87 results on '"Paul Min"'
Search Results
2. FDG PET metabolic signatures distinguishing prodromal DLB and prodromal AD
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Kejal Kantarci, Bradley F. Boeve, Scott A. Przybelski, Timothy G. Lesnick, Qin Chen, Julie Fields, Christopher G. Schwarz, Matthew L. Senjem, Jeffrey L. Gunte, Clifford R. Jack, Paul Min, Manoj Jain, Toji Miyagawa, Rodolfo Savica, Jonathan Graff-Radford, Hugo Botha, David T. Jones, David S. Knopman, Neill Graff-Radford, Tanis J. Ferman, Ronald C. Petersen, and Val J. Lowe
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FDG PET ,Mild cognitive impairment ,Demenia with Lewy bodies ,Alzheimer's disease ,Cingulate island sign ,Computer applications to medicine. Medical informatics ,R858-859.7 ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
Background and Purpose: Patients with dementia with Lewy bodies (DLB) are characterized by hypometabolism in the parieto–occipital cortex and the cingulate island sign (CIS) on 18F-fluorodeoxyglucose (FDG) PET. Whether this pattern of hypometabolism is present as early as the prodromal stage of DLB is unknown. We investigated the pattern of hypometabolism in patients with mild cognitive impairment (MCI) who progressed to probable DLB compared to MCI patients who progressed to Alzheimer’s disease (AD) dementia and clinically unimpaired (CU) controls. Methods: Patients with MCI from the Mayo Clinic Alzheimer’s Disease Research Center who underwent FDG PET at baseline and progressed to either probable DLB (MCI-DLB; n = 17) or AD dementia (MCI-AD; n = 41) during follow-up, and a comparison cohort of CU controls (n = 100) were included. Results: Patients with MCI-DLB had hypometabolism in the parieto-occipital cortex extending into temporal lobes, substantia nigra and thalamus. When compared to MCI-AD, medial temporal and posterior cingulate metabolism were preserved in patients with MCI-DLB, accompanied by greater hypometabolism in the substantia nigra in MCI-DLB compared to MCI-AD. In distinguishing MCI-DLB from MCI-AD at the maximum value of Youden’s index, CIS ratio was highly specific (90%) but not sensitive (59%), but a higher medial temporal to substantia nigra ratio was both sensitive (94%) and specific (83%). Conclusion: FDG PET is a potential biomarker for the prodromal stage of DLB. A higher medial temporal metabolism and CIS ratio, and lower substantia nigra metabolism have additive value in distinguishing prodromal DLB and AD.
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- 2021
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3. The utility of personal activity trackers (Fitbit Charge 2) on exercise capacity in patients post acute coronary syndrome [UP-STEP ACS Trial]: a randomised controlled trial protocol
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Jason Nogic, Paul Min Thein, James Cameron, Sam Mirzaee, Abdul Ihdayhid, and Arthur Nasis
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Fitbit ,Personal activity tracker ,Cardiac rehabilitation ,Acute coronary syndrome ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Background The benefits of physical activity and cardiovascular rehabilitation on the reduction of cardiovascular risk are well documented. Despite this, significant barriers and challenges remain in optimizing patient risk factors post acute coronary syndromes (ACS) and ensuring patient compliance. Consumer wearable personal activity trackers represent a cost effective and readily available technology that may aid in this endeavour. Methods UP-STEP ACS is a prospective single-blinded, two-arm, parallel, randomized control trial with an aim to enrol 200 patients all undertaking cardiac rehabilitation. It will assess the affect that personal activity monitors have on change in exercise capacity in patients post acute coronary syndromes primarily measured by a six-minute walk test (6MWT). Secondary end points will be the improvement in other cardiovascular risk factors, namely; blood lipid and glucose levels, weight, waist circumference, along with mood, quality of life and cardiac rehabilitation adherence. Patients will be randomized to either receive a personal activity tracker or standard post hospital care during their index event. After the 8- week intervention period, patients will return for a clinical review and repeat of baseline assessments including the 6MWT. Discussion The utility and impact on exercise capacity of personal activity trackers in patient’s post-acute coronary syndrome has not been assessed. This study aims to add to the scientific evidence emerging regarding the clinical utility and validity of these devices in different patient population groups. If proven to be of benefit, these devices represent a cost effective, easily accessible technology that could aid in the reduction of cardiovascular events. Trial registration The trial has been registered with the Australian New Zealand Clinical Trials Registry (ANZCTR). The registration number is ACTRN12617000312347 (28/02/2017).
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- 2017
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4. Practical experience with smart cities platform design.
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Ang Loon Chan, Gim Guan Chua, Desmond Zhen Liang Chua, Shuqiao Guo, Paul Min Chim Lim, Mun-Thye Mak, and Wee Siong Ng
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- 2018
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5. A Flexible Qualitative Data Analytics Dashboard.
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Gim Guan Chua, Paul Min Chim Lim, Mun-Thye Mak, Wee Siong Ng, Shuqiao Guo, Ang Loon Chan, and Desmond Zhen Liang Chua
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- 2018
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6. Preoperative Use of Oral Beta-Adrenergic Blocking Agents and the Incidence of New-Onset Atrial Fibrillation After Cardiac Surgery. A Systematic Review and Meta-Analysis
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Thein, Paul Min, White, Kyle, Banker, Khyati, Lunny, Carole, Mirzaee, Sam, and Nasis, Arthur
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- 2018
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7. β-Amyloid Load on PET Along the Continuum of Dementia With Lewy Bodies
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Diaz-Galvan, Patricia, primary, Przybelski, Scott A, additional, Lesnick, Timothy G, additional, Schwarz, Christopher G, additional, Senjem, Matthew L, additional, Gunter, Jeffrey L, additional, Jack, Clifford R., additional, Paul Min, Hoon-Ki, additional, Jain, Manoj, additional, Miyagawa, Toji, additional, Forsberg, Leah K, additional, Fields, Julie A, additional, Savica, Rodolfo, additional, Graff-Radford, Jonathan, additional, Jones, David T., additional, Botha, Hugo, additional, St Louis, Erik K., additional, Knopman, David S, additional, Ramanan, Vijay K, additional, Ross, Owen, additional, Graff-Radford, Neill, additional, Day, Gregory S, additional, Dickson, Dennis W., additional, Ferman, Tanis J., additional, Petersen, Ronald C, additional, Lowe, Val J., additional, Boeve, Brad F, additional, and Kantarci, Kejal, additional
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- 2023
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8. β-Amyloid Load on PET Along the Continuum of Dementia With Lewy Bodies
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Patricia Diaz-Galvan, Scott A Przybelski, Timothy G Lesnick, Christopher G Schwarz, Matthew L Senjem, Jeffrey L Gunter, Clifford R. Jack, Hoon-Ki Paul Min, Manoj Jain, Toji Miyagawa, Leah K Forsberg, Julie A Fields, Rodolfo Savica, Jonathan Graff-Radford, David T. Jones, Hugo Botha, Erik K. St Louis, David S Knopman, Vijay K Ramanan, Owen Ross, Neill Graff-Radford, Gregory S Day, Dennis W. Dickson, Tanis J. Ferman, Ronald C Petersen, Val J. Lowe, Brad F Boeve, and Kejal Kantarci
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Neurology (clinical) - Abstract
Background:Amyloid-β plaques can co-occur with Lewy-related pathology in patients with dementia with Lewy bodies (DLB), but amyloid-β load at prodromal stages of DLB still needs to be elucidated. We investigated amyloid-β load on PET throughout the DLB continuum, from an early prodromal stage of isolated REM sleep behavior disorder (iRBD) to a stage of mild cognitive impairment with Lewy bodies (MCI-LB), and finally DLB.Methods:We performed a cross-sectional study in patients with a diagnosis of iRBD, MCI-LB, or DLB from the Mayo Clinic Alzheimer’s Disease Research Center. Amyloid-β levels were measured by Pittsburgh compound B (PiB) PET and global cortical standard uptake value ratio (SUVr) was calculated. Global cortical PiB SUVr values from each clinical group were compared to each other and to cognitively unimpaired individuals (CU; n=100) balanced on age and sex using ANCOVA. We used multiple linear regression testing for interaction to study the influences of sex andAPOEε4 status on PiB SUVr along the DLB continuum.Results:Of the 162 patients, 16 had iRBD, 64 had MCI-LB, and 82 had DLB. Compared to CU, global cortical PiB SUVr was higher in DLB (p <0.001) and MCI-LB (p=0.012). The DLB group included the highest proportion of amyloid-β positive patients (60%), followed by MCI-LB (41%), iRBD (25%), and finally CU (19%). Global cortical PiB SUVr was higher inAPOEε4 carriers compared toAPOEε4 non-carriers in MCI-LB (pp=0.049). Women had higher PiB SUVr with older age compared to men across the DLB continuum (βeta estimate=0.014,p=0.02).Conclusion:In this cross-sectional study, levels of amyloid-β load was higher further along the DLB continuum. Whereas amyloid-β levels were comparable to cognitively unimpaired individuals in iRBD, a significant elevation in amyloid-β levels was observed in the pre-dementia stage of MCI-LB and in DLB. Specifically,APOEε4 carriers had higher amyloid-β levels thanAPOEε4 non-carriers and women tended to have higher amyloid-β levels than men as they got older. These findings have important implications in targeting patients within the DLB continuum for clinical trials of disease-modifying therapies.
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- 2023
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9. A*DAX: A Platform for Cross-Domain Data Linking, Sharing and Analytics.
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Narayanan Amudha, Gim Guan Chua, Eric Siew Khuan Foo, Shen-Tat Goh, Shuqiao Guo, Paul Min Chim Lim, Mun-Thye Mak, Muhammad Cassim Mahmud Munshi, See-Kiong Ng, Wee Siong Ng, and Huayu Wu 0001
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- 2014
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10. A*DAX: A Platform for Cross-Domain Data Linking, Sharing and Analytics
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Amudha, Narayanan, Chua, Gim Guan, Foo, Eric Siew Khuan, Goh, Shen Tat, Guo, Shuqiao, Lim, Paul Min Chim, Mak, Mun-Thye, Munshi, Muhammad Cassim Mahmud, Ng, See-Kiong, Ng, Wee Siong, Wu, Huayu, Hutchison, David, editor, Kanade, Takeo, editor, Kittler, Josef, editor, Kleinberg, Jon M., editor, Mattern, Friedemann, editor, Mitchell, John C., editor, Naor, Moni, editor, Nierstrasz, Oscar, editor, Pandu Rangan, C., editor, Steffen, Bernhard, editor, Sudan, Madhu, editor, Terzopoulos, Demetri, editor, Tygar, Doug, editor, Vardi, Moshe Y., editor, Weikum, Gerhard, editor, Bhowmick, Sourav S., editor, Dyreson, Curtis E., editor, Jensen, Christian S., editor, Lee, Mong Li, editor, Muliantara, Agus, editor, and Thalheim, Bernhard, editor
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- 2014
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11. Education Administration: Analysis, New Challenges and Responses
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Chang, Paul Min Phang, primary
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- 2017
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12. Le devenir de la théologie catholique en ce temps de crise mondiale dans le contexte actuel de l’Asie : le cas de Corée du Sud.
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HAN, PAUL MIN-TAEG
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The article proposes an approach to the current situation of the Catholic Church and theology in South Korea. After noting a certain stagnation in the current situation of the Church, it considers that one of the greatest challenges of theology lies in the transmission of the faith to new generations, in circumstances many different from the previous ones. From a contextual point of view, the challenge is reinforced by the growing presence of new Christian confessions and sects in the territory, as well as by the effects of the pandemic. The near future will be marked by the impact of artificial intelligence and the synodal movement in the Church. [ABSTRACT FROM AUTHOR]
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- 2023
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13. Routes to industrial scalability to maximise investment in engineering biology in the UK—A bioplastics small and medium‐sized enterprise perspective
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Amy Switzer, Laima Šusta, and Paul Mines
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biochemical engineering ,genetic engineering ,genome engineering ,industry ,microbial engineering ,scale‐up strategies ,Biology (General) ,QH301-705.5 - Abstract
Abstract Focus on engineering biology is at the forefront of the UK government's objectives, being one of their five critical technologies (the others being quantum technologies, artifical intelligence, semiconductors, and future telecommunications), with a recent announcement of £2 billion to be invested into the field over the next 10 years. With such attention being given to engineering biology within the UK, it is critical to envisage realistic downstream channels (i.e. scale up and route to market) for this investment in order to maximise successful outcomes. This article aims to identify, from the perspective of a UK Bioplastics small and medium‐sized enterprise, areas within the scope of engineering biology that should be focused on to maximise potential for success.
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- 2024
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14. A*DAX: A Platform for Cross-Domain Data Linking, Sharing and Analytics
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Amudha, Narayanan, primary, Chua, Gim Guan, additional, Foo, Eric Siew Khuan, additional, Goh, Shen Tat, additional, Guo, Shuqiao, additional, Lim, Paul Min Chim, additional, Mak, Mun-Thye, additional, Munshi, Muhammad Cassim Mahmud, additional, Ng, See-Kiong, additional, Ng, Wee Siong, additional, and Wu, Huayu, additional
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- 2014
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15. Blood‐brain barrier insulin resistance decreases insulin uptake and increases amyloid beta uptake in Alzheimer's disease brain
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Paul Min, Chaitanya Chakravarthi Gali, Andrew L Zhou, Tyler J. Bruinsma, Vidur V Sarma, Geoffry L. Curran, Suresh Kumar Swaminathan, Nidhi Sharda, Teresa Decklever, Val J. Lowe, Karunya K. Kandimalla, and Lushan Wang
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medicine.medical_specialty ,biology ,Epidemiology ,Amyloid beta ,business.industry ,Health Policy ,Insulin ,medicine.medical_treatment ,Disease ,medicine.disease ,Blood–brain barrier ,Psychiatry and Mental health ,Cellular and Molecular Neuroscience ,Insulin resistance ,medicine.anatomical_structure ,Endocrinology ,Developmental Neuroscience ,Internal medicine ,medicine ,biology.protein ,Neurology (clinical) ,Geriatrics and Gerontology ,business - Published
- 2020
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16. Utility of ioflupane‐SPECT with multimodal imaging in dementia with Lewy bodies
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Bradley F. Boeve, Qin Chen, Toji Miyagawa, Laura A. Allen, Scott A. Przybelski, David S. Knopman, Timothy G. Lesnick, Kejal Kantarci, David T.W. Jones, Dennis W. Dickson, Leah K. Forsberg, Mary M. Machulda, Melissa E. Murray, Jonathan Graff-Radford, Lennon Jordan, Rodolfo Savica, Ronald C. Petersen, Paul Min, Val J. Lowe, Tanis J. Ferman, Joseph E. Parisi, Julie A. Fields, and Daniela D. Maltais
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Multimodal imaging ,Epidemiology ,Dementia with Lewy bodies ,business.industry ,Health Policy ,medicine.disease ,Psychiatry and Mental health ,Cellular and Molecular Neuroscience ,Modal ,Developmental Neuroscience ,Neuroimaging ,medicine ,Neurology (clinical) ,Geriatrics and Gerontology ,business ,Neuroscience - Published
- 2020
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17. Experiencias de la virtualidad en alumnos de la Carrera de Odontología Azogues-Ecuador
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Viviana Daniela Abad Freire, José Fernando Tintin Rea, Erika Lisseth Cárdenas Naspúd, Lisseth Pamela Cabrera Navas, Cristina Mercedes Crespo Crespo, and Paul Miño Armijos
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General Works - Abstract
El objetivo del estudio fue evaluar la experiencia de la educación virtual en el contexto de la pandemia, desde la percepción de los estudiantes de la Carrera de Odontología de la Universidad Católica de Cuenca sede Azogues. Se realizó un estudio descriptivo y transversal, utilizando encuestas digitales aplicadas a 331 estudiantes de primero a décimo ciclo. Los criterios de selección incluyeron estar matriculados en la carrera y aceptar dar información mediante un Consentimiento Informado enlazado al cuestionario digital, garantizando la confidencialidad de los datos. El análisis estadístico se realizó mediante tablas de frecuencias y la prueba de chi-cuadrado. Los resultados mostraron que la mayoría de la muestra eran mujeres de entre 17 y 22 años, provenientes principalmente de la provincia del Cañar. La satisfacción de los estudiantes fue medianamente satisfactoria en clases teóricas y prácticas, sin significancia estadística. Sin embargo, las prácticas virtuales fueron parcialmente satisfactorias, especialmente para estudiantes de primer y tercer ciclo, con significancia estadística (p = 0,0035). Los principales problemas reportados fueron problemas de conexión y lentitud de internet. La mayoría de los estudiantes indicaron un alto grado de estrés debido a la situación. En conclusión, la experiencia de la educación virtual en los estudiantes de odontología no fue completamente satisfactoria, destacando la importancia de mejorar la calidad de la señal de internet y aumentar el número de talleres prácticos presenciales, dada la naturaleza práctica de la carrera.
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- 2024
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18. Real-world experience of nintedanib for progressive fibrosing interstitial lung disease in the UK
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Giles Dixon, Samuel Hague, Sarah Mulholland, Huzaifa Adamali, Aye Myat Noe Khin, Hannah Thould, Roisin Connon, Paul Minnis, Eoin Murtagh, Fasihul Khan, Sameen Toor, Alexandra Lawrence, Marium Naqvi, Alex West, Robina K. Coker, Katie Ward, Leda Yazbeck, Simon Hart, Theresa Garfoot, Kate Newman, Pilar Rivera-Ortega, Lachlan Stranks, Paul Beirne, Jessica Bradley, Catherine Rowan, Sarah Agnew, Mahin Ahmad, Lisa G. Spencer, Joshua Aigbirior, Ahmed Fahim, Andrew M. Wilson, Elizabeth Butcher, Sy Giin Chong, Gauri Saini, Sabrina Zulfikar, Felix Chua, Peter M. George, Maria Kokosi, Vasileios Kouranos, Philip Molyneaux, Elisabetta Renzoni, Benedetta Vitri, Athol U. Wells, Lisa M. Nicol, Stephen Bianchi, Raman Kular, HuaJian Liu, Alexander John, Sarah Barth, Melissa Wickremasinghe, Ian A. Forrest, Ian Grimes, A. John Simpson, Sophie V. Fletcher, Mark G. Jones, Emma Kinsella, Jennifer Naftel, Nicola Wood, Jodie Chalmers, Anjali Crawshaw, Louise E. Crowley, Davinder Dosanjh, Christopher C. Huntley, Gareth I. Walters, Timothy Gatheral, Catherine Plum, Shiva Bikmalla, Raja Muthusami, Helen Stone, Jonathan C.L. Rodrigues, Krasimira Tsaneva-Atanasova, Chris J. Scotton, Michael A. Gibbons, and Shaney L. Barratt
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Medicine - Abstract
Background Nintedanib slows progression of lung function decline in patients with progressive fibrosing (PF) interstitial lung disease (ILD) and was recommended for this indication within the United Kingdom (UK) National Health Service in Scotland in June 2021 and in England, Wales and Northern Ireland in November 2021. To date, there has been no national evaluation of the use of nintedanib for PF-ILD in a real-world setting. Methods 26 UK centres were invited to take part in a national service evaluation between 17 November 2021 and 30 September 2022. Summary data regarding underlying diagnosis, pulmonary function tests, diagnostic criteria, radiological appearance, concurrent immunosuppressive therapy and drug tolerability were collected via electronic survey. Results 24 UK prescribing centres responded to the service evaluation invitation. Between 17 November 2021 and 30 September 2022, 1120 patients received a multidisciplinary team recommendation to commence nintedanib for PF-ILD. The most common underlying diagnoses were hypersensitivity pneumonitis (298 out of 1120, 26.6%), connective tissue disease associated ILD (197 out of 1120, 17.6%), rheumatoid arthritis associated ILD (180 out of 1120, 16.0%), idiopathic nonspecific interstitial pneumonia (125 out of 1120, 11.1%) and unclassifiable ILD (100 out of 1120, 8.9%). Of these, 54.4% (609 out of 1120) were receiving concomitant corticosteroids, 355 (31.7%) out of 1120 were receiving concomitant mycophenolate mofetil and 340 (30.3%) out of 1120 were receiving another immunosuppressive/modulatory therapy. Radiological progression of ILD combined with worsening respiratory symptoms was the most common reason for the diagnosis of PF-ILD. Conclusion We have demonstrated the use of nintedanib for the treatment of PF-ILD across a broad range of underlying conditions. Nintedanib is frequently co-prescribed alongside immunosuppressive and immunomodulatory therapy. The use of nintedanib for the treatment of PF-ILD has demonstrated acceptable tolerability in a real-world setting.
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- 2024
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19. A Flexible Qualitative Data Analytics Dashboard
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Paul Min Chim Lim, Wee Siong Ng, Shuqiao Guo, Desmond Chua Zhen Liang, Mun Thye Mak, Gim Guan Chua, and Ang Loon Chan
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060201 languages & linguistics ,Measure (data warehouse) ,SIMPLE (military communications protocol) ,business.industry ,Computer science ,End user ,Dashboard (business) ,Novelty ,Qualitative property ,06 humanities and the arts ,02 engineering and technology ,Phase (combat) ,Analytics ,0602 languages and literature ,0202 electrical engineering, electronic engineering, information engineering ,020201 artificial intelligence & image processing ,Performance indicator ,Software engineering ,business - Abstract
There are numerous ways to monitor business activities, but the most effective way is by adopting data-driven decision-making processes and technologies to enable the corporate entities to monitor and measure performance KPIs. Dashboards are commonly used as the main supporting tool for presenting analytical results. However, current approaches have some limitations. Since data sources are usually transformed and materialized during the design phase, end users of typical dashboards can only perform simple filtering and layout changes in most cases. In this work, we introduce a flexible qualitative data analytics dashboard framework called Cookbook. The main novelty of our approach is that we achieve a highly customizable dashboard framework by segregating data during design phase, and materializing data during execution phase.
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- 2018
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20. Practical experience with smart cities platform design
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Gim Guan Chua, Mun Thye Mak, Shuqiao Guo, Desmond Zhen Liang Chua, Ang Loon Chan, Paul Min Chim Lim, and Wee Siong Ng
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020203 distributed computing ,geography ,geography.geographical_feature_category ,Multimedia ,business.industry ,Computer science ,02 engineering and technology ,Urban area ,computer.software_genre ,Market research ,Data visualization ,Analytics ,Data exchange ,Smart city ,Health care ,0202 electrical engineering, electronic engineering, information engineering ,020201 artificial intelligence & image processing ,business ,Internet of Things ,Wireless sensor network ,computer - Abstract
A successful smart nation is one which uses information and Internet of Things (IoT) technology in a seamless integrated form to enhance transport, healthcare and other public services to improve the quality of life for citizens. In this paper we present our practical experience with smart cities platform design: A∗DAX, a powerful framework for extracting insight from heterogeneous, real-time and complex data sets. In fact, A∗DAX has been successfully deployed at the multi-agency Jurong Lake District (“JLD”) Smart City Test Bed in Singapore, with integration to a shared sensor network of close to 1,000 urban sensors and video analytics of more than 25 video sensors. The vision for JLD is to be a leading model for developing a mixed-used urban area that is sustainable, smart and connected. Through the A∗DAX data exchange portal and repository, test bed users will be able to access real-time and historical environmental data collected by the sensors, as well as video analytics from the camera streams and benefit from a variety of Smart Nation solutions providing real-time sensing and analytics.
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- 2018
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21. IC-P-065: ANALYSIS OF IOFLUPANE-SPECT FINDINGS USING DATQUANT IN PATIENTS WITH IDIOPATHIC REM SLEEP BEHAVIOR DISORDER
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Timothy G. Lesnick, Bradley F. Boeve, David T.W. Jones, Eric St. Louis, Mary M. Machulda, David S. Knopman, Zuzana Nedelska, Val J. Lowe, Leah K. Forsberg, Scott A. Przybelski, Lennon Jordan, Ronald C. Petersen, Julie A. Fields, Daniela D. Maltais, Daniel A. Drubach, Toji Miyagawa, Kejal Kantarci, Michael H. Silber, Jonathan Graff-Radford, Laura A. Allen, Rodolfo Savica, and Paul Min
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medicine.medical_specialty ,Epidemiology ,business.industry ,Health Policy ,medicine.disease ,REM sleep behavior disorder ,Psychiatry and Mental health ,Cellular and Molecular Neuroscience ,Developmental Neuroscience ,Internal medicine ,medicine ,Cardiology ,In patient ,Neurology (clinical) ,Geriatrics and Gerontology ,business - Published
- 2019
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22. Mentorship and self-efficacy are associated with lower burnout in physical therapists in the United States: a cross-sectional survey study
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Matthew Pugliese, Jean-Michel Brismée, Brad Allen, Sean Riley, Justin Tammany, and Paul Mintken
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prevalence ,professional burnout ,psychological burnout ,surveys and questionnaires ,united states ,Special aspects of education ,LC8-6691 ,Medicine - Abstract
Purpose This study investigated the prevalence of burnout in physical therapists in the United States and the relationships between burnout and education, mentorship, and self-efficacy. Methods This was a cross-sectional survey study. An electronic survey was distributed to practicing physical therapists across the United States over a 6-week period from December 2020 to January 2021. The survey was completed by 2,813 physical therapists from all states. The majority were female (68.72%), White or Caucasian (80.13%), and employed full-time (77.14%). Respondents completed questions on demographics, education, mentorship, self-efficacy, and burnout. The Burnout Clinical Subtypes Questionnaire (BCSQ-12) and self-reports were used to quantify burnout, and the General Self-Efficacy Scale (GSES) was used to measure self-efficacy. Descriptive and inferential analyses were performed. Results Respondents from home health (median BCSQ-12=42.00) and skilled nursing facility settings (median BCSQ-12=43.00) displayed the highest burnout scores. Burnout was significantly lower among those who provided formal mentorship (median BCSQ-12=39.00, P=0.0001) compared to no mentorship (median BCSQ-12=41.00). Respondents who received formal mentorship (median BCSQ-12=38.00, P=0.0028) displayed significantly lower burnout than those who received no mentorship (median BCSQ-12=41.00). A moderate negative correlation (rho=-0.49) was observed between the GSES and burnout scores. A strong positive correlation was found between self-reported burnout status and burnout scores (rrb=0.61). Conclusion Burnout is prevalent in the physical therapy profession, as almost half of respondents (49.34%) reported burnout. Providing or receiving mentorship and higher self-efficacy were associated with lower burnout. Organizations should consider measuring burnout levels, investing in mentorship programs, and implementing strategies to improve self-efficacy.
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- 2023
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23. Education Administration: Analysis, New Challenges and Responses
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Paul Min Phang Chang
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Scope (project management) ,business.industry ,Political science ,ComputingMilieux_COMPUTERSANDEDUCATION ,Educational administration ,Public relations ,business ,Administration (government) - Abstract
Paul Chang emphasised in his lecture the challenges posed by the new demands and crucial roles played by educational administrators. Some of the major problems highlighted in his paper included the varying abilities of teachers, school principals and school board members. He interpreted that if educational administration is identified with distinct roles, there is scope for creative management.
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- 2017
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24. IC-P-064: ANALYSIS OF IOFLUPANE-SPECT FINDINGS USING DATQUANT IN PATIENTS WITH MILD COGNITIVE IMPAIRMENT
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Ronald C. Petersen, Rodolfo Savica, Zuzana Nedelska, Bradley F. Boeve, Scott A. Przybelski, Leah K. Forsberg, Daniel A. Drubach, David S. Knopman, Toji Miyagawa, Laura A. Allen, Val J. Lowe, Jonathan Graff-Radford, David T.W. Jones, Mary M. Machulda, Paul Min, Julie A. Fields, Daniela D. Maltais, Kejal Kantarci, Lennon Jordan, and Timothy G. Lesnick
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medicine.medical_specialty ,Epidemiology ,business.industry ,Health Policy ,Psychiatry and Mental health ,Cellular and Molecular Neuroscience ,Developmental Neuroscience ,Internal medicine ,medicine ,Cardiology ,In patient ,Neurology (clinical) ,Geriatrics and Gerontology ,business ,Cognitive impairment - Published
- 2019
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25. P3-411: ANALYSIS OF IOFLUPANE-SPECT FINDINGS USING DATQUANT IN PATIENTS WITH IDIOPATHIC REM SLEEP BEHAVIOR DISORDER
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Daniela D. Maltais, Toji Miyagawa, Paul Min, Scott A. Przybelski, Lennon Jordan, Timothy G. Lesnick, Eric St. Louis, Michael H. Silber, Jonathan Graff-Radford, David T. Jones, Rodolfo Savica, Daniel A. Drubach, David S. Knopman, Ronald C. Petersen, Julie A. Fields, Mary M. Machulda, Leah K. Forsberg, Laura A. Allen, Zuzana Nedelska, Bradley F. Boeve, Kejal Kantarci, and Val J. Lowe
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Psychiatry and Mental health ,Cellular and Molecular Neuroscience ,Developmental Neuroscience ,Epidemiology ,Health Policy ,Neurology (clinical) ,Geriatrics and Gerontology - Published
- 2019
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26. P4-267: ANALYSIS OF IOFLUPANE-SPECT FINDINGS USING DATQUANT IN PATIENTS WITH MILD COGNITIVE IMPAIRMENT
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Zuzana Nedelska, Toji Miyagawa, Scott A. Przybelski, Daniela D. Maltais, Paul Min, Lennon Jordan, Timothy G. Lesnick, Jonathan Graff-Radford, David T. Jones, Rodolfo Savica, Daniel A. Drubach, David S. Knopman, Ronald C. Petersen, Julie A. Fields, Mary M. Machulda, Leah K. Forsberg, Laura A. Allen, Bradley F. Boeve, Kejal Kantarci, and Val J. Lowe
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Psychiatry and Mental health ,Cellular and Molecular Neuroscience ,Developmental Neuroscience ,Epidemiology ,Health Policy ,Neurology (clinical) ,Geriatrics and Gerontology - Published
- 2019
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27. The Role of the Administrator as a Mediator in the Development and Implementation of Educational Policy.
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British Columbia Univ., Vancouver. Center for Continuing Education. and Chang, Paul Min Phang
- Abstract
The development of an off-campus program at the Science University in Penang, Malaysia, is described in this paper. The author sees this development as a case in which administrators mediated successfully in the development and implementation of an educational policy. The program was designed to provide off-campus study opportunities for employed adults who, although qualified, cannot engage in full-time studies. Before initiating the program, relevant constraints were identified, including lack of library facilities, lack of qualified tutors, and distance. Identified resources were personnel, support of the ministry and state departments of education, facilities in schools and other public agencies, the mass media, and financial support. A number of approaches were offered to overcome the problems of the distance between the students and the university: teaching by correspondence, the use of cassettes, regional science centers in high schools, a self-help tutorial system, visits by faculty members, library services, and an annual three-week residence requirement. A structured management organization, run by the head of the Centre for Educational Studies, coordinates and administers the program. Courses are offered at three levels of academic study; at the third level, students are required to do full-time study on campus. (Author/JM)
- Published
- 1980
28. Practical experience with smart cities platform design
- Author
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Chan, Ang Loon, primary, Chua, Gim Guan, additional, Chua, Desmond Zhen Liang, additional, Guo, Shuqiao, additional, Lim, Paul Min Chim, additional, Mak, Mun Thye, additional, and Ng, Wee Siong, additional
- Published
- 2018
- Full Text
- View/download PDF
29. The utility of personal activity trackers (Fitbit Charge 2) on exercise capacity in patients post acute coronary syndrome [UP-STEP ACS Trial]: a randomised controlled trial protocol
- Author
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Nogic, Jason, primary, Thein, Paul Min, additional, Cameron, James, additional, Mirzaee, Sam, additional, Ihdayhid, Abdul, additional, and Nasis, Arthur, additional
- Published
- 2017
- Full Text
- View/download PDF
30. Can sewerage be considered safe management of human feces?
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Paul Minier, Fabien Esculier, Bruno Tassin, and Konstantinos Chatzis
- Subjects
Sewerage ,Enteric diseases ,Public health ,Sanitation ,Human feces ,Environmental sciences ,GE1-350 ,Urban groups. The city. Urban sociology ,HT101-395 - Abstract
Although flush toilets and sewerage are usually considered the height of comfort in 21st-century urban societies and the technical and sanitary culmination of human excreta management, they are increasingly being challenged for their environmental footprint and financial cost. Alternative management methods, broadly termed “source separation”, are being developed to address these issues. However, the widely shared belief in the absolute superiority of sewerage for public health is hindering the development of such systems. In this paper, we briefly re-examine the contribution to public health of sewerage as a means of managing human feces, in both its historical development and current implementation. We suggest that management of feces by sewerage is just one element among others in a systemic change, that it usually occurred much later than the others, and that the epidemiological transition usually attributed to sewerage only was, as a matter of fact, strongly supported by associated improvements in drinking water, health care, hygiene practices and good nutrition. We show that risk control in sewered cities is not based on a barrier between human feces and the environment (what we might call sanitation), but on barriers between a contaminated environment and the different uses of water. We call for a more comprehensive analysis of the effects of sewerage on public health, in present times and historically, not only at the scale of a city but at the broader scale of all impacted communities. We also call for a comparison of these effects with those of other sanitation systems that have much lower environmental footprint.
- Published
- 2023
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- View/download PDF
31. A*DAX-DAT: A toolkit framework for big data analytics
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Aung, Htoo Htet, primary, Guo, Shuqiao, additional, Xiang, Shili, additional, Chan, Ang Loon, additional, Lim, Paul Min Chim, additional, Mak, Mun Thye, additional, Chua, Gim Guan, additional, Koh, Wee Boon, additional, and Ng, Wee Siong, additional
- Published
- 2017
- Full Text
- View/download PDF
32. A*DAX: A Platform for Cross-Domain Data Linking, Sharing and Analytics
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Mun-Thye Mak, Shen Tat Goh, Paul Min Chim Lim, Shuqiao Guo, Huayu Wu, Wee Siong Ng, Narayanan Amudha, See-Kiong Ng, Eric Siew Khuan Foo, Gim Guan Chua, and Muhammad Cassim Munshi
- Subjects
World Wide Web ,Data linking ,Analytics ,business.industry ,Computer science ,Agency (sociology) ,Data analysis ,Private sector ,business ,Communication channel ,Visualization ,Domain (software engineering) - Abstract
We introduce the A*STAR Data Analytics and Exchange Platform (“A*DAX”), which is the backbone data platform for different programs and projects under the Urban Systems Initiative launched by the Agency for Science, Technology and Research in Singapore. The A*DAX aims to provide a centralized system for public and private sectors to manage and share data; meanwhile, it also provides basic data analytics and visualization functions for authorized parties to consume data. A*DAX is also a channel for developers to develop innovative applications based on real data to improve urban services.
- Published
- 2014
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33. Legal Approaches to ‘Unwanted’ EU Citizens in the Netherlands
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Sandra Mantu, Paul Minderhoud, and Carolus Grütters
- Subjects
eu citizenship ,free movement ,residence ,expulsion ,social rights ,abuse ,Colonies and colonization. Emigration and immigration. International migration ,JV1-9480 ,City population. Including children in cities, immigration ,HT201-221 - Abstract
This contribution examines the legal powers that Dutch authorities have to restrict the right to free movement of mobile but ‘unwanted’ EU citizens, including measures that seek to expel and ban EU citizens from re-entering the Netherlands. The article defines ‘unwanted’ EU citizens as mobile EU citizens in respect of whom national authorities seek to take measures to restrict their right of residence, either on the grounds of their being an unreasonable burden on the Dutch social assistance system or in respect of public policy and public security. We analyse the relevant EU legal rules, their interpretation by the Court of Justice of the EU and their national implementation and application in order to show the legal constraints faced by national authorities when seeking to restrict EU mobility. This legal study is supplemented by a discussion of existing data on the number of EU citizens expelled or removed from the Netherlands. Our analysis suggests that, due to the legal protection enjoyed by mobile EU citizens against measures restricting their residence rights, the Dutch authorities encourage voluntary departure as a pragmatic solution to the presence of ‘unwanted’ EU citizens.
- Published
- 2021
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34. Metabolic engineering of Rhodococcus jostii RHA1 for production of pyridine-dicarboxylic acids from lignin
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Edward M. Spence, Leonides Calvo-Bado, Paul Mines, and Timothy D. H. Bugg
- Subjects
Lignin degradation ,Pyridine dicarboxylic acid ,Metabolic engineering ,Rhodococcus jostii RHA1 ,Gene promoter ,Microbiology ,QR1-502 - Abstract
Abstract Genetic modification of Rhodococcus jostii RHA1 was carried out in order to optimise the production of pyridine-2,4-dicarboxylic acid and pyridine-2,5-dicarboxylic acid bioproducts from lignin or lignocellulose breakdown, via insertion of either the Sphingobium SYK-6 ligAB genes or Paenibacillus praA gene respectively. Insertion of inducible plasmid pTipQC2 expression vector containing either ligAB or praA genes into a ΔpcaHG R. jostii RHA1 gene deletion strain gave 2–threefold higher titres of PDCA production from lignocellulose (200–287 mg/L), compared to plasmid expression in wild-type R. jostii RHA1. The ligAB genes were inserted in place of the chromosomal pcaHG genes encoding protocatechuate 3,4-dioxygenase, under the control of inducible Picl or PnitA promoters, or a constitutive Ptpc5 promoter, producing 2,4-PDCA products using either wheat straw lignocellulose or commercial soda lignin as carbon source. Insertion of Amycolatopsis sp. 75iv2 dyp2 gene on a pTipQC2 expression plasmid led to enhanced titres of 2,4-PDCA products, due to enhanced rate of lignin degradation. Growth in minimal media containing wheat straw lignocellulose led to the production of 2,4-PDCA in 330 mg/L titre in 40 h, with > tenfold enhanced productivity, compared with plasmid-based expression of ligAB genes in wild-type R. jostii RHA1. Production of 2,4-PDCA was also observed using several different polymeric lignins as carbon sources, and a titre of 240 mg/L was observed using a commercially available soda lignin as feedstock.
- Published
- 2021
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- View/download PDF
35. Into the Unknown: COVID-19 and the Global Mobility of Migrant Workers
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Tesseltje de Lange, Sandra Mantu, and Paul Minderhoud
- Subjects
Comparative law. International uniform law ,K520-5582 ,Private international law. Conflict of laws ,K7000-7720 - Abstract
As the COVID-19 crisis developed, the International Labor Organization estimated that 4.7 percent of the global labor pool, comprising 164 million people, were migrant workers who were living and working outside their home country. While some were laid off and sent home for the lockdown, others continued working. These others were migrants performing crucial jobs in the front line of the crisis. They help to produce our food, pack our orders, and build or clean our houses, among other tasks. Many COVID-19 infections appear to be labor-related, with many of the crucial sectors exhibiting an extra-high risk of virus transmission. Migrant workers on the frontline can be low-waged, hold a temporary job, lack knowledge of their legal position and the local language, and have a limited social network and high dependency on others—such as recruiters or temporary employment agencies—for work and housing. This essay addresses these migrant vulnerabilities in the labor market and identifies measures that might simultaneously curb the vulnerabilities and account for industrial needs for labor in essential sectors. We argue that the vulnerability of migrant laborers is structural; the COVID-19 crisis has put a magnifying glass on a preexisting vulnerability and clarified the need for solutions.
- Published
- 2020
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36. Regulation of EU Labour Migration: At a Crossroads after the New Pact on Migration and Asylum?
- Author
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Paul Minderhoud
- Subjects
labour migration ,eu regulation ,new pact on migration ,competences ,common eu policy ,Law in general. Comparative and uniform law. Jurisprudence ,K1-7720 - Abstract
The 2020 New Pact on Migration and Asylum could have been the perfect opportunity for the Commission to address and overcome the crisis in the field of a common EU labour migration policy by getting it back on track. But nothing was further from the truth. The attention which the Commission devotes to the subject of EU labour migration in the New Pact is disappointing. It even seems as though the Commission is abdicating its responsibility and leaving it up to the Member States to make national policy in this area. EU labour migration policy has always been a battle ground between the EU and the Member States. It has led to a highly fragmented EU policy that is proving to be ineffective and is generating resistance rather than contributing to a common policy. This article describes and analyses the EU labour migration policy as it has been shaped since 2000, framing it in a post-crisis dilemma. After the failure of an ambitious proposal for a common comprehensive approach to the admission and residence conditions of third country national workers in general, the Commission opted for a sectoral approach, which so far has led to the establishment of four labour migration Directives, namely for highly skilled workers, seasonal workers, intra-corporate transferees and a single permit for residence and work procedure. Due to the 2015 refugee crisis, the Commission has mainly focused on asylum-related issues during the last few years. With regard to EU labour migration regulation, barely any new initiative has been taken. The only EU institutional player which seriously challenges the addressing of the post-crisis situation in this area is the European Parliament. Are we at a crossroads regarding the regulation of EU labour migration?
- Published
- 2022
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37. TP53 loss initiates chromosomal instability in fallopian tube epithelial cells
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Daniel Bronder, Anthony Tighe, Darawalee Wangsa, Dali Zong, Thomas J. Meyer, René Wardenaar, Paul Minshall, Daniela Hirsch, Kerstin Heselmeyer-Haddad, Louisa Nelson, Diana Spierings, Joanne C. McGrail, Maggie Cam, André Nussenzweig, Floris Foijer, Thomas Ried, and Stephen S. Taylor
- Subjects
high-grade serous ovarian cancer ,fallopian tube ,chromosomal instability ,tp53 ,brca1 ,myc ,Medicine ,Pathology ,RB1-214 - Abstract
High-grade serous ovarian cancer (HGSOC) originates in the fallopian tube epithelium and is characterized by ubiquitous TP53 mutation and extensive chromosomal instability (CIN). However, direct causes of CIN, such as mutations in DNA replication and mitosis genes, are rare in HGSOC. We therefore asked whether oncogenic mutations that are common in HGSOC can indirectly drive CIN in non-transformed human fallopian tube epithelial cells. To model homologous recombination deficient HGSOC, we sequentially mutated TP53 and BRCA1 then overexpressed MYC. Loss of p53 function alone was sufficient to drive the emergence of subclonal karyotype alterations. TP53 mutation also led to global gene expression changes, influencing modules involved in cell cycle commitment, DNA replication, G2/M checkpoint control and mitotic spindle function. Both transcriptional deregulation and karyotype diversity were exacerbated by loss of BRCA1 function, with whole-genome doubling events observed in independent p53/BRCA1-deficient lineages. Thus, our observations indicate that loss of the key tumour suppressor TP53 is sufficient to deregulate multiple cell cycle control networks and thereby initiate CIN in pre-malignant fallopian tube epithelial cells. This article has an associated First Person interview with the first author of the paper.
- Published
- 2021
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- View/download PDF
38. Effects of aged garlic extract (AGE) on the immunosuppressive effects of stress
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Georgia Luczy-Bachman, Moon Seok Chang, Paul Min, Dwight M. Nance, and Harunobu Amagase
- Subjects
Stress (mechanics) ,Behavioral Neuroscience ,Endocrine and Autonomic Systems ,business.industry ,Immunology ,Medicine ,Physiology ,business - Published
- 2006
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39. Li-ion Electrode Microstructure Evolution during Drying and Calendering
- Author
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Mojdeh Nikpour, Baichuan Liu, Paul Minson, Zachary Hillman, Brian A. Mazzeo, and Dean R. Wheeler
- Subjects
Li-ion battery ,electrode fabrication ,electronic conductivity ,ionic resistance ,contact resistance ,binder migration ,Production of electric energy or power. Powerplants. Central stations ,TK1001-1841 ,Industrial electrochemistry ,TP250-261 - Abstract
The drying process of electrodes might seem to be a simple operation, but it has profound effects on the microstructure. Some unexpected changes can happen depending on the drying conditions. In prior work, we developed the multiphase-smoothed-particle (MPSP) model, which predicted a relative increase in the carbon additive and binder adjacent to the current collector during drying. This motivated us to undertake the present experimental investigation of the relationship between the drying rate and microstructure and transport properties for a typical anode and cathode. Specifically, the drying rate was controlled by means of temperature for both an NMC532 cathode and graphite anode. The material distribution was analyzed using a combination of cross-section SEM images and the energy-dispersive X-ray spectroscopy elemental maps. The binder concentration gradients were developed in both the in- and through-plane directions. The through-plane gradient is evident at a temperature higher than 150 °C, whereas the in-plane variations resulted at all drying temperatures. The measurements identified an optimum temperature (80 °C) that results in high electronic conductivity and low ionic resistivity due to a more uniform binder distribution. Trends in transport properties are not significantly altered by calendering, which highlights the importance of the drying rate itself on the assembled cell properties.
- Published
- 2022
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- View/download PDF
40. #101 The immunomodulatory effects of counter-irritation are mediated via the sympathetic nervous system
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Paul Min, Dwight M. Nance, Georgia Luczy-Bachman, Zang-Hee Cho, and Yeong-Bog Lee
- Subjects
Behavioral Neuroscience ,Sympathetic nervous system ,medicine.anatomical_structure ,Endocrine and Autonomic Systems ,business.industry ,Immunology ,medicine ,Irritation ,Pharmacology ,medicine.disease_cause ,business - Published
- 2005
- Full Text
- View/download PDF
41. Révélation et expérience. La connaissance naturelle de Dieu chez Henri Bouillard
- Author
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Han, Paul Min-Taeg, primary
- Published
- 2009
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42. Révélation et expérience. La connaissance naturelle de Dieu chez Henri Bouillard
- Author
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Paul Min-Taeg Han
- Abstract
L’auteur de cet article est un doctorant en Theologie d’origine coreenne, ce qui permet un regard issu d’un autre horizon culturel et religieux sur l’œuvre d’Henri Bouillard. La question posee sur le rapport entre « la revelation de Dieu advenue en Jesus-Christ » et la « connaissance naturelle de Dieu » ouvre la voie a une meilleure comprehension de l’evolution du dernier Bouillard, pour qui cette « connaissance naturelle » n’est pas seulement accessible aux philosophes, mais doit etre interrogee dans ce qui peut en apparaitre au sein des religions non-chretiennes, et cela sans jamais se departir du souci de la verite.
- Published
- 2009
- Full Text
- View/download PDF
43. Serum Levels of Inflammatory Proteins Are Associated With Peripheral Neuropathy in a Cross-Sectional Type-1 Diabetes Cohort
- Author
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Sharad Purohit, Paul Minh Huy Tran, Lynn Kim Hoang Tran, Khaled Bin Satter, Mingfang He, Wenbo Zhi, Shan Bai, Diane Hopkins, Melissa Gardiner, Chandramohan Wakade, Jennifer Bryant, Risa Bernard, John Morgan, Bruce Bode, John Chip Reed, and Jin-Xiong She
- Subjects
autoimmunity ,chronic inflammation ,type-1 diabetes ,cytokines ,receptors ,peripheral neuropathy ,Immunologic diseases. Allergy ,RC581-607 - Abstract
Chronic low-grade inflammation is involved in the pathogenesis of type-1 diabetes (T1D) and its complications. In this cross-section study design, we investigated association between serum levels of soluble cytokine receptors with presence of peripheral neuropathy in 694 type-1 diabetes patients. Sex, age, blood pressure, smoking, alcohol intake, HbA1c and lipid profile, presence of DPN (peripheral and autonomic), retinopathy and nephropathy was obtained from patient’s chart. Measurement of soluble cytokine receptors, markers of systemic and vascular inflammation was done using multiplex immunoassays. Serum levels were elevated in in DPN patients, independent of gender, age and duration of diabetes. Crude odds ratios were significantly associated with presence of DPN for 15/22 proteins. The Odds ratio (OR) remained unchanged for sTNFRI (1.72, p=0.00001), sTNFRII (1.45, p=0.0027), sIL2Rα (1.40, p=0.0023), IGFBP6 (1.51, p=0.0032) and CRP (1.47, p=0.0046) after adjusting for confounding variables, HbA1C, hypertension and dyslipidemia. Further we showed risk of DPN is associated with increase in serum levels of sTNFRI (OR=11.2, p
- Published
- 2021
- Full Text
- View/download PDF
44. Idiopathic pulmonary fibrosis in the UK: analysis of the British Thoracic Society electronic registry between 2013 and 2019
- Author
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Lisa G. Spencer, Maria Loughenbury, Nazia Chaudhuri, Monica Spiteri, Helen Parfrey, BTS ILD Registry, Christine Fiddler, Gareth Walters, Sherwood Burge, Melanie Caswell, Simon Hart, Mark Major, David Adeboyeku, Ananthakrishnan Raghuram, Ling-Pei Ho, Arvind Rajasekaran, Aravind Ponnuswamy, Stephen Cowie, Mamoun Ibrahim, Christine O'Brien, Jane Scullion, Andrew White, Henry Steer, Dimitrina Petkova, Surinder Birring, Boris Lams, Robina Coker, Robert Buttery, Hannah Fletcher, John Hutchinson, Emad Hilal, Janet Fallon, Ahmed Fahim, Andrew Wilson, Georgina Hands, Alison Moody, Stephen Bianchi, Bhagyashree Jayaraman, Arnab Datta, William Chang, Jonathan Naylor, K. Suresh Babu, Robert Allcock, Philip Molyneaux, Srividya Narayan, Michael Gibbons, Katie Ward, Timothy Gatheral, Claire Squires, Ian Forrest, Mazhar Chaudri, Salman Ghani, Katherine Spinks, Huzaifa Adamali, Paul Beirne, Melissa Wickremasinghe, Joanna Porter, Beatriz Lara, Graham Miller, Sarah Haney, Laura MacKay, Steve O'Hickey, Owen Dempsey, Matthew Embley, George Chalmers, Sarah Davies, Ben Hope-Gill, Neil McAndrew, Paul Minnis, and Karol Henry
- Subjects
Medicine - Abstract
Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive and terminal interstitial lung disease (ILD) with a median survival of 3–5 years. The British Thoracic Society (BTS) established the UK IPF Registry in 2013 as a platform to collect data on clinical characteristics, treatments and outcomes for this cohort in the UK. Between 1 January 2013 and 31 October 2019, 2474 cases were registered. Most patients were male (79%) with a mean±sd age of 74±8.3 years and 66% were ex-smokers. Over time we observed an increase in the number of patients aged over 70 years. However, we have not seen a trend towards earlier presentation as symptoms of breathless and/or cough were present for >12 months in 63% of the cohort. At presentation, mean±sd % predicted forced vital capacity (FVC) was 78.2±18.3%, median 76.2% (interquartile range (IQR) 22.4%) and transfer factor of the lung for carbon monoxide (TLCO) 48.4±16.0, median 47.5 (IQR 20.1). Most cases were discussed at an ILD multidisciplinary meeting, with an increase over this time in the number of cases reported as having possible usual interstitial pneumonia (UIP) pattern on high-resolution computed tomography (HRCT) thorax. We noted a reduction in the number of patients undergoing surgical lung biopsy or bronchoalveolar lavage. Although more patients were prescribed anti-fibrotic therapies from 2013 to 2019, 43% were ineligible for treatment based upon National Institute for Health and Care Excellence (NICE) prescribing criteria. Hypertension, ischaemic heart disease, diabetes mellitus and gastro-oesophageal reflux were the most common comorbidities. In conclusion, we have presented baseline demographics as well as diagnostic and treatment strategies from the largest single-country IPF registry, reflecting changes in UK practices over this period.
- Published
- 2021
- Full Text
- View/download PDF
45. Oncocytoma-Related Gene Signature to Differentiate Chromophobe Renal Cancer and Oncocytoma Using Machine Learning
- Author
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Khaled Bin Satter, Paul Minh Huy Tran, Lynn Kim Hoang Tran, Zach Ramsey, Katheine Pinkerton, Shan Bai, Natasha M. Savage, Sravan Kavuri, Martha K. Terris, Jin-Xiong She, and Sharad Purohit
- Subjects
chromophobe ,oncocytoma ,classification ,machine learning ,transcriptomic ,gene signature ,Cytology ,QH573-671 - Abstract
Publicly available gene expression datasets were analyzed to develop a chromophobe and oncocytoma related gene signature (COGS) to distinguish chRCC from RO. The datasets GSE11151, GSE19982, GSE2109, GSE8271 and GSE11024 were combined into a discovery dataset. The transcriptomic differences were identified with unsupervised learning in the discovery dataset (97.8% accuracy) with density based UMAP (DBU). The top 30 genes were identified by univariate gene expression analysis and ROC analysis, to create a gene signature called COGS. COGS, combined with DBU, was able to differentiate chRCC from RO in the discovery dataset with an accuracy of 97.8%. The classification accuracy of COGS was validated in an independent meta-dataset consisting of TCGA-KICH and GSE12090, where COGS could differentiate chRCC from RO with 100% accuracy. The differentially expressed genes were involved in carbohydrate metabolism, transcriptomic regulation by TP53, beta-catenin-dependent Wnt signaling, and cytokine (IL-4 and IL-13) signaling highly active in cancer cells. Using multiple datasets and machine learning, we constructed and validated COGS as a tool that can differentiate chRCC from RO and complement histology in routine clinical practice to distinguish these two tumors.
- Published
- 2022
- Full Text
- View/download PDF
46. Assessing the performance of a Loop Mediated Isothermal Amplification (LAMP) assay for the detection and subtyping of high-risk suptypes of Human Papilloma Virus (HPV) for Oropharyngeal Squamous Cell Carcinoma (OPSCC) without DNA purification
- Author
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Mitchell G. Rohatensky, Devon M. Livingstone, Paul Mintchev, Heather K. Barnes, Steven C. Nakoneshny, Douglas J. Demetrick, Joseph C. Dort, and Guido van Marle
- Subjects
LAMP ,HPV ,OPSCC ,Loop-mediated isothermal amplification ,Oropharynx ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Abstract Background Oropharyngeal Squamous Cell Carcinoma (OPSCC) is increasing in incidence despite a decline in traditional risk factors. Human Papilloma Virus (HPV), specifically subtypes 16, 18, 31 and 35, has been implicated as the high-risk etiologic agent. HPV positive cancers have a significantly better prognosis than HPV negative cancers of comparable stage, and may benefit from different treatment regimens. Currently, HPV related carcinogenesis is established indirectly through Immunohistochemistry (IHC) staining for p16, a tumour suppressor gene, or polymerase chain reaction (PCR) that directly tests for HPV DNA in biopsied tissue. Loop mediated isothermal amplification (LAMP) is more accurate than IHC, more rapid than PCR and is significantly less costly. In previous work we showed that a subtype specific HPV LAMP assay performed similar to PCR on purified DNA. In this study we examined the performance of this LAMP assay without DNA purification. Methods We used LAMP assays using established primers for HPV 16 and 18, and new primers for HPV 31 and 35. LAMP reaction conditions were tested on serial dilutions of plasmid HPV DNA to confirm minimum viral copy number detection thresholds. LAMP was then performed directly on different human cell line samples without DNA purification. Results Our LAMP assays could detect 105, 103, 104, and 105 copies of plasmid DNA for HPV 16, 18, 31, and 35, respectively. All primer sets were subtype specific, with no cross-amplification. Our LAMP assays also reliably amplified subtype specific HPV DNA from samples without requiring DNA isolation and purification. Conclusions The high risk OPSCC HPV subtype specific LAMP primer sets demonstrated, excellent clinically relevant, minimum copy number detection thresholds with an easy readout system. Amplification directly from samples without purification illustrated the robust nature of the assay, and the primers used. This lends further support HPV type specific LAMP assays, and these specific primer sets and assays can be further developed to test for HPV in OPSCC in resource and lab limited settings, or even bedside testing.
- Published
- 2018
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- View/download PDF
47. Essential nontranslational functions of tRNA synthetases.
- Author
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Paul, Min and Schimmel, Paul
- Subjects
- *
AMINOACYL-tRNA synthetases , *TRANSFER RNA , *LIGASES , *PROTEIN synthesis , *IMMUNE response , *GENETIC translation , *AUTOIMMUNE diseases - Abstract
Nontranslational functions of vertebrate aminoacyl tRNA synthetases (aaRSs), which catalyze the production of aminoacyl-tRNAs for protein synthesis, have recently been discovered. Although these new functions were thought to be 'moonlighting activities', many are as critical for cellular homeostasis as their activity in translation. New roles have been associated with their cytoplasmic forms as well as with nuclear and secreted extracellular forms that affect pathways for cardiovascular development and the immune response and mTOR, IFN-γ and p53 signaling. The associations of aaRSs with autoimmune disorders, cancers and neurological disorders further highlight nontranslational functions of these proteins. New architecture elaborations of the aaRSs accompany their functional expansion in higher organisms and have been associated with the nontranslational functions for several aaRSs. Although a general understanding of how these functions developed is limited, the expropriation of aaRSs for essential nontranslational functions may have been initiated by co-opting the amino acid-binding site for another purpose. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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48. The p38α Stress Kinase Suppresses Aneuploidy Tolerance by Inhibiting Hif-1α
- Author
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Susana Simões-Sousa, Samantha Littler, Sarah L. Thompson, Paul Minshall, Helen Whalley, Bjorn Bakker, Klaudyna Belkot, Daniela Moralli, Daniel Bronder, Anthony Tighe, Diana C.J. Spierings, Nourdine Bah, Joshua Graham, Louisa Nelson, Catherine M. Green, Floris Foijer, Paul A. Townsend, and Stephen S. Taylor
- Subjects
Biology (General) ,QH301-705.5 - Abstract
Summary: Deviating from the normal karyotype dramatically changes gene dosage, in turn decreasing the robustness of biological networks. Consequently, aneuploidy is poorly tolerated by normal somatic cells and acts as a barrier to transformation. Paradoxically, however, karyotype heterogeneity drives tumor evolution and the emergence of therapeutic drug resistance. To better understand how cancer cells tolerate aneuploidy, we focused on the p38 stress response kinase. We show here that p38-deficient cells upregulate glycolysis and avoid post-mitotic apoptosis, leading to the emergence of aneuploid subclones. We also show that p38 deficiency upregulates the hypoxia-inducible transcription factor Hif-1α and that inhibiting Hif-1α restores apoptosis in p38-deficent cells. Because hypoxia and aneuploidy are both barriers to tumor progression, the ability of Hif-1α to promote cell survival following chromosome missegregation raises the possibility that aneuploidy tolerance coevolves with adaptation to hypoxia. : Simões-Sousa et al. show that chromosome missegregation induces metabolic collapse and apoptosis, mediated by the p38 stress response kinase. Inhibiting p38 elevates Hif-1α, boosts glycolysis, and limits metabolic collapse, in turn allowing expansion of aneuploid clones. Adapting to hypoxia during tumor development may therefore also permit aneuploidy tolerance. Keywords: mitosis, chromosome instability, aneuploidy
- Published
- 2018
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49. L’oléiculture en France : quand le paysage participe au renouveau d’une activité agricole
- Author
-
Stéphane Angles, Étienne Grésillon, and Paul Minvielle
- Subjects
agriculture ,olive tree ,landscapes ,valorization ,landscape projects ,Social Sciences - Abstract
After a long decline, olive growing in France has experienced a marked revival since the 1980s thanks to the valorization of local olive products. The great variety of profiles of the stakeholders in this re-emergence of olive production, especially among amateur olive growers, contributes greatly to the generation of the new olive growing landscapes. These landscapes are a major outcome of the rebirth of olive growing, a phenomenon worthy of research. The dynamics at work in the olive-producing landscape are varied and highlight the high value of the different types of landscapes introducing more environmentally friendly practices and providing an increasingly appreciated regional heritage. They thus contribute to the versatility of local farming areas and make it possible to understand the profound changes affecting the French Mediterranean region.
- Published
- 2017
- Full Text
- View/download PDF
50. Noncontrast computed tomography can predict the outcome of shockwave lithotripsy via accurate stone measurement and abdominal fat distribution determination
- Author
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Jiun-Hung Geng, Hung-Pin Tu, Paul Ming-Chen Shih, Jung-Tsung Shen, Mei-Yu Jang, Wen-Jen Wu, Ching-Chia Li, Yii-Her Chou, and Yung-Shun Juan
- Subjects
Abdominal fat ,Extracorporeal shockwave lithotripsy ,Noncontrast abdominal computed tomography ,Stone attenuation ,Medicine (General) ,R5-920 - Abstract
Urolithiasis is a common disease of the urinary system. Extracorporeal shockwave lithotripsy (SWL) has become one of the standard treatments for renal and ureteral stones; however, the success rates range widely and failure of stone disintegration may cause additional outlay, alternative procedures, and even complications. We used the data available from noncontrast abdominal computed tomography (NCCT) to evaluate the impact of stone parameters and abdominal fat distribution on calculus-free rates following SWL. We retrospectively reviewed 328 patients who had urinary stones and had undergone SWL from August 2012 to August 2013. All of them received pre-SWL NCCT; 1 month after SWL, radiography was arranged to evaluate the condition of the fragments. These patients were classified into stone-free group and residual stone group. Unenhanced computed tomography variables, including stone attenuation, abdominal fat area, and skin-to-stone distance (SSD) were analyzed. In all, 197 (60%) were classified as stone-free and 132 (40%) as having residual stone. The mean ages were 49.35 ± 13.22 years and 55.32 ± 13.52 years, respectively. On univariate analysis, age, stone size, stone surface area, stone attenuation, SSD, total fat area (TFA), abdominal circumference, serum creatinine, and the severity of hydronephrosis revealed statistical significance between these two groups. From multivariate logistic regression analysis, the independent parameters impacting SWL outcomes were stone size, stone attenuation, TFA, and serum creatinine. [Adjusted odds ratios and (95% confidence intervals): 9.49 (3.72–24.20), 2.25 (1.22–4.14), 2.20 (1.10–4.40), and 2.89 (1.35–6.21) respectively, all p
- Published
- 2015
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