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Safety of teplizumab in patients with high-risk for diabetes mellitus type 1:A systematic review

World Journal of Diabetes 2024年第8期15卷 1793-1801页

作者： Venkata Buddhavarapu Gagandeep Dhillon Harpreet Grewal Pranjal sharma Rahul Kashyap Salim Surani Department of Medicine Banner Baywood Medical CenterBanner HealthMesaAZ 85206United States Department of Medicine UM Baltimore Washington Medical CenterGlen BurnieMD 21061United States Department of Radiology Ascension Sacred Heart HospitalPensacolaFL 32504United States Department of Medicine Northeast Ohio Medical CenterRootstownOH 44272United States Department of Research Wellspan HealthYorkPA 17403United States Anesthesiology Mayo ClinicRochesterMN 55905United States Department of Medicine&Pharmacology Texas A&M UniversityCollege StationTX 77843United States

BACKGROUND The incidence of diabetes mellitus type 1(DM1)has been rising worldwide because of improvements in diagnostic techniques and improved access to care in countries with lower socioeconomic status.A new anti-CD4 antibody,Teplizumab,has been shown to delay the progression of DM1 and is the only medication approved for this ***,more information is needed about the safety profile of this *** To identify the odds ratios(OR)of systems-based adverse effects for Teplizumab when compared to *** An extensive systematic review was conducted from the inception of the medication until December 31,*** clinical trials and studies that evaluated Teplizumab vs placebo were included in the initial *** study protocol was designed using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines guidelines and was registered in PROSPERO(ID:CRD42024496169).Crude OR were generated using RevMan Software version *** After screening and review,5 studies were selected to determine the risk of adverse effects of teplizumab compared to placebo.A total of 561 patients were included in the study *** adverse effects and system-based adverse effects were studied and *** determined that patients receiving Teplizumab had a higher risk of developing gastrointestinal(GI)(OR=1.60,95%CI:1.01-2.52,P=0.04),dermatological(OR=6.33,95%CI:4.05-9.88,P<0.00001)and hematological adverse effects(OR=19.03,95%CI:11.09-32.66,P<0.00001).These patients were also significantly likely to have active Epstein-Barr Virus infection(OR=3.16,95%CI:1.51-6.64,P<0.002).While our data showed that patients receiving Teplizumab did have a higher incidence of total adverse effects vs placebo,this finding did not reach statistical significance(OR=2.25,95%CI:0.80-6.29,P=0.12).CONCLUSION Our systematic review suggests that Teplizumab patients are at risk for significant adverse effects,primarily related to GI,dermatological,and hematolog

关键词： Teplizumab Diabetes mellitus type 1 Adverse effects Monoclonal antibody Systematic review

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An arrow in the quiver: evaluating the performance of Hyptis suaveolens(L.) Poit. in different light levels

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Ecological Processes 2024年第2期 130-147页

作者： Kanhaiya Shah Gyan Prakash sharma R.Sagar Department of Environmental Studies University of Delhi Department of Botany Banaras Hindu University

Background Hyptis suaveolens（L.） Poit.,native to the American tropics,is a pantropical annual plant and a major invasive species throughout *** was anticipated that the availability of sunlight,coupled with its superior reproductive potential,persistent propagule bank,and dispersal ability,could lead to an increase in the growth and spread of this invader,thus potentially impeding herbaceous growth and diversity in non-native *** its ecological fitness and competitive performance will be useful to manage the spread of *** in natural ecosystems that are facing a wide range of anthropogenic *** The present study is a three-tier *** the first tier,a field study was conducted to assess the patterns of *** abundance and herbaceous species diversity in response to light availability(sun,842-1072μmol m-2s-1and shade 253-341 μmol m-2S-1) in the tropical dry deciduous ecosystems in the Vindhyan highlands,***,the impact of *** abundance on the resident native and non-native species abundance and diversity was also *** the second tier,a randomized common garden experiment was conducted to understand the trait fitness of *** in sun(940 μmol m-2s-1) and shade(300 μmol m-2s-1) *** the third tier,a plant growth chamber experiment with high-light(940 μmol m-2s-1) and low-light(300 μmol m-2s-1)treatments was done to learn how *** partitions its biomass between aboveground and belowground plant *** The field study indicated that the sunlit areas had a higher abundance of *** and a lower diversity of resident herbaceous species than the shaded *** common garden experiment showed that sun-dwelling *** individuals performed better in germinative,vegetative,eco-physiological,and reproductive traits than the shade-dwelling *** growth chamber experiment exhibited that plants grown in high-light environment had greater seed germi

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An Improved Lung Cancer Segmentation Based on Nature-Inspired Optimization Approaches

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Computer Modeling in Engineering & Sciences 2024年第2期138卷 1051-1075页

作者： Shazia Shamas Surya Narayan Panda Ishu sharma Kalpna Guleria Aman Singh Ahmad Ali AlZubi Mallak Ahmad AlZubi Chitkara University Institute of Engineering and Technology Chitkara UniversityRajpuraPunjab140401India Higher Polytechnic School Universidad Europea del AtlánticoC/Isabel Torres 21Santander39011Spain Department of Engineering Universidad Internacional IberoamericanaAreciboPR00613USA Uttaranchal Institute of Technology Uttaranchal UniversityDehradunUttarakhand248007India Computer Science Department King Saud UniversityRiyadhSaudi Arabia Faculty of Medicine Jordan University of Science and TechnologyIrbidJordan

The distinction and precise identification of tumor nodules are crucial for timely lung cancer diagnosis andplanning intervention. This research work addresses the major issues pertaining to the field of medical imageprocessing while focusing on lung cancer Computed Tomography (CT) images. In this context, the paper proposesan improved lung cancer segmentation technique based on the strengths of nature-inspired approaches. Thebetter resolution of CT is exploited to distinguish healthy subjects from those who have lung cancer. In thisprocess, the visual challenges of the K-means are addressed with the integration of four nature-inspired swarmintelligent techniques. The techniques experimented in this paper are K-means with Artificial Bee Colony (ABC),K-means with Cuckoo Search Algorithm (CSA), K-means with Particle Swarm Optimization (PSO), and Kmeanswith Firefly Algorithm (FFA). The testing and evaluation are performed on Early Lung Cancer ActionProgram (ELCAP) database. The simulation analysis is performed using lung cancer images set against metrics:precision, sensitivity, specificity, f-measure, accuracy,Matthews Correlation Coefficient (MCC), Jaccard, and *** detailed evaluation shows that the K-means with Cuckoo Search Algorithm (CSA) significantly improved thequality of lung cancer segmentation in comparison to the other optimization approaches utilized for lung cancerimages. The results exhibit that the proposed approach (K-means with CSA) achieves precision, sensitivity, and Fmeasureof 0.942, 0.964, and 0.953, respectively, and an average accuracy of 93%. The experimental results prove thatK-meanswithABC,K-meanswith PSO,K-meanswith FFA, andK-meanswithCSAhave achieved an improvementof 10.8%, 13.38%, 13.93%, and 15.7%, respectively, for accuracy measure in comparison to K-means segmentationfor lung cancer images. Further, it is highlighted that the proposed K-means with CSA have achieved a significantimprovement in accuracy, hence can be utilized by resea

关键词： Lesion lung cancer segmentation medical imaging meta-heuristic Artificial Bee Colony(ABC) Cuckoo Search Algorithm(CSA) Particle Swarm Optimization(PSO) Firefly Algorithm(FFA) segmentation

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Exploring one material for dual applications:A red-emitting Mg_(2)GeO_(4):Eu^(3+)nanophosphor for future generation energy efficient WLEDs and dosimetric applications

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Journal of Rare Earths 2024年第10期42卷 1835-1845页

作者： Akshay Arjun G.P.Darshan S.C.sharma H.Nagabhushana D.V.Sunitha H.B.Premkumar Department of Physics Faculty of Mathematical and Physical SciencesM.S.Ramaiah University of Applied SciencesBengaluru560054India Honorary Professor of Law and Forensic Materials Jain UniversityBengaluru560069India C.N.R.Rao Centre for Advanced Materials Tumkur UniversityTumkur572103India School of Applied Sciences(Physics) REVA UniversityBengaluru560064India

The envisaged design and developme nt of individual mate rials to excavate a broader spectrum of desired properties and offer multiple applications are highly *** this in mind,a series of forsterite-structured Mg_(2)GeO_(4):Eu^(3+)(1 mol%-9 mol%)nanophosphors was synthesized via a solution combustion method using oxalyl dihydrazide as a *** X-ray diffraction patterns confirm the orthorhombic crystal system with a Puma space *** results clearly show irregularly shaped cluster-like structures with aggregation of the *** diffuse reflectance spectra,the optical energy band gap of the Mg_2GeO_4:Eu^(3+)(1 mol%-9 mol%)nanophosphors was estimated and obtained to be~4.12-4.32 *** photoluminescence emission spectra exhibit intense peaks at~579,589,610,661,and 707 nm,which are due to characteristic~5D_(0)→~7F_(0),~5D_(0)→~7F_(1),~5Do→~7F_(2),~5D_(0)→~7F_(3)and~5D_(0)→~7F_(4)transitions of Eu^(3+)ions,*** Commission International de L'Eclairage color coordinates are gradually tuned from pale red(0.5980,0.4012)to a pure red(0.6385,0.3611)*** glow peaks showcase excellent super-linear response at low doses ofγ-irradiations,indicating that the prepared phosphor can be used in thermoluminescent personal dosimetry which is a biological tissue *** aforementioned results demonstrate that the prepared Mg_2GeO_4:Eu^(3+)(1 mol%-9 mol%)nanophosphors are considered an excellent candidate for dual applications,i.e.,red component in future generation white-light-emitting diodes(WLEDs)and personal dosimetric applications.

关键词： Nanophosphors Photoluminescence Thermoluminescence Dosimetry Photometric properties Rare earths

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The Criteria for Reducing Centrally Restricted Three-Body Problem to Two-Body Problem

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International Journal of Astronomy and Astrophysics 2024年第1期14卷 1-19页

作者： Bijay Kumar sharma Department of Electronics and Communication National Institute of Technology Patna India

Our Solar System contains eight planets and their respective natural satellites excepting the inner two planets Mercury and Venus. A satellite hosted by a given Planet is well protected by the gravitational pertubation of much heavier planets such as Jupiter and Saturn if the natural satellite lies deep inside the respective host Planet Hill sphere. Each planet has a Hill radius aH and planet mean radius RP and the ratio R1=RP/aH. Under very low R1 (less than 0.006) the approximation of CRTBP (centrally restricted three-body problem) to two-body problem is valid and planet has spacious Hill lobe to capture a satellite and retain it. This ensures a high probability of capture of natural satellite by the given planet and Sun’s perturbation on Planet-Satellite binary can be neglected. This is the case with Earth, Mars, Jupiter, Saturn, Neptune and Uranus. But Mercury and Venus has R1=RP/aH =0.01 and 5.9862 × 10-3 respectively hence they have no satellites. There is a limit to the dimension of the captured body. It must be a much smaller body both dimensionally as well masswise. The qantitative limit is a subject of an independent study.

关键词： Hill’s Radius Two-Body Problem Fixed-Point Solution Lagrange Points Earth-Moon-Test Particle CRTBP

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Cluster sampling methodology to evaluate immunization coverage

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World Journal of Methodology 2024年第3期14卷 78-89页

作者： Aishwarya sharma RB Jain Jitesh Satija Aditi sharma Avani sharma Sudhir Shekhawat Department of Community Medicine School of Medical Sciences&ResearchSharda UniversityGreater Noida 201306UPIndia Department of Community Medicine World College of Medical Sciences&ResearchJhajjar 124103HaryanaIndia Department of Community Medicine ESIC Medical College&HospitalFaridabad 121012HaryanaIndia Department of Community Medicine Hamdard Institute of Medical Sciences&ResearchNew Delhi 110062India Department of Community Medicine Pt.B.D.Sharma Post Graduate Institute of Medical SciencesRohtak 124001HaryanaIndia Independent Biostatistician Ghaziabad 201014UPIndia

BACKGROUND Immunization is a key component of primary health care and an indisputable human *** are critical to the prevention and control of infectious disease *** coronavirus disease 2019(COVID-19)pandemic and associated disruptions over the past two years have strained the health systems,with many children missing out on essential childhood *** To evaluate the immunization coverage among 12-23-month-old children in the rural areas of Community Health Centre(CHC)Dighal and to determine the factors influencing the existing immunization *** A coverage evaluation survey was conducted according to the 30-cluster sampling technique,which is the standard methodology for such surveys devised by World Health Organization.A total of 300 children aged 12-23 months were included,whose immunization details were noted from their immunization *** Full immunization rate was noted in 86.7%of the children,with partial and non-immunized children accounting for 9%and 4.3%*** full immunization dropout rate was 4.2%.The common reasons for partial or non-immunization were family problem including illness of mother,vaccine not being available and child being *** of birth(P=0.014)and availability of immunization card(P<0.001)were significant predictors of the immunization *** the study was conducted in 2020/2021,health services were disrupted due to the COVID-19 *** Due to the coverage being higher than the national average,it was concluded that the immunization coverage was optimal and not affected by the COVID-19 pandemic.

关键词： Immunization coverage Children COVID 19 pandemic Vaccines Family health Routine immunization

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Nonlinear Coupling of Kinetic Alfvén Waves and Ion Acoustic Waves in the Inner Heliosphere

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Research in Astronomy and Astrophysics 2024年第10期24卷 141-158页

作者： Mani K.Chettri Vivek Shrivastav Rupak Mukherjee Nidhi Gaur R.P.sharma Hemam D.Singh Department of Physics Sikkim UniversityGangtokSikkimIndia DAV Public School Sector 14GurugramHaryanaIndia Plasma Simulation Laboratory Department of Energy Science and EngineeringIndian Institute of Technology DelhiDelhiIndia

We study the nonlinear coupling of kinetic Alfvén waves with ion acoustic waves applicable to the Earth’s radiation belt and near-Sun streamer belt solar wind using dynamical equations in the form of modified Zakharov *** simulations show the formation of magnetic field filamentary structures associated with density humps and dips which become turbulent at later times,redistributing the energy to higher *** magnetic power spectra exhibit an inertial range Kolmogorov-like spectral index value of-5/3 for k_(⊥)ρ_(i)<1 followed by a steeper dissipation range spectra with indices~-3 for the radiation belt case and~-4 for the nearSun streamer belt solar wind case,here k_(⊥)andρ_(i)represent the wavevector component perpendicular to the background magnetic field and the ion thermal gyroradius,*** quasilinear theory in terms of the Fokker-Planck equation in the region of wavenumber turbulent spectra,we find the particle distribution function flattening in the superthermal tail population which is the signature of particle energization and plasma heating.

关键词： Sun:chromosphere Sun:corona Sun:heliosphere

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Plant based metabolomics:a future prospective and versatile tool for metabolite databases of Curcuma longa

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未来食品学报(英文) 2024年第1期4卷 37-47页

作者： Shuvendhu Gupta Amrat Pal Singh Gurpreet Singh Xianting Ding Alok sharma Department of Pharmacognosy ISF College of PharmacyMoga 142001India Department of Pharmaceutical Chemistry ISF College of PharmacyMoga 142001India School of Biomedical Engineering Med-X Research InstituteShanghai Jiao Tong UniversityShanghai 200030China

Sophisticated analytical instruments are used for quality evaluation and scientific validation to compliance the Sophisticated analytical instruments are used for quality evaluation and scientific validation to compliance the market ***,increase in demand of Curcuma longa has led to a high swing in small and medium food *** present review is devoted to an in-depth information on metabolite database of *** from different analytical techniques such as high-performance thin-layer chromatography(HPTLC),liquid chromatography-mass spectrometry,gas chromatography-mass spectrometry and nuclear magnetic *** work highlights different extraction methods,phytochemistry along with structure activity relationship,nutritional profiling,market viability and pharmacology of *** bioactives of *** depends on various factors such as plants growth,temperature,humidity,soil type,collection,drying and extraction *** factors can contribute in quality evaluation of the food supplements if need to be *** introduction of omics approaches can helpful to explore the quality and identification of potential lead of *** results could play an essential role in the area of food-phyto based ***,metabolomics techniques may provide a analytical platfom by combination of different"omics"data souces for future esearch to food sand herbal based products.

关键词： Curcuma longa Omics approaches Multidisciplinary method Quality control Metabolomics

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Spatio-temporal variation and relationship between agricultural efficiency and irrigation intensity in a semi-arid region of India

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Regional Sustainability 2024年第2期5卷 123-139页

作者： Shibu DAS Kaushal Kumar sharma Suranjan MAJUMDER Debabrata DAS Indrajit Roy CHOWDHURY Centre for the Study of Regional Development School of Social SciencesJawaharlal Nehru UniversityNew Delhi110067India Department of Geography&Applied Geography University of North BengalDarjeeling734013India Geography Department of Krishnagar Government College Krishnagar741101India

A surging population in Karnataka State,a semi-arid region in India,poses a threat to both food security and livelihood sustainability,necessitating a concentrated effort to bolster agricultural efficiency and achieve United Naton’s Sustainable Development Goal 2(zero hunger).Therefore,in order to address the pressing issue of food scarcity in Karnataka,this study meticulously examined the spatio-temporal variation of agricultural efficiency and irrigation intensity in Karnataka,uncovering its significant dependence of agricultural efficiency on irrigation ***,this study used a one-way analysis of variance(ANOVA)to ascertain significant differences in the means of agricultural efficiency and irrigation intensity during 2004-2005 and *** study showed that the maximum improvement in agricultural efficiency index was recorded in Belgaum(40.24),Gulbarga(24.77),and Yadgir districts(22.92)between 2004-2005 and 2018-2019,which indicated the progressing trend and better scope for agriculture *** the contrary,some districts expressed threat(a decline of above 20.00 of agricultural efficiency index)and needed special care for the improvement of agricultural efficiency in four northern districts(Bagalkot,Bidar,Raichur,and Bijapur),three southern districts(Chitradurga,Chikballapur and Hassan),and two southern districts(Koppal and Gadag)in *** 2004-2005,irrigation intensity varied from 3.19%to 56.39%,with the lowest irrigation intensity in Kodagu District and the highest irrigation intensity in Shimoga *** 2018-2019,irrigation intensity changed from 0.77%to 72.77%,with the lowest irrigation intensity in Kodagu District and the highest in Dakshin Kannad ***,the research scrutinized the complex relationship between agricultural efficiency and irrigation intensity,with the correlation coefficient increased from 0.162 during 2004-2005 to 0.255 during *** implies that in both periods,a low positive

关键词： Agricultural efficiency Irrigation intensity One-way analysis of variance(ANOVA) Food security Karnataka

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Machine learning-guided accelerated discovery of structure-property correlations in lean magnesium alloys for biomedical applications

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Journal of Magnesium and Alloys 2024年第6期12卷 2267-2283页

作者： Sreenivas Raguraman Maitreyee sharma Priyadarshini Tram Nguyen Ryan McGovern Andrew Kim Adam J.Griebel Paulette Clancy Timothy P.Weihs Department of Materials Science and Engineering Johns Hopkins University3400 N Charles StBaltimore21218MDU.S.A Hopkins Extreme Materials Institute Johns Hopkins University3400 N Charles StBaltimore21218MDU.S.A Department of Chemical and Biomolecular Engineering Johns Hopkins University3400 N Charles StBaltimore21218MDU.S.A Translational Tissue Engineering Center Johns Hopkins School of Medicine400 N BroadwayBaltimore21231MDU.S.A Department of Biomedical Engineering Johns Hopkins University3400 N Charles StBaltimore21218MDU.S.A Research and Development Fort Wayne Metals Research ProductsLLC9609 Ardmore AveFort Wayne46809INU.S.A Department of Mechanical Engineering Johns Hopkins University3400 N Charles StBaltimore21218MDU.S.A

Magnesium alloys are emerging as promising alternatives to traditional orthopedic implant materials thanks to their biodegradability,biocompatibility,and impressive mechanical ***,their rapid in-vivo degradation presents challenges,notably in upholding mechanical integrity over *** study investigates the impact of high-temperature thermal processing on the mechanical and degradation attributes of a lean Mg-Zn-Ca-Mn alloy,*** rapid,cost-efficient characterization methods like X-ray diffraction and optical microscopy,we swiftly examine microstructural changes post-thermal *** Pearson correlation coefficient analysis,we unveil the relationship between microstructural properties and critical targets(properties):hardness and corrosion ***,leveraging the least absolute shrinkage and selection operator(LASSO),we pinpoint the dominant microstructural factors among closely correlated *** findings underscore the significant role of grain size refinement in strengthening and the predominance of the ternary Ca_(2)Mg_(6)Zn_(3)phase in corrosion *** suggests that achieving an optimal blend of strength and corrosion resistance is attainable through fine grains and reduced concentration of ternary *** thorough investigation furnishes valuable insights into the intricate interplay of processing,structure,and properties in magnesium alloys,thereby advancing the development of superior biodegradable implant materials.

关键词： Magnesium alloys Machine learning Corrosion Mechanical properties Rapid characterization

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