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CICARE based communication technique:A passage to faster and smoother visual rehabilitation in post cataract surgery patients

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World Journal of Clinical Cases 2024年第36期12卷 6947-6949页

作者： Arvind Kumar Morya Ranjan Kumar Behera parul Chawla Gupta Arshi Singh Department of Ophthalmology All India Institute of Medical SciencesHyderabad 508126TelanganaIndia Department of Ophthalmology MMIMSR Mullana AmbalaAmbala 133207HaryānaIndia Department of Ophthalmology Post Graduate Institute of Medical Education&ResearchChandigarh 160012PunjabIndia Department of Ophthalmology Guru Nanak Eye CentreNew Delhi 110001India

Visual rehabilitation following cataract surgery is often an overlooked *** providers have an important role in the counselling of the patients undergoing cataract surgery in clearing all their doubts thus alleviating all their fears and anxiety related to the procedure which will eventually lead to faster and smoother visual *** standardised communication techniques like CICARE combined with conventional nursing and pain scoring systems can provide an objective and effective method in patient counselling and building a rapport with the patient for a faster visual recovery.

关键词： visual Visual faster

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印度合格评定及“2012强制注册法令”

质量与认证 2015年第6期 40-41页

作者： parul Singh 王珏

印度合格评定制度“合格评定”正如其字面意思所描述,包含了一系列活动：测试、监督、检查、审核、认证、注册和认可的过程。整套过程是用于确认在市场上的某种产品符合相关的国家标准。这给予使用者以信心,产品安全是经过独立评定的,... 详细信息

印度合格评定制度“合格评定”正如其字面意思所描述,包含了一系列活动：测试、监督、检查、审核、认证、注册和认可的过程。整套过程是用于确认在市场上的某种产品符合相关的国家标准。这给予使用者以信心,产品安全是经过独立评定的,同时也为使用者和消费者构建了信任。“合格评定”活动作为一个常规性的手段被多个国家使用。全球化和标准化作为关键因素象征着印度也是该浪潮中的一员。

关键词：合格评定印度注册产品安全国家标准使用者消费者常规性

Low-Cost Metamaterial Loaded Microstrip Antenna for Defense Applications

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Open Journal of Antennas and Propagation 2021年第1期9卷 1-10页

作者： Krushi Modi Parth Kachhadiya Jagdish M. Rathod parul H. Panchal Kush Parikh Electronics Engineering Department BVM Engineering Gujarat India

We have designed a Metamaterial unit-cell for 9 GHz frequency. Periodic structure was used at 4.25 × 4.25 mm with a thickness of 0.35 mm and giving us the 99.99% of absorbance at 9 GHz in simulated results. We have implemented a rectangular microstrip antenna and loaded it with Metamaterial unit-cells which provided improved results. There were results available for reflection coefficient (s11 parameter) at 9 GHz and also helping for the reduction of the Radar Cross Section of an antenna, which reduced more than 20 dB and not affected its directivity and gain.

关键词： Microstrip Antenna (MSA) Metamaterial Absorber (MMA) Single Band MMA Radar Cross Section (RCS) X-Band

Timing of percutaneous endoscopic gastrostomy tube placement in post-stroke patients does not impact mortality, complications, or outcomes

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World Journal of Gastrointestinal Pharmacology and Therapeutics 2022年第5期13卷 77-87页

作者： Kavya M Reddy Preston Lee parul J Gor Antonio Cheesman Noor Al-Hammadi David John Westrich Jason Taylor Vatche and Tamar Manoukian Division of Digestive Diseases David Geffen School of Medicine at University of California Los AngelesLos AngelesCA 90095United States Department of Internal Medicine Santa Clara Valley Medical CenterSan JoseCA 95128United States Division of Gastroenterology and Hepatology Mercy HospitalSaint LouisMO 63141United States David John Westrich Jason TaylorDivision of Gastroenterology and HepatologySaint Louis University School of MedicineSaint LouisMO 63104United States Saint Louis University Center for Health Outcomes Research Saint Louis UniversitySaint LouisMO 63104United States

BACKGROUND Percutaneous Endoscopic Gastrostomy(PEG)tubes are often placed for dysphagia following a stroke in order to maintain sufficient caloric *** 2011 ASGE guidelines recommend delaying PEG tube placement for two weeks,as half of patients with dysphagia improve within 2 *** are few studies comparing outcomes based on timing of PEG tube placement,and there is increasing demand for early PEG tube placement to meet requirements for timely discharge to rehab and skilled nursing *** To assess the safety of early(≤7 d post stroke)vs late(>7 d post stroke)PEG tube placement and evaluate whether pre-procedural risk factors could predict mortality or *** We performed a retrospective study of patients undergoing PEG tube placement for dysphagia following a stroke at two hospitals in Saint Louis,MO between January 2011 and December *** were identified by keyword search of endoscopy ***,peri-procedural complication rates,and post-procedural complication rates were compared in both *** of morbidity and mortality such as protein-calorie malnutrition,presence of an independent cardiovascular risk equivalent,and presence of Systemic inflammatory response syndrome(SIRS)criteria or documented infection were evaluated by multivariate logistic *** 154 patients had a PEG tube placed for dysphagia following a stroke,92 in the late group and 62 in the early *** were 32 observed deaths,with 8 occurring within 30 d of the *** was an increase in peri-procedural and post-procedural complications with delayed PEG placement which was not statistically *** length of stay was significantly less in patients with early PEG tube placement(12.9 vs 22.34 d,P<0.001).Protein calorie malnutrition,presence of SIRS criteria and/or documented infection prior to procedure or having a cardiovascular disease risk equivalent did not significantly predict mortality or complicati

关键词： Percutaneous endoscopic gastrostomy tube Dysphagia Stroke Enteral nutrition Gastrostomy/adverse effect

Xeroderma pigmentosa with ocular association: Case report

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Case Reports in Clinical Medicine 2013年第8期2卷 466-469页

作者： Achyut N. Pandey Krishna Kuldeep Ameeta Koul Manoj Tyagi parul Singh Parmeshwari Das Sharma Deepak Dimri Department of Dermatology VCSG Government Medical College and Research Institute Srinagar Garhwal India Department of Ophthalmology VCSG Government Medical College and Research Institute Srinagar Garhwal India Department of Ophthalmology VCSG Government Medical College and Research Institute Srinagar Garhwal India

Xeroderma pigmentosum is a rare, autosomal recessive disease caused by a defect in DNA repair. Patients with xeroderma pigmentosum often have cutaneous and ocular sun sensitivity, freckle-like skin pigmentation, multiple skin and eye cancers, and, in some patients, progressive neurodegeneration. Xeroderma pigmentosum predominantly affects the ultraviolet (UV) exposed ocular surface, resulting in eyelid atrophy and cancers, corneal dryness, exposure keratopathy, and conjunctival tumors. General features included parental consanguinity (40%), familiarity (60%), onset of symptoms in the first 2 years (50%), malignant skin neoplasms (60%), and carcinoma of the tongue (20%). Among the ocular features, 50% of patients presented with photophobia. Lid freckles or atrophic skin lesions were seen in all patients. Lower lid tumours were seen in 30%, chronic conjunctival congestion in 40%, corneal opacification in 40%, squamous cell carcinoma of limbus in 20%, bilateral pterygium in 40%, and visual impairment in 50%. We report the clinical history and ocular pathology of a boy who is having xeroderma pigmentosum with ocular manifestations. The ophthalmic manifestations of xeroderma pigmentosum are discussed and reviewed with respect to this report and other cases in the literature. These cases illustrate the role of DNA repair in protection of the eyes from UV damage and neuron degeneration of the retina.

关键词： Ciliary Body Hamartoma Ocular Pathology Optic Atrophy Xeroderma Pigmentosum Pigmentary Retinal Degeneration

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慢性失眠的非药物治疗

中国实用乡村医生杂志 2009年第7期16卷 45-47页

作者： parul Harsora, M.D Jennifer KessMann, M.D. 荆玉辰(译) University of Texas Southwestern Medical Center at Dallas Dallas Texas Primary Health Physicians PA Dallas Texas 中国医科大学七年制

在众多家庭医生接待的病人当中，失眠症是一个常见的问题，严重者会丧失劳动能力，生活质量降低，从而导致病症越来越重。失眠症造成了较高的保健支出，在美国，每年约需770亿～920亿美元直接和间接的花费。失眠带来了包括疲劳、心神不... 详细信息

在众多家庭医生接待的病人当中，失眠症是一个常见的问题，严重者会丧失劳动能力，生活质量降低，从而导致病症越来越重。失眠症造成了较高的保健支出，在美国，每年约需770亿～920亿美元直接和间接的花费。失眠带来了包括疲劳、心神不安、就业困难和人际关系障碍等诸多后果和问题。

关键词：失眠慢性非药物治疗

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艺术史向何处去?全球化世界中的艺术史走向

新蕾 2023年第3期 2-7页

作者：帕鲁·戴夫·穆克吉周永丰印度新德里尼赫鲁大学艺术与美学学院南京艺术学院美术学院

“艺术史向何处去?”这一追问中隐含着对未来的关注。它假定了在这个全球化的世界里,关于过去的问题不再那么重要。艺术史的唯一方向似乎就是向前,从现在到未来。对我们所有人来说,一部多元文化、全球化和公正的艺术史似乎触手可及。但... 详细信息

“艺术史向何处去?”这一追问中隐含着对未来的关注。它假定了在这个全球化的世界里,关于过去的问题不再那么重要。艺术史的唯一方向似乎就是向前,从现在到未来。对我们所有人来说,一部多元文化、全球化和公正的艺术史似乎触手可及。但本文试图用“后民族”的概念来解构这种“当代性”,并发现欧洲中心主义依然盛行。本文比较了印度和西方定义这门学科的基本规范,并讨论了其在21世纪初印度“新艺术史”运动中的作用。最后,对非西方艺术史在全球艺术史上的地位提出了更大的问题。

关键词：全球艺术史新艺术史非西方艺术史后殖民后民族

尼泊尔农村地区孕期妇女补充维生素A对青春期前儿童肺功能的影响:一项随机、双盲、安慰剂对照的队列研究

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尼泊尔农村地区孕期妇女补充维生素A对青春期前儿童肺功能的影响:...

孕期妇女补充微量元素对子代6～8岁时代谢综合症指征的影响

作者： William Checkly Keith P West Robert Wise Matthew R Baldwin Steven C LeClerq Lee Wu parul Christian Joanne Tielsch Subaran Khatry Alfred Sommer 张喆庆 Instructor Division of Pulmonary and Critical CareSchool of MedicineThe Johns Hopkins University.1830 Monument StreetFifth FloorBaltimoreMD21205

背景和目的:维生素A(VA)对婴幼儿早期的肺功能发育具有非常重要的作用。母亲孕期VA缺乏将对下一代肺功能健康产生不良的影响。我们为长期处于VA摄入不足的妊娠妇女补充VA或β胡萝卜素(βC),拟验证母亲孕期补充VA与其孩子9～13岁时肺功...

背景和目的:维生素A(VA)对婴幼儿早期的肺功能发育具有非常重要的作用。母亲孕期VA缺乏将对下一代肺功能健康产生不良的影响。我们为长期处于VA摄入不足的妊娠妇女补充VA或β胡萝卜素(βC),拟验证母亲孕期补充VA与其孩子9～13岁时肺功能之间的相关性。方法:随访尼泊尔乡村部分年龄在9～13岁的青春前期

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孕期妇女补充微量元素对子代6～8岁时代谢综合症指征的影响