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Inflammatory Myofibroblastic Tumor of the Urinary Bladder Managed by Laparoscopic Partial Cystectomy
Manas Ranjan Pradhan,Priyadarshi Ranjan,Ram Nawal Rao,Saurabh Sudhir Chipde,Krishna Pradhan,Rakesh Kapoor 대한비뇨의학회 2013 Investigative and Clinical Urology Vol.54 No.11
Inflammatory myofibroblastic tumor of the urinary bladder is a rare mesenchymal tumor with uncertain malignant potential. It often mimics soft tissue sarcomas both clinically and radiologically. Surgical resection in the form of partial cystectomy or transurethral resection remains the mainstay of treatment. Herein we report the case of an inflammatory myofibroblastic tumor in a young girl, which was managed by laparoscopic partial cystectomy. To the best of our knowledge, this is the first reported case of laparoscopic management of an inflammatory myofibroblastic tumor of the urinary bladder.
Saransh Jain,Saurabh Kedia,Sawan Bopanna,Dawesh P Yadav,Sandeep Goyal,Peush Sahni,Sujoy Pal,Nihar Ranjan Dash,Govind Makharia,Simon P. L. Travis,Vineet Ahuja 대한장연구학회 2018 Intestinal Research Vol.16 No.1
Background/Aims: Truelove and Witts criteria have been used to define acute severe colitis since the 1950s. However, hemoglobin(an additional criterion of the definition) levels in the general population in developing countries are lower than in the population of developed countries. We aimed to determine the relevance of Truelove and Witts criteria in the Indianpopulation. Methods: Consecutive patients with acute severe colitis satisfying the Truelove and Witts criteria, hospitalized ata single center between April 2015 and December 2016 were included. All patients received intravenous corticosteroids and 16 required colectomy. The hemoglobin levels at admission were subsequently excluded from the classification criteria, and the effect this had on the criteria for diagnosis was determined. Results: Out of 61 patients of acute severe colitis diagnosed according to the original Truelove and Witts criteria, 12 patients (20%) had 1 additional criterion, 33 (54%) had 2 additionalcriteria and 16 (26%) had 3 or more additional criteria in addition to 6 or more blood stained stools on admission. On excludinghemoglobin as an additional criterion from the Truelove and Witts definition, all patients still met the criteria for acute severecolitis. Conclusions: Truelove and Witts criteria can be used to define acute severe colitis in India, despite lower mean hemoglobinin the native population.
Predictive factors for malignancy in undiagnosed isolated small bowel strictures
( Ujjwal Sonika ),( Sujeet Saha ),( Saurabh Kedia ),( Nihar Ranjan Dash ),( Sujoy Pal ),( Prasenjit Das ),( Vineet Ahuja ),( Peush Sahni ) 대한장연구학회 2017 Intestinal Research Vol.15 No.4
Background/Aims: Patients with small bowel strictures have varied etiologies, including malignancy. Little data are available on the demographic profiles and etiologies of small bowel strictures in patients who undergo surgery because of intestinal obstruction but do not have a definitive pre-operative diagnosis. Methods: Retrospective data were analyzed for all patients operated between January 2000 and October 2014 for small bowel strictures without mass lesions and a definite diagnosis after imaging and endoscopic examinations. Demographic parameters, imaging, endoscopic, and histological data were extracted from the medical records. Univariate and multivariate analyses were conducted to identify factors that could differentiate between intestinal tuberculosis (ITB) and Crohn’s disease (CD) and between malignant and benign strictures. Results: Of the 7,425 reviewed medical records, 89 met the inclusion criteria. The most common site of strictures was the proximal small intestine (41.5%). The most common histological diagnoses in patients with small bowel strictures were ITB (26.9%), CD (23.5%), non-specific strictures (20.2%), malignancy (15.5%), ischemia (10.1%), and other complications (3.4%). Patients with malignant strictures were older than patients with benign etiologies (47.6±15.9 years vs. 37.4±16.4 years, P=0.03) and age >50 years had a specificity for malignant etiology of 80%. Only 7.1% of the patients with malignant strictures had more than 1 stricture and 64% had proximally located strictures. Diarrhea was the only factor that predicted the diagnosis of CD 6.5 (95% confidence interval, 1.10-38.25; P=0.038) compared with the diagnosis of ITB. Conclusions: Malignancy was the cause of small bowel strictures in approximately 16% patients, especially among older patients with a single stricture in the proximal location. Empirical therapy should be avoided and the threshold for surgical resection is low in these patients. (Intest Res 2017;15:518-523)
Study & Analysis of Role of Li-fi in Future
Sambhav Gupta,Sarthak Gupta,Shashank Pandey,Saurabh Ranjan,Satyam Goel,Saurabh Bhatia 보안공학연구지원센터 2016 International Journal of Smart Home Vol.10 No.2
In this hi-tech world, privacy is most important issue. Has anyone ever imagined why this problem arises? In the field of correspondence media or portable correspondence, web association is a spine of data and correspondence innovation which gives numerous administrations to client to these applications we need quick and headway of Internet integration innovation and vast range of channels[1]. Internet access speed or whether it is about downloading files, internet speed is big issue. Why not take a step further to resolve this problem? The answer to our problems is 'li-fi'. Have you ever wondered a city where internet access is wireless and without any interruption? Like other queries science has an answer to these questions also which is LIFI. LIFI is the new future. From sharing data to accessing it, can be done for laptops, smart phones, and tablets through transmitting light from LED bulb installed within the room. And for the security, if you can't see the light, you can't access the data[2].
Mathematical Model to Analyze Coiling Feasibility at Downcoiler in Hot Strip Mill
Manoj Krishna Majumder,Potnuru Venkata Dilip,Pawan Kumar Singh,Gaurav Singh,Saurabh Gaur,Rashmi Ranjan Samantaray,Sanjay Chandra 한국정밀공학회 2023 International Journal of Precision Engineering and Vol.24 No.10
The coiling of a steel strip in a Downcoiler is an integrated part of the hot-rolled steel production line. Failure to coiling results damage to finished rolled strip along with mill downtime due to cobble. Thus, coiling success in Downcoiler is a critical concern for production of hot rolled steel strip. A mathematical model has been developed to analyze coiling feasibility for new grade of high strength steel to be rolled for the first time in the mill and to thereby identify a safe operating window for the coiling-process parameters. This has significant benefit in reducing the risk of coiling failure during plant trial and thus product development cycle time. The model is based on the estimation of coiler tension for a new grade with reference to mill-based physical data of coiling compactness as defined by a wrapper angle from known grades, coiled in the mill. This is followed by computation and comparison of coiling torque vis-à-vis the capacity of the Downcoiler allows a decision to be taken about the coiling feasibility of the new grade. It is believed that it is for the first time that a coiling feasibility algorithm has been developed and discussed. The model has been widely used within Tata Steel to carry out plant trails for the development of new grade as well as rolling of new section in existing grades at its Hot Strip Mill in Indian plant at Kalinganagar.
Karan Sachdeva,Peeyush Kumar,Bhaskar Kante,Sudheer K. Vuyyuru,Srikant Mohta,Mukesh K. Ranjan,Mukesh K. Singh,Mahak Verma,Govind Makharia,Saurabh Kedia,Vineet Ahuja 대한장연구학회 2023 Intestinal Research Vol.21 No.2
Background/Aims: Intestinal tuberculosis (ITB) and Crohn’s disease (CD) frequently present with a diagnostic dilemma because of similar presentation. Interferon-gamma release assay (IGRA) has been used in differentiating ITB from CD, but with sparse reports on its diagnostic accuracy in tuberculosis endemic regions and this study evaluated the same. Methods: Patients with definitive diagnosis of ITB (n=59) or CD (n=49) who underwent IGRA testing (n=307) were retrospectively included at All India Institute of Medical Sciences, New Delhi (July 2014 to September 2021). CD or ITB was diagnosed as per standard criteria. IGRA was considered positive at >0.35 IU/mL. Relevant data was collected and IGRA results were compared between ITB and CD to determine its accuracy. Results: Among 59 ITB patients (mean age, 32.6±13.1 years; median disease duration, 1 year; male, 59.3%), 24 were positive and 35 tested negative for IGRA. Among 49 CD patients (mean age, 37.8±14.0; median disease duration, 4 years; male, 61.2%), 12 were positive and 37 tested negative for IGRA. Hence, for diagnosing ITB, IGRA showed a sensitivity, specificity, positive and negative predictive values of 40.68%, 75.51%, 66.67%, and 51.39%, respectively. The area under the curve of IGRA for ITB diagnosis was 0.66 (95% confidence interval, 0.55–0.75). In a subset (n=64), tuberculin skin test (TST) showed sensitivity, specificity, positive and negative predictive values of 64.7%, 73.3%, 73.3%, and 64.71%, respectively. IGRA and TST were concordant in 38 (59.4%) patients with κ=0.17. Conclusions: In a tuberculosis endemic region, IGRA had poor diagnostic accuracy for differentiating ITB from CD, suggesting a limited value of IGRA in this setting.