Publications by authors named "Choo K"

Purposes: The objective was to evaluate the accuracy of a novel CT dynamic angiographic imaging (CT-DAI) algorithm for rapid fractional flow reserve (FFR) measurement in patients with coronary artery disease (CAD).

Materials And Methods: This retrospective study included 14 patients (age 58.5 ± 10.

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Circular RNAs (circRNAs) are post-transcriptional regulators generated from backsplicing of pre-mRNAs of host genes. A major circRNA regulatory mechanism involves microRNA (miRNA) sequestering, relieving miRNA-blocked mRNAs for translation and functions. To investigate possible circRNA-host gene relationship, skeletal myogenesis is chosen as a study model for its developmental importance and for readily available muscle tissues from farm animals for studies at different myogenic stages.

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  • Several new therapies, including biologics and JAK inhibitors, have been approved for treating atopic dermatitis (AD) in Singapore since 2016, leading to an update of treatment guidelines for moderate-to-severe cases.
  • A modified Delphi panel with 12 dermatologists conducted surveys to reach consensus on treatment statements, resulting in agreement on 43 statements across different treatment categories.
  • The study highlights dupilumab and JAK inhibitors as potential first-line treatments for certain patients with moderate-to-severe AD, and indicates that further updates to the guidelines may be necessary as new information emerges.
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  • This study investigates how features seen in multiparametric MRI of breast tumors relate to the amount of tumor found in axillary lymph nodes for women with invasive breast cancer.
  • Key findings indicate that factors like peritumoral edema, lower ADC values, larger tumor size, and certain histological types are linked to a higher number of affected lymph nodes.
  • The research concludes that MRI characteristics, specifically peritumoral edema and ADCmax values, can help predict how much cancer has spread to the lymph nodes.
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Background And Objectives: Among various emerging catheter-based treatments for severe tricuspid regurgitation (TR), the spacer device can reduce the regurgitation orifice without manipulating the valve leaflet. However, its clinical application has been hampered by traumatic anchoring to the myocardium and the coaxial alignment of the balloon resulting in insufficient TR reduction. This study aimed to evaluate the early-stage safety, technical feasibility, and preliminary efficacy of the novel atraumatic vertical spacer in patients with isolated severe TR.

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Drug reaction with eosinophilia and systemic symptoms (DRESS) is a rare severe cutaneous adverse drug reaction associated with multi-organ involvement and long-term sequelae. Human herpesviridae species reactivation has been observed, however, risk factors for reactivation and its impact on the clinical course and outcomes is unclear. We aimed to explore the impact of viral reactivation on DRESS on clinical outcomes and to identify potential risk factors for reactivation.

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Objective: To evaluate whether breast parenchymal features of the contralateral breast on preoperative MRI are associated with primary breast cancer characteristics and disease-free survival (DFS) in women with invasive breast cancer.

Materials And Methods: Women with newly diagnosed invasive breast cancer who underwent preoperative breast MRI followed by surgery were retrospectively evaluated. Background parenchymal enhancement (BPE) on dynamic contrast-enhanced MRI and background diffusion signal (BDS) on diffusion-weighted MRI of the contralateral breast were qualitatively assessed using a four-category scale: minimal, mild, moderate, or marked.

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  • The review highlights the growing field of teledermatology research but notes significant gaps and variable depth in the evidence, which can inform clinicians and guide future research.* -
  • Conducted according to established guidelines, the analysis included 14 systematic reviews from various databases, focusing on their characteristics, conditions studied, and the quality of the evidence.* -
  • Findings indicate that teledermatology is generally comparable to traditional clinic dermatology and is well-received by patients, although issues like privacy, communication, and longer consultation times for healthcare professionals were noted.*
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von Hippel-Lindau (VHL) is an autosomal-dominant hereditary tumour susceptibility disease associated with pathogenic germline variants in the tumour suppressor gene. VHL patients are at increased risk of developing multiple benign and malignant tumours. Current CLIA-based genetic tests demonstrate a very high detection rate of germline variants in patients with clinical manifestations of VHL.

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  • Naja species bites are a leading cause of consultations for snake envenomation in Malaysia, often resulting in severe neuroparalytic and cardiotoxic effects.
  • A reported case highlighted a 14-year-old boy who experienced cardiotoxicity, evident through an abnormal ECG, following a bite from the equatorial spitting cobra, Naja sumatrana, before showing signs of paralysis.
  • Timely administration of antivenom led to the resolution of symptoms, emphasizing the importance of monitoring for cardiotoxicity in envenomation cases to ensure quick treatment.
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Introduction: Human epidermal growth factor receptor 2 (HER2)-targeted therapies have shown effectiveness against HER2-positive breast cancer. This makes neoadjuvant chemotherapy (NAC) a valuable option for treating both early and advanced stages of the disease. The tumor's response to HER2-targeted NAC provides crucial prognostic information.

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Objective: There is very limited published experience on mangrove pit viper envenomation in the medical literature. This study aims to analyze the clinical characteristics, treatment modalities and outcomes of patients presenting to Selangor middle zone cluster Hospitals in Malaysia with confirmed mangrove pit viper bites.

Methods: We conducted a retrospective observational study, reviewing medical records of patients treated for mangrove pit viper bites between July 1, 2020 to June 30, 2023.

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  • The study looked at a rare heart condition called R-AAOCA, where the right coronary artery starts from the left side, and its possible link to sudden cardiac death.
  • They checked data from a lot of heart scans (over 89,000) but ended up focusing on 224 patients who had the specific condition and were followed for a while.
  • They found that out of those patients, only a few experienced serious heart problems, and none actually died suddenly, showing that this condition alone might not be a major risk for sudden death.
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The occurrence of biofouling restricts the widespread application of membrane bioreactors (MBRs) in wastewater treatment. Regulation of quorum sensing (QS) is a promising approach to control biofouling in MBRs, yet the underlying mechanisms are complex and remain to be illustrated. A fundamental understanding of the relationship between QS and membrane biofouling in MBRs is lacking, which hampers the development and application of quorum quenching (QQ) techniques in MBRs (QQMBRs).

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The presence in seawater of low-molecular-weight polyethylene (PE) and polydimethylsiloxane (PDMS), synthetic polymers with high chemical resistance, has been demonstrated in this study for the first time by developing a novel methodology for their recovery and quantification from surface seawater. These synthetic polymer debris (SPD) with very low molecular weights and sizes in the nano- and micro-metre range have escaped conventional analytical methods. SPD have been easily recovered from water samples (2 L) through filtration with a nitrocellulose membrane filter with a pore size of 0.

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Background: The advancement of medical interventions towards minimally invasive procedures highlights the crucial role of precise pre-procedural evaluation, particularly in catheter-based treatments for heart and cardiovascular conditions. This study investigates innovative techniques such as mitral loop cerclage (MLC) and transcatheter intramyocardial radiofrequency ablation (TIRA), emphasizing the importance of preprocedural cardiac CT scans for accurate anatomical guidance in these emerging therapies.

Purpose: The objective of this study was to assess the cardiac cycle through examination of the proximal septal vein (ps) for mitral loop cerclage and the distal septal vein (ds) for transcatheter intramyocardial radiofrequency ablation.

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Augmentative alternative communication (AAC) devices or systems are often prescribed to minimally verbal or nonspeaking autistic individuals and other individuals with complex communication needs to facilitate communication or as an alternative to spoken language. AAC use can result in communication gains and improved quality of life for minimally verbal or nonspeaking individuals. Despite this, AAC abandonment is high, limiting societal participation of the individual on the autism spectrum with complex communication needs.

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Membrane technologies have become proficient alternatives for advanced wastewater treatment, ensuring high contaminant removal and sustainable resource recovery. Despite significant progress, ongoing research efforts aim to further optimize treatment performance. Among the challenges faced, membrane fouling persists as a relevant obstacle in membrane technologies, necessitating the development of more effective mitigation strategies.

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This study addresses membrane biofouling in membrane bioreactors (MBRs) by exploring fungal-to-bacterial quorum quenching (QQ) strategies. While most research has been focused on bacterial-to-bacterial QQ tactics, this study identified fungal strain Vanrija sp. MS1, which is capable of degrading N-acyl-homoserine lactones (signaling molecules of Gram-negative bacteria).

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  • The text talks about a serious condition called malrotation and volvulus that can cause babies and young kids to vomit bile, which is greenish-yellow liquid.
  • The aim of the study was to see how quickly doctors found and treated this condition and if that made a difference for the kids' health.
  • They looked at 96 cases and found that most affected kids were very young, but how long it took for them to get help didn’t really change how sick they got or if they survived.
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The next generation of the self-forming dynamic membrane, referred to in this study as the "Living Membrane (LM)", is a new patented technology based on an encapsulated biological layer that self-forms on a designed coarse-pore size support material during wastewater treatment and acts as a natural membrane filter. Integrating electrochemical processes with wastewater treatment using the LM approach has also been recently studied (the reactor is referred to as the Electro-Living Membrane Bioreactor or e-LMBR). This study investigated the effects of varying current densities, i.

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As machine learning (ML) usage becomes more popular in the healthcare sector, there are also increasing concerns about potential biases and risks such as privacy. One countermeasure is to use federated learning (FL) to support collaborative learning without the need for patient data sharing across different organizations. However, the inherent heterogeneity of data distributions among participating FL parties poses challenges for exploring group fairness in FL.

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Among unmanned surface vehicle (USV) components, underwater thrusters are pivotal in their mission execution integrity. Yet, these thrusters directly interact with marine environments, making them perpetually susceptible to malfunctions. To diagnose thruster faults, a non-invasive and cost-effective vibration-based methodology that does not require altering existing systems is employed.

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