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  1. Article ; Online: Removal of Intraocular Foreign Bodies Using a Modified Flute Needle.

    Chan, Yvonne Y Y / Liu, Shasha / Tang, Geoffrey C H / Cheung, Janice C C / Liu, Candice C H / Li, Kenneth K W

    Retina (Philadelphia, Pa.)

    2023  Volume 43, Issue 7, Page(s) 1209–1212

    Abstract: Purpose: To describe the construction of a novel intraocular snare and evaluate its effectiveness in intraocular foreign body (IOFB) removal.: Method: This is a retrospective consecutive case series. Five patients underwent pars plana vitrectomy and ... ...

    Abstract Purpose: To describe the construction of a novel intraocular snare and evaluate its effectiveness in intraocular foreign body (IOFB) removal.
    Method: This is a retrospective consecutive case series. Five patients underwent pars plana vitrectomy and IOFB removal using the intraocular snare constructed from modified flute needle.
    Results: All IOFBs were successfully engaged and removed with the snare on the first attempt. Three of the 5 cases (60%) enjoyed good visual outcome (0.4-1.0) postoperatively. No complication related to the use of the snare was encountered in this case series.
    Conclusion: Intraocular foreign body snare is simple, safe, and effective in IOFB removal.
    MeSH term(s) Humans ; Retrospective Studies ; Eye Injuries, Penetrating/diagnosis ; Eye Injuries, Penetrating/surgery ; Eye Injuries, Penetrating/complications ; Eye Foreign Bodies/diagnosis ; Eye Foreign Bodies/surgery ; Vitrectomy ; Microsurgery
    Language English
    Publishing date 2023-06-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603192-4
    ISSN 1539-2864 ; 0275-004X
    ISSN (online) 1539-2864
    ISSN 0275-004X
    DOI 10.1097/IAE.0000000000002964
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Why ophthalmologists should mask: a perspective from Hong Kong.

    Tang, Geoffrey C H / Steel, David H W / Li, Kenneth K W

    Eye (London, England)

    2020  Volume 34, Issue 7, Page(s) 1168–1169

    MeSH term(s) COVID-19 ; Hong Kong ; Humans ; Influenza A Virus, H1N1 Subtype ; Masks ; Ophthalmologists ; Pandemics ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-04-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 91001-6
    ISSN 1476-5454 ; 0950-222X
    ISSN (online) 1476-5454
    ISSN 0950-222X
    DOI 10.1038/s41433-020-0916-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Intraocular pressure measurement during COVID pandemic.

    Ng, Vikki W K / Tang, Geoffrey C H / Lai, Tracy H T / Tang, Emily W H / Li, Kenneth K W

    Indian journal of ophthalmology

    2020  Volume 68, Issue 5, Page(s) 950–951

    MeSH term(s) COVID-19 ; Humans ; Intraocular Pressure ; Pandemics ; SARS-CoV-2 ; Tonometry, Ocular
    Keywords covid19
    Language English
    Publishing date 2020-04-21
    Publishing country India
    Document type Letter
    ZDB-ID 187392-1
    ISSN 1998-3689 ; 0301-4738
    ISSN (online) 1998-3689
    ISSN 0301-4738
    DOI 10.4103/ijo.IJO_723_20
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Deep Parasternal Intercostal Plane Block for Intraoperative Pain Control in Cardiac Surgical Patients for Sternotomy: A Prospective Randomized Controlled Trial.

    Wong, Henry M K / Chen, P Y / Tang, Geoffrey C C / Chiu, Sandra L C / Mok, Louis Y H / Au, Sylvia S W / Wong, Randolph H L

    Journal of cardiothoracic and vascular anesthesia

    2023  Volume 38, Issue 3, Page(s) 683–690

    Abstract: Objectives: Sternotomy pain is common after cardiac surgery. The deep parasternal intercostal plane (DPIP) block is a novel technique that provides analgesia to the anterior chest wall. The aim of this study was to investigate the analgesic effect of ... ...

    Abstract Objectives: Sternotomy pain is common after cardiac surgery. The deep parasternal intercostal plane (DPIP) block is a novel technique that provides analgesia to the anterior chest wall. The aim of this study was to investigate the analgesic effect of bilateral DPIP blocks on intraoperative pain control in cardiac surgery.
    Design: This is a double-blinded, prospective randomized controlled trial (Oct 2020-Dec 2022).
    Settings: This study was conducted in a single institution, which is an academic university hospital.
    Participants: Eighty-six elective cardiac surgical patients with median sternotomy were recruited.
    Interventions: Patients were randomly divided into DPIP or control group. Either 20ml 0.25% levobupivacaine or 0.9% normal saline was injected for the DPIP under ultrasound guidance after induction of general anaesthesia.
    Measurements and main results: The primary outcome was intraoperative opioids consumption and hemodynamic changes at sternotomy. Secondary outcomes included postoperative morphine consumption, postoperative pain and time to tracheal extubation. Intraoperative opioids requirement was reduced from a median (IQR) intravenous morphine equivalence of 21.4mg (13.8-24.3mg) in control group to 9.5mg (7.3-11.2mg) in the DPIP group (P<0.001). Hemodynamic parameters were more stable in DPIP group at sternotomy, as evidenced by lower percentage increase in systolic, diastolic and mean arterial blood pressure from baseline. No difference was observed in time to tracheal extubation, postoperative morphine consumption, postoperative pain score and spirometry.
    Conclusions: Bilateral DPIP block provides effective intraoperative analgesia and opioid-sparing. It may be included as part of the multimodal analgesia for enhanced recovery in cardiac surgery.
    MeSH term(s) Humans ; Sternotomy/adverse effects ; Prospective Studies ; Nerve Block/methods ; Cardiac Surgical Procedures/methods ; Pain, Postoperative/diagnosis ; Pain, Postoperative/etiology ; Pain, Postoperative/prevention & control ; Analgesics, Opioid ; Morphine ; Iopanoic Acid/analogs & derivatives
    Chemical Substances 1,3-dihydroxypropan-2-one 1,3-diiopanoate ; Analgesics, Opioid ; Morphine (76I7G6D29C) ; Iopanoic Acid (FE9794P71J)
    Language English
    Publishing date 2023-11-30
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 1067317-9
    ISSN 1532-8422 ; 1053-0770
    ISSN (online) 1532-8422
    ISSN 1053-0770
    DOI 10.1053/j.jvca.2023.11.038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Randomised trial of genetic testing and targeted intervention to prevent the development and progression of Paget's disease of bone.

    Phillips, Jonathan / Subedi, Deepak / Lewis, Steff C / Keerie, Catriona / Cronin, Owen / Porteous, Mary / Moore, David / Cetnarskyj, Roseanne / Ranganath, Lakshminarayan / Selby, Peter L / Turgut, Tolga / Hampson, Geeta / Chandra, Rama / Ho, Shu / Tobias, Jon / Young-Min, Steven / McKenna, Malachi J / Crowley, Rachel K / Fraser, William D /
    Tang, Jonathan C Y / Gennari, Luigi / Nuti, Rannuccio / Brandi, Maria Luisa / Del Pino-Montes, Javier / Devogelaer, Jean-Pierre / Durnez, Anne / Isaia, Giovanni Carlo / Di Stefano, Marco / Guanabens, Nuria / Blanch Rubio, Josep / Seibel, Markus J / Walsh, John P / Rea, Sarah L / Kotowicz, Mark A / Nicholson, Geoffrey C / Duncan, Emma L / Major, Gabor / Horne, Anne / Gilchrist, Nigel / Ralston, Stuart H

    Annals of the rheumatic diseases

    2024  Volume 83, Issue 4, Page(s) 529–536

    Abstract: Introduction: Paget's disease of bone (PDB) frequently presents at an advanced stage with irreversible skeletal damage. Clinical outcomes might be improved by earlier diagnosis and prophylactic treatment.: Methods: We randomised 222 individuals at ... ...

    Abstract Introduction: Paget's disease of bone (PDB) frequently presents at an advanced stage with irreversible skeletal damage. Clinical outcomes might be improved by earlier diagnosis and prophylactic treatment.
    Methods: We randomised 222 individuals at increased risk of PDB because of pathogenic
    Results: The median duration of follow-up was 84 months (range 0-127) and 180 participants (81%) completed the study. At baseline, 9 (8.1%) of the ZA group had PDB lesions vs 12 (10.8%) of the placebo group. Two of the placebo group developed new lesions versus none in the ZA group (OR 0.41, 95% CI 0.00 to 3.43, p=0.25). Eight of the placebo group had a poor outcome (lesions which were new, unchanged or progressing) compared with none of the ZA group (OR 0.08, 95% CI 0.00 to 0.42, p=0.003). At the study end, 1 participant in the ZA group had lesions compared with 11 in the placebo group. Biochemical markers of bone turnover were significantly reduced in the ZA group. One participant allocated to placebo required rescue therapy with ZA because of symptomatic disease. The number and severity of adverse events did not differ between groups.
    Conclusions: Genetic testing for pathogenic
    Trial registration number: ISRCTN11616770.
    MeSH term(s) Humans ; Diphosphonates/adverse effects ; Osteitis Deformans/complications ; Osteitis Deformans/drug therapy ; Osteitis Deformans/genetics ; Sequestosome-1 Protein/genetics ; Zoledronic Acid/therapeutic use ; Genetic Testing ; Biomarkers
    Chemical Substances Diphosphonates ; Sequestosome-1 Protein ; Zoledronic Acid (6XC1PAD3KF) ; Biomarkers
    Language English
    Publishing date 2024-03-12
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 7090-7
    ISSN 1468-2060 ; 0003-4967
    ISSN (online) 1468-2060
    ISSN 0003-4967
    DOI 10.1136/ard-2023-224990
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Association between Time Spent on Smart Devices and Change in Refractive Error: A 1-Year Prospective Observational Study among Hong Kong Children and Adolescents.

    Do, Chi-Wai / Chan, Lily Y L / Tse, Andy C Y / Cheung, Teris / So, Billy C L / Tang, Wing Chun / Yu, W Y / Chu, Geoffrey C H / Szeto, Grace P Y / Lee, Regina L T / Lee, Paul H

    International journal of environmental research and public health

    2020  Volume 17, Issue 23

    Abstract: ... group (<2 h per day on both smartphone and tablet usages), those who spent ≥2 h per day using ... a smartphone and <2 h per day using a tablet had a significantly negative shift in refractive error (1-year ...

    Abstract This study examined the association between smart device usage and the 1-year change in refractive error among a representative sample of Hong Kong children and adolescents aged 8-14 years. A total of 1597 participants (49.9% male, mean age 10.9, SD 2.0) who completed both baseline (2017-2018) and 1-year follow-up (2018-2019) eye examinations were included in the present study. The non-cycloplegic auto-refractive error was measured and the average spherical equivalent refraction (SER) was analyzed. The participants also self-reported their smart device usage at baseline. Multivariate regression adjusted for age, sex, baseline SER, parents' short-sightedness, BMI, time spent on moderate-to-vigorous physical activity (MVPA), and caregiver-reported socio-economic status showed that, compared with the reference group (<2 h per day on both smartphone and tablet usages), those who spent ≥2 h per day using a smartphone and <2 h per day using a tablet had a significantly negative shift in refractive error (1-year change in SER -0.25 vs. -0.09 D,
    MeSH term(s) Adolescent ; Child ; Eye ; Female ; Hong Kong ; Humans ; Male ; Myopia ; Prospective Studies ; Refractive Errors/epidemiology
    Language English
    Publishing date 2020-11-30
    Publishing country Switzerland
    Document type Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
    ISSN 1660-4601
    ISSN (online) 1660-4601
    DOI 10.3390/ijerph17238923
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The Role of the TP53 Pathway in Predicting Response to Neoadjuvant Therapy in Esophageal Adenocarcinoma.

    Sihag, Smita / Nussenzweig, Samuel C / Walch, Henry S / Hsu, Meier / Tan, Kay See / De La Torre, Sergio / Janjigian, Yelena Y / Maron, Steven B / Ku, Geoffrey Y / Tang, Laura H / Shah, Pari M / Wu, Abraham / Jones, David R / Solit, David B / Schultz, Nikolaus / Ganesh, Karuna / Berger, Michael F / Molena, Daniela

    Clinical cancer research : an official journal of the American Association for Cancer Research

    2022  Volume 28, Issue 12, Page(s) 2669–2678

    Abstract: Purpose: In patients with locally advanced esophageal adenocarcinoma, response to neoadjuvant therapy strongly predicts survival, but robust molecular predictors of response have been lacking. We therefore sought to discover meaningful predictors of ... ...

    Abstract Purpose: In patients with locally advanced esophageal adenocarcinoma, response to neoadjuvant therapy strongly predicts survival, but robust molecular predictors of response have been lacking. We therefore sought to discover meaningful predictors of response in these patients.
    Experimental design: We retrospectively identified all patients with adenocarcinoma of the lower esophagus or gastroesophageal junction who (i) were treated with multimodality therapy with curative intent at our institution from 2014 through 2020 and (ii) underwent prospective sequencing by Memorial Sloan Kettering-Integrated Mutation Profiling of Actionable Cancer Targets. Clinicopathologic and genomic data were analyzed to identify potential genomic features, somatic alterations, and oncogenic pathways associated with treatment response.
    Results: In total, 237 patients were included. MDM2 amplification was independently associated with poor response to neoadjuvant therapy [OR, 0.10 (95% confidence interval, 0.01-0.55); P = 0.032], when accounting for significant clinicopathologic variables, including clinical stage, tumor grade, and chemotherapy regimen. Moreover, TP53 pathway alterations, grouped according to inferred severity of TP53 dysfunction, were significantly associated with response to neoadjuvant therapy (P = 0.004, q = 0.07). Patients with MDM2 amplifications or truncating biallelic TP53 mutations had similar outcomes in terms of poor responses to neoadjuvant therapy and, consequently, shorter progression-free survival, compared with patients with TP53 pathway wild-type tumors. Thus, worsening TP53 dysfunction was directly correlated with worse outcomes.
    Conclusions: MDM2 amplification and TP53 status are associated with response to therapy in patients with esophageal adenocarcinoma. Given the dearth of actionable targets in esophageal adenocarcinoma, MDM2 inhibition, in combination with cytotoxic chemotherapy, may represent an important therapeutic strategy to overcome treatment resistance and improve outcomes in these patients.
    MeSH term(s) Adenocarcinoma/drug therapy ; Adenocarcinoma/genetics ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Esophageal Neoplasms/drug therapy ; Esophageal Neoplasms/genetics ; Humans ; Neoadjuvant Therapy ; Prospective Studies ; Retrospective Studies ; Tumor Suppressor Protein p53/genetics
    Chemical Substances TP53 protein, human ; Tumor Suppressor Protein p53
    Language English
    Publishing date 2022-03-04
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1225457-5
    ISSN 1557-3265 ; 1078-0432
    ISSN (online) 1557-3265
    ISSN 1078-0432
    DOI 10.1158/1078-0432.CCR-21-4016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Association between Time Spent on Smart Devices and Change in Refractive Error

    Chi-wai Do / Lily Y. L. Chan / Andy C. Y. Tse / Teris Cheung / Billy C. L. So / Wing Chun Tang / W. Y. Yu / Geoffrey C. H. Chu / Grace P. Y. Szeto / Regina L. T. Lee / Paul H. Lee

    International Journal of Environmental Research and Public Health, Vol 17, Iss 8923, p

    A 1-Year Prospective Observational Study Among Hong Kong Children and Adolescents

    2020  Volume 8923

    Abstract: This study examined the association between smart device usage and the 1-year change in refractive error among a representative sample of Hong Kong children and adolescents aged 8–14 years. A total of 1597 participants (49.9% male, mean age 10.9, SD 2.0) ...

    Abstract This study examined the association between smart device usage and the 1-year change in refractive error among a representative sample of Hong Kong children and adolescents aged 8–14 years. A total of 1597 participants (49.9% male, mean age 10.9, SD 2.0) who completed both baseline (2017–2018) and 1-year follow-up (2018–2019) eye examinations were included in the present study. The non-cycloplegic auto-refractive error was measured and the average spherical equivalent refraction (SER) was analyzed. The participants also self-reported their smart device usage at baseline. Multivariate regression adjusted for age, sex, baseline SER, parents’ short-sightedness, BMI, time spent on moderate-to-vigorous physical activity (MVPA), and caregiver-reported socio-economic status showed that, compared with the reference group (<2 hours per day on both smartphone and tablet usages), those who spent ≥2 hours per day using a smartphone and <2 hours per day using a tablet had a significantly negative shift in refractive error (1-year change in SER −0.25 vs. −0.09 D, p = 0.01) for the right eye, while the level of significance was marginal (1-year change −0.28 vs. −0.15 D, p = 0.055) for the left eye. To conclude, our data suggested spending at most 2 hours per day on both smartphones and tablets.
    Keywords handheld device ; myopia ; prospective ; smartphone ; tablet ; teenage ; Medicine ; R
    Language English
    Publishing date 2020-11-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Genome-scale functional genomics identify genes preferentially essential for multiple myeloma cells compared to other neoplasias.

    de Matos Simoes, Ricardo / Shirasaki, Ryosuke / Downey-Kopyscinski, Sondra L / Matthews, Geoffrey M / Barwick, Benjamin G / Gupta, Vikas A / Dupéré-Richer, Daphné / Yamano, Shizuka / Hu, Yiguo / Sheffer, Michal / Dhimolea, Eugen / Dashevsky, Olga / Gandolfi, Sara / Ishiguro, Kazuya / Meyers, Robin M / Bryan, Jordan G / Dharia, Neekesh V / Hengeveld, Paul J / Brüggenthies, Johanna B /
    Tang, Huihui / Aguirre, Andrew J / Sievers, Quinlan L / Ebert, Benjamin L / Glassner, Brian J / Ott, Christopher J / Bradner, James E / Kwiatkowski, Nicholas P / Auclair, Daniel / Levy, Joan / Keats, Jonathan J / Groen, Richard W J / Gray, Nathanael S / Culhane, Aedin C / McFarland, James M / Dempster, Joshua M / Licht, Jonathan D / Boise, Lawrence H / Hahn, William C / Vazquez, Francisca / Tsherniak, Aviad / Mitsiades, Constantine S

    Nature cancer

    2023  Volume 4, Issue 5, Page(s) 754–773

    Abstract: Clinical progress in multiple myeloma (MM), an incurable plasma cell (PC) neoplasia, has been driven by therapies that have limited applications beyond MM/PC neoplasias and do not target specific oncogenic mutations in MM. Instead, these agents target ... ...

    Abstract Clinical progress in multiple myeloma (MM), an incurable plasma cell (PC) neoplasia, has been driven by therapies that have limited applications beyond MM/PC neoplasias and do not target specific oncogenic mutations in MM. Instead, these agents target pathways critical for PC biology yet largely dispensable for malignant or normal cells of most other lineages. Here we systematically characterized the lineage-preferential molecular dependencies of MM through genome-scale clustered regularly interspaced short palindromic repeats (CRISPR) studies in 19 MM versus hundreds of non-MM lines and identified 116 genes whose disruption more significantly affects MM cell fitness compared with other malignancies. These genes, some known, others not previously linked to MM, encode transcription factors, chromatin modifiers, endoplasmic reticulum components, metabolic regulators or signaling molecules. Most of these genes are not among the top amplified, overexpressed or mutated in MM. Functional genomics approaches thus define new therapeutic targets in MM not readily identifiable by standard genomic, transcriptional or epigenetic profiling analyses.
    MeSH term(s) Humans ; Multiple Myeloma/genetics ; Genomics ; Genome ; Clustered Regularly Interspaced Short Palindromic Repeats/genetics
    Language English
    Publishing date 2023-05-26
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, N.I.H., Extramural
    ISSN 2662-1347
    ISSN (online) 2662-1347
    DOI 10.1038/s43018-023-00550-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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