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Effectiveness of m-health technology-enabled physical activity program on physical activity adoption and adherence in people with hypertension in India:A randomized controlled trial protocol

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Chronic Diseases and Translational Medicine 2024年第2期10卷 92-101页

作者： vidhi thakar Sureshkumar Kamalakannan V.Prakash Ashok&Rita Patel Institute of Physiotherapy Charotar University of Science and TechnologyChangaAnandGujaratIndia Department of Social Work Education and Community-WellbeingNorthumbria UniversityNewcastle upon TyneUK

Background Exercise and medication have similar benefits in reducing blood pressure(BP);however,hypertension management initiatives primarily focus on *** is due to scarce research on the effectiveness of implementation strategies for optimal exercise adoption and *** were found to be effective in delivering hypertension care and increase exercise *** this,only a small number of research projects in India have used smartphones as a strategy for managing *** We hypothesized that smartphone application-based care would lead to higher exercise adherence among adults(30–79 years)with hypertension compared to those who receive usual *** will be a multicentric,randomized controlled,parallel-design,superiority clinical *** outcome assessor and data analyst will be blinded to group *** in the intervention group will receive mobile application-based care for 6 *** in the usual care group will receive a standard *** groups will receive the same number of *** The primary outcome is the difference in the proportion of people adherent to the recommended level of physical activity evaluated using an exercise adherence rating scale in the intervention group and the control *** adoption will be measured as the percentage of eligible participants in each study setting willing to initiate the exercise *** secondary outcome includes differences in systolic and diastolic BP and self-management(evaluated using the Hypertension Self-Care Profile).The trial outcome will be accompanied by a process *** This research will inform about the comparative effectiveness of conventional and m-health interventions for exercise adoption and adherence in people with hypertension in resource-constrained settings.

关键词： hypertension low-and middle-income countries m-health physical activity adherence

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Disturbance Observer Based Speed Control of PMSM Using Fractional Order PI Controller

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IEEE/CAA Journal of Automatica Sinica 2019年第1期6卷 316-326页

作者： Aishwarya Apte Ujjwala thakar Vrunda Joshi the Department of Electrical Engineering AISSMS College of Engineering PVG’s College of Engineering and Technology

In this paper, fractional order PI(FOPI) control is developed for speed control of permanent magnet synchronous motor(PMSM). Designing the parameters for FOPI controller is a challenging task, especially for nonlinear systems like *** three PI controllers in the conventional vector controlled speed drive are replaced by FOPI controllers. Design of these FOPI controllers is based on the locally linearized model of PMSM around an operating point. This operating point changes with the load torque. The novelty of the work reported here is in use of Non Linear Disturbance Observer(NLDO) to estimate load torque to obtain this new operating point. All three FOPI controllers are then designed adaptively using this new operating point. The scheme is tested on simulation using MATLAB/SIMULINK and results are presented.

关键词： Fractional order PI (FOPI) non linear disturbance observer (NLDO) permanent magnet synchronous motor(PMSM) vector control

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A review on casing while drilling technology for oil and gas production with well control model and economical analysis

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Petroleum 2019年第1期5卷 1-12页

作者： Dipal Patel Vivek thakar Sivakumar Pandian Manan Shah Anirbid Sircar School of Petroleum Technology Pandit Deendayal Petroleum UniversityGandhinagar382007India

The extraction of petroleum fluids from sub-surface accumulations mandates the drilling of a well into the formation containing the *** drilling techniques have evolved over time to overcome several challenges while some of the issues still prevail with the currently used drilling practices like loss circulation,large tripping time to change bottom hole assembly,stuck pipe problems and low well bore stability,to name a *** decrease the drilling efficiency and increase the Non-Productive Time(NPT)of this highly capitalintensive industry encouraging the Petroleum Industry to look for new *** while Drilling(CwD)is a technique of drilling which has been proven to alleviate many of the problems faced while *** this method,drilling and casing of a well bore is carried out simultaneously,which improves the drilling efficiency by reducing the *** has proven to be beneficial in controlling loss circulation and improving wellbore stability by‘Plastering’effect,high quality cement job and increased rig floor *** uses smaller rig and less fuel thereby reducing carbon footprint in the *** paper studies comprehensive well control and casing string design *** encourages its application that has been discussed in the paper.A case study on the application of CwD in Malay basin for top hole drilling is ***,the paper briefly outlines the technical challenges that need attention to get better results from CwD.

关键词： Casing while drilling Non productive time Plastering effect Well control

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基于离散滑模控制的通信网络拥塞控制(英文)

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中国科学技术大学学报 2012年第7期42卷 540-545页

作者： Rutvij C Joshi Vishvjit K thakar AD帕特尔理工学院电气与计算机工程系古吉拉特邦New Vallabh Viayanagar市388121

最近30年来,离散滑模控制(DSMC)被加以研究.在现有离散滑模控制的文献中,不但有完善的理论,并且有应用的实例.计算机通信网络(涵盖有线和无线情形)的发展给控制专家提出了具有挑战性的问题.此类系统的响应很快,因此要求控制器必须能快... 详细信息

最近30年来,离散滑模控制(DSMC)被加以研究.在现有离散滑模控制的文献中,不但有完善的理论,并且有应用的实例.计算机通信网络(涵盖有线和无线情形)的发展给控制专家提出了具有挑战性的问题.此类系统的响应很快,因此要求控制器必须能快速反应.同时,此类系统中的数据包和路由采用固有的切换方式.因此,在该网络系统中采用与其固有切换类似的滑动模态控制成为一个有趣的问题.本文应用离散滑模控制方法来解决通信网络的拥塞控制问题.在过去几年中,许多反馈控制方法被用来解决通信网络的许多问题,如流量控制,拥塞控制和功率控制.本文提出了一种新的应用滑动模态控制来实现通信网络拥塞控制的方法.由于计算机通信网络处理的是数字数据且在本质上是离散的,因此其是一类离散时间系统,因而可应用离散滑模控制.在该系统中,比特率保持恒定不变,通过调整缓冲区的长度来控制拥塞.出于模拟与分析的目的,缓冲区的最大长度被设为250bit.本文展示了离散滑模控制能够实现通讯网络不同特性的控制.

关键词：拥塞控制离散滑模控制通信网络

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肾衰竭患者心血管结局的性别差异

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中华高血压杂志（中英文） 2024年第6期32卷 571-571页

作者：曲浥晨(译) 郑武洪(审校) 不详

心血管疾病是肾衰竭患者死亡的主要原因,其发生心血管事件的风险高于一般人群10~20倍。本研究使用具有关联医疗保险索赔数据库的美国肾脏数据系统评估了在2005年1月1日至2014年12月31日间启动透析治疗的508822例患者。本研究中定义的心... 详细信息

心血管疾病是肾衰竭患者死亡的主要原因,其发生心血管事件的风险高于一般人群10~20倍。本研究使用具有关联医疗保险索赔数据库的美国肾脏数据系统评估了在2005年1月1日至2014年12月31日间启动透析治疗的508822例患者。本研究中定义的心血管事件住院率包括由急性冠脉综合征、心力衰竭和脑卒中所导致的住院率。研究者使用调整后的时间-事件模型研究了性别与心血管事件结局、心血管死亡和全因死亡的关系。本研究人群的平均年龄为(70±12)岁,女性占44.7%。

关键词：心血管事件肾衰竭住院率透析治疗心血管疾病全因死亡急性冠脉综合征事件模型

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GP化疗联合贞芪扶正胶囊治疗NSCLC的临床观察

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时珍国医国药 2012年第9期23卷 2264-2265页

作者：陈天君 Asmit thakar 陈明伟西安交通大学医学院第一附属医院陕西西安710061

肺癌（Lung cancer）又称为支气管肺癌,是一种最常见的原发性恶性肿瘤,其发病率和死亡率呈逐年上升趋势,病死率居男性癌症首位。非小细胞癌（Non small cell lung cancer,NSCLC）是肺癌的常见类型,约占肺癌总数80%～85%,其中30%～40%NS... 详细信息

肺癌（Lung cancer）又称为支气管肺癌,是一种最常见的原发性恶性肿瘤,其发病率和死亡率呈逐年上升趋势,病死率居男性癌症首位。非小细胞癌（Non small cell lung cancer,NSCLC）是肺癌的常见类型,约占肺癌总数80%～85%,其中30%～40%NSCLC患者确诊已属晚期,不宜采用手术治疗,因此化疗成为治疗晚期NSCLC的主要手段之一。本院临床应用贞芪扶正胶囊辅助吉西他滨＋顺铂（GP）治疗晚期NSCLC取得了较好的效果。

关键词：贞芪扶正胶囊 GP化疗非小细胞肺癌

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Feasibility of Using Two versus Three Rapid Tests for HIV Diagnosis in India: Analysis of Public Health Program Data

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World Journal of AIDS 2017年第1期7卷 16-22页

作者： Varsha Kale Archana Beri Madhuri thakar Veenita Sinha Dar Shilpa Bembalkar Naresh Goel Arun Risbud Ramesh Paranjape National AIDS Research Institute Pune India Centre for Disease Control and Prevention New Delhi India National AIDS Control Organisation Ministry of Health & Family Welfare New Delhi India

Under India’s National AIDS Control Program (NACP), WHO recommended strategy of using three rapid tests is adopted for diagnosis of HIV in an asymptomatic individual. Since the NACP has a stringent kit evaluation procedure and due to the availability of newer third generation Rapid Diagnostic Tests (RDTs) it may be possible to adapt two test strategy for HIV diagnosis instead of the recommended three test strategy. The authors reviewed programmatic data on HIV testing to explore whether use of two rapid tests for HIV diagnosis as against three tests could be a feasible approach without compromising the quality and readability of testing. Data on the HIV diagnosis performed on serum specimens collected for the period of one year (2011-12) from 82 Integrated Testing and Counselling Centers (ICTCs) or Prevention of Parent to Child Transmission Centers (PPTCTs) associated with State reference Laboratories (SRLs) was analysed. Out of 654258 results that were analysed 25168 (3.84%) specimens were positives. It was observed that both two and three test algorithms provided similar results for majority (>99%) of the HIV positive specimens. Discordance was observed in labelling of specimen with inconclusive status (N = 21), however the true status of these samples could not be obtained. The analysis indicated that the use of two test algorithm will have programmatic benefits in terms of reduced financial burden to the programme and ease of procurement, shipment and storage before and after distribution without comprising the quality of the testing. The prospective study would confirm this observation.

关键词： HIV Testing Two Test Strategy Rapid Diagnostic Tests (RDT) National AIDS Control Program (NACP)

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Messages from the International Symposium on Ayurveda & Other Traditional Medicines,Jamnagar,India,January 2000

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Asian Journal of Andrology 2000年第4期2卷 276-276页

作者： K.P.Skandhan Anup thakar Department of Physiology Shri MP Shah Medical College Jamnagar 361 008 IndiaDepartment of Kayachikitsa Gujarat Ayurved University Jamnagar 361 008 India

Ayurveda is one of the most ancient medical prac-tice in the world with a history of 5000 years. Vajikaranais a branch of Ayurveda dealing with male potency andfertility. Almost all male diseases and therapeutic mea-sures have been described here. In the International Symposium on Ayurveda andOther Traditional Medicines, two scientific Sessions wereexclusively devoted to Rasayana (rejuvenation) and Va-jikarana, conducted on January 5- 6, 2000 at GujaratAyurved University, Jamnagar under the patronship ofthe Honorable Vice-Chancellor, Dr. P. N. V. *** the Indian specialists, scientists from Australia,

关键词： In Messages from the International Symposium on Ayurveda Other Traditional Medicines,Jamnagar,India,January 2000

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女性尿失禁的处理

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英国医学杂志中文版 2004年第4期7卷 225-229页

作者： Ranee thakar Stuart Stanton 杨勇 Uro gynaecology and Pelvic Floor Reconstruction St George's Hospital London SW170QT

本文要点尿失禁大约影响了20％的40岁以上妇女尿失禁可影响生命质量和增加国家医疗服务的经济负担必须强调初级医疗保健机构的作用,因为大多数病人可在此水平得到处理,但也应保证适当的病人转到医院诊治尿失禁的主要病因有尿道括约肌功... 详细信息

本文要点尿失禁大约影响了20％的40岁以上妇女尿失禁可影响生命质量和增加国家医疗服务的经济负担必须强调初级医疗保健机构的作用,因为大多数病人可在此水平得到处理,但也应保证适当的病人转到医院诊治尿失禁的主要病因有尿道括约肌功能下降和膀胱过度活动只有保守治疗失败、准备进行外科手术或排尿困难和神经原性疾病时。

关键词：女性尿失禁尿动力学检查保守治疗外科治疗

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An Assessment of the Surgical Results of the Site-Directed Surgical Treatment in Obstructive Sleep Apnoea Syndrome

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International Journal of Otolaryngology and Head & Neck Surgery 2020年第4期9卷 111-123页

作者： D. R. Kandel A. thakar S. C. Sharma S. K. Sharma A. Trikha G. Shukla A. S. Bhalla R. Kumar R. C. Deka MS ENT and HNS Bharatpur Nepal

Background: Obstructive sleep apnea (OSA) has cardiovascular, neurological, and social complications. Surgical treatment has the potential to improve airway patency but when and which surgery should be done is a controversy. Aims and objectives: To estimate the site of obstruction in patients with OSAS and to assess the surgical results of the site (of obstruction) directed surgical treatment. Methodology: Twenty patients with OSAS were included in the study with Eight adults and Twelve children. It was a prospective study. All patients were assessed for the airway collapse and surgery was done accordingly. Repeat PSG was done after surgery for success rate after 4 months of follow up. Result: 17 patients successfully completed the follow-up. Four (50%) adults and Two (17%) children have grade I or II tonsils while Four (50%) of adults and Ten (83%) children have tonsil size grade III or IV. Seven (88%) adults and one (8%) of the children have adenoid hypertrophy up to grade II. One adult (12%) and nine children (75%) have grade III Adenoid size. Two children (17%) have Adenoid grade IV size. In Four patients retropalatal more than retroglossal collapse was found (50%). One patient (12%) had retroglossal more than retropalatal collapse other one had only retropalatal collapse, and the other one had retroglossal collapse. ESS (Epworth sleepiness scale) decreased postoperatively in both groups. There is a significant change in AHI with the median pre-op AHI being 40.19 to median post-op AHI being 11.35 with a p-value 0.017. Apnea-hypopnea index (AHI) in children pre-operatively was 12.98 (median) changed to 2.15 (median) which is statistically significant. Only one adult patient (12%) is surgically cured while in five patients (63%) surgical success achieved with a surgical success rate of 5/8 (63%). Whereas only one patient is surgic

关键词： Obstructive Sleep Apnoea Polysomnography Retroglossal Apnoea Hypopnoea Index

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