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A Comparative Study between Landmark Based and Real Time Ultrasound Guided Sub Arachnoid Block

Open Journal of Anesthesiology 2024年第4期14卷 118-125页

作者： Kunal Tewari Om Bahadur Thapa Deepak Mishra Manjot Multani jyotsna sharma Akash Ray Mohapatra Sandhya Khwaunju Department of Anesthesiology and Critical Care Armed Forces Medical College Pune India Department of Anesthesiology and Critical Care AFMC Pune India

Background: Sub arachnoid block (SAB) performed by traditional landmark palpation technique can be inaccurate. This problem is exacerbated by altered patient anatomy due to obesity and age-related changes. A pre-procedural ultrasound scan of the lumbar spine has been shown to be of benefit in guiding lumbar epidural insertion in obstetric patients. Information on the use of real-time ultrasound (RUS) guided SAB, to date, been limited. This study compared RUS guided SAB to traditional landmark guided technique in patients undergoing spinal anesthesia for different surgical procedures. Methods: This was a prospective, single center, comparative observational study conducted in the department of anesthesiology at our center. 560 patients who underwent spinal anesthesia either by landmark based technique or real-time ultrasound-guided methods. The primary outcome was the first attempt success rate of dural puncture when employing the two methods. Results: Baseline characteristics were similar in the two study groups. The first attempt success rate of dural puncture in landmark guided group was 64.3% compared to 72.6% in the ultrasound guided group. This difference was not statistically significant. The procedure performance time was significantly shorter with landmark palpation compared to use of real-time ultrasound guided method. Conclusion: Use of RUS-guided technique does not significantly improve the first attempt success rate of SAB dural puncture during spinal anesthesia compared to the traditional landmark-guided technique.

关键词： Sub Arachnoid Block (SAB) Real Time Ultrasound (RUS)

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Comparison of efficacy of lung ultrasound and chest X-ray in diagnosing pulmonary edema and pleural effusion in ICU patients: A single centre, prospective, observational study

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Open Journal of Anesthesiology 2024年第3期14卷 41-50页

作者： Kunal Tewari Sumanth Pelluru Deepak Mishra Nitin Pahuja Akash Ray Mohapatra jyotsna sharma Om Bahadur Thapa Manjot Multani Department of Anesthesiology and Critical Care Armed Forces Medical College Pune India Department of Anesthesiology and Critical Care Military Hospital Bhopal India

Background and Aims While chest X-ray (CXR) has been a conventional tool in intensive care units (ICUs) to identify lung pathologies, computed tomography (CT) scan remains the gold standard. Use of lung ultrasound (LUS) in resource-rich ICUs is still under investigation. The present study compares the utility of LUS to that of CXR in identifying pulmonary edema and pleural effusion in ICU patients. In addition, consolidation and pneumothorax were analyzed as secondary outcome measures. Material and Methods This is a prospective, single centric, observational study. Patients admitted in ICU were examined for lung pathologies, using LUS by a trained intensivist;and CXR done within 4 hours of each other. The final diagnosis was ascertained by an independent senior radiologist, based on the complete medical chart including clinical findings and the results of thoracic CT, if available. The results were compared and analyzed. Results Sensitivity, specificity and diagnostic accuracy of LUS was 95%, 94.4%, 94.67% for pleural effusion;and 98.33%, 97.78%, 98.00% for pulmonary edema respectively. Corresponding values with CXR were 48.33%, 76.67%, 65.33% for pleural effusion;and 36.67%, 82.22% and 64.00% for pulmonary edema respectively. Sensitivity, specificity and diagnostic accuracy of LUS was 91.30%, 96.85%, 96.00% for consolidation;and 100.00%, 79.02%, 80.00% for pneumothorax respectively. Corresponding values with CXR were 60.87%, 81.10%, 78.00% for consolidation;and 71.3%, 97.20%, 96.00% for pneumothorax respectively. Conclusion LUS has better diagnostic accuracy in diagnosis of pleural effusion and pulmonary edema when compared with CXR and is thus recommended as an effective alternative for diagnosis of these conditions in acute care settings. Our study recommends that a thoracic CT scan can be avoided in most of such cases.

关键词： Chest X ray (CXR) Consolidation Pulmonary edema Pleural effusion Lung ultrasound (LUS) Pneumothorax

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Effect of process parameter on the flowability of nanocrystalline CoNiCrAlY powder synthesized by mechanical milling

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Particuology 2024年第9期92卷 210-223页

作者： Annadaa Shankara Dash Indranil Manna Deepa Devapal Sharad Chandra sharma jyotsna Dutta Majumdar School of Nanoscience and Technology IIT KharagpurWest BengalIndia BIT Mesra RanchiJharkhandIndia Department of Metallurgical and Materials Engineering IIT KharagpurWest BengalIndia Vikram Sarabhai Space Centre ThiruvanthapuramKeralaIndia

The present study concerns understanding the effect of process parameters on the characteristics and flowability of nanocrystalline CoNiCrAlY powder synthesized by mechanical *** milling has been conducted in a planetary ball mill with tungsten carbide(WC)ball,with ball to powder ratio of 10:1 at 300 rpm speed,using 1%stearic acid and toluene as process control agent(PCA)with time varying from 10 h to 36 *** synthesized nanocrystalline powder were characterized by Scanning Electron Microscopy,X-ray Diffraction technique,X-ray Photoelectron Spectroscopy,and Differential Scanning ***,flowability in terms of Hausner ratio was assessed by Tap Density *** particle size of the powder was found to decrease from 33μm to 22μm after 10 h of milling and further increases to 43μm and 38μm after 25 and 36 h of milling,respectively,in stearic acid ***,in toluene medium particle size continuously decreases from 33μm to 9.7μm with increasing milling *** particle morphology changes from spherical to platelet shape at low milling hours in both of the *** 25 h of milling,the shape of the particles is nearly spherical for stearic acid and irregular for toluene used as a *** size was found to decrease with increasing milling time from 147 nm to 7.7 nm and to 6.4 nm in stearic acid and toluene media,*** was presence ofγ,γʹ,β,hcp-Co,Al_(2)O_(3)and AlOOH phases on the powder particles milled in both the *** measured Hausner ratio of the powders was found to vary from 1.18 to 1.32 in stearic acid medium,and was found to increase with increasing milling *** the other hand,in toluene media flowability decreases(Hausner ratio increases from 1.33 to 1.44)with increasing milling time.

关键词： Mechanical milling Microstructure Process control agent(PCA) CoNiCrAIY Toluene Stearic acid Flowability

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Efficiency of microsatellite isolation from orchids via next generation sequencing

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Open Journal of Genetics 2012年第4期2卷 167-172页

作者： Madhav Pandey jyotsna sharma Department of Plant and Soil Science Texas Tech University Lubbock USA

Microsatellites, or simple sequence repeats (SSRs), are highly polymorphic, co-dominant genetic markers commonly used for population genetics analyses although de novo development of species specific microsatellites is cost-and time-intensive. Orchidaceae is one of the most species-rich families of angiosperms with more than 30,000 species estimated. Despite its high species-diversity, microsatellites are available only for a few species and all were developed by only using Sanger sequencing methods. For the first time in orchids, we used 454 GS-FLX sequencing to isolate microsatellites in two species (Cypripedium kentuckiense and Pogonia ophioglossoides), and report preliminary results of the study. From 1/16th plate that was subjected to sequencing, 32,665 reads were generated, from which 15,473 fragments contained at least one SSR. We selected 20,697 SSRs representing di-, tri-, and tetra-nucleotides. While 3,674 microsatellites had flanking regions on both sides, useable primer pairs could be designed for 255 SSRs. The mean numbers of reads, SSRs, and SSR-containing reads useful for primer design estimated for other 15 orchid species using Sanger sequencing method were 166, 78 and 31, respectively. Results demonstrate that the efficiency of microsatellite isolation in orchids is substantially higher with 454 GS-FLX sequencing technique in comparison to the Sanger sequencing methods.

关键词： 454 GS-FLX Sequencing Cypripedium kentuckiense Microsatellites Orchids Pogonia ophioglossoides Sanger Sequencing

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Disjunct Populations of a Locally Common North American Orchid Exhibit High Genetic Variation and Restricted Gene Flow

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Open Journal of Genetics 2015年第4期5卷 159-175页

作者： Madhav Pandey jyotsna sharma Department of Plant and Soil Science Texas Tech University Lubbock TX USA Current Address: Molecular Research LP Shallowater TX USA

Whether the persistence of natural plant populations is limited by genetic diversity, gene flow, or other ecological and evolutionary factors is an important question in plant population genetics. An assessment of the distribution of genetic variation within and among populations is thus useful for understanding broad-scale gene flow patterns in plants with diverse pollination syndromes. We studied Pogonia ophioglossoides (L.) Ker Gawl., which is self-compatible but a primarily outcrossing species in the Tribe Pogonieae in the family Orchidaceae. Using three self-developed, highly polymorphic nuclear microsatellite (simple sequence repeat, or SSR) markers and two chloroplast microsatellites, we assessed genetic variation in eight populations representing its natural distribution. Relatively high within-population genetic variation (mean An = 9.08, Ho = 0.44, and He = 0.71) was detected in P. ophioglossoides. Eleven different alleles and 13 unique haplotypes were detected for two cpDNA microsatellites. Genetic differentiation based on the hierarchical AMOVA showed that 21% (ФPT = 0.21, P = 0.000) and 63% (ФPT = 0.63, P = 0.000) of the nuclear and cpDNA microsatellite allelic diversity, respectively, was distributed among populations. Pairwise FST values ranged from 0.041 to 0.224 and each was statistically significant at P ≤ 0.05. The isolation by distance estimate did not show an association between genetic differentiation and geographic distance indicating that populations were diverging independently. We documented fine-scale spatial genetic structure (FSGS) up to 40 m distance in Texas. Overall, gene flow across the sampled populations of P. ophioglossoides appears restricted, and the short-distance SGS suggests localized seed dispersal in this locally common North American terrestrial orchid.

关键词： cpDNA Genetic Diversity Microsatellites Population Differentiation

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Numerical simulation of square shaped particle sedimentation

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Particuology 2024年第1期84卷 107-116页

作者： Govind sharma Bahni Ray Department of Mechanical Engineering Indian Institute of Technology DelhiHauz KhasNew Delhi110016India

Direct numerical simulations of square particle sedimentation in a viscous incompressible fluid are presented to examine the effects of sharp edges for various particle-to-fluid density ratios and different initial inclination *** settling process exhibits four different motion regimes;non-oscillatory,non-uniform centered oscillatory,uniform off-centered oscillatory,and non-uniform off-centered(irregular)*** moderate density ratios,we observe that the rotational motion of settling square particle varies with the initial inclination *** employ Dynamic Time Warping and Fast Fourier Transform to analyze translational and angular *** systems are described using phase-space plots,and a chaotic phenomenon is observed at a higher density ratio.

关键词： Sedimentation Distributed Lagrangian multiplier Phase synchronization Oscillations

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Sequential decay analysis of^(235)U(n^(th),f)reaction using fragmentation approach

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Chinese Physics C 2024年第6期48卷 145-154页

作者： Nitin sharma Ashutosh Kaushik Manoj K.sharma School of Physics and Materials Science Thapar Institute of Engineering&TechnologyPatiala-147004PunjabIndia

Numerous experimental and theoretical observations have concluded that the probability of the three fragment emission(ternary fission)or binary fission increases when one proceeds towards the heavy mass region of nuclear periodic *** factors affect fragment emission,such as the shell effect,deformation,orientation,and fissility *** and ternary fissions are observed for both ground and excited states of the *** collinear cluster tripartition(CCT)channel of the^(235)U(n^(th),f)reaction is studied,and we observe that the CCT may be a sequential or simultaneous emission *** date,different approaches have been introduced to study the CCT process as a simultaneous or sequential process,but the decay dynamics of these modes have not been not fully *** the three fragments of the sequential process and exploring their related dynamics using an excitation energy dependent approach would be of further ***,in this study,we investigate the sequential decay mechanism of the^(235)U(n^(th),f)reaction using quantum mechanical fragmentation theory(QMFT).The decay mechanism is considered in two steps,where initially,the nucleus splits into an asymmetric *** the second step,the heavy fragment obtained in the first step divides into two *** I analysis is conducted by calculating the fragmentation potential and preformation probability for the spherical and deformed choices of the decaying *** most probable fragment combination of stage I are identified with respect to the dips in the fragmentation structure and the corresponding maxima of the preformation probability(P0).The light fragments of the identified decay channels(obtained in step I)agree closely with the experimentally observed *** excitation energy of the decay channel is calculated using an iteration *** excitation energy is shared using an excitation energy dependent level density *** obtained excitation

关键词： fission cluster radioactivity ternary fission spontaneous fission cluster model total kinetic energy preformation probability

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Comprehending drivers of land use land cover change from 1999 to 2021 in the Pithoragarh District,Kumaon Himalaya,Uttarakhand,India

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Journal of Mountain Science 2024年第7期21卷 2394-2407页

作者： Mahika PHARTIYAL Sanjeev sharma Centre for the Study of Regional Development Jawaharlal Nehru UniversityNew Delhi 110067India

The Himalayan region has been experiencing stark impacts of climate change,demographic and livelihood pattern *** analysis of land use and land cover(LULC)change provides insights into the shifts in spatial and temporal patterns of *** changes are the combined effects of anthropogenic and natural/climatic *** present study attempts to monitor and comprehend the main drivers behind LULC changes(1999-2021)in the Himalayan region of Pithoragarh district,*** district is a border district,remotely located in the north-east region of Uttarakhand,*** study draws upon primary and secondary data sources.A total of 400 household surveys and five group discussions from 38 villages were conducted randomly to understand the climate perception of the local community and the drivers of *** imagery,CRU(Climatic Research Unit)climate data and climate perception data from the field have been used to comprehensively comprehend,analyze,and discuss the trends and reasons for LULC *** and remote sensing techniques were used to construct LULC *** multifaceted approach ensures comprehensive and corroborated *** classes were identified and formed viz-cultivation,barren,settlement,snow,and *** show that vegetation and builtup have increased whereas cultivation,barren land,and snow cover have *** study further aims to elucidate the causes behind LULC changes in the spatially heterogeneous region,distinguishing between those attributed to human activities,climate shifts,and the interconnected impacts of *** study provides a comprehensive picture of the study area and delivers a targeted understanding of local drivers and their potential remedies by offering a foundation for formulating sustainable adaptation policies in the region.

关键词： Himalayan region Land use/land cover change Anthropogenic factors Climate change Socioecological system

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Study of plasma parameters of coaxial plasma source using triple Langmuir probe and Faraday cup diagnostics

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Plasma Science and Technology 2024年第4期26卷 94-100页

作者： Sunil KANCHI Rohit SHUKLA Archana sharma Pulsed Power and Electromagnetics Division Bhabha Atomic Research CentreVisakhapatnam 531011India Homi Bhabha National Institute Mumbai 400085India Beam Technology Development Group Bhabha Atomic Research CentreMumbai 400085India

Coaxial plasma guns are a type of plasma source that produces plasma which propagates radially and axially controlled by the shape of the ground electrode, which has attracted much interest in several applications. In this work, a 120° opening angle of CPG nozzle is used as a plasma gun configuration that operates at the energy of 150 J. The ionization of polyethylene insulator between the electrodes of the gun produces a cloud of hydrogen and carbon *** triple Langmuir probe and Faraday cup are used to measure plasma density and plasma temperature. These methods are used to measure the on-axis and off-axis plasma divergence of the coaxial plasma gun. The peak values of ion densities measured at a distance of 25 mm on-axis from the plasma gun are(1.6±0.5)×10^(19)m^(-3)and(2.8±0.6)×10^(19)m^(-3)for hydrogen and carbon plasma respectively and the peak temperature is 3.02±0.5 eV. The mean propagation velocity of plasma is calculated using the transit times of plasma at different distances from the plasma gun and is found to be 4.54±0.25 cm/μs and 1.81±0.18 cm/μs for hydrogen and carbon plasma respectively. The Debye radius is obtained from the measured experimental data that satisfies the thin sheath approximation. The shot-to-shot stability of plasma parameters facilitates the use of plasma guns in laboratory experiments. These types of plasma sources can be used in many applications like plasma opening switches, plasma devices, and as plasma sources.

关键词： coaxial plasma source triple Langmuir probe Faraday cup plasma density plasma temperature

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Mitigating fire risks in hospitals:Are we primed and geared up?

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Asian Pacific Journal of Tropical Medicine 2024年第3期17卷 141-142页

作者： Raman sharma Sruti sharma Department of Hospital Administration PGIMERChandigarhIndia Department of Hospital Administration Satellite CentreSangrurPGIMERChandigarhIndia

The recent incidents have confirmed that fires in COVID-19 hospitals have become a gruelling and nerve-testing challenge[1-3].The increased volumes of oxygen flow,abundance of inflammable alcohol sanitizers,wearing of inflammable kits,and abundance of equipment make it more acquiescent for such incidents and even difficult to *** density of equipment(especially ventilators)“enriches”air with oxygen,thereby increasing the“combustion risk”.

关键词： nit thereby control

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