, Pasricha S, Koyyala V, Talwar V. P-48 Study of paclitaxel and ramucirumab as second-line therapy after failure of FOLFOX-6 regimen in metastatic stomach carcinoma patients. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.05.103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Lu D, Karas M, Horn E, Krishnan U, Goyal P, Bhatt R, Singh H, Iannacone E, Worku B, Naka Y, Kim L, Sobol I. Fulminant Myocarditis in Fontan Patient Treated with Mechanical Circulatory Support and Heartmate 3. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.2088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Rajguru J, Shenoi R, Budhraja N, Karmarkar J, Goyal P. Infra-orbital nerve block using alar base approach: A novel landmark and technique. J Oral Biol Craniofac Res 2021; 11:123-124. [PMID: 33532198 DOI: 10.1016/j.jobcr.2021.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2020] [Revised: 12/22/2020] [Accepted: 01/01/2021] [Indexed: 10/22/2022] Open
Abstract
The infra-orbital nerve block is given to anaesthetize the anterior part of maxilla by depositing the local anesthetic agent in proximity of the infra-orbital nerve foramen. The two intra-oral approaches well documented in the literature are the 'central incisor approach' or the 'bicuspid approach'. In 2011, Infra-orbital nerve block with extended coverage using the intra-oral 'molar approach' was employed. However, infra-orbital nerve block can pose a challenge in patients with no teeth. We have devised a novel landmark and technique for infra-orbital nerve block using the anatomical landmark alar base.
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Affiliation(s)
- Jignesh Rajguru
- Department of Oral & Maxillofacial Surgery, VSPM Dental College & Research Centre, Nagpur, India
| | - Ramakrishna Shenoi
- Department of Oral & Maxillofacial Surgery, VSPM Dental College & Research Centre, Nagpur, India
| | - Nilima Budhraja
- Department of Oral & Maxillofacial Surgery, VSPM Dental College & Research Centre, Nagpur, India
| | - Jui Karmarkar
- Department of Oral & Maxillofacial Surgery, VSPM Dental College & Research Centre, Nagpur, India
| | - Prachi Goyal
- Department of Oral & Maxillofacial Surgery, MGM Dental College & Hospital, Mumbai, India
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Jain A, Kumar L, Kaur J, Baisla T, Goyal P, Pandey AK, Das A, Parashar L. Olfactory and taste dysfunction in coronavirus disease 2019 patients: its prevalence and outcomes. J Laryngol Otol 2020; 134:1-5. [PMID: 33190657 PMCID: PMC7729152 DOI: 10.1017/s0022215120002467] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/25/2020] [Indexed: 02/07/2023]
Abstract
OBJECTIVES To evaluate the occurrence, clinical course and outcomes of olfactory and gustatory dysfunction in patients with laboratory confirmed coronavirus disease 2019 infection. METHODS This is a prospective cross-sectional study of patients diagnosed with coronavirus disease 2019 infection by reverse transcription polymerase chain reaction over two months. The epidemiological and clinical outcomes studied were: age, sex, general symptoms, and olfactory and taste dysfunction. RESULTS A total of 410 coronavirus disease 2019 infected patients were included in the study, with 262 males (63.9 per cent) and 148 females (36.1 per cent). Ninety-nine patients (24.1 per cent) reported chemosensory dysfunction, of which 85 patients (20.7 per cent) reported both olfactory and taste dysfunction. Olfactory and taste dysfunction were proportionally more common in females. The mean duration of olfactory and taste dysfunction was 4.9 days, with a range of 2-15 days. CONCLUSION Olfactory and taste dysfunction are prevalent symptoms in coronavirus disease 2019 patients. In this study, they were more common in females than males. The occurrence of such dysfunctions is lower in the Indian population than in the European population.
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Affiliation(s)
- A Jain
- Department of ENT, Employees’ State Insurance Corporation (‘ESIC’) Medical College and Hospital, Faridabad, India
| | - L Kumar
- Department of ENT, Employees’ State Insurance Corporation (‘ESIC’) Medical College and Hospital, Faridabad, India
| | - J Kaur
- Department of ENT, Employees’ State Insurance Corporation (‘ESIC’) Medical College and Hospital, Faridabad, India
| | - T Baisla
- Department of ENT, Employees’ State Insurance Corporation (‘ESIC’) Medical College and Hospital, Faridabad, India
| | - P Goyal
- Department of Community Medicine, Employees’ State Insurance Corporation (‘ESIC’) Medical College and Hospital, Faridabad, India
| | - A K Pandey
- Department of Physiology, Employees’ State Insurance Corporation (‘ESIC’) Medical College and Hospital, Faridabad, India
| | - A Das
- Department of Physiology, Employees’ State Insurance Corporation (‘ESIC’) Medical College and Hospital, Faridabad, India
| | - L Parashar
- Department of Community Medicine, Employees’ State Insurance Corporation (‘ESIC’) Medical College and Hospital, Faridabad, India
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Silverman D, De Lavallaz J, Plante T, Goyal P, Infeld M, Meyer M. Beta-blockers are associated with incident heart failure: a secondary analysis of the systolic blood pressure intervention (SPRINT) trial. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The Systolic Blood Pressure Intervention Trial (SPRINT) evaluated whether a blood pressure (BP) goal of less than 120mmHg versus less than 140mmHg would reduce cardiovascular outcomes in subjects with at least one cardiovascular risk factor and without heart failure. Participating investigators were encouraged to use any antihypertensive medication class with a strong evidence base. The SPRINT trial was halted early due to a lower rate of the composite primary outcome in the 120mmHg group, which was mainly driven by a reduction in heart failure (HF).
Objective
As there is a concern that beta-blocker use may be associated with an excess risk for incident HF in subjects with a normal left ventricular systolic function, we evaluated the association between beta-blocker use and HF. Beta-blockers were compared with other major classes of antihypertensive medications. We also studied the association of antihypertensive class with loop-diuretic initiation.
Methods and results
In the 9,012 subjects, without HF at baseline, the association of beta-blocker exposure and incident HF was examined using time-variant competing risk analysis. Beta-blocker exposure was associated with an increased HF risk (HR 1.18; CI 1.07–1.30; p<0.001) and more frequent and earlier loop diuretic-use compared to other antihypertensive agents (both p<0.01). Sensitivity analyses of propensity-score matched cohorts confirmed a strong association of beta-blocker use and HF. Other major antihypertensive medication classes did not show this association.
Conclusions
Beta-blocker exposure was associated with a higher incidence of HF in hypertensive subjects without HF at baseline.
Funding Acknowledgement
Type of funding source: Public grant(s) – National budget only. Main funding source(s): National Institutes of Health
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Affiliation(s)
- D.N Silverman
- The University of Vermont Medical Center, Burlington, United States of America
| | - J.D.F De Lavallaz
- Rush University Medical Center, Medicine, Chicago, United States of America
| | - T.B Plante
- The University of Vermont Medical Center, Burlington, United States of America
| | - P Goyal
- Weill Cornell Medicine, Medicine, New York City, United States of America
| | - M.M Infeld
- The University of Vermont Medical Center, Burlington, United States of America
| | - M Meyer
- University of Minnesota, Medicine, Minneapolis, United States of America
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Lin E, Lantos JE, Strauss SB, Phillips CD, Campion TR, Navi BB, Parikh NS, Merkler AE, Mir S, Zhang C, Kamel H, Cusick M, Goyal P, Gupta A. Brain Imaging of Patients with COVID-19: Findings at an Academic Institution during the Height of the Outbreak in New York City. AJNR Am J Neuroradiol 2020; 41:2001-2008. [PMID: 32819899 DOI: 10.3174/ajnr.a6793] [Citation(s) in RCA: 73] [Impact Index Per Article: 18.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Accepted: 07/17/2020] [Indexed: 12/13/2022]
Abstract
BACKGROUND AND PURPOSE A large spectrum of neurologic disease has been reported in patients with coronavirus disease 2019 (COVID-19) infection. Our aim was to investigate the yield of neuroimaging in patients with COVID-19 undergoing CT or MR imaging of the brain and to describe associated imaging findings. MATERIALS AND METHODS We performed a retrospective cohort study involving 2054 patients with laboratory-confirmed COVID-19 presenting to 2 hospitals in New York City between March 4 and May 9, 2020, of whom 278 (14%) underwent either CT or MR imaging of the brain. All images initially received a formal interpretation from a neuroradiologist within the institution and were subsequently reviewed by 2 neuroradiologists in consensus, with disputes resolved by a third neuroradiologist. RESULTS The median age of these patients was 64 years (interquartile range, 50-75 years), and 43% were women. Among imaged patients, 58 (21%) demonstrated acute or subacute neuroimaging findings, the most common including cerebral infarctions (11%), parenchymal hematomas (3.6%), and posterior reversible encephalopathy syndrome (1.1%). Among the 51 patients with MR imaging examinations, 26 (51%) demonstrated acute or subacute findings; notable findings included 6 cases of cranial nerve abnormalities (including 4 patients with olfactory bulb abnormalities) and 3 patients with a microhemorrhage pattern compatible with critical illness-associated microbleeds. CONCLUSIONS Our experience confirms the wide range of neurologic imaging findings in patients with COVID-19 and suggests the need for further studies to optimize management for these patients.
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Affiliation(s)
- E Lin
- From the Department of Radiology (E.L., J.E.L., S.B.S., C.D.P., A.G.)
| | - J E Lantos
- From the Department of Radiology (E.L., J.E.L., S.B.S., C.D.P., A.G.)
| | - S B Strauss
- From the Department of Radiology (E.L., J.E.L., S.B.S., C.D.P., A.G.)
| | - C D Phillips
- From the Department of Radiology (E.L., J.E.L., S.B.S., C.D.P., A.G.)
| | - T R Campion
- Department of Population Health Sciences (T.R.C., M.C.)
| | - B B Navi
- Clinical and Translational Neuroscience Unit (B.B.N., N.S.P., A.E.M., S.M., C.Z., A.G.)
| | - N S Parikh
- Clinical and Translational Neuroscience Unit (B.B.N., N.S.P., A.E.M., S.M., C.Z., A.G.)
| | - A E Merkler
- Clinical and Translational Neuroscience Unit (B.B.N., N.S.P., A.E.M., S.M., C.Z., A.G.)
| | - S Mir
- Clinical and Translational Neuroscience Unit (B.B.N., N.S.P., A.E.M., S.M., C.Z., A.G.)
| | - C Zhang
- Clinical and Translational Neuroscience Unit (B.B.N., N.S.P., A.E.M., S.M., C.Z., A.G.)
| | | | - M Cusick
- Department of Population Health Sciences (T.R.C., M.C.)
| | - P Goyal
- Feil Family Brain and Mind Research Institute and Department of Neurology, and Department of Medicine (P.G.), Weill Cornell Medicine, New York, New York
| | - A Gupta
- From the Department of Radiology (E.L., J.E.L., S.B.S., C.D.P., A.G.)
- Clinical and Translational Neuroscience Unit (B.B.N., N.S.P., A.E.M., S.M., C.Z., A.G.)
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Agrawal C, Doval D, Agarwal A, Goyal P, Baghmar S, Talwar V, Batra U, Goyal S, Sinha R, Archana S, Jain P. Real world evidence of palbociclib use in metastatic hormone positive HER negative metastatic breast cancer in Indian population. Eur J Cancer 2020. [DOI: 10.1016/s0959-8049(20)30812-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Sindhu M, Bansal RK, Goyal P. Ultrasound findings in optic nerve avulsion. QJM 2020; 113:363-364. [PMID: 31504980 DOI: 10.1093/qjmed/hcz210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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25
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Koyyala V, Jajodia A, Chaturvedi A, Mahawar V, Sharma M, Goyal P, Talwar V, Goyal S, Doval D. Role of ADC values in assessing response after chemoradiotherapy in cervix cancer and in identifying residual disease. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz426.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Goyal P, Gulia S, Goyal SK, Kumar R. Assessment of the effectiveness of policy interventions for Air Quality Control Regions in Delhi city. Environ Sci Pollut Res Int 2019; 26:30967-30979. [PMID: 31452124 DOI: 10.1007/s11356-019-06236-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/01/2019] [Accepted: 08/16/2019] [Indexed: 05/05/2023]
Abstract
Government has implemented various scattered and un-quantified control actions in Delhi city to reduce the air pollution levels; however, it still exceeds the National Ambient Air Quality Standards (NAAQS). The present study has been designed to assess the air quality status, identify Air Quality Control Region (AQCR), and evaluate control strategies in the city. Out of eight selected locations, ambient PM10, PM2.5, and NO2 concentrations were found exceeding the daily as well as annual standards at selected AQCR with peak levels during post-monsoon than winter and summer. Anand Vihar was found to be most polluted and thus, selected as an AQCR. AERMOD performed satisfactorily in predicting pollutant concentration during winter and summer having an index of agreement in the range 0.54-0.80. PM10 and PM2.5 can be reduced substantially by increasing frequency of efficient mechanized cleaning of roads and sprinkling of water on the roads. Progressive decrease in NO2 concentrations can be achieved by restricting entry of truck in the study area through alternate path. The cumulative impact of all selected control strategies indicates a substantial decrease in air pollution within AQCR. The study also suggests a policy framework to manage the urban air quality through local scale air quality guidelines.
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Affiliation(s)
- Prachi Goyal
- CSIR-NEERI Delhi Zonal Centre, A-93/94, Naraina Industrial Area Phase-I, New Delhi, 110028, India
| | - Sunil Gulia
- CSIR-NEERI Delhi Zonal Centre, A-93/94, Naraina Industrial Area Phase-I, New Delhi, 110028, India.
| | - Sanjeev Kumar Goyal
- CSIR-NEERI Delhi Zonal Centre, A-93/94, Naraina Industrial Area Phase-I, New Delhi, 110028, India
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Kaur S, Gupta P, Singh M, Kiran S, Goyal P. Cysticercosis of the superior oblique muscle of the eye. QJM 2019; 112:711-712. [PMID: 30859206 DOI: 10.1093/qjmed/hcz045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- S Kaur
- Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - P Gupta
- Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - M Singh
- Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - S Kiran
- Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - P Goyal
- Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
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Goyal P, Andrade C, Kataria L, Desai P. Transcranial Direct Current Stimulation For Severe, Persistent, Treatment-Refractory Auditory Hallucinations In Schizophrenia. Brain Stimul 2019. [DOI: 10.1016/j.brs.2018.12.239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Dash P, Goel V, Talwar V, Doval DC, Raina S, Goyal P, Upadhyay A, Patnaik N. Study of efficacy and safety of modified adjuvant intraperitoneal chemotherapy regimen in carcinoma ovary. Indian J Cancer 2018; 53:607-611. [PMID: 28485363 DOI: 10.4103/ijc.ijc_13_17] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE It has been demonstrated in few trials that intraperitoneal and intravenous (IP/IV) chemotherapy improves survival in advanced stage ovarian cancer (OC). However, in view of high treatment-related toxicities, various modifications in treatment schedules have been tried. In this study, response and tolerability of IP paclitaxel on day 8 with IV paclitaxel on day 1 and IV cisplatin day 2 in carcinoma ovary were evaluated. PATIENTS AND METHODS In this prospective observational study, from March 2013 to December 2015, the efficacy and tolerability of adjuvant IP/IV chemotherapy in optimally cytoreduced Stage III epithelial OC (EOC) patients were assessed. RESULTS Totally, sixty patients were enrolled. The median age of patients was 53 years (32-67 years). Out of a total of 360 IP cycles, 316 cycles (88%) were completed. Forty-five patients (76%) received all the 6 cycles by IP route. Eight out of those 45 patients had one or more adjustment including delay or dose reduction. After median follow-up of 22 months, eight patients (14%) had local or systemic recurrence. Median progression-free survival not reached yet. Catheter block was seen in five cases. Two cases had needle displacement and extravasations of drug around the port chamber. Six patients had Grade 3 abdominal pain and cramp. Grade 3/4 leukopenia was experienced by thirty patients (50%), but febrile neutropenia occurred in only 6 (10%) patients. Renal complication present in 4 (7%) patients. CONCLUSIONS In Indian patients, adjuvant chemotherapy with day 8 I/P paclitaxel in optimally cytoreduced EOC is associated with comparable survival outcomes, less side effects and high treatment completion rate relative to literature published from Western countries.
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Affiliation(s)
- P Dash
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
| | - V Goel
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
| | - V Talwar
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
| | - D C Doval
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
| | - S Raina
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
| | - P Goyal
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
| | - A Upadhyay
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
| | - N Patnaik
- Department of Pathology, Action Cancer Hospital, New Delhi, India
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Goyal P, Padhi TR, Das T, Pradhan L, Sutar S, Butola S, Behera UC, Jain L, Jalali S. Outcome of universal newborn eye screening with wide-field digital retinal image acquisition system: a pilot study. Eye (Lond) 2017; 32:67-73. [PMID: 28737759 DOI: 10.1038/eye.2017.129] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2017] [Accepted: 04/27/2017] [Indexed: 12/25/2022] Open
Abstract
PurposeTo evaluate the outcome of universal newborn eye screening with wide-field digital retinal imaging (WFDRI) system.MethodsIn this pilot study, we examined 1152 apparently healthy newborn infants in the obstetrics and gynecology ward of a civil hospital in Eastern India over 1.5 years. The examination included external eye examination, red reflex test and fundus imaging by WFDRI (RetCam II, Clarity medical system, Pleasanton, CA, USA) by a trained optometrist. The pathologies detected, net monetary gain and skilled manpower saved were documented. The results were compared with three similar studies thus far published in the literature.ResultsOcular abnormality of any kind was seen in 172 (14.93%) babies. Retinal hemorrhage in 153 babies (88.9% of all abnormal findings) was the most common abnormality; it was bilateral in 118 (77.12%) babies and 4 babies had foveal hemorrhage. Other abnormalities included vitreous hemorrhage (n=1), congenital glaucoma (n=2), uveal coloboma (n=2), retinopathy mimicking retinopathy of prematurity (n=2), and cystic fovea (n=3). The retinal hemorrhages resolved spontaneously in all eyes. One baby with congenital glaucoma received surgery and the other was treated medically. The benefits included savings in skilled manpower, a net monetary gain of INR 4.195 million (US$ 62,612) and skilled manpower saving by 319.4 h.ConclusionsThe universal neonatal eye screening using WFDRI detected pathologies that needed immediate care or regular follow up; saved skilled manpower with a net monetary gain. But compared to a red reflex test the benefits were marginal in terms of detecting treatment warranting ocular pathologies.
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Affiliation(s)
- P Goyal
- Retina and Vitreous services, Shri Mithu Tulsi Chanrai Campus, LV Prasad Eye Institute, Bhubaneswar, India
| | - T R Padhi
- Retina and Vitreous services, Shri Mithu Tulsi Chanrai Campus, LV Prasad Eye Institute, Bhubaneswar, India
| | - T Das
- Smt. Kanuri Santhamma Center for Vitreoretinal Services, Kallam Anji Reddy Campus, LV Prasad Eye Institute, Hyderabad, India
| | - L Pradhan
- Infosys Pediatric Center, Capital Hospital, Bhubaneswar, India
| | - S Sutar
- Retina and Vitreous services, Shri Mithu Tulsi Chanrai Campus, LV Prasad Eye Institute, Bhubaneswar, India
| | - S Butola
- Retina and Vitreous services, Shri Mithu Tulsi Chanrai Campus, LV Prasad Eye Institute, Bhubaneswar, India
| | - U C Behera
- Retina and Vitreous services, Shri Mithu Tulsi Chanrai Campus, LV Prasad Eye Institute, Bhubaneswar, India
| | - L Jain
- Retina and Vitreous services, Shri Mithu Tulsi Chanrai Campus, LV Prasad Eye Institute, Bhubaneswar, India
| | - S Jalali
- Smt. Kanuri Santhamma Center for Vitreoretinal Services, Kallam Anji Reddy Campus, LV Prasad Eye Institute, Hyderabad, India
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Goyal P, Mehta A, Kaur J, Jain S, Guglani V, Chawla D. Fluid supplementation in management of neonatal hyperbilirubinemia: a randomized controlled trial. J Matern Fetal Neonatal Med 2017; 31:2678-2684. [DOI: 10.1080/14767058.2017.1351535] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Prachi Goyal
- Department of Pediatrics, Government Medical College Hospital, Chandigarh, India
| | - Akshay Mehta
- Department of Pediatrics, Government Medical College Hospital, Chandigarh, India
| | - Jasbinder Kaur
- Department of Biochemistry, Government Medical College Hospital, Chandigarh, India
| | - Suksham Jain
- Department of Pediatrics, Government Medical College Hospital, Chandigarh, India
| | - Vishal Guglani
- Department of Pediatrics, Government Medical College Hospital, Chandigarh, India
| | - Deepak Chawla
- Department of Pediatrics, Government Medical College Hospital, Chandigarh, India
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Batra U, Goyal P, Jain P, Upadhyay A, Sachdeva N, Agarwal M, Bhurani D, Talwar V, Gupta SK, Doval DC. Epidemiology and resistance pattern of bacterial isolates among cancer patients in a Tertiary Care Oncology Centre in North India. Indian J Cancer 2017; 53:448-451. [PMID: 28244481 DOI: 10.4103/0019-509x.200647] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES To examine the epidemiology of microbiologically documented bacterial infection and the resistance pattern, among cancer patients undergoing treatment at RGCIRC, Delhi. DESIGN AND SETTING Retrospective observational study in which culture reports obtained over 1 year in 2013, were analyzed. RESULTS 13329 cultures were obtained over 1 year in 2013 and were analyzed. 23.6 % samples showed positive culture with majority being gram negative isolates (67.9 %). E. coli was the commonest gram negative isolate (49.4%) followed by klebsella (29.7%) and Staph. aureus was the commonest gram positive isolate. There was high incidence of ESBL in blood and urine (87.2% & 88.5%) and BLBLI were also high (78% & 83.9%). Carbapenem resistance was comparatively low (10%) and colistin sensitivity was quiet high (> 95%). CONCLUSIONS Prevalence of MRSA and VRE in our institute is very less, whereas prevalence of ESBLs and BLBLI isolates amongst gram negative infections is around 80%. Gram negative isolates had poor sensitivity to cephalosporins and fluoroquinolones.
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Affiliation(s)
- U Batra
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, New Delhi, India
| | - P Goyal
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, New Delhi, India
| | - P Jain
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, New Delhi, India
| | - A Upadhyay
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, New Delhi, India
| | - N Sachdeva
- Department of Lab Medicine, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, New Delhi, India
| | - M Agarwal
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, New Delhi, India
| | - D Bhurani
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, New Delhi, India
| | - V Talwar
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, New Delhi, India
| | - S K Gupta
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, New Delhi, India
| | - D C Doval
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, New Delhi, India
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Goyal P, Wehbe L, Dederichs J, Guerin T, Moronta MC, Pino AV, Kostikas K, Altman P. P288 Copd patients with varying severity of airflow limitation achieve highest peak inspiratory flow rate via the breezhaler® inhaler compared to the ellipta® or the handihaler® dry powder inhalers. Thorax 2016. [DOI: 10.1136/thoraxjnl-2016-209333.431] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Batra U, Sharma M, Jain A, Agarwal M, Goyal P. 469P Clinical outcome study of crizotinib in IHC proven EML4-ALK fusion gene among Indian patients with adenocarcinoma lung. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw594.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Sharma A, Doval D, Dutta K, Goyal P, Bajaj R, Sharma M, Jain P. 119P Efficacy and safety profile of eribulin mesylate in advanced breast cancer: Single-centre experience from India. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw577.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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36
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Goyal P, Pandit IK, Gugnani N, Gupta M, Goel R, Gambhir RS. Clinical and radiographic comparison of various medicaments used for pulpotomy in primary molars: A randomized clinical trial. Eur J Dent 2016; 10:315-320. [PMID: 27403046 PMCID: PMC4926581 DOI: 10.4103/1305-7456.184144] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Objective: To evaluate and compare the efficacy of ferric sulfate, glutaraldehyde, and mineral trioxide aggregate (MTA) as pulpotomy medicaments in primary molars. Materials and Methods: This was a perspective randomized clinical trial. A total of 90 molars from 42 children aged 4–8 years were selected for pulpotomy procedure. Teeth were randomly divided into three equal groups of 30 teeth each. Teeth in Group I were intended to be treated with ferric sulfate, Group II were intended to be treated with buffered glutaraldehyde and Group III with MTA. All the molars were evaluated clinically at 24 h and both clinically and radio graphically at 1, 3, and 6 months. The observations were statistically analyzed using Chi-square test and Fisher's exact test. Results: After 1 month, there was no clinical finding observed in all the three groups. At 3 months postoperative evaluation, 13.3% of teeth in Group I and 12.5% of teeth in Group II had mobility. At 6 months interval, pain and sinus formation each was noted in 9.1% of primary teeth in Group I while periodontal ligament widening was reported in 66.7% of teeth in Group I and 85.7% of teeth in Group II. Conclusion: MTA exhibited overall best results as pulpotomy agent for primary molars followed by 15.5% ferric sulfate, whereas 2% buffered glutaraldehyde was found to be least effective as a pulpotomy agent.
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Affiliation(s)
- Prachi Goyal
- Department of Pedodontics, MM College of Dental Sciences and Research, Mullana, Haryana, India
| | - I K Pandit
- Department of Pedodontics, DAV Dental College, Yamuna Nagar, Haryana, India
| | - Neeraj Gugnani
- Department of Pedodontics, DAV Dental College, Yamuna Nagar, Haryana, India
| | - Monica Gupta
- Department of Pedodontics, DAV Dental College, Yamuna Nagar, Haryana, India
| | - Richa Goel
- Department of Public Health Dentistry, MM College of Dental Sciences and Research, Mullana, Haryana, India
| | - Ramandeep Singh Gambhir
- Department of Public Health Dentistry, Rayat and Bahra Dental College and Hospital, Mohali, Punjab, India
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Upadhyay A, Goel V, Batra U, Goyal P, Dutta K, Aggarwal M, Doval DC. Two cases of ovarian carcinoma with endobronchial metastases: Rare presentation. South Asian J Cancer 2016; 4:149. [PMID: 26942149 PMCID: PMC4756493 DOI: 10.4103/2278-330x.173170] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- A Upadhyay
- Department of Medical Oncology Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
| | - V Goel
- Department of Medical Oncology Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
| | - U Batra
- Department of Medical Oncology Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
| | - P Goyal
- Department of Medical Oncology Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
| | - K Dutta
- Department of Medical Oncology Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
| | - M Aggarwal
- Department of Medical Oncology Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
| | - D C Doval
- Department of Medical Oncology Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
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Gupta S, Saluja N, Goyal P, Choudhary B. A Comparative Evaluation of Levobupivacaine Hydrochloride and Levobupivacaine Hydrochloride with Dexmedetomidine in Epidural Anesthesia and Postoperative Pain Relief undergoing Infraumbilical Surgeries. MGM Journal of Medical Sciences 2015. [DOI: 10.5005/jp-journals-10036-1048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Goyal P, Mittal D, Ghosh S, Agrawal D, Sehgal S, Singh S. Cytological Diagnosis of Primary Thyroid Tuberculosis. JNMA J Nepal Med Assoc 2015; 53:28-30. [PMID: 26983044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Abstract
Primary thyroid tuberculosis is an extremely rare disease, even in countries where other forms of tuberculosis are abundant. TT has no age bar but usually affects women in fourth and fifth decade. Hereby, we report a case of 16-years-old girl presented with complaint of progressively increasing, painful thyroid swelling. Diagnosis of TT was made on cytology and there was no evidence of involvement of any other organ by tuberculosis. Despite of its rarity, TT is usually misdiagnosed. So, a clinician should always consider this entity in the differential diagnosis of thyroid swelling. Fine needle aspiration cytology is the best diagnostic method and can result in the avoidance of unnecessary thyroid surgeries.
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Affiliation(s)
- P Goyal
- Department of Pathology, Swami Dayanand Hospital, Delhi, 110095, India
| | - D Mittal
- Department of Pathology, Swami Dayanand Hospital, Delhi, 110095, India
| | - S Ghosh
- Department of Pathology, Swami Dayanand Hospital, Delhi, 110095, India
| | - D Agrawal
- Department of Gynaecology, Swami Dayanand Hospital, Delhi-110095, India
| | - S Sehgal
- Department of Pathology, Swami Dayanand Hospital, Delhi, 110095, India
| | - S Singh
- Department of Pathology, Swami Dayanand Hospital, Delhi, 110095, India
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Goyal P, Verma V, Singh RK. Flow accelerated corrosion study in feeder pipes. KERNTECHNIK 2014. [DOI: 10.3139/124.110401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Abstract
The Indian Pressurized Heavy Water Reactor (PHWR) core consists of a number of horizontal channels containing nuclear fuel bundles. Parallel coolant channels are connected to Inlet and Outlet header through feeder pipes. Coolant from Reactor Inlet Header is distributed to the coolant channels and after removing heat combines at Reactor Outlet Header. Due to space constraints the feeder pipes are joined to the channel with one or two elbows close to the end fittings of the coolant channels. The carbon steel feeder pipes carry high temperature fluid at higher velocity and are liable to undergo Flow Accelerated Corrosion (FAC). In the recent inspection it has been found that feeders having double elbow are more susceptible to FAC on the intrados of second elbow. But it was found that in some of the elbows maximum thinning due to FAC was observed on the intrados of the first elbow. Hence to resolve this, effect of first bend orientation with respect of upstream direction has been studied. Two different approaches are used for predicting the FAC rate from calculated value of wall shear stress by CFD. One method is based on evaluating of wear rate using Colburn analogy and the other using an empirical equation between wear rate and shear stress. In Colburn analogy, mass transfer coefficient is evaluated by knowing shear stress and equilibrium concentration. For a case study, wall shear stress obtained from k-∊ turbulence model was compared with k-ω SST turbulence model and no appreciable change in the wall shear stress has been found. Hence for subsequent analysis k-∊ turbulence model was chosen because large mesh size near to the surface (first layer thickness) is permitted due to higher y+ value.
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Affiliation(s)
- P. Goyal
- Reactor Safety Division , Bhabha Atomic Research Centre, Mumbai-400085 , India. E-mail:
| | - V. Verma
- Reactor Safety Division , Bhabha Atomic Research Centre, Mumbai-400085 , India. E-mail:
| | - R. K. Singh
- Reactor Safety Division , Bhabha Atomic Research Centre, Mumbai-400085 , India. E-mail:
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Koensgen D, Bruennert D, Ungureanu S, Sofroni D, Braicu EI, Sehouli J, Sümnig A, Delogu S, Zygmunt M, Goyal P, Evert M, Olek S, Biebler KE, Mustea A. Polymorphism of the IL-8 gene and the risk of ovarian cancer. Cytokine 2014; 71:334-8. [PMID: 25151495 DOI: 10.1016/j.cyto.2014.07.254] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2014] [Revised: 06/11/2014] [Accepted: 07/29/2014] [Indexed: 10/24/2022]
Abstract
Ovarian cancer still represents a challenge in gynecological oncology. Most patients are diagnosed in an advanced tumor stage. No specific screening or prevention strategies for ovarian cancer exist as of yet. Interleukin 8 (IL-8) is a pro-inflammatory chemokine known for its angiogenetic activity, and is supposedly responsible for tumor-associated angiogenesis in several malignant tumors. The aim of the study was to investigate the susceptibility of patients with an IL-8 gene polymorphism to developing ovarian cancer. Four single nucleotide polymorphisms (SNPs) (IL-8 -251, IL-8 +781, IL-8 +1633 and IL-8 +2767) of the IL-8 gene were screened, using the PCR method in 268 patients with ovarian cancer and 426 healthy women as a control group. Significant associations were noted in patients with the IL-8 +781 (T/T) genotype (p=0.0048) with increased frequencies of ovarian cancer, while women with the IL-8 +781 (C/C) allele suffer from ovarian cancer significantly less frequently (p=0.0003). Furthermore, the IL-8 +2767 (T/T) genotype is also associated with a higher risk of ovarian cancer (p=0.0177). Our results indicate, for the first time, that IL-8 polymorphism is associated with ovarian cancer.
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Affiliation(s)
- D Koensgen
- Department of Gynecology and Obstetrics, Medical University Greifswald, Ferdinand-Sauerbruch-Str.,17475 Greifswald, Germany.
| | - D Bruennert
- Department of Gynecology and Obstetrics, Medical University Greifswald, Ferdinand-Sauerbruch-Str.,17475 Greifswald, Germany.
| | - S Ungureanu
- Department of Gynecology and Obstetrics, Medical University Greifswald, Ferdinand-Sauerbruch-Str.,17475 Greifswald, Germany; Department of Gynecology, Oncological Institute, Testemitanu Str. 30, 2025 Chisinau, Moldavia.
| | - D Sofroni
- Department of Gynecology, Oncological Institute, Testemitanu Str. 30, 2025 Chisinau, Moldavia.
| | - E I Braicu
- Department of Gynecology, European Competence Center for Ovarian Cancer, Campus Virchow Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.
| | - J Sehouli
- Department of Gynecology, European Competence Center for Ovarian Cancer, Campus Virchow Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.
| | - A Sümnig
- Institute for Immunology and Transfusion Medicine, Ferdinand-Sauerbruch-Str., 17475 Greifswald, Germany.
| | - S Delogu
- Department of Gynecology and Obstetrics, Medical University Greifswald, Ferdinand-Sauerbruch-Str.,17475 Greifswald, Germany.
| | - M Zygmunt
- Department of Gynecology and Obstetrics, Medical University Greifswald, Ferdinand-Sauerbruch-Str.,17475 Greifswald, Germany.
| | - P Goyal
- Department of Gynecology and Obstetrics, Medical University Greifswald, Ferdinand-Sauerbruch-Str.,17475 Greifswald, Germany.
| | - M Evert
- Institute for Pathology, Medical University Greifswald, Friedrich-Loeffler-Str. 23e, 17487 Greifswald, Germany.
| | - S Olek
- Epiontis GmbH, Rudower Chaussee 29, 12489 Berlin, Germany.
| | - K E Biebler
- Institute for Biometrics and Medical Informatics, Walther-Rathenau-Straße 48, 17475 Greifswald, Germany.
| | - A Mustea
- Department of Gynecology and Obstetrics, Medical University Greifswald, Ferdinand-Sauerbruch-Str.,17475 Greifswald, Germany.
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Brunnert D, Sztachelska M, Bornkessel F, Treder N, Wolczynski S, Goyal P, Zygmunt M. Lysophosphatidic acid and sphingosine 1-phosphate metabolic pathways and their receptors are differentially regulated during decidualization of human endometrial stromal cells. Mol Hum Reprod 2014; 20:1016-25. [DOI: 10.1093/molehr/gau051] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
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Kornmann O, Mailänder C, Roche N, Overend T, Goyal P, Chen H, Banerji D. Schnelle Bronchodilatation mit Glycopyrronium einmal täglich: die Bedeutung einer optimierten Lungenfunktion am Morgen. Pneumologie 2014. [DOI: 10.1055/s-0034-1368050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Kornmann O, Mailänder C, D'Urzo A, Hébert J, Chen H, Banerji D, Goyal P. Glycopyrronium einmal täglich zeigt anhaltende Bronchodilatation und verbessert Symptome in verschiedenen Subgruppen von Patienten mit COPD. Pneumologie 2014. [DOI: 10.1055/s-0034-1368051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Vincken W, Aumann J, Jack D, Chen H, Henley M, Goyal P. P232 Once-daily co-administration of glycopyrronium and indacaterol via Breezhaler ®device improves lung function and symptoms in patients with COPD versus indacaterol alone: the GLOW6 study. Thorax 2013. [DOI: 10.1136/thoraxjnl-2013-204457.384] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Dutta A, Goyal P, Singh RK, Ghosh AK. Simulation model of a nuclear power plant turbine. KERNTECHNIK 2013. [DOI: 10.3139/124.100569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Abstract
A computer code “TURDYN” has been developed for prediction of high pressure and low pressure turbine torque under thermodynamic transient conditions. The model is based on the conservation laws of mass and energy. All the important components of turbine systems, e. g. high pressure turbine, low pressure turbine, feed heaters, reheater, moisture separator have been considered. The dynamic equations are solved simultaneously to obtain the stage pressure at various load conditions. The details of the mathematical formulation of the model and open loop responses for specific disturbances are presented.
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Affiliation(s)
- A. Dutta
- Reactor Safety Division, Bhabha Atomic Research Centre, Trombay, Mumbai – 400 085. E-mail:
| | - P. Goyal
- Reactor Safety Division, Bhabha Atomic Research Centre, Trombay, Mumbai – 400 085. E-mail:
| | - R. K. Singh
- Reactor Safety Division, Bhabha Atomic Research Centre, Trombay, Mumbai – 400 085. E-mail:
| | - A. K. Ghosh
- Reactor Safety Division, Bhabha Atomic Research Centre, Trombay, Mumbai – 400 085. E-mail:
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Goyal P, Brunnert D, Ehrhardt J, Bredow M, Piccenini S, Zygmunt M. Cytokine IL-6 secretion by trophoblasts regulated via sphingosine-1-phosphate receptor 2 involving Rho/Rho-kinase and Rac1 signaling pathways. Mol Hum Reprod 2013; 19:528-38. [DOI: 10.1093/molehr/gat023] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
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Sobol I, Horn E, Dele-Michael A, Lin F, Yushak M, Islam F, Narula N, Goyal P. 123 Assessment of Unexplained Cardiomyopathy (CMP) — Clinical Utility of Delayed-Enhancement Cardiac Magnetic Resonance (DE-CMR) Compared to Endomyocardial Biopsy. J Heart Lung Transplant 2012. [DOI: 10.1016/j.healun.2012.01.127] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Goyal P, Sharma PK, Markandeya SG, Ghosh AK. Thermal plume behaviour in the Kadra reservoir at Kaiga atomic power station – Part 2: studies for the case of four and six units in operation. KERNTECHNIK 2012. [DOI: 10.3139/124.110177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AbstractA computational model was developed earlier for 2 units of Nuclear Power Plants (NPPs) operational at Kaiga Atomic Power Station (KAPS) to understand the thermal plume behaviour in the Kadra reservoir wherein the hot water from the plant condensers is discharged. The model was successfully validated against the site data. The same model has now been extended for analyzing the thermal plume bahaviour in case of 4 NPP units as well as 6 NPP units operational at the same site. The present paper briefly describes details of the studies along with the results of earlier study to understand the overall behavior of thermal plume in Kadra reservoir.
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Affiliation(s)
- P. Goyal
- 1 Reactor Safety Division, Planning and Coordination Division
| | - P. K. Sharma
- 1 Reactor Safety Division, Planning and Coordination Division
| | | | - A. K. Ghosh
- 2 Reactor Safety Division, Health Safety and Environment Group, Bhabha Atomic Research Centre, Trombay, Mumbai – 400085
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