1.A Survey of Lay Knowledge of Autism Spectrum Disorder in Malaysia (Soal Selidik Pengetahuan Awam tentang Autism Spectrum Disorder di Malaysia)
HUI MIN LOW ; LAY WAH LEE ; AZNAN CHE AHMAD ; ENI ELIZA GHAZALI ; PHAIK KAH TAN ; ANN SIEN SUT LEE
Malaysian Journal of Health Sciences 2021;19(No.1):49-57
Today, increasingly more people worldwide are aware about Autism Spectrum Disorder (ASD). However, their actual
knowledge about ASD is yet unknown. The lack of knowledge about ASD is especially apparent among the lay people in
the community. In this study, the lay knowledge of ASD was investigated using a brief survey involving a community
sample in Malaysia. The survey findings revealed that the vast majority of the respondents could relate to ASD as a type
of learning disability. However, they were less familiar with the diagnostic features and remedial needs of ASD. They
also reported limited knowledge about the social communication and language deficits of ASD. Another noteworthy
finding was that the respondents reported different sources of obtaining ASD knowledge according to their demographic
profiles (namely age, gender, education and occupation), which correspondingly led to variability in the type of
knowledge they obtained. Together, the findings implied that content-specific ASD awareness programs through the right
channels are warranted for optimizing efficacy in knowledge transfer and minimizing redundancy in existing ASD
awareness campaigns. Increased lay knowledge on ASD will provide a public guardian ground for children with ASD to
ensure that the challenges faced by them can be identified at an early age for optimizing the remedial outcomes.
2.Large Forehead Nodule with Multiple Facial and Oral Papules.
May Mq LIAU ; Kong Bing TAN ; Victor Km LEE ; Sue Ann Je HO
Annals of the Academy of Medicine, Singapore 2016;45(10):481-483
Adult
;
Facial Neoplasms
;
diagnosis
;
etiology
;
pathology
;
Fibroma
;
diagnosis
;
etiology
;
pathology
;
Forehead
;
Hamartoma Syndrome, Multiple
;
complications
;
diagnosis
;
pathology
;
Humans
;
Male
;
Mouth Neoplasms
;
diagnosis
;
etiology
;
Papilloma
;
diagnosis
;
etiology
;
Skin Neoplasms
;
diagnosis
;
etiology
;
pathology
3.Position Statements of the Emerging Trends Committee of the Asian Oceanian Society of Radiology on the Adoption and Implementation of Artificial Intelligence for Radiology
Nicole Kessa WEE ; Kim-Ann GIT ; Wen-Jeng LEE ; Gaurang RAVAL ; Aziz PATTOKHOV ; Evelyn Lai Ming HO ; Chamaree CHUAPETCHARASOPON ; Noriyuki TOMIYAMA ; Kwan Hoong NG ; Cher Heng TAN
Korean Journal of Radiology 2024;25(7):603-612
Artificial intelligence (AI) is rapidly gaining recognition in the radiology domain as a greater number of radiologists are becoming AI-literate. However, the adoption and implementation of AI solutions in clinical settings have been slow, with points of contention. A group of AI users comprising mainly clinical radiologists across various Asian countries, including India, Japan, Malaysia, Singapore, Taiwan, Thailand, and Uzbekistan, formed the working group. This study aimed to draft position statements regarding the application and clinical deployment of AI in radiology. The primary aim is to raise awareness among the general public, promote professional interest and discussion, clarify ethical considerations when implementing AI technology, and engage the radiology profession in the ever-changing clinical practice. These position statements highlight pertinent issues that need to be addressed between care providers and care recipients. More importantly, this will help legalize the use of non-human instruments in clinical deployment without compromising ethical considerations, decision-making precision, and clinical professional standards. We base our study on four main principles of medical care—respect for patient autonomy, beneficence, non-maleficence, and justice.
4.Clinical efficacy and long-term immunogenicity of an early triple dose regimen of SARS-CoV-2 mRNA vaccination in cancer patients.
Matilda Xinwei LEE ; Siyu PENG ; Ainsley Ryan Yan Bin LEE ; Shi Yin WONG ; Ryan Yong Kiat TAY ; Jiaqi LI ; Areeba TARIQ ; Claire Xin Yi GOH ; Ying Kiat TAN ; Benjamin Kye Jyn TAN ; Chong Boon TEO ; Esther CHAN ; Melissa OOI ; Wee Joo CHNG ; Cheng Ean CHEE ; Carol L F HO ; Robert John WALSH ; Maggie WONG ; Yan SU ; Lezhava ALEXANDER ; Sunil Kumar SETHI ; Shaun Shi Yan TAN ; Yiong Huak CHAN ; Kelvin Bryan TAN ; Soo Chin LEE ; Louis Yi Ann CHAI ; Raghav SUNDAR
Annals of the Academy of Medicine, Singapore 2023;52(1):8-16
INTRODUCTION:
Three doses of SARS-CoV-2 mRNA vaccines have been recommended for cancer patients to reduce the risk of severe disease. Anti-neoplastic treatment, such as chemotherapy, may affect long-term vaccine immunogenicity.
METHOD:
Patients with solid or haematological cancer were recruited from 2 hospitals between July 2021 and March 2022. Humoral response was evaluated using GenScript cPASS surrogate virus neutralisation assays. Clinical outcomes were obtained from medical records and national mandatory-reporting databases.
RESULTS:
A total of 273 patients were recruited, with 40 having haematological malignancies and the rest solid tumours. Among the participants, 204 (74.7%) were receiving active cancer therapy, including 98 (35.9%) undergoing systemic chemotherapy and the rest targeted therapy or immunotherapy. All patients were seronegative at baseline. Seroconversion rates after receiving 1, 2 and 3 doses of SARS-CoV-2 mRNA vaccination were 35.2%, 79.4% and 92.4%, respectively. After 3 doses, patients on active treatment for haematological malignancies had lower antibodies (57.3%±46.2) when compared to patients on immunotherapy (94.1%±9.56, P<0.05) and chemotherapy (92.8%±18.1, P<0.05). SARS-CoV-2 infection was reported in 77 (28.2%) patients, of which 18 were severe. No patient receiving a third dose within 90 days of the second dose experienced severe infection.
CONCLUSION
This study demonstrates the benefit of early administration of the third dose among cancer patients.
Humans
;
SARS-CoV-2
;
COVID-19/prevention & control*
;
Treatment Outcome
;
Neoplasms/drug therapy*
;
Hematologic Neoplasms
;
Vaccination
;
RNA, Messenger
;
Antibodies, Viral
;
Immunogenicity, Vaccine
5.Primary splenic hodgkin lymphoma masquerading as splenic abscess
Tee Tat Khoo ; Seng Wee Cheo ; Qin Jian Low ; Yee Ann Tan ; Lily Lee Lee Wong
The Medical Journal of Malaysia 2021;76(1):118-120
Hodgkin lymphoma is a form of malignant lymphoid
neoplasm. It can have various clinical presentations such as
prolonged fever, night sweats, weight loss and
asymptomatic lymphadenopathy. It has a distinct fever
pattern known as Pel Ebstein fever. However, in some
instances, its clinical presentation can mimic some tropical
infections. Here, we present a case of primary splenic
lymphoma masquerading as splenic abscess in a 53-yearold man with underlying dyslipidemia.
6.Methodology of National Health and Morbidity Survey (NHMS): Adolescent Health, Malaysia 2022
Lim Kuang Kuay ; Maznieda Mahjom ; S Maria Awaluddin ; Noor Syaqilah Shawaluddin ; Tuan Mohd Amin Tuan Lah ; Hamizatul Akmal Abd Hamid ; Muhammad Fadhli Mohd Yusoff ; Tan Lee Ann ; Noor Ani Ahmad
International Journal of Public Health Research 2023;13(no.2):1694-1699
Introduction:
In Malaysia, the adolescent health studies conducted in 2012 and 2017 revealed an increasing trend of adolescent health risk behaviours and protective factors. This current study aims to determine health risk behaviours and protective factors among adolescents in the country.
Methods:
The current nationwide cross-sectional study of Malaysian secondary school students used multistage stratified sampling to select 240 nationally representative schools. This study was conducted from June to July 2022 among the students in forms 1, 2, 3, 4, and 5 in all Malaysian states by 34 data collection teams. A validated self-administered questionnaire was used, similar to those used in the NHMS 2012 and NHMS 2017. The quality control was done twice, once at the field level and once at the central level. Sample weighting and analysis were conducted using SPSS statistical software version 28.0.
Results:
A total of 239 schools out of 240 schools took part in the study (response rate, 99.6%) and total of 33,523 students were involved in this study (response rate, 89.4%). In terms of ethnicity, the highest number of students who participated in the study were Malay (63.0%), followed by Chinese (18.1%) and Indian (6.0 %). While the distribution of sex and form among the students were almost the same.
Conclusion
To obtain an accurate representation of the nation's adolescent population for this study, samples from public and private schools that are governed by the Ministries of Education and Rural and Regional Development were deemed to be the most reliable.