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RISS 인기검색어
- 검색키워드
- 저자 : Harishankar, S (검색결과 2 건)
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Harishankar Gopakumar,Ishaan Vohra,Srinivas Reddy Puli,Neil R Sharma 대한소화기내시경학회 2024 Clinical Endoscopy Vol.57 No.1
Background/Aims: Scissor-type endoscopic submucosal dissection (ST-ESD) knives can reduce the adverse events associated with ESDs. This study aimed to compare ST-ESD and non-scissor-type (NST)-ESD knives. Methods: We identified ten studies that compared the performance characteristics and safety profiles of ST-ESD and NST-ESD knives. Fixed- and random-effects models were used to calculate the pooled proportions. Heterogeneity was assessed using the I2 test. Results: On comparing ST-ESD knives to NST-ESD knives, the weighted odds of en bloc resection was 1.61 (95% confidence interval [CI], 0.90–2.90; p=0.14), R0 resection was 1.10 (95% CI, 0.71–1.71; p=0.73), delayed bleeding was 0.40 (95% CI, 0.17–0.90; p=0.03), perforation was 0.35 (95% CI, 0.18–0.70; p<0.01) and ESD self-completion by non-experts was 1.89 (95% CI, 1.20–2.95; p<0.01). There was no heterogeneity, with an I2 score of 0% (95% CI, 0%–54.40%). Conclusions: The findings of reduced odds of perforation, a trend toward reduced delayed bleeding, and an improvement in the rates of en bloc and R0 resection with ST-ESD knives compared to NST-ESD knives support the use of ST-ESD knives when non-experts perform ESDs or as an adjunct tool for challenging ESD procedures.
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Study on prestressed concrete beams and poles with cement replaced by steel dust
Sujitha Magdalene, P,Harishankar, S Techno-Press 2017 Advances in concrete construction Vol.5 No.4
Cement acts as the most important component of concrete as it binds and holds the concrete together. But it is one of the major $CO_2$ emitters all over the world, during manufacturing (900 kg of $CO_2$ per 1000 kg). Some of the modern construction methods aim at reducing the amount of usage of cement and came out with numerous solutions for replacement of the same. One such supplement in current trend is the Steel dust or the Electric Arc Furnace Dust (EAFD), which is a waste product from the electric arc furnace when the scrap metal is melted. When the concrete containing steel dust is exposed to atmosphere, the environmental oxygen and moisture play role to form rust and ultimately the member becomes harder. As Cement is the binder of conventional concrete, only certain percentage of the same could be replaced by the new material, steel dust. Tests were conducted for the 28 days cube strength of M45 grade (suitable for prestressing) concrete which has 0%, 10%, 20%, 30%, 40% and 50% steel dust instead cement. From the test, the optimum percentage replacement of steel dust was obtained, for which the beams and overhead poles were cast, prestressed and tested for the failure load and deflections. A conventional concrete beam and overhead pole were also cast, prestressed and tested to compare the results with those of the beam and pole that contained steel dust. The load vs. deflection plot and other results from the test is also discussed.
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