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- 저자 : ( Ashish Kumar ) (검색결과 137 건)
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Ashish Kumar Bansal,Bheerappa Nagari,Phani Kumar Nekarakanti,Amith Kumar Pakkala,Venu Madhav Thumma,Surya Ramachandra Varma Guntur,Madhur Pardasani 한국간담췌외과학회 2023 Annals of hepato-biliary-pancreatic surgery Vol.27 No.1
Backgrounds/Aims: Central pancreatectomy (CP) is associated with a higher rate of postoperative pancreatic fistula (POPF), and it is less preferred over distal pancreatectomy (DP). We compared the short- and long-term outcomes between CP and DP for low-grade pancreatic neck and body tumors. Methods: This was a propensity score-matched case-control study of patients who underwent either CP or DP for low-grade pancreatic neck and body tumors from 2003 to 2020 in a tertiary care unit in southern India. Patients with a tumor >10 cm or a distal residual stump length of <4 cm were excluded. Demographics, clinical profile, intraoperative and postoperative parameters, and the long-term postoperative outcomes for exocrine and endocrine insufficiency, weight gain, and the 36-Item Short Form Survey (SF-36) quality of life questionnaire were compared. Results: Eighty-eight patients (CP: n=37 [cases], DP: n=51 [control]) were included in the unmatched group after excluding 21 patients (meeting exclusion criteria). After matching, both groups had 37 patients. The clinical and demographic profiles were comparable between the two groups. Blood loss and POPF rates were significantly higher in the CP group. However, Clavien-Dindo grades of complications were similar between the two groups (p = 0.27). At a median follow-up of 38 months (range = 187 months), exocrine sufficiency was similar between the two groups. Endocrine sufficiency, weight gain, SF-36 pain control score, and general health score were significantly better in the CP group. Conclusions: Despite equivalent clinically significant morbidities, long-term outcomes are better after CP compared to DP in low-grade pancreatic body tumors.
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Ashish Kumar,Neeraj Kumar,Zarna Pathak,Hemant Kumar 대한척추신경외과학회 2022 Neurospine Vol.19 No.3
The extracellular matrix (ECM) is a protein-and-carbohydrate meshwork that supports a variety of biological structures and processes, from tissue development and elasticity to the preservation of organ structures. ECM composition is different in each organ. It is a remarkably dynamic 3-dimensional structure that's constantly changing to maintain tissue homeostasis. This review aims to describe the involvement of ECM components in the remodeling process of spinal cord injury (SCI) and intervertebral disc degeneration (IVDD). Here, we have also described the current ECM-based therapeutic targets, which can be explored for ECM remodeling SCI is a neurological condition with intense influences resulting from a trauma inflicted on the spinal cord. SCI leads to damage to the intact ECM that leads to regeneration failure. IVDD mainly occurs due to aging and trauma. Various ECM components enable fragmentation of the disc and are thereby involved in disc degeneration. ECM manipulation can be used as an adjunct treatment in SCI and IVDD. Current treatment approaches for SCI and IVDD are conservative and unsatisfactory. Targeting ECM remodeling as an adjunct therapy may result in better disease outcomes.
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Ashish Kumar Singh,Naveen Kumar,Amardeep,Parvesh Kumar 국제문화기술진흥원 2016 International Journal of Advanced Culture Technolo Vol.4 No.1
In the present study, a single cylinder four stroke dual fuel diesel engine was tested to investigate the performance and emission characteristics of various test fuels. The engine was tested in dual fuel mode using diesel and Karanja biodiesel blends as pilot fuel along with Natural gas as primary fuel with a constant gas flow rate under different loading conditions. From the experimentation it was found that smoke opacity and oxides of nitrogen (NOx) are at low level for all the prepared test fuels in dual fuel mode but the emissions of carbon monoxide (CO), carbon dioxide (CO2) and hydrocarbon (HC) were found higher. In comparison to diesel fuel, by increasing the blend percentage different emission parameters are found to be reduced. At different loading conditions all the test fuels show poor performance in dual fuel mode of operation when compared with single mode of operation with diesel and biodiesel. With increase in gas flow rates, except (NOx) and smoke emissions, the other emission parameters like CO, HC and CO2 values increased for all test fuels. Again, all blended fuels showed lower performance compared to diesel. The maximum pilot fuel savings for diesel was found decreasing with the increase in karanja biodiesel. From the present work it may be concluded that Karanja biodiesel with Natural gas in dual mode can be can used as promising alternative for diesel with some required engine modifications and further research must be carried out to minimize the emissions of CO, HC and CO2.
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Singh, Ashish Kumar,Kumar, Naveen,Amardeep, Amardeep,Kumar, Parvesh The International Promotion Agency of Culture Tech 2016 International Journal of Advanced Culture Technolo Vol.4 No.1
In the present study, a single cylinder four stroke dual fuel diesel engine was tested to investigate the performance and emission characteristics of various test fuels. The engine was tested in dual fuel mode using diesel and Karanja biodiesel blends as pilot fuel along with Natural gas as primary fuel with a constant gas flow rate under different loading conditions. From the experimentation it was found that smoke opacity and oxides of nitrogen (NOx) are at low level for all the prepared test fuels in dual fuel mode but the emissions of carbon monoxide (CO), carbon dioxide ($CO_2$) and hydrocarbon (HC) were found higher. In comparison to diesel fuel, by increasing the blend percentage different emission parameters are found to be reduced. At different loading conditions all the test fuels show poor performance in dual fuel mode of operation when compared with single mode of operation with diesel and biodiesel. With increase in gas flow rates, except (NOx) and smoke emissions, the other emission parameters like CO, HC and $CO_2$ values increased for all test fuels. Again, all blended fuels showed lower performance compared to diesel. The maximum pilot fuel savings for diesel was found decreasing with the increase in karanja biodiesel. From the present work it may be concluded that Karanja biodiesel with Natural gas in dual mode can be can used as promising alternative for diesel with some required engine modifications and further research must be carried out to minimize the emissions of CO, HC and $CO_2$.
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Sharad Kumar Dwivedi,Santosh Kumar,Narayan Bhakta,Ashish Kumar Srivastava,Janki Sharan Mishra,Virendar Kumar,B H Kumara,Bhagwati Prasad Bhatt,Sudhanshu Singh 한국작물학회 2018 Journal of crop science and biotechnology Vol.21 No.4
In flood-prone areas, rice must have flood tolerance characteristics either through genotypic selections or by nutrient application management strategies. The current study was conducted at ICAR Research Complex for Eastern Region, Patna during the wet season to investigate the effect of post-flood nutrient application methods on submerged rice survival and productivity. Our study showed that the 3-d submergence duration had no effect on the survival (100%) of 21-day-old seedlings but survival percentage decreased to 97 and 65% at 7-d and 11-d submergence, respectively. Total chlorophyll, total soluble sugar, and starch concentrations also exhibited a similar pattern of decline. The activity of anti-oxidative defense enzymes (CAT, POX, SOD, and APX), recorded just after de-submergence was found to be 1.5-10-foldhigher than before submergence, increasing with the increase in the severity of stress. Additional post-flood application of K2O and N at 5-6 days after de-submergence led to the improvement in photosynthetic rate, yield attributes, and grain yield. An additional 10 kg each of N and K2O produced maximum 1000-grain weight and higher grain yield and harvest index. After submergence, the meta-analysis exhibited a significant reduction in total chlorophyll concentration due to increasing submergence duration, whereas the significantly higher activity of antioxidants was recorded irrespective of submergence duration. In association with the better anti-oxidative defense mechanism of Sub1 varieties, the additional doses of N and K2O at 5-d after de-submergence significantly enhanced the survival, post-flood recovery, and the rate of photosynthesis after de-submergence. These nutrient management options can provide an opportunity to explore the productivity potential of the SUB1-introgressed variety under natural flash-flood conditions, helping to cope with the existing problems in flood-prone areas. The findings of the study suggest that a proper time and method of N application with basal P can significantly contribute to higher rice yield in flash-flood prone areas.
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Management of residual gall bladder
Ashish Singh,Abhimanyu Kapoor,Rajneesh Kumar Singh,Anand Prakash,Anu Behari,Ashok Kumar,Vinay Kumar Kapoor,Rajan Saxena 한국간담췌외과학회 2018 Annals of hepato-biliary-pancreatic surgery Vol.22 No.1
Backgrounds/Aims: A residual gallbladder (RGB) following a partial/subtotal cholecystectomy may cause symptoms that require its removal. We present our large study regarding the problem of a RGB over a 15 year period. Methods: This study involved a retrospective analysis of patients managed for symptomatic RGB from January 2000 to December 2015. Results: A RGB was observed in 93 patients, who had a median age of 45 (25-70) years, and were comprised of 69 (74.2%) females. The most common presentation was recurrence pain (n=64, 68.8%). Associated choledocholithiasis was present in 23 patients (24.7%). An ultrasonography (USG) failed to diagnose RGB calculi in 10 (11%) patients; whereas, magnetic resonance cholangio-pancreatography (MRCP) accurately diagnosed RGB calculi in all the cases except for 2 (4%) and, additionally, detected common bile duct (CBD) stones in 12 patients. Completion cholecystectomy was performed in all patients (open 45 [48.4%]; laparoscopic 48 [51.6%] and 19 [20.4%] patients required a conversion to open). The RGB pathology included stones in 90 (96.8%), Mirizzi’s syndrome in 10 (10.8%) and an internal fistula in 9 (9.7%) patients. Additional procedures included CBD exploration (n=6); Choledocho-duodenostomy (n=4) and Roux-en-Y hepatico-jejunostomy (n=3). The mortality and morbidity were nil and 11% (all wound infection), respectively. Two patients developed incisional hernia during follow up. The mean follow up duration was 23.1 months (3-108) in 65 patients and the outcome was excellent and good in 97% of the patients. Conclusions: Post-cholecystectomy recurrent biliary colic should raise suspicion of RGB. MRCP is a useful investigation for the diagnosis and assessment of any associated problems and provides a roadmap for surgery. Laparoscopic completion cholecystectomy is feasible, but is technically difficult and has a high conversion rate.
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Viscoelasticity of coagulated alumina suspensions
Ashish Kumar,Anthony D. Stickland,Peter J. Scales 한국유변학회 2012 Korea-Australia rheology journal Vol.24 No.2
The solid-to-liquid transition of a model coagulated alumina suspension at concentrations above the gel point was investigated to explore the critical parameter for describing network failure under shear forces. Static (creep and creep-recovery) and dynamic (small and large amplitude oscillatory) shear experiments were combined to examine shear softening in these systems and time-based dependence in the yielding dynamics. The particulate network structure exhibits failure and viscous dissipation under creep and oscillatory shear tests at stress values well below the conventionally defined yield stress. Results from strain recovery tests highlight a time-dependence for failure, where only partial recovery of strain energy was possible once a specific duration of creep was surpassed. The system was observed to fail at a common strain value across all methods of rheology testing. These results are self-consistent, showing a clear transition from the linear to non-linear viscoelastic region for a coagulated material under shear stress. It provides the starting point to incorporate mechanical viscoelastic models to extract time constants for yielding behaviour. This work also presents one of the first reported LAOS and creep results for particulate suspensions using a vane geometry.
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Sulphide passivation of GaN based Schottky diodes
Ashish Kumar,Trilok Singh,Mukesh Kumar,R. Singh 한국물리학회 2014 Current Applied Physics Vol.14 No.3
Wet chemical passivation of n-GaN surface was carried out by dipping GaN samples in ammonium sulphide diluted in aqueous and alcoholic solvent base solutions. Photoluminescence (PL) investigations indicated that sulphide solution effectively led to the reduction of GaN surface states. Increased band edge PL peak showed that S2 ions are more active in alcohol based solvents. X-ray photoelectron spectroscopy revealed reduction in surface oxides by introduction of sulphide species. Ni/n-GaN Schottky barrier diodes were fabricated on passivated surfaces. Remarkable improvement in the Schottky barrier height (0.98 eV for passivated diodes as compared to 0.75 eV for untreated diodes) has been observed.
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