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Search Results: 1 - 10 of 191388 matches for " D. Loomba "
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Psoas Hematoma Following Lumbar Sympathetic Block in a Patient with Renal and Liver Diseases and Recent Use of Aggrenox  [PDF]
Nashaat Rizk, Zirong Zhao, Munish Loomba
Open Journal of Anesthesiology (OJAnes) , 2014, DOI: 10.4236/ojanes.2014.44015

Lumbar sympathetic block is an analgesic procedure frequently performed in chronic pain clinics for ischemic lower limb pain from peripheral arterial disease. Although the lumbar sympathetic ganglia are anatomically near major vascular and neural structures, complications such as severe hemorrhage is rarely reported. Aspirin/extended release dipyridamole (Aggrenox) is indicated for secondary stroke prevention. Stroke is frequently a co-morbid condition in patients with peripheral vascular disease. Interventional pain physicians frequently face the difficulty of deciding whether to continue or stop antithrombotic medications in the periprocedural period because of the devastating consequences of both hemorrhagic and thrombotic complications. Due to a paucity of data, no guidelines have been specifically written for interventional procedures for chronic pain. To aid future decision making, we present a case report of psoas hematoma developed after lumbar sympathetic block in a patient with end stage renal failure and hepatic dysfunction who had limb-threatening ischemia. The patient was treated with Aggrenox until three days before the procedure.

Measurement of Optical Attenuation in Acrylic Light Guides for a Dark Matter Detector
M. Bodmer,N. Phan,M. Gold,D. Loomba,J. A. J. Matthews,K. Rielage
Physics , 2013, DOI: 10.1088/1748-0221/9/02/P02002
Abstract: Acrylic is a common material used in dark matter and neutrino detectors for light guides, transparent vessels, and neutron shielding, creating an intermediate medium between the target volume and photodetectors. Acrylic has low absorption within the visible spectrum and has a high capture cross section for neutrons. The natural radioactivity in photodetectors is a major source of background neutrons for low background detectors making the use of acrylic attractive for shielding and background reduction. To test the optical properties of acrylic we measured the transmittance and attenuation length of fourteen samples of acrylic from four different manufacturers. Samples were evaluated at five different wavelengths between 375 nm and 632 nm. We found that all samples had excellent transmittance at wavelengths greater than 550 nm. Transmittance was found to decrease below 550 nm. As expected, UV-absorbing samples showed a sharp decrease in transmittance below 425 nm compared to UV-transmitting samples. We report attenuation lengths for the three shortest wavelengths for comparison and discuss how the acrylic was evaluated for use in the MiniCLEAN single-phase dark matter detector.
Search for Free Fractional Electric Charge Elementary Particles
V. Halyo,P. Kim,E. R. Lee,I. T. Lee,D. Loomba,M. L. Perl
Physics , 1999, DOI: 10.1103/PhysRevLett.84.2576
Abstract: We have carried out a direct search in bulk matter for free fractional electric charge elementary particles using the largest mass single sample ever studied - about 17.4 mg of silicone oil. The search used an improved and highly automated Millikan oil drop technique. No evidence for fractional charge particles was found. The concentration of particles with fractional charge more than 0.16e (e being the magnitude of the electron charge) from the nearest integer charge is less than $4.71\times10^{-22}$ particles per nucleon with 95% confidence.
Achievement of surgically soft and safe eyes--a comparative study
Sud R,Loomba R
Indian Journal of Ophthalmology , 1991,
Abstract: With the advent of intra ocular lens implantation at the time of cataract extraction, especially by intracapsular method, it has become very important to prevent the loss of vitreous during surgery. This can be achieved by lowering the intraocular pressure by various methods. In order to find out the best method to achieve a soft & safe eye before surgery, a study was conducted on 90 patients, undergoing intracapsular cataract extraction. The patients were divided into 9 groups of 10 each, & different methods of lowering intraocular pressure were tried and results compared. It was observed that intravenous mannitol given preoperatively and pressure with mercury column together, formed the best combination to achieve the maximum tension lowering effect.
GEM-based TPC with CCD Imaging for Directional Dark Matter Detection
N. S. Phan,R. J. Lauer,E. R. Lee,D. Loomba,J. A. J. Matthews,E. H. Miller
Physics , 2015,
Abstract: Directional dark matter detection will require scale-ups to large volumes if low-pressure gas Time Projection Chambers (TPCs) are the only viable technology. We discuss some of the challenges for this technology, where balancing the goal of achieving the best sensitivity with that of cost effective scale-up requires an optimization over a large parameter space. Critical for this are the precision measurements of the fundamental properties of both electron and nuclear recoil tracks down to the lowest energies. Such measurements would provide a benchmark for background discrimination and directional sensitivity that could be used for future optimization studies for directional dark matter experiments. In this paper we describe a small, high resolution, high signal-to-noise GEM-based TPC with a 2D CCD readout designed for this goal. The performance of the detector was characterized using X-rays, gamma-rays, and neutrons, enabling detailed measurements of electron and nuclear recoil tracks. Stable effective gas gains of greater than 1x10^5 were obtained in 100 Torr of pure CF4 by a cascade of three standard CERN GEMs each with a 140 um pitch. The high signal-to-noise and submillimeter resolution of the GEM amplifcation and CCD readout, together with low diffusion, allow for excellent background discrimination down to a recoil energy of ~ 20 keVr. Even lower thresholds, necessary for low mass WIMPs for example, might be achieved by lowering the pressure and/or with full 3D track reconstruction. These and other paths for improvements are discussed, as are possible fundamental limitations imposed by the physics of energy loss.
Methicillin and vancomycin resistant S. aureus in hospitalized patients
Loomba Poonam,Taneja Juhi,Mishra Bibhabati
Journal of Global Infectious Diseases , 2010,
Abstract: S. aureus is the major bacterial cause of skin, soft tissue and bone infections, and one of the commonest causes of healthcare-associated bacteremia. Hospital-associated methicillin-resistant S. aureus (MRSA) carriage is associated with an increased risk of infection, morbidity and mortality. Screening of high-risk patients at the time of hospital admission and decolonization has proved to be an important factor in an effort to reduce nosocomial transmission. The electronic database Pub Med was searched for all the articles on "Establishment of MRSA and the emergence of vancomycin-resistant S. aureus (VRSA)." The search included case reports, case series and reviews. All the articles were cross-referenced to search for any more available articles. A total of 88 references were obtained. The studies showed a steady increase in the number of vancomycin-intermediate and vancomycin-resistant S. aureus. Extensive use of vancomycin creates a selective pressure that favors the outgrowth of rare, vancomycin-resistant clones leading to heterogenous vancomycin intermediate S. aureus hVISA clones, and eventually, with continued exposure, to a uniform population of vancomycin-intermediate S. aureus (VISA) clones. However, the criteria for identifying hVISA strains have not been standardized, complicating any determination of their clinical significance and role in treatment failures. The spread of MRSA from the hospital to the community, coupled with the emergence of VISA and VRSA, has become major concern among healthcare providers. Infection-control measures, reliable laboratory screening for resistance, appropriate antibiotic prescribing practices and avoidance of blanket treatment can prevent long-term emergence of resistance.
Gastrointestinal histoplasmosis presenting as colonic pseudotumour
Sehgal S,Chawla R,Loomba P,Mishra B
Indian Journal of Medical Microbiology , 2008,
Abstract: We report a case of gastrointestinal histoplasmosis in a 45-year-old HIV positive man who was misdiagnosed as a case of colonic cancer. The patient presented with low-grade fever, pain in lower abdomen, anorexia and weight loss of six months duration. On examination a lump in the left iliac fossa was detected. Colonoscopy revealed stricture and ulcerated growth in the sigmoid colon. Radiological investigations suggested malignant/inflammatory mass in the sigmoid colon with luminal compromise. Patient was operated and ulcerated tissue was sent for histopathological examination, which revealed numerous intracellular, 2-4 μm, oval, narrow-based budding yeast cells suggestive of Histoplasma capsulatum . Subsequently, the patient developed fluffy opacities on X-ray chest. Examination of sputum revealed presence of acid-fast bacilli and yeast forms of H. capsulatum . Patient was started on amphotericin B but died on the seventeenth postoperative day. The diagnosis of histoplasmosis was made retrospectively. Atypical presentation and rarity of the disease led to this diagnostic pitfall. To the best of our knowledge this is the first report of gastrointestinal histoplasmosis presenting as colonic pseudotumour from India.
Cryptococcal granulomas in an immunocompromised HIV-negative patient
Taneja Juhi,Bhargava Aradhana,Loomba Poonam,Dogra Vinita
Indian Journal of Pathology and Microbiology , 2008,
Abstract: Disseminated cryptococcosis usually occurs in immunocompromised individuals with defective cell-mediated immunity, most commonly seen with HIV infection. We present a case of disseminated cryptococcosis in an HIV-negative male patient who presented with headache, fever, altered sensorium of short duration and multiple cutaneous lesions. An emergency CT scan of the head showed multiple intracranial and intraventricular granulomas. Routine laboratory investigations were within the normal range. A CSF examination revealed capsulated yeasts on India ink and a culture yielded cryptococcus neoformans. A cryptococcal antigen test by latex agglutination kit was positive. A biopsy revealed multiple capsulated yeasts cells in the cutaneous lesions, which were consistent with cryptococcus neoformans. The patient was successfully treated with Amphotericin B and Fluconazole with regression of cranial and cutaneous lesions.
Comparison of 12-Month Outcomes with Zotarolimus- and Paclitaxel-Eluting Stents: A Meta-Analysis
Rohit S. Loomba,Suraj Chandrasekar,Neil Malhotra,Rohit R. Arora
ISRN Cardiology , 2011, DOI: 10.5402/2011/675638
The Deep Lens Survey
D. Wittman,J. A. Tyson,I. P. Dell'Antonio,A. C. Becker,V. E. Margoniner,J. Cohen,D. Norman,D. Loomba,G. Squires,G. Wilson,C. Stubbs,J. Hennawi,D. Spergel,P. Boeshaar,A. Clocchiatti,M. Hamuy,G. Bernstein,A. Gonzalez,P. Guhathakurta,W. Hu,U. Seljak,D. Zaritsky
Physics , 2002, DOI: 10.1117/12.457348
Abstract: The Deep Lens Survey (DLS) is a deep BVRz' imaging survey of seven 2x2 degree fields, with all data to be made public. The primary scientific driver is weak gravitational lensing, but the survey is also designed to enable a wide array of other astrophysical investigations. A unique feature of this survey is the search for transient phenomena. We subtract multiple exposures of a field, detect differences, classify, and release transients on the Web within about an hour of observation. Here we summarize the scientific goals of the DLS, field and filter selection, observing techniques and current status, data reduction, data products and release, and transient detections. Finally, we discuss some lessons which might apply to future large surveys such as LSST.
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