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Journal of Acute Disease 2021年第1期10卷 39-41页

作者： Santosh Kumar Swain Alok Das satyabrata acharya Nibi Shajahan Rohit Agrawala Department of Otorhinolaryngology IMS and SUM HospitalSiksha"O"Anusandhan University(Deemed to be)K8Kalinga NagarBhubaneswar-751003OdishaIndia

Rationale:Cavernous internal carotid artery(ICA)pseudoaneurysm caused by non-penetrating head trauma is a rare cause of massive *** sudden onset of epistaxis due to such a fatal aneurysm protruding into the sphenoid sinus is extremely rare in clinical *** management is often challenging because of anatomical inaccessibility of the bleeding ***'s concern:A 42-year-old man with a history of head trauma showing an ICA aneurysm eroding the sphenoid sinus followed by massive ***:A computerized tomography(CT)scan showed a fracture in the sphenoid *** angiogram revealed cavernous ICA ***:Endovascular coil ***:The patient recovered well and was discharged without any neurological deficits Lessons:Cavernous ICA pseudoaneurysm may lead to a life-threatening *** a patient has a history of head trauma,post-traumatic cavernous ICA pseudoaneurysm should be considered a differential diagnosis of massive epistaxis.

关键词： Massive epistaxis Pseudoaneurysm Internal carotid artery Coil embolization

Management of a patient with an unusual trajectory of a temporary trans-venous pacing lead

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World Journal of Cardiology 2024年第6期16卷 314-317页

作者： Metesh acharya Ethan Kavanagh Sheena Garg Davorin Sef Fabio De Robertis Department of Cardiac Surgery University Hospitals of Leicester NHS TrustLeicester LE39QPUnited Kingdom Department of Cardiac Surgery King’s College LondonLondon WC2R 2LSUnited Kingdom Department of Cardiac Surgery Royal Brompton and Harefield HospitalsLondon UB96JHUnited Kingdom

Perforation of the right ventricle during placement of pacing wires is a welldocumented complication and can be potentially *** of temporary pacemaker,helical screw leads and steroids use prior to implant are recognised as risk factors for development of post-permanent pacemaker *** reported an unusual case of pacing wire perforating interventricular septum into the left ventricle that occurred during the implant procedure performed in another *** the preoperative work-up and transfer to our tertiary cardiothoracic centre,the patient underwent successful surgical *** conclusion,early recognition and timely diagnosis using advanced multimodality imaging can guide surgical intervention and prevent unfavourable consequences of device-related complications.

关键词： Ventricular perforation Lead perforation Pacing

Clinical profile and risk factors of Strongyloides stercoralis infection

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Asian Pacific Journal of Tropical Medicine 2024年第1期17卷 43-44页

作者： Rupak Chatterjee Alisha acharya Subhoroop Ghosh Shatavisa Mukherjee Tapashi Ghosh Nandini Chatterjee Netai Pramanik Department of Tropical Medicine School of Tropical MedicineKolkataWest BengalIndia Department of Microbiology School of Tropical MedicineKolkataWest BengalIndia Eastern Regional Centre National One Health Program for Prevention and Control of ZoonosesSchool of Tropical Medicine KolkataWest BengalIndia Department of Clinical&Experimental Pharmacology School of Tropical MedicineKolkataWest BengalIndia Department of Medicine IPGMER-SSKM HospitalKolkataWest BengalIndia

Strongyloides(S.)stercoralis,endemic in tropical and subtropical countries,is a soil-transmitted geohelminth human parasite belonging to a group of nematodes called *** is one of the most overlooked parasitic infections enlisted among the WHO"neglected tropical diseases"[1].*** mainly infects humans but can also be found naturally in domestic dogs,cats,and some primates.

关键词： tropical subtropical listed

Oxygen functionalization-assisted anionic exchange toward unique construction of flower-like transition metal chalcogenide embedded carbon fabric for ultra-long life flexible energy storage and conversion

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Carbon Energy 2024年第1期6卷 72-93页

作者： Roshan M.Bhattarai Kisan Chhetri Nghia Le Debendra acharya Shirjana Saud Mai Cao Hoang Phuong Lan Nguyen Sang Jae Kim Young Sun Mok Department of Chemical Engineering Jeju National UniversityJejuRepublic of Korea Department of Nano Convergence Engineering Jeonbuk National UniversityJeonjuRepublic of Korea Regional Leading Research Center(RLRC)for Nanocarbon-based Energy Materials and Application Technology Jeonbuk National UniversityJeonjuRepublic of Korea Department of Chemistry Mississippi State UniversityStarkvilleMississippiUSA Nanomaterials and System Laboratory Department of Mechatronics EngineeringJeju National UniversityJejuRepublic of Korea

The metal-organic framework(MOF)derived Ni–Co–C–N composite alloys(NiCCZ)were“embedded”inside the carbon cloth(CC)strands as opposed to the popular idea of growing them upward to realize ultrastable energy storage and conversion *** NiCCZ was then oxygen functionalized,facilitating the next step of stoichiometric sulfur anion diffusion during hydrothermal sulfurization,generating a flower-like metal hydroxysulfide structure(NiCCZOS)with strong partial implantation inside *** obtained NiCCZOS shows an excellent capacity when tested as a supercapacitor electrode in a three-electrode ***,when paired with the biomass-derived nitrogen-rich activated carbon,the asymmetric supercapacitor device shows almost 100%capacity retention even after 45,000 charge–discharge cycles with remarkable energy density(59.4 Wh kg^(-1)/263.8μWh cm^(–2))owing to a uniquely designed ***,the same electrode performed as an excellent bifunctional water-splitting electrocatalyst with an overpotential of 271 mV for oxygen evolution reaction(OER)and 168.4 mV for hydrogen evolution reaction(HER)at 10 mA cm−2 current density along with 30 h of unhinged chronopotentiometric stability performance for both HER and ***,a unique metal chalcogenide composite electrode/substrate configuration has been proposed as a highly stable electrode material for flexible energy storage and conversion applications.

关键词： carbon cloth energy conversion energy storage flexible metal embedding ultra-stable

Probabilistic Analysis of Slope Using Finite Element Approach and Limit Equilibrium Approach around Amalpata Landslide of West Central, Nepal

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International Journal of Geosciences 2024年第5期15卷 416-432页

作者： Mahendra acharya Khomendra Bhandari Sandesh Dhakal Aasish Giri Prabin Kafle Central Department of Geology Tribhuvan University Kathmandu Nepal Department of Geology Tri-Chandra Multiple Campus Tribhuvan University Kathmandu Nepal Sri Revana Siddeshwara Institute of Technology Visvesvaraya Technological University Bengaluru India

The stability study of the ongoing and recurring Amalpata landslide in Baglung in Nepal’s Gandaki Province is presented in this research. The impacted slope is around 200 meters high, with two terraces that have different slope inclinations. The lower bench, located above the basement, consistently fails and sets others up for failure. The fluctuating water level of the slope, which travels down the slope masses, exacerbates the slide problem. The majority of these rocks are Amalpata landslide area experiences several structural disruptions. The area’s stability must be evaluated in order to prevent and control more harm from occurring to the nearby agricultural land and people living along the slope. The slopes’ failures increase the damages of house existing in nearby area and the erosion of the slope. Two modeling techniques the finite element approach and the limit equilibrium method were used to simulate the slope. The findings show that, in every case, the terrace above the basement is where the majority of the stress is concentrated, with a safety factor of near unity. Using probabilistic slope stability analysis, the failure probability was predicted to be between 98.90% and 100%.

关键词： Finite Element Approach Limit Equilibrium Method Slope Factor of Safety

Diagnostic Dilemma of Intracardiac Mass: Tumor versus Thrombus-Case Series and Systematic Review

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Journal of Biosciences and Medicines 2024年第7期12卷 141-150页

作者： Indira acharya Ashik Pokharel Raktim Ghosh Christopher J. Haas Department of Internal Medicine Internal Medicine Residency Program Medstar Health Baltimore MD USA Department of Cardiology MedStar Union Memorial Hospital MedStar Health Baltimore MD USA School of Medicine Georgetown University Washington D.C. USA

Background: The differential diagnosis for intracavitary cardiac masses is limited, typically including vegetations, tumors, or thrombi. Cardiac thrombi can often mimic cardiac tumors on imaging, creating a diagnostic challenge. Primary cardiac tumors are rare and usually benign, whereas most cardiac tumors result from metastases, commonly originating from malignancies in the breast, lung, or melanoma. Aim: This report highlights the importance of distinguishing various cardiac masses based on clinical presentations, clinical courses, and radiological features. Case Presentation: We describe two cases of cardiac masses with unique and diverse clinical features. Each case posed significant diagnostic challenges due to their distinct presentations and clinical progressions. Conclusion: These cases underscore the importance of considering both benign and metastatic origins in the differential diagnosis of intracavitary cardiac masses. Accurate differentiation between thrombi and tumors is crucial for appropriate management and treatment.

关键词： Echocardiography Cardiac Masses Arrhythmias Cardiac Magnetic Resonance Imaging Cardiac Thrombi

Clinical profile and outcomes of hepatocellular carcinoma in primary Budd-Chiari syndrome

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World Journal of Gastrointestinal Oncology 2024年第3期16卷 699-715页

作者： Ankit Agarwal Sagnik Biswas Shekhar Swaroop Arnav Aggarwal Ayush Agarwal Gautam Jain Anshuman Elhence Arun Vaidya Amit Gupte Ravi Mohanka Ramesh Kumar Ashwani Kumar Mishra Shivanand Gamanagatti Shashi Bala Paul Subrat Kumar acharya Akash Shukla Shalimar Department of Gastroenterology and Human Nutrition All India Institute of Medical SciencesNew Delhi 110029DelhiIndia Department of Gastroenterology Seth Gordhandas Sunderdas Medical College and KEM HospitalMumbai 400012MaharashtraIndia Department of Gastroenterology Sir HN Reliance Foundation HospitalMumbai 400004India Department of Liver Transplant and HPB Sir HN Reliance Foundation HospitalMumbai 400004India Department of Gastroenterology All India Institute of Medical SciencesPatna 801507India Professor of Biostatistics National Drug Dependence Treatment Centre(NDDTC)All India Institute of Medical SciencesNew Delhi 110029India Department of Radiodiagnosis All India Institute of Medical SciencesNew Delhi 110029DelhiIndia

BACKGROUND There is scant literature on hepatocellular carcinoma(HCC)in patients with Budd-Chiari syndrome(BCS).AIM To assess the magnitude,clinical characteristics,feasibility,and outcomes of treatment in *** A total of 904 BCS patients from New Delhi,India and 1140 from Mumbai,India were *** prevalence and incidence of HCC were determined,and among patients with BCS-HCC,the viability and outcomes of interventional therapy were *** In the New Delhi cohort of 35 BCS-HCC patients,18 had HCC at index presentation(prevalence 1.99%),and 17 developed HCC over a follow-up of 4601 person-years,[incidence 0.36(0.22-0.57)per 100 person-years].BCS-HCC patients were older when compared to patients with BCS alone(P=0.001)and had a higher proportion of inferior vena cava block,cirrhosis,and long-segment vascular *** median alpha-fetoprotein level was higher in patients with BCS-HCC at first presentation than those who developed HCC at follow-up(13029 ng/mL vs 500 ng/mL,P=0.01).Of the 35 BCS-HCC,26(74.3%)underwent radiological interventions for BCS,and 22(62.8%)patients underwent treatment for HCC[transarterial chemoembolization in 18(81.8%),oral tyrosine kinase inhibitor in 3(13.6%),and transarterial radioembolization in 1(4.5%)].The median survival among patients who underwent interventions for HCC compared with those who did not was 3.5 years vs 3.1 mo(P=0.0001).In contrast to the New Delhi cohort,the Mumbai cohort of BCS-HCC patients were predominantly males,presented with a more advanced HCC[Barcelona Clinic Liver Cancer C and D],and 2 patients underwent liver *** HCC is not uncommon in patients with *** interventions and liver transplantation are feasible in select primary BCS-HCC patients and may improve outcomes.

关键词： Budd chiari syndrome Cancer Cirrhosis Thrombosis Liver Varices Transarterial chemoembolization Hepatic venous outflow tract obstruction

Private or on-demand autonomous vehicles?Modeling public interest using a multivariate model

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Journal of Intelligent and Connected Vehicles

Journal of Intelligent and Connected Vehicles 2023年第4期6卷 211-226页

作者： Sailesh acharya Center for Integrated Mobility Sciences National Renewable Energy LaboratoryGoldenCO 80401USA Department of Civil and Environmental Engineering Utah State UniversityLoganUT 84322-4110USA

With the likely future of autonomous vehicles(AVs)as private,ride-hailing,and pooled vehicles,it is important to consider all forms of AVs when estimating the impacts of automation on travel *** aid this,this study jointly models the public interest in three forms of AVs(owning,ride-hailing,and using pooled services)and compares the interests in owning versus ride-hailing AVs using a combination of structural equation modeling and multivariate ordered probit modeling *** the 2019 California Vehicle Survey data,we estimate the impacts of several exogenous and latent variables on all forms of AV *** find that the individual,household,travel-related,and built-environment factors are related to different forms of AV adoption directly and indirectly through attitudes toward human and automated *** also report that human and automated driving sentiments have the highest impact on interest in owning an AV compared to interest in ride-hailing and using pooled *** discuss several policy implications by calculating the pseudo-elasticity effects of exogenous variables and the sensitivities of the impacts on latent variables on different forms of AV *** example,public interest in owning private AVs can be increased by more than 7%by making them familiar with autonomous technology.

关键词： autonomous vehicles(AVs) on-demand or shared services adoption interest sentiment multivariate ordered probit model

From Dislocation Motion to an Additive Velocity Gradient Decomposition, and Some Simple Models of Dislocation Dynamics

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Chinese Annals of Mathematics,Series B 2015年第5期36卷 645-658,642页

作者： Amit acharya Xiaohan ZHANG Carnegie Mellon University

A mathematical theory of time-dependent dislocation mechanics of unrestricted geometric and material nonlinearity is reviewed. Within a "small deformation" setting, a suite of simplified and interesting models consisting of a nonlocal Ginzburg Landau equation, a nonlocal level set equation, and a nonlocal generalized Burgers equation is *** the finite deformation setting, it is shown that an additive decomposition of the total velocity gradient into elastic and plastic parts emerges naturally from a micromechanical starting point that involves no notion of plastic deformation but only the elastic distortion,material velocity, dislocation density and the dislocation velocity. Moreover, a plastic spin tensor emerges naturally as well.

关键词： Dislocations Plasticity Continuum mechanics Finite deformation

Reviving Fertility:Phytochemicals as Natural Allies in the Fight against Non-genetic Male Infertility

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Clinical Complementary Medicine and Pharmacology 2024年第1期4卷 112-128页

作者： Vivek P.Chavda Shreya S Sonak Pankti C.Balar Krupa Vyas Pranali Palandurkar Komal Mule Krishna Patel Vivek Hala Dixa A.Vaghela Devarshi acharya Akta Vaishnav Jimil Gandhi Vasso Apostolopoulos Department of Pharmaceutics and Pharmaceutical Technology L M College of PharmacyAhmedabadGujarat 380008India Bharati Vidyapeeth University’s Poona College of Pharmacy ErandwaneKothrudPune 411038India Pharmacy section L M College of PharmacyAhmedabadGujarat 380008India University Department of Pharmaceutical Sciences R.T.M Nagpur 440033India Department of Pharmaceutics Khyati College of PharmacyAhmedabad 380009India IICISST Sardar Patel UniversityVallabh Vidyanagar 388120India Institute for Health and Sport Immunology and Translational ResearchVictoria UniversityMelbourneVIC 3030Australia Immunology Program Australian Institute for Musculoskeletal ScienceMelbourneVIC 3021Australia

Background:Male infertility poses a growing challenge to the healthcare system,with its prevalence on the *** lifestyle,food,and addictions such as smoking,alcoholism,*** the *** several approaches are being investigated to prevent and treat this condition,each therapeutic approach has its *** medications continue to play a crucial role in the healthcare *** recent years,there has been a shift towards determining the efficacy of phytochemicals(or,herbal drugs)as ***:To evaluate the effect of various herbs,plant,metabolites,or a part of plant in management of non-genetic male ***:The male infertility-associated keywords were searched in PubMed,excluding those non-English writen papers.A total of 146 pertinent and closely connected records were included for full reading and inclusion in the systemic ***:The manuscript focuses on individual herbal drug components,their active ingredients,their role in improving the condition and quality of life,and decreasing the prevalence of male ***:Herbal medicinal plants show promising outcomes to treat male *** alternatives are appealing and have regained *** future holds promise for some of these herbal treatments to advance with many showing improved outcomes in males with infertility issues.

关键词： Male infertility Plant-based management Phytochemical Herbal drug Traditional Chinese medicine