检索结果-南通市图书馆

Using Magnesium Sulfate to Prevent Atrial Fibrillation after Coronary Artery Bypass Grafting Surgery: A Single Centre Experience in Bangladesh

引用

World Journal of Cardiovascular Diseases 2023年第9期13卷 565-577页

作者： Manoj Tiwari Md. Abir Tazim Chowdhury Hema Poudel Munama Magdum Md. Mostafizur Rahman vivek kumar jha Md. Ahaduzzaman Md. Abul Bashar Maruf Department of Cardiovascular and Thoracic Surgery B.P. Koirala Memorial Cancer Hospital Bharatpur Chitwan Nepal Department of Cardiothoracic and Vascular Surgery Evercare Hospital Dhaka Dhaka Bangladesh Department of Dermatology and Venerology Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh Department of Community Medicine Shaheed Monsur Ali Medical College Dhaka Bangladesh Department of Cardiac Surgery Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh Department of Cardiac Surgery Ibn Sina Specialized Hospital Dhaka Bangladesh

Background: Atrial fibrillation commonly occurs following cardiac surgery, particularly after coronary artery bypass grafting. Magnesium, known for its stabilizing effect on cell membranes, has shown promise in preventing postoperative atrial fibrillation. This study aimed to assess the impact of intravenous magnesium infusion in preventing atrial fibrillation after off-pump coronary artery bypass grafting, where maintaining stable cell membranes is crucial in averting this complication. Methods: A cross-sectional study was conducted at the Department of Cardiac Surgery, Bangabandhu Sheikh Mujib Medical University, from March 2020 to February 2022. Sixty-six patients who underwent off-pump coronary artery bypass grafting were enrolled and divided into two groups. Group A (n = 33) received intravenous magnesium sulfate (10 mmol/2.47gm) for three days after surgery, while Group B (n = 33) did not receive magnesium sulfate. Postoperative atrial fibrillation occurrence in the Intensive Care Unit (ICU) within three days after surgery was evaluated using convenient sampling. Statistical analysis was performed with SPSS version 26.0, utilizing independent Student’s t-test for continuous data and Chi-square and Fisher’s exact test for categorical data. A p-value of ≤0.05 was considered statistically significant. Results: No significant differences in age or gender were observed between the two groups. Group B exhibited significantly lower magnesium levels than Group A on the 0th, 1st, 2nd, and 3rd days post-surgery. Additionally, Group B experienced a higher incidence of postoperative atrial fibrillation, longer ICU stays, and two mortalities. The study did not detect any adverse effects associated with magnesium infusion. Conclusion: It has been demonstrated that administering magnesium intravenously after off-pump coronary artery bypass grafting can lower the chances of developing atrial fibrillation. This demonstrates the poten

关键词： Atrial Fibrillation (AF) Coronary Artery Bypass Grafting (CABG) Postopera-tive Atrial Fibrillation (POAF) Magnesium Sulfate Bangladesh.

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Implications of Elevated Serum Cortisol in the Onset of Postoperative Delirium Following Off-Pump Coronary Artery Bypass Grafting: Insights from a Bangladesh-Based Single Center Experience

引用

World Journal of Cardiovascular Diseases 2024年第4期14卷 252-267页

作者： vivek kumar jha Md Abir Tazim Chowdhury Munama Magdum Manoj Tiwari Md Abul Bashar Maruf Md Saiful Islam Khan Priyanka Sinha Rajesh Naryan Kapar Md. Rezwanul Hoque Department of Cardiothoracic and Vascular Surgery BP Koirala Institute of Health Sciences Dharan Nepal Department of Cardiothoracic and Vascular Surgery Evercare Hospital Dhaka Dhaka Bangladesh Department of Preventive and Social Medicine National Institute of Preventive and Social Medicine Dhaka Bangladesh Department of Thoracic Surgery BP Koirala Memorial Cancer Hospital Bharatpur Nepal Department of Cardiac Surgery United Hospital Limited Dhaka Bangladesh Department of Cardiothoracic Anesthesia Evercare Hospital Dhaka Dhaka Bangladesh Department of Microbiology Kathmandu Medical College Kathmandu Nepal Department of Nephrology Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh Department of Cardiac Surgery Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh

Background: Following coronary artery bypass grafting (CABG), delirium emerges as a prevalent complication. This study aimed to assess the correlation between elevated serum cortisol levels and the occurrence of postoperative delirium subsequent to off-pump CABG. Methods: Conducted in the Department of Cardiac Surgery at BSMMU from October 2020 to September 2022, this comparative cross-sectional study included a total of 44 participants. Subjects, meeting specific criteria, were purposefully assigned to two groups based on off-pump CABG. Group A (n = 22) consisted of patients with normal serum cortisol levels, while Group B (n = 22) comprised individuals with high serum cortisol levels on the first postoperative day. Delirium onset was assessed at the bedside in the ICU on the 1st, 2nd, 3rd, 4th, and 5th postoperative days using standard tools, namely the Richmond Agitation Sedation score (RASS) and The Confusion Assessment Method (CAM-ICU). Data were collected based on the presence or absence of delirium. Statistical analysis utilized SPSS version 26.0, employing an independent Student’s t-test for continuous data and chi-square and Fischer’s exact test for categorical data. A p-value ≤ 0.05 was considered statistically significant. Results: Group-A had a mean age of 54.50 ± 17.97, and Group-B had a mean age of 55.22 ± 15.45, both with a male predominance (81.81% and 86.36% respectively). The mean serum cortisol level was significantly higher in Group B (829.71 ± vs. 389.98 ± 68.77). Postoperative delirium occurred in 27.3% of Group B patients, statistically significant compared to the 4.5% in Group A. However, patients in Group B who developed delirium experienced significantly longer postoperative ICU and hospital stays (79.29 ± 12.27 vs. 11.44 ± 2.85, p ≤ 0.05). There was one mortality in Group B, which was statistically not significant. Conclusion: This study observed a significant association between elevated serum cortisol levels in the postoperative period a

关键词： Coronary Artery Bypass Grafting (CABG) Serum Cortisol Postoperative Delirium Bangladesh

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Adaptive Linear Quadratic Regulator for Continuous-Time Systems With Uncertain Dynamics

引用

IEEE/CAA Journal of Automatica Sinica 2020年第3期7卷 833-841页

作者： Sumit kumar jha Shubhendu Bhasin IEEE Department of Electronics and Communication Engineering Motilal Nehru National Institute of Technology AllahabadPrayagraj-211004India Department of Electrical Engineering Indian Institute of Technology DelhiNew Delhi-110016India

In this paper, adaptive linear quadratic regulator(LQR) is proposed for continuous-time systems with uncertain dynamics. The dynamic state-feedback controller uses inputoutput data along the system trajectory to continuously adapt and converge to the optimal controller. The result differs from previous results in that the adaptive optimal controller is designed without the knowledge of the system dynamics and an initial stabilizing policy. Further, the controller is updated continuously using input-output data, as opposed to the commonly used switched/intermittent updates which can potentially lead to stability issues. An online state derivative estimator facilitates the design of a model-free controller. Gradient-based update laws are developed for online estimation of the optimal gain. Uniform exponential stability of the closed-loop system is established using the Lyapunov-based analysis, and a simulation example is provided to validate the theoretical contribution.

关键词： Adaptive optimal control continuous policy update linear quadratic regulator uncertain system dynamics

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Temporal patterns of storage and flux of N and P in young Teak plantations of tropical moist deciduous forest,India

引用

Journal of Forestry Research 2014年第1期25卷 75-86页

作者： Kaushalendra kumar jha Technical Forestry Indian Institute of Forest Management

Teak （Tectona grandis Linn. f.） ranks among the top five tropical hardwood species and is being promoted for use in plantations in its non-native range due to its high economic value. However, there is a general lack of data on ecosystem functioning of teak plantations. We aimed at understanding storage and flux of nutrients related to young plantations of teak. Cycling of nitrogen （N） and phosphorus （P） in a chronosequence of plantations （1, 5, 11, 18, 24 and 30 years） was studied in the Moist Deciduous Forest Region of North India with the objective of investigating the nutrient cycling pattern at younger age since the current trend of harvesting age of the species in several tropical countries is being drastically reduced for quick return from this high value crop. Standing state, nutrient uptake, nutrient return and nutrient retransloca-tion in these plantations were estimated by tree harvesting and chemical analysis methods. The range of total standing nutrient across all these plantations was 20.3 to 586.6 kg？ha-1 for N and 5.3 to 208.8 kg？ha-1 for P. Net uptake of N ranged from 19.4 to 88.9 kg？ha-1？a-1 and P from 3.8 to 18.1 kg？ha-1？a-1. Retranslocation of N and P among all the stands ranged from 8.7 to 48.0 kg？ha-1？a-1 and 0.01 to 3.5 kg？ha-1？a-1, respectively. Range of total nutrient return was 25.8 to 91.3 kg？ha-1？a-1 for N and 2.7 to 10.1 kg？ha-1？a-1 for P. N and P use efficiency was between 107.4 and 192.5 g dry organic matter （OM） g-1N, and 551.9 and 841.1 g OM g-1P, respec-tively. The turnover time ranged from 2.04-13.17 years for N and be-tween 2.40-22.66 years for P. Quantity of N and P in the soil nutrient pool ranged from 2566.8 to 4426.8 kg？ha-1 and 372 to 520 kg？ha-1, re-spectively. Storage and flux of components in different plant parts of different aged plantations were assessed and depicted in compartment models. Percentage storage in soil, litter and vegetation ranged from 82% to 99%, 0.6% to 2.4% and 0.5% to 15% for N, respectively, and from

关键词： nutrient uptake standing state return turnover time nutrient use efficiency compartment model harvest loss Tectona grandis

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Biomass production and carbon balance in two hybrid poplar(Populus euramericana)plantations raised with and without agriculture in southern France

引用

Journal of Forestry Research 2018年第6期29卷 1689-1701页

作者： Kaushalendra kumar jha UMR Systems Institute Nationale de la Recherche Agronomique2 place Pierre Viala34060 MontpellierFrance Technical Forestry Indian Institute of Forest ManagementBhopalIndia

Poplar is useful in different climates for bioenergy production and carbon sequestration when planted as a single species or in agroforestry. Europe has large areas potentially suitable for poplar forestry and a bioenergy policy that would encourage poplar forestry. In this study I estimated biomass production and carbon sequestration in poplar monoculture plantation and poplar-wheat agroforestry, in the Mediterranean region of France. A single-tree harvesting method was used to estimate biomass and an empirical conversion factor was adopted to calculate sequestered carbon. Total biomass was higher in agroforestry trees(1223 kg tree) than in monoculture plantation trees(1102 kg tree).Aboveground and belowground biomass distributions were similar in both cases(89 and 88% aboveground, and 11 and12% belowground, respectively in agroforestry and monoculture). The partitioning of total biomass in an agroforestry tree in leaves, branch, and trunk(aboveground), and fine roots, medium roots, coarse roots and underground stem(belowground) was 1,22,and 77,and 6,9, 44 and 40%,respectively. Except for branch and trunk, all other compartments were similarly distributed in a monoculture *** of C was higher in agroforestry trees(612 kg tree)than in monoculture trees(512 kg tree). In contrast, C storage on a per hectare basis was lower in agroforestry(85 Mg ha) than in monoculture(105 Mg ha) due to the lower density of trees per hectare in agroforestry(139 trees in agroforestry vs 204 trees in monoculture). On a per hectare basis, soil C stocks pattern were similar to per tree stocking:They were higher in agroforestry at 330 Mg hathan in monoculture 304 Mg ha. Higher C accumulation by agroforestry has a direct management implication in the sense that expanding agroforestry into agriculture production areas with short rotation and fast growing trees like poplar would encourage quicker and greater C sequestration. This could simultaneously fulfil the requirement of bioenergy

关键词： Populus euramericana Wood volume and density Root:shoot ratio Vegetation and soil carbon System efficiency

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Carbon storage and sequestration rate assessment and allometric model development in young teak plantations of tropical moist deciduous forest, India

引用

Journal of Forestry Research 2015年第3期26卷 589-604页

作者： Kaushalendra kumar jha Technical Forestry Indian Institute of Forest ManagementPO Box No. 357 Nehru Nagar Bhopal 462 003 MP India

Carbon （C） sequestration through plantations is one of the important mitigation measures for rising levels of carbon dioxide and other greenhouse gases in the atmosphere. This study aimed to assess C stocks and their sequestration rate, and to develop allometric models for estimation of C stocking in age-series young teak （Tectona grandis） planta- tions （1, 5, 11, 18, 24 and 30 years） by using biomass and productivity estimation and regression, respectively. These plantations were raised in tropical moist deciduous forests of Kumaun Himalayan tarai. Total C stocks estimated for these plantations were 1.6, 15.8, 35.4, 39.0, 61.5 and 73.2 Mg ha-1, respectively. Aboveground and belowground C storage in- creased with increasing plantation age; however, the range of their percentage contribution showed little variation （87.8-88.2 and 11.7-12.7 %, respectively）, The rate of C sequestration for these respective plantations was 1.06, 6.95, 5.46, 5.42, 3.39 and 5.37 Mg ha-1 a-1. Forty percent of the aboveground annual storage was retained in the tree while 60 % was released in the form of foliage, twigs, and fruit litter. In the case of total （tree） annual production, 43 % was retained while 57 % was released as litter including root. C stock, C sequestration rate, accumulation ratio （1.4-18.1）, root：shoot C ratio （0.61--0.13） and production efficiency （0.01-0.18） were comparable to some previous reports for other species and forests. These data could be useful in deciding the harvesting age for young teak with respect to C storage and sequestrationrate. Four allometric models using linear regression equations were developed between biomass （twice the C stock） and diameter, girth, and height of the tree at different ages. The diameter model was found more suitable for C stock predic- tion in similar areas.

关键词： Age series Biomass Carbon budget DBH Productivity Production ratios Regression equations -Tectona grandis

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Thermodynamic behaviour of Rashba quantum dot in the presence of magnetic field

引用

Chinese Physics B 2016年第5期25卷 262-267页

作者： Sukirti Gumber Manoj kumar Pradip kumar jha Man Mohan Department of Physics & Astrophysics University of Delhi Department of Physics DDU College University of Delhi

The thermodynamic properties of an In Sb quantum dot have been investigated in the presence of Rashba spin–orbit interaction and a static magnetic field. The energy spectrum and wave-functions for the system are obtained by solving the Schrodinger wave-equation analytically. These energy levels are employed to calculate the specific heat, entropy,magnetization and susceptibility of the quantum dot system using canonical formalism. It is observed that the system is susceptible to maximum heat absorption at a particular value of magnetic field which depends on the Rashba coupling parameter as well as the temperature. The variation of specific heat shows a Schottky-like anomaly in the low temperature limit and rapidly converges to the value of 2kB with the further increase in temperature. The entropy of the quantum dot is found to be inversely proportional to the magnetic field but has a direct variation with temperature. The substantial effect of Rashba spin–orbit interaction on the magnetic properties of quantum dot is observed at low values of magnetic field and temperature.

关键词： quantum dot Rashba spin–orbit interaction thermal and magnetic properties

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

Pumpkin seeds as nutraceutical and functional food ingredient for future:A review

引用

Grain & Oil Science and Technology 2024年第1期7卷 12-29页

作者： Arunima Singh vivek kumar Department of Food Technology Harcourt Butler Technical UniversityKanpur 208002UPIndia

Pumpkin belongs to the family of Cucurbitaceae,which comprises several species that has economical as well as agronomical *** parts of pumpkin are edible and laden with beneficial neutraceutical *** seeds are valuable source protein which can help in eradicating protein malnutrition and lipids(rich in PUFAs)contains essential as well as non essential fatty acids which prevents from various ailments like cancer and other cardiovascular ***,seeds of pumpkin are abundant in macro(magnesium,phosphorous,potassium,sodium and calcium)and micro minerals(iron,copper,manganese,zinc and selenium),they can be used as an incredible dietary supplement which in turn helps in curbing various deficiency *** review enlightens the characteristics of pumpkin seeds,process of valorization of pumpkin seeds and the effect of processing on their nutritional composition which have been studied currently with the aim to use this wonder seeds for human *** seeds possess many bioactive compounds like polyphenols,flavonoids,phytosterols and squalene which makes it a lucrative raw material for pharmacological and food *** seeds work as anti-depressant and helps majorly in the treatment of benign prostate hyperplasia(BHP).Daily consumption of pumpkin seeds can reduce the chances of Alzheimer's and Parkinson's *** seeds are rich in tocopherols and can be used for oil extraction for edible purposes and utilized in other food formulations for future use.

关键词： Pumpkin seed Neutraceutical properties Nutritional composition Tocopherols Squalene β-Carotene Waste valorization

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

An exponential expanding meshes sequence and finite difference method adopted for two-dimensional elliptic equations

引用

International Journal of Modeling, Simulation, and Scientific Computing 2016年第2期7卷 109-125页

作者： Navnit jha Neelesh kumar Faculty of Mathematics and Computer Science Department of Mathematics South Asian University ChanakyapuriNew Delhi 110021India

We demonstrate a new nonuniform mesh finite difference method to obtain accurate solutions for the elliptic partial differential equations in two dimensions with nonlinear first-order partial derivative *** method will be based on a geometric grid network area and included among the most stable differencing scheme in which the nine-point spatial finite differences are implemented,thus arriving at a compact *** general,a third order of accuracy has been achieved and a fourth-order truncation error in the solution values will follow as a particular *** efficiency of using geometric mesh ratio parameter has been shown with the help of *** convergence of the scheme has been established using the matrix analysis,and irreducibility is proved with the help of strongly connected characteristics of the iteration *** difference scheme has been applied to test convection diffusion equation,steady state Burger’s equation,ocean model and a semi-linear elliptic *** computational results confirm the theoretical order and accuracy of the method.

关键词： Geometric mesh finite difference compact method elliptic partial differential equations convection diffusion equation Stommel ocean model

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Numerical investigation of the effect of transitory strand opening on mixing in a multistrand tundish

引用

International Journal of Minerals,Metallurgy and Materials 2011年第5期18卷 535-542页

作者： Sabin kumar Mishra Pradeep kumar jha Satish Chandra Sharma Satish kumar Ajmani Department of Mechanical and Industrial Engineering Indian Institute of Technology RoorkeeRoorkee 247667UttarakhandIndia Steelmaking and Casting Research Group Tata SteelR&DBurma MinesJamshedpur 831007JharkhandIndia

In a multistrand,the outlet near the inlet produces short circuiting *** leads to the formation of dead zones inside the tundish,and consequently,the mean residence time *** the present study,numerical investigation of mixing inside a delta shaped tundish with sloping boundaries was carried out by solving the Navier-Stokes equation and employing the standard turbulence *** decrease the dead zone volume inside the tundish,the effect of closing the outlet near the inlet for a small amount of time and further opening it on the mixing behavior of the tundish was *** outlets near the inlet were closed for varying amount of time,and the transient analysis of fluid flow and the tracer dispersion study were carried out to find the mixing parameters of the tundish,namely,mean residence time and the ratio of mixed to dead volume of the *** optimum closure time of the near outlet has been found,which yields best mixing inside the *** numerical code was validated against the experimental observation by performing the tracer dispersion study inside a multistrand tundish and the reasonably good match between the experimental and numerical results in terms of residence time distribution （RTD） *** results obtained from the present study confirm the strong role of choosing the right time for opening and closing the outlets to get improved characteristics for the fluid flow and mixing behavior of the *** educational version of computational fluid dynamics （CFD） software PHOENICS was used to solve the governing equations and interpret the results in different forms.

关键词： continuous casting billets tundish flow simulation mean residence time dead volume computational fluid dynamics (CFD)

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：