Publications by authors named "Samuel Lau"

The temporomandibular joint (TMJ) is frequently imaged in head and neck computed tomography (CT) and magnetic resonance imaging (MRI) studies. Depending on the indication for the study, an abnormality of the TMJ may be an incidental finding. These findings encompass both intra- and extra-articular disorders.

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Background: Pruning that selectively eliminates unnecessary or incorrect neurites is required for proper wiring of the mature nervous system. During Drosophila metamorphosis, dendritic arbourization sensory neurons (ddaCs) and mushroom body (MB) γ neurons can selectively prune their larval dendrites and/or axons in response to the steroid hormone ecdysone. An ecdysone-induced transcriptional cascade plays a key role in initiating neuronal pruning.

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The evolutionarily conserved Glycogen Synthase Kinase 3β (GSK3β), a negative regulator of microtubules, is crucial for neuronal polarization, growth and migration during animal development. However, it remains unknown whether GSK3β regulates neuronal pruning, which is a regressive process. Here, we report that the Drosophila GSK3β homologue Shaggy (Sgg) is cell-autonomously required for dendrite pruning of ddaC sensory neurons during metamorphosis.

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The evolutionarily conserved CLASPs (cytoplasmic linker-associated proteins) are microtubule-associated proteins that inhibit microtubule catastrophe and promote rescue. CLASPs can regulate axonal elongation and dendrite branching in growing neurons. However, their roles in microtubule orientation and neurite pruning in remodeling neurons remain unknown.

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Article Synopsis
  • The study aims to improve the efficiency and reliability of diagnosing lumbar spinal stenosis using a deep learning (DL) model that automates detection and classification based on MRI scans.
  • The research involved analyzing 446 lumbar spine MRI studies, with a focus on training and validating the model using various grading scales, and comparing its performance against experienced radiologists.
  • Results showed that the DL model achieved high detection accuracy for the central canal but had lower recall for neural foramina compared to radiologists, indicating potential areas for further refinement in the model's performance.
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Background: Significant gains in life expectancy have been achieved, but living longer does not necessarily mean the years gained are productive and healthy. Different theories predict different patterns of time trends in old-age disability prevalence.

Methods: Using the Gateway to Global Aging Data, which provides internationally harmonized longitudinal data from the Health and Retirement Study and its sister surveys, we compare time trends (from 2004 to 2014) in disability prevalence across countries.

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Precision in fluid management for shock could lead to better clinical outcomes. We evaluated the association of protocol-based fluid management with intensive care unit (ICU) and hospital mortality. We performed an observational study of mechanically ventilated patients admitted directly from our emergency department to the ICU from August 2011 to December 2013, who had circulatory shock in the first 24 h of ICU stay (systolic blood pressure <90 mmHg at ICU admission or lactate >4 mmol/L).

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Reported here are the new concept of utilizing open metal sites (OMSs) for architectural pore design and its practical implementation. Specifically, it is shown here that OMSs can be used to run extended hooks (isonicotinates in this work) from the framework walls to the channel centers to effect the capture of single metal ions or clusters, with the concurrent partitioning of the large channel spaces into multiple domains, alteration of the host-guest charge relationship and associated guest-exchange properties, and transfer of OMSs from the walls to the channel centers. The concept of the extended hook, demonstrated here in the multicomponent dual-metal and dual-ligand system, should be generally applicable to a range of framework types.

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Objective: To determine rates of use and success of second-line therapies for massive primary postpartum hemorrhage (PPH).

Methods: A retrospective cohort study was conducted among 91 women who gave birth at Kwong Wah Hospital, Hong Kong, between January 1, 2006, and December 31, 2011. Inclusion criteria were gestational age of at least 24 weeks and massive PPH (defined as blood loss ≥1500 mL within 24 hours after birth).

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Article Synopsis
  • The study examines the conservative management of placenta accreta in a district general hospital, differing from previous reports from university hospitals that had higher success rates.
  • Among 15 women with placenta previa over a cesarean scar, 80% were confirmed to have accreta during surgery, and the majority retained a significant amount of placenta while preserving their uterus.
  • Most women experienced complications requiring readmission, and the resolution of the retained placenta took an average of 6.6 months, indicating the effectiveness of this management approach despite challenges.
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Purpose: To evaluate the midterm clinical and angiographic outcomes after pipeline embolization device (PED) placement for treatment of intracranial aneurysms.

Materials And Methods: This prospective nonrandomized multicenter study was approved by the review boards of all involved centers; informed consent was obtained. Patients (143 patients, 178 aneurysms) with unruptured saccular or fusiform aneurysms or recurrent aneurysms after previous treatment were included and observed angiographically for up to 18 months and clinically for up to 3 years.

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Article Synopsis
  • The study explores the use of a low-profile stent-graft for treating complicated aortic dissections, aiming for a less invasive percutaneous approach compared to traditional methods.
  • In a trial involving 15 patients, the stent-graft was successful in excluding the entry tear in 87% of cases and achieving femoral closure in 93% with minimal complications.
  • While the overall results are promising, the 30-day mortality rate was 27%, indicating the need for further research to improve outcomes in this patient population.
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