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| 1 | Outcomes of severe sepsis and septic shock patients after stratifi cation by initial lactate value显示文摘BACKGROUND: In the setting of severe sepsis and septic shock, mortality increases when lactate levels are ≥ 4 mmol/L. However, the consequences of lower lactate levels in this population are not well understood. The study aimed to determine the in-hospital mortality associated with severe sepsis and septic shock when initial lactate levels are < 4 mmol/L.METHODS: This is a retrospective cohort study of septic patients admitted over a 40-month period. Totally 338 patients were divided into three groups based on initial lactate values. Group 1 had lactate levels < 2 mmol/L; group 2: 2–4 mmol/L; and group 3: ≥ 4 mmol/L. The primary outcome was in-hospital mortality.RESULTS: There were 111 patients in group 1, 96 patients in group 2, and 131 in group 3. The mortality rates were 21.6%, 35.4%, and 51.9% respectively. Univariate analysis revealed the mortality differences to be statistically significant. Multivariate logistic regression demonstrated higher odds of death with higher lactate tier group, however the findings did not reach statistical significance.CONCLUSION: This study found that only assignment to group 3, initial lactic acid level of ≥ 4 mmol/L, was independently associated with increased mortality after correcting for underlying severity of illness and organ dysfunction. However, rising lactate levels in the other two groups were associated with increased severity of illness and were inversely proportional to prognosis. | Kimberly A. Chambers Adam Y. Park Rosa C. Banuelos Bryan F. Darge Bindu H. Akkanti Annamaria Macaluso Manoj Thangam Pratik B. Doshi | 2018 | World Journal of Emergency Medicine2018，9，2： | 26 |
| 2 | Management of pancreatic fluid collections: A comprehensive review of the literature显示文摘Pancreatic fluid collections(PFCs) are a frequent complication of pancreatitis. It is important to classify PFCs to guide management. The revised Atlanta criteria classifies PFCs as acute or chronic, with chronic fluid collections subdivided into pseudocysts and walled-off pancreatic necrosis(WOPN). Establishing adequate nutritional support is an essential step in the management of PFCs. Early attempts at oral feeding can be trialed in patients with mild pancreatitis. Enteral feeding should be implemented in patients with moderate to severe pancreatitis. Jejunal feeding remains the preferred route of enteral nutrition. Symptomatic PFCs require drainage; options include surgical, percutaneous, or endoscopic approaches. With the advent of newer and more advanced endoscopic tools and expertise, and an associated reduction in health care costs, minimally invasive endoscopic drainage has become the preferable approach. An endoscopic ultrasonography-guided approach using a seldinger technique is the preferred endoscopic approach. Both plastic stents and metal stents are efficacious and safe; however, metal stents may offer an advantage, especially in infected pseudocysts and in WOPN. Direct endoscopic necrosectomy is often required in WOPN. Lumen apposing metal stents that allow for direct endoscopic necrosectomy and debridement through the stent lumen are preferred in these patients. Endoscopic retrograde cholangio pancreatography with pancreatic duct(PD) exploration should be performed concurrent to PFC drainage. PD disruption is associated with an increased severity of pancreatitis, an increased risk of recurrent attacks of pancreatitis and long-term complications, and a decreased rate of PFC resolution after drainage. Any pancreatic ductal disruption should be bridged with endoscopic stenting. | Amy Tyberg Kunal Karia Moamen Gabr Amit Desai Rushabh Doshi Monica Gaidhane Reem Z Sharaiha Michel Kahaleh | 2016 | World Journal of Gastroenterology2016，22，7： | 15 |
| 3 | Synthesis of novel adsorbent by intercalation of biopolymer in LDH for the removal of arsenic from synthetic and natural water显示文摘This study focuses on the synthesis of nanocomposites named CCA and CZA that were prepared by the incorporation of cellulose(CL)in the Ca/Al and Zn/Al layered double hydroxide(LDH),respectively.These materials were then used for the uptake of As(Ⅲ)and As(V)from aqueous medium.Characterization of both nanocomposites(CCA and CZA)was done using FTIR and Raman analysis to identify the functional groups,N2 adsorption-desorption isotherms to determine the specific surface area and pore geometry and XPS analysis to obtain the surface atomic composition.Some other characters were investigated using simultaneous TGA and DTA and elemental chemical analysis(CHNS/O).The crystallinity of the prepared nanocomposites was displayed by XRD patterns.Furthermore,the sheet-like structure of the LDHs and the irregularity of surface morphology with porous structure were observed by TEM and SEM microphotographs.Optimization of maximum adsorption capacity was adjusted using different parameters including pH,contact time and adsorbent dosage.The pseudo-second-order model was in good fitting with kinetics results.The adsorption isotherm results showed that CZA exhibits better adsorption capacity for As(Ⅲ)than CCA and the Langmuir isotherm model described the data well for both nanocomposites.Thermodynamic studies illustrated the endothermic nature of CCA and exothermic nature on CZA,as well as the fact that the adsorption process is spontaneous.A real water sample collected from well located in Gabes(Tunisia),has also been treated.The obtained experimental results were confirmed that these sorbents are efficient for the treatment of hazardous toxic species such as. | Hanen Bessaies Sidra Iftekhar Bhairavi Doshi Jamel Kheriji Mohamed Chaker Ncibi Varsha Srivastava Mika Sillanpaa Bechir Hamrouni | 2020 | Journal of Environmental Sciences2020，32，5： | 10 |
| 4 | A comprehensive review on automation in agriculture using artificial intelligence显示文摘Agriculture automation is the main concern and emerging subject for every country.The world population is increasing at a very fast rate and with increase in population the need for food increases briskly.Traditional methods used by farmers aren't sufficient enough to serve the increasing demand and so they have to hamper the soil by using harmful pesticides in an intensified manner.This affects the agricultural practice a lot and in the end the land remains barren with no fertility.This paper talks about different automation practices like IOT,Wireless Communications,Machine learning and Artificial Intelligence,Deep learning.There are some areas which are causing the problems to agriculture field like crop diseases,lack of storage management,pesticide control,weed management,lack of irrigation and water management and all this problems can be solved by above mentioned different techniques.Today,there is an urgent need to decipher the issues like use of harmful pesticides,controlled irrigation,control on pollution and effects of environment in agricultural practice.Automation of farming practices has proved to increase the gain from the soil and also has strengthened the soil fertility.This paper surveys the work of many researchers to get a brief overview about the current implementation of automation in agriculture.The paper also discusses a proposed system which can be implemented in botanical farm for flower and leaf identification and watering using IOT. | Kirtan Jha Aalap Doshi Poojan Patel Manan Shah | 2019 | Artificial Intelligence in Agriculture2019，，2： | 6 |
| 5 | Impact of gout on in-hospital outcomes of acute coronary syndrome-related hospitalizations and revascularizations: Insights from the national inpatient sample显示文摘BACKGROUND Previous studies have established a role of gout in predicting risk and prognosis of cardiovascular diseases. However, large-scale data on the impact of gout on inpatient outcomes of acute coronary syndrome (ACS)-related hospitalizations and post-revascularization is inadequate. AIM To evaluate the impact of gout on in-hospital outcomes of ACS hospitalizations, subsequent healthcare burden and predictors of post-revascularization inpatient mortality. METHODS We used the national inpatient sample (2010-2014) to identify the ACS and goutrelated hospitalizations, relevant comorbidities, revascularization and postrevascularization outcomes using the ICD-9 CM codes. A multivariable analysis was performed to evaluate the predictors of post-revascularization in-hospital mortality. RESULTS We identified 3144744 ACS-related hospitalizations, of which 105198 (3.35%) also had gout. The ACS-gout cohort were more often older white males with a higher prevalence of comorbidities. Coronary artery bypass grafting was required more often in the ACS-gout cohort. Post-revascularization complications including cardiac (3.2% vs 2.9%), respiratory (3.5% vs 2.9%), and hemorrhage (3.1% vs 2.7%) were higher whereas all-cause mortality was lower (2.2% vs 3.0%) in the ACSgout cohort (P < 0.001). An older age (OR 15.63, CI: 5.51-44.39), non-elective admissions (OR 2.00, CI: 1.44-2.79), lower household income (OR 1.44, CI: 1.17- 1.78), and comorbid conditions predicted higher mortality in ACS-gout cohort undergoing revascularization (P < 0.001). Odds of post-revascularization inhospital mortality were lower in Hispanics (OR 0.45, CI: 0.31-0.67) and Asians (OR 0.65, CI: 0.45-0.94) as compared to white (P < 0.001). However, postoperative complications significantly raised mortality odds. Mean length of stay, transfer to other facilities, and hospital charges were higher in the ACS-gout cohort. CONCLUSION Although gout was not independently associated with an increased risk of postrevascularization in-hospital mortality in ACS, it did increase postrevascularization complications. | Rupak Desai Tarang Parekh Hemant Goyal Hee Kong Fong Dipen Zalavadia Nanush Damarlapally Rajkumar Doshi Sejal Savani Gautam Kumar Rajesh Sachdeva | 2019 | World Journal of Cardiology2019，11，5： | 4 |
| 6 | Safety of Percutaneous Left Atrial Appendage Closure: Results From the Watchman Left Atrial Appendage System for Embolic Protection in Patients With AF (PROTECT AF) Clinical Trial and the Continued Access Registry显示文摘 | Vivek Y. Reddy David Holmes Shephal K. Doshi Petr Neuzil Saibal Kar | 2011 | Circulation2011，，4： | 3 |
| 7 | Lack of acyl-CoA:diacylglycerol acyltransferase 1 reduces intestinal cholesterol absorption and attenuates atherosclerosis in apolipoprotein E knockout mice显示文摘 | Prakash G. Chandak Sascha Obrowsky Branislav Radovic Prakash Doddapattar Elma Aflaki Adelheid Kratzer Lalit S. Doshi Silvia Povoden Helmut Ahammer Gerald Hoefler Sanja Levak-Frank Dagmar Kratky | 2011 | BBA - Molecular and Cell Biology of Lipids2011，，12： | 3 |
| 8 | Do medical students studying in the United Kingdom have an adequate factual knowledge of basic life support?显示文摘BACKGROUND: Healthcare professionals have a duty to maintain basic life support(BLS) skills. This study aims to evaluate medical students' factual knowledge of BLS and the training they receive.METHODS: A cross-sectional, closed-response questionnaire was distributed to the fi rst-and fourth-year students studying at institutions in the United Kingdom. The paper questionnaire sought to quantify respondent's previous BLS training, factual knowledge of the BLS algorithm using five multiple choice questions(MCQs), and valuate their desire for further BLS training. Students received 1 point for each correctly identifi ed answer to the 5 MCQ's.RESULTS: A total of 3,732 complete responses were received from 21 medical schools. Eighty percent(n=2,999) of students completed a BLS course as part of their undergraduate medical studies. There was a signifi cant difference(P<0.001) in the percentage of the fourth-year students selecting the correct answer in all the MCQ's compared to the fi rst-year students except in identifyingthe correct depth of compressions required during CPR(P=0.095). Overall 10.3%(95% CI 9.9% to 10.7%) of respondents correctly identified the answer to 5 MCQ's on BLS: 9% of the first-year students(n=194) and 12% of the fourth-year students(n=190). On an institutional level the proportion of students answering all MCQ's correctly ranged from 2% to 54% at different universities. Eighty-one percent of students(n=3,031) wished for more BLS training in their curriculum.CONCLUSION: Factual knowledge of BLS is poor among medical students in the UK. There is a disparity in standards of knowledge across institutions and respondents indicating that they would like more training. | Robert D.Willmore Damjan Veljanoski Feray Ozdes Bethan Stephens James Mooney Seamus G.Crumley Arpan Doshi Philippa Davies Shreya Badhrinarayanan Emily Day Kristian Tattam April Wilson Nathan Crang Lorna Green Craig A.Mounsey Howell Fu Joseph Williams Michelle S.D'souza Dhanya Sebastian Liam A.Mcgiveron Matthew G.Percy James Cohen Imogen J.John Alice Lethbridge Imogen Watkins Omar Amin Mubasher A.Qamar John Gerrard Hanrahan Emily Cramond-Wong | 2019 | World Journal of Emergency Medicine2019，10，2： | 2 |
| 9 | Factors Determining Diagnostic Yield of Endoscopic Ultrasound Guided Fine-Needle Aspiration for Pancreatic Cystic Lesions: A Multicentre Asian Study显示文摘 | Lee Guan Lim Sandeep Lakhtakia Tiing Leong Ang Charles K. F. Vu Frederick Dy Vui Heng Chong Christopher J. L. Khor Wee Chian Lim Bhavesh Kishor Doshi Shyam Varadarajulu Kenjiro Yasuda Jennie Y. Y. Wong Yiong Huak Chan Min En Nga Khek Yu Ho | 2013 | Digestive Diseases and Sciences2013，，6： | 2 |
| 10 | Electrospinning process and applications of electrospun fibers显示文摘 | Jayesh Doshi Darrell H. Reneker | 1995 | Journal of Electrostatics1995，，2： | 2 |
| 11 | 图书馆的用户休验(摘要)显示文摘1什么是用户体验?
“用户体验”(UserExperience,UX)这个词起源于网络可用性评价和应用程序接口设计领域。过去几年,其他一些服务导向的行业,如销售业和零售服务业,用这个词来描述理想的客户体验的整套设计方法。最近,创新者们将这种体验的设计应用在了图书馆。 | Robert Fox(著) Ameet Doshi(著) 刘小玲(编译) 宋丹辉(编译) | 2011 | 图书情报工作动态2011，，8： | 2 |
| 12 | Comparison of in-hospital outcomes between octogenarians and nonagenarians undergoing transcatheter aortic valve replacement: a propensity matched analysis显示文摘BackgroundAortic 阀门狭窄(作为) 在在 80 年上面的老病人是很普通的。在如此的病人的 Transcatheter 大动脉的阀门代替(TAVR ) 逐渐地正在被执行。寻求在与严重 AS.MethodThe 学习人口经历 TAVR 的九十至九十九岁的人估计死亡的 octogenarians 和九十至九十九岁的人和预言者之间的在里面医院结果差别的这研究从国家住院病人样品(网络信息服务) 被导出 2012-2014 使用 ICD-9 厘米过程为 TAVR 编码 35.05 和 35.06 的年。低于 80 岁的住院被排除。在执行倾向 20 以后匹配(1:2 ) ,在里面医院结果在匹配的队被比较。然后, multivariate 模型被开发在 nonagenarians.ResultsThere 分析在里面医院死亡的预言者是 11,630 个住院在八十至八十九岁并且在九十至九十九岁的人组的 5815 个住院。在里面医院死亡的主要结果(6% 对 4.1% , P 0.001 ) 在与 octogenarians 相比的九十至九十九岁的人是更高的。第二等的结果包括击(3.4%对2.8%, P 0.001 ),肾的失败(18.9%对17.3%, P 0.001 ),输血(35%对32.6%, P 0.001 ),脉管的复杂并发症(4.5%对3.5%, P 0.001 ),并且心律调整器培植(27.8%对24.8%, P 0.001 )在九十至九十九岁的人是更高的。在他们停留的长度没有差别。中部的费用(70,374 $ 对 65,381 $ , P 0.001 ) 与 nonagenarian.ConclusionsAlthough 在里面医院是稍微更高的死亡在九十至九十九岁的人是稍微更高的,它是可接受的。在死亡的这差别被更高的复杂并发症部分至少在九十至九十九岁的人解释。努力应该被成为能进一步在在这些组之间的在里面医院死亡缩小差别的复杂并发症到减少。 | Rajkumar Doshi Vaibhav Patel Priyank Shah | 2018 | Journal of Geriatric Cardiology2018，15，2： | 2 |
| 13 | 辣椒杂种优势的表达显示文摘辣椒作为一种调味料和蔬菜,在世界饮食中占有独特的位置,同时,辣椒也是一种很有价值的创汇作物。番茄、洋葱、卷心菜、茄子等的杂种优势已经得到了商业性开发。辣椒的杂种优势也可以通过杂交种子生产进行开发。由于辣椒果实中含有大量的种子,同时辣椒杂交授粉的成功率在7%~60%之间(Aiyadurai,1966),因此,本试验试图找到一个适合的辣椒杂交组合对辣椒杂种优势进行商业开发。 | DOSHI K.M. SHUKLA P.T. 张竹青 | 2002 | 中国辣椒2002，2，4： | 2 |
| 14 | Prevalence of sleep-disordered breathing and sleep ap-nea in middle-age urban Indian men显示文摘 | UDWADIA Z F DOSHI A V LONKAR S G | 2004 | Am J Respir Crit Care Med2004，169，： | 1 |
| 15 | Generalized cognitive impairments,ability to perform everyday tasks,and level of independence in community living situations of older patients with psychosis显示文摘 | Twamley E W Doshi R R Nayak G V Palmer B W | 2002 | The American Journal of Psychiatry2002，159，12： | 1 |
| 16 | Safety of percutaneous left atrial appendage closure: results from the Watchman Left Atrial Appendage System for Embolic Protection in Patients with AF (PROTECT AF) clinical trial and the Continued Access Registry 显示文摘 | REDDY V Y HOLMES D DOSHI S K | 2011 | Circulation2011，123，： | 1 |
| 17 | Obstetric critical care:aprospective analysis Of clinical characteristics,predict ability,and fetomaternal outcome in a new dedicated obstetric intensive care unit显示文摘 | Gupta S Naithani U Doshi V | 2011 | Indian J Anaesth2011，55，： | 1 |
| 18 | Electrospinning process and application of electrospun fibers 显示文摘 | Doshi J Reneker D H | 1995 | Journal of Electrostatics1995，35，2： | 1 |
| 19 | Relation between ligament of marshall and adrenergic atrial tachyarrhythmia显示文摘 | Doshi R N Wu T J Yashima M | 1999 | Circulation1999，100，8： | 1 |
| 20 | Folate improves endothelial function in coronary artery disease: an effect mediated by reduction of intracellular superoxide 显示文摘 | Doshi SN McDowell IF Moat SJ | 2001 | Arterioscler Thromb Vasc Biol2001，21，： | 1 |
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