201 results on '"Roy SB"'
Search Results
2. Competing interactions and spin-glass-like features in theUCu2Ge2system
- Author
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R. Ranganathan, Roy Sb, and Chakravarti A
- Subjects
chemistry.chemical_classification ,Nonlinear system ,Materials science ,Spin glass ,chemistry ,Ferromagnetism ,Field (physics) ,Condensed matter physics ,Antiferromagnetism ,Condensed Matter::Strongly Correlated Electrons ,Inorganic compound ,Magnetic susceptibility ,Metamagnetism - Abstract
The experimental results of low field, frequency-dependent complex ac susceptibility including both the linear and nonlinear responses are reported for the UCu 2 Ge 2 system, where the ferromagnetic long-range order is observed below T c ≃105 K and antiferromagnetic transition occurs at T N ≃45 K. The data show various spin-glass-like features in the intermediate FM-AFM temperature regime
- Published
- 1992
- Full Text
- View/download PDF
3. Effects of high altitude hypoxia on left ventricular systolic time intervals in man
- Author
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V. S. Kaushik, Subhash C. Manchanda, V. Balasubramanian, and Roy Sb
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Adult ,Male ,medicine.medical_specialty ,Time Factors ,Heart Ventricles ,Physical Exertion ,Left Ventricular Ejection Time ,Isometric exercise ,Electrocardiography ,Altitude ,Heart Rate ,Internal medicine ,Heart rate ,medicine ,Humans ,Hypoxia ,Sea level ,medicine.diagnostic_test ,business.industry ,Phonocardiography ,Heart ,Anatomy ,Effects of high altitude on humans ,Hypoxia (medical) ,Cardiology ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Research Article - Abstract
Effects of high altitude hypoxia on systolic time intervals were examined in 34 healthy men: 20 sea level residents studied at rest and at the end of 3 minutes steady isometric (handgrip) exercise at sea level and then serially for the first 5 days and on the tenth day, at an altitude of 3658 m, and I4 permanent residents at high altitude studied at high altitude. In the sea level residents there was a significant increase in the pre-ejection period (PEP), abbreviation of the left ventricular ejection time (LVET), both corrected for heart rate, and prolongation of the PEP/LVET ratio at high altitude. The maximum changes were seen on days 2 and 3; these parameters tended to approach sea level control values by the tenth day. The systolic time interval values of high altitude residents were similar to the control values of the sea level residents obtained at sea level but significantly different from the changes in the sea level values seen in the first 4 days at high altitude. It thus appears that while the high altitude residents do not show any left ventricular dysfunction as determined by systolic time intervals, healthy sea level residents when exposed to high altitude hypoxia show a significant depression of the left ventricular function for at least the first 4 days. This might be a contributing factor in the genesis of high altitude pulmonary oedema.
- Published
- 1975
- Full Text
- View/download PDF
4. ac susceptibility and electrical resistivity inFe80−xNixCr20(21≤x≤30) alloys
- Author
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Majumdar Ak, Mishra Nc, Raghavan Srinivasan, Roy Sb, and Raychaudhury Ak
- Subjects
Magnetization ,Materials science ,Ferromagnetism ,Condensed matter physics ,Electrical resistivity and conductivity ,Crystallite - Abstract
ac susceptibility and electrical resistivity studies on polycrystalline Fe80-xNixCr20 (21 \leq x \leq 30) alloys, with x=21, 23, 26, and 30, between 4.2 and 80 K, are reported. A previous dc magnetization study indicated the presence of ferro-spin-glass mixed-phase behavior in x=23 and 26 alloys while the alloys with x=21 and 30 were found to be spin-glass and ferromagnetic, respectively. The present ac susceptibility results support the above picture. In the electrical resistivity study, a low-temperature minimum in the resistivity-temperature curve is observed in all the alloys except the ferromagnetic one.
- Published
- 1985
- Full Text
- View/download PDF
5. Metoprolol--a new cardioselective beta-adrenoceptor blocking agent for treatment of tachyarrhythmias
- Author
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H S Wasir, R Sannerstedt, Roy Sb, Bhatia Ml, and R K Mahapatra
- Subjects
Adult ,Male ,Tachycardia ,medicine.medical_specialty ,Adolescent ,Ventricular tachycardia ,Propanolamines ,Internal medicine ,medicine ,Humans ,Sinus rhythm ,cardiovascular diseases ,Tachycardia, Paroxysmal ,Atrial tachycardia ,Aged ,Metoprolol ,business.industry ,Atrial fibrillation ,Middle Aged ,medicine.disease ,Blood pressure ,Heart failure ,Anesthesia ,cardiovascular system ,Cardiology ,Female ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Research Article ,medicine.drug - Abstract
The antiarrhythmic effect of the cardioselective beta-adrenoceptor blocking agent metoprolol, given intravenously, was studied in 44 patients with various tachyarrhythmias, including patients with congestive heart failure and signs of digitalis intoxication. All patients with atrial tachycardia (12 cases) reverted to normal sinus rhythm. In 3 out of 18 patients with atrial fibrillation, sinus rhythm was restored, and in the others there was a significant reduction in ventricular rate. In 6 of 10 patients with ventricular ectopic beats, and 1 of 2 patients with ventricular tachycardia, the ectopic rhythm was abolished. The drug was well tolerated, without any significant changes in blood pressure, even by patients with signs of digitalis intoxication and varying degrees of pulmonary or peripheral circulatory congestion. Metoprolol is of clinical value for treatment of tachyarrhythmias, especially those of supraventricular origin.
- Published
- 1977
- Full Text
- View/download PDF
6. Magnetic behavior ofCeFe2: Effects of Ru, Rh, and Pd substitutions
- Author
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Roy Sb and Coles Br
- Subjects
Magnetization ,Crystallography ,Materials science ,Ferromagnetism ,Condensed matter physics ,Electrical resistivity and conductivity ,Magnetism ,Antiferromagnetism ,Curie temperature ,Electronic structure ,Phase diagram - Abstract
Results are presented for the effects of substitution of Ru, Rh, and Pd for Fe in CeFe/sub 2/. For Rh and Pd the Curie temperature is lowered for up to 10% substitution without change in magnetic character. Ru substitutions produce (for 4% to 8%) the low-temperature loss of ferromagnetism observed for around 10% Co. At larger Ru substitutions no ferromagnetic regime is found but resistivity, susceptibility, and magnetization results suggest the presence of magnetic freezing which has some antiferromagnetic and some spin-glass features. These results are discussed in terms of the effects that might be produced by 4f--conduction-band hybridization, its modification by alloying and theories of the types of phase diagram that can be produced in itinerant-electron systems with competing interactions.
- Published
- 1989
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7. Transthoracic Electrical Impedance in Cases of High-altitude Hypoxia
- Author
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V. S. Kaushik, Subhash C. Manchanda, Manoranjan Khan, V. Balasubramanian, Roy Sb, and Sujoy K. Guha
- Subjects
Adult ,Male ,Thorax ,medicine.medical_specialty ,Thoracic Fluid ,Pulmonary Edema ,Blood volume ,Altitude ,Furosemide ,Internal medicine ,medicine ,Humans ,Hypoxia ,Lung ,General Environmental Science ,business.industry ,Electric Conductivity ,General Engineering ,Papers and Originals ,General Medicine ,Hypoxia (medical) ,Pulmonary edema ,medicine.disease ,Surgery ,Oxygen ,Radiography ,medicine.anatomical_structure ,Cardiology ,General Earth and Planetary Sciences ,medicine.symptom ,Extracellular Space ,business ,Mathematics ,medicine.drug - Abstract
Changes in transthoracic electrical impedance (T.E.I.) due to high-altitude hypoxia (3,658 m) have been measured in 20 young, healthy Indian soldiers. They were first studied at sea level (198 m) and then rapidly transported by air to 3,658 m, where they were studied daily from day 1 to day 5 and then on days 8 and 10. The mean (+/-S.D.) T.E.I. at sea level (34.6+/-0.6Omega) fell sharply to 29.6+/-0.8Omega, 30.3+/-0.9Omega, and 30.5+/-1.1Omega on days 1, 2, and 3 (P0.001) and levelled off at 31.5+/-0.7Omega on day 10, which was comparable to the mean value obtained in 13 persons permanently resident at high altitude (32.2+/-0.7Omega). Five sea-level residents who had acute mountain sickness (A.M.S.) or high-altitude pulmonary oedema (H.A.P.O.) had a still lower mean value (22.5+/-1.1Omega). One normal healthy subject who at sea level had a T.E.I. of 34.7Omega developed H.A.P.O. when the T.E.I. fell to 21.1Omega. Ninety minutes after the administration of 80 mg of intravenous frusemide the value increased to 35.5Omega. In another subject with A.M.S. who received 40 mg of frusemide intravenously the T.E.I. rose from 21.9 to 33.2Omega.Since the study was non-invasive the changes in impedance could not be correlated objectively with alterations in either pulmonary blood volume or pulmonary extravascular water space. In the subject, however, with x-ray evidence of H.A.P.O. and a low T.E.I. intravenous frusemide produced a marked rise in T.E.I. together with clearing of the chest x-ray picture within 24 hours, indicating an inverse relationship between impedance and thoracic fluid volume. It is suggested that with further objective verification in man the measurement of T.E.I. may be a potentially promising technique for the early detection of increased pulmonary fluid volume.
- Published
- 1974
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8. Quantitative electrical-impedance plethysmography for pulmonary oedema
- Author
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Roy Sb, Sujoy K. Guha, Mahfooz R. Khan, and Srinath Tandon
- Subjects
Adult ,Male ,Thorax ,Adolescent ,Biomedical Engineering ,Pulmonary Edema ,Models, Biological ,Pulmonary oedema ,Age groups ,Humans ,Medicine ,Plethysmograph ,Plethysmography, Impedance ,Child ,Electrical impedance ,Aged ,business.industry ,Electric Conductivity ,Human physiology ,Middle Aged ,Computer Science Applications ,Female ,business ,Fluid volume ,Biomedical engineering - Abstract
A simple expression is given for the estimation of transthoracic electrical impedance directly from externally measured dimensions of the thorax of a human subject. Clinically, the abnormalities due to an intrathoracic accumulation of fluid can be detected by comparing the estimated and the measured values of the impedances. A curve relating transthoracic electrical impedance and intrathoracic fluid volume is obtained by means of a computer program. The curve can be used for assessing the pulmonary oedema fluid quantitatively. The validity of the expression has been experimentally confirmed in 103 normal human subjects of various age groups, builds and of both sexes.
- Published
- 1977
- Full Text
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9. Hemodynamic Effects of Chronic Severe Anemia
- Author
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Virender S. Mathur, M.L. Bhatia, Roy Sb, and Shyama Virmani
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Cardiac output ,business.industry ,Anemia ,Hemodynamics ,Cardiac index ,Blood Pressure ,Blood Pressure Determination ,Capillary Resistance ,Stroke volume ,medicine.disease ,Square meter ,Blood pressure ,Physiology (medical) ,Anesthesia ,Heart Function Tests ,Heart rate ,Hemoglobinometry ,Medicine ,Oximetry ,Hemoglobin ,Cardiology and Cardiovascular Medicine ,business ,Blood Flow Velocity - Abstract
Data on the cardiac output and circulatory dynamics obtained by cardiac catheter studies in 51 subjects with chronic severe anemia are presented. Patients are divided into two groups: group A consists of 26 subjects with an average hemoglobin value of 3.0 Gm. per 100 ml. (range 1.5 to 3.8 Gm.); group B, 25 patients with a hemoglobin level of 4.0 to 6.5 Gm., average 4.5 Gm. Group A subjects have a somewhat faster heart rate (99 against 92 a minute), higher cardiac index (8.0 versus 6.3 liters per minute per square meter), and stroke index (88 and 68 ml. per beat per square meter) than group B patients. The oxygen consumption values in both groups are normal (average 158 and 160 ml. per minute per square meter), while more oxygen is extracted by the tissue in group A subjects (61 and 53 per cent) whereas less oxygen is transported to the tissue (261 and 321 ml. per minute per square meter). The stroke volume seems to bear a closer relationship to the high cardiac output than such other parameters as heart rate, right heart filling pressure, and velocity of blood flow. Apparently the presence of slow heart rate does not negate high cardiac output. Data also suggest that systemic vascular resistance may play an important role in the high cardiac output as the two are inversely related, and by increasing the peripheral arterial pressure the output can be significantly reduced. Restudy data after the treatment of the anemia (hemoglobin 10.0 to 12.5 Gm. per 100 ml.) show appreciable reduction in the cardiac output and in the right heart filling pressure, increase in the peripheral vascular resistance and oxygen transport values, and widening of the arteriovenous oxygen differences with concomitant decrease in the oxygen extraction by the tissue.
- Published
- 1963
- Full Text
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10. Immediate haemodynamic effects of a beta adrenergic blocking agent-propranolol-in mitral stenosis at fixed heart rates
- Author
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M L Bhatia, Roy Sb, and Shrivastava S
- Subjects
Adult ,Male ,Pacemaker, Artificial ,Pulmonary Circulation ,medicine.medical_specialty ,Cardiac Volume ,Hemodynamics ,Blood Pressure ,Propranolol ,Pulmonary Artery ,Mitral valve stenosis ,Heart Rate ,Internal medicine ,medicine.artery ,Heart rate ,medicine ,Humans ,Mitral Valve Stenosis ,business.industry ,medicine.disease ,Stenosis ,medicine.anatomical_structure ,Blood pressure ,Anesthesia ,Pulmonary artery ,Vascular resistance ,Cardiology ,Female ,Vascular Resistance ,Cardiology and Cardiovascular Medicine ,business ,Research Article ,medicine.drug - Published
- 1972
- Full Text
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11. Acute Mountain Sickness
- Author
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Inder Singh, P. K. Khanna, M. C. Srivastava, C. S. V. Subramanyam, Roy Sb, and Madan Lal
- Subjects
Adult ,Male ,medicine.medical_specialty ,Time Factors ,Adolescent ,Acclimatization ,Partial Pressure ,Respiratory System ,Poison control ,Blood Pressure ,Pulmonary Edema ,Ammonium Chloride ,Potassium Chloride ,Cerebral edema ,Neurologic Manifestations ,Furosemide ,Severity of illness ,medicine ,Humans ,Hypoxia ,Pulse ,Blood Volume ,Aspirin ,business.industry ,Altitude ,General Medicine ,Carbon Dioxide ,Hydrogen-Ion Concentration ,Middle Aged ,Hypoxia (medical) ,medicine.disease ,Diuresis ,Mountaineering ,Respiratory Function Tests ,Surgery ,Blood pressure ,Cerebral blood flow ,Anesthesia ,Acute Disease ,medicine.symptom ,business ,Blood Flow Velocity ,High-altitude cerebral edema ,Papilledema ,medicine.drug - Abstract
Observations on acute mountain sickness occurring between 11,000 and 18,000 feet, in 1925 men, 18, to 53 years old, showed no direct relation between altitude and severity of illness; mild, moderate and severe cases occurred at all altitudes. A time lag of six to 96 hours between arrival and onset of symptoms ruled out any direct relation between hypoxia and acute mountain sickness. During this period there was clinical evidence of respiratory dysfunction with slow, irregular or Cheyne—Stokes breathing, pulmonary congestion and antidiuresis. In one biopsy and two autopsy studies there was evidence of cerebral edema. Diuresis induced with furosemide provided effective routine therapy. Morphine and betamethasone were used as additional aids in severe cases. Clinical features of acute mountain sickness were ascribed to hypoxia, pulmonary congestion, increased cerebral blood flow, increased cerebrospinal-fluid pressure and cerebral edema.
- Published
- 1969
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12. Response of pulmonary blood volume to 64 to 114 weeks of intermittent stay at high altitudes
- Author
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Sneh Gadhoke, M.L. Bhatia, and Roy Sb
- Subjects
Adult ,Male ,Pulmonary Circulation ,Blood Volume ,Time Factors ,business.industry ,Altitude ,Mean pressure ,Hemodynamics ,Blood Pressure ,Blood volume ,Stroke volume ,Effects of high altitude on humans ,Catheter ,Heart Rate ,Anesthesia ,Heart rate ,Humans ,Medicine ,Cardiology and Cardiovascular Medicine ,business - Abstract
Data on the pulmonary blood volume and related hemodynamic parameters obtained by cardiac catheter studies in 11 healthy volunteers before and after 64 to 114 weeks of intermittent stay at an altitude of 14,500 feet have been presented. The heart rate decreased by 13 per cent, pulmonary flow increased by 60 per cent, and stroke volume increased by 77 per cent. The central and pulmonary blood volumes showed an average increase of 97 and 76 per cent, respectively. Pulmonary arterial and left atrial mean pressure values showed some elevation but remained within the upper limits of our normal values. When the increases in the flow and blood volumes were related to the duration of total and continuous stays at high altitude, better correlation was apparent with the last continuous stay prior to the restudy than with the total stay. Although central blood volume and pulmonary flow increased within 25 weeks and remained increased, with some fluctuation, the increase in the pulmonary blood volume was apparent only after 25 weeks of stay, after which it increased progressively. It is suggested that increased pulmonary flow and pulmonary blood volume but normal pulmonary arterial pressure, as seen here, may represent a form of successful adaptation in temporary residents of high altitude.
- Published
- 1967
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13. Effects of two years' intermittent stay at high altitudes on the pulmonary blood volume in man
- Author
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Roy Sb, Bhatia Ml, Gadhoke S, and S K Bhatiani
- Subjects
Adult ,Male ,Pulmonary Circulation ,medicine.medical_specialty ,Cardiac output ,India ,Blood Pressure ,Blood volume ,Altitude ,Internal medicine ,medicine ,Humans ,Cardiac Output ,Blood Volume ,Blood Volume Determination ,business.industry ,Blood volume determination ,Middle Aged ,Surgery ,Blood pressure ,Cardiology ,Cardiology and Cardiovascular Medicine ,business ,Ethnology ,Research Article - Published
- 1967
- Full Text
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14. Haemodynamic studies in high altitude pulmonary oedema
- Author
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P. S. Subba, Roy Sb, J.S. Guleria, P. K. Khanna, Pande Jn, and Subhash C. Manchanda
- Subjects
Adult ,Male ,medicine.medical_specialty ,Hypertension, Pulmonary ,Hemodynamics ,Pulmonary Edema ,Pulmonary Artery ,Altitude ,Internal medicine ,medicine.artery ,High altitude pulmonary oedema ,Humans ,Medicine ,business.industry ,Respiration ,Carbon Dioxide ,medicine.disease ,Pulmonary edema ,Pulmonary hypertension ,Surgery ,Oxygen ,Pulmonary artery ,Cardiology ,Cardiology and Cardiovascular Medicine ,business ,Research Article - Published
- 1969
- Full Text
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15. Circulatory Effects of Guanethidine in Hypertensive Heart Failure
- Author
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V. S. Mathur, Manvir Bhatia, and Roy Sb
- Subjects
Guanethidine ,Heart Failure ,medicine.medical_specialty ,business.industry ,General Engineering ,Articles ,General Medicine ,medicine.disease ,Internal medicine ,Heart failure ,Hypertension ,Circulatory system ,medicine ,Cardiology ,Humans ,General Earth and Planetary Sciences ,Hypertensive heart failure ,business ,Antihypertensive Agents ,General Environmental Science ,medicine.drug - Published
- 1961
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16. Effect of morphine on pulmonary blood volume in convalescents from high altitude pulmonary oedema
- Author
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P K Khanna, M L Bhatia, Roy Sb, and Inder Singh
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Male ,Pulmonary Circulation ,Blood Volume ,Morphine ,business.industry ,Altitude ,Pulmonary Edema ,Blood volume ,Pulmonary edema ,medicine.disease ,Anesthesia ,medicine ,High altitude pulmonary oedema ,Humans ,Cardiology and Cardiovascular Medicine ,business ,Research Article ,medicine.drug - Published
- 1965
- Full Text
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17. Reduced physical work capacity at high altitude--a role for left ventricular dysfunction
- Author
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Subhash C. Manchanda, Roy Sb, and Sanjeev Saksena
- Subjects
Adult ,Male ,medicine.medical_specialty ,Heart Ventricles ,Left Ventricular Ejection Time ,Electrocardiography ,Altitude ,Oxygen Consumption ,Furosemide ,Heart Rate ,Internal medicine ,medicine ,Humans ,medicine.diagnostic_test ,business.industry ,VO2 max ,Effects of high altitude on humans ,Physical work ,Cardiology ,Physical therapy ,Exercise Test ,Maximal exercise ,Cardiology and Cardiovascular Medicine ,business ,medicine.drug - Abstract
Physical work capacity is reduced in sea level residents--lowlanders (LL) as compared to high altitude residents--highlanders (HL). To determine possible etiologies, cardiac performance was studied in two groups of healthy male volunteers (13 LL and 11 HL) utilizing systolic time intervals during rest, submaximal and maximal exercise. The LL were studied at sea level and subsequently during 10 days of residence at an altitude of 3658 m. The HL were studied at high altitude alone. The LL were restudied 30-45 min after administration of intravenous furosemide at high altitude. Mean maximal oxygen uptake (VO2max) was reduced by 26% in the LL group at high altitude in comparison to sea level values and by 20% in relation to the HL group. Cardiac performance was estimated by the pre-ejection period/left ventricular ejection time ratio. This index was significantly increased in the LL group at high altitude in comparison to sea level values during submaximal and maximal exercise (P less than 0.01). Intravenous furosemide in the LL group increased the heart rate (P less than 0.05) at rest and during exercise but VO2max and cardiac performance were unchanged. It is hypothesized that reduced physical work capacity at high altitude in the LL group may be related to depression of cardiac performance in these subjects. Administration of intravenous furosemide did not influence cardiac performance in the LL group at high altitude.
- Published
- 1981
18. Relationship of pulmonary artery diastolic and pulmonary artery wedge pressures in mitral stenosis
- Author
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J.B. Agarwal, Roy Sb, and R.S. Manjuran
- Subjects
Adult ,Male ,medicine.medical_specialty ,Cardiac Catheterization ,Pulmonary Circulation ,Adolescent ,Physical Exertion ,Diastole ,Hemodynamics ,Blood Pressure ,Pulmonary Artery ,medicine.artery ,Internal medicine ,Medicine ,Humans ,Mitral Valve Stenosis ,Pulmonary wedge pressure ,Child ,Pressure gradient ,Clinical Trials as Topic ,business.industry ,medicine.disease ,Stenosis ,medicine.anatomical_structure ,Pulmonary artery ,Vascular resistance ,Cardiology ,Female ,Vascular Resistance ,Cardiology and Cardiovascular Medicine ,business ,Pulmonary artery.wedge - Abstract
Resting and exercise hemodynamic studies were performed in 22 patients with mitral stenosis (14 men and 19 women; average age, 25 years) in normal sinus rhythm with normal pulmonary vascular resistances. A normal pulmonary vascular resistance was assumed when the resting pressure gradient between the pulmonary artery diastolic and mean pulmonary artery wedge pressures was 5 mm. Hg or less. A satisfactory correlation existed between the pulmonary artery wedge and pulmonary artery diastolic pressures at rest (r equals 0.9017) and during exercise (r equals 0.8670). A method of predicting pulmonary artery wedge pressure from pulmonary artery diastolic pressure during exercise was formulated. The correlation between the predicted and measured exercise pulmonary artery wedge pressures was very close (r equals 0.9561). It is suggested that during exercise the pulmonary artery diastolic pressure can be modified as above and substituted for mean pulmonary artery wedge pressure if the resting gradient between pulmonary artery wedge and pulmonary artery diastolic pressure is known.
- Published
- 1975
19. ac susceptibility and electrical resistivity in Fe80-xNixCr20 (21 \leq x \leq 30) alloys
- Author
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Roy, SB, Majumdar, AK, Mishra, NC, Raychaudhury, AK, and Srinivasan, R
- Subjects
Physics - Abstract
ac susceptibility and electrical resistivity studies on polycrystalline Fe80-xNixCr20 (21 \leq x \leq 30) alloys, with x=21, 23, 26, and 30, between 4.2 and 80 K, are reported. A previous dc magnetization study indicated the presence of ferro-spin-glass mixed-phase behavior in x=23 and 26 alloys while the alloys with x=21 and 30 were found to be spin-glass and ferromagnetic, respectively. The present ac susceptibility results support the above picture. In the electrical resistivity study, a low-temperature minimum in the resistivity-temperature curve is observed in all the alloys except the ferromagnetic one.
- Published
- 1985
20. Circulatory adaptation at high altitude
- Author
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Subhash C. Manchanda and Roy Sb
- Subjects
business.industry ,Ecology ,Medicine ,Adaptation ,Effects of high altitude on humans ,business - Published
- 1977
- Full Text
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21. Coronary haemodynamic studies in chronic severe anaemia
- Author
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Roy Sb, Subhash C. Manchanda, and M L Bhatia
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,Anemia ,Heart Ventricles ,Hemodynamics ,Blood Pressure ,Oxygen Consumption ,Heart Rate ,Internal medicine ,Heart rate ,medicine ,Humans ,Anemia, Macrocytic ,business.industry ,Myocardium ,medicine.disease ,Coronary Vessels ,Surgery ,Oxygen ,Blood pressure ,Chronic disease ,medicine.anatomical_structure ,Regional Blood Flow ,Chronic Disease ,Vascular resistance ,Cardiology ,Hemoglobinometry ,Female ,Vascular Resistance ,Cardiology and Cardiovascular Medicine ,business ,Severe anaemia ,Research Article - Published
- 1969
22. JUVENILE MITRAL STENOSIS IN INDIA
- Author
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EricJ. Lazaro, Roy Sb, MadanL. Bhatia, and V. Ramalingaswami
- Subjects
medicine.medical_specialty ,Cardiac Catheterization ,Adolescent ,medicine.medical_treatment ,Radiography ,Hypertension, Pulmonary ,India ,Electrocardiography ,Mitral valve stenosis ,Internal medicine ,Pathology ,Medicine ,Humans ,Mitral Valve Stenosis ,Cardiac catheterization ,medicine.diagnostic_test ,business.industry ,Blood Pressure Determination ,General Medicine ,medicine.disease ,Pulmonary hypertension ,Stenosis ,Heart catheterization ,Hypertension ,Cardiology ,Rheumatic fever ,Radiography, Thoracic ,Rheumatic Fever ,business - Published
- 1963
23. Effect of frusemide on pulmonary blood volume
- Author
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Subhash C. Manchanda, Inder Singh, P. K. Khanna, Roy Sb, and Manvir Bhatia
- Subjects
Adult ,Male ,medicine.medical_specialty ,Cardiac Catheterization ,Pulmonary Circulation ,Diuresis ,Hemodynamics ,Blood volume ,Blood Pressure ,Pulmonary Edema ,Furosemide ,Internal medicine ,medicine ,Humans ,Cardiac Output ,Pulmonary wedge pressure ,General Environmental Science ,Blood Volume ,business.industry ,General Engineering ,General Medicine ,Papers and Originals ,Pulmonary edema ,medicine.disease ,Blood pressure ,Regional Blood Flow ,Anesthesia ,Heart catheterization ,Cardiology ,General Earth and Planetary Sciences ,business ,medicine.drug - Abstract
Intracardiac frusemide given to seven patients recovering from high-altitude pulmonary oedema caused a significant reduction in the pulmonary blood volume before the onset of diuresis. This supports the suggestion that the mobilization of fluid from the pulmonary circuit is responsible for the relief of symptoms in some patients with pulmonary oedema even when a diuresis does not occur.
- Published
- 1969
24. Mitral stenosis with left-to-right shunt at atrial level. A diagnostic challenge
- Author
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Roy Sb, Subhash C. Manchanda, and Tandon R
- Subjects
Adult ,Male ,medicine.medical_specialty ,Cardiac Catheterization ,Adolescent ,Cardiomegaly ,Heart Septal Defects, Atrial ,Diagnosis, Differential ,Electrocardiography ,Mitral valve stenosis ,Internal medicine ,medicine ,Humans ,Mitral Valve Stenosis ,Child ,medicine.diagnostic_test ,business.industry ,Heart ,medicine.disease ,Shunt (medical) ,Stenosis ,Heart catheterization ,Cardiology ,Female ,Radiography, Thoracic ,Differential diagnosis ,Cardiology and Cardiovascular Medicine ,business ,Research Article - Published
- 1971
25. The relationship of peripheral venomotor responses to high altitude pulmonary edema in man
- Author
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Wood Je and Roy Sb
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,Rest ,Physical Exertion ,Blood Pressure ,Pulmonary Edema ,Veins ,Heart Rate ,Internal medicine ,High-altitude pulmonary edema ,Heart rate ,medicine ,Plethysmograph ,Humans ,Hypoxia ,Pulse ,Blood Volume ,business.industry ,Altitude ,General Medicine ,Hypoxia (medical) ,medicine.disease ,Pulmonary edema ,Constriction ,Peripheral ,Oxygen ,Plethysmography ,Vasomotor System ,Forearm ,Blood pressure ,medicine.anatomical_structure ,Regional Blood Flow ,Blood Circulation ,Vascular resistance ,Cardiology ,Vascular Resistance ,medicine.symptom ,business - Published
- 1970
26. Immediate circulatory response to high altitude hypoxia in man
- Author
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J. E. Wood, Roy Sb, J.S. Guleria, P. K. Khanna, J N Pande, V. S. Kaushik, Subhash C. Manchanda, P. S. Subba, and J. R. Talwar
- Subjects
Adult ,Male ,medicine.medical_specialty ,Cardiac Catheterization ,Meteorology ,Adolescent ,Time lag ,India ,Blood Pressure ,Altitude ,Internal medicine ,medicine ,High altitude pulmonary oedema ,Humans ,Hypoxia ,Lung ,Sea level ,Cerebral Cortex ,Multidisciplinary ,Blood Volume ,business.industry ,Dye Dilution Technique ,High altitude hypoxia ,Effects of high altitude on humans ,Circulatory response ,Regional Blood Flow ,Blood Circulation ,Cardiology ,Pulmonary congestion ,business ,human activities ,Blood Flow Velocity - Abstract
ACUTE mountain sickness and high altitude pulmonary oedema are two acute medical problems for troops in the Himalayan terrain who frequently shuttle between sea level and high altitudes (10,000–16,000 ft.). These two acute illnesses have some features in common: time lag (they rarely occur within 12 h of arrival at the altitude or 96 h after arrival), throbbing headache, muscular cramps and pulmonary congestion. We have studied the acute circulatory response to high altitude hypoxia and investigated the extent to which shifts in the circulating blood volumes, if any, could be related to the time lag and clinical features of these acute illnesses.
- Published
- 1968
27. Circulatory effects of pregnancy
- Author
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Roy Sb, M.L. Bhatia, Parvati K. Malkani, and Ranjit Virik
- Subjects
Adult ,medicine.medical_specialty ,Cardiac output ,Heart disease ,Adolescent ,Blood volume ,Heart Rate ,Internal medicine ,Medicine ,Humans ,Cardiac Output ,Progesterone ,Pregnancy ,Blood Volume Determination ,business.industry ,Obstetrics and Gynecology ,Stroke volume ,medicine.disease ,medicine.anatomical_structure ,Heart failure ,Circulatory system ,Vascular resistance ,Cardiology ,Female ,Vascular Resistance ,business - Abstract
Data on the cardiac output and related circulatory parameters obtained in 29 normal Indian women by 82 studies during different phases of their pregnancies are presented. Maximum increase in the cardiac output, stroke volume, central blood volume and left ventricular work-load, and maximum reduction of the peripheral vascular resistance occurred during the twenty-eighth to thirty-fourth weeks of pregnancy. The main determinants of the high cardiac output are increased stroke volume and decreased vascular resistance. The vascular resistance-lowering effect of progesterone may, in part, be responsible for the maximum cardiac output a few weeks before and not at term. Because of the increased cardiac load during twenty-eighth to thirty-fourth weeks, heart disease patients are more apt to go into congestive heart failure during this phase rather than at term or parturition. It is suggested that attending physicians should be aware of this unusual circulatory adjustments.
- Published
- 1966
28. Haemodynamic studies with peruvoside in human congestive heart failure
- Author
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Subhash C. Manchanda, Manvir Bhatia, and Roy Sb
- Subjects
Chronotropic ,Inotrope ,Adult ,Male ,medicine.medical_specialty ,Cardiac output ,Brachial Artery ,Administration, Oral ,Indicator Dilution Techniques ,Blood Pressure ,Peruvoside ,Cardiac Glycosides ,Heart Rate ,Internal medicine ,Heart rate ,medicine ,Humans ,Cardiac Output ,General Environmental Science ,Cardiac glycoside ,Pyrans ,Heart Failure ,business.industry ,General Engineering ,General Medicine ,Papers and Originals ,Middle Aged ,medicine.disease ,Blood pressure ,Anesthesia ,Heart failure ,Injections, Intravenous ,Cardiology ,General Earth and Planetary Sciences ,Cardanolides ,Female ,business ,medicine.drug - Abstract
The immediate haemodynamic effects of peruvoside, a cardiac glycoside obtained from the Indian plant Thevetia neriifolia Juss, were studied in six patients with congestive heart failure. The drug was found to have an immediate and powerful positive inotropic and negative chronotropic effect, like ouabain, on the failing human heart. Oral peruvoside was also effective in the treatment of congestive heart failure when used on a short-term as well as a long-term basis. It therefore seems that peruvoside is a useful cardiac glycoside in the management of congestive heart failure in man as a quick-acting intravenous preparation. It is equally effective when used orally.
- Published
- 1970
29. PULMONARY BLOOD-VOLUME IN HIGH-ALTITUDE PULMONARY ŒDEMA
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Roy Sb, J.S. Guleria, P. K. Khanna, and Subhash C. Manchanda
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medicine.medical_specialty ,Blood Volume ,business.industry ,Altitude ,Pulmonary Edema ,Blood volume ,General Medicine ,Effects of high altitude on humans ,Internal medicine ,Cardiology ,medicine ,Humans ,Pulmonary wedge pressure ,business - Published
- 1968
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30. Guanethidine and Phaeochromocytoma
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Roy Sb, V. S. Mathur, and Manvir Bhatia
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Guanethidine ,business.industry ,General Engineering ,MEDLINE ,Pheochromocytoma ,General Medicine ,medicine.disease ,Anesthesia ,Humans ,General Earth and Planetary Sciences ,Medicine ,business ,Medical Memoranda ,General Environmental Science ,medicine.drug - Published
- 1963
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31. Space odyssey
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Eleni Tzirita Zacharatou, Anastasia Ailamaki, Mirjana Pavlovic, Darius Sidlauskas, Thomas Heinis, Roy, SB, Stefanidis, K, Koutrika, G, Riedewald, M, Lakshmanan, LVS, Engineering & Physical Science Research Council (E, European Research Office, Basu Roy, Senjuti, Stefanidis, Kostas, Koutrika, Georgia, Riedewald, Mirek, and Lakshmanan, Laks V. S.
- Subjects
Computer science ,020204 information systems ,Search engine indexing ,0202 electrical engineering, electronic engineering, information engineering ,020201 artificial intelligence & image processing ,02 engineering and technology ,State (computer science) ,Space (commercial competition) ,Spatial analysis ,Data science - Abstract
Advances in data acquisition---through more powerful supercomputers for simulation or sensors with better resolution---help scientists tremendously to understand natural phenomena. At the same time, however, it leaves them with a plethora of data and the challenge of analysing it. Ingesting all the data in a database or indexing it for an efficient analysis is unlikely to pay off because scientists rarely need to analyse all data. Not knowing a priori what parts of the datasets need to be analysed makes the problem challenging. Tools and methods to analyse only subsets of this data are rather rare. In this paper we therefore present Space Odyssey, a novel approach enabling scientists to efficiently explore multiple spatial datasets of massive size. Without any prior information, Space Odyssey incrementally indexes the datasets and optimizes the access to datasets frequently queried together. As our experiments show, through incrementally indexing and changing the data layout on disk, Space Odyssey accelerates exploratory analysis of spatial data by substantially reducing query-to-insight time compared to the state of the art.
- Published
- 2016
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32. Observed impacts of large wind farms on grassland carbon cycling.
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Wu D, Grodsky SM, Xu W, Liu N, Almeida RM, Zhou L, Miller LM, Roy SB, Xia G, Agrawal AA, Houlton BZ, Flecker AS, and Xu X
- Abstract
Competing Interests: Conflict of interest The authors declare that they have no conflict of interest. The views expressed in the article do not necessarily represent the views of the DOE or the U.S. Government. The U.S. Government retains and the publisher, by accepting the article for publication, acknowledges that the U.S. Government retains a nonexclusive, paid-up, irrevocable, worldwide license to publish or reproduce the published form of this work, or allow others to do so, for U.S. Government purposes. Any use of trade, firm, or product names is for descriptive purposes only and does not imply endorsement by the U.S. Government.
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- 2023
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33. Electronic Structure Engineered Heteroatom Doped All Transition Metal Sulfide Carbon Confined Heterostructure for Extrinsic Pseudocapacitor.
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Patil AM, Moon S, Roy SB, Ha J, Chodankar NR, Dubal DP, Jadhav AA, Guan G, Kang K, and Jun SC
- Abstract
Ultra-high energy density battery-type materials are promising candidates for supercapacitors (SCs); however, slow ion kinetics and significant volume expansion remain major barriers to their practical applications. To address these issues, hierarchical lattice distorted α-/γ-MnS@Co
x Sy core-shell heterostructure constrained in the sulphur (S), nitrogen (N) co-doped carbon (C) metal-organic frameworks (MOFs) derived nanosheets (α-/γ-MnS@Cox Sy @N, SC) have been developed. The coordination bonding among Cox Sy , and α-/γ-MnS nanoparticles at the interfaces and the π-π stacking interactions developed across α-/γ-MnS@Cox Sy and N, SC restrict volume expansion during cycling. Furthermore, the porous lattice distorted heteroatom-enriched nanosheets contain a sufficient number of active sites to allow for efficient electron transportation. Density functional theory (DFT) confirms the significant change in electronic states caused by heteroatom doping and the formation of core-shell structures, which provide more accessible species with excellent interlayer and interparticle conductivity, resulting in increased electrical conductivity. . The α-/γ-MnS@Cox Sy @N, SC electrode exhibits an excellent specific capacity of 277 mA hg-1 and cycling stability over 23 600 cycles. A quasi-solid-state flexible extrinsic pseudocapacitor (QFEPs) assembled using layer-by-layer deposited multi-walled carbon nanotube/Ti3 C2 TX nanocomposite negative electrode. QFEPs deliver specific energy of 64.8 Wh kg-1 (1.62 mWh cm-3 ) at a power of 933 W kg-1 and 92% capacitance retention over 5000 cycles., (© 2023 Wiley-VCH GmbH.)- Published
- 2023
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34. Reconfiguring the Electronic Structure of Heteroatom Doped Carbon Supported Bimetallic Oxide@Metal Sulfide Core-Shell Heterostructure via In Situ Nb Incorporation toward Extrinsic Pseudocapacitor.
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Patil AM, Moon S, Seo Y, Roy SB, Jadhav AA, Dubal DP, Kang K, and Jun SC
- Abstract
High-energy-density battery-type materials have sparked considerable interest as supercapacitors electrode; however, their sluggish charge kinetics limits utilization of redox-active sites, resulting in poor electrochemical performance. Here, the unique core-shell architecture of metal organic framework derived N-S codoped carbon@Co
x Sy micropetals decorated with Nb-incorporated cobalt molybdate nanosheets (Nb-CMO4 @Cx Sy NC) is demonstrated. Coordination bonding across interfaces and π-π stacking interactions between CMO4 @Cx Sy and N and, S-C can prevent volume expansion during cycling. Density functional theory analysis reveals that the excellent interlayer and the interparticle conductivity imparted by Nb doping in heteroatoms synergistically alter the electronic states and offer more accessible species, leading to increased electrical conductivity with lower band gaps. Consequently, the optimized electrode has a high specific capacity of 276.3 mAh g-1 at 1 A g-1 and retains 98.7% of its capacity after 10 000 charge-discharge cycles. A flexible quasi-solid-state SC with a layer-by-layer deposited reduced graphene oxide /Ti3 C2 TX anode achieves a specific energy of 75.5 Wh kg-1 (volumetric energy of 1.58 mWh cm-3 ) at a specific power of 1.875 kWh kg-1 with 96.2% capacity retention over 10 000 charge-discharge cycles., (© 2022 Wiley-VCH GmbH.)- Published
- 2023
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35. An active learning approach for clustering single-cell RNA-seq data.
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Lin X, Liu H, Wei Z, Roy SB, and Gao N
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- Animals, Cells, Cultured, Cluster Analysis, Humans, Kidney cytology, Kidney metabolism, Leukocytes, Mononuclear cytology, Leukocytes, Mononuclear metabolism, Neurons cytology, Neurons metabolism, Reproducibility of Results, Urinary Bladder cytology, Urinary Bladder metabolism, Algorithms, Gene Expression Profiling methods, RNA-Seq methods, Single-Cell Analysis methods, Unsupervised Machine Learning
- Abstract
Single-cell RNA sequencing (scRNA-seq) data has been widely used to profile cellular heterogeneities with a high-resolution picture. Clustering analysis is a crucial step of scRNA-seq data analysis because it provides a chance to identify and uncover undiscovered cell types. Most methods for clustering scRNA-seq data use an unsupervised learning strategy. Since the clustering step is separated from the cell annotation and labeling step, it is not uncommon for a totally exotic clustering with poor biological interpretability to be generated-a result generally undesired by biologists. To solve this problem, we proposed an active learning (AL) framework for clustering scRNA-seq data. The AL model employed a learning algorithm that can actively query biologists for labels, and this manual labeling is expected to be applied to only a subset of cells. To develop an optimal active learning approach, we explored several key parameters of the AL model in the experiments with four real scRNA-seq datasets. We demonstrate that the proposed AL model outperformed state-of-the-art unsupervised clustering methods with less than 1000 labeled cells. Therefore, we conclude that AL model is a promising tool for clustering scRNA-seq data that allows us to achieve a superior performance effectively and efficiently., (© 2021. The Author(s), under exclusive licence to United States and Canadian Academy of Pathology.)
- Published
- 2022
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36. Evaluation of Antioxidant, Cytotoxic, Anti-Inflammatory, Antiarthritic, Thrombolytic, and Anthelmintic Activity of Methanol Extract of Lepidagathis hyalina Nees Root.
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Islam S, Fahad FI, Sultana A, Sayem SAJ, Roy SB, Islam MN, Roy A, and Sayeed MA
- Abstract
Lepidagathis hyalina Nees is an ethnomedicinally potential Asian herb, locally used to treat cardiovascular diseases and coughs. The study was intended to evaluate qualitative and quantitative investigation to ensure numerous pharmacological properties of methanol extracts of L. hyalina Ness root (MELHR). MELHR manifested strong radical scavenging activity in the reducing power and DPPH (1, 1-diphenyl-2-picrylhydrazyl) assays, and phenol and flavonoid in the quantitative assays. In the study of the thrombolytic assay, MELHR showed moderate explicit percentage of clot lysis (29.39 ± 1.40%) with moderate (135.35 µ g/mL) toxic properties. The in vitro anti-inflammatory activity was evaluated by the inhibition of hypotonicity-induced RBC hemolysis, whereas the plant extract exhibited a significant (p p ˂ 0.005) dose-dependent inhibition and the highest inhibition was found 55.01 ± 3.22% at 1000 µg/mL concentration. Moreover, the MELHR also showed significant ( p < 0.005) dose-dependent potentiality on protein denaturation which is considered as antiarthritic activity, and the peak inhibition was found significant (71.97 ± 2.71%) at 1000 µ g/mL concentration. MELHR also exhibited the dose-dependent and statistically significant anthelmintic potential on aquarium worm ( Tubifex tubifex ). So, the present investigation suggests that L. hyalina could be the best choice for the management of cardiovascular, inflammation, arthritis, and anthelmintic diseases. Further investigation should be necessary to determine behind the mechanism of bioactivity and therapeutic potential of this plant., Competing Interests: The authors declare that they have no conflicts of interest., (Copyright © 2022 Shafiqul Islam et al.)
- Published
- 2022
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37. Highly Dispersed Pt Clusters on F-Doped Tin(IV) Oxide Aerogel Matrix: An Ultra-Robust Hybrid Catalyst for Enhanced Hydrogen Evolution.
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Kim T, Roy SB, Moon S, Yoo S, Choi H, Parale VG, Kim Y, Lee J, Jun SC, Kang K, Chun SH, Kanamori K, and Park HH
- Abstract
Dispersing the minuscule mass loading without hampering the high catalytic activity and long-term stability of a noble metal catalyst results in its ultimate efficacy for the electrochemical hydrogen evolution reaction (HER). Despite being the most efficient HER catalyst, the use of Pt is curtailed due to its scarcity and tendency to leach out in the harsh electrochemical reaction environment. In this study, we combined F-doped tin(IV) oxide (F-SnO
2 ) aerogel with Pt catalyst to prevent metallic corrosion and to achieve abundant Pt active sites (approximately 5 nm clusters) with large specific surface area (321 cm2 ·g-1 ). With nanoscopic Pt loading inside the SnO2 aerogel matrix, the as-synthesized hybrid F-SnO2 @Pt possesses a large specific surface area and high porosity and, thus, exhibits efficient experimental and intrinsic HER activity (a low overpotential of 42 mV at 10 mA·cm-2 in 0.5 M sulfuric acid), a 22-times larger turnover frequency (11.2 H2 ·s-1 ) than that of Pt/C at 50 mV, and excellent robustness over 10,000 cyclic voltammetry cycles. The existing metal support interaction and strong intermolecular forces between Pt and F-SnO2 account for the catalytic superiority and persistence against corrosion of F-SnO2 @Pt compared to commercially used Pt/C. Density functional theory analysis suggests that hybridization between the Pt and F-SnO2 orbitals enhances intermediate hydrogen atom (H*) adsorption at their interface, which improves the reaction kinetics.- Published
- 2022
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38. Inpatient Lung Transplant Evaluation Is Associated With Increased Risk of Morbidity, Mortality, and Cost of Care After Transplant.
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Olson MT, Elnahas S, Roy SB, Kang P, Knight T, Grief KE, Krushelniski B, Walia R, Bremner RM, and Smith MA
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- Hospitalization, Humans, Incidence, Length of Stay, Retrospective Studies, Inpatients, Lung Transplantation
- Abstract
Lung transplantation is an important option for patients with end-stage lung disease. Many of these patients deteriorate rapidly and require inpatient care at the time of the transplant evaluation., Research Question: How does the setting of lung transplant evaluation relate to perioperative outcomes, short-term postoperative outcomes, and healthcare costs accrued after transplant?, Design: We reviewed the records of patients who underwent primary, bilateral lung transplantation at our center between January 1, 2014 and May 31, 2016. Patient evaluation setting was categorized as inpatient, outpatient, or combined. Demographics, clinical characteristics, and cost of care were assessed., Results: The study included 207 patients: 40 (19.3%) evaluated as inpatients, 146 (70.5%) as outpatients, and 21 (10.1%) as combined. Inpatients had the highest mean lung allocation scores (71.2 vs 49.7 [combined] and 40.8 [outpatient]; P < 0.001), lowest functional status at listing ( P < 0.001), highest number of blood products used during surgery ( P < 0.001), highest incidence of re-exploration for bleeding ( P = 0.006), and longest posttransplant hospital stays (median, 35 vs 15 days [combined] and 12 days [outpatient]; P < 0.001). One-year survival trended lower for inpatients (log-rank, P = 0.056). Inpatient evaluations had the highest total, variable, and fixed costs of posttransplant care ( P < 0.001)., Conclusion: Inpatient lung transplant evaluation was associated with longer hospital stays, higher perioperative morbidity, and lower 1-year survival. Partial or complete inpatient evaluation was associated with a higher cost of care posttransplant.
- Published
- 2021
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39. Non-equilibrium magnetic response of canonical spin glass and magnetic glass.
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Pal S, Kumar K, Banerjee A, Roy SB, and Nigam AK
- Abstract
Time and history dependent magnetization has been observed in a wide variety of materials, which are collectively termed as the glassy magnetic systems. However, such systems showing similar non-equilibrium magnetic response can be microscopically very different and they can be distinguished by carefully looking into the details of the observed metastable magnetic behavior. Canonical spin glass (SG) is the most well studied member of this class and has been extensively investigated both experimentally and theoretically over the last five decades. In canonical SGs, the low temperature magnetic state obtained by cooling across the SG transition temperature in presence of an applied magnetic field is known as the field cooled (FC) state. This FC state in canonical SG is widely believed as an equilibrium state arising out of a thermodynamic second order phase transition. Here, we show that the FC state in canonical SG is not really an equilibrium state of the system. We report careful dc magnetization and ac susceptibility measurements on two canonical SG systems, AuMn (1.8%) and AgMn (1.1%). The dc magnetization in the FC state shows clear temperature dependence. In addition, the magnetization shows a distinct thermal hysteresis in the temperature regime below the SG transition temperature. On the other hand, the temperature dependence of ac susceptibility has clear frequency dispersion below SG transition in the FC state prepared by cooling the sample in the presence of a dc-bias field. We further distinguish the metastable response of the FC state of canonical SG from the metastable response of the FC state in an entirely different class of glassy magnetic system namely magnetic glass, where the non-equilibrium behavior is associated with the kinetic-arrest of a first order magnetic phase transition.
- Published
- 2021
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40. Management and Outcomes of Diverticulitis After Lung Transplantation.
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Olson MT, Elnahas S, Dameworth J, Row D, Gagliano RA Jr, Roy SB, Kang P, Walia R, and Bremner RM
- Subjects
- Aged, Arizona epidemiology, Diverticulitis, Colonic epidemiology, Female, Humans, Incidence, Male, Middle Aged, Retrospective Studies, Risk Factors, Anti-Bacterial Agents therapeutic use, Diverticulitis, Colonic drug therapy, Diverticulitis, Colonic etiology, Diverticulitis, Colonic surgery, Immunosuppressive Agents administration & dosage, Lung Transplantation adverse effects, Tacrolimus administration & dosage
- Abstract
Introduction: Most lung transplant patients are older than 50 years. Complications from colonic diverticula are not uncommon, especially with chronic immunosuppression. However, limited data exist regarding the optimal management of these patients. We sought to investigate the incidence, risk factors, and outcomes of diverticulitis after lung transplant., Methods: We conducted a retrospective study to review patients undergoing lung transplant between 2007 and 2016 with posttransplant acute colonic diverticulitis. Patients were grouped based on medical or surgical management., Results: Of 512 transplant recipients, 17 (3.32%) developed 26 episodes of diverticulitis over a median follow-up of 39 months. Nine patients had documented diverticulosis on pretransplant colonoscopy. These patients had a higher incidence of surgical intervention for diverticulitis, were more likely to have recurrent diverticulitis, and had longer lengths of stay than patients without pretransplant diverticulosis. Six (35.3%) of 17 patients required surgery (ie, Hartmann procedure; 4 during the initial episode and 2 during their third and fourth episodes); 11 patients (64.7%) were managed with antibiotics alone. Patients in the surgical group presented earlier posttransplant ( P = .004) and were on higher doses of tacrolimus ( P = .03). Six (46.1%) of 13 patients with medically managed first episodes of diverticulitis experienced recurrence. No recurrence occurred after surgical management. No deaths were attributable to diverticulitis in either group., Conclusions: Patients with pretransplant diverticulosis experienced earlier, more complicated episodes of diverticulitis posttransplant than patients without. Surgical patients received higher doses of tacrolimus and presented earlier than medical patients. Uncomplicated diverticulitis in posttransplant patients can be managed medically, even in the case of recurrent, uncomplicated disease.
- Published
- 2020
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41. Facile electrodeposition of V-doped CoP on vertical graphene for efficient alkaline water electrolysis.
- Author
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Truong L, Roy SB, Jerng SK, Jeon JH, Lee S, and Chun SH
- Abstract
In this work, we demonstrate a highly enhanced electrocatalytic activity of vanadium-doped CoP (V-CoP), directly grafted on a vertical graphene/carbon cloth electrode (VG/CC) by a facile electrochemical deposition method. Impressively, V-CoP/VG/CC exhibited a superior catalytic activity toward the hydrogen evolution reaction (HER) in alkaline solution. Compared to CoP/VG/CC, V-doping decreased the overpotential for HER at 10 mA cm
-2 by more than half to 40 mV. The new catalyst even outperformed Pt/C beyond 150 mA cm-2 . The overpotential for OER at 50 mA cm-2 was merely 314 mV, more than 100 mV lower than that of IrO2 . Moreover, our novel catalyst worked as an excellent bifunctional catalyst with a low cell voltage of 1.69 V to achieve a current density of 50 mA cm-2 . Detailed characterizations revealed that the V-doping in CoP resulted in improved electrical conductivity and increased active sites. Our findings highlight the significant advantage of V doping on the catalytic activities of CoP, already boosted by VG. Furthermore, concurrent doping with the electrodeposition of catalyst offers a new approach for practical water electrolysis., Competing Interests: There are no conflicts to declare., (This journal is © The Royal Society of Chemistry.)- Published
- 2020
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42. Possible glass-like random singlet magnetic state in 1T-TaS 2 .
- Author
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Pal S, Kumar K, Sharma R, Banerjee A, Roy SB, Park JG, Nigam AK, and Cheong SW
- Abstract
Two-dimensional layered transition-metal-dichalcogenide compound 1T-TaS
2 shows the rare coexistence of charge density wave (CDW) and electron correlation driven Mott transition. In addition, atomic-cluster spins on the triangular lattice of the CDW state of 1T-TaS2 give rise to the possibility of the exotic spin-singlet state in which quantum fluctuations of spins are strong enough to prevent any long range magnetic ordering down to the temperature absolute zero (0 K). We present here the evidences of a glass-like random singlet magnetic state in 1T-TaS2 at low temperatures through a study of temperature and time dependence of magnetization. Comparing the experimental results with a representative canonical spin-glass system Au(1.8%Mn), we show that this glass-like state is distinctly different from the well established canonical spin-glass state.- Published
- 2020
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43. Development of Squamous Cell Carcinoma After Pulmonary Aspergillosis in the Native Lung of a Lung Transplant Recipient: A Case Report.
- Author
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Madan N, Abdelrazek H, Patil PD, Ross MD, Roy SB, Thawani N, Hahn MF, Bremner RM, and Panchabhai TS
- Subjects
- Aged, Female, Humans, Transplant Recipients, Carcinoma, Squamous Cell complications, Carcinoma, Squamous Cell diagnosis, Lung Neoplasms complications, Lung Neoplasms diagnosis, Lung Transplantation, Pulmonary Aspergillosis complications
- Abstract
Lung transplant recipients have a significant incidence of posttransplant lung nodules. Such nodules can occur from various etiologies, both in the lung allograft or in the native lung. They most commonly originate from infections, such as Pseudomonas or Aspergillus species, or from posttransplant lymphoproliferative disorder. Lung cancer is challenging to diagnose in a native lung, especially with an underlying fibrotic disease. We present a case of a 75-year-old woman who presented with classic clinical features of pulmonary aspergillosis in the native right lung with idiopathic pulmonary fibrosis 5 years after left-sided single-lung transplant. She required a right lower lobectomy and antifungal treatment with isavuconazonium sulfate and inhaled amphotericin. A persistent right upper lobe lung nodule was noted during surveillance imaging and was initially presumed to be recurrent Aspergillus infection; however, growth of the nodule and change in its characteristics prompted additional examination. A navigational bronchoscopic biopsy was positive for squamous cell carcinoma. Her options for stage IIIA squamous cell carcinoma were limited to chemotherapy with paclitaxel and carboplatin plus radiation. Although initial surveillance scans showed adequate tumor response, metastatic squamous cell carcinoma was found in the liver 6 months later. She was eventually transitioned to palliative care. This case highlights the importance of a high index of suspicion for examination of nodules in the native lung of lung transplant recipients, even in cases of a known diagnosis, owing to the high morbidity and mortality associated with primary lung cancer in this population., (Copyright © 2018 Elsevier Inc. All rights reserved.)
- Published
- 2018
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44. Primary paraesophageal hernia repair with Gore® Bio-A® tissue reinforcement: long-term outcomes and association of BMI and recurrence.
- Author
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Olson MT, Singhal S, Panchanathan R, Roy SB, Kang P, Ipsen T, Mittal SK, Huang JL, Smith MA, and Bremner RM
- Subjects
- Female, Follow-Up Studies, Humans, Male, Middle Aged, Prosthesis Design, Recurrence, Reoperation statistics & numerical data, Retrospective Studies, Time Factors, Body Mass Index, Hernia, Hiatal surgery, Herniorrhaphy methods, Laparoscopy methods, Surgical Mesh
- Abstract
Background: Laparoscopic repair remains the gold-standard treatment for paraesophageal hernia (PEH). We analyzed long-term symptomatic outcomes and surgical reintervention rates after primary PEH repair with onlay synthetic bioabsorbable mesh (W. L. Gore & Associates, Inc., Flagstaff, AZ) and examined body mass index (BMI) as a possible risk factor for poor outcomes and for recurrence., Methods: We queried a prospectively maintained database to identify patients who underwent laparoscopic primary PEH repair with onlay patch of a bioprosthetic absorbable mesh (Bio-A® Gore®) between 05/28/2009 and 12/31/2013. Electronic health records were accessed to record demographic and operative data and were reviewed up to the present to identify any repeat procedures. Patients were grouped according to preoperative BMI (A: BMI < 25; B: BMI = 25-29.9; C: BMI = 30-34.9; D: BMI ≥ 35). Patients completed standardized satisfaction and symptom surveys., Results: In total, 399 patients were included. Most patients (n = 261; 65.4%) were women. Mean age was 59.6 ± 13.4 years; mean BMI was 29.9 ± 5.0 kg/m
2 . The patients were grouped as follows: A, 53 patients (13.3%); B, 166 (41.6%); C, 115 (28.8%); D: 65 (16.3%). Four procedures (1.0%) were converted from laparoscopy to open procedures. All patients underwent an antireflux procedure (225 Nissen, 170 Toupet, 4 Dor). A mean follow-up of 44.7 ± 22.8 months was available for 305 patients (76.4%). 24/305 patients (7.9%) underwent reoperation, and the number of reoperations did not differ among groups (P = 0.64). Long-term symptomatic outcomes were available for 217/305 patients (71.1%) at a mean follow-up of 54.0 ± 13.1 months; no significant difference was observed among groups. 194/217 patients (89.4%) reported good to excellent satisfaction, with no significant differences among the groups., Conclusions: Laparoscopic primary PEH repair with onlay Bio-A® mesh is a safe and feasible procedure with excellent long-term patient-centered outcomes and acceptable symptomatic recurrence rate. BMI does not appear to be related to the need for surgical reintervention.- Published
- 2018
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45. Clinical and dosimetric consequences of imperfect applicator insertion in cervical cancer brachytherapy.
- Author
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Chakrabarti B, Pal SK, Sepai HM, Roy SB, Kar SK, Lahiri A, Das S, and Bala A
- Abstract
Purpose: This study analyzes clinical consequences and dosimetric variations after imperfect brachytherapy insertions. It examines treatment decisions after such insertions in patients having difficult anatomy, which leads to good subsequent insertions with acceptable dose volume parameters., Material and Methods: We reviewed images of all insertions performed during last one year and sorted faulty ones out. Clinical outcome was assessed, analyzing original treatment records. Repeat three-dimensional planning using identical dose-optimization-technique compared their dosimetry. Statistical analysis using SPSS
® -Statistics-software included Fisher's-exact-test to analyze predisposing factors for faulty insertions and predictive factors for subsequent satisfactory insertion. Friedman test was used to compare dose-volume-effects of normalization., Results: Eighteen of 292 brachytherapy plans revealed imperfect insertions, including thirteen perforations (4.5%). Lack of pre-planning, obstructing mass, narrow vagina, acute anteversion of uterus, and multi-parity were significant ( p ≤ 0.05) predisposing factors for atypical insertions. Satisfactory optimization was possible after correcting acute anteflexion or positioning tandem in retroverted direction in uncorrectable retroverted uterus. Dose normalization at point A shifted optimized dose from contoured volume to point of normalization, often undesirably. This difference, however, was statistically not significant ( p = 0.121). In patients having obstructing mass, subsequent insertions were perfect, and dose volume parameters were acceptable only when full prescribed dose was delivered to at least 60% volume of the mass after a faulty insertion ( p < 0.001)., Conclusions: Pre-planning by imaging is suggested in all cases of brachytherapy. Insertion of adequate length of tandem aligned to uterine axis is warranted for adequate tumor coverage. Whenever detected, acute anteflexion and mobile retroversion should be corrected. Tandem inserted in retroverted direction in uncorrectable retroverted uterus generates acceptable dose volume parameters. In cases with obstructive cervical mass, good subsequent insertion is possible with acceptable dose volume parameters, if planned dose can be delivered to its 60% volume.- Published
- 2018
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46. Incidental extensive adenocarcinoma in lungs explanted from a transplant recipient with an idiopathic pulmonary fibrosis flare-up: A clinical dilemma.
- Author
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Patil PD, Sultan S, Hahn MF, Roy SB, Ross MD, Abdelrazek H, Bremner RM, Thawani N, Walia R, and Panchabhai TS
- Abstract
Patients under consideration for lung transplantation as treatment for end-stage lung diseases such as idiopathic pulmonary fibrosis (IPF) often have risk factors such as a history of smoking or concomitant emphysema, both of which can predispose the patient to lung cancer. In fact, IPF itself increases the risk of lung cancer development by 6.8% to 20%. Solid organ malignancy (non-skin) is an established contraindication for lung transplantation. We encountered a clinical dilemma in a patient who presented with an IPF flare-up and underwent urgent evaluation for lung transplantation. After transplant, the patient's explanted lungs showed extensive adenocarcinoma in situ , with the foci of invasion and metastatic adenocarcinoma in N1-level lymph nodes, as well as usual interstitial pneumonia. Retrospectively, we saw no evidence to suggest malignancy in addition to the IPF flare-up. Clinical diagnostic dilemmas such as this emphasize the need for new noninvasive testing that would facilitate malignancy diagnosis in patients too sick to undergo invasive tissue biopsy for diagnosis. Careful pathological examination of explanted lungs in patients with IPF is critical, as it can majorly influence immunosuppressive regimens, surveillance imaging, and overall prognosis after lung transplant.
- Published
- 2018
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47. Outcomes of lung transplant recipients with preoperative atrial fibrillation.
- Author
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Yerasi C, Roy SB, Olson M, Elnahas S, Kang P, Hashimi AS, Huang J, Abdelrazek H, Patel V, Omar A, Bremner RM, Smith M, Walia R, Bhattacharya S, and Kalya A
- Subjects
- Aged, Atrial Fibrillation diagnosis, Atrial Fibrillation mortality, Female, Humans, Kaplan-Meier Estimate, Length of Stay, Lung Diseases complications, Lung Diseases diagnosis, Lung Diseases mortality, Male, Middle Aged, Patient Readmission, Postoperative Complications etiology, Proportional Hazards Models, Retrospective Studies, Risk Factors, Time Factors, Treatment Outcome, Atrial Fibrillation complications, Lung Diseases surgery, Lung Transplantation adverse effects, Lung Transplantation mortality
- Abstract
Background Preoperative atrial fibrillation is associated with poor outcomes after cardiac surgery, but its effect on lung transplantation outcomes remains unknown. Methods We retrospectively reviewed the charts of 235 patients who underwent lung transplantation in our institution from 2013 to 2015, analyzing demographics, length of stay, survival, readmissions, and cardiac events. Mean recipient age was 59 ± 11 years, and 142 (60.4%) were men. Patients were grouped according to pre-transplantation atrial fibrillation status (atrial fibrillation/no atrial fibrillation). Results The atrial fibrillation group ( n = 38; 16.2%) was significantly older with a longer ischemic time, more postoperative atrial arrhythmias (73.7% vs. 20.8%, p = 0.01), and a longer median postoperative length of stay (16 vs. 13 days, p = 0.02). The median total hospital stay in the first postoperative year was also higher in the atrial fibrillation group (27 vs. 21 days, p = 0.25). Short-term survival and survival during follow-up did not differ significantly between groups. Conclusions Lung transplant recipients with preoperative atrial fibrillation are at increased risk of adverse cardiovascular outcomes and longer hospital stay. Preoperative atrial fibrillation may portend adverse events after lung transplantation.
- Published
- 2018
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48. Induced Superaerophobicity onto a Non-superaerophobic Catalytic Surface for Enhanced Hydrogen Evolution Reaction.
- Author
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Akbar K, Hussain S, Truong L, Roy SB, Jeon JH, Jerng SK, Kim M, Yi Y, Jung J, and Chun SH
- Abstract
Despite tremendous progress in the development of novel electrocatalysts for hydrogen evolution reaction (HER), the accumulation of hydrogen gas bubbles produced on the catalyst surface has been rather poorly addressed. The bubbles block the surface of the electrode, thus resulting in poor performance even when excellent electrocatalysts are used. In this study, we show that vertically grown graphene nanohills (VGNHs) possess an excellent capability to quickly disengage the produced hydrogen gas bubbles from the electrode surface, and thus exhibit superaerophobic properties. To compensate for the poor electrolytic properties of graphene toward HER, the graphene surface was modified with WS
2 nanoparticles to accelerate the water-splitting process by using this hybrid catalyst (VGNHs-WS2 ). For comparison purposes, WS2 nanoparticles were also deposited on the flat graphene (FG) surface. Because of its superior superaerophobic properties, VGNHs-WS2 outperformed FG-WS2 in terms of both catalytic activity toward the HER and superaerophobicity. Furthermore, VGNHs-WS2 exhibited a low onset potential (36 mV compared to 288 mV for FG-WS2 ) and long-term stability in the HER over an extended period of 20 h. This study provides an efficient way to utilize highly conductive and superaerophobic VGNHs as support materials for intrinsic semiconductors, such as WS2 , to simultaneously achieve superaerophobicity and high catalytic activity.- Published
- 2017
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49. Improved Risk Prediction Following Surgery Using Machine Learning Algorithms.
- Author
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Ehlers AP, Roy SB, Khor S, Mandagani P, Maria M, Alfonso-Cristancho R, and Flum DR
- Abstract
Background: Machine learning is used to analyze big data, often for the purposes of prediction. Analyzing a patient's healthcare utilization pattern may provide more precise estimates of risk for adverse events (AE) or death. We sought to characterize healthcare utilization prior to surgery using machine learning for the purposes of risk prediction., Methods: Patients from MarketScan Commercial Claims and Encounters Database undergoing elective surgery from 2007-2012 with ≥1 comorbidity were included. All available healthcare claims occurring within six months prior to surgery were assessed. More than 300 predictors were defined by considering all combinations of conditions, encounter types, and timing along with sociodemographic factors. We used a supervised Naive Bayes algorithm to predict risk of AE or death within 90 days of surgery. We compared the model's performance to the Charlson's comorbidity index, a commonly used risk prediction tool., Results: Among 410,521 patients (mean age 52, 52 ± 9.4, 56% female), 4.7% had an AE and 0.01% died. The Charlson's comorbidity index predicted 57% of AE's and 59% of deaths. The Naive Bayes algorithm predicted 79% of AE's and 78% of deaths. Claims for cancer, kidney disease, and peripheral vascular disease were the primary drivers of AE or death following surgery., Conclusions: The use of machine learning algorithms improves upon one commonly used risk estimator. Precisely quantifying the risk of an AE following surgery may better inform patient-centered decision-making and direct targeted quality improvement interventions while supporting activities of accountable care organizations that rely on accurate estimates of population risk.
- Published
- 2017
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50. Suppressed weak antilocalization in the topological insulator Bi 2 Se 3 proximity coupled to antiferromagnetic NiO.
- Author
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Bhowmick T, Jerng SK, Jeon JH, Roy SB, Kim YH, Seo J, Kim JS, and Chun SH
- Abstract
Time-reversal symmetry (TRS) breaking of the topological insulators (TIs) is a prerequisite to observe the quantum anomalous Hall effect (QAHE) and topological magnetoelectric effect (TME). Although antiferromagnetism as well as ferromagnetism could break the TRS and generate massive Dirac surface states in the TIs, no attention has been paid to the antiferromagnet-TI heterostructures. Herein, we report the magnetotransport measurements of Bi
2 Se3 proximately coupled to antiferromagnetic NiO. Thin films of Bi2 Se3 were successfully grown on the NiO (001) single crystalline substrates by molecular beam epitaxy. Unexpectedly, we observed a strong suppression of the weak antilocalization effect, which is similar to the case of TIs coupled to the ferromagnetic materials. For the 5 nm-thick Bi2 Se3 sample on NiO, we even observed a crossover to weak localization at 2 K. These behaviors are attributed to the strong magnetic exchange field from the Ni 3d electrons. Our results show the effectiveness of the antiferromagnetic materials in breaking the TRS of TIs by the proximity effect and their possible applications for QAHE and TME observations.- Published
- 2017
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