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Effect of angioembolisation versus surgical packing on mortality in traumatic pelvic haemorrhage: A systematic review and meta-analysis

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World Journal of Emergency Medicine 2018年第2期9卷 85-92页

作者： Ahmed El Muntasar Ethan Toner Oddai A.Alkhazaaleh Danaradja Arumugam Nikhil Shah shahab Hajibandeh Shahin Hajibandeh Department of General Surgery Royal Blackburn Hospital Department of Trauma and Orthopaedics WrightingtonWigan and Leigh NHS Foundation Trust Department of General Surgery Salford Royal Hospital Department of General Surgery North Manchester General Hospital

BACKGROUND: The management of complex pattern of bleeding associated with pelvic trauma remains a big challenge for trauma surgeons. We aimed to conduct a comprehensive meta-analysis to compare the outcomes of angioembolisation and pelvic packing in patients with pelvic ***: We conducted a systematic search of electronic information sources, including MEDLINE; EMBASE; CINAHL; the CENTRAL; the World Health Organization International Clinical Trials Registry; Clinical ***; ISRCTN Register, and bibliographic reference lists. The primary outcome was defined as mortality. Combined overall effect sizes were calculated using randomeffects models. Results are reported as the odds ratio(OR) and 95% confidence interval(CI).RESULTS: We identified 3 observational studies reporting a total of 120 patients undergoing angioembolisation(n=60) or pelvic packing(n=60) for pelvic trauma. Reporting of the Injury Severity Score(ISS) was variable, with higher ISS in the pelvic packing group. The risk of bias was low in two studies, and moderate in one. The pooled analysis demonstrated that angioembolisation did not significantly reduce mortality in patients with pelvic trauma compared to surgery(OR=1.99; 95% CI= 0.83–4.78, P=0.12). There was mild between-study heterogeneity(I^2=0%, P=0.65).CONCLUSION: Our analysis found no significant difference in mortality between angioembolisation and pelvic packing in patients with traumatic pelvic haemorrhage. The current level of evidence in this context is very limited and insufficient to support the superiority of a treatment modality. Future research is required.

关键词： Pelvic trauma Pelvic packing Angiography Embolisation

The Paradigm Shifts in Bangladesh and China Relations in the New Global Political Architecture

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Contemporary International Relations 2017年第1期27卷 117-132页

作者： shahab Enam Khan Department of International Relations Jahangirnagar University Savar Dhaka 1342 Bangladesh

Chinese President Xi Jinping's visit to Bangladesh in October2016 has dramatically uplifted the strategic value of Bangladesh to the world and presented new opportunities to Bangladeshs' security,political and economic *** and China have agreed to elevate‘the closer comprehensive partnership of cooperation'to a ‘strategic partnership'.China's B&R initiative is perhaps a major project for Bangladesh to promote economic development and to connect itself with global markets.

关键词： Bangladesh-China relations B&R paradigm shifts

Helicobacter pylori infection and micronutrient deficiencies

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World Journal of Gastroenterology 2003年第10期9卷 2137-2139页

作者： Javed Yakoob Wasim Jafri shahab Abid Section of Gastroenterology Department of MedicineAga Khan University HospitalStadium RoadKarachiPakistan

It is known that deficiencies of micronutrients due to infections increase morbidity and *** phenomenon depicts itself conspicuously in developing countries. Deficiencies of iron,vitamins A,E,C,B12,etc are widely prevalent among populations living in the third world *** pylori(H pylori)infection has a high prevalence throughout the *** of several micronutrients due to H pylori infection may be concomitantly present and vary from subtle sub-clinical states to severe clinical *** essential trace elements/ micronutrients are involved in host defense mechanisms, maintaining epithelial cell integrity,glycoprotein synthesis, transport mechanisms,myocardial contractility,brain development,cholesterol and glucose *** this paper H pylori infection in associaed with various micronutrients deficiencies is briefly reviewed.

关键词： Helicobacter pylori Avitaminosis Helicobacter Infections Humans Micronutrients

Evaluating Urban Landscape Dynamics over Srinagar City and Its Environs

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Journal of Geographic Information System 2015年第2期7卷 211-225页

作者： Arshad Amin shahab Fazal Department of Geography Aligarh Muslim University Aligarh India

Rapid, unplanned and uncontrolled urbanization causes disorganized growth. The patterns of urban development are changing natural landscapes and their dynamics. This has necessitated understanding of spatial patterns of urbanization and prompted research. Urbanization being a dynamic phenomenon has been facing ambiguities regarding methods to study its dynamism. It has made operational, a wide-variety of spatial metrics methods utilizing multiple dates of remotely sensed data. The present work carries out the quantitative and qualitative analysis of urban growth of Srinagar by using Urban Landscape Analysis Tool (ULAT). Urbanized Area (UA), Urban Footprint (UF) and New Development (ND) maps are generated to quantify the degree of urbanization based on spatial density of built-up area. Comparative analysis of these maps in relation to the built-up spread pattern indicates that mostly the environs of the Srinagar city which includes mostly agricultural, vacant and marshy areas prominently in northern, western and southern areas contribute to the development of the city.

关键词： Urbanization Landscape Dynamics Urban Footprint Urbanized Area New Development

Dynamic Inequalities for Convex Functions Harmonized on Time Scales

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Journal of Applied Mathematics and Physics 2017年第12期5卷 2360-2370页

作者： Muhammad Jibril shahab Sahir University of Sargodha Sub-Campus Bhakkar Bhakkar Pakistan

We present here some general fractional Schl?milch’s type and Rogers-H?lder’s type dynamic inequalities for convex functions harmonized on time scales. First we present general fractional Schl?milch’s type dynamic inequalities and generalize it for convex functions of several variables by using Bernoulli’s inequality, generalized Jensen’s inequality and Fubini’s theorem on diamond-α calculus. To conclude our main results, we present general fractional Rogers-H?lder’s type dynamic inequalities for convex functions by using general fractional Schl?milch’s type dynamic inequality on diamond-α calculus for pi>1 with .

关键词： Delta Nabla and Diamond-α Time Scales Fractional Integral Inequalities

National Identity Turns, in the Age of Globalization

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Journal of Philosophy Study 2015年第2期5卷 70-77页

作者： Mohammad Tohidfam shahab Dalili Islamic Azad University

Globalization has many dimensions that it is interpreted as ＂communicational revolution＂ having incredible effects upon thought, behavior, and identity of today＇s human being. Based on this, the world is a stage for globalization and identity interactions. In such space, there are always conflicts among identity strata （individual, national, and global） and for conflicts prevention purposes, respect for the ＂other＇s＂ identity is considerable. Although admitting various nations＇ identity is one of the globalization identity notions challenges, but it doesn＇t mean that a dead end in this field. This research is focused on globalization effects and the subject of becoming far from national identity with rising of cosmopolitanism. We want to figure out：＂What kind of relation is between national identity and cosmopolitanism identity in the globalization era？＂ This work＇s assumption is based on the relation between national identity and globalization identity in the stage of globalization and identity interactions; by admitting and respecting ＂other＇s＂ identity, we are able to prevent conflicts among identity strata. Thus, humans in their vast communications in globalization era for responding purposes, in face to face dialogs, need to implement general values common to all human beings. Through ＂global citizen＂ practices, while there exists differences, we can reach a shared view and become attended to our global responsibility.

关键词： national identity cosmopolitan identity global citizen globalization

Microfacies Patterns and Depositional Environments of the Sarvak Formation in the Abadan Plain, Southwest of Zagros, Iran

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Open Journal of Geology 2016年第3期6卷 201-209页

作者： shahab Soleimani Asl Mohsen Aleali Department of Geology Science and Research Branch Islamic Azad University Tehran Iran

The Sarvak Formation is the second major oil-bearing reservoir in the south and south west of Iran. The Middle Cretaceous Sarvak formation in the Zagros Mountains (Zagros Basin) is mainly composed of carbonate sequences. Based on facies studied, thirteen microfacies were recognized in the studied area, which were categorized in the three facies groups: including inner ramp, mid ramp and outer ramp. Evidences such as the gradual changes in the facies (basin slope), the absence of extensive uninterrupted barrier reef, the lack of calciturbidite and gravity sediments as well as the high proportion of grain-supported indicated that the Sarvak Formation was deposited in the ramp like depositional system, particularly on an inner ramp setting. Inner ramp facies group is the principal setting and subdivided to tidal flat, restricted and unrestricted lagoon as well as shoal sub-environments.

关键词： Microfacies Depositional Environments Sarvak Formation Zagros Iran

Impact of Urban Land Transformation on Water Bodies in Srinagar City, India

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Journal of Environmental Protection 2011年第2期2卷 142-153页

作者： shahab Fazal Arshad Amin Department of Geography Aligarh Muslim University

Human actions rather than natural forces are the source of most contemporary changes in the state and flows of the biosphere. Understanding these actions and the social forces that drive them is crucial to understanding, modelling and predicting local, regional as well as global environmental change and also for managing and responding to such change. The present study investigates the patterns of urban land transformation in Srinagar City, which lies in fragile hill eco-system of Kashmir valley. The results points towards unplanned and haphazard urban expansion and transformation. These transformations have severely destroyed the water bodies both in terms of area as well as its quality.

关键词： Urban Land Transformation Water Bodies Agriculture Marshy

A Financial Approach to Evaluate an Optimized Combined Cooling, Heat and Power System

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Energy and Power Engineering 2013年第5期5卷 352-362页

作者： shahab Bahrami Farahbakhsh Safe Electrical Engineering Department Sharif University of Technology Tehran Iran

Iran’s removing subsidy from energy carrier in four years ago leads to spike electricity price dramatically. This abrupt change increases the interest on distributed generation (DG) because of its several benefits such as lower electricity generation price. In Iran among all type of DGs, because of wide natural gas network infrastructure and several incentives that government legislated to support combined cooling, heat and power (CCHP) investors, this type of technology is more prevalent in comparison with other technologies. Between existing CCHP technologies, certain economic choices are to be taken into account. For different buildings with different load curves, suitable size and operation of CCHP should be calculated to make the project more feasible. If CCHP does not well suited for a position, then the whole energy efficiency would be plunged significantly. In this paper, a model to find the optimal size and operation of CCHP and auxiliary boiler for any users is proposed by considering an integrated view of electricity and natural gas network using GAMS software. Then this method is applying for a hospital in Tehran as a real case study. Finally, by applying COMFAR III software, useful financial parameters and sensitivity analysis are calculated.

关键词： Combined Cooling Heat and Power (CCHP) Energy Hub Optimal Size Financial Analysis