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Application of Fourth Industrial Revolution Technologies to Marine Aquaculture for Future Food:Imperatives,Challenges and Prospects

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Sustainable Marine Structures 2021年第1期3卷 22-31页

作者： Sitti Raehanah MShaleh Rossita Shapawi Abentin Estim Ching Fui Fui Ag.Asri Ag.Ibrahim Audrey Daning Tuzan lim Leong seng Chen Cheng Ann Alter Jimat Burhan Japar Saleem Mustafa Borneo Marine Research Institute Universiti Malaysia SabahKota KinabaluSabah88400Malaysia Faculty of Computing and Informatics Universiti Malaysia SabahKota KinabaluSabah88400Malaysia Korporasi Kemajuan Perikanan dan Nelayan(KO-NELAYAN) Wisma Pertanian SabahKota KinabaluSabah88994Malaysia

This study was undertaken to examine the options and feasibility of deploying new technologies for transforming the aquaculture sector with the objective of increasing the production *** of technologies to obtain the expected outcome should,obviously,be consistent with the criteria of sustainable *** is a range of technologies being suggested for driving change in aquaculture to enhance its contribution to food *** is necessary to highlight the complexity of issues for systems approach that can shape the course of development of aquaculture so that it can live-up to the expected fish demand by 2030 in addition to the current quantity of 82.1 million *** of the Fourth Industrial Revolution(IR4.0)technologies suggested to achieve this target envisage the use of real-time monitoring,integration of a constant stream of data from connected production systems and intelligent automation in *** requires application of mobile devices,internet of things(IoT),smart sensors,artificial intelligence(AI),big data analytics,robotics as well as augmented virtual and mixed *** is receiving more attention due to many *** use in aquaculture can happen in many ways,for example,in detecting and mitigating stress on the captive fish which is considered critical for the success of *** the technology intensification in aquaculture holds a great potential but there are constraints in deploying IR4.0 tools in *** solutions and practical options,especially with respect to future food choices are highlighted in this paper.

关键词： Food security Aquaculture 4.0 Digitalization Imitation seafood Sustainable solutions

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新加坡樟宜国际机场T3航站楼

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景观设计 2009年第6期 42-45页

作者： Franklin Ro Sui seng Albert K.S.lim（图）董桂宏（翻译）

新加坡樟宜国际机场的T3航站楼内部悬挂着一幅巨大的绿色“织锦”——它由垂直生长的植物组成、大气磅礴，让人们自然联想到东南亚的热带雨林。巨幅“织锦”不仅柔化了这座巨穴的工业建筑，还将整夜航站楼划分为陆侧和空侧两个区域，并... 详细信息

新加坡樟宜国际机场的T3航站楼内部悬挂着一幅巨大的绿色“织锦”——它由垂直生长的植物组成、大气磅礴，让人们自然联想到东南亚的热带雨林。巨幅“织锦”不仅柔化了这座巨穴的工业建筑，还将整夜航站楼划分为陆侧和空侧两个区域，并且与登机区域的垂直空间相连接（T3航站楼与登机区域通过玻璃安全屏分隔开来）。

关键词：国际机场航站楼新加坡 T3 植物组成热带雨林工业建筑东南亚

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Occam’s razor or Hickam’s dictum-COVID-19 is not a textbook aetiology of acute pancreatitis:A modified Naranjo Score appraisal

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World Journal of Gastroenterology 2023年第13期29卷 2050-2063页

作者： Thomas Zheng Jie Teng Branden Qi Yu Chua Puay Khim lim Kai Siang Chan Vishal G Shelat Lee Kong Chian School of Medicine Nanyang Technological UniversitySingapore 308232Singapore Department of General Surgery Tan Tock Seng HospitalSingapore 308433Singapore Surgical Science Training Centre Tan Tock Seng HospitalSingapore 308433Singapore

BACKGROUND Acute pancreatitis(AP)is a disease spectrum ranging from mild to severe *** the coronavirus disease 2019(COVID-19)pandemic,numerous reports of AP have been published,with most authors concluding a causal relationship between COVID-19 and *** case reports or small case series are unable to accurately determine the cause-effect relationship between COVID-19 and *** To establish whether COVID-19 is a cause of AP using the modified Naranjo scoring *** A systematic review was conducted on PubMed,World of Science and Embase for articles reporting COVID-19 and AP from inception to August *** criteria were cases of AP which were not reported to be due to COVID-19 infection,age<18 years old,review articles and retrospective cohort *** original 10-item Naranjo scoring system(total score 13)was devised to approximate the likelihood of a clinical presentation to be secondary to an adverse drug *** modified the original scoring system into a 8-item modified Naranjo scoring system(total score 9)to determine the cause-effect relationship between COVID-19 and AP.A cumulative score was decided for each case presented in the included *** of the modified Naranjo scoring system is as follows:≤3:Doubtful,4-6:Possible,≥7:Probable *** The initial search resulted in 909 articles,with 740 articles after removal of duplicates.A total of 67 articles were included in the final analysis,with 76 patients which had AP reported to be due to *** mean age was 47.8(range 18-94)*** of patients(73.3%)had≤7 d between onset of COVID-19 infection and diagnosis of *** were only 45(59.2%)patients who had adequate investigations to rule out common aetiologies(gallstones,choledocholithiasis,alcohol,hypertriglyceridemia,hypercalcemia and trauma)of *** G4 testing was conducted in 9(13.5%)patients to rule out autoimmune *** 5(6.6%)patients underwent endoscopic ultra

关键词： COVID-19 Infections Pancreatic diseases Pancreatitis Post-acute COVID-19 syndrome

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Dynamic phenotypic heterogeneity and the evolution of multiple RNA subtypes in hepatocellular carcinoma:the PLANET study

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National Science Review 2022年第3期9卷 96-109页

作者： Weiwei Zhai Hannah Lai Neslihan Arife Kaya Jianbin Chen Hechuan Yang Bingxin Lu Jia Qi lim Siming Ma Sin Chi Chew Khi Pin Chua Jacob Josiah Santiago Alvarez Pauline Jieqi Chen Mei Mei Chang Lingyan Wu Brian K.P.Goh Alexander Yaw-Fui Chung Chung Yip Chan Peng Chung Cheow Ser Yee Lee Juinn Huar Kam Alfred Wei-Chieh Kow Iyer Shridhar Ganpathi Rawisak Chanwat Jidapa Thammasiri Boon Koon Yoong Diana Bee-Lan Ong Vanessa H.de Villa Rouchelle D.Dela Cruz Tracy Jiezhen Loh Wei Keat Wan Zeng Zeng Anders Jacobsen Skanderup Yin Huei Pang Krishnakumar Madhavan Tony kiat-Hon lim Glenn Bonney Wei Qiang Leow Valerie Chew Yock Young Dan Wai Leong Tam Han Chong Toh Roger Sik-Yin Foo Pierce Kah-Hoe Chow Genome Institute of Singapore Agency for Science Technology and Research Key Laboratory of Zoological Systematics and Evolution Institute of Zoology Chinese Academy of Sciences Center for Excellence in Animal Evolution and Genetics Chinese Academy of Sciences School of Biological Sciences Nanyang Technological University Division of Biosciences Faculty of Life Sciences Division of Surgery and Surgical Oncology National Cancer Centre Department of Hepato-Pancreato-Biliary and Transplant Surgery Singapore General Hospital Division of Hepatobiliary and Pancreatic Surgery Department of Surgery University Surgical Cluster National University Health System Hepato-Pancreato-Biliary Surgery Unit Department of Surgery National Cancer Institute Division of Pathology National Cancer Institute Department of Surgery Faculty of Medicine University of Malaya Department of Surgery and Center for Liver Disease Management and Transplantation The Medical City 13. Department of Laboratories The Medical City Department of Pathology Singapore General Hospital Institute for Infocomm Research ASTAR Department of Pathology National University Health System Translational Immunology Institute (TII) Sing Health Duke-NUS Academic Medical Centre Division of Gastroenterology and Hepatology University Medicine Cluster National University Hospital Department of Biochemistry Yong Loo Lin School of Medicine National University of Singapore Cancer Science Institute of Singapore National University of Singapore Division of Medical Oncology National Cancer Center Singapore Cardiovascular Research Institute National University of Singapore National University Healthcare System Singhealth-Duke-NUS Academic Surgery Program Duke-NUS Graduate Medical School Institute of Molecular and Cell Biology Agency for Science Technology and Research

Intra-tumor heterogeneity(ITH) is a key challenge in cancer treatment, but previous studies have focused mainly on the genomic alterations without exploring phenotypic(transcriptomic and immune)heterogeneity. Using one of the largest prospective surgical cohorts for hepatocellular carcinoma(HCC)with multi-region sampling, we sequenced whole genomes and paired transcriptomes from 67 HCC patients(331 samples). We found that while genomic ITH was rather constant across stages, phenotypic ITH had a very different trajectory and quickly diversified in stage Ⅱ patients. Most strikingly, 30% of patients were found to contain more than one transcriptomic subtype within a single tumor. Such phenotypic ITH was found to be much more informative in predicting patient survival than genomic ITH and explains the poor efficacy of single-target systemic therapies in HCC. Taken together, we not only revealed an unprecedentedly dynamic landscape of phenotypic heterogeneity in HCC, but also highlighted the importance of studying phenotypic evolution across cancer types.

关键词： NADH oxidase H2O2 production oxidative phosphorylation

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Indocyanine green dye and its application in gastrointestinal surgery:The future is bright green

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世界胃肠外科杂志:英文版(电子版) 2023年第9期15卷 1841-1857页

作者： Zavier Yongxuan lim Swetha Mohan Sunder Balasubramaniam Saleem Ahmed Caroline Ching Hsia Siew Vishal G Shelat Lee Kong Chian School of Medicine Nanyang Technological UniversitySingapore 308232Singapore Department of General Surgery Tan Tock Seng HospitalSingapore 308433Singapore

Indocyanine green(ICG)is a water-soluble fluorescent dye that is minimally toxic and widely used in gastrointestinal *** facilitates anatomical identi-fication of structures(e.g.,ureters),assessment of lymph nodes,biliary mapping,organ perfusion and anastomosis assessment,and aids in determining the adequacy of oncological *** addition,ICG can be conjugated to artificially created antibodies for tumour markers,such as carcinoembryonic antigen for colorectal,breast,lung,and gastric cancer,prostate-specific antigen for prostate cancer,and cancer antigen 125 for ovarian *** ICG has shown promising results,the optimization of patient factors,dye factors,equipment,and the method of assessing fluorescence intensity could further enhance its *** review summarizes the clinical application of ICG in gastrointestinal surgery and discusses the emergence of novel dyes such as ZW-800 and VM678 that have demonstrated appropriate pharmacokinetic properties and improved target-to-background ratios in animal *** the emergence of robotic technology and the increasing reporting of ICG utility,a comprehensive review of clinical application of ICG in gastrointestinal surgery is timely and this review serves that aim.

关键词： Fluorescence imaging Gastrointestinal surgery Indocyanine green

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肿瘤免疫治疗时代的多重免疫组织化学/免疫荧光技术

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癌症 2021年第9期40卷 367-387页

作者： Wei Chang Colin Tan Sanjna Nilesh Nerurkar Hai Yun Cai Harry Ho Man Ng Duoduo Wu Yu Ting Felicia Wee Jeffrey Chun Tatt lim Joe Yeong Tony kiat Hon lim Yong Loo Lin School of Medicine National University of SingaporeSingapore169856Singapore Department of Anatomical Pathology Singapore General HospitalSingapore169856Singapore Institute of Molecular Cell Biology(IMCB) Agency of ScienceTechnology and Research(A*STAR)Singapore169856Singapore Singapore Immunology Network Agency of Science(SIgN)Technology and Research(A*STAR)Singapore169856Singapore Duke-NUS Medical School Singapore169856Singapore

常规免疫组织化学(immunohistochemistry,IHC)是组织病理学中广泛应用的诊断技术。但该技术存在诸多局限性,包括观察者间的变异性高,每张组织切片仅能标记一个标志物。本文详细描述了各种多重检测技术,这些技术克服了上述局限性,可在单... 详细信息

常规免疫组织化学(immunohistochemistry,IHC)是组织病理学中广泛应用的诊断技术。但该技术存在诸多局限性,包括观察者间的变异性高,每张组织切片仅能标记一个标志物。本文详细描述了各种多重检测技术,这些技术克服了上述局限性,可在单张切片上同时检测多个标志物,可对细胞组成、细胞功能和细胞间相互作用进行整合研究。在这些技术中,多重免疫组织化学/免疫荧光(multiplex immunohistochemistry/immunofluorescence,mIHC/IF)已成为最具应用前景的技术。mIHC/IF为开展高重复性、高效、高性价比的组织研究提供了高通量多重染色技术和标准化的定量分析。该技术在转化研究和临床实践中,尤其是肿瘤免疫治疗中极具应用价值。

关键词：免疫荧光免疫组织化学免疫治疗多重概述

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Complications and Costs Associated with Initiation of Anti-coagulation Therapy Using Warfarin--An Observation Study

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Journal of Pharmacy and Pharmacology 2015年第6期3卷 262-267页

作者： Jasmine Chiat Ling Ong seng Han lim Chai Ling Ong Liping Chen Elicia Purnata Edmund Joo Sheng See Joel Cho-Lun Chiang Vivian Shi Yin Wong Loke Khee Siow Jin Shing Hon Ming Chai Kong Chi Keong Ching Department of Pharmacy Singapore General Hospital Outram Road Singapore 169608 Singapore Department of Pharmacy National Heart Centre Singapore 5 Hospital Drive Singapore 16960 Singapore Department of Cardiology National Heart Centre Singapore 5 Hospital Drive Singapore 169609 Singapore

To evaluate the safety and cost of anticoagulation therapy in patients newly initiated on warfarin in two institutions in Singapore. All patients newly started on warfarin between December 2011 and May 2012 were recruited and followed up for a period of 6 months. All hospitalization attributed to complications of warfarin therapy, number of INR （international normalized ratio） greater than 4 and total cost of warfarin therapy were collected and analysed. A total of 321 patients were newly initiated on warfarin for standard indications were recruited. At the end of 6 month period, 8.4% of patients were hospitalized for complication related to warfarin therapy. For patients who had stable INR while on warfarin, this rate was almost 2 times lower （3.8% vs 8.4%）. In our study group, patients started on warfarin as inpatients had higher rates of bleeding （15.1% vs 6.7%） and more 1NRs greater than 4 （0.7 per patient vs 0.11 per patient）. The cost of initating warfarin was USD660 over the first 6 months of therapy. Patients newly initiated on warfarin were at a heightened risk of bleeding complications as compared to patients already stable on warfarin therapy. This also translates to considerable costs of warfarin initiation.

关键词： Anticoagulation warfarin initiation complications cost.

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Multidisciplinary perspective of hepatocellular carcinoma: A Pacific Northwest experience

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World Journal of Hepatology 2015年第11期7卷 1460-1483页

作者： Matthew M Yeh Raymond S Yeung Smith Apisarnthanarax Renuka Bhattacharya Carlos Cuevas William P Harris Tony lim kiat Hon Siddharth A Padia James O Park Kevin M Riggle Sayed S Daoud Department of Pathology University of Washington School of Medicine Department of Medicine University of Washington School of Medicine Northwest Liver Research Program Depart-ment of Surgery University of Washington School of Medicine Department of Radiation Oncology University of Washington School of Medicine Department of Radiology University of Washington School of Medicine Seattle Department of Pathology Singapore General Hospital Department of Pharmaceutical Sciences Washington State University Health Sciences

Hepatocellular carcinoma(HCC) is the most rapidly increasing type of cancer in the United States. HCC is a highly malignant cancer, accounting for at least 14000 deaths in the United States annually, and it ranks third as a cause of cancer mortality in men. One major difficulty is that most patients with HCC are diagnosed when the disease is already at an advanced stage, and the cancer cannot be surgically removed. Furthermore, because almost all patients have cirrhosis, neither chemotherapy nor major resections are well tolerated. Clearly there is need of a multidisciplinary approach for the management of HCC. For example, there is a need for better understanding of the fundamental etiologic mechanisms that are involved in hepatocarcinogenesis, which could lead to the development of successful preventive and therapeutic modalities. It is also essential to define the cellular and molecular bases for malignant transformation of hepatocytes. Such knowledge would:(1) greatly facilitate the identification of patients at risk;(2) prompt efforts to decrease risk factors; and(3) improve surveillance and early diagnosis through diagnostic imaging modalities. Possible benefits extend also to the clinical management of this disease. Because there are many factors involved in pathogenesis of HCC,this paper reviews a multidisciplinary perspective of recent advances in basic and clinical understanding of HCC that include: molecular hepatocarcinogenesis, noninvasive diagnostics modalities, diagnostic pathology, surgical modality, transplantation, local therapy and oncological/target therapeutics.

关键词： Genetic alterations Epigenetic alterations Diagnostic pathology Diagnostic imaging Surgicalmodality Liver transplantation Locoregional therapy Sorafenib Hepatocellular carcinoma Liver resection

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Human epidermal growth factor receptor 2 positive rates in invasive lobular breast carcinoma: The Singapore experience

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World Journal of Clinical Oncology 2020年第5期11卷 283-293页

作者： Ga-Jing Kee Ryan Ying-Cong Tan Sultana Rehena Joycelyn Jie-Xin Lee Ma Wai-Wai Zaw Wei-Xiang Lian Joe Yeong Su-Ming Tan Swee-Ho lim Benita kiat-Tee Tan Yoon-Sim Yap Rebecca Alexandra Dent Fuh-Yong Wong Guek-Eng Lee Yong Loo Lin School of Medicine National University of SingaporeSingapore 117597Singapore Division of Medical Oncology National Cancer CentreSingapore 169610Singapore Centre for Quantitative Medicine Duke-NUS Medical SchoolSingapore 169857Singapore Department of Anaesthesiology Singapore General HospitalSingapore 169608Singapore Division of Radiation Oncology National Cancer CentreSingapore 169610Singapore Division of Pathology Singapore General HospitalSingapore 169608Singapore Division of Breast Surgery Changi General HospitalSingapore529889Singapore SingHealth Duke-NUS Breast Centre Singapore 169610Singapore Kandang Kerbau Breast Centre Kandang Kerbau Women’s and Children’s HospitalSingapore 229899Singapore Department of Breast Surgery Singapore General HospitalSingapore 169608Singapore

BACKGROUND Invasive lobular carcinomas(ILC)form 5%-10%of breast cancer and rarely show overexpression of human epidermal growth factor receptor 2(HER2).AIM To describe the prevalence and prognostic factors of HER2 positive(HER2+)ILC in an Asian *** A retrospective review of patients with ILC seen between January 1985 and March 2018 at various SingHealth medical institutions was *** and clinical data were collected from medical *** examined clinicopathological characteristics and survival in relation to HER2 *** A total of 864 patients were *** of HER2 positivity was 10.1%(87 patients).Compared with HER2 negative(HER2-)ILC,HER2+ILC was associated with a higher proportion of estrogen receptor negative(24.4%vs 5.9%,P<0.001),progesterone receptor negative(PR-)(40.2%vs 24%,P=0.002)and grade 3 tumours(Grade 3,29.0%vs 10.2%,P<0.001).Overall survival rate was poorer in patients with HER2+compared to HER2-ILC(56.7%vs 72.9%alive at 10 years;hazard ratio 1.87,95%confidence interval:1.21-2.90,P=0.004).Based on multivariate analysis,negative prognostic factors for overall survival included HER2 positivity,PR negativity,older age,Indian ethnicity and higher tumour *** Prevalence of HER2+ILC was 10.1%.HER2+ILC was more likely to have poorer prognostic features such as estrogen receptor negative,PR-and higher tumour grade,and have a poorer survival.

关键词： Lobular breast cancer Invasive breast cancer Human epidermal growth factor receptor 2 positive Singapore Clinicopathological characteristics Prognostic value

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Agreement of angle closure assessments between gonioscopy, anterior segment optical coherence tomography and spectral domain optical coherence tomography

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International Journal of Ophthalmology(English edition) 2015年第2期8卷 342-346页

作者： Elton Lik Tong Tay Vernon Khet Yau Yong Boon Ang lim Stelson Sia Elizabeth Poh Ying Wong Leonard Wei Leon Yip Department of Ophthalmology Tan Tock Seng Hospital Republic of Singapore Air Force Aeromedical Centre Cardinal Santos Medical Center

AIM: To determine angle closure agreements between gonioscopy and anterior segment optical coherence tomography(AS-OCT), as well as gonioscopy and spectral domain OCT(SD-OCT). A secondary objective was to quantify inter-observer agreements of AS-OCT and SD-OCT ***: Seventeen consecutive subjects(33 eyes)were recruited from the study hospital’s Glaucoma *** was performed by a glaucomatologist masked to OCT results. OCT images were read independently by 2 other glaucomatologists masked to gonioscopy findings as well as each other’s analyses of OCT ***: Totally 84.8% and 45.5% of scleral spurs were visualized in AS-OCT and SD-OCT images respectively(P <0.01). The agreement for angle closure between AS-OCT and gonioscopy was fair at k =0.31(95% confidence interval, CI: 0.03-0.59) and k =0.35(95%CI: 0.07-0.63) for reader 1 and 2 respectively. The agreement for angle closure between SD-OCT and gonioscopy was fair at k =0.21(95% CI: 0.07-0.49) and slight at k =0.17(95% CI: 0.08-0.42) for reader 1 and 2 respectively. The inter-reader agreement for angle closure in AS-OCT images was moderate at 0.51(95% CI: 0.13-0.88). The inter-reader agreement for angle closure in SD-OCT images was slight at 0.18(95% CI: 0.08-0.45).CONCLUSION: Significant proportion of scleral spurs were not visualised with SD-OCT imaging resulting in weaker inter-reader agreements. Identifying other angle landmarks in SD-OCT images will allow more consistent angle closure assessments. Gonioscopy and OCT imaging do not always agree in angle closure assessments but have their own advantages, and should be used together and not exclusively.

关键词： anterior segment imaging spectral domain imaging angle closure assessment

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