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Comparative study of CEA and CA19-9 in esophageal,gastric and colon cancers individually and in combination(ROC curve analysis) 被引量:56
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作者 Bhawna Bagaria Sadhna Sood +1 位作者 Rameshwaram Sharma Soniya lalwani 《Cancer Biology & Medicine》 SCIE CAS CSCD 2013年第3期148-157,共10页
Objective: To determine the clinical serum levels of carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9), individually and in combination, for the diagnosis of 50 healthy subjects and 150 cases ... Objective: To determine the clinical serum levels of carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9), individually and in combination, for the diagnosis of 50 healthy subjects and 150 cases of esophageal, gastric, and colon cancers. Methods: The sensitivities of the two markers were compared individually and in combination, with specificity set at 100%. Receiver operating characteristic (ROC) curves were plotted. Results: Serum CEA levels were significantly higher in cancer patients than in the control group. The sensitivity of CEA was determined: in esophageal cancer, sensitivity=28%, negative predictive value (NPV)=61.72%, and AUC=0.742 (SE=0.05), with a significance level of P〈0.0001; in gastric cancer, sensitivity=30%, NPV=58.82%, and AUC=0.734 (SE=0.0S), with a significance level of P〈0.0001; in colon cancer, sensitivity=74%, NPV=79.36%, and AUC=0.856 (SE=0.04), with a significance level of P〈0.0001. The sensitivity of CA19-9 was also evaluated: in esophageal cancer, sensitivity=18%, NPV=54.94%, and AUC=0.573 (SE=0.05), with a significance level of P=0.2054. In gastric cancer, sensitivity=42%, NPV=63.29%, and AUC=0.679 (SE=0.05), with a significance level of P〈0.0011. In colon cancer, sensitivity=26%, NPV=57.47%, and AUC=0.S80 (SE=0.05), with a significance level ofP=0.1670. The following were the sensitivities of CEA/CA19-9 combined: in esophageal cancer, sensitivity=42%, NPV=63.29%, SE=0.078 (95% CI: 0.0159-0.322); gastric cancer, sensitivity=S8%, NPV=70.42%, SE=0.072 (9$% CI: -0.0866-0.198); and colon cancer, sensitivity=72%, NPV=78.12%, SE=0.070 (9S% CI: 0.137-0.415). Conclusion: CEA exhibited the highest sensitivity for colon cancer, and CA19-9 exhibited the highest sensitivity for gastric cancer. Combined analysis indicated an increase in diagnostic sensitivity in esophageal and gastric cancer compared with that in colon cancer. 展开更多
关键词 Carcinoembryonic antigen carbohydrate antigen 19-9 human Receiver operating characteristic curve sensitivity andspecificity
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九价人乳头瘤病毒疫苗的保护效力、免疫原性和安全性:亚洲人群亚组分析 被引量:7
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作者 S.M.Garland P.Pitisuttithum +32 位作者 H.Y.S.Ngan C.-H.Cho C.-Y.Lee C.-A.Chen Y.C.Yang T.-Y.Chu N.-F.Twu R.Samakoses Y.Takeuchi T.H.Cheung S.C.Kim L.-M.Huang B.-G.Kim Y.-T.Kim K.-H.Kim Y.-S.Song S.lalwani J.-H.Kang M.Sakamoto H.-S.Ryu N.Bhatla H.Yoshikawa M.C.Ellison S.R.Han E.Moeller S.Murata M.Ritter M.Sawata C.Shields A.Walia G.Perez A.Luxembourg 魏丽惠 《中国病毒病杂志》 CAS 2018年第4期336-342,共7页
预防性人乳头瘤病毒(HPV)疫苗接种可以降低HPV相关疾病负担。过去十年内上市的二价HPV疫苗(HPV16、18)和四价疫苗(HPV6、11、16、18)可以在全世界范围内(包括亚州)预防约70%的宫颈癌,同时四价疫苗还可以预防约90%的生殖器疣。
关键词 九价HPV疫苗 亚洲 宫颈癌 人乳头瘤病毒 疫苗
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Proximal Femoral Nail in Reverse Trochanteric Femoral Fractures: An Analysis of 53 Cases at One Year Follow-Up 被引量:2
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作者 Yogesh Salphale Wasudeo Mahadeo Gadegone +3 位作者 Alankar Ramteke Nirbhay Karandikar Raviraj Shinde Prakash lalwani 《Surgical Science》 2016年第7期300-308,共9页
Treatment of reverse oblique trochanteric femoral fractures poses a lot of challenges. There have been proponents of intramedullary devices as well as extramedullary devices. We present the results of proximal femoral... Treatment of reverse oblique trochanteric femoral fractures poses a lot of challenges. There have been proponents of intramedullary devices as well as extramedullary devices. We present the results of proximal femoral nailing surgery performed for reverse obliquity intertrochanteric fractures using two proximal lag screws and a nail of 250 mm. There is prospective study of fifty three patients with AO/OTA 31 A-A3 fractures being treated by proximal femoral nailing in our institute after seeking approval from the Hospital ethics board. The quality of the reduction, the operative time, complications and the functional status of the patients were the parameters on which the results were evaluated. The mean Harris hip score was 76.66 (range 70 - 93) and the mean Barthel activity score was 16.21 (range 12 - 20). The average surgical time was 50 minutes and the mean consolidation time was 11.5 weeks. Intramedullary nailing with proximal femoral nails seems to be a good option in the treatment of reverse obliquity intertrochanteric fractures as against the various existing options available for the management. 展开更多
关键词 Proximal Femoral Nailing Reverse Obliquity Intertrochanteric Fractures Intramedullary Nailing PFN Cephalomedullary Nail Hip Fracture
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Proximal Femoral Nailing: Getting the Trajectory Right 被引量:1
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作者 Yogesh Salphale Prakash lalwani +3 位作者 Bhaskaran Shivashankar Wasudeo Mahadeo Gadegone Kiran Janwe Satyajeet Jagtap 《Surgical Science》 2016年第5期235-238,共4页
Getting the trajectory of the proximal femoral nail in the right direction is essential to achieve a good result in the technically demanding surgery of proximal femoral fracture. Either an inappropriate starting poin... Getting the trajectory of the proximal femoral nail in the right direction is essential to achieve a good result in the technically demanding surgery of proximal femoral fracture. Either an inappropriate starting point or a failure to match the chosen implant’s lateral entry angle may cause coronal plane deformity after trochanteric entry nailing. The lateral view is the critical view for localization of the proper starting point. For the right execution of the surgery, getting the trajectoy right is fully under the control of the surgeon and should always be attempted. 展开更多
关键词 PFN Proximal Femoral Fracture Unstable Pertrochanteric Fracture Nail Trajectory
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Identification and Classification of Multiple Power Quality Disturbances Using a Parallel Algorithm and Decision Rules
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作者 Nagendra Kumar Swarnkar Om Prakash Mahela +1 位作者 Baseem Khan Mahendra lalwani 《Energy Engineering》 EI 2022年第2期473-497,共25页
A multiple power quality(MPQ)disturbance has two or more power quality(PQ)disturbances superimposed on a voltage signal.A compact and robust technique is required to identify and classify the MPQ disturbances.This man... A multiple power quality(MPQ)disturbance has two or more power quality(PQ)disturbances superimposed on a voltage signal.A compact and robust technique is required to identify and classify the MPQ disturbances.This manuscript investigated a hybrid algorithm which is designed using parallel processing of voltage with multiple power quality(MPQ)disturbance using stockwell transform(ST)and hilbert transform(HT).This will reduce the computational time to identify theMPQdisturbances,whichmakes the algorithm fast.A MPQ identification index(IPI)is computed using statistical features extracted from the voltage signal using the ST and HT.IPI has different patterns for various types of MPQ disturbances which effectively identify the MPQ disturbances.A MPQ time location index(IPL)is computed using the features extracted from the voltage signal using ST and HT.IPL effectively identifies the initiation and end of PQ disturbances and thereby locates the MPQ events with respect to time.Classification of MPQ disturbances is performed using decision rules in both the noise-free and noisy environments with a 20 dB noise to signal ratio(SNR).The performance of the proposed hybrid algorithm using ST and HT with rule-based decision tree(RBDT)is better compared to the ST and RBDT techniques in terms of accuracy of classification of MPQ disturbances.MATLAB software is used to perform the study. 展开更多
关键词 Decision rules hilbert transform multiple PQ disturbance power quality stockwell transform
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A Hybrid Approach for COVID-19 Detection Using Biogeography-Based Optimization and Deep Learning
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作者 K.Venkatachalam Siuly Siuly +3 位作者 M.Vinoth Kumar Praveen lalwani Manas Kumar Mishra Enamul Kabir 《Computers, Materials & Continua》 SCIE EI 2022年第2期3717-3732,共16页
The COVID-19 pandemic has created a major challenge for countries all over the world and has placed tremendous pressure on their public health care services.An early diagnosis of COVID-19 may reduce the impact of the ... The COVID-19 pandemic has created a major challenge for countries all over the world and has placed tremendous pressure on their public health care services.An early diagnosis of COVID-19 may reduce the impact of the coronavirus.To achieve this objective,modern computation methods,such as deep learning,may be applied.In this study,a computational model involving deep learning and biogeography-based optimization(BBO)for early detection and management of COVID-19 is introduced.Specifically,BBO is used for the layer selection process in the proposed convolutional neural network(CNN).The computational model accepts images,such as CT scans,X-rays,positron emission tomography,lung ultrasound,and magnetic resonance imaging,as inputs.In the comparative analysis,the proposed deep learning model CNNis compared with other existingmodels,namely,VGG16,InceptionV3,ResNet50,and MobileNet.In the fitness function formation,classification accuracy is considered to enhance the prediction capability of the proposed model.Experimental results demonstrate that the proposed model outperforms InceptionV3 and ResNet50. 展开更多
关键词 Covid-19 biogeography-based optimization deep learning convolutional neural network computer vision
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Preparation and evaluation of transnasal microemulsion of carbamazepine
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作者 Sheetal Porecha Acharya K.Pundarikakshudu +1 位作者 Aashish Panchal Anita lalwani 《Asian Journal of Pharmaceutical Sciences》 SCIE CAS 2013年第1期64-70,共7页
The objective of this study was to develop novel transanasl microemulsion containing carbamazepine for treatment of epilepsy.Oleic acid was selected as oil while Tween 80 and propylene glycol were selected as surfacta... The objective of this study was to develop novel transanasl microemulsion containing carbamazepine for treatment of epilepsy.Oleic acid was selected as oil while Tween 80 and propylene glycol were selected as surfactant and cosurfactant respectively based on solubility results.Optimized ratio of Tween 80:propylene glycol was selected after developing pseudoternary phase diagrams for different ratio and microemulsions were prepared.The prepared microemulsions were evaluated for globule size,viscosity,pH,conductivity and%transmittance.Exvivo diffusion study for optimized microemulsion was performed through sheep nasal mucosa wherein diffusion flux and permeability coefficients were determined.Further pharmacodynamic performance was evaluated in rats by electrically induced seizures.It was found that optimized microemulsion was stable and transparent with average globule size of 190 nm and diffusion flux of 75.77 mg cm2 min1 and showed no toxicity during histopathological evaluation on sheep nasal mucosa.Pharmacodynamic evaluation also indicated lesser intensity of seizures in rats treated with optimized formulation in comparison to rats treated with oral carbamazepine microemulsion and nasal carbamazepine solution which suggested carbamazepine transnasal delivery system as an effective alternate therapy for treatment of epilepsy. 展开更多
关键词 CARBAMAZEPINE EPILEPSY INTRANASAL MICROEMULSION
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Successful Resection in a Case of Hepatocellular Carcinoma Masquerading as Hilar Cholangiocarcinoma: A Case Report
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作者 Prakriti Gupta Shashi Dhawan +4 位作者 Vivek Mangla Siddharth Mehrotra Shailendra lalwani Naimish N Mehta Samiran Nundy 《Journal of Clinical and Translational Hepatology》 SCIE 2018年第4期442-446,共5页
Obstructive jaundice in the setting of a hilar mass raises strong suspicion of a cholangiocarcinoma,with diagnosis usually made on imaging.Jaundice,when present in patients with hepatocellular carcinoma,is mostly rela... Obstructive jaundice in the setting of a hilar mass raises strong suspicion of a cholangiocarcinoma,with diagnosis usually made on imaging.Jaundice,when present in patients with hepatocellular carcinoma,is mostly related to underlying liver disease(i.e.cirrhosis)and only rarely to diffuse tumor infiltration of liver parenchyma or hilar invasion.We report here the good outcome of a 67 year-old patient who presented with obstructive jaundice,underwent surgery and was given a diagnosis of hepatocellular carcinoma,which was made only at histopathological examination of resected specimen. 展开更多
关键词 Obstructive jaundice Hepatocellular carcinoma CHOLANGIOCARCINOMA
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Parosteal Lipoma of Femur—A Case Report
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作者 Yogesh S. Salphale Prakash lalwani +2 位作者 Wasudeo M. Gadegone Ajay Mehra Ravi Alurwar 《Surgical Science》 2015年第12期549-554,共6页
A case of 16 yrs male patient with parosteal lipoma affecting the lower metaphyseal end of the left femur is presented. Clinical suspicion, plain radiographs, CT (Plain and 3 D) as well as MRI suggested a diagnosis of... A case of 16 yrs male patient with parosteal lipoma affecting the lower metaphyseal end of the left femur is presented. Clinical suspicion, plain radiographs, CT (Plain and 3 D) as well as MRI suggested a diagnosis of parosteal lipoma. Lipomas may be defined as benign lesions of mature adipose tissue without evidence of cellular atypia [1]. Lipomas are the most common soft tissue lesions and surprisingly are among the rarest bone neoplasias. The most frequent complaints are a tumoral convexity presenting as a visible or palpable mass or a mild-intensity, dull pain. The parosteal type is a rare tumor accounting for 0.3% of all lipomas [2] and is usually asymptomatic. It is seen commonly affecting adults aged over 40 [3]. The present article describes a rare case of parosteal lipoma located in the femur, with extensive hyperostosis visible on plain xray and confirmed by imaging studies (CT and MRI). Unlike the parosteal lipomas reported in adults over 40 yrs in this case it presented in a much younger age group. 展开更多
关键词 Parosteal LIPOMA Nonpulsatile MASS Tumoral MASS
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Efficient discrete firefly algorithm for Ctrie based caching of multiple sequence alignment on optimally scheduled parallel machines
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作者 Soniya lalwani Harish Sharma +1 位作者 Abhay Verma Rajesh Kumar 《CAAI Transactions on Intelligence Technology》 2019年第2期92-100,共9页
This study introduces a two-level strategy for efficient execution of multiple sequence alignment (MSA) of complex heterogeneous sequences. The two levels of the proposed technique are comprised of: designing the disc... This study introduces a two-level strategy for efficient execution of multiple sequence alignment (MSA) of complex heterogeneous sequences. The two levels of the proposed technique are comprised of: designing the discrete firefly algorithm (DFFA) for the formation and implementation of makespan minimisation on parallel machines, followed by performing Ctrie-based caching for pairwise alignment to reduce the load on the data servers for handling multiple queries. The proposed strategy addresses a multi-client problem that aims to acquire the full advantage of the computational power of parallel connected machines. Further, it is shown that the inclusion of Ctrie as caching mechanism successively improves the performance of the system with accretion in several sequences. Performance of proposed DFFA is also compared with discrete versions of four swarm intelligence based algorithms at the criteria of makespan minimisation and the rate of convergence on two kinds of complex and diverse datasets. The work is unique in this sense: it is the first swarm-intelligence-based implementation for the addressed problem;it is so far the first approach for Ctrie based caching of the MSA on the scheduled parallel machines;hybridisation of DFFA with Ctrie for caching the MSA results is also a novel implementation. 展开更多
关键词 STRATEGY EXECUTION MACHINES
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Temperature distribution study during the friction stir welding process of Al2024-T3 aluminum alloy 被引量:5
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作者 Y.H.Yau A.Hussain +2 位作者 R.K.lalwani H.K.Chan N.Hakimi 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2013年第8期779-787,共9页
Heat flux characteristics are critical to good quality welding obtained in the important engineering alloy A12024- T3 by the friction stir welding (FSW) process. In the present study, thermocouples in three differen... Heat flux characteristics are critical to good quality welding obtained in the important engineering alloy A12024- T3 by the friction stir welding (FSW) process. In the present study, thermocouples in three different configurations were amxed on the welding samples to measure the temperatures: in the first configuration, four thermocouples were placed at equivalent positions along one side of the welding direction; the second configuration involved two equivalent thermocouple locations on either side of the welding path; while the third configuration had all the thermocouples on one side of the layout but with unequal gaps from the welding line. A three-dimensional, non-linear ANSYS computational model, based on an approach applied to A12024-T3 for the first time, was used to simulate the welding temperature profiles obtained experimentally. The experimental thermal profiles on the whole were found to be in agreement with those calculated by the ANSYS model. The broad agreement between the two kinds of profiles validates the basis for derivation of the simulation model and provides an approach for the FSW simulation in A12024-T3 and is potentially more useful than models derived previously. 展开更多
关键词 aluminum alloys friction stir welding WELDS temperature distribution
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Measurement of the integrated luminosity of the Phase 2 data of the Belle Ⅱ experiment 被引量:2
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作者 F.Abudinén I.Adachi +133 位作者 P.Ahlburg H.Aihara N.Akopov A.Aloisio F.Ameli L.Andricek N.Anh Ky D.M.Asner H.Atmacan T.Aushev V.Aushev T.Aziz K.Azmi V.Babu S.Baehr S.Bahinipati A.M.Bakich P.Bambade Sw.Banerjee S.Bansal V.Bansal M.Barrett J.Baudot A.Beaulieu J.Becker P.K.Behera J.V.Bennett E.Bernieri F.U.Bernlochner M.Bertemes M.Bessner S.Bettarini V.Bhardwaj F.Bianchi T.Bilka S.Bilokin D.Biswas G.Bonvicini A.Bozek M.Bračko P.Branchini N.Braun T.E.Browder A.Budano S.Bussino M.Campajola L.Cao G.Casarosa C.Cecchi D.Červenkov M.-C.Chang P.Chang R.Cheaib V.Chekelian Y.Q.Chen Y.-T.Chen B.G.Cheon K.Chilikin H.-E.Cho K.Cho S.Cho S.-K.Choi S.Choudhury D.Cinabro L.Corona L.M.Cremaldi S.Cunliffe T.Czank F.Dattola E.De La Cruz-Burelo G.De Nardo M.De Nuccio G.De Pietro R.de Sangro M.Destefanis S.Dey A.De Yta-Hernandez F.Di Capua S.Di Carlo J.Dingfelder Z.Doležal I.Domínguez Jiménez T.V.Dong K.Dort S.Dubey S.Duell S.Eidelman M.Eliachevitch T.Ferber D.Ferlewicz G.Finocchiaro S.Fiore A.Fodor F.Forti A.Frey B.G.Fulsom M.Gabriel E.Ganiev M.Garcia-Hernandez R.Garg A.Garmash V.Gaur A.Gaz U.Gebauer A.Gellrich J.Gemmler T.Geßler R.Giordano A.Giri B.Gobbo R.Godang P.Goldenzweig B.Golob P.Gomis P.Grace W.Gradl E.Graziani D.Greenwald C.Hadjivasiliou S.Halder K.Hara T.Hara O.Hartbrich K.Hayasaka H.Hayashii C.Hearty M.T.Hedges I.Heredia de la Cruz M.Hernández Villanueva A.Hershenhorn T.Higuchi E.C.Hill H.Hirata M.Hoek 《Chinese Physics C》 SCIE CAS CSCD 2020年第2期1-12,共12页
From April to July 2018,a data sample at the peak energy of the T(4 S) resonance was collected with the Belle Ⅱ detector at the SuperKEKB electron-positron collider.This is the first data sample of the Belle Ⅱ exper... From April to July 2018,a data sample at the peak energy of the T(4 S) resonance was collected with the Belle Ⅱ detector at the SuperKEKB electron-positron collider.This is the first data sample of the Belle Ⅱ experiment.Using Bhabha and digamma events,we measure the integrated luminosity of the data sample to be(496.3±0.3±3.0) pb-1,where the first uncertainty is statistical and the second is systematic.This work provides a basis for future luminosity measurements at Belle Ⅱ. 展开更多
关键词 LUMINOSITY Bhabha digamma Belle II
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An Application of the ABS Algorithm for Modeling Multiple Regression on Massive Data, Predicting the Most Influencing Factors
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作者 Soniya lalwani M. Krishna Mohan +3 位作者 Pooran Singh Solanki Sorabh Singhal Sandeep Mathur Emilio Spedicato 《Applied Mathematics》 2013年第6期907-913,共7页
Linear Least Square (LLS) is an approach for modeling regression analysis, applied for prediction and quantification of the strength of relationship between dependent and independent variables. There are a number of m... Linear Least Square (LLS) is an approach for modeling regression analysis, applied for prediction and quantification of the strength of relationship between dependent and independent variables. There are a number of methods for solving the LLS problem but as soon as the data size increases and system becomes ill conditioned, the classical methods become complex at time and space with decreasing level of accuracy. Proposed work is based on prediction and quantification of the strength of relationship between sugar fasting and Post-Prandial (PP) sugar with 73 factors that affect diabetes. Due to the large number of independent variables, presented problem of diabetes prediction also presented similar complexities. ABS method is an approach proven better than other classical approaches for LLS problems. ABS algorithm has been applied for solving LLS problem. Hence, separate regression equations were obtained for sugar fasting and PP severity. 展开更多
关键词 ABS ALGORITHM Linear Least SQUARE Regression DIABETES HUANG ALGORITHM
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