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World Journal of Clinical Pediatrics 2024年第2期13卷 7-10页

作者： Amit agrawal Department of Pediatrics Gandhi Medical CollegeHamidia Hospital CampusBhopal 462022India

This editorial discusses a case-control study by Ibrahim et al,published in the recent issue of the World Journal of Clinical *** bronchial asthma is a chronic inflammatory respiratory *** was found that an increase in oxidative stress leads to a decrease in antioxidants causing oxidative damage to mitochondrial respiratory chain complexes resulting in the inflammation of the airway,hypersecretion of mucus causing a cascade of clinical manifestations ranging from recurrent episodes of coughing,wheezing,and breathlessness to shortness of *** oxidative stress mediates the inflammatory response in asthma,the supplementation of anti-oxidants can be one strategy to manage this *** is one such antioxidant that has attracted much attention about asthma and airway *** is a crucial trace element for human metabolism that helps to regulate gene expression,enzyme activity,and protein *** from zinc,free serum ferritin levels are also elevated in case of *** previous studies found that ferritin levels may also help determine the pathology of disease and predict prognosis in addition to tracking disease ***,this study's results were different from the findings of the previous studies and the zinc levels did not show a significant difference between asthmatic children and non-asthmatic children but ferritin levels were significantly high in asthmatic children as compared to the ***,the possible role of the biochemical nutritional assessment including zinc and ferritin as biomarkers for asthma severity should be assessed in the future.

关键词： Asthma Biomarker Children Zinc Ferritin Immunoglobulin E

A comprehensive review on pharmacognosy, phytochemistry and pharmacological activities of 8 potent Prunus species of southeast Asia

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Journal of Traditional Chinese Medicine 2024年第3期44卷 620-628页

作者： Shikha agrawal Adarsh Kumar Ankit Kumar Singh Harshwardhan Singh Suresh Thareja Pradeep Kumar Department of Pharmaceutical Sciences and Natural Products Central University of PunjabBathinda 151401India

Genus Prunus comprising around 430 species is a vast important genus of family Rosaceae, subfamily amygdalaoidae. Among all 430 species, around 19 important species are commonly found in Indian subcontinent due to their broad nutritional and economic importance. Some most common species of genus Prunus are Prunus amygdalus, Prunus persica, Prunus armeniaca, Prunus avium, Prunus cerasus, Prunus cerasoides, Prunus domestica, Prunus mahaleb, etc. A newly introduced species of Prunus i.e Prunus sunhangii is recently discovered which is morphologically very similar to Prunus cerasoides. Plants of Prunus species are short to medium-sized deciduous trees mainly found in the northern hemisphere. In India and its subcontinent,it extends from the Himalayas to Sikkim, Meghalaya,Bhutan, Myanmar etc. Different Prunus species have been extensively studied for their morphological,microscopic, pharmacological and phytoconstituents characteristics. Total phenolic content of Prunus species explains the presence of phenols in high quantity and pharmacological activity due to phenols. Phytochemical screening of species of genus Prunus shows the presence of wide phytoconstituents which contributes in their pharmacological significance and reveals the therapeutic potential and traditional medicinal significance of this genus. Genus Prunus showed a potent antioxidant activity analyzed by 1,1-diphenyl-2-picryl-hydrazyl radical assay. Plant species belonging to the genus Prunus is widely used traditionally for the treatment of various disorders. Some specific Prunus species possess potent anticancer, anti-inflammatory,hypoglycemic etc. activity which makes the genus more interesting for further research and findings. This review is an attempt to summarize the comprehensive study of Prunus species from its distribution, morphological characters to phytoconstituents, and pharmacological activity.

关键词： Rosaceae Prunus antineoplastic agents hypoglycemic agents distribution phytochemistry review

Transcranial direct current stimulation as early augmentation in adolescent obsessive compulsive disorder:A pilot proof-of-concept randomized control trial

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World Journal of Clinical Pediatrics 2024年第2期13卷 161-170页

作者： Aditya agrawal Vivek Agarwal Sujita Kumar Kar Amit Arya Department of Psychiatry King George Medical UniversityUttar PradeshLucknow 226003India

BACKGROUND Transcranial direct current stimulation(tDCS)is proven to be safe in treating various neurological conditions in children and *** is also an effective method in the treatment of OCD in *** To assess the safety and efficacy of tDCS as an add-on therapy in drug-naive adolescents with *** We studied drug-naïve adolescents with OCD,using a Children’s Yale-Brown obsessive-compulsive scale(CY-BOCS)scale to assess their *** active and sham groups were given fluoxetine,and we applied cathode and anode over the supplementary motor area and deltoid for 20 min in 10 *** occurred at 2,6,and 12 wk using *** Eighteen adolescents completed the study(10-active,8-sham group).CY-BOCS scores from baseline to 12 wk reduced significantly in both groups but change at baseline to 2 wk was significant in the active group *** mean change at 2 wk was more in the active group(11.8±7.77 vs 5.25±2.22,P=0.056).Adverse effects between the groups were *** tDCS is safe and well tolerated for the treatment of OCD in ***,there is a need for further studies with a larger sample population to confirm the effectiveness of tDCS as early augmentation in OCD in this population.

关键词： Adolescents Early augmentation Obsessive compulsive disorder Safety Transcranial direct current stimulation

Explainable Artificial Intelligence(XAI)Model for Cancer Image Classification

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Computer Modeling in Engineering & Sciences 2024年第10期141卷 401-441页

作者： Amit Singhal Krishna Kant agrawal Angeles Quezada Adrian Rodriguez Aguiñaga Samantha Jiménez Satya Prakash Yadav Department of Computer Science&Engineering Raj Kumar Goel Institute of TechnologyGhaziabad201017India Department of School of Computing Science and Engineering Galgotias UniversityGreater Noida203201India Tecnológico Nacional de México Campus Tijuana Baja California22414México Universidad Autónoma de Baja California TijuanaBaja California22414México Department of Computer Science and Engineering G.LBajaj Institute of Technology and Management(GLBITM)Affiliated to Dr.A.P.J.Abdul Kalam Technical UniversityLucknow201306India School of Computer Science Engineering and Technology(SCSET) Bennett UniversityGreater Noida201310India

The use of Explainable Artificial Intelligence(XAI)models becomes increasingly important for making decisions in smart healthcare *** is to make sure that decisions are based on trustworthy algorithms and that healthcare workers understand the decisions made by these *** models can potentially enhance interpretability and explainability in decision-making processes that rely on artificial ***,the intricate nature of the healthcare field necessitates the utilization of sophisticated models to classify cancer *** research presents an advanced investigation of XAI models to classify cancer *** describes the different levels of explainability and interpretability associated with XAI models and the challenges faced in deploying them in healthcare *** addition,this study proposes a novel framework for cancer image classification that incorporates XAI models with deep learning and advanced medical imaging *** proposed model integrates several techniques,including end-to-end explainable evaluation,rule-based explanation,and useradaptive *** proposed XAI reaches 97.72%accuracy,90.72%precision,93.72%recall,96.72%F1-score,9.55%FDR,9.66%FOR,and 91.18%*** will discuss the potential applications of the proposed XAI models in the smart healthcare *** will help ensure trust and accountability in AI-based decisions,which is essential for achieving a safe and reliable smart healthcare environment.

关键词： Explainable artificial intelligence artificial intelligence XAI healthcare cancer image classification

Patient-centric periodontal research:A pioneering application of patient-reported outcome measures

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World Journal of Clinical Cases 2024年第18期12卷 3281-3284页

作者： Amit Arvind agrawal Department of Peridontology and Implantology Mahatma Gandhi Vidyamandir’s Karmaveer Bhausaheb Hiray Dental College and HospitalNasik 422003India

Conventional dentistry or periodontal research often ignores the human component in favor of clinical outcomes and biological *** research is driven by the statistical significance of outcome parameters rather than the satisfaction level of the *** this context,patient-centric periodontal research(PCPR)is an approach that considers the patient´s feedback concerning their functional status,experience,clinical outcomes,and accessibility to their *** is argued that data self-reported by the patient might have low reliability owing to the confounding effect of their personal belief,cultural background,and social and economic ***,literature has shown that the incorporation of“patient-centric outcome”components considerably enhances the validity and applicability of research *** in the results of different studies might be due to the use of different and non-standardized assessment *** overcome this problem,this editorial enlists various reliable tools available in the *** conclusion,we advocate that the focus of researchers should shift from mere periodontal research to PCPR so that the results can be effectively applied in clinical settings and the therapeutic strategy can also change from mere periodontal therapy to patient-centric periodontal therapy.

关键词： Patient-centered care Clinical research Surrogate endpoints Quality of life Oral health Patient reported treatment outcomes

Evaluation of thyroid profile among children aged 1-15 years with nephrotic syndrome:An observation study

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World Journal of Clinical Pediatrics 2024年第3期13卷 34-39页

作者： Priyanka Kumari Amit agrawal Jyotsna Shrivastava Department of Pediatrics Gandhi Medical CollegeBhopal 462030India Department of Pediatrics Gandhi Medical CollegeHamidia Hospital CampusBhopal 462022India

BACKGROUND The interaction between the kidney and the thyroid is important for normal function of both *** nephrotic syndrome,proteinuria leads to loss of several proteins,which in turn causes *** To assess the thyroid function in children with nephrotic *** This cross-sectional study was conducted in a tertiary center,Bhopal,from February 2020 to January *** children aged 1-15 years admitted with nephrotic syndrome(first-time diagnosed and all relapse cases)were included in the study.A thyroid profile was sent along with routine investigations,and thyroid hormone status was assessed in nephrotic syndrome *** Of the 70 patients,39(55.7%)showed abnormal thyroid profiles;19(27.1%)had overt hypothyroidism,and 20(28.6%)had subclinical *** hypothyroidism was seen in 16.1%of newly diagnosed cases,40%of second relapses,and 2.7%of frequently relapsed cases(P<0.001).The mean serum free T3 and free T4 levels in frequent relapses were 2.50±0.39 ng/dL and 0.78±0.12 ng/dL,respectively,which were significantly lower than in newly diagnosed cases(2.77±0.37 ng/dL and 0.91±0.19 ng/dL,respectively).The mean thyroidstimulating hormone(TSH)level was significantly higher in frequent relapses (5.86±1.56μIU/mL)and second relapse(5.81±1.78μIU/mL)than in newly diagnosed cases(4.83±0.76μIU/mL)and first relapse cases(4.74±1.17μIU/mL),(P<0.01).CONCLUSION An abnormal thyroid profile was commonly observed in children with nephrotic syndrome,and overt hypothyroidism was more common in frequent relapse ***,thyroid screening should be a part of the management of nephrotic syndrome so that hypothyroidism can be detected and managed at an early stage.

关键词： Nephrotic syndrome Hypothyroidism Proteinuria Children Steroid-sensitive nephrotic syndrome Steroidresistant nephrotic syndrome

Location Prediction from Social Media Contents using Location Aware Attention LSTM Network

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Journal of Harbin Institute of Technology(New series) 2024年

作者： Madhur Arora Sanjay agrawal Ravindra Patel Department of Computer Application， National Institute of Technical Teachers Training and Research Department of Computer Application， University Institute of Technology， Rajiv Gandhi Proudyogiki Vishwavidyalaya

Location prediction in social media， a growing research field， employs machine learning to identify users’ locations from their online activities. This technology， useful in targeted advertising and urban planning， relies on natural language processing to analyze social media content and understand the temporal dynamics and structures of social networks. A key application is predicting a Twitter user’s location from their tweets， which can be challenging due to the short and unstructured nature of tweet text. To address this challenge， the research introduces a novel machine learning model called the location-aware attention LSTM (LAA-LSTM). This hybrid model combines a Long Short-Term Memory (LSTM) network with an attention mechanism. The LSTM is trained on a dataset of tweets， and the attention network focuses on extracting features related to latitude and longitude， which are crucial for pinpointing the location of a user’s tweet. The result analysis shows approx. 10% improvement in accuracy over other existing machine learning approaches.

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Minimum 10-year follow-up outcomes of arthroscopic Bankart’s repair with metallic anchors:Reliable results with low redislocation rates

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World Journal of Methodology 2024年第2期14卷 88-96页

作者： Prateek Kumar Gupta Vishesh Khanna Nikunj agrawal Pratyaksh Gupta Department of Sports Medicine Sir Ganga Ram HospitalNew Delhi 110060India Department of Trauma and Orthopdaedics Wirral University Teaching Hospital NHS Foundation TrustWirral CH495PEUnited Kingdom Sports Medicine Sir Ganga Ram HospitalSir Ganga Ram Hospital MargRajinder NagarNew Delhi 110060India Department of Orthopaedics Sir Ganga Ram HospitalNew Delhi 110060India

BACKGROUND With stiff competition from alternative albeit more expensive counterparts,it has become important to establish the applicability of metallic anchors for shoulder instability in the modern *** can be accomplished,in part,by analysing long-term *** To analyse minimum 10-year outcomes from 30 patients following arthroscopic anterior stabilisation using metallic *** Prospectively collected data from arthroscopic Bankart repairs performed using metal anchors during 2007P-2010 were retrospectively analysed in this singlesurgeon *** data collection included historical and clinical findings,dislocation details,operative specifics,and follow-up radiological and clinical findings including shoulder *** primary outcomes were patientreported scores(Constant,American Shoulder and Elbow Surgeons[ASES],and Rowe scores)and pain and instability on a visual analogue scale(VAS).RESULTS A 3% recurrence rate of dislocation was noted at the final *** constant scores at 10 years postoperatively measured between 76 and 100(mean 89)were significantly better than preoperative scores(mean 62.7).Congruous improvements were also noted in the Rowe and ASES scores and VAS at the 10-year *** Reliable long-term outcomes with metallic anchors in surgery for shoulder instability can be *** results provide additional evidence of their continued,cost-effective presence in the modern scenario.

关键词： Long-term outcomes Arthroscopic Bankart repair Metallic anchors Low failure rates

Incidence of exclusive extrapelvic skeletal metastasis in prostate carcinoma on bone scintigraphy

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World Journal of Radiology 2024年第7期16卷 265-273页

作者： Parneet Singh Kanhaiyalal agrawal Ashique Rahman Tejasvini Singhal Girish Kumar Parida Gopinath Gnanasegaran Department of Nuclear Medicine All India Institute of Medical SciencesBhubaneshwar 751019OdishaIndia Department of Nuclear Medicine Royal Free HospitalLondon NW32QGUnited Kingdom

BACKGROUND Bone is one of the common sites of metastasis from prostate *** scintigraphy(BS)is one of the most sensitive imaging modalities currently used for bone metastatic *** metastasis in prostate carcinoma commonly involves pelvic bones but rarely involves extrapelvic-extraspinal *** To retrospectively analyze the BS data to determine the pattern of skeletal metastases in the prostate *** This retrospective observational study involves patients with biopsy-proven prostate carcinoma referred for BS for staging *** with abnormal BS were evaluated for the pattern of skeletal involvement and data were pre-sented in descriptive format in the form of *** A total of 150 patients with biopsy-proven prostate cancer who were referred for staging were included in the *** of 150 patients(8.67%)had no abnormal uptake on planar images,ruling out metastatic ***-four patients(16%)had heterogeneous uptake in the spine with distribution charac-teristic of degenerative disease and no scan pattern of metastatic *** patients(20%)had multifocal uptake involving both pelvic and extra pelvic bones on planar images typical for skeletal metastasis and were considered ***-three out of 150 patients(55.3%)had increased tracer uptake,which was indeterminate,thus,single photon emission computed tomography-computed tomography(SPECT-CT)was acquired,which showed 51 with metastatic disease,31 benign lesions,and one indeterminate *** of 150 patients had exclusive pelvic bone uptake,which was found to be metastatic in 4/7 patients in *** six out of 150 patients showed exclusive extrapelvic tracer uptake,of which only 3 had vertebral metastatic *** of the patients with increased uptake exclusively in the extrapelvic-extraspinal location was *** The incidence of exclusive extrapelvic skeletal metastatic disease in prostate carcinom

关键词： Pelvic Prostate cancer Bone scan Single photon emission computed tomography-computed tomography Skeletal metastasis