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Diabetes Treatment-Related Myths and the Impact of COVID-19 on Diabetes Knowledge—An Indian Survey-Based Study

Journal of Diabetes Mellitus 2023年第2期13卷 130-141页

作者： Anjali Vijaya subhash kumar Jaipur National University Medical College Jaipur Rajasthan Diabetes and Obesity Care Center Boring Canal Road Patna Bihar

Objective: The main aim of the survey was to assess diabetes treatment-related myths prevalent in the Indian population and if COVID-19 pandemic improved their knowledge about diabetes. Results: The survey was completed by 309 participants;66% did not have diabetes. The responses of people with diabetes and those without diabetes were similar. Survey results of the total population showed that the majority believed that diabetes treatment should start early (92.6%);87.4% believed that the treatment should start within three months of diagnosis with modern medicines;67.3% of the participants felt that allopathic medicines for diabetes were safe, 69.6% believed that if started these medications continue lifelong, and 40.5% thought they damaged all major organs. Insulin was thought to be safe by 65% of the surveyed population;60.8% believed that if they started insulin, they would need it life-long;51.5% thought that insulin was started at the last stage of diabetes;and 58.6% believed that insulin caused kidney damage. A total of 58.6% believed that herbal medicines for diabetes were safer than allopathic;76.4% did not believe that the “diabetic cure” shown through television/newspapers was safe and effective;67.3% did not believe that ayurvedic medicines cured diabetes. Of the surveyed population, 67% felt that their knowledge about diabetes improved during the pandemic and 89.3% knew that PWDs have more serious problems with covid infection. Conclusions: Our survey shows that many diabetes treatment-related myths are prevalent in the Indian population even though the COVID-19 pandemic improved their knowledge about diabetes.

关键词： Diabetes Myths Misconceptions Survey Insulin Treatment COVID-19 Barriers

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Musculoskeletal problems and expressed practices of body mechanics among nursing officers at All India Institute of Medical Sciences Jodhpur,Rajasthan,India

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Journal of Integrative Nursing 2021年第3期3卷 128-134页

作者： subhash kumar SAINI Vandna PANDEY Ashok kumar Abhay ELHENCE AIIMS Jodhpur2Department of College of NursingAIIMSJodhpur3Department of OrthopaedicsAIIMSJodhpurIndia

Objective:The objective of the study was to identify musculoskeletal problems(MSPs)among nursing *** and Methods:A nonexperimental research design was *** hundred and seventy nursing officers were selected by purposive sampling *** standardized Nordic questionnaire was used to assess the MSPs and self-structured three-point rating scale was used to assess expressed practice of body mechanics of nursing ***:The study findings revealed that 64.4% of nursing officers suffered from MSP such as ache,pain,and discomfort during the past 12 months and 43.7% during the past 7 *** problem in the low back and the neck were highest 45.1% and 22.2%,*** was followed by MSP of the upper back(14.0%),ankles(13.7%),knees(10.7%),shoulder(10.3%),hip/thighs(5.9%),wrists(4.4%),and elbows(3.3%).Around 49.2%complained that MSPs limit their *** was significant association of MSP with selected personal variables like body mass index(P=0.001)and family history(P=0.02).There were also significant association of expressed practices of body mechanics with gender(P=0.01),area of current work(P=0.00),professional experience(P=0.03)and physical activity(P=0.00).Conclusion:The study indicates the large number of nursing officers had MSPs with the two most common sites being the lower back and the *** creates a need for prompt hospital education programs aimed to create awareness among nursing officers on the prevalence of MSPs.

关键词： Expressed practice musculoskeletal problems nursing officers

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New Efficient Estimators of Population Mean Using Non-Traditional Measures of Dispersion

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Open Journal of Statistics 2017年第3期7卷 394-404页

作者： Rajesh kumar Gupta subhash kumar Yadav Department of Statistics Lucknow University Lucknow India Department of Mathematics and Statistics (A Centre of Excellence) Dr. RML Avadh University Faizabad India

One of the aims in survey sampling is to search for the estimators with highest efficiency. In the present paper, three improved estimators of population mean have been proposed using some non-traditional measures of dispersion of auxiliary variable such as Gini’s mean difference, Downton’s method and probability weighted moments early given by Abid [1] with a special population parameter of auxiliary variable. The large sample properties that are biased and mean squared errors of the proposed estimators have been derived up to the first order of approximation. A theoretical comparison of the proposed estimators has been made with the other existing estimators of population mean using auxiliary information. The conditions under which the proposed estimators perform better than the other existing estimators of population mean have been given. A numerical study is also carried out to see the performances of the proposed and existing estimators of population mean and verify the conditions under which proposed estimators are better than other estimators. It has been shown that the proposed estimators perform better than the existing estimators as they are having lesser mean squared error.

关键词： Study Variable Auxiliary Variable Bias Mean Squared Error Efficiency

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Clinical Analysis of Non-Hodgkin's Lymphoma Presenting in Oral & Maxillofacial Region

Clinical Analysis of Non-Hodgkin's Lymphoma Presenting in Or...

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作者： subhash kumar Ghimire 大连医科大学

学位级别：硕士

Objective: Non-hodgkin’s lymphoma (NHL) refers to a group of malignant neoplasms that arise from cellular elements of lymphoid or extranodal tissue. Lymphomas are a frequent cause of malignant lymphadenopathy in the head &neck. The head &neck is the second must frequent anatomical site of extranodal lymphomas after gastrointestinal tract. That’s why dental & maxillofacial surgeon should be aware of malignant lymphoma to diagnose properly & efficiently. This study was performed to evaluate oral & maxillofacial region manifestations, staging, grading and prognosis of NHL.Materials & Method: A retrospective analysis or review of 25patients with oral &maxillofacial region lymphoma was made in our hospital (Dalian Medical University, Stomatology Department of First Affiliated hospital) from 2002jan to 2006 august .Specifically, clinical presentation, staging, grading & therapy for NHL with oral &maxillofacial region involvement were sought. Staging was done according to the Ann Arbor staging system and diagnosis made by immunohistochemistry.Result: 25 patients of NHL were included in our study, among them 20(80%) patients with extra nodal (eNHL) &5(20%) patients with nodal (NHL) involvement. The incidence rate increases exponentially with age between 24 and 79 years. The median age at the diagnosis of the patients was *** above 50 years were 72%.Male (60%) is slightly more than female (40%). Among 20 patients, NHL of Waldeyer’s ring was the most frequent site occurring in 10 patients (50%) followed by NHL of oral cavity (20%), of salivary glands (30%). Constitutional B symptomatology was uncommon, occurring in 25% patients. The typical clinical appearance is a painless local mass lateral or bilateral (90%) and confused with squamous cell carcinoma. Most of the non-Hodgkin’s lymphoma was B-cell lineage (90%), & overall diffuse large B-cell lymphoma (76%) was the most common type. Mostly patients involving non-Hodgkin’s lymphoma in oral &

关键词： non-Hodgkin’s lymphoma oral &maxillofacial neoplasms immunohistochemistry Ann Arbor staging system constitutional B symptom Ann Arbor system working formulation Waldeyer’s ring

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The role and significance of Magnesium in modern day research-A review

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Journal of Magnesium and Alloys 2022年第1期10卷 1-65页

作者： S V Satya Prasad S B Prasad Kartikey Verma Raghvendra kumar Mishra Vikas kumar subhash Singh Department of Production and Industrial Engineering National Institute of Technology JamshedpurJharkhand831014India Department of Chemical Engineering Indian Institute of TechnologyKanpur208016India Enhanced Composites and Structures Center School of AerospaceTransport and ManufacturingCranfield UniversityBedfordshire MK43 OALUK Department of Automotive Technology Mechanical Department DivisionFederal TVET instituteAddis AbabaEthiopia

Magnesium is one of the largely available elements in the earth’s crust. It has a low structural density with high specific strength. This unique material property has forced an increase in the use of magnesium and its alloys in various applications pertaining to industrial sector,automobiles, aerospace and biomedical. Since magnesium is a highly reactive metal, it is prone to higher rate of corrosion as compared to its counterparts. Thus, it is essential to analyze the corrosion behavior of magnesium and its alloys in its applications. An appropriate process is to be followed in the design and development of magnesium alloys which overcome the limitations of magnesium and enhance the desired material properties in accordance to their applications. This review paper summarizes the importance of magnesium and its material properties. The influence of various alloying elements on the mechanical properties of magnesium is reviewed. The broad classification of Mg alloys and their behavioral trends are detailed. The corrosion behavior of magnesium and the influence of corrosion products on the material characteristics of magnesium, in aqueous medium, are discussed. The manufacturing techniques of magnesium alloys along with the secondary techniques are also covered. The various applications and the limitations of magnesium in these applications are covered. A complete section is dedicated towards detailing the recent trends of magnesium(Mg) alloys, i.e., the biodegradable nature and applications of Mg alloys. The influence of biocorrosion on Mg alloys and techniques to overcome it have been deliberated. This paper provides a thorough review on recent developments of magnesium with respect to engineering applications.

关键词： Magnesium alloys Biodegradable alloys Magnesium corrosion Biocorrosion

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Comparison of gliclazide vs linagliptin on hypoglycemia and cardiovascular events in type 2 diabetes mellitus: A systematic review

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World Journal of Diabetes 2022年第12期13卷 1168-1183页

作者： Viswanathan Mohan subhash Wangnoo Sambit Das Rajnish Dhediya kumar Gaurav Department of Diabetes Madras Diabetes Research Foundation&Dr Mohan’s Diabetes Specialties CentreChennai 600086Tamil NaduIndia Department of Diabetes Apollo Hospital Education and Research FoundationNew Delhi 110001India Department of Endocrinology Endeavour ClinicsBhubaneswar 750017India Medical Affairs Dr.Reddy’s Laboratories LtdHyderabad 500016India

BACKGROUND Cardiovascular outcome trials have demonstrated cardiovascular safety of glimepiride(a sulfonylureas) against dipeptidyl peptidase-4 inhibitor ***(another newer sulfonylureas) has shown similar glycemic efficacy and 50% decreased risk of hypoglycemia compared to *** Considering the absence of cardiovascular outcome trials for gliclazide, we decided to conduct a systematic review of the literature to assess the cardiovascular(CV) safety by assessing the risk for major adverse CV events and hypoglycemia risk of gliclazide vs linagliptin in patients with type 2 diabetes(T2D).METHODS This systematic review followed the current Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to analyze all the clinical studies published from 2008 that compared the two drugs in patients with T2D with no risk of CV disease(CVD). We included only evidence designated high quality by the Oxford Center for Evidence-based Medicine-Levels of *** Eight clinical studies were included in the narrative descriptive analysis(gliclazide: 5 and linagliptin: 3). The CV safety of gliclazide in the Action in Diabetes and Vascular Disease: Preterax and Diamicron Modified Release Controlled Evaluation trial and of linagliptin in the Cardiovascular and Renal Microvascular Outcome Study With Linagliptin(CARMELINA) and CARdiovascular Outcome study of LINAgliptin vs glimepiride in patients with T2D(CAROLINA)trials were excluded from the comparative analysis as these trials demonstrated CV and hypoglycemia benefits in patients at high risk of CVD. However, since these are landmark trials,they were discussed in brief to show the CV benefits and low hypoglycemia risk of gliclazide and linagliptin. We did not find any study comparing gliclazide with linagliptin. Hence, direct comparison of their major adverse CV events and hypoglycemia risk could not be carried ***, the literature meeting the inclusion criteria showed that b

关键词： Linagliptin Gliclazide Hypoglycemia Major cardiovascular adverse events Type 2 diabetes

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Multi-scale processes influencing global carbon storage and land-carbon-climate nexus:A critical review

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Pedosphere 2023年第2期33卷 250-267页

作者： Owais Ali WANI Shamal Shasang kumar Nazir HUSSAIN Anas Ibni Ali WANI subhash BABU Parvej ALAM Megna RASHID Simona Mariana POPESCU Sheikh MANSOOR Division of Soil Science and Agricultural Chemistry Sher-e-Kashmir University of Agricultural Sciences and Technology(SKUAST)Kashmir 193201(India) Division of Agronomy SKUASTKashmir 193201(India) Shri Mata Vaishno Devi University Katra 182301(India) Division of Agronomy ICAR-Indian Agricultural Research InstituteNew Delhi 110012(India) Department of Biology College of Science and HumanitiesPrince Sattam Bin Abdulaziz UniversityAlkharj 11942(Saudi Arabia) Faculty of Forestry SKUASTKashmir 191201(India) Department of Biology and Environmental Engineering University of CraiovaCraiova 200585(Romania) Division of Biochemistry Faculty of Basic SciencesSKUASTJammu 180009(India)

Carbon(C)is a key constitutive element in living organisms(plants,microbes,animals,and humans).Carbon is also a basic component of agriculture because it plays a dynamic role in crop growth,development,nutrient cycling,soil fertility,and other agricultural *** presence of C enhances soil physical,chemical,and biological *** C cycle supports all life on the Earth by transferring C between living organisms and the *** global climate is changing,and this change is attributable to the release of carbon dioxide and other greenhouse gases from human *** to the global climate change,agriculture is expected to be majorly *** production is directly linked to the *** five main global C pools are the oceanic,geologic,pedologic,atmospheric,and biotic pools,with specific reservoirs and inter-pool *** soil organic matter has various organic C pools(active,slow,and passive pools),containing various C-based fractions and specific liability ***,geology,land use,and management techniques are some of the variables that affect organic C and its *** dynamics of each of these variables must be understood for a thorough knowledge of how they impact the soil C pools and storage capacity under the changing climate *** review provides a comprehensive overview of the various factors that affect soil C pools/fractions and their C sequestration capacity.

关键词： carbon dynamics carbon pools carbon sequestration climate change climate-smart agriculture land use management practice soil organic carbon

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Local hardening and asymmetric twin growth by twin-twin interactions in a Mg alloy

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Journal of Magnesium and Alloys 2023年第1期11卷 176-191页

作者： Krishna Yaddanapudi Mariyappan Arul kumar Jiaxiang Wang Xin Wang Timothy J.Rupert Enrique J.Lavernia Julie M.Schoenung Irene J.Beyerlein subhash Mahajan Department of Materials Science and Engineering University of CaliforniaDavisCA 95616USA Materials Science and Technology Division Los Alamos National LaboratoryLos AlamosNM 87545USA Department of Mechanical Engineering Materials DepartmentUniversity of CaliforniaSanta BarbaraCA 93106USA Department of Materials Science and Engineering University of CaliforniaIrvineUSA Materials Department University of CaliforniaSanta BarbaraCA 93106USA

In this study,the role of twin-twin interactions on the distributions of local defects(e.g.,dislocations)and stress fields in a magnesium alloy is investigated.A co-zone(1012)-(1012)tensile twin junction in a deformed Mg-3wt.%Y alloy is analyzed using transmission electron microscopy(TEM).The results show that the morphology of the impinging(1012)twin is asymmetric,and the non-interacting boundary of the recipient(1012)twin is *** analysis of TEM images reveals that type-II pyramidal[1213](1212)dislocations concentrate in the vicinity of the twin-twin junction *** samedislocations are also observed inside the interacting twin domains along with a few ***dislocations emanating from the impinging(1012)twin boundary have edge character and are extended with faults parallel to the basal *** contrast,thedislocations connected to the recipient(1012)twin are predominantly screw orientation and ***-viscoplastic fast Fourier transform based crystal plasticity calculations are performed to rationalize the observed twin morphology and local dislocation *** model calculations suggest that the local stress fields generated at the junction site where the two twins meet are responsible for the experimentally observed concentration of*** calculated stress fields are asymmetric with respect to the junction site,explaining the observed asymmetric morphology of the impinging ***,these findings show strong effects of twin-twin interactions on the distribution of dislocations as well as the evolution of the twinned microstructure and as such,can help advance understanding of twinning in Mg alloys and their effect on mechanical behavior.

关键词： Tensile twins Twin-twin intersections Mg alloys Crystal plasticity TEM

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Improved thermoelectric property of cation-substituted CaMnO_3

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Chinese Physics B 2015年第9期24卷 542-547页

作者： Pradeep kumar subhash C.Kashyap Vijay kumar Sharma H.C.Gupta Department of Physics Shyam Lal CollegeUniversity of Delhi Department of Physics Indian Institute of Technology Delhi

Single-phase pristine and cation-substituted calcium manganite（Ca1-xBixMn1-yVyO3-δ） polycrystalline samples were synthesized by the solid state reaction technique. Their thermoelectric properties were measured by a set up that was designed and assembled in the laboratory. The Ca1-x BixMn1-yVyO3-δsample with x = y = 0.04 has shown a power factor（S^2σ） of 176 μW/m/K^2 at 423 K, which is nearly two orders of magnitude higher than that of the pristine sample（2.1 μW/m/K2）. The power factor of the substituted oxide remains almost temperature independent as the Seebeck coefficient increases monotonically with temperature, along with the simultaneous decrease in electrical resistivity which is attributed to enhanced electron density due to co-doping of bismuth and vanadium and grain boundary scattering. These cation-substituted calcium manganites can be used as a potential candidate for an n-type leg in a thermoelectric generator（module）.

关键词： thermoelectric materials solid state reaction Seebeck coefficient power factor

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Radiation dose analysis of computed tomography coronary angiography in Children with Kawasaki disease

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世界临床儿科杂志 2023年第4期12卷 230-236页

作者： Mahesh Chandra Bhatt Manphool Singhal Rakesh kumar Pilania subhash Chand Bansal Niranjan Khandelwal Pankaj Gupta Surjit Singh Department of Radiodiagnosis and Imaging Postgraduate Institute of Medical Education and ResearchChandigarh 160012India Pediatric Allergy Immunology Unit Department of PediatricsAdvanced Pediatrics CentrePost Graduate Institute of Medical Education and ResearchChandigarh 160012India

BACKGROUND There is evolving role of computed tomography coronary angiography(CTCA)in non-invasive evaluation of coronary artery abnormalities in children with Kawasaki disease(KD).Despite this,there is lack of data on radiation dose in this group of children undergoing *** To audit the radiation dose of CTCA in children with *** Study(December 2013-February 2018)was performed on dual source CT scanner using adaptive prospective *** dose length product(DLP in ***)was *** radiation dose(millisieverts-mSv)was calculated by applying appropriate age adjusted conversion factors as per recommendations of International Commission on Radiological *** dose was compared across the groups(0-1,1-5,5-10,and>10 years).RESULTS Eighty-five children(71 boys,14 girls)with KD underwent *** median age was 5 years(range,2 mo-11 years).Median DLP and effective dose was 21 ***,interquartile ranges(IQR)=15(13,28)and 0.83 mSv,IQR=0.33(0.68,1.01)*** DLP increased significantly across the age *** effective dose in infants(0.63 mSv)was significantly lower than the other age groups(1-5 years 0.85 mSv,5-10 years 1.04 mSv,and>10 years 1.38 mSv)(P<0.05).There was no significant difference in the effective dose between the other groups of *** the CTCA studies were of diagnostic *** child required a repeat *** CTCA is feasible with submillisievert radiation dose in most children with ***,CTCA has the potential to be an important adjunctive imaging modality in children with KD.

关键词： Computed tomography coronary angiography Coronary artery abnormalities Dual source computed tomography Kawasaki disease Radiation exposure

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