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肺腺癌伴结节GGO:HRCT影像学和病理学的相关性

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肺腺癌伴结节GGO:HRCT影像学和病理学的相关性

作者：杨太平（prashanta acharya）东南大学

学位级别：硕士

背景在世界范围内,无论是男性还是女性,肺癌都是最常见的导致死亡的疾病之一。肺腺癌是最为常见的病理类型,而且还在呈上升趋势。随着近来采用高分辨率计算机X线断层扫描(HRCT)筛查肺癌的应用,毛玻璃样阴影病变(GG0)已经频繁得到关注。... 详细信息

背景在世界范围内,无论是男性还是女性,肺癌都是最常见的导致死亡的疾病之一。肺腺癌是最为常见的病理类型,而且还在呈上升趋势。随着近来采用高分辨率计算机X线断层扫描(HRCT)筛查肺癌的应用,毛玻璃样阴影病变(GG0)已经频繁得到关注。毛玻璃样阴影病变是一种非特异性表现,可由多种疾病引起,包括炎症性疾病、局灶性纤维化、非典型腺瘤样增生(AAH)、肺泡原位腺癌(AIS)和腺癌。本研究旨在分析肺腺癌的高分辨率计算机x线断层扫描的影像表现与病理表现之间的相关性。材料和方法对16例肺腺癌术后的患者资料进行回顾性分析。根据肿瘤在纵隔窗的最大直径与在肺窗的最大直径的比率将肿瘤定义为含气型(比率≤50%)和致密型(比率>50%)。CT表现(同质／异质,支气管充气征,胸膜尾征,毛刺,血管受累,胸膜增厚,肿瘤边缘,形状)及病理特征将被记录、分析。结果在3例含气型患者中,两例为早期浸润型,一例为浸润型。13例致密型患者均为浸润型。毛刺与异质表现被发现与病理浸润显著相关。结论含气型肺小细胞腺癌的病理常表现为早期浸润型,而致密型肺腺癌的病理通常表现为浸润型。毛刺与异质表现与浸润性肺腺癌显著相关。

关键词：毛玻璃样阴影同质异质

Clinical profile and risk factors of Strongyloides stercoralis infection

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Asian Pacific Journal of Tropical Medicine 2024年第1期17卷 43-44页

作者： Rupak Chatterjee Alisha acharya Subhoroop Ghosh Shatavisa Mukherjee Tapashi Ghosh Nandini Chatterjee Netai Pramanik Department of Tropical Medicine School of Tropical MedicineKolkataWest BengalIndia Department of Microbiology School of Tropical MedicineKolkataWest BengalIndia Eastern Regional Centre National One Health Program for Prevention and Control of ZoonosesSchool of Tropical Medicine KolkataWest BengalIndia Department of Clinical&Experimental Pharmacology School of Tropical MedicineKolkataWest BengalIndia Department of Medicine IPGMER-SSKM HospitalKolkataWest BengalIndia

Strongyloides(S.)stercoralis,endemic in tropical and subtropical countries,is a soil-transmitted geohelminth human parasite belonging to a group of nematodes called *** is one of the most overlooked parasitic infections enlisted among the WHO"neglected tropical diseases"[1].*** mainly infects humans but can also be found naturally in domestic dogs,cats,and some primates.

关键词： tropical subtropical listed

Management of a patient with an unusual trajectory of a temporary trans-venous pacing lead

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World Journal of Cardiology 2024年第6期16卷 314-317页

作者： Metesh acharya Ethan Kavanagh Sheena Garg Davorin Sef Fabio De Robertis Department of Cardiac Surgery University Hospitals of Leicester NHS TrustLeicester LE39QPUnited Kingdom Department of Cardiac Surgery King’s College LondonLondon WC2R 2LSUnited Kingdom Department of Cardiac Surgery Royal Brompton and Harefield HospitalsLondon UB96JHUnited Kingdom

Perforation of the right ventricle during placement of pacing wires is a welldocumented complication and can be potentially *** of temporary pacemaker,helical screw leads and steroids use prior to implant are recognised as risk factors for development of post-permanent pacemaker *** reported an unusual case of pacing wire perforating interventricular septum into the left ventricle that occurred during the implant procedure performed in another *** the preoperative work-up and transfer to our tertiary cardiothoracic centre,the patient underwent successful surgical *** conclusion,early recognition and timely diagnosis using advanced multimodality imaging can guide surgical intervention and prevent unfavourable consequences of device-related complications.

关键词： Ventricular perforation Lead perforation Pacing

Oxygen functionalization-assisted anionic exchange toward unique construction of flower-like transition metal chalcogenide embedded carbon fabric for ultra-long life flexible energy storage and conversion

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Carbon Energy 2024年第1期6卷 72-93页

作者： Roshan M.Bhattarai Kisan Chhetri Nghia Le Debendra acharya Shirjana Saud Mai Cao Hoang Phuong Lan Nguyen Sang Jae Kim Young Sun Mok Department of Chemical Engineering Jeju National UniversityJejuRepublic of Korea Department of Nano Convergence Engineering Jeonbuk National UniversityJeonjuRepublic of Korea Regional Leading Research Center(RLRC)for Nanocarbon-based Energy Materials and Application Technology Jeonbuk National UniversityJeonjuRepublic of Korea Department of Chemistry Mississippi State UniversityStarkvilleMississippiUSA Nanomaterials and System Laboratory Department of Mechatronics EngineeringJeju National UniversityJejuRepublic of Korea

The metal-organic framework(MOF)derived Ni–Co–C–N composite alloys(NiCCZ)were“embedded”inside the carbon cloth(CC)strands as opposed to the popular idea of growing them upward to realize ultrastable energy storage and conversion *** NiCCZ was then oxygen functionalized,facilitating the next step of stoichiometric sulfur anion diffusion during hydrothermal sulfurization,generating a flower-like metal hydroxysulfide structure(NiCCZOS)with strong partial implantation inside *** obtained NiCCZOS shows an excellent capacity when tested as a supercapacitor electrode in a three-electrode ***,when paired with the biomass-derived nitrogen-rich activated carbon,the asymmetric supercapacitor device shows almost 100%capacity retention even after 45,000 charge–discharge cycles with remarkable energy density(59.4 Wh kg^(-1)/263.8μWh cm^(–2))owing to a uniquely designed ***,the same electrode performed as an excellent bifunctional water-splitting electrocatalyst with an overpotential of 271 mV for oxygen evolution reaction(OER)and 168.4 mV for hydrogen evolution reaction(HER)at 10 mA cm−2 current density along with 30 h of unhinged chronopotentiometric stability performance for both HER and ***,a unique metal chalcogenide composite electrode/substrate configuration has been proposed as a highly stable electrode material for flexible energy storage and conversion applications.

关键词： carbon cloth energy conversion energy storage flexible metal embedding ultra-stable

Probabilistic Analysis of Slope Using Finite Element Approach and Limit Equilibrium Approach around Amalpata Landslide of West Central, Nepal

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International Journal of Geosciences 2024年第5期15卷 416-432页

作者： Mahendra acharya Khomendra Bhandari Sandesh Dhakal Aasish Giri Prabin Kafle Central Department of Geology Tribhuvan University Kathmandu Nepal Department of Geology Tri-Chandra Multiple Campus Tribhuvan University Kathmandu Nepal Sri Revana Siddeshwara Institute of Technology Visvesvaraya Technological University Bengaluru India

The stability study of the ongoing and recurring Amalpata landslide in Baglung in Nepal’s Gandaki Province is presented in this research. The impacted slope is around 200 meters high, with two terraces that have different slope inclinations. The lower bench, located above the basement, consistently fails and sets others up for failure. The fluctuating water level of the slope, which travels down the slope masses, exacerbates the slide problem. The majority of these rocks are Amalpata landslide area experiences several structural disruptions. The area’s stability must be evaluated in order to prevent and control more harm from occurring to the nearby agricultural land and people living along the slope. The slopes’ failures increase the damages of house existing in nearby area and the erosion of the slope. Two modeling techniques the finite element approach and the limit equilibrium method were used to simulate the slope. The findings show that, in every case, the terrace above the basement is where the majority of the stress is concentrated, with a safety factor of near unity. Using probabilistic slope stability analysis, the failure probability was predicted to be between 98.90% and 100%.

关键词： Finite Element Approach Limit Equilibrium Method Slope Factor of Safety

Diagnostic Dilemma of Intracardiac Mass: Tumor versus Thrombus-Case Series and Systematic Review

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Journal of Biosciences and Medicines 2024年第7期12卷 141-150页

作者： Indira acharya Ashik Pokharel Raktim Ghosh Christopher J. Haas Department of Internal Medicine Internal Medicine Residency Program Medstar Health Baltimore MD USA Department of Cardiology MedStar Union Memorial Hospital MedStar Health Baltimore MD USA School of Medicine Georgetown University Washington D.C. USA

Background: The differential diagnosis for intracavitary cardiac masses is limited, typically including vegetations, tumors, or thrombi. Cardiac thrombi can often mimic cardiac tumors on imaging, creating a diagnostic challenge. Primary cardiac tumors are rare and usually benign, whereas most cardiac tumors result from metastases, commonly originating from malignancies in the breast, lung, or melanoma. Aim: This report highlights the importance of distinguishing various cardiac masses based on clinical presentations, clinical courses, and radiological features. Case Presentation: We describe two cases of cardiac masses with unique and diverse clinical features. Each case posed significant diagnostic challenges due to their distinct presentations and clinical progressions. Conclusion: These cases underscore the importance of considering both benign and metastatic origins in the differential diagnosis of intracavitary cardiac masses. Accurate differentiation between thrombi and tumors is crucial for appropriate management and treatment.

关键词： Echocardiography Cardiac Masses Arrhythmias Cardiac Magnetic Resonance Imaging Cardiac Thrombi

Clinical profile and outcomes of hepatocellular carcinoma in primary Budd-Chiari syndrome

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World Journal of Gastrointestinal Oncology 2024年第3期16卷 699-715页

作者： Ankit Agarwal Sagnik Biswas Shekhar Swaroop Arnav Aggarwal Ayush Agarwal Gautam Jain Anshuman Elhence Arun Vaidya Amit Gupte Ravi Mohanka Ramesh Kumar Ashwani Kumar Mishra Shivanand Gamanagatti Shashi Bala Paul Subrat Kumar acharya Akash Shukla Shalimar Department of Gastroenterology and Human Nutrition All India Institute of Medical SciencesNew Delhi 110029DelhiIndia Department of Gastroenterology Seth Gordhandas Sunderdas Medical College and KEM HospitalMumbai 400012MaharashtraIndia Department of Gastroenterology Sir HN Reliance Foundation HospitalMumbai 400004India Department of Liver Transplant and HPB Sir HN Reliance Foundation HospitalMumbai 400004India Department of Gastroenterology All India Institute of Medical SciencesPatna 801507India Professor of Biostatistics National Drug Dependence Treatment Centre(NDDTC)All India Institute of Medical SciencesNew Delhi 110029India Department of Radiodiagnosis All India Institute of Medical SciencesNew Delhi 110029DelhiIndia

BACKGROUND There is scant literature on hepatocellular carcinoma(HCC)in patients with Budd-Chiari syndrome(BCS).AIM To assess the magnitude,clinical characteristics,feasibility,and outcomes of treatment in *** A total of 904 BCS patients from New Delhi,India and 1140 from Mumbai,India were *** prevalence and incidence of HCC were determined,and among patients with BCS-HCC,the viability and outcomes of interventional therapy were *** In the New Delhi cohort of 35 BCS-HCC patients,18 had HCC at index presentation(prevalence 1.99%),and 17 developed HCC over a follow-up of 4601 person-years,[incidence 0.36(0.22-0.57)per 100 person-years].BCS-HCC patients were older when compared to patients with BCS alone(P=0.001)and had a higher proportion of inferior vena cava block,cirrhosis,and long-segment vascular *** median alpha-fetoprotein level was higher in patients with BCS-HCC at first presentation than those who developed HCC at follow-up(13029 ng/mL vs 500 ng/mL,P=0.01).Of the 35 BCS-HCC,26(74.3%)underwent radiological interventions for BCS,and 22(62.8%)patients underwent treatment for HCC[transarterial chemoembolization in 18(81.8%),oral tyrosine kinase inhibitor in 3(13.6%),and transarterial radioembolization in 1(4.5%)].The median survival among patients who underwent interventions for HCC compared with those who did not was 3.5 years vs 3.1 mo(P=0.0001).In contrast to the New Delhi cohort,the Mumbai cohort of BCS-HCC patients were predominantly males,presented with a more advanced HCC[Barcelona Clinic Liver Cancer C and D],and 2 patients underwent liver *** HCC is not uncommon in patients with *** interventions and liver transplantation are feasible in select primary BCS-HCC patients and may improve outcomes.

关键词： Budd chiari syndrome Cancer Cirrhosis Thrombosis Liver Varices Transarterial chemoembolization Hepatic venous outflow tract obstruction

Reviving Fertility:Phytochemicals as Natural Allies in the Fight against Non-genetic Male Infertility

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Clinical Complementary Medicine and Pharmacology 2024年第1期4卷 112-128页

作者： Vivek P.Chavda Shreya S Sonak Pankti C.Balar Krupa Vyas Pranali Palandurkar Komal Mule Krishna Patel Vivek Hala Dixa A.Vaghela Devarshi acharya Akta Vaishnav Jimil Gandhi Vasso Apostolopoulos Department of Pharmaceutics and Pharmaceutical Technology L M College of PharmacyAhmedabadGujarat 380008India Bharati Vidyapeeth University’s Poona College of Pharmacy ErandwaneKothrudPune 411038India Pharmacy section L M College of PharmacyAhmedabadGujarat 380008India University Department of Pharmaceutical Sciences R.T.M Nagpur 440033India Department of Pharmaceutics Khyati College of PharmacyAhmedabad 380009India IICISST Sardar Patel UniversityVallabh Vidyanagar 388120India Institute for Health and Sport Immunology and Translational ResearchVictoria UniversityMelbourneVIC 3030Australia Immunology Program Australian Institute for Musculoskeletal ScienceMelbourneVIC 3021Australia

Background:Male infertility poses a growing challenge to the healthcare system,with its prevalence on the *** lifestyle,food,and addictions such as smoking,alcoholism,*** the *** several approaches are being investigated to prevent and treat this condition,each therapeutic approach has its *** medications continue to play a crucial role in the healthcare *** recent years,there has been a shift towards determining the efficacy of phytochemicals(or,herbal drugs)as ***:To evaluate the effect of various herbs,plant,metabolites,or a part of plant in management of non-genetic male ***:The male infertility-associated keywords were searched in PubMed,excluding those non-English writen papers.A total of 146 pertinent and closely connected records were included for full reading and inclusion in the systemic ***:The manuscript focuses on individual herbal drug components,their active ingredients,their role in improving the condition and quality of life,and decreasing the prevalence of male ***:Herbal medicinal plants show promising outcomes to treat male *** alternatives are appealing and have regained *** future holds promise for some of these herbal treatments to advance with many showing improved outcomes in males with infertility issues.

关键词： Male infertility Plant-based management Phytochemical Herbal drug Traditional Chinese medicine

The verbiage in variable message signs and traffic diversion during crash incidents

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Journal of Intelligent and Connected Vehicles 2022年第3期5卷 333-344页

作者： Sailesh acharya Michelle Mekker Department of Civil and Environmental Engineering Utah State UniversityLoganUtahUSA

Purpose–WIth limited research on the effects of variable message sign(VMS)message content and verbiage on revealed driver behavior,this study aims to investigate how different verbiage of crash-related messages are related to the diversion ***/methodology/approach–Using ordered logit models,the associations of message verbiage with diversion rates during crash incidents were assessed using five years of VMS message history within a section of I-15 in the state of ***–A significant impact of message verbiage on the diversion rate was *** on the analysis results,the crash message verbiage with the highest diversion was found to be miles to crash 1“prepare to stop,”followed by crash location 1 delay information,miles to crash 1“use caution”1 lane of the crash,*** addition,the diversion rate was found to be correlated to some roadway characteristics(*** in mainline,weather condition and light condition)along with the temporal *** limitations/implications–These findings could be used by transportation agencies(*** department of transportation[DOTs])to make informed decisions about choosing the message verbiage during future crash *** study also revealed that higher diversion rates are associated with a shorter distance between the crash location and VMS device location,recommending increasing the number of VMS devices,particularly in crash-prone areas.

关键词： Variable message sign Verbiage message content diversion rate Crash Driver behavior Congestion