Publications by authors named "Kwok Y"

Background: Meta-analyses (MAs) provide up-to-date, quantified evidence on treatment effects, which may be useful for clinical and policy decision-making. However, the quality of MAs varies, and methodological flaws can limit their reliability.

Aims: This review evaluated the methodological quality of MAs on sleep disorder treatments.

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  • A series of organic dyes based on 9,9'-dihexylfluorene with unique electron-donating groups were created to improve photocatalytic hydrogen evolution (PHE) performance.
  • These dyes achieved impressive results, including a turnover number (TON) of 17,400 and hydrogen production of 1,090 μmol over 126 hours under visible light.
  • The research highlights that the dianchoring design significantly boosts PHE efficiency and durability compared to traditional organic dyes, marking it as a leading system for hydrogen production.
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Purpose: Increasing concern that brainstem toxicity incidence after proton radiation therapy might be higher than with photons led to a 2014 University of Florida (UF) landmark paper identifying its risk factors and proposing more conservative dose constraints. We evaluated how practice patterns changed among the Pediatric Proton/Photon Consortium Registry (PPCR).

Material And Methods: This prospective multicenter cohort study gathered data from patients under the age of 22 years enrolled on the PPCR, treated between 2002 and 2019 for primary posterior fossa brain tumors.

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  • The study assessed the effectiveness of cell-free DNA (cfDNA) testing for detecting chromosomal abnormalities in multiple pregnancies, specifically twins, triplets, and cases of vanishing twins.
  • Data from 292 pregnancies showed that cfDNA testing was particularly effective for trisomy 21, with a 100% confirmation rate and a 0% false positive rate in twin pregnancies.
  • The research concluded that while cfDNA testing is reliable for assessing trisomy 21 in twin pregnancies, its ability to detect other chromosomal abnormalities is limited due to the small number of cases.
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  • The study investigates the use of amniotic fluid gamma-glutamyl transferase (AFGGT) levels to identify biliary atresia (BA) in cases where the fetal gallbladder isn't visible.
  • The research involved validating a new GGT assay for amniotic fluid and establishing a gestational age-specific reference range to assess its predictive value for BA.
  • Results showed that while a low AFGGT level (<2.5th percentile) suggests the need for further investigation, it does not definitively indicate BA, whereas AFGGT levels ≥2.5th percentile are likely to rule out the condition.
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Objective: Systematic reviews (SRs) offer updated evidence to support decision-making on sepsis treatments. However, the rigour of SRs may vary, and methodological flaws may limit their validity in guiding clinical practice. This cross-sectional study appraised the methodological quality of SRs on sepsis treatments.

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  • A randomized phase II clinical trial investigated the effectiveness of cediranib, a drug targeting vascular growth factors, when combined with radiation and temozolomide in newly diagnosed glioblastoma patients.
  • Out of 158 participants, 137 were eligible, showing a 6-month progression-free survival (PFS) rate of 46.6% for cediranib versus 24.5% for the placebo, indicating a significant improvement.
  • Although cediranib improved PFS, there was no notable difference in overall survival, and patients receiving cediranib experienced more serious adverse events compared to those on placebo.
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Objectives: The objectives of this study are to determine the prevalence of influenza vaccine uptake across Canadians aged 18 to 64 years with different sense of community belonging (SoCB) and whether SoCB is associated with uptake of the seasonal influenza vaccine.

Methods: We combined the 2007 to 2014 cycles of the nationally representative Canadian Community Health Survey (N = 301,802). The main exposure, SoCB, was measured as "strong" vs "weak.

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Submission of a non-biological parent together with a proband for genetic diagnosis would cause a misattributed parentage (MP), possibly leading to misinterpretation of the pathogenicity of genomic variants. Therefore, a rapid and cost-effective paternity/maternity test is warranted before genetic testing. Although low-pass genome sequencing (GS) has been widely used for the clinical diagnosis of germline structural variants, it is limited in paternity/maternity tests due to the inadequate read coverage for genotyping.

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Occurrence of amyloid-β (Aβ) aggregation in brain begins before the clinical onset of Alzheimer's disease (AD), as preclinical AD. Studies have reported that sleep problems and autonomic dysfunction associate closely with AD. However, whether they, especially the interaction between sleep and autonomic function, play critical roles in preclinical AD are unclear.

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Histopathology and clinical staging have historically formed the backbone for allocation of treatment decisions in oncology. Although this has provided an extremely practical and fruitful approach for decades, it has long been evident that these data alone do not adequately capture the heterogeneity and breadth of disease trajectories experienced by patients. As efficient and affordable DNA and RNA sequencing have become available, the ability to provide precision therapy has become within grasp.

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  • The study evaluates a hybrid root cause analysis (RCA) training course conducted in February 2021, focusing on trainees' experiences and the course's effectiveness.
  • Participants expressed that the RCA training improved their understanding of incident investigation, highlighting the need for more hands-on experiences like interviewing and report writing.
  • The results suggest that combining online and in-person training is well-received and may offer cost and flexibility benefits for healthcare and training organizations.
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Purpose: To describe and report the outcomes of doxycycline sclerotherapy in patients with periorbital lymphatic malformations(LMs).

Basic Procedures: A retrospective review of consecutive patients diagnosed with periorbital LMs and who received doxycycline sclerotherapy at Hong Kong Eye Hospital and Queen Elizabeth Hospital, Hong Kong between January 2016 and June 2022. Doxycycline was prepared with a concentration of 100 mg diluted in 10 mL water for injection.

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Introduction: Mobile interventions enable personalized behavioral support that could improve smoking cessation (SC) in smokers ready to quit. Scalable interventions, including unmotivated smokers, are needed. We evaluated the effect of personalized behavioral support through mobile interventions plus nicotine replacement therapy sampling (NRT-S) on SC in Hong Kong community smokers.

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Recreational diving, under the continual growth of the scuba diving industry, may escalate coral reef damage as one of the substantial anthropogenic impacts and is of pressing concern. Besides unregulated and excessive diving activities, accidental contact with corals by inexperienced divers can cause recurring physical damage and heighten the pressure on coral communities. Understanding the ecological impacts of underwater contact with marine biota will thus be crucial to develop more sustainable scuba diving practices in Hong Kong.

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Currently, routine genetic investigation for male infertility includes karyotyping analysis and PCR for Y chromosomal microdeletions to provide prognostic information such as sperm retrieval success rate. However, over 85% of male infertility remain idiopathic. We assessed 101 male patients with primary infertility in a retrospective cohort analysis who have previously received negative results from standard-of-care tests.

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Characterization of the specific expression and chromatin profiles of genes enables understanding how they contribute to tissue/organ development and the mechanisms leading to diseases. Whilst the number of single-cell sequencing studies is increasing dramatically; however, data mining and reanalysis remains challenging. Herein, we systematically curated the up-to-date and most comprehensive datasets of sequencing data originating from 2760 bulk samples and over 5.

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Purpose: Black men in the United States experience significantly higher incidence of and mortality from prostate cancer (PCa) than non-Black men. The cause of this disparity is multifactorial, though inequitable access to curative radiation modalities, including low-dose-rate (LDR) brachytherapy, may contribute. Despite this, there are few analyses evaluating the potential of different radiation therapies to mitigate outcome disparities.

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  • The study evaluated how genome-wide cfDNA testing for chromosomal abnormalities performed differently when additional findings were reported versus when they were not, using data from pregnant women between 2015-2019.
  • It included 3981 women and found that while the concordance rates for trisomy 21 and 18 were both 100%, there were significant discrepancies in other categories, such as trisomy 13 and sex chromosome aneuploidy.
  • The results showed that not reporting extra findings led to a lower false-positive rate (0.17%) compared to reporting them (0.93%), although there was no change in the no-result rates between the two periods.
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Background: The acceleration of population aging calls for simple and effective interventions catered for older people. Gerontechnology, the combination of gerontology and technology, can promote quality of life in older adults. However, public health-related events incorporating information communication technology (ICT) for older people have seldom been evaluated.

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Our ability to prognosticate the clinical course of patients with cancer has historically been limited to clinical, histopathological, and radiographic features. It has long been clear however, that these data alone do not adequately capture the heterogeneity and breadth of disease trajectories experienced by patients. The advent of efficient genomic sequencing has led to a revolution in cancer care as we try to understand and personalize treatment specific to patient clinico-genomic phenotypes.

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  • - The study aimed to optimize the isolation of platelet-rich plasma (PRP) and its derivative, platelet lysate (PL), while comparing them to a commercial product, human platelet lysate (HPL), and assessing their ability to stimulate cell growth in endometrial cells.
  • - Conducted in an academic fertility center, the research involved healthy blood donors and patients with recurrent implantation failure, focusing on the effects of different types of PL on the proliferation of primary endometrial cells.
  • - Results indicated that cryopreserved PL, especially from the fastest isolation method, had higher protein content than fresh PRP and both autologous and commercial PL effectively promoted cell growth; suggesting potential for standardized treatments in cases of implantation failure
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Purpose: The aim of this study was to evaluate the effects of intrauterine platelet-rich plasma (PRP) infusion on endometrial thickness and pregnancy outcomes in a population of patients with either recurrent implantation failure (RIF), thin endometrium (TE), or both (RIF + TE) METHODS: This retrospective study included patients attending the CReATe Fertility Centre between October 2018 and July 2021 who received intrauterine PRP infusion to prepare the endometrium for frozen embryo transfer. PRP was prepared from 21 cc of whole blood using the 2-step centrifugation method to yield 0.5-0.

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