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344篇 您的检索式:作者名="Harsha"
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1Success of photodynamic therapy in palliating patients with nonresectable cholangiocarcinoma: A systematic review and meta-analysis显示文摘AIM To perform a systematic review and meta-analysis on clinical outcomes of photodynamic therapy(PDT) in non-resectable cholangiocarcinoma. METHODS Included studies compared outcomes with photodynamic therapy and biliary stenting(PDT group) vs biliary stenting only(BS group) in palliation of non-resectable cholangiocarcinoma. Articles were searched in MEDLINE, PubM ed, and EMBASE. Pooled proportions were calculated using fixed and random effects model. Heterogeneity among studies was assessed using the I2 statistic.RESULTS Ten studies(n = 402) that met inclusion criteria were included in this analysis. The P for χ2 heterogeneity for all the pooled accuracy estimates was > 0.10. Pooled odds ratio for successful biliary drainage(decrease in bilirubin level > 50% within 7days after stenting)in PDT vs BS group was 4.39(95%CI: 2.35-8.19).Survival period in PDT and BS groups were 413.04d(95%CI: 349.54-476.54) and 183.41(95%CI:136.81-230.02) respectively. The change in Karnofsky performance scores after intervention in PDT and BS groups were +6.99(95%CI: 4.15-9.82) and-3.93(95%CI:-8.63-0.77) respectively. Odds ratio for postintervention cholangitis in PDT vs BS group was 0.57(95%CI: 0.35-0.94). In PDT group, 10.51%(95%CI:6.94-14.72) had photosensitivity reactions that were self-limiting. Subgroup analysis of prospective studies showed similar results, except the incidence of cholangitis was comparable in both groups. CONCLUSION In palliation of unresectable cholangiocarcinoma, PDT seems to be significantly superior to BS alone. PDT should be used as an adjunct to biliary stenting in these patients.Harsha Moole Harsha Tathireddy Sirish Dharmapuri Vishnu Moole Raghuveer Boddireddy Pratyusha Yedama Sowmya Dharmapuri Achuta Uppu Naveen Bondalapati Abhiram Duvvuri 2017World Journal of Gastroenterology2017,23,7:38
2Laparoscopic vs open distal pancreatectomy for solid pseudopapillary tumor of the pancreas显示文摘AIM:To compare short-and long-term outcomes of laparoscopic vs open distal pancreatectomy for solid pseudopapillary tumor(SPT)of the pancreas.METHODS:This retrospective study included 28 patients who underwent distal pancreatectomy for SPT of the pancreas between 1998 and 2012.The patients were divided into two groups based on the surgical approach:the laparoscopic surgery group and the open surgery group.The patients’demographic data,operative results,pathological reports,hospital courses,morbidity and mortality,and follow-up data were compared between the two groups.RESULTS:Fifteen patients with SPT of the pancreas underwent laparoscopic distal pancreatectomy(LDP),and 13 underwent open distal pancreatectomy(ODP).Baseline characteristics were similar between the two groups except for a female predominance in the LDP group(100.0%vs 69.2%,P=0.035).Mortality,morbidity(33.3%vs 38.5%,P=1.000),pancreatic fistula rates(26.7%vs 30.8%,P=0.728),and reoperation rates(0.0%vs 7.7%,P=0.464)were similar in the two groups.There were no significant differences in the operating time(171 min vs 178 min,P=0.755)between the two groups.The intraoperative blood loss(149 mL vs 580 mL,P=0.002),transfusion requirement(6.7%vs 46.2%,P=0.029),first flatus time(1.9d vs 3.5 d,P=0.000),diet start time(2.3 d vs 4.9 d,P=0.000),and postoperative hospital stay(8.1 d vs 12.8d,P=0.029)were significantly less in the LDP group than in the ODP group.All patients had negative surgical margins at final pathology.There were no significant differences in number of lymph nodes harvested(4.6 vs6.4,P=0.549)between the two groups.The median follow-up was 33(3-100)mo for the LDP group and 45(17-127)mo for the ODP group.All patients were alive with one recurrence.CONCLUSION:LDP for SPT has short-term benefits compared with ODP.Long-term outcomes of LDP are similar to those of ODP.Ren-Chao Zhang Jia-Fei Yan Xiao-Wu Xu Ke Chen Harsha Ajoodhea Yi-Ping Mou 2013World Journal of Gastroenterology2013,19,37:14
3Resection of a cholangiocarcinoma via laparoscopic hepatopancreato- duodenectomy:A case report显示文摘Some laterally advanced cholangiocarcinomas behave as ductal spread or local invasion,and hepatopancreatoduodenectomy(HPD)may be performed for R0 resection.To date,there have been no reports of laparoscopic HPD(LHPD)in the English literature.We report the first case of LHPD for the resection of a BismuthⅢa cholangiocarcinoma invading the duodenum.The patient underwent laparoscopic pancreaticoduodenectomy and right hemihepatectomy.Child’s approach was used for the reconstruction.The patient recovered well with bile leakage from the 2nd postoperative day and was discharged on the 16th postoperative day with a drainage tube in place which was removed 2 wk after discharge.Postoperative pathology revealed a well-differentiated cholangiocarcinoma andthe margin of liver parenchyma,pancreas and stomach was negative for metastases.The results suggest that LHPD is a feasible and safe procedure when performed in highly specialized centers and in suitable patients with cholangiocarcinoma.Miao-Zun Zhang Xiao-Wu Xu Yi-Ping Mou Jia-Fei Yan Yi-Ping Zhu Ren-Chao Zhang Yu-Cheng Zhou Ke Chen Wei-Wei Jin Erik Matro Harsha Ajoodhea 2014World Journal of Gastroenterology2014,20,45:12
4Evaluation and prediction of blast induced ground vibration using support vector machine显示文摘We present the application of Support Vector Machine (SVM) for the prediction of blast induced ground vibration by taking into consideration of maximum charge per delay and distance between blast face to monitoring point. To investigate the suitability of this approach, the predictions by SVM have been compared with conventional predictor equations. Blast vibration study was carried out at Magnesite mine of Pithoragarh, India. Total 170 blast vibrations data sets were recorded at different strate-gic and vulnerable locations in and around to mine. Out of 170 data sets, 150 were used for the training of the SVM network as well as to determine site constants of different conventional predictor equations, whereas, 20 new randomly selected data sets were used to compare the prediction capability of SVM network with conventional predictor equations. Results were compared based on Co-efficient of Determination (CoD) and Mean Absolute Error (MAE) between monitored and predicted values of Peak Particle Veloc-ity (PPV). It was found that SVM gives closer values of predicted PPV as compared to conventional predictor equations. The coef-ficient of determination between measured and predicted PPV by SVM was 0.955, whereas it was 0.262, 0.163, 0.337 and 0.232 by USBM, Langefors-Kihlstrom, Ambraseys-Hendron and Bureau of Indian Standard equations, respectively. The MAE for PPV was 11.13 by SVM, whereas it was 0.973, 1.088, 0.939 and 1.292 by USBM, Langefors-Kihlstrom, Ambraseys-Hendron and Bureau of Indian Standard equations respectively.KHANDELWAL M KANKAR P K HARSHA S P 2010Mining Science and Technology2010,20,1:12
5Laparoscopic spleen-preserving distal pancreatectomy for pancreatic neoplasms:A retrospective study显示文摘AIM:To describe the clinical characteristics,technical procedures,and outcomes of patients undergoing laparoscopic spleen-preserving distal pancreatectomy(LSPDP)for benign and malignant pancreatic neoplasms.METHODS:The clinical data of 38 patients who underwent LSPDP in the Sir Run Run Shaw Hospital between January 2003 and August 2013 were analyzed retrospectively.Surgical techniques for LSPDP included preservation of the splenic artery and vein(Kimura’s technique)and ligation of the splenic pedicle with preservation of the short gastric vessels(Warshaw’s technique).RESULTS:There were no conversions to open surgery in the 38 patients.Splenic vessels were conserved during spleen-preserving pancreatectomy,except in two patients who underwent resection of the splenic vessels and preservation only of the short gastric vessels.The mean operation time was 123.2±52.4 min,the mean intraoperative blood loss was 78.2±39.5 mL,and the mean postoperative hospital stay was 7.6±2.9 d.The overall rate of postoperative complications was 18.4%(7/38),and the rate of clinical pancreatic fistula was13.2%(5/38).All postoperative complications were treated conservatively.The postoperative pathological diagnoses were 22 cases of benign pancreatic disease and 16 cases of borderline or low-grade malignant lesions.During a median follow-up of 38 mo(range:5-133mo),no recurrence was observed.CONCLUSION:LSPDP is a safe,feasible and effective procedure for the treatment of benign and low-grade malignant tumors of the distal pancreas.Jia-Fei Yan Xiao-Wu Xu Wei-Wei Jin Chao-Jie Huang Ke Chen Ren-Chao Zhang Ajoodhea Harsha Yi-Ping Mou 2014World Journal of Gastroenterology2014,20,38:11
6水产养殖尾水处理技术与装备的研究进展显示文摘近年来,随着水产养殖产量规模的不断增长和国家环保政策越来越严格,养殖尾水处理成为一个需要迫切解决的问题。对水产养殖的尾水进行高效处理不仅可以有效减少水污染,还可以节约水资源。按照处理机制尾水处理方法可以分为物理法、化学法、生物法三大类,实际处理工艺往往是这3种方法的组合。本文以已有的理论知识为基础,结合国内外文献,对物理法、化学法和生物法的技术及其典型设备的研究现状进行综述,并对几种常用处理工艺的流程进行了介绍和问题分析,为水产养殖尾水处理技术和设备的研究提供了参考和方向。肖茂华 李亚杰 汪小旵 Harsha RATNAWEERA 徐良 朱虹 2023南京农业大学学报2023,46,1:11
7Risk of New-Onset Atrial Fibrillation in Elderly Patients with the Overlap Syndrome: A Retrospective Cohort Study显示文摘Background Co-existence of obstructive sleep apnea (OSA) and chronic obstructive pulmonary disease (COPD) is referred to as overlap syndrome. Overlap patients have greater degree of hypoxia and pulmonary hypertension than patients with OSA or COPD alone. Studies showed that elderly patients with OSA alone do not have increased risk of atrial fibrillation (AF) but it is not known if overlap patients have higher risk of AF. Objective To determine whether elderly patients with overlap syndrome have an increased risk of AF. Methods In this single center, community-based retrospective cohort analysis, data were collected on 2,873 patients > 65 years of age without AF, presenting in the year 2006. Patients were divided into OSA group (n = 60), COPD group (n = 416), overlap syndrome group (n = 28) and group with no OSA or COPD(n = 2369). The primary endpoint was incidence of new-onset AF over the following two years. Logistic regression was performed to adjust for heart failure (HF), coronary artery disease, hypertension (HTN), cerebrovascular disease, cardiac valve disorders, diabetes mellitus, hyperlipidemia, chronic kidney disease (CKD) and obesity. Results The incidence of AF was 10% in COPD group, 6% in OSA group and 21% in overlap syndrome group (P < 0.05). After adjusting for age, sex, HF, CKD, and HTN, patientswith overlap syndrome demonstrated a significant association with new-onset AF (OR = 3.66, P = 0.007). HF, CKD and HTNwere also significantly associated with new-onset AF (P < 0.05). Conclusion Among elderly patients, the presence of overlap syndrome is associatedwith a marked increase in risk of new-onset AF as compared to the presence of OSA or COPDalone.Harsha V. Ganga Sanjeev U. Nair Venkata K. Puppala Wayne L. Miller 2013Journal of Geriatric Cardiology2013,10,2:9
8Laparoscopic ligation of proximal splenic artery aneurysm with splenic function preservation显示文摘Splenic artery aneurysm is one of the most common visceral aneurysms,and patients with this type of aneurysm often present without symptoms.However,when rupture occurs,it can be a catastrophic event.Although most of these aneurysms can be treated with percutaneous embolization,some located in uncommon parts of the splenic artery may make this approach impossible.We present a patient with an aneurysm in the proximal splenic artery,close to the celiac trunk,which was treated by laparoscopic ligation only,without resection of the aneurysm,and with long-term preservation of splenic function.Yun-Hai Wei Jie-Wei Xu Hua-Ping Shen Guo-Lei Zhang Harsha Ajoodhea Ren-Chao Zhang Yi-Ping Mou 2014World Journal of Gastroenterology2014,20,16:7
9Live cell screening platform identifies PPAR6 as a regulator of cardiomyocyte proliferation and cardiac repair显示文摘Zebrafish 能高效地通过 cardiomyocyte 增长改革他们的心。相反,哺乳动物的 cardiomyocytes 站立即在出生以后增殖,限制出生后的哺乳动物的心的再生能力。因此,如果出生后的 cardiomyocyte 增长的内长的潜力能被提高,它能为心失败病人提供有希望的未来治疗。这里,我们开始系统地识别触发出生后的 cardiomyocyte 增长的小分子。由屏蔽为估计房间周期阶段利用一个基于 Fucci 的系统的化学复合图书馆,我们作为出生后的 cardiomyocyte 增长的 inducer 识别了 carbacyclin。在 vitro, carbacyclin 经由 peroxisome 导致了新生、成年的 mononuclear 老鼠 cardiomyocytes 的增长激活 proliferator 的受体(PPAR )/PDK1/p308Akt/GSK3/-catenin 小径。PPAR 的抑制在 zebrafish 心新生期间减少了 cardiomyocyte 增长。尤其是,象有在在老鼠的心肌的梗塞以后的 PPAR 收缩筋的治疗一样的组成地活跃的 PPAR 的可诱导的 cardiomyocyte 特定的 overexpression 在 cardiomyocytes 导致了房间周期前进,减少了结疤,并且改进了心脏的功能。一起,我们建立了屏蔽系统和礼品的 cardiomyocyte 增长有为心脏的病理的治疗的诺言的一个新 drugable 目标由 cardiomyocyte 损失引起了。Ajit Magadum Yishu Ding Lan He Teayoun Kim Mohankrishna Dalvoy Vasudevarao Qinqiang Long Kevin Yang Nadeera Wickramasinghe Harsha V Renikunta Nicole Dubois Gilbert Weidinger Qinglin Yang Felix B Engel 2017Cell Research2017,27,8:6
10Fever as a first manifestation of advanced gastric adenosquamous carcinoma:A case report显示文摘Gastric adenosquamous carcinoma(ASC)is a rare type of gastric cancer.It is a mixed neoplasm,consisting of glandular cells and squamous cells.It is often diagnosed at an advanced stage,thus carrying a poor prognosis.We describe a case of a 73-year-old male,who presented with refractory fever and an intra-abdominal mass on imaging.He underwent a laparoscopic exploration followed by a successful totally laparoscopic total gastrectomy with D2 lymphadenectomy for gastric cancer.Postoperative pathology revealed primary gastric ASC(T4aN0M0).The patient received adjuvant radiotherapy and chemotherapy with S1 and is alive 20mo after surgery without recurrence.This is the first case of advanced gastric ASC with fever as the initial presentation treated with totally laparoscopic total gastrectomy reported in the English literature.Harsha Ajoodhea Ren-Chao Zhang Xiao-Wu Xu Wei-Wei Jin Ke Chen Yong-Tao He Yi-Ping Mou 2014World Journal of Gastroenterology2014,20,29:6
11Film forming systems for topical and transdermal drug delivery显示文摘Skin is considered as an important route of administration of drugs for both local and systemic effects. The effectiveness of topical therapy depends on the physicochemical properties of the drug and adherence of the patient to the treatment regimen as well as the system’s ability to adhere to skin during the therapy so as to promote drug penetration through the skin barrier.Conventional formulations for topical and dermatological administration of drugs have certain limitations like poor adherence to skin, poor permeability and compromised patient compliance.For the treatment of diseases of body tissues and wounds, the drug has to be maintained at the site of treatment for an effective period of time. Topical film forming systems are such developing drug delivery systems meant for topical application to the skin, which adhere to the body, forming a thin transparent film and provide delivery of the active ingredients to the body tissue. These are intended for skin application as emollient or protective and for local action or transdermal penetration of medicament for systemic action. The transparency is an appreciable feature of this polymeric system which greatly influences the patient acceptance.In the current discussion, the film forming systems are described as a promising choice for topical and transdermal drug delivery. Further the various types of film forming systems (sprays/solutions, gels and emulsions) along with their evaluation parameters have also been reviewed.Kashmira Kathe Harsha Kathpalia 2017Asian Journal of Pharmaceutical Sciences2017,12,6:6
12Whole-body heat exposure induces membrane changes in spermatozoa from the cauda epididymidis of laboratory mice显示文摘这研究被执行决定到热环境温度的暴露是否在精子质量上有直接、有害效果。为这,实验室老鼠的 epididymal 精子上的整个身体的热暴露的效果被调查。C57BL/6 鼠标(n = 7 ) 是在在 37 掳 C 鈥 ? 的一个小气候房间的 housed 为 8 h 的 8 掳 C 每为三连续的天的天,当时控制鼠标(n = 7 ) 在 23 掳 C 被保留鈥 ? 4 掳 C。尾 epididymal 精子被获得在最后热处理以后的 16 h。结果证明精子号码在二个组是类似的(P = 0.23 ) ,但是在热处理以后,在能动精子的百分比的重要减小是在场的(P < 0.0001 ) 。精子的膜变化被与结合的藻红朊(PE ) 染色 Annexin V 调查,它检测 phosphotidylserine 的 exteriorization 从对精子血浆膜,和 7-aminoactinomycin D (7-AAD ) 的外部传单内部,当血浆膜被损坏时,它绑在精子原子核。显示出与 Annexin V 鈥揚E 或 7-AAD 或两个的积极染色的精子的百分比,显著地更高(P < 0.05 ) 在暴露热的老鼠与控制相比。这些结果显示出那整个身体的热暴露到 8 掳 C 导致的 37 掳 C 鈥 ? 膜在老鼠的 epididymal 精子变化,它可以导致 apoptosis。Harsha Wechalekar Brian P. Setchell Eleanor J. Peirce Mario Ricci Chris Leigh William G. Breed 2010Asian Journal of Andrology2010,12,4:4
13Modal analysis of prestressed draft pad of freight wagons using finite element method显示文摘The present work intends to investigate dynamic behaviour of draft gear using finite element method. The longitudinal force that the draft gear absorbs usually leads to the failure of its components, especially, the load bearing draft pads. Dynamic behaviour of an individual draft pad and a draft gear is determined and characterized with exciting frequencies and corresponding mode shapes. The effect of compressive prestress load on the dynamic behaviour of an individual draft pad is also determined as the draft pads in assembled state are under constant axial compressive force in the draft gear. The vibration characteristics of individual draft pad are compared with draft pads that are part of draft gear. The modal analysis gives us a basis for subjecting a draft pad to higher frequency loading for determining its fatigue behaviour.Sachin Sudhakar Harak Satish Chand Sharma Suraj Prakash Harsha 2015Journal of Modern Transportation2015,23,1:4
14Anxiolytic property of hydro-alcohol extract of Lactuca sativa and its effect on behavioral activities of mice显示文摘Lactuca sativa,belonging to the Asteraceae family,is a leafy vegetable known for its medicinal properties.This study aimed to understand the mechanism of Lactuca sativa extract with respect to pharmacological action.We investigated the anxiolytic effects of hydro-alcoholic extract of leaves of Lactuca sativa on mice.The behavioral tests performed on mice models to assess anti-anxiety properties were:open field test (OFT),elevated plus maze test (EPM),elevated T maze test,and marble burying test.Increased locomotor activity and time spent in the 'open-arm' were observed in extract fed group.Malondialdehyde (MDA) and nitrite levels were decreased,catalase and glutathione levels were increased in Lactuca sativa treated mice.The data obtained in the present study suggests that the extract of Lactuca sativa can afford significant protection against anxiolytic activity.Singapura Nagesh Harsha Kandangath Raghavan Anilakumar 2013The Journal of Biomedical Research2013,27,1:4
15Laparoscopic transduodenal local resection of periampullary neuroendocrine tumor: A case report显示文摘Studies on laparoscopic transduodenal local resection have not been readily available.Only three cases have been reported in the English-language literature.We describe herein a case of 25-year-old woman with periampullary neuroendocrine tumor(NET).Endoscopic ultrasonography revealed a duodenal papilla mass originated from the submucosa and close to the ampulla.The periampullary tumor was successfully managed with laparoscopic transduodenal local resection without any procedure-related complications.Pathological examination showed a NET(Grade 2)with negative margin.The patient was followed up for six months without signs of recurrence.This case suggests that laparoscopic transduodenal local resection is a feasible procedure in selected patients with periampullary tumor.Ren-Chao Zhang Xiao-Wu Xu Di Wu Yu-Cheng Zhou Harsha Ajoodhea Ke Chen Yi-Ping Mou 2013World Journal of Gastroenterology2013,19,39:3
16Estimating rock properties using sound signal dominant frequencies during diamond core drilling operations显示文摘In many engineering applications such as mining,geotechnical and petroleum industries,drilling operation is widely used.The drilling operation produces sound by-product,which could be helpful for preliminary estimation of the rock properties.Nevertheless,determination of rock properties is very difficult by the conventional methods in terms of high accuracy,and thus it is expensive and timeconsuming.In this context,a new technique was developed based on the estimation of rock properties using dominant frequencies from sound pressure level generated during diamond core drilling operations.First,sound pressure level was recorded and sound signals of these sound frequencies were analyzed using fast Fourier transform (FFT).Rock drilling experiments were performed on five different types of rock samples using computer numerical control (CNC) drilling machine BMV 45 T20.Using simple linear regression analysis,mathematical equations were developed for various rock properties,i.e.uniaxial compressive strength,Brazilian tensile strength,density,and dominant frequencies of sound pressure level.The developed models can be utilized at early stage of design to predict rock properties.Ch.Vijaya Kumar Harsha Vardhan Ch.S.N.Murthy N.C.Karmakar 2019Journal of Rock Mechanics and Geotechnical Engineering2019,11,4:3
17Should dopamine be the first line inotrope in the treatment of neonatal hypotension? Review of the evidence显示文摘AIM: To determine if dopamine is effective in treating neonatal hypotension and safe to use comparing to other inotropes. METHODS: This is a review of evidence on inotropic treatment of neonatal hypotension. Databases searched were MEDLINE and the Cochrane Library, a total of 134 studies were identified. Only studies with high quality evidence(level 1a and b and 2a) were included. After review, only eight studies were included in the final analysis. Pooled risk ratios derived for each outcome [Mantel-Haenzel(M-H) fixed effect] with CI, as reported in the Cochrane reviews were plotted in forest plot form. RESULTS: Eight articles met inclusion criteria, which all included treatment in preterm infants. Dopamine increased mean arterial blood pressure(BP)(n = 163; r = 0.88, 95%CI: 0.76 to 0.94) and systolic BP(n = 142; r = 0.81, 95%CI: 0.42 to 0.94) comparing to placebo. Dopamine has been shown overall to be statistically more effective in increasing BP than dobutamine(n = 251, r = 0.26, 95%CI: 0.20-0.32). However there were no differences in short term outcomes(periventricular leucomalacia, periventricular haemorrhage) and mortality between both drugs. There is no statistical evidence of dopamine being more effective than adrenaline or corticosteroids. There was no difference in morbidity and mortality outcomes when dopamine was compared to hydrocortisone(RR 1.81, 95%CI: 0.18 to 18.39) or adrenaline. CONCLUSION: In preterms, dopamine is the most studied drug, and we suggest it could be used as first line treatment in hypotension.Sadaf I Bhayat Harsha MS Gowda Michael Eisenhut 2016World Journal of Clinical Pediatrics2016,5,2:3
18Instrumental detection of cystic duct stones during laparoscopic cholecystectomy显示文摘Residual cystic duct stones (CDSs) after cholecystectomy have been recognized as a cause of post cholecystectomy pain. This study was undertaken to determine the incidence of CDSs during laparoscopic cholecystectomy(LC). A cohort of 330 consecutive patients (80 males and 250females) undergoing LC between November 2006 and May2010 was studied. Their age ranged between 16 and 88 years(median 50, IQR: 36.62). The data were prospectively collected of preoperative liver function tests, imaging, the presence of intraoperative CDSs, and common bile duct stones at on-table cholangiogram. CDSs were detected intraoperatively in 64 of the 330 patients (19%). Ultrasound failed to detect CDSs in any of these cases. Deranged liver function tests were noted in 73% of the patients with CDSs and in 57% without CDSs Common bile duct stones were detected in 9% (29) of the 330patients. CDSs occur commonly at routine cholecystectomy, and preoperative investigations are not helpful in their diagnosis As CDSs may lead to postoperative morbidity, they should be actively sought out during surgery if present.Amir Kambal Tomos Richards Harsha Jayamanne Zeyed Sallami Ashraf Rasheed Taha Lazim 2014Hepatobiliary & Pancreatic Diseases International2014,13,2:3
19Integration of Utility Distributed Energy Resource Management System and Aggregators for Evolving Distribution System Operators显示文摘With the rapid integration of distributed energy resources(DERs),distribution utilities are faced with new and unprecedented issues.New challenges introduced by high penetra-tion of DERs range from poor observability to overload and reverse power flow problems,under-/over-voltages,maloperation of legacy protection systems,and requirements for new planning procedures.Distribution utility personnel are not adequately trained,and legacy control centers are not properly equipped to cope with these issues.Fortunately,distribution energy resource management systems(DERMSs)are emerging software technologies aimed to provide distribution system operators(DSOs)with a specialized set of tools to enable them to overcome the issues caused by DERs and to maximize the benefits of the presence of high penetration of these novel resources.However,as DERMS technology is still emerging,its definition is vague and can refer to very different levels of software hierarchies,spanning from decentralized virtual power plants to DER aggregators and fully centralized enterprise systems(called utility DERMS).Although they are all frequently simply called DERIMS,these software technologies have different sets of tools and aim to provide different services to different stakeholders.This paper explores how these different software technologies can complement each other,and how they can provide significant benefits to DSOs in enabling them to successfully manage evolving distribution networks with high penetration of DERs when they are integrated together into the control centers of distribution utilities.Luka Strezoski Harsha Padullaparti Fei Ding Murali Baggu 2022Journal of Modern Power Systems and Clean Energy2022,10,2:2
20Large-diameter biliary orifice balloon dilation to aid in endoscopic bile duct stone removal: a multicenter series显示文摘Siriboon Attasaranya Young Koog Cheon Harsha Vittal Douglas A. Howell Donald E. Wakelin John T. Cunningham Niraj Ajmere Ronald W. Ste Marie Kanishka Bhattacharya Kapil Gupta Martin L. Freeman Stuart Sherman Lee McHenry James L. Watkins Evan L. Fogel Suzet 2008Gastrointestinal Endoscopy2008,,7:2
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