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Article: Value of urban green spaces in promoting healthy living and wellbeing: prospects for planning.

Lee, Andrew Chee Keng / Jordan, Hannah C / Horsley, Jason

2015 Volume 8, Page(s) 131–137

Abstract: There has been considerable work done in recent years exploring the value of urban green space for health and wellbeing. Urban green spaces provide environmental benefits through their effects on negating urban heat, offsetting greenhouse gas emissions, ... ...

Abstract	There has been considerable work done in recent years exploring the value of urban green space for health and wellbeing. Urban green spaces provide environmental benefits through their effects on negating urban heat, offsetting greenhouse gas emissions, and attenuating storm water. They also have direct health benefits by providing urban residents spaces for physical activity and social interaction, and allowing psychological restoration to take place. Consequently, there is a real need to understand the mechanisms by which these benefits accrue. Previously, much of the focus has been on the characteristics of the urban green space that are likely to influence its use, such as its accessibility, quality, facilities, attractiveness, and security. This assumes a causal relationship, when in reality the relationship is more complex and multifactorial. It is more likely that it is the functionality of the green space, be it for exercise or sociocultural activities, rather than its character, which translates to the reported benefits. Challenges exist, such as competing urban planning priorities, economic considerations, and market forces. There is thus a need for urban planning to match the health benefits sought with the needs of the community and the functionality that the urban green space will serve.
Language	English
Publishing date	2015-08-27
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2495128-6
ISSN	1179-1594
ISSN	1179-1594
DOI	10.2147/RMHP.S61654
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Treatment of Primary Aldosteronism and Reversal of Renin Suppression Improves Left Ventricular Systolic Function.

Puar, Troy H / Cheong, Chin Kai / Foo, Roger S Y / Saffari, Seyed Ehsan / Tu, Tian Ming / Chee, Min Ru / Zhang, Meifen / Ng, Keng Sin / Wong, Kang Min / Wong, Andrew / Ng, Foo Cheong / Aw, Tar Choon / Khoo, Joan / Gani, Linsey / King, Thomas / Loh, Wann Jia / Soh, Shui Boon / Au, Vanessa / Tay, Tunn Lin /

Tan, Eberta / Mae, Lily / Yew, Jielin / Tan, Yen Kheng / Tong, Khim Leng / Lee, Sheldon / Chai, Siang Chew

Frontiers in endocrinology

2022 Volume 13, Page(s) 916744

Abstract: Introduction: Primary aldosteronism (PA) is associated with increased risk of cardiovascular events. However, treatment of PA has not been shown to improve left ventricular (LV) systolic function using the conventional assessment with LV ejection ... ...

Abstract	Introduction: Primary aldosteronism (PA) is associated with increased risk of cardiovascular events. However, treatment of PA has not been shown to improve left ventricular (LV) systolic function using the conventional assessment with LV ejection fraction (LVEF). We aim to use speckle-tracking echocardiography to assess for improvement in subclinical systolic function after treatment of PA. Methods: We prospectively recruited 57 patients with PA, who underwent 24-h ambulatory blood pressure (BP) measurements and echocardiography, including global longitudinal strain (GLS) assessment of left ventricle, at baseline and 12 months post-treatment. Results: At baseline, GLS was low in 14 of 50 (28.0%) patients. On multivariable analysis, GLS was associated with diastolic BP ( Conclusion: Treatment of hyperaldosteronism is effective in improving subclinical LV systolic dysfunction. Elevation of renin levels after treatment, which reflects adequate reversal of sodium overload state, is associated with better systolic function after treatment. Clinical trial registration: www.ClinicalTrials.gov, identifier: NCT03174847.
MeSH term(s)	Blood Pressure Monitoring, Ambulatory ; Humans ; Hyperaldosteronism/complications ; Hyperaldosteronism/drug therapy ; Renin ; Systole ; Ventricular Function, Left
Chemical Substances	Renin (EC 3.4.23.15)
Language	English
Publishing date	2022-06-30
Publishing country	Switzerland
Document type	Clinical Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2592084-4
ISSN	1664-2392
ISSN	1664-2392
DOI	10.3389/fendo.2022.916744
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Article ; Online: Determinants of uptake of hepatitis B testing and healthcare access by migrant Chinese in the England: a qualitative study.

Lee, Andrew Chee Keng / Vedio, Alicia / Liu, Eva Zhi Hong / Horsley, Jason / Jesurasa, Amrita / Salway, Sarah

BMC public health

2017 Volume 17, Issue 1, Page(s) 747

Abstract: Background: Global migration from hepatitis B endemic countries poses a significant public health challenge in receiving low-prevalence countries. In the UK, Chinese migrants are a high risk group for hepatitis B. However, they are an underserved ... ...

Abstract	Background: Global migration from hepatitis B endemic countries poses a significant public health challenge in receiving low-prevalence countries. In the UK, Chinese migrants are a high risk group for hepatitis B. However, they are an underserved population that infrequently accesses healthcare. This study sought to increase understanding of the determinants of hepatitis B testing and healthcare access among migrants of Chinese ethnicity living in England. Methods: We sought to obtain and integrate insights from different key stakeholders in the system. We conducted six focus group discussions and 20 in-depth interviews with community members and patients identifying themselves as 'Chinese', and interviewed 21 clinicians and nine health service commissioners. Data were thematically analysed and findings were corroborated through two validation workshops. Results: Three thematic categories emerged: knowledge and awareness, visibility of the disease, and health service issues. Low disease knowledge and awareness levels among community members contributed to erroneous personal risk perception and suboptimal engagement with services. Limited clinician knowledge led to missed opportunities to test and inaccurate assessments of infection risks in Chinese patients. There was little social discourse and considerable stigma linked to the disease among some sub-sections of the Chinese population. A lack of visibility of the issue and the population within the health system meant that these health needs were not prioritised by clinicians or commissioners. Service accessibility was also affected by the lack of language support. Greater use of community outreach, consultation aids, 'cultural competency' training, and locally adapted testing protocols may help. Conclusions: Hepatitis B among migrants of Chinese ethnicity in England can be characterised as an invisible disease in an invisible population. Multi-modal solutions are needed to tackle barriers within this population and the health system.
MeSH term(s)	Adolescent ; Adult ; Aged ; Asian Continental Ancestry Group/psychology ; Asian Continental Ancestry Group/statistics & numerical data ; Communication Barriers ; England ; Female ; Focus Groups ; Health Services Accessibility ; Hepatitis B/diagnosis ; Hepatitis B/ethnology ; Hepatitis B/psychology ; Humans ; Male ; Mass Screening/statistics & numerical data ; Middle Aged ; Qualitative Research ; Social Stigma ; Transients and Migrants/psychology ; Transients and Migrants/statistics & numerical data ; Young Adult
Language	English
Publishing date	2017-09-26
Publishing country	England
Document type	Journal Article
ISSN	1471-2458
ISSN (online)	1471-2458
DOI	10.1186/s12889-017-4796-4
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Article ; Online: An integrated approach to treat tobacco addiction in countries with high tuberculosis incidence.

Siddiqi, Kamran / Lee, Andrew Chee Keng

Tropical medicine & international health : TM & IH

2009 Volume 14, Issue 4, Page(s) 420–428

Abstract: Communicable diseases as well as maternal and child health in low- and middle-income countries continue to be the main focus of global attention. There are also rising trends in the prevalence of non-communicable diseases and further increases are ... ...

Abstract	Communicable diseases as well as maternal and child health in low- and middle-income countries continue to be the main focus of global attention. There are also rising trends in the prevalence of non-communicable diseases and further increases are predicted. Several countries are facing this 'dual burden of disease'. There is therefore a need to find ways to integrate the prevention and control of non-communicable diseases into the current health agenda. Tobacco treatment interventions in patients suspected with tuberculosis (TB) offer one such opportunity for a linked healthcare response. Many countries with a high incidence of TB are doubly burdened by an epidemic of tobacco use and tobacco-related diseases. Tobacco use increases the risk of TB infection and is associated with poor treatment compliance, increases in relapse rates and higher secondary mortality. In countries where TB is epidemic, this modest relative risk of infection leads to a significant attributable risk. Regular clinical contact with patients suspected with TB during the diagnosis and treatment phases provides considerable opportunity for health promotion to influence their tobacco-related behaviour. Consequently, treating tobacco addiction in patients suspected with TB is likely to improve the control of TB and prevent tobacco-related diseases. However, despite a high prevalence of tobacco use among TB patients, the treatment of tobacco addiction has not been a priority of TB control programmes. In countries with the dual epidemics of TB and tobacco use, considerable health and economic gains could potentially be made. If effective, such an approach would be highly desirable. We argue that further research assessing the cost-effectiveness and feasibility of linking healthcare interventions such as the treatment of tobacco addiction among TB suspects should receive high priority.
MeSH term(s)	Delivery of Health Care/organization & administration ; Health Promotion/methods ; Humans ; Incidence ; Pakistan/epidemiology ; Risk Factors ; Smoking/epidemiology ; Smoking Prevention ; Tobacco Use Cessation ; Tuberculosis/epidemiology
Language	English
Publishing date	2009-04
Publishing country	England
Document type	Journal Article
ZDB-ID	1314080-2
ISSN	1365-3156 ; 1360-2276
ISSN (online)	1365-3156
ISSN	1360-2276
DOI	10.1111/j.1365-3156.2009.02238.x
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Article ; Online: Determinants of uptake of hepatitis B testing and healthcare access by migrant Chinese in the England

Andrew Chee Keng Lee / Alicia Vedio / Eva Zhi Hong Liu / Jason Horsley / Amrita Jesurasa / Sarah Salway

BMC Public Health, Vol 17, Iss 1, Pp 1-

a qualitative study

2017 Volume 11

Abstract: Abstract Background Global migration from hepatitis B endemic countries poses a significant public health challenge in receiving low-prevalence countries. In the UK, Chinese migrants are a high risk group for hepatitis B. However, they are an underserved ...

Abstract	Abstract Background Global migration from hepatitis B endemic countries poses a significant public health challenge in receiving low-prevalence countries. In the UK, Chinese migrants are a high risk group for hepatitis B. However, they are an underserved population that infrequently accesses healthcare. This study sought to increase understanding of the determinants of hepatitis B testing and healthcare access among migrants of Chinese ethnicity living in England. Methods We sought to obtain and integrate insights from different key stakeholders in the system. We conducted six focus group discussions and 20 in-depth interviews with community members and patients identifying themselves as ‘Chinese’, and interviewed 21 clinicians and nine health service commissioners. Data were thematically analysed and findings were corroborated through two validation workshops. Results Three thematic categories emerged: knowledge and awareness, visibility of the disease, and health service issues. Low disease knowledge and awareness levels among community members contributed to erroneous personal risk perception and suboptimal engagement with services. Limited clinician knowledge led to missed opportunities to test and inaccurate assessments of infection risks in Chinese patients. There was little social discourse and considerable stigma linked to the disease among some sub-sections of the Chinese population. A lack of visibility of the issue and the population within the health system meant that these health needs were not prioritised by clinicians or commissioners. Service accessibility was also affected by the lack of language support. Greater use of community outreach, consultation aids, ‘cultural competency’ training, and locally adapted testing protocols may help. Conclusions Hepatitis B among migrants of Chinese ethnicity in England can be characterised as an invisible disease in an invisible population. Multi-modal solutions are needed to tackle barriers within this population and the health system.
Keywords	Hepatitis B ; Chinese ; Migrants ; Healthcare access ; Ethnicity ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2017-09-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Demand management: misguided solutions?

Lee, Andrew Chee Keng / Blank, Lindsay / Payne, Nick / McShane, Martin / Goyder, Elizabeth

The British journal of general practice : the journal of the Royal College of General Practitioners

2013 Volume 63, Issue 613, Page(s) e589–91

MeSH term(s)	Chronic Disease/economics ; Chronic Disease/therapy ; Decision Support Techniques ; England ; Evidence-Based Medicine ; General Practice/economics ; General Practice/organization & administration ; Health Promotion ; Health Services Needs and Demand/economics ; Health Services Needs and Demand/organization & administration ; Humans ; Referral and Consultation/economics ; Referral and Consultation/organization & administration ; Self Care/economics
Language	English
Publishing date	2013-08-19
Publishing country	England
Document type	Journal Article
ZDB-ID	1043148-2
ISSN	1478-5242 ; 0035-8797 ; 0960-1643
ISSN (online)	1478-5242
ISSN	0035-8797 ; 0960-1643
DOI	10.3399/bjgp13X670859
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Article ; Online: Disaster management in low- and middle-income countries: scoping review of the evidence base.

Lee, Andrew Chee Keng / Booth, Andrew / Challen, Kirsty / Gardois, Paolo / Goodacre, Steve

Emergency medicine journal : EMJ

2014 Volume 31, Issue e1, Page(s) e78–83

Abstract: Introduction: Globally, there has been an increase in the prevalence and scale of disasters with low- and middle-income countries (LMICs) tending to be more affected. Consequently, disaster risk reduction has been advocated as a global priority. However, ...

Abstract	Introduction: Globally, there has been an increase in the prevalence and scale of disasters with low- and middle-income countries (LMICs) tending to be more affected. Consequently, disaster risk reduction has been advocated as a global priority. However, the evidence base for disaster management in these settings is unclear. Methods: This study is a scoping review of the evidence base for disaster management in LMIC. Potentially relevant articles between 1990 and 2011 were searched for, assessed for relevance and subsequently categorised using a thematic coding framework based on the US Integrated Emergency Management System model. Results: Out of 1545 articles identified, only 178 were from LMIC settings. Most were of less robust design such as event reports and commentaries, and 66% pertained to natural disasters. There was a paucity of articles on disaster mitigation or recovery, and more were written on disaster response and preparedness issues. Discussion: Considerably more articles were published from high-income country settings that may reflect a publication bias. Current grey literature on disaster management tends not to be peer reviewed, is not well organised and not easy to access. The paucity of peer-reviewed publications compromises evidence review initiatives that seek to provide an evidence-base for disaster management in LMIC. As such, there is an urgent need for greater research and publication of findings on disaster management issues from these settings.
MeSH term(s)	Developing Countries ; Disaster Planning/organization & administration ; Emergency Medicine/organization & administration ; Humans ; Socioeconomic Factors
Language	English
Publishing date	2014-03-04
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2040124-3
ISSN	1472-0213 ; 1472-0205
ISSN (online)	1472-0213
ISSN	1472-0205
DOI	10.1136/emermed-2013-203298
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Article: An integrated approach to treat tobacco addiction in countries with high tuberculosis incidence

Siddiqi, Kamran / Lee, Andrew Chee Keng

Tropical medicine & international health TM & IH. 2009 Apr., v. 14, no. 4

2009

Abstract	Communicable diseases as well as maternal and child health in low- and middle-income countries continue to be the main focus of global attention. There are also rising trends in the prevalence of non-communicable diseases and further increases are predicted. Several countries are facing this 'dual burden of disease'. There is therefore a need to find ways to integrate the prevention and control of non-communicable diseases into the current health agenda. Tobacco treatment interventions in patients suspected with tuberculosis (TB) offer one such opportunity for a linked healthcare response. Many countries with a high incidence of TB are doubly burdened by an epidemic of tobacco use and tobacco-related diseases. Tobacco use increases the risk of TB infection and is associated with poor treatment compliance, increases in relapse rates and higher secondary mortality. In countries where TB is epidemic, this modest relative risk of infection leads to a significant attributable risk. Regular clinical contact with patients suspected with TB during the diagnosis and treatment phases provides considerable opportunity for health promotion to influence their tobacco-related behaviour. Consequently, treating tobacco addiction in patients suspected with TB is likely to improve the control of TB and prevent tobacco-related diseases. However, despite a high prevalence of tobacco use among TB patients, the treatment of tobacco addiction has not been a priority of TB control programmes. In countries with the dual epidemics of TB and tobacco use, considerable health and economic gains could potentially be made. If effective, such an approach would be highly desirable. We argue that further research assessing the cost-effectiveness and feasibility of linking healthcare interventions such as the treatment of tobacco addiction among TB suspects should receive high priority.
Keywords	tuberculosis
Language	English
Dates of publication	2009-04
Size	p. 420-428.
Publisher	Blackwell Publishing Ltd
Publishing place	Oxford, UK
Document type	Article
ZDB-ID	1314080-2
ISSN	1365-3156 ; 1360-2276
ISSN (online)	1365-3156
ISSN	1360-2276
DOI	10.1111/j.1365-3156.2009.02238.x
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Value of urban green spaces in promoting healthy living and wellbeing

Lee ACK / Jordan HC / Horsley J

Risk Management and Healthcare Policy, Vol 2015, Iss default, Pp 131-

prospects for planning

2015 Volume 137

Abstract: Andrew Chee Keng Lee,1 Hannah C Jordan,1 Jason Horsley2 1Section of Public Health, School of Health ...

Abstract	Andrew Chee Keng Lee,1 Hannah C Jordan,1 Jason Horsley2 1Section of Public Health, School of Health and Related Research, University of Sheffield, 2Sheffield City Council, Sheffield, UK Abstract: There has been considerable work done in recent years exploring the value of urban green space for health and wellbeing. Urban green spaces provide environmental benefits through their effects on negating urban heat, offsetting greenhouse gas emissions, and attenuating storm water. They also have direct health benefits by providing urban residents spaces for physical activity and social interaction, and allowing psychological restoration to take place. Consequently, there is a real need to understand the mechanisms by which these benefits accrue. Previously, much of the focus has been on the characteristics of the urban green space that are likely to influence its use, such as its accessibility, quality, facilities, attractiveness, and security. This assumes a causal relationship, when in reality the relationship is more complex and multifactorial. It is more likely that it is the functionality of the green space, be it for exercise or sociocultural activities, rather than its character, which translates to the reported benefits. Challenges exist, such as competing urban planning priorities, economic considerations, and market forces. There is thus a need for urban planning to match the health benefits sought with the needs of the community and the functionality that the urban green space will serve. Keywords: urban green space, public open space, urban planning, public health
Keywords	Public aspects of medicine ; RA1-1270
Subject code	710 ; 720
Language	English
Publishing date	2015-08-01T00:00:00Z
Publisher	Dove Medical Press
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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