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Successful Dual-Patch Closure of a Fistula between the Right Pulmonary Artery and the Left Atrium
Abhishek Shrinivas Joshi,Balaji Dattatray Aironi 대한흉부외과학회 2021 Journal of Chest Surgery (J Chest Surg) Vol.54 No.1
A fistula between the right pulmonary artery and the left atrium is a very rare congenital anomaly, for which there is no definitive embryogenetic explanation. Patients present with cyanosis or clubbing, and the treatment strategy is to close the fistula, which can be done by an open surgical technique or by percutaneous intervention. Although rare, this con- dition should be considered in the differential diagnosis when evaluating a patient with central cyanosis.
Lokesh Mukut Vaishnav,Shiv Hiren Joshi,Abhishek Upendra Joshi,Ashok Madhukar Mehendale 대한노인병학회 2022 Annals of geriatric medicine and research Vol.26 No.3
Aging care is critical. Projections for 2020 indicate that India’s older population will comprise 6.57% of the overall population. The best-known newly developed technologies must be provided to the older population. Non-governmental organizations and private institutions are increasingly providing more door-to-door guidance and help. This study evaluated the impact of the National Programme for Health Care of the Elderly (NPHCE) in India and analyzed its achievements and challenges. The program’s key strategies include providing preventive and promotional care and sickness management, empowering geriatric services, and guaranteeing optimal rehabilitation. The NPHCE is an excellent project for caring for a rapidly aging population. This study described the existing programs and schemes related to older people in India, with a focus on the NPHCE and an analysis of the program’s achievements and challenges.
Gautam Alok Sagar,Sanjeev Kumar,Sneha Gautam,Aryan Anand,Ranjit Kumar,Abhishek Joshi,Kuldeep Bauddh,Karan Singh 한국기상학회 2021 Asia-Pacific Journal of Atmospheric Sciences Vol.57 No.4
The present paper designed to understand the variations in the atmospheric pollutants viz. PM10, PM2.5, SO2, NO2, and CO during the COVID-19 pandemic over eight most polluted Indian cities (Mumbai, Delhi, Bangalore, Hyderabad, Lucknow, Chandigarh, Kolkata, and Ahmedabad). A significant reduction in the PM2.5 (63%), PM10 (56%), NO2 (50%), SO2 (9%), and CO (59%) were observed over Major Dhyan Chand Stadium. At Chhatrapati Shivaji International Airport, a decline of 44% in PM2.5 and 50% in PM10 was seen just a week during the initial phase of the lockdown. Gaseous pollutants (NO2, SO2 & CO) dropped up-to 36, 16, and 41%, respectively. The Air Quality Index (AQI) shows a dramatic change from 7% to 67% during observation at Chandigarh and Ballygunge during the inspection. Whereas, Ahmedabad, Worli, Income Tax Office, Talkatora, Lalbagh, and Ballygaunge have showed a significant change in AQI from 25.76% to 68.55%. However, Zoo Park, CST, Central School, and Victoria show relatively low variation in AQI in the range of 3.0% to 14.50% as compare to 2019 after lockdown. Hybrid Single-Particle Lagrangian Integrated Trajectory (HYSPLIT) analysis suggested that long range transportation of pollutants were also a part and parcel contributing to changes in AQI which were majorly coming from the regions of Iran, Afghanistan, Saudi Arabia, as well as a regional grant from Indian Gangatic plains and Delhi Non-capital region.