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Improved classification of indeterminate biliary strictures by probe‐based confocal laser endomicroscopy using the Paris Criteria following biliary stenting
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Gurprit Singh Satish Kumar S. K. Mohapatra 《Bulletin of environmental contamination and toxicology》2018,101(6):773-778
In the present study, the leachability of traced elements from the bottom ash of three different Indian power plants was investigated. Environmental impact of bottom ash was studied by varying the liquid-to-solid (L/S) ratio from 20:1 to 60:1. Leaching results show the presence of a major proportion of elements Mn, Mg, Cr, Zn and Cu and a minor proportion of Pb, Fe, Co, and Mo. The effect of the addition of sodium bicarbonate (NaHCO3) on leaching characteristics of bottom ash was also studied. Leaching concentration of bottom ash samples reduces with addition of additive from 0.2% to 0.6% and found to be optimum with 0.4% the addition of additive. This aspect of the investigation helps to design the ash disposal system for higher solid concentrations to minimize the environmental pollution. 相似文献
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Sarit Polsky Dominique Giordano Mary K. Voelmle Rachel Garcetti Satish K. Garg 《Postgraduate medicine》2016,128(4):418-426
The prevalence of diabetes is increasing globally. Technology to improve care among individuals with diabetes is constantly being developed. Women living with Type 1 Diabetes Mellitus (T1DM) have unique challenges affecting their glucose control relating to menstrual cycles, pregnancy, and menopause. The purpose of this review is to examine the literature related to the use of technology to help women with T1DM manage their diabetes during the reproductive years, pregnancy, and beyond. Continuous subcutaneous insulin infusion (CSII) therapy can provider equivalent or better glucose control when compared with multiple daily injections (MDI), with less hypoglycemia, diabetic ketoacidosis, and weight gain. The CSII therapy has features that could help improve glucose control over the menstrual cycle, menopause, and pregnancy, although the most studied of these stages is pregnancy. Continuous glucose monitoring (CGM) can be combined with any insulin delivery system (MDI or CSII) to provide data on glucose values every few minutes and show glucose trends over time. CGM introduction can highlight glucose variability for women with T1DM, may be beneficial during pregnancy, and can reduce hypoglycemia. Sensor-augmented pump therapy and hybrid artificial pancreas (closed-loop) systems are promising tools that improve outcomes among individuals with diabetes. The use of modern technology to improve glucose and metabolic control among menopausal women with diabetes has not been well studied. Internet and phone-based technologies are emerging as important tools that may help with diabetes self-care for women living with diabetes. 相似文献
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Manjulata Kumawat Tarun Kumar Sharma Ishwar Singh Neelima Singh Sanjeev Kumar Singh Veena Singh Ghalaut Vijay Shankar Satish Kumar Vardey 《Disease markers》2012,33(6):303-308
Background: Ageing is associated with an accumulation of free radical damage, which leads to physiological and clinical modifications. The study aims to find out the status of lipid profile, antioxidant enzymes, malondialdehyde in geriatric population.
Patients/methods: The study was conducted on 150 subjects (75 healthy control between the ages of 20–30 years and 75 elderly subjects between ages of 50–70 years as cases). The following parameters were analyzed using the standard reference methods: lipid profile, reduced glutathione, glutathione peroxidase, glutathione reductase, catalase, superoxide dismutase and malondialdehyde.
Results: The present study was conducted to estimate the oxidative stress parameters in geriatric population. Highly significant increase in total cholesterol (TC), triglyceride (TG), LDL-cholesterol (LDL-C), VLDL-cholesterol (VLDL-C), malondialdehyde, catalase and decrease in high density lipoprotein cholesterol (HDL-C), reduced glutathione, glutathione peroxidase, glutathione reductase, superoxide dismutase was observed in geriatrics when compared with their younger counterparts.
Conclusion: This study concluded that there is enhanced oxidative stress and decreased antioxidant defence in geriatrics as compared to younger subjects which could play an important role in ageing. Dyslipidemia has become one of the important risk factors for the increasing prevalence of cardiovascular diseases. There is lack of awareness on the relationship between blood lipids and the risk of cardiovascular diseases in geriatric population. The strategy of early prevention should be adopted against dyslipidemia. 相似文献