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Severe Monkeypox Infection in a Patient with AIDS: An Illustrative Case Report

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Advances in Infectious Diseases 2023年第2期13卷 323-332页

作者： Dhruv Bakshi Alwyn Rapose Dhinager Nandagopal Sunita vyas Department of Internal Medicine St. Vincent Hospital Worcester MA USA Department of Internal Medicine St. Vincent Hospital Massachusetts and Reliant Medical Group Worcester MA USA Division of Infectious Diseases St. Vincent Hospital Massachusetts and Reliant Medical Group Worcester MA USA

The Monkeypox (Mpox) virus (MPXV) is endemic in Africa, and cases outside West and Central Africa were previously considered rare. However, around May 2022, outbreaks of multiple cases were reported worldwide including the USA thus presenting a new public health emergency. We present a case report of MPXV infection in a 49-year-old gay male with AIDS who was admitted for management of severe perianal cellulitis. Three days into hospitalization, he developed pustules over the genitals and scattered lesions over the face, trunk and extremities. PCR testing from a pustule was positive for MPXV. He was initiated on tecovirimat as well as antiretroviral therapy. There was a worsening of his rash over the first three days of therapy, followed by a gradual but complete resolution of all the skin lesions. The perianal and gluteal lesions were the most persistent and took more than two months to resolve. A primary contact source of infection was never identified. The differential diagnoses for cutaneous lesions of MPXV infection are also discussed.

关键词： Monkeypox Mpox Perianal Cellulitis AIDS Tecovirimat

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Pelvic pain

英国医学杂志中文版 2017年第6期20卷 56-57页

作者： Rachel Brown NICE fellow Sanjay vyas Southmead Hospital Bristol BS10 5NB

立即参考妇科学有一个骨盆的团，反常宫颈，或坚持的 bleedingConsider

关键词：骨盆疼痛月经女性保健知识

Feasibility study of minimally trained medical students using the Rural Obstetrical Ultrasound Triage Exam(ROUTE)in rural Panama

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World Journal of Emergency Medicine 2018年第3期9卷 216-222页

作者： Annasha vyas Katherine Moran Joshua Livingston Savannah Gonzales Marlene Torres Ali Duffens Carina Mireles Romo Gnevieve Mazza Briana Livingston Shadi Lahham John Christian Fox School of Medicine University of California IrvineIrvineCA 92697USA Department of Obstetrics and Gynecology University of California IrvineOrangeCA 92868USA Department of Emergency Medicine University of California IrvineOrangeCA 92868USA

BACKGROUND:Maternal and infant mortality rates reported in rural Panama are greater than those in urban *** del Toro is a region of Panama inhabited by indigenous people at greater risk for pregnancy-related complications and deaths due to geographic isolation and limited access to health *** ultrasound training programs have recently been implemented in low-resource settings to increase access to diagnostic *** goal of this study is to determine the feasibility of teaching firstyear medical students the Rural Obstetrical Ultrasound Triage Exam(ROUTE)to help identify pathology in pregnant women of the Bocas del Toro region of ***:Eight first-year medical students completed ROUTE training *** training,the students were compared to professional sonographers to evaluate their accuracy in performing the *** then performed the ROUTE in mobile clinics within Bocas del *** enrolled women pregnant in their 2nd or 3rd trimesters and measured biparietal diameter,head circumference,amniotic fluid index,fetal lie and placental *** abnormal measurement would be further analyzed by the lead physician for a potential hospital ***:A total of 60 women were enrolled in the *** women were detected as having a possible high-risk pregnancy and thus referred to a hospital for further ***:Based on our data,first-year medical students with additional training can use the ROUTE to identify complications in pregnancy using ultrasound in rural *** studies are required to determine the optimal amount of training required for proficiency.

关键词： Point of care ultrasound Ultrasound education Rural Panama Obstetrics ultrasound

Catalytic Cracking of Waste Polypropylene in a Nitrogen Fluidized Bed Reactor

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Journal of Geoscience and Environment Protection 2016年第4期4卷 20-25页

作者： Anil vyas Suresh Kumar Singh Komal Sharma Sukhwant Singh Chemical Engineering Department Jai Narain Vyas University Jodhpur India Civil Engineering Department Jai Narain Vyas University Jodhpur India Chemical Engineering Department MNIT Jaipur India

Polypropylene (PP) is rated first as volume leader in the plastic sector. Its non-biodegradable property poses serious environmental problem in case of disposal. The catalytic cracking of PP was performed with various catalysts i.e. ZSM-5, Zeolite, RB and SPS. The cracking was observed under different feed to catalyst ratio i.e. 1:1 to 5:1. The fluidized bed reactor was fabricated with arrangement to measure the temperature ranging from 100。C to 800。C. The effective of feed to catalyst ratio was found 3:1 at a temperature range of 420。C - 510。C and catalyst ZSM-5 gives maximum liquid conversion of waste PP. Conversion of PP to liquid fuel will not only resolve the problem of disposal of waste polypropylene plastic but also give a value aided product.

关键词： Waste PP Pyrolysis Catalytic Cracking ZSM-5 Zeolite Liquid Fuel

Order of Magnitude of Multiple Fourier Coefficients

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Analysis in Theory and Applications 2013年第1期29卷 27-36页

作者： R.G.vyas K.N.Darji Department of Mathematics Faculty of Science The Maharaja Sayajirao University of Baroda Department of Science and Humanity Tatva Institute of Technological Studies

The order of magnitude of multiple Fourier coefficients of complex valued functions of generalized bounded variations like （∧^1,.. .,∧^N）BV^（p） and r-BV, over [0,2π]^ N, are estimated.

关键词： Order of magnitude of multiple Fourier coefficients, function of (∧^1,.. .,∧^N)BV^(p) , r-BV,Lip(p α1,…αN).

Agglomerative Approach for Identification and Elimination of Web Robots from Web Server Logs to Extract Knowledge about Actual Visitors

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Journal of Data Analysis and Information Processing 2015年第1期3卷 1-10页

作者： Dilip Singh Sisodia Shrish Verma Om Prakash vyas Department of Computer Science & Engineering National Institute of Technology Raipur India Department of E & TC National Institute of Technology Raipur India Department of IT Indian Institute of Information Technology Allahabad India

In this paper we investigate the effectiveness of ensemble-based learners for web robot session identification from web server logs. We also perform multi fold robot session labeling to improve the performance of learner. We conduct a comparative study for various ensemble methods (Bagging, Boosting, and Voting) with simple classifiers in perspective of classification. We also evaluate the effectiveness of these classifiers (both ensemble and simple) on five different data sets of varying session length. Presently the results of web server log analyzers are not very much reliable because the input log files are highly inflated by sessions of automated web traverse software’s, known as web robots. Presence of web robots access traffic entries in web server log repositories imposes a great challenge to extract any actionable and usable knowledge about browsing behavior of actual visitors. So web robots sessions need accurate and fast detection from web server log repositories to extract knowledge about genuine visitors and to produce correct results of log analyzers.

关键词： Web Robots Web Server Log Repositories Ensemble Learning Bagging Boosting and Voting Actionable Knowledge Usable Knowledge Browsing Behavior Genuine Visitors

Assessment of clinical dehydration using point of care ultrasound for pediatric patients in rural Panama

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World Journal of Emergency Medicine 2019年第1期10卷 46-50页

作者： Genevieve Mazza Carina Mireles Romo Marlene Torres Ali Duffens Annasha vyas Katherine Moran Joshua Livingston Savannah Gonzales Shadi Lahham Inna Shniter Maxwell Thompson John Christian Fox School of Medicine University of California Irvine Department of Emergency Medicine University of California Irvine

BACKGROUND: Dehydration and its associated symptoms are among the most common chief complaints of children in rural Panama. Previous studies have shown that intravascular volume correlates to the ratio of the diameters of the inferior vena cava(IVC) to the aorta(Ao). Our study aims to determine if medical students can detect pediatric dehydration using ultrasound on patients in rural Panama. METHODS: This was a prospective, observational study conducted in the Bocas del Toro region of rural Panama. Children between the ages of 1 to 15 years presenting with diarrhea, vomiting, or parasitic infection were enrolled in the study. Ultrasound measurements of the diameters of the IVC and abdominal aorta were taken to assess for dehydration. RESULTS: A total of 59 patients were enrolled in this study. Twenty-four patients were clinically diagnosed with dehydration and 35 were classified to have normal hydration status. Of the 24 patients with dehydration, half(n=12) of these patients had an IVC/Ao ratio below the American threshold of 0.8. Of the remaining asymptomatic subjects, about half(n=18) of these subjects also had an IVC/Ao ratio below the American threshold of ***: Our study did not support previous literature showing that the IVC/Ao ratio is lower in children with dehydration. It is possible that the American standard for evaluating clinical dehydration is not compatible with the rural pediatric populations of Panama.

关键词： Ultrasound Parasitic infection Panama Rural medicine Dehydration Medical education

The power of SNP markers to accelerate crop improvement,and the benefits of using KASP genotyping at key stages throughout crop breeding and development programs

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The power of SNP markers to accelerate crop improvement,and ...

Clinical peer review in the United States: History, legal development and subsequent abuse

第一届全国玉米生物学学术研讨会

作者： Darshna vyas Plant Genetics Specialist LGC GenomicsUnit 1-2 Trident Industrial Estate

We will present recently published research from CIMMYT as a case study to illustrate how LGC offers genomic solutions including plant sampling,DNA extraction and KASP genotyping to accelerate and enable maize genetic...

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World Journal of Gastroenterology 2014年第21期20卷 6357-6363页

作者： Dinesh vyas Ahmed E Hozain Department of Surgery College of Human MedicineMichigan State UniversityLansingMI 48912United States

The Joint Commission on Accreditation requires hospitals to conduct peer review to retain *** the intended purpose of improving quality medical care,the peer review process has suffered several setbacks throughout its *** the 1980s,abuse of peer review for personal economic interest led to a highly publicized multimillion-dollar verdict by the United States Supreme Court against the perpetrating physicians and *** verdict led to decreased physician participation for fear of possible *** that peer review was critical to quality medical care,Congress subsequently enacted the Health Care Quality Improvement Act(HCQIA)granting comprehensive legal immunity for peer reviewers to increase *** serving its intended goal,HCQIA has also granted peer reviewers significant immunity likely emboldening abuses resulting in Sham Peer *** legal reform of HCQIA is necessary to reduce sham peer reviews,further measures including the need for standardization of the peer review process alongside external organizational monitoring are critical to improving peer review and reducing the prevalence of sham peer reviews.

关键词： Peer review Medical malpractice Healthcare