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Chyle leak following root of mesentery dissection in pancreaticoduodenectomy with inferior infracolic superior mesenteric artery first approach

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World Journal of Clinical Cases 2025年第8期13卷 8-14页

作者： Prabir Maharjan Sujan Regmee Spandan D adhikari Rabin Pahari Roshan Ghimire Dhiresh K Maharjan Suman K Shrestha Prabin B Thapa Department of Gastrointestinal and General Surgery Kathmandu Medical College and Teaching HospitalKathmandu 44600Nepal

BACKGROUND The root of mesentery dissection is one of the critical maneuvers,especially in borderline resectable pancreatic head ***-abdominal chyle leak(CL)including chylous ascites may ensue in up to 10%of patients after pancreatic *** recognized superior mesenteric artery(SMA)first approaches are invariably *** mesenteric dissection through the inferior infracolic approach has been discussed in this study emphasizing its post-operative impact on CL which is the cornerstone of this *** To assess incidence,risk factors,clinical impact of CL following root of mesentery dissection,and the different treatment *** This is a retrospective study incorporating the patients who underwent dissection of the root of mesentery with inferior infracolic SMA first approach pancreat-oduodenectomy for the ventral body and uncinate mass of pancreas in the Department of Gastrointestinal and General Surgery of Kathmandu Medical College and Teaching Hospital from January 1,2021 to February 28,***-erative findings and postoperative outcomes were *** In three years,ten patients underwent root of mesentery dissection with inferior infracolic SMA first approach *** mean age was 67.6 years with a male-to-female ratio of 4:*** was seen in four *** virtue of CL,Clavien-Dindo grade Ⅱ or higher morbidity was observed in four *** patients had a hospital stay of more than 20 days with the former having a delayed gastric emptying and the latter with long-term total parenteral nutrition *** mean operative time was 330 *** resection was achieved in 100%of the *** mean duration of the intensive care unit and hospital stay were 2.55±1.45 days and 15.7±5.32 days,*** Root of mesentery dissection with lymphadenectomy and vascular resection correlated with occurrence of *** complete curative resection,these were managed with tota

关键词： Chyle leak Chylous ascites Clavien-Dindo Pancreatoduodenectomy Root of mesentery dissection Superior mesenteric artery first approach Total parenteral nutrition Uncinate mass Vascular resection Ventral body mass

Bacterial Diversity in Alpine Lakes: A Review from the Third Pole Region

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Journal of Earth Science 2019年第2期30卷 387-396页

作者： Namita Paudel adhikari Subash adhikari Xiaobo Liu Liang Shen Zhengquan Gu Key Laboratory of Alpine Ecology and Biodiversity Institute of Tibetan Plateau ResearchChinese Academy of Sciences Key Laboratory of Tibetan Environment Changes and Land Surface Processes Institute of Tibetan Plateau ResearchChinese Academy of Sciences University of Chinese Academy of Science Janapriya Multiple Campus Tribhuvan University Kathmandu Center for Research and Education CAS-TU

Microorganisms are unique among all of the living organisms because of their high population size, advanced genetic diversity, short generation time, and quick response to the small change in environmental conditions. Remote alpine lakes of the Third Pole region provide the unique habitat for microorganisms acting as a natural laboratory and offering the information about the ecological roles of microorganisms. Many researchers focused on microbial communities as well as the impact of physicochemical, biological and hydrological parameters in lakes of this region since decades but the comprehensive review focusing on bacterial diversity and the role of environmental parameters still lacks. Here we reviewed bacterial diversity in lakes of the Third Pole region by analyzing 16 S rRNA clone libraries accessed from previous research findings. A total of 5 388 bacterial 16 S rRNA gene sequences were analyzed and classified into different phylogenetic groups. The average relative abundance of dominant taxa includes Betaproteobacteria(19%), Bacteroidetes(18%), Gammaproteobacteria(16%), Actinobacteria(15%), Alphaproteobacteria(14%), Cyanobacteria(7%), and Firmicutes(5%). Several adaptational strategies were adopted by these dominant bacterial groups in order to accommodate in the respective habitat. Nevertheless, lake water properties like temperature, pH, salinity, incident UV radiation, turbidity, and nutrients also played role in bacterial diversity.

关键词： bacterial diversity alpine lakes 16S rRNA Third Pole region

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Global production, processing and utilization of lentil： A review

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Journal of Integrative Agriculture 2017年第12期16卷 2898-2913页

作者： Matina Joshi Yakindra Timilsena Benu adhikari Department of Food Technology and Quality Control Kathmandu 44600 Nepal School of Science RMIT University Melbourne VlC 3083 Australia

Lentil is a highly nutritious legume with an ample quantity of carbohydrates and good amount of proteins, minerals, vitamins, phytochemicals and fibres. Although it has been used as staple food since ancient times, its usage has been limited in developed countries, especially due to the lower protein digestibility, presence of anti-nutritional factors, flatulence and poor cooking qualities. Processing of lentils including dehulling and splitting and isolation of major fractions, e.g., proteins and starches are some of the strategies that can be adopted to add value and increase consumption of these legumes. This review paper intends to provide detailed overview of lentil＇s global production, nutritional composition and processing methods of lentil. Methods of isolation/characterization of lentil protein and starch and their subsequent application in foods are also presented.

关键词： lentil production cooking quality anti-nutritional factors processing protein starch

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Incident respiratory disease among youths using combustible tobacco,electronic nicotine products,or both:a longitudinal analysis

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World Journal of Pediatrics 2022年第11期18卷 786-790页

作者： Dharma N.Bhatta Ruchi adhikari Department of Community Medicine Department of Medicine and EpidemiologyPeoples Dental CollegeTribhuvan UniversityKathmanduNepal General Dentistry School of DentistryUniversity of California San FranciscoSan FranciscoCAUSA

The use of electronic nicotine products is rapidly evolving among the United States(US)*** nicotine products produce and deliver thousands of pulmonary toxicants and iritants different from combustible tobacco[1,2].A review of human,animal,and in vitro experimental studics suggested that electronic nicotine product aerosols can negatively afect multiple aspects of lung cellular and organ physiology,and immune function[3,4].

关键词： tobacco nicotine analysis

Variation in species assemblages due to micro-topography and flow regime govern vegetation carbon stock in seasonal floodplain wetlands

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Ecological Processes 2019年第1期8卷 602-616页

作者： Priyanka Sarkar Tapati Das Dibyendu adhikari Department of Ecology and Environmental Science Assam UniversitySilchar 788011India Department of Botany North-Eastern Hill UniversityShillong 793022India

Hypothesis:Variation in species assemblages due to micro-topographic features and flow regime determine vegetation carbon stock in floodplain *** and method:We tested this hypothesis in Chatla—a tropical floodplain wetland located in northeast *** sampling stations characterized by contrasting micro-topographic and flow parameters were selected in the wetland for *** composition,assemblage pattern,and vegetation carbon stock were studied in these stations during three flood phases,i.e.,early,middle,and late flood phases following standard *** and multivariate statistics were used to determine the relationship between the selected environmental parameters,plant species assemblages,and vegetation carbon stock of the ***:Thirty-one species of herbs and five species of shrubs were recorded from the five stations in Chatla floodplain *** regime characterized by water flow velocity and discharge showed substantial variations across the *** parameters in turn are related to variations in the micro-topographic characteristics namely depth,width,and cross-sectional area of the *** species composition and abundance differed significantly with respect to micro-topography and flow regime as revealed by the cluster *** canonical correspondence analysis revealed strong association of plant species assemblages with the micro-topography and flow regime within the *** regression analysis revealed a significant positive relationship of the vegetation carbon stock with the water ***:Spatial variation in plant species diversity because of micro-topography and flow regime determines the vegetation carbon stock in floodplain *** of these parameters by anthropogenic activities such as mining and quarrying may potentially influence the carbon stocking potential of seasonal floodplain ***,appropriate measures should be taken to main

关键词： Riparian vegetation Tropical wetland Vegetation biomass Ecosystem services Northeast India

Antimicrobial activities of Acacia genus:A review

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Asian Pacific Journal of Tropical Biomedicine 2023年第2期13卷 45-59页

作者： Deeksha adhikari Naresh Kumar Rangra Department of Pharmacognosy ISF College of PharmacyMogaPunjab 142001India Department of Pharmaceutical Chemistry&Analysis ISF College of PharmacyMogaPunjab 142001India

More than 1 300 species of the vast genus Acacia are found in tropical habitats. They are crucial economic plants since they produce traditional medicines, timber, and gum. The pharmacological uses of the Acacia genus include anti-diarrheal, anti-malarial, chronic pain relief, wound healing, anti-cancer, anti-rheumatism, and antidiabetes activities. It is also used for treating various illnesses such as gastroenteritis, allergies, Alzheimer’s disease, cough, and cardiovascular disease. The present review aims to summarize the antimicrobial activities including the antibacterial and antifungal activity of the Acacia genus. The literature was searched in books and online databases including SciFinder, Google Scholar, Scopus, Pub Med, and scientific journals using the most relevant keywords: Acacia+antimicrobial, Acacia+antibacterial, and Acacia+antifungal.

关键词： Acacia Antimicrobial Antibacterial Antifungal Polyphenols Flavonoids

Development of community-based landslide early warning system in the earthquake-affected areas of Nepal Himalaya

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Journal of Mountain Science 2019年第12期16卷 2701-2713页

作者： Prakash Singh THAPA Basanta Raj adhikari Department of Forests and Soil Conservation Ministry of Forests and EnvironmentGovernment of NepalKathmandu 44600Nepal Institute for Disaster Management and Reconstruction Sichuan University-Hong Kong Polytechnic UniversityChengdu 610207China Department of Civil Engineering Institute of EngineeringTribhuvan UniversityLalitpur 44600Nepal

In the central Nepal Himalaya,landslides form the major natural hazards annually resulting in many casualties and *** as well as non-structural measures are in place to minimize the risk of landslide *** reduce the landslide risk,a Landslide Early Warning System(LEWS)as a nonstructural measure has been piloted at Sundrawati village(Kalinchowk rural municipality,Dolakha district)to identify its *** discussions with stakeholders,aided by landslide susceptibility map,resulted in a better understanding of surface dynamics and the relationship between rainfall and surface *** led to the development of a LEWS comprised of extensometers,soil moisture sensors,rain gauge stations,and solar panels as an energy source that blows siren receiving signals via a micro-controller and interfacing *** data generated through the system is transmitted via a Global System for Mobile Communications(GSM)network to responsible organizations in realtime to circulate the warning to local *** LEWS is user-friendly and can be easily operated by a *** successful pilot early warning system has saved 495 people from 117 households in August ***,landslide monitoring and dissemination of warning information remains a complex process where technical and communications skill should work closely together.

关键词： Landslide Himalaya Early Warning System Community

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Social determinants that lead to poor knowledge about, and inappropriate precautionary practices towards, avian influenza among butchers in Kathmandu, Nepal

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Infectious Diseases of Poverty 2013年第1期2卷 72-81页

作者： Mohan Paudel Bimala Acharya Mandira adhikari Health Right International KathmanduNepal Sahid Gangalal National Heart Center KathmanduNepal. Population Service International KathmanduNepal

Background:Avian influenza(AI)is a global public health *** the knowledge that butchers have about it and the precautionary practices they take against it is crucial for designing future preparedness *** study aimed to identify the social determinants of knowledge and precautionary measures of AI among butchers in the Kathmandu district in ***:The study was based on a cross-sectional study design using structured interview questionnaires and checklists to observe social determinants and the precautionary measures of 120 butchers aged 15 years and above from the Kathmandu ***:The majority of the respondents were male(69.2%)and more than half(53.3%)were from the age group of 25-39 years(mean:31.08,SD:±9.82).Nearly two-thirds(61.3%)of the respondents had a‘poor knowledge’,and the remaining had‘some knowledge’,about *** than half(55.4%)of the respondents were in the category of displaying‘poor practice’towards AI and the remaining half were in the‘satisfactory practice’*** of the respondents had‘adequate knowledge’or displayed‘good practice’.The respondents in the>25 years of age group were less likely[OR 0.169;95%CI(0.056-0.512)]compared to those in the<25 years age group to have a poor knowledge about AI;and the respondents with‘primary education’were more likely[OR 3.265;95%CI(1.326-8.189)]to have a poor knowledge about AI as compared to those who had a secondary or above level of *** who did not know the correct definition of AI were more likely to follow poor practices[OR 4.265;95%CI(1.193-15.242)];and the respondents who did not know the risk groups associated with AI were also more likely to follow poor practices[OR 3.103;95%CI(1.191-8.083)].Conclusion:This study points out the need to address butchers to improve their knowledge of,and more importantly their compliance with,the precautionary measures to prevent avian influenza.

关键词： Cross-sectional survey Influenza in bird Knowledge Nepal Social determinants

Excitatory and inhibitory actions of a memristor bridge synapse

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Science China(Information Sciences) 2018年第6期61卷 168-169页

作者： Changju YANG Shyam Prasad adhikari Hyongsuk KIM Division of Electronics Chonbuk National University

Dear editor,One of the bottlenecks of the analog circuit implementation of neural networks comes from the fact that the number of synapses to be implemented is *** important functions needed to be specified in a synap... 详细信息

关键词： In Excitatory and inhibitory actions of a memristor bridge synapse