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Smith RB, Bryce GE, Ng Y, Gulabivala K, Dermont MA. Eight-year retrospective study investigating tooth survival after primary non-surgical root canal treatment in a UK military cohort. BMJ Mil Health 2024; 170:107-111. [PMID: 35788109 DOI: 10.1136/bmjmilitary-2021-002042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Accepted: 05/19/2022] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Root canal treatment (RCT) plays an important role in preserving the dentition by deferring other invasive treatments. Data on tooth survival and predictive factors for tooth loss after RCT in the military cohort are lacking. This investigation aimed to determine the proportion of teeth surviving in an 8-year period after RCT and identify potential predictive factors for tooth loss in a UK military cohort. METHODOLOGY A retrospective review of an integrated electronic health record for military patients who had received RCT was performed in a random sample of 205 patients (n=219 root-filled teeth) who had received RCT between 1 January 2011 and 1 January 2012. Tooth survival was defined as tooth presence, regardless of signs or symptoms, and measured from the point of root filling until either the end of the designated study period or time of extraction. Survival was evaluated using Kaplan-Meier estimates and association with tooth loss using the χ2 test. Potentially significant predictive factors were investigated using univariate Cox regression. RESULTS Tooth survival following RCT was 98% after 24 months; 88% after 48 months; 83% after 72 months; and 78% after 96 months. Four predictive factors were found to affect tooth loss as follows: preoperative pain (HR=3.2; p<0.001), teeth with less than two proximal contacts (HR=3.0; p=0.01), teeth with cores involving more than two surfaces (HR=2.0; p=0.03) and postoperative unscheduled dental attendances (UDA) (HR=2.7; p=0.01). CONCLUSIONS Within the limitations of this study, the presence of preoperative pain; teeth with less than two proximal contacts or with cores involving more than two tooth surfaces; and occurrence of postoperative UDA were found to significantly increase the hazard of tooth loss.
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Affiliation(s)
| | - G E Bryce
- DCRD, Aldershot Garrison, Aldershot, UK
| | - Y Ng
- Endodontology, University College London, London, UK
- Restorative Dentistry and Endodontology, UCL Eastman Dental Institute, London, UK
| | - K Gulabivala
- Restorative Dentistry and Endodontology, UCL Eastman Dental Institute, London, UK
| | - M A Dermont
- Defence Public Health Unit, Defence Medical Services, Lichfield, UK
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Kim C, Robitaille M, Christodoulides J, Ng Y, Raphael M, Kang W. Hs27 fibroblast response to contact guidance cues. Sci Rep 2023; 13:21691. [PMID: 38066191 PMCID: PMC10709656 DOI: 10.1038/s41598-023-48913-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Accepted: 12/01/2023] [Indexed: 12/18/2023] Open
Abstract
Contact guidance is the phenomena of how cells respond to the topography of their external environment. The morphological and dynamic cell responses are strongly influenced by topographic features such as lateral and vertical dimensions, namely, ridge and groove widths and groove depth ([Formula: see text], respectively). However, experimental studies that independently quantify the effect of the individual dimensions as well as their coupling on cellular function are still limited. In this work, we perform extensive parametric studies in the dimensional space-well beyond the previously studied range in the literature-to explore topographical effects on morphology and migration of Hs27 fibroblasts via static and dynamic analyses of live cell images. Our static analysis reveals that the [Formula: see text] is most significant, followed by the [Formula: see text]. The fibroblasts appear to be more elongated and aligned in the groove direction as the [Formula: see text] increases, but their trend changes after 725 nm. Interestingly, the cell shape and alignment show a very strong correlation regardless of [Formula: see text]. Our dynamic analysis confirms that directional cell migration is also strongly influenced by the [Formula: see text], while the effect of the [Formula: see text] and [Formula: see text] is statistically insignificant. Directional cell migration, as observed in the static cell behavior, shows the statistically significant transition when the [Formula: see text] is 725 nm, showing the intimate links between cell morphology and migration. We propose possible scenarios to offer mechanistic explanations of the observed cell behavior.
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Affiliation(s)
- C Kim
- Mechanical Engineering, School for Engineering of Matter, Transport and Energy, Arizona State University, Tempe, AZ, 85281, USA
| | - M Robitaille
- US Naval Research Laboratory, Washington, DC, 20375, USA
| | | | - Y Ng
- Mechanical Engineering, School for Engineering of Matter, Transport and Energy, Arizona State University, Tempe, AZ, 85281, USA
| | - M Raphael
- US Naval Research Laboratory, Washington, DC, 20375, USA
| | - W Kang
- Mechanical Engineering, School for Engineering of Matter, Transport and Energy, Arizona State University, Tempe, AZ, 85281, USA.
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3
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Murray MJ, Bradley E, Ng Y, Thomas O, Patel K, Angus C, Atkinson C, Reeves MB. In silico interrogation of the miRNAome of infected hematopoietic cells to predict processes important for human cytomegalovirus latent infection. J Biol Chem 2023; 299:104727. [PMID: 37080390 PMCID: PMC10206818 DOI: 10.1016/j.jbc.2023.104727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Revised: 04/14/2023] [Accepted: 04/16/2023] [Indexed: 04/22/2023] Open
Abstract
Human cytomegalovirus (HCMV) latency in CD34+ progenitor cells is the outcome of a complex and continued interaction of virus and host that is initiated during very early stages of infection and reflects pro- and anti-viral activity. We hypothesized that a key event during early infection could involve changes to host miRNAs, allowing for rapid modulation of the host proteome. Here, we identify 72 significantly upregulated miRNAs and three that were downregulated by 6hpi of infection of CD34+ cells which were then subject to multiple in silico analyses to identify potential genes and pathways important for viral infection. The analyses focused on the upregulated miRNAs and were used to predict potential gene hubs or common mRNA targets of multiple miRNAs. Constitutive deletion of one target, the transcriptional regulator JDP2, resulted in a defect in latent infection of myeloid cells; interestingly, transient knockdown in differentiated dendritic cells resulted in increased viral lytic IE gene expression, arguing for subtle differences in the role of JDP2 during latency establishment and reactivation of HCMV. Finally, in silico predictions identified clusters of genes with related functions (such as calcium signaling, ubiquitination, and chromatin modification), suggesting potential importance in latency and reactivation. Consistent with this hypothesis, we demonstrate that viral IE gene expression is sensitive to calcium channel inhibition in reactivating dendritic cells. In conclusion, we demonstrate HCMV alters the miRNAome rapidly upon infection and that in silico interrogation of these changes reveals new insight into mechanisms controlling viral gene expression during HCMV latency and, intriguingly, reactivation.
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Affiliation(s)
- M J Murray
- Institute of Immunity & Transplantation, Division of Infection & Immunity, Royal Free Campus, UCL, London, United Kingdom.
| | - E Bradley
- Institute of Immunity & Transplantation, Division of Infection & Immunity, Royal Free Campus, UCL, London, United Kingdom
| | - Y Ng
- Institute of Immunity & Transplantation, Division of Infection & Immunity, Royal Free Campus, UCL, London, United Kingdom
| | - O Thomas
- Institute of Immunity & Transplantation, Division of Infection & Immunity, Royal Free Campus, UCL, London, United Kingdom
| | - K Patel
- Institute of Immunity & Transplantation, Division of Infection & Immunity, Royal Free Campus, UCL, London, United Kingdom
| | - C Angus
- Institute of Immunity & Transplantation, Division of Infection & Immunity, Royal Free Campus, UCL, London, United Kingdom
| | - C Atkinson
- Institute of Immunity & Transplantation, Division of Infection & Immunity, Royal Free Campus, UCL, London, United Kingdom
| | - M B Reeves
- Institute of Immunity & Transplantation, Division of Infection & Immunity, Royal Free Campus, UCL, London, United Kingdom.
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Ng Y, Qi W, King NKK, Christianson T, Krishnamoorthy V, Shah S, Divani A, Bettin M, Coleman ER, Flaherty ML, Walsh KB, Testai FD, McCauley JL, Gilkerson LA, Langefeld CD, Behymer TP, Woo D, James ML. Initial antihypertensive agent effects on acute blood pressure after intracerebral haemorrhage. Stroke Vasc Neurol 2022; 7:367-374. [PMID: 35443984 PMCID: PMC9614130 DOI: 10.1136/svn-2021-001101] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Accepted: 03/08/2022] [Indexed: 11/06/2022] Open
Abstract
Introduction Current guidelines recommend blood pressure (BP) lowering in patients after acute intracerebral haemorrhage (ICH) without guidance on initial choice of antihypertensive class. This study sought to determine if initial antihypertensive class differentially effects acute BP lowering in a large multiethnic ICH cohort. Methods Subjects enrolled in the Ethnic/Racial Variations in ICH study between August 2010 and August 2017 with elevated admission BP and who received labetalol, nicardipine or hydralazine monotherapy as initial antihypertensive were analysed. Primary outcomes were systolic and diastolic BP changes from baseline to first BP measurement after initial antihypertensive treatment. Secondary outcomes included haematoma expansion (HE), hospital length of stay (LOS) and modified Rankin Score (mRS) up to 12 months after ICH. Exploratory outcomes assessed effects of race/ethnicity. Linear and logistic regression analyses, adjusted for relevant covariates, were performed to determine associations of antihypertensive class with outcomes. Results In total, 1156 cases were used in analyses. Antihypertensive class was associated with diastolic BP change (p=0.003), but not systolic BP change (p=0.419). Initial dosing with nicardipine lowered acute diastolic BP than labetalol (least square mean difference (labetalol-nicardipine)=5.47 (2.37, 8.57), p<0.001). Initial antihypertensive class was also found to be associated with LOS (p=0.028), but not with HE (p=0.406), mortality (p=0.118), discharge disposition (p=0.083) or mRS score at discharge, 3, 6 and 12 months follow-up (p=0.262, 0.276, 0.152 and 0.36, respectively). Race/ethnicity variably affected multivariable models. Conclusion In this large acute ICH cohort, initial antihypertensive class was associated with acute diastolic, but not systolic, BP-lowering suggesting differential effects of antihypertensive agents. Trial registration number NCT01202864.
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Affiliation(s)
- Yisi Ng
- Duke-NUS Medical School, SG, Singapore
| | - Wenjing Qi
- Department of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina, USA
| | - Nicolas Kon Kam King
- Duke-NUS Medical School, SG, Singapore.,Department of Neurosurgery, National Neuroscience Institute, Singapore
| | - Thomas Christianson
- Department of Anesthesiology, University of Tennessee, Knoxville, Tennessee, USA
| | | | - Shreyansh Shah
- Department of Neurology, Duke University, Durham, North Carolina, USA
| | - Afshin Divani
- Department of Neurology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Margaret Bettin
- Department of Neurology, University of Virginia, Charlottesville, Virginia, USA
| | - Elisheva R Coleman
- Department of Neurology, University of Cincinnati, Cincinnati, Ohio, USA
| | - Matthew L Flaherty
- Department of Emergency Medicine, University of Cincinnati, Cincinnati, Ohio, USA
| | - Kyle B Walsh
- Department of Neurology, University of Cincinnati, Cincinnati, Ohio, USA
| | - Fernando D Testai
- Department of Neurology, University of Illinois, Chicago, Illinois, USA
| | - Jacob L McCauley
- Hussman Institute for Human Genomics, University of Miami, Miami, Florida, USA
| | - Lee A Gilkerson
- Department of Neurology, University of Cincinnati, Cincinnati, Ohio, USA
| | - Carl D Langefeld
- Department of Biostatistical Sciences, Wake Forest University, Winston-Salem, North Carolina, USA
| | - Tyler Paul Behymer
- Department of Neurology, University of Cincinnati, Cincinnati, Ohio, USA
| | - Daniel Woo
- Department of Neurology, University of Cincinnati, Cincinnati, Ohio, USA
| | - Michael L James
- Duke-NUS Medical School, SG, Singapore .,Department of Anesthesiology, Duke University, Durham, North Carolina, USA.,Department of Neurology, Duke University, Durham, North Carolina, USA
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Ng Y, Nguyen E, Bei B, Hamilton G, Rajaratnam S, Ou C, Mansfield D. P103 Impact of the COVID-19 pandemic on the sleep of patients of a multidisciplinary sleep clinic. SLEEP Advances 2021. [PMCID: PMC8500137 DOI: 10.1093/sleepadvances/zpab014.147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Introduction
This study aimed to assess the impact of the COVID-19 pandemic on the sleep of adult patients of a multidisciplinary sleep clinic.
Methods
Patients were invited to complete online surveys: Survey 1 in October 2020 (increased COVID-19 restrictions) followed by Survey 2 in February 2021 (after easing of restrictions for a COVIDSafe summer).
Results
Of the 746 patients invited to participate, 73 completed and 8 partially returned Survey 1 (mean age 50.1 years, range 21–83 years, 58% female). Subsequently, 46 completed and 5 partially answered Survey 2. In Survey 1, 22/74 (29.7%) reported reduced sleep quantity and 31/75 (41.3%) indicated worse sleep quality compared with prior to the pandemic. In Survey 2, 33/46 (71.7%) described unchanged sleep quantity whilst 5/46 (10.9%) reported increased sleep quantity since easing COVID-19 restrictions. 36/46 (78.3%) indicated unchanged sleep quality whereas 5/46 (10.9%) described improved sleep quality since easing restrictions. However, 9/46 (19.6%) reported that their sleep remained worse compared with pre-pandemic. For patients who completed both surveys, there was no significant change in Insomnia Severity Index scores (Survey 1 mean 13.6, Survey 2 mean 12.9, mean difference -0.67 [95%CI -2.02, 0.68], p=0.32) or PROMIS Sleep-Related Impairment 8a T-scores (Survey 1 mean 59.0, Survey 2 mean 59.5, mean difference 0.44 [95%CI -1.55, 2.42], p=0.66).
Discussion
The COVID-19 pandemic has negatively affected the sleep of 44% of patients. Following easing of restrictions, symptoms of insomnia and sleep-related impairment did not change significantly, and 19.6% reported that their sleep was not back to their pre-pandemic baseline.
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Affiliation(s)
- Y Ng
- Monash University, Notting Hill, Australia
- Monash Lung, Sleep, Allergy and Immunology, Monash Health, Clayton, Australia
| | - E Nguyen
- Monash University, Notting Hill, Australia
| | - B Bei
- Monash University, Notting Hill, Australia
| | - G Hamilton
- Monash University, Notting Hill, Australia
- Monash Lung, Sleep, Allergy and Immunology, Monash Health, Clayton, Australia
| | | | - C Ou
- Monash University, Notting Hill, Australia
| | - D Mansfield
- Monash University, Notting Hill, Australia
- Monash Lung, Sleep, Allergy and Immunology, Monash Health, Clayton, Australia
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Selvarajan V, Wong A, Loh W, Ng Y, Nge C, Lau P, Khoo G, Loo B. Expanding T-cells using stirred-tank and a novel biaxial rotary bioreactor. Cytotherapy 2020. [DOI: 10.1016/j.jcyt.2020.03.316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Liu L, Fuller M, Behymer TP, Ng Y, Christianson T, Shah S, King NKK, Woo D, James ML. Selective Serotonin Reuptake Inhibitors and Intracerebral Hemorrhage Risk and Outcome. Stroke 2020; 51:1135-1141. [PMID: 32126942 DOI: 10.1161/strokeaha.119.028406] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background and Purpose- Selective serotonin reuptake inhibitors (SSRIs) have a well-established association with bleeding complications and conflicting reports on outcome after stroke. We sought to evaluate whether pre-intracerebral hemorrhage (ICH) SSRI use increased ICH risk and post-ICH SSRI use improved ICH outcome. Methods- Through post hoc analysis of the ERICH study (Ethnic/Racial Variations of Intracerebral Hemorrhage), SSRI use was categorized into no use, pre-ICH only, pre- and post-ICH use (termed "continuous"), and post-ICH only (termed "new"). Using multivariable modeling, associations were sought between pre-ICH SSRI use and ICH risk in the case-control set, and associations between post-ICH SSRI use and 3-month outcome were analyzed in the ICH case set. Exploratory analyses sought to assess influence of race/ethnicity in models. Results- The final study cohort consisted of 2287 ICH cases and 2895 controls. Pre-ICH SSRI use was not associated with ICH risk (odds ratio, 0.824 [95% CI, 0.632-1.074]) nor potentiation of ICH risk with anticoagulant or antiplatelet use. New post-ICH SSRI use was associated with unfavorable modified Rankin Scale score at 3 months after ICH (odds ratio, 1.673 [95% CI, 1.162-2.408]; P=0.006) in multivariable analyses. Additional propensity score analysis indicated a similar trend but did not reach statistical significance (P=0.107). When stratified by race/ethnicity, multivariable modeling demonstrated reduced ICH risk with pre-ICH SSRI use in Hispanics (odds ratio, 0.513 [95% CI, 0.301-0.875]; P=0.014), but not non-Hispanic whites or blacks, and no associations between post-ICH SSRI use and 3-month outcome in any racial/ethnic group. Conclusions- In a large multiethnic cohort, pre-ICH SSRI use was not associated with increased ICH risk, but post-ICH SSRI use was associated with unfavorable 3-month neurological outcome after ICH. Registration- URL: https://www.clinicaltrials.gov; Unique identifier: NCT01202864.
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Affiliation(s)
- Li Liu
- From the Department of Neurology (L.L.), PLA Strategic Support Force Characteristic Medical Center, Beijing, P.R. China
| | - Matthew Fuller
- Department of Anesthesiology (M.F., M.J.L.), Duke University, Durham, NC
| | - Tyler P Behymer
- Department of Neurology and Rehabilitation Medicine, University of Cincinnati, OH (T.P.B., D.W.)
| | - Yisi Ng
- Duke-NUS Graduate Medical School, Singapore (Y.N., N.K.K.K.)
| | | | - Shreyansh Shah
- Department of Neurology (S.S., M.L.J.), Duke University, Durham, NC
| | - Nicolas Kon Kam King
- Duke-NUS Graduate Medical School, Singapore (Y.N., N.K.K.K.).,National Neuroscience Institute, Singapore (N.K.K.K.)
| | - Daniel Woo
- Department of Neurology and Rehabilitation Medicine, University of Cincinnati, OH (T.P.B., D.W.)
| | - Michael L James
- Department of Neurology (S.S., M.L.J.), Duke University, Durham, NC
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Ng Y, Bei B, Grima N, Cahill F, Martin T, Lo T, Rajaratnam S, Mansfield D. Cognitive behavioural therapy for insomnia in a multidisciplinary sleep clinic: participation rates and effectiveness. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Loh K, Poh L, Yao Y, Wong P, Chan Z, Teo C, Ng Y, Pang A. MEDICATION THERAPY MANAGEMENT (MTM) IN ELDERLY CANCER PATIENTS: A PILOT STUDY. J Geriatr Oncol 2019. [DOI: 10.1016/s1879-4068(19)31319-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Vincent A, White K, Davey T, Philips J, Hall M, Ng Y, Falkous G, Holden T, Deehan D, Taylor R, Turnbull D, Picard M. Quantitative 3D mapping of the skeletal muscle mitochondrial network in health and mtDNA disease. Neuromuscul Disord 2018. [DOI: 10.1016/s0960-8966(18)30393-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Ang H, Tan C, Ng Y, Kuan W, Chua M. Evaluation for occult sepsis incorporating NIRS and emergency sonography (EOSINE). Aust Crit Care 2018. [DOI: 10.1016/j.aucc.2017.12.075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Ng Y, Aros-Atolagbe R, Ravanan R, Kendall C, Bovill B. Malignant metastatic deposits in an immunocompromised patient—could this be tuberculosis? Oxf Med Case Reports 2017; 2017:omx007. [PMID: 28775851 PMCID: PMC5534023 DOI: 10.1093/omcr/omx007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2016] [Revised: 01/09/2017] [Accepted: 02/16/2017] [Indexed: 11/14/2022] Open
Abstract
We report the case of a 50-year-old female renal transplant patient who developed disseminated deposits initially diagnosed as metastatic malignancy of unknown primary. She declined a tissue diagnosis but subsequently developed recurrent sepsis and symptomatic unilateral pleural effusion. Mycobacterium tuberculosis was cultured from pleural fluid. Following introduction of anti-tuberculous medications, her symptoms improved rapidly and the progression of her disseminated deposits stabilized. Tuberculosis is well-known to be associated with immunocompromised patients. It is a curable disease and should remain an important differential diagnosis for transplant patients who develop suspicious malignant metastatic lesions.
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Affiliation(s)
- Y Ng
- Department of Infectious Diseases, Southmead Hospital, Bristol, UK
- Correspondence address. Department of Infectious Diseases, Southmead Hospital, Bristol BS10 5NB, UK. E-mail:
| | | | - R Ravanan
- Department of Renal and Transplant Medicine, Southmead Hospital, Bristol, UK
| | - C Kendall
- Department of Palliative Medicine, Southmead Hospital, Bristol, UK
| | - B Bovill
- Department of Infectious Diseases, Southmead Hospital, Bristol, UK
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13
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Wlodek C, Ng Y, Bovill B, Johnson EM, Bhatt N, Shipley D. An unusual cause of cutaneous ulceration. Clin Exp Dermatol 2017; 42:226-229. [PMID: 28044361 DOI: 10.1111/ced.13007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/30/2016] [Indexed: 11/29/2022]
Affiliation(s)
- C Wlodek
- Department of Dermatology, Bristol Royal Infirmary, Bristol, UK
| | - Y Ng
- Department of Infectious Diseases, Southmead Hospital, Bristol, UK
| | - B Bovill
- Department of Infectious Diseases, Southmead Hospital, Bristol, UK
| | - E M Johnson
- Public Health England Mycology Reference Laboratory, Bristol, UK
| | - N Bhatt
- Department of Dermatology, Bristol Royal Infirmary, Bristol, UK
| | - D Shipley
- Department of Dermatology, Bristol Royal Infirmary, Bristol, UK
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Leung K, Wong M, Ng Y, Lee S, Ming Chun Chau R, Lee F. TU-H-CAMPUS-IeP1-03: Comparison of Monte Carlo Simulation and Conversion Factor Based Method On Estimation of Effective Dose in Pediatric Patients Undergoing Interventional Cardiac Procedures. Med Phys 2016. [DOI: 10.1118/1.4957666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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15
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Flaig T, Mehra M, Potluri R, Ng Y, Todd M, Higano C. Real World Data Analysis of Incident Metastatic (M1) Prostate Cancer (Pc) Patients (Pts): Us Claims Database Analysis. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu336.42] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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16
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Chan K, Chandler J, Cheong K, Giam PE, Kanagalingam D, Lee LL, Leong LL, Ng Y, Oh C, Shi M, Tan ASL, Tan CM, Tan TL, Utravathy V. Health promotion board-ministry of health clinical practice guidelines: treating tobacco use and dependence. Singapore Med J 2014; 54:411-5; quiz 416. [PMID: 23900473 DOI: 10.11622/smedj.2013144] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The Health Promotion Board (HPB) has updated the clinical practice guidelines on Treating Tobacco Use and Dependence to provide health professionals in Singapore with evidence-based interventions for smoking cessation. This article reproduces the introduction and executive summary of key guideline recommendations (with recommendations from the guidelines) from the HPB-MOH Clinical Practice Guidelines on Treating Tobacco Use and Dependence, for the information of SMJ readers. Chapters and page numbers mentioned in the reproduced extract refer to the full text of the guidelines, which are available from the Health Promotion Board website: http://www.hpb.gov.sg/cpg-smoking-cessation. The recommendations should be used with reference to the full text of the guidelines. Following this article are multiple choice questions based on the full text of the guidelines.
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Affiliation(s)
- K Chan
- Respiratory Medical Associates, Gleneagles Medical Centre, 6 Napier Road #03-11, Singapore 258499.
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Tonks KT, Ng Y, Miller S, Coster ACF, Samocha-Bonet D, Iseli TJ, Xu A, Patrick E, Yang JYH, Junutula JR, Modrusan Z, Kolumam G, Stöckli J, Chisholm DJ, James DE, Greenfield JR. Impaired Akt phosphorylation in insulin-resistant human muscle is accompanied by selective and heterogeneous downstream defects. Diabetologia 2013; 56:875-85. [PMID: 23344726 DOI: 10.1007/s00125-012-2811-y] [Citation(s) in RCA: 64] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2012] [Accepted: 11/29/2012] [Indexed: 01/04/2023]
Abstract
AIMS/HYPOTHESIS Muscle insulin resistance, one of the earliest defects associated with type 2 diabetes, involves changes in the phosphoinositide 3-kinase/Akt network. The relative contribution of obesity vs insulin resistance to perturbations in this pathway is poorly understood. METHODS We used phosphospecific antibodies against targets in the Akt signalling network to study insulin action in muscle from lean, overweight/obese and type 2 diabetic individuals before and during a hyperinsulinaemic-euglycaemic clamp. RESULTS Insulin-stimulated Akt phosphorylation at Thr309 and Ser474 was highly correlated with whole-body insulin sensitivity. In contrast, impaired phosphorylation of Akt substrate of 160 kDa (AS160; also known as TBC1D4) was associated with adiposity, but not insulin sensitivity. Neither insulin sensitivity nor obesity was associated with defective insulin-dependent phosphorylation of forkhead box O (FOXO) transcription factor. In view of the resultant basal hyperinsulinaemia, we predicted that this selective response within the Akt pathway might lead to hyperactivation of those processes that were spared. Indeed, the expression of genes targeted by FOXO was downregulated in insulin-resistant individuals. CONCLUSIONS/INTERPRETATION These results highlight non-linearity in Akt signalling and suggest that: (1) the pathway from Akt to glucose transport is complex; and (2) pathways, particularly FOXO, that are not insulin-resistant, are likely to be hyperactivated in response to hyperinsulinaemia. This facet of Akt signalling may contribute to multiple features of the metabolic syndrome.
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Affiliation(s)
- K T Tonks
- Diabetes and Obesity Research Program, Garvan Institute of Medical Research, 384 Victoria Street, Darlinghurst, 2010 NSW, Australia
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Tonks K, Ng Y, Miller S, Coster A, Samocha-Bonet D, Iseli T, Xu A, Stöckli J, Chisholm D, James D, Greenfield J. Obese, yet insulin sensitive humans. Obes Res Clin Pract 2011. [DOI: 10.1016/j.orcp.2011.08.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Ng Y, Fong Y. O672 Get “real” with hysteroscopy using the pig's bladder: A novel “uterine” model for hysteroscopy training; A literature first. Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)61045-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Abstract
Gonadotrophin-releasing hormone (GnRH) is important in reproduction, although some of the mechanisms for its synthesis and release remain elusive. Progress in understanding the GnRH neurone has been hampered by the limited number and diffuse distribution of the neurone in the mammalian brain. Several stable GnRH-expressing cell lines have been developed using in vivo expression of the simian virus 40 T Antigen (TAg), and they have been helpful for the study of gene expression and neuronal function. However, expression of an immortalising gene may interfere with normal cellular function. We developed a novel GnRH-secreting cell line transgenic mouse model suitable for targeted transformation in post-pubertal mice using a tetracycline-regulated TAg transgene. This clonal cell line, GRT, expresses neuronal markers and GnRH. GRT cells grown in medium containing tetracycline-free serum express increasing mRNA levels of GnRH associated with declining levels of TAg expression. The novelty and ultimately the usefulness of this cell line is that TAg expression, which could affect the GnRH neuronal phenotype, can be regulated by tetracycline.
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Affiliation(s)
- A Wolfe
- Johns Hopkins University College of Medicine, Department of Pediatrics, Baltimore, MD 21287, USA.
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Ng Y, Wong JHK, Ong M. 10: Comparing Intubation Success Rates of the Glidescope Videolaryngoscope vs Macintosh Direct Laryngoscope by Novice Operators: A Mannequin Simulated Difficult Airway Study. Ann Emerg Med 2007. [DOI: 10.1016/j.annemergmed.2007.06.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Ng Y, Shimi SM, Kernohan N, Frank TG, Campbell PA, Martin D, Gove J, Cuschieri A. Skin wound closure with a novel shape-memory alloy fixator. Surg Endosc 2005; 20:311-5. [PMID: 16362482 DOI: 10.1007/s00464-004-0001-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2004] [Accepted: 05/15/2005] [Indexed: 01/06/2023]
Abstract
BACKGROUND Previously, we have described novel, thermally deployable tissue fixators based on the shape-memory properties of nickel titanium. The present study reports on the in vivo wound closure with these fixators as a preliminary to evaluating their use for bowel anastomoses. METHODS Twenty adult Sprague-Dawley rats had 2.0-cm dorsal skin incisions approximated either with shape-memory alloy (SMA) fixators or conventional skin staples on a random basis. Electrical resistance heating was used to transform and deploy the SMA fixators into the wound. The rats were killed on day 14 or day 28 and wound specimens were harvested for force distraction studies and histologic examination. RESULTS There was no incidence of wound dehiscence. 14- and 28-day wounds from both groups showed no significant difference in breaking force or energy. Histology revealed appropriate stages of wound healing for both SMA-closed and control wounds. CONCLUSIONS The results confirm the efficacy and safety of tissue-edge approximation with SMA fixators.
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Affiliation(s)
- Y Ng
- Department of Surgery and Molecular Oncology and Surgical Skills Unit, Ninewells Hospital and Medical School, University of Dundee, Dundee, DD1 9SY, Scotland
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Ng SC, Ng Y, Liow SL, Chen N. Therapeutic and reproductive cloning--implications and recommendations. Med J Malaysia 2003; 58 Suppl A:102-10. [PMID: 14556357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
The announcement of Dolly's birth took the world by storm, mainly because what was thought impossible has become possible. Optimism that new approaches in agriculture and medicine abound, as much as fear and imagination leading to Frankenstein-like scenarios. Scientifically, cloning refers to replicating an animal with the same nuclear genetic material; whilst it may refer to embryos as the source material, the current storm refers to differentiated ("somatic") cells. Cloning technology is useful in the following areas: agriculture, to produce animals of superior or specific qualities; endangered animals, to increase genetic diversity through widening the gene pool; understanding fundamental questions in developmental embryology, through the use of laboratory animals; and in human therapy, to produce cells and possibly tissues for repair and regeneration. In the first 2 instances, it is reproductive cloning. In the last instance, it is therapeutic cloning, as no individuals are "produced". Human reproductive cloning is not allowed by all governments that have deliberated on it, and therapeutic cloning is allowed by some under certain circumstances. As therapeutic cloning has great potential in cures of many diseases, it should be allowed but with safeguards to prevent abuse and reproductive cloning in the human.
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Affiliation(s)
- S C Ng
- Department of Obstetrics & Gynaecology, Faculty of Medicine, National University of Singapore, Lower Kent Ridge Road, Singapore 119074
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Smith NP, Mountford L, Ng Y, Hamblin A, Mitchell D, Spittle MF, Whittaker SJ. Treatment of Sézary syndrome with extracorporeal photochemotherapy. Transfus Sci 1994; 15:439-41. [PMID: 10155562 DOI: 10.1016/0955-3886(94)90177-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- N P Smith
- St John's Institute of Dermatology, Department of Immunology, St Thomas' Hospital, London, England
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Abstract
"The relation between immigration and the economic welfare of residents is analyzed for resource-rich economies (such as Australia) both under competitive conditions and when various distortions are present. Immigration provides efficiency gains for residents under distortion-free competition for standard 'gains from trade' reasons. Such reasons, however, tend to be ignored by immigration and 'optimal population' theorists who raise the issue of restricting immigration without explicitly referring to the distortions. In situations where distortions and externalities are present, we argue that it is generally preferable to devise policies which specifically target the distortions than to restrict immigration."
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Abstract
Forty six infants with the ultrasonic diagnosis of cavitating periventricular leukomalacia (CPVL) have been reviewed. Follow up examination results allow correlation between the ultrasound appearances and subsequent neurodevelopmental and neurological deficits. The highest incidence of this condition was found in infants at and below 27 weeks gestation, and occurred in 15% of very premature infants surviving 14 days or more. Cavities developed 15 days after the onset of periventricular echodensity (median time). Ventricular dilatation occurred in 24% of the infants who developed cavities. Follow up information was available in 27 infants and 18 of these (67%) had significant neurodevelopmental handicap. The location of echolucent cavities were described as involving anterior, middle or posterior cerebral zones or any combination of these. Cerebral palsy was closely related to the presence of cavities, but there was little association between cavities and developmental delay. Four factors were found to predict cerebral palsy: cavities within the occipital zone, the involvement of multiple regions of the brain, lesions greater than 1 cm in diameter and cavities associated with subcortical leukomalacia. Lesions confined to the anterior or middle zones were unlikely to be associated with significant handicap. The presence of cavities per se was not associated with a higher incidence of severe developmental delay.
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Affiliation(s)
- D Shortland
- Department of Child Health, Leicester University School of Medicine, Great Britain
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Abstract
"An ethical objection is raised against the Blackorby-Donaldson criterion of optimum population maximizing the sum total of utilities in excess of some critical level, since it may disprefer a social state with more people and with more worthwhile lives. However, the criterion may serve as a practicably reasonable compromise between maximizing total and average utility. Nevertheless, an alternative compromise (the maximization of number-dampened total utility) is proposed that is free from the above objection."
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