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Search Results: 1 - 10 of 13989 matches for " Singh Shivinder "
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Effect of oral clonidine premedication on perioperative haemodynamic response and post-operative analgesic requirement for patients undergoing laparoscopic cholecystectomy
Singh Shivinder,Arora Kapil
Indian Journal of Anaesthesia , 2011,
Abstract: Clonidine has anti-hypertensive properties and augments the effects of anaesthesia, hence we considered it to be an ideal agent to contain the stress response to pneumoperitoneum. We studied the clinical efficacy of oral clonidine premedication in patients undergoing laparoscopic cholecystectomies. Fifty patients scheduled for elective laparoscopic cholecystectomy under general anaesthesia were randomly allocated to receive premedication with either oral clonidine 150 μg (Group I, n = 25) or placebo (Group II, n = 25) 90 minutes prior to induction. The patients were managed with a standard general anaesthetic. The two groups were compared with respect to haemodynamic parameters, isoflurane concentration, pain and sedation scores, time to request of analgesic and cumulative analgesic requirements. Oral clonidine was found to be significantly better in terms of maintaining stable haemodynamics, having an isoflurane sparing effect and having a prolonged time interval to the first request of analgesia postoperatively compared to the control group. Administration of oral clonidine 150 μg as a pre-medicant in patients undergoing laparoscopic cholecystectomy results in improved perioperative haemodynamic stability and a reduction in the intra-operative anaesthetic and post-operative analgesic requirements.
A randomized controlled double-blinded prospective study of the efficacy of clonidine added to bupivacaine as compared with bupivacaine alone used in supraclavicular brachial plexus block for upper limb surgeries
Singh Shivinder,Aggarwal Amitabh
Indian Journal of Anaesthesia , 2010,
Abstract: We compared the effects of clonidine added to bupivacaine with bupivacaine alone on supraclavicular brachial plexus block and observed the side-effects of both the groups. In this prospective, randomized,double-blinded, controlled trial, two groups of 25 patients each were investigated using (i) 40 ml of bupivacaine 0.25% plus 0.150 mg of clonidine and (ii) 40 ml of bupivacaine 0.25% plus 1 ml of NaCl 0.9, respectively. The onset of motor and sensory block and duration of sensory block were recorded along with monitoring of heart rate, non-invasive blood pressure, oxygen saturation and sedation. It was observed that addition of clonidine to bupivacaine resulted in faster onset of sensory block, longer duration of analgesia (as assessed by visual analogue score), prolongation of the motor block (as assessed by modified Lovett Rating Scale), prolongation of the duration of recovery of sensation and no association with any haemodynamic changes (heart rate and blood pressure), sedation or any other adverse effects. These findings suggest that clonidine added to bupivacaine is an attractive option for improving the quality and duration of supraclavicular brachial plexus block in upper limb surgeries.
En bloc excision and autogenous fibular reconstruction for aggressive giant cell tumor of distal radius: a report of 12 cases and review of literature
Raghav Saini, Kamal Bali, Vikas Bachhal, Aditya K Mootha, Mandeep S Dhillon, Shivinder S Gill
Journal of Orthopaedic Surgery and Research , 2011, DOI: 10.1186/1749-799x-6-14
Abstract: Twelve patients with a mean age of 34.7 years (21-43 years) with Campanacci Grade II/III GCT of distal radius were managed with wide excision of tumor and reconstruction with ipsilateral nonvascularised fibula, fixed with small fragment plate to the remnant of the radius. Primary autogenous iliac crest grafting was done at the fibuloradial junction in all the patients.Mean follow up period was 5.8 years (8.2-3.7 years). Average time for union at fibuloradial junction was 33 weeks (14-69 weeks). Mean grip strength of involved side was 71% (42-86%). The average range of movements were 52° forearm supination, 37° forearm pronation, 42° of wrist palmerflexion and 31° of wrist dorsiflexion with combined movements of 162°. Overall revised musculoskeletal tumor society (MSTS) score averaged 91.38% (76.67-93.33%) with five excellent, four good and three satisfactory results. There were no cases with graft related complications or deep infections, 3 cases with wrist subluxation, 2 cases with non union (which subsequently united with bone grafting) and 1 case of tumor recurrence.Although complication rate is high, autogenous non-vascularised fibular autograft reconstruction of distal radius can be considered as a reasonable option after en bloc excision of Grade II/III GCT.Giant cell tumor is a benign aggressive bone tumor of obscure origin presenting in 3rd and 4th decade of life, and carries a definite female preponderance [1]. After distal femur and proximal tibia, distal radius happens to be the most common site of occurrence for GCT [1,2]. This site has a further distinction of having more aggressive behaviour of GCT with higher chances of recurrences and malignant transformation [3,4]. Treatment options for GCT at this site include curettage with bone grafting or cementing, en bloc excision and reconstruction with non vascular or vascular fibular autograft, osteoarticular allograft, ulnar translocation, or endoprosthesis [5-14]. Although amputation would seem likely to
Analysis of Vortex Motion in Porous Media  [PDF]
Beant Singh, Chanpreet Singh
Journal of Electronics Cooling and Thermal Control (JECTC) , 2012, DOI: 10.4236/jectc.2012.22003
Abstract: In vortex motion fluid moves in curve path and the stream lines are curved. When the fluid flows between curved stream line, the centrifugal forces are setup which is counter balanced by pressure forces acting in the radial direction. The vortex motion has two types of curved motion. The first type called free vortex type, the fluid moves due to its own natural effect but energy is not added to fluid when moving in curved path. The second type called forced vortex, in which energy is added to fluid. A two dimensional steady laminar free convective flow of viscous incompressible flow in porous media voids is considered. In this paper the motion of fluid is studied while moving in the porous media. It is studied that the motion of the fluid in the porous media is vortex motion at the low Reynolds’s number, where the motion is laminar motion and the fluid obeys the laws of vortex motion.
Chromohysteroscopy—A new technique for endometrial biopsy in Abnormal Uterine Bleeding (AUB)  [PDF]
Nisha Singh, Bharti Singh
Open Journal of Obstetrics and Gynecology (OJOG) , 2013, DOI: 10.4236/ojog.2013.35A1003

Objective: To evaluate the role of chromohysteroscopy in improving diagnostic accuracy of endometrial biopsy in cases of AUB. Design: Cross sectional interventional study. Materials and Methods: This study was conducted on 60 women with AUB in Dept. of Obst. & Gyne at King George Medical University, Lucknow over a period of one year. All cases underwent diagnostic hysteroscopy followed by chromohysteroscopy using 2% methylene blue dye. Hysteroscopic guided biopsy was taken from stained and unstained areas followed by an endometrial aspiration biopsy from whole uterine cavity. The histopathology results of three samples were compared and analyzed in relation with staining pattern and type of AUB. Data analysis was done on SPSS version 15 of windows 2007. Results: Out of 60 cases, 11cases were found to have non hormonal pathology after chromohysterosopic biopsy. Eight (72.72%) cases were diagnosed by stained endometrial tissue, one (9.09%) by unstained tissue and three (27.27%) by endometrial aspiration. The diagnostic ability of stained tissue biopsy was significantly higher (p = 0.006) than unstained biopsy and endometrial aspiration. Conclusion: Chromohysteroscopy is a simple and effective technique for diagnosing endometrial pathology in cases of AUB.

Evaluation of EO-1 Hyperion Data for Crop Studies in Part of Indo-Gangatic Plains: A Case Study of Meerut District  [PDF]
Davinder Singh, Rajender Singh
Advances in Remote Sensing (ARS) , 2015, DOI: 10.4236/ars.2015.44021
Abstract: Due to the high number of bands in the hyperspectral image, the selection of optimum bands for crop classification is a prerequisite. The Hyperion sensor has 242 spectral bands out of which 143 useable bands were selected. The bands reflected wavelength from 400 to 1000 nm to the VNIR spectrometer and transmitted the band from 900 to 2500 nm to the SWIR spectrometer. Spectral Angle Mapping Classification (SAMC) approach and a multi-scale object oriented method are applied for crop studies. The result obtained from the accuracy assessment by comparing Ground Control Points (GCP) with the help of image spectra shows 78% of overall accuracy. This shows that these data are highly useful in studying the crop diversification.
How Indian CPI and Industrial Production Respond to Global Oil Price Shocks? Regime-Dependent Impulse Responses  [PDF]
Amanjot Singh, Rajdeep Singh
Theoretical Economics Letters (TEL) , 2017, DOI: 10.4236/tel.2017.75102
Abstract: For emerging markets like India, where around 80 percent of the crude requirements are met through imports, it is an imperative task to comprehend impact of global crude oil price shocks on Indian macroeconomic variables. The present study attempts to understand these asymmetric dynamic interactions between global crude oil price shocks and Indian macroeconomic variables by employing Markov switching-Vector Autoregressive (MS-VAR) regime-dependent impulse responses in level forms. The findings hold an important place in the wake of inflation targeting regime adopted by the monetary policy authorities. The findings highlight the existence of two regimes, namely lower and higher oil price variance regimes. The response of industrial production and consumer prices is different towards oil price shocks in different regimes. In the lower oil variance regime, there is negative (positive) relationship observed between crude oil shocks and industrial production (consumer prices). On the other hand, there is a positive equilibrium shift in the industrial production in the higher oil variance regime with cost pushing inflationary pressures in the long run. The findings bear strong implication for the policy makers in their attempt to combat effects of crude oil shocks. As per the findings, the emerging market policy makers should display a cautious approach during higher oil price volatile phases in order to support industrial production and consumer demand.
Erratum to “How Indian CPI and Industrial Production Respond to Global Oil Price Shocks? Regime-Dependent Impulse Responses” [Theoretical Economics Letters 7 (2017) 1511-1531]  [PDF]
Amanjot Singh, Rajdeep Singh
Theoretical Economics Letters (TEL) , 2017, DOI: 10.4236/tel.2017.77148
Abstract: The original online version of this article (Singh, A. and Singh, R. (2017) How Indian CPI and Industrial Production Respond to Global Oil Price Shocks? Regime-Dependent Impulse Responses. Theoretical Economics Letters, 7, 1511-1531. https://doi.org/10.4236/tel.2017.75102) was published without referring the source of Figure 1.
Double Negative Left-Handed Metamaterials for Miniaturization of Rectangular Microstrip Antenna  [PDF]
G. Singh
Journal of Electromagnetic Analysis and Applications (JEMAA) , 2010, DOI: 10.4236/jemaa.2010.26044
Abstract: In this paper, I have explored a significant concept for the miniaturization of microstrip patch antenna configuration by using the double negative (DNG) left-handed Metamaterials, which have dielectric permittivity and magnetic permeability both negative, simultaneously. It is achieved through the concept of phase-compensation by thin slab consist of the double positive (DPS) material, which have dielectric permittivity and magnetic permeability both positive, simultaneously and DNG metamaterials as a substrate of the microstrip patch antenna. By combining the DNG metamaterial slab with the slab made of DPS materials form a cavity resonator whose dispersion relation is independent of the sum of thickness of the slabs filling this cavity but it depends on the ratio of their thicknesses. This cavity constitutes by DPS and DNG material is used as substrate of the microstrip antennas and the DNG material slab is behave as phase compensator.
One Dimensional Solute Transport Originating from a Exponentially Decay Type Point Source Along Unsteady Flow Through Heterogeneous Medium  [PDF]
Premlata Singh
Journal of Water Resource and Protection (JWARP) , 2011, DOI: 10.4236/jwarp.2011.38068
Abstract: One dimensional advection dispersion equation is analytically solved initially in solute free domain by considering uniform exponential decay input condition at origin. Heterogeneous medium of semi infinite extent is considered. Due to heterogeneity velocity and dispersivity coefficient of the advection dispersion equation are considered functions of space variable and time variable. Analytical solution is obtained using Laplace transform technique when dispersivity depended on velocity. The effects of first order decay term and adsorption are studied. The graphical representations are made using MATLAB
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