Gaurav Sharma

Bio: Gaurav Sharma is an academic researcher from Shenzhen University. The author has contributed to research in topics: Medicine & Photocatalysis. The author has an hindex of 82, co-authored 1244 publications receiving 31482 citations. Previous affiliations of Gaurav Sharma include Northeastern University & D. E. Shaw & Co..

Thoraco-Abdominal Pressure Gradients During the Phases of Respiration Contribute to Gastroesophageal Reflux Disease

Abstract: Exaggerated pressure fluctuation between the thorax and abdomen during exercise or with pulmonary disease may challenge the gastroesophageal barrier and allow reflux of gastric juice into the esophagus. The aim of this study was to investigate the pressure differentials in the region of the gastroesophageal junction to better understand the relationship between the thoraco-abdominal pressure gradient and the lower esophageal sphincter (LES) barrier function. We reviewed the esophageal motility and 24-h pH studies in 151 patients with a manometrically normal lower esophageal sphincter who did not have pulmonary disease, history of anti-reflux surgery, hiatal hernia, or ineffective esophageal motility (IEM). Intra-abdominal gastric and intra-thoracic esophageal pressure fluctuations with respiration were measured and the thoraco-abdominal pressure gradients were calculated during both inspiratory and expiratory phases of the respiratory cycle. Predictive factors for an abnormal composite pH score were identified by multivariable analysis. An inspiratory thoraco-abdominal pressure gradient that was higher than the resting LES pressure was found in 27 patients. In 23 of these patients (85.2%) there was increased esophageal acid exposure (OR 13.5, 95% CI 4.4–41.8). An abnormal composite pH score was predicted by a high inspiratory thoraco-abdominal pressure gradient (P < 0.001), greater fluctuation between inspiratory and expiratory thoracic pressure (P = 0.023), lower LES resting pressure (P = 0.049) and a decreased residual pressure after a swallow induced relaxation (P = 0.002). The gastroesophageal barrier function of the LES can be overcome during times when the inspiratory thoraco-abdominal pressure gradient is increased, leading to reflux of gastric juice into the esophagus. This implies that exaggerated ventilatory effort, as occurs with exercise or in respiratory disease, can result in gastroesophageal reflux.

Local Image Registration by Adaptive Filtering

Abstract: We propose a new adaptive filtering framework for local image registration, which compensates for the effect of local distortions/displacements without explicitly estimating a distortion/displacement field. To this effect, we formulate local image registration as a two-dimensional (2-D) system identification problem with spatially varying system parameters. We utilize a 2-D adaptive filtering framework to identify the locally varying system parameters, where a new block adaptive filtering scheme is introduced. We discuss the conditions under which the adaptive filter coefficients conform to a local displacement vector at each pixel. Experimental results demonstrate that the proposed 2-D adaptive filtering framework is very successful in modeling and compensation of both local distortions, such as Stirmark attacks, and local motion, such as in the presence of a parallax field. In particular, we show that the proposed method can provide image registration to: a) enable reliable detection of watermarks following a Stirmark attack in nonblind detection scenarios, b) compensate for lens distortions, and c) align multiview images with nonparametric local motion

Potentially high-risk cardiac arrhythmias with focal to bilateral tonic-clonic seizures and generalized tonic-clonic seizures are associated with the duration of periictal hypoxemia.

Abstract: SummaryObjective To investigate potentially high-risk cardiac arrhythmias (PHAs) following focal to bilateral tonic–clonic seizures (FBTCSs) and generalized tonic–clonic seizures (GTCSs) and to study the association of PHAs with seizure characteristics and the severity of associated ictal respiratory dysfunction. Methods Electrocardiographic (EKG) and pulse oximetry (SpO2) data were recorded concurrently with video-electroencephalographic telemetry in the epilepsy monitoring unit (EMU). One minute of preictal EKG, the ictal EKG, and 2 min of ictal/postictal data were reviewed for each seizure. Nonsustained ventricular tachycardia, bradyarrhythmia, and/or sinus pauses were considered as PHAs. FBTCSs/GTCSs with PHAs were compared to those that had only ictal sinus tachycardia. Results Data from 69 patients with 182 FBTCSs/GTCSs with usable SpO2 and EKG recordings were available. There were 10 FBTCSs/GTCSs in 10 patients with a PHA. The presence of PHAs was not associated with seizure duration or SpO2 nadir. FBTCSs/GTCSs with a PHA were significantly associated with the duration of oxygen desaturation < 90% when compared with FBTCSs/GTCSs with only sinus tachycardia (Mann–Whitney, p = 0.042). Desaturation duration of <100 s was not significantly associated with occurrence of PHAs (p = 0.110) when compared with seizures that had only sinus tachycardia. The odds ratio for occurrence of PHA was 7.86 for desaturation durations ≥ 125 s versus desaturations < 125 s (p = 0.005). The odds ratio increased to 13.09 for desaturation durations ≥ 150 s (p < 0.001). Preictal and ictal/postictal arrhythmias occurred with focal seizures that did not progress to FBTCSs. Four patients with focal seizures had ictal/postictal PHAs without preictal PHAs. Two of these patients had evidence for prior cardiac disturbance. Significance PHAs following a single FBTCS/GTCS in the EMU are significantly associated with the duration of ictal/postictal hypoxemia. It is possible that FBTCS/GTCS-associated hypoxemia may trigger fatal cardiac arrhythmias in a subset of susceptible patients dying of sudden unexpected death in epilepsy.

Network tomography via network coding

Abstract: In this work we show how existing network coding algorithms can be used to perform network tomography, i.e., estimate network topology. We first examine a simple variant of the popular distributed random network codes proposed by (Ho et al.) and show how it can enable each network node to passively estimate the network topology upstream of it at no cost to throughput. The delays introduced by each upstream node and link can also be similarly estimated. We then consider the scenario wherein an adversary hidden in the network wishes to disrupt the estimation of network topology. We show how network error-correcting codes can be used to reliably perform network tomography if the network has sufficient connectivity, and demonstrate that network tomography is impossible otherwise.

Remediation of anionic dye from aqueous system using bio-adsorbent prepared by microwave activation.

Abstract: The present study was attempted to ascertain the possible application of activated carbon as a cost-effective and eco-friendly adsorbent prepared via microwave-assisted chemical activation. The activated carbon was characterized using different techniques. The various adsorption parameters have been optimized to examine the viability of activated carbon as a plausible sorbent for the remediation of Congo red (CR) dye from the aquatic system. The equilibrium data adequately fitted to the Langmuir isotherm with better R2 (0.994). The maximum adsorption capacity (qm) of activated carbon was recorded to be 68.96 mg/g. Additionally, sorptional kinetic data were examined by reaction-based and diffusion-based models such as pseudo-first-order and pseudo-second-order equations, and Elovich, intra-particle diffusion, and Dumwald–Wagner models, respectively. The computed values of thermodynamic parameters such as free energy change (ΔG0), enthalpy change (ΔH0) and entropy change (ΔS0) were recorded as −3.63...

I and i

Abstract: There is, I think, something ethereal about i —the square root of minus one. I remember first hearing about it at school. It seemed an odd beast at that time—an intruder hovering on the edge of reality. Usually familiarity dulls this sense of the bizarre, but in the case of i it was the reverse: over the years the sense of its surreal nature intensified. It seemed that it was impossible to write mathematics that described the real world in …

SPAdes, a new genome assembly algorithm and its applications to single-cell sequencing ( 7th Annual SFAF Meeting, 2012)

Abstract: The lion's share of bacteria in various environments cannot be cloned in the laboratory and thus cannot be sequenced using existing technologies. A major goal of single-cell genomics is to complement gene-centric metagenomic data with whole-genome assemblies of uncultivated organisms. Assembly of single-cell data is challenging because of highly non-uniform read coverage as well as elevated levels of sequencing errors and chimeric reads. We describe SPAdes, a new assembler for both single-cell and standard (multicell) assembly, and demonstrate that it improves on the recently released E+V-SC assembler (specialized for single-cell data) and on popular assemblers Velvet and SoapDeNovo (for multicell data). SPAdes generates single-cell assemblies, providing information about genomes of uncultivatable bacteria that vastly exceeds what may be obtained via traditional metagenomics studies. SPAdes is available online ( http://bioinf.spbau.ru/spades ). It is distributed as open source software.