1
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Leung M, Cheung K, Wu R, Huang Z, Chu E. 38P Hormonal modulation of photodynamic therapy efficacy in breast cancer 3D spheroid culture model. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.10.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
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2
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Pons A, De Sousa P, Proli C, Booth S, Palmares A, Leung M, Alshammari A, Vlastos D, Raubenheimer H, Devbhandari M, Patel A, Lim E. EP02.03-002 Impact of Society and National Guidelines on Patient Selection for Lung Cancer Surgery in the UK from 2008 to 2013. J Thorac Oncol 2022. [DOI: 10.1016/j.jtho.2022.07.357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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3
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Leung M, Forbes D. A Mindfulness-Based Pilot Study to Reduce Childhood Obesity Risk in Underserved Hispanic Children: Feasibility, Acceptability, and Preliminary Findings. J Acad Nutr Diet 2021. [DOI: 10.1016/j.jand.2021.08.077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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4
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Leung WLH, Yu ELM, Wong SC, Leung M, Lee LLY, Chung KL, Cheng VCC. Findings from the first public COVID-19 temporary test centre in Hong Kong. Hong Kong Med J 2021; 27:99-105. [PMID: 33790053 DOI: 10.12809/hkmj208909] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
INTRODUCTION The Hospital Authority of Hong Kong Special Administrative Region established a coronavirus disease 2019 (COVID-19) temporary test centre at the AsiaWorld-Expo from March 2020 to April 2020, which allowed high-risk individuals to undergo early assessment of potential severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. This study reviewed the characteristics and outcomes of individuals who attended the centre for COVID-19 testing. METHODS This retrospective cross-sectional study collected epidemiological and clinical data. The primary outcome was a positive or negative SARS-CoV-2 test result, according to reverse transcription polymerase chain reaction analyses of pooled nasopharyngeal and throat swabs collected at the centre. The relationships of clinical characteristics with SARS-CoV-2 positive test results were assessed by multivariable binary logistic regression. RESULTS Of 1258 attendees included in the analysis, 86 individuals tested positive for SARS-CoV-2 infection (positivity rate=6.84%; 95% confidence interval [CI]=5.57%-8.37%). Of these 86 individuals, 40 (46.5%) were aged 15 to 24 years and 81 (94.2%) had a history of recent travel. Symptoms were reported by 86.0% and 96.3% of individuals with positive and negative test results, respectively. The clinical characteristics most strongly associated with a positive test result were anosmia (adjusted odds ratio [ORadj]=8.30; 95% CI=1.12-127.09) and fever ORadj=1.32; 95% CI=1.02-3.28). CONCLUSION The temporary test centre successfully helped identify individuals with COVID-19 who exhibited mild disease symptoms. Healthcare providers should carefully consider the epidemiological and clinical characteristics of COVID-19 to arrange early testing to reduce community spread.
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Affiliation(s)
- W L H Leung
- Department of Family Medicine and Primary Health Care, Kowloon West Cluster, Hospital Authority, Hong Kong
| | - E L M Yu
- Clinical Research Centre, Princess Margaret Hospital, Hong Kong
| | - S C Wong
- Infection Control Team, Queen Mary Hospital, Hong Kong West Cluster, Hospital Authority, Hong Kong
| | - M Leung
- Central Nursing Department, Hospital Authority, Hong Kong
| | - L L Y Lee
- Department of Accident and Emergency, Tin Shui Wai Hospital, Hong Kong
| | - K L Chung
- Quality & Safety Division, Hospital Authority, Hong Kong
| | - V C C Cheng
- Department of Microbiology, Queen Mary Hospital, Hong Kong
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5
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Spira A, Ardizzoni A, Barlesi F, Cho B, De Marchi P, Goto Y, Kowalski D, Lu S, Paz-Ares L, Spigel D, Thomas M, Leung M, Baum J, Zhou W, Portella S, Chih-Hsin Yang J, Garon E. MO01.22 Canakinumab as Adjuvant Therapy in Patients with Completely Resected Non-Small Cell Lung Cancer (NSCLC): CANOPY-A Trial. J Thorac Oncol 2021. [DOI: 10.1016/j.jtho.2020.10.070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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6
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Wong SC, Leung M, Lee LLY, Chung KL, Cheng VCC. Infection control challenge in setting up a temporary test centre at Hong Kong International Airport for rapid diagnosis of COVID-19 due to SARS-CoV-2. J Hosp Infect 2020; 105:571-573. [PMID: 32437823 PMCID: PMC7211623 DOI: 10.1016/j.jhin.2020.05.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Accepted: 05/05/2020] [Indexed: 11/04/2022]
Affiliation(s)
- S-C Wong
- Infection Control Team, Queen Mary Hospital, Hong Kong West Cluster, Hong Kong Special Administrative Region, China
| | - M Leung
- Central Nursing Department, Hospital Authority, Hong Kong Special Administrative Region, China
| | - L L-Y Lee
- Department of Accidental and Emergency, Tin Shui Wai Hospital, New Territory West Cluster, Hong Kong Special Administrative Region, China
| | - K-L Chung
- Quality and Safety Division, Hospital Authority, Hong Kong Special Administrative Region, China
| | - V C-C Cheng
- Infection Control Team, Queen Mary Hospital, Hong Kong West Cluster, Hong Kong Special Administrative Region, China.,Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China
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7
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Burgess S, Juergens C, Nguyen T, Leung M, Robledo K, Thomas L, Mussap C, Zaman S, Lo S, French J. 886 ST-Elevation Myocardial Infarction, Incomplete Revascularization and Gender. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.893] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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8
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Cho B, Chang GC, Kim YC, Geater S, Saeteng S, Yang CT, Goto Y, Lu S, Ardizzoni A, Barlesi F, De Marchi P, Paz-Ares L, Spigel D, Thomas M, Garon E, Leung M, Baum J, Zewen Z, Mookerjee B, Yang JH. CANOPY-A: A phase III, placebo-controlled study of canakinumab as adjuvant therapy in patients (pts) with surgically resected NSCLC. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz437.056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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9
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Burgess S, Juergens C, Nguyen T, Leung M, Thomas L, Mussap C, Lo S, French JK. P6443Late outcomes in patients undergoing PCI for ST elevation myocardial infarction with respect to diabetic status and completeness of revascularisation. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.1037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Objectives
This paper examines the degree to which the poor prognosis of ST elevation myocardial infarction (STEMI) patients with diabetes mellitus (DM) can be attributed to incomplete revascularization (ICR).
Background
Cardiovascular disease is the most common cause of death for patients with DM; patients with DM often have complex coronary disease and ICR. In STEMI the relative impact of DM and ICR is uncertain as these two factors frequently co-exist, the potential for confounding is high.
Methods and results
Of 589 consecutive STEMI patients, 22% had DM, who compared to patients without DM were of similar age (59 years), were more often female, had more hypertension and dyslipidaemia, but less often were smokers. A residual SYNTAX Score (rSS) >8, which defined ICR, occurred in 33%. Late cardiac death [median 3.5 years] was 4% among those without DM and 12% in those with DM (p=0.002) (p<0.001), and was 3% among 396 with rSS≤8 and 12% in 193 patients with rSS>8 (p<0.001). Patients with both ICR and DM accounted for only 8% of the STEMI population but 30% of all cardiac deaths. At final follow up (3.5 years) cardiac death rates (see Figure) were 22% in patients with both DM and ICR; these were significantly higher than rates in patients with ICR but no-DM (9%, p=0.034), and those with DM and rSS≤8 (6%, p<0.019). Multivariable analysis for cardiac death found a HR for ICR of 2.89 (95% CI 1.31–6.37; p=0.009) and a HR for DM of 5.18 (95% CI 2.45–10.97, p<0.001).
Diabetes, cardiac death & rSS
Conclusions
While ICR in DM patients with STEMI predicts a significantly poorer outcome, the poor prognosis seen in patients with DM is not explained by the degree of ICR alone. Both ICR and DM contribute independently to the risk of cardiac death in STEMI patients.
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Affiliation(s)
- S Burgess
- Liverpool Hospital, Cardiology, Sydney, Australia
| | - C Juergens
- Liverpool Hospital, Cardiology, Sydney, Australia
| | - T Nguyen
- Liverpool Hospital, Cardiology, Sydney, Australia
| | - M Leung
- Liverpool Hospital, Cardiology, Sydney, Australia
| | - L Thomas
- Westmead Hospital, Cardiology, Sydney, Australia
| | - C Mussap
- Liverpool Hospital, Cardiology, Sydney, Australia
| | - S Lo
- Liverpool Hospital, Cardiology, Sydney, Australia
| | - J K French
- Liverpool Hospital, Cardiology, Sydney, Australia
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Lee WK, Lo A, Chong G, Chang SYS, Lu V, Yip PLI, Liu CMK, Leung M, Chung CM, Wong KY, Yeung YYE, Chan SMA, Ngai YS, Wong PS, Lo TL. New Service Model for Common Mental Disorders in Hong Kong: a Retrospective Outcome Study. East Asian Arch Psychiatry 2019; 29:75-80. [PMID: 31566182 DOI: 10.12809/eaap1822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To review the first 8-month outcome of the Common Mental Disorder Clinic model in Hong Kong in terms of patient exit status and improvement in depressive and anxiety symptoms. METHODS During the first appointment, patients were interviewed by a multidisciplinary team comprising a psychiatrist, a psychiatric nurse, and an occupational therapist. A multidisciplinary case conference was conducted to discuss clinical observations, diagnosis, issues of concern, and the optimal individualised treatment plan. Low-intensity interventions by nurses and/or occupational therapists were provided, as were optional, time-limited, protocol-based interventions by clinical psychologists for those with mild to moderate depressive and anxiety symptoms. Pharmacological intervention may be used when indicated. Upon completion of the treatment plan, patients were reassessed by the treating psychiatrist. Discharge options included discharge without psychiatric follow-up, step-up to psychiatric outpatient clinics, and step-down services. The self-administered Patient Health Questionnaire-9 (PHQ-9) and Generalised Anxiety Disorder 7-item scale (GAD-7) were used to assess the past 2 weeks' depressive and anxiety symptoms, respectively, at baseline and at each session. RESULTS From July 2015 to February 2016, 1325 Chinese patients received the new service. Of them, 170 men and 363 women (mean age, 52.6 years) completed the treatment plan. After treatment, their mean PHQ-9 score decreased from 11.06 to 7.55 (p < 0.001), and the mean GAD-7 score decreased from 9.94 to 6.54 (p < 0.001). After treatment, 42.4% and 48.2% of the patients were within the normal range of PHQ-9 and GAD-7 scores, respectively, compared with 16.9% and 20.8% before treatment. The mean time to implementation of the individualised treatment plan was 82.33 days. Of the patients, 54.4% were discharged without any need for medical or psychiatric follow-up; 28% were stepped up to psychiatric outpatient clinics; and 17.3% were stepped down. The predictors of exit status were whether psychiatric medication was prescribed during initial intake (p = 0.011), whether psychiatric medication was prescribed at last follow-up (p < 0.001), the service period (p = 0.010), and the GAD-7 final score (p = 0.005). CONCLUSIONS The first 8-month outcome of the new service model was encouraging, with shortened waiting time, reduced severity of symptoms, and better exit status (high recovery and step-down rates).
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Affiliation(s)
- W K Lee
- Kwai Chung Hospital, Hong Kong SAR, China
| | - A Lo
- Kwai Chung Hospital, Hong Kong SAR, China
| | - G Chong
- Kwai Chung Hospital, Hong Kong SAR, China
| | | | - V Lu
- Kwai Chung Hospital, Hong Kong SAR, China
| | - P L I Yip
- Kwai Chung Hospital, Hong Kong SAR, China
| | - C M K Liu
- Kwai Chung Hospital, Hong Kong SAR, China
| | - M Leung
- Kwai Chung Hospital, Hong Kong SAR, China
| | - C M Chung
- Kwai Chung Hospital, Hong Kong SAR, China
| | - K Y Wong
- Kwai Chung Hospital, Hong Kong SAR, China
| | | | - S M A Chan
- Kwai Chung Hospital, Hong Kong SAR, China
| | - Y S Ngai
- Kwai Chung Hospital, Hong Kong SAR, China
| | - P S Wong
- Kwai Chung Hospital, Hong Kong SAR, China
| | - T L Lo
- Kwai Chung Hospital, Hong Kong SAR, China
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11
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Dublin M, Mateo K, Gamoso W, Harrison L, Verdaguer S, Leung M. Goal-setting for Healthy Eating In Intervention INC: A Web-Based Interactive Comic Tool to Decrease Obesity Risk Among Urban Minority Preadolescents. J Acad Nutr Diet 2019. [DOI: 10.1016/j.jand.2019.06.220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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12
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Coiacetto F, Arthur I, Sullivan L, Leung M. Disseminated Sporotrichosis in a Bilby (Macrotis lagotis). J Comp Pathol 2019; 170:74-77. [PMID: 31375162 DOI: 10.1016/j.jcpa.2019.06.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2019] [Revised: 05/30/2019] [Accepted: 06/04/2019] [Indexed: 10/26/2022]
Abstract
A male bilby (Macrotis lagotis) was presented to the Murdoch University Veterinary Anatomical Pathology Service following humane destruction due to severe lethargy. The bilby was emaciated with a focal ulcerated skin lesion on the dorsal tail base. Multifocal to coalescing foci of pyogranulomatous and often necrotizing inflammation was present within multiple organs, including the tail wound, adrenal glands, kidneys, lungs, brain, testes, lymph nodes, heart, liver, spleen and salivary glands. Admixed were abundant intrahistiocytic and extracellular pleomorphic yeast (round, oval and cigar-shaped) up to 6 μm diameter, often with a thin clear halo and occasional narrow-based budding. The diagnosis of disseminated sporotrichosis was confirmed via culture and sequencing of the internal transcribed spacer region of the causative agent, Sporothrix schenckii sensu lato. The route of entry of infection was considered most likely to have been via cutaneous inoculation of the tail base wound. To the authors' knowledge, this report describes the first known case of sporotrichosis in a native Australian animal.
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Affiliation(s)
- F Coiacetto
- Department of Veterinary Pathology, School of Veterinary Medicine, Murdoch University, Murdoch, Australia.
| | - I Arthur
- Department of Microbiology, PathWest Laboratory Medicine, QE2 Medical Centre, Nedlands, Australia
| | - L Sullivan
- Department of Veterinary Pathology, School of Veterinary Medicine, Murdoch University, Murdoch, Australia
| | - M Leung
- Department of Microbiology, PathWest Laboratory Medicine, QE2 Medical Centre, Nedlands, Australia
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13
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Jaeger U, McGuirk J, Worel N, Riedell P, Fleury I, Borchmann P, Forcina A, Chu J, Leung M, Pacaud L, Waller E. PORTIA: A PHASE 1B STUDY EVALUATING SAFETY AND EFFICACY OF TISAGENLECLEUCEL AND PEMBROLIZUMAB IN PATIENTS WITH RELAPSED/REFRACTORY DIFFUSE LARGE B-CELL LYMPHOMA. Hematol Oncol 2019. [DOI: 10.1002/hon.7_2632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- U. Jaeger
- Hematology and Hemostaseology, and Comprehensive Cancer Center; Medical University of Vienna; Vienna Austria
| | - J. McGuirk
- Hematologic Malignancies and Cellular Therapeutics; Kansas Hospital and Medical Center; Kansas City United States
| | - N. Worel
- Hematology and Hemostaseology, and Comprehensive Cancer Center; Medical University of Vienna; Vienna Austria
| | - P. Riedell
- Biomedical Sciences; University of Chicago; Chicago United States
| | - I. Fleury
- Hematology; Hospital Maisonneuve-Rosemont; Montreal Canada
| | - P. Borchmann
- Hematology/Oncology; University Hospital of Cologne; Cologne Germany
| | - A. Forcina
- Novartis Oncology; Novartis Pharma AG; Basel Switzerland
| | - J. Chu
- Novartis Oncology; Novartis Pharmaceuticals Corporation; East Hanover United States
| | - M. Leung
- Oncology Clinical Development; Novartis Pharmaceuticals Corporation; East Hanover United States
| | - L. Pacaud
- Novartis Oncology; Novartis Pharmaceuticals Corporation; East Hanover United States
| | - E. Waller
- Stem Cell Transplantation and Immunotherapy; Emory University School of Medicine; Atlanta United States
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14
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Chow C, Leung M, Leung GK, Shen W, Kam C, Cheung H, Auyeung K, Ip P. Epidemiology of paediatric trauma in Hong Kong: A multicentre cohort study. Clinical Epidemiology and Global Health 2019. [DOI: 10.1016/j.cegh.2018.01.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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15
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Nguyen P, Makris A, Hennessy A, Jayanti S, Wang A, Park K, Chen V, Nguyen T, Lo S, Xuan W, Leung M, Badie T, Xu J, Kadappu K, Kachwalla H, Gibbs O, Faour A, Kee A, Rajaratnam R, Leung D, French J, Juergens C. Standard Versus Ultrasound-Guided Radial and Femoral Access (SURF) - A Randomised Controlled Trial. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.690] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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16
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Ihdayhid A, Michail M, Leung M, Thakur U, Barron G, Seneviratne S, Ko B, Cameron J, Samady H, Brown A. Validation of Physiological Principles of Non-Invasive Fractional Flow Reserve. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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17
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Yu Z, Ramamurthy NS, Leung M, Chang KM, McNamara TF, Golub LM. Chemically-modified tetracycline normalizes collagen metabolism in diabetic rats: a dose-response study. J Periodontal Res 2018. [DOI: 10.1111/jre.1993.28.6.420] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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18
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Leung M, Cheng S. A MODERATED MEDIATION MODEL OF SELF-EFFICACY, CATASTROPHIZING AND DEPRESSIVE SYMPTOMS IN CHRONIC PAIN PATIENTS. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.2486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M Leung
- The Education University of Hong Kong
| | - S Cheng
- The Education University of Hong Kong
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19
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Schoeler NE, Leu C, Balestrini S, Mudge JM, Steward CA, Frankish A, Leung M, Mackay M, Scheffer I, Williams R, Sander JW, Cross JH, Sisodiya SM. Genome-wide association study: Exploring the genetic basis for responsiveness to ketogenic dietary therapies for drug-resistant epilepsy. Epilepsia 2018; 59:1557-1566. [PMID: 30009487 PMCID: PMC6099477 DOI: 10.1111/epi.14516] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2017] [Accepted: 06/19/2018] [Indexed: 02/04/2023]
Abstract
OBJECTIVE With the exception of specific metabolic disorders, predictors of response to ketogenic dietary therapies (KDTs) are unknown. We aimed to determine whether common variation across the genome influences the response to KDT for epilepsy. METHODS We genotyped individuals who were negative for glucose transporter type 1 deficiency syndrome or other metabolic disorders, who received KDT for epilepsy. Genotyping was performed with the Infinium HumanOmniExpressExome Beadchip. Hospital records were used to obtain demographic and clinical data. KDT response (≥50% seizure reduction) at 3-month follow-up was used to dissect out nonresponders and responders. We then performed a genome-wide association study (GWAS) in nonresponders vs responders, using a linear mixed model and correcting for population stratification. Variants with minor allele frequency <0.05 and those that did not pass quality control filtering were excluded. RESULTS After quality control filtering, the GWAS of 112 nonresponders vs 123 responders revealed an association locus at 6p25.1, 61 kb upstream of CDYL (rs12204701, P = 3.83 × 10-8 , odds ratio [A] = 13.5, 95% confidence interval [CI] 4.07-44.8). Although analysis of regional linkage disequilibrium around rs12204701 did not strengthen the likelihood of CDYL being the candidate gene, additional bioinformatic analyses suggest it is the most likely candidate. SIGNIFICANCE CDYL deficiency has been shown to disrupt neuronal migration and to influence susceptibility to epilepsy in mice. Further exploration with a larger replication cohort is warranted to clarify whether CDYL is the causal gene underlying the association signal.
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Affiliation(s)
- Natasha E. Schoeler
- Department of Clinical and Experimental EpilepsyUCL Institute of NeurologyLondonUK
- UCL Great Ormond Street Institute of Child HealthLondonUK
| | - Costin Leu
- Department of Clinical and Experimental EpilepsyUCL Institute of NeurologyLondonUK
- NIHR University College London Hospitals Biomedical Research CentreUCL Institute of NeurologyLondonUK
| | - Simona Balestrini
- Department of Clinical and Experimental EpilepsyUCL Institute of NeurologyLondonUK
- Chalfont Centre for EpilepsyChalfont St PeterUK
| | - Jonathan M. Mudge
- European Molecular Biology LaboratoryWellcome Genome CampusEuropean Bioinformatics InstituteCambridgeUK
| | | | - Adam Frankish
- European Molecular Biology LaboratoryWellcome Genome CampusEuropean Bioinformatics InstituteCambridgeUK
| | - Mary‐Anne Leung
- Children's Neurosciences CentreGuy's and St Thomas’ NHS Foundation TrustLondonUK
| | - Mark Mackay
- Department of PaediatricsThe University of MelbourneRoyal Children's HospitalMelbourneVic.Australia
- Murdoch Children's Research InstituteMelbourneVic.Australia
| | - Ingrid Scheffer
- Department of PaediatricsThe University of MelbourneRoyal Children's HospitalMelbourneVic.Australia
- Epilepsy Research CentreDepartment of MedicineThe University of MelbourneAustin HealthMelbourneVic.Australia
- Austin HealthFlorey Institute of Neurosciences and Mental HealthMelbourneVic.Australia
| | - Ruth Williams
- Children's Neurosciences CentreGuy's and St Thomas’ NHS Foundation TrustLondonUK
| | - Josemir W. Sander
- NIHR University College London Hospitals Biomedical Research CentreUCL Institute of NeurologyLondonUK
- Chalfont Centre for EpilepsyChalfont St PeterUK
- Stichting Epilepsie Instellingen Nederland (SEIN)HeemstedeThe Netherlands
| | - J. Helen Cross
- UCL Great Ormond Street Institute of Child HealthLondonUK
- Great Ormond Street Hospital for ChildrenLondonUK
- Young EpilepsyLingfieldUK
| | - Sanjay M. Sisodiya
- Department of Clinical and Experimental EpilepsyUCL Institute of NeurologyLondonUK
- Chalfont Centre for EpilepsyChalfont St PeterUK
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Burgess SN, Juergens CP, Nguyen TL, Leung M, Richards DAB, Thomas L, Mussap CJ, Lo STH, French JK. P1642The impact of residual non-culprit stenoses in diabetic and non-diabetic patients with ST elevation myocardial infarction. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- S N Burgess
- University of New South Wales, Liverpool hospital, Cardiology department, & Nepean Hospital, Cardiology department, Sydney, Australia
| | - C P Juergens
- University of New South Wales, Liverpool Hospital, Cardiology department, Sydney, Australia
| | - T L Nguyen
- University of New South Wales, Liverpool Hospital, Cardiology department, Sydney, Australia
| | - M Leung
- University of New South Wales, Liverpool Hospital, Cardiology department, Sydney, Australia
| | - D A B Richards
- University of New South Wales, Liverpool Hospital, Cardiology department, Sydney, Australia
| | - L Thomas
- University of New South Wales, & Westmead hospital, Cardiology department, Sydney, Australia
| | - C J Mussap
- University of New South Wales, Liverpool Hospital, Cardiology department, Sydney, Australia
| | - S T H Lo
- University of New South Wales, Liverpool Hospital, Cardiology department, Sydney, Australia
| | - J K French
- University of New South Wales, Liverpool Hospital, Cardiology department, Sydney, Australia
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21
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Tran J, Ng A, Chan O, Leung D, Leung M. The Long-Term Prognostic Values of Left Ventricular Function and Dyssynchrony After a Non-ST Elevation Myocardial Infarction. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Deng E, Nham S, Wong V, Leung D, Leung M. Impact of Changes in Glycaemic Control on Long-Term Cardiovascular Outcomes in Patients with Type 2 Diabetes Mellitus. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Burgess S, Juergens C, Nguyen T, Leung M, Richards D, Thomas L, Mussap C, Lo S, French J. The Relative Impact of Residual Untreated Non-Culprit Stenoses and Diabetic Status in Patients With ST-Elevation Myocardial Infarction. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.1001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Abstract
Objectives (1) To survey and analyse the pattern of sports injuries; (2) to make implication from the results. Methodology Subjects with sports injuries attending the emergency department of Princess Margaret Hospital in 2006 were retrieved via the Injury Surveillance System. The characteristics of the subjects and their injuries were evaluated. Results In 2006, 709 subjects had sports injuries, from which 83% were male. The median age was 19. Age below 20 accounted for 53% of the attendance. Football (35%), basketball (25%) and cycling (9%) were the three commonest sport-injury activities. All sports injuries had the maximum AIS ≤3 and 83% had MAIS of 1 only. Overall, 39% had contusion and scrape, 36% with sprain and strain, and 18% had fracture. Nearly half (47%) had lower limb injury; 30% and 24% had upper limb injury and head injury respectively. Contusion and scrape of the head, and sprain and strain of the lower limb were the two commonest injuries in football and basketball. In cycling, two-thirds suffered from contusion and scrape of any body region and 57% of those involved the head. Conclusion Sports injury surveillance with characterised patterns of injuries helped to devise prevention measures.
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Affiliation(s)
| | - M Leung
- Princess Margaret Hospital, Paediatrics Department, Lai Chi Kok, Kowloon, Hong Kong
| | - CP Chow
- Princess Margaret Hospital, Paediatrics Department, Lai Chi Kok, Kowloon, Hong Kong
| | - KH Chan
- Princess Margaret Hospital, Paediatrics Department, Lai Chi Kok, Kowloon, Hong Kong
| | - ACH Lit
- Princess Margaret Hospital, Paediatrics Department, Lai Chi Kok, Kowloon, Hong Kong
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Chung WS, Tsui CT, Lit ACH, Leung M. A Retrospective Epidemiological Study of the Traffic-Related Injuries Cases Admitted to a Local Hospital. HONG KONG J EMERG ME 2017. [DOI: 10.1177/102490791201900504] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Road traffic injuries (RTI) are important public health problem globally. Accurate data about RTIs and its subsequent health consequences are essential to monitor the effectiveness of current RTI prevention measures and to readdress policies. Objective We presented the surveillance of RTI in Kwai Tsing by integrating data from traffic accident data system (TRADS) and injury surveillance system (ISS) from Princess Margaret Hospital. Method Retrospective observational study to examine traffic-related injuries by integrating data from TRADS and ISS databases. A multivariate analysis was performed to identify risk factors associated with hospital admissions in RTI. Result A total of 725 patients were included. About 19% of the visits led to hospitalisation and six deaths (0.83%) were reported. Pedestrian elders were significantly more at risk to traffic injury mortality and hospitalisation. Conclusion This study demonstrates the feasibility of an integrated surveillance system for RTI based on existing local databases. Special preventive measures should be tailored for pedestrian and elderly to improve their safety by improving the quality of their walking environment.
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Mok Y, Ma H, Leung M, Yeung H, Lit A, Luk H. Clinical Outcomes of Trauma Patients after Implementation of a Standardised Diversion Protocol for Trauma Patients in Two Regional Hospitals in Hong Kong. HONG KONG J EMERG ME 2017. [DOI: 10.1177/102490791502200401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Introduction Despite recent advance in prehospital trauma diversion, patients are triaged to the nearest medical facility before transferred to designated trauma centre. A new standardised diversion protocol for trauma patients was implemented on 1st April 2011 to facilitate trauma care. Severely-injured patients were transferred to designated trauma centre directly from emergency department of the regional hospital after initial resuscitation. Objective This study was undertaken to examine clinical outcomes of trauma patients after implementation of the new standardised diversion protocol for trauma patients in the emergency department. Method This was a before-and-after interventional study on trauma patients presenting to the emergency department in critical or emergency conditions during the study period from 1st April 2011 to 31st March 2012. Patients presented in the two-year period before implementation of the trauma protocol were used as historical control. Medical records of eligible cases were reviewed. Main outcome measures were 30-day mortality, length of hospital stay and time to definitive care. Mortality data was compared with oversea standard by TRISS methodology. Results There were 153 eligible patients in the study group and 355 in the historical control group. After new arrangement of trauma diversion, W-statistics improves from -1.26 to 0.09. Z-statistics was -2.03 before and 0.09 after implementation. M-statistics were 0.91 before and 0.88 after the new protocol. Mean time to definitive care was shortened by 33.4 minutes in the subgroup who were transferred to trauma centre after trauma team activation (p=0.005). Conclusion A trend of improved outcomes and shorter time to definitive care are observed after implementation of the new trauma diversion protocol. (Hong Kong j.emerg.med. 2015;22:201-209)
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Affiliation(s)
- Yt Mok
- Yan Chai Hospital, Accident and Emergency Department, 7-11 Yan Chai Street, Tsuen Wan, New Territories, Hong Kong
| | - Hm Ma
- Yan Chai Hospital, Accident and Emergency Department, 7-11 Yan Chai Street, Tsuen Wan, New Territories, Hong Kong
| | - M Leung
- Yan Chai Hospital, Accident and Emergency Department, 7-11 Yan Chai Street, Tsuen Wan, New Territories, Hong Kong
| | - Hc Yeung
- Yan Chai Hospital, Accident and Emergency Department, 7-11 Yan Chai Street, Tsuen Wan, New Territories, Hong Kong
| | - Ach Lit
- Yan Chai Hospital, Accident and Emergency Department, 7-11 Yan Chai Street, Tsuen Wan, New Territories, Hong Kong
| | - Ht Luk
- Yan Chai Hospital, Accident and Emergency Department, 7-11 Yan Chai Street, Tsuen Wan, New Territories, Hong Kong
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Cheung L, Shih Y, Leung C, Lo W, Leung M, Lit A. How Accurate are Emergency Department Medical Staff in the Interpretation of Head Injury Related Computed Tomography? HONG KONG J EMERG ME 2017. [DOI: 10.1177/102490791502200406] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Introduction Computed tomography (CT) brain has become a popular modality to detect head injury related problems for patients seen at the Emergency Departments (ED) in Hong Kong. This study aims to assess the diagnostic accuracy of local ED medical staff in interpretation of head injury related CT and to assess the association between years of working experience of ED medical staff and the diagnostic accuracy of CT brain interpretation. Methods This is a retrospective cohort study reviewing all patients attending the ED of Princess Margaret Hospital in three years (from 2008 to 2010) with head injuries requiring CT brain during ED stay. The findings of CT brain by ED medical staff were compared with those by radiologists, the reference standard. Results A total of 1716 cases were assessed. The overall sensitivity and specificity for detecting an abnormal CT were 0.66 (95% confidence interval [CI] 0.60-0.71) and 0.96 (95% CI 0.95-0.97), respectively. The sensitivity showed an increasing trend from 0.63 (95% CI 0.54-0.72) in ED staff with 0-3 years of working experience, to 0.71 (95% CI 0.59-0.84) with 4-6 years of experience and 0.75 (95% CI 0.63-0.86) with 7-10 years of experience. It dropped to 0.59 (95% CI 0.47-0.71) with more than 10 years of experience. Conclusions The head injury related CT interpretation skill by ED medical staff is suboptimal. More training is necessary. (Hong Kong j.emerg.med. 2015;22:241-247)
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Affiliation(s)
- Lw Cheung
- Princess Margaret Hospital, Accident & Emergency Department, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong
| | - Yn Shih
- Princess Margaret Hospital, Accident & Emergency Department, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong
| | - Cs Leung
- Princess Margaret Hospital, Accident & Emergency Department, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong
| | - Ws Lo
- Princess Margaret Hospital, Accident & Emergency Department, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong
| | - M Leung
- Princess Margaret Hospital, Accident & Emergency Department, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong
| | - Ach Lit
- Princess Margaret Hospital, Accident & Emergency Department, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong
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Van Der Bijl P, Khidir M, Leung M, Ajmone Marsan N, Delgado V, Bax J. 103Left ventricular mechanical dispersion after cardiac resynchronisation therapy: prognostic implications. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx501.103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Yuk K, Ming Ma H, Au K, Leung M, Ng J, Cheng H, Yin Yung S, Hui E. ADHERENCE TO ADVANCE CARE PLAN IN AN ENDOF-LIFE PROGRAM FOR ELDERLY FROM NURSING HOMES IN HONG KONG. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- K.D. Yuk
- Community Geriatric Assessment Team, Prince of Wales Hospital, Shatin, Hong Kong, Hong Kong,
- The Chinese University of Hong Kong, Hong Kong, Hong Kong
| | - H. Ming Ma
- Community Geriatric Assessment Team, Prince of Wales Hospital, Shatin, Hong Kong, Hong Kong,
- The Chinese University of Hong Kong, Hong Kong, Hong Kong
| | - K. Au
- Community Geriatric Assessment Team, Prince of Wales Hospital, Shatin, Hong Kong, Hong Kong,
| | - M. Leung
- Community Geriatric Assessment Team, Prince of Wales Hospital, Shatin, Hong Kong, Hong Kong,
| | - J. Ng
- Community Geriatric Assessment Team, Prince of Wales Hospital, Shatin, Hong Kong, Hong Kong,
| | - H. Cheng
- Community Geriatric Assessment Team, Prince of Wales Hospital, Shatin, Hong Kong, Hong Kong,
| | - S. Yin Yung
- Community Geriatric Assessment Team, Prince of Wales Hospital, Shatin, Hong Kong, Hong Kong,
| | - E. Hui
- Community Geriatric Assessment Team, Prince of Wales Hospital, Shatin, Hong Kong, Hong Kong,
- The Chinese University of Hong Kong, Hong Kong, Hong Kong
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Lovibond S, Leung M. Recurrent Very Late Stent Thrombosis. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Scatteia A, Vollema EM, Leung M, Marsan NA, Baritussio A, De Garate E, Dastidar AG, Rodrigues J, Bax JJ, Delgado V, Bucciarelli-Ducci C. 21 Feature tracking cardiac magnetic resonance to assess LV mechanics in different cardiac overload caused by aortic valve disease. Heart 2016. [DOI: 10.1136/heartjnl-2016-309668.21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Leung M, Freidina D, Nicholson A, Rice A, Freidin M, Fernandez AM, Popat S, Lim E. 1 A comparative analysis of cancer hotspot mutation profiles in circulating tumour cells, circulating tumour DNA and matched primary lung tumour. Lung Cancer 2016. [DOI: 10.1016/s0169-5002(16)30018-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Choe MC, Valino H, Fischer J, Zeiger M, Breault J, McArthur DL, Leung M, Madikians A, Yudovin S, Lerner JT, Giza CC. Targeting the Epidemic: Interventions and Follow-up Are Necessary in the Pediatric Traumatic Brain Injury Clinic. J Child Neurol 2016; 31:109-15. [PMID: 25795464 DOI: 10.1177/0883073815572685] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2014] [Accepted: 01/04/2015] [Indexed: 11/17/2022]
Abstract
Traumatic brain injury is a major public health problem in the pediatric population. Previously, management was acute emergency department/primary care evaluation with follow-up by primary care. However, persistent symptoms after traumatic brain injury are common, and many do not have access to a specialized traumatic brain injury clinic to manage chronic issues. The goal of this study was to determine the factors related to outcomes, and identify the interventions provided in this subspecialty clinic. Data were extracted from medical records of 151 retrospective and 403 prospective patients. Relationships between sequelae, injury characteristics, and clinical interventions were analyzed. Most patients returning to clinic were not fully recovered from their injury. Headaches were more common after milder injuries, and seizures were more common after severe. The majority of patients received clinical intervention. The presence of persistent sequelae for traumatic brain injury patients can be evaluated and managed by a specialty concussion/traumatic brain injury clinic ensuring that medical needs are met.
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Affiliation(s)
- M C Choe
- UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA Both authors contributed equally to the article.
| | - H Valino
- University of California Davis School of Medicine, Los Angeles, CA, USA Both authors contributed equally to the article
| | - J Fischer
- Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA
| | - M Zeiger
- Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA
| | - J Breault
- Ross University School of Medicine, Los Angeles, CA, USA
| | - D L McArthur
- UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA
| | - M Leung
- UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA
| | - A Madikians
- Division of Pediatric Critical Care, Los Angeles, CA, USA
| | - S Yudovin
- UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA
| | - J T Lerner
- Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA
| | - C C Giza
- UCLA Brain Injury Research Center, Department of Neurosurgery, Los Angeles, CA, USA Division of Pediatric Neurology, David Geffen School of Medicine at UCLA and Mattel Children's Hospital - UCLA, Los Angeles, CA, USA
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Lo W, Shih Y, Leung C, Cheung L, Leung M, Yeung H, Lit A. A Retrospective Study of Patients with Minor Head Injury to Compare the Canadian CT Head Rule and the New Orleans Criteria. HONG KONG J EMERG ME 2016. [DOI: 10.1177/102490791602300103] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
ObjectiveTo compare the performance of the Canadian CT Head Rule (CCHR) and the New Orleans Criteria (NOC) in minor head injury patients.MethodThis retrospective cohort study collected data and CT head reports of all minor head injury patients from 1 January 2008 to 31 December 2010. We compared the sensitivity, specificity, positive and negative predictive values of both rules in predicting clinically important brain injury on CT and the need of neurosurgical intervention.ResultsWe reviewed 474 patients with minor head injury. Seventy seven patients had clinically important brain injury and 11 underwent neurosurgical intervention. The sensitivity of the CCHR and NOC in predicting clinically important brain injury were 80% (95% confidence interval [CI] 70-88%) and 92% (95% CI 86-98%), respectively; and the specificity of the CCHR and NOC were 39% (95% CI 33-44%) and 17% (95% CI 13-21%), respectively. The sensitivity of the CCHR and NOC in predicting the need of neurosurgical intervention were 80% (95% CI 55-100%) and 100% (95% CI 100-100%), respectively; and the specificity of the CCHR and NOC were 36% (95% CI 31-41%) and 15% (95% CI 12-19%), respectively. The negative predictive values (NPV) of the CCHR and NOC for clinically important brain injury were 88% (95%CI 83-94%) and 91% (95%CI 84-98%); and for the need of neurosurgical intervention were 99% (95% CI 96-100%) and 100% (95% CI 100-100%). Amongst those missed cases, 88% in the CCHR group and 83% in the NOC group reported loss of consciousness.ConclusionsThe NOC is more sensitive but less specific than the CCHR in predicting both outcomes. Both rules have excellent NPV to rule out the need of neurosurgical intervention.
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Affiliation(s)
- Ws Lo
- Princess Margaret Hospital, Accident and Emergency Department, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong
| | - Yn Shih
- Princess Margaret Hospital, Accident and Emergency Department, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong
| | - Cs Leung
- Princess Margaret Hospital, Accident and Emergency Department, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong
| | - Lw Cheung
- Princess Margaret Hospital, Accident and Emergency Department, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong
| | - M Leung
- Princess Margaret Hospital, Accident and Emergency Department, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong
| | - Hc Yeung
- Princess Margaret Hospital, Accident and Emergency Department, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong
| | - Ach Lit
- Princess Margaret Hospital, Accident and Emergency Department, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong
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De Sousa P, Barbosa M, Cufari M, Proli C, Azcarate L, Raubenheimer H, Leung M, Rice A, Fernandez AM, Robertus J, Nicholson A, Lim E. 116 Gene mutation profile of non-smokers compared to smokers participating in the CRUK stratified medicines programme at a single institution. Lung Cancer 2016. [DOI: 10.1016/s0169-5002(16)30133-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Leung M, Rantalainen T, Teo W, Kidgell D. Motor skill training and strength training are associated with the same plastic changes in the central nervous system. J Sci Med Sport 2015. [DOI: 10.1016/j.jsams.2015.12.423] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Leung M, Rantalainen T, Teo WP, Kidgell D. Motor cortex excitability is not differentially modulated following skill and strength training. Neuroscience 2015; 305:99-108. [DOI: 10.1016/j.neuroscience.2015.08.007] [Citation(s) in RCA: 55] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2015] [Revised: 08/03/2015] [Accepted: 08/04/2015] [Indexed: 01/08/2023]
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Burgess M, Leung M, Chellapah A, Crombie A, Clark J, Batstone M. A retrospective analysis of osseo-integrated implants placed into vascularised free-flaps of the head and neck – a multicentre analysis. Int J Oral Maxillofac Surg 2015. [DOI: 10.1016/j.ijom.2015.08.658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Narayan O, Leung M, Wong D, Malaiapan Y, Meredith I, Cameron J. Effects of dobutamine and glyceryl trinitrate therapy on coronary blood flow, the coronary wave intensity profile and central aortic pressure waveform. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Freydin M, Freydina D, Chudasama D, Leung M, Popat S, Gonzalez-De-Castro D, Rice A, Fernandez AM, Nicholson A, Lim E. A Blood Based Egfr Mutation Analysis in Circulating Plasma Dna for Prediction of Primary Tumour Mutations in Lung Cancer. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu326.34] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Pattenden HA, Leung M, Beddow E, Dusmet M, Nicholson AG, Shackcloth M, Mohamed S, Darr A, Naidu B, Iyer S, Marchbank A, Greenwood A, West D, Granato F, Kirk A, Ariyaratnam P, Loubani M, Lim E. Test performance of PET-CT for mediastinal lymph node staging of pulmonary carcinoid tumours. Thorax 2014; 70:379-81. [DOI: 10.1136/thoraxjnl-2014-205899] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Leung H, Mak H, Leung M, Leung KL, Kwan P, Wong KS. Neuroeconomics of health care financing options: willingness to pay and save. Hong Kong Med J 2014; 20:8-10. [PMID: 25001028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023] Open
Affiliation(s)
- H Leung
- Department of Medicine and Therapeutics, The Chinese University of Hong Kong
| | - H Mak
- Department of Diagnostic Radiology, The University of Hong Kong
| | - M Leung
- Department of Economics, The Chinese University of Hong Kong
| | - K L Leung
- Private medical practitioner, Hong Kong
| | - P Kwan
- University of Melbourne, Australia
| | - K S Wong
- Department of Medicine and Therapeutics, The Chinese University of Hong Kong
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Leung M, Ozanne R, Smith L, Martin A. Re: Massanyi et al.: Utility of Screening Ultrasound After First Febrile UTI Among Patients With Clinically Significant Vesicoureteral Reflux (Urology 2013;82:905-909). Urology 2014; 83:680-1. [DOI: 10.1016/j.urology.2013.12.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2013] [Revised: 11/27/2013] [Accepted: 12/01/2013] [Indexed: 11/16/2022]
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Liszewski M, Kolev M, Le Friec G, Leung M, Bertram P, Pickering M, Drouet C, Meri S, Arstila T, Pekkarinen P, Reinheckel T, Cordoba SRD, Afzali B, Atkinson J, Kemper C. Evidence for intracellular complement activation vital to Th1 immunity. Mol Immunol 2013. [DOI: 10.1016/j.molimm.2013.05.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Aaberg-Jessen C, Fogh L, Halle B, Jensen V, Brunner N, Kristensen BW, Abe T, Momii Y, Watanabe J, Morisaki I, Natsume A, Wakabayashi T, Fujiki M, Aldaz B, Fabius AWM, Silber J, Harinath G, Chan TA, Huse JT, Anai S, Hide T, Nakamura H, Makino K, Yano S, Kuratsu JI, Balyasnikova IV, Prasol MS, Kanoija DK, Aboody KS, Lesniak MS, Barone T, Burkhart C, Purmal A, Gudkov A, Gurova K, Plunkett R, Barton K, Misuraca K, Cordero F, Dobrikova E, Min H, Gromeier M, Kirsch D, Becher O, Pont LB, Kloezeman J, van den Bent M, Kanaar R, Kremer A, Swagemakers S, French P, Dirven C, Lamfers M, Leenstra S, Pont LB, Balvers R, Kloezeman J, Kleijn A, Lawler S, Leenstra S, Dirven C, Lamfers M, Gong X, Andres A, Hanson J, Delashaw J, Bota D, Chen CC, Yao NW, Chuang WJ, Chang C, Chen PY, Huang CY, Wei KC, Cheng Y, Dai Q, Morshed R, Han Y, Auffinger B, Wainwright D, Zhang L, Tobias A, Rincon E, Thaci B, Ahmed A, He C, Lesniak M, Choi YA, Pandya H, Gibo DM, Fokt I, Priebe W, Debinski W, Chornenkyy Y, Agnihotri S, Buczkowicz P, Rakopoulos P, Morrison A, Barszczyk M, Becher O, Hawkins C, Chung S, Decollogne S, Luk P, Shen H, Ha W, Day B, Stringer B, Hogg P, Dilda P, McDonald K, Moore S, Hayden-Gephart M, Bergen J, Su Y, Rayburn H, Edwards M, Scott M, Cochran J, Das A, Varma AK, Wallace GC, Dixon-Mah YN, Vandergrift WA, Giglio P, Ray SK, Patel SJ, Banik NL, Dasgupta T, Olow A, Yang X, Mueller S, Prados M, James CD, Haas-Kogan D, Dave ND, Desai PB, Gudelsky GA, Chow LML, LaSance K, Qi X, Driscoll J, Driscoll J, Ebsworth K, Walters MJ, Ertl LS, Wang Y, Berahovic RD, McMahon J, Powers JP, Jaen JC, Schall TJ, Eroglu Z, Portnow J, Sacramento A, Garcia E, Raubitschek A, Synold T, Esaki S, Rabkin S, Martuza R, Wakimoto H, Ferluga S, Tome CL, Debinski W, Forde HE, Netland IA, Sleire L, Skeie B, Enger PO, Goplen D, Giladi M, Tichon A, Schneiderman R, Porat Y, Munster M, Dishon M, Weinberg U, Kirson E, Wasserman Y, Palti Y, Giladi M, Porat Y, Schneiderman R, Munster M, Weinberg U, Kirson E, Palti Y, 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Rodriguez S, Leung M, Charlebois A, Sellick J, Haldorsen M. The Implementation of ‘Emergent Champions’ on a Step-Down Cardiac Ward: Facilitating a Proactive Culture of Self-Learning. Can J Cardiol 2013. [DOI: 10.1016/j.cjca.2013.07.747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Leung M, Phan V, Leung DY. Diastolic reserve is an independent predictor of exercise capacity. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht308.p2423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Leung M, Phan V, Leung DY. Impaired diastolic reserve as an early marker of diabetic cardiomyopathy. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht308.p2427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Jia J, Chow J, Leung M, Jaffray D. SU-E-T-506: Modification of the Low-Energy Electron Energy Spectrum in the Presence of Gold Nanoparticle. Med Phys 2013. [DOI: 10.1118/1.4814935] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Fung M, Leung M, Thomas L, Leung D. Differential Involvement of Myocardial Fibres in Aortic Stenosis. Heart Lung Circ 2013. [DOI: 10.1016/j.hlc.2013.05.412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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