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Unlocking new potential of clinical diagnosis with artificial intelligence:Finding new patterns of clinical and lab data

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World Journal of Diabetes 2024年第3期15卷 308-310页

作者： pradeep kumar Dabla Department of Biochemistry Govind Ballabh Pant Institute of Postgraduate Medical Education and ResearchDelhi 110002India

Recent advancements in science and technology,coupled with the proliferation of data,have also urged laboratory medicine to integrate with the era of artificial intelligence(AI)and machine learning(ML).In the current practices of evidencebased medicine,the laboratory tests analysing disease patterns through the association rule mining(ARM)have emerged as a modern tool for the risk assessment and the disease stratification,with the potential to reduce cardiovascular disease(CVD)mortality.CVDs are the well recognised leading global cause of mortality with the higher fatality rates in the Indian population due to associated factors like hypertension,diabetes,and lifestyle choices.AI-driven algorithms have offered deep insights in this field while addressing various challenges such as healthcare systems grappling with the physician shortages.Personalized medicine,well driven by the big data necessitates the integration of ML techniques and high-quality electronic health records to direct the meaningful outcome.These technological advancements enhance the computational analyses for both research and clinical practice.ARM plays a pivotal role by uncovering meaningful relationships within databases,aiding in patient survival prediction and risk factor identification.AI potential in laboratory medicine is vast and it must be cautiously integrated while considering potential ethical,legal,and privacy concerns.Thus,an AI ethics framework is essential to guide its responsible use.Aligning AI algorithms with existing lab practices,promoting education among healthcare professionals,and fostering careful integration into clinical settings are imperative for harnessing the benefits of this transformative technology.

关键词： Laboratory medicine Artificial intelligence Machine learning Association rule mining Cardiovascular diseases

A comprehensive review on pharmacognosy, phytochemistry and pharmacological activities of 8 potent Prunus species of southeast Asia

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Journal of Traditional Chinese Medicine 2024年第3期44卷 620-628页

作者： Shikha Agrawal Adarsh kumar Ankit kumar Singh Harshwardhan Singh Suresh Thareja pradeep kumar Department of Pharmaceutical Sciences and Natural Products Central University of Punjab

Genus Prunus comprising around 430 species is a vast important genus of family Rosaceae, subfamily amygdalaoidae. Among all 430 species, around 19 important species are commonly found in Indian subcontinent due to their broad nutritional and economic importance. Some most common species of genus Prunus are Prunus amygdalus, Prunus persica, Prunus armeniaca, Prunus avium, Prunus cerasus, Prunus cerasoides, Prunus domestica, Prunus mahaleb, etc. A newly introduced species of Prunus i.e Prunus sunhangii is recently discovered which is morphologically very similar to Prunus cerasoides. Plants of Prunus species are short to medium-sized deciduous trees mainly found in the northern hemisphere. In India and its subcontinent,it extends from the Himalayas to Sikkim, Meghalaya,Bhutan, Myanmar etc. Different Prunus species have been extensively studied for their morphological,microscopic, pharmacological and phytoconstituents characteristics. Total phenolic content of Prunus species explains the presence of phenols in high quantity and pharmacological activity due to phenols. Phytochemical screening of species of genus Prunus shows the presence of wide phytoconstituents which contributes in their pharmacological significance and reveals the therapeutic potential and traditional medicinal significance of this genus. Genus Prunus showed a potent antioxidant activity analyzed by 1,1-diphenyl-2-picryl-hydrazyl radical assay. Plant species belonging to the genus Prunus is widely used traditionally for the treatment of various disorders. Some specific Prunus species possess potent anticancer, anti-inflammatory,hypoglycemic etc. activity which makes the genus more interesting for further research and findings. This review is an attempt to summarize the comprehensive study of Prunus species from its distribution, morphological characters to phytoconstituents, and pharmacological activity.

关键词： Prunus Rosaceae antineoplastic agents distribution hypoglycemic agents phytochemistry review

Characteristics of patients with Wilson disease in the United States: An insurance claims database study

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World Journal of Hepatology 2024年第5期16卷 791-799页

作者： Thomas Daniel-Robin pradeep kumar Bernard Benichou Jean-Philippe Combal Vivet Therapeutics Paris 75008France Clarivate Noida 201301Uttar PradeshIndia

BACKGROUND Wilson disease(WD)is a progressive,potentially fatal degenerative disease affecting the liver and central nervous system.Given its low prevalence,collecting data on large cohorts of patients with WD is challenging.Comprehensive insur-ance claims databases provide powerful tools to collect retrospective data on large numbers of patients with rare diseases.AIM To describe patients with WD in the United States,their treatment and clinical outcome,using a large insurance claims database.METHODS This retrospective,longitudinal study was performed in the Clarivate Real-World Data Product database.All patients with≥2 claims associated with an Interna-tional Classification of Diseases 10(ICD-10)diagnostic code for WD(E83.01)between 2016 and 2021 were included and followed until death or study end.Patients were divided into two groups by whether or not they were documented to have received a specific treatment for WD.Clinical manifestations,hospital-isations,liver transplantation and death were documented.RESULTS Overall,5376 patients with an ICD-10 diagnostic code for WD were identified.The mean age at inclusion was 41.2 years and 52.0%were men.A specific WD treatment was documented for 885 patients(15.1%),although the number of patients taking zinc salts may be underestimated due to over the counter purchase.At inclusion,the mean age of patients with a documented treatment was 36.6±17.8 years vs 42.2±19.6 years in those without a documented treatment.During follow-up,273 patients(5.1%)died.Compared with the American general population,the standardised mortality ratio was 2.19.The proportion of patients with a documented WD-specific treatment who died during follow-up was 4.0%and the mean age at death 52.7 years.CONCLUSION Patients treated for WD in the United States had an excess early mortality compared with the American population.These findings indicate that there is a significant unmet need for effective treatment for WD in the United States.

关键词： Wilson disease Mortality Treatment Copper chelators Zinc acetate United States

Aerodynamics of a Tandem-Bladed Axial Compressor Rotor under Circumferential Distortion at Different Rotational Speeds

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Journal of Thermal Science 2024年第4期33卷 1340-1356页

作者： Amit kumar Jerry T.JOHN A.M.pradeep R.A.D.AKKERMANS Dragan KOZULOVIC Department of Aerospace Engineering Indian Institute of Technology Bombay Department of Automotive and Aeronautical Engineering Hamburg University of Applied Sciences Institute of Jet Propulsion Bundeswehr University Munich

For most aircraft engines,inflow distortion is inevitable.Inflow distortion is known to degrade the aerodynamic performance and stable operating limits of a compressor.Tandem rotor configuration is an arrangement that effectively controls the growth of the boundary layer over the suction surface of the blade.Therefore,a higher total pressure rise can be achieved through this unconventional design approach involving the splitting of the blade into forward and aft sections.It is expected that the effect of inlet flow distortion would be more severe for a tandem-rotor design due to the greater flow turning inherent in such designs.However,this aspect needs to be thoroughly examined.The present study discusses the effect of circumferential distortion on the tandem-rotor at different rotational speeds.Full-annulus RANS simulations using ANSYS CFX are used in the present study.The performance of the rotor at a particular flow coefficient and different rotational speeds is compared.The total pressure and efficiency are observed to drop at lower mass flow rates under the influence of circumferential distortion.The loss region in each blade passage is mainly associated with the blade wake,tip leakage vortex,secondary flow,and boundary layer.However,their contribution varies from passage to passage,particularly in the distorted sector.At the lower span,the wake width is found to be higher than that at a higher span.Due to the redistribution of the mass flow,the circumferential extent reduces at a higher span.In the undistorted sector,the strength of the tip leakage vortex is significantly higher at the design rotational speed than at lower speeds.The distortion near the tip region promotes an early vortex breakdown even at the design operating condition.This adversely affects the total pressure,efficiency,and stall margin.Under clean flow conditions,this phenomenon is only observed near the stall point.At the design operating condition,the breakdown of the forward rotor tip leakage vortex is detected in four blade passages

关键词： tandem rotor circumferential distortion loss tip leakage vortex vortex breakdown diffusion factor aerodynamics of compressor blade

Discovering hidden patterns:Association rules for cardiovascular diseases in type 2 diabetes mellitus

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World Journal of Methodology 2024年第2期14卷 97-106页

作者： pradeep kumar Dabla Kamal Upreti Dharmsheel Shrivastav Vimal Mehta Divakar Singh Department of Biochemistry Govind Ballabh Pant Institute of Postgraduate Medical Education and ResearchDelhi 110002India Department of Computer Science CHRISTGhaziabad 201003India Department of Cardiology Govind Ballabh Pant Institute of Postgraduate Medical Education and ResearchDelhi 110002India Barkatullah University Institute of Technology Barkatullah UniversityBhopal 462026India

BACKGROUND It is increasingly common to find patients affected by a combination of type 2 diabetes mellitus(T2DM)and coronary artery disease(CAD),and studies are able to correlate their relationships with available biological and clinical evidence.The aim of the current study was to apply association rule mining(ARM)to discover whether there are consistent patterns of clinical features relevant to these diseases.ARM leverages clinical and laboratory data to the meaningful patterns for diabetic CAD by harnessing the power help of data-driven algorithms to optimise the decision-making in patient care.AIM To reinforce the evidence of the T2DM-CAD interplay and demonstrate the ability of ARM to provide new insights into multivariate pattern discovery.METHODS This cross-sectional study was conducted at the Department of Biochemistry in a specialized tertiary care centre in Delhi,involving a total of 300 consented subjects categorized into three groups:CAD with diabetes,CAD without diabetes,and healthy controls,with 100 subjects in each group.The participants were enrolled from the Cardiology IPD&OPD for the sample collection.The study employed ARM technique to extract the meaningful patterns and relationships from the clinical data with its original value.RESULTS The clinical dataset comprised 35 attributes from enrolled subjects.The analysis produced rules with a maximum branching factor of 4 and a rule length of 5,necessitating a 1%probability increase for enhancement.Prominent patterns emerged,highlighting strong links between health indicators and diabetes likelihood,particularly elevated HbA1C and random blood sugar levels.The ARM technique identified individuals with a random blood sugar level>175 and HbA1C>6.6 are likely in the“CAD-with-diabetes”group,offering valuable insights into health indicators and influencing factors on disease outcomes.CONCLUSION The application of this method holds promise for healthcare practitioners to offer valuable insights for enhancing patient treatment targeting specific subtype

关键词： Coronary artery disease Type 2 diabetes mellitus Coronary angiography Association rule mining Artificial intelligence

Comment on: Observation of peripheral refraction in myopic anisometropia in young adults

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International Journal of Ophthalmology(English edition) 2024年第7期17卷 1385-1386页

作者： Suraj kumar Chaurasiya Mahendra Singh pradeep Agarwal Yu-Qin Du Yue-Hua Zhou Ming-Wei Ding Ming-Xu Zhang Yu-Juan Guo Shan-Shan Ge Department of Optometry and Vision Science CL Gupta Eye InstituteRam Ganga Vihar Phase II(Extn.)MoradabadUttar Pradesh 244001India Department of Paediatric and Neuro Ophthalmology CL Gupta Eye InstituteRam Ganga Vihar Phase II(Extn.)MoradabadUttar Pradesh 244001India Eye School of Chengdu University of TCM Ineye Hospital of Chengdu University of TCMChengdu 610036Sichuan ProvinceChina Beijing Ming Vision and Ophthalmology Beijing 100010China

Dear Editor,We read with great interest the recently published article titled“Observation of peripheral refraction in myopic anisometropia in young adults”by Du et al[1].The study conducted at the InEye Hospital of Chengdu University of TCM provides valuable insights into the relationship between anisometropia and peripheral refraction in myopic young adults.We commend the authors for their thorough investigation and adherence to ethical guidelines.While the study contributes significantly to our understanding of myopic anisometropia,we would like to draw attention to some limitations that merit consideration for a comprehensive interpretation of the findings.

关键词： Observation young insight

Herbal anthelmintic agents: a narrative review

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Journal of Traditional Chinese Medicine 2022年第4期42卷 641-651页

作者： Manjusa Adak pradeep kumar Department of Pharmaceutical Sciences and Natural Products Central University of PunjabGhuddaBathindaPunjab 151401India

Helminths or Parasitic worms of humans may cause chronic and sometimes deadly diseases,considered as neglected tropical diseases(NTDs)that infect around two billion people worldwide.Plants have been used as anthelmintics from ancient times.This review is a compilation of plants as source of anthelmintic drug.All information presented in this review article regarding the anthelmintic activities of plants from 2005 and has been acquired by approaching various electronic databases,including Scopus,Google scholar,Web of science and PubMed.Literature was surveyed for anthelmintic activity of plants which showed that secondary metabolites of plants like terpenes,glycosides,saponins,flavonoids,tannins and alkaloids were having anthelmintic activity.Since this review is a compilation of anthelmintic activity of plants from the year 2005,it will definitely be a fruitful study for researchers working in this field.

关键词： helminths helminthiasis anthelmintics biological products

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Optimal promotional policy of an innovation diffusion model incorporating the brand image in a segment-specific market

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Journal of Management Analytics 2022年第1期9卷 120-136页

作者： Kuldeep Chaudhary pradeep kumar Sudipa Chauhan Vijay kumar Department of Mathematics AIASAmity UniversityNoidaIndia

This paper addresses the problem of determining the optimal promotional policy for a diffusion model in a segment-specific market under the assumption that the additional demand of the new product also improves brand image in the form of goodwill of the firm.The model is framed with the assumption that the firm uses the mass and differentiated promotion effort for each segment.The differentiated promotional efforts target each market segment independently and the mass promotional effort reaches different segments with a fixed spectrum.We derive the optimal promotional effort policy for each segment using maximumprinciple and also analyze the stability of the dynamical system by constructing a Lyapunov function through the graph theoretic approach.The analysis gives a deep insight into how the promotional effort should be planned by the decision makers keeping in mind the financial constrains without hindering the promotional effort at the end of the planning period.

关键词： market-segmentation brand-image maximum-principle stability analysis graph theoretic approach

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社会主义运动的复杂现实与新前景

世界社会主义研究 2024年第2期9卷 56-59页

作者：普拉迪普·库马尔·贾瓦里唐芳芳中国社会科学院马克思主义研究院

一、社会主义运动面临的复杂形势与挑战经济全球化的力量以各种前所未有的方式将我们的世界交织在一起，创造了一幅超越地理边界的互联互通的锦绣画卷。经济全球化虽然促进了经济增长，加强了贸易往来，推动了知识、技术与文化的交流，...

一、社会主义运动面临的复杂形势与挑战经济全球化的力量以各种前所未有的方式将我们的世界交织在一起，创造了一幅超越地理边界的互联互通的锦绣画卷。经济全球化虽然促进了经济增长，加强了贸易往来，推动了知识、技术与文化的交流，但也加剧了现存的不平等，扩大了社会差距和经济差距，并带来了环境恶化、政治不稳定等新挑战。跨国公司的崛起引发了人们对以更新、更复杂的形式出现的劳动剥削的担忧，以及对破坏环境造成的致命代价的忧虑。

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