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Predictors of <i>H. pylori</i>infection in a safety-net hospital in Arizona

Open Journal of Gastroenterology 2013年第4期3卷 231-236页

作者： Sailaja Boddu David Drachman jyotsna ravi Abdul Nadir Maricopa Medical Center Phoenix USA

Objective: The purpose of this study was to determine the risk factors associated with having H. pylori infection as proven by endoscopic biopsy at Maricopa Medical Center (MMC), a safety-net hospital in phoenix, Arizona which serves primarily patients with limited financial and insurance resources. Methods: A total of 1116 biopsies were identified in a Department of Pathology database searched from November 2004 to March 2013. To be included, the subjects had to have an endoscopy with gastric biopsy. After the inclusion criteria were applied, 282 control subjects without histological evidence of H. pylori infection and 256 cases with histological evidence of H. pylori infection were identified. Patient charts were reviewed to extract information on variables collected for this study. Results: The mean age of cases and controls was 50.5 and 52.3 years respectively. The BMI of the cases and controls was 28.1 and 28.0 respectively. The mean number of upper endoscopic exams performed was 1.3 in cases and 1.4 in controls respectively. Potential predictors examined were gender, history of drug abuse, history of alcohol abuse, chronic pain medication use, smoking, employment status, outpatient vs. inpatient upper endoscopy exam, language spoken (English, Spanish, or bilingual), race/ ethnicity, type of insurance, heart burn, dysphagia, abdominal pain, gastroduodenal ulcers, intestinal metaplasia, and having vs. not having a primary care physician. Based on univariate analyses, having a gastroduodenal ulcer, having a history of abdominal pain, Hispanic race, government insurance status, self-pay insurance status, and speaking Spanish only were found to be significantly related to having H. pylori infection. These variables were next entered into a multivariate analysis. The multivariate analysis revealed that gastroduodenal ulcer, abdominal pain, Hispanic race and self-pay insurance status remained significant predictors of H. pylori infection. For the last 119 subjects, i

关键词： H. pylori Insurance Foreign Born

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Treatment of pulmonary coccidioidomycosis after successful hepatitis C therapy in a patient with fluconazole induced hepatotoxicity

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Open Journal of Gastroenterology 2012年第1期2卷 22-27页

作者： Zohreh Movahedi David Wisinger Sorin Petre jyotsna ravi Thomas Ardiles Renee Prevette Ali Al-Yaqoobi Abdul Nadir Department of Medicine Maricopa Medical Center Phoenix USA.

A patient with hepatitis C infection and cavitary pul- monary coccidioidomycosis is reported. Treatment of hepatitis C was associated with resolution of flucona- zole-induced hepatotoxicity. Successful treatment of he- patitis C enabled the patient to tolerate increaseing doses of fluconazole. This case highlights that hepatic toxicity of fluconazole can improve after successful treatment of hepatitis C.

关键词： Coccidioidomycosis Fluconazole Hepatotoxicity

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Exploring nitrogen reduction reaction mechanisms in electrocatalytic ammonia synthesis:A comprehensive review

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Journal of Energy Chemistry 2024年第5期92卷 681-697页

作者： Abhishek Umesh Shetty ravi Sankannavar School of Chemical and Materials Science Indian Institute of Technology GoaFarmagudiPonda 403401GoaIndia Department of Chemical Engineering M.S.Ramaiah Institute of TechnologyMSR NagarMSRIT PostBengaluru 560054KarnatakaIndia

The electrochemical nitrogen reduction reaction(eNRR)holds significant promise as a sustainable alternative to the conventional large-scale Haber Bosch process,offering a carbon footprint-free approach for ammonia *** the process is thermodynamically feasible at ambient temperature and pressure,challenges such as the competing hydrogen evolution reaction,low nitrogen solubility in electrolytes,and the activation of inert dinitrogen(N_(2))gas adversely affect the performance of ammonia *** hurdles result in low Faradaic efficiency and low ammonia production rate,which pose obstacles to the commercialisation of the *** have been actively designing and proposing various electrocatalysts to address these issues,but challenges still need to be resolved.A key strategy in electrocatalyst design lies in understanding the underlying mechanisms that govern the success or failure of the electrocatalyst in driving the electrochemical *** mechanistic studies,we gain valuable insights into the factors affecting the reaction,enabling us to propose optimised designs to overcome the *** review aims to provide a comprehensive understanding of the various mechanisms involved in eNRR on the electrocatalyst *** delves into the various mechanisms such as dissociative,associative,Mars-van Krevelen,lithium-mediated nitrogen reduction and surface hydrogenation mechanisms of nitrogen *** unravelling the intricacies of eNRR mechanisms and exploring promising avenues,we can pave the way for more efficient and commercially viable ammonia synthesis through this sustainable electrochemical process by designing an efficient electrocatalyst.

关键词： Green ammonia synthesis Electrolysis Electrocatalysis Nitrogen reductionreaction Electrochemical reaction pathways Reactionmechanism

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Federated Approach for Privacy-Preserving Traffic Prediction Using Graph Convolutional Network

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Journal of Shanghai Jiaotong university(Science) 2024年第3期29卷 509-517页

作者： LONARE Savita BHRAMARAMBA ravi Pimpri Chinchwad College of Engineering Pune 411044India Department of Computer Science and Engineering GITAMViskhapatnam 530045India

Existing traffic flow prediction frameworks have already achieved enormous success due to large traffic datasets and capability of deep learning ***,data privacy and security are always a challenge in every field where data need to be uploaded to the *** learning(FL)is an emerging trend for distributed training of *** primary goal of FL is to train an efficient communication model without compromising data *** traffic data have a robust spatio-temporal correlation,but various approaches proposed earlier have not considered spatial correlation of the traffic *** paper presents FL-based traffic flow prediction with spatio-temporal *** work uses a differential privacy(DP)scheme for privacy preservation of participant's *** the best of our knowledge,this is the first time that FL is used for vehicular traffic prediction while considering the spatio-temporal correlation of traffic data with DP *** proposed framework trains the data locally at the client-side with *** then uses the model aggregation mechanism federated graph convolutional network(FedGCN)at the server-side to find the average of locally trained *** results of the proposed work show that the FedGCN model accurately predicts the *** scheme at client-side helps clients to set a budget for privacy loss.

关键词： federated learning(FL) traffic flow prediction data privacy graph convolutional network(GCN) differential privacy(DP)

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Unsupervised intrusion detection system for in-vehicle communication networks

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Journal of Safety Science and Resilience 2024年第2期5卷 119-129页

作者： Kabilan N Vinayakumar ravi V Sowmya Center for Computational Engineering and Networking(CEN) Amrita School of Artificial InteligenceAmrita Vishwa VidyapeethamCoimbatoreIndia Center for Artificial Intlligence Prince Mohammad Bin Fahd UniversityKhobarSaudi Arabia

In-vehicle communication has been optimized day to day to keep updated of the *** area network(CAN)is used as a standard communication method because of its efficient and reliable ***,CAN is prone to several network level attacks because of its lack in security *** methods have been introduced to incorporate this in *** proposed an unsupervised method of intrusion detection for in-vehicle communication networks by combining the optimal feature extracting ability of autoencoders and more precise clustering using fuzzy C-means(FCM).The proposed method is light weight and requires less computation *** performed an extensive experiment and achieved an accuracy of 75.51%with the ML35o in-vehicle intrusion *** experimental result,the proposed method also works better for other intrusion detection problems like wireless intrusion detection datasets such as WNS-DS with accuracy of 84.05%and network intrusion detection datasets such as KDDCup with accuracy 60.63%,UNSW_NB15 with accuracy 73.62%and Information Security Center of Excellence(Iscx)with accuracy 74.83%.Overall,the proposed method outperforms the existing methods and avoids labeled datasets when training an in-vehicle intrusion detection *** results of the experiment of our proposed method performed on various intru-sion detection datasets indicate that the proposed approach is generalized and robust in detecting intrusions and can be effectively deployed in real time to monitor CAN traffic in vehicles and proactively alert during attacks.

关键词： Controlarea network Intrusiondetection Unsupervised learning Autoencoders Fuzzy C-means

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Dynamics of some new solutions to the coupled DSW equations traveling horizontally on the seabed

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Journal of Ocean Engineering and Science 2024年第2期9卷 154-163页

作者： Raj Kumar ravi Shankar Verma Department of Mathematics Faculty of Engineering&TechnologyVeer Bahadur Singh Purvanchal UniversityJaunpur 222003India

The system of(1+1)-coupled Drinfel’d-Sokolov-Wilson equations describes the surface gravity waves travelling horizontally on the *** objective of the present research is to construct a new variety of analytical solutions for the *** invariants are derived with the aid of Killing form by using the optimal algebra classification via Lie symmetry *** invariant solutions involve time,space variables,and arbitrary *** adequate constraints on arbitrary constants,solutions are represented graphically to make them more applicable in designing sea *** behavior of solutions shows asymptotic,bell-shaped,bright and dark soliton,bright soliton,parabolic,bright and kink,kink,and periodic *** constructed results are novel as the reported results[26,28,29,30,33,38,42,49]can be deduced from the results derived in this *** remaining solutions derived in this study,are absolutely different from the earlier *** this study,the physical character of analytical solutions of the system could aid coastal engineers in creating models of beaches and ports.

关键词： Coupled Drinfel’d-Sokolov-Wilson model Invariants Killing form Optimal sub algebra Lie symmetry reductions

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An Interactive Operating Demand Response Approach for Hybrid Power Systems Integrating Renewable Energy Sources

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Protection and Control of Modern Power Systems 2024年第3期9卷 174-194页

作者： Abhishek Saxena ravi Shankar IEEE the Department of Electrical Engineering National Institute of Technology PatnaIndia

The increased deployment of renewable energy in existing power networks has jeopardized rotational inertia,resulting in system degradation and *** address the issue,this paper proposes a demand response strategy for ensuring the future reliability of the electrical power *** addition,a modified fuzzy logic control topology-based two-degree-of-freedom(fractional order proportional integral)-tilt derivative controller is designed to regulate the frequency within a demand response framework of a hybrid two-area deregulated power *** test system includes thermal power plants,renewable energy sources(such as wind,parabolic trough solar thermal plant,biogas),and electric vehicle *** adaptively tune the controller’s coefficients,a quasi-opposition-based harris hawks optimization(QOHHO)algorithm is *** effectiveness of this algorithm is compared to other optimization algorithms,and the stability of the system is *** results demonstrate that the designed control algorithm significantly enhances system frequency stability in various scenarios,including uncertainties,physical constraints,and high penetration of renewables,compared to existing ***,an experimental assessment through OPAL-RT is conducted to verify the practicality of the proposed strategy,considering source and load intermittencies.

关键词： Area control error demand response energy storage vertically integrated utility

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Computational Approach for Automated Segmentation and Classification of Region of Interest in Lateral Breast Thermograms

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Computers, Materials & Continua 2024年第9期80卷 4749-4765页

作者： Dennies Tsietso Abid Yahya ravi Samikannu Basit Qureshi Muhammad Babar Department of Electrical Computer and Telecommunications EngineeringBotswana International University of Science and TechnologyPalapyePrivate Bag 16Botswana College of Computer and Information Sciences Prince Sultan UniversityRiyadh11586Saudi Arabia Robotics and Internet of Things Lab Prince Sultan UniversityRiyadh11586Saudi Arabia

Breast cancer is one of the major health issues with high mortality rates and a substantial impact on patients and healthcare systems *** Computer-Aided Diagnosis(CAD)tools,based on breast thermograms,have been developed for early detection of this ***,accurately segmenting the Region of Interest(ROI)fromthermograms remains *** paper presents an approach that leverages image acquisition protocol parameters to identify the lateral breast region and estimate its bottomboundary using a second-degree *** proposed method demonstrated high efficacy,achieving an impressive Jaccard coefficient of 86%and a Dice index of 92%when evaluated against manually created ground *** features were extracted from each view’s ROI,with significant features selected via Mutual Information for training Multi-Layer Perceptron(MLP)and K-Nearest Neighbors(KNN)*** findings revealed that the MLP classifier outperformed the KNN,achieving an accuracy of 86%,a specificity of 100%,and an Area Under the Curve(AUC)of *** consistency of the method across both sides of the breast suggests its viability as an auto-segmentation ***,the classification results suggests that lateral views of breast thermograms harbor valuable features that can significantly aid in the early detection of breast cancer.

关键词： Breast cancer CAD machine learning ROI segmentation thermography

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Nasogastric tube syndrome:A Meta-summary of case reports

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World Journal of Clinical Cases 2024年第1期12卷 119-129页

作者： Deven Juneja Prashant Nasa Gunjan Chanchalani ravi Jain Department of Critical Care Medicine Max Super Speciality HospitalNew Delhi 110017India Department of Critical Care Medicine NMC Specialty HospitalDubai 7832United Arab Emirates Department of Critical Care Medicine Karamshibhai Jethabhai Somaiya Hospital and Research CentreMumbai 400022India Department of Critical Care Medicine Mahatma Gandhi Medical College and HospitalJaipur 302022RajasthanIndia

BACKGROUND Since its description in 1790 by Hunter,the nasogastric tube(NGT)is commonly used in any healthcare setting for alleviating gastrointestinal symptoms or enteral ***,the risks associated with its placement are often *** airway obstruction with a NGT is an uncommon but potentially life-threatening *** syndrome is characterized by the presence of an NGT,throat pain and vocal cord(VC)paralysis,usually *** is poten-tially life–threatening,and early diagnosis is the key to the prevention of fatal upper airway ***,fewer cases may have been reported than might have occurred,primarily due to the clinicians'*** lack of specific signs and symptoms and the inability to prove temporal relation with NGT insertion has made diagnosing the syndrome quite *** To review and collate the data from the published case reports and case series to understand the possible risk factors,early warning signs and symptoms for timely detection to prevent the manifestation of the complete syndrome with life-threatening airway *** We conducted a systematic search for this meta-summary from the database of PubMed,EMBASE,Reference Citation Analysis(https://***/)and Google scholar,from all the past studies till August *** search terms included major MESH terms"Nasogastric tube","Intubation,Gastrointestinal","Vocal Cord Paralysis",and“Syndrome”.All the case reports and case series were evaluated,and the data were extracted for patient demographics,clinical symptomatology,diagnostic and therapeutic interventions,clinical course and outcomes.A datasheet for evaluation was further *** Twenty-seven cases,from five case series and 13 case reports,of NGT syndrome were retrieved from our *** was male predominance(17,62.96%),and age at presentation ranged from 28 to 86 *** patients had diabetes mellitus(37.04%),and nine were hyperte

关键词： Nasogastric tube Nasogastric tube syndrome Ryle’s tube Sofferman syndrome Vocal cord paralysis

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Effect of pre-twinning and heat treatment on formability of AZX311 Mg alloy

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Journal of Magnesium and Alloys 2024年第3期12卷 1154-1169页

作者： Mahesh Panchal Lalit Kaushik Min-Seong Kim ravi Kottan Renganayagalu Shi-Hoon Choi Jaiveer Singh Department of Mechanical Engineering Indian Institute of Technology JodhpurKarwarJodhpur 342030RajasthanIndia Department of Metallurgical and Materials Engineering Indian Institute of Technology JodhpurKarwarJodhpur 342030RajasthanIndia Energy Materials Research Center Korea Institute of Science and Technology(KIST)5 Hwarang-roSeongbuk-guSeoul 02792Republic of Korea Department of Advanced Components and Materials Engineering Sunchon National University255 Jungang-roSuncheonJeonnam 57922Republic of Korea

In this study,the effects of pre-strain-induced tensile twins(TTWs)and controlled heat treatment on the formability behavior of AZX311 Mg alloy sheets were investigated.A 4%compressive strain was applied to pre-strain the sheets using the in-plane compression(IPC)technique along the rolling direction(RD)to introduce *** pre-strained(PS)samples were subsequently heat-treated at 250℃,350℃,and 400℃ independently for 1 hr,and are termed as PSA1,PSA2,and PSA3,*** cupping tests were conducted to assess the formability of the sheet samples under different initial *** results showed that the PS sample heat-treated at 250℃ for 1hr exhibited a decrease in the Erichsen index(IE)compared to the as-rolled sample,whereas PSA2 and PSA3 samples showed an increase in IE *** analysis revealed that most of the TTWs generated through pre-twinning were stable at 250℃;however,the twin volume fraction reduced to 41%at 350℃ compared to the PS samples due to enhanced thermal activity at that ***,PSA2 samples showed severe grain coarsening in some areas of the sample,and the fraction of such grains increased in the PSA3 *** stretch formability(IE value)of PSA2 samples showed a 32.3%increase compared to the as-rolled ***,the analysis of the deformed specimen at failure under the Erichsen test indicated that considerable detwinning occurs in the PS and PSA1 samples,whereas dislocation slip activity dominates in the PSA2 and PSA3 samples during stretch *** from detwinning and dislocation slip,deformation twins were also observed in all samples after the Erichsen ***,this work highlights the importance of texture control and its underlying mechanisms via pre-twinning followed by heat treatment and their impact on the room temperature(RT)stretch formability of AZX311 Mg alloy sheets.

关键词： Mg alloys Pre-twinning Texture Formability EBSD.

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