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The Impact of an Evidence-Based Bundle on Cesarean Section-Related Surgical Site Infections:A Randomized Clinical Trial

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Maternal-Fetal Medicine 2024年第2期6卷 70-77页

作者： Aditya Gan Romana Khursheed Mahadevi Savanur anita dalal Arif Maldar Department of Obstetrics and Gynecology Jawaharlal Nehru Medical CollegeKLE Academy of Higher Education and ResearchBelagaviKarnataka 590009India Department of Medicine Jawaharlal Nehru Medical CollegeKLE Academy of Higher Education and ResearchBelagavi 590010India

Objective:To compare the effectiveness of an evidence-based bundle in minimizing cesarean section(CS)-related surgical site infections(SSIs)with that of standard routine ***:This was a single-center,parallel,and randomized clinical trial conducted at KAHER’s *** Kore Charitable Hospital,Belagavi,India,from January 2021 to December 31,*** hundred twenty women undergoing CS delivery were selected and allocated into two groups(1:1)using simple randomization with fixed *** evidence-based surgical bundle(a combination of more than three perioperative interventions)was used for the intervention group,whereas the control group received routine standard perioperative *** primary outcome was the incidence of SSI(superficial,deep,and organ or space SSIs)within 6 weeks postpartum in both *** and continuous data were analyzed using appropriate statistical tests with a significance threshold set at P<***:In this study,16 and 17 participants each from the control and intervention groups,respectively,were lost to follow-up,resulting in a total of 144 and 143 study participants included in the respective ***-eight(19.4%)and 14(9.8%)women developed SSI in the control and intervention groups,respectively(P=0.02).Methicillin-resistantStaphylococcus aureus was the most common cause of SSI in both groups(63.6%(7/11)and 100%(3/3)in the control and intervention groups,respectively).Conclusion:The use of the evidence-based bundle for CS-related SSI prevention effectively decreased the incidence of SSI by half compared to standard routine *** the use of this bundle in routine perioperative care will reduce the cost of CS and improve health outcomes in CS.

关键词： Cesarean section Bundle approach Infection prevention bundle Surgical site infections Evidence-based bundle

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Non-static plane symmetric perfect fluid solutions and Killing symmetries in f(R,T)gravity

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Communications in Theoretical Physics 2024年第2期76卷 145-150页

作者： Preeti dalal Karanjeet Singh Sachin Kumar Department of Mathematics and Statistics Central University of PunjabBathinda151401PunjabIndia Department of Mathematics Jaypee University of Information TechnologySolan173234Himachal PradeshIndia

In this paper,the non-static solutions for perfect fluid distribution with plane symmetry in f(R,T)gravitational theory are ***,using the Lie symmetries,symmetry reductions are performed for considered vector fields to reduce the number of independent ***,corresponding to each reduction,exact solutions are *** vectors lead to different conserved ***,we figure out the Killing vector fields corresponding to all derived *** derived solutions are further studied and it is observed that all of the obtained spacetimes,at least admit to the minimal symmetry group which consists of δ_(y),δ_(z) and -zδ_(y)+yδ_(z).The obtained metrics,admit to 3,4,6,and 10,Killing vector *** of linear momentum in the direction of y and z,and angular momentum along the x axis is provided by all derived solutions.

关键词： Einstein field equations perfect fluid solutions f(R T)gravity killing symmetries

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Co-seismic surface displacement of the June 21, 2022 M_(W)6 Khōst,Afghanistan earthquake from InSAR observations

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Geodesy and Geodynamics 2024年第3期15卷 201-208页

作者： Prohelika dalal Batakrushna Senapati Bhaskar Kundu Department of Earth and Atmospheric Sciences National Institute of TechnologyRourkelaOdisha 769008India

A robust estimation of the earthquake location, seismic moment, and fault geometry is essential for objective seismic hazard assessment. Seismic events in a remote location, specifically in the absence of seismic and GNSS networks, can be investigated effectively using the In SAR-based technique. This study adopts the Differential Interferometric SAR(DIn SAR) technique to quantify the co-seismic surface displacement caused by the June 21, 2022, Khōst M_(W)6 earthquake that occurred along the western plate boundary between the Indian and Eurasian plate. The interferograms show that the maximum surface deformation occurred on the northwest and southwest of the fault line. From coherence, the Line of Sight(LOS) displacement, and the co-seismic surface displacement analysis, it has been observed that surface deformation was most pronounced in the southwest region of the fault line, and the surface has moved to the opposite direction along the fault line, which indicates a sinistral slightly oblique strike-slip movement. This In SAR-based observation appears consistent with the seismic waveforms derived from co-seismic surface displacements. Further, it has been argued that the slip deficit accumulated during the period of the last about 48 years along the frontal region of the northward extension of the Suleiman range and associated fault zone is qualitatively estimated at about 1.5 m, which is consistent with the seismic waveforms derived finite slip model.

关键词： Seismic hazard Khōst earthquake DInSAR Slip deficit LOS displacement Finite slip model

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On the Enhanced Power Graph of a Semigroup

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Algebra Colloquium 2024年第1期31卷 83-96页

作者： Sandeep dalal Jitender Kumart Siddharth Singh Department of Mathematics Birla Institute of Technology and Science Pilani PilaniIndia

The enhanced power graph P_(E)(S)of a semigroup S is a simple graph whose vertex set is S and two vertices a,y∈S are adjacent if and only if c,y∈(z)for some z∈S,where(z)is the subsemigroup generated by *** this paper,we first describe the structure of P_(E)(S)for an arbitrary semigroup S,and then discuss the connectedness of P_(E)(S).Further,we characterize the semigroup S in the cases when P_(E)(S)is separately a complete,bipartite,regular,tree and null *** planarity,together with the minimum degree and independence number,of P_(E)(S)is also *** chromatic number of a spanning subgraph,i.e.,the cyclic graph,of P_(E)(S)is proved to be *** the final part of this paper,we construct an example of a semigroup S such that the chromatic number of P_(E)(S)need not be countable.

关键词： monogenic semigroup completely regular semigroup planar graph enhanced powergraph

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History and Advancement of the Family of Log Periodic Toothed Planer Microstrip Antenna

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Journal of Electromagnetic Analysis and Applications 2011年第6期3卷 242-247页

作者： Arti Vaish anita dalal 不详

This paper presents the family of logarithmically periodic toothed planer antennas. In this the dimensions of the succes-sive sections were increased in geometric progression for a wide bandwidth usage. A band width of 7% for trapezoid toothed, 26% for zigzag toothed and 50% for cross-toothed VSWR < 2 has been obtained from the proposed antennas. Investigations on the gain and radiation characteristics have been carried out. The investigations show that the pro-posed designs not only offers the enhanced bandwidth but also possesses the same characteristics over the desired fre-quency band at same probe feed position.

关键词： Log Periodic Antenna Probe Feed Wide Band Antenna Improved Bandwidth

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Use of MLC901 in cerebral venous sinus thrombosis:Three case reports

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World Journal of Clinical Cases 2024年第2期12卷 346-353页

作者： anita Ante Arsovska Narayanaswamy Venketasubramanian Department of Urgent Neurology University Clinic of NeurologyUniversity Ss.Cyril and Methodius-Faculty of MedicineSkopje 1000North Macedonia Department of Neurology Raffles HospitalSingapore 188770Singapore

BACKGROUND Cerebral venous sinus thrombosis(CVT)is rare cause of cerebrovascular *** incidence is 0.5%of all *** majority of affected patients are young adults(mean age:35-40 years)with mild to moderate *** outcome with severe disability is seen in 13%of *** diagnosis and treatment are important for good outcomes and preventing *** options are limited and mostly based on *** II™(MLC901;Moleac Pte,Ltd,Singapore)has a potential beneficial role in post-stroke recovery,by aiding the natural brain recovery *** SUMMARY MLC901 consists of nine natural herbal *** have shown its safety profile and aid in post stroke *** aim of this case series was to demonstrate the potential role of MLC901 in stroke recovery of patients with cerebral venous sinus thrombosis(CVST)who received MLC901 in addition to standard of *** prescribed dose of MLC901 is 400 mg/cap two capsules,three times a *** from these patients were prospectively collected at baseline and at monthly visits,for a duration of 3 *** measures included adherence to therapy,side effects,National Institutes of Health Stroke Scale,Glasgow Coma Scale,modified Rankin Scale,and the Short Orientation-Memory-Concentration ***901 was well tolerated and no side effects were *** patients were stable with improved *** This case series highlights the potential therapeutic effects of MLC901 on CVST and provides support for further studies.

关键词： MLC901 Cerebral venous sinus thrombosis Anticoagulation therapy Safety Case report

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Deciphering the Hidden Secrets between the Early Skin Wrinkling & the Metabolic (X) Syndrome with the Possible Reversal of This Process at the Molecular Level

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Journal of Cosmetics, Dermatological Sciences and Applications 2024年第1期14卷 45-68页

作者： dalal Alsaadoun Dermatology Department King Faisal University Hofuf Kingdom of Saudi Arabia

The aging process is a group of degenerative changes that physiologically occur in most of the people in the elderly. This affects one or more of the human body systems. The treatment of diseases related to the aging process has a huge impact on the economy of all nations. Aging of the skin comes on the top and despite that, the results of the already present lines of treatment are not always satisfactory. This acts as a stimulus for us to dig deeper to discover the root causes of the premature aging of the skin. This was simply caused by the accumulation of repeated minute damage to the internal structure skin. In other words, if the degree of minute damage is more than the capacity of the skin to repair, the repeated micro-damage is presented in the long run as a skin wrinkling. Moreover, the skin acts as a mirror that reflects the internal structures of the human body. Thus, the more degenerative changes in the human body systems, the more the skin could become wrinkled. Our strategy to prevent or at least slow down the aging process of the skin depends on 2 main steps;the 1st is to reduce the micro-damage as can as possible, and the 2nd is to enhance the capacity of tissue regeneration to be able to reverse the already present damaged skin. As the 2 processes are synchronized with each other, this strategy would be considered the ideal for prevention of skin wrinkling especially premature ones. This not only reverses premature skin wrinkling but also protects it from future wrinklings. This review sharply pointed out the role of the functional collagen of the dermal layer of the skin in the prevention of skin wrinklings. Therefore, it would be the target to study how collagen works in the complex machinery of the dermal layer of the skin. This concept deeply believes that the recovery of dermal collagen has a much better effect than simply ingesting collagen or receiving a topical collagen booster. .

关键词： Collagen Skin Wrinkling Glycation Hyper-Insulinemia Hidden Obesity Vis-ceral Fat Inflammatory Cytokines

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Portal hypertension in patients with nonalcoholic fatty liver disease:Current knowledge and challenges

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World Journal of Gastroenterology 2024年第4期30卷 290-307页

作者： anita Madir Ivica Grgurevic Emmanuel A Tsochatzis Massimo Pinzani Department of Gastroenterology Hepatology and Clinical NutritionUniversity Hospital DubravaZagreb 10000Croatia School of Medicine University of ZagrebZagreb 10000Croatia Faculty of Pharmacy and Biochemistry University of ZagrebZagreb 10000Croatia UCL Institute for Liver and Digestive Health Royal Free Hospital and University College LondonLondon NW32PFUnited Kingdom

Portal hypertension(PH)has traditionally been observed as a consequence of significant fibrosis and cirrhosis in advanced non-alcoholic fatty liver disease(NAFLD).However,recent studies have provided evidence that PH may develop in earlier stages of NAFLD,suggesting that there are additional pathogenetic mechanisms at work in addition to liver *** early development of PH in NAFLD is associated with hepatocellular lipid accumulation and ballooning,leading to the compression of liver *** compression and intraluminal obstacles cause mechanical forces such as strain,shear stress and elevated hydrostatic pressure that in turn activate mechanotransduction pathways,resulting in endothelial dysfunction and the development of *** spatial distribution of histological and functional changes in the periportal and perisinusoidal areas of the liver lobule are considered responsible for the pre-sinusoidal component of PH in patients with ***,current diagnostic methods such as hepatic venous pressure gradient(HVPG)measurement tend to underestimate portal pressure(PP)in NAFLD patients,who might decompensate below the HVPG threshold of 10 mmHg,which is traditionally considered the most relevant indicator of clinically significant portal hypertension(CSPH).This creates further challenges in finding a reliable diagnostic method to stratify the prognostic risk in this population of *** theory,the measurement of the portal pressure gradient guided by endoscopic ultrasound might overcome the limitations of HVPG measurement by avoiding the influence of the pre-sinusoidal component,but more investigations are needed to test its clinical utility for this *** and spleen stiffness measurement in combination with platelet count is currently the best-validated non-invasive approach for diagnosing CSPH and varices needing *** change remains the cornerstone of the treatment of PH in NAFLD,together with correcting the comp

关键词： Non-alcoholic fatty liver disease Portal hypertension Mechanotransduction Endothelial dysfunction Hepatic venous pressure gradient

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Paradiplomacy for Non-recognized States:Case of Palestine

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International Relations and Diplomacy 2024年第1期12卷 34-39页

作者： dalal Iriqat Arab American University of Palestine RamallahPalestine

This paper endeavours to elucidate the intricacies of Palestinian Paradiplomacy,focusing in the political impetus pioneered by its principle actors,namely the Palestine Liberation Organisation(PLO)and subsequently,the establishment of the Palestinian National Authority(PNA).Additionally,attention will be directed towards the creation of the Palestinian Ministry of Foreign Affairs(PMOFA)and its subsidiary,the Palestinian International Cooperation Agency(PICA),albeit briefly *** inspiration from Alexander ***’s seminal work“Theory and Practice of Paradiplomacy:Subnational Governments in International Affairs”(2015),this paper tries to scrutinize the trajectory of Palestinian paradiplomacy and its evolutionary course over *** it comes to activity and growth,Palestinian paradiplomacy has a unique *** way in which topics pertaining to nations are not yet recognized has a great deal of bearing on current discussions and academic research about urgent political concerns like the right to self-determination and human *** analysis of de facto states via the prism of paradiplomacy naturally arises from the dominant state recognition procedures in international politics.

关键词： PLO nationalism non-state actors self-determination paradiplomacy Palestine foreign affairs

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A passive,reusable,and resonating wearable sensing system for ondemand,non-invasive,and wireless molecular stress biomarker detection

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Nano Research 2024年第8期17卷 7542-7556页

作者： Shingirirai Chakoma Xiaochang Pei Huiting Qin anita Ghandehari Sahar NajafiKhoshnoo Jerome Rajendran Rahim Esfandyarpour Department of Electrical Engineering and Computer Science University of CaliforniaIrvineCA 92697USA Laboratory for Integrated Nano BioElectronics Innovation The Henry Samueli School of EngineeringUniversity of CaliforniaIrvineCA 92697USA Henry Samueli School of Engineering University of CaliforniaIrvineCA 92697USA

The significant impact of stress on health necessitates accurate assessment methods,where traditional questionnaires lack reliability and *** advancements like wearables with electrocardiogram(ECG)and galvanic skin response(GSR)sensors face accuracy and artifact *** biosensors detecting cortisol,a critical stress hormone,present a promising ***,existing cortisol assays,requiring saliva,urine,or blood,are complex,expensive,and unsuitable for continuous *** study introduces a passive,molecularly imprinted polymer-radio-frequency(MIP-RF)wearable sensing system for real-time,non-invasive sweat cortisol *** system is wireless,flexible,battery-free,reusable,environmentally stable,and designed for long-term monitoring,using an inductance-capacitance *** transducer translates cortisol concentrations into resonant frequency shifts with high sensitivity(~160 kHz/(log(μM)))across a physiological range of 0.025–1μ*** with near-field communication(NFC)for wireless and battery-free operation,and threedimensional(3D)-printed microfluidic channel for in-situ sweat collection,it enables daily activity cortisol level *** of cortisol circadian rhythm through morning and evening measurements demonstrates its effectiveness in tracking and monitoring sweat cortisol levels.A 28-day stability test and the use of cost-effective 3D nanomaterials printing enhance its economic viability and *** innovation paves the way for a new era in realistic,on-demand health monitoring outside the laboratory,leveraging wearable technology for molecular stress biomarker detection.

关键词： cortisol wearable flexible sensors three-dimensional(3D)nanomaterials printing reusable environmentally stable

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