1.Thymic carcinoma presenting with an unusual and delayed metastasis to the neural foramen, mimicking thoracic spinal radiculopathy
Hsien Min Low ; Chin Fong Wong ; Martin Weng Chin H'ng
The Medical Journal of Malaysia 2016;71(6):368-369
We report a case of metastatic thymic carcinoma which
presented as an enhancing mass located in the neural
foramen of the thoracic spine. More common tumours which
arise in the neural foramen would include a neurogenic
tumour or developmental anomalies such as a foregut
duplication cyst. This case is singular firstly because the
lesion present as radiculopathy which mimics a neurogenic
tumour. Secondly, the presentation was unusually delayed
as the patient presented to our centre more than a decade
after the resection of the primary tumour in another
institution.
5.Foot and knee deformities in relation to functional limitations and incident osteoarthritis: A prospective cohort study
Jonathan K.L. MAK ; Kathryn Choon Beng TAN ; Janus Siu Him WONG ; Martin Man Ho CHUNG ; Ching-Lung CHEUNG
Osteoporosis and Sarcopenia 2024;10(3):114-118
Objectives:
This study aimed to investigate the relationships of foot and leg symptoms, structure, and function with functional limitations and osteoarthritis (OA).
Methods:
We included 1253 participants (mean age 58.1 years) from the Hong Kong Osteoporosis Study who completed an examination on foot posture, function, pain, and presence of deformities such as hallux valgus and varus knee. Using logistic regression, we estimated cross-sectional associations of each foot and knee problem with functional outcomes (slow walking speed, self-reported falls, and functional limitations) and OA. Through linkage to electronic health records, we further examined their associations with incident OA over 8 years using Cox models. All models were adjusted for age, sex, and body mass index.
Results:
The prevalence of hallux valgus, foot pain, and varus knee were 33.1%, 35.1%, and 25.8%, respectively.Planus foot posture was associated with varus knee, and pronated foot function was associated with hallux valgus. Of the assessed foot problems, only foot pain showed significant associations with functional outcomes, including functional limitations and recurrent falls. Foot pain was also associated with prevalent OA at baseline but not incident OA. Meanwhile, we observed a 3-times increased risk of incident OA associated with varus knee (95% CI = 1.48–6.10), and this association was particularly seen in older adults, women, and obese individuals.
Conclusions
In community-dwelling Chinese adults, foot pain, but not the reported foot deformities, is associated with functional limitations and falls, while varus knee is associated with incident OA.
6.Foot and knee deformities in relation to functional limitations and incident osteoarthritis: A prospective cohort study
Jonathan K.L. MAK ; Kathryn Choon Beng TAN ; Janus Siu Him WONG ; Martin Man Ho CHUNG ; Ching-Lung CHEUNG
Osteoporosis and Sarcopenia 2024;10(3):114-118
Objectives:
This study aimed to investigate the relationships of foot and leg symptoms, structure, and function with functional limitations and osteoarthritis (OA).
Methods:
We included 1253 participants (mean age 58.1 years) from the Hong Kong Osteoporosis Study who completed an examination on foot posture, function, pain, and presence of deformities such as hallux valgus and varus knee. Using logistic regression, we estimated cross-sectional associations of each foot and knee problem with functional outcomes (slow walking speed, self-reported falls, and functional limitations) and OA. Through linkage to electronic health records, we further examined their associations with incident OA over 8 years using Cox models. All models were adjusted for age, sex, and body mass index.
Results:
The prevalence of hallux valgus, foot pain, and varus knee were 33.1%, 35.1%, and 25.8%, respectively.Planus foot posture was associated with varus knee, and pronated foot function was associated with hallux valgus. Of the assessed foot problems, only foot pain showed significant associations with functional outcomes, including functional limitations and recurrent falls. Foot pain was also associated with prevalent OA at baseline but not incident OA. Meanwhile, we observed a 3-times increased risk of incident OA associated with varus knee (95% CI = 1.48–6.10), and this association was particularly seen in older adults, women, and obese individuals.
Conclusions
In community-dwelling Chinese adults, foot pain, but not the reported foot deformities, is associated with functional limitations and falls, while varus knee is associated with incident OA.
7.Foot and knee deformities in relation to functional limitations and incident osteoarthritis: A prospective cohort study
Jonathan K.L. MAK ; Kathryn Choon Beng TAN ; Janus Siu Him WONG ; Martin Man Ho CHUNG ; Ching-Lung CHEUNG
Osteoporosis and Sarcopenia 2024;10(3):114-118
Objectives:
This study aimed to investigate the relationships of foot and leg symptoms, structure, and function with functional limitations and osteoarthritis (OA).
Methods:
We included 1253 participants (mean age 58.1 years) from the Hong Kong Osteoporosis Study who completed an examination on foot posture, function, pain, and presence of deformities such as hallux valgus and varus knee. Using logistic regression, we estimated cross-sectional associations of each foot and knee problem with functional outcomes (slow walking speed, self-reported falls, and functional limitations) and OA. Through linkage to electronic health records, we further examined their associations with incident OA over 8 years using Cox models. All models were adjusted for age, sex, and body mass index.
Results:
The prevalence of hallux valgus, foot pain, and varus knee were 33.1%, 35.1%, and 25.8%, respectively.Planus foot posture was associated with varus knee, and pronated foot function was associated with hallux valgus. Of the assessed foot problems, only foot pain showed significant associations with functional outcomes, including functional limitations and recurrent falls. Foot pain was also associated with prevalent OA at baseline but not incident OA. Meanwhile, we observed a 3-times increased risk of incident OA associated with varus knee (95% CI = 1.48–6.10), and this association was particularly seen in older adults, women, and obese individuals.
Conclusions
In community-dwelling Chinese adults, foot pain, but not the reported foot deformities, is associated with functional limitations and falls, while varus knee is associated with incident OA.
8.Foot and knee deformities in relation to functional limitations and incident osteoarthritis: A prospective cohort study
Jonathan K.L. MAK ; Kathryn Choon Beng TAN ; Janus Siu Him WONG ; Martin Man Ho CHUNG ; Ching-Lung CHEUNG
Osteoporosis and Sarcopenia 2024;10(3):114-118
Objectives:
This study aimed to investigate the relationships of foot and leg symptoms, structure, and function with functional limitations and osteoarthritis (OA).
Methods:
We included 1253 participants (mean age 58.1 years) from the Hong Kong Osteoporosis Study who completed an examination on foot posture, function, pain, and presence of deformities such as hallux valgus and varus knee. Using logistic regression, we estimated cross-sectional associations of each foot and knee problem with functional outcomes (slow walking speed, self-reported falls, and functional limitations) and OA. Through linkage to electronic health records, we further examined their associations with incident OA over 8 years using Cox models. All models were adjusted for age, sex, and body mass index.
Results:
The prevalence of hallux valgus, foot pain, and varus knee were 33.1%, 35.1%, and 25.8%, respectively.Planus foot posture was associated with varus knee, and pronated foot function was associated with hallux valgus. Of the assessed foot problems, only foot pain showed significant associations with functional outcomes, including functional limitations and recurrent falls. Foot pain was also associated with prevalent OA at baseline but not incident OA. Meanwhile, we observed a 3-times increased risk of incident OA associated with varus knee (95% CI = 1.48–6.10), and this association was particularly seen in older adults, women, and obese individuals.
Conclusions
In community-dwelling Chinese adults, foot pain, but not the reported foot deformities, is associated with functional limitations and falls, while varus knee is associated with incident OA.
10.Prevalence and risk factors of colorectal cancer in Asia
Martin CS WONG ; Hanyue DING ; Jingxuan WANG ; Paul SF CHAN ; Junjie HUANG
Intestinal Research 2019;17(3):317-329
Globally, colorectal cancer (CRC) is a substantial public health burden, and it is increasingly affecting populations in Asian countries. The overall prevalence of CRC is reported to be low in Asia when compared with that in Western nations, yet it had the highest number of prevalent cases. This review described the prevalence of CRC in Asia according to the International Agency for Research on Cancer from World Health Organization (WHO) database and summarized its major risk factors. Non-modifiable factors include genetic factors, ethnicity, age, gender, family history and body height; smoking, alcohol drinking, weight, Westernized diet, physical inactivity, chronic diseases and microbiota were involved in environmental factors. These risk factors were separately discussed in this review according to published literature from Asian countries. CRC screening has been playing an important role in reducing its disease burden. Some recommendations on its screening practices have been formulated in guidelines for Asia Pacific countries.
Alcohol Drinking
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Asia
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Asian Continental Ancestry Group
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Body Height
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Chronic Disease
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Colorectal Neoplasms
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Diet
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Epidemiology
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Humans
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International Agencies
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Mass Screening
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Microbiota
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Prevalence
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Public Health
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Risk Factors
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Smoke
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Smoking
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World Health Organization