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Sepsis during short bowel syndrome hospitalizations:Identifying trends,disparities,and clinical outcomes in the United States

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World Journal of Gastrointestinal Pathophysiology 2024年第1期15卷 26-36页

作者： Dushyant Singh Dahiya Jennifer Wachala Shantanu Solanki Dhanshree Solanki Asim Kichloo Samantha Holcomb Uvesh Mansuri Khwaja Saad Haq Hassam Ali Manesh Kumar Gangwani Yash R Shah Teresa Varghese hafiz muzaffar akbar khan Simon Peter Horslen Thomas D Schiano Syed-Mohammed Jafri Division of Gastroenterology Hepatology&MotilityThe University of Kansas School of MedicineKansas CityKS 66160United States Department of Internal Medicine Samaritan Medical CenterWatertownNY 13601United States Division of Gastroenterology Hepatology&Nutrition The University of Texas MD Anderson Cancer CenterHoustonTX 77030United States Department of Medicine Institute for Foreign Medical Graduate EducationHoustonTX 77030United States Department of Internal Medicine MedStar Harbor HospitalBaltimoreMD 21225United States Department of Internal Medicine WellStar Spalding Regional HospitalGriffinGA 30224United States Division of Gastroenterology Hepatology and NutritionEast Carolina University/Brody School of MedicineGreenvilleNC 27858United States Department of Gastroenterology and Hepatology University of Arkansas for Medical SciencesLittle RockAR 72205United States Department of Internal Medicine Trinity Health Oakland/Wayne State UniversityPontiacMI 48341United States Division of Gastroenterology and Hepatology SUNY Upstate Medical UniversitySyracuseNY 13210United States Department of Pediatrics School of Medicine and UPMC Children’s Hospital of PittsburghUniversity of PittsburghPittsburghPA 15219United States Division of Liver Diseases Icahn School of Medicine at Mount SinaiNew YorkNY 10029United States Division of Gastroenterology and Hepatology Henry Ford HospitalDetroitMI 48202United States

BACKGROUND Short bowel syndrome(SBS)hospitalizations are often complicated with *** is a significant paucity of data on adult SBS hospitalizations in the United States and across the *** To assess trends and outcomes of SBS hospitalizations complicated by sepsis in the United *** The National Inpatient Sample was utilized to identify all adult SBS hospitalizations between *** study cohort was further divided based on the presence or absence of *** were identified,and hospitalization characteristics and clinical outcomes were *** of mortality for SBS hospitalizations complicated with sepsis were *** Of 247097 SBS hospitalizations,21.7%were complicated by *** SBS hospitalizations had a rising trend of hospitalizations from 20.8%in 2005 to 23.5%in 2014(P trend<0.0001).Compared to non-septic SBS hospitalizations,septic SBS hospitalizations had a higher proportion of males(32.8%vs 29.3%,P<0.0001),patients in the 35-49(45.9%vs 42.5%,P<0.0001)and 50-64(32.1%vs 31.1%,P<0.0001)age groups,and ethnic minorities,i.e.,Blacks(12.4%vs 11.3%,P<0.0001)and Hispanics(6.7%vs 5.5%,P<0.0001).Furthermore,septic SBS hospitalizations had a higher proportion of patients with intestinal transplantation(0.33%vs 0.22%,P<0.0001),inpatient mortality(8.5%vs 1.4%,P<0.0001),and mean length of stay(16.1 d vs 7.7 d,P<0.0001)compared to the non-sepsis cohort.A younger age,female gender,White race,and presence of comorbidities such as anemia and depression were identified to be independent predictors of inpatient mortality for septic SBS *** Septic SBS hospitalizations had a rising trend between 2005-2014 and were associated with higher inpatient mortality compared to non-septic SBS hospitalizations.

关键词： Short bowel syndrome Sepsis Outcomes Mortality Trends

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Analytical behavior of weakly dispersive surface and internal waves in the ocean

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Journal of Ocean Engineering and Science 2022年第4期7卷 305-312页

作者： Mohammad Asif Arefin Md.Abu Saeed M.Ali akbar M.hafiz Uddin Department of Mathematics Jashore University of Science and TechnologyJashore7408Bangladesh Department of Applied Mathematics University of RajshahiRajshahi6205Bangladesh

The(2+1)-dimensional interaction of a Riemann wave propagating along the y-axis with a long wave along the x-axis is described by the space-time fractional Calogero-Degasperis(CD)and fractional poten-tial Kadomstev-Petviashvili(PKP)*** can be modeled according to the Hamiltonian structure,the lax pair with the non-isospectral problem,and the pain level *** proposed equations are widely used in beachfront ocean and coastal engineering to describe the propagation of shallow-water waves,demonstrate the propagation of waves in dissipative and nonlinear media,and reveal the propagation of waves in dissipative and nonlinear *** this paper,we have established further exact solutions to the nonlinear fractional partial differential equation(NLFPDEs),namely the space-time fractional CD and fractional PKP equations using the modified Rieman-Liouville fractional derivative of Jumarie through the two variable(G/G,1/G)-expansion *** far as trigonometric,hyperbolic,and rational function so-lutions containing parameters are concerned,solutions are acquired when unique characteristics are as-signed to the ***,the solitary wave solutions are generated from the solutions of the traveling *** is important to observe that this method is a realistic,convenient,well-organized,and ground-breaking strategy for solving various types of NLFPDEs.

关键词： Two variable(G/G,1/G)-expansion method Exact solution Traveling wave solutions Solitary wave solutions The space-time fractional CD equation The space-time fractional PKP equation

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