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Reticulocyte Hemoglobin Content (CHr): A Reliable indicator in Iron Deficiency Anemia 网织红细胞血红蛋白含量(CHr):缺铁性贫血的可靠指标
Pub Date : 2023-06-18 DOI: 10.56018/20230603
Dr. SH Tilva, Dr. UR Parikh, Dr. HM Goswami
Introduction: To estimate a cut off for Reticulocyte Hemoglobin Content (CHr) and compare it with Serum Ferritin for diagnosis of Iron Deficiency Anemia (IDA). Material & Methods: A total of 188 samples were included in the analytical study out of which 126 were categorized as study samples and 62 as control. CBC and Reticulocyte analysis were carried out and the parameters were compared. Results: CHr has a better sensitivity and specificity compared to Serum Ferritin. Low CHr is a marker for early diagnosis of iron deficiency whereas a raised CHr is an early sign of response to iron therapy. A CHr cut-off of 28.4 pg was established which is comparable with that of other studies. Conclusion: The study demonstrates that CHr is a useful parameter that can be confidently used in the diagnosis of IDA.
目的:评估网织红细胞血红蛋白含量(CHr)的临界值,并将其与血清铁蛋白进行比较,用于缺铁性贫血(IDA)的诊断。材料,方法:共纳入188份样本进行分析研究,其中研究样本126份,对照组62份。进行CBC和网织红细胞分析并比较各项参数。结果:与血清铁蛋白相比,CHr具有更好的敏感性和特异性。低CHr是早期诊断缺铁的标志,而高CHr是铁治疗反应的早期征兆。CHr截止值为28.4 pg,与其他研究结果相当。结论:CHr是诊断IDA的有效参数,可用于临床诊断。
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引用次数: 0
Histopathological Study of Endometrial Sampling in Abnormal Uterine Bleeding 异常子宫出血子宫内膜取样的组织病理学研究
Pub Date : 2023-06-18 DOI: 10.56018/20230615
Shraddha Patel, Jignasa Bhalodia, Deep Patel
Abstract Introduction: Abnormal uterine bleeding (AUB) is a the most common complaint in the gynecology out-patient department that affects significantly the patient’s personal life and it is also responsible for increasing morbidity in women. The histopathological diagnosis of abnormal uterine bleeding (AUB) shows spectrum of patterns and pathologist plays a vital role in the reporting of endometrium and differentiating non-neoplastic lesion from neoplastic lesions, early detection of precursor lesions and exclusion of malignancy. The aim of this study is to study the spectrum of endometrial patterns in women with AUB and to correlate with the different age groups. Materials and methods: The present study was undertaken in histopathology laboratory of Department of Pathology, GMERS medical college and hospital, sola, Ahmedabad for period of 12 months from June 2021 to May 2022. A histopathological study of total 100 cases of endometrial biopsies was done. Biopsies received in 10% formalin were processed and Haematoxylin and Eosin sections were studied. Result: We studied 100 endometrial samples. Age distribution varied from 20 years to 70 years, majority of patients were between 41 to 50years (35%).Menorrhagia was the most common presenting complain. Most common pattern of histopathology was proliferative endometrium (29%) followed by secretory endometrium (14%) and Disorderly proliferative endometrium (9%). Malignancy was detected in (2%) cases. Conclusion: AUB significantly affects the quality life of women and leads to anemia. Hence histopathological examination plays a critical role in early diagnosis of endometrial pathology and provide appropriate gynaecological management. Keywords: Abnormal Uterine Bleeding (AUB), Endometrial biopsy, Histopathological Examination
摘要简介:子宫异常出血(AUB)是妇科门诊最常见的主诉,严重影响患者的个人生活,也是女性发病率上升的原因之一。异常子宫出血(AUB)的组织病理学诊断具有谱性,病理学家在子宫内膜报告、鉴别非肿瘤性病变、早期发现前体病变和排除恶性肿瘤方面起着至关重要的作用。本研究的目的是研究AUB妇女子宫内膜模式的频谱,并与不同年龄组的相关性。材料和方法:本研究于2021年6月至2022年5月在艾哈迈达巴德sola市GMERS医学院和医院病理科组织病理学实验室进行,为期12个月。对100例子宫内膜活检进行了组织病理学研究。用10%福尔马林处理活组织切片,研究血红素和伊红切片。结果:我们研究了100个子宫内膜样本。年龄分布在20 ~ 70岁之间,41 ~ 50岁占多数(35%)。月经过多是最常见的主诉。最常见的组织病理学模式是增生性子宫内膜(29%),其次是分泌性子宫内膜(14%)和无序增生性子宫内膜(9%)。在(2%)的病例中发现恶性肿瘤。结论:AUB明显影响妇女的生活质量,并可导致贫血。因此,组织病理学检查在子宫内膜病理的早期诊断和提供适当的妇科治疗中起着至关重要的作用。关键词:子宫异常出血,子宫内膜活检,组织病理学检查
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引用次数: 0
Human Papiloma Virus Vaccination: Knowledge, Attitude and Practice Among Medical Students at Tertiary Care Hospital 人乳头瘤病毒疫苗接种:三级医院医学生的知识、态度和实践
Pub Date : 2023-06-18 DOI: 10.56018/bjkines2023064
Kruti Deliwala, Mittal Bhabhor, Prakash Prajapati, Jayun Joshi, Bhargavi Khatri, Megha Patel
Abstract Background: Cervical cancer is the leading cause of death in India. HPV virus is a major infectious etiological factor of cervical cancer. It has been proven that HPV vaccine, if taken before initiation of sexual life, is highly effective in HPV and cervical cancer prevention. Despite its availability, deaths due to cervical cancer has increased rapidly. Healthcare workers, especially the young medical students can play a significant role in recommendation of HPV vaccination among people. So, this study was conducted to study the knowledge, attitude and practices of HPV infection and vaccination among medical students. Methodology: A cross -sectional observational study was conducted in medical students of Narendra Modi Medical College. Three hundred medical students were requested to fill a questionnaire which covered demographic details, knowledge, attitude and practice towards HPV vaccination for cervical cancer prevention. Results:82.66% of students were aware about the HPV infection out of which 71% of the participants knew that cervical cancer can be prevented by HPV vaccine, 66.66% of studentes aware of the availability and 35% were well aware about the correct schedule/dosage of vaccination. Conclusion: Though the knowledge and attitude about the HPV infection and its vaccination is good among the medical students, but the practice of vaccination is poor. Keywords: HPV – Human Papilloma Virus, Knowledge, Attitude, Practice, HPV vaccine, medical students
背景:子宫颈癌是印度的主要死亡原因。人乳头瘤病毒是子宫颈癌的主要感染病因。事实证明,如果在开始性生活之前接种HPV疫苗,对预防HPV和宫颈癌非常有效。尽管有这种方法,但宫颈癌造成的死亡人数迅速增加。卫生保健工作者,特别是年轻的医学生可以在人群中推荐HPV疫苗接种发挥重要作用。因此,本研究旨在了解医学生对HPV感染和疫苗接种的知识、态度和行为。方法:对纳伦德拉·莫迪医学院的医学生进行了横断面观察研究。300名医科学生被要求填写一份调查问卷,内容包括人口统计细节、对预防宫颈癌的HPV疫苗接种的知识、态度和做法。结果:82.66%的学生了解HPV感染,其中71%的学生知道HPV疫苗可以预防宫颈癌,66.66%的学生知道HPV疫苗的可用性,35%的学生知道正确的疫苗接种时间表/剂量。结论:医学生对人乳头瘤病毒感染及疫苗接种的知识和态度较好,但接种的实际情况较差。关键词:人乳头瘤病毒,知识,态度,行为,HPV疫苗,医学生
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引用次数: 0
Impact of Chromium Addition on the UTS and ETF of Aluminium Alloy AA6061 Chips Based Composite 铬对铝合金AA6061芯片基复合材料UTS和ETF的影响
Pub Date : 2022-02-04 DOI: 10.29169/1927-5129.2022.18.04
Chan Boon Loong, M. A. Lajis, S. Shamsudin, Nur Elisa Zainodin
Aluminium matrix composite has been increasingly developed due to the impressive performances demonstrated, mechanically and physically. The related properties were enhanced with the addition of reinforcing materials and this tailor-made composite can be used in the area of automotive, aerospace and military. In this study, the matrix composite was developed directly from aluminium chips without remelting through a series of hot press forging operations. This process involved heating the aluminium chip mixtures with 1 to 8 wt% chromium content above the recrystallization temperature. Then, the uniaxial force was subsequently applied onto the composite. For performance measures, the hot pressed composites were tested for the ultimate tensile strength (UTS) and elongation to failure (ETF). The composite with 2 wt % of chromium exhibits significant improvement compared to other samples, with the UTS and ETF reached to 215.37 MPa and 30.65% respectively. This sample exceeds the minimum stress and strain of stock aluminium AA6061-T4. Furthermore, the addition of chromium beyond 2 wt % would generally cause reduction of the mechanical properties of the composite.
由于铝基复合材料在机械和物理方面表现出令人印象深刻的性能,因此得到了越来越多的发展。通过添加增强材料,相关性能得到了增强,这种定制的复合材料可用于汽车、航空航天和军事领域。在本研究中,通过一系列热压锻造操作,直接从铝屑中开发出基体复合材料,而无需重熔。该工艺包括加热铬含量高于再结晶温度1 - 8wt %的铝屑混合物。然后,将单轴力施加到复合材料上。对于性能指标,热压复合材料进行了极限抗拉强度(UTS)和断裂伸长率(ETF)的测试。与其他样品相比,含2 wt %铬的复合材料具有明显的改善,UTS和ETF分别达到215.37 MPa和30.65%。该样品超过了AA6061-T4铝材的最小应力和应变。此外,铬的添加量超过2 wt %通常会导致复合材料的机械性能降低。
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引用次数: 0
The Sun Versus CO2 as the Cause of Climate Change Projected to 2050 预测到2050年,太阳与二氧化碳作为气候变化的原因
Pub Date : 2022-02-01 DOI: 10.29169/1927-5129.2022.18.03
H. D. Lightfoot, Gerald Ratzer
The current controversy over the cause of increasing global temperatures since the middle of the 20th century comes from the IPCC First Assessment Report issued in 1990. The report states rising carbon dioxide (CO2) warms the air, thereby holding more of the significant warming gas, water vapor. This additional water vapor feeds back to amplify the warming by CO2. The IPCC has continually promoted this concept in its reports since 1990. Up-to-date science proves the IPCC concept is faulty. Scientists discovered that when the Sun's energy output changes, it impacts the Earth's temperature, and it does this cyclically. Current, reliable evidence shows the Earth has just come through a warm period. It is now in the early stages of cooling that might be similar to the Dalton Minimum and last for three or four decades. Average temperatures can drop by up to 1.5oC and increase the rate of crop failures that have already started. It won't be easy to maintain the benefits of the recent warm phase of the Sun during the upcoming solar minimum.
目前关于20世纪中叶以来全球气温上升原因的争论来自于1990年发布的IPCC第一次评估报告。该报告指出,不断上升的二氧化碳(CO2)使空气变暖,从而使更多的重要变暖气体——水蒸气保持在空气中。这些额外的水蒸气反馈回来,放大了二氧化碳造成的变暖。自1990年以来,IPCC在其报告中不断推广这一概念。最新的科学证明IPCC的概念是错误的。科学家们发现,当太阳的能量输出发生变化时,它会影响地球的温度,而且这种影响是周期性的。目前可靠的证据表明,地球刚刚经历了一个温暖期。它现在处于冷却的早期阶段,可能类似于道尔顿极小期,并持续三四十年。平均气温可能下降1.5摄氏度,增加已经开始的作物歉收率。在即将到来的太阳极小期,要保持最近太阳暖期的好处并不容易。
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引用次数: 2
Description of an Experimental Method to Measure the CO2 Loading in Monoethanomine Solutions using BaCO3 Titration Technique 用BaCO3滴定技术测定单乙胺溶液中CO2负荷的实验方法
Pub Date : 2022-02-01 DOI: 10.29169/1927-5129.2022.18.01
P. Díaz-Herrera, Alan Martín Zavala-Guzmán, Z. Mazur-Czerwiec
One of the main criteria for the selection of a suitable solvent is the CO2 solubility capacity or CO2 loading. The objective of this work is to provide students and early-career scientists a detailed description of a titration-based experiment to measure the CO2 loading using simple and inexpensive volumetric and gravimetric lab apparatus. The performance of the method is corroborated by comparing the experimental uncertainty obtained during the determination of the CO2 concentration in test samples (in an absorption unit at lab scale) with reference values obtained by mass balance based on a certified gas analyser. The results indicate that CO2 loading values between the experimental method and the reference range from ±3 to 13%, which is in good agreement with other similar methods.
选择合适溶剂的主要标准之一是CO2溶解度或CO2负荷。这项工作的目的是为学生和早期职业科学家提供一个基于滴定的实验的详细描述,以测量二氧化碳负载使用简单和廉价的体积和重量实验室仪器。通过比较测试样品(在实验室规模的吸收单元中)中CO2浓度测定过程中获得的实验不确定度与基于认证气体分析仪的质量平衡获得的参考值,证实了该方法的性能。结果表明,实验方法与参考方法的CO2负荷值在±3 ~ 13%之间,与其他类似方法吻合较好。
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引用次数: 0
Impact of Sand Filled Glass Bottles on Performance of Conventional Solar Still 充砂玻璃瓶对常规太阳能蒸馏器性能的影响
Pub Date : 2022-02-01 DOI: 10.29169/1927-5129.2022.18.02
Pankaj Dumka, Harshit Gautam, Saksham Sharma, Chinmay Gunawat, Dhananjay R. Mishra
Experimental evaluation of conventional solar still (CSS) and CSS with sand-filled glass bottles (Modified solar still (MSS)) have been reported in this article. Two identical CSS were fabricated for the experiments. The experiments were designed and performed under Guna (India) weather conditions in November 2021. Sand-filled glass bottles were paced as sensible energy-storing material. The mathematical model proposed by Kumar and Tiwari has been utilized to evaluate internal heat transfers, internal efficiency, and exergy efficiency. For checking the economic feasibility of sand-filled glass bottle within CSS, a comparative cost analysis has been performed to evaluate CPL (Cost per Litre). It has been observed that the MSS has yielded 21.32% more than CSS. And overall internal efficiency has also increased by 139.45% due to the presence of sand-filled glass bottles.
本文报道了常规太阳能蒸馏器(CSS)和玻璃瓶充砂式太阳能蒸馏器(改良太阳能蒸馏器(MSS))的实验评价。为实验制作了两个相同的CSS。这些实验是在2021年11月的古纳(印度)天气条件下设计和进行的。装满沙子的玻璃瓶被视为合理的储能材料。Kumar和Tiwari提出的数学模型被用来评估内部传热、内部效率和火用效率。为了检查在CSS中填充砂玻璃瓶的经济可行性,进行了比较成本分析,以评估CPL(每升成本)。据观察,MSS的产量比CSS高21.32%。由于砂填充玻璃瓶的存在,整体内部效率也提高了139.45%。
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引用次数: 1
A Review on the Mechanical Behavior of Size-Dependent Beams and Plates using the Nonlocal Strain-Gradient Model 基于非局部应变梯度模型的尺寸相关梁板力学行为研究综述
Pub Date : 2021-12-01 DOI: 10.29169/1927-5129.2021.17.18
Tahereh Doroudgar Jorshari, M. A. Roudbari
Nowadays, the mechanical characteristics of micro-/nano-structures in the various types of engineering disciplines are considered as remarkable criteria which may restrict the performance of small-scale structures in the reality for a certain application. This paper deals with a comprehensive review pertinent to using the nonlocal strain-gradient continuum mechanics model of size-dependent micro-/nano-beams/-plates. According to the non-classical features of materials, using size-dependent continuum mechanics theories is mandatory to investigate accurately the mechanical characteristics of the micro-/nano-structures. Recently, the number of researches related to the analysis of micro-/nano-structures with various geometry including beams as well as plates is considerable. In this regard, the mechanical behavior of these structures induced by different loadings such as vibration, wave propagation, and buckling behavior associated with the nonlocal strain-gradient continuum mechanics model is presented in this review work. Proposing the most valuable literature pertinent to the nonlocal strain-gradient continuum mechanics theory of micro-/nano-beams/plates is the main objective of this detailed survey.
目前,微/纳米结构的力学特性在各种工程学科中被认为是一个重要的标准,它可能会限制现实中小规模结构在某些应用中的性能。本文综述了尺寸相关微/纳米梁/板的非局部应变梯度连续介质力学模型的研究进展。根据材料的非经典特性,利用尺寸相关连续介质力学理论来准确研究微纳米结构的力学特性是必须的。近年来,对包括梁和板在内的各种几何形状的微纳米结构进行分析的研究相当多。在这方面,本文介绍了这些结构在不同载荷下的力学行为,如振动、波传播和屈曲行为,并与非局部应变梯度连续介质力学模型相关联。提出与微/纳米梁/板的非局部应变梯度连续介质力学理论有关的最有价值的文献是本次详细调查的主要目的。
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引用次数: 1
New Approach in the Energy Analysis of an NH3-NaSCN Single Effect Absorption Machine (SEAM) with a Counter-Current Coaxial Tubes Internal Heat Exchanger (3CT-IHE) 逆流同轴管内换热器NH3-NaSCN单效应吸收机(SEAM)能量分析的新方法
Pub Date : 2021-11-11 DOI: 10.29169/1927-5129.2021.17.17
O. S. Mayi, J. Njock, M. Ndamé
Energy analysis provides the ability to assess performance and determine the size of equipment in a system. However, precisely integrating the thermal behavior of the component equipment makes it possible to better assess the performance of the system. This work highlights the influence of the thermal behavior of a 3CT-IHE on the performance and size of the equipment of SEAM with NH3-NaSCN as a working fluid. Based on equations of conservation balances of mass, species and energy, the energy analysis made showed that depending on the magnitude of the heat flows of the weak and strong solutions involved in the heat exchange at the level of the 3CT-IHE, there are different temperature ranges for which the weak solution or the strong solution governs the heat transfer, thus giving rise to the notions of “thermal heating efficiency” and “thermal cooling efficiency” respectively. The results obtained were compared with those of Sun. This new approach has demonstrated better performance of the SEAM for the same operating conditions. It has also been shown that it is possible to increase the temperature of the generator above 90 °C without resorting to another working fluid and that in the case of subjecting NH3-NaSCN to supercritical conditions in temperature at the generator; it is possible to obtain a machine COP greater than 1 and an even smaller pump size.
能源分析提供了评估性能和确定系统中设备尺寸的能力。然而,精确地整合组件设备的热行为可以更好地评估系统的性能。研究了以NH3-NaSCN为工作流体的3CT-IHE的热行为对SEAM设备性能和尺寸的影响。根据质量守恒平衡方程、物质守恒平衡方程和能量守恒平衡方程,能量分析表明,在3CT-IHE水平上,根据参与热交换的弱溶液和强溶液的热流大小,存在着弱溶液或强溶液控制传热的不同温度范围,从而分别产生了“热热效率”和“热冷效率”的概念。所得结果与Sun的结果进行了比较。这种新方法证明了SEAM在相同的操作条件下具有更好的性能。还表明,在不使用另一种工作流体的情况下,有可能将发生器的温度提高到90℃以上,并且在使NH3-NaSCN处于发生器温度的超临界条件下;有可能获得大于1的机器COP和更小的泵尺寸。
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引用次数: 1
Pressure Prediction by Programme Logic Control Approach on Superplastic Forming in 7075 Al Alloy 7075铝合金超塑性成形压力预测的程序逻辑控制方法
Pub Date : 2021-10-02 DOI: 10.29169/1927-5129.2021.17.10
M. Balasubramanian
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引用次数: 0
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BJ Kines National Journal of Basic Applied Sciences
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