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Critical care practices in the world:Results of the global intensive care unit need assessment survey 2020

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World Journal of Critical Care Medicine 2022年第3期11卷 169-177页

作者： faisal a nawaz Neha Deo Salim Surani William Maynard Martin L Gibbs Rahul Kashyap College of Medicine Mohammed Bin Rashid University of Medicine and Health SciencesDubai 505055United Arab Emirates Department of Medicine Mayo Clinic Alix School of MedicineRochesterMN 55905United States Critical Care Medicine Mayo ClinicRochesterMN 55905United States Texas A&M University College StationTX 77843United States Internal Medicine TriStar Centennial Medical CenterHCA HealthcareNashvilleTN 37203United States Pulmonary and Critical Care Tulane University School of MedicineNew OrleansLA 70112United States

BACKGROUND There is variability in intensive care unit(ICU)resources and staffing *** may reflect variation in practice and outcomes across all health *** To improve research and quality improvement measures administrative leaders can create long-term strategies by understanding the nature of ICU practices on a global *** The Global ICU Needs Assessment Research Group was formed on the basis of diversified skill *** aimed to survey sites regarding ICU type,availability of staffing,and adherence to critical care *** international survey‘Global ICU Needs Assessment’was created using Google Forms,and this was distributed from February 17^(th),2020 till September 23^(rd),*** survey was shared with ICU providers in 34 *** approaches to motivating healthcare providers were implemented in securing submissions,including use of emails,phone calls,social media applications,and WhatsApp^(TM).By completing this survey,providers gave their consent for research *** study was deemed eligible for category-2 Institutional Review Board exempt *** There were a total 121 adult/adult-pediatrics ICU responses from 34 countries in 76 cities.A majority of the ICUs were mixed medical-surgical[92(76%)].108(89%)were adult-only *** 36 respondents(29.8%)were 31-40 years of age,with 79(65%)male and 41(35%)female participants.89 were consultants(74%).A total of 71(59%)respondents reported having a 24-h inhouse intensivist.A total of 87(72%)ICUs were reported to have either a 2:1 or≥2:1 patient/nurse *** 44%of the ICUs were open and 76%were mixed type(medical-surgical).Protocols followed regularly by the ICUs included sepsis care(82%),ventilator-associated pneumonia(79%);nutrition(76%),deep vein thrombosis prophylaxis(84%),stress ulcer prophylaxis(84%),and glycemic control(89%).CONCLUSION Based on the findings of this international,multi-dimensional,needs-assessment survey,there is a need for increased

关键词： Intensive care unit Critical care Global Survey Intensive care unit survey Intensive care unit needs

Impact of diabetes mellitus on mortality in pulmonary hypertension:A systematic review and meta-analysis

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World Journal of Critical Care Medicine 2024年第4期13卷 99-111页

作者： Smitesh Padte Priyal Mehta Vikas Bansal Niti singh Rayyan Sunasra Vidhi Goyal Raunaq B Chaudhary Yash Junnarkar Vidhi Shah Zara Arshad faisal a nawaz Salim Surani Rahul Kashyap Department of Research Global Remote Research Scholar ProgramPrinceton JunctionPrincetonNJ 08550United States Department of Internal Medicine WellSpan York HospitalYorkPA 17403United States Department of Internal Medicine St.Vincent HospitalWorchesterMA 01608United States Department of Nephrology and Hypertension Mayo ClinicRochesterMN 55902United States Department of Anesthesiology and Critical Care Seth G.S.Medical College and K.E.M.HospitalMumbai 400012MahārāshtraIndia Department of Medicine Hinduhridaysamrat Balasaheb Thackeray Medical College and Dr.R.N Cooper HospitalMumbai 400056India Department of Medicine HBT Medical College and Dr.RN Cooper HospitalMumbai 400056MahārāshtraIndia Department of Psychiatry Al Amal Psychiatry HospitalDubai 50262DubayyUnited Arab Emirates Department of Medicine&Pharmacology Texas A&M UniversityCollege StationTX 77843United States Department of Research Wellspan HealthYorkPA 17403United States

BACKGROUND Pulmonary hypertension(PH)is a progressive disease characterized by endothelial dysfunction and vascular remodeling and is a leading cause of mortality *** it is independently associated with multiple comorbidities,the impact of diabetes mellitus(DM)on mortality in patients with PH remains *** address this issue,we conducted a systematic review and meta-analysis to investigate the effect of DM on survival in patients with pulmonary *** To investigate the impact of diabetes mellitus on mortality in pulmonary hypertension *** We conducted a comprehensive search of four major electronic bibliographic databases like PubMed,Google Scholar,Scopus,and Embase,and identified 106 relevant studies,out of 1561 articles,published since the year 2000 for full-text *** retrospective and prospective cohort studies that compared survival between patients with DM and those without DM in the context of PH were deemed eligible for inclusion in our *** study was registered on PROSPERO with the identifier *** A total of 116455 patients with PH were included in the meta-analysis,of whom 41228 suffered from DM and 75227 did *** results of our meta-analysis indicate an elevated mortality rate among PH patients with diabetes mellitus in comparison to those without DM[odds ratio(OR)=1.40,95%CI:1.15–1.70,P=0.0006].The metaregression analysis unveiled a statistically significant negative association between mean age and effect size(coefficient=-0.036,P value=0.018).Conversely,a statistically significant positive association was detected between female proportion and effect size(coefficient=0.000,P value<0.001).CONCLUSION Our meta-analysis,which included approximately 116500 PH patients,revealed that the presence of diabetes mellitus was associated with increased odds of mortality when compared to non-diabetic *** metaregression analysis indicates that studies with older partici

关键词： Pulmonary hypertension Diabetes mellitus Mortality Systematic review Meta-analysis

Violence study of healthcare workers and systems in the Caribbean:ViSHWaS-Caribbean study

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World Journal of Methodology 2024年第3期14卷 106-118页

作者： Reshon Hadmon Daniella Myriam Pierre Akshat Banga Jacques W Clerville Hans Mautong Precious Akinsanya Rajat Das Gupta Sama Soliman Tolupe M Hunjah Bamidele A Hunjah Hafeez Hamza Ruman Khurshid Qasba faisal a nawaz Salim Surani Rahul Kashyap Department of Medicine St.George University School of MedicineGrenada FZ818West Indies Department of Research Global Remote Research Scholar ProgramSt PaulMN 55101United States Department of Public Health Cuny Graduate School of Public Health and Health PolicyNew YorkNY 10027United States Department of Internal Medicine Sawai Man Singh Medical CollegeJaipur 302004India School of Public Health Georgia State UniversityAtlantaGA 30302United States Department of Sociology and Demography School of HealthUniversidad de Especialidades Espiritu SantoSamborondon 092301Ecuador Department of Medicine Holy Name Medical CenterTeaneckNJ 07666United States Department of Epidemiology and Biostatistics University of South CarolinaColumbiaSC 29208United States Department of Medicine Pavlov First State Medical University of St PetersburgSankt-Peterburg 197022Russia Department of Medicine University of SuffolkIpswich IP41QJUnited Kingdom Department of Medicine Unicaf University of ZambiaLusaka 20842Zambia Department of Pharmacy School of PharmacyGirne 99428Cyprus Department of Medicine Sher-i-KashmirInstitute of Medical ScienceSrinagar 190011India Department of Psychiatry Al Amal Psychiatric HospitalEmirates Health ServicesDubaiUnited Arab Emirates Department of Medicine and Pharmacology Texas A and M UniversityCollege StationTX 77843United States Anesthesiology and Critical Care Mayo ClinicRochesterMN 55905United States Department of Research Wellspan HealthYorkPA 17403United States

BACKGROUND Violence against healthcare workers(HCWs)in the Caribbean continues to prevail yet remains *** aim is to determine the cause,traits,and consequences of violence on HCWs in the *** To determine the cause,traits,and consequences of violence on HCWs in the *** This research adopted an online cross-sectional survey approach,spanning over eight weeks(between June 6th and August 9th,2022).The survey was generated using Research Electronic Data Capture forms and followed a snowballing strategy to contact individuals using emails,social media,text messages,*** regression analysis was performed to evaluate the variables that influence violence,including gender,age,years of experience,institution type,and night shift *** The survey was completed by 225 *** comprised 61%.Over 51%of respondents belonged to the 21 to 35 age ***(n=61),Haiti(n=50),and Grenada(n=31)had the most *** HCWs(49%)worked for government academic institutions,followed by community hospitals(23%).Medical students(32%),followed by attending physicians(22%),and others(16%)comprised the most common cadre of *** 39%of the participants reported experiencing violence themselves,and 18%reported violence against colleague(s).Verbal violence(48%),emotional abuse(24%),and physical misconduct(14%)were the most common types of *** 63%of respondents identified patients or their relatives as the most frequent *** logistic regression analyses demonstrated that female gender(OR=2.08;95%CI:1.16-3.76,P=0.014)and higher frequency of night shifts(OR=2.22;95%CI:1.08-4.58,P=0.030)were associated with significantly higher odds of experiencing *** than 50%of HCWs felt less motivated and had decreased job satisfaction post-violent *** A large proportion of HCWS in the Caribbean are exposed to violence,yet the phenomenon remains *** a result,HCWs’job s

关键词： ViSHWaS Healthcare workers Violence Survey Workplace violence Caribbean Cross-sectional study

Biochar as a Climate-Smart Agricultural Practice: Reducing Greenhouse Gas Emissions and Promoting Sustainable Farming

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Phyton-International Journal of Experimental Botany 2025年第1期94卷 65-99页

作者： Muhammad Nazim Abdul Ghafoor Abida Hussain Mehwish Tabassum Aamir nawaz Muhammad Ahmad Murad Muhammad Muqarrab Ali State Key Laboratory of Desert and Oasis Ecology Key Laboratory of Ecological Safety and Sustainable Development in Arid LandsXinjiang Institute of Ecology and GeographyChinese Academy of SciencesUrumqi830011China University of Chinese Academy of Sciences Beijing100049China Center for Water and Environmental Studies College of Agricultural and Food SciencesKing Faisal UniversityAl-Ahsa31982Saudi Arabia Department of Climate Change Faculty of Agriculture and Environmental SciencesMuhammad Nawaz Shareef University of AgricultureMultan66000Pakistan Department of Botany Division of Science and Technology University of EducationLahore54000Pakistan Institute of Chemistry Faculty of Chemical and Biological SciencesThe Islamia University of BahawalpurBahawalpur63100Pakistan Department of Agronomy University of Agriculture FaisalabadFaisalabad38040Pakistan

In recent years, the world has faced rising global temperatures, accumulative pollution, and energy crises, stimulating scientists worldwide to strive for eco-friendly and cost-effective solutions. Biochar has materialized as a favorable tool for environmental remediation, indicating efficacy as an efficient sorbent substance for both inorganic and organic pollutants in environmental field. These unique properties exclude improved surface functionality, porous morphology, large specific surface area (SSA), cation exchange capacity (CEC), robust adsorption capabilities, environmental stability, and embedded micronutrients. Biochar exhibited potential characteristics for environmental oversight, greenhouse gas (GHG) emission reduction, and soil fertility improvement. This review explores the impact of fundamental factors such as retention time, pyrolysis temperature, gas flow rate, and reactor design on biochar yield and properties. Collected data revealed the various applications of biochar, ranging from waste management and construction materials to the adsorptive removal of hydrocarbon lubricants from aqueous media, contaminant immobilization, and carbon sequestration. It has played mostly a significant share in climate change mitigation and an important role in soil amendments. Biochar improves soil improvement by increasing water retention (10%–30%), carbon sequestration, soil surface functionality, and providing high surface area with chemical stability. The assessment also reports the prospects and contests associated with biochar application uses in various agriculture cropping ecosystems. Inclusive, this review highlights the multifaceted characteristics of biochar as an adjustable on top of a sustainable solution addressing greenhouse gas emission, carbon sequestration, and environmental stresses. However, further research is needed to understand its long-term impacts and optimal applications fully.

关键词： Agro-ecology biochar carbon storage greenhouse gas reduction sustainable agriculture

Gender disparities and woman-specific trends in Barrett’s esophagus in the United States:An 11-year nationwide populationbased study

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World Journal of Methodology 2025年第1期15卷 60-71页

作者： Karina Fatakhova faisal Inayat Hassam Ali Pratik Patel Attiq Ur Rehman Arslan Afzal Muhammad Sarfraz Shiza Sarfraz Gul nawaz Ahtshamullah Chaudhry Rubaid Dhillon Arthur Dilibe Benjamin Glazebnik Lindsey Jones Emily Glazer Division of Gastroenterology and Hepatology Mather Hospital and Zucker School of Medicine at Hofstra UniversityPort JeffersonNY 11777United States Department of Internal Medicine Allama Iqbal Medical CollegeLahorePunjab 54550Pakistan Division of Gastroenterology and Hepatology East Carolina University Brody School of MedicineGreenvilleNC 27834United States Division of Gastroenterology and Hepatology Geisinger Wyoming Valley Medical CenterWilkes-BarrePA 18711United States Department of Internal Medicine East Carolina University Brody School of MedicineGreenvilleNC 27834United States Department of Internal Medicine St.Dominic's HospitalJacksonMS 39216United States Department of Gastroenterology Hepatologyand NutritionCleveland Clinic FoundationClevelandOH 44195United States Department of Internal Medicine Mather Hospital and Hofstra University ZuckerSchool of MedicinePort JeffersonNY 11777United States

BACKGROUND Barrett's esophagus(BE)is a known premalignant precursor to esophageal adenocarcinoma(EAC).The prevalence rates continue to rise in the United States,but many patients who are at risk of EAC are not *** practice guidelines include male gender as a predisposing factor for BE and *** population-based clinical evidence regarding female gender remains *** To study comparative trends of gender disparities in patients with BE in the United *** A nationwide retrospective study was conducted using the 2009-2019 National Inpatient Sample(NIS)*** with a primary or secondary diagnosis code of BE were *** major outcome of interest was determining the gender disparities in patients with *** analysis for respective outcomes for females was also reported to ascertain any time-based *** We identified 1204190 patients with BE for the study *** the included patients,717439(59.6%)were men and 486751(40.4%)were *** mean age was higher in women than in men(67.1±0.4 vs 66.6±0.3 years,P<0.001).The rate of BE per 100000 total NIS hospitalizations for males increased from 144.6 in 2009 to 213.4 in 2019(P<0.001).The rate for females increased from 96.8 in 2009 to 148.7 in 2019(P<0.001).There was a higher frequency of obesity among women compared to men(17.4%vs 12.6%,P<0.001).Obesity prevalence among females increased from 12.3%in 2009 to 21.9%in 2019(P<0.001).A lower prevalence of smoking was noted in women than in men(20.8%vs 35.7%,P<0.001).However,trend analysis showed an increasing prevalence of smoking among women,from 12.9%in 2009 to 30.7%in 2019(P<0.001).Additionally,there was a lower prevalence of alcohol abuse,Helicobacter pylori(***),and diabetes mellitus among females than males(P<0.001).Trend analysis showed an increasing prevalence of alcohol use disorder and a decreasing prevalence of *** and diabetes mellitus among women(P<0.001).CONCLUSION The prevalence of BE among

关键词： Barrett’s esophagus Gender disparity Epidemiological trends Esophageal adenocarcinoma Screening endoscopy Female gender Risk factors

Intelligent Transmission Control for Efficient Operations in SDN

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Computers, Materials & Continua 2022年第5期71卷 2807-2825页

作者： Reem Alkanhel Abid Ali faisal Jamil Muzammil nawaz faisal Mehmood Ammar Muthanna Department of Information Technology College of Computer and Information SciencesPrincess Nourah Bint Abdulrahman UniversityRiyadhSaudi Arabia Department of Computer Science University of Engineering and TechnologyTaxila47080Pakistan Department of Computer Science Govt.Akhtar Nawaz Khan(Shaheed)Degree College KTSHaripur22620Pakistan Department of Computer Engineering Jeju National UniversityJeju-siJeju Special Self-Governing Province63243Korea School of Information and Communication Engineering Zhengzhou UniversityChina Department of Telecommunication Networks and Data Transmission The Bonch-Bruevich Saint-Petersburg State University of Telecommunications193232Saint PetersburgRussia Peoples Friendship University of Russia(RUDN University)6 Miklukho-Maklaya St Moscow117198Russian Federation

Although the Software-Defined Network(SDN)is a well-controlled and efficient network but the complexity of open flow switches in SDN causes multiple *** solutions have been proposed so far for the prevention of errors and mistakes in it but yet,there is still no smooth transmission of pockets from source to destination specifically when irregular movements follow the destination host in SDN,the errors include packet loss,data compromise *** accuracy of packets received at their desired destination is possible if networks for pockets and hosts are monitored instead of analysis of network snapshot statistically for the state,as these approaches with open flow switches,discover bugs after their *** article proposes a design to achieve the said objective by defining the Intelligent Transmission Control Layer(ITCL)*** monitors all the connections of end hosts at their specific locations and performs necessary settlements when the connection state changes for one or multiple *** layer informs the controller regarding any state change at one period and controller collects information of end nodes reported via ***,updates flow tables accordingly to accommodate a location-change scenario with a routechange *** is organized on prototype-based implementation using the popular POX *** this paper,it has been discovered that ITCL produces efficient performance in the trafficking of packets and controlling different states of SDN for errors and packet loss.

关键词： Software-defined network ITCL POX open flow

Statins decrease the risk of hepatocellular carcinoma in metabolic dysfunction-associated steatotic liver disease:A systematic review and meta-analysis

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World Journal of Experimental Medicine 2024年第4期14卷 159-169页

作者： Zahid Ijaz Tarar Umer Farooq faisal Inayat Sanket D Basida faisal Ibrahim Mustafa Gandhi Gul nawaz Arslan Afzal Ammad J Chaudhary faisal Kamal Ahmad H Ali Yezaz A Ghouri Department of Gastroenterology and Hepatology University of MissouriColumbiaMO 65212United States Department of Gastroenterology and Hepatology St.Louis UniversitySt.LouisMO 63104United States Department of Internal Medicine Allama Iqbal Medical CollegeLahorePunjab 54550Pakistan Department of Internal Medicine University of MissouriColumbiaMO 65212United States Department of Internal Medicine Wexham Park HospitalWexham SL24HLSloughUnited Kingdom Department of Hospital Medicine ECU Health Medical CenterGreenvilleNC 27834United States Department of Internal Medicine Henry Ford HospitalDetroitMI 48202United States Department of Gastroenterology and Hepatology Thomas Jefferson UniversityPhiladelphiaPA 19107United States

BACKGROUND Metabolic dysfunction-associated steatotic liver disease(MASLD)is a leading cause of chronic liver disease with a significant risk of developing hepatocellular carcinoma(HCC).Recent clinical evidence indicates the potential benefits of statins in cancer chemoprevention and ***,it is still unclear if these drugs can lower the specific risk of HCC among patients with *** To investigate the impact of statin use on the risk of HCC development in patients with *** A systematic review and meta-analysis of all the studies was performed that measured the effect of statin use on HCC occurrence in patients with *** difference in HCC risk between statin users and non-users was calculated among MASLD *** also evaluated the risk difference between lipophilic versus hydrophilic statins and the effect of cumulative dose on HCC risk *** A total of four studies consisting of 291684 patients were *** patients on statin therapy had a 60%lower pooled risk of developing HCC compared to the non-statin group[relative risk(RR)=0.40,95%CI:0.31-0.53,I2=16.5%].Patients taking lipophilic statins had a reduced risk of HCC(RR=0.42,95%CI:0.28-0.64),whereas those on hydrophilic statins had not shown the risk reduction(RR=0.57,95%CI:0.27-1.20).The higher(>600)cumulative defined daily doses(cDDD)had a 70%reduced risk of HCC(RR=0.30,95%CI:0.21-0.43).There was a 29%(RR=0.71,95%CI:0.55-0.91)and 43%(RR=0.57,95%CI:0.40-0.82)decreased risk in patients receiving 300-599 cDDD and 30-299 cDDD,*** Statin use lowers the risk of HCC in patients with *** higher cDDD and lipophilicity of statins correlate with the HCC risk reduction.

关键词： Metabolic dysfunction-associated steatotic liver disease Hepatocellular carcinoma Statins Lipophilic statin Hydrophilic statin Meta-analysis

An insight into dwarfing mechanism:contribution of scion-rootstock interactions toward fruit crop improvement

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Fruit Research 2021年第1期1卷 12-22页

作者： faisal Hayat Shahid Iqbal Daouda Coulibaly Muhammad Khuram Razzaq Muhammad Azher nawaz Weibing Jiang Ting Shi Zhihong Gao Laboratory of Fruit Tree Biotechnology College of HorticultureNanjing Agricultural UniversityNanjing 210095China Soybean Research Institute National Centre for Soybean ImprovementNanjing Agricultural UniversityNanjing 210095China University College of Agriculture University of SargodhaSargodha 40100Pakistan

Grafting has been commonly practiced for many centuries in the cultivation of horticultural *** use of dwarfing rootstocks has enabled a high-density plantation to produce maximum *** regulates scion phenotype,including precocity,fruit size,yield,quality characteristics,and tolerance to various environmental *** review summarizes the existing information on the influence of rootstocks on scion growth and dwarfing mechanisms induced by multiple factors,including hormone signaling,photosynthesis,mineral transport,water relations,anatomical characteristics,and genetic *** has been shown that the complex interactions between scion and rootstock can regulate plant development and its *** information will provide interesting insights for future research related to rootstock-mediated dwarfing mechanisms and accelerate the breeding progress of dwarfing rootstocks.

关键词： dwarf breeding insight

Natural pigments: Anthocyanins, carotenoids, chlorophylls, and betalains as colorants in food products

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Food Bioscience 2023年第2期52卷 66-78页

作者： Brera Ghulam Nabi Kinza Mukhtar Waqar Ahmed Muhammad faisal Manzoor Muhammad Modassar Ali nawaz Ranjha Marek Kieliszek Zuhaib F.Bhat Rana Muhammad Aadil National Institute of Food Science and Technology University of AgricultureFaisalabad38000Pakistan Guangdong Provincial Key Laboratory of Intelligent Food Manufacturing Foshan UniversityFoshanChina Institute of Food Science and Nutrition University of Sargodha40100SargodhaPakistan Department of Food Biotechnology and Microbiology Institute of Food SciencesWarsaw University of Life Sciences-SGGWNowoursynowska 159 C02-776WarsawPoland Division of Livestock Products Technology SKUAST-JIndia

Natural pigments are widely utilized as food additives nowadays to impart color or improve the taste of the food *** pigments are significant food compounds used in the food industry due to their diverse nutritional and functional *** is the essential part of any food as it affects the consumer acceptability of the *** consumer interest has shifted towards natural pigments as food colorants due to their high safety *** industries prefer the use of natural pigments for foods and drinks owing to the harmful and undesirable effects of artificial *** pigments include betalains-betaxanthin,betacyanin,flavonoids-anthocyanins,carotenoids-lutein,zeaxanthin,β-carotene,and chlorophylls-chlorophyllins,*** are some restrictions associated with the use of natural pigments based on the source of the pigment,quantity,and product *** review illustrates applications of permitted pigments in diversified food models and highlights their advantages as food ingredients.

关键词： Natural pigments Food colors Additives Anthocyanins Flavonoids Carotenoids