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Anterior resection for rectal carcinoma-risk factors for anastomotic leaks and strictures

World Journal of Gastroenterology 2011年第11期17卷 1475-1479页

作者： Ashok kumar Ram Daga Paari Vijayaragavan Anand Prakash rajneesh kumar singh Anu Behari Vinay K Kapoor Rajan Saxena Department of Surgical Gastroenterology Sanjay Gandhi Post Graduate Institute of Medical Sciences Lucknow 226014India

AIM:To determine the incidence and factors responsible for anastomotic leaks and stricture following anterior resection(AR)and its subsequent ***:Retrospective analysis of data from 108 patients with rectal carcinoma who underwent AR or low anterior resection(LAR)to identify the various preoperative,operative,and post operative factors that might have influence on anastomotic leaks and ***:There were 68 males and 40 females with an average of 47 years(range 21-75 years).The median distance of the tumor from the anal verge was 8 cm(range 3-15 cm).Sixty(55.6%)patients underwent handsewn anastomosis and 48(44.4%)were *** median operating time was 3.5 h(range2.0-7.5 h).Sixteen(14.6%)patients had an anastomotic *** these,11 patients required reexploration and five were managed *** anastomotic leak rate was similar in patients with and without diverting stoma(8/60,13.4%with stoma and 8/48;16.7%without stoma).In 15(13.9%)patients,resection margins were positive for ***(17.6%)patients developed anastomotic strictures at a median duration of 8 mo(range 3-20 mo).Among these,15 patients were successfully managed with per-anal *** multivariate analysis,advance age(>60 years)was the only risk factor for anastomotic leak(P=0.004).On the other hand,anastomotic leak(P=0.00),mucin positive tumor(P =0.021),and lower rectal growth(P=0.011)were found as risk factors for the development of an anastomotic ***:Advance age is a risk factor for an anastomotic *** anastomotic leak,a mucin-secreting tumor,and lower rectal growth predispose patients to develop anastomotic strictures.

关键词： Rectal carcinoma Anterior resection Anastomotic leak Stricture

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Laparoscopic management of hydatid cysts using long ribbon gauze:An initial experience of 37 consecutive cases

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Laparoscopic, Endoscopic and Robotic Surgery 2023年第3期6卷 109-114页

作者： Ashok kumar II Nalini Kanta Ghosh Anu Behari Ashish singh Rahul Rai Somanath Malage rajneesh kumar singh Department of Surgical Gastroenterology Sanjay Gandhi Postgraduate Institute of Medical ScienceLucknow 226014India

Objective:The laparoscopic approach is becoming the standard of care for many surgical ***,in the case of hydatid cysts,laparoscopic management is challenging due to the risk of spillage of hydatid fluid,which can cause an anaphylactic reaction and ***,we report our initial experience with laparoscopic partial pericystectomy of hydatid cysts using long ribbon gauze to decrease intra-operative ***:This was a retrospective study(between January 2010 and December 2021)in the Department of Surgical Gastroenterology,Sanjay Gandhi Postgraduate Institute of Medical Science,a tertiary care referral center in northern ***,we have included 37 consecutive patients with hydatid cysts of the liver and *** was made by laboratory and imaging findings(abdominal sonography or contrast enhanced CT scans).All patients were managed with laparoscopic partial ***,a betadine-soaked long ribbon gauze,high-pressure suction canula,and an endo-bag were used in all *** collected data included patient demography,location,size,and number of cysts,WHO type,operative time,blood loss,postoperative complications,hospital stay and ***:In our series,the mean age was 38.4±13.6 years,15(40.5%)were men and 22(59.5%)were *** right lobe of the liver was the most commonly affected site(21,56.8%).The mean operative time was 80.0±32.0 min,and intraoperative blood loss was 23.6±11.5 *** leak was present in 6(16.2%)*** was no *** hospital stay was 5(3,9)days,and no recurrence was observed at a median follow-up of 36 ***:Laparoscopic partial pericystectomy using this technique is safe in the management of hydatid ***,proper packing and safe removal of soaked gauzes can minimize the incidence of postoperative complications and recurrence.

关键词： Hydatid cyst Laparoscopic partial pericystectomy Long ribbon gauze

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Propagation of plane waves in thermoelastic cubic crystal material with two relaxation times

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Applied Mathematics and Mechanics(English Edition) 2007年第5期28卷 627-641页

作者： rajneesh kumar Manjeet singh Department of Mathematics Kurukshetra University Department of Mathematics S.U.S. Govt. College

A problem concerned with the reflection and refraction of thermoelastic plane waves at an imperfect interface between two generalized thermally conducting cubic crystal solid half-spaces of different elastic and thermal properties with two relaxation times has been investigated. The generalized thermoelastic theory with two relaxation times developed by Green and Lindsay has been used to study the problem. The expressions for the reflection and refraction coefficients which are the ratios of the amplitudes of reflected and refracted waves to the amplitude of incident waves are obtained for an imperfect boundary and deduced for normal stiffness, transverse stiffness, thermal contact conductance, slip and welded boundaries. Amplitude ratios of different reflected and refracted waves for different boundaries with angle of emergence have been compared graphically for different incident waves. It is observed that the amplitude ratios of reflected and refracted waves are affected by the stiffness and thermal properties of the media.

关键词： generalized thermoelasticity normal stiffness transverse stiffness thermal contact conductance cubic crystal amplitude ratios

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Internal hernia as a rare cause of small bowel obstruction:An insight from 13 years of experience

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World Journal of Clinical Cases 2025年第7期13卷 21-27页

作者： Payal Kaw Anu Behari Supriya Sharma Ashok kumar rajneesh K singh Department of Surgical Gastroenterology Sanjay Gandhi Post Graduate Institute of Medical SciencesLucknow 226014UPIndia

BACKGROUND Internal hernia(IH)is a rare culprit of small bowel obstruction(SBO)with an incidence of<1%.It poses a considerable diagnostic challenge requiring a high index of suspicion to prevent misdiagnosis,improper treatment,and subsequent morbidity and *** To determine the clinico-demographic profile,radiological and operative findings,and postoperative course of patients with IH and its association with *** Medical records of 586 patients with features of SBO presenting at a tertiary care centre at Lucknow,India between September 2010 and August 2023 were *** Out of 586 patients,7(1.2%)were diagnosed with *** these,4 had congenital IH and 3 had acquired *** male-to-female ratio was 4:*** median age at presentation was 32 ***-enhanced computed tomography(CECT)was the most reliable investigation for preoperative identification,demonstrating mesenteric whirling and clumped-up bowel *** paraduodenal hernia and transmesenteric hernia occurred with an equal frequency(approximately 43%each).Intraoperatively,one patient was found to have bowel ischemia and one had associated malrotation of *** follow-up,no recurrences were *** IH,being a rare cause,must be considered as a differential diagnosis for SBO,especially in young patients in their 30s or with unexplained abdominal pain or discomfort post-surgery.A rapid imaging evaluation,preferably with CECT,is necessary to aid in an early diagnosis and prompt intervention,thereby reducing financial burden related to unnecessary investigations and preventing the morbidity and mortality associated with closed-loop obstruction and strangulation of the bowel.

关键词： Paraduodenal hernia Internal hernia Mesenteric whirling Bowel obstruction Computed tomography

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Experimental Study of Parameters of a Plasma Antenna

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Plasma Science and Technology 2010年第5期12卷 592-600页

作者： rajneesh kumar Dhiraj BORA Institute for Plasma Research ITER Organisation

A plasma column excited by a surface wave can act as a plasma antenna. Experiments are carried out to study the current and conductivity distributions, field, power patterns, directivity and efficiency of such a plasma antenna. In addition, an equivalent metallic copper antenna is built up and its antenna parameters are compared with that of the plasma antenna. Our findings indicate that the power content in the harmonics of the plasma antenna is more prominent as compared to the copper antenna （which only generates a fundamental frequency）. However, the power patterns for both antennae are quite similar. To provide a more qualitative understanding regarding the generation of harmonics in the field of the plasma antenna, a bi-spectral analysis is performed to study the nonlinear interactions in the current fluctuations. Some specific features of the plasma antenna are investigated in our study, which may enhance the application prospect of the plasma antenna with respect to the conventional metallic antenna.

关键词： plasma column antenna parameters plasma antenna metallic copper antenna non-linear interactions

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Propagation of waves in an electro-microstretch generalized thermoelastic semi-space

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Acta Mechanica Sinica 2009年第5期25卷 619-628页

作者： rajneesh kumar.Rupender Department of Mathematics Kurukshetra University

The present investigation is concerned with wave propagation in an electro-microstretch generalized thermoelastic solid half space. Two different cases have been discussed：（i） reflection of plane wave at the free surface of an electro-microstretch generalized thermoelastic solid; and （ii） propagation of Rayleigh waves in an electro-microstretch generalized thermoelastic solid half space. In case （i）, the amplitude ratios of the various reflected waves have been computed numerically and depicted graphically against angle of incidence. In case （ii）, the frequency equation is derived and dispersion curves giving phase velocity and attenuation coefficient as a function of wave number, have been plot- ted graphically for a specific model. Some special cases of interest are also deduced, for both the cases.

关键词： Amplitude ratios Electro-microstretch thermoelastic solid Frequency equation Rayleigh waves

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Uniqueness,reciprocity theorem,and plane waves in thermoelastic diffusion with a fractional order derivative

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Chinese Physics B 2013年第7期22卷 286-297页

作者： rajneesh kumar Vandana Gupta Department of Mathematics Kurukshetra University

In this work, a theory of thermoelasticity with diffusion is taken into consideration by using the methodology of fractional calculus. The governing equations for particle motion in a homogeneous anisotropic fractional order generalized thermoelastic diffusive medium are presented. Uniqueness and reciprocity theorems are proved. The plane wave propagation in the homogeneous transversely isotropic thermoelastic diffusive medium with fractional order derivative is studied. For the two-dimensional problem, there exist a quasi-longitudinal wave, a quasi-transverse wave, a quasi-mass diffusion wave, and a quasi-thermal wave. From the obtained results, the different characteristics of waves, like phase velocity, attenuation coefficient, specific loss, and penetration depth, are computed numerically and presented graphically. Some special cases are also discussed.

关键词： thermoelastic diffusion fractional calculus uniqueness theorem reciprocity theorem

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Elastodynamics of axi-symmetric deformation in magneto-micropolar generalized thermoelastic medium

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Applied Mathematics and Mechanics(English Edition) 2009年第1期30卷 39-48页

作者： rajneesh kumar Rupender Department of Mathematics Kurukshetra University Kurukshetra-136 119 India

The present investigation is concerned with an axi-symmetric problem in the electromagnetic micropolar thermoelastic half-space whose surface is subjected to the mechanical or thermal source. Laplace and Hankel transform techniques are used to solve the problem. Various types of sources are taken to illustrate the utility of the approach. Integral transforms are inverted by using a numerical technique to obtain the components of stresses, temperature distribution, and induced electric and magnetic fields. The expressions of these quantities are illustrated graphically to depict the magnetic effect for two different generalized thermoelasticity theories, i.e., Lord and Shulman （L-S theory） and Green and Lindsay （G-L theory）. Some particular interesting cases are also deduced from the present investigation.

关键词： generalized magneto-micropolar thermoelasticity axi-symmetric problem mechanical and thermal sources Laplace and Hankel transforms

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Analysis of thermal injuries using classical Fourier and DPL models for multi-layer of skin under different boundary conditions

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International Journal of Biomathematics 2021年第6期14卷 85-114页

作者： rajneesh kumar Chaudhary Dinesh kumar Kabindra Nath Rai Jitendra singh Department of Mathematics Institute of Science Banaras Hindu UniversityVaranasi-221005India Department of Mathematics Govt.Polytechnic College Nawada-805122BiharIndia Department of Mathematical Sciences IIT-BHU Varanasi-221005India

In this paper,the temperature distribution in the multi-layer of the skin is studied when the skin surface is subjected to most generalized boundary *** skin model consists of three layers known as the epidermis,dermis,and subcutaneous *** layers of skin are assumed to be connected with point of interface condition and taking the barrier in between each of the two layers by symmetric flux condition and analyzing each layer *** classical Fourier and non-Fourier(DPL)models are extended to analyze the behavior of heat transfer in the multi-layer of the *** Laplace transform technique is used to derive analytical solutions for the multi-layer of skin *** effects of the variability of different parameters such as relaxation time,layer thickness,and different types of boundary conditions on the behavior of temperature distribution in the multi-layer of skin are analyzed and discussed in *** the effects are shown *** has been observed that during temperature distribution in the multi-layer of skin,the measurement of skin damage is less on the DPL model(rq>Tt)in comparison to the classical Fourier model.

关键词： Skin of multi-layer generalized boundary condition dual-phase lagging burn effect relaxation time Laplace transform technique

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Propagation of wave at the boundary surface of transversely isotropic thermoelastic material with voids and isotropic elastic half-space

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Applied Mathematics and Mechanics(English Edition) 2010年第9期31卷 1153-1172页

作者： rajneesh kumar Rajeev kumar Department of Mathematics Kurukshetra UniversityKurukshetra 136119India

The purpose of this research is to study the effect of voids on the surface wave propagation in a layer of a transversely isotropic thermoelastic material with voids lying over an isotropic elastic half-space. The frequency equation is derived after developing a mathematical model for welded and smooth contact boundary conditions. The dispersion curves giving the phase velocity and attenuation coefficient via wave number are plotted graphically to depict the effects of voids and anisotropy for welded contact boundary conditions. The specific loss and amplitudes of the volume fraction field, the normal stress, and the temperature change for welded contact are obtained and shown graphically for a particular model to depict the voids and anisotropy effects. Some special cases are also deduced from the present investigation.

关键词： propagation of wave transverse isotropy thermoelastic with voids isotropic elastic half-spaze phase velocity attenuation coefficient

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