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Role of endoscopic ultrasound-guided biliary drainage for palliation of malignant biliary obstruction

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World Journal of Gastrointestinal Surgery 2024年第8期16卷 2369-2373页

作者： Sahib Singh Saurabh chandan Antonio Facciorusso Department of Internal Medicine Sinai HospitalBaltimoreMD 21215United States Center for Interventional Endoscopy(CIE) Advent HealthOrlandoFL 32803United States Gastroenterology Unit Department of Medical and Surgical SciencesUniversity of FoggiaFoggia 71122Italy

Endoscopic ultrasound-guided biliary drainage(EUS-BD)directs bile flow into the digestive tract and has been mostly used in patients with malignant biliary obstruction(MBO)where endoscopic retrograde cholangiopancreatography-guided biliary drainage was unsuccessful or was not *** apposing metal stents(LAMS)are deployed during EUS-BD,with the newer electrocautery-enhanced LAMS reducing procedure time and complication rates due to the inbuilt cautery at the catheter ***-BD with electrocautery-enhanced LAMS has high technical and clinical success rates for palliation of MBO,with bleeding,cholangitis,and stent occlusion being the most common adverse *** studies have even suggested comparable efficacy between EUS-BD and endosc-opic retrograde cholangiopancreatography as the primary approach for distal *** this editorial,we commented on the article by Peng et al published in the recent issue of the World Journal of Gastrointestinal Surgery in 2024.

关键词： Endoscopic ultrasound Endoscopic ultrasound guided biliary drainage Cancer Pancreas Bile duct Endoscopy

An Autopsy and Histopathology-based Study to Ascertain the Cause of Death of Brought Dead Cases

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Journal of Forensic Science and Medicine 2024年第1期10卷 28-33页

作者： chandan Bandyopadhyay Prabir Chandra Paul Prabhas Chandra Chakraborty Department of Forensic and State Medicine Medical CollegeKolkataWest BengalIndia Department of Pathology Jagannath Gupta Institute of Medical Science and HospitalKolkataWest BengalIndia Department of Forensic Medicine and Toxicology NRS Medical College and HospitalKolkataand M.G.M Medical College and L S.K HospitalKishanganjBiharIndia

Background and Objectives:The cases of apparent natural deaths are encountered in the hospital casualties who are noted dead at the time of the first medical attention and as such are labeled as“Brought Dead.”These include the cases of sudden death,unexplained death,and unattended *** cause of such deaths is reported in the literature to emanate principally from the cardiovascular system,though there are some documented geographical,racial,and other *** the present study,we endeavored to detect the cause of such natural deaths in terms of the disease and the organ system involved,in the deceased individuals of the contemporary Bengali population,with cases due to obvious unnatural causes being *** and Methods:An observational,cross-sectional study with 105(n=105,male:89,female:16)study subjects of age group of 20-80 years,selected by systemic random sampling,from the brought dead subjects coming to the mortuary of the NRS Medical College and Hospital for medicolegal autopsy from April 2011 to March 2012,excluding cases having a history of the obvious unnatural *** system-wise gross examination was done,followed by tissue sampling for histopathological *** case-wise findings were tabulated and analyzed for descriptive statistics using SPSS ***:In the present study,89 cases were male(84.8%)and 16 cases were female(15.2%),which reflects a male:female ratio of 5.56:*** dead bodies are mostly recovered from the footpaths(47 cases,44%).Sixty-four(61%)cases are of known *** 54 cases out of 105(51.4%),morbid pathology is detected in the respiratory system(RS),lobar pneumonia,and cavitary pulmonary tuberculosis being the most frequent disease entity,in both ***-one years-sixty-five years is found to be the most commonly affected age group,in both *** and Conclusions:The present study shows that the most common organ system involved in brought dead cases is the RS,which is s

关键词： Autopsy brought dead cause of death histopathology

Radiative heat transfer analysis of a concave porous fin under the local thermal non-equilibrium condition:application of the clique polynomial method and physics-informed neural networks

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Applied Mathematics and Mechanics(English Edition) 2024年第9期45卷 1613-1632页

作者： K.chandan K.KARTHIK K.V.NAGARAJA B.C.PRASANNAKUMARA R.S.VARUN KUMAR T.MUHAMMAD Amrita School of Artificial Intelligence Amrita Vishwa VidyapeethamBengaluru 560035KarnatakaIndia Department of Studies in Mathematics Davangere UniversityDavangere 577002KarnatakaIndia Computational Science Lab Amrita School of EngineeringAmrita Vishwa VidyapeethamBengaluru 560035KarnatakaIndia Department of Pure and Applied Mathematics School of Mathematical SciencesSunway UniversityPetaling Jaya 47500Malaysia Department of Mathematics College of ScienceKing Khalid UniversityAbha 61413Saudi Arabia

The heat transfer through a concave permeable fin is analyzed by the local thermal non-equilibrium(LTNE)*** governing dimensional temperature equations for the solid and fluid phases of the porous extended surface are modeled,and then are nondimensionalized by suitable dimensionless ***,the obtained nondimensional equations are solved by the clique polynomial method(CPM).The effects of several dimensionless parameters on the fin's thermal profiles are shown by graphical ***,the current study implements deep neural structures to solve physics-governed coupled equations,and the best-suited hyperparameters are attained by comparison with various network *** results of the CPM and physicsinformed neural network(PINN)exhibit good agreement,signifying that both methods effectively solve the thermal modeling problem.

关键词： heat transfer fin porous fin local thermal non-equilibrium(LTNE)model physics-informed neural network(PINN)

Climate-driven dengue fever outbreaks in Nepal:Trends,challenges,and strategies

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World Journal of Virology 2024年第4期13卷 135-138页

作者： chandan Kumar Thakur Samita Adhikari Meghnath Dhimal Clinical Microbiology Karnali Academy of Health SciencesJumla 21200KarnaliNepal Hospital Infection Control Nepal Mediciti HospitalLalitpur 44700BagmatiNepal Research Section Nepal Health Research CouncilKathmandu 44600BagmatiNepal

Dengue fever(DF)has become a major public health concern in Nepal,with increasing outbreaks in recent *** by Aedes mosquitoes,this climate-sensitive viral disease presents a significant challenge for healthcare providers and *** 2004,Nepal has experienced a sharp increase in DF cases,peaking in 2022 with 54784 cases and 88 *** surge,driven mainly by serotypes 1,2,and 3,is exacerbated by climate change,which prolongs mosquito breeding seasons due to warmer temperatures and increased *** trend has even impacted previously unaffected hilly *** dengue control strategies must focus on climate change adaptation,strengthening healthcare system reinforcement,raising public awareness,and enhancing vector control *** initiatives,like the national dengue control program,play a critical role,but research and community engagement are also vital for prevention and early *** climate resilience into public health efforts is essential to reducing the dengue burden in Nepal.

关键词： Climate change Dengue fever Dengue outbreaks Dengue control Nepal Public health Vector-borne diseases

Nitrosamines crisis in pharmaceuticals-Insights on toxicological implications,root causes and risk assessment:A systematic review

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Journal of Pharmaceutical Analysis 2024年第5期14卷 639-652页

作者： Hemanth P.R.Vikram Tegginamath Pramod Kumar Gunjan Kumar Narasimha M.Beeraka Rajashree Deka Sheik Mohammed Suhail Sandeep Jat Namitha Bannimath Gayatiri Padmanabhan Ravandur S.chandan Pramod Kumar Bannimath Gurupadayya Department of Pharmaceutical Chemistry JSS College of Pharmacy MysuruJSS Academy of Higher Education and Research(JSSAHER)Mysuru570015India Xenone Healthcare Pvt.Ltd. New Delhi110076India Department of Pharmaceutics JSS College of Pharmacy MysuruJSS Academy of Higher Education and Research(JSSAHER)Mysuru570015India Department of Human Anatomy I.M.Sechenov First Moscow State Medical University(Sechenov University)Moscow119991Russian Federation Department of Pharmacology Raghavendra Institute of Pharmaceutical Education and Research(RIPER)Ananthapuramu515721India Herman B.Wells Center for Pediatric Research Department of PediatricsIndiana University School of MedicineIndianapolisIN46202USA Animal Physiology and Biochemistry Laboratory Department of ZoologyGauhati UniversityGuwahati781014India Department of Pharmacology JSS College of Pharmacy MysuruJSS Academy of Higher Education and Research(JSSAHER)Mysuru570015India Department of Pharmaceutical Analysis National Institute of Pharmaceutical Education and Research(NIPER)-GuwahatiChangsari781101India Department of Pharmacology University of GalwayGalwayH91 TK33Ireland

The presence of N-nitroso compounds,particularly N-nitrosamines,in pharmaceutical products has raised global safety concerns due to their significant genotoxic and mutagenic *** systematic review investigates their toxicity in active pharmaceutical ingredients(APIs),drug products,and pharmaceutical excipients,along with novel analytical strategies for detection,root cause analysis,reformulation strategies,and regulatory guidelines for *** review emphasizes the molecular toxicity of N-nitroso compounds,focusing on genotoxic,mutagenic,carcinogenic,and other physiological ***,it addresses the ongoing nitrosamine crisis,the development of nitrosamine-free products,and the importance of sensitive detection methods and precise risk *** comprehensive overview will aid molecular biologists,analytical scientists,formulation scientists in research and development sector,and researchers involved in management of nitrosamine-induced toxicity and promoting safer pharmaceutical products.

关键词： Carcinogenicity Genotoxicity Mutagenicity Molecular toxicity Nitrosamine impurities Nitrosamine drug substance-related impurities

Antitubercular therapy in patients with cirrhosis:Challenges and options

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World Journal of Gastroenterology 2014年第19期20卷 5760-5772页

作者： Naveen Kumar chandan Kumar Kedarishetty Sachin Kumar vikas Khillan Shiv Kumar Sarin Departments of Hepatology Institute of Liver and Biliary SciencesVasant KunjNew Delhi 110070India Departments of Pulmonology Institute of Liver and Biliary SciencesVasant KunjNew Delhi-110070India Departments of Microbiology Institute of Liver and Biliary SciencesVasant KunjNew Delhi-110070India

Tuberculosis(TB)has been a human disease for *** frequency is increased manyfold in patients with liver *** gold standard of TB management is a 6-mo course of isoniazid,rifampicin,pyrazinamide and *** good results are seen with this treatment in general,the management of patients with underlying cirrhosis is a *** underlying depressed immune response results in alterations in many diagnostic *** tests used for latent TB have many flaws in this group of *** of four first-line antitubercular drugs are hepatotoxic and baseline liver function is often disrupted in patients with underlying *** of hepatotoxicity is increased in patients with liver cirrhosis,frequently leading to severe liver *** are no established guidelines for the treatment of TB in relation to the severity of liver *** is no consensus on the frequency of liver function tests required or the cutoff used to define *** specific treatment exists for prevention or treatment of hepatotoxicity,making monitoring even more important.A high risk of multidrug-resistant TB is another major worry due to prolonged and interrupted treatment.

关键词： Antitubercular therapy Drug hepatotoxicity Multidrug-resistant tuberculosis Immune dysfunction

Corrigendum to“Nitrosamines crisis in pharmaceuticals-Insights on toxicological implications,root causes and risk assessment:A systematic review”[***.14(2024)100919]

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Journal of Pharmaceutical Analysis 2024年第6期14卷 934-936页

Original statement in the Section 2:*** search Our primary screening of 180 articles yielded the relevant data for this *** selection A total of 180 articles spanning from 1960 to the present day,including original research,reviews,case reports and studies reporting nitrosamine impurities above the no-observed-adverse-effect levels(NOAEL)established by regulatory agencies,were initially *** the primary screening,we considered factors such as relevance,publication date,access to the full article text,and content.

关键词： statement initially spanning

Effects of solubility parameter differences among PEG,PVP and CA on the preparation of ultrafiltration membranes:Impacts of solvents and additives on morphology,permeability and fouling performances

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Chinese Journal of Chemical Engineering 2017年第7期25卷 911-923页

作者： Kibrom Alebel Gebru chandan Das Department of Chemical Engineering Indian Institute of Technology Guwahati781039AssamIndia

The effects of two different hydrophilic additives and two solvents on the membrane morphological structure,permeability property and anti-fouling performances of cellulose acetate(CA) ultrafiltration membranes were investigated. During the phase-inversion process, cellulose acetate was selected as a membrane forming polymer; polyethylene glycol(PEG) and polyvinyl pyrrolidone(PVP) were used as additives; acetone(Ac): N,N-Dimethylacetamide(DMAc) and N, N-Dimethylformamide(DMF) were used as solvents; and deionized(DI)water was used in the coagulation bath. All the prepared membranes were characterized in terms of hydraulic permeability(Pm), membrane resistance, average pore radius, and hydrophilicity. The top surface and crosssectional view of the prepared membranes were also observed by using field emission scanning electron microscopy. Membrane fouling and rejection experimentations were done using a stirred batch-cell filtration *** experimental studies of fouling/rinsing cycles, rejection, and permeate fluxes were used to investigate the effect of PEG and PVP additives and effect of the two solvents on the fabricated membranes using bovine serum albumin(BSA) as a model protein.

关键词： Phase inversion Cellulose acetate Solubility parameter Ultrafiltration Additives Solvents

Comparative studies for two different orientations of pebble bed in an HCCB blanket

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Plasma Science and Technology 2017年第12期19卷 146-153页

作者： Paritosh CHAUDHURI chandan DANANI E RAJENDRAKUMAR Institute for Plasma Research BhatGandhinagar-382 428India

The Indian Test Blanket Module（TBM） program in ITER is one of the major steps in its fusion reactor program towards DEMO and the future fusion power reactor vision. Research and development（RD） is focused on two types of breeding blanket concepts： lead–lithium ceramic breeder（LLCB） and helium-cooled ceramic breeder（HCCB） blanket systems for the DEMO reactor. As part of the ITER-TBM program, the LLCB concept will be tested in one-half of ITER port no. 2, whose materials and technologies will be tested during ITER operation. The HCCB concept is a variant of the solid breeder blanket, which is presently part of our domestic RD program for DEMO relevant technology development. In the HCCB concept Li_2TiO_3 and beryllium are used as the tritium breeder and neutron multiplier, respectively, in the form of a packed bed having edge-on configuration with reduced activation ferritic martensitic steel as the structural material. In this paper two design schemes, mainly two different orientations of pebble beds, are discussed. In the current concept（case-1）, the ceramic breeder beds are kept horizontal in the toroidal–radial direction. Due to gravity, the pebbles may settle down at the bottom and create a finite gap between the pebbles and the top cooling plate, which will affect the heat transfer between them. In the alternate design concept（case-2）, the pebble bed is vertically（poloidal–radial） orientated where the side plates act as cooling plates instead of top and bottom plates. These two design variants are analyzed analytically and 2 D thermal-hydraulic simulation studies are carried out with ANSYS, using the heat loads obtained from neutronic *** on the analysis the performance is compared and details of the thermal and radiative heat transfer studies are also discussed in this paper.

关键词： fusion reactor test blanket module HCCB thermal radiation heat transfer