Background: Acute Kidney Injury (AKI) stands as a prominent postoperative complication in on-pump cardiac surgery, with repercussions on morbidity, mortality, and hospitalization duration. Current diagnostic criteria ...Background: Acute Kidney Injury (AKI) stands as a prominent postoperative complication in on-pump cardiac surgery, with repercussions on morbidity, mortality, and hospitalization duration. Current diagnostic criteria relying on serum creatinine levels exhibit a delayed identification of AKI, prompting an exploration of alternative biomarkers. Aims and Objectives: This study is designed to overcome diagnostic constraints and explore the viability of serum Cystatin C as an early predictor of Acute Kidney Injury (AKI) in individuals undergoing on-pump cardiac surgery. The investigation aims to establish the relationship between serum Cystatin C levels and the onset of AKI in patients subjected to on-pump cardiac surgery. Primary objectives involve the assessment of the diagnostic effectiveness of serum Cystatin C, its comparison with serum creatinine, and the exploration of its potential for the early identification and treatment of AKI. Methodology: Conducted as a single-center study at the cardiac surgery department of BSMMU in Bangladesh from September 2020 to August 2022, a comparative cross-sectional analysis involved 31 participants categorized into No AKI and AKI groups based on Kidney Disease: Improving Global Outcomes (KDIGO) criteria. Data collection encompassed preoperative, post-CBP (cardiopulmonary bypass) conclusion at 2 hours, postoperative day 1, and postoperative day 2 intervals. Statistical analyses included Chi-squared tests, independent Student’s t-tests, and one-sample t-tests. Significance was set at P Results: The study revealed no significant differences in baseline characteristics between the No AKI and AKI groups, except for CPB time and cross-clamp time. Serum Cystatin C levels in the AKI group exhibited statistical significance at various time points, highlighting its potential as an early detector. Conversely, Serum Creatinine levels in the AKI group showed no statistical significance. The Receiver Operating Characteristic (ROC) curve analysis further supported the efficacy of serum Cystatin C, with an Area under the ROC Curve of 0.864 and a cut-off value of 0.55 (p Conclusion: This study supports the superior utility of serum Cystatin C as an early detector of AKI in on-pump cardiac surgery patients compared to serum creatinine. Its ability to identify AKI several hours earlier may contribute to reduced morbidity, mortality, and healthcare costs. The findings underscore the significance of exploring novel biomarkers for improved post-cardiac surgery renal function assessment.展开更多
The structural and tectonic evolution of the Bengal Basin is characterized by a complex interplay of factors, including sedimentation, the rise of the Himalayan Mountains, and the movements of Jurassic syn-rift faults...The structural and tectonic evolution of the Bengal Basin is characterized by a complex interplay of factors, including sedimentation, the rise of the Himalayan Mountains, and the movements of Jurassic syn-rift faults. This study aims to comprehend the progression of growth faults inside the basin by examining fault geometry, basin development, and structural relief patterns. We used high-quality 2D seismic lines from the PK-MY-8403, classical seismic interpretation techniques and modeling were carried out to reveal the plate tectonic conditions, stratigraphy, and sedimentation history of the basin. The break-up unconformity, Paleocene and Eocene submerged conditions, and crucial geological formations including the Sylhet Limestone, Barail Group, and Surma Group were among the notable features recognized in seismic section. With an emphasis on growth strata and pre-growth strata, significant variations in layer thickness and relief were remarked in different stratigraphic levels. Basin development events like the evolution of the Miocene remnant ocean basin, sedimentation in Oligocene, Eocene Himalayan collision, and the Pliocene reverse fault development are analyzed. In the early the Pliocene compressional forces outpaced sedimentation rates and syn-depositional normal faults of Oligocene time began to move in opposite direction. Syn-depositional growth faults may have formed in the Bengal Basin as a result of this reversal. This research provides a detailed comprehensive knowledge of growth fault development in the Bengal Basin following the seismic interpretation, modelling, and thickness/relief analysis. The outcomes point to a substantial hydrocarbon potential, especially in regions like the Eocene Hinge Zone, where the prospectivity of the area is enhanced by carbonate reefs and Jalangi shale. However, the existence of petroleum four-way closure in the investigated region requires further investigation.展开更多
Background: Atrial fibrillation commonly occurs following cardiac surgery, particularly after coronary artery bypass grafting. Magnesium, known for its stabilizing effect on cell membranes, has shown promise in preven...Background: Atrial fibrillation commonly occurs following cardiac surgery, particularly after coronary artery bypass grafting. Magnesium, known for its stabilizing effect on cell membranes, has shown promise in preventing postoperative atrial fibrillation. This study aimed to assess the impact of intravenous magnesium infusion in preventing atrial fibrillation after off-pump coronary artery bypass grafting, where maintaining stable cell membranes is crucial in averting this complication. Methods: A cross-sectional study was conducted at the Department of Cardiac Surgery, Bangabandhu Sheikh Mujib Medical University, from March 2020 to February 2022. Sixty-six patients who underwent off-pump coronary artery bypass grafting were enrolled and divided into two groups. Group A (n = 33) received intravenous magnesium sulfate (10 mmol/2.47gm) for three days after surgery, while Group B (n = 33) did not receive magnesium sulfate. Postoperative atrial fibrillation occurrence in the Intensive Care Unit (ICU) within three days after surgery was evaluated using convenient sampling. Statistical analysis was performed with SPSS version 26.0, utilizing independent Student’s t-test for continuous data and Chi-square and Fisher’s exact test for categorical data. A p-value of ≤0.05 was considered statistically significant. Results: No significant differences in age or gender were observed between the two groups. Group B exhibited significantly lower magnesium levels than Group A on the 0<sup>th</sup>, 1<sup>st</sup>, 2<sup>nd</sup>, and 3<sup>rd</sup> days post-surgery. Additionally, Group B experienced a higher incidence of postoperative atrial fibrillation, longer ICU stays, and two mortalities. The study did not detect any adverse effects associated with magnesium infusion. Conclusion: It has been demonstrated that administering magnesium intravenously after off-pump coronary artery bypass grafting can lower the chances of developing atrial fibrillation. This demonstrates the potential advantages of using magnesium as a preventative measure for postoperative atrial fibrillation in such cases.展开更多
Currently, communication system requires multiband small antennas for 5G mobile applications. Driven this motivation, this paper proposes a multiband patch antenna for Wi-Fi, WiMAX and 5G applications. The proposed an...Currently, communication system requires multiband small antennas for 5G mobile applications. Driven this motivation, this paper proposes a multiband patch antenna for Wi-Fi, WiMAX and 5G applications. The proposed antenna can effectively operate at 2.4 GHz as Wi-Fi, 7.8 GHz as WiMAX and 33.5 GHz as 5G communication purposes. The proposed antenna arrays have given directional radiation patterns, very small voltage standing wave ratio, high gain (VSWR) and directivity for each aforementioned systems operating frequency. This antenna is made for multiband purpose which can be effective for not only Wi-Fi and WiMAX but also 5G applications.展开更多
文摘Background: Acute Kidney Injury (AKI) stands as a prominent postoperative complication in on-pump cardiac surgery, with repercussions on morbidity, mortality, and hospitalization duration. Current diagnostic criteria relying on serum creatinine levels exhibit a delayed identification of AKI, prompting an exploration of alternative biomarkers. Aims and Objectives: This study is designed to overcome diagnostic constraints and explore the viability of serum Cystatin C as an early predictor of Acute Kidney Injury (AKI) in individuals undergoing on-pump cardiac surgery. The investigation aims to establish the relationship between serum Cystatin C levels and the onset of AKI in patients subjected to on-pump cardiac surgery. Primary objectives involve the assessment of the diagnostic effectiveness of serum Cystatin C, its comparison with serum creatinine, and the exploration of its potential for the early identification and treatment of AKI. Methodology: Conducted as a single-center study at the cardiac surgery department of BSMMU in Bangladesh from September 2020 to August 2022, a comparative cross-sectional analysis involved 31 participants categorized into No AKI and AKI groups based on Kidney Disease: Improving Global Outcomes (KDIGO) criteria. Data collection encompassed preoperative, post-CBP (cardiopulmonary bypass) conclusion at 2 hours, postoperative day 1, and postoperative day 2 intervals. Statistical analyses included Chi-squared tests, independent Student’s t-tests, and one-sample t-tests. Significance was set at P Results: The study revealed no significant differences in baseline characteristics between the No AKI and AKI groups, except for CPB time and cross-clamp time. Serum Cystatin C levels in the AKI group exhibited statistical significance at various time points, highlighting its potential as an early detector. Conversely, Serum Creatinine levels in the AKI group showed no statistical significance. The Receiver Operating Characteristic (ROC) curve analysis further supported the efficacy of serum Cystatin C, with an Area under the ROC Curve of 0.864 and a cut-off value of 0.55 (p Conclusion: This study supports the superior utility of serum Cystatin C as an early detector of AKI in on-pump cardiac surgery patients compared to serum creatinine. Its ability to identify AKI several hours earlier may contribute to reduced morbidity, mortality, and healthcare costs. The findings underscore the significance of exploring novel biomarkers for improved post-cardiac surgery renal function assessment.
文摘The structural and tectonic evolution of the Bengal Basin is characterized by a complex interplay of factors, including sedimentation, the rise of the Himalayan Mountains, and the movements of Jurassic syn-rift faults. This study aims to comprehend the progression of growth faults inside the basin by examining fault geometry, basin development, and structural relief patterns. We used high-quality 2D seismic lines from the PK-MY-8403, classical seismic interpretation techniques and modeling were carried out to reveal the plate tectonic conditions, stratigraphy, and sedimentation history of the basin. The break-up unconformity, Paleocene and Eocene submerged conditions, and crucial geological formations including the Sylhet Limestone, Barail Group, and Surma Group were among the notable features recognized in seismic section. With an emphasis on growth strata and pre-growth strata, significant variations in layer thickness and relief were remarked in different stratigraphic levels. Basin development events like the evolution of the Miocene remnant ocean basin, sedimentation in Oligocene, Eocene Himalayan collision, and the Pliocene reverse fault development are analyzed. In the early the Pliocene compressional forces outpaced sedimentation rates and syn-depositional normal faults of Oligocene time began to move in opposite direction. Syn-depositional growth faults may have formed in the Bengal Basin as a result of this reversal. This research provides a detailed comprehensive knowledge of growth fault development in the Bengal Basin following the seismic interpretation, modelling, and thickness/relief analysis. The outcomes point to a substantial hydrocarbon potential, especially in regions like the Eocene Hinge Zone, where the prospectivity of the area is enhanced by carbonate reefs and Jalangi shale. However, the existence of petroleum four-way closure in the investigated region requires further investigation.
文摘Background: Atrial fibrillation commonly occurs following cardiac surgery, particularly after coronary artery bypass grafting. Magnesium, known for its stabilizing effect on cell membranes, has shown promise in preventing postoperative atrial fibrillation. This study aimed to assess the impact of intravenous magnesium infusion in preventing atrial fibrillation after off-pump coronary artery bypass grafting, where maintaining stable cell membranes is crucial in averting this complication. Methods: A cross-sectional study was conducted at the Department of Cardiac Surgery, Bangabandhu Sheikh Mujib Medical University, from March 2020 to February 2022. Sixty-six patients who underwent off-pump coronary artery bypass grafting were enrolled and divided into two groups. Group A (n = 33) received intravenous magnesium sulfate (10 mmol/2.47gm) for three days after surgery, while Group B (n = 33) did not receive magnesium sulfate. Postoperative atrial fibrillation occurrence in the Intensive Care Unit (ICU) within three days after surgery was evaluated using convenient sampling. Statistical analysis was performed with SPSS version 26.0, utilizing independent Student’s t-test for continuous data and Chi-square and Fisher’s exact test for categorical data. A p-value of ≤0.05 was considered statistically significant. Results: No significant differences in age or gender were observed between the two groups. Group B exhibited significantly lower magnesium levels than Group A on the 0<sup>th</sup>, 1<sup>st</sup>, 2<sup>nd</sup>, and 3<sup>rd</sup> days post-surgery. Additionally, Group B experienced a higher incidence of postoperative atrial fibrillation, longer ICU stays, and two mortalities. The study did not detect any adverse effects associated with magnesium infusion. Conclusion: It has been demonstrated that administering magnesium intravenously after off-pump coronary artery bypass grafting can lower the chances of developing atrial fibrillation. This demonstrates the potential advantages of using magnesium as a preventative measure for postoperative atrial fibrillation in such cases.
文摘Currently, communication system requires multiband small antennas for 5G mobile applications. Driven this motivation, this paper proposes a multiband patch antenna for Wi-Fi, WiMAX and 5G applications. The proposed antenna can effectively operate at 2.4 GHz as Wi-Fi, 7.8 GHz as WiMAX and 33.5 GHz as 5G communication purposes. The proposed antenna arrays have given directional radiation patterns, very small voltage standing wave ratio, high gain (VSWR) and directivity for each aforementioned systems operating frequency. This antenna is made for multiband purpose which can be effective for not only Wi-Fi and WiMAX but also 5G applications.
