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Single Stage Extra Cardiac Conduit Total Cavopulmonary Connection in Atrial Situs Inversus and Levocardia  [PDF]
Shamsher Singh Lohchab, Ishani Lohchab, Ashok Chahal, Naveen Malhotra, Kuldeep Laller
World Journal of Cardiovascular Surgery (WJCS) , 2016, DOI: 10.4236/wjcs.2016.68016
Abstract: 10-year female child was presented with complex congenital heart defect—atrial situs inversus, levocardia, discordant atrioventricular connections, double outlet right ventricle, ventricular septal defect, pulmonic stenosis and straddling of atrio-ventricular valves along with bilateral superior vena cava and large patent ductus arteriosus. We describe here the strategy adopted to perform single stage fenestrated extra cardiac conduit total cavo-pulmonary connections in this patient especially concerning cardiac malposition of atrial situs inversus and levocardia.
Posterior Reversible Encephalopathy Syndrome (PRES): A Case Report
Chhavi Manchanda,Naveen Malhotra,Saroj Patil
Indian Anaesthetists' Forum , 2012,
Abstract: A 17 years old primigravida with pre-eclamptic toxaemia, operated for caesarean became unconscious postoperatively. MRI suggested PRES (Posterior Reversible Encephalopathy Syndrome) with poor prognosis.
Problem of positioning in a patient with spinal deformities undergoing eye surgery
Saini Savita,Malhotra Naveen,Bolia Sameer
Indian Journal of Ophthalmology , 2002,
“A Prospective Randomized Case-Control Study To Evaluate Mini Right Thoracotomy versus Conventional Sternotomy For Mitral Valve Repair In Rheumatic Heart Disease.”  [PDF]
Ashok Kumar Chahal, Preeti Gehlaut, Sanjay Johar, Ashish Asija, Divya Arora, Naveen Malhotra, Kuldeep Singh Lallar, Shamsher Singh Lohchab
World Journal of Cardiovascular Surgery (WJCS) , 2016, DOI: 10.4236/wjcs.2016.611021
Abstract: Purpose: Right mini thoracotomy has been evaluated in many studies for mitral valve repair mainly in degenerative valvular disease but not in rheumatic heart disease. Mitral valve repair is more challenging in rheumatic etiology due to complexity of lesions. This prospective randomized case control study was designed to evaluate repair through mini right thoracotomy and to compare the clinical and echocardiographic outcomes with sternotomy in rheumatic patients. Methods: 25 patients of rheumatic heart disease underwent mitral valve repair through mini right thoracotomy (group I). Various clinical and functional parameters were compared with 25 patients of mitral valve repair through sternotomy (group II). On follow up the results were compared in both groups for clinical and echocardiographic parameters. Results: The various pre-operative demographic parameters were comparable in two groups. Equal rate of mitral valve repair (group I-21/25, 84% and group II-21/25, 84%) was achieved in both groups. The various intra-operative and post-operative clinical parameters were better in group I .There were equivalent functional and valve related outcomes in both groups in term of NYHA class (1.28 ± 0.613 vs 1.08 ± 0.276, P = 0.144), post-operative mitral valve area (2.43 ± 0.891 vs 2.82 ± 0.662, P = 0.090), incidence of more than mild mitral regurgitation (0) and mean pressure gradient across mitral valve (4.98 ± 3.33 vs 4.23 ± 1.5, P = 0.309). Conclusion: Mitral valve repair through mini right thoracotomy approach in rheumatic etiology is feasible and safe with equivalent rate of successful repair as compared to median sternotomy. It is associated with lesser morbidity, cosmetic advantage and lesser resource utilization.
Combined Prosthesis with Extracoronal Castable Precision Attachments
Naveen Gupta,Abhilasha Bhasin,Parul Gupta,Pankaj Malhotra
Case Reports in Dentistry , 2013, DOI: 10.1155/2013/282617
Abstract: Satisfactory restoration in a patient with a partially edentulous situation can be challenging especially when unilateral or bilateral posterior segment of teeth is missing. Successful restoration can be done with various conventional and contemporary treatment options. One such treatment modality is attachment-retained cast partial dentures. This paper describes a case report of a patient with maxillary bilateral distal extension edentulous span restored with a cast partial denture having an extracoronal castable precision attachment (RHEIN 83 OT CAP attachments system). 1. Introduction Esthetically and functionally successful prosthetic rehabilitation requires careful attention and meticulous treatment planning. Rehabilitation of partially edentulous arch can be challenging when it is a distal extention situation classified under Kennedy’s class I and class II situations [1]. In such a condition, a fixed partial denture cannot be fabricated because of missing distal abutment. Implant-supported prosthesis can be planned, but it is sometimes not feasible due to insufficient amount of bone and economic reason. So, in such situation an acrylic partial denture or a cast partial denture is largely preferred. Cast partial dentures are made retentive by the use of retainers and precision attachment components [2]. Precision attachments could be extracoronal and intracoronal. Attachment-retained cast partial dentures facilitate both esthetic and functional replacement of missing teeth. Studies have shown a survival rate of 83.35% for 5 years, of 67.3% up to 15 years, and of 50% when extrapolated to 20 years [3, 4]. This paper describes a case report of a patient with maxillary bilateral distal extension Kennedy’s class I condition which is prosthetically restored by a cast partial denture retained using a extracoronal castable precision attachment (RHEIN 83 OT CAP attachments system). 2. Case Report A 50-year-old male reported with missing maxillary molar teeth bilaterally. He gave a history of unsatisfactory acrylic partial denture wearing. On intraoral examination, it was noted that the patient had missing maxillary I, II, and III molars bilaterally (Kennedy’s class I) and completely edentulous mandibular arch. The remaining teeth in maxillary arch were periodontally stable (Figure 1). Figure 1: Maxillary arch showing Kennedy’s class 1 situation. After complete clinical and radiographic examination, a prosthetic treatment plan was set up. Combined prosthesis with extracoronal precision attachment was planned for maxillary bilateral distal extension arch and
Intracerebral Haemorrhage after Lumbar Dural Puncture in a Patient with Brain Metastasis (Case Report)
Dr. Pramila Malik,Dr. Naveen Malhotra,Dr. Nandita Kad,Dr. Praveen Malhotra
Indian Anaesthetists' Forum , 2007,
Abstract: A known case of testicular tumour underwent bilateral orchiectomy under spinal anaesthesia. He developed headache and altered sensorium postoperatively. CT scan head showed secondaries in the brain with intra-cerebral bleed
Airway Management in Acute Lymphoblastic Leukemia (Case Report)
Dr. Naveen Malhotra,Dr. Prashant Kumar,Dr. Parveen Malhotra,Dr. Monika Gupta
Indian Anaesthetists' Forum , 2006,
Abstract: Airway obstruction is the primary mechanical emergency of respiratory system in patients with malignancy. The airway patency relies on a spontaneously breathing technique. We report airway management in a patient with Acute Lymphoblastic Leukemia (ALL) that was complicated by spontaneous bleeding in oro-pharyngeal tissues.
Energy Efficient Path Determination in Wireless Sensor Network Using BFS Approach  [PDF]
Shilpa Mahajan, Jyoteesh Malhotra
Wireless Sensor Network (WSN) , 2011, DOI: 10.4236/wsn.2011.311040
Abstract: The wireless sensor networks (WSN) are formed by a large number of sensor nodes working together to provide a specific duty. However, the low energy capacity assigned to each node prompts users to look at an important design challenge such as lifetime maximization. Therefore, designing effective routing techniques that conserve scarce energy resources is a critical issue in WSN. Though, the chain-based routing is one of significant routing mechanisms but several common flaws, such as data propagation delay and redundant transmission, are associated with it. In this paper, we will be proposing an energy efficient technique based on graph theory that can be used to find out minimum path based on some defined conditions from a source node to the destination node. Initially, a sensor area is divided into number of levels by a base station based on signal strength. It is important to note that this technique will always found out minimum path and even alternate path are also saved in case of node failure.
A Retrospective Study of Impact of PPTCT on HIV Trends, Maternal and Perinatal Outcome  [PDF]
Anjali Malhotra, Sumitra Yadav
World Journal of AIDS (WJA) , 2016, DOI: 10.4236/wja.2016.64020
Abstract: Background: Women diagnosed with HIV/AIDS may transmit the infection to their child during pregnancy. The infection may spread during pregnancy, childbirth, or breastfeeding. However, the risk of mother-to-child transmission of HIV may be reduced by the use of HIV medications known as antiretroviral therapy (ART). Infection with HIV/AIDS is not a contraindication to pregnancy. Some women are unaware they have the disease until they become pregnant. In this case, they should begin antiretroviral therapy as soon as possible [1]. With the appropriate treatment, the risk of mother-to-child infection can be reduced to below 1% [2]. Without treatment, the risk of transmission is 15% - 45% [3]. Objective: The main aim of the study is to appreciate the declining trend of HIV in babies with HIV positive mother by implementation of PPTCT services. Methods: A retrospective study of detection of HIV positive mothers among all the antenatal patients attending OPD and including the patients coming in Emergency services and delivered in Department of Obstetrics and Gynecology at MGMMC & M. Y. Hospital, Indore, Madhya Pradesh (India) from Jan 2006 to Dec 2015 was included in the study. They were screened for HIV status and further management of all HIV positive patients.
Effect of Economic Growth on the Logistics Sector in India  [PDF]
Gunjan Malhotra, Sita Mishra
Theoretical Economics Letters (TEL) , 2019, DOI: 10.4236/tel.2019.91016

Purpose: The aim is to attempt to explore the effect of selected economic growth indicators on the net profits in the logistics sector in India. Methodology: The research type used is causal research. The data are collected for the period of 1991-92 to 2016-17 from CMIE, RBI and government websites. The paper tries to establish the relationship among the independent variables such as the change in taxes, change in inflation rate and the change in GDP of Indian services sector on the dependent variable as profits of the Indian logistics industry. Findings: Results indicate that the tax expenses and inflation rate have a negative impact on the profit of logistics sector whereas the change in GDP service sector has a positive impact on the profit of the logistics sector. However, GDP service sector affects the profit of transportation industry less than the impact in comparison to the tax rate and inflation. Originality: This study provides the foundation for future research in the logistics sector. In today’s globalization and digitalization and with the advent of tax reforms like GST, this research is relevant with regard to determining the effect of taxation, inflation, and GDP on the logistics sector in India.

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