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Article ; Online: Large Coronary Cameral Fistula to the Left Ventricle Presenting as Congestive Heart Failure.

Chirumamilla, Yashitha / Brar, Ajit / Belal, Farouk / McDonald, Philip

European journal of case reports in internal medicine

2024 Volume 11, Issue 3, Page(s) 4364

Abstract: A 56-year-old African American female was under evaluation for coronary artery disease by a cardiologist due to her complaints of intermittent chest pain. She underwent an outpatient echocardiogram and was found to have an ejection fraction of 20-25% ... ...

Abstract	A 56-year-old African American female was under evaluation for coronary artery disease by a cardiologist due to her complaints of intermittent chest pain. She underwent an outpatient echocardiogram and was found to have an ejection fraction of 20-25% with global left ventricular hypokinesis. Due to this finding along with her ongoing chest pain, she was referred to the emergency department for further evaluation. Her electrocardiogram showed changes suggestive of ischaemia and her cardiac troponins were mildly elevated, so she underwent an urgent cardiac catheterisation. The angiography confirmed the reduced ejection fraction and global left ventricular hypokinesis, but also demonstrated a large coronary cameral fistula (CCF) extending from the first septal branch into the left ventricle. She was then diagnosed with non-ischaemic cardiomyopathy and heart failure with reduced ejection fraction secondary to the CCF. In this report, we illustrate a frequently encountered clinical scenario in which a patient presented with chest pain and EKG findings indicative of ischaemic cardiomyopathy. The patient also had several risk factors for coronary artery disease, however further investigation revealed an alternative diagnosis. Learning points: A description of rare coronary anomalies adds to the fund of medical knowledge and can guide physicians to make evidence-based decisions regarding its management.Increasing description of coronary cameral fistula will alert clinicians to suspect it as a cause for worsening heart failure and as a treatable cause of non-ischaemic cardiomyopathy.
Language	English
Publishing date	2024-02-28
Publishing country	Italy
Document type	Journal Article
ISSN	2284-2594
ISSN (online)	2284-2594
DOI	10.12890/2024_004364
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Investigation on baler technology for ex situ paddy residue biomass management with energy consumption analysis for wheat establishment

Sharma, A. / Brar, A. S.

International journal of environmental science and technology. 2022 July, v. 19, no. 7

2022

Abstract: A study was conducted on implementation of baler technology for ex situ management of paddy residue biomass along with the comparison of energy consumption in wheat establishment under three field mechanical treatments MT2, MT3 and MT4 with MT1 (farmer’s ...

Abstract	A study was conducted on implementation of baler technology for ex situ management of paddy residue biomass along with the comparison of energy consumption in wheat establishment under three field mechanical treatments MT2, MT3 and MT4 with MT1 (farmer’s practice). During the study, it was observed that effective field capacity, average bale density, of baler machine was maximum for MT3. Comparable grain yield and total return were observed in MT3 and MT2. Benefit/cost ratio was maximum in MT2 and minimum in MT1. The maximum (3286.22 MJ.ha⁻¹) and minimum (1959.02 MJ.ha⁻¹) energy consumption was observed in MT1 and MT2, respectively. The component of direct and non-renewable energy sources was maximum (3043.29 and 3257.76 MJ.ha⁻¹) in MT1 and was minimum (1778.31 and 1943.66 MJ.ha⁻¹) in case of MT2. The maximum CO₂ emission due to machinery and fuel input was estimated in MT1. The results indicate that ex situ management of paddy residue biomass by mechanical collection of biomass with baler technology and sowing of wheat afterwards with NTD is beneficial alternative to farmer’s practice. It helps in avoidance of on-farm burning of paddy residue causing abatement in environmental pollution and makes the availability of residue biomass by storing it in the form of bales for more suitable end use than on-farm burning.
Keywords	biomass ; carbon dioxide ; energy ; farmers ; field capacity ; grain yield ; nonrenewable resources ; paddies ; pollution ; technology ; wheat
Language	English
Dates of publication	2022-07
Size	p. 6267-6284.
Publishing place	Springer Berlin Heidelberg
Document type	Article
ZDB-ID	2230399-6
ISSN	1735-2630 ; 1735-1472
ISSN (online)	1735-2630
ISSN	1735-1472
DOI	10.1007/s13762-021-03444-6
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Article ; Online: Painless Aortic Dissection with Catastrophic Consequences Presenting as Sudden Loss of Consciousness with no Prodromal Symptoms.

Navari, Yasaman / Brar, Ajit / Karki, Bibek / Elian, Samir

European journal of case reports in internal medicine

2023 Volume 10, Issue 11, Page(s) 4081

Abstract: This case report presents a complex clinical scenario involving a 71-year-old female with aortic dissection accompanied by hypotension. The patient's initial presentation of sudden loss of consciousness unveiled a large pericardial effusion and cardiac ... ...

Abstract	This case report presents a complex clinical scenario involving a 71-year-old female with aortic dissection accompanied by hypotension. The patient's initial presentation of sudden loss of consciousness unveiled a large pericardial effusion and cardiac tamponade, leading to emergency surgery. Subsequent diagnostic findings revealed an intramural haematoma with an intimal tear in the ascending aorta. Postoperatively, the patient experienced an ischaemic stroke, necessitating prompt neurology consultation and treatment. This report underscores the significance of early recognition and collaborative management in achieving positive patient outcomes. Learning points: Early identification of aortic dissection symptoms, such as sudden loss of consciousness and hypotension, is crucial for effective management.Managing aortic dissection involves a multidisciplinary effort with emergency medicine, cardiology and surgical teams working together for optimal patient outcomes.After aortic dissection surgery, staying attentive to potential neurological complications such as ischaemic strokes is essential.
Language	English
Publishing date	2023-09-21
Publishing country	Italy
Document type	Journal Article
ISSN	2284-2594
ISSN (online)	2284-2594
DOI	10.12890/2023_004081
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Article ; Online: Dimensional accuracy of TKA cut surfaces with an active robotic system.

Kreuzer, Stefan / Brar, Abheetinder / Campanelli, Valentina

Computer assisted surgery (Abingdon, England)

2022 Volume 27, Issue 1, Page(s) 41–49

Abstract: This is a study of the dimensional accuracy of the bone cut surfaces in robotic TKA. One surgeon performed robotic TKA on four cadaveric knees. A novel technique was developed for measuring the dimensional accuracy of both the femoral and tibial cut ... ...

Abstract	This is a study of the dimensional accuracy of the bone cut surfaces in robotic TKA. One surgeon performed robotic TKA on four cadaveric knees. A novel technique was developed for measuring the dimensional accuracy of both the femoral and tibial cut surfaces. CT scans were used to create a pre-operative plan and generate nominal cut surfaces on the 3D bone model. After TKA, the cut surfaces were then laser scanned. Two femoral components were also scanned and compared to nominal dimensions. Flatness was computed as the standard deviation between each of the cut surfaces and the best-fit plane. The angles between the five femoral best-fit planes were compared to the nominal values. The point-to-point distances between the femoral cut surfaces and the nominal cut planes were computed to estimate the bone-to-implant gap. The cut surfaces had an average flatness of 0.16 ± 0.06 mm with low variability between different cut planes. The femoral cut surfaces had average angular errors of 0.47 ± 0.39°, which are of similar magnitude as the errors found for the implants. The bone-to-implant gap was within ±1 mm for 97.9% of the surface on average. Using a novel methodology, the dimensional accuracy of an active robotic system for TKA was found to be very high for both the femoral and tibial bone cuts. Comparison studies are needed with other robotic systems as well as studies comparing manual and robotic techniques.
MeSH term(s)	Arthroplasty, Replacement, Knee/methods ; Humans ; Knee Joint/diagnostic imaging ; Knee Joint/surgery ; Knee Prosthesis ; Robotic Surgical Procedures/methods ; Tibia/diagnostic imaging ; Tibia/surgery
Language	English
Publishing date	2022-05-30
Publishing country	England
Document type	Journal Article
ZDB-ID	2870722-9
ISSN	2469-9322 ; 1092-9088
ISSN (online)	2469-9322
ISSN	1092-9088
DOI	10.1080/24699322.2022.2080116
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Article: A Dangerous Duo: Spontaneous Pneumomediastinum and Venous Thromboembolism at Presentation in a Patient with COVID-19 Pneumonia.

Nasirova, Sabina / Muganlinskaya, Nargiz / Pessu, Orighomisan / Brar, Arshdeep

Journal of community hospital internal medicine perspectives

2022 Volume 12, Issue 1, Page(s) 13–18

Abstract: Background: Coronavirus disease 2019 (Covid-19) is associated with spontaneous pneumomediastinum (SPM) predominantly in those after positive pressure ventilation (PPV) support. Additionally, many cases of venous thromboembolism (VTE) in COVID-19 ... ...

Abstract	Background: Coronavirus disease 2019 (Covid-19) is associated with spontaneous pneumomediastinum (SPM) predominantly in those after positive pressure ventilation (PPV) support. Additionally, many cases of venous thromboembolism (VTE) in COVID-19 patients were described. Our case is the first to describe SPM and VTE present on admission in a patient with Covid -19 pneumonia. Case report: A 53-year-old man presented to the hospital with escalating dyspnea. Two weeks prior to this visit, he had been evaluated in an ambulatory setting and was started on antibiotics and systemic steroids. In the hospital, this patient was found to be in acute hypoxic respiratory failure and was placed on noninvasive PPV. Diagnosis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was confirmed by reverse transcriptase-polymerase chain reaction (RT-PCR) test from nasopharyngeal swab specimen. Chest computed tomography (CT) scan revealed multi-lobar pulmonary emboli (PE) and subcutaneous emphysema with pneumomediastinum. The patient was managed conservatively. He never required closed invasive mechanical ventilation. Subsequent serial imaging displayed the resolution of SPM. Conclusion: The association between VTE and COVID-19 has been established. This report brings attention to SPM as an additional important complication of COVID-19, even in patients without pre-existing predisposing pathology or exposure to PPV.
Language	English
Publishing date	2022-01-31
Publishing country	United States
Document type	Case Reports
ZDB-ID	2616884-4
ISSN	2000-9666
ISSN	2000-9666
DOI	10.55729/2000-9666.1002
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Article ; Online: Screening och utredning – risk för både över- och underdiagnostik.

Hirvikoski, Tatja / Billstedt, Eva / Lundström, Sebastian / Brar, Annika

Lakartidningen

2022 Volume 119

Abstract: ADHD in adults is commonly associated with severe impairments in many major life activities, and an adequate diagnosis is a first step towards treatment and support. Negative consequences follow both underdiagnosis and overdiagnosis of adult ADHD, which ... ...

Title translation	Screening and diagnostic assessment of ADHD in adults - risks associated with both underdiagnosis and overdiagnosis.
Abstract	ADHD in adults is commonly associated with severe impairments in many major life activities, and an adequate diagnosis is a first step towards treatment and support. Negative consequences follow both underdiagnosis and overdiagnosis of adult ADHD, which can be confused with other psychiatric diagnoses and sometimes overlooked in people with high intellectual capacity, and in women in general. In a clinical practice, most physicians meet adults with ADHD - with or without a diagnosis - and therefore need competence in screening of ADHD in adults. Experienced clinicians conduct the consequent diagnostic assessment, to reduce risk of both underdiagnosis and overdiagnosis. Several national and international clinical guidelines summarize evidence-based practices for adults with ADHD. European Network Adult ADHD, ENAA, revised consensus statement recommends pharmacological treatment and psychoeducation as a first step after ADHD diagnosis in adulthood.
MeSH term(s)	Humans ; Adult ; Female ; Attention Deficit Disorder with Hyperactivity/diagnosis ; Attention Deficit Disorder with Hyperactivity/psychology ; Overdiagnosis ; Consensus ; Physicians ; Diagnostic and Statistical Manual of Mental Disorders
Language	Swedish
Publishing date	2022-02-22
Publishing country	Sweden
Document type	English Abstract ; Journal Article
ZDB-ID	391010-6
ISSN	1652-7518 ; 0023-7205
ISSN (online)	1652-7518
ISSN	0023-7205
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Article: Phycoremediation of textile effluent-contaminated water bodies employing microalgae: nutrient sequestration and biomass production studies

Brar, A / Kumar, M / Pareek, N / Vivekanand, V

International journal of environmental science and technology. 2019 Dec., v. 16, no. 12

2019

Abstract: Combinatorial process development for rationalized recycling of nutrients employing microalgae may provide realistic solutions to both environment management and energy generation. The present study was performed to investigate nutrient recycling ... ...

Abstract	Combinatorial process development for rationalized recycling of nutrients employing microalgae may provide realistic solutions to both environment management and energy generation. The present study was performed to investigate nutrient recycling potential of microalgal strains viz. Anabaena ambigua, Chlorella pyrenoidosa and Scenedesmus abundans in terms of biomass productivity and specific growth rate using textile wastewater as a nutrient source at different dilutions (25, 50, 75, 100%). Biomass production kinetics revealed that alga could grow even up to 100% textile wastewater. Comparative phycoremediation potential was evaluated for 25 days employing 75% textile wastewater under batch conditions. The microalgal species were observed to effectively reduce the chloride, nitrate and phosphate concentrations up to 61%, 74.43% and 70.79%, respectively. Maximum chemical oxygen demand reduction efficiency was observed employing S. abundans (< 85%). Spectral analysis revealed potentiality of applying microalgae for textile wastewater remediation and also provided insight into the possible mechanism involved.
Keywords	Anabaena ; biogeochemical cycles ; biomass production ; chemical oxygen demand ; Chlorella pyrenoidosa ; chlorides ; energy ; fabrics ; microalgae ; nitrates ; nutrients ; phosphates ; remediation ; Scenedesmus ; specific growth rate ; spectral analysis ; surface water ; textile mill effluents
Language	English
Dates of publication	2019-12
Size	p. 7757-7768.
Publishing place	Springer Berlin Heidelberg
Document type	Article
ZDB-ID	2230399-6
ISSN	1735-2630 ; 1735-1472
ISSN (online)	1735-2630
ISSN	1735-1472
DOI	10.1007/s13762-018-2133-9
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Article ; Online: Growth and phenology of wheat (Triticum aestivum L.) as influenced by irrigation scheduling under in situ rice residue management

Singh, Rukinderpreet / Paalli, Satpal S. / Brar, A. S. / Kaur, Charanjeet

Archives of Agronomy and Soil Science. 2023 July 03, v. 69, no. 8 p.1376-1392

2023

Abstract: The impact of irrigation regimes on growth and phenology of wheat was studied under in situ rice residue management (RRM) using split plot design. Treatments were consisted of methods of rice residue management (3): conventional method, in situ RRM using ...

Abstract	The impact of irrigation regimes on growth and phenology of wheat was studied under in situ rice residue management (RRM) using split plot design. Treatments were consisted of methods of rice residue management (3): conventional method, in situ RRM using Happy Seeder without Press Wheel (HSw/oPW) and Happy Seeder with press wheel assembly (HSwPW) in main plot and nine irrigation regimes[irrigations at growth stages (3): three irrigations at crown root initiation (CRI), booting and milking (I₃CBM); four irrigations at CRI, tillering, flowering and milking (I₄CTFM); five irrigations at CRI, tillering, booting, flowering and dough stages (I₅CTBFD), and irrigation depths (3): 55 (I₅₅), 65 (I₆₅) and 75 (I₇₅) mm] in subplot. Under in situ RRM, the physiological maturity was delayed resulting in higher accumulation of growing degree days (GDD), helio-thermal units (HTU) and photo-thermal units (PTU) than conventional method. The initial growth under HSw/oPW was slow, however, till harvest it was statistically at par with conventional method. I₅CTBFD resulted in the highest days taken to physiological maturity and GDD, HTU and PTU accumulation. Grain yield (pooled) was significantly higher under I₅CTBFD than I₄CTFM and I₃CBM. I₇₅ recorded at par growth parameters and yield with I₆₅.
Keywords	Triticum aestivum ; agronomy ; dough ; experimental design ; grain yield ; irrigation ; phenology ; rice ; tillering ; wheat ; Irrigation depth ; growing degree days ; happy seeder ; root dry matter
Language	English
Dates of publication	2023-0703
Size	p. 1376-1392.
Publishing place	Taylor & Francis
Document type	Article ; Online
ZDB-ID	1132910-5
ISSN	1476-3567 ; 0365-0340
ISSN (online)	1476-3567
ISSN	0365-0340
DOI	10.1080/03650340.2022.2089877
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Cryoneurolysis of Anterior and Posterior Divisions of the Obturator Nerve.

MacRae, Fraser / Brar, Arman / Boissonnault, Eve / Winston, Paul

American journal of physical medicine & rehabilitation

2022 Volume 102, Issue 1, Page(s) e1–e2

MeSH term(s)	Humans ; Obturator Nerve/anatomy & histology ; Cadaver
Language	English
Publishing date	2022-09-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	219390-5
ISSN	1537-7385 ; 0002-9491 ; 0894-9115
ISSN (online)	1537-7385
ISSN	0002-9491 ; 0894-9115
DOI	10.1097/PHM.0000000000002102
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Article ; Online: Promoting surgical research in the Global South: Perspectives from surgical trainee researchers.

Naganathan, Gayathri / Sue-Chue-Lam, Colin / Brar, Amanpreet / Azzie, Georges

Surgery

2022 Volume 171, Issue 4, Page(s) 1131–1132

MeSH term(s)	Biomedical Research ; Humans ; Research Personnel
Language	English
Publishing date	2022-01-26
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	202467-6
ISSN	1532-7361 ; 0039-6060
ISSN (online)	1532-7361
ISSN	0039-6060
DOI	10.1016/j.surg.2021.09.020
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