2,728 results match your criteria: "169857 Singapore ; Heart Wellness Centre[Affiliation]"

Acute myeloid leukemia (AML) is a complex clonal disorder characterized by clinical, genetic, metabolomic, and epigenetic heterogeneity resulting in the uncontrolled proliferation of aberrant blood-forming precursor cells. Despite advancements in the understanding of the genetic, metabolic, and epigenetic landscape of AML, it remains a significant therapeutic challenge. Functional profiling techniques, such as BH3 profiling (BP), gene expression profiling (GEP), proteomics, metabolomics, drug sensitivity/resistance testing (DSRT), CRISPR/Cas9, and RNAi screens offer valuable insights into the functional behavior of leukemia cells.

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  • Inflammatory bowel disease (IBD) is managed with biologic drugs that modify immune responses, particularly those targeting tumor necrosis factor (TNF), which are commonly used due to their effectiveness and lower cost.
  • Although TNF inhibitors help many patients achieve remission, they can increase the risk of infections and may affect responses to vaccinations.
  • Recent studies on COVID-19 vaccines have sparked new insights into how anti-TNF therapy influences immune responses, highlighting the need for a comprehensive understanding of T cell and antibody immunity in IBD patients.
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Ki-67 proliferative index (PI) scoring is measured by estimating the proportion of the number of active cell nuclei in hotspot regions within immunohistochemical (IHC) stained slides. It provides valuable information about the rate of proliferation in a tumour. Manual scoring of Ki-67 PI is laborious, time-consuming and often the victim of interobserver variability between pathologists.

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The Chemistry of Phytoplankton.

Chem Rev

December 2024

Department of Pharmacy, Lanzhou University, Lanzhou 730000, Gansu China.

Article Synopsis
  • * Elevated CO levels, nutrients, and temperatures lead to harmful algal blooms (HABs), which can negatively impact water quality, ecosystems, and public health due to the production of toxins.
  • * The review discusses the dual role of algal blooms in carbon fixation and their complex metabolites, highlights advancements in understanding these structures, and examines strategies for managing and controlling HABs.
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Branched-chain amino acids promote hepatic Cyp7a1 expression and bile acid synthesis via suppressing FGF21-ERK pathway.

Acta Pharmacol Sin

November 2024

NHC Key Laboratory of Hormones and Development, Tianjin Key Laboratory of Metabolic Diseases, Chu Hsien-I Memorial Hospital & Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin, 300134, China.

Branched-chain amino acids (BCAAs) including leucine, isoleucine and valine have been linked with metabolic and cardiovascular diseases. BCAAs homeostasis is tightly controlled by their catabolic pathway. BCKA dehydrogenase (BCKD) complex is the rate-limiting step for BCAA catabolism.

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Mechanisms and risk factors for perinatal allergic disease.

Curr Opin Immunol

December 2024

Programme in Emerging Infectious Diseases, Duke-National University of Singapore Medical School, 169857 Singapore; Department of Pathology, Duke University Medical Center, Durham, North Carolina 27705, USA; Department of Microbiology and Immunology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; SingHealth Duke-NUS Global Health Institute, Singapore. Electronic address:

Article Synopsis
  • * Early-life triggers for allergic diseases can start before birth and involve the intricate programming of the fetal immune system by maternal factors like cytokines and antibodies.
  • * Maternal influences, including lifestyle and environmental factors, modify immune responses and can either help the child develop tolerance to allergens or increase their risk of allergic diseases, informing potential new treatments and preventive strategies.
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Delphi definition of general practice/family medicine specialty for a post-COVID world: in-person and remote care delivery.

Fam Pract

November 2024

General Practice and Primary Care, School of Health and Wellbeing, University of Glasgow, Clarice Pears Building, 90 Byres Road, Glasgow G12 8TB, United Kingdom.

Introduction: The evolving landscape of general practice (GP)/family medicine (FM) in the post-COVID-19 era, focussing on integrating telemedicine and remote consultations requires a new definition for this specialty. Hence, a broader consensus-based definition of post-COVID-19 GP/FM is warranted.

Methods: This study involved a modified electronic Delphi technique involving 27 specialists working in primary care recruited via convenient and snowball sampling.

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  • * A multi-ethnic meta-analysis revealed 22 risk loci linked to NTG, with 17 of these not previously identified, including significant new associations with BMP4 and TBKBP1.
  • * Findings suggest there’s a genetic overlap in risk factors between NTG and HTG, but NTG shows a generally lower risk effect, pointing to the potential for immunomodulatory treatments as neuroprotective options for glaucoma.
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The association between neuraxial labor analgesia and subacute pain after childbirth: A randomized controlled trial.

Anaesth Crit Care Pain Med

November 2024

KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore; Anesthesiology and Perioperative Sciences Academic Clinical Program, Duke-NUS Medical School, 8 College Road, Singapore 169857, Singapore.

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The efficacy of immediate lymphatic reconstruction after axillary lymph node dissection - A meta-analysis.

Eur J Surg Oncol

January 2025

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan; College of Medicine, Chang Gung University, No. 5, Fuxing St, Guishan District, Taoyuan City, 333, Taiwan. Electronic address:

Article Synopsis
  • * Immediate lymphatic reconstruction (ILR) is a surgical technique growing in popularity due to its effectiveness in reducing the rates of BCRL after axillary lymph node dissection.
  • * A study analyzing 10 research articles found that ILR significantly lowers the risk of developing BCRL, with only 7.85% of patients undergoing ILR developing the condition, compared to 20.8% in the control group.
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Molecular profiling reveals novel therapeutic targets and clonal evolution in ovarian clear cell carcinoma.

BMC Cancer

November 2024

Department of Obstetrics and Gynecology, Linkou Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, 5, Fuxing St., Guishan Dist., Taoyuan City, 333, Taiwan.

Article Synopsis
  • Ovarian clear cell carcinoma (OCCC) is more common in East Asian women and has worse outcomes compared to high-grade serous carcinoma (HGSC), partly due to resistance to chemotherapy.
  • Whole-exome sequencing of 102 OCCC samples revealed frequent mutations in ARID1A (67%) and PIK3CA (49%), with 40% of cases showing clinically actionable targets like BRCA2 and PIK3CA.
  • Clonal evolution studies indicated that early driving mutations in tumor development include ARID1A, PIK3CA, TERT, KRAS, and TP53, while specific mutations in the TERT gene were linked to poorer prognosis.
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  • This study explored how early gestational glucose levels, measured by continuous glucose monitoring (CGM), relate to the later development of insulin resistance (IR) and gestational diabetes mellitus (GDM) in pregnant women.
  • In a cohort of 167 pregnant women, 25% were found to have IR and 18% developed GDM, with higher early glucose levels and variability in glucose readings linked to increased risk of both conditions.
  • Results indicated that women with suboptimal glycemic control showed higher mean daily glucose and variability, which correlated with a significantly greater risk of developing IR and GDM as pregnancy progressed.
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  • Trastuzumab (Herceptin) can be given either intravenously (IV) or subcutaneously, and while both have similar effects and safety, their costs differ, especially between outpatient and homecare settings.
  • The study aimed to analyze the costs associated with Homecare SC Herceptin compared to IV Herceptin administered in outpatient facilities in Singapore.
  • Results showed that Homecare SC Herceptin significantly reduced annual patient costs by about 58-60%, with drug costs being the main driver; thus, switching to Homecare SC Herceptin is financially advantageous.
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Rediscovering publicly available single-cell data with the DISCO platform.

Nucleic Acids Res

January 2025

Centre for Computational Biology and Program in Cancer and Stem Cell Biology, Duke-NUS Medical School, 8 College Road, Singapore 169857, Singapore.

Single-cell RNA sequencing (scRNA-seq) has emerged as the key technique for studying transcriptomics at the single-cell level. In our previous work, we presented the DISCO database (https://www.immunesinglecell.

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Differential contributions of fetal mononuclear phagocytes to Zika virus neuroinvasion versus neuroprotection during congenital infection.

Cell

December 2024

Program in Emerging Infectious Diseases, Duke-National University of Singapore Medical School, Singapore 169857, Singapore; Department of Microbiology and Immunology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Department of Pathology, Duke University Medical Center, Durham, NC 27705, USA; SingHealth Duke-NUS Global Health Institute, Singapore, Singapore. Electronic address:

Fetal immune cell functions during congenital infections are poorly understood. Zika virus (ZIKV) can vertically transmit from mother to fetus, causing nervous system infection and congenital ZIKV syndrome (CZS). We identified differential functional roles for fetal monocyte/macrophage cell types and microglia in ZIKV dissemination versus clearance using mouse models.

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  • * This study investigated viral replication in the lungs of SARS-CoV-2-infected golden hamsters by using anti-dsRNA antibodies, demonstrating that dsRNA detection is most effective during the early stages of infection.
  • * Findings suggest that combining dsRNA and viral antigen detection could enhance understanding of viral replication, although further research is required to evaluate dsRNA's potential as an early infection marker in other viruses.
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Neurodegenerative Diseases: Molecular Mechanisms and Therapies 2nd Edition.

Int J Mol Sci

October 2024

Neurogenetics Laboratory, Universidade Federal do ABC, São Bernardo do Campo 09606-045, SP, Brazil.

Neurodegenerative disorders are multiple chronic neurological diseases that pose a serious public health risk to our society, especially among the aging population [...

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Clinical Outcomes of Tube Feeding vs. Hand Feeding in Advanced Dementia.

J Clin Med

October 2024

Department of Neurology, Singapore General Hospital Campus, National Neuroscience Institute, Singapore 308433, Singapore.

Dementia is a growing public health issue, with the number of cases projected to triple by 2050 as society ages. Although the American Geriatrics Society recommends careful hand feeding over tube feeding for patients with advanced dementia, an increasing proportion of patients are receiving tube feeding. Although decisions regarding tube feeding are often based on the physician, recent studies have shown that tube feeding has significant implications for clinical outcomes and quality of life.

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  • Rheumatoid arthritis (RA) is a chronic autoimmune condition, and this study focuses on assessing subclinical PD synovitis and joint inflammation using thermography in RA patients.
  • The study analyzed 80 RA patients, examining the occurrence of PD synovitis and inflammatory responses in various joints, notably the wrists and metacarpophalangeal joints.
  • Findings indicate that thermographic temperatures were significantly higher in patients with greater disease activity, showcasing thermography's potential as a tool for monitoring and assessing RA severity through subclinical inflammation.
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Background: Perioperative FLOT (5-fluorouracil, oxaliplatin and docetaxel) is a standard of care for patients with locally advanced gastro-oesophageal adenocarcinoma (GEA) in Western guidelines, but its use is limited in Asian patients. We report outcomes from a single Asian centre of perioperative FLOT with concomitant granulocyte colony-stimulating factor (GCSF) prophylaxis.

Methods: A retrospective analysis of all 56 stage II to III GEA patients treated with perioperative FLOT at the National Cancer Centre Singapore between June 2017 and February 2024 was performed.

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Background: Kinase-impaired class III BRAF mutations have recently received attention as a possible prognostic factor and therapeutic target. Class III BRAF variants differ from class I and class II mutations in terms of mechanism of pathway activation and therapeutic vulnerabilities. Genomic landscape analyses of tumors in large real-world cohorts represent a great opportunity to further characterize tumor-related molecular events and treatment vulnerabilities, however, such data is not yet available for tumors with BRAF class III mutations.

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Correction: Metabolic modulation to improve MSC expansion and therapeutic potential for articular cartilage repair.

Stem Cell Res Ther

November 2024

Critical Analytics for Manufacturing Personalised-medicine (CAMP) Interdisciplinary Research Group, Singapore-MIT Alliance for Research and Technology (SMART) Centre, 1 Create Way, Enterprise Wing, #04-13/14, Singapore, 138602, Republic of Singapore.

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Evolving vaccine discovery and development pathways for emerging pathogens.

EBioMedicine

November 2024

Programme in Emerging Infectious Diseases, Duke-NUS Medical School, 8 College Rd, Singapore, 169857, Singapore; Viral Research and Experimental Medicine Centre, SingHealth Duke-NUS Academic Medical Centre, Singapore, 169857, Singapore; Saw Swee Hock School of Public Health, National University of Singapore, Singapore, 117549, Singapore; Department of Clinical Translational Research, Singapore General Hospital, Singapore, 169608, Singapore. Electronic address:

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