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Is posterior nasal neurectomy the definitive treatment for intractable allergic rhinitis: A prospective study

世界耳鼻咽喉头颈外科杂志英文版 2024年第4期10卷 290-295页

作者： Rajdev Saivi goel khushboo Bhagat Sanjeev Sahni Dimple Sharma Dinesh K. Yadav Vishav Department of Otorhinolaryngology and Head& Neck Surgery Government Medical College Patiala Punjab India

Objectives: Allergic rhinitis (AR) has a significant effect on the quality of life and accounts for unproductive times at work and school, causes disturbed sleep patterns and can lead to daytime somnolence. It is fairly prevalent in the world with medical management still being the mainstay of treatment. Patients suffer for a significant number of years before they undergo surgical management for their intractable rhinitis. Thus, this prospective observational study was conducted to reinforce the proficiency of posterior nasal neurectomy in being an effective method for ending this ***: Thirty patients with troublesome intractable rhinitis underwent posterior nasal neurectomy. Pre- and postoperative Visual Analogue Scale (VAS) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) scores were compared to study the improvement in nasal and ocular symptoms. Each domain of these scores was studied ***: The mean reduction in the VAS was from 6.76 ± 0.884 preoperatively to a mean of 5.33 ± 0.675 at 1 month, 3.81 ± 0.462 at 3 months and 2.53 ± 0.405 at 6 months postoperatively. The mean RQLQ score was reduced from preoperative 4.22 ± 1.091 to a mean of 3.82 ± 1.072 at 1 month, 3.55 ± 1.063 at 3 months and 3.18 ± 1.173 at 6 months postoperatively. Thus, a statistically significant improvement was seen in both mean VAS and RQLQ scores (P < 0.001), and also when each domain was compared ***: Endoscopic posterior nasal neurectomy may be an effective way of improving symptoms in patients with intractable AR and freeing them from long-term medical regimes, thereby improving their quality of life.

关键词： endoscopic posterior nasal neurectomy intractable allergic rhinitis posterior nasal nerve vidian neurectomy

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A randomized controlled trial on triamcinolone versus saline impregnated merocel post endoscopic sinus surgery:Our experience in a tertiary care centre

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2024年第3期10卷 193-199页

作者： Ananya Sood khushboo goel SSanjeev Bhagat Dimple Sahni Dinesh Kumar Sharma Vishav Yadav Department of Otorhinolaryngology and Head&Neck Surgery Government Medical CollegePatialaPunjabIndia

Purpose:To assess the potential benefit of impregnating Merocel(a non-absorbable nasal dressing)with a topical steroid solution,for use as a direct and slow local delivery system of steroids after sinus surgery to improve postoperative wound ***:In this randomized controlled trial,40 patients with bilateral chronic rhinosinusitis with nasal polyposis were subjected to functional endoscopic sinus *** the completion of the surgery,Merocel packs were inserted in the bilateral nasal cavities and infiltrated with 4 mL triamcinolone(40 mg/mL)in one nasal cavity(treatment group)and 4 mL normal saline in the other(control group).Nasal packs were removed on the third postoperative day and postoperative healing assessment was done on postoperative Weeks 1,2,4,and *** findings were noted as per Lund Kennedy(LKES)and perioperative sinus endoscopy(POSE)scores and compared on both ***:Significant(P<0.05)improvement was noted in Lund Kennedy score for crusting and polyp at Week 12,for edema at Week 1,and nasal discharge at Weeks 1 and 12,but there was no significant improvement in scarring at any ***,the difference between the treatment and control arms was statistically significant at all postoperative visits except at Week ***,there was a significant improvement in POSE scores at Weeks 1,2,and 12 but not at Week ***:This study positively concludes that the nasal cavity packed with drug-soaked packs had less scarring and edema in the postoperative period and the overall wound healing was much better as compared to saline-soaked packs.

关键词： chronic rhinosinusitis functional endoscopic sinus surgery Lund Kennedy merocele perioperative sinus endoscopy triamcinolone

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Solar rooftop in India: Policies,challenges and outlook

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Green Energy & Environment 2016年第2期1卷 129-137页

作者： Malti goel Science & Technological Solutions for Sustainable Energy Future Climate Change Research Institute

Solar photovoltaic rooftop has emerged as a potential green technology to address climate change issues by reducing reliance on conventional fossil fuel based energy. With a strong commitment to increase the renewable sources based energy capacity to 175 GW by 2022, India has a target to install 100 GW of solar energy capacity. Of this 40 GW would be the share of grid connected solar PV rooftop. This paper examines global growth in solar energy, world's major rooftop installed capacity countries' policies and solar rooftop policy instruments in India. The current Indian goals, issues & challenges in achieving them and trends in further development are discussed.

关键词： Solar energy India Rooftop PV Policies Outlook

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Experimental investigation on mechanical properties of binary and ternary blended pervious concrete

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Frontiers of Structural and Civil Engineering 2020年第1期14卷 229-240页

作者： Rekha SINGH Sanjay goel Department of Civil Engineering I.K.Gujral Punjab Technical UniversityJalandhar 144603India Department of Civil Engineering DAV Institute of Engineering and TechnologyJalandhar 144008India

The purpose of the investigation was to study the effect of binary and ternary blends of cement on the mechanical properties of pervious concrete(PC)specimen through destructive(DT)and non-destructive testing(NDT).Various combinations of fly ash(FA),limestone powder(LP),metakaolin(MK),and silica fume(SF)as mineral admixtures have been investigated to partially replace the cement up to 30%by weight in *** cube specimens of size 150 mm×150 mm×150 mm of binary and ternary blends of mineral admixture of pervious concrete were prepared to conduct standard compressive strength test and split tensile test at 7 and 28 days of *** ultrasonic pulse velocity(UPV)test and Rebound Hammer test were used as a non-destructive testing tool to substantiate the robustness of PC and to determine the approximate mechanical properties where other destructive testing tools are not feasible in case of inplace pervious *** the pervious concrete made with LP based ternary blends(PLM and PLS)were found to perform better than FA based ternary blends(PFM and PFS)and control mix(PC)in destructive and non-destructive testing.

关键词： mineral admixture ternary compressive strength split tensile strength pervious concrete ultrasonic pulse velocity

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Recent progress and perspective on batteries made from nuclear waste

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Nuclear Science and Techniques 2023年第3期34卷 1-8页

作者： Nirmal Kumar Katiyar Saurav goel School of Engineering London South Bank UniversityLondonSE10 AAUK University of Petroleum and Energy Studies Dehradun248007India

Sustainable energy sources are an immediate need to cope with the imminent issue of climate change the world is facing *** particular,the long-lasting miniatured power sources that can supply energy continually to power handheld gadgets,sensors,electronic devices,unmanned airborne vehicles in space and extreme mining are some of the examples where this is an acute *** is known from basic physics that radioactive materials decay over few years and some nuclear materials have their half-life until thousands of *** past five decades of research have been spent harnessing the decay energy of the radioactive materials to develop batteries that can last until the radioactive reaction ***,an emergent opportunity of industrial symbiosis to make use of nuclear waste by using radioactive waste as raw material to develop bat-teries with long shelf life presents a great opportunity for sustainable energy resource ***,the current canon of research on this topic is *** perspective draws fresh discussions on the topic while highlighting future directions in this wealthy arena of *** abstract A long-lasting miniaturised nuclear battery utilising 14C radioactive isotope as fuel.

关键词： Sustainable energy Nuclear waste battery Nano-diamond

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Phishing website prediction using base and ensemble classifier techniques with cross-validation

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Cybersecurity 2023年第1期6卷 17-39页

作者： Anjaneya Awasthi Noopur goel Department of Computer Applications VBS Purvanchal UniversityJaunpurUPIndia

Internet or public internetwork has become a vulnerable place nowadays as there are so many threats available for the novice or careless users because there exist many types of tools and techniques being used by notorious peo-ple on it to victimize people somehow and gain access to their precious and personal data resulting in sometimes ***,these victims suffer considerable losses in many instances due to their entrapment in such traps as hacking,cracking,data diddling,Trojan attacks,web jacking,salami attacks,and ***,despite the web users and the software and application developer's continuous effort to make and keep the IT infrastructure safe and secure using many techniques,including encryption,digital signatures,digital certificates,*** paper focuses on the problem of phishing to detect and predict phishing websites URLs,primary machine learning classifiers and new ensemble-based techniques are used on 2 distinct *** on a merged dataset,this study is conducted in 3 ***,they include classification using base classifiers,Ensemble classifiers,and then ensemble classifiers are tested with and without ***,their performance is analyzed,and the results are presented at last to help others use this study for their upcoming research.

关键词： Phishing Hacking Data diddling Machine learning Ensemble

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The hemispheric asymmetry of solar activity during the last century and the solar dynamo

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Chinese Journal of Astronomy and Astrophysics 2009年第1期9卷 115-126页

作者： Ashish goel Arnab Rai Choudhuri Department of Physics Indian Institute of Technology Department of Physics Indian Institute of Science

We believe the Babcock-Leighton process of poloidal field generation to be the main source of irregularity in the solar cycle. The random nature of this process may make the poloidal field in one hemisphere stronger than that in the other hemisphere at the end of a cycle. We expect this to induce an asymmetry in the next sunspot cycle. We look for evidence of this in the observational data and then model it theoretically with our dynamo code. Since actual polar field measurements exist only from the 1970s, we use the polar faculae number data recorded by Sheeley （1991, 2008） as a proxy of the polar field and estimate the hemispheric asymmetry of the polar field in different solar minima during the major part of the twentieth century. This asymmetry is found to have a reasonable correlation with the asymmetry of the next cycle. We then run our dynamo code by feeding information about this asymmetry at the successive minima and compare the results with observational data. We find that the theoretically computed asymmetries of different cycles compare favorably with the observational data, with the correlation coefficient being 0.73. Due to the coupling between the two hemispheres, any hemispheric asymmetry tends to get attenuated with time. The hemispheric asymmetry of a cycle either from observational data or from theoretical calculations statistically tends to be less than the asymmetry in the polar field （as inferred from the faculae data） in the preceding minimum. This reduction factor turns out to be 0.43 and 0.51 respectively in observational data and theoretical simulations.

关键词： Sun activity -- Sun magnetic fields -- sunspots

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Optimal timing for plastic surgical procedures for common congenital anomalies:A review

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World Journal of Clinical Pediatrics 2024年第2期13卷 38-61页

作者： Aakanksha goel Arun goel Divine Aesthetic Surgery New Delhi 110048India Department of Plastic Surgery Lok Nayak Hospital and Associated Maulana Azad Medical CollegeNew Delhi 110002India

Apart from listening to the cry of a healthy newborn,it is the declaration by the attending paediatrician in the labour room that the child is normal which brings utmost joy to *** global incidence of children born with congenital anomalies has been reported to be 3%-6%with more than 90%of these occurring in low-and middle-income group *** exact percentages/total numbers of children requiring surgical treatment cannot be estimated for several *** children are operated under several surgical disciplines,viz,paediatric-,plastic reconstructive,neuro-,cardiothoracic-,orthopaedic surgery *** conditions may be life-threatening,e.g.,trachea-oesophageal fistula,critical pulmonary stenosis,*** require immediate surgical ***,e.g.,hydrocephalus,may need intervention as soon as the patient is fit for ***,e.g.,patent ductus arteriosus need‘wait and watch’policy up to a certain age in the hope of spontaneous *** extremely important category is that of patients where the operative intervention is done based on their *** all the congenital anomalies coming under care of a plastic surgeon are operated as elective surgery(many as multiple stages of correction)at appropriate *** are advantages and disadvantages of intervention at different *** this article,we present a review of optimal timings,along with reasoning,for surgery of many of the common congenital anomalies which are treated by plastic ***,paediatricians and general practitioners/family physicians,who most often are the first ones to come across such children,must know to guide the parents appropriately and convincingly impress upon the them as to why their child should not be operated immediately and also the consequences of too soon or too late.

关键词： Plastic surgery Congenital anomalies Pediatric plastic surgery Facial cleft Microtia Vascular anomalies Syndactyly Hypospadias Optimal timing Pediatric surgery

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Tunnelling through weak and fragile rocks of Himalayas

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International Journal of Mining Science and Technology 2014年第6期24卷 783-790页

作者： goel R.K. CSIR-Central Institute of Mining & Fuel Research Regional CentreCBRI Campus Roorkee India

A considerable amount of tunnelling has been going on in India for various projects such as hydroelectric power, irrigation, roads and railways. Most of these projects are located in Himalayas, far away from the urban areas. Tunnelling through weak and jointed rock masses such as the one in the Himalayas is a challenging task for the planners, designers, engineers and geologists because of high overburden, thickly vegetated surface, weak, poor and fragile rocks and highly varying geology with the presence of numerous small and big shear zones, faults, etc. Due to these reasons, various tunnelling problems have been faced in the past and are still being encountered. Failures and the problems may be regarded as challenges and opportunities for generating new knowledge base and thereby increasing self-reliance in tunnelling. The experiences of Himalayan tunnelling through weak and fragile rocks covering varying and mixed geology, understanding on tunnelling in squeezing ground conditions and applicability of TBM in Himalayas are presented. It has also been highlighted that the probe holes planning, drilling and monitoring shall be followed seriously to reduce the geological surprises.

关键词： Varying geology Mixed geology Weak and fragile rocks Himalayan tunnelling Ground condition Squeezing

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Anthrax: A disease of biowarfare and public health importance

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World Journal of Clinical Cases 2015年第1期3卷 20-33页

作者： Ajay Kumar goel Biotechnology Division Defence Research and Development Establishment Gwalior 474002 India

Bioterrorism has received a lot of attention in the first decade of this century. Biological agents are considered attractive weapons for bioterrorism as these are easy to obtain, comparatively inexpensive to produce and exhibit widespread fear and panic than the actual potential of physical damage. Bacillus anthracis(B. anthracis), the etiologic agent of anthrax is a Gram positive, spore forming, non-motile bacterium. This is supposed to be one of the most potent BW agents because its spores are extremely resistant to natural conditions and can survive for several decades in the environment. *** spores enter the body through skin lesion(cutaneous anthrax), lungs(pulmonary anthrax), or gastrointestinal route(gastrointestinal anthrax) and germinate, giving rise to the vegetative form. Anthrax is a concern of public health also in many countries where agriculture is the main source of income including India. Anthrax has been associated with human history for a very long time and regained its popularity after Sept 2001 incidence in United States. The present review article describes the history, biology, life cycle, pathogenicity, virulence, epidemiology and potential of B. anthracis as biological weapon.

关键词： Anthrax Bacillus anthracis Biological warfare Epidemiology Infection Public health

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