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Bennett's fracture associated with fracture of Trapezium——A rare injury of first carpo-metacarpal joint

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World Journal of Orthopedics 2017年第8期8卷 656-659页

作者： Tarun goyal Department of Orthopaedics All India Institute of Medical Sciences

Association of fracture of trapezium with Bennett'sfracture is very rare and makes reduction and stabilisation more difficult. We are reporting a rare case of Bennett's fracture with fracture of the trapezium and subluxation of the carpo-metacarpal joint(CMC) joint. The patient was a 47-year-old school teacher who fell from his motorbike on his outstretched right dominant hand. Radiographs and computed tomography showed fracture of the trapezium with subluxation of the CMC joint, associated with Bennett's fracture. Open reduction and internal fixation was carried out. Trapezium was reduced first and secured with a 2 mm diameter screw. Bennett's fracture was then reduced and fixed with two per-cutaneously placed Kirchner's wires. CMC was stabilised with percutaneous Kirchner's wires. Latest follow up at 12 mo showed a healed fracture with good reduction of the CMC joint. Clinically patient had no pain and normal extension, abduction and opposition of the thumb. QuickD ASH score was 3.9/100. Thus, fracture of trapezium associated with a Bennett's fracture is a rare injury and if ignored it may lead to poor results. This injury is more challenging to manage than an isolated Bennett's fracture as anatomical reduction of the trapezium with reduction of the first CMC is needed. Fracture of the trapezium should be fixed first as this will provide a stable base for reduction of the Bennett's fracture.

关键词： Bennett’s fracture Carpo-metacarpal joint Trapezium

Global geoepidemiology of gastrointestinal surgery rates in Crohn’s disease

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World Journal of Gastrointestinal Surgery 2024年第6期16卷 1835-1844页

作者： Simcha Weissman Muhammad Aziz Ayrton Bangolo Vignesh K Nagesh Htat Aung Midhun Mathew Lino Garcia Shiva A Chandar Praveena Karamthoti Harinder Bawa Aseel Alshimari Yabets Kejela Nazish Mehdi Chrishanti A Joseph Athri Kodali Rohan Kumar Priya goyal Sanya Satheesha Fnu Nivedita Nicole Tesoro Tanni Sethi Gurpreet Singh Areej Belal Alina Intisar Hirra Khalid Samuel Cornwell Suchith B Suresh Kareem Ahmed Karabo K Marole Om P Anand Rahat B Reshi Tej I Mehta Sameh Elias Joseph D Feuerstein Department of Medicine Hackensack Meridian Health Palisades Medical CenterNorth BergenNJ 07047United States Division of Gastroenterology and Hepatology University of Toledo Medical CenterToledoOH 43614United States Department of Medicine University of WashingtonSeattleWA 98195United States Department of Radiology Johns Hopkins University HospitalBaltimoreMD 21218United States Division of Gastroenterology Beth Israel Deaconess Medical CenterHarvard Medical SchoolBostonMA 02215United States

BACKGROUND Data regarding the worldwide gastrointestinal surgery rates in patients with Crohn’s disease(CD)remains *** To systematically review the global variation in the rates of surgery in *** A comprehensive search analysis was performed using multiple electronic databases from inception through July 1,2020,to identify all full text,randomized controlled trials and cohort studies pertaining to gastrointestinal surgery rates in adult patients with *** included continent based demographic data,CD surgery rates over time,as well as the geoepidemiologic variation in CD surgery *** analyses were conducted using *** Twenty-three studies spanning four continents were *** median proportion of persons with CD who underwent gastrointestinal surgery in studies from North America,Europe,Asia,and Oceania were 30%(range:1.7%-62.0%),40%(range:0.6%-74.0%),17%(range:16.0%-43.0%),and 38%*** clear association was found regarding the proportion of patients undergoing gastrointestinal surgery over time in North America(R^(2)=0.035)and Europe(R^(2)=0.100).A moderate,negative association was seen regarding the proportion of patients undergoing gastrointestinal surgery over time(R^(2)=0.520)in *** There appears to be significant inter-continental variation regarding surgery rates in *** evidencebased guidelines accounting for the geographic differences in managing patients with CD is ***,as a paucity of data on surgery rates in CD exists outside the North American and European continents,future studies,particularly in less studied locales,are warranted.

关键词： Gastrointestinal surgery Crohn’s disease Geoepidemiology Inflammatory bowel disease Prevalence

Strongα-cut and associated membership-based modeling for fuzzy time series forecasting

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International Journal of Modeling, Simulation, and Scientific Computing 2021年第1期12卷 53-72页

作者： Gunjan goyal Dinesh C.S.Bisht Department of Mathematics Jaypee Institute of Information Technology NoidaIndia

In this paper,a method is proposed to deal with factors affecting the fuzzy time series forecasting.A new fuzzification process is used by considering all the fuzzy sets with nonzero membership values corresponding to the data points.A strong alpha-cut based method is presented to select appropriate fuzzy logical relationships that carry importance in analyzing the trend of time ***,a unique defuzzification approach based on weights is proposed to get crisp *** obtained variation is finally converted to the forecasted *** presented method is tested on the benchmark enrolment dataset of Alabama University and seven datasets of the Taiwan Capitalization Weighted Stock *** comparing the results,it is observed that the presented method performs better than the existing ***,the statistical measures indicate the good forecasting results of the presented method.

关键词： Associated membership grade forecasting fuzzy logical relationship fuzzy time series strongα-cut

Extreme ultraviolet and x-ray transition wavelengths in Rb XXIV

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Chinese Physics B 2015年第10期24卷 115-126页

作者： Indu Khatri Arun goyal Sunny Aggarwal A.K.Singh Man Mohan Department of Physics and Astrophysics University of Delhi Department of Physics Shyamlal CollegeUniversity of Delhi Department of Physics D.D.U.CollegeUniversity of Delhi

Energy levels, radiative rates, oscillator strengths and line strengths are reported for transitions among the lowest 97 levels of the（1s22s22p6） 3s23p2, 3s23p3 d, 3s3p3, 3p4, 3s3p23 d, and 3s23d2 configurations of Rb XXIV. A multiconfiguration Dirac-Fock（MCDF） method is adopted for the calculations. Radiative rates, oscillator strengths, and line strengths are provided for all electric dipole（E1）, magnetic dipole（M1）, electric quadrupole（E2）, and magnetic quadrupole（M2）transitions from the ground level to all 97 levels, although calculations are performed for a much larger number of *** achieve the accuracy of the data, comparisons are provided with similar data obtained from the Flexible Atomic Code（FAC） and also with the available theoretical and experimental results. Our energy levels are found to be accurate to better than 1.2%. Wavelengths calculated are found to lie in EUV（extreme ultraviolet） and x-ray regions. Additionally, lifetimes for all 97 levels are obtained for the first time.

关键词： atomic data energy levels transition probability

Estimating Fuel-Efficient Air Plane Trajectories Using Machine Lear

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Computers, Materials & Continua 2022年第3期70卷 6189-6204页

作者： Jaiteg Singh Gaurav goyal Farman Ali Babar Shah Sangheon Pack Chitkara University Institute of Engineering&Technology Chitkara UniversityPunjab140401India Department of Software Sejong UniversitySeoul05006Korea College of Technological Innovation Zayed UniversityUAE School of Electrical Engineering Korea UniversitySeoulKorea

Airline industry has witnessed a tremendous growth in the recent *** of people choosing air travel as first choice to commute is continuously *** demanding and congested air routes are resulting in inadvertent delays,additional fuel consumption and high emission of greenhouse *** planning involves creation identification of cost-effective flight plans for optimal utilizationof fuel and *** situation warrants the need of an intelligent system for dynamic planning of optimized flight trajectories with least human intervention *** this paper,an algorithm for dynamic planning of optimized flight trajectories has been *** proposed algorithm divides the airspace into four dimensional cubes and calculate a dynamic score for each cube to cumulatively represent estimated weather,aerodynamic drag and air traffic within that virtual *** are several constraints like simultaneous flight separation rules,weather conditions like air temperature,pressure,humidity,wind speed and direction that pose a real challenge for calculating optimal flight *** validate the proposed methodology,a case analysis was undertaken within Indian *** flight routes were simulated for four different air routes within Indian *** experiment results observed a seven percent reduction in drag values on the predicted path,hence indicates reduction in carbon footprint and better fuel economy.

关键词： Airplane trajectory coefficient of drag four-dimensional trajectory prediction machine learning route planning stochastic processes

First-principles calculation of intrinsic defect chemistry and self-doping in PbTe

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npj Computational Materials 2017年第1期3卷 106-114页

作者： Anuj goyal Prashun Gorai Eric S.Toberer Vladan Stevanovic Colorado School of Mines GoldenCO 80401USA National Renewable Energy Laboratory GoldenCO 80401USA

Semiconductor dopability is inherently limited by intrinsic defect *** many thermoelectric materials,narrow band gaps due to strong spin-orbit interactions make accurate atomic level predictions of intrinsic defect chemistry and self-doping computationally *** we use different levels of theory to model point defects in PbTe,and compare and contrast the results against each other and a large body of experimental *** find that to accurately reproduce the intrinsic defect chemistry and known self-doping behavior of PbTe,it is essential to(a)go beyond the semi-local GGA approximation to density functional theory,(b)include spin-orbit coupling,and(c)utilize many-body GW theory to describe the positions of individual band *** hybrid HSE functional with spin-orbit coupling included,in combination with the band edge shifts from G0W0 is the only approach that accurately captures both the intrinsic conductivity type of PbTe as function of synthesis conditions as well as the measured charge carrier concentrations,without the need for experimental *** results reaffirm the critical role of the position of individual band edges in defect calculations,and demonstrate that dopability can be accurately predicted in such challenging narrow band gap materials.

关键词： defect intrinsic doping

Acute motor axonal neuropathy following anti-rabies human diploid cell vaccine:A rare case and review

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Asian Pacific Journal of Tropical Medicine 2022年第9期15卷 425-426页

作者： Tanushree Chawla Jyoti Sehgal Surekha Dabla Vinay goyal Department of Neurology Institute of Neurosciences Medantathe Medicity GurugramHaryanaIndia Department of Neurology Pt BD Sharma Post Graduate Institute of Medical SciencesRohtakHaryanaIndia

Rationale:Guillain Barre syndrome(GBS)is an acute neurological illness leading to quadriparesis with respiratory *** can be triggered by infections,vaccinations,surgery,trauma,transplantation and ***-rabies cell culture vaccines introduced to overcome the high rate of neurological complications associated with tissue based rabies vaccine,can be very rarely associated with *** concerns:A 50-year-old female presented with acute severe upper back pain evolving into pure motor quadriparesis following administration of human diploid cell vaccine for ***:Acute motor axonal neuropathy variant of GBS following anti-rabies human diploid cell ***:Intravenous high dose ***:Patient recovered completely within 1 ***:Although anti-rabies cell culture vaccines are highly immunogenic and safe,they are rarely associated with *** should be aware of this link because prompt diagnosis and treatment can result in complete recovery and avoid complications.

关键词： Immunization Rabies Guillain Barre syndrome Human diploid cell vaccine Acute motor axonal neuropathy

CrysXPP:An explainable property predictor for crystalline materials

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npj Computational Materials 2022年第1期8卷 424-434页

作者： Kishalay Das Bidisha Samanta Pawan goyal Seung-Cheol Lee Satadeep Bhattacharjee Niloy Ganguly Indian Institute of Technology Kharagpur KharagpurIndia Indo Korea Science and Technology Center BangaloreIndia Leibniz University of Hannover HannoverGermany

We present a deep-learning framework,CrysXPP,to allow rapid and accurate prediction of electronic,magnetic,and elastic properties of a wide range of *** lowers the need for large property tagged datasets by intelligently designing an autoencoder,*** important structural and chemical properties captured by CrysAE from a large amount of available crystal graphs data helped in achieving low prediction ***,we design a feature selector that helps to interpret the model’s *** notably,when given a small amount of experimental data,CrysXPP is consistently able to outperform conventional DFT.A detailed ablation study establishes the importance of different design *** release the large pre-trained model *** believe by fine-tuning the model with a small amount of property-tagged data,researchers can achieve superior performance on various applications with a restricted data source.

关键词： materials. property crystalline

Emergence of non-albicans Candida species and antifungal resistance in intensive care unit patients

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Asian Pacific Journal of Tropical Biomedicine 2016年第5期6卷 455-460页

作者： Ravinder Kaur Megh Singh Dhakad Ritu goyal Rakesh Kumar Department of Microbiology Lady Hardinge Medical College and Associated Hospitals Department of Microbiology Maulana Azad Medical College and Associated Lok Nayak Hospitals Department of Obstetrics and Gynaecology Maulana Azad Medical College and Associated Lok Nayak Hospitals Department of Anaesthesiology Maulana Azad Medical College and Associated Lok Nayak Hospitals

Objective: To evaluate the epidemiology of candidiasis and the antifungal susceptibility profile of Candida species isolated from the intensive care unit(ICU) ***: The study used a qualitative descriptive design. Relevant samples depending on organ system involvement from 100 ICU patients were collected and *** and speciation of the isolates was conducted by the biochemical *** susceptibility testing was carried out as per CLSI-M27-A3 ***: Ninety Candida isolates were isolated from the different clinical samples: urine(43.3%), tracheal aspirate(31.1%), urinary catheter(12.2%), endotracheal tube(7.8%),abdominal drains(3.3%), sputum(2.2%). The incidence of candidiasis caused by nonalbicans Candida(NAC) species(63.3%) was higher than Candida albicans(36.7%).The various NAC species were isolated as: Candida tropicalis(41.1%), Candida glabrata(10%), Candida parapsilosis(6.7%), Candida krusei(3.3%) and Candida kefyr(2.2%). The overall isolation rate of Candida species from samples was 53.3%. Antifungal susceptibility indicated that 37.8% and 7.8% of the Candida isolates were resistant to fluconazole and amphotericin B, ***: Predominance of NAC species in ICU patients along with the increasing resistance being recorded to fluconazole which has a major bearing on the morbidity and management of these patients and needs to be further worked upon.

关键词： Antifungal resistance Candida species Colonization Intensive care unit patients