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Liver transplantation as an alternative for the treatment of intrahepatic cholangiocarcinoma: Past, present, and future directions

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Hepatobiliary & Pancreatic Diseases International 2024年第2期23卷 129-138页

作者： sudha Kodali Ashton A Connor Souhail Thabet Elizabeth W Brombosz R Mark Ghobrial Sherrie and Alan Conover Center for Liver Disease and Transplantation Houston Methodist HospitalHoustonTX 77030USA JC Walter Jr Transplant Center Houston Methodist HospitalHoustonTX 77030USA Department of Medicine Weill Cornell Medical CollegeNew YorkNYUSA Department of Surgery Houston Methodist HospitalHoustonTX 77030USA Department of Surgery Weill Cornell Medical CollegeNew YorkNYUSA School of Medicine New Giza UniversityGizaEgypt

Intrahepatic cholangiocarcinoma(iCCA)is a rare biliary tract cancer with high mortality *** resection of the iCCA lesion is the first choice of treatment,with good prognosis after margin-negative ***,only 12%-40% of patients are eligible for resection at presentation due to cirrhosis,portal hypertension,or large tumor *** transplantation(LT)offers margin-negative iCCA extirpation for patients with unresectable ***,iCCA was a contraindication for LT until size-based selection criteria were introduced to identify patients with satisfied post-LT *** studies have shown that tumor biology-based selection can yield high post-LT survival in patients with locally advanced *** selection criterion is the tumor response to neoadjuvant *** with response to neoadjuvant therapy have better outcomes after LT compared with those without tumor response to neoadjuvant *** index that helps predict the treatment outcome is the *** survival outcomes have also opened the door for living donor LT for *** undergoing LT for iCCA now have statistically similar survival rates as patients undergoing *** combination of surgery and locoregional and systemic therapies improves the prognosis of iCCA patients.

关键词： Liver transplantation Cholangiocarcinoma Hepatectomy Transplant oncology Liver neoplasm

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Automatic area estimation of algal blooms in water bodies from UAV images using texture analysis

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Water Science and Engineering 2024年第1期17卷 62-71页

作者： Ajmeria Rahul Gundu Lokesh Siddhartha Goswami R.N.Ponnalagu Radhika sudha Department of Electrical and Electronics Engineering Birla Institute of Technology&SciencePilani Hyderabad CampusTelangana 500078India

Algal blooms,the spread of algae on the surface of water bodies,have adverse effects not only on aquatic ecosystems but also on human *** adverse effects of harmful algal blooms(HABs)necessitate a convenient solution for detection and *** aerial vehicles(UAVs)have recently emerged as a tool for algal bloom detection,efficiently providing on-demand images at high spatiotemporal *** study developed an image processing method for algal bloom area estimation from the aerial images(obtained from the internet)captured using *** a remote sensing method of HAB detection,analysis,and monitoring,a combination of histogram and texture analyses was used to efficiently estimate the area of *** features like entropy(using the Kullback-Leibler method)were emphasized with the aid of a gray-level co-occurrence *** results showed that the orthogonal images demonstrated fewer errors,and the morphological filter best detected algal blooms in real time,with a precision of 80%.This study provided efficient image processing approaches using on-board UAVs for HAB monitoring.

关键词： Algal bloom Image processing Texture analysis Histogram analysis Unmanned aerial vehicles

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Review of evacuee mobilization challenges causing time-lag:Conceptualizing a new framework

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Emergency Management Science and Technology 2022年第1期2卷 176-184页

作者： Xiangyu(Dale)Li Praveen Maghelal sudha arlikatti Christine Dorsett Oklahoma State University StillwaterOklahoma 74078United States of America Rabdan Academy Al Sa'adahAbu Dhabi 22401United Arab Emirates Amrita School for Sustainable Development Amrita Vishwa VidyapeethamAmritapuri CampusAmritapuriClappana P.O.Kollam-690525KeralaIndia West Texas A&M University CanyonTexas 79016United States of America

This paper explores the concept of evacuation mobilization as a protective decision-making process and builds a theoretical framework that captures the factors from the perspective of risk *** a critical step in the decision process of disaster evacuation,in practice,mobilization has been *** study aims to embrace the varied yet inconsistent factors to a theoretical framework built upon the Protective Action Decision Model(PADM).A comprehensive review of literature of seminal and recent studies exploring the factors of mobilization and the major risk communication studies were used to build the theoretical framework explaining the variance of evacuation *** reviewing the aspects and factors of evacuation mobilization,this study asserts that the PADM is the most appropriate framework among those examined to theorize this process in evacuee ***,the stages of receiving environmental cues and information,pre-decision processes,and perceptions,sequentially determine the on-going decision process of *** study fully discusses the issues surrounding evacuation mobilization and invites further empirical studies on early-warning disaster evacuations and more accurate simulations for late or no-warning *** also offers suggestions on how to mitigate the potential harm caused by extended mobilization.

关键词： protective disaster mobilization

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Treatment of a patient with aconitine poisoning using veno-arterial membrane oxygenation:A case report

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World Journal of Clinical Cases 2024年第21期12卷 4842-4852页

作者： Yu-Yao Bian Jin Hou sudha Khakurel Department of Emergency Medicine Hebei Petro China Central HospitalLangfang 065000Hebei ProvinceChina Department of Internal Medicine Langfang Health Vocational CollegeLangfang 065000Hebei ProvinceChina Dallas Campus UT Health Houston School of Public HealthDallasTX 75201United States

BACKGROUND Aconitine poisoning is highly prone to causing malignant *** elimination of aconitine from the body takes a considerable amount of time,and during this period,patients are at a significant risk of death due to malignant arrhythmias associated with aconitine *** SUMMARY A 30-year-old male patient was admitted due to accidental ingestion of aconitinecontaining *** arrival at the emergency department,the patient intermittently experienced malignant arrhythmias including ventricular tachycardia,ventricular fibrillation,ventricular premature beats,and cardiac *** interventions such as cardiopulmonary resuscitation and defibrillation were promptly ***,veno-arterial extracorporeal membrane oxygenation(VA-ECMO)therapy was *** resuscitation was achieved before ECMO placement,but upon initiation of ECMO,the patient experienced recurrent malignant *** was utilized to maintain hemodynamics and respiration,while continuous blood purification therapy for toxin clearance,mechanical ventilation,and hypothermic brain protection therapy were concurrently *** the third day of VA-ECMO support,the patient’s respiratory and hemodynamic status stabilized,with only frequent ventricular premature beats observed on electrocardiographic monitoring,and echocardiography indicated recovery of cardiac contractile *** the fourth day,a significant reduction in toxin levels was observed,along with stable hemodynamic and respiratory *** a successful pump-controlled retrograde trial occlusion test,ECMO assistance was *** patient gradually improved postoperatively and achieved *** was discharged 11 days *** VA-ECMO can serve as a bridging resuscitation technique for patients with reversible malignant arrhythmias.

关键词： Poisoning Arrhythmia Blood purification Veno-arterial extracorporeal membrane oxygenation Resuscitation Case report

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Entanglement and Volume Monogamy Features of Permutation Symmetric N-Qubit Pure States with N-Distinct Spinors: GHZ and States

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Journal of Quantum Information Science 2024年第2期14卷 29-51页

作者： sudha Alevoor Raghavendra Usha Devi Akshata Shenoy Hejamadi Hosapete Seshadri Karthik Humera Talath Bada Palaiah Govindaraja Attipat Krishnaswamy Rajagopal Department of Physics Kuvempu University Shimoga India Inspire Institute Inc. Alexandria Virginia USA Department of Physics Bangalore University Bangalore India International Centre for Theory of Quantum Technologies University of Gdnsk Gdnsk Poland

We explore the entanglement features of pure symmetric N-qubit states characterized by N-distinct spinors with a particular focus on the Greenberger-Horne-Zeilinger (GHZ) states and , an equal superposition of W and obverse W states. Along with a comparison of pairwise entanglement and monogamy properties, we explore the geometric information contained in them by constructing their canonical steering ellipsoids. We obtain the volume monogamy relations satisfied by states as a function of number of qubits and compare with the maximal monogamy property of GHZ states.

关键词： Permutation Symmetric States Monogamy Pairwise Entanglement

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Efficacy of a Diabetes Specific Nutrition Supplement on Glycemic, Anthropometric, Dietary and Gut Health Markers in Adults with Type 2 Diabetes: An RCT

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Food and Nutrition Sciences 2024年第8期15卷 846-867页

作者： Deepti Khanna Hema S. Gopalan Kuzhandaivelu Abirami Vasudevan sudha Rajagopal Gayatri Kejal Joshi-Reddy Jaladhi Bhatt Raman Ganesh Jeevan Karthikeyan Parkavi Vadivel Deepika Manoj Pareek Ranjit Mohan Anjana Viswanathan Mohan R&D Department Hindustan Unilever Limited Gurugram India Department of Foods Nutrition & Dietetics Research Madras Diabetes Research Foundation Chennai India Department of Diabetology Dr. Mohans Diabetes Specialities Centre Chennai India

With increasing incidence of diabetes, use of diabetes specific nutrition supplements (DSNS) is common for better management of the disease. To study effect of 12-week DSNS supplementation on glycemic markers, anthropometry, lipid profile, SCFAs, and gut microbiome in individuals with diabetes. Markers studied were glycemic [Fasting Blood Glucose (FBG), Post Prandial Glucose (PPG), HbA1c, Incremental Area under curve (iAUC), Mean Amplitude of Glycemic Excursions (MAGE), Time in/above Range (TIR/TAR)], anthropometry [weight, Body Mass Index (BMI), waist circumference (WC)], lipid profile, diet and gut health [plasma short chain fatty acids (SCFAs)]. N = 210 adults were randomized to receive either DSNS with standard care (DSNS + SC;n = 105) or standard care alone (SC alone;n = 105). After 12 weeks, significant differences between DSNS + SC versus SC alone was observed in FBG [−3 ± 6 vs 14 ± 6 mg/dl;p = 0.03], PPG [−35 ± 9 vs −3 ± 9 mg/dl;p = 0.01], weight [−0.6 ± 0.1 vs 0.2 ± 0.1 kg;p = 0.0001], BMI [−0.3 ± 0.1 vs 0.1 ± 0.1 kg/m2;p = 0.0001] and WC [−0.3 ± 0.2 vs 0.2 ± 0.2 cm;p = 0.01]. HbA1C and low-density lipoprotein (LDL) were significantly reduced in DSNS + SC [−0.2 ± 0.9;p = 0.04 and −5 mg/dl;p = 0.03] respectively with no change in control. Continuous Glucose Monitoring (CGM) reported significant differences between DSNS + SC versus SC alone for mean glucose [−12 ± 65 vs 28 ± 93 mg/dl;p < 0.01], TAR 180 [−9 ± 42 vs 7 ± 45 mg/dl;p = 0.04], TAR 250 [−3 ± 27 vs 9 ± 38 mg/dl;p = 0.05], iAUC [−192 (1.1) vs −48 (1.1) mg/dl;p = 0.03]. MAGE was significantly reduced for both DSNS + SC (−19 ± 67;p < 0.001) and SC alone (−8 ± 70;p = 0.04), with reduction being more pronounced for DSNS + SC. DSNS + SC reported a decrease in carbohydrate energy % [−9.4 (−11.3, −7.6) %;p < 0.0001] and amount [−47.4 (−67.1, −27.7) g;p < 0.0001], increased dietary fiber [9.5 (7.2, 11.8) g;p < 0.0001] and protein energy % [0.9 (0.5, 1.3) %;p < 0.0001] versus SC alone. DSNS + SC reported signi

关键词： Diabetes Specific Nutrition Supplement Standard of Care Diabetes Glycemic Markers HbA1C

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Synthesis and characterization of hybrid graphene nanocoolant for heat transfer dissipation in microchannel heat sinks

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Chinese Journal of Chemical Engineering 2020年第3期28卷 913-922页

作者： sudha G. Parthiban R. Department of Chemical Engineering Sri Venkateswara College of EngineeringPennalurTamilnadu 602117India Department of Chemical Engineering SSN College of EngineeringKalavakkamTamilnadu 603110India

An attempt is made to examine the effect of hybrid nanocoolant in microchannel heat sink for computer ***-hybrid coolants with graphene as one of the prime components are synthesized and images of the particles are shown using scanning electron microscopy(SEM)and transmission electron microscopy(TEM).Heat transfer properties like thermal conductivity of the hybrid fluid,specific heat,density,and viscosity are evaluated experimentally and *** heat transfer characteristics are also studied in heat sink channels of micro level in the processors of personal *** parameters like internal heat transfer coefficient,thermal resistances and base temperature representing the processor temperature are examined for the applied heater power of 325 *** coolant dilution was varied in the range of 0.05 vol%,0.075 vol%and 0.1 vol%and the base temperature is *** recorded lowest base temperature is 310.01 K for the concentration of 0.1 vol%graphene-iron oxide(GFO)system for 0.5 mm fin spacing for the graphene-iron oxide hybrid coolant and for graphene oxide–iron oxide(GOFO)hybrid coolant it is 311.24 K for the same operating conditions.

关键词： Graphene hybrid nanocoolant Microchannel CPU base temperature

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Thermal Entanglement in a Two-Qubit Ising Chain Subjected to Dzyaloshinsky–Moriya Interaction

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Chinese Physics Letters 2013年第12期30卷 5-8页

作者： B.G.Divyamani sudha Department of Physics Kuvempu UniversityShankaraghattaShimoga-577451India Tunga Mahavidyalaya TirthahalliShimoga-577451India Inspire Institute Inc. AlexandriaVirginia22303USA

Thermal entanglement of a two-qubit Ising chain subjected to an external magnetic field and Dzyaloshinsky–Moriya(DM)interaction is *** effect of magnetic field,strength of DM interaction and temperature are analyzed by adopting negativity of partial transpose as the measure of *** is shown that when the DM interaction along the Ising axis is considerable,thermal entanglement can be sustained for a higher *** usefulness of longitudinal DM interaction over the one that is perpendicular to the Ising axis,in the manipulation and control of entanglement at a feasible temperature,is illustrated.

关键词： temperature Ising interaction

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Triheterocyclic Thiadiazepine Derivatives of Pharmacological Interest： Synthesis of 2-Aryl-4-[ρ-（2,3-dihydro-5-methyl-2-oxo-1,3,4-oxadiazol-3-yl）phenyl]-6-（u n）su bstituent-1 ＂,2＂ ,4＂- triazolo[3＂,4＂-b]-1 ＇,3＇,4＇-thiadiazepine

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Chinese Journal of Chemistry 2006年第1期24卷 129-134页

作者： KAMBLE, Ravindre sudha, Belagur Department of Chemistry and Food Science Yuvaraja' s College University of Mysore Mysore 570005 India

Synthesis of novel thiadiazepine derivatives based on the reactivity of 4-acetylphenylsydnone （1） was reported. The structures of the newly synthesized compounds have been proved by their physical, analytical, IR, 1... 详细信息

关键词： 4-acetylphenylsydnone 1,3-dipolar cycloaddition 1,3,4-thiadiazepine 1,2,4-triazole 1,3,4-oxadiazoline triheterocycle ring closure condensation Michael addition cardiovascular agent

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Comparative analysis of entanglement measures based on monogamy inequality

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Chinese Physics B 2017年第5期26卷 52-59页

作者： P J Geetha sudha K S Mallesh Department of Physics Kuvempu University Shankaraghatta Shimoga-577 451 India Inspire Institute Inc. Alexandria Virginia 22303 USA Department of Studies in Physics University of Mysore Mysore-570 006 India

We evaluate the monogamy inequality for symmetric, non-symmetric pure states of importance in terms of squared concurrence, squared entanglement of formation, squared negativity of partial transpose and compare the corresponding tangles. We show that though concurrence and concurrence tangle are zero for two special classes of mixed entangled states, both negativity tangle and entanglement of formation（EOF） tangle turn out to be non-zero. A comparison of different tangles is carried out in each case and it is shown that while the concurrence tangle captures the genuine multiqubit entanglement in N-qubit pure states with N distinct spinors（containing GHZ and superposition of W-, obverse W states）either negativity tangle or EOF tangle is to be used as a better measure of entanglement in the W-class of states with two distinct spinors and in the special classes of mixed multiqubit states.

关键词： entanglement tangle negativity superposition inequality entangled symmetric vanishing squared arbitrary

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