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Tuberculosis in kidney transplant candidates and recipients

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World Journal of Transplantation 2024年第3期14卷 59-69页

作者： Pallavi Prasad Sourabh Sharma Subashri Mohanasundaram Anupam Agarwal himanshu verma Department of Nephrology Vardhman Mahavir Medical College and Safdarjung HospitalNew Delhi 110029DelhiIndia Department of Nephrology Prashanth HospitalChennai 600042Tamil NāduIndia

Tuberculosis(TB)is the leading cause of infectious mortality and morbidity in the world,second only to coronavirus disease *** with chronic kidney disease and kidney transplant recipients are at a higher risk of developing TB than the general *** TB is difficult to diagnose in this population due to close *** transplant candidates should be screened for latent TB infection and given TB *** who develop active TB pre-or post-trans-plantation should receive multidrug combination therapy of antitubercular therapy for the recommended duration with optimal dose modification as per glomerular filtration rate.

关键词： Tuberculosis Latent Antitubercular therapy Kidney transplantation Donor Interferon-gamma release assays Tuberculin Rifampicin Isoniazid

Outcome measures following tele-rehabilitation and conventional face to face rehabilitation in paediatric cochlear implant users during COVID-19 pandemic:A pilot study in a tertiary care setup

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Journal of Otology 2022年第1期17卷 31-38页

作者： himanshu verma Banumathy N Roshani Mishra Naresh K.Panda Department of Otolaryngology and Head&Neck Surgery Post Graduate Institute of Medical Education and ResearchChandigarh160012India

Background:Following the COVID-19 pandemic,majority of paediatric cochlear implantees(CI)lost follow ups for rehabilitation and tele-therapy was *** study thus compared the outcome measures of paediatric CI users on tele-therapy versus conventional face to face therapy following COVID-19 ***:Twenty seven unilateral paediatric cochlear implantees in the age range of 2e11 years were divided into two groups based on the therapy modality,viz,tele-and face-to-face *** on the hearing age,participants were further divided into three groups,viz,0e2,2e4,and greater than four years.A complete the test battery comprising Integrated Scales of Development,Speech Intelligibility Rating scale,and Revised Categorical Auditory Perception were *** speech&language test battery was performed prior to initiating the rehabilitation and post 12 months of ***:Results of the present study revealed that conventional rehabilitation had better outcomes compared to *** rate of progress after one year of rehabilitation with respect to hearing-age showed a significant difference for the hearing-age group of 0e2 years across the domains of audition,speech and ***:The present study indicates that conventional method of the speech-language and auditory rehabilitation is far better compared to the tele rehabilitation services especially for those visiting tertiary care hospitals as most of them belong to lower and middle socioeconomic *** the results,it can be delineated that with lesser hearing experience,paediatric CI users always need to initially enroll for conventional therapy for better speech-language and auditory outcomes.

关键词： Cochlear implant Tele-therapy Conventional therapy Language outcomes Speech&language rehabilitation

Knowledge, attitude, and practice of techniques of breastfeeding among new mothers: A survey across Delhi Region

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Journal of Integrative Nursing 2022年第1期4卷 26-29页

作者： himanshu verma Sirshti SINGH Nitika BAHUGUNA Mukul DAHIYA Jyoti SHAH Department of Otolaryngology Speech and Hearing UnitPGIMERChandigarhIndia Department of Swallowing Service Amrita Vishwa VidhyapeethamKollamKeralaIndia Department of Speech Pathology Sarthak Educational TrustNew DelhiIndia Ashtavakra Institute of Rehabilitation Sciences and Research DelhiIndia Speech-Swallowing and Hearing Care Clinic New DelhiIndia Department of Audiology and Speech-Pathology Saroj HospitalNew DelhiIndia

Objective:The present study aims to evaluate aims to assess the knowledge,attitude,and practice of primiparous mothers in the immediate postpartum period regarding breastfeeding techniques which will be helpful in forming awareness and training *** and Methods:A cross-sectional survey was used.A total of 120 primiparous mothers with a mean age of 24.92 years participated in the survey and filled the questionnaire related to the knowledge,attitude,and practice of techniques of ***:Results revealed that 48.3%of new mothers were not aware of the correct techniques to initiate breastfeeding,whereas 68.3%of subjects reported that during latching,the baby’s upper and lower lip should be *** majority of new mothers were aware of breastfeeding techniques with some misconceptions as in our culture,most of the breastfeeding information passed from generation to ***:The level of awareness about feeding skills among primiparous mothers can be further improved by antenatal counseling or training from health-care workers during the gestational *** will further help new mothers to educate and will provide adequate information which will decrease the myths.

关键词： Breastfeeding breastfeeding techniques lactation primiparous mother

Targeting biosignatures of hyperglycemia and oxidative stress in diabetes comorbid depressive rats: effectiveness of hydroethanolic extract of the whole plant of Ludwigia octovalvis

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Traditional Medicine Research 2023年第2期8卷 13-20页

作者： Stuti Pandey Pawan Kumar Pandey Alakh Niranjan Sahu himanshu verma Manmath Kumar Nandi Department of Medicinal Chemistry Faculty of AyurvedaInstitute of Medical SciencesBanaras Hindu UniversityVaranasi 221005Uttar PradeshIndia Department of Pharmaceutical Engineering&Technology Indian Institute of Technology Banaras Hindu UniversityVaranasi 221005Uttar PradeshIndia

Background:The prime objective of the current research was to evaluate the whole plant hydroalcoholic extract of Ludwigia octovalvis(HLO)against hyperglycemia,and oxidative stress biomarkers in rats induced with diabetes comorbid depression,diabetes comorbid depression(streptozotocin-nicotinamide+electric footshocks).Methods:2,2-Diphenyl-1-picrylhydrazyl assay of HLO versus ascorbic acid was *** of 200 and 400 mg/kg body weight/day HLO doses versus 25 mg/kg body weight/day metformin was studied through insulin,glucose,superoxide dismutase,lipid peroxidation,catalase,and behavioral assessment(forced swim and open field tests).Results:IC50 values of HLO and ascorbic acid were 33.52 and 27.86μg/mL *** the HLO doses showed intended results with respect to oxidative stress biomarkers in diabetes comorbid depression rats in comparison to *** field test showed better results for HLO in diabetes comorbid depression ***,hypoglycemic effects,and forced swim test performance of metformin was slightly higher than the 400 mg dose,followed by the 200 mg dose of *** gallate,gallic acid,β-sitosterol,and quercetin in HLO might resulted in attenuating diabetic as well as depression ***:Inhibition of glucosidase and lipase activity,and AMP-activated protein kinase phosphorylation might be the possible biochemical changes occurred in HLO treated rats.

关键词： 2,2-diphenyl-1-picrylhydrazyl assay brain homogenate insulin superoxide dismutase content catalase activity lipid peroxidation

Conservative management of small bowel perforation in Ehlers-Danlos syndrome type Ⅳ

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World Journal of Gastrointestinal Endoscopy 2013年第8期5卷 398-401页

作者： Satya Allaparthi himanshu verma David L Burns Ann M Joyce Department of Medicine Saint Vincent Hospital Department of Gastroenterology Lahey Clinic

Ehlers-Danlos syndrome (EDS) is a group of inherited connective tissue disorders caused by collagen synthesis defects. EDS type Ⅳ, or vascular EDS, is caused by loss-of-function mutations in the type Ⅲ pro-collagen gene (COL3A1 ). Common complications of EDS type IV include gastrointestinal bleeding and bowel perforations, posing diagnostic and therapeutic dilemmas for both surgeons and gastroenterologists. Here, we describe a complicated case of EDS type Ⅳ in a 35-year-old caucasian female who presented with overt gastro-intestinal bleeding. The patient had a prior history of spontaneous colonic perforation, and an uncomplicated upper endoscopy was performed. A careful ileoscopy was terminated early due to tachycardia and severe ab-dominal pain, and a subsequent computed tomography scan confirmed the diagnosis of ileal perforation. The patient was managed conservatively, and demonstrated daily improvement. At the time of hospital discharge, no further episodes of gastrointestinal blood loss had occurred. This case highlights the benefit of conservative management for EDS patients with gastrointestinal hemorrhage. It is recommended that surgical treatmentshould be reserved for patients who fail conservative treatment or in cases of hemodynamic instability. Finally, this case demonstrates the necessity for a higher threshold of operative or endoscopic interventions in EDS type Ⅳ patients.

关键词： Type-Ⅳ Ehlers-Danlos syndrome Gastro-intestinal hemorrhage Bowel perforation Conservative management Non-operative COL3A1 Connective tissue disorder

3D Path Optimisation of Unmanned Aerial Vehicles Using Q Learning-Controlled GWO-AOA

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Computer Systems Science & Engineering 2023年第6期45卷 2483-2503页

作者： K.Sreelakshmy himanshu Gupta Om Prakash verma Kapil Kumar Abdelhamied A.Ateya Naglaa F.Soliman Department of Instrumentation and Control Engineering Dr.B.R.Ambedkar National Institute of Technology JalandharPunjab144027India Department of Industrial and Production Engineering Dr.B.R.Ambedkar National Institute of Technology JalandharPunjab144027India Department of Electronics and Communication Engineering Zagazig UniversityZagazigSharqia44519Egypt Department of Information Technology College of Computer and Information SciencesPrincess Nourah bint Abdulrahman UniversityRiyadh84428Saudi Arabia

Unmanned Aerial Vehicles(UAVs)or drones introduced for military applications are gaining popularity in several other fields as well such as security and surveillance,due to their ability to perform repetitive and tedious tasks in hazardous *** increased demand created the requirement for enabling the UAVs to traverse independently through the Three Dimensional(3D)flight environment consisting of various obstacles which have been efficiently addressed by metaheuristics in past ***,not a single optimization algorithms can solve all kind of optimization problem ***,there is dire need to integrate metaheuristic for general *** address this issue,in this paper,a novel reinforcement learning controlled Grey Wolf Optimisation-Archimedes Optimisation Algorithm(QGA)has been exhaustively introduced and exhaustively validated firstly on 22 benchmark functions and then,utilized to obtain the optimum flyable path without collision for UAVs in three dimensional *** performance of the developed QGA has been compared against the various *** simulation experimental results reveal that the QGA algorithm acquire a feasible and effective flyable path more efficiently in complicated environment.

关键词： Archimedes optimisation algorithm grey wolf optimisation path planning reinforcement learning unmanned aerial vehicles

Tailoring of structural,optical and electrical properties of anatase TiO_(2)via doping of cobalt and nitrogen ions

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Journal of Materials Science & Technology 2022年第16期111卷 287-297页

作者： Anchal Sharma Puneet Negi Ruhit Jyoti Konwar Hemaunt Kumar Yogita verma Shailja Prakash Chandra Sati Bhargav Rajyaguru himanshu Dadhich N.A.Shah P.S.Solanki Department of Physics Eternal UniversityBaru SahibHimachal Pradesh173101India Centre of Excellence in Energy Science and Technology Shoolini UniversitySolanHimachal Pradesh173229India Department of Applied Science and Humanities Rajkiya Engineering CollegeBijnorUttar Pradesh246725India Department of Physics Rajiv Gandhi Government Post Graduate CollegeMandsaurMadhya Pradesh458001India Department of Physics Saurashtra UniversityRajkot360005India

Pure(pristine)anatase and mono–doped and co–doped derivatives of TiO_(2)having nitrogen(N)and cobalt(Co)as dopants with respective fixed doping concentrations of 0.7 mol.%and 1.0 mol.%were synthesized using auto–combustion sol–gel *** doping effects at corresponding non–metal and transition metal sites of TiO_(2)on the basis of the structural,optical and electrical properties have been investigated.X–ray diffraction(XRD)measurement confirms the formation of pure anatase phase of TiO_(2)for all samples having I41/amd space group of tetragonal structure which has been also verified by the Raman spectroscopy *** crystallographic parameters have been calculated by performing Rietveld refinement of XRD data including average crystallite size that has been observed in the range of10–15 *** anatase phase indicates the incorporation of Co^(2+)into TiO_(2)lattice which assists the substitution of N in place of oxygen in co–doped TiO_(2).The band gap tuning towards the visible region from3.2 to 2.1 e V has been achieved with mono–doping and co–doping of the N and Co in TiO_(2)*** can be described in terms of the formation of localized levels of N–2p and Co–3d states in mono–doping and an isolated intermediate band formation in co–doping *** properties have been investigated in details and explained as the synergetic effects of structural and inherent ionic characters of various *** observed band gaps of all doped samples lie within the visible region which makes them pertinent as the solar energy harnessing materials for photocatalytic and photovoltaic applications.

关键词： TiO_(2) Sol–Gel X–ray diffraction Electrical properties Optical properties

Accidental Entry of Foreign Body in Maxillary Sinus—A Case Report

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Open Journal of Stomatology 2015年第1期5卷 1-5页

作者： Nishant Kumar himanshu Bhutani Pushpak Jain Abhishek verma Sps Tomar Shaibal Chaterjee Ankur Garg Rohit Awana Department of Oral and Maxillofacial Surgery ITS Dental College Hospital and Research Centre Greater Noida India

Extraction of the first molar or premolar is the commonest cause of oro-antral fistula. Management involves identification of the same, removal of any foreign body from the maxillary sinus, if present, followed by appropriate flap for closer. A case is presented when a gutta percha (GP) point was accidentally dislodged into the right maxillary sinus during preliminary diagnosis of the oro-antral fistula. The surgical management of the case is described and is the appropriate treatment plan.

关键词： Gutta Percha Maxillary Sinus Caldwell-Luc Approach Buccal Pad of Fat