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Cosmetic evaluation of surgical scars after external dacryocystorhinostomy

International Journal of Ophthalmology(English edition) 2016年第12期9卷 1745-1750页

作者： Syed Ali Raza Rtzvi Mohammad Saquib rakesh maheshwari Yogesh Gupta Zafr Igbal Purleet maheshwari Institute of Ophthalmology Jawaharlal Nehru Medical College AMU Aligarh.UP 202002 India Department of Oto-Rhino-Laryngology Jawaharlal Nehru Medical College AMU Aligarh.UP 202002 India Department of Oto-Rhino-Laryngology Era's Lucknow Medical College and Hospital Lucknow.UP 226003 India

AIM： To evaluate the surgical scars of external dacryocystorhinostomy （DCR） cosmetically. METHODS： Totally 50 consecutive cases of primary acquired nasolacrimal duct obstruction （PANDO） were included in the study. Surgical scars were assessed by the patients and two independent observers at 2, 6 and 12wk postoperatively on the basis of visibility of the scars and still photographs respectively and were graded from 0-3. Kappa test was utilised to check the agreement of scar grading between the two observers. Wilcoxan signed ranks test was used to analyse the improvement of scar ***： Thirty-four （68%） patients graded their incision site as very visible （grade 3） at 2wk. At 6 and 12wk, incision site was observed as grade 3 by 7 （14%） and 1 （2%） patients respectively. Photographic evaluation of patients by 2 observers showed an average score of 2.75, 1.94 and 0.94 at 2, 6 and 12wk respectively. Change in scar grading from grade 3 to grade 0 in consecutive follow-up （2, 6 and 12wk） was found to be highly significant both for the patient as well for the observers （P〈0.0001）.CONCLUSION： The external DCR is a highly effective and safe procedure and in view of low percentage of cases who complained of marked scarring in the present study, thus scarring should not be the main ground for deciding the approach to DCR surgery, even in young cosmetically conscious patients.

关键词： cosmetic surgical scar external dacryocystorhinostomy primary acquired nasolacrimal duct obstruction

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Endoscopic techniques for the diagnosis of pancreatic cystic lesions

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World Journal of Gastroenterology 2025年第1期31卷 1-7页

作者： Sahib Singh Saurabh Chandan rakesh Vinayek Jahnvi Dhar Jayanta Samanta Gabriele Capurso Ivo Boskoski Cristiano Spada Jorge D Machicado Stefano Francesco Crinò Antonio Facciorusso Department of Internal Medicine Sinai HospitalBaltimoreMD 21215United States Division of Gastroenterology and Hepatology Creighton University School of MedicineOmahaNE 68131United States Department of Gastroenterology Sinai Hospital of BaltimoreBaltimoreMD 21215United States Department of Gastroenterology Postgraduate Institute of Medical Education and ResearchChandigarh 160012India Division of Pancreato-Biliary Endoscopy and Endosonography Pancreas Translational and Clinical Research CenterIRCCS San Raffaele Scientific InstituteVita-Salute San Raffaele UniversityMilano 20132Italy Digestive Endoscopy Unit Fondazione Policlinico Universitario Agostino Gemelli IRCSSUniversitàCattolica del Sacro Cuore di RomaCenter for Endoscopic Research Therapeutics and TrainingRoma 00168Italy Department of Gastroenterology and Endoscopy Catholic UniversityRoma 00168Italy Department of Gastroenterology University of Michigan HealthAnn ArborMI 48107United States Department of Endoscopy University of VeronaVerona 37121VenetoItaly Gastroenterology Unit Department of Medical and Surgical SciencesUniversity of FoggiaFoggia 71122Italy

Pancreatic cysts are mostly incidental findings on computed tomography or magnetic resonance imaging scans,with few patients presenting with abdominal pain or other *** accurate diagnosis of cysts is important as management depends on the type(neoplastic or non-neoplastic).Cross-sectional imaging is fast being replaced with endoscopic ultrasound(EUS)and various techniques based on that such as EUS-guided fine needle aspiration,EUS-guided needle confocal laser endomicroscopy,EUS-through-the-needle biopsy,and contrast-enhanced *** studies have reported varying diagnostic and adverse event rates with these *** addition,American,European,and Kyoto guidelines for the diagnosis and management of pancreatic cysts have provided different *** this editorial,we elaborate on the clinical guidelines,recent studies,and comparison of different endoscopic methods for the diagnosis of pancreatic cysts.

关键词： Endoscopic ultrasound Fine needle aspiration Needle confocal laser endomicroscopy Through-the-needle biopsy Contrast-enhanced endoscopic ultrasound

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Congenital anomalies of coronary artery misdiagnosed as coronary dilatations in Kawasaki disease:A clinical predicament

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World Journal of Clinical Pediatrics 2025年第1期14卷 93-100页

作者： rakesh Kumar Pilania Pallavi L Nadig Suprit Basu Reva Tyagi Abarna Thangaraj Ridhima Aggarwal Munish Arora Arun Sharma Surjit Singh Manphool Singhal Pediatric Allergy Immunology Unit Department of PediatricsAdvanced Pediatrics CenterPost Graduate Institute of Medical Education and ResearchChandigarh 160012ChandīgarhIndia Department of Radiodiagnosis and Imaging Postgraduate Institute of Medical Education and ResearchChandigarh 160012ChandīgarhIndia

BACKGROUND 2D-echocardiography(2DE)has been the primary imaging modality in children with Kawasaki disease(KD)to assess coronary *** To report the presence and implications of incidental congenital coronary artery anomalies that had been misinterpreted as coronary artery abnormalities(CAAs)on *** Records of children diagnosed with KD,who underwent computed tomography coronary angiography(CTCA)at our center between 2013-2023 were *** identified 3 children with congenital coronary artery anomalies in this cohort on *** of CTCA and 2DE were compared in these 3 *** Of the 241 patients with KD who underwent CTCA,3(1.24%)had congenital coronary artery anomalies on CTCA detected *** all 3 patients,baseline 2DE had identified *** was then performed for detailed evaluation as per our unit ***(11-year-boy)amongst the 3 patients had complete KD,while the other two(3.3-year-boy;4-month-girl)had incomplete *** revealed separate origins of left anterior descending artery and left circumflex from left sinus[misinterpreted as dilated left main coronary artery(LCA)on 2DE],single coronary artery(interpreted as dilated LCA on 2DE)and dilated right coronary artery on 2DE in case of anomalous origin of LCA from the main pulmonary *** latter one was subsequently operated *** CTCA is essential for detailed assessment of coronary arteries in children with KD especially in cases where there is suspicion of congenital coronary artery *** solely on 2DE may not be sufficient in such cases,and findings from CTCA can significantly impact therapeutic decision-making.

关键词： Coronary artery abnormalities Congenital coronary artery anomalies Computed tomography coronary angiography Kawasaki disease 2-dimensional echocardiography

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Novel Hydrodynamic Analysis Towards Capabilities Improvement of Bio-inspired Underwater Vehicles Using Momentum Redistribution Method

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Journal of Bionic Engineering 2022年第2期19卷 314-330页

作者： rakesh Rayapureddi Santanu Mitra Mechanical Engineering Department Shiv Nadar UniversityDelhi-NCR 201314NoidaIndia

This paper presents an efficient and versatile OpenFOAM(Open-source Field Operation And Manipulation)-based numerical solver for fully resolved simulations that can handle any rigid and deforming bodies moving in the *** algorithm used for solving Fluid-Structure Interactions(FSI)involving the immersed structure with changeable shapes is based on the momentum redistribution *** present approach excludes the need to solve elastic equations,obtain high-accuracy predictions of the flow field and provide a rigorous basis for implementing the Immersed Boundary Method(IBM).The OpenFOAM implementation of the algorithm is discussed along with the design methodology for developing bio-inspired underwater vehicles using the present *** computational results are validated with the experimental observations of the two-dimensional and three-dimensional anguilliform swimmer case *** study further extended to the three-dimensional hydrodynamics of a bioinspired,self-propelling manta *** motion of the body is specified a priori according to the reported experimental *** results quantify the vortex formation and shedding processes and enable the identification of the portions of the body responsible for the majority of *** body accelerates from rest to an asymptotic mean forward velocity of 0.2 ms^(-1)in almost 5 s,consistent with experimental *** is observed that the developed computational model is capable of performing any motion simulation and manoeuvrability analysis,which are critical for the designers to develop novel unmanned underwater vehicles.

关键词： Momentum redistribution method OpenFOAM Fluid-Structure Interaction(FSI) Immersed Boundary Method(IBM) Anguilliform swimming Manta bot

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Properties of filaments in solar cycle 20-23 from McIntosh Archive

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Research in Astronomy and Astrophysics 2019年第6期19卷 43-50页

作者： rakesh Mazumder Center of Excellence in Space Sciences India Indian Institute of Science Education and Research Kolkata

A filament is a cool, dense structure suspended in the solar corona. The eruption of a filament is often associated with a coronal mass ejection(CME), which has an adverse effect on space weather. Hence,research on filaments has attracted much attention in the recent past. The tilt angle of active region(AR)magnetic bipoles is a crucial parameter in the context of the solar dynamo, which governs the conversion efficiency of the toroidal magnetic field to poloidal magnetic field. Filaments always form over polarity inversion lines(PILs), so the study of tilt angles for these filaments can provide valuable information about generation of a magnetic field in the Sun. We investigate the tilt angles of filaments and other properties using McIntosh Archive data. We fit a straight line to each filament to estimate its tilt angle. We examine the variation of mean tilt angle with time. The latitude distribution of positive tilt angle filaments and negative tilt angle filaments reveals that there is a dominance of positive tilt angle filaments in the southern hemisphere and negative tilt angle filaments dominate in the northern hemisphere. We study the variation of the mean tilt angle for low and high latitudes separately. Investigations of temporal variation with filament number indicate that total filament number and low latitude filament number vary cyclically, in phase with the solar cycle. There are fewer filaments at high latitudes and they also show a cyclic pattern in temporal variation. We also study the north-south asymmetry of filaments with different latitude criteria.

关键词： Sun filaments,prominences-Sun magnetic fields-Sun corona-Sun activity-(Sun:)sunspots

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Deforestation and forest fragmentation in the highlands of Eastern Ghats,India

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Journal of Forestry Research 2021年第3期32卷 1127-1138页

作者： rakesh Paul Kakoli Banerjee Central University of Orissa KoraputOdishaIndia

Tropical forest cover change along with increasing fragmentation has detrimental effects on the global *** the current study change in both forest cover and fragmentation of Koraput district have been assessed in the past three decades(1987-2017)and future decade(2017-2027),which has been modelled using logistic regression showing a gradual decrease in the forest cover and increase in *** long term deforestation rates from 1987 to 2017(current period)and from 1987 to 2027(predicted period)were found to be-0.018 and-0.012,*** of the total geographical area,2027 number of grids(1 km^(2))out of 8856 grids were found to have shown extinction of forest in the study *** conversion of forested lands into other land uses has been one of the major causes of deforestation in Koraput,especially because of the increasing mining activities and establishment of three major industries namely National Aluminium Company(NALCO),Damanjodi,Hindustan Aeronautics Limited(HAL),Sunabeda and Ballarpur Industries Limited(BILT).The forest fragmentation reveals a negative trend,recording highest conversion from large core fragments to edge(191.33 km2)and the predicted period has also shown the same trend of negative change,which poses serious danger to the structure of the *** of all the landscape matrices calculated,number of patches will increase to 214 in 2027 from 93 in *** the test between geographically weighted regression(GWR)and ordinary least square regression(OLS),GWR was the better fit model for drawing a spatial relationship between forest cover and fragmentation *** study confirmed that the forest cover change has impacted the forest fragmentation in the study *** programmes like REDD+should be implemented along with the experiences of Community Forest Management and the joint forest management should be intensified at community level in order to develop better management practices to conserve habitats in biodi

关键词： Forest cover Forest ecosystem Predictive model Forest fragmentation Grid based change Geographically weighted regression

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Seismic fragility assessment of revised MRT buildings considering typical construction changes

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Frontiers of Structural and Civil Engineering 2020年第1期14卷 241-266页

作者： rakesh DUMARU Hugo RODRIGUES Humberto VARUM CONSTRUCT-LESE Faculty of Engineering(FEUP)University of PortoPorto 4200-465Portugal RISCO School of Technology and ManagementPolytechnic Institute of LeiriaLeiria 2411-901Portugal

The present study investigates the vulnerability assessment of the prototype revised Mandatory Rule of Thumb(MRT)buildings initially designed and detailed for three storeys bare frame building;later modified through variable number of storeys(three,four,and five)and different arrangement of infill walls(bare frame,soft-storey,irregular infilled,and fully infilled).The application of infill walls increases the fundamental frequencies,stiffness,and maximum strength capacity,but reduces the deformation capability than the bare frame *** vulnerability was also reduced through infill walls,where the probability of exceeding partial-collapse and collapse damage reduced by 80% and 50%,***,the increased in storeys(three to five)also increases the failure probability,such that partial-collapse and collapse for fully infilled increases by almost 55% and 80%,*** obtained results and discussions concluded that the structural sections and details assigned for MRT building is not sufficient if considered as bare frame and *** increase in number of storeys causes building highly vulnerable although the infill walls were considered.

关键词： mid-rise buildings revised NBC 205:2012 masonry infill walls configurations of infill walls vulnerability assessment and inter-storey drift

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Research on the Block Repeated-OFDMA

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China Communications 2008年第3期5卷 95-98,10页

作者： rakesh Tamrakar Datang Mobile Telecommunications Equipment Co.Ltd

In this paper a new multiple access technology based on OFDM is introduced.

关键词： Research on the Block Repeated-OFDMA In PRB CDMA

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Medicinal Effects, Phytochemistry,Pharmacology of Euphorbia prostrata and Promising MolecularMechanisms

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Chinese Journal of Integrative Medicine 2024年第2期30卷 181-192页

作者： Nirmala Kumari Yadav rakesh Yadav Department of Pharmacy Banasthali VidyapithBanasthali(304022)RajasthanIndia Department of Pharmaceutical Sciences Indira Gandhi UniversityMeerpurRewari(122502)HaryanaIndia National Forensic Sciences University Tripura CampusAgartala(799001)TripuraIndia

Euphorbiaceae is a large family of dicotyledonous angiosperms with diverse genera including Euphorbia prostrata(***).Current research has provided scientific evidence for traditional uses of *** against diverse pathological conditions such as anti-hemorrhoidal,anti-inflammatory,analgesic,wound healing,antioxidant,antibacterial,leishmanicidal,antitumor activity,and so *** phytochemical screening has revealed the presence of glycosides,phytosterols,flavonoids,polyphenols,tannins,and anthraquinones with chemical structures elucidation of their respective *** uniqueness of such multifactorial compounds present in this species endorses it as the potent therapeutic or prophylactic choice for several fatal *** ethnomedical applications served as a significant citation for pharmacology,the molecular mechanism has not been reviewed *** present paper provides a comprehensive review of research outcomes,pharmacology,toxicology,and molecular signaling of phytochemicals of *** species as a reference for relevant *** study of bioactive compounds in crude extracts and fractions,the demonstration of primary mechanisms of pharmacology,along with the addition of toxicity,and clinical trials,should be conceded in *** review underlines the *** species that can be a promising phytomedicine since we are committed to excavating more intensely into their pharmacological role.

关键词： Euphorbia prostrata Euphorbiaceae phytochemicals ethnomedical applications toxicology molecularmechanism

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A Key Management Scheme Using(p,q)-Lucas Polynomials in Wireless Sensor Network

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China Communications 2021年第11期18卷 210-228页

作者： Amit Kumar Gautam rakesh Kumar Madan Mohan Malaviya University of Technology Gorakhpur-273001India

Wireless Sensor Network(WSN)has witnessed an unpredictable growth for the last few *** has many applications in various critical sectors such as real-time monitoring of nuclear power plant,disaster management,environment,military area ***,due to the distributed and remote deployment of sensor nodes in such networks,they are highly vulnerable to different security *** sensor network always needs a proficient key management scheme to secure data because of resourceconstrained *** polynomial based key management schemes are simple,but the computational complexity is a big *** polynomials,Fibonacci polynomials,Chebychev polynomials are used in Engineering,Physics,Combinatory and Numerical analysis *** this paper,we propose a key management scheme using(p,q)-Lucas polynomial to improve the security of ***(p,q)-Lucas polynomial,p represents a random base number while q represents a substitute value of x in the *** value of p is unique,and q is different according to communication between *** of the proposed method on several parameters such as computational overhead,efficiency and storage cost have been performed and compared with existing related *** analysis demonstrates that the proposed(p,q)-Lucas polynomial based key management scheme outperforms over other polynomials in terms of the number of keys used and efficiency.

关键词： key management lucas polynomial WSN security pairwise key distribution key generation hierarchical key management

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