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Endoscopic ultrasound-guided pancreatic fluid collection drainage: Where are we?

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World Journal of Gastrointestinal Endoscopy 2024年第6期16卷 273-281页

作者： Anupam kumar Singh manish Manrai Rakesh Kochhar Department of Gastroenterology Postgraduate Institute of Medical Education and ResearchChandigarh 160012India Department of Gastroenterology Command HospitalLucknow 226002India Department of Gastroenterology Paras HospitalPanchkula 134109India

Pancreatic fluid collections(PFCs)result from injury to the pancreas from acute or chronic pancreatitis,surgery,or *** of these collections has evolved over the last 2 *** choice of interventions includes percu-taneous,endoscopic,minimally invasive surgery,or a combined *** drainage is the drainage of PFCs by creating an artificial communication between the collection and gastrointestinal lumen that is maintained by placing a stent across the fistulous *** this editorial,we endeavored to update the current status of endoscopic ultrasound-guided drainage of PFCs.

关键词： Pancreatic fluid collections Endoscopic ultrasound-guided drainage Endoscopic necrosectomy Lumen apposing metal stent Review

5%过氧化苯甲酰凝胶、液体清洁剂和保湿剂SPF 30联合治疗痤疮的疗效评价

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5%过氧化苯甲酰凝胶、液体清洁剂和保湿剂SPF 30联合治疗痤疮的疗...

作者： manish kumar Shah 大理大学

学位级别：硕士

客观的结合皮肤护理产品（清洁剂和保湿剂）和过氧化苯甲酰（BPO）治疗痤疮可提高治疗耐受性和依从性。评估BPO 5%凝胶与液体清洁剂和保湿剂SPF 30联合使用后患者的满意度。材料与方法共有100名患者参与了—项开放性研究,其中包括13至3...

客观的结合皮肤护理产品（清洁剂和保湿剂）和过氧化苯甲酰（BPO）治疗痤疮可提高治疗耐受性和依从性。评估BPO 5%凝胶与液体清洁剂和保湿剂SPF 30联合使用后患者的满意度。材料与方法共有100名患者参与了—项开放性研究,其中包括13至30岁的轻度至中度面部痤疮患者。接受BPO 5%凝胶每日—次、液体清洁剂每日两次和保湿剂SPF 30每日—次的患者使用12周。评估包括患者满意度问卷、研究者对改善、病变计数和安全性的总体评估。后果12周后,参与研究的大多数患者对三部分方案总体满意（87%）,自我感觉良好（94%）患者表示皮肤护理产品（清洁剂和保湿剂）有助于皮肤准备治疗（85%）,缓解皮肤瘙痒（81%）,减少刺激（87%）。大多数患者认为液体清洁剂（80%）和保湿剂SPF 30（84%）与BPO 5%凝胶相结合是治疗痤疮的必要部分。治疗耐受性良好。结论BPO 5%凝胶与液体清洁剂和保湿剂SPF 30的组合可使受试者获得高水平的满意度、良好的耐受性和治疗依从性。

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糖尿病母亲婴儿临床分析回顾性研究

糖尿病母亲婴儿临床分析回顾性研究

作者： manish kumar Mandal 昆明医科大学

学位级别：硕士

目的:本研究拟分析糖尿病母亲婴儿的并发症,尤其是代谢和血液方面的早期并发症。方法:这是一项回顾性的研究。研究对象为2016年1月至2016年12月昆明医学院第一附属医院儿科收住的101例糖尿病母亲婴儿。对妊娠期糖尿病母亲婴儿出生后临... 详细信息

目的:本研究拟分析糖尿病母亲婴儿的并发症,尤其是代谢和血液方面的早期并发症。方法:这是一项回顾性的研究。研究对象为2016年1月至2016年12月昆明医学院第一附属医院儿科收住的101例糖尿病母亲婴儿。对妊娠期糖尿病母亲婴儿出生后临床特点、血液学、代谢并发症及超声心动图检查结果进行分析。结果:1 .101例新生儿中,95例(94.05%)母亲患妊娠期糖尿病(GDM),而其余的6(5.95%)例患孕前糖尿病(PGDM)。43例新生儿(42.57%)为男性,58例(57.43%)为女性。44例新生儿(43.56%)经阴道分娩正常,39例(38.62%)剖宫产出生,产钳助产18例。44例(43.56%)婴儿出生体重在3-3. 49公斤,25例(24.75%)婴儿出生体重在2. 5-2. 99公斤:19例(18.81%)婴儿出生体重在3. 5-3. 99公斤;9例(8.91%)婴儿出生体重在2. 0-2. 49公斤;4例(3.97%)婴儿出生体重在4. 0-5.0公斤。2. 25例(24.75%)糖尿病母亲使用胰岛素治疗,76例(75.25%)为饮食控制或口服降糖药治疗,96%的母亲血糖控制良好。3.糖尿病母亲并发症的发生率分别为:高胆红素血症88. 11%;低血糖症12. 85 %;红细胞增多症8. 52%;低钙血症53. 84%。4.糖尿病母亲婴儿心脏发育缺陷发生率分别为:PDA 43. 48 %;VSD 26. 08%;ASD 13.04%;PPHN17.04%;PDA 占首位,其次为 VSD。结论:1.低血糖症及新生儿高胆红素血症仍是糖尿病母亲婴儿最常见的早期并发症。2.糖尿病母亲婴儿心脏发育缺陷中,PDA占首位,其次为ASD。

关键词：妊娠期糖尿病糖尿病母亲婴儿低血糖高胆红素血症低血钙低血镁红细胞增多症

Carbon and water footprints of major crop production in India

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Pedosphere 2023年第3期33卷 448-462页

作者： Amaresh kumar NAYAK Rahul TRIPATHI manish DEBNATH Chinmaya kumar SWAIN Biswaranjan DHAL Shanmugam VIJAYkumar Anshuman Debasis NAYAK Sangita MOHANTY Mohammad SHAHID Anjani kumar Manoj RAJAK Khitish Chandra MOHARANA Dibyendu CHATTERJEE Susmita MUNDA Pravat GURU Rubina KHANAM Banwari LAL Priyanka GAUTAM Suschismita PATTANAIK Arvind kumar SHUKLA Nuala FITTON Pete SMITH Himanshu PATHAK Indian Council of Agriculture Research(ICAR)-National Rice Research Institute Cuttack 753006(India) ICAR-Central Sheep and Wool Research Institute Avikanagar 304501(India) ICAR-National Research Centre on Camel Bikaner 304001(India) ICAR-Indian Institute of Soil Science Bhopal 462038(India) Institute of Biological and Environmental Sciences University of Aberdeen23St Machar DriveAberdeen AB243UU(UK)

Scarcity of water and emission of greenhouse gases(GHGs)are the two key environmental issues affecting crop production in *** the carbon footprint(CF)and water footprint(WF)of crop production can help to mitigate the environmental hazards that stem from GHG emissions and water *** CFs and WFs of three major cereal crops,rice,wheat,and maize,were estimated for the year 2014 under the environmental conditions in India,based on national statistics and other data *** CFs(TCFs)of rice,wheat,and maize in India were estimated to be 2.44,1.27,and 0.80 t CO_(2)equivalent ha-1,respectively,and product WFs for rice,wheat,and maize in India were 3.52,1.59,and 2.06 m3 kg^(-1),*** WF was found to be the highest in West India for rice and in South India for both wheat and maize,with the highest irrigation water use in these *** was a positive correlation between TCF and total WF,and hence mitigation of both was possibly simultaneous in various regions in *** measures for mitigating GHG emissions and optimizing water use for rice,wheat,and maize production in India are recommended in this paper.

关键词： cereal crop crop planning green water footprint greenhouse gas emission water productivity water use

Robust Sliding Mode Control for Nonlinear Discrete-Time Delayed Systems Based on Neural Network

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Intelligent Control and Automation 2015年第1期6卷 75-83页

作者： Vishal goyal Vinay kumar Deolia Tripti Nath Sharma Department of Electronics and Communication Engineering G. L. A. University Mathura India

This paper presents a robust sliding mode controller for a class of unknown nonlinear discrete-time systems in the presence of fixed time delay. A neural-network approximation and the Lyapunov-Krasovskii functional theory into the sliding-mode technique is used and a neural-network based sliding mode control scheme is proposed. Because of the novality of Chebyshev Neural Networks (CNNs), that it requires much less computation time as compare to multi layer neural network (MLNN), is preferred to approximate the unknown system functions. By means of linear matrix inequalities, a sufficient condition is derived to ensure the asymptotic stability such that the sliding mode dynamics is restricted to the defined sliding surface. The proposed sliding mode control technique guarantees the system state trajectory to the designed sliding surface. Finally, simulation results illustrate the main characteristics and performance of the proposed approach.

关键词： Discrete-Time Nonlinear Systems Lyapunov-Krasovskii Functional Linear Matrix Inequality (LMI) Sliding Mode Control (SMC) Chebyshev Neural Networks (CNNs)

Prolonging the Shelf Life of Ready-to-Serve Pizza through Modified Atmosphere Packaging: Effect on Textural and Sensory Quality

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Food and Nutrition Sciences 2011年第7期2卷 785-792页

作者： Preeti Singh Ali Abas Wani Gyanendra kumar goyal 不详

The effects of different modified atmospheres (air: atm1;100% CO2: atm2;100% N2: atm3;50% CO2/50% N2: atm4) on the textural and sensory characteristics of the ready-to-serve pizza at 7℃ ± 1℃ were investigated. The values of hardness, gumminess and chewiness were found to be increased during the storage period while cohesiveness and springiness exhibited a decreasing trend. Overall, the 100% CO2 product yielded the best textural and sensorial characteristics followed by 50%CO2/50% N2 and 100% N2 when compared to conventional packed pizza at 7℃ ± 1℃. Carbon dioxide caused microbial inhibition as well. The shelf life of ready-to-serve pizza significantly increased upto 45 days (a 300% increase) for the samples packaged under 100% CO2 (atm2), 50% CO2/50% N2 (atm4) and 100% N2 (atm3), compared to conventional air pack (15 days).

关键词： Modified Atmosphere Packaging Textural Profile Analysis Pizza Shelf Life Storage

Cr （Ⅲ） Removal from Synthetic Waste Water by Using Water Pond Mud

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Journal of Life Sciences 2010年第3期4卷 33-35页

作者： Ashok kumar Balwant Singh Bisht Amitabh Talwar manish kumar Lalit kumar Dept. of Biotechnology Himachal Institute of Life Science Paonta Sahib Sirmour 173025 （HP） India Dept. of Zoology/Entomology HNBGU （A Central University） Campus Badshahithaul Tehri 249199 （UK） India Dept. of Pharmaceutics Himachal Institute of Pharmacy Paonta Sahib Ditt-Sirmour 173025 （HP） India

The pollution of aquatic ecosystem by heavy metals has assumed serious proportions due to their toxicity and accumulative behavior. The toxicity metal is dependent on its chemical form and therefore removal of metal is more meaningful than the estimation of its concentrations. In this study, the batch experiments were carried out under 30℃ to study the effect of pH, initial Cr concentration, adsorbent dose and contact time on the removal of Cr （lII）. The maximum adsorption efficiency （99%） was observed when 1.5 g of pond mud was used for removal ofCr （Ⅲ） from test solution containing 150 mg·Cr / 100 ml. The optimal pH and contact time recorded during the study were 6 and 10.0, respectively.

关键词： Aquatic ecosystem toxicity water pond mud contact time adsorption.

Coupled Fixed Point Theorem for Weakly Compatible Mappings in Menger Spaces

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Applied Mathematics 2013年第12期4卷 1714-1719页

作者： Manju Grewal manish Jain Ramesh Vats Sanjay kumar Department of Mathematics Ahir College Rewari India Department of Mathematics DCRUST Murthal Sonepat India National Institute of Technology Hamirpur India

In this paper, first, we introduce the notion of weakly compatible maps for coupled maps and then prove a coupled fixed point theorem under more general t-norm(H-type norm) in Menger spaces. We support our theorem by ... 详细信息

关键词： Menger Spaces w-Compatible Maps Phi-Contractive Conditions

A randomized trial of a 4- vs 12-week daily interferon dose regimen combined with ribavirin in treatment of patients with chronic hepatitis C

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Hepatobiliary & Pancreatic Diseases International 2004年第1期3卷 42-48页

作者： Shiv K. Sarin Ankur goyal Sudheer kumar Rajkumar C. Guptan Abid Zaffar Hashmi Pooja Sakhuja Veena Malhotra Departments of Gastroenterology G. 13. Pant Hospital New Delhi 110002 India Departments of Pathology G. 13. Pant Hospital New Delhi 110002 India

BACKGROUND: Standard combination-therapy of ribavi- rin with alternate day interferon (IFN) in patients with chronic hepatitis C ( CHC) has been reported to achieve 30%-55% sustained viral response. Early reduction of viral load by daily dosage of IFN could enhance viral clearance. However, the duration of daily dosage protocol and the likely side-effects have not been well studied. We compared the efficacy and safety of a 4- vs 12-week daily IFN dosage in patients with CHC. METHODS: Fifty-nine, histologically proven CHC patients having ALT levels >1.5 ×ULN were divided randomly into 2 groups, group I was given IFN 3 MIU daily for 4 weeks, followed by tiw up to 12 months and group was given IFN 3 MIU daily for 12 weeks, followed by tiw up to 12 months. Ribavirin was given in a dose of 800-1200 mg/d for 12 months. RESULTS: Fifty-two of the 59 patients (group group completed the study. The pretreatment vari- ables and the prevalence of HCV genotype 1 were compara- ble between the groups. Nine patients (29%) in group and 6 (25%) in group had stage 3, 4 fibrosis. At the end of 4, 12, 24 and 52 weeks, HCV RNA negativity was ob- served in 27%, 54%, 65% and 71% in group I and 38%, 54%, 71% and 75% in group respectively (P =ns). Four of the eight (50%) patients with genotype 1 and 30 (69.8%) of 43 patients with genotype non-1 responded to therapy (P =ns). Sustained viral response was achieved in 61% and 71% in groups respectively. None of the variables predicted non-response precisely. No serious adverse effects were observed and they were comparable between the two groups. CONCLUSION: Daily IFN dosage with ribavirin is safe and can achieve response in up to 65% patients. Since the effica- cy of a 4-week daily dosage of IFN is comparable to a 12- week schedule, we recommend the former regimen.

关键词： hepatitis C virus hepatitis C interferon ribavirin induction dosage sustained viral response chronic hepatitis combination therapy