Publications by authors named "Kai W Lee"

Article Synopsis
  • * The study identified key risk factors for peripheral neuropathy, including diabetes, age over 50, low education level, male gender, and hypertension.
  • * Researchers emphasize the importance of proactive screening for peripheral neuropathy among healthcare providers to avoid complications, especially in those at higher risk.
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Patients with peripheral neuropathy could have damaged peripheral nerves, which leads to sensory and motor dysfunction. Diabetes, infections, and trauma are the major causes of peripheral neuropathy. Vibratory perception threshold (VPT) tools are commonly used to detect peripheral neuropathy.

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  • Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is a serious autoimmune disorder caused by the immune system attacking NMDA receptors in the brain, and there has been a lack of comprehensive studies on its prevalence and associated factors.
  • This study aimed to assess how common anti-NMDAR encephalitis is among patients with certain medical conditions and identify risk factors associated with it.
  • The results revealed that about 7% of patients with related medical conditions were affected, with those experiencing a first episode of psychosis or schizophrenia being significantly more at risk.
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Following mass vaccinations for the control of the COVID-19 epidemic, a spectrum of cardiac and neurological disorders was reported among vaccinated individuals. This study examined the range of complications documented and factors related to their occurrence. Three electronic databases were searched for case reports and case series with descriptions of cardiac and/or neurological complications in COVID-19 vaccine recipients.

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The elderly are considered a high-risk group for severe outcomes and death from COVID-19 infection. Given the emergence of new COVID variants and the immunity provided by vaccines waning over time, booster doses of the vaccine have been advocated for those at risk to stay protected. This study aimed to determine the factors associated with hesitancy toward the second booster of the COVID-19 vaccine among the elderly residing in residential care homes.

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  • This study aimed to assess how common group B Streptococcus (GBS) is among pregnant women and their newborns, as well as the risk of passing it from mother to child.
  • Researchers analyzed 54 studies involving nearly 356,000 women and infants from 30 countries, finding a GBS colonization rate of 17.1% in pregnant women and 1.0% in newborns, with a 4.5% rate of vertical transmission.
  • The study recommends giving antibiotics during labor to all women who test positive for GBS and those at risk of transmitting it to their infants, regardless of their GBS status.
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A woman with severe type III osteogenesis imperfecta spontaneously conceived a monochorionic, diamniotic twin pregnancy. Due to the severity of her condition, her pregnancy required close follow-up involving a multidisciplinary team, including high-risk obstetricians, anaesthetists, pulmonologists and respiratory therapists. Eventually, the twins were delivered via caesarean section at 26 weeks' gestation.

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Introduction: Malaysia is one of the hardest-hit countries by COVID-19 in Asia. The rapidly rising number of cases had sparked fear among healthcare providers. This study aimed to assess the determinants of fear towards COVID-19 among healthcare providers in primary care settings.

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  • A study was conducted to evaluate the factors contributing to burnout among healthcare providers in primary care settings in Selangor, Malaysia, involving 1280 participants and using the Copenhagen Burnout Inventory.
  • Findings revealed that personal burnout affected 41.7% of participants, work-related burnout 32.2%, and client-related burnout 14.5%, with various determinants identified for each type of burnout, such as age, occupation, stress levels, and sleep quality.
  • The study emphasizes the importance of addressing the mental and emotional health of healthcare workers, especially during the COVID-19 pandemic, to mitigate burnout risks.
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In South East Asia, ST283 causes sepsis in healthy adults. Raw freshwater fish consumption is the only known risk factor. These two case reports are the first from Malaysia.

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  • Obstructive sleep apnea (OSA) is a significant health concern, particularly for individuals with hypertension, as over 50% of hypertensive patients are affected by it, yet there’s limited research on this relationship.
  • This study conducted in Sarawak screened 410 hypertensive patients using the STOP-Bang questionnaire and found a prevalence of 54.4% for probable OSA, highlighting the need for awareness among healthcare providers.
  • Factors such as smoking, being a retiree, and belonging to the Chinese ethnicity were found to significantly increase the likelihood of having probable OSA, suggesting targeted interventions may be necessary to manage this risk in hypertensive patients.
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Generalized anxiety disorder (GAD) is one of the most common mental disorders in Malaysia. Psychometrically sound measurements are urgently needed to assess anxiety symptoms. The extensively used Generalized Anxiety Disorder 7-item (GAD-7) is a promising candidate.

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Vaccination is a key public health strategy that is known to be effective in mitigating the risk of infection and severe disease. However, in the context of the COVID-19 pandemic, the percentage (<50%) of Malaysians who have received a booster for the COVID-19 vaccine has remained stagnant over a year. This study aimed to determine the prevalence of and the factors associated with hesitancy toward the second dose of booster for the COVID-19 vaccine.

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Background: Lactobacilli are essential microbiota that maintain a healthy, balanced vaginal environment. Vaginitis is a common infection in women during their reproductive years. Many factors are associated with vaginitis; one of them is the imbalance of microbiota in the vaginal environment.

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Objectives: From early 2020, Malaysia had to implement nationwide lockdowns, quarantines, and other social distancing practices to contain the spread of COVID-19 virus, leading to symptoms of psychosocial burnout among the people. The aim of the present research is to develop and validate a Malay language version of the COVID-19 Burnout Scale (M-COVID-19-BS).

Methods: This three-phase study was conducted among Malaysian population.

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Medication adherence, especially among children and adolescents with psychiatric disorders, is often seen as a major treatment challenge. The purpose of this study is to systematically review studies addressing specific aspects of parental factors that are positively or negatively associated with medication adherence among children and adolescents with psychiatric disorders. A systematic literature search of English language publications, from inception through December 2021, was conducted from PubMed, Scopus, and MEDLINE databases.

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Article Synopsis
  • Non-adherence to antihypertensive medications is a significant issue, contributing to uncontrolled hypertension, especially in Sarawak, Malaysia, where research on its causes is limited.
  • A cross-sectional study involving 488 patients revealed a 39.3% rate of medication non-adherence, with factors such as higher education, alternative medication use, and specific blood pressure medications influencing this behavior.
  • The study highlights the need for primary care physicians to proactively identify patients at risk of non-adherence and implement early interventions to improve blood pressure management.
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Objectives: This systematic review aims to identify influencing factors of medication adherence behavior in patients with end-stage renal disease (ESRD), with a special interest in patient-related factors based on the World Health Organization adherence model.

Materials And Methods: Primary electronic databases comprising PubMed, Scopus, Web of Science, Embase and Cochrane Library, as well as ProQuest (Health and Medical), ProQuest (Psychology), and EBSCOHost (APA PsychARTICLES) were used to search for literature on patient-related factors in medication adherence, from inception till August 31, 2021.

Results: 479 articles were identified and six articles meeting eligibility criteria were reviewed and remained in this systematic review.

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Due to the increasing importance of caregivers in the treatment outcomes of patients with mental illness, this study aimed to systematically review studies investigating the former's caregiver burden and determine its prevalence. An open search, without filters, was conducted. Articles were selected from Medline, Scopus, and PubMed from inception to 30 April 2022 using the PRISMA protocol.

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Aim: We examined the anxiety levels and coping strategies among staff and students of a tertiary educational institution during the COVID-19 pandemic and determined the association between anxiety level and coping strategies.

Method: Through an online survey, we used Coronavirus Anxiety Scale (CAS) to measure the level of anxiety associated with the COVID-19 crisis and Brief Coping Orientation to Problems Experienced (COPE) to assess the coping responses adopted to handle stressful life events. Coping strategies were classified as adaptive and maladaptive, for which the aggregate sores were calculated.

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Purpose: The aim was to evaluate the measurement properties of the Growth Hormone Deficiency-Child Treatment Burden Measure-Child (GHD-CTB-Child), a patient-reported outcome (PRO) for children aged 9 to < 13 years; the Growth Hormone Deficiency-Child Treatment Burden Measure-Observer (GHD-CTB-Observer), an observer-reported outcome (ObsRO) version completed by parents/guardians of children with growth hormone deficiency (GHD) aged 4 to < 9 years; and the Growth Hormone Deficiency-Parent Treatment Burden Measure (GHD-PTB), a PRO that assesses the treatment burden of parents/guardians living with children with GHD aged 4 to < 13 years.

Methods: A non-interventional, multi-center, clinic-based study across 30 private practice and large institutional sites in the United States and the United Kingdom was conducted. The sample consisted of 145 pre-pubertal children aged 9 to < 13 years at enrollment with a physician confirmed GHD diagnosis as well as 98 parents/guardians of pre-pubertal younger children aged 4 to < 9 years at enrollment with a physician confirmed GHD diagnosis.

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The success of the COVID-19 vaccination programme to achieve herd immunity depends on the proportion of the population inoculated. COVID-19 vaccination hesitancy is a barrier to reaching a sufficient number of people to achieve herd immunity. This study aims to determine the prevalence of COVID-19 vaccine hesitancy and to identify the reasons contributing to vaccine hesitancy using the Theory of Planned Behavior.

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Article Synopsis
  • - The study investigated the prevalence and contributing factors of female sexual dysfunction among women aged 50 and older in a Malaysian outpatient clinic, using a self-administered questionnaire based on the Female Sexual Function Index.
  • - Out of 263 participants, 68.8% reported experiencing female sexual dysfunction, with the highest issues in sexual desire (85.2%) and satisfaction (74.9%), while factors such as Indian ethnicity and less frequent sexual intercourse were linked to higher dysfunction risks.
  • - The findings conclude that a significant portion of middle-aged women struggle with sexual dysfunction, highlighting the need for further research and interventions to address this issue.
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Rheumatoid arthritis (RA) is a lifelong, debilitating disease which incredibly impacts a patient's quality of life if not treated to the optimal target. The clinical response of tocilizumab, an interleukin-6 (IL-6) inhibitor, is associated with several gene polymorphisms, particularly targeting the IL-6 pathway. This systematic review and meta-analysis seeks to investigate genetic biomarkers that predict the treatment outcome of tocilizumab therapy in RA patients.

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Background: Malaysians are disillusioned with the increased number of COVID-19 infection cases and the prolonged lockdown period. As a result of COVID-19 mitigation measurements, Malaysians are experiencing emotional and psychological consequences such as anxiety. Thus, there is an urgent need to have an instrument that could serve as a tool to assess the psychological impact of COVID-19 among Malaysians rapidly.

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