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Arterial Duct Stenting Versus Modified Blalock-Taussig Shunt in Patient with Ductal-Dependent Pulmonary Circulation: Systematic Review & Meta-Analysis

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Congenital Heart Disease 2024年第2期19卷 139-156页

作者： Ketut Putu Yasa Nyoman Satria Sadu Bhaskara Putu Febry krisna Pertiwi Department of Cardiothoracic&Vascular Surgery Prof.Dr.I.G.N.G Ngoerah General HospitalDenpasar80113Indonesia Faculty of Medicine Udayana UniversityDenpasar80232Indonesia

Objective:Patients with ductal-dependent pulmonary circulation require alternative bloodflow to provide and maintain adequate *** Blalock-Taussig Shunt(MBTS)has been the standard for providing such a ***,less invasive methods such as Arterial Duct(AD)stenting have been performed as *** study aims to compare the outcome of AD stenting and ***:Systematic research was performed in online databases using the PRISMA *** outcomes measured were 30-day mortality,com-plication,unplanned intervention,oxygen saturation,duration of hospital,and ICU length of *** compara-tive study provided with full text is *** outcome of each study was analyzed using a trandom effects model with relative risk and mean difference as the effect *** risk assessment was conducted using the New-castle-Ottawa *** analyses were performed using Review Manager ***:A total of 11 studies with 3154 samples included in this *** is no significant difference in 30-day mortality between the two groups(p-value=0.10).However,there is significantly less complication(RR 0.53[0.35,0.82];p-value=0.004)and unplanned intervention(RR 0.59[0.38,0.92];p-value=0.02)in the AD stent *** of the Nakata index showed no significant difference(p-value=0.88).Post-operative oxygen saturation was measured signifi-cantly higher in the AD stenting(MD 1.80[0.85,2.74];p-value=0.0002).However,AD stent group shows sig-nificantly lower long-term oxygen saturation(MD-8.43[-14.38,-2.48];p-value=0.005).Both hospital and ICU length of stay was significantly shorter in the AD stent group(MD-8.30[-11.13,-5.48];p-value<0.00001;MD-5.09[-7.79,-2.38];p-value=0.0002).Conclusion:AD stenting provides comparable outcomes relative to MBTS as it provides less complication and unplanned intervention and higher post-procedural O2 ***,MBTS proved its superiority in maintaining higher long-term oxygen saturation and still beca

关键词： Duct-dependent pulmonary circulation arterial duct stenting modified Blalock-Taussig shunt

Relationship of visual impairment and peripheral artery disease with the occurrence of diabetic foot ulcers in Dr. Moewardi Hospital

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Frontiers of Nursing 2019年第2期6卷 157-160页

作者： Okti Sri Purwanti krisna Yetti Tuti Herawati School of Nursing Faculty of Health ScienceUniversitas Muhammadiyah SurakartaKartasura 57162Indonesia Faculty of Nursing Universitas IndonesiaDepok 16424Indonesia

Objective: One of the diabetes mellitus (DM) complications is foot ulcers. Foot ulcers are influenced by many factors. DM puts patients at risk of injury because of visual impairment. Hyperglycemia can damage blood vessels, which results in peripheral artery disease (PAD). The purpose of this study was to find the relationship of visual impairment and PAD with diabetic foot ulcers. Methods: This research used observational analytic study with case–control methods. It used purposive sampling in 34 DM patients with foot ulcers and 34 DM patients without foot ulcers. The research instruments were an interview guide to assess visual impairment, physical examination to assess PAD, and documentation study, which was used to know the incidence of diabetic ulcers. Results: The results showed that the respondents who experienced ulcers with visual impairment were 44.1% and the respondents who had foot ulcers with PAD were 73.5%. The results of statistical tests showed that there was no relationship between visual impairment and the incidence of ulcers (P = 0.166). The respondents with PAD will have a chance to suffer from foot ulcers 5.808 times higher than those who do not have PAD. Conclusions: There is no relationship between visual impairment and the incidence of diabetic foot ulcers in Dr. Moewardi Hospital, but there is relationship between PAD and the incidence of diabetic foot ulcers in Dr. Moewardi Hospital. Suggestions of this study are to do foot screening and educate about the importance of foot care to prevent the occurrence of diabetic ulcers.

关键词： visual impairment peripheral artery disease foot ulcers diabetes mellitus artery disease retinopathy

Geochemical characteristics of Holocene sediments from Chuadanga district, Bangladesh: Implications for weathering, climate, redox conditions, provenance and tectonic setting

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Chinese Journal Of Geochemistry 2014年第4期33卷 336-350页

作者： Ismail Hossain krisna Kanta Roy Pradip Kumar Biswas Mahbubul Alam Md. Moniruzzaman Farah Deeba Department of Geology and Mining University of Rajshahi Bangladesh Institute of Mining Mineralogy and Metallurgy (IMMM) Joypurhat Bangladesh Water Resource Planning Division Institute of Water Modelling (IWM) Dhaka Bangladesh Institute of Nuclear Science and Technology (INST) Atomic Energy Commission Dhaka Bangladesh

The present research deals with the geochemical characteristics of the Holocene sediments from Alamdanga area, Chuadanga district, Bangladesh. Main goals of the study are to delineate source rock characteristics, degree of chemical weathering and sorting processes and behavior of redox conditions during deposition of the sediments. Geochemical characteristics of the sediments show comparatively a wide variation in accordance with stratigraphy in their major element contents(e.g. Si O2 69.46–82.13, Al2O3 2.28–8.88 in wt%), reflecting the distinctive provenance and in part an unstable period in terms of tectonic activity. Geochemical classification of the sediments shows mostly sub-arkose with few sub-litharenites. Some major and trace elements display comprehensible correlation with Al2O3 confirming their possible hydraulic fractionation. The chemical index of alteration(CIA*), W* index, index of compositional variability(ICV), plagioclase index of alteration(PIA*) values and the ratio of Si O2/Al2O3, suggest low degrees of chemical weathering in the source areas as well as immature to moderately mature the sediments. The sediments suggest semi-arid climatic trends within oxic deltaic depositional conditions during the Holocene, at 3–12 ka. Whole rock geochemistry and discrimination diagrams demonstrate the continental signature derivatives, which might have been derived from the felsic to intermediate igneous rocks(granitic plutonic rocks) as well as from quartzose sedimentary/metamorphic provenance. These typical sources are present in a vast region of the Himalayan belt and catchment areas of Ganges. The tectonic setting of the sediments demarcates typically passive margin with slightly continental arc system.

关键词：地球化学特征氧化还原条件化学风化沉积物构造背景孟加拉国气候趋势全新世

Prosthetic joint infection of the hip and knee due to Mycobacterium species:A systematic review

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World Journal of Orthopedics 2022年第5期13卷 503-514页

作者： Asep Santoso krisna Yuarno Phatama Sholahuddin Rhatomy Nicolaas Cyrillus Budhiparama Department of Orthopaedic and Traumatology Universitas Sebelas MaretSurakarta and Prof.Dr.R.Soeharso Orthopaedic HospitalSukoharjo 57162Indonesia Department of Orthopaedic and Traumatology Universitas BrawijayaSaiful Anwar General HospitalMalang 65112Indonesia Department of Orthopaedic and Traumatology Universitas Gadjah MadaYogyakarta and Dr.Soeradji Tirtonegoro General HospitalKlaten 57424Indonesia Nicolaas Institute of Constructive Orthopaedic Research and Education Foundation at Medistra Hospital Jakarta 12950Indonesia Faculty of Medicine Universitas AirlanggaJawa Timur 60132Indonesia Department of Orthopaedics Leiden University Medical CenterLeiden 2333Netherlands

BACKGROUND Mycobacterium species(Mycobacterium sp)is an emerging cause of hip and knee prosthetic joint infection(PJI),and different species of this organism may be responsible for the *** To evaluate the profile of hip and knee Mycobacterium PJI cases as published in the past 30 *** A literature search was performed in PubMed using the MeSH terms“Prosthesis joint infection”AND“Mycobacterium”for studies with publication dates from January 1,1990,to May 30,*** avoid missing any study,another search was performed with the terms“Arthroplasty infection”AND“Mycobacterium”in the same period as the previous *** Preferred Reporting Items for Systematic Reviews and Meta-Analyses chart was used to evaluate the included studies for further *** total,51 studies were included for further evaluation of thecases,type of pathogen,and treatment of PJI caused by Mycobacterium *** Seventeen identified Mycobacterium sp were reportedly responsible for hip/knee PJI in 115 hip/knee PJI cases,whereas in two cases there was no mention of any specific Mycobacterium *** tuberculosis(***)was detected in 50/115(43.3%)of the *** mycobacteria(NTM)included ***(26/115,22.6%),***(10/115,8.6%),***(8/115,6.9%),and ***(8/115,6.9%).Majority of the cases(82/114,71.9%)had an onset of infection>3 mo after the index surgery,while in 24.6%(28/114)the disease had an onset in≤3 *** intraoperative PJI diagnosis was made in 4 cases(3.5%).Overall,prosthesis removal was needed in 77.8%(84/108)of the cases to treat the *** infection rate was controlled in 88/102(86.3%)patients with Mycobacterium *** infection occurred in 10/108(9.8%)patients,while 4/108(3.9%)patients died due to the *** At least 17 Mycobacterium sp can be responsible for hip/knee *** *** is the most common causal pathogen,NTM should be considered as an emerging cause of hi

关键词： Mycobacterium species Prosthetic joint infection Hip Knee Systematic review

新公共外交视角下的印尼与中国旅游合作问题研究（苏西洛-佐科威总统时期）

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新公共外交视角下的印尼与中国旅游合作问题研究（苏西洛-佐科威...

作者： Ade krisna Dwiyanti 山东大学

学位级别：硕士

旅游是古已有之的活动,起始于两千多年前两河流域的美索不达地区。就字面意义来看,“旅”是旅行,外出,即为实现某一目的在空间上从甲地到乙地的行进过程。“游”是外出游览、观光、娱乐,即为达到这些目的所作的旅行。二者合起来即旅游... 详细信息

旅游是古已有之的活动,起始于两千多年前两河流域的美索不达地区。就字面意义来看,“旅”是旅行,外出,即为实现某一目的在空间上从甲地到乙地的行进过程。“游”是外出游览、观光、娱乐,即为达到这些目的所作的旅行。二者合起来即旅游。所以,旅游不但有“行”的内容,而且有观光、娱乐的含义。在古代,旅游更多是一种个人行为,涉及的群体比较少,范围也非常有限,且没有形成一个产业。自20世纪以来,随着世界各国经济的发展和社会的进步,参与旅游的群体不断增多,旅游范围也不断扩大,并形成了与此相关的产业。到20世纪中后期,随着财富的增加、交通工具的迅捷、出国旅游愈发便利,越来越多的人和群体开始跨国旅游。在这种情况下,旅游业不仅成为很多国家的重要产业,在各国国民收入中占有重要的比例;而且旅游以及与旅游相关的活动也成为不同国家间交往中的重要内容。中国在20世纪70年代中期开始进行改革开放,经过40多年的高速发展,已成为世界第二大经济体。财富的持续增加以及所拥有的庞大人口,使中国成为有待开发的、旅游潜力巨大的市场。而印度尼西亚作为世界上自然资源最为丰富和独特的国家,有着优质的旅游资源。因此,中国与印尼在旅游方面具有合作的可能性和必要性。本论文在阐述旅游与国际关系的前提下,以中国和印尼的旅游合作为研究对象,截取印尼苏西洛总统和左科威总统执政时期中国与印尼的旅游合作,在概述中国与印尼两国旅游概况的基础上,分析中国游客的增多给印尼带来的积极影响。同时,分析因中国游客过多而在两个国家所引发的各种问题及其原因,以及在政治、经济和文化方面对两国关系的影响。本文认为,中国和印尼两国之间的互动是基于经济、政治、文化以及教育和法律等因素。经济因素是由于互利关系,中国游客在满足欣赏印尼美丽自然风光的同时为印尼带来了大量的外汇,这是印尼进一步发展的资金来源。政治因素是指印尼与中国的旅游合作,进一步丰富并加强了两国之间的关系,有助于两国在亚洲区的国际支持,以增强双方的国际影响力。此外,中国和印度尼西亚还在教育、文化等方面合作,这有利于加强两国间的沟通,有利于建立两国之间的共识,进而使两国之间的关系具有可持续性。

关键词：旅游公共外交印度尼西亚中国

Effect of probiotic Lactobacillus plantarum Dad-13 powder consumption on the gut microbiota and intestinal health of overweight adults

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World Journal of Gastroenterology 2021年第38期27卷 107-128页

作者： Endang Sutriswati Rahayu Mariyatun Mariyatun Nancy Eka Putri Manurung Pratama Nur Hasan Phatthanaphong Therdtatha Riko Mishima Husnita Komalasari Nurul Ain Mahfuzah Fathyah Hanum Pamungkaningtyas Wahyu krisna Yoga Dina Aulia Nurfiana Stefanie Yolanda Liwan Mohammad Juffrie Agung Endro Nugroho Tyas Utami Department of Food and Agricultural Technology Faculty of Agricultural TechnologyUniversitas Gadjah MadaYogyakarta 55281Indonesia Center for Food and Nutrition Studies Universitas Gadjah MadaYogyakarta 55281Indonesia Department of Bioscience and Biotechnology Faculty of AgricultureKyushu University774 MotookaNishi-kuFukuokaJapan Department of Public Health Faculty of MedicinePublic Health and NurseryUniversitas Gadjah MadaYogyakarta 55281Indonesia Department of Pharmacology and Clinical Pharmacy Faculty of PharmacyUniversitas Gadjah MadaYogyakarta 55281Indonesia

BACKGROUND Shifting on lifestyle,diet,and physical activity contributed on increasing number of obese people around the *** factors influence the development of *** research suggested that gut microbiota(GM)plays an important role in nutrient absorption and energy regulation of individuals,thus affecting their nutritional *** of Indonesia Basic Health Research showed that the prevalence of obesity in every province tended to *** the root cause of obesity is excessive calorie intake compared with expenditure,the differences in gut microbial ecology between healthy and obese humans may affect energy *** affect body weight,especially *** that are consumed while alive and able to colonize in the intestine are expected to increase the population of good bacteria,especially Bifidobacteria and Lactobacilli,and suppress pathogens such as Enterobacteriaceae and *** strain of *** Dad-13 has been demonstrated to survive and colonize in the gastrointestinal tract of healthy Indonesian adults who consume fermented milk containing *** *** consumption of probiotic *** Dad-13 powder decreased *** and *** coliform bacteria in school-aged children in *** is a dominant bacterium in the average Indonesian’s *** this reason,this bacterium is probably a more suitable probiotic for *** To determine the effect of the consumption of indigenous probiotic Lactobacillus plantarum Dad-13 powder in overweight adults in Yogyakarta(Indonesia).METHODS Sixty overweight volunteers with a body mass index(BMI)equal to or greater than 25 consume indigenous probiotic powder *** Dad-13(2×109 CFU/gram/sachet)for 90 *** study was a randomized,double-blind,placebocontrolled *** volunteers filled in a diary on a daily basis,which consisted of questions on study product intake(only during ingestion period),other food intake,number of bowe

关键词： Obesity Body mass index Lipid profile Gut microbiota Short chain fatty acid Probiotic Lactobacillus plantarum Dad-13

Sustainable Denim Washing by Process Optimization

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Journal of Textile Science and Technology 2022年第4期8卷 149-162页

作者： Md. Abu Bakar Siddiquee A. T. M. Gulam Moula Joy krisna Saha Md. Humayun Kabir Khan Zihan Kaisar Abhijit Roy Department of Textile Engineering Mawlana Bhashani Science & Technology University Tangail Bangladesh Department of Fabrics Engineering Bangladesh University of Textiles Dhaka Bangladesh

Now-a-days sustainability is a crucial issue in denim washing. This research initiative is performed aiming to resolve the crisis of sustainability in denim washing by process optimization technique which highlights the reduction of water, chemical and time as well as costing of denim garments. In this research work, process optimization technique is administered by reducing several wash & chemical application baths into a single bath confirming without alteration of physical properties and color fastness of denim fabric. For confirmation without alteration of physical properties and color fastness, several tests are carried out like tensile and tear strength, color fastness to rubbing, color fastness to wash, color fastness to water, color fastness to perspiration and CMC (Carboxy Methyl Cellulose) value for both conventional and sustainable washing method. BOD, COD and pH of waste water is determined which shows better result in sustainable washing method also. Reduction of rinsing time in sustainable washing method results in less consumption of water by 475 and process time by 19% and also saves $0.34/ dozen garments which validate the cost effectiveness of this sustainable washing method.

关键词： Sustainability Denim Wash Color Fastness Cost Analysis