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Intricacies during pregnancy with gestational diabetes mellitus

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World Journal of Clinical Cases 2025年第1期13卷 62-64页

作者： Richa Rattan Rimesh Pal parul Chawla Gupta Arvind Kumar Morya Ripunjay Prasad Department of Endocrinology Post Graduate Institute of Medical Education and ResearchChandigarh 160012India Department of Ophthalmology Post Graduate Institute of Medical Education and ResearchChandigarh 160012PunjabIndia Department of Ophthalmology All India Institute of Medical SciencesHyderabad 508126TelanganaIndia Department of Ophthalmology RP Eye InstituteDelhi 110001India

The study by Cao et al aimed to identify early second-trimester biomarkers that could predict gestational diabetes mellitus(GDM)development using advanced proteomic techniques,such as Isobaric tags for relative and absolute quantitation isobaric tags for relative and absolute quantitation and liquid chromatography-mass spectrometry liquid chromatography-mass *** analysis revealed 47 differentially expressed proteins in the GDM group,with retinol-binding protein 4 and angiopoietin-like 8 showing significantly elevated serum levels compared to *** these findings are promising,the study is limited by its small sample size(n=4 per group)and lacks essential details on the reproducibility and reliability of the protein quantification methods ***,the absence of experimental validation weakens the interpretation of the protein-protein interaction network identified through bioinformatics *** study's focus on second-trimester biomarkers raises concerns about whether this is a sufficiently early period to implement preventive interventions for *** GDM risk during the first trimester or pre-conceptional period may offer more clinical *** its limitations,the study presents valuable insights into potential GDM biomarkers,but larger,well-validated studies are needed to establish their predictive utility and generalizability.

关键词： Gestational diabetes mellitus Biomarkers Differentially expressed proteins Retinol-binding protein 4 Angiopoietin-like 8 Proteomics Lifestyle interventions Early prediction

Determination of Some Ethnomedicinally Important Constituents of Aegle marmelos Fruit During Different Stages of Ripening

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中国天然药物 2011年第3期9卷 204-209页

作者： Nisha yadav parul Singh Ranjana Mehrotra Quantum Optics and Photon Physics National Physical Laboratory(Council of Scientific and Industrial Research)K.S.Krishnan MargNew Delhi 110012India

AIM:Aegle marmelos is a medicinal herb belonging to the Rutacae *** fruit of *** at each stage of ripening is used as ethnomedicine to cure various *** aim of the present study was to determine the components contributing to the medicinal value of the *** fruit at different stages of ***:High-performance liquid chromatography(HPLC)was used to determine polyphenol,vitamins,organic acids and sugars in *** fruit at different stages of ***:Tannin,a polyphenol responsible for astringent and antimicrobial properties of *** fruit was found to increase during ***,a vital medicinal component was detected in traceable amount only in full-ripe *** ***-vin contributes towards body growth,reproduction and red cell *** content of ascorbic acid(vitamin C)which is useful in preventing scurvy decreased significantly as fruit ***:The difference in the medicinal effect of *** fruit at each stage of ripening might be due to the presence of different amount of polyphenol,vitamins and organic acids.

关键词： Aegle marmelos Ripening HPLC Tannin Vitamins

MATHEMATICAL MODELING OF QUINTIC DUFFING EQUATION AND NUMERICAL SIMULATION USING MULTIPLE SCALES MODIFIED LINDSTEDT–POINCARE METHOD

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International Journal of Modeling, Simulation, and Scientific Computing 2012年第3期3卷 21-37页

作者： MANOJ KUMAR parul Department of Mathematics Motilal Nehru National Institute of Technology Allahabad-211004 U.P.India

A perturbation algorithm Multiple Scales Modified Lindstedt–Poincare(MSMLP),combination of method of Multiple Scales and modified Lindstedt–Poincare is proposed for the solution of Quintic Duffing equation which combines the advantages of both the *** obtained by the MSMLP method is compared with the Multiple Scales method and accurate closed form approximate solution of the Quintic Duffing *** proposed method produces better results for a wide range of amplitude values of oscillations and strong *** simulation has been performed in MATHEMATICA 7.0.

关键词： Perturbation methods multiple scales method modified Lindstedt-Poincare method perturbation problems.

Current and New Drugs for COVID-19 Treatment and Its Effects on the Liver

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Journal of Clinical and Translational Hepatology 2021年第3期9卷 436-446页

作者： Sandeep Satsangi Nitin Gupta parul Kodan Department of Apollo comprehensive Liver Care Apollo HospitalBangaloreKarnatakaIndia Department of Infectious Diseases Kasturba Medical CollegeManipal Academy of Higher EducationManipalKarnatakaIndia Department of Medicine All India Institute of Medical SciencesNew DelhiIndia

Corona virus disease(COVID)-19 is caused by the novel severe acute respiratory syndrome coronavirus-2(commonly referred to as SARS-CoV-2).In March 2020,the World Health Organization declared the COVID-19 outbreak a *** the target organ for the virus is primarily the lungs,with the recent understanding of the pathobiology of this disease and the immune dysregulation associated with it,it is now clear that COVID-19 affects multiple organ *** drugs and therapies have been tried or repurposed to combat the wrath posed by this *** October 22,2020,the USA Food and Drug Administration approved remdesivir for use in adults and pediatric patients(12 years of age and older).Several of the drugs being tried against COVID-19 have hepatotoxicity as their potential side *** review aims to provide the latest insights on various drugs being used in the treatment of COVID-19 and their effects on the liver.

关键词： COVID-19 Drugs Liver Drug-induced liver injury

Development of a physiologically relevant dripping analytical method using simulated nasal mucus for nasal spray formulation analysis

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Journal of Pharmaceutical Analysis 2016年第5期6卷 283-291页

作者： Tina Masiuk parul Kadakia Zhenyu Wang Respiratory Product Development Merck Research Laboratories Merck & Co.Inc.

Current methods for nasal spray formulations have been elementary evaluating the dripping characteristics of a formulation and have not assessed the behavior of the nasal formulation in the presence of varying types of mucus depending on the indication or diseased state. This research investigated the effects of nasal mucus on the dripping behavior of nasal formulations and focused on developing an improved in vitro analytical test method that is more physiologically relevant in characterizing nasal formulation dripping behavior. Method development was performed using simulated nasal mucus preparations for both healthy and diseased states as coatings for the dripping experiment representing a wide range of viscosity. Factors evaluated during development of this in vitro test method included amount of mucus, application of mucus, drying times, and compatibility of the mucus on a C18 Thin Layer Chromatography(TLC) substrate. The dripping behavior of nasal formulations containing a range of 1%Avicel to 3.5% Avicel was assessed by actuating the nasal spray on a perpendicular TLC plate coated with either healthy or diseased simulated nasal mucus. After actuation of the nasal spray, the dripping of the formulation on the coated TLC plate was measured after the plate was repositioned vertically. The method that was developed generated reproducible results on the dripping behavior of nasal formulations and provided critical information about the compatibility of the formulation with the nasal mucus for different diseased states, aiding in nasal spray formulation development and physical characterization of the nasal spray.

关键词： Nasal spray Nasal spray dripping method Nasal mucus Nasal formulation dripping

Virtual reality based apps are the future of patient:Counseling

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World Journal of Clinical Cases 2025年第6期13卷 58-60页

作者： Ranjan K Behera Arvind K Morya parul C Gupta Arshi Singh Department of Ophthalmology MMIMSR Mullana AmbalaAmbala 133207HaryānaIndia Department of Ophthalmology All India Institute of Medical SciencesHyderabad 508126TelanganaIndia Department of Ophthalmology Post Graduate Institute of Medical Education and ResearchChandigarh 160012PunjabIndia Department of Ophthalmology Guru Nanak Eye CentreNew Delhi 110001New DelhiIndia

The use of virtual reality to educate preoperative patients has a positive impact on nurses as well as patients undergoing *** can help improve patient satisfaction and improve favorable outcomes by reducing patient anxiety and proving adequate knowledge about the procedure and possible outcomes to the *** also reduces burden on nursing staff and *** and more diverse cohort studies will help us understand the wider application of this tool on the patient *** may be difficult to apply this tool on elderly patients with failing eyesight,multiple physical ***,there may be reduced acceptance of this modality by older nursing staff and practitioners who may prefer the traditional verbal version for *** will benefit from a combined approach of using virtual reality apps with tradition one-on-one counselling to help alleviate patient concerns and improve patient and healthcare professional satisfaction.

关键词： Nurse Patient Virtual reality Counselling Healthcare

Role of angiotensin converting enzyme and angiotensinogen gene polymorphisms in angiotensin converting enzyme inhibitor-mediated antiproteinuric action in type 2 diabetic nephropathy patients

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World Journal of Diabetes 2017年第3期8卷 112-119页

作者： Neerja Aggarwal Pawan Kumar Kare parul Varshney Om Prakash Kalra Sri Venkata Madhu Basu Dev Banerjee Anil yadav Alpana Raizada Ashok Kumar Tripathi Department of Medicine University College of Medical Sciences (University of Delhi) and Guru Teg Bahadur Hospital Department of Biochemistry University College of Medical Sciences (University of Delhi) and Guru Teg Bahadur Hospital Pt. B. D. Sharma University of Health Sciences

AIM To investigate the role of genetic variants of angiotensin converting enzyme(ACE) and angiotensinogen(AGT) genes in the antiproteinuric efficacy of ACE inhibitor therapy in diabetic nephropathy(DN) *** In the present study, 270 type 2 diabetes mellitus patients with nephropathy were enrolled and treated with ACE inhibitor(ramipril) and followed at 6 mo for renal function and albumin excretion by estimating serum creatinine, end stage renal disease, and albumin/creatinine ratio(ACR) in urine. Genotyping of ACE I/D and AGT M235 T polymorphisms were performed by using primer specific polymerase chain reaction(PCR) and PCR-RFLP techniques, respectively. RESULTS Forty-eight percent of DN patients(responders) benefited with respect to proteinuria from ACE inhibitor therapy at 6 mo follow-up. A significant reduction in ACR was observed after 6 mo treatment with ACE inhibitor irrespective of whether DN patients were micro-albuminuric(≥ 30 and < 300 mg/g creatinine) or macro-albuminuric(≥ 300 mg/g creatinine) at the time of enrollment. However, macro-albuminuric patients(55%) showed better response to therapy. A reduction in urinary ACR was found independent of genotypes of ACE I/D and AGT M235 T polymorphisms although macro-albuminuric patients having TT genotype showed statistically insignificant increased response(72%). CONCLUSION ACE inhibitor therapy reduced urinary ACR by ≥ 30% in 50% of DN patients and the response is independent of ACE I/D and AGT M235 T polymorphisms.

关键词： Diabetic nephropathy Angiotensin converting enzyme inhibitor therapy Renin-angiotensin-aldosterone system gene polymorphisms Responder Urinary albumin/creatinine ratio Albuminuria

Role of endoscopy in inflammatory bowel disease

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Gastroenterology Report 2018年第2期6卷 75-82,I0001页

作者： Shishira Bharadwaj Neeraj Narula parul Tandon Mohammad Yaghoobi Department of Gastroenterology/Hepatology Beth Israel Deaconess Medical Center330 Brookline AveBostonMA 02215USA Division of Gastroenterology McMaster University1280 Main St WHamiltonON L8S 4L8Canada Department of Medicine The Ottawa Hospital501 Smyth RdOttawaON K1H 8L6Canada

Crohn’s disease(CD)and ulcerative colitis(UC)constitute the twomost common phenotypes of inflammatory bowel disease(IBD).Ileocolonoscopy with biopsy has been considered the gold standard for the diagnosis of *** diagnosis of CD and UC is important,as theirmedical and surgical treatmentmodalities and prognoses can be ***,approximately 15%of patients with IBD aremisdiagnosed as IBD unclassified due to the lack of diagnostic certainty of CD or ***,there has been increased recognition of the role of the therapeutic endoscopist in the field of *** imaging techniques have been developed to aid in the differentiation of UC vs ***,endoscopic balloon dilation and stenting have become an integral part of the therapeutic armamentariumof CD *** ultrasound has been recognized as beingmore accurate thanmagnetic resonance imaging in detecting perianal fistulae in patientswith ***,chromoendoscopymay help to detect dysplasia earlier compared with white-light ***,interventional endoscopy has become a cornerstone in the diagnosis,treatment andmanagement of IBD *** role of endoscopy in the field of IBD has significantly evolved in recent years fromsmall-bowel imaging to endoscopic balloon dilation and use of chormoendoscopy in dysplasia *** this reviewarticle,we discuss the current evidence on interventional endoscopy in the diagnosis,treatment andmanagement of IBD compications.

关键词： Inflammatory bowel disease small-bowel imaging therapeutic endoscopy chromoendoscopy endoscopic balloon dilation

Performance analysis of deep learning CNN models for disease detection in plants using image segmentation

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Information Processing in Agriculture 2020年第4期7卷 566-574页

作者： parul Sharma Yash Paul Singh Berwal Wiqas Ghai Department of Computer Science and Engineering RIMT UniversityMandi Gobindgarh 147301India Additional Director Department of Technical EducationHaryanaIndia

Food security for the 7 billion people on earth requires minimizing crop damage by timely *** deep learningmodels forautomated detectionof diseases in plants suffer fromthe fatal flaw that once tested on independent data,their performance drops *** work investigates a potential solution to this problem by using segmented image data to train the convolutional neural network(CNN)*** compared to the F-CNN model trained using full images,S-CNN model trained using segmented imagesmore than doubles in performance to 98.6%accuracy when tested on independent data previously unseen by the models even with 10 disease *** only this,by using tomato plant and target spot disease type as an example,we show that the confidence of self-classification for S-CNN model improves significantly over F-CNN *** research work brings applicability of automated methods closer to non-experts for timely detection of diseases.

关键词： Machine learning Plant disease detection Image segmentation