检索结果-南通市图书馆

Impact of frailty on endoscopic retrograde cholangiopancreatography outcomes in nonagenarians:A United States national experience

引用

World Journal of Gastrointestinal Endoscopy 2024年第3期16卷 148-156页

作者： Sanket Dhirubhai Basida Dushyant Singh Dahiya muhammad nadeem yousaf Brinda Basida Bhanu Siva Mohan Pinnam Manesh Kumar Gangwani Hassam Ali Sahib Singh Yash R Shah Daksh Ahluwalia Mihir Prakash Shah Saurabh Chandan Neil R Sharma Shyam Thakkar Department of Internal Medicine University of Missouri-ColumbiaColumbiaMO 65212United States Division of Gastroenterology Hepatology&MotilityThe University of Kansas School of MedicineKansas CityKS 66160United States Division of Gastroenterology and Hepatology University of MissouriColumbiaMO 65212United States Department of Rheumatology Medical College of GeorgiaAugusta UniversityNorth AugustaGA 30912United States Department of Internal Medicine John H.Stroger Hospital of Cook CountyChicagoIL 60612United States Department of Internal Medicine The University of ToledoToledoOH 43606United States Division of Gastroenterology and Hepatology East Carolina University/Brody School of MedicineGreenvilleNC 27858United States Department of Internal Medicine Sinai HospitalBaltimoreMD 21215United States Department of Internal Medicine Trinity Health Oakland/Wayne State UniversityPontiacMI 48341United States Division of Gastroenterology and Hepatology Creighton University School of MedicineOmahaNE 68131United States Division of Interventional Oncology&Surgical Endoscopy GI Oncology Tumor Site TeamParkview Cancer InstituteParkview HealthFort WayneIN 46845United States Section of Gastroenterology&Hepatology West Virginia University School of MedicineMorgantownWV 26505United States

BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP)is an essential therapeutic tool for biliary and pancreatic *** and elderly patients,especially those aged≥90 years are generally considered a higher-risk population for ERCP-related *** To investigate outcomes of ERCP in the Non-agenarian population(≥90 years)concerning *** This is a cohort study using the 2018-2020 National Readmission *** aged≥90 were identified who underwent ERCP,using the international classification of diseases-10 code with clinical *** Hopkins’s adjusted clinical groups frailty indicator was used to classify patients as frail and *** primary outcome was mortality,and the secondary outcomes were morbidity and the 30 d readmission rate related to *** used univariate and multivariate regression models for *** A total of 9448 patients were admitted for any indications of *** and non-frail patients were 3445(36.46%)and 6003(63.53%)*** for ERCP were Choledocholithiasis(74.84%),Biliary pancreatitis(9.19%),Pancreatico-biliary cancer(7.6%),Biliary stricture(4.84%),and Cholangitis(1.51%).Mortality rates were higher in frail group[adjusted odds ratio(aOR)=1.68,P=0.02].The Intra-procedural complications were insigni-ficant between the two groups which included bleeding(aOR=0.72,P=0.67),accidental punctures/lacerations(aOR=0.77,P=0.5),and mechanical ventilation rates(aOR=1.19,P=0.6).Post-ERCP complication rate was similar for bleeding(aOR=0.72,P=0.41)and post-ERCP pancreatitis(aOR=1.4,P=0.44).Frail patients had a longer length of stay(6.7 d vs 5.5 d)and higher mean total charges of hospitalization($78807 vs$71392)compared to controls(P<0.001).The 30 d all-cause readmission rates between frail and non-frail patients were similar(P=0.96).CONCLUSION There was a significantly higher mortality risk and healthcare burden amongst nonagenarian frail patients undergoing ERCP compared

关键词： Endoscopic retrograde cholangiopancreatography Nonagenarians Frailty Mortality Healthcare burden

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Angiotensin converting enzyme inhibitor associated spontaneous herniation of liver mimicking a pleural mass:A case report

引用

World Journal of Hepatology 2022年第4期14卷 854-859页

作者： Sameer Saleem Tebha Zain Ali Zaidi Sehrish Sethar muhammad Asif Abbas Virk muhammad nadeem yousaf Department of Neurosurgery and Neurology Jinnah Medical and Dental CollegeKarachi 75600SindhPakistan Department of Medicine Jinnah Medical and Dental CollegeKarachi 75600SindhPakistan Department of Radiology Jinnah Medical and Dental CollegeKarachi 75600SindhPakistan Department of Medicine Division of GastroenterologyWell Span York HospitalYorkPA 17403United States Department of Medicine Division of Gastroenterology and HepatologyUniversity of MissouriColumbiaMO 65212United States

BACKGROUND Spontaneous diaphragmatic herniation of the liver is a rare *** may mimic pulmonary mass especially in the absence of *** is a common side effect of angiotensin converting enzyme(ACE)inhibitors that may cause diaphragmatic rupture due to a sudden increase in trans-diaphragmatic *** present a case of ACE-inhibitor associated spontaneous herniation of the liver mimicking pleural *** SUMMARY An 80-year-old woman presented with dry cough for 1 mo and sudden onset of cramping abdominal pain for 1 *** denied history of trauma,prior surgeries,smoking,alcohol or illicit drug *** has a history of diabetes and was started on an ACE inhibitor 6 mo ago for the management of *** was remarkable for right upper quadrant *** work-up was *** X-ray showed a right lower lung opacity suspecting right pleural *** computed tomography scan ruled out pleural mass,however,revealed herniated right lobe of the liver(3.9 cm×3.6 cm×3.4 cm)into the thoracic cavity through the posterolateral diaphragmatic *** repair of the diaphragmatic defect was performed and the ACE inhibitor was ***’symptoms had completely resolved on *** ACE inhibitor-associated cough may cause diaphragmatic liver herniation mimicking pleural *** diagnosis,surgical repair and addressing the triggering factors improve patients’outcomes.

关键词： Diaphragmatic hernia Liver herniation ACE-inhibitors Cough Non-traumatic diaphragmatic hernia Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Cerebrospinal fluid liver pseudocyst:A bizarre long-term complication of ventriculoperitoneal shunt:A case report

引用

World Journal of Hepatology 2023年第5期15卷 715-724页

作者： muhammad nadeem yousaf Haider A Naqvi Shriya Kane Fizah S Chaudhary Jason Hawksworth Vikram V Nayar Thomas W Faust Division of Gastroenterology and Hepatology Department of MedicineUniversity of MissouriColumbiaMO 65212United States Department of Medicine MedStar Union Memorial HospitalBaltimoreMD 21218United States Department of Surgery University Iowa School of MedicineIowa CityIA 52242United States Department of Medicine University of MissouriColumbiaMO 65212United States Department of Surgery Transplant HepatologyMedStar Georgetown University HospitalWashingtonDC 20007United States Department of Neurosurgery MedStar Georgetown University HospitalWashingtonDC 20007United States Department of Medicine Transplant HepatologyJames D.Eason Transplant InstituteMethodist Le Bonheur HealthcareMemphisTN 38104United States

BACKGROUND Ventriculoperitoneal(VP)shunt placement has become a standard of care procedure in managing hydrocephalus for drainage and absorption of cerebrospinal fluid(CSF)into the *** pseudocysts containing CSF are the common long-term complication of this frequently performed procedure,mainly because VP shunts have significantly prolonged *** these,liver CSF pseudocysts are rare entities that may cause shunt dysfunction,affect normal organ function,and therefore pose therapeutic *** SUMMARY A 49-year-old man with history of congenital hydrocephalus status post bilateral VP shunt placement presented with progressively worsening dyspnea on exertion,abdominal discomfort/*** computed tomography(CT)scan revealed a large CSF pseudocyst in the right hepatic lobe with the tip of VP shunt catheter into the hepatic cyst *** underwent robotic laparoscopic cyst fenestration with a partial hepatectomy,and repositioning of VP shunt catheter to the right lower quadrant of the ***-up CT demonstrated a significant reduction in hepatic CSF *** A high index of clinical suspicion is required for early detection of liver CSF pseudocysts since their presentation is often asymptomatic and cunning early in the ***-stage liver CSF pseudocysts could have adverse outcomes on the treatment course of hydrocephalus as well as on hepatobiliary *** is paucity of data to define the management of liver CSF pseudocyst in current guidelines due to rare nature of this *** reported occurrences have been managed by laparotomy with debridement,paracentesis,radiological imaging guided fluid aspiration and laparoscopic-associated cyst *** surgery is an additional minimally invasive option in the management of hepatic CSF pseudocyst;however,its use is limited by lack of widespread availability and cost of surgery.

关键词： shunt fluid peritoneal

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Role of sterile inflammation in fatty liver diseases

引用

Liver Research 2018年第1期2卷 21-29页

作者： Yonglin Chen muhammad nadeem yousaf Wajahat Z.Mehal Section of Digestive Diseases Yale University School of MedicineNew HavenCTUSA West Haven Veterans Medical Center West HavenCTUSA

Sterile inflammation is a ubiquitous response of tissues to stress and injury,and occurs to a high degree in the *** results in high levels of tissue damage after development of the metabolic syndrome,and with alcohol *** cytokines such as interleukin(IL)-1βare key in the initiation and propagation of inflammation and tissue ***-1βis activated by a cytosolic machinery collectively termed the inflammasome,and by proteases released by *** of the inflammatory response is driven by macrophages,but hepatocytes,stellate and sinusoidal endothelial cells also have key *** for example release acute phase reactants which have pro-and anti-inflammatory effects,and are also a major source of pro-inflammatory damage associated *** cells can regulate differentiation of regulatory T cells by the production of transforming growth factor(TGF)βand all-trans retinoic acid,but the overall effect seems to be context *** strong hepatic inflammatory response is regulated in many ways,with epigenetic regulation playing a major *** is seen most notably with the rapid development of non-alcoholic steatohepatitis(NASH)in pups of female mice kept on a high fat diet prior to conception,but is likely occurring in adults that have been under metabolic stress for extended periods of *** regulation is of key importance due to its clinical implications,and potential to reveal new pathways for liver inflammation.

关键词： Sterile inflammation Non-alcoholic steatohepatitis(NASH) Alcoholic steatohepatitis(ASH) Fatty liver Interleukin(IL) Transforming growth factorβ(TGFβ) Toll-like receptor(TLR)

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Hepatotoxicity associated with Garcinia cambogia: A case report

引用

World Journal of Hepatology 2019年第11期11卷 735-742页

作者： muhammad nadeem yousaf Fizah S Chaudhary Seyed Mohammad Hodanazari Charmian D Sittambalam Department of Medicine Medstar Union Memorial HospitalBaltimoreMD 21218United States Department of Medicine MedStar Good Samaritan HospitalBaltimoreMD 21239United States Department of Medicine Medstar Franklin Square Medical CenterBaltimoreMD 21137United States Department of Internal Medicine American University of BarbadosWildey 11100Barbados

BACKGROUND Herbal supplements(HS)for weight loss are perceived to be“safe”and“natural”,as advertised in ads,however,hepatotoxicity can be associated with consumption of some *** of HS may be missed,as the patient may not report these unless specifically asked about these products,since they are often not thought of as medications with potential side effects or interaction *** SUMMARY We reported a case of a 21-year-old female with morbid obesity who presented with abdominal pain for 1 wk associated with nausea,vomiting,anorexia and *** denied smoking tobacco,drinking alcohol,usage of illicit drugs,hormonal contraceptives,or energy *** was no significant past medical or family *** laboratory workup revealed acute liver *** workup for possible etiologies of acute liver failure was *** was using a weight loss herbal supplement“Garcinia cambogia”for 4 *** case demonstrates the association of acute liver failure with Garcinia *** Medical reconciliation of HS should be performed in patients with suspected acute liver failure and early discontinuation of HS can prevent further progression of drug induced hepatoxicity.

关键词： Hepatotoxicity Drug induced liver injury Acute liver failure Herbal supplements Garcinia cambogia Obesity Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

An Innovative Approach Using TKN-Cryptology for Identifying the Replay Assault

引用

Computers, Materials & Continua 2024年第1期78卷 589-616页

作者： Syeda Wajiha Zahra muhammad nadeem Ali Arshad Saman Riaz muhammad Abu Bakr Ashit Kumar Dutta Zaid Alzaid Badr Almutairi Sultan Almotairi Department of Computer Science Alhamd Islamic UniversityIslamabad44000Pakistan Department of Computer Science and Technology University of Science and Technology BeijingBeijing100083China Department of Computer Science National University of TechnologyIslamabad44000Pakistan Department of Electrical Engineering National University of TechnologyIslamabad44000Pakistan Department of Computer Science and Information Systems College of Applied SciencesAlMaarefa UniversityRiyadh13713Saudi Arabia Department of Computer Science Faculty of Computer and Information SystemsIslamic University of MadinahMedinah42351Saudi Arabia Department of Information Technology College of Computer Sciences and Information Technology CollegeMajmaah UniversityAl-Majmaah11952Saudi Arabia Department of Natural and Applied Sciences Faculty of Community CollegeMajmaah UniversityMajmaah11952Saudi Arabia

Various organizations store data online rather than on physical *** the number of user’s data stored in cloud servers increases,the attack rate to access data from cloud servers also *** researchers worked on different algorithms to protect cloud data from replay *** of the papers used a technique that simultaneously detects a full-message and partial-message replay *** study presents the development of a TKN(Text,Key and Name)cryptographic algorithm aimed at protecting data from replay *** program employs distinct ways to encrypt plain text[P],a user-defined Key[K],and a Secret Code[N].The novelty of the TKN cryptographic algorithm is that the bit value of each text is linked to another value with the help of the proposed algorithm,and the length of the cipher text obtained is twice the length of the original *** the scenario that an attacker executes a replay attack on the cloud server,engages in cryptanalysis,or manipulates any data,it will result in automated modification of all associated values inside the *** mechanism has the benefit of enhancing the detectability of replay ***,the attacker cannot access data not included in any of the papers,regardless of how effective the attack strategy *** the end of paper,the proposed algorithm’s novelty will be compared with different algorithms,and it will be discussed how far the proposed algorithm is better than all other algorithms.

关键词： Replay attack malware message attack file encryption cryptology data security

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Complex Decision Modeling Framework with Fairly Operators and Quaternion Numbers under Intuitionistic Fuzzy Rough Context

引用

Computer Modeling in Engineering & Sciences 2024年第5期139卷 1893-1932页

作者： nadeem Salamat muhammad Kamran Shahzaib Ashraf Manal Elzain Mohammed Abdulla Rashad Ismail Mohammed M.Al-Shamiri Institute of Mathematics Khwaja Fareed University of Engineering&Information TechnologyRahim Yar Khan64200Pakistan Department of Mathematics Thal University BhakkarPunjab30000Pakistan Department of Mathematics Faculty of Science and ArtsKing Khalid UniversityMuhayl Assir61913Saudi Arabia

The main goal of informal computing is to overcome the limitations of hypersensitivity to defects and uncertainty while maintaining a balance between high accuracy,accessibility,and *** paper investigates the potential applications of intuitionistic fuzzy sets(IFS)with rough sets in the context of sparse *** it comes to capture uncertain information emanating fromboth upper and lower approximations,these intuitionistic fuzzy rough numbers(IFRNs)are superior to intuitionistic fuzzy sets and pythagorean fuzzy sets,*** use rough sets in conjunction with IFSs to develop several fairly aggregation operators and analyze their underlying *** present numerous impartial laws that incorporate the idea of proportionate dispersion in order to ensure that the membership and non-membership activities of IFRNs are treated equally within these *** operations lead to the development of the intuitionistic fuzzy rough weighted fairly aggregation operator(IFRWFA)and intuitionistic fuzzy rough ordered weighted fairly aggregation operator(IFRFOWA).These operators successfully adjust to membership and non-membership categories with fairness and *** highlight the unique qualities of these suggested aggregation operators and investigate their use in the multiattribute decision-making *** use the intuitionistic fuzzy rough environment’s architecture to create a novel strategy in situation involving several decision-makers and non-weighted ***,we developed a novel technique by combining the IFSs with quaternion *** establish a unique connection between alternatives and qualities by using intuitionistic fuzzy quaternion numbers(IFQNs).With the help of this framework,we can simulate uncertainty in real-world situations and address a number of decision-making *** the examples we have released,we offer a sophisticated and systematically constructed illustrative scenario that is intricately wo

关键词： Intuitionistic fuzzy set quaternion numbers fuzzy logic decision-making rough set

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Endoscopic retrograde cholangiopancreatography guided interventions in the management of pancreatic cancer

引用

World Journal of Gastrointestinal Endoscopy 2020年第10期12卷 323-340页

作者： muhammad nadeem yousaf Hamid Ehsan Ahsan Wahab Ahmad Muneeb Fizah S Chaudhary Richard Williams Christopher J Haas Department of Medicine Medstar Union Memorial HospitalBaltimoreMD 21218United States Department of Medicine MedStar Good Samaritan HospitalBaltimoreMD 21239United States Department of Medicine Medstar Franklin Square Medical CenterBaltimoreMD 21237United States Department of Medicine MedStar Harbor HospitalBaltimoreMD 21225United States Department of Hospital Medicine Baptist Medical Center SouthMontgomeryAL 36116United States Department of Medicine Faisalabad Medical UniversityFaisalabald 38000PunjabPakistan

Pancreatic cancer is the leading cause of cancer-related morbidity and mortality with an overall five-year survival of less than 9%in the United *** presentation,the majority of patients have painless jaundice,pruritis,and malaise,a triad that develops secondary to obstruction,which often occurs late in the course of the disease *** technical advancements in radiological imaging and endoscopic interventions have played a crucial role in the diagnosis,staging,and management of patients with pancreatic *** retrograde cholangiopancreatography(ERCP)-guided diagnosis(with brush cytology,serial pancreatic juice aspiration cytologic examination technique,or biliary biopsy)and therapeutic interventions such as pancreatobiliary decompression,intraductal and relief of gastric outlet obstruction play a pivotal role in the management of advanced pancreatic cancer and are increasingly used due to improved morbidity and complication rates compared to surgical *** this review,we highlight various ERCP-guided diagnostic and therapeutic interventions for the management of pancreatic cancer.

关键词： Pancreatic cancer Endoscopic retrograde cholangiopancreatography Malignant stricture Biliary drainage Biliary stent Gastric outlet obstruction

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Analytical Treatment of an Oldroyd 8-constant Fluid Between Coaxial Cylinders with Variable Viscosity

引用

Communications in Theoretical Physics 2011年第11期56卷 933-938页

作者： muhammad yousaf Malik Azad Hussain Sohail nadeem Department of Mathematics Quaid-i-Azam University

The flow of an Oldroyd 8-constant fluid between coaxial cylinders with variable viscosity is *** heat transfer analysis is also taken into *** analytical solution of the non-linear problem is obtained usinghomotopy an... 详细信息

关键词：流体流动变粘度同轴恒定非线性问题传热分析同伦分析

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

A hybrid circuit breaker with fault current limiter circuit in a VSC-HVDC application

引用

Protection and Control of Modern Power Systems 2022年第1期7卷 657-669页

作者： muhammad Ahmad Chunyang Gong muhammad Haroon nadeem Hui Chen Zhixin Wang School of Electronics Information and Electrical Engineering Shanghai Jiao Tong UniversityShanghai 200240People’s Republic of China Shanghai University of Electric Power Shanghai 200090People’s Republic of China EnergyVille/Electa Research Group Electrical Engineering Department ESATKU Leuven3001 HeverleeBelgium.

A conventional hybrid circuit breaker(HCB)is used to protect a voltage source converter-based high voltage direct current transmission system(VSC-HVDC)from a short circuit *** the increased converter capacity,the DC protection equipment also requires a regular *** paper adopts a novel type of HCB with a fault current limiter circuit(FCLC),and focuses on the responses of voltage and current during DC faults,which are associated with parameter ***/EMTDC based simulation of a three-terminal VSC-HVDC system confirms the effectiveness and value of HCB with FCLC,by using an equivalent circuit modelling *** experimental tests validate the simulation *** peak fault current is reduced according to the current limiting inductor(CLI)increase,and can be isolated more *** adopting parallel metal oxide arrester(MOA)with the main branch of HCB,voltage stresses across the breaker components decrease during transient and continuous operation,and less energy needs to be dissipated by the *** remnant current for all cases is transmitted to power dissipating resis-tor(PDR)in the final stage,and the fault current is reduced to the lowest possible *** the current from the main branch is transferred to the FCLC branch,transient voltage spikes occur,while smaller PDR is required to absorb current in the final stage.

关键词： VSC-HVDC HCB FCLC Short circuit fault MOA

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：