Publications by authors named "Lin-Lin Su"

Background: Maternal and child health outcomes are positively influenced by early intervention, and digital health (DH) tools provide the potential for a low-cost and scalable solution such as informational platforms or digital tracking tools. Despite the wide availability of DH tools out there for women from before to after pregnancy, user engagement remains low.

Objective: This study aims to explore the factors that shape women's DH adoption and sustained use across the maternal journey from preconception to postbirth, to improve user engagement with DH tools.

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We investigated the relationship of preconception maternal retinal vasculature and utero-fetoplacental circulation in ensuing pregnancy. Embedded in a hospital-based, prospective preconception cohort, 396 women with a singleton live birth were included for analysis. We assessed retinal vascular caliber during preconception phase and retrieved ultrasonogram results documenting utero-fetoplacental circulatory indices using Doppler ultrasonography and documented them at 18-21 weeks, 24-28 weeks, and 32-34 weeks where available.

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Chorioamnionitis remains a major cause of preterm birth and maternal and neonatal morbidity. We reviewed the current evidence for the diagnostic tests of chorioamnionitis and how this relates to clinical practice today. A comprehensive literature search and review was conducted on chorioamnionitis and intra-uterine inflammation.

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Health behaviors before, during and after pregnancy can have lasting effects on maternal and infant health outcomes. Although digital health interventions (DHIs) have potential as a pertinent avenue to deliver mechanisms for a healthy behavior change, its success is reliant on addressing the user needs. Accordingly, the current study aimed to understand DHI needs and expectations of women before, during and after pregnancy to inform and optimize future DHI developments.

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This work demonstrates the efficient tuning of incoherent and coherent coupling between emitters embedded in an epsilon-near-zero (ENZ) waveguide coated with a multilayer graphene. As a result, a tunable two-qubit quantum phase gate based on the ENZ waveguide is realized at the cutoff frequency. Furthermore, due to the vanishingly small permittivity of the ENZ waveguide, all incoherent coupling between any two identical emitters located in the central area of the slit approaches a maximum, enabling near-ideal bipartite and multipartite entanglement.

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Objective: To investigate the association between preconception maternal retinal arteriolar calibre and fetal growth.

Design, Setting And Population: A hospital-based, prospective preconception cohort including 369 women with a singleton live birth.

Methods: We collected detailed information on sociodemographic status, pregnancy history and lifestyle, and performed retinal imaging at the preconception visit.

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Article Synopsis
  • - The study explores the potential of using CRISPR/Cas9 and induced pluripotent stem cells (iPSCs) as a treatment for Charcot-Marie-Tooth disease (CMT), a neurological condition that currently has no effective clinical treatment.
  • - Researchers reprogrammed skin fibroblasts from CMT type 2D patients to create iPSCs and successfully repaired a specific genetic mutation responsible for the disease using CRISPR/Cas9 technology.
  • - The successful generation of genetically corrected iPSCs lays the groundwork for future treatments, suggesting a promising direction for developing autologous cell therapies for degenerative neurological diseases like CMT.
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  • Selective fetoscopic laser photocoagulation (SFLP) for treating twin-to-twin transfusion syndrome (TTTS) can be difficult for novice surgeons, but a telementoring and team-based training approach can help them quickly gain necessary skills.* -
  • A study was conducted in Singapore where novice surgical teams performed SFLP in three stages: under expert supervision, with remote guidance, and independently, while also regularly training on high-fidelity tissue models.* -
  • Results showed no significant differences in key procedural outcomes among the groups, with a high percentage of live births and postnatal survival, demonstrating that structured mentoring and training significantly aids new surgeons in achieving good outcomes even with limited patient numbers.*
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Most metal sites and some non-metallic sites such as carbon and nitrogen are usually considered to be traditional active sites during peroxymonosulfate (PMS) activation. However, as an important non-metallic element, the actual role of silicon (Si) in PMS activation still remains unclear. In this work, taking iron silicate (FeSi) as an example, the role of the Si region in PMS activation was clearly revealed.

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  • The study examines how height may impact the diagnosis of gestational diabetes (GDM) during oral glucose tolerance testing (OGTT), focusing on potential misconceptions surrounding shorter women.
  • Shorter women showed lower blood sugar levels and fewer GDM-related complications compared to taller women, suggesting that height may influence GDM diagnoses.
  • The findings imply that the diagnosis of GDM in shorter women might be misleading due to glucose overload, highlighting a need for more nuanced screening methods based on maternal height.
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There are over 50 SARS-CoV-2 candidate vaccines undergoing Phase II and III clinical trials. Several vaccines have been approved by regulatory authorities and rolled out for use in different countries. Due to concerns of potential teratogenicity or adverse effect on maternal physiology, pregnancy has been a specific exclusion criterion for most vaccine trials with only two trials not excluding pregnant women.

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Introduction: Pregnant women are reported to be at increased risk of severe coronavirus disease 2019 (COVID-19) due to underlying immunosuppression during pregnancy. However, the clinical course of COVID-19 in pregnancy and risk of vertical and horizontal transmission remain relatively unknown. We aim to describe and evaluate outcomes in pregnant women with COVID-19 in Singapore.

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Article Synopsis
  • The COVID-19 pandemic, caused by SARS-CoV-2, poses severe risks for pregnant women, with morbidity rates reaching up to 9%, contrasting previous data showing better outcomes.
  • Symptoms in pregnant women may differ, often lacking fever and showing leukocytosis; diagnosis relies on PCR tests, while imaging is advised if tests are negative.
  • Care for acutely ill pregnant patients involves assessing maternal and fetal health, ensuring adequate oxygen levels, and revising standard birth practices to reduce neonatal infection risks.
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The current coronavirus disease 2019 (COVID-19) pneumonia pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is spreading globally at an accelerated rate, with a basic reproduction number (R0) of 2-2.5, indicating that 2-3 persons will be infected from an index patient. A serious public health emergency, it is particularly deadly in vulnerable populations and communities in which healthcare providers are insufficiently prepared to manage the infection.

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Following the publication of this article, the authors noticed that the published versions of Figs. 2, 7 and 8 contained incorrect western bands. In examining their raw data, the authors realized that they had used the fibroblasts of keloids [high expression of alpha‑smooth muscle actin (α‑SMA)] instead of adult dermal fibroblasts (low expression of α‑SMA) in certain experiments.

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Exosomes are nanovesicles secreted from various types of cells and can be isolated from various bodily fluids, such as blood and urine. The number and molecular contents, including proteins and RNA of exosomes, have been shown to reflect their parental cell origins, characteristics and biological behaviors. An increasing number of studies have demonstrated that exosomes play a role in the course of tumorigenesis, diagnosis, treatment and prognosis, although its precise functions in tumors are still unclear.

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