Publications by authors named "Narayanasamy S"

Imaging plays a critical role in the management of chronic liver disease (CLD) because it is a safe and painless method to assess liver health. The widely used imaging techniques include ultrasound, computed tomography and magnetic resonance imaging. These techniques allow the measurement of fat deposition, iron content, and fibrosis, replacing invasive liver biopsies in many cases.

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While the use of phages in the food and biomedical sectors occurs commercially, their application in the water sector is less common and is typically demonstrated at a lower technological readiness level. This is so despite the potential that phages have to enhance the control of problematic bacteria (including pathogens) and protect infrastructure within the water sector. Fulfilling the great potential of this nascent field requires more research and development.

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Rationale And Objectives: To investigate the effect of ComBat harmonization on the stability of myocardial radiomic features derived from multi-energy CT reconstructions.

Materials And Methods: A retrospective study was conducted on 205 patients who underwent dual-energy chest CTA at a single center. The data was reconstructed into multiple spectral reconstructions (mixed energy simulating standard 120 Kv acquisition and monoenergetic images ranging from 40 to 190 keV in increments of 10).

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Uncontrolled anthropogenic activities have contaminated water resources with emerging contaminants such as pharmaceuticals, pesticides, microplastics, per- and poly-fluoroalkyl substances (PFAS), and heavy metals, making them unsuitable for living ecosystems. Emerging contaminants pose a severe threat to ecosystems. Hence water treatment methods through improved efficiencies are essential for removing these contaminants at ease of application and at low energy.

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  • - The study aimed to evaluate smartphone usage patterns and their effects on the eye's accommodation and convergence systems among Malaysian teenagers aged 13 to 17, involving 62 participants using questionnaires and eye exams.
  • - Findings indicated that teenagers use smartphones for over 6 hours daily, mainly for videos and games, yet most did not report any eye strain or prescription changes; however, after 30 minutes of continuous use, eye accommodation and convergence abilities significantly decreased.
  • - The research concluded that frequent smartphone use increases visual stress, weakening eye functions, and recommended taking regular breaks and following the 20-20-20 rule to help maintain eye health.
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  • Cerium pollution from industrial waste poses significant environmental risks, necessitating effective treatment methods for contaminated water.
  • This study investigates the use of phosphoric acid-activated biochar (PPMB), derived from palmyra palm male flower, as an efficient adsorbent for removing cerium from water, optimizing key parameters for adsorption efficiency.
  • Findings indicate that PPMB’s superior adsorption capacity (141.35 mg/g) is attributed to its unique surface properties and mechanisms, making it a promising and sustainable solution for cerium pollution remediation.
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  • This study investigates the differences in cardiac strain between children with multisystem inflammatory syndrome (MIS-C) and a control group using advanced cardiac magnetic resonance imaging techniques.
  • The research involved a retrospective analysis of 32 MIS-C patients and 64 controls, examining cardiac function through automated strain measurements at different heart muscle layers.
  • Results indicated that there were no significant differences in overall cardiac strain or physical characteristics (such as age, height, and weight) between the two groups at medium-term follow-up after the diagnosis of MIS-C.
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The indiscriminate administration of broad-spectrum antibiotics is a primary contributor to the increasing prevalence of antibiotic resistance. Unfortunately, culture, the gold standard for bacterial identification is a time intensive process. Due to this extended diagnostic period, broad-spectrum antibiotics are generally prescribed to prevent poor outcomes.

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Enterocolic lymphocytic phlebitis (ELP) is an idiopathic form of venous inflammation that is limited to the gastrointestinal tract. It is characterised by inflammation of the veins with no involvement of the arteries. Usually, it presents with gastrointestinal symptoms such as abdominal pain, and imaging may suggest malignancy.

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This pictorial review aims to provide a structured approach to the interpretation of post esophagectomy CT by reviewing the major esophagectomy surgeries and conduit reconstructions, along with their associated complications at key anatomical landmarks. This paper combines an image rich experience and evidence-based approach to common and rare complications. The paper begins with an overview of the conventional Ivor Lewis esophagectomy and the expected postoperative imaging appearance (with separate detailed tables on additional surgical reconstructions), followed by a focused review of various complications at specific anatomical sites in a systematic fashion.

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Calcium is an important second messenger that is involved in almost all cellular processes. Disruptions in the regulation of intracellular Ca levels ([Ca]) adversely impact normal physiological function and can contribute to various diseased conditions. STIM and Orai proteins play important roles in maintaining [Ca] through store-operated Ca entry (SOCE), with STIM being the primary regulatory protein that governs the function of Orai channels.

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  • Visual impairment can be preventable or treatable with proper access to eye care services, and optometrists play a crucial role in early detection and intervention for eye-related issues.* -
  • The study's objective was to create and validate a questionnaire (PECQ) to investigate the challenges faced by optometrists in providing primary eye care in Malaysia.* -
  • The PECQ was developed with 123 items categorized into three main areas: contributing factors, challenges, and ongoing education, demonstrating strong content validity through expert reviews and statistical reliability tests.*
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  • - Desmoid-type fibromatosis is a rare tumor that forms in deep soft tissues and doesn't spread to other parts of the body; the case revolves around a 78-year-old male with this condition found incidentally in the abdomen.
  • - Initial imaging revealed a large mass in the abdomen, leading to a successful surgery to remove the tumor and part of the small intestine, which confirmed the diagnosis of primary desmoid-type fibromatosis.
  • - Even after clear removal, the patient experienced a recurrence of the tumor 17 months later, necessitating another surgery, with a smooth recovery reported post-operation.
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  • Counter diffusion is a superior method for growing large, high-quality protein crystals compared to traditional techniques, producing better diffraction data and structures.
  • The article presents user-friendly designs for counter-diffusion chambers in a 2D microfluidic chip, allowing for efficient crystal growth and preservation.
  • This innovative approach maintains crystal hydration for extended periods, simplifies chip fabrication using common materials, and enhances crystallography capabilities by minimizing sample handling and background scatter.
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In this work, we extend vcfdist to be the first variant call benchmarking tool to jointly evaluate phased single-nucleotide polymorphisms (SNPs), small insertions/deletions (INDELs), and structural variants (SVs) for the whole genome. First, we find that a joint evaluation of small and structural variants uniformly reduces measured errors for SNPs (- 28.9%), INDELs (- 19.

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Well-leg compartment syndrome is a rare and severe complication that occurs after prolonged surgery in the lithotomy position. This review outlines the presentation, diagnosis, and management of well-leg compartment syndrome after colorectal surgery. A comprehensive and systematic search of various electronic databases was conducted.

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Lighting modification is commonly performed by optometrists and occupational therapists to enhance visibility and visual comfort among schoolchildren with low vision. The purpose of this study is to determine the optimal illumination level for visual function and visual comfort of schoolchildren with low vision and the relationship between them. A cross-sectional study was conducted to assess five levels of illumination ranging from 125 lux to 2000 lux to determine the optimal illumination for visual functions and visual comfort in schoolchildren with low vision from a special education school for blind in Malaysia.

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Gastric ultrasound estimates stomach contents in perioperative patients. A 10-year-old boy with abdominal rhabdomyosarcoma, who received abdominal radiation, developed gastroparesis and was scheduled for endoscopic gastrointestinal pyloric dilation. Point-of-care gastric ultrasound revealed gastric antral cross-sectional area of 6.

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Background: Failure to adhere to perioperative fasting requirements increases aspiration risk and can lead to delay or cancellation of surgery. Point of care gastric ultrasound may guide decision-making to delay, cancel or proceed with surgery.

Methods: This study aimed to describe gastric contents using point of care gastric ultrasound in pediatric patients with known fasting guideline violations presenting for elective surgery.

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In this work, a novel nitrogen-doped biochar bentonite composite was synthesized by a single-pot co-pyrolysis method. Batch studies were conducted to evaluate the performance of the developed composite in eliminating synthetic dyes from the aqueous matrix. Energy dispersive X-ray spectroscopy analysis and field emission scanning electron microscopy imaging confirmed the N doping and bentonite impregnation into biochar.

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Gastric fluid volume has been used as a surrogate marker for pulmonary aspiration risk in studies evaluating fasting protocol safety. This study measured residual gastric fluid volume in children using a protocol in which diluted oral contrast medium was administered up until one hour before anesthesia. This was a single-center prospective observational cohort trial of 70 children for elective abdominal/pelvic computed tomography (CT).

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Aim: To develop and evaluate the validity and reliability of a knowledge, attitude, and practice questionnaire related to vision screening (KAP-VST) among preschool teachers in Malaysia.

Methods: The questionnaire was developed through a literature review and discussions with experts. Content and face validation were conducted by a panel of experts (=10) and preschool teachers (=10), respectively.

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Pulmonary infections contribute substantially to emergency department (ED) visits, posing a considerable health burden. Lower respiratory tract infections are prevalent, particularly among the elderly, constituting a significant percentage of infectious disease-related ED visits. Timely recognition and treatment are crucial to mitigate morbidity and mortality.

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The single-pass transmembrane protein Stromal Interaction Molecule 1 (STIM1), located in the endoplasmic reticulum (ER) membrane, possesses two main functions: It senses the ER-Ca concentration and directly binds to the store-operated Ca channel Orai1 for its activation when Ca recedes. At high resting ER-Ca concentration, the ER-luminal STIM1 domain is kept monomeric but undergoes di/multimerization once stores are depleted. Luminal STIM1 multimerization is essential to unleash the STIM C-terminal binding site for Orai1 channels.

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