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Redefining Needs for Better Follow-Up in Urinary Tuberculosis
Apul Goel,Anuj Goel,Diwakar Dalela
Urology Journal , 2012,
Abstract: No Abstract
Filarial Labial Chylorrhoea: An Uncommon Problem in an Endemic Region
Abhishek Jain,Nisar Ahmad,Apul Goel
Urology Journal , 2010,
Traumatic testicular dislocation: A reminder for the unwary
Vasudeva Pawan,Dalela Divakar,Singh Dharamveer,Goel Apul
Journal of Emergencies, Trauma and Shock , 2010,
Andropause in Indian Men: a Preliminary Cross-Sectional Study
Apul Goel,Rahul Janak Sinha,Divakar Dalela,Satyanarain Sankhwar
Urology Journal , 2009,
Abstract: Introduction: The purpose of this study was to determine the frequency of androgen decline in the aging male (ADAM) in a group of Indian men working in the health sector. Materials and Methods: A free medical health checkup camp was organized for the male workers aged between 40 and 60 years employed in surgical departments of our hospital. Of 180 listed male workers, 170 attended this camp and 157 eligible men participated in the study. After clinical history and systemic inquiry, the participants were requested to complete the Saint Louis University’s ADAM questionnaire, and their serum levels of free and total testosterone were measured. Results: Symptomatic andropause was found in 106 men (67.5%) on the basis of their responses to the questionnaire, of whom 41 (38.7%) had low serum free testosterone levels and 32 (30.2%) had low serum levels of total testosterone. Fifty-one men were asymptomatic according to the questionnaire and in this group, 11 (21.6%) had low serum free testosterone levels and 6 (11.8%) of these had low total testosterone levels. The frequency of andropause was 33.1% on the basis of low serum free testosterone levels and it was 26.1% when both symptoms and low serum free testosterone levels were taken into account.
Transurethral Resection of Prostate Abscess: Is It Different from Conventional Transurethral Resection for Benign Prostatic Hyperplasia?
Neeraj Kumar Goyal,Apul Goel,Satyanarayan Sankhwar,Divakar Dalela
ISRN Urology , 2013, DOI: 10.1155/2013/109505
Abstract: Purpose. To present our experience of prostate abscess management by modified transurethral resection (TUR) technique. Methods. Seventeen men with prostate abscess undergoing TUR between 2003 and 2011 were retrospectively analyzed. Details of demography, surgical procedures, complications, and followup were noted. Results. With a mean age of 61.53 ± 8.58 years, all patients had multifocal abscess cavities. Initially, 6 men underwent classical TUR similar to the technique used for benign prostatic enlargement (group 1). Next, 11 men underwent modified TUR (group 2) in which bladder neck and anterior zone were not resected. The abscess cavities resolved completely, and no patient required a second intervention. One patient in group 1 and three in group 2 had postoperative fever requiring parenteral antibiotics . Three patients in group 1 had transient urinary incontinence, whereas none of the patients in group 2 had this complication ( ). Four and five men in group 1 and 2 reported retrograde ejaculation, respectively . Conclusion. The modified technique of prostate resection edges over conventional TURP in the form of reduced morbidity but maintains its high success rate for complete abscess drainage. It alleviates the need for secondary procedures, having an apparent advantage over limited drainage techniques. Use of this technique is emphasized in cases associated with BPH and lack of proper preoperative imaging. 1. Introduction In the modern antibiotic era, prostatic abscess is a rarely encountered entity, particularly in developed countries [1, 2]. However, in developing countries it continues to be a significant health problem and can result in severe complications and even death on account of delayed diagnosis or inadequate management [3]. Therapeutically, it requires some form of surgical intervention as a medical treatment as monotherapy is usually not sufficient [3]. The management options include transrectal ultrasound- (TRUS-) guided aspiration/tube drainage, transurethral incision over abscess (TUI), transurethral deroofing of the abscess cavity (TUD), or formal transurethral resection of prostate (TURP) [3–9]. No management algorithm is currently available to guide the surgical drainage, and the decision is usually based on the preference of the treating physician. Although TUD and TURP have been described as two separate procedures for prostatic abscess, the techniques are overlapping and poorly defined in the contemporary literature. Similarly, the indications of a particular procedure (whether deroofing or resection) and complications are
Single Incision Laparoscopic Surgery-An Overview and Current Status  [PDF]
Amit Goel
Surgical Science (SS) , 2012, DOI: 10.4236/ss.2012.310100
Abstract: Single incision laproscopic surgery is an alternative to conventional multiport laproscopy. Natural orifice transluminal endoscopic surgery term coined by a Consortium in 2005 remains a research technique with few clinical cases. Single incision surgery offers advantage of better cosmesis, reduced incisions, lesser hernias, decreased pain and infections. Long learning curves and cost of instrumentation are the difficulties encountered in its propagation. Single incision laproscopic surgery is an evolving technique for advanced laproscopic centers. This article outlines the overview of devices and instruments and the techniques, feasibility of single incision laproscopic surgery.
Comparative Study of Clinical Manifestation, Plain Film Radiography and Computed Tomography for Diagnosis of Maxillofacial Trauma  [PDF]
Amit Goel
Modern Plastic Surgery (MPS) , 2015, DOI: 10.4236/mps.2015.54008
Abstract: Objective: Maxillofacial injuries are one of the commonest injuries encountered. Roentgenographic evaluation of maxillofacial trauma is of prime importance for diagnosis and treatment of these injuries. Study Design: Forty patients were evaluated in the prospective four-year study. We studied and evaluated the demography and diagnostic efficacy of clinical, plain radiography, and computed scan in maxillofacial trauma. Result: Road traffic accidents were the commonest cause of maxillofacial injuries. Patients having multiple fractures, mandibular fractures were the commonest. Conclusion: Computed tomography proved a useful adjunct in midfacial trauma.
Effect of PVP, PVA and POLE surfactants on the size of iridium nanoparticles  [PDF]
Anjali Goel, Neetu Rani
Open Journal of Inorganic Chemistry (OJIC) , 2012, DOI: 10.4236/ojic.2012.23010
Abstract: Commonly transition metal nano particle are synthesized by physical, chemical or electrochemical methods. In the present work colloidal iridium nanoparticles were synthesized by chemical oxidation method with different surfactants like poly vinyl pyrrolidone (PVP), poly vinyl alcohol (PVA) and poly oxyethylene lauryl ether (POLE). It was found that shape and size of Ir-nano particles resulted were related to kind of capping agent (surfactant) used. The characterization of the synthesized nano particle has been carried out by UV-vis, X-ray diffraction (XRD), FT-IR, scanning electron microscopy (SEM) and transmission electron microscopic (TEM) techniques. UV-vis and FT-IR confirm the oxidation of IrCl3 into IrO2 while XRD confirms the amorphous nature of the iridium nanoparticles synthesized. The morphology and size of the particle were confirmed by TEM. The average particle size determined by Scherrer equation was about 4.12 nm to 4.23 nm with PVP, 2.74 to 3.36 nm with PVA and 20.41 to 42.25 nm with POLE. Poly oxyethylene lauryl ether particles were not further analyzed because of their large size and less stability. Further particle size was confirmed with TEM, which was 4.5 nm with PVP and 7.0 nm with PVA. The particles are spherical with no agglomeration tendency.
Testability Estimation of Framework Based Applications  [PDF]
Noopur Goel, Manjari Gupta
Journal of Software Engineering and Applications (JSEA) , 2012, DOI: 10.4236/jsea.2012.511097
Abstract: Quality of software systems is highly demanded in today’s scenario. Highly testable system enhances the reliability also. More than 50% of test effort-time and cost are used to produce a highly testable system. Thus, design-for-testability is needed to reduce the test effort. In order to enhance the quality, productivity and reduced cost of the software organizations are promoting to produce the reuse-oriented products. Incorporating reuse technology in both aspects-software development process and test process may payoff many folds. Keeping this view, our study focus the testability of the object-oriented framework based software systems and identify that flexibility at the variable points of the object-oriented framework, chosen for framework instantiation, greatly affects the testability of object-oriented framework based software at each level of testing. In the current paper, we propose a testability model considering the flexible aspect of the variable point to estimate testability in the early phase, requirement analysis phase, of development process of the framework based software. The proposed model helps to improve the testability of the software before the implementation starts thus reducing the overall development cost.
A Multiobjective Optimization Method for Designing M-Channel NPR Cosine Modulated Filter Bank for Image Compression  [PDF]
Anamika Jain, Aditya Goel
Engineering (ENG) , 2015, DOI: 10.4236/eng.2015.72008
Abstract: This paper proposes a method to design multichannel cosine modulated filter bank for image compression using multiobjective optimization technique. The design problem is a combination of stopband residual energy, least square error of the overall transfer function of the filter bank, coding gain with dc leakage free condition as constraint. The proposed algorithm uses Non-dominated Sorting Genetic Algorithm (NSGA) to minimize the mutually contradictory objective function by minimizing filter tap weights of prototype filter. The algorithm solves this problem by searching solutions that achieve the best compromise between the different objectives criteria. The performance of this algorithm is evaluated in terms of coding gain and peak signal to noise ratio (PSNR). Simulation results on different images are included to illustrate the effectiveness of the proposed algorithm for image compression application.
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