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  1. Article: Implantation of a toric intraocular lens after repeated radial keratotomy procedures: A case report.

    Chen, Steve S W / Torii, Hidemasa / Yotsukura, Erisa / Nishi, Yasuyo / Negishi, Kazuno

    Heliyon

    2023  Volume 9, Issue 12, Page(s) e22500

    Abstract: Corneal alterations due to radial keratotomy (RK) complicate intraocular lens calculations, which may explain why there have been few reports of toric intraocular lens (TIOL) implantation after excessive or multiple operations. A 71-year-old male with a ... ...

    Abstract Corneal alterations due to radial keratotomy (RK) complicate intraocular lens calculations, which may explain why there have been few reports of toric intraocular lens (TIOL) implantation after excessive or multiple operations. A 71-year-old male with a history of repeated RKs and at least 30 corneal incisions in each eye was referred for cataract surgery. Preoperatively, the best-corrected distance visual acuity was 0.7 decimal (0.15 logMAR) in the right eye and 0.9 decimal (0.05 logMAR) in the left eye. The refractive errors were -8.00 -3.00 × 80 and -6.00 -3.50 × 80, respectively. The total corneal cylindrical powers (real power; anterior and posterior) were, respectively, -0.90 D and -3.60 D at 9 a.m., compared to -1.60 D and -3.80 D at 1 p.m. Corneal astigmatism in the left eye was considered symmetric and diurnally stable; therefore, an XY1AT6 TIOL (Hoya, Tokyo, Japan; cylindrical power at the plane, +3.75 D) was implanted. A non-toric intraocular lens, the XY1 (Hoya), was implanted in the right eye. Six-month postoperative best-corrected distance visual acuities were 1.2 decimal (-0.08 logMAR) and 1.0 decimal (0.00 logMAR) in the right and left eyes, respectively. Post-operative manifest refractions were +0.00 -3.00 × 70 and -1.00 -2.00 × 85, respectively. The TIOL reduced refractive astigmatism in the left eye; therefore, we believe that even after multiple RKs, the TIOL can be a suitable candidate to correct astigmatism if the corneal astigmatism is diurnally stable and symmetric.
    Language English
    Publishing date 2023-11-17
    Publishing country England
    Document type Case Reports
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2023.e22500
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  2. Article ; Online: Hepatitis C Virus Subverts Human Choline Kinase-α To Bridge Phosphatidylinositol-4-Kinase IIIα (PI4KIIIα) and NS5A and Upregulates PI4KIIIα Activation, Thereby Promoting the Translocation of the Ternary Complex to the Endoplasmic Reticulum for Viral Replication.

    Wong, Mun-Teng / Chen, Steve S

    Journal of virology

    2017  Volume 91, Issue 16

    Abstract: In this study, we elucidated the mechanism by which human choline kinase-α (hCKα) interacts with nonstructural protein 5A (NS5A) and phosphatidylinositol-4-kinase IIIα (PI4KIIIα), the lipid kinase crucial for maintaining the integrity of virus-induced ... ...

    Abstract In this study, we elucidated the mechanism by which human choline kinase-α (hCKα) interacts with nonstructural protein 5A (NS5A) and phosphatidylinositol-4-kinase IIIα (PI4KIIIα), the lipid kinase crucial for maintaining the integrity of virus-induced membranous webs, and modulates hepatitis C virus (HCV) replication. hCKα activity positively modulated phosphatidylinositol-4-phosphate (PI4P) levels in HCV-expressing cells, and hCKα-mediated PI4P accumulation was abolished by AL-9, a PI4KIIIα-specific inhibitor. hCKα colocalized with NS5A and PI4KIIIα or PI4P; NS5A expression increased hCKα and PI4KIIIα colocalization; and hCKα formed a ternary complex with PI4KIIIα and NS5A, supporting the functional interplay of hCKα with PI4KIIIα and NS5A. PI4KIIIα inactivation by AL-9 or hCKα inactivation by CK37, a specific hCKα inhibitor, impaired the endoplasmic reticulum (ER) localization and colocalization of these three molecules. Interestingly, hCKα knockdown or inactivation inhibited PI4KIIIα-NS5A binding. In an
    MeSH term(s) 1-Phosphatidylinositol 4-Kinase/metabolism ; Cell Line ; Choline Kinase/metabolism ; Endoplasmic Reticulum/metabolism ; Hepacivirus/physiology ; Hepatocytes/virology ; Host-Pathogen Interactions ; Humans ; Protein Transport ; Viral Nonstructural Proteins/metabolism ; Virus Replication
    Chemical Substances Viral Nonstructural Proteins ; CHKA protein, human (EC 2.7.1.32) ; Choline Kinase (EC 2.7.1.32) ; 1-Phosphatidylinositol 4-Kinase (EC 2.7.1.67) ; PI4KIIIalpha protein, human (EC 2.7.1.67) ; NS-5 protein, hepatitis C virus (EC 2.7.7.48)
    Language English
    Publishing date 2017-07-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80174-4
    ISSN 1098-5514 ; 0022-538X
    ISSN (online) 1098-5514
    ISSN 0022-538X
    DOI 10.1128/JVI.00355-17
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  3. Article ; Online: Human Choline Kinase-α Promotes Hepatitis C Virus RNA Replication through Modulation of Membranous Viral Replication Complex Formation.

    Wong, Mun-Teng / Chen, Steve S

    Journal of virology

    2016  Volume 90, Issue 20, Page(s) 9075–9095

    Abstract: Unlabelled: Hepatitis C virus (HCV) infection reorganizes cellular membranes to create an active viral replication site named the membranous web (MW). The role that human choline kinase-α (hCKα) plays in HCV replication remains elusive. Here, we first ... ...

    Abstract Unlabelled: Hepatitis C virus (HCV) infection reorganizes cellular membranes to create an active viral replication site named the membranous web (MW). The role that human choline kinase-α (hCKα) plays in HCV replication remains elusive. Here, we first showed that hCKα activity, not the CDP-choline pathway, promoted viral RNA replication. Confocal microscopy and subcellular fractionation of HCV-infected cells revealed that a small fraction of hCKα colocalized with the viral replication complex (RC) on the endoplasmic reticulum (ER) and that HCV infection increased hCKα localization to the ER. In the pTM-NS3-NS5B model, NS3-NS5B expression increased the localization of the wild-type, not the inactive D288A mutant, hCKα on the ER, and hCKα activity was required for effective trafficking of hCKα and NS5A to the ER. Coimmunoprecipitation showed that hCKα was recruited onto the viral RC presumably through its binding to NS5A domain 1 (D1). hCKα silencing or treatment with CK37, an hCKα activity inhibitor, abolished HCV-induced MW formation. In addition, hCKα depletion hindered NS5A localization on the ER, interfered with NS5A and NS5B colocalization, and mitigated NS5A-NS5B interactions but had no apparent effect on NS5A-NS4B and NS4B-NS5B interactions. Nevertheless, hCKα activity was not essential for the binding of NS5A to hCKα or NS5B. These findings demonstrate that hCKα forms a complex with NS5A and that hCKα activity enhances the targeting of the complex to the ER, where hCKα protein, not activity, mediates NS5A binding to NS5B, thereby promoting functional membranous viral RC assembly and viral RNA replication.
    Importance: HCV infection reorganizes the cellular membrane to create an active viral replication site named the membranous web (MW). Here, we report that human choline kinase-α (hCKα) acts as an essential host factor for HCV RNA replication. A fraction of hCKα colocalizes with the viral replication complex (RC) on the endoplasmic reticulum (ER) in HCV-infected cells. NS3-NS5B expression increases ER localization of wild-type, but not D288A mutant, hCKα, and hCKα activity facilitates the transport of itself and NS5A to the ER. Silencing or inactivation of hCKα abrogates MW formation. Moreover, hCKα is recruited by NS5A independent of hCKα activity, presumably through binding to NS5A D1. hCKα activity then mediates the ER targeting of the hCKα-NS5A complex. On the ER membrane, hCKα protein, per se, induces NS5A binding to NS5B, thereby promoting membranous RC formation and viral RNA replication. Our study may benefit the development of hCKα-targeted anti-HCV therapeutics.
    MeSH term(s) Cell Line ; Choline Kinase ; Endoplasmic Reticulum/virology ; Hepacivirus/physiology ; Hepatocytes/virology ; Host-Pathogen Interactions ; Humans ; Protein Binding ; RNA, Viral/biosynthesis ; Viral Nonstructural Proteins/metabolism ; Virus Replication
    Chemical Substances RNA, Viral ; Viral Nonstructural Proteins ; CHKA protein, human (EC 2.7.1.32) ; Choline Kinase (EC 2.7.1.32) ; NS-5 protein, hepatitis C virus (EC 2.7.7.48)
    Language English
    Publishing date 2016-09-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80174-4
    ISSN 1098-5514 ; 0022-538X
    ISSN (online) 1098-5514
    ISSN 0022-538X
    DOI 10.1128/JVI.00960-16
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Development of an Electronic Medical Tool to Facilitate Allocation of Limited Resources in Times of Crisis.

    Griffin, Ian / Vieira, Yvette L / Donohue-Ryan, Mary Ann / Paris, Glen A / Moriarty, Daniel / Peleg, Natalie A / Chen, Steve D

    Computers, informatics, nursing : CIN

    2022  Volume 40, Issue 5, Page(s) 317–324

    Abstract: The COVID-19 pandemic has made decisions about resource allocation and reallocation real possibilities even in high-resource settings. In April 2020, in preparation for such an eventuality, Atlantic Health System began to develop a real-time instrument ... ...

    Abstract The COVID-19 pandemic has made decisions about resource allocation and reallocation real possibilities even in high-resource settings. In April 2020, in preparation for such an eventuality, Atlantic Health System began to develop a real-time instrument built into the EMR to assist with such decisions. The instrument calculated the modified Sequential Organ Failure Assessment for all patients admitted, in real time, to assist triage teams make decisions if crisis standards of care were declared. A pilot assessment of the instrument was performed using retrospective data by nine members of the triage teams, who were asked to identify the six patients at highest risk of reallocation. Agreement about which patients were at highest risk of resource reallocation was good, but not perfect. All raters agreed on five of the six patients, but only seven of nine agreed on the final patient. Among the six consensus selections for reallocation, five died prior to hospital discharge. All patients at highest risk of reallocation had a predicted life expectancy of less than 1 year. In conclusion, the instrument was easy to use, and the concordance among raters was good but not perfect. Predicted life expectance was a major determinant of the triage score.
    MeSH term(s) COVID-19 ; Electronics ; Humans ; Pandemics ; Retrospective Studies ; Triage
    Language English
    Publishing date 2022-05-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2078463-6
    ISSN 1538-9774 ; 1538-2931
    ISSN (online) 1538-9774
    ISSN 1538-2931
    DOI 10.1097/CIN.0000000000000880
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Diagnosis of Asymptomatic COVID-19 Infection in a Patient Referred for CT Lung Biopsy.

    Morris, Michael F / Goettel, Christopher / Mendenhall, Cole / Chen, Steve / Hirsch, Kevin

    Journal of vascular and interventional radiology : JVIR

    2020  Volume 31, Issue 7, Page(s) 1194–1195

    MeSH term(s) Betacoronavirus ; Biopsy ; COVID-19 ; Coronavirus Infections/diagnostic imaging ; Humans ; Lung/diagnostic imaging ; Lung/pathology ; Male ; Middle Aged ; Pandemics ; Pneumonia, Viral/diagnostic imaging ; Radiography, Interventional/methods ; SARS-CoV-2 ; Tomography, X-Ray Computed/methods
    Keywords covid19
    Language English
    Publishing date 2020-04-11
    Publishing country United States
    Document type Case Reports ; Letter
    ZDB-ID 1137756-2
    ISSN 1535-7732 ; 1051-0443
    ISSN (online) 1535-7732
    ISSN 1051-0443
    DOI 10.1016/j.jvir.2020.04.002
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  6. Article: Diagnosis of Alzheimer's disease via resting-state EEG: integration of spectrum, complexity, and synchronization signal features.

    Zheng, Xiaowei / Wang, Bozhi / Liu, Hao / Wu, Wencan / Sun, Jiamin / Fang, Wei / Jiang, Rundong / Hu, Yajie / Jin, Cheng / Wei, Xin / Chen, Steve Shyh-Ching

    Frontiers in aging neuroscience

    2023  Volume 15, Page(s) 1288295

    Abstract: Background: Alzheimer's disease (AD) is the most common neurogenerative disorder, making up 70% of total dementia cases with a prevalence of more than 55 million people. Electroencephalogram (EEG) has become a suitable, accurate, and highly sensitive ... ...

    Abstract Background: Alzheimer's disease (AD) is the most common neurogenerative disorder, making up 70% of total dementia cases with a prevalence of more than 55 million people. Electroencephalogram (EEG) has become a suitable, accurate, and highly sensitive biomarker for the identification and diagnosis of AD.
    Methods: In this study, a public database of EEG resting state-closed eye recordings containing 36 AD subjects and 29 normal subjects was used. And then, three types of signal features of resting-state EEG, i.e., spectrum, complexity, and synchronization, were performed by applying various signal processing and statistical methods, to obtain a total of 18 features for each signal epoch. Next, the supervised machine learning classification algorithms of decision trees, random forests, and support vector machine (SVM) were compared in categorizing processed EEG signal features of AD and normal cases with leave-one-person-out cross-validation.
    Results: The results showed that compared to normal cases, the major change in EEG characteristics in AD cases was an EEG slowing, a reduced complexity, and a decrease in synchrony. The proposed methodology achieved a relatively high classification accuracy of 95.65, 95.86, and 88.54% between AD and normal cases for decision trees, random forests, and SVM, respectively, showing that the integration of spectrum, complexity, and synchronization features for EEG signals can enhance the performance of identifying AD and normal subjects.
    Conclusion: This study recommended the integration of EEG features of spectrum, complexity, and synchronization for aiding the diagnosis of AD.
    Language English
    Publishing date 2023-11-07
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2558898-9
    ISSN 1663-4365
    ISSN 1663-4365
    DOI 10.3389/fnagi.2023.1288295
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  7. Article ; Online: Angiotensin converting enzyme defects in shock: implications for future therapy.

    Chawla, Lakhmir S / Chen, Steve / Bellomo, Rinaldo / Tidmarsh, George F

    Critical care (London, England)

    2018  Volume 22, Issue 1, Page(s) 274

    MeSH term(s) Endothelial Cells/chemistry ; Endothelial Cells/physiology ; Humans ; Peptidyl-Dipeptidase A/blood ; Peptidyl-Dipeptidase A/metabolism ; Shock/complications ; Shock/physiopathology
    Chemical Substances Peptidyl-Dipeptidase A (EC 3.4.15.1) ; angiotensin converting enzyme 2 (EC 3.4.17.-)
    Language English
    Publishing date 2018-10-28
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2051256-9
    ISSN 1466-609X ; 1364-8535
    ISSN (online) 1466-609X
    ISSN 1364-8535
    DOI 10.1186/s13054-018-2202-y
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  8. Article ; Online: Utility of Transjugular Intrahepatic Portosystemic Shunt Placement for Maintaining Portal Vein Patency in Candidates on Wait Lists Who Develop Thrombus.

    Alani, Mustafa / Rowley, Michael / Kang, Paul / Chen, Steve / Hirsch, Kevin / Seetharam, Anil

    Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation

    2019  Volume 18, Issue 7, Page(s) 808–813

    Abstract: Objectives: Although no longer a contraindication to liver transplant, portal vein thrombosis may lead to longer operative time and complexities in venous reconstruction. Strategies to maintain preoperative patency include systemic anticoagulation and/ ... ...

    Abstract Objectives: Although no longer a contraindication to liver transplant, portal vein thrombosis may lead to longer operative time and complexities in venous reconstruction. Strategies to maintain preoperative patency include systemic anticoagulation and/or transjugular intrahepatic portosystemic shunt placement. The former may not be ideal in cirrhotic patients prone to luminal gastrointestinal tract bleeding, and factors that predict improvements in portal vein thrombosis with the latter have not been well defined. Our goal was to evaluate the effectiveness of transjugular intrahepatic portosystemic shunt placement as monotherapy to improve and/or resolve portal vein thrombosis in otherwise eligible liver transplant candidates with partial or complete portal vein thrombosis and to identify factors predicting success.
    Materials and methods: We identified 30 patients from 2010 to 2015 who had transjugular intrahepatic portosystemic shunt placementfor primary indication to maintain portal vein patency.
    Results: The main portal vein was completely thrombosed in 5 of 30 (16.6%), nearly completely thrombosed in 9 of 30 (30%), and partially thrombosed in 16 patients (53.3%). Twenty-four patients (80%) had improvement and/or resolution of portal vein thrombosis after transjugular intrahepatic portosystemic shunt placement, with 18 of these (75%) having complete resolution. All 5 patients (20.8%) with complete thrombosis had improvement/resolution of portal vein thrombosis. Nine patients (30%) required hospitalization within 3 months for hepatic encephalopathy. There were 3 deaths (10%) not related to transjugular intrahepatic portosystemic shunt placement (10%). Nine patients underwent liver transplant after shunt placement (median 2.9 mo; range, 0.3-32 mo); all 9 received endto-end anastomosis without need for intraoperative thrombectomy.
    Conclusions: Transjugular intrahepatic portosystemic shunt placement may be effective as monotherapy for maintaining or restoring portal vein patency in selected livertransplant candidates, even in those with complete portal vein thrombosis. Further studies are needed to define potential responders to this approach.
    MeSH term(s) End Stage Liver Disease/complications ; End Stage Liver Disease/mortality ; End Stage Liver Disease/surgery ; Female ; Humans ; Liver Transplantation/adverse effects ; Liver Transplantation/mortality ; Male ; Middle Aged ; Portal Vein/physiopathology ; Portal Vein/surgery ; Portasystemic Shunt, Transjugular Intrahepatic/adverse effects ; Portasystemic Shunt, Transjugular Intrahepatic/mortality ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Time Factors ; Treatment Outcome ; Vascular Patency ; Venous Thrombosis/etiology ; Venous Thrombosis/mortality ; Venous Thrombosis/physiopathology ; Venous Thrombosis/surgery ; Waiting Lists
    Language English
    Publishing date 2019-11-13
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 2396778-X
    ISSN 2146-8427 ; 1304-0855
    ISSN (online) 2146-8427
    ISSN 1304-0855
    DOI 10.6002/ect.2019.0153
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  9. Article: Diagnosis of Asymptomatic COVID-19 Infection in a Patient Referred for CT Lung Biopsy

    Morris, Michael F / Goettel, Christopher / Mendenhall, Cole / Chen, Steve / Hirsch, Kevin

    J Vasc Interv Radiol

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #46524
    Database COVID19

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  10. Article ; Online: Diagnosis of Asymptomatic COVID-19 Infection in a Patient Referred for CT Lung Biopsy

    Morris, Michael F. / Goettel, Christopher / Mendenhall, Cole / Chen, Steve / Hirsch, Kevin

    Journal of Vascular and Interventional Radiology

    2020  Volume 31, Issue 7, Page(s) 1194–1195

    Keywords Radiology Nuclear Medicine and imaging ; Cardiology and Cardiovascular Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 1137756-2
    ISSN 1535-7732 ; 1051-0443
    ISSN (online) 1535-7732
    ISSN 1051-0443
    DOI 10.1016/j.jvir.2020.04.002
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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