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Laparoscopic management of remnant gall bladder with stones: Lessons from a tertiary care centre's experience

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Laparoscopic, Endoscopic and Robotic Surgery 2024年第1期7卷 27-33页

作者： Gilbert samuel Jebakumar Jeevanandham Muthiah Loganathan Jayapal R.Santhosh Kumar Siddhesh Tasgaonkar K.S.Santhosh Anand J.K.A.Jameel Sudeepta Kumar Swain K.J.Raghunath Prasanna Kumar Reddy Tirupporur Govindaswamy Balachandar Department of Surgical Gastroenterology Apollo HospitalsChennai 600006India Department of General Surgery Apollo HospitalsChennai 600006India Department of Minimal Access Surgery Apollo HospitalsChennai 600006India

Objective:Laparoscopic cholecystectomy is currently the gold standard for treating symptomatic gallstone *** its success,approximately 10%of patients may experience persistent biliary symptoms,leading to the post-cholecystectomy syndrome.A remnant gallbladder with cystic duct or bile duct stones is one of the causes of this *** objective of this study was to shed light on the clinical manifestations,evaluation,therapeutic strategies,and outcomes associated with laparoscopic management of symptomatic remnant ***:This was a retrospective study,conducted over a five-year period(January 2017 to December 2022)at Apollo Hospitals in South *** patients who underwent laparoscopic completion cholecystectomy for a remnant gall bladder were *** following data were collected:patient demographics,symptoms,preoperative investigations,intraoperative details and post operative ***:In total,36 patients were included and *** majority of patients were male(25,69.4%),with a mean age of 50.7±12.1 *** most common presentation was pain in the upper abdomen or right upper quadrant region(24,66.7%).The laparoscopic approach was attempted in all patients,with a success rate of 94.4%.Two patients required conversion to open *** fistula to the colon was observed in one *** was observed in 7 patients(19.4%),and stone clearance was successfully achieved using endoscopic retrograde cholangiopancreatography in all patients ***:Incomplete gall bladder removal either intentionally or unintentionally leaves a remnant gall bladder that is at risk for stone formation and *** who have this clinical entity with symptoms require a redo or complete cholecystectomy,a complex procedure associated with certain *** study highlights the feasibility and safety of laparoscopic completion cholecystectomy for the management of remnant gallbladder

关键词： Remnant gall bladder Stump cholecystitis Subtotal cholecystectomy Laparoscopic completion cholecystectomy

The Effect of a Novel Complex, Composed of Ceramide, Energizing Peptide and Camu Camu Extract, on Epidermal Barrier Function and Dermal Antiaging Properties in Ex Vivo Human Skin Small Live Cohort

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Journal of Cosmetics, Dermatological Sciences and Applications 2024年第1期14卷 1-11页

作者： Landau Marina Landau-Blum Shir samuel Kassirer Audrey Le Mestr Armelle Perrin Julien Verdon Laurine Bergeron Corinne Morel Isabelle Imbert Arena Dermatology Herzliya Israel American Medical Program Tel Aviv University Tel Aviv-Yafo Israel Ashland Ashland Specialty Ingredients Sophia Antipolis France

The skin’s primary function is to protect the body against a spectrum of environmental stressors, including mechanical insults, microorganisms, chemicals, and allergens. Located in the outermost layers, the primary structures and components responsible for the skin’s barrier function are susceptible to environmental variables, dermatological conditions, and the aging process. The ensuing alterations to structure, composition, and organizational attributes of the epidermal barrier can impact its integrity and functionality. The aim of this study was to assess the effect of a novel complex composed of a ceramide, energizing peptide, and Camu Camu extract (SUPCERATTM complex) on specific markers of epidermal barrier integrity, as well as epidermal and dermal function. All the experiments were conducted on fresh human abdominal skin explants. Intradermal production of hyaluronic acid, epidermal claudin-1, and ceramide synthase 3 expressions, as well as epidermal lipids content were assessed using specific fluorescent stainings on ex vivo skin after the application of the complex or placebo. Additionally, dermal elastase and collagenase activities were assessed using in tubo enzymatic assays. Lastly, the effect of a cosmetic cream containing SUPCERATTM complex was assessed using subjective Global Aesthetic Improvement Scale (GAIS) in a small cohort of patients after 60 days of use. The application of the SUPCERATTM complex on ex vivo skin led to significant increase in dermal hyaluronic acid content and epidermal activity of claudin-1, ceramide synthase 3 and epidermal ceramide content. Furthermore, in tubo enzymatic assays demonstrated inhibition of both dermal elastase and collagenase activities. In addition, the patient-reported results indicated significant improvements in skin quality and appearance. .

关键词： SUPCERATTM Complex Epidermal Skin Barrier Moisturization Antiaging Ceramide Camu Camu Extract

Analysis of Changes of Extreme Temperature during June to August Season over Tanzania

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Journal of Geoscience and Environment Protection 2024年第2期12卷 44-56页

作者： Justus Renatus Mbawala Huixin Li Jiani Zeng Daudi Mikidadi Ndabagenga Anqin Tan Daniela Janine Beukes Praksed Mrosso Rafael samuel Ekwacu Collaborative Innovation Center on Forecast and Evaluation of Meteorological Disasters/Key Laboratory of Meteorological Disaster Ministry of Education/School of Atmospheric Sciences Nanjing University of Information Science and Technology Nanjing China National Meteorological Training Centre Kigoma Tanzania Tanzania Meteorological Authority (TMA) Forecasting Office Kilimanjaro International Airport (KIA) Kilimanjaro Tanzania Namibia Meteorological Service Windhoek Namibia Uganda National Meteorological Authority Kampala Uganda

Natural and human systems are exposed and vulnerable to climate extremes, which contributes to the repercussions of climate variability and the probability of disasters. The impacts of both natural and human-caused climate variability are reflected in the reported changes in climate extremes. Particularly at the local community levels in the majority of the regions, there is currently a dearth of information regarding the distribution, dynamics, and trends of excessive temperatures among the majority of Tanzanians. Over the years 1982-2022, this study examined trends in Tanzania’s extreme temperature over the June to August season. Based on the distinction between absolute and percentile extreme temperatures, a total of eight ETCCDI climate indices were chosen. Mann-Kendall test was used to assess the presence of trends in extreme climatic indices and the Sen’s Slope was applied to compute the extent of the trends in temperature extremes. The study showed that in most regions, there is significant increase of warm days and nights while the significant decrease of cold days and nights was evident to most areas. Moreover, nighttime warming surpasses daytime warming in the study area. The study suggests that anthropogenic influences may contribute to the warming trend observed in extreme daily minimum and maximum temperatures globally, with Tanzania potentially affected, as indicated in the current research. The overall results of this study reflect patterns observed in various regions worldwide, where warm days and nights are on the rise while cold days and nights are diminishing.

关键词： Indices Warm Days and Nights Cold Days and Nights ECA&D Tanzania

Challenges with non-descriptive compliance labeling of end-stage renal disease patients in accessibility for renal transplantation

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World Journal of Nephrology 2024年第1期13卷 9-13页

作者： Benjamin Peticca Tomas M Prudencio samuel G Robinson Sunil S Karhadkar Department of Surgery Lewis Katz School of Medicine at Temple University HospitalPhiladelphiaPA 19140United States

Non-descriptive and convenient labels are uninformative and unfairly project blame onto *** language clinicians use in the Electronic Medical Record,research,and clinical settings shapes biases and subsequent behaviors of all providers involved in the enterprise of *** such as noncompliant and nonadherent serve as a reason for waitlist inactivation and limit access to life-saving *** labels fail to capture all the circum-stances surrounding a patient’s inability to follow their care regimen,trivialize social determinants of health variables,and bring unsubstantiated subjectivity into decisions regarding organ ***,insufficient Medicare coverage has forced patients to ration or stop taking medication,leading to allograft failure and their subsequent diagnosis of *** argue that perpetuating non-descriptive language adds little substantive information,in-creases subjectivity to the organ allocation process,and plays a major role in reduced access to *** patients with existing barriers to care,such as racial/ethnic minorities,these effects may be even more *** committees must ensure thorough documentation to correctly encapsulate the entirety of a patient’s position and give voice to an already vulnerable population.

关键词： End-stage renal disease Compliance Labeling Social determinants

Feasibility Study of Assist-Linked Brief Intervention for Substance Use Disorders in a Rural Community of Plateau State, Nigeria

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Open Journal of Psychiatry 2024年第3期14卷 206-222页

作者： Nwoga Charles Nnaemeka Audu Moses David Sambo Jacob Dusu Mafai Danboyi Kwei Dakwak samuel Joseph Ndak Andarawus Zuhumnan Babatunde Stephen Psychiatry Department Faculty of Clinical Sciences College of Health Sciences University of Jos Jos Nigeria Department of Community Medicine Jos University Teaching Hospital Jos Nigeria Psychology Department Quintessential Healthcare Centre Jos Plateau State Nigeria Psychology Department University of Jos Jos Nigeria Plateau State Hospital Management Board Jos Plateau State Nigeria Department of Psychology Olabisi Onabanjo University Ago-Iwoye Ogun State Nigeria

Objective: We studied the feasibility of using Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) linked with Brief Intervention (ALBI) in treating Substance Use Disorder in Nigeria. There is a clear gap in meeting the needs for treatment and care for people with drug use disorders in Nigeria with many users reporting a self-perceived need for treatment and about 40% of them wanting to receive drug treatment but were unable to access such services. Methods: ASSIST questionnaire was used to gather baseline data, and ALBI along with Motivational Interviewing (MI) was used to intervene for 6 weeks following which ASSIST score was repeated and compared with baseline. Results: Majority of the participants were aged 21 - 30 years, mostly males with (61.3%) lacking steady jobs. Lifetime prevalence of any drug use was (88.2%). Three months prevalence was nicotine (72.0%), alcohol (66.7%), cannabis (47.3%), opioids (11.8%) among others. The ASSIST scores were mostly on the severe ranges. ASSIST result after six weeks showed marked reduction. The Mean Difference (MD) in the ASSIST scores after intervention was significant for tobacco, opioids, alcohol, and cannabis. The Cohen’s D effect size was large for tobacco (1.08), alcohol (0.92) and cannabis (0.73) but low for other substances. Conclusion: ALBI along with MI was helpful in combating the menace of substance use.

关键词： ASSIST ALBI SUD Rural Community Nigeria

Near-Surface Soil Chemical Properties as Affected by Cover Crops Over Time in the Lower Mississippi River Valley

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Agricultural Sciences 2024年第9期15卷 1035-1056页

作者： Cooper Fanning Kristofor R. Brye Michael B. Daniels Trenton L. Roberts samuel Fernandes Lisa S. Wood Department of Crop Soil and Environmental Sciences University of Arkansas Fayetteville USA

Typical row-crop agricultural practices can potentially be harmful to soil health and future sustainability. The use of cover crops (CC) as a mechanism to improve soil health on a wide scale remains underutilized. Soil health remains a major concern for the sustainability of agricultural productivity, therefore, research into CC implementation as a mean to preserve or improve soil health is warranted. The objective of this study was to evaluate the effects of CC on the soils in the eastern Arkansas portion of the Lower Mississippi River Valley (LMRV) over time for various chemical soil parameters, including pH, soil organic matter (SOM), soil elemental contents (i.e., P, K, Ca, Mg, S, Na, Fe, Mn, Zn, Cu, and B), soil respiration, and a generalized soil health score index. Soil pH decreased over time under both CC and no-cover-crop (NCC) treatments, by −0.3 and −0.2, respectively. Soil OM decreased over time under NCC by −0.1%, but did not differ between CC treatments. Soil N availability decreased over time under NCC (−22.6 kg·ha−1), but did not change over time under CC. Soil respiration decreased over time under both CC and NCC, by −76.1 mg·L−1 and −77.3 mg·L−1, respectively, though there was no effect of CC treatment. The Haney soil health score index decreased under CC (−7.0) and NCC (−6.8) without an effect from CC treatment. Results of the study place emphasis on the temporal nature of soil health as influenced by cover crops and their potential to improve soil health.

关键词： Arkansas Cover Crops Soil Properties Soil Organic Matter Soil Health Score

Comparative Analysis of Machine Learning Models for Customer Churn Prediction in the U.S. Banking and Financial Services: Economic Impact and Industry-Specific Insights

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Journal of Data Analysis and Information Processing 2024年第3期12卷 388-418页

作者： Omoshola S. Owolabi Prince C. Uche Nathaniel T. Adeniken Oghenekome Efijemue samuel Attakorah Oluwabukola G. Emi-Johnson Emmanuel Hinneh Department of Data Science Carolina University Winston-Salem NC USA Department of Computer Science Austin Peay State University Clarkesville TN USA Department of Statistical Sciences Wake Forest University Winston-Salem NC USA

Customer churn poses a significant challenge for the banking and finance industry in the United States, directly affecting profitability and market share. This study conducts a comprehensive comparative analysis of machine learning models for customer churn prediction, focusing on the U.S. context. The research evaluates the performance of logistic regression, random forest, and neural networks using industry-specific datasets, considering the economic impact and practical implications of the findings. The exploratory data analysis reveals unique patterns and trends in the U.S. banking and finance industry, such as the age distribution of customers and the prevalence of dormant accounts. The study incorporates macroeconomic factors to capture the potential influence of external conditions on customer churn behavior. The findings highlight the importance of leveraging advanced machine learning techniques and comprehensive customer data to develop effective churn prevention strategies in the U.S. context. By accurately predicting customer churn, financial institutions can proactively identify at-risk customers, implement targeted retention strategies, and optimize resource allocation. The study discusses the limitations and potential future improvements, serving as a roadmap for researchers and practitioners to further advance the field of customer churn prediction in the evolving landscape of the U.S. banking and finance industry.

关键词： Churn Prediction Machine Learning Economic Impact Industry-Specific Insights Logistic Regression Random Forest Neural Networks

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LIVRES

中国与非洲（法文版） 2024年第3期16卷 64-64页

作者： samuel OYEWOLE 不详

INSTANTANE DES LIVRES MARQUANTS SUR LAFRIQUE Utilitarianism in Outer Space par samuel OYEWOLE Springer Springer e livre propose une analyse approfondie des politiques et strategies spatiales au Nigeria et en Afrique du Sud,éclairant leurs ambitions de deéveloppement et de sé*** enrichit non seulement la perspective africaine globale,mais aussi la comprehension internationale du domaine spatial dans les pays du *** des nations en développement telles que le Nigeria et I'Afrique du Sud.

关键词： des ism VRE

Utilitarianism in Outer Space

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ChinAfrica 2024年第3期16卷 64-64页

作者： samuel OYEWOLE 不详

This book delves into the experiences of Nigeria and South Africa regarding space politics,policy and strategy shedding light on their development and security *** contributes not only to the broader African perspective but also to the Global South’s understanding of the *** developing countries like Nigeria and South Africa,space policy is motivated by utilitarian promises that space and the attendant technologies have the potential to advance development and security interests of the affected nations.

关键词： policy Africa security