Publications by authors named "Mark Chen"

Article Synopsis
  • Trust in the Singapore government’s vaccine recommendations decreased during the Covid-19 pandemic, with participants showing varied levels of trust depending on their media consumption and perceived duty to follow guidelines.
  • Traditional media correlated positively with trust, while online media often led to lower trust levels, especially among those viewing compliance as a choice.
  • The study highlights that beliefs in vaccine benefits and a sense of duty can help maintain trust in government recommendations, suggesting the importance of targeted communication during health crises.
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Article Synopsis
  • - This study looks at how sleep disturbances affect emotional well-being daily, with a focus on how exercise and social interaction might play a role in this relationship.
  • - Using data from 455 participants over 20 days, researchers found that better sleep efficiency leads to more positive feelings and less negative feelings, while poor sleep quality has the opposite effect.
  • - The study revealed that exercise can help lessen the negative impact of bad sleep on emotions, while more social interaction can enhance the benefits of good sleep on emotional health.
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Fibroblast growth factor 21 (FGF21) is a promising target for treatment of obesity-associated diseases including metabolic dysfunction-associated steatohepatitis (MASH) and atherosclerosis. We evaluated the effects of the bispecific anti-FGF21-β klotho (KLB) agonist antibody bFKB1 in a preclinical model of MASH and atherosclerosis. Low-density lipoprotein receptor knockout (Ldlr-/-).

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Objective: Thoracic dorsal arachnoid webs are intradural membranes that may cause obstruction of cerebrospinal fluid flow and spinal cord compression. Although well recognized, they are rare and there is a paucity of long-term data on their natural history and prognosis. We reviewed radiographic features, surgical indications, and pathologic specimens of patients diagnosed with focal thoracic dorsal arachnoid webs.

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special issue covered a broad range of topics, ranging from the valuation and experience of emotions to their expression and regulation. Despite the breadth of these topics, consideration of diverse contexts was limited in that most studies relied on Western, Educated, Industrialized, Rich, and Democratic (WEIRD) samples and/or failed to explore the rich diversity present in those countries with vast population heterogeneity. We argue that a more systematic approach is essential to advance theory and research on how diverse contexts impact and interact with different components of emotion processes.

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As part of the advancement in therapeutic decision-making for brain tumor patients at St. Jude Children's Research Hospital (SJCRH), we developed three robust classifiers, a deep learning neural network (NN), k-nearest neighbor (kNN), and random forest (RF), trained on a reference series DNA-methylation profiles to classify central nervous system (CNS) tumor types. The models' performance was rigorously validated against 2054 samples from two independent cohorts.

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Article Synopsis
  • Multiple Omicron sub-lineages, particularly XBB and XBB.1.5, have become the global dominant variants, showcasing their ability to evade immunity despite minor genetic changes from previous variants.
  • Researchers conducted a pseudovirus neutralization test with convalescent sera from individuals who recovered from SARS-CoV infections, including various Omicron subvariants.
  • The findings showed no significant cross-neutralization among the different strains, suggesting that current SARS-related coronaviruses should be classified into three distinct serotypes.
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T cell receptor (TCR) engagement initiates the activation process, and this signaling event is regulated in multifaceted ways. Nutrient availability in the immediate niche is one such mode of regulation . Here, we investigated how the availability of an essential amino acid methionine (Met) and TCR signaling might interplay in the earliest events of T cell activation to affect subsequent T cell fate and function.

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Background: While numerous studies have evaluated the real-world performance of rapid antigen tests (RATs), data on the effect of Omicron sublineages such as XBB and reinfections on RAT performance is limited. We assessed the performance of RATs and factors associated with RAT-negative results among individuals who tested SARS-CoV-2-positive by reverse transcription-polymerase chain reaction (RT-PCR).

Methods: We conducted a retrospective study among Singapore residents who underwent testing for SARS-CoV-2 with RAT (Acon Flowflex or SD Biosensor) and RT-PCR in the same clinical encounter between 9 May 2022 and 21 November 2022.

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Introduction: Low-level HIV epidemic settings like Singapore face the challenge of reaching men at-risk who have less contact with programmes. We investigated patterns of meeting platform use by men seeking male sexual partners (MSM) as potential marker of risk to differentiate sub-groups for interventions.

Methods: Latent Class Analysis (LCA) was applied to a survey sample of MSM recruited from bars/clubs, saunas and a smartphone application, using purposive sampling.

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An ever-growing body of empirical evidence has demonstrated the relationship between depression and cancer. The objective of this study was to examine whether depression trajectories predict mortality risk above and beyond demographics and other general health-related factors. Participants (n = 2,345) were a part of the Health and Retirement Study.

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The International Olympic Committee (IOC) recently published a framework on fairness, inclusion, and nondiscrimination on the basis of gender identity and sex variations. Although we appreciate the IOC's recognition of the role of sports science and medicine in policy development, we disagree with the assertion that the IOC framework is consistent with existing scientific and medical evidence and question its recommendations for implementation. Testosterone exposure during male development results in physical differences between male and female bodies; this process underpins male athletic advantage in muscle mass, strength and power, and endurance and aerobic capacity.

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Article Synopsis
  • Cytosolic nucleic acids activate pattern recognition receptors like STING and RIG-I, which lead to the production of type I interferons (IFNs) essential for fighting viral infections but also linked to autoimmune diseases.
  • This study identifies the DUSP4 phosphatase as a key regulator in the signaling pathway for type I IFN production by affecting TBK1 and ERK1/2 activation in immune response.
  • Mice lacking DUSP4 show increased resistance to viral infections but are more vulnerable to malaria, highlighting DUSP4's significant role in regulating immune responses to different pathogens.
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Controversy surrounds the reciprocity between adolescent and parental depression. Limited studies rigorously tested the transactional model of depression from a family systems perspective considering the involvement of all family members, particularly in non-Western nations, using advanced modeling approaches that disentangle between- and within-unit (i.e.

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Introduction: To curb transmission of COVID-19, Singapore has experienced multiple, ongoing community restrictions. Gaining the ability to adapt and thrive under pressure will be key to addressing effects of these restrictions on mental health. To inform this, we examine the following research questions, (1) What typifies adversity related to living with on-off COVID-19 restrictions? (2) Who are the resilient? (3) How are negative effects of adversity attenuated?

Methods: Participants were a part of the Strengthening Our Community's Resilience Against Threats from Emerging Infections (SOCRATES) cohort, invited to participate in this survey either via email or text message.

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Background: Longitudinal work on the impact of COVID-19 on population mental health and resilience beyond the first year of the pandemic is lacking. We aimed to understand how mental health and resilience evolved during the pandemic (2020) and two years later (2022) in a multi-ethnic Singaporean population. In addition, we assessed what characteristics were associated with mental health and resilience scores.

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Background: Adverse childhood experiences (ACEs) elevate the risk of poor health later in life.

Objective: This study aims to provide a more comprehensive investigation of the multidimensional health risks associated with ACEs, to address a gap in the understanding of their longitudinal impact on mental, physical, and behavioral health domains.

Participants And Setting: This study included 6, 504 participants (51.

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Wernicke's encephalopathy (WE) is a life-threatening neurologic disorder resulting from thiamine (vitamin B1) deficiency that can be secondary to chronic alcohol abuse, gastrointestinal surgery, systemic infectious and non-infectious diseases, and chemotherapy. WE is classically characterized on MRI by reduced diffusion and T2 prolongation along the mammillothalamic tracts, periaqueductal gray and tectal plate. We present two patients with acute WE who had baseline arterial spin labeling (ASL) perfusion at the time of presentation, demonstrating increase in cerebral blood flow (CBF) within the classically involved brain regions and concurrent global cerebral cortical hypoperfusion.

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Influenza is a highly contagious respiratory illness that commonly causes outbreaks among human communities. Details about the exact nature of the droplets produced by human respiratory activities such as breathing, and their potential to carry and transmit influenza A and B viruses is still not fully understood. The objective of our study was to characterize and quantify influenza viral shedding in exhaled aerosols from natural patient breath, and to determine their viral infectivity among participants in a university cohort in tropical Singapore.

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The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants of concern such as Omicron hampered efforts in controlling the ongoing coronavirus disease 2019 pandemic due to their ability to escape neutralizing antibodies induced by vaccination or prior infection, highlighting the need to develop broad-spectrum vaccines and therapeutics. Most human monoclonal antibodies (mAbs) reported to date have not demonstrated true pan-sarbecovirus neutralizing breadth especially against animal sarbecoviruses. Here, we report the isolation and characterization of highly potent mAbs targeting the receptor binding domain (RBD) of huACE2-dependent sarbecovirus from a SARS-CoV survivor vaccinated with BNT162b2.

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Purpose: To assess the accuracy of a machine learning (ML) approach based on magnetic resonance (MR) imaging radiomic quantification obtained before treatment and early after treatment for prediction of early hepatocellular carcinoma (HCC) response to yttrium-90 transarterial radioembolization (TARE).

Materials And Methods: In this retrospective single-center study of 76 patients with HCC, baseline and early (1-2 months) post-TARE MR images were collected. Semiautomated tumor segmentation facilitated extraction of shape, first-order histogram, and custom signal intensity-based radiomic features, which were then trained (n = 46) using a ML XGBoost model and validated on a separate cohort (n = 30) not used in training to predict treatment response assessed at 4-6 months (based on modified Response and Evaluation Criteria in Solid Tumors criteria).

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