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Comparative assessment of clinical profile and outcomes after primary percutaneous coronary intervention in young patients with single vs multivessel disease

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World Journal of Cardiology 2020年第4期12卷 136-143页

作者： Atif Sher Muhammad Tariq Ashraf Ayaz Mir syed alishan Faiza Farooq Ali Ammar Musa Karim syed Nadeem Hassan Rizvi Tahir Saghir Jawaid Akbar Sial Naveed Ullah Khan Department of Adult Cardiology National Institute of Cardiovascular DiseasesKarachi 75510Pakistan Department of Clinical Research National Institute of Cardiovascular DiseasesKarachi 75510Pakistan

BACKGROUND Even though percutaneous coronary intervention(PCI)improved the survival of patients with acute myocardial infarction,still multivessel coronary artery disease remains an important factor burdening prognosis and it is being associated with a worse prognosis compared to single-vessel disease(SVD).AIM To compare the clinical profile and outcomes after the primary PCI in young patients with SVD vs multivessel disease(MVD).METHODS The retrospective cohort of patients were divided into two groups:SVD and MVD *** study population consisted of both male and female young(≤45 years)patients presented with ST-elevation myocardial infarction(STEMI)at the National Institute of Cardiovascular Disease,Karachi,Pakistan and undergone primary PCI from 1 st July 2017 to 31 st March *** and postprocedure management of the patients was as per the guidelines and institutional *** A total of 571 patients with STEMI,≤45 years were stratified into two groups by the number of vessels involved,342(59.9%)with SVD and 229(40.1%)with *** average age of these patients was 39.04±4.86 years.A lower prevalence of hypertension and diabetes was observed in SVD as compare to MVD group(25.1%vs 38%,P<0.01;11.7%vs 27.5%,P<0.001)***,smoking was more prevalent among the SVD group as compare to MVD group(36.3%vs 28.4%,P=0.05).The high-C Lesion was observed in a significantly higher number of younger patients with MVD as compared to SVD group(48.8%vs 39.2%,P=0.021).Post-procedure thrombolysis in myocardial infarction flow grade was found to be not associated with the number of diseased vessels with a P value of 0.426 and thrombolysis in myocardial infarction flow grade III was observed in 98%vs 96.5%of the patients is SVD vs MVD *** The MVD comprised of around 40%of the young patients presented with ***,this study shows that diabetes and hypertension have a certain role in the pathogenesis of multivessel diseases,therefore,preventive

关键词： Young Multivessel disease Primary percutaneous coronary intervention STelevation myocardial infarction Premature coronary artery diseases Single-vessel disease

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Burden of bone disease in chronic pancreatitis:A systematic review and meta-analysis

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World Journal of Gastroenterology 2023年第8期29卷 1374-1394页

作者： Ankit Chhoda Maria Jose Hernandez-Woodbine Nana Afua Akkya Addo syed alishan Nasir Alyssa Grimshaw Craig Gunderson Awais Ahmed Steven D.Freedman Sunil G.Sheth Department of Gastroenterology Beth Israel Deaconess Medical CenterBostonMA 02215United States Department of Medicine Norwalk HospitalYale School of MedicineNorwalkCT 06850United States Cushing/Whitney Medical Library Yale UniversityNew HavenCT 06510United States General Internal Medicine Yale School of MedicineNew HavenCT 06510United States

BACKGROUND Bone disease is an under-recognized cause of morbidity in chronic pancreatitis(CP).Over the past decade,publications of original studies on bone disease in CP has warranted synthesis of the evidence to ascertain the true burden of the *** To quantify the prevalence of osteopenia,osteoporosis,and fragility fractures in CP patients and investigate the associated clinical features and *** A systematic search identified studies investigating bone disease in CP patients from Cochrane Library,Embase,Google Scholar,Ovid Medline,PubMed,Scopus,and Web of Science,from inception until October *** outcomes included prevalence of osteopenia,osteoporosis,and fragility fractures,which were metaanalyzed using a random-effects model and underwent metaregression to delineate association with baseline clinical *** Twenty-one studies were included for systematic review and 18 studies were included for *** pooled prevalence of osteopenia and osteoporosis in CP patients was 41.2%(95%CI:35.2%-47.3%)and 20.9%(95%CI:14.9%-27.6%),*** pooled prevalence of fragility fractures described among CP was 5.9%(95%CI:3.9%-8.4%).Metaregression revealed significant association of pancreatic enzyme replacement therapy(PERT)use with prevalence of osteoporosis[coefficient:1.7(95%CI:0.6-2.8);P<0.0001].We observed no associations with mean age,sex distribution,body mass index,alcohol or smoking exposure,diabetes with prevalence of osteopenia,osteoporosis or fragility *** of data on systemic inflammation,CP severity,and bone mineralization parameters precluded a formal *** This meta-analysis confirms significant bone disease in patients with *** than PERT use,we observed no patient or study-specific factor to be significantly associated with CP-related bone *** studies are needed to identify confounders,at-risk population,and to understand the mechanisms of CP-related bone disease an

关键词： Chronic pancreatitis Fractures Osteoporosis Osteopenia Bone disease

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A Framework to Assess Possible Sources of Stakeholder Exploitation:A Developing Country Case

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International Journal of Disaster Risk Science 2024年第1期15卷 32-44页

作者： Kamran Shafique syed Shams Tapan Sarker School of Business University of Southern QueenslandSpringfeldQLD 4300Australia Business School University of QueenslandSt LuciaQLD 4072Australia

Solving complex post-disaster reconstruction challenges requires the altruistic involvement of heterogeneous stakeholder ***,small,more organized groups,such as government parastatals,private developers,and contractors often exploit large,unorganized groups,such as affected communities,leaving them more vulnerable to future *** on data collected from a case study in Pakistan,this study proposed a framework to assess,anticipate,and mitigate the exploitation of vulnerable stakeholders in post-disaster reconstruction *** framework draws on influential management theories and utilizes reciprocal relationships between stakeholder attributes(power,legitimacy,and urgency),participation,and *** study also argued for non-binary treatment of stakeholder *** framework will allow practitioners to address issues around the exploitation of stakeholder interests in future post-disaster reconstruction projects.

关键词： Collective action Pakistan Post-disaster reconstruction-Stakeholder participation Stakeholder exploitation

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Automatic Finding of Brain-Tumour Group Using CNN Segmentation and Moth-Flame-Algorithm,Selected Deep and Handcrafted Features

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Computers, Materials & Continua 2024年第5期79卷 2585-2608页

作者： Imad Saud Al Naimi syed Alwee Aljunid syed Junid Muhammad lmran Ahmad K.Suresh Manic Faculty of Electronic Engineering Technology University Malaysia Perils(UniMAP)Pauh Putra CampusArauPerlis02600Malaysia Department of Electrical and Communication Engineering National University of Science and TechnologyAL HailAL Seeb130Sultanate of Oman Department of Research and Innovation Saveetha School of EngineeringSaveetha Institute of Medical and Technical Sciences(SIMATS)ChennaiTamiNadu602105India

Augmentation of abnormal cells in the brain causes brain tumor(BT),and early screening and treatmentwill reduce its harshness in ***’s clinical level screening is usually performed with Magnetic Resonance Imaging(MRI)due to its multi-modality *** overall aims of the study is to introduce,test and verify an advanced image processing technique with algorithms to automatically extract tumour sections from brain MRI scans,facilitating improved *** research intends to devise a reliable framework for detecting the BT region in the twodimensional(2D)MRI slice,and identifying its class with improved *** methodology for the devised framework comprises the phases of:(i)Collection and resizing of images,(ii)Implementation and Segmentation of Convolutional Neural Network(CNN),(iii)Deep feature extraction,(iv)Handcrafted feature extraction,(v)Moth-Flame-Algorithm(MFA)supported feature reduction,and(vi)Performance *** study utilized clinical-grade brain MRI of BRATS and TCIA datasets for the *** framework segments detected the glioma(low/high grade)and glioblastoma class *** work helped to get a segmentation accuracy of over 98%with VGG-UNet and a classification accuracy of over 98%with the VGG16 *** study has confirmed that the implemented framework is very efficient in detecting the BT in MRI slices with/without the skull section.

关键词： Brain tumour VGG-UNet VGG16 moth-flame-algorithm classification

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Refined Anam-Net:Lightweight Deep Learning Model for Improved Segmentation Performance of Optic Cup and Disc for Glaucoma Diagnosis

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Computers, Materials & Continua 2024年第7期80卷 1381-1405页

作者： Khursheed Aurangzeb syed Irtaza Haider Musaed Alhussein Department of Computer Engineering College of Computer and Information SciencesKing Saud UniversityP.O.Box 51178Riyadh11543Saudi Arabia

In this work,we aim to introduce some modifications to the Anam-Net deep neural network(DNN)model for segmenting optic cup(OC)and optic disc(OD)in retinal fundus images to estimate the cup-to-disc ratio(CDR).The CDR is a reliable measure for the early diagnosis of *** this study,we developed a lightweight DNN model for OC and OD segmentation in retinal fundus *** DNN model is based on modifications to Anam-Net,incorporating an anamorphic depth embedding *** reduce computational complexity,we employ a fixed filter size for all convolution layers in the encoder and decoder stages as the network *** modification significantly reduces the number of trainable parameters,making the model lightweight and suitable for resource-constrained *** evaluate the performance of the developed model using two publicly available retinal image databases,namely RIM-ONE and *** results demonstrate promising OC segmentation performance across most standard evaluation metrics while achieving analogous results for OD *** used two retinal fundus image databases named RIM-ONE and Drishti-GS that contained 159 images and 101 retinal images,*** OD segmentation using the RIM-ONE we obtain an f1-score(F1),Jaccard coefficient(JC),and overlapping error(OE)of 0.950,0.9219,and 0.0781,***,for OC segmentation using the same databases,we achieve scores of 0.8481(F1),0.7428(JC),and 0.2572(OE).Based on these experimental results and the significantly lower number of trainable parameters,we conclude that the developed model is highly suitable for the early diagnosis of glaucoma by accurately estimating the CDR.

关键词： Refined Anam-Net parameter tuning deep learning optic cup optic disc cup-to-disc ratio glaucoma diagnosis

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An efficient permutation approach for SbPN-based symmetric block ciphers

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Cybersecurity 2024年第2期7卷 113-130页

作者： Mir Nazish M.Tariq Banday Insha syed Sheena Banday Department of Electronics and Instrumentation Technology University ofKashmirSrinagar 190006India

It is challenging to devise lightweight cryptographic primitives efficient in both hardware and software that can provide an optimum level of security to diverse Internet of Things applications running on low-end constrained ***,an effcient hardware design approach that requires some specific hardware resource may not be effcient if implemented in *** bit Permutation Network based ciphers such as PRESENT and GIFT are effcient,lightweight cryptographic hardware design *** ciphers introduce confusion and diffu-sion by employing a 4×4 static substitution box and bit *** bit-wise permutation is realised by sim-ple rerouting,which is most cost-effective to implement in hardware,resulting in negligible power ***,this method is highly resource-consuming in software,particularly for large block-sized ciphers,with each single-bit permutation requiring multiple *** paper proposes a novel software-based design approach for permutation operation in Substitution bit Permutation Network based ciphers using a bit-banding *** conventional permutation using bit rotation and the proposed approach have been implemented,analysed and compared for GIFT and PRESENT ciphers on ARM Cortex-M3-based LPC1768 development platform with KEIL MDK used as an Integrated Development *** real-time performance comparison between conven-tional and the proposed approaches in terms of memory(RAM/ROM)footprint,power,energy and execution time has been carried out using ULINKpro and ULINKplus debug adapters for various code and speed optimisation *** proposed approach substantially reduces execution time,energy and power consumption for both PRE-SENT and GIFT ciphers,thus demonstrating the effciency of the proposed method for Substitution bit Permutation Network based symmetric block ciphers.

关键词： Lightweight cryptography PRESENT GIFT SbPN Cortex-M LPC1768 Bit-band memory

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Conservation laws,Lie symmetries,self adjointness,and soliton solutions for the Selkov–Schnakenberg system

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Communications in Theoretical Physics 2024年第2期76卷 29-44页

作者： Kashif Ali Aly R Seadawy syed T R Rizvi Noor Aziz Department of Mathematics COMSATS University IslamabadLahore CampusPakistan Mathematics Department Faculty of ScienceTaibah UniversityAl-Madinah Al-Munawarah41411Saudi Arabia

In this article,we explore the famous Selkov–Schnakenberg(SS)system of coupled nonlinear partial differential equations(PDEs)for Lie symmetry analysis,self-adjointness,and conservation ***,miscellaneous soliton solutions like dark,bright,periodic,rational,Jacobian elliptic function,Weierstrass elliptic function,and hyperbolic solutions of the SS system will be achieved by a well-known technique called sub-ordinary differential *** these results are displayed graphically by 3D,2D,and contour plots.

关键词： Selkov-Schnakenberg system Lie symmetry analysis conservation laws adjointness integrability

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Detection of onset of agglomeration in a bubbling fluidized bed biomass combustor using reactive Eulerian computational fluid dynamics

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Particuology 2024年第7期90卷 504-515页

作者： Abdullah Tasleem Atta Ullah Fei Li Qun Yi William Nimmo syed Sheraz Daood Department of Chemical Engineering Pakistan Institute of Engineering and Applied Sciences(PIEAS)Lehtrar RoadP.O.Nilore45650IslamabadPakistan Institute of Process Engineering Chinese Academy of SciencesBeijing100190China School of Chemical Engineering and Pharmacy Wuhan Institute of TechnologyWuhan430205China Energy Engineering Group Energy 2050Department of Mechanical EngineeringUniversity of SheffieldSheffieldS37RDUnited Kingdom Institute of Energy and Environmental Engineering Faculty of ElectricalEnergy&Environmental EngineeringUniversity of the PunjabQuaid-e-Azam CampusLahorePakistan Energy Engineering Research and Development Centre Faculty of ElectricalEnergy&Environmental EngineeringUniversity of the PunjabQuaid-e-Azam CampusLahorePakistan

The choice of a type of combustion technology to be used for heat or power generation depends on economic,technical,operational and fuel availability *** benefits associated with the evolving market driven by the fluidised bed combustion(FBC)technology cannot be overlooked especially when gauged at 65 GWth of worldwide installed capacity alongside added benefits of handling fuel variation,low pollutant emissions and high combustion *** or biomass waste will continue to have a vital role to play in the future FBC technology-based power *** often contains high levels of inorganic species that can form sticky agglomerates posing a significant risk to boiler operation resulting in unscheduled *** added complexity of the behaviour of the fuel and bed material mix highlights the requirement for simulation models to identify agglomeration to help improve the overall performance and reliability of FBC *** resolve this problem,this research devised a simulation strategy for the detection of agglomeration using the Eulerian–Eulerian *** developed modelling strategy is validated with the experimental data available in literature for two-dimensional simplified geometry of a pilot-scale fluidised bed *** model results were found promising and robust to predict bed defluidisation times and other parameters consistent with the experimental data.

关键词： Fluidized bed combustion Eulerian Models Biomass Agglomeration Defluidisation

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An asymmetrical multilevel inverter with minimum voltage stress and fewer components for photovoltaic renewable-energy system

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CLEAN ENERGY 2024年第1期8卷 1-22页

作者： Memon, Rabail Mahar, Mukhtiar Ahmed Larik, Abdul Sattar Shah, syed Asif Ali Mehran Univ Engn & Technol Dept Elect Engn Jamshoro Pakistan

The enhanced power quality provided by multilevel inverters (MLIs) has made them more appropriate for medium- and high-power applications, including photovoltaic systems. Nevertheless, a prevalent limitation involves the necessity for numerous switches and increased voltage stress across these switches, consequently increasing the overall system cost. To address these challenges, a new 17-level asymmetrical MLI with fewer components and low voltage stress is proposed for the photovoltaic system. This innovative MLI configuration has four direct current (DC) sources and 10 switches. Based on the trinary sequence, the proposed topology uses photovoltaics with boost converters and fuzzy logic controllers as its DC sources. Mathematical equations are used to calculate crucial parameters for this proposed design, including total standing voltage per unit (TSVPU), cost function per level (CF/L), component count per level (CC/L) and voltage stress across the switches. The comparison is conducted by considering switches, DC sources, TSVPU, CF/L, gate driver circuits and CC/L with other existing MLI topologies. The analysis is carried out under various conditions, encompassing different levels of irradiance, variable loads and modulation indices. To reduce the total harmonic distortion of the suggested topology, the phase opposition disposition approach has been incorporated. The suggested framework is simulated in MATLAB (R)/Simulink (R). The results indicate that the proposed topology achieves a well-distributed stress profile across the switches and has CC/L of 1.23, TSVPU of 5 and CF/L of 4.58 and 5.76 with weight coefficients of 0.5 and 1.5, respectively. These values are notably superior to those of existing MLI topologies. Simulation results demonstrate that the proposed topology maintains a consistent output at varying irradiance levels with FLCs and exhibits robust performance under variable loads and diverse modulation indices. Furthermore, the total harmonic disto

关键词： asymmetrical multilevel inverter photovoltaic system renewable energy component count per level cost function per level total standing voltage per unit phase opposition disposition technique CONVERTER TOPOLOGY REDUCED NUMBER IMPLEMENTATION PERFORMANCE CONNECTION REDUCTION DESIGN SINGLE

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Enabling Efficient Data Transmission in Wireless Sensor Networks-Based IoT Application

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Computers, Materials & Continua 2024年第6期79卷 4197-4218页

作者： Ibraheem Al-Hejri Farag Azzedin Sultan Almuhammadi Naeem Firdous syed Information and Computer Science Department King Fahd University of Petroleum andMineralsDhahran31261Saudi Arabia Center for Cyber Resilience and Trust(CREST) Deakin UniversityGeelong3220Australia

The use of the Internet of Things(IoT)is expanding at an unprecedented scale in many critical applications due to the ability to interconnect and utilize a plethora of wide range of *** critical infrastructure domains like oil and gas supply,intelligent transportation,power grids,and autonomous agriculture,it is essential to guarantee the confidentiality,integrity,and authenticity of data collected and ***,the limited resources coupled with the heterogeneity of IoT devices make it inefficient or sometimes infeasible to achieve secure data transmission using traditional cryptographic ***,designing a lightweight secure data transmission scheme is becoming *** this article,we propose lightweight secure data transmission(LSDT)scheme for IoT *** consists of three phases and utilizes an effective combination of symmetric keys and the Elliptic Curve Menezes-Qu-Vanstone asymmetric key agreement *** design the simulation environment and experiments to evaluate the performance of the LSDT scheme in terms of communication and computation *** and performance analysis indicates that the LSDT scheme is secure,suitable for IoT applications,and performs better in comparison to other related security schemes.

关键词： IoT lightweight computation complexity communication overhead cybersecurity threats threat prevention secure data transmission Wireless Sensor Networks(WSNs) elliptic curve cryptography

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