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Search Results: 1 - 10 of 14000 matches for " Singh Sarvesh "
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Anesthetic management of patent ductus arteriosus - Not always an easy option
Singh Sarvesh,Chauhan Sandeep,Kiran Usha
Annals of Cardiac Anaesthesia , 2010,
Comparison of esmolol and labetalol, in low doses, for attenuation of sympathomimetic response to laryngoscopy and intubation
Singh Sarvesh,Quadir Abdul,Malhotra Poonam
Saudi Journal of Anaesthesia , 2010,
Abstract: Objective: The present study compared the efficacy of esmolol and labetalol, in low doses, for attenuation of sympathomimetic response to laryngoscopy and intubation. Design: Prospective, randomized, placebo controlled, double-blinded study. Setting: Operation room. Patients and Methods: 75 ASA physical status I and II adult patients, aged 18-45 years undergoing elective surgical procedures, requiring general anesthesia and orotracheal intubation. Interventions: Patients were allocated to any of the three groups (25 each)-Group C (control)10 ml 0.9% saline i.v. Group E (esmolol) 0.5 mg/kg diluted with 0.9% saline to 10 ml i.v. Group L (labetalol) 0.25 mg/kg diluted with 0.9% saline to 10 ml i.v. In the control group 10 ml of 0.9% saline was given both at 2 and 5 min prior to intubation. In the esmolol group 0.5 mg/kg of esmolol (diluted with 0.9% saline to 10 ml) was given 2 min prior and 10 ml of 0.9% saline 5 min prior to intubation. In the labetalol group 10 ml of 0.9% saline was administered 2 min prior and 0.25 mg/kg of labetalol (diluted with 0.9% saline to 10 ml) 5 min prior to intubation. All the patients were subjected to the same standard anesthetic technique. Measurements: Heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were recorded prior to induction, at time of intubation and 1, 3, 5, and 10 min after intubation. Mean arterial pressure (MAP) and rate pressure product (RPP) were calculated. Abnormal ECG changes were also recorded. Results: Compared to placebo and esmolol (0.5 mg/kg), labetalol (0.25 mg/kg) significantly attenuated the rise in heart rate, systolic blood pressure, and RPP during laryngoscopy and intubation. However, the difference was not statistically significant among the values for DBP and MAP. Conclusion: In lower doses, labetalol (0.25 mg/kg) is a better agent than esmolol (0.5 mg/kg) in attenuating the sympathomimetic response to laryngoscopy and intubation.
Comparison of the Hemodynamic Effects of the Induction Agents Ketamine, Etomidate and Sevoflurane Using the Model of Electrical Velocimetry Based Cardiac Output Monitoring in Pediatric Cardiac Surgical Patients  [PDF]
Suruchi Hasija, Sandeep Chauhan, Neeti Makhija, Sarvesh Pal Singh, Sanjay Kumar, Arin Choudhury, Sachin Talwar, Usha Kiran
World Journal of Cardiovascular Surgery (WJCS) , 2014, DOI: 10.4236/wjcs.2014.410024
Abstract: Objective: To compare the haemodynamic effects of the induction agents ketamine, etomidate and sevoflurane using the model of electrical velocimetry based cardiac output monitoring in paediatric cardiac surgical patients. Design: Prospective randomized study. Setting: Tertiary care hospital. Participants: 60 children < 2 years age undergoing cardiac surgery. Interventions: The patients were randomized into 3 equal groups to receive 1.5-2.5 mg/kg iv ketamine (group K), 0.2-0.3 mg/kg iv etomidate (group E) or upto 8% sevoflurane (group S) as the induction agent. Hemodynamic parameters were noted before and after induction of anaesthesia utilizing a noninvasive cardiac monitor based on the model of electrical velocimetry. Measurements and Main Results: The demographic characteristics of the patients were similar in the three groups. The HR decreased in all groups, least in group E (P ≤ 0.01) but the MAP decreased only in group S (P ≤ 0.001). In group S, the stroke volume improved from 9 ± 3.2 ml to 10 ± 3.2 ml (P ≤ 0.05) and the stroke volume variation decreased from 25% ± 6.4% to 13% ± 6.2% (P ≤ 0.001). The stroke index and systemic arterial saturation improved in all groups (P ≤ 0.01). The cardiac index and index of contractility were unchanged. The transthoracic fluid content reduced in groups E and S, but did not change in group K (P ≤ 0.05). Conclusions: Etomidate appeared to provide the most stable conditions for induction of anesthesia in children undergoing cardiac surgery, followed by ketamine and sevoflurane.
Gastrothorax or tension pneumothorax: A diagnostic dilemma
Singh Sarvesh,Sukesan Subin,Kiran Usha,Makhija Neeti
Journal of Emergencies, Trauma and Shock , 2011,
Abstract: Gastrothorax, a rare complication following thoracoabdominal aortic aneurysm repair, is reported. The clinical features of a gastrothorax and tension pneumothorax are similar and thus, a gastrothorax can masquerade as a tension pneumothorax. The diagnosis is made by a high level of clinical suspicion, chest X-ray shows a distended stomach with air fluid levels and a computerised tomography is useful in assessing the diaphragm and establishing the positions of the various intra-abdominal organs. Also, the risk of an intercostal drainage tube placement and the role of nasogastric tube in avoiding the development of a tension gastrothorax is highlighted.
Comparison of S100β levels, and their correlation with hemodynamic indices in patients undergoing coronary artery bypass grafting with three different anesthetic techniques
Singh Sarvesh,Kapoor Poonam,Chowdhury Ujjwal,Kiran Usha
Annals of Cardiac Anaesthesia , 2011,
Abstract: Cardiac surgery with aid of cardiopulmonary bypass (CPB) is associated with neurological dysfunction. The presence of cerebrospecific protein S100β in serum is an indicator of cerebral damage. This study was designed to evaluate the influence of three different anesthesia techniques, on S100β levels, in patients undergoing coronary artery bypass grafting on CPB. A total of 180 patients were divided into three groups - each of who received sevoflurane, isoflurane and total intravenous anesthesia as part of the anesthetic technique, respectively. S100 were evaluated from venous sample at following time intervals - prior to induction of anesthesia (T1), after coming off CPB (T2); 12 h after aortic cross clamping (T3) and 24 h after aortic cross clamping (T4). In all three groups, maximal rise in S100β levels occurred after CPB which gradually declined over next 24 h, the levels at 24 h post-AOXC being significantly higher than baseline levels. Significantly low levels of S100β were noted at all postdose hours in the sevoflurane group, as compared to the total intravenous anesthesia (TIVA) group, and at 12 and 24 h postaortic cross clamp, in comparison to the isoflurane group. Comparing the isoflurane group with the TIVA group, the S100 levels were lower in the isoflurane group only at 24 h postaortic cross clamp. It was concluded that maximum rise in S100β levels occurs immediately after CPB with a gradual decline in next 24 h. The rise in S100β levels is significantly less in patients administered sevoflurane in comparison to isoflurane or TIVA. Hemodynamic parameters had no influence on the S100β levels during the first 24 h after surgery.
Safety and efficacy of clobazam versus phenytoin-sodium in the antiepileptic drug treatment of solitary cysticercus granulomas
Kaushal Sandeep,Rani Asha,Chopra Sarvesh,Singh Gagandeep
Neurology India , 2006,
Abstract: Background: It is now agreed that the prognosis of seizure disorder due to solitary cysticercus granuloma (SCG) is generally good. However, the choice antiepileptic drugs (AEDs) remain empirical, with no comparative trials of different AEDs being available. Aims: To determine the safety and efficacy (measured by the incidence of ′treatment failure′) of clobazam in comparison to standard treatment with phenytoin-sodium for prevention of seizures in persons with solitary cysticercus granulomas (SCGs). Settings and Design: This pilot study was conducted in a neurology department of a medical college hospital in the form of a prospective, randomized, open-labeled trial. Materials and Methods: Forty-eight patients with seizures due to SCG were randomized in an open-labeled trial to either, clobazam (1 mg/kg oral loading followed by 0.5 mg/kg/d) (n=21) or phenytoin (15 mg/kg, oral loading in 3 divided doses over 24 h, followed by 5 mg/kg/d) (n=27). They were followed over 6 months with the primary outcome measure being treatment failure (either discontinuation or modification of AEDs) due to either adverse effects or breakthrough seizures. Results: Treatment failures were noted to be significantly less common ( P =0.03) in the clobazam-treated group (n=1; 4.7%) than in phenytoin-treated group (n=9; 33.3%). These included one patient (4.7%) in the clobazam-group who had breakthrough seizures and 3 (11.1%) who had breakthrough seizures and 6 (22.2%) in the phenytoin-treated group who had adverse effects requiring treatment discontinuation. Conclusions: Clobazam was well tolerated, safe and more effective than phenytoin in the AED treatment of patients with SCG.
New Approach for Managing Keys in Cloud & Use Cases for Cloud Computing
Sarvesh Singh,Anupam Shukla,Ankit Sharma,Kalimullah Lone
International Journal of Computers & Technology , 2013,
Abstract: Now a day’s cloud computing is best innovative technology in the field of IT. In its broadest usage, the term cloud computing refers to the delivery of IT resources over the internet as opposed to hosting and operating these resources locally, such as a college or university network. These resources can include application and services as well as infrastructure and services over the network. Any organization can purchase these resources on as needed basis and avoid the capital expenditure cost of software and hardware. Security is major problem in cloud computing, thus key distribution is important thing for managing security in cloud computing. In this paper we derived a proposed algorithms for managing keys in the cloud and also discuss uses cases for cloud computing.
A Rare Case of Multicentric Liposarcoma and Associated Reproductive Aberrations in a Nonpregnant Holstein-Friesian Crossbred Cow
Pankaj Sood,Parvesh Kumar,Sarvesh Kumar,Adarsh Kumar,Rajesh Kumar Asrani,Madhumeet Singh
Case Reports in Veterinary Medicine , 2011, DOI: 10.1155/2011/615861
Abstract: A five-and-a-half-year-old Holstein-Friesian crossbred cow was repeatedly treated for termination of overgestation, but without any success. On laparotomy, the site indicating fetal-like ballottement on transrectal palpation was occupied by three to four separate caseous and lobulated masses with adhered uterine horns in the omentum. Separation of the utero-omental adhesions retrieved normal-sized uterine horns into pelvic cavity. The right ovary was cystic. Ultrasonography detected another growth in the ventral abdominal musculature. Histopathologically, the omental growths suggested a pleomorphic type of liposarcoma. Presence of omental and muscular liposarcoma along with deep uterine-omental adhesions and a cystic ovary makes this paper a unique addition to the literature.
Compression Dispersion Efficiency of Recycled Aggregate Concrete Struts At Different Load Concentration Ratios
Dr. Rakesh Kumar, Dr.P.K Mehta,Devbrat Singh, Anup Kumar Pandey, Sarvesh Kumar
International Journal of Engineering Research , 2014,
Abstract: Infrastructure development activities in India have increased many folds in recent times. This has resulted in increase in the demand of construction materials like cement, coarse aggregate, fine aggregate etc. Huge quantities of concrete wastes are produced due to demolition of old structures. If recycled aggregate from this waste is used for construction purpose, it will not only make the structures economical and eco-friendly butwill also solve the problem of waste disposal.Recycling old waste concrete by crushing and grading into coarse aggregates for use in new structural concrete is drawing the attention of engineers, environmentalists and researchers since last three decades. In this paper, an attempt has been made to study the compression dispersion behaviour of struts of natural coarse aggregate (NCA) and recycle coarse aggregate (RCA) at different load concentration ratio and aspect ratio. For the study, struts of 450 mm height and 75mm thickness with varying widths starting from 75mm to 450mm, using NCA and RCA concrete, were cast. The testing of struts was carriedout on loading frame of capacity 500 kN. The struts were tested to failure under in-plane compressive load applied through symmetrically placed steel plate (75?5?0) mm at top andbottom of the struts.
OVERVIEW ON Cucurbita maxima
sarvesh dhar dubey,sarvesh dhar dubey
International Journal of Phytopharmacy , 2012, DOI: 10.7439/ijpp.v2i3.492
Abstract: Cucurbita maxima is a creeper which is found very frequently on the roofs of houses all over India. The used parts are seeds, pulp and fruit stalk. Similar to other Cucurbitaceous plants it constitutes of saponins, fixed oil, resin, protein, sugar, starch. It also contains glutamic acid and calcium in measurable amount. The seeds shows anthelminitic, taenicide and diuretic. Oil from the seeds is a nervine tonic. Fruit is largely used by Indians in their curries. The shoots young leaves are used as a pot herb, the seeds are eaten. Dried pulp of the fruit is a remedy in haemoptysis and haemorrhages from the pulmonary organs, it is given in the form of a confection.
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