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101.
102.
Somya Kumari Pradeep Venkatesh Nikhil Tandon Rohan Chawla Brijesh Takkar Atul Kumar 《Eye (London, England)》2022,36(10):1988
BackgroundRegular screening for retinopathy and timely intervention reduces blindness from diabetes by 90%. Screening is currently dependent on the interpretation of images captured by trained technicians. Inherent barriers of accessibility and affordability with this approach impede widespread success of retinopathy screening programs. Herein, we report our observations on the potential of a novel approach, Selfie Fundus Imaging (SFI), to enhance diabetic retinopathy screening.MethodsThe study was undertaken over a two-month period during COVID 19 lockdown. 60 diabetic patients participated in the study. Retinal images were captured using three different approaches, handheld smartphone-based photographs captured by patients themselves after a short video-assisted training session (SFI group), and smartphone-based photographs captured by a trained technician and photographs taken on desktop conventional digital fundus camera (Gold standard). Sensitivity and kappa statistics was determined for retinopathy and macular oedema grading.FindingsMean age of the study participants was 52.4 years ± 9.8 years and 78% were men. Of 120 images captured using SFI, 90% were centred-gradable, 8% were decentred-gradable and 2% were ungradable. 82% patients captured the image within a minute (majority by 31–45 s). The sensitivity of SFI to detect diabetic retinopathy was 88.39%. Agreement between SFI grading and standard fundus photograph grading was 85.86% with substantial kappa (0.77). For the detection of diabetic macular oedema, the agreement between SFI images and standard images was 93.67, with almost perfect kappa (0.91).ConclusionFundus images were captured by patients using SFI without major difficulty and were comparable to images taken by trained specialist. With greater penetrance, advances, and availability of mobile photographic technology, we believe that SFI would positively impact the success of diabetic retinopathy screening programs by breaking the barriers of availability, accessibility, and affordability. SFI could ensure continuation of screening schedules for diabetic retinopathy, even in the face a highly contagious pandemic.Subject terms: Outcomes research, Retinal diseases, Physical examination 相似文献
103.
Indian Journal of Pediatrics - 相似文献
104.
105.
The Asia–Pacific Working Party on Non‐alcoholic Fatty Liver Disease guidelines 2017—Part 2: Management and special groups
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Shiv Chitturi Vincent Wai‐Sun Wong Wah‐Kheong Chan Grace Lai‐Hung Wong Simon Kin‐Hung Wong Jose Sollano Yen‐Hsuan Ni Chun‐Jen Liu Yu‐Cheng Lin Laurentius Adrianto Lesmana Seung Up Kim Etsuko Hashimoto Masahide Hamaguchi Khean‐Lee Goh Jiangao Fan Ajay Duseja Yock Young Dan Yogesh Chawla Geoff Farrell Henry Lik‐Yuen Chan 《Journal of gastroenterology and hepatology》2018,33(1):86-98
106.
Microstructure and deformation behavior of biocompatible TiO2 nanotubes on titanium substrate 总被引:1,自引:0,他引:1
Titanium oxide coatings have been shown to exhibit desirable properties as biocompatible coatings. We report on the quantitative microstructure characterization and deformation behavior of TiO2 nanotubes on Ti substrate. Nanotubes were processed using anodic oxidation of Ti in a NaF electrolyte solution. Characterization of the as-processed coatings was conducted using scanning electron microscopy and focused ion beam milling. Increases in anodization time had no significant effect on tube diameter or tube wall thickness. Coating thickness, however, increased with time up to 2 h of anodization, at which point an equilibrium thickness was established. Nanoindentation was used to probe the mechanical response in terms of Young’s modulus and hardness. Progressively higher values of elastic modulus were obtained for thinner films consistent with increasing effects of the Ti substrate. A possible deformation mechanism of densification of the porous oxide and wear of the dense surface is suggested and discussed. 相似文献
107.
Chawla R Arora R Singh S Sagar RK Sharma RK Kumar R Sharma A Tripathi RP Puri SC Khan HA Shawl AS Sultan P Krishan T Qazi GN 《Evidence-based complementary and alternative medicine : eCAM》2006,3(4):503-511
We have evaluated the effect of variation in aryl-tetralin lignans on the radioprotective properties of Podophyllum hexandrum. Two fractionated fractions of P. hexandrum [methanolic (S1) and chloroform fractions (S2)], with varying aryl-tetralin lignan content were utilized for the present study. The peroxyl ion scavenging potentials of S1 and S2 were found to be comparable [i.e. 45.88% (S1) and 41% (S2)] after a 48 h interval in a time-dependent study, whereas in a 2 h study, S2 exhibited significant (P < 0.05) antioxidant activity in different metal ion + flux states. In the aqueous phase, S2 exhibited non-site-specific reactive oxygen species scavenging activity, i.e. 73.12% inhibition at 500 mug ml(-1). S1 exhibited 58.40 +/- 0.8% inhibition (at 0.025 mug ml(-1)) of the formation of reactive nitrite radicals, comparable to S2 (52.45 +/- 0.825%), and also showed 45.01% site-specific activity (1000 mug ml(-1)), along with significant (P < 0.05) electron donation potential (50-2000 mug ml(-1)) compared to S2. Such activities of S1 could be attributed to the significantly (P < 0.05) higher levels of podophyllotoxin beta-d-glucopyranoside (16.5 times) and demethyl podophyllotoxin glucoside (2.9 times) compared with S2. Together, these findings clearly prove that aryl-tetralin lignan content influences the radiation protective potential of the Podophyllum fractions to a great extent. 相似文献
108.
Feng Zhu Veasna Duong Xiao Fang Lim Vibol Hul Tanu Chawla Lucy Keatts Tracey Goldstein Alexandre Hassanin Vuong Tan Tu Philippe Buchy October M. Sessions Lin-Fa Wang Philippe Dussart Danielle E. Anderson 《Viruses》2022,14(2)
Bats have been recognized as an exceptional viral reservoir, especially for coronaviruses. At least three bat zoonotic coronaviruses (SARS-CoV, MERS-CoV and SARS-CoV-2) have been shown to cause severe diseases in humans and it is expected more will emerge. One of the major features of CoVs is that they are all highly prone to recombination. An extreme example is the insertion of the P10 gene from reoviruses in the bat CoV GCCDC1, first discovered in Rousettus leschenaultii bats in China. Here, we report the detection of GCCDC1 in four different bat species (Eonycteris spelaea, Cynopterus sphinx, Rhinolophus shameli and Rousettus sp.) in Cambodia. This finding demonstrates a much broader geographic and bat species range for this virus and indicates common cross-species transmission. Interestingly, one of the bat samples showed a co-infection with an Alpha CoV most closely related to RsYN14, a virus recently discovered in the same genus (Rhinolophus) of bat in Yunnan, China, 2020. Taken together, our latest findings highlight the need to conduct active surveillance in bats to assess the risk of emerging CoVs, especially in Southeast Asia. 相似文献
109.
SP Walker M Permezel SF Berkovic 《BJOG : an international journal of obstetrics and gynaecology》2009,116(6):758-767
While most women with epilepsy can expect a normal pregnancy outcome, epilepsy remains a significant contributor to both maternal and perinatal morbidity. Pre-pregnancy planning must address reliable contraception and optimisation of antiepileptic drug (AED) regimens to minimise teratogenic risk while maintaining seizure control. The most recent data from the AED registries regarding malformations is presented in this review, as is the limited data on the newer AEDs and studies linking neurocognitive outcomes to AED exposure. During pregnancy, important considerations include; therapeutic drug monitoring, surveillance for obstetric complications and vigilance for seizures during the intrapartum and postpartum period. 相似文献
110.
Systemic inflammatory response syndrome in acute‐on‐chronic liver failure: Relevance of ‘golden window’: A prospective study
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Ashok Choudhury Manoj Kumar Barjesh C Sharma Rakhi Maiwall Viniyendra Pamecha Richard Moreau Yogesh K Chawla Ajay Duseja Mamun Mahtab Salimur Rahman Saeed S Hamid Amna S Butt Wasim Jafri Seok Siam Tan Harshad Devarbhavi Deepak Amarapurkar Qin Ning C E Eapen Ashish Goel Dong J Kim Hasmik Ghazinyan Gamal Shiha Guan H Lee Zaigham Abbas Diana A Payawal A Kadir Dokmeci Man‐Fung Yuen Laurentius A Lesmana Ajit Sood Albert Chan George K Lau Ji Dong Jia Zhongping Duan Chen Yu Osamu Yokosuka Priyanka Jain Ajeet S Bhadoria Guresh Kumar Shiv K Sarin for the APASL ACLF working party 《Journal of gastroenterology and hepatology》2017,32(12):1989-1997