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Orientation in upper gastrointestinal endoscopy—the only way is up

World Journal of Gastrointestinal Endoscopy 2023年第3期15卷 146-152页

作者： arun sivananthan Georgina Kerry Ara Darzi Kinesh Patel Nisha Patel Department of Surgery and Cancer Imperial College LondonLondon W21NYUnited Kingdom Liver Intensive Care Unit King’s College Hospital NHS Foundation TrustLondon SE59RSUnited Kingdom Gastroenterology Chelsea and Westminster NHS Foundation TrustLondon SW109NHUnited Kingdom

BACKGROUND Oesophagogastroduodenoscopy is the gold standard investigation for the upper gastrointestinal(UGI)*** during endoscopy is challenging and United Kingdom training focusses on technical competence and procedural *** reported location of UGI pathologies is crucial to post-endoscopic *** To evaluate endoscopists’ability to spatially orientate themselves within the UGI *** A cross sectional descriptive study elicited,using an anonymised survey,the ability of endoscopists to orientate themselves within the UGI *** primary outcome was percentage of correct answers from all surveyed;secondary outcomes were percentage of correct answers from experienced vs novice ***’sχ2 test was applied to compare *** Of 188 respondents,86 were experienced endoscopists having completed over 1000 endoscopies.44.4%of respondents correctly identified the anterior stomach and 47.3%correctly identified the posterior of the second part of the duodenum(D2).Experienced endoscopists were significantly more likely than novice to identify the anterior stomach correctly[61.6%vs 31.3%,X2(1,n=188)=11.10,P=0.001].There was no significant difference between the two groups in identifying the posterior of *** The majority of endoscopists surveyed were unable to identify key landmarks within the UGI *** orientation appears to improve with experience yet there are some areas still not well *** has potential considerable impact on post-endoscopic management of patients with posterior duodenal ulcers being more likely to perforate and associated with a higher rebleeding *** suggest the development of a consensus statement on endoscopic description.

关键词： Endoscopy Orientation Upper gastrointestinal Gastric cancer Duodenal ulcer

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Impact of Fin Arrangement on Heat Transfer and Melting Characteristics of Phase Change Material

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Journal of Thermal Science 2024年第2期33卷 435-456页

作者： arun UNIYAL Yogesh K.PRAJAPATI Department of Mechanical Engineering National Institute of Technology UttarakhandSrinagar(Garhwal)246174India Department of Mechanical Engineering BIT SindriDhanbadJharkhand828123India

Present work investigates the heat transfer and melting behaviour of phase change material(PCM) in six enclosures(enclosure-1 to 6) filled with paraffin *** enclosures are equipped with distinct arrangements of the fins while keeping the fin's surface area equal in each *** analysis has been presented to recognize the suitable fin arrangements that facilitate improved heat transfer and melting rate of the *** wall of the enclosure is maintained isothermal for the temperature values 335 K,350 K and 365 *** length of the enclosure including fins is ranging between 0 and *** have been illustrated through the estimation of important performance parameters such as energy absorbing capacity,melting rate,enhancement ratio,and Nusselt *** has been found that melting time(to melt 100% of the PCM) is 60.5%less in enclosure-2(with two fins of equal length) as compared to the enclosure-1,having no *** the fin surface area equal,if the longer fin is placed below the shorter fin(enclosure-3),melting time is further decreased by 14.1% as compared to ***,among all the configurations,enclosure-6 with wire-mesh fin structure exhibits minimum melting time which is 68.4% less as compared to the *** on the findings,it may be concluded that fins are the main driving agent in the enclosure to transfer the heat from heated wall to the *** design and positioning of the fins improve the heat transfer rate followed by melting of the PCM in the entire area of the *** of the favourable vortices and natural convection current in the enclosure accelerate the melting phenomenon and help to reduce charging time.

关键词： phase change material enclosure fin melting fraction energy storage heat transfer

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Postoperative delirium:A tragedy for elderly cancer patients

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World Journal of Gastrointestinal Oncology 2024年第9期16卷 3765-3770页

作者： Oguzhan arun Funda arun Department of Anesthesiology and Reanimation Selcuk University Faculty of MedicineKonya 42130Türkiye Department of Pedodontics Division of AnesthesiologySelcuk University Faculty of DentistryKonya 42130Türkiye

In this editorial,we comment on the article by Hu et al entitled“Predictive modeling for postoperative delirium in elderly patients with abdominal malignancies using synthetic minority oversampling technique”.We wanted to draw attention to the general features of postoperative delirium(POD)as well as the areas where there are uncertainties and *** can be defined as acute neurocognitive dysfunction that occurs in the first week after *** is a severe postoperative complication,especially for elderly oncology *** the underlying pathophysiological mechanism is not fully understood,various neuroinflammatory mechanisms and neurotransmitters are thought to be *** assessment scales and diagnostic methods have been proposed for the early diagnosis of *** delirium is considered a preventable clinical entity in about half of the cases,various early prediction models developed with the support of machine learning have recently become a hot scientific ***,a model with high sensitivity and specificity for the prediction of POD has not yet been *** situation reveals that all health personnel who provide health care services to elderly patients should approach patients with a high level of awareness in the perioperative period regarding POD.

关键词： Delirium Anesthesia Neurocognitive dysfunction Postoperative cognitive dysfunction Prevention Risk management Synthetic minority oversampling technique Postoperative delirium Elderly patients Abdominal cancer

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Controlled deployment of a long tether to operate as a partial space elevator

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Astrodynamics 2024年第2期8卷 311-321页

作者： Jinbang Huang arun K.Misra Department of Mechanical Engineering McGill UniversityMontrealQCH3A 0C3Canada

The deployment of a long tether to operate as a partial space elevator,starting from a nucleus in geostationary orbit,is *** deployment is an inherently unstable process because the center of orbit gradually decreases from the geostationary altitude when deployment *** is also observed that the elasticity of the tether has an important effect on deployment *** is shown that the application of a transverse force on the main spacecraft,determined by using linear state feedback and appropriate gains,can stabilize the *** LQR controller is *** of the dynamics of the system are carried out using this controller for various parametric values of tether elasticity,deployment rates,etc.,to evaluate the efficacy of the controller.

关键词： tether space elevator deployment stability control

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Optimal timing for plastic surgical procedures for common congenital anomalies:A review

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World Journal of Clinical Pediatrics 2024年第2期13卷 38-61页

作者： Aakanksha Goel arun Goel Divine Aesthetic Surgery New Delhi 110048India Department of Plastic Surgery Lok Nayak Hospital and Associated Maulana Azad Medical CollegeNew Delhi 110002India

Apart from listening to the cry of a healthy newborn,it is the declaration by the attending paediatrician in the labour room that the child is normal which brings utmost joy to *** global incidence of children born with congenital anomalies has been reported to be 3%-6%with more than 90%of these occurring in low-and middle-income group *** exact percentages/total numbers of children requiring surgical treatment cannot be estimated for several *** children are operated under several surgical disciplines,viz,paediatric-,plastic reconstructive,neuro-,cardiothoracic-,orthopaedic surgery *** conditions may be life-threatening,e.g.,trachea-oesophageal fistula,critical pulmonary stenosis,*** require immediate surgical ***,e.g.,hydrocephalus,may need intervention as soon as the patient is fit for ***,e.g.,patent ductus arteriosus need‘wait and watch’policy up to a certain age in the hope of spontaneous *** extremely important category is that of patients where the operative intervention is done based on their *** all the congenital anomalies coming under care of a plastic surgeon are operated as elective surgery(many as multiple stages of correction)at appropriate *** are advantages and disadvantages of intervention at different *** this article,we present a review of optimal timings,along with reasoning,for surgery of many of the common congenital anomalies which are treated by plastic ***,paediatricians and general practitioners/family physicians,who most often are the first ones to come across such children,must know to guide the parents appropriately and convincingly impress upon the them as to why their child should not be operated immediately and also the consequences of too soon or too late.

关键词： Plastic surgery Congenital anomalies Pediatric plastic surgery Facial cleft Microtia Vascular anomalies Syndactyly Hypospadias Optimal timing Pediatric surgery

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Machine learning for predicting the outcome of terminal ballistics events

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Defence Technology（防务技术） 2024年第1期31卷 14-26页

作者： Shannon Ryan Neeraj Mohan Sushma arun Kumar AV Julian Berk Tahrima Hashem Santu Rana Svetha Venkatesh Applied Artificial Intelligence Institute(A2I2) Deakin University75 Pigdons RdWaurn PondsVIC3216Australia

Machine learning(ML) is well suited for the prediction of high-complexity,high-dimensional problems such as those encountered in terminal *** evaluate the performance of four popular ML-based regression models,extreme gradient boosting(XGBoost),artificial neural network(ANN),support vector regression(SVR),and Gaussian process regression(GP),on two common terminal ballistics’ problems:(a)predicting the V50ballistic limit of monolithic metallic armour impacted by small and medium calibre projectiles and fragments,and(b) predicting the depth to which a projectile will penetrate a target of semi-infinite *** achieve this we utilise two datasets,each consisting of approximately 1000samples,collated from public release *** demonstrate that all four model types provide similarly excellent agreement when interpolating within the training data and diverge when extrapolating outside this *** extrapolation is not advisable for ML-based regression models,for applications such as lethality/survivability analysis,such capability is *** circumvent this,we implement expert knowledge and physics-based models via enforced monotonicity,as a Gaussian prior mean,and through a modified loss *** physics-informed models demonstrate improved performance over both classical physics-based models and the basic ML regression models,providing an ability to accurately fit experimental data when it is available and then revert to the physics-based model when *** resulting models demonstrate high levels of predictive accuracy over a very wide range of projectile types,target materials and thicknesses,and impact conditions significantly more diverse than that achievable from any existing analytical *** with numerical analysis tools such as finite element solvers the ML models run orders of magnitude *** provide some general guidelines throughout for the development,application,and reporting of ML models in terminal ballist

关键词： Machine learning Artificial intelligence Physics-informed machine learning Terminal ballistics Armour

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Fukushima wastewater release:unanswered questions and global concerns

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International Journal of Agricultural and Biological Engineering 2024年第2期17卷 289-290页

作者： Samuel Ariyo Okaiyeto Parag Prakash Sutar arun SMujumdar Hongwei Xiao College of Engineering China Agricultural UniversityBeijing 100083China Department of Food Process Engineering National Institute of Technology RourkelaRourkela 769008India Department of Bioresource Engineering McGill UniversitySte.Anne de BellevueQuebecCanada

The decision by Japan to begin discharging the Fukushima wastewater into the ocean on August 24,2023 was followed by protests from several countries,including China,Russia,Korea,Vietnam,and deep concerns from the international *** decision is related to the aftermath of the Fukushima Daiichi nuclear disaster that occurred in 2011,which destroyed the cooling system of the nuclear power plant and caused the reactor cores to *** water was used to cool down the reactors fuel rods;about 1.3 million cubic meters contaminated water with highly radioactive material was generated,which can fill more than 500 Olympic swimming pools[1].In order to reduce the levels of radioactivity,an Advanced Liquid Processing System(ALPS)was used to remove most radioactive contaminants from *** works by circulating water through a system of tanks and filters,which removes specific contaminants such as cesium and strontium,using a multi-step process that includes coagulation,flocculation,ion exchange,and absorption[1].Japan's government and some scientists have argued that the ALPS-treated water is safe for release into the *** to their claims,the discharged water poses minimal risk to human health and the ***,concerns about the long-term effects of this discharge remain in scientists′minds.

关键词： Fukushima wastewater nuclear disaster discharge radioactive contaminants

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Pharmacological potential of Manilkara zapota(L.)***(Sapodilla):a narrative review

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Journal of Traditional Chinese Medicine 2024年第2期44卷 403-407页

作者： Priyanka Sharma Aakash Deep Harish Kumar Nitin Bansal Sanjiv Kumar arun Davinder Kumar Department of Pharmaceutical Sciences Chaudhary Bansi Lal UniversityBhiwani 127021India Department of Pharmaceutical Sciences Maharishi Dayanand UniversityRohtak 124001India

Herbal medicine is safe and effective in treating various *** herbal medicine plays a tremendous role in treatment of various diseases and accompanying complications,hence herbal medicine requires remarkable attention in further research for the development of numerous active formulations for treatment of health *** plant needs special consideration for development and research of unidentified compound and characterization of novel active molecules that overcome multiple pathological *** genus Manilkara contains 135 plants around the *** overview discusses all the virtues of most important and commonly used plant Manilkara zapota(L.)***(***),also known as *** has various traditional beneficial effects in treatment of various diseases and disorders dating back to prehistoric times and used in ancient traditional system of herbal medicine.

关键词： herbal medicine Manilkara zapota phytoconstituents pharmacological activity review

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Is primary transcatheter aortic valve implantation the new normal?

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Journal of Geriatric Cardiology 2024年第4期21卷 458-461页

作者： R.Anantharaman C.Sundar Kamal Kant Jena K.arun Department of Cardiology Kauvery HospitalChennaiIndia

Degenerative calcific aortic valve stenosis(AS)is the most common valvular heart disease in elderly.^[1] It is well documented that symptomatic severe AS follows a malignant course leading to cardiogenic shock(CS).

关键词： aortic stenosis implantation

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Secure and resilient improved image steganography using hybrid fuzzy neural network with fuzzy logic

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Journal of Safety Science and Resilience 2024年第1期5卷 91-101页

作者： Sachin Dhawan Hemanta Kumar Bhuyan Subhendu Kumar Pani Vinayakumar Ravi Rashmi Gupta arun Rana Alanoud Al Mazroa Dorset College King George BlvdSurreyBritish ColumbiaCanada Department of Information Technology Vignan’s Foundation for ScienceTechnology and Research(Deemed to be University)Andhra PradeshIndia Krupajal Computer Academy Biju Patnaik University of Technology(BPUT)Rourkela 751002India Center for Artificial Intelligence Prince Mohammad Bin Fahd UniversityKhobarSaudi Arabia NSUT East Campus(Formerly AIACTRDelhi 110031India(Affiliated to Guru Gobind Singh Inderaprastha University))Dwarka 110078India Department of Computer Science and Engineering Galgotias College of Engineering and Technology Greater Noida 201310Uttar PradeshIndia Department of Information Systems College of Computer and Information SciencesPrincess Nourah bint Abdulrahman University(PNU)P.O.Box 84428Riyadh 11671Saudi Arabia

The exponential growth in communication networks,data technology,advanced libraries,and mainly World Wide Web services has played a pivotal role in facilitating the retrieval of various types of information as ***,this progress has also led to security concerns related to the transmission of confidential ***,safeguarding these data during communication through insecure channels is crucial for obvious *** emergence of steganography offers a robust approach to concealing confidential information,such as images,audio tracks,text files,and video files,in suitable media carriers.A novel technique is envisioned based on back-propagation *** to the proposed method,a hybrid fuzzy neural network(HFNN)is applied to the output obtained from the least significant bit substitution of secret data using pixel value dif-ferences and exploiting the modification *** simulation and test results,it has been observed that the proposed methodology achieves secure steganography and superior visual *** the experiments,we observed that for the secret image of the cameraman,the PSNR&MSE values of the proposed technique are 61.963895 and 0.041361,respectively.

关键词： Image enhancement Image processing Steganography Deep learning Fuzzy neural combination

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