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Quek J, Varun D, Loo JH, Yew KC, Hsiang J, Thurairajah PH, Kiat TC, Kumar R, Wong YJ. Hepatitis C elimination in Singapore: Current status and future directions. J Gastroenterol Hepatol 2024. [PMID: 39442964 DOI: 10.1111/jgh.16773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2024] [Accepted: 09/29/2024] [Indexed: 10/25/2024]
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Goyal A, Kumar R, Yuan H, Hamada N, Galluzzi A, Polichetti M. Retraction Note: Significantly enhanced critical current density and pinning force in nanostructured, (RE)BCO-based, coated conductor. Nat Commun 2024; 15:9140. [PMID: 39443475 PMCID: PMC11500096 DOI: 10.1038/s41467-024-53580-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2024] Open
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Sharma A, Srivastava S, Kumar R, Mitra D. Source attribution of carbon monoxide over Northern India during crop residue burning period over Punjab. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2024; 359:124707. [PMID: 39128605 DOI: 10.1016/j.envpol.2024.124707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/31/2023] [Revised: 08/05/2024] [Accepted: 08/07/2024] [Indexed: 08/13/2024]
Abstract
National Capital Territory of Delhi and its satellite cities suffer from poor air quality during the post-monsoon months of October-November. In this study, a novel attempt is made to estimate the contribution of different emission sources (industrial, residential, power generation, transportation, biomass burning, photochemical production, lateral transport, etc.) towards the criteria air pollutant carbon monoxide (CO) concentration over North India. Multiple simulations of the WRF-Chem model with a tagged tracer approach with different inputs (6 anthropogenic emission inventories and 3 biomass burning emission inventories) were used. The model performance was evaluated against the MOPITT retrieved CO surface concentration. Analysis of model simulated CO over North India suggests that anthropogenic emissions contribute around 32-49% to surface CO concentration while crop residue burning contributes 27-44% of which 80% originates from Punjab. For Delhi, the contribution from anthropogenic sources is dominant (53-77%) of which 10-28% is from the domestic sector and 14-55% is from the transport sector. Agricultural waste burning contributes about 15-30% to Delhi's surface CO concentration (of which 75% originates from Punjab). Crop residue burning emission is a chief source of CO over Punjab with a contribution of about 56-76%. The results suggest that industrial, transport, and domestic sector activities are more responsible for increased CO levels over New Delhi and surrounding regions than crop residue burning over Punjab. Furthermore, critical meteorological parameters like 10 m wind speed, boundary layer height, 2 m temperature, total precipitation, and relative humidity were evaluated against CO concentration to understand their impact on CO distribution. Results conclude that deteriorating air quality over the North Indian region is caused by a combination of prevailing meteorological factors (such as slow winds, shallow mixing layer, and cold temperatures) and man-made emissions.
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Kumar R, Khosla P, Taneja V, Dessai R, Sondhi M. Tubercular pyomyositis: A case series. Indian J Tuberc 2024; 71:492-495. [PMID: 39278686 DOI: 10.1016/j.ijtb.2024.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2024] [Accepted: 08/07/2024] [Indexed: 09/18/2024]
Abstract
Tuberculosis is one of the endemic diseases in India. Tuberculosis can involve almost every organ of the body, however isolated muscle involvement is considered rare. We hereby report a series of three cases of tubercular pyomyositis to highlight the importance of high clinical suspicion in endemic countries like India, in both immunocompetent and immunocompromised individuals, presenting with persistent fever and musculoskeletal symptoms. A timely diagnosis with effective drainage and antitubercular therapy helps in good functional recovery.
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Prim MT, Bernlochner F, Metzner F, Aihara H, Asner DM, Aushev T, Ayad R, Babu V, Banerjee S, Behera P, Belous K, Bennett J, Bessner M, Bhardwaj V, Bhuyan B, Bilka T, Biswas D, Bodrov D, Bondar A, Borah J, Bračko M, Branchini P, Browder TE, Budano A, Campajola M, Cao L, Červenkov D, Chang P, Cheon BG, Choi SK, Choi Y, Choudhury S, Cochran J, Das S, Dash N, De Nardo G, De Pietro G, Dhamija R, Di Capua F, Doležal Z, Dong TV, Dubey S, Ecker P, Epifanov D, Ferber T, Ferlewicz D, Fulsom BG, Garg R, Gaur V, Giri A, Goldenzweig P, Gu T, Gudkova K, Hadjivasiliou C, Hara T, Hayashii H, Hazra S, Hedges MT, Herrmann D, Hernández Villanueva M, Hou WS, Hsu CL, Inami K, Inguglia G, Ipsita N, Ishikawa A, Itoh R, Iwasaki M, Jacobs WW, Kiesling C, Kim CH, Kim DY, Kim KH, Kodyš P, Konno T, Korobov A, Korpar S, Kovalenko E, Križan P, Krokovny P, Kuhr T, Kumar M, Kumar R, Kwon YJ, Lam T, Lee SC, Lewis P, Li LK, Li Gioi L, Libby J, Liventsev D, Ma Y, Matsuda T, Matvienko D, Maurya SK, Meier F, Merola M, Miyabayashi K, Mizuk R, Mohanty GB, Nakamura I, Nakao M, Narwal D, Natkaniec Z, Natochii A, Nayak L, Nishida S, Ono H, Oskin P, Pakhlov P, Pakhlova G, Park SH, Passeri A, Patra S, Pedlar TK, Pestotnik R, Piilonen LE, Podobnik T, Prencipe E, Röhrken M, Rout N, Russo G, Sandilya S, Santelj L, Savinov V, Schmolz P, Schnell G, Schwanda C, Seino Y, Senyo K, Shan W, Shiu JG, Singh JB, Solovieva E, Starič M, Stottler ZS, Sumihama M, Takizawa M, Tanida K, Tenchini F, Tiwary R, Trabelsi K, Unno Y, Uno S, Urquijo P, Usov Y, Vahsen SE, Varvell KE, Vossen A, Wang MZ, Wang XL, Won E, Yabsley BD, Yan W, Yang SB, Yin JH, Yuan L, Zhang ZP, Zhilich V, Zhukova V. Measurement of Angular Coefficients of B[over ¯]→D^{*}ℓν[over ¯]_{ℓ}: Implications for |V_{cb}| and Tests of Lepton Flavor Universality. PHYSICAL REVIEW LETTERS 2024; 133:131801. [PMID: 39392959 DOI: 10.1103/physrevlett.133.131801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Revised: 05/06/2024] [Accepted: 06/10/2024] [Indexed: 10/13/2024]
Abstract
We measure the complete set of angular coefficients J_{i} for exclusive B[over ¯]→D^{*}ℓν[over ¯]_{ℓ} decays (ℓ=e, μ). Our analysis uses the full 711 fb^{-1} Belle dataset with hadronic tag-side reconstruction. The results allow us to extract the form factors describing the B[over ¯]→D^{*} transition and the Cabibbo-Kobayashi-Maskawa matrix element |V_{cb}|. Using recent lattice QCD calculations for the hadronic form factors, we find |V_{cb}|=(40.7±0.7)×10^{-3} using the Boyd-Grinstein-Lebed parametrization, compatible with determinations from inclusive semileptonic decays. We search for lepton flavor universality violation as a function of the hadronic recoil parameter w and investigate the differences of the electron and muon angular distributions. We find no deviation from standard model expectations.
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Gallitelli L, Girard P, Andriolo U, Liro M, Suaria G, Martin C, Lusher AL, Hancke K, Blettler M, Garcia-Garin O, Napper IE, Corbari L, Cózar A, Morales-Caselles C, González-Fernández D, Gasperi J, Giarrizzo T, Cesarini G, De K, Constant M, Koutalakis P, Gonçalves G, Sharma P, Gundogdu S, Kumar R, Garello NA, Camargo ALG, Topouzelis K, Galgani F, Royer SJ, Zaimes GN, Rotta F, Lavender S, Nava V, Castro-Jiménez J, Mani T, Crosti R, Azevedo-Santos VM, Bessa F, Tramoy R, Costa MF, Corbau C, Montanari A, Battisti C, Scalici M. Monitoring macroplastics in aquatic and terrestrial ecosystems: Expert survey reveals visual and drone-based census as most effective techniques. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 955:176528. [PMID: 39332742 DOI: 10.1016/j.scitotenv.2024.176528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/09/2024] [Revised: 09/10/2024] [Accepted: 09/23/2024] [Indexed: 09/29/2024]
Abstract
Anthropogenic litter, such as plastic, is investigated by the global scientific community from various fields employing diverse techniques. The goal is to assess and finally mitigate the pollutants' impacts on the natural environment. Plastic litter can accumulate in different matrices of aquatic and terrestrial ecosystems, impacting both biota and ecosystem functioning. Detection and quantification of macroplastics, and other litter, can be realized by jointly using visual census and remote sensing techniques. The primary objective of this research was to identify the most effective approach for monitoring macroplastic litter in riverine and marine environments through a comprehensive survey based on the experiences of the scientific community. Researchers involved in plastic pollution evaluated four litter occurrence and flux investigation methods (visual census, drone-based surveys, satellite imagery, and GPS/GNSS trackers) through a questionnaire. Traditional visual census and drone deployment were deemed as the most popular approaches among the 46 surveyed researchers, while satellite imagery and GPS/GNSS trackers received lower scores due to limited field validation and short performance ranges, respectively. On a scale from 0 to 5, visual census and drone-based surveys obtained 3.5 and 2.0, respectively, whereas satellite imagery and alternative solutions received scores lower than 1.2. Visual and drone censuses were used in high, medium and low-income countries, while satellite census and GPS/GNSS trackers were mostly used in high-income countries. This work provides an overview of the advantages and drawbacks of litter investigation techniques, contributing i) to the global harmonization of macroplastic litter monitoring and ii) providing a starting point for researchers and water managers approaching this topic. This work supports the selection and design of reliable and cost-effective monitoring approaches to mitigate the ambiguity in macroplastic data collection, contributing to the global harmonization of macroplastic litter monitoring protocols.
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Jia W, Xu V, Kuns K, Nakano M, Barsotti L, Evans M, Mavalvala N, Abbott R, Abouelfettouh I, Adhikari RX, Ananyeva A, Appert S, Arai K, Aritomi N, Aston SM, Ball M, Ballmer SW, Barker D, Berger BK, Betzwieser J, Bhattacharjee D, Billingsley G, Bode N, Bonilla E, Bossilkov V, Branch A, Brooks AF, Brown DD, Bryant J, Cahillane C, Cao H, Capote E, Chen Y, Clara F, Collins J, Compton CM, Cottingham R, Coyne DC, Crouch R, Csizmazia J, Cullen TJ, Dartez LP, Demos N, Dohmen E, Driggers JC, Dwyer SE, Effler A, Ejlli A, Etzel T, Feicht J, Frey R, Frischhertz W, Fritschel P, Frolov VV, Fulda P, Fyffe M, Ganapathy D, Gateley B, Giaime JA, Giardina KD, Glanzer J, Goetz E, Goodwin-Jones AW, Gras S, Gray C, Griffith D, Grote H, Guidry T, Hall ED, Hanks J, Hanson J, Heintze MC, Helmling-Cornell AF, Huang HY, Inoue Y, James AL, Jennings A, Karat S, Kasprzack M, Kawabe K, Kijbunchoo N, Kissel JS, Kontos A, Kumar R, Landry M, Lantz B, Laxen M, Lee K, Lesovsky M, Llamas F, Lormand M, Loughlin HA, Macas R, MacInnis M, Makarem CN, Mannix B, Mansell GL, Martin RM, Maxwell N, McCarrol G, McCarthy R, McClelland DE, McCormick S, McCuller L, McRae T, Mera F, Merilh EL, Meylahn F, Mittleman R, Moraru D, Moreno G, Mould M, Mullavey A, Nelson TJN, Neunzert A, Oberling J, O'Hanlon T, Osthelder C, Ottaway DJ, Overmier H, Parker W, Pele A, Pham H, Pirello M, Quetschke V, Ramirez KE, Reyes J, Richardson JW, Robinson M, Rollins JG, Romie JH, Ross MP, Sadecki T, Sanchez A, Sanchez EJ, Sanchez LE, Savage RL, Schaetzl D, Schiworski MG, Schnabel R, Schofield RMS, Schwartz E, Sellers D, Shaffer T, Short RW, Sigg D, Slagmolen BJJ, Soni S, Sun L, Tanner DB, Thomas M, Thomas P, Thorne KA, Torrie CI, Traylor G, Vajente G, Vanosky J, Vecchio A, Veitch PJ, Vibhute AM, von Reis ERG, Warner J, Weaver B, Weiss R, Whittle C, Willke B, Wipf CC, Yamamoto H, Yu H, Zhang L, Zucker ME. Squeezing the quantum noise of a gravitational-wave detector below the standard quantum limit. Science 2024; 385:1318-1321. [PMID: 39298573 DOI: 10.1126/science.ado8069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2024] [Accepted: 07/22/2024] [Indexed: 09/22/2024]
Abstract
The Heisenberg uncertainty principle dictates that the position and momentum of an object cannot be simultaneously measured with arbitrary precision, giving rise to an apparent limitation known as the standard quantum limit (SQL). Gravitational-wave detectors use photons to continuously measure the positions of freely falling mirrors and so are affected by the SQL. We investigated the performance of the Laser Interferometer Gravitational-Wave Observatory (LIGO) after the experimental realization of frequency-dependent squeezing designed to surpass the SQL. For the LIGO Livingston detector, we found that the upgrade reduces quantum noise below the SQL by a maximum of three decibels between 35 and 75 hertz while achieving a broadband sensitivity improvement, increasing the overall detector sensitivity during astrophysical observations.
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Valenzuela RF, Duran-Sierra E, Canjirathinkal M, Amini B, Torres KE, Benjamin RS, Ma J, Wang WL, Hwang KP, Stafford RJ, Wu C, Zarzour AM, Bishop AJ, Lo S, Madewell JE, Kumar R, Murphy WA, Costelloe CM. Perfusion-weighted imaging with dynamic contrast enhancement (PWI/DCE) morphologic, qualitative, semiquantitative, and radiomics features predicting undifferentiated pleomorphic sarcoma (UPS) treatment response. Sci Rep 2024; 14:21681. [PMID: 39289469 PMCID: PMC11408515 DOI: 10.1038/s41598-024-72780-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2024] [Accepted: 09/10/2024] [Indexed: 09/19/2024] Open
Abstract
Undifferentiated pleomorphic sarcoma (UPS) is the largest subgroup of soft tissue sarcomas. This study determined the value of perfusion-weighted imaging with dynamic-contrast-enhancement (PWI/DCE) morphologic, qualitative, and semiquantitative features for predicting UPS pathology-assessed treatment effect (PATE). This retrospective study included 33 surgically excised extremity UPS patients with pre-surgical MRI. Volumetric tumor segmentation from PWI/DCE was obtained at Baseline (BL), Post-Chemotherapy (PC), and Post-Radiation Therapy (PRT). The surgical specimens' PATE separated cases into Responders (R) (≥ 90%, 16 patients), Partial-Responders (PR) (89 - 31%, 10 patients), and Non-Responders (NR) (≤ 30%, seven patients). Seven semiquantitative kinetic parameters and maps were extracted from time-intensity curves (TICs), and 107 radiomic features were derived. Statistical analyses compared R vs. PR/NR. At PRT, 79% of R displayed a "Capsular" morphology (P = 1.49 × 10-7), and 100% demonstrated a TIC-type II (P = 8.32 × 10-7). 80% of PR showed "Unipolar" morphology (P = 1.03 × 10-5), and 60% expressed a TIC-type V (P = 0.06). Semiquantitative wash-in rate (WiR) was able to separate R vs. PR/NR (P = 0.0078). The WiR radiomics displayed significant differences in the first_order_10 percentile (P = 0.0178) comparing R vs. PR/NR at PRT. The PWI/DCE TIC-type II curve, low WiR, and "Capsular" enhancement represent PRT patterns typically observed in successfully treated UPS and demonstrate potential for UPS treatment response assessment.
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Das S, Kumar R, Krishnan A, Kant S, Mohan A. Patient costs for drug-resistant TB diagnosis and pre-treatment evaluation in North India. Public Health Action 2024; 14:129-134. [PMID: 39239156 PMCID: PMC11373743 DOI: 10.5588/pha.24.0018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2024] [Accepted: 06/05/2024] [Indexed: 09/07/2024] Open
Abstract
INTRODUCTION India's National TB Elimination Programme (NTEP) aims to eliminate TB-related catastrophic expenditure by offering free diagnosis and treatment. However, 3.9% of TB patients have drug-resistant TB (DR-TB) and are facing higher costs. OBJECTIVE To assess DR-TB patients' diagnosis and pre-treatment evaluation costs, catastrophic cost incidence, and its relation to patient characteristics. METHODS The study included DR-TB patients from three District Drug-Resistant TB Centres in Delhi and Faridabad (October 2021-June 2022). Socio-economic and clinical characteristics and direct medical and non-medical costs from drug susceptibility testing eligibility to the start of DR-TB treatment were collected using patient interviews and records. Indirect costs were calculated via the human capital approach, defining catastrophic costs as expenses over 20% of household annual income. Multivariable regression was used to estimate the effects of patient characteristics on catastrophic costs. RESULTS Of 158 patients, 37.3% were aged 19-30 years, and 55.7% were women. Median total cost was USD326.6 (IQR 132.7-666.7), with 48.2% for diagnosis and 66.0% indirect. 32% faced catastrophic costs, with manual labourers at higher risk (adjusted OR 4.4). CONCLUSION Despite free diagnosis and treatment, a significant portion of DR-TB households in India incur catastrophic costs, mainly from indirect expenses, indicating a need for targeted policy and programme interventions.
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Madan R, Kumar N, Dracham CB, Kumar R, Trivedi G, Tripathi M, Sahoo SK, Singla N, Ahuja CK, Chatterjee D, Yadav A, Goyal S, Khosla D. Prospective Phase II Study of Radiotherapy Dose Escalation in Grade 4 Glioma Using 68Ga-Pentixafor PET Scan. Clin Oncol (R Coll Radiol) 2024; 36:e294-e300. [PMID: 38821722 DOI: 10.1016/j.clon.2024.04.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Revised: 03/06/2024] [Accepted: 04/24/2024] [Indexed: 06/02/2024]
Abstract
AIMS Local failure remains the major concern in grade 4 glioma or glioblastoma (GBM). Pilot studies have shown a radiotherapy (RT) dose-response relationship in GBM. Here we present our preliminary data of RT dose escalation using 68Ga-Pentixafor PET scan. High 68Ga-pentixafor uptake in glioma cells helps in sharp demarcation between tumour and normal brain. MATERIALS AND METHODS This phase II prospective study was conducted from 2018 to 2020. Thirty, biopsy-proven cases of grade 4 glioma were included. All patients underwent post-operative MRI of the brain and 68Ga-Pentixafor PET scan. RT was planned in 2-phases. Phase-1 GTV (GTV1) comprised of T2/flair abnormality, PET-avid disease and post-op cavity. A margin of 2cm was given to GTV-1 to create phase-1 CTV (CTV1), which was further expanded to 0.5cm to generate phase-1 PTV (PTV1). A radiation dose of 46Gy/23fr was prescribed to PTV-1. Phase-2 GTV (GTV2) consisted of CT/MRI contrast-enhancing lesion, PET avid disease and post-op cavity. A margin of 0.5 cm was given to GTV2 to create phase-2 CTV (CTV2) which was expanded to 0.5 cm to create phase-2 PTV (PTV2). RT dose of 14 Gy/7 fr was prescribed to PTV2. PET avid disease was delineated as GTV PET and a margin of 3mm was given to generate PTV-PET which received escalated RT dose of 21 Gy/7fr by simultaneous integrated boost (SIB) in phase 2 (Total dose to PTV PET = 67 Gy/30 fr). All patients received concurrent and adjuvant temozolomide. The data was prospectively maintained in Microsoft Excel sheet. SPSS v 23 was used for statistical analysis. The primary endpoints were estimation of the overall survival (OS) and progression-free survival (PFS), and secondary endpoint was to measure the incidence of radiation necrosis. Categorical variables were reported as frequency and percentage and quantitative variables were reported as median and range. RESULTS Data from thirty patients were analysed. A median OS of 23 months was observed with estimated 1, 2 and 3 years OS of 90%, 40% and 17.8% respectively. A significant association of OS was seen with the extent of surgery (p = 0.04) and kernofsky performance status (p = 0.007). No patient developed significant radiation necrosis. CONCLUSIONS The index study did not show any survival benefit from dose escalation RT. However, all of the patients tolerated the treatment well and none of them developed radiation necrosis. Considering the small sample size as a limitation of the index study, the role of 68Ga-pentixafor PET scan for radiation dose escalation should be further explored. CLINICAL TRIAL NUMBER CTRI/2019/05/019146.
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Chawla L, Kumar R, Rajaram S, Chaturvedi J. Abstracts of the 34th World Congress on Ultrasound in Obstetrics and Gynecology, 15-18 September 2024, Budapest, Hungary. ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2024; 64 Suppl 1:115. [PMID: 39249622 DOI: 10.1002/uog.28044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/10/2024]
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Guan Y, Schwartz AJ, Kinoshita K, Adachi I, Aihara H, Al Said S, Asner DM, Atmacan H, Ayad R, Bahinipati S, Banerjee S, Belous K, Bennett J, Bessner M, Bhardwaj V, Bhuyan B, Biswas D, Bobrov A, Bodrov D, Borah J, Bozek A, Bračko M, Branchini P, Browder TE, Budano A, Campajola M, Cao L, Červenkov D, Chang MC, Chang P, Cheon BG, Chilikin K, Cho HE, Cho K, Choi SK, Choi Y, Choudhury S, Das S, De Nardo G, De Pietro G, Dhamija R, Di Capua F, Dingfelder J, Doležal Z, Dong TV, Dubey S, Ecker P, Epifanov D, Ferber T, Ferlewicz D, Fulsom BG, Gaur V, Giri A, Goldenzweig P, Graziani E, Gu T, Gudkova K, Hadjivasiliou C, Hayasaka K, Hayashii H, Hazra S, Hedges MT, Hou WS, Hsu CL, Ipsita N, Ishikawa A, Itoh R, Iwasaki M, Jacobs WW, Jia S, Jin Y, Joo KK, Kawasaki T, Kim CH, Kim DY, Kim KH, Kim YJ, Kim YK, Kodyš P, Korobov A, Korpar S, Kovalenko E, Križan P, Krokovny P, Kuhr T, Kumar R, Kumara K, Kumita T, Kwon YJ, Lai YT, Lee SC, Levit D, Li LK, Li Y, Li YB, Li Gioi L, Libby J, Liventsev D, Luo T, Masuda M, Matsuda T, Maurya SK, Meier F, Merola M, Metzner F, Miyabayashi K, Mizuk R, Mohanty GB, Mussa R, Nakamura I, Nakao M, Natkaniec Z, Natochii A, Nayak L, Nayak M, Niiyama M, Nishida S, Ogawa S, Ono H, Pakhlova G, Pardi S, Park H, Park J, Park SH, Paul S, Pestotnik R, Piilonen LE, Podobnik T, Prencipe E, Prim MT, Röhrken M, Russo G, Sandilya S, Santelj L, Savinov V, Schnell G, Schwanda C, Seino Y, Senyo K, Sevior ME, Shan W, Shiu JG, Solovieva E, Starič M, Sumisawa K, Takizawa M, Tamponi U, Tanida K, Tenchini F, Tiwary R, Trabelsi K, Uchida M, Unno Y, Uno S, Urquijo P, Usov Y, Vahsen SE, Varvell KE, Vinokurova A, Wang MZ, Watanuki S, Won E, Xu X, Yabsley BD, Yan W, Yook Y, Yuan L, Zhang ZP, Zhilich V, Zhukova V. Measurements of the Branching Fraction, Polarization, and CP Asymmetry for the Decay B^{0}→ωω. PHYSICAL REVIEW LETTERS 2024; 133:081801. [PMID: 39241732 DOI: 10.1103/physrevlett.133.081801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Revised: 05/09/2024] [Accepted: 07/10/2024] [Indexed: 09/09/2024]
Abstract
We present a comprehensive study of B^{0}→ωω decays using 772×10^{6} BB[over ¯] pairs collected with the Belle detector at the KEKB e^{+}e^{-} collider. This process is a suppressed charmless decay into two vector mesons and can exhibit interesting polarization and CP violation. The decay is observed for the first time with a significance of 7.9 standard deviations. We measure a branching fraction B=(1.53±0.29±0.17)×10^{-6}, a fraction of longitudinal polarization f_{L}=0.87±0.13±0.13, and a time-integrated CP asymmetry A_{CP}=-0.44±0.43±0.11, where the first uncertainties listed are statistical and the second are systematic. This is the first observation of B^{0}→ωω and the first measurements of f_{L} and A_{CP} for this decay.
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Goyal A, Kumar R, Yuan H, Hamada N, Galluzzi A, Polichetti M. Significantly enhanced critical current density and pinning force in nanostructured, (RE)BCO-based, coated conductor. Nat Commun 2024; 15:6523. [PMID: 39112500 PMCID: PMC11306373 DOI: 10.1038/s41467-024-50838-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2023] [Accepted: 07/23/2024] [Indexed: 08/10/2024] Open
Abstract
High-temperature superconducting wires have many large-scale, niche applications such as commercial nuclear fusion as well as numerous other large-scale applications in the electric power industry and in the defense, medical and transportation industries. However, the price/performance metric of these coated conductor wires is not yet favorable to enable and realize most large-scale applications. Here we report on probing the limits of Jc (H, T) possible via defect engineering in heteroepitaxially deposited high-temperature superconducting thin-films on coated conductor substrates used for long-length wire fabrication. We report record values of Jc (H, T) and pinning force, Fp (H, T) in (RE)BCO films with self-assembled BaZrO3 nanocolumns deposited on a coated conductor substrate. A Jc of ~190 MA/cm2 at 4.2 K, self-field and ~90 MA/cm2, at 4.2 K, 7 T was measured. At 20 K, Jc of over 150 MA/cm2 at self-field and over 60 MA/cm2 at 7 T was observed. A very high pinning force, Fp, of ~6.4 TN/m3 and ~4.2 TN/m3 were observed at 7 T, 4.2 K and 7 T, 20 K respectively. We report on the highest values of Jc and Fp obtained to date for all fields and operating temperatures from 4.2 K to 77 K. These results demonstrate that significant performance enhancements and hence far more favorable price/performance metrics are possible in commercial high-temperature superconducting wires.
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Alonso-Gordoa T, Goodman M, Vulsteke C, Roubaud G, Zhang J, Parikh M, Piulats JM, Azaro A, James GD, Cavazzina R, Gangl ET, Thompson J, Pouliot G, Kumar R, Sweeney C. A phase II study (AARDVARC) of AZD4635 in combination with durvalumab and cabazitaxel in patients with progressive, metastatic, castration-resistant prostate cancer. ESMO Open 2024; 9:103446. [PMID: 38838502 PMCID: PMC11190476 DOI: 10.1016/j.esmoop.2024.103446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Revised: 04/04/2024] [Accepted: 04/08/2024] [Indexed: 06/07/2024] Open
Abstract
BACKGROUND This phase II nonrandomized study evaluated the efficacy and safety of AZD4635 in combination with durvalumab (Arm A) or durvalumab plus cabazitaxel (Arm B) in patients with metastatic castration-resistant prostate cancer (mCRPC) previously treated with docetaxel and ≥1 novel hormonal agent. PATIENTS AND METHODS The primary endpoint was radiographic progression-free survival (rPFS) per RECIST v1.1 (soft tissue) or the Prostate Cancer Clinical Trials Working Group 3 (bone). Secondary endpoints included safety, tolerability, overall survival, confirmed prostate-specific antigen (PSA50) response, pharmacokinetics, and objective response rate. Enrollment in Arm A was stopped following a sponsor decision unrelated to safety. The study was stopped based on the planned futility analysis due to low PSA50 response in Arm B. RESULTS In the final analysis (1 November 2021), 30 patients were treated (Arm A, n = 2; Arm B, n = 28). The median rPFS in Arm B was 5.8 months (95% confidence interval 4.2-not calculable). Median rPFS was 5.8 months versus 4.2 months for patients with high versus low blood-based adenosine signature. The most common treatment-related adverse events in Arm B were nausea (50.0%), diarrhea (46.4%), anemia and neutropenia (both 35.7%), asthenia (32.1%), and vomiting (28.6%). Overall, AZD4635 in combination with durvalumab or AZD4635 in combination with cabazitaxel and durvalumab showed limited efficacy in patients with mCRPC. CONCLUSIONS Although the safety profile of both combinations was consistent with known safety data of the individual agents, the results of this trial do not support further development of the combinations.
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Prakash J, Ramesh K, Tripathi D, Kumar R. Corrigendum to "Numerical simulation of heat transfer in blood flow altered by electroosmosis through tapered micro-vessels" [Microvasc. Res. 118 (2018) 162-172]. Microvasc Res 2024; 153:104657. [PMID: 38267351 DOI: 10.1016/j.mvr.2024.104657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2024]
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Kumar R. Agency & Identity Negotiations of "Good DNA" by Children with Incarcerated Parents Amidst Stigmatizing Mental Health Structures: A Culture-Centered Analysis. HEALTH COMMUNICATION 2024; 39:1140-1148. [PMID: 37121667 DOI: 10.1080/10410236.2023.2207239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/19/2023]
Abstract
Children with incarcerated parents (CIP) face higher burdens of mental illness owing to an accumulation of adverse childhood experiences (ACEs) marked by racialized and classed stigma. Utilizing instruments co-created by our CIP advisory board youth within a broader Youth Voice project, semi-structured in-depth interviews were conducted with 30 CIP, forming the primary data set for analysis within the present manuscript, in addition to two advisory board focus groups and 21 questionnaires. Drawing upon the culture-centered approach (CCA), this study explores CIP's articulations of agency and positive identification, including narratives of strength, survival, and "good DNA" in making meaning of mental health experiences. Demonstrating a complex interplay of silence and voice, CIP agentically reframe mainstream narratives about problematic behavior as overt responses to inadequate structural support, challenge notions of the absent incarcerated parent, engage in the praxis of retailoring state mental health resources to align with their lived experiences and participate as active content creators and storytellers within community media spaces.
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Maurya HS, Vikram RJ, Kumar R, Rahmani R, Juhani K, Sergejev F, Prashanth KG. EBSD investigation of microstructure and microtexture evolution on additively manufactured TiC-Fe based cermets-Influence of multiple laser scanning. Micron 2024; 180:103613. [PMID: 38428322 DOI: 10.1016/j.micron.2024.103613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Revised: 02/20/2024] [Accepted: 02/20/2024] [Indexed: 03/03/2024]
Abstract
Sustainable TiC-Fe-based cermets have been fabricated by adopting an Additive Manufacturing route based on laser powder bed fusion technology (L-PBF). The objective is to produce crack-free cermet components by employing novel multiple laser scanning techniques with variations in laser process parameters. Electron backscatter diffraction analysis (EBSD) was used to study the microstructure and microtexture evolution with variations in laser process parameters. The investigation revealed that adjusting the preheating scan speed (PHS) and melting scan speed (MS) influenced the growth and nucleation of TiC phases. Lowering these speeds resulted in grain coarsening, while higher scan speeds led to grain refinement with larger sub-grain boundaries. Moreover, a high scanning speed increases the degree of dislocation density and internal stress in the fabricated cermet parts. Notably, it is revealed that decreasing the laser scan speed enhanced the proportion of high-angle grain boundaries in the cermet components, signifying an increase in material ductility.
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Alam K, Srivastava S, Singh B, EmptyYN Y S, Kumar R, Kumar R, Sakhahari DS. Cryopreservation of bovine semen using extract of Cinnamomum zeylanicum. CRYO LETTERS 2024; 45:168-176. [PMID: 38709188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/07/2024]
Abstract
BACKGROUND Antioxidants minimise oxidative stress and enhance sperm quality in the process of cryopreservation. OBJECTIVE To assess the impact of Cinnamomum zeylanicum extract as an additive during the post-dilution and post-thaw stages of Murrah buffalo semen cryopreservation. MATERIALS AND METHODS The semen sample was diluted using Tris-Egg-Yolk-Citric-Acid-Fructose-Glycerol extender and subsequently divided into three groups: Group 1, TEYCAFG without any additives or controls (C); Group 2, TEYCAFG fortified with a 50 ug/mL aqueous extract of cinnamon (T1); and Group 3, TEYCAFG fortified with a 50 ug/mL ethanolic extract of cinnamon (T2). The evaluation included an assessment of progressive motility, live spermatozoa, sperm abnormalities, HOST, CMPT, and enzyme leakage (GOT and GPT) at both the post-dilution and post-thaw stages. RESULTS The groups that received cinnamon supplementation demonstrated statistically significant improvements (p<0.05) in various parameters, including an increase in the progressive motility, live spermatozoa, and HOS-positive spermatozoa, as well as greater distance traveled by vanguard spermatozoa compared to the control group. Furthermore, the cinnamon-added groups exhibited a significant decrease (p<0.05) in the percentage of sperm abnormalities and lower enzyme leakage (GOT and GPT) in post-thawed semen. CONCLUSION Aqueous extract of C. zeylanicum at a concentration of 50 µg/mL provides superior protection of sperm structures and functions as compared to both the ethanolic extract of C. zeylanicum at the same concentration and the control group. Doi.org/10.54680/fr24310110712.
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Murray C, Kumar R, Pearson I. Thrombolytic therapy in ST-elevation myocardial infarction. IRISH MEDICAL JOURNAL 2024; 117:929. [PMID: 38526317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/26/2024]
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Kumar R, Bwembya J, Makwambeni V, Musonda V, Chimzizi R, Mwinga A. Designing an operational research TB training program in Zambia. Public Health Action 2024; 14:26-29. [PMID: 38798782 PMCID: PMC11122706 DOI: 10.5588/pha.23.0046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 01/06/2024] [Indexed: 05/29/2024] Open
Abstract
BACKGROUND The USAID-funded Eradicate TB Project (ETB) partnered with the National Tuberculosis and Leprosy Control Program (NTLP) to establish an operational research (OR) training program in order to generate local evidence to enhance TB care in Zambia. METHOD Between 2017 and 2021, healthcare workers (HCWs) from district teams underwent two 10-day intensive training sessions. The program evolved to include a competitive application process and an additional primer workshop on developing feasible research questions. RESULTS Of the 36 enrollees in the OR training program, 26 (72.2%) completed it, leading to nine OR studies that informed interventions for TB care improvement. Notable achievements include reduced TB mortality, increased pediatric notifications, and enhanced sputum courier systems, with all studies disseminated at national and international conferences, four submitted to peer-reviewed journals, of which three were published. Two studies were replicated by the NTLP at provincial and national levels. CONCLUSIONS Integrating OR training into TB initiatives is feasible and beneficial. The program's phased execution and adaptive strategies provide valuable insights for similar settings, although challenges in sustainability of mentorship and funding persist. This success underscores the importance of continuous OR capacity strengthening among HCWs in Zambia.
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Massa A, Isasi-Fuster A, Requena C, Manrique-Silva E, Kumar R, Nagore E. Nodular type but not vitamin D levels increases the risk of second primary cancers in melanoma patients: An observational study of 663 patients. ACTAS DERMO-SIFILIOGRAFICAS 2024; 115:143-149. [PMID: 37832865 DOI: 10.1016/j.ad.2023.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2023] [Accepted: 10/08/2023] [Indexed: 10/15/2023] Open
Abstract
BACKGROUND Vitamin D deficiency associates with the risk of developing many diseases, including cancer. At the molecular level, vitamin D appears to have an antineoplastic effect. However, the role of vitamin D deficiency in cancer pathogenesis remains unelucidated and numerous studies have resulted in discordant results. This study aimed to determine whether vitamin D deficiency during melanoma diagnosis increases the risk of developing non-cutaneous second primary cancers (SPC). MATERIALS AND METHODS A retrospective study on 663 patients diagnosed with melanoma between 1 January 2011 and 31 October 2022. The effect of each variable on the development of a subsequent non-cutaneous cancer was performed using Kaplan-Meier curves and differences were assessed by log-rank tests. Cox proportional hazard univariate and multivariate models were used to quantify the effect of each variable in the time to develop a non-cutaneous neoplasia. RESULTS Out of 663 patients, 34 developed a non-cutaneous SPC. There was no statistically significant association between vitamin D levels and non-cutaneous SPC development (log-rank, p=0.761). Age>60 years, stage III/IV, and nodular melanoma subtype were significantly associated with the development of a SPC. After multivariate analysis, only age>60 years (HR 3.4; HR CI 95%: 1.5-7.6) and nodular melanoma subtype (HR 2.2; HR CI 95%: 1.0-4.8) were included in the final model. CONCLUSIONS Our results suggest that vitamin D deficiency is not associated with an increased risk of developing non-cutaneous SPC in melanoma patients. However, age over 60 years and nodular melanoma subtype increase the risk for non-cutaneous SPC development.
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Massa A, Isasi-Fuster A, Requena C, Manrique-Silva E, Kumar R, Nagore E. Nodular Type but Not Vitamin D Levels Increases the Risk of Second Primary Cancers in Melanoma Patients: An Observational Study of 663 Patients. ACTAS DERMO-SIFILIOGRAFICAS 2024; 115:T143-T149. [PMID: 38048949 DOI: 10.1016/j.ad.2023.10.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2023] [Accepted: 10/08/2023] [Indexed: 12/06/2023] Open
Abstract
BACKGROUND Vitamin D deficiency associates with the risk of developing many diseases, including cancer. At the molecular level, vitamin D appears to have an antineoplastic effect. However, the role of vitamin D deficiency in cancer pathogenesis remains unelucidated and numerous studies have resulted in discordant results. This study aimed to determine whether vitamin D deficiency during melanoma diagnosis increases the risk of developing non-cutaneous second primary cancers (SPC). MATERIALS AND METHODS A retrospective study on 663 patients diagnosed with melanoma between 1 January 2011 and 31 October 2022. The effect of each variable on the development of a subsequent non-cutaneous cancer was performed using Kaplan-Meier curves and differences were assessed by log-rank tests. Cox proportional hazard univariate and multivariate models were used to quantify the effect of each variable in the time to develop a non-cutaneous neoplasia. RESULTS Out of 663 patients, 34 developed a non-cutaneous SPC. There was no statistically significant association between vitamin D levels and non-cutaneous SPC development (log-rank, p=0.761). Age>60 years, stage III/IV, and nodular melanoma subtype were significantly associated with the development of a SPC. After multivariate analysis, only age>60 years (HR 3.4; HR CI 95%: 1.5-7.6) and nodular melanoma subtype (HR 2.2; HR CI 95%: 1.0-4.8) were included in the final model. CONCLUSIONS Our results suggest that vitamin D deficiency is not associated with an increased risk of developing non-cutaneous SPC in melanoma patients. However, age over 60 years and nodular melanoma subtype increase the risk for non-cutaneous SPC development.
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Mandl A, Jasmine S, Krueger T, Kumar R, Coleman IM, Dalrymple SL, Antony L, Rosen DM, Jing Y, Hanratty B, Patel RA, Jin-Yih L, Dias J, Celatka CA, Tapper AE, Kleppe M, Kanayama M, Speranzini V, Wang YZ, Luo J, Corey E, Sena LA, Casero RA, Lotan T, Trock BJ, Kachhap SK, Denmeade SR, Carducci MA, Mattevi A, Haffner MC, Nelson PS, Rienhoff HY, Isaacs JT, Brennen WN. LSD1 inhibition suppresses ASCL1 and de-represses YAP1 to drive potent activity against neuroendocrine prostate cancer. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2024:2024.01.17.576106. [PMID: 38328141 PMCID: PMC10849473 DOI: 10.1101/2024.01.17.576106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/09/2024]
Abstract
Lysine-specific demethylase 1 (LSD1 or KDM1A ) has emerged as a critical mediator of tumor progression in metastatic castration-resistant prostate cancer (mCRPC). Among mCRPC subtypes, neuroendocrine prostate cancer (NEPC) is an exceptionally aggressive variant driven by lineage plasticity, an adaptive resistance mechanism to androgen receptor axis-targeted therapies. Our study shows that LSD1 expression is elevated in NEPC and associated with unfavorable clinical outcomes. Using genetic approaches, we validated the on-target effects of LSD1 inhibition across various models. We investigated the therapeutic potential of bomedemstat, an orally bioavailable, irreversible LSD1 inhibitor with low nanomolar potency. Our findings demonstrate potent antitumor activity against CRPC models, including tumor regressions in NEPC patient-derived xenografts. Mechanistically, our study uncovers that LSD1 inhibition suppresses the neuronal transcriptional program by downregulating ASCL1 through disrupting LSD1:INSM1 interactions and de-repressing YAP1 silencing. Our data support the clinical development of LSD1 inhibitors for treating CRPC - especially the aggressive NE phenotype. Statement of Significance Neuroendocrine prostate cancer presents a clinical challenge due to the lack of effective treatments. Our research demonstrates that bomedemstat, a potent and selective LSD1 inhibitor, effectively combats neuroendocrine prostate cancer by downregulating the ASCL1- dependent NE transcriptional program and re-expressing YAP1.
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Srivastava P, Naja M, Bhardwaj P, Kumar R, Rajwar MC, Seshadri TR. Utilising BC observations to estimate CO contributions from fossil fuel and biomass burning in the Central Himalayan region. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2024; 341:122975. [PMID: 37992951 DOI: 10.1016/j.envpol.2023.122975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 10/14/2023] [Accepted: 11/14/2023] [Indexed: 11/24/2023]
Abstract
The Himalayan region is adversely affected by the increasing anthropogenic emissions from the adjacent Indo-Gangetic plain. However, source apportionment studies for the Himalayan region that are crucial for estimating CO concentration, are grossly insufficient, to say the least. It is in this context that our study reported here assumes significance. This study utilizes five years (2014-2018) of ground-based observations of eBC and multiple linear regression framework (MLR) to estimate CO and segregate its fossil fuel and biomass emission fractions at a high-altitude (1958 m) site in the Central Himalayas. The results show that MERRA2 always underestimates the observed CO; MOPITT has a high monthly difference ranging from -32% to +57% while WRF-Chem simulations underestimate CO from February to June and overestimate in other months. In contrast, CO estimated from MLR replicates diurnal and monthly variations and estimates CO with an r2 > 0.8 for 2014-2017. The CO predicted during 2018 closely follows the observed variations, and its mixing ratios lie within ±17% of the observed CO. The results reveal a unimodal diurnal variation of CO, COff (ff: fossil fuel) and CObb (bb: biomass burning) governed by the boundary layer evolution and upslope winds. COff has a higher diurnal amplitude (39.1-67.8 ppb) than CObb (5.7-33.5 ppb). Overall, COff is the major contributor (27%) in CO after its background fraction (58%). CObb fraction reaches a maximum (28%) during spring, a period of increased agricultural and forest fires in Northern India. In comparison, WRF-Chem tracer runs underestimate CObb (-38% to -98%) while they overestimate the anthropogenic CO during monsoon. This study thus attempts to address the lack of continuous CO monitoring and the need to segregate its fossil fuel and biomass sources, specifically over the Central Himalayas, by employing a methodology that utilizes the existing network of eBC observations.
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Akella PL, Kumar R. An advanced deep learning method to detect and classify diabetic retinopathy based on color fundus images. Graefes Arch Clin Exp Ophthalmol 2024; 262:231-247. [PMID: 37548671 DOI: 10.1007/s00417-023-06181-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Revised: 06/10/2023] [Accepted: 07/17/2023] [Indexed: 08/08/2023] Open
Abstract
BACKGROUND In this article, we present a computerized system for the analysis and assessment of diabetic retinopathy (DR) based on retinal fundus photographs. DR is a chronic ophthalmic disease and a major reason for blindness in people with diabetes. Consistent examination and prompt diagnosis are the vital approaches to control DR. METHODS With the aim of enhancing the reliability of DR diagnosis, we utilized the deep learning model called You Only Look Once V3 (YOLO V3) to recognize and classify DR from retinal images. The DR was classified into five major stages: normal, mild, moderate, severe, and proliferative. We evaluated the performance of the YOLO V3 algorithm based on color fundus images. RESULTS We have achieved high precision and sensitivity on the train and test data for the DR classification and mean average precision (mAP) is calculated on DR lesion detection. CONCLUSIONS The results indicate that the suggested model distinguishes all phases of DR and performs better than existing models in terms of accuracy and implementation time.
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