Publications by authors named "A Maran"

Coronary artery disease remains a leading cause of morbidity and mortality globally, with chronic total occlusions (CTOs) representing a particularly challenging subset. Percutaneous coronary intervention (PCI) for CTOs has evolved significantly over the years, driven by advancements in equipment, techniques, and operator expertise. However, women have historically been underrepresented in clinical trials and guidelines, leading to a gap in an evidence-based management tailored to their specific needs, including in CTO-PCI.

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Article Synopsis
  • An error grid is a tool that helps compare glucose levels measured by devices to see if they are correct and to identify any risks.
  • Experts created a new error grid called the DTS Error Grid that works for both blood glucose monitors (BGMs) and continuous glucose monitors (CGMs), organizing accuracy into five risk zones.
  • The results showed that the DTS Error Grid provides a clearer picture of how accurate these devices are and includes a separate matrix to evaluate how well CGMs track glucose trends over time.
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Introduction: Human metapneumovirus (hMPV) and respiratory syncytial virus (RSV) are significant contributors to the burden of acute respiratory infections in children, but data on hMPV from Southeast Asia are limited despite its potential for serious disease. This study aimed to compare the clinical presentation, resource utilisation and outcomes between hMPV and RSV infections in hospitalised Malaysian children.

Methods: This retrospective, observational study included children aged ≤12 years old hospitalised with hMPV or RSV, confirmed via direct fluorescent antibody (DFA) methods, between 1 July to 30 October 2022 at Hospital Tuanku Ja'afar Seremban, Malaysia.

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Article Synopsis
  • - Advances in PCI devices have increased the number of patients eligible for complex revascularization procedures, including those with serious health issues or complicated heart conditions (CHIP).
  • - This review compares two specific cases of CHIP interventions conducted in the USA, illustrating differences in practice between American and Japanese operators.
  • - Key discussion points include patient selection, collaborative decision-making through heart teams, hemodynamic support usage, and the potential for learning and improving outcomes from international practices.
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  • The study investigates the "fast-glycator" phenotype in individuals with type 1 diabetes (T1D), comparing their long-term glucose levels to their HbA1c values to assess health risks.
  • Among 135 participants, 22.2% were identified as fast glycators, who showed higher HbA1c levels and greater accumulation of advanced glycation end products (AGEs) compared to others.
  • Fast glycators also had significantly higher rates of diabetes-related complications, including dyslipidemia, macroangiopathy, albuminuria, and retinopathy, indicating a serious health risk associated with this phenotype.
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