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Pitfalls in internal jugular vein cannulation

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World Journal of Clinical Cases 2024年第10期12卷 1714-1717页

作者： Deb sanjay Nag Amlan Swain Seelora Sahu Bhanu Pratap Swain Merina Sam Department of Anaesthesiology Tata Main HospitalJamshedpur 831001JharkhandIndia

Central venous catheter insertion in the internal jugular vein(IJV)is frequently performed in acute care settings,facilitated by its easy availability and increased use of ultrasound in healthcare *** the increased safety profile and insertion convenience,it has ***,we aim to inform readers about the existing literature on the plethora of complications with potentially disastrous consequences for patients undergoing IJV cannulation.

关键词： Catheterization Central venous Complications Thoracic duct Arteriovenous fistula Vocal cord paralysis Pneumothorax Cardiac tamponade

Perioperative cardiac risks in myasthenia gravis

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World Journal of Clinical Cases 2024年第13期12卷 2147-2150页

作者： Deb sanjay Nag Abhishek Chatterjee Pratap Rudra Mahanty Merina Sam Murari Kumar Bharadwaj Department of Anaesthesiology Tata Main HospitalJamshedpur 831001India Department of Anaesthesiology Manipal Tata Medical CollegeJamshedpur 831017India

Myasthenia gravis(MG)is an autoimmune disorder that affects the neuromuscular *** primary pathology in MG involves the presence of autoantibodies to acetylcholine receptors(AChRs),which results in qualitative and quantitative reductions in the availability of functional *** muscles are also affected,resulting in various perioperative cardiac *** antibodies are commonly reported in MG cases with cardiac *** the presence of thymoma,the prevalence of cardiac manifestations in patients with MG increases to approximately 10%-15%.Cardiac involvement in MG may range from asymptomatic electrocardiogram changes to ventricular tachycardia,myocarditis,conduction disorders,heart failure,and sudden *** incidence of atrial fibrillation,ventricular and supraventricular extra systoles,and prolonged QTc have also been reported in patients with *** should consider the evaluation of autonomic dysfunction and risk of cardiovascular disease in patients with MG.

关键词： Myasthenia Gravis Perioperative period Receptors Cholinergic Anesthesia

Knowledge and practice skills on home-based urinary catheter care among parents of under-five children with urinary catheter

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Journal of Integrative Nursing 2024年第1期6卷 29-34页

作者： Kurvatteppa HALEMANI sanjay DHIRAAJ Basant KUMAR Saadhat HUSSAN Premalata Prerna PAWAN Priyanshi Raviraj GUPTA College of Nursing All India Institute of Medical SciencesRaebareliUttar PradeshIndia Department of Anesthesiology Sanjay Gandhi Post Graduate Institute of Medical SciencesLucknowUttar PradeshIndia Department of Pediatric Surgery Sanjay Gandhi Post Graduate Institute of Medical SciencesLucknowUttar PradeshIndia

Objectives:The objectives of this study were to assess the knowledge and practice skills on home-based urinary catheter care among parents of under-five children with urinary *** and Methods:This cross-sectional study was conducted from June 1,2021,to September 11,2021,in a tertiary hospital in north *** sampling was used to select 50 *** instruments were employed for data collection after fulfilling sample criteria;for baseline information demographic tool,knowledge questionnaires,and a practice *** were analyzed using descriptive and inferential ***:On assessment of 50 participants,the majority of parents aged above 30 years(74%).Most of the participants were male(82%),graduated(38%),and working in the private sector(58%).Similarly,two-thirds of participants were residing in a nuclear family(64%)with a single child 32(64%)and family income<5000 rupees per month(60%).The mean score of knowledge was 1.94±0.81 and that of practice skills was 1.98±0.85 on home-based *** analysis showed that knowledge of parents was significantly associated with qualification(β:1.821,P=0.002).Similarly,association of practice skills of parents with gender(β:1.235,P=0.050)and qualification(β:1.889,P=0.00)was ***:The general findings of our study showed that parents’education and occupation played a significant role in a child’s *** education and catheter care skills positively affect the child and reduce readmission rates.

关键词： Home-based care knowledge parents practice urinary catheter

不同循环模式下透水混凝土性能演变规律及损伤机制

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建筑材料学报 2024年

作者：吴仪党发宁 sanjay Nimbalkar 戴俊西安理工大学土木建筑工程学院悉尼科技大学土木与环境工程学院西安科技大学建筑与土木工程学院

为了探讨水对透水混凝土（Pervious Concrete，PC）路面影响，研究了干湿、冻融和干湿-冻融三种循环模式下PC性能演化方程，揭示了单因素和双因素作用下的损伤机制。结果表明：添加玄武岩纤维（Basalt Fiber，BF）改变了PC孔隙结构和初... 详细信息

为了探讨水对透水混凝土（Pervious Concrete，PC）路面影响，研究了干湿、冻融和干湿-冻融三种循环模式下PC性能演化方程，揭示了单因素和双因素作用下的损伤机制。结果表明：添加玄武岩纤维（Basalt Fiber，BF）改变了PC孔隙结构和初始性能，但没有影响冻融损伤机制；冻融循环引起次生裂缝的指数增长是与干湿循环性能演变规律不同的主要原因；干湿在损伤前期引起孔隙壁表面物质溶解、流失和边缘卷曲剥离，冻融在损伤后期引起裂缝产生和扩展造成颗粒间作用断裂；干湿和冻融循环引起损伤的相互促进导致性能指标降低值大于二者之和。

关键词：透水混凝土干湿-冻融循环孔隙结构演化方程损伤机制

Location Prediction from Social Media Contents using Location Aware Attention LSTM Network

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Journal of Harbin Institute of Technology(New series) 2024年

作者： Madhur Arora sanjay Agrawal Ravindra Patel Department of Computer Application National Institute of Technical Teachers Training and Research Department of Computer Application University Institute of Technology Rajiv Gandhi Proudyogiki Vishwavidyalaya

Location prediction in social media， a growing research field， employs machine learning to identify users’ locations from their online activities. This technology， useful in targeted advertising and urban planning， relies on natural language processing to analyze social media content and understand the temporal dynamics and structures of social networks. A key application is predicting a Twitter user’s location from their tweets， which can be challenging due to the short and unstructured nature of tweet text. To address this challenge， the research introduces a novel machine learning model called the location-aware attention LSTM (LAA-LSTM). This hybrid model combines a Long Short-Term Memory (LSTM) network with an attention mechanism. The LSTM is trained on a dataset of tweets， and the attention network focuses on extracting features related to latitude and longitude， which are crucial for pinpointing the location of a user’s tweet. The result analysis shows approx. 10% improvement in accuracy over other existing machine learning approaches.

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Serotonin syndrome controversies:A need for consensus

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World Journal of Critical Care Medicine 2024年第2期13卷 150-158页

作者： sanjay Prakash Chetsi S Shah Anurag Prakash Department of Neurology Smt.B.K.Shah Medical Institute and Research CentreSumandeep VidyapeethVadodara 391760GujarātIndia Medicine Parul Institute of Medical Sciences and Research CentreParul University WaghodiaVadodara 391760India

Serotonin syndrome(SS)is a drug-induced clinical syndrome resulting from increased serotonergic activity in the central nervous *** more than seven decades have passed since the first description of SS,it is still an enigma in terms of terminology,clinical features,etiology,pathophysiology,diagnostic criteria,and therapeutic *** majority of SS cases have previously been reported by toxicology or psychiatry centers,particularly in people with mental ***,serotonergic medications are used for a variety of conditions other than mental *** properties have been discovered in several new drugs,including over-the-counter *** days,cases are reported in non-toxicology centers,such as perioperative settings,neurology clinics,cardiology settings,gynecology settings,and pediatric *** or poisonings of serotonergic agents constituted the majority of the cases observed in toxicology or psychiatry *** or poisoning of serotonergic drugs is uncommon in other clinical *** may develop SS at therapeutic ***,these patients may continue to use serotonergic medications even if they develop mild to moderate SS due to several ***,the clinical presentation(onset,severity,and clinical features)in such instances may not exactly match what toxicologists or psychiatrists observe in their respective *** produce considerable diversity in many aspects of ***,other experts discount these new developments in *** SS is a potentially lethal illness,consensus is required on several concerns related to SS.

关键词： Serotonin Serotonin syndrome Serotonin toxicity Selective serotonin reuptake inhibitors Antidepressants Cyproheptadine

Rare Case of Large Anterior Meningocele Associated with Uterine Didelphys

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Open Journal of Modern Neurosurgery 2024年第2期14卷 104-107页

作者： Joseph Maalouly Matt Wilson sanjay Adusumilli Vijidha Rajkumar Shanu Gambhir Department of Neurosurgery Norwest Private Hospital Bella Vista Australia Department of Obstetrics and Gynecology Norwest Private Hospital Bella Vista Australia Department of General Surgery Norwest Private Hospital Bella Vista Australia

We report a 27-year-old female who presented with abdominal distension, saddle anesthesia, and lower back pain. CT and MRI of the abdomen/spine were performed which showed a large anterior sacral meningocele occupying most of the pelvic and abdominal cavity and displacement of their respective contents. Anterior approach was chosen, uterine didelphys was identified and mobilized, meningocele identified and gentle drainage with subsequent resection of the cyst wall and watertight closure was achieved. Subsequent MRI demonstrated resolution of most the sacral meningocele. Patient symptoms improved and are doing well.

关键词： Sacral Agenesis Curarino Triad Large Meningocele

Bethanechol Remains the Preferred Drug in Suspected Underactive Bladder: Findings from Nation-Wide Prescription Analysis

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Open Journal of Urology 2024年第5期14卷 301-311页

作者： sanjay Vasant Kamble Anjana Kalpesh Yadav Maneesha Tarkeshwar Sharma Radha Ratnadeep Bhosle Department of Medical Services Samarth Life Sciences Pvt. Ltd. Mumbai India

Background: Bethanechol chloride, a cholinergic agonist, is often prescribed in suspected underactive bladders to improve detrusor contractility, despite its limited clinical efficacy. We investigated the usage pattern of bethanechol in actual practice with the understanding that it would enable the physicians to make an informed decision on the coherent use of bethanechol. Methods: A nation-wide survey was carried out to obtain the responses of the urologists. Out of the 755 urologists approached, 630 survey responses were considered for analysis. Results: Usage of bethanechol was advocated as very common [318 (50.48%)], common [200 (31.75%)], not so common [107 (16.98%)], and rare [5 (0.79%)] in postoperative urinary retention, where it was preferred either exclusively [255 (40.48%)] or along with alpha blockers [247 (39.21%)]. Predilection to use alpha-blocker [247 (39.21%)], alpha-blocker plus naloxone [4 (0.64%)], naloxone [1 (0.16%)], alpha-blocker plus bethanechol plus naloxone [1 (0.16%)] was also observed. It was also preferred individually in pathologies causing urinary retention such as benign prostatic hyperplasia [125 (19.84%)], diabetic neuropathy [82 (13.02%)], neurological diseases [69 (10.95%)], senile bladder [14 (2.22%)], drugs [13 (2.06%)], and infective/inflammatory conditions [6 (0.95%)]. Other [321 (50.95%)] physicians opted to prescribe bethanechol in two or more of the enumerated indications. Bethanechol was prescribed orally as 25 mg thrice daily [441 (70.00%)], 50 mg thrice daily [86 (13.65%)], 25 mg four times daily [59 (9.37%)], and many “strongly agree” and “agree” that its sustained release formulation may offer better treatment compliance [565 (89.68%)], safety [548 (86.99%)], and efficacy [544 (86.35%)]. Conclusion: Bethanechol was the most prescribed drug for the management of postoperative urinary retention and other pathologies suspected to cause underactive bladder.

关键词： Bethanechol Benign Prostatic Hyperplasia Detrusor Underactivity Urinary Retention Underactive Bladder

One-Pot Green Synthesis of 1, 4-Dihydropyridine Derivatives Using Polyindole TiO2 Nanocatalyst by Solvent Free Method

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Open Journal of Composite Materials 2024年第3期14卷 109-123页

作者： Deepak Babasaheb Phasage sanjay K. Sharma Balram Tripathi Sonia Chahar Srivastava Department of Chemistry JECRC University Jaipur India S. S. Jain Subodh PG College Jaipur India

This study used a Polyindole in combination with TiO2 nanocatalyst as an efficient heterogeneous catalyst to carry out a multi-component Hantzsch reaction involving different aromatic aldehydes with methyl acetoacetate, and aqueous ammonium to create 1,4-dihydropyridine derivatives under solvent free condition at ambient temperature. A broad range of aldehydes and methyl acetoacetates, ranging from heteroaromatic to polyaromatic one, with high level of functional group tolerance can be used to provide the desired products possessing relevant medicinal moiety in high yields. This technology has prospective advantages over current protocols, including the utilization of a cheap, stable, recyclable, and safe catalyst, quicker reaction times with higher yields and simple product isolation.

关键词： TiO2 Nanocatalyst Green Synthesis Surface Morphology