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Early versus delayed necrosectomy in pancreatic necrosis:A population-based cohort study on readmission,healthcare utilization,and in-hospital mortality

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World Journal of Methodology 2024年第3期14卷 55-67页

作者： Hassam Ali Faisal Inayat Vinay Jahagirdar Fouad Jaber Arslan Afzal Pratik Patel Hamza Tahir muhammad Sajeel Anwar Attiq Ur Rehman muhammad Sarfraz Ahtshamullah Chaudhry Gul Nawaz Dushyant Singh Dahiya amir H Sohail muhammad Aziz Division of Gastroenterology and Hepatology East Carolina University Brody School of MedicineGreenvilleNC 27834United States Department of Internal Medicine Allama Iqbal Medical CollegeLahorePunjab 54550Pakistan Department of Internal Medicine University of Missouri-Kansas CityKansas CityMO 64108United States Division of Gastroenterology Mather Hospital and Zucker School of Medicine at Hofstra UniversityPort JeffersonNY 11777United States Department of Internal Medicine Jefferson Einstein HospitalPhiladelphiaPA 19141United States Department of Internal Medicine UHS Wilson Medical CenterJohnson CityNY 13790United States Division of Gastroenterology and Hepatology Geisinger Wyoming Valley Medical CenterWilkes-BarrePA 18711United States Department of Internal Medicine St.Dominic's HospitalJacksonMS 39216United States Division of Gastroenterology Hepatologyand MotilityThe University of Kansas School of MedicineKansas CityKS 66160United States Department of Surgery University of New Mexico School of MedicineAlbuquerqueNM 87106United States Division of Gastroenterology and Hepatology The University of ToledoToledoOH 43606United States

BACKGROUND Acute necrotizing pancreatitis is a severe and life-threatening *** poses a considerable challenge for clinicians due to its complex nature and the high risk of *** minimally invasive and open necrosectomy procedures have been *** advancements in treatment modalities,the optimal timing to perform necrosectomy lacks *** To evaluate the impact of necrosectomy timing on patients with pancreatic necrosis in the United *** A national retrospective cohort study was conducted using the 2016-2019 Nationwide Readmissions *** with non-elective admissions for pancreatic necrosis were *** participants were divided into two groups based on the necrosectomy timing:The early group received intervention within 48 hours,whereas the delayed group underwent the procedure after 48 *** various intervention techniques included endoscopic,percutaneous,or surgical *** major outcomes of interest were 30-day readmission rates,healthcare utilization,and inpatient *** A total of 1309 patients with pancreatic necrosis were *** propensity score matching,349 cases treated with early necrosectomy were matched to 375 controls who received delayed *** early cohort had a 30-day readmission rate of 8.6% compared to 4.8%in the delayed cohort(P=0.040).Early necrosectomy had lower rates of mechanical ventilation(2.9%vs 10.9%,P<0.001),septic shock(8%vs 19.5%,P<0.001),and in-hospital mortality(1.1%vs 4.3%,P=0.01).Patients in the early intervention group incurred lower healthcare costs,with median total charges of $52202 compared to$147418 in the delayed *** in the early cohort also had a relatively shorter median length of stay(6 vs 16 days,P<0.001).The timing of necrosectomy did not significantly influence the risk of 30-day readmission,with a hazard ratio of 0.56(95%confidence interval:0.31-1.02,P=0.06).CONCLUSION Our findings show that

关键词： Acute necrotizing pancreatitis Pancreatic necrosis Early necrosectomy Delayed necrosectomy Readmission,Healthcare costs Mortality

Risk factors and outcomes of peptic ulcer bleed in a Pakistani population:A single-center observational study

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World Journal of Gastrointestinal Pharmacology and Therapeutics 2024年第3期15卷 1-9页

作者： Nazish Butt muhammad Tayyab Usmani Nimrah Mehak Saba Mughal Fakhar Ali Qazi-Arisar Ghulam Mohiuddin Gulzar khan Department of Gastroenterology Jinnah Postgraduate Medical CentreKarachi 75505SindhPakistan National Institute of Liver&GI Diseases Dow University of Health SciencesKarachi 75330SindhPakistan School of Public Health Dow University of Health SciencesKarachi 75330SindhPakistan

BACKGROUND Peptic ulcer disease(PUD)remains a significant healthcare burden,contributing to morbidity and mortality *** advancements in therapies,its prevalence persists,particularly in regions with widespread nonsteroidal antiinflammatory drugs(NSAIDs)use and Helicobacter pylori *** To comprehensively analyse the risk factors and outcomes of PUD-related upper gastrointestinal(GI)bleeding in Pakistani *** This retrospective cohort study included 142 patients with peptic ulcer bleeding who underwent upper GI endoscopy from January to December *** on demographics,symptoms,length of stay,mortality,re-bleed,and Forrest classification was *** The mean age of patients was 53 years,and the majority was men(68.3%).Hematemesis(82.4%)and epigastric pain(75.4%)were the most common presenting *** patients(73.2%)were discharged within five *** mortality rates at one week and one month were 10.6%and 14.8%,***-bleed within 24 h and seven days occurred in 14.1%and 18.3%of patients,*** ulcers were Forrest class(FC)Ⅲ(72.5%).Antiplatelet use was associated with higher mortality at 7 and 30 d,while alternative medications were linked to higher 24-hour re-bleed *** use was associated with more FCⅢ***-bleed at 24 h and 7 d was strongly associated with one-week or one-month *** Antiplatelet use and rebleeding increase the risk of early mortality in PUD-related upper GI bleeding,while alternative medicines are associated with early rebleeding.

关键词： Non variceal bleed Mortality Re-bleed Forrest classification Antiplatelets Alternative medicines

The Spherical q-Linear Diophantine Fuzzy Multiple-Criteria Group Decision-Making Based on Differential Measure

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Computer Modeling in Engineering & Sciences 2024年第2期138卷 1925-1950页

作者： Huzaira Razzaque Shahzaib Ashraf muhammad Naeem Yu-Ming Chu Institute of Mathematics Khwaja Fareed University of Engineering&Information TechnologyRahim Yar Khan64200Pakistan Department of Mathematics Deanship of Applied SciencesUmm Al-Qura UniversityMeccaSaudi Arabia Department of Mathematics Huzhou UniversityHuzhou313000China

Spherical q-linearDiophantine fuzzy sets(Sq-LDFSs)provedmore effective for handling uncertainty and vagueness in multi-criteria decision-making(MADM).It does not only cover the data in two variable parameters but is also beneficial for three parametric *** Pythagorean fuzzy sets,the difference is calculated only between two parameters(membership and non-membership).According to human thoughts,fuzzy data can be found in three parameters(membership uncertainty,and non-membership).So,to make a compromise decision,comparing Sq-LDFSs is *** measures of different fuzzy sets do,however,can have several flaws that can lead to counterintuitive *** instance,they treat any increase or decrease in the membership degree as the same as the non-membership degree because the uncertainty does not change,even though each parameter has a different *** the Sq-LDFSs comparison,this research develops the differentialmeasure(DFM).Themain goal of the DFM is to cover the unfair arguments that come from treating different types of FSs opposing criteria *** to their relative positions in the attribute space and the similarity of their membership and non-membership degrees,two Sq-LDFSs formthis preference connectionwhen the uncertainty remains same in both *** to the degree of superiority or inferiority,two Sq-LDFSs are shown as identical,equivalent,superior,or inferior over one *** suggested DFM’s fundamental characteristics are *** on the newly developed DFM,a unique approach tomultiple criterion group decision-making is *** suggestedmethod verifies the novel way of calculating the expert weights for Sq-LDFSS as in *** proposed technique in three parameters is applied to evaluate solid-state drives and choose the optimum photovoltaic cell in two applications by taking uncertainty parameter *** method’s applicability and validity shown by the findings are contrasted with those obtained using various

关键词： Multi-criteria group decision-making spherical q-linear Diophantine fuzzy sets differencemeasures photovoltaic cells medical diagnosis

Change in mean postoperative pain in patients undergoing tonsillectomy with cold water versus usual practice:A pragmatic trial

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2024年第1期10卷 24-28页

作者： Haissan Iftikhar Nida Zahid Adan Zubair Mohammad Wasif Nabeel N.Baig Khadijah Abid muhammad Ozair Awan muhammad Sohail Awan Department of Otolaryngology Queen Elizabeth HospitalBirminghamUK Department of Surgery Aga Khan University HospitalKarachiPakistan College of Physicians and Surgeons Higher Education CommissionKarachiPakistan Department of UGME Aga Khan UniversityKarachiPakistan

Introduction:Tonsillectomy is one of the most common procedures performed in *** are various methods to perform tonsillectomies(cold and hot).Thermal damage and inflammation of the surrounding tissue using monopolar cautery is said to point to increased pain whereas immediate cooling of the burnt area is thought to reduce pain owing to heat *** objective was to determine the difference in mean post‐tonsillectomy pain scores among patients irrigated with cold water(4℃)and in patients not irrigated with cold *** and Methods:A quasi‐experimental trial was conducted from January 2016 to December 2017 at a tertiary care *** tonsillectomies were carried out with monopolar cautery at a power of 20 *** either received cold water irrigation post tonsillectomy of the tonsillar bed(intervention arm)or no irrigation(control arm).The pain score was measured on Days 0,1,3,5,and *** scores were charted on a visual analog scale on the respective ***:Seventy‐eight patients were included in the *** mean age of our patients was 10.26(4.24)years old in the intervention arm,and 11.95(4.19)years old in the control *** was observed that the pain was significantly lower in patients with cold water irrigation of the tonsillar fossa on Days 1,3,5,and 7(p=0.001).There were no readmissions postprocedure and none of our patients developed any complications ***:In this trial,we report a reduced pain score at all days of observation in the intervention *** of the tonsillar fossa is a safe,cost-effective,and less technically demanding technique that could be employed to reduce postoperative *** studies with randomization,blinding and a larger sample size could further improve on our results.

关键词： cold water tonsillectomy monopoalr tonsillectomy postoperative pain tonsillectomy

Enhancing Energy Efficiency with a Dynamic Trust Measurement Scheme in Power Distribution Network

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Computers, Materials & Continua 2024年第3期78卷 3909-3927页

作者： Yilei Wang Xin Sun Guiping Zheng Ahmar Rashid Sami Ullah Hisham Alasmary muhammad Waqas Zhejiang Electric-Power Corporation Research Institute Zhejiang310014China Faculty of Information Technology Beijing University of TechnologyBeijing100124China Beijing Trusty Cloud Technology Co. Ltd.Beijing100022China Department of Computer Science and Engineering Ghulam Ishaq Khan Institute of Engineering Sciences and EngineeringTopi23640Pakistan Department of Computer Science Shaheed Benazir Bhutto UniversitySheringalUpper Dir18050Pakistan Department of Computer Science College of Computer ScienceKing Khalid UniversityAbha61421Saudi Arabia School of Computing and Mathematical Science Faculty of Engineering and ScienceUniversity of GreenwichLondonSE109LSUK School of Engineering Edith Cowan UniversityPerth6027Australia

The application of Intelligent Internet of Things(IIoT)in constructing distribution station areas strongly supports platform transformation,upgrade,and intelligent *** sensing layer of IIoT comprises the edge convergence layer and the end sensing layer,with the former using intelligent fusion terminals for real-time data collection and ***,the influx of multiple low-voltage in the smart grid raises higher demands for the performance,energy efficiency,and response speed of the substation fusion ***,it brings significant security risks to the entire distribution substation,posing a major challenge to the smart *** response to these challenges,a proposed dynamic and energy-efficient trust measurement scheme for smart grids aims to address these *** scheme begins by establishing a hierarchical trust measurement model,elucidating the trust relationships among smart IoT *** then incorporates multidimensional measurement factors,encompassing static environmental factors,dynamic behaviors,and energy *** comprehensive approach reduces the impact of subjective factors on trust ***,the scheme incorporates a detection process designed for identifying malicious low-voltage end sensing units,ensuring the prompt identification and elimination of any malicious ***,in turn,enhances the security and reliability of the smart grid *** effectiveness of the proposed scheme in pinpointing malicious nodes has been demonstrated through simulation ***,the scheme outperforms established trust metric models in terms of energy efficiency,showcasing its significant contribution to the field.

关键词： IIoT trusted measure energy efficient

Road to recompensation:BavenoⅦcriteria and transjugular intrahepatic portosystemic shunt in liver cirrhosis

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World Journal of Gastroenterology 2024年第32期30卷 3743-3747页

作者： muhammad Aarish Anis Ammara Abdul Majeed Shahab Abid Department of Medicine Section of GastroenterologyAga Khan University HospitalSindhKarachi 74800Pakistan

Liver cirrhosis has long been considered a point of no return,with limited hope for ***,recent advancements,particularly the Baveno VII criteria and the utilization of transjugular intrahepatic portosystemic shunt(TIPS),have illuminated the concept of hepatic *** this editorial we comment on the article by Gao et al published in the recent *** editorial provides a comprehensive overview of the evolution of understanding cirrhosis,the criteria for recompensation,and the efficacy of TIPS in achieving *** discuss key findings from recent studies,including the promising outcomes observed in patients who achieved recompensation post-TIPS *** further research is needed to validate these findings and elucidate the mechanisms underlying recompensation,the insights presented here offer renewed hope for patients with decompensated cirrhosis and highlight the potential of TIPS as a therapeutic option in their management.

关键词： Decompensated hepatic cirrhosis Hepatic recompensation Transjugular intrahepatic portosystemic shunt Variceal bleeding Refractory ascites

Facile synthesis of graphene anchored rare earth doped mixed metal ferrite nanorods:A potential candidate for azo dye mineralization

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Journal of Rare Earths 2024年第5期42卷 907-916,I0004页

作者： Tehmina Kousar muhammad Aadil Sonia Zulfiqar Sobhy MIbrahim Sidra Mubeen Warda Hassan Kashuf Shafiq Farzana Mahmood Institute of Chemical Sciences Bahauddin Zakariya UniversityMultan60800Pakistan Department of Chemistry Rahim Yar Khan CampusThe Islarnia University of BahawalpurRahim Yar Khan64200Pakistan Department of Chemistry Faculty of ScienceUniversity of Ostrava30.Dubna 22Ostrava70103Czech Republic Department of Chemical and Biological Engineering Iowa State UniversitySweeney Hall618 Bissell RoadAmeslowa50011United States Department of Biochemistry College of ScienceKing Saud UniversityPO.Box 2455Riyadh11451Saudi Arabi Department of Chemistry The Women University Multan66000Pakistan

Bandgap tuning using rare earth metals as dopants in ferrite-based photocatalytic materials has received a lot of interest because the Fermi 4f energy of these metals generates a sub-energy state in the bandgap generated by the overlapping of Fe-3d and O-2p ***,dysprosium-doped cobalt-nickel mixed ferrite(D-CNFO)and its graphene-reinforced composite(D-CNFO@G)were prepared and an ideal photocatalyst material for azo dye mineralization was proposed.A cost-effective combination of wetchemical and ultrasonication methods was used to prepare the doped and composite *** characterization methodologies were used to scrutinize the optical,compositional,structural,morphological,and photocatalytic characteristics of as-prepared *** X-ray diffraction analysis identified the spinel phase's(cubic)structure,while the electronic spectroscopy examination confirmed the prepared samples'rod-like *** UV/visible absorbance spectrum shows the higher light harvesting behavior of the D-CNFO@G in the visible *** mineralization performance of the DCNFO and D-CNFO@G composites was analyzed using Congo-red(an anionic dye),a well-known azo *** D-CNFO@G sample removes Congo-red dye at a rate almost 2.4%faster than the D-CNFO *** experiment involving trapping free radicals indicates that hydroxyl radical play s a crucial role in dye *** the D-CNFO@G catalyst is magnetic and can be isolated easily from the photocatalytic system,it shows an awkward cycle activity of more than 96%after five mineralization *** asprepared D-CNFO@G composite is proved as an excellent option for azo dye mineralization because of the combined impacts of rare earth doping,graphene reinforcement and nanotechnology.

关键词： azo-dye Composite Graphene Dy-doped Nanotechnology Rare earths

Soil erosion susceptibility mapping of Hangu Region,Kohat Plateau of Pakistan using GIS and RS-based models

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Journal of Mountain Science 2024年第8期21卷 2547-2561页

作者： Fakhrul ISLAM Liaqat Ali WASEEM Tehmina BIBI Waqar AHMAD muhammad SADIQ Matee ULLAH Walid SOUFAN Aqil TARIQ Department of Geology Khushal Khan Khattak UniversityKarak 27200Pakistan Department of Geography Government College University FaisalabadPunjab 38000Pakistan Institute of Geology The University of Azad Jammu&KashmirMuzaffarabad 13100Pakistan Department of Earth Sciences Changan UniversityXi’an 710003China NCEG University of PeshawarPeshawar 25120Pakistan Faculty of Earth Sciences Geography and AstronomyUniversity of ViennaVienna 1090Austria Plant Production Department College of Food and Agriculture SciencesKing Saud UniversityRiyadh 11451Saudi Arabia Department of Wildlife Fisheries and AquacultureCollege of Forest ResourcesMississippi State UniversityMS 39762USA

Soil erosion is a crucial geo-environmental hazard worldwide that affects water quality and agriculture,decreases reservoir storage capacity due to sedimentation,and increases the danger of flooding and ***,this study uses geospatial modeling to produce soil erosion susceptibility maps(SESM)for the Hangu region,Khyber Pakhtunkhwa(KPK),*** Hangu region,located in the Kohat Plateau of KPK,Pakistan,is particularly susceptible to soil erosion due to its unique geomorphological and climatic ***,the Hangu region is characterized by a combination of steep slopes,variable rainfall patterns,diverse land use,and distinct soil types,all of which contribute to the complexity and severity of soil erosion *** factors necessitate a detailed and region-specific study to develop effective soil conservation *** this research,we detected and mapped 1013 soil erosion points and prepared 12 predisposing factors(elevation,aspect,slope,Normalized Differentiate Vegetation Index(NDVI),drainage network,curvature,Land Use Land Cover(LULC),rainfall,lithology,contour,soil texture,and road network)of soil erosion using GIS ***,GIS-based statistical models like the weight of evidence(WOE)and frequency ratio(FR)were applied to produce the SESM for the study *** SESM was reclassified into four classes,i.e.,low,medium,high,and very high *** results of WOE for SESM show that 16.39%,33.02%,29.27%,and 21.30%of areas are covered by low,medium,high,and very high zones,*** contrast,the FR results revealed that 16.50%,24.33%,35.55%,and 23.59%of the areas are occupied by low,medium,high,and very high ***,the reliability of applied models was evaluated using the Area Under Curve(AUC)*** validation results utilizing the area under curve showed that the success rate curve(SRC)and predicted rate curve(PRC)for WOE are 82%and 86%,respectively,while SRC and PRC for FR are 85%and 96%,res

关键词： Soil erosion Geospatial technology Statistical models Hangu Pakistan

Fractal Fractional Order Operators in Computational Techniques for Mathematical Models in Epidemiology

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Computer Modeling in Engineering & Sciences 2024年第2期138卷 1385-1403页

作者： muhammad Farman Ali Akgül Mir Sajjad Hashemi Liliana Guran Amelia Bucur Institue of Mathematics Khwaja Fareed University of Enginnering and Information TechnologyRaheem Yar KhanPakistan Department of Computer Science and Mathematics Lebanese American UniversityBeirutLebanon Department of Mathematics Art and Science FacultySiirt UniversitySiirt56100Turkey Department of Mathematics Mathematics Research CenterNear East UniversityNicosiaTurkey Department of Computer Engineering Biruni UniversityIstanbul34010Turkey Department of Hospitality Services Babes-Bolyai UniversityCluj-Napoca400174Romania Department of Pharmaceutical Sciences Vasile Goldi竤Western University of AradArad310025Romania Department of Mathematics and Informatics Faculty of SciencesLucian Blaga University of SibiuSibiu550012Romania Department of Electronics and Communication Engineering Saveetha School of EngineeringSIMATSChennaiTamilnaduIndia

New fractional operators, the COVID-19 model has been studied in this paper. By using different numericaltechniques and the time fractional parameters, the mechanical characteristics of the fractional order model areidentified. The uniqueness and existence have been established. Themodel’sUlam-Hyers stability analysis has beenfound. In order to justify the theoretical results, numerical simulations are carried out for the presented methodin the range of fractional order to show the implications of fractional and fractal *** applied very effectivenumerical techniques to obtain the solutions of themodel and simulations. Also, we present conditions of existencefor a solution to the proposed epidemicmodel and to calculate the reproduction number in certain state conditionsof the analyzed dynamic system. COVID-19 fractional order model for the case of Wuhan, China, is offered foranalysis with simulations in order to determine the possible efficacy of Coronavirus disease transmission in theCommunity. For this reason, we employed the COVID-19 fractal fractional derivative model in the example ofWuhan, China, with the given beginning conditions. In conclusion, again the mathematical models with fractionaloperators can facilitate the improvement of decision-making for measures to be taken in the management of anepidemic situation.

关键词： COVID-19 model fractal-fractional operator Ulam-Hyers stability existence and uniqueness numerical simulation