77 results on '"Shahnawaz Alam"'
Search Results
2. Mesodiverticular Band of Meckel’s Diverticulum Causing Small Intestinal Obstruction in Littre Hernia
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Joe Nepram, Kiratpal Singh Brar, Dhiraj Kumar, Sharad Syangden, Mahesh Kumar, Jashanpreet Singh, Ghaiyoor Ahmad, Diwakar Kumar, Shahnawaz Alam, Hibah Niyaz, Akash Kumar, and Kaushik Bhattacharya
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meckel’s diverticulum ,littre hernia ,mesodiverticular band ,acute intestinal obstruction ,Medicine - Abstract
Mesodiverticular band associated with Meckel’s diverticulum can lead to surgical emergencies like intestinal obstruction or volvulus and may prove fatal as this pathology is quite rare, it may escape the clinical diagnosis. This band needs to be excised during emergent laparotomy along with Meckel’s diverticulectomy. A high level of clinical suspicion and surgical acumen is required to manage this rare condition and have an uneventful recovery of the patient.
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- 2024
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3. Rhomboid Flap Reconstruction for the Treatment of Pilonidal Sinus: A Case Series
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Jashanpreet Singh, Dhiraj Kumar, Sharad Syangden, Mahesh Kumar, Joe Nepram, Kiratpal Singh Brar, Ghaiyoor Ahmad, Diwakar Kumar, Shahnawaz Alam, Hibah Niyaz, Akash Kumar, and Kaushik Bhattacharya
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pilonidal sinus ,bascom procedure ,limberg procedure ,Medicine - Abstract
Pilonidal sinus disease (PSD) is a chronic inflammatory disease affecting the soft tissue of the sacrococcygeal region and remains a challenging disease for surgeons to treat. With controversies in management to prevent recurrence leading to economic burden to the patient, these cases require special care by expert surgeons. From Jan 2023 to Nov 2023, 10 patients with pilonidal sinus were treated with complete excision of the tract and reconstruction using a rhomboid flap. The factors evaluated included the duration of surgery, postoperative pain, length of hospital stay, and postoperative complications. The patients were followed up on an outpatient basis, monthly for the first three months. The majority of the patients were young males with a mean age of 28 years. The surgery time was 40 to 75 minutes, and the mean operation time was 55 minutes. The stitches were removed after 2 weeks. Among complications, two patients developed mild discharge with infection. In one patient, necrosis at the tip of the flap was noted. We recommend the Rhomboid flap as a method of choice for surgical management of Pilonidal sinus in a postgraduate medical college as it is easy to teach, learn, and perform and gives complete recovery of the patient with negligible recurrence rate.
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- 2024
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4. A study of Vitamin D and parathyroid hormone levels in patients with prostatic cancer
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Md. Nasim Akhtar, Kayyum Khan, Shahnawaz Alam, Mohit Mishra, Sachin Rathod, and Waqas Alauddin
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prostate cancer ,vitamin d ,parathyroid hormone ,immunomodulation ,prostate-specific antigen ,Medicine - Abstract
Background: Vitamin D, a key nutrient in the body, has been linked to a decrease in prostate cancer (PCa) morbidity and mortality rates. The study concluded that any compensation mechanism may no longer be adequate for patients with PCa, and further research is needed to understand the mechanisms underlying the relationship between serum Vitamin D and parathyroid hormone (PTH) homeostasis. The findings will help determine cancer prevalence and trends in India and support public health initiatives to control cancer. Aims and Objectives: The aim is to assess the mean values of Vitamin D and PTH in patients with PCa and also to compare these levels with that of healthy controls (non-PCa). Materials and Methods: One hundred participants in the outpatient department of the Department of Biochemistry were assigned as control subjects, and another 100 participants were participants with PCa. 5 mL of fasting venous blood were drawn into red top vials using a disposable syringe and needle in an aseptic manner. PTH and serum Vitamin D were estimated. Results: When comparing PCa patients to healthy controls, the observed Vitamin D level was significantly lower in the former group. Furthermore, a notable distinction in Vitamin D levels was noted between the two groups. Furthermore, we found that PCa patients had higher PTH values than healthy controls. When we compared the PTH values of the two groups, we found a substantial difference. Conclusion: The authors conclude from the study that with alterations in the study parameters in patients with PCa, any compensation mechanism may become insufficient.
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- 2024
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5. A study of cardiovascular reflex tests in adults with chronic migraine and chronic tension-type headache
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Waqas Alauddin, Prajakta Radke, Sheela Bargal, Shahnawaz Alam, and Adnan Acharwala
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cardiac autonomic functions ,sympathetic tone ,parasympathetic tone ,chronic migraine ,chronic tension-type headache ,parasympathetic reactivity ,autonomic nervous system ,autonomic functions ,cardiovascular reflex tests ,autonomic dysfunction ,Medicine - Abstract
Background: Autonomic function tests can be used by patients with chronic migraine and chronic tension-type headaches (TTH) as a non-invasive, sensitive, and reliable marker for evaluating heart function. Studies have demonstrated sympathetic and parasympathetic dysfunction. Patients with migraines experience sympathetic and parasympathetic nervous system hyperfunction, while tension headache sufferers experience the opposite. Aims and Objectives: Parasympathetic reactivity tests will be used in the current study to evaluate the cardiac autonomic functioning in patients with chronic migraine and chronic TTH in the adult age group. Materials and Methods: Two groups of headache patients were enrolled: Those with chronic migraine (n=25) and those with chronic TTH (n=25). To conduct statistical analyses, SPSS version 21 was used. For parameters with normal and abnormal distributions, the unpaired t-test and Mann–Whitney U-test, respectively, were employed. Results: Out of 25 subjects, parasympathetic reactivity tests such as Valsalva ratio (1.38±0.10 vs. 1.49±0.19, P=0.022*) and expiratory-inspiratory ratio (1.18±0.03 vs. 1.25±0.77, P=0.000*) in chronic migraine were significantly decreased as compared to chronic TTH. Lying to standing 30:15 ratio (1.15±0.08 vs. 1.19±0.10, P=0.090) and delta heart rate (14.56±1.39 vs. 14.96±1.43, P=0.320) was decreased in chronic migraine as compared to chronic TTH but was not significant. Conclusions: In contrast to the chronic TTH group, the chronic migraine group’s total parasympathetic tone was reduced. We therefore draw the conclusion from the findings that regular monitoring of the parasympathetic reactivity can be very helpful in predicting cardiovascular risk for these patients in addition to advising the treatment practices for chronic migraine and chronic TTH, which include regular exercise and medication.
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- 2023
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6. Effect of acute aerobic exercise on short-term memory, long-term memory, and working memory in medical students of a tertiary care center in India: Possible role of endocannabinoids
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Madhu Chaudhary, Salman Masood, Mojahid Anwar, Shahnawaz Alam, Najmul Aqib Khan, Fareha Husain Khan, and Qazi
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aerobic exercise ,endocannabinoids ,memory ,short term ,Medicine - Abstract
Background: Recent studies have suggested that memory might benefit from physical exercise. Some studies also show that exercise has adverse effects on short-term memory. The number of studies on the effects of a single bout of exercise on memory is rather limited, and their results are inconsistent. In this study, we want to see the effect of a single bout of aerobic exercise on memory (short term and long term) when the learning session is before the exercise. We also want to see the effect of aerobic exercise on working memory when the learning session is after the exercise. Aims and Objectives: The aim is to find the effect of aerobic exercise on working, short-term and long-term memory. Materials and Methods: Sixty healthy medical students were divided into two groups of 30 each. Both groups were asked to listen to 20 Arabic words (proper nouns) before the experiment. Students having any knowledge of Arabic were excluded from the study. Then, one group performed high-intensity exercise on a Bicycle Ergometer for 30 min and the other group silently relaxed on a chair. The subjects were asked to repeat the words heard after 20 min of exercise and 24 h of exercise. Data were recorded manually and analyzed statistically. In another experiment, the words were listened after the exercise was over, and the subjects were asked to recall after 20 min of exercise. Unpaired t-test was applied to compare the data between the two groups, and P-value and t-value were calculated. Results: When the words were recalled 20 min after exercise, the mean number of recalled words was more in the relaxing group (RG) than in the exercise group, but the result was reverse when recall was made 24 h after the exercise, i.e., more recall by exercise group. When the learning session was after the exercise and subjects were asked to recall words 20 min after the exercise, we found more recall by RG than the exercise group. Conclusion: We conclude that aerobic exercise has an adverse effect on short-term memory and working memory but has a beneficial effect on long-term memory.
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- 2022
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7. Role of Ommaya Reservoir Placement in Hydrocephalus Management following Aneurysmal Subarachnoid Hemorrhage, an Initial Experience
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Vikas Chandra Jha and Shahnawaz Alam
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shunt dependent hydrocephalus ,subarachnoid hemorrhage ,aneurysm rupture ,continuous and intermittent drainage ,external ventricular drainage ,ommaya ,Medicine ,Surgery ,RD1-811 - Abstract
Introduction Weaning from external ventricular drainage (EVD) of cerebrospinal fluid (CSF) in hydrocephalus induced by aneurismal subarachnoid hemorrhage (SAH) had been proposed either through the rapid, gradual or intermittent approaches. There are no uniform guidelines for it. Given this, we planned to study the comparative outcome between EVD drainage with intermittent clamping versus EDV followed by Ommaya reservoir. Material and Methods The present retrograde observational study was conducted from July 2018 to March 2021 in the department of neurosurgery with 67 patients who developed hydrocephalus following SAH after aneurysm rupture. We divided the patients into two groups. Group 1 had only EVD placed for CSF drainage with intermittent clamping before the placement of the ventriculoperitoneal (VP) shunt, and, in group 2, an Ommaya reservoir was placed after EVD before the shunt. Result There were 38 patients in group 1 and 29 in group 2. They were age-matched, with a mild male predominance in group 1. Shunt dependency was significantly reduced in group 2 patients (p = 0.011), along with reduced length of stay in ICU (p = 0,001) and length of stay in Hospital (p = 0.019). We found improved Glasgow outcome score in group 2 patients (p = 0.006) together with reduced incidence of infarct (p = 0.0095). Conclusion We may infer from the present study that continuous drainage through EVD, initially, in hydrocephalus induced by SAH following aneurysm rupture, increases cerebral perfusion pressure (CPP) and decreases intracranial pressure (ICP) leading to decreased infarct rate and intermittent drainage through Ommaya following EVD reservoir, decreases shunt dependency, reduces ICU and hospital stay, with improved Glasgow outcome score on follow-up, but these findings need to be validated in a prospective randomized control trial.
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- 2022
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8. Penile fracture during masturbation – a case report
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Raghubir Bhardwaj, Gyvi Gaurav, and Shahnawaz Alam
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fracture ,masturbation ,penis ,Medicine - Abstract
Penile fracture is a well-recognized but uncommon urological emergency. It is a tear in the tunica albuginea with rupture of corpus cavernosum. It may be associated with injury to corpus spongiosum and urethra. Diagnosis is usually clinical and Urethral injury should be suspected in penile fracture, especially in those cases with urethral bleeding and bilateral cavernosal rupture. Penile fracture is most commonly caused by injury during sexual intercourse. It has also been described with masturbation, rolling over or falling onto the erect penis, and other scenarios. A cracking or popping sound followed by pain, rapid detumescence, discoloration and swelling of penile shaft and urethral bleeding are common presenting symptoms. Prompt surgical intervention with closure of tunica albuginea is the treatment of choice with satisfactory cosmetic and functional results. We report a case of fracture penis in a 25-year-old male who came to emergency department of our hospital.
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- 2020
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9. Noninfectious glans gangrene in a diabetic male
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Gyvi Gaurav, Raghubir Bhardwaj, and Shahnawaz Alam
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amputation ,diabetic ,glans gangrene ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Limited glans penis gangrene is a rare subset of penile gangrene and is associated with favorable prognosis as compared to more aggressive course of the similar entity in moribund diabetic end-stage renal disease patients. A 64-year-old diabetic, hypertensive male with a history of tobacco consumption, bilateral great toe amputations, and normal renal function, presented with gangrene of glans penis and lower urinary tract symptoms. Early surgical debridement, glycemic control, and alpha-blocker treatment were successful in controlling the disease. There was no further progress of the gangrene requiring further amputation and no voiding difficulties after 6 months of follow-up.
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- 2020
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10. Efficacy and safety of amphotericin B emulsion versus liposomal formulation in Indian patients with visceral leishmaniasis: a randomized, open-label study.
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Shyam Sundar, Krishna Pandey, Chandreshwar Prasad Thakur, Tara Kant Jha, Vidya Nand Ravi Das, Neena Verma, Chandra Shekhar Lal, Deepak Verma, Shahnawaz Alam, and Pradeep Das
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Arctic medicine. Tropical medicine ,RC955-962 ,Public aspects of medicine ,RA1-1270 - Abstract
India is home to 60% of the total global visceral leishmaniasis (VL) population. Use of long-term oral (e.g. miltefosine) and parenteral drugs, considered the mainstay for treatment of VL, is now faced with increased resistance, decreased efficacy, low compliance and safety issues. The authors evaluated the efficacy and safety of an alternate treatment option, i.e. single infusion of preformed amphotericin B (AmB) lipid emulsion (ABLE) in comparison with that of liposomal formulation (LAmB).In this multicentric, open-label study, 500 patients with VL were randomly assigned in a 3:1 ratio to receive 15 mg/kg single infusion of either ABLE (N = 376) or LAmB (N = 124). Initial cure (Day 30/45), clinical improvement (Day 30) and long term definitive cure (Day 180) were assessed.A total of 326 (86.7%) patients in the ABLE group and 122 (98.4%) patients in the LAmB group completed the study. Initial cure was achieved by 95.9% of patients in the ABLE group compared to 100% in the LAmB group (p = 0.028; 95% CI: -0.0663, -0.0150). Clinical improvement was comparable between treatments (ABLE: 98.9% vs. LAmB: 98.4%). Definitive cure was achieved in 85.9% with ABLE compared to 98.4% with LAmB. Infusion-related pyrexia (37.2% vs. 32.3%) and chills (18.4% vs. 18.5%) were comparable between ABLE and LAmB, respectively. Treatment-related serious adverse events were fewer in ABLE (0.3%) compared to LAmB (1.6%). Two deaths occurred in the ABLE group, of which one was probably related to the study drug. Nephrotoxicity and hepatotoxicity was not observed in either group.ABLE 15 mg/kg single infusion had favorable efficacy and was well tolerated. Considering the demographic profile of the population in this region, a single dose treatment offers advantages in terms of compliance, cost and applicability.www.clinicaltrials.gov NCT00876824.
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- 2014
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11. Heat-input factor effect on the quality of high-frequency induction welded pipe for oil and gas industry
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Shahnawaz Alam and S. Fida Hassan
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Mechanics of Materials ,Industrial and Manufacturing Engineering - Published
- 2023
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12. SleepTight: Identifying Sleep Arousals Using Inter and Intra-Relation of Multimodal Signals.
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Tanuka Bhattacharjee, Deepan Das, Shahnawaz Alam, M. V. Achuth Rao, Prasanta Kumar Ghosh, Ayush Ranjan Lohani, Rohan Banerjee, Anirban Dutta Choudhury, and Arpan Pal 0001
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- 2018
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13. Time Series and Morphological Feature Extraction for Classifying Coronary Artery Disease from Photoplethysmogram.
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Rohan Banerjee, Sakyajit Bhattacharya, and Shahnawaz Alam
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- 2018
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14. Malignant Peripheral Nerve Sheath Scalp Tumor: A Short-Term Institutional Experience with Literature Review
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Vikas Chandra Jha, Mohammad Shahnawaz Alam, and Vivek Saran Sinha
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General Medicine - Abstract
Malignant peripheral nerve sheath tumor (MPNST) of the scalp is rare. These lesions are associated with neurofibromatosis type 1 (NF1), but patients had been reported without NF1 also. We tried to analyze the difference between the clinical course and outcome of the patient with MPNST having stigmata of NF1 and without it. We included five patients treated over 3 years between July 2018 and July 2021 with diffuse scalp MPNST. Two of these five patients with MPNST of the scalp had neurocutaneous stigmata of NF1. Three were female and two males with an average age of 38.40 ± 18.48 years—the youngest with NF1 being a 19-year-old female. We found dull aching pain as the most typical complaint in all patients and a repeated episode of generalized seizure in one patient. In these cases, two patients with NF1 have highly vascular tumors and attained large sizes greater than 30 cm. These two cases required preoperative digital subtraction angiography (DSA) and embolization with n-butyl acrylate. Total excision of the tumor was done in all patients with radiotherapy. Metastases within 1 year were noted in two patients with NF1, and one of these two succumbed to her illness. The rest of the three patients without NF1 are under follow-up with no evidence of disease with a maximum follow-up of 2 years. Large MPNST (size > 20 cm) are rare and reported to have been associated with and without NF1. Patients with scalp MPNST with NF1 can achieve larger size with fast progression of tumor size and higher chances of recurrence and metastases.
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- 2023
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15. Spontaneous Cervicothoracic Extradural Hematoma with Rare Presentation in Pediatric Patient with Stroke-Like Features in Association with COVID-19, Presenting as Management Dillemma
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Vikas Chandra Jha, Shahnawaz Alam, and Neeraj Jha
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General Medicine - Abstract
Presentation of cervico-thoracic extradural hematoma in pediatric age is rare with stroke-like features. Its association with COVID-19 in the active stage of the disease had not been reported and its management presents a management dilemma as COVID-19 with stroke-like features.A 14-year-old boy was referred to our institute with complaints of sudden-onset upper and middle back pain, associated with loss of sensation below the middle of the back, sudden progressive weakness of both lower limbs (power 0/5) and upper limbs (power grade-2/5), and incontinence of urine, following bouts of vomiting 12 days back. There was no history of trauma, bleeding diathesis, etc. Blood investigation was suggestive of leukocytosis, and RT-PCR test for COVID-19 was positive with raised D-dimer, serum ferritin, and C-reactive protein. MRI spine was suggestive of cervicothoracic extradural hematoma extending from C5-D3 level and compressing the spinal cord. The patient refused surgical decompression and was managed conservatively, following which he improved with power grade in limbs to 4/5.Surgical decompression is the treatment of choice but the patient can sometimes improve on medical management. Association of COVID-19 with spontaneous cervicothoracic extradural hematoma had not been reported earlier in the active stage, but its role in inducing vasculopathy and increased chances of bleeding at the uncommon site had been reported in the literature, and it may precipitate such cervical epidural hematoma.
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- 2023
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16. Sensor Agnostic Photoplethysmogram Signal Quality Assessment using Morphological Analysis.
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Shahnawaz Alam, Shreyasi Datta, Anirban Dutta Choudhury, and Arpan Pal 0001
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- 2017
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17. Comparative outcome of endovascular embolization with microsurgery in managing acute spontaneous cerebral hemorrhage in pediatric patients, an institutional experience
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Vikas Chandra Jha, Mohammad Shahnawaz Alam, and Vivek Sharan Sinha
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Pediatrics, Perinatology and Child Health ,Neurology (clinical) ,General Medicine - Abstract
Introduction: A few earlier studies have reported the role of embolization with curative intent in treating the early phase of a spontaneous cerebral hemorrhage of the brain AVM in pediatric patients. its efficacy needs to be compared with microsurgery. The risk factors for hemorrhage following early embolization in such patients should be evaluated. Material & Methods: We analyzed patients treated for arteriovenous malformation in pediatrics (< 18 years) following its rupture in the acute phase by embolization alone and surgery between July 2018 and July 2022. From a pool of 80 patients who had undergone treatment for ruptured AVM with hemorrhage at our center, we identified 36 patients with spontaneous bleeding due to AVMs. Out of which, 20 were treated by embolization alone (Group1) and another group 2 by surgery (with and without adjuvant embolisation). Result: Spetzler martin's grading of the lesion suggested seven lesionsConclusions: Incomplete embolization is the significant risk factor associated with hemorrhage in AVMs treated following a hemorrhagic stroke in the pediatric age group. Embolization with curative intent in treating such lesions is equally efficacious to the surgery group treated earlier by adjuvant embolization with careful patient selection. Although essential, our results need a further prospective study on a large patient population with longer follow-ups.
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- 2022
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18. Smartphone Based Digital Stethoscope for Connected Health - A Direct Acoustic Coupling Technique.
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Arijit Sinharay, Deb Ghosh, Parijat Deshpande, Shahnawaz Alam, Rohan Banerjee, and Arpan Pal 0001
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- 2016
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19. Mobile sensing framework for task partitioning between cloud and edge device for improved performance.
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Shahnawaz Alam, Keshaw Dewangan, Arijit Sinharay, and Avik Ghose
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- 2016
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20. A generic sensing and processing framework for smartphones for heterogeneous sensing.
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Shahnawaz Alam, Keshaw Dewangan, Arijit Sinharay, and Avik Ghose
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- 2016
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21. Process Parameter Optimization in Dissimilar Joining with MIG Welding between SAPH 440 steel and Aluminium Alloy 6063
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Arun Pratap Singh and Dr. Shahnawaz Alam
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General Medicine - Abstract
In any manufacturing firm, welding is amongst the most important and effective industrial operations. In today's production environment, welding process optimization is critical in order for a production unit to react successfully to fierce competition & rising excellence demands that must be met at a low cost. Welding input parameters determine the a weld's fineness. The objective of this research was to investigate the best welding conditions for joining SAPH 440 steel and aluminium alloy 6063. The purpose of this research is to evaluate the effects of the fusion & its welding speed and other variables, welding current, rate of wire feed, & torch distance and its angles were among the welding variables evaluated in this case study. An productive strategy is founded on Taguchi's method approach, and the S/N ratio was used to optimise responsiveness on shear strength. Welding variables had a considerable impact on shear strength behaviour, according to the findings. Experiments were carried out by altering welding speed, welding current, wire feed rate, and torch distance and its angles using the Taguchi method's L27 orthogonal array
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- 2022
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22. Factors Affecting Online Consumers Purchase Intention
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Shahnawaz Alam, Vikram Bansal, and Abhijit Ghosh
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- 2022
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23. A state of art review of instability in parallel channels of supercritical fluid in nuclear applications
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Santosh Kumar rai, Gourav kumar, Swapan Suman, Raghvendra Upadhyaya, Neetesh Singh Raghuvanshi, Mahesh Kumar Gupta, Saumya Shah, and Shahnawaz Alam
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- 2022
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24. Wire Feed Rate Optimization for MIG Welding of Alu-minum Alloy 6063
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Arun Pratap Singh and Dr. Shahnawaz Alam
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General Earth and Planetary Sciences ,General Environmental Science - Abstract
MIG welding (metal inert gas welding) is an arc welding technology that generates metal coalescences by heating them with an arc between a filler metallic electrode that is constantly fed, and the work. MIG welding process lends itself to semiautomatic, robotic automation and difficult automation welding packages. The alloy fabric variety for GMAW consists of carbon steel, chrome steel, aluminium (Al), magnesium (Mg), copper (Cu), nickel (Ni), and silicon bronze. This experimental study aims at optimization of the wire feed rate during MIG weld of aluminium sheets by developing the mathematically model for the tensile strength a hardness of the aluminium specimen. In this experiment Factorial design approach has been implemented for locating connection among diverse procedure parameters and weld deposit reason. MIG Welding of aluminium alloy 6063 with Al 4043 Wire and Argon gas shielding yields excellent results.
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- 2022
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25. A Study of the Impact of Multiple drilling parameters on Surface Roughness, Tool wear and Material Removal Rate while Drilling Al6063 applying Taguchi Technique
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Md Shahrukh Khan and Dr. Shahnawaz Alam
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General Earth and Planetary Sciences ,General Environmental Science - Abstract
The goal of this project is to see how different drilling parameters like spindle speed (600, 900, 1400 revolution per minute), feed rate (0.10, 0.16, 0.22 mm per revolution) and drill tool diameter (6, 8 mm) affect surface roughness, material removal rate and tool wear while drilling Al 6063 alloy with an HSS spiral drill using Taguchi method. The impact of different drilling settings on the accuracy of the drilled hole is analyzed using S/N (signal-to-noise) ratio, orthogonal arrays of Taguchi, regression analysis, and analysis of variance (ANOVA). CNC Lathe Machineis used to perform a number of experiments with the help of L18 orthogonal arrays of Taguchi. MINITAB 19, a commercial software tool, is used to collect and evaluate the results of the experiments. For establishing a correlation between the selected input parameters and the quality aspects of the holes made, linear regression equations are used. The experimental data are compared to the expected values, which are quite similar.
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- 2022
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26. Murmur Detection Using Parallel Recurrent & Convolutional Neural Networks.
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Shahnawaz Alam, Rohan Banerjee, and Soma Bandyopadhyay
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- 2018
27. COVID19-induced immunosuppression and aggressive progression of primary cranial vault lymphoma presenting as a management challenge, a case report, and a literature review
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Vikas Chandra Jha and Mohammad Shahnawaz Alam
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Psychiatry and Mental health ,General Neuroscience ,Surgery ,Neurology (clinical) ,Pshychiatric Mental Health - Abstract
Background We needs to study Primary Large cell Non-Hodgkin’s Lymphoma of the cranial vault, which is rare, and its association with COVID19 has not been reported, which may have an immunosuppressive effect to aggravate its progression. Patient details Our patient, a 53-year-old male, noticed fast growth of posterior cranial vault lesion from 2 to 10 cm size in last 6 months after COVID 19 affliction. MRI brain with contrast revealed lesions suggesting meningioma. The whole-body PET scan was normal. Following Subtotal excision of the mass, histopathology revealed large B-cell Non-Hodgkin’s lymphoma (DLBCL). Immunohistochemistry showed positive results for CD10, CD20, CD45 (LCA), ALK, and BCL-VE with a Ki-67 index of 90–95%. Following radiotherapy and chemotherapy patient is disease-free on imaging and doing well at 5 months of follow-up. Conclusions Early intervention with excisional biopsy and timely chemo and radiotherapy in favorable immunostaining may add survival benefits even in malignant features induced by immunosuppressing diseases such as COVID19 in diffuse large B-cell lymphoma (DLBCL) of the scalp.
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- 2022
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28. Comparative Analysis of Clipping and Endovascular Therapy Outcomes in the Treatment of Ruptured Distal Anterior Cerebral Artery Aneurysms
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Vikas Jha, Shahnawaz Alam, and Vivek Saran Sinha
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Surgery ,Neurology (clinical) - Abstract
Past research into the treatment of distal anterior cerebral artery (DACA) aneurysms with endovascular therapy (EVT) has found the procedure to result in inferior outcomes to clipping. However, better results have recently been reported. We compared the outcomes of DACA aneurysm treatment using these two procedures and assessed the risk factors.We retrospectively sampled and analyzed 31 patients treated for ruptured DACA aneurysms from a larger sample of 250 patients treated for ruptured aneurysms between July 2018 and July 2021. The outcomes of patients who underwent clipping and EVT were compared using chi-square tests. T-tests were used for univariate analysis and a logistic regression analysis was used to determine the risk factors affecting outcomes.Of the 31 patients, 20 were treated with clipping and 11 with EVT. Patients treated with EVT had a mean age of 35.45±6.66. The mean age of the clipping group was 44.4±6.94 years (p=0.002). Intraoperative rupture was significantly more common in the clipping group (p=0.025). There were no significant differences in the postoperative incidence of vasospasm or hydrocephalus (p=0.12). Modified Rankin Scale scores (p=0.017) and Glasgow Outcome Scale scores (p=0.02) both at discharge and 6-month follow-ups were significantly better in the EVT group than in the clipping group. Length of stay in the ICU was 9.27 ± 2.6 days following EVT and 23.60±6.29 following clipping (p=0.001). Age (p=0.0136), Hunt and Hess grade (p=0.02), and the occurrence of intraprocedural rupture (p=0.009) were found to significantly affect outcomes.The outcomes of EVT were better than those for clipping and required a shorter stay in the ICU and the hospital. This may be partially attributable to the dual-trained neurovascular surgeon who performed the procedures. Older age, poorer Hunt and Hess grades, and intraoperative aneurysm rupture adversely affected outcomes.
- Published
- 2022
29. Analysis and Optimization of Bead Geometry by Using Response Surface Methodology
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Asif Ahmad, Shahnawaz Alam, and Meenu Sharma
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Analysis of bead geometry is very important in product design and manufacturing. Defect-free products with reliability are the demanding parameter in the manufacturing Industry. In this study, we have analyzed and optimized bead geometry parameters such as height of reinforcement (HOR), depth of Heat Affected Zone (DOH), and width of Heat Affected Zone (WOH) by using Central Composite Design (CCD) of response surface methodology (RSM). In this study, peak current and pulse frequency are the most important process parameters for HOR and the optimum combination obtained are (160 A, 80 A, 100 Hz, and 45%) further HOR at this optimum was found to be 1.41 mm, which is close to 1.45 mm. Similarly, peak current and pulse frequency are the most important process parameter for WOH and the optimum combination obtained are (160 A, 80 A, 150 Hz, and 45%) further WOH at this optimum was found to be 1.32 mm, which is close to 1.37 mm. Again, similarly peak current and pulse frequency are the most important process parameter for DOH and the optimum combination obtained are (160 A, 80 A, 100 Hz, and 45%) further DOH at this optimum was found to be 1.26 mm which is close to 1.58 mm.
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- 2022
30. Giant Calcified Cavernous Hemangioma Managed with Modified Double Concentric Craniotomy
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Neera Jha, Sudhanshu Rewatkar, Mohammad Shahnawaz Alam, Vishal Abhijit, Vikas Chandra Jha, and Vivek Sharan Sinha
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medicine.medical_specialty ,medicine.medical_treatment ,Case Report ,Neurosciences. Biological psychiatry. Neuropsychiatry ,Hemangioma ,Meningioma ,03 medical and health sciences ,0302 clinical medicine ,medicine ,otorhinolaryngologic diseases ,Craniotomy ,business.industry ,intraosseous meningioma ,General Neuroscience ,Giant Hemangioma ,medicine.disease ,Neurovascular bundle ,nervous system diseases ,Skull ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Histopathology ,Neurology (clinical) ,Sarcoma ,Radiology ,business ,modified double concentric craniotomy ,giant cavernous hemangioma ,030217 neurology & neurosurgery ,RC321-571 - Abstract
Giant calcified cavernous hemangioma is uncommon, and calvarial invasion with intracranial extension and dural breach is rare. Radiological resemblance to lesions like meningioma is unreported. Surgical excision of such lesions is technically challenging. A 35-year-old female presented with recurrent generalized tonic-clonic seizures for 2 years. Imaging suggested a highly vascular lesion arising from the skull, mimicking intraosseous meningioma, sarcoma, metastases, and so on. Double concentric craniotomy was done with lifting of bones separately around sinuses with radial cuts of dura to visualize tumor-cortical interface to safeguard neurovascular structures, and complete excision was achieved. Histopathology was suggestive of calcified cavernous hemangioma. The patient was asymptomatic at 1 year of follow-up.Differentiating angiomatous and intraosseous meningioma from calcifying giant hemangioma and other mimicking lesions may be difficult on imaging. Modified double concentric craniotomy, although used uncommonly, can be a useful technique safeguarding the neurovascular structures in its proximity.
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- 2021
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31. Smartphone Sensing Framework.
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Shahnawaz Alam, Avik Ghose, Arijit Sinharay, Anirban Dutta Choudhury, and Arpan Pal 0001
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- 2016
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32. Integrity on properties of Cu-based composites with the addition of reinforcement: A review
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Kumar Swamy Pulisheru, Praveen Kumar Bannaravuri, Shahnawaz Alam, Gadudasu Baburao, Meenuga ShanthiRaju, Pasupuleti Suman, and Sumanth Ratna Kandavalli
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Wear resistance ,Materials science ,chemistry ,Composite number ,Twenty-First Century ,chemistry.chemical_element ,Composite material ,Reinforcement ,Copper ,Corrosion - Abstract
In this twenty first century, Copper has been widely utilized in aerospace, biomedical and automobile application rapidly due to its significant implementable benefits. Copper based composites have demonstrated significant beneficial characteristics, which actually includes mechanical, corrosion and wear resistance and higher strength. The present paper addresses a detailed overview of the investigations report which were carried out from the last decade. Also, discussed the various types of reinforcements used till the date, a detailed address on reinforcements including mechanical & physiochemical behaviour of the copper based composite materials. It was noticed that the wear resistance of the copper composite have been enhanced with addition of reinforcement including Gr, MoS2 etc. The Copper composites can be replaced with pure Copper to improve the usage of copper in various applications.
- Published
- 2021
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33. Use of Thopaz in Patients of Empyema Thoracis Undergoing Decortication
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Mohd Hanif Beg, Mohd Shahnawaz Alam, Mohd Aslam, and Mohd Azam Haseen
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Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,medicine.medical_treatment ,Empyema thoracis ,Pulmonary function testing ,pulmonary function test ,medicine ,In patient ,intercostal chest tube drain ,lcsh:RC705-779 ,Lung ,business.industry ,Thoracic drain ,tubercular empyema ,lcsh:Diseases of the respiratory system ,Decortication ,Thopaz ,Decortications ,Surgery ,empyema thoracis ,Chest tube ,Chest tube placement ,medicine.anatomical_structure ,Original Article ,business ,digital chest drainage system - Abstract
Introduction: The management of empyema thoracis has evolved over the years. After all lung surgeries chest drain is required, however they suffer from inter observer variability and impair mobility of the patient. However, the newer digital thoracic drain system are portable and have alarms for various situations, furthermore they eliminate inter-observer variability. One such device is Thopaz™ (Medela inc, Switzerland). We wanted to compare efficacy of Thopaz™ with our conventional intercostal chest tube drain in patients undergoing decortications for empyema thoracis. Materials and Methods: One hundred patients were enrolled in study and were randomized into conventional and thopaz group with 50 patients in each group with help of opaque envelopes. Results: Both the groups were comparable in demographic parameters. Majority of the patients in our study were children and young adults. Majority of empyema thoracis involved right side with nontubercular empyema thoracis being the most common cause of decorticartion. Patients managed with Thopaz had a significantly shorter air leak duration, shorter duration of postdecortication chest tube placement and shorter postoperative hospital stay. All postoperative complications were less in Thopaz group. Conclusions: Patients with empyema thoracis undergoing open decortications when managed with digital chest drainage system (Thopaz) experienced faster reduction in air leak, a shorter duration of chest tube placement and in hospital stay. Thopaz usage is also associated with reduction in rate of postoperative complications. We recommend that this digital chest tube drainage system is a very useful tool in armamentarium of thoracic surgeon after lung surgeries.
- Published
- 2020
34. COVID19 induced immunosuppression and aggressive progression of primary cranial vault lymphoma presented as a management challenge, a case report, and a review of the literature
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vikas Chandra Jha and Mohammad shahnawaz Alam
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hemic and lymphatic diseases - Abstract
Primary Large cell Non-Hodgkin's Lymphoma of the cranial vault is rare and association with COVID19 needs to be studied as in our patient.Our patient, a 53-year-old male noticed fast growth of posterior cranial vault tumour from 2cm to 10 cm size in last 6months after COVID 19 affliction. MRI brain with contrast revealed lesions mimicking multicentric meningioma. The whole-body PET scan was normal. Following Subtotal excision of the mass, histopathology revealed large B-cell Non-Hodgkin's lymphoma (DLBCL). Immunohistochemistry showed positive for CD10, CD20, CD45 (LCA), ALK, and BCL-VE with Ki-67 index 90–95%. Following radiotherapy and chemotherapy patient is disease-free on imaging and doing well at 5 months of follow-up.Early intervention with excisional biopsy and timely chemo and radiotherapy in presence of favourable immunostaining may add survival benefit even in the presence of malignant features induced by immunosuppressing disease as COVID19.Although this association was noticed in this single case study but role of Covid 19 infection in inducing the fast progression of tumours which can be expedited in immunosuppressive condition cannot be ignored.
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- 2022
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35. Design insights for a mobile based sensor application framework: for aiding platform independent algorithm design.
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Avik Ghose, Shahnawaz Alam, Nasimuddin Ahmed, Santa Maiti, Anirban Dutta Choudhury, and Arpan Pal 0001
- Published
- 2015
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36. Reduced expression of Kalirin-7 contributes to working memory deficit during chronic hypobaric hypoxia exposure
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Punita Kumari, Koushik Ray, Shahnawaz Alam, Vishal Jain, Usha Panjwani, Garima Chauhan, Meetu Wadhwa, Shashi Bala Singh, Krishna Kishore, and Koustav Roy
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Male ,medicine.medical_specialty ,Altitude Sickness ,Hippocampal formation ,Hippocampus ,Spatial memory ,Rats, Sprague-Dawley ,03 medical and health sciences ,Behavioral Neuroscience ,0302 clinical medicine ,Atrophy ,Internal medicine ,medicine ,Animals ,Guanine Nucleotide Exchange Factors ,Hypoxia ,Maze Learning ,030304 developmental biology ,Memory Disorders ,0303 health sciences ,Radial arm maze ,business.industry ,Working memory ,Altitude ,Hypoxia (medical) ,T-maze ,medicine.disease ,Rats ,Memory, Short-Term ,Endocrinology ,medicine.symptom ,business ,Postsynaptic density ,030217 neurology & neurosurgery - Abstract
Hypobaric hypoxia (HH) is an environmental stress encountered at high altitude. It has been shown that HH resulted in spine atrophy and working memory deficits. Kalirin-7, a postsynaptic density protein, plays an important and key role in regulating spine dynamics and its plasticity. Spine atrophy is implicated in HH induced memory deficits but role of Kalirin-7 in this phenomenon is not studied. Present study is therefore designed to investigate the effect of chronic HH exposure on Kalirin-7 expression in hippocampus and its role in spatial working memory deficits. Adult rats (n = 12, 3 months old) were exposed to a simulated altitude of 25,000 feet for 7 days. Following HH exposure, spatial working memory was assessed with Radial arm maze and T maze. Hippocampal expression of Kalrin-7 was estimated at mRNA and protein levels. Results of behavioural experiments showed that HH causes significant decrease in the spatial working memory. There was a significant reduction in the protein expression of Kalirin-7 in the hippocampus of hypoxia exposed rats (43.89 ± 7.43) as compared to the control (69.54 ± 10.99). The mRNA expression of Kalrin-7 also exhibits significant reduction (0.59 ± 0.05) in the exposed group as compared to the control (0.98 ± 0.07). Immunohistochemistry showed that Kalirin-7 is decreased significantly in CA1, CA3 and DG regions of the hippocampus. Moreover, memory deficits are significantly correlated with decreased immunoreactivity of the hippocampal Kalirin-7. In conclusion, it can be said therefore, that change in Kalirin-7 expression in the hippocampus is associated with HH induced working memory deficit.
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- 2019
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37. An Empirical Study of Image Captioning using Deep Learning
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Vaishali Narula, Mohammad Shahnawaz Alam, Ruchika Haldia, and Gitanjali Nikam Ganpatrao
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Closed captioning ,Artificial neural network ,Computer science ,business.industry ,Deep learning ,ComputingMethodologies_IMAGEPROCESSINGANDCOMPUTERVISION ,computer.software_genre ,Convolutional neural network ,Task (project management) ,Image (mathematics) ,Empirical research ,Salient ,Artificial intelligence ,business ,computer ,Natural language processing - Abstract
Image captioning is one of the most recent challenges that caught the interest of the computer vision community as well as the Natural Language Processing community. Recently, the tedious task of image captioning has attained quite notable progress by using numerous techniques. The primary goal of this paper is to study existing Deep Learning techniques for Image Captioning. We have discussed a convolutional neural network-based Image Caption generation model and the salient steps involved in it. We have also discussed dataset and evaluation metrics widely used in fundamental systems.
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- 2021
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38. Planform Dynamics of Kankai River using GIS and Remote Sensing
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Shahnawaz Alam and Ajai Singh
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Remote sensing (archaeology) ,Planform ,Geology ,Remote sensing - Abstract
The Kankai river is a rainfed perennial river of eastern Nepal and carries a large quantum of silt, and enters in Kishanganj of West Bengal, India. Recently, a bridge collapsed in a village in the Kishanganj district due to a rise in the water levels of the Kankai river. This paper presents a study of the dynamics of changes in channel planform and measurement of the erosion and accretion of the Kankai river in Bihar, India from 2000 to 2018. Spatial data were processed in GIS to determine the changes in sinuosity, centreline migration rates, and extent of erosion, and deposition of sediment. The maximum river shift was obtained as 800 to 1600 m and the minimum river shift varied from 6 to 70 m. With a sinuosity ratio for the whole reach of the river of 1.45, the Kankai river is considered a sinuous river and needs river training works at the erosion sites.
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- 2021
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39. COX-1/EP1R Inhibition Ameliorate Deficits in Adult Neurogenesis and Social Interaction via Alleviating NLRP3/ IL-1β Activation During Hypobaric Hypoxia
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Koushik Ray, Usha Panjwani, Shahnawaz Alam, Krishna Kishore, Punita Kumari, Koustav Roy, Garima Chauhan, Gaurav Kumar, and Bhanuteja Thondala
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business.industry ,Neurogenesis ,Medicine ,Hypobaric hypoxia ,business ,Neuroscience ,Social relation - Abstract
BackgroundLow oxygen environments like hypobaric hypoxia (HH) are common nodes to various diseases: characterized by neuroinflammation, which is detrimental to the structural and functional aspects of hippocampal circuitry. Various hypoxic conditions also lead to elevation of NLRP3 mediated neuroinflammation that may contribute to cognitive deficits. Components of neurogenic niches like microglia and astrocyte are largely affected by neuroinflammation; however, a systematic investigation of the impact of NLRP3 mediated neuroinflammation on components of neurogenic niche during hypoxia (HH) remains elusive. MethodsIn this study, we simulated cerebral hypoxia via decreasing partial pressure of oxygen(HH). The effect of hypobaric hypoxic (1, 3 and 7 day at 25000 ft) on social memory, anxiety, adult neurogenesis change in the inflammatory milieu in DG was explored in detail. We explored the efficacy of COX-1 inhibitor (Valery salicylate, 5mg/kg/day,i.p), and EP1R antagonist (SC19220, 1mg/kg/day,i.p) on NLRP3 mediated neuroinflammation and associated maladies during HH. ResultsWe observed that HH exposure induced alteration in social and anxiety-like behavior post 7 day exposure along with perturbation in levels of BDNF, Serotonin and adult neurogenesis in the DG right from day 1. Moreover, significant elevated NLRP3, caspase-1, and IL-1β levels are observed during HH from day 1. Concomitantly, a notable increase in the COX-1/EP1 pathway in both activated microglia and astrocyte in DG was evident after 3HH exposure. Pharmacological COX-1 inhibitor and EP1 antagonist counteract the detrimental effects of HH exposure on social memory, adult neurogenesis, and NLRP3 inflammasome induction. ConclusionsThus, our data showed induction of the COX-1/EP1 pathway in glial cells is detrimental to adult neurogenesis and social memory, raising possibility that the COX-1/EP1 pathway as a plausible target for inflammasome related neurogenesis impairment.
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- 2020
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40. Phosphorylated delta sleep inducing peptide restores spatial memory and p-CREB expression by improving sleep architecture at high altitude
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Koustav Roy, Meetu Wadhwa, Shahnawaz Alam, Usha Panjwani, Garima Chauhan, Koushik Ray, Punita Kumari, and Krishna Kishore
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Male ,0301 basic medicine ,medicine.medical_specialty ,Sleep induction ,Rapid eye movement sleep ,Water maze ,CREB ,Non-rapid eye movement sleep ,General Biochemistry, Genetics and Molecular Biology ,Rats, Sprague-Dawley ,03 medical and health sciences ,0302 clinical medicine ,Delta Sleep-Inducing Peptide ,Internal medicine ,medicine ,Animals ,Circadian rhythm ,Phosphorylation ,General Pharmacology, Toxicology and Pharmaceutics ,Cyclic AMP Response Element-Binding Protein ,Hypoxia ,Spatial Memory ,Neurotransmitter Agents ,biology ,business.industry ,Altitude ,General Medicine ,Rats ,030104 developmental biology ,Monoamine neurotransmitter ,Endocrinology ,biology.protein ,Delta sleep-inducing peptide ,Sleep ,business ,030217 neurology & neurosurgery - Abstract
Sleep loss at high altitude (HA) play major role in worsening of neuropsychological functions, such as attention, memory and decision making. This study investigates the role of phosphorylated delta sleep inducing peptide (p-DSIP) in improving sleep architecture during chronic hypobaric hypoxia (HH) exposure and restoration of spatial navigational memory.Morris water maze (MWM) trained rats were exposed to HH at 7620 m. p-DSIP was injected intra-peritoneally (10 μg/Kg bw) during HH exposure as an intervention against sleep alteration. Sleep architecture was recorded telemetrically before and during HH exposure. Monoamines were estimated by high performance liquid chromatography from brain stem (BS) and hypothalamus. CREB and p-CREB level in hippocampus was studied by western blotting and expression of different monoamine regulatory enzymes in BS was measured by flow cytometry. Naloxone (1 mg/kg bw), a μ opioid receptor antagonist of sleep inducing effect of DSIP was also studied.p-DSIP injection daily in circadian active period (18.30 h) during chronic HH enhanced non rapid eye movement sleep, rapid eye movement sleep as well as improved MWM performance of rats. p-DSIP treatment showed lower monoamine level and tyrosine hydroxylase (TH) expression and increased monoamine oxidase A (MAO A), glutamic acid decarboxylase (GAD) and Choline acetyltransferase (ChAT) expression. Further, naloxone altered navigational memory by decreasing the CREB and p-CREB level in hippocampus suggesting suppression of sleep inducing effect of p-DSIP.Our study demonstrates that improvement of sleep quality by p-DSIP restores spatial memory by up regulating CREB phosphorylation during simulated high altitude hypoxia.
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- 2018
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41. Noninfectious glans gangrene in a diabetic male
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Shahnawaz Alam, Gyvi Gaurav, and Raghubir Bhardwaj
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Gangrene ,medicine.medical_specialty ,business.industry ,Urology ,medicine.medical_treatment ,glans gangrene ,Glans penis ,Case Report ,Disease ,lcsh:Diseases of the genitourinary system. Urology ,lcsh:RC870-923 ,medicine.disease ,Surgery ,Normal renal function ,medicine.anatomical_structure ,Amputation ,Lower urinary tract symptoms ,medicine ,diabetic ,Glans ,business ,Glycemic - Abstract
Limited glans penis gangrene is a rare subset of penile gangrene and is associated with favorable prognosis as compared to more aggressive course of the similar entity in moribund diabetic end-stage renal disease patients. A 64-year-old diabetic, hypertensive male with a history of tobacco consumption, bilateral great toe amputations, and normal renal function, presented with gangrene of glans penis and lower urinary tract symptoms. Early surgical debridement, glycemic control, and alpha-blocker treatment were successful in controlling the disease. There was no further progress of the gangrene requiring further amputation and no voiding difficulties after 6 months of follow-up.
- Published
- 2019
42. Unusual finding of deodorant bottle in the rectum: An interesting case report
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Maikal Kujur, Mohammad Aslam, Rajashree Kundu, Junaid Alam, Ahmad Ammar, Nazrul Hasan, Junaid Ansari, and Shahnawaz Alam
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General Medicine - Published
- 2022
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43. Putative role of KIR3DL1/3DS1 alleles and HLA-Bw4 ligands with end stage renal disease and long term renal allograft survival
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Suraksha Agrawal, Avinash Sonawane, Swayam Prakash, Aditya Narayan Sarangi, Shahnawaz Alam, and Raj Kumar Sharma
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Graft Rejection ,0301 basic medicine ,Receptors, KIR3DS1 ,Human leukocyte antigen ,Biology ,End stage renal disease ,03 medical and health sciences ,0302 clinical medicine ,Antigen ,Genetics ,Humans ,Transplantation, Homologous ,Allele ,Receptor ,Alleles ,Graft Survival ,Receptors, KIR3DL1 ,General Medicine ,Kidney Transplantation ,Transplantation ,030104 developmental biology ,HLA-B Antigens ,Case-Control Studies ,Immunology ,biology.protein ,Kidney Failure, Chronic ,Antibody ,KIR3DL1 ,030215 immunology - Abstract
Background Killer immunoglobulin receptors (KIR) are highly polymorphic in nature. KIR3DL1/3DS1 genes are known to affect HLA-B antigen binding affinity causing natural killer (NK) cell inhibition, which results into successful renal transplantation. In this study we have examined whether alleles of KIR3DL1/3DS1 play any role in changing the binding affinity with HLA-Bw4 antigen and if so then how are they associated with long term renal allograft survival. We have also evaluated plausible association of KIR3DL1 with HLA-A23/A24/A32 with renal pathophysiology. Materials and methods KIR3DL1/3DS1 allelic diversity was examined in 501 renal transplant cases and 507 controls. PCR-SSP was used to determine the incidence of KIR3DL1/3DS1 genes and HLA class-I antigens. KIR3DL1/3DS1 alleles were determined by sequencing. Expression at transcription level for KIR3DL1/3DS1 genes was evaluated in the presence of HLA-Bw4. Different statistical analyses were performed using SPSS v 22.0. p ≤ 0.05 was considered significant. Sequence based variant effect was predicted using Variant Effect Predictor. To evaluate whether variation in KIR3DL1 and HLA interaction changes the binding affinity structure based effect prediction was carried out using MutaBind and BindProf software. Results For KIR3DL1*0010101, no-risk and low mRNA expression was seen among antibody mediated acute rejection (ABMR) and chronic rejection (CR) cases. Whereas, 3DS1*01301, 3DL1*00401, and 3DL1*00402 showed susceptibility and elevated mRNA expression with ABMR and CR. Two mutations c.320C > T (rs143159382) and c.911G > T (rs35974949), present in alleles 3DL1*00402 and 3DL1*00401 were predicted to be deleterious. Reduced renal allograft survival was observed for individuals possessing KIR3DL1*00401-HLA-Bw4+. In relation to HLA-A locus no significance was observed with ESRD, ABMR, and CR. Discussion The experimental and computational data corroborated with each other suggesting susceptibility for renal allograft in presence of 3DL1*00402 and 3DL1*00401 alleles.
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- 2017
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44. Hypobaric hypoxia induced fear and extinction memory impairment and effect of Ginkgo biloba in its amelioration: Behavioral, neurochemical and molecular correlates
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Shahnawaz Alam, Meetu Wadhwa, Koushik Ray, Garima Chauhan, Sanjeev Kumar, Punita Kumari, Usha Panjwani, Krishna Kishore, Koustav Roy, Tapas Chandra Nag, and Prabhash Kumar Jha
- Subjects
Male ,medicine.medical_specialty ,Conditioning, Classical ,Hippocampus ,Biology ,Amygdala ,Extinction, Psychological ,Rats, Sprague-Dawley ,03 medical and health sciences ,Behavioral Neuroscience ,chemistry.chemical_compound ,0302 clinical medicine ,Corticosterone ,Internal medicine ,medicine ,Animals ,Neurotransmitter ,Hypoxia ,030304 developmental biology ,Neurons ,0303 health sciences ,Memory Disorders ,Plant Extracts ,Brain-Derived Neurotrophic Factor ,Glutamate receptor ,Brain ,Ginkgo biloba ,Extinction (psychology) ,Fear ,Endocrinology ,medicine.anatomical_structure ,chemistry ,Synaptic plasticity ,030217 neurology & neurosurgery ,Pyknosis - Abstract
Regulated fear and extinction memory is essential for balanced behavioral response. Limbic brain regions are susceptible to hypobaric hypoxia (HH) and are putative target for fear extinction deficit and dysregulation. The present study aimed to examine the effect of HH and Ginkgo biloba extract (GBE) on fear and extinction memory with the underlying mechanism. Adult male Sprague-Dawley rats were evaluated for fear extinction and anxious behavior following GBE administration during HH exposure. Blood and tissue (PFC, hippocampus and amygdala) samples were collected for biochemical, morphological and molecular studies. Results revealed deficit in contextual and cued fear extinction following 3 days of HH exposure. Increased corticosterone, glutamate with decreased GABA level was found with marked pyknosis, decrease in apical dendritic length and number of functional spines. Decline in mRNA expression level of synaptic plasticity genes and immunoreactivity of BDNF, synaptophysin, PSD95, spinophilin was observed following HH exposure. GBE administration during HH exposure improved fear and extinction memory along with decline in anxious behavior. It restored corticosterone, glutamate and GABA levels with an increase in apical dendritic length and number of functional spines with a reduction in pyknosis. It also improved mRNA expression level and immunoreactivity of neurotrophic and synaptic proteins. The present study is the first which demonstrates fear extinction deficit and anxious behavior following HH exposure. GBE administration ameliorated fear and extinction memory dysregulation by restoration of neurotransmitter levels, neuronal pyknosis and synaptic connections along with improved neurotrophic and synaptic protein expressions.
- Published
- 2019
45. An Innovative Project Management System
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Shahnawaz Alam
- Subjects
010302 applied physics ,Work breakdown structure ,Geographic information system ,business.industry ,Computer science ,Dashboard (business) ,02 engineering and technology ,021001 nanoscience & nanotechnology ,01 natural sciences ,Program evaluation and review technique ,Resource (project management) ,0103 physical sciences ,Project management ,0210 nano-technology ,Software engineering ,business ,Critical path method ,Gantt chart - Abstract
This paper describes an innovative web based Project Management System that adds to the set of established tools of project management. The system is designed to handle a number of very large projects. It is based on robust open source systems and frameworks. In addition to the basic features such as Network Diagram, Critical Path Method (CPM), Program Evaluation and Review Technique (PERT), Work Breakdown Structure (WBS), Gantt Chart etc., the system integrates with Geographical Information System (GIS.) This integration enables the system to record activities of the project in graphic detail on GIS map with geo-coded images and to create a digital representation of the entire project roll-out. This digital representation becomes a valuable resource for operation and maintenance on completion of the project. As the project rolls out, the progress can be seen on an intuitive GIS based dashboard. The system provides multiple methods of data entry: web interface, spreadsheet and mobile application. The system has been found to successfully operate with a number of projects and several hundred thousand tasks.
- Published
- 2019
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46. 003. CELL-FREE MITOCHONDRIAL BUT NOT NUCLEAR DNA CORRELATE WITH DISEASE ACTIVITY IN ANCA ASSOCIATED VASCULITIS
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Camilla Skoglund, Shahnawaz Alam, Mårten Segelmark, and Daniel Appelgren
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Disease activity ,Pathology ,medicine.medical_specialty ,Rheumatology ,business.industry ,Medicine ,Pharmacology (medical) ,ANCA-Associated Vasculitis ,Cell free ,Mitochondrion ,business ,Nuclear DNA - Published
- 2019
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47. Decay spectroscopy of 117,118Sn
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Abhijit Bisoi, Arkabrata Gupta, Y. Sapkota, T. Bhattacharjee, Anik Adhikari, I. Ray, Shahnawaz Alam, S.K. Dey, M. Saha Sarkar, Suman Aich, A. Saha, Ananya Das, Dibyadyuti Pramanik, Sangeeta Das, Sathi Sharma, S. S. Sarkar, and Chandi Charan Dey
- Subjects
Physics ,Nuclear and High Energy Physics ,010308 nuclear & particles physics ,SHELL model ,Excitation spectra ,01 natural sciences ,Coincidence ,0103 physical sciences ,Deconvolution ,Atomic physics ,010306 general physics ,Spectroscopy ,Valence electron ,Excitation - Abstract
The low-lying states of 117,118Sn have been studied from the decay of 117 g , 118 m Sb, and 117 m Sn. These long-lived species were populated through the reaction 4He + n a t In at E l a b = 32 MeV. Singles, as well as γ-γ coincidence data, were acquired. The uncertainties in the placement of some of the γ-rays in the excitation spectra of 118Sn observed by previous workers have been removed. A γ-ray (984 keV) previously assigned to 118Sn has been eliminated from the level scheme, based on the present analysis. The decay half-lives of 117 g , 118 m Sb have been remeasured. The slope method and deconvolution technique have been used to determine the half-lives of a few isomeric states in 117,118Sn. The results are interpreted in the framework of large scale shell model calculations performed in the 50 - 82 valence shell using truncations. Although the excitation energies were not reproduced well, the theoretical calculations could reasonably reproduce the isomers' transition probabilities due to their nearly pure configuration.
- Published
- 2021
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48. Tsunami Impacts on Nuclear Power Plants along Western Coast of India Due to a Great Makran Earthquake: A Numerical Simulation Approach
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Shahnawaz Alam and Mohd Zuhair
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021110 strategic, defence & security studies ,education.field_of_study ,Coastal hazards ,010504 meteorology & atmospheric sciences ,Subduction ,business.industry ,Population ,0211 other engineering and technologies ,Eurasian Plate ,02 engineering and technology ,Induced seismicity ,Nuclear power ,01 natural sciences ,law.invention ,law ,Nuclear power plant ,Submarine pipeline ,business ,education ,Geology ,Seismology ,0105 earth and related environmental sciences - Abstract
The major seismicity source in the northern Arabian Sea is the Makran Subduction Zone (MSZ) that defines the tectonic boundary between the Arabian plate and the Eurasian plate, located offshore Iran and Pakistan over which an instrumentally registered earthquake (Mw 8.1) generated a tsunami on 27 November, 1945. It has caused severe cataclysm to a vulnerable population along the surrounding coastlines, including India. It has been on a long seismic quiescence since this last event. The population and industrialization have exponentially increased along the coastal areas in last half decade. The highly exposed coastal locations to the tsunamis are the areas where the nuclear power plants are located. In the present work, a numerical simulation of a great tsunamigenic earthquake (M 9) is presented that predicts the generation, propagation, run-up and travel time using TUNAMI N2 for estimating tsunami impacts along the nuclear power plants of the western coast of India. TUNAMI N2 code was designed for shallow water wave equations, which uses the finite-difference method based on staggered-leap frog scheme. Thus, it has potential to simulate a far-field tsunami with much more accuracy than other methods. It is observed that the tsunami will strike along the coast of Jaitapur Nuclear Power Plant (Maharashtra), Tarapur Nuclear Power Plant (Maharashtra), Kaiga Nuclear Power Plant (Karnataka) and Mithi-Virdi Nuclear Power Plant (Gujarat) after 210, 215, 225 and 230 minutes, respectively. Results show that the tsunami run-up is highest for Jaitapur coast (2.32 m). The Mithi-Virdi coast is the least effected (0.93 m) while Kaiga (2.15 m) and Tarapur coast (2.12 m) might have faced quite intense tsunami consequences. The arrival times and run-ups of the tsunami along the coast of different power plants have been calculated since these parameters are of vital importance in mitigation of the coastal hazard, evacuation planning and installation of early warning system in order to save the inhabited communities from the disaster.
- Published
- 2017
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49. Fear memory is impaired in hypobaric hypoxia: Role of synaptic plasticity and neuro-modulators in limbic region
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Garima Chauhan, Meetu Wadhwa, Shahnawaz Alam, Punita Kumari, Koushik Ray, Usha Panjwani, Koustav Roy, and Krishna Kishore
- Subjects
Male ,0301 basic medicine ,Hippocampus ,Biology ,030226 pharmacology & pharmacy ,Amygdala ,General Biochemistry, Genetics and Molecular Biology ,Rats, Sprague-Dawley ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Memory ,Corticosterone ,Neuromodulation ,medicine ,Animals ,General Pharmacology, Toxicology and Pharmaceutics ,Hypoxia ,Prefrontal cortex ,Neuronal Plasticity ,Glutamate receptor ,Fear ,General Medicine ,Tryptophan hydroxylase ,Rats ,030104 developmental biology ,medicine.anatomical_structure ,nervous system ,chemistry ,Synaptic plasticity ,Conditioning, Operant ,Neuroscience - Abstract
Aims Evidence suggests that hypobaric hypoxia (HH) exposure causes biochemical and molecular level perturbations in brain resulting in associated cognitive dysfunction. However, the possible effect of HH on amygdala and the associated limbic regions based functions remains elusive. Regulated fear expression is essential for quick adaptations and optimal behavioral response. Therefore, the present study aims to investigate the effect of HH on biochemical and molecular mechanisms in amygdala involved in fear memory regulation along with the hippocampus and prefrontal cortex based fear memory. Materials and methods Adult male Sprague Dawley rats were subjected to cued and contextual fear memory assessment following simulated HH exposure (25,000 ft) for 3 and 7 days. Plasma and limbic tissue (Prefrontal cortex, hippocampus and amygdala) samples were collected for biochemical and molecular studies. Key findings Results revealed a decrease in contextual and cued fear memory retrieval, indicating fear memory dysregulation under HH exposure. Increased level of norepinephrine, dopamine, corticosterone and glutamate along with a decline in serotonin and GABA level was observed in plasma and limbic tissue after 3 and 7 days of HH exposure. Dysregulation of neuromodulation, neuronal survival and synaptic homeostasis was also evident from observed decline in tryptophan hydroxylase, BDNF, synaptophysin, synapsin1, PSD95 and an increase in tyrosine hydroxylase immunoreactivity in limbic region under HH exposure. Significance Dysregulation of limbic region signaling molecules associated with survival and maintenance of synaptic plasticity (Synaptophysin, synapsin1 and PSD95), neurotrophic factor (BDNF) and shift in monoamines, corticosterone, glutamate and GABA levels may contribute to the HH induced fear memory impairment.
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- 2020
- Full Text
- View/download PDF
50. SleepTight: Identifying Sleep Arousals Using Inter and Intra-Relation of Multimodal Signals
- Author
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Ayush Ranjan Lohani, Arpan Pal, Deepan Das, Rohan Banerjee, Shahnawaz Alam, Achuth Rao M, Tanuka Bhattacharjee, Prasanta Kumar Ghosh, and Anirban Dutta Choudhury
- Subjects
Relation (database) ,Computer science ,business.industry ,Feature vector ,0206 medical engineering ,Rank (computer programming) ,Stability (learning theory) ,Pattern recognition ,02 engineering and technology ,020601 biomedical engineering ,Random forest ,03 medical and health sciences ,0302 clinical medicine ,Redundancy (engineering) ,Relevance (information retrieval) ,Artificial intelligence ,business ,030217 neurology & neurosurgery ,Smoothing - Abstract
Sleep arousal directly affects the quality of sleep. PhysioNet Challenge 2018 aims to correctly identify designated target arousal (non-apnea arousal) and non-arousal regions from simultaneously recorded multiple biomedical signals. Our contribution lies in a feature extraction algorithm that extracts generic and domain-specific features from different biomedical signals available in the challenge provided dataset to form a composite feature vector. 50 most significant features are selected based on Minimum Redundancy Maximum Relevance scores for final classification using multiple unbiased Random Forests. The approach is designed to produce a single label for a 20-second segment containing all channels, followed by smoothing the label time-series per subject. Our algorithm yields the median Area Under Precision-Recall Curve (AUPRC) as 0.29 on 5-fold cross-validation on the training dataset. The same value of AUPRC is maintained for the test dataset as well, thereby emphasizing the stability of the proposed algorithm. This method secured the global rank of 8 during the official phase of the challenge.
- Published
- 2018
- Full Text
- View/download PDF
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