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  1. Article ; Online: Honest, Open, Proud (HOP) for people with mental illness in Hong Kong: a randomized controlled trial.

    Li, Amanda C M / Mak, Winnie W S / Chan, Kelly K Y / Corrigan, Patrick W / Larson, Jon / Chan, Alice F C / Chan, Christopher L F

    Social psychiatry and psychiatric epidemiology

    2023  Volume 59, Issue 5, Page(s) 769–780

    Abstract: Background: Self-stigma among people with mental illness is negatively associated with personal and clinical recovery. Due to the concealable nature of mental illness, people with mental illness experience constant struggles between concealment and ... ...

    Abstract Background: Self-stigma among people with mental illness is negatively associated with personal and clinical recovery. Due to the concealable nature of mental illness, people with mental illness experience constant struggles between concealment and disclosure. Disclosure of mental health challenges can potentially minimize negative impacts of self-stigma and enhance self-esteem and sense of empowerment. Honest, Open, Proud (HOP) is a peer-led intervention that promotes autonomous and dignified decisions about disclosure.
    Purpose: This study examined the effectiveness of HOP on concealment motivation, empowerment, self-stigma, stigma stress, and recovery among people with lived experience of mental illness in Hong Kong.
    Methodology: A total of 162 participants with a mean age of 45.38 were recruited and randomized into intervention group and waitlist control group. Participants in the intervention group were invited to attend a 6-session HOP group intervention.
    Results: Significant improvement in optimism score from the empowerment scale was found in the intervention group compared to the waitlist control group and the effect was sustained at 1-month follow-up. However, significant changes were not found in other outcome variables.
    Conclusion: Only improvement in optimism was observed in the current study. Future study needs to examine the effects of HOP with further modification to maximize the benefit for people with lived experience of mental illness in the local context.
    MeSH term(s) Humans ; Hong Kong ; Male ; Female ; Mental Disorders/psychology ; Mental Disorders/therapy ; Middle Aged ; Adult ; Social Stigma ; Self Concept ; Motivation ; Empowerment ; Peer Group
    Language English
    Publishing date 2023-08-15
    Publishing country Germany
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 623071-4
    ISSN 1433-9285 ; 0037-7813 ; 0933-7954
    ISSN (online) 1433-9285
    ISSN 0037-7813 ; 0933-7954
    DOI 10.1007/s00127-023-02545-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Reply letter to: A letter to the editor on "Anterior perineal plane for ultra-low anterior resection of the rectum (APPEAR) technique: A systematic review".

    Lynes, Kathryn / Williams, Norman S / Chan, Christopher L / Thaha, Mohamed A

    International journal of surgery (London, England)

    2018  Volume 62, Page(s) 87

    MeSH term(s) Humans ; Perineum ; Proctectomy ; Rectal Neoplasms ; Rectum
    Language English
    Publishing date 2018-12-13
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2018.12.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Use of PlasmaJet as a Novel Technique for Tissue Dissection in Complex Abdominal Surgery.

    Chan, Christopher L / Hotouras, Alex / Chaudry, Osman

    Diseases of the colon and rectum

    2015  Volume 58, Issue 7, Page(s) e402–3

    MeSH term(s) Abdomen/surgery ; Argon Plasma Coagulation/instrumentation ; Dissection/instrumentation ; Humans
    Language English
    Publishing date 2015-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 212581-x
    ISSN 1530-0358 ; 0012-3706
    ISSN (online) 1530-0358
    ISSN 0012-3706
    DOI 10.1097/DCR.0000000000000382
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  4. Article ; Online: Segmental reversal of the small bowel can end permanent parenteral nutrition dependency.

    Hotouras, Alex / Murphy, Jamie / Chan, Christopher L

    Annals of surgery

    2015  Volume 261, Issue 4, Page(s) e96

    MeSH term(s) Female ; Humans ; Intestine, Small/surgery ; Male ; Short Bowel Syndrome/surgery
    Language English
    Publishing date 2015-04
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000000360
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  5. Article ; Online: Anterior Perineal PlanE for ultra-low Anterior Resection of the rectum (APPEAR) technique: A systematic review.

    Lynes, Kathryn / Williams, Norman S / Chan, Christopher L / Thaha, Mohamed A

    International journal of surgery (London, England)

    2016  Volume 33 Pt A, Page(s) 117–123

    Abstract: Introduction: The Anterior Perineal PlanE for ultra-low Anterior Resection of the rectum (APPEAR) technique utilises a perineal incision to facilitate resection of the distal rectum. The aim of this study was to review use of the APPEAR technique, ... ...

    Abstract Introduction: The Anterior Perineal PlanE for ultra-low Anterior Resection of the rectum (APPEAR) technique utilises a perineal incision to facilitate resection of the distal rectum. The aim of this study was to review use of the APPEAR technique, assessing patient selection, indications, complications and outcomes, both oncological and functional.
    Materials and methods: A systematic review was carried out to identify studies reporting outcomes following rectal resection via an anterior perineal incision, with no limits on year or language. All studies were included. Quality of studies was assessed using the methodological index for non-randomised studies (MINORS) score.
    Results: Thirteen studies were identified from 1985 to 2013. 174 patients (102 male), ranging from 21 to 82 years, underwent surgery at eleven centres in seven countries. Maximum experience at one centre is 60 cases. 9 cases were performed for rectal dysplasia, 141 for rectal cancer; 96 resections were R0 (remaining 45 unstated). 14 cases were carried out laparoscopically. 30-day mortality was 2.3% (4 patients); there were 2 further deaths from systemic recurrence. Permanent stoma rate was 8/155 (5%). The most frequent complication was perineal or vaginal fistulation (26 patients): 6 underwent reoperation; 15 healed with conservative management; 5 required a permanent stoma. Functional outcomes were variably reported; median stool frequency was 3/24hrs with average Wexner scores of 5-5.5.
    Conclusion: In selected patients the APPEAR technique offers avoidance of permanent colostomy with good oncological outcomes. The majority of studies had short follow up periods and longer-term outcomes will need evaluation.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Colostomy ; Female ; Humans ; Laparoscopy ; Male ; Middle Aged ; Perineum/surgery ; Rectal Diseases/surgery ; Reoperation ; Surgical Stomas ; Treatment Outcome ; Young Adult
    Language English
    Publishing date 2016-08-05
    Publishing country England
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2016.07.075
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  6. Article: Validation of the Chinese version of the Modified Caregivers Strain Index among Hong Kong caregivers: an initiative of medical social workers.

    Chan, Wallace Chi Ho / Chan, Christopher L F / Suen, Margaret

    Health & social work

    2014  Volume 38, Issue 4, Page(s) 214–221

    Abstract: Family caregivers may often experience caregiving stress and burden. To systematically assess this issue, medical social workers may need to use a brief and valid measurement in their practice. In the Hong Kong Chinese context, one additional challenge ... ...

    Abstract Family caregivers may often experience caregiving stress and burden. To systematically assess this issue, medical social workers may need to use a brief and valid measurement in their practice. In the Hong Kong Chinese context, one additional challenge is to examine whether a measurement developed in the West is valid for Hong Kong Chinese caregivers. Thus, medical social workers in Hong Kong initiated this research study to validate the Chinese version of the Modified Caregiver Strain Index (C-M-CSI). A total of 223 Chinese caregivers of patients with various chronic illnesses were recruited for this validation study. C-M-CSI demonstrated good reliability (Cronbach's alpha coefficient = .91), concurrent validity with the Chinese version of the Caregiver Burden Inventory, and discriminant validity with the Chinese version of the Meaning in Life Questionnaire. Factor analysis yielded a single factor as the original M-CSI, which explained 49 percent of variance. Construct validity was shown by differentiating spousal and nonspousal caregivers, as well as caregivers of patients with and without behavioral problems. C-M-CSI is recommended as a brief and valid measurement that can be used by medical social workers in assessing the caregiving strain of Chinese caregivers of patients in Hong Kong.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Caregivers/psychology ; Chronic Disease ; Female ; Hong Kong ; Humans ; Male ; Middle Aged ; Palliative Care/psychology ; Professional-Family Relations ; Reproducibility of Results ; Social Work/methods ; Social Work/standards ; Stress, Psychological/diagnosis ; Stress, Psychological/etiology ; Surveys and Questionnaires ; Translations ; Young Adult
    Language English
    Publishing date 2014-01-16
    Publishing country United States
    Document type Journal Article ; Validation Studies
    ZDB-ID 448861-1
    ISSN 1545-6854 ; 0360-7283
    ISSN (online) 1545-6854
    ISSN 0360-7283
    DOI 10.1093/hsw/hlt021
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  7. Article ; Online: Initial validation of the Chinese interRAI Mental Health in people with psychiatric illness.

    Chan, Christopher L F / Lai, Claudia K Y / Chi, Iris

    International journal of psychiatry in clinical practice

    2014  Volume 18, Issue 3, Page(s) 182–189

    Abstract: Objective: The purpose of this study was to determine the reliability and validity of the Chinese interRAI Mental Health (MH) among people with psychiatric illnesses.: Methods: Study participants were 157 individuals with psychiatric illnesses living ...

    Abstract Objective: The purpose of this study was to determine the reliability and validity of the Chinese interRAI Mental Health (MH) among people with psychiatric illnesses.
    Methods: Study participants were 157 individuals with psychiatric illnesses living in a psychiatric long-term care facility or halfway house in Hong Kong. The authors prepared the Chinese interRAI MH. A panel of bilingual healthcare professionals examined the quality of the translation. The reliability of the 6 scales embedded in the instrument was examined using Cronbach's alphas, intraclass correlations, and Kappa coefficients. Pearson's product moment correlations, Spearman's order correlations, and independent t-tests were used to determine the concurrent and construct validity of the scales.
    Results and conclusions: Internal consistency values (α = 0.66-0.95) and test-retest reliability coefficients (ICC = 0.76-0.97; κ = 0.75-1.00) of the scales were found to be satisfactory. All 6 scales correlated significantly with the criterion measures. As expected, 3 scales relating to cognition, activities of daily living (ADL), and instrumental ADL discriminated among individuals living in two types of residential setting. Chinese interRAI MH was found to be a valid and reliable tool useful for the clinicians in Hong Kong.
    MeSH term(s) Adolescent ; Adult ; Aged ; Asian Continental Ancestry Group/psychology ; Health Services Needs and Demand ; Humans ; Male ; Mental Disorders/diagnosis ; Mental Health Services ; Middle Aged ; Psychiatric Status Rating Scales ; Psychometrics ; Quality of Health Care ; Reproducibility of Results ; Residential Facilities ; Translations ; Young Adult
    Language English
    Publishing date 2014-08
    Publishing country England
    Document type Journal Article ; Validation Studies
    ZDB-ID 1465531-7
    ISSN 1471-1788 ; 1365-1501
    ISSN (online) 1471-1788
    ISSN 1365-1501
    DOI 10.3109/13651501.2014.902070
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  8. Article ; Online: The authors reply.

    Hotouras, Alexander / Allison, Marion / Chan, Christopher L H

    Diseases of the colon and rectum

    2013  Volume 56, Issue 6, Page(s) e329–30

    MeSH term(s) Electric Stimulation Therapy/methods ; Fecal Incontinence/physiopathology ; Fecal Incontinence/therapy ; Humans ; Tibial Nerve/physiology
    Language English
    Publishing date 2013-06
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 212581-x
    ISSN 1530-0358 ; 0012-3706
    ISSN (online) 1530-0358
    ISSN 0012-3706
    DOI 10.1097/DCR.0b013e31828b6fee
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  9. Article ; Online: Risk factors for symptomatic anastomotic postoperative recurrence following ileo-colic resection in Crohn's disease.

    Navaratne, Lalin / Hurndall, Katherine-Helen / Richardson, Daniel M / Stephenson, Robert / Power, Niall / Gillott, Holly / Ruiz Sánchez, Susana / Khodatars, Kuresh / Chan, Christopher L H

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2021  Volume 23, Issue 5, Page(s) 1184–1192

    Abstract: Aim: Crohn's disease is a chronic inflammatory bowel disease characterized by alternating periods of exacerbation and remission. Surgical resection is not curative and postoperative recurrence (POR) remains a challenge in these patients. The aim of this ...

    Abstract Aim: Crohn's disease is a chronic inflammatory bowel disease characterized by alternating periods of exacerbation and remission. Surgical resection is not curative and postoperative recurrence (POR) remains a challenge in these patients. The aim of this study was to identify clinical variables that influence the risk of symptomatic anastomotic POR in patients with ileo-colonic Crohn's disease.
    Method: A retrospective study of Crohn's disease patients who had undergone ileo-colic resection between January 2014 and December 2018 was performed. For each patient, data including demographic information, Crohn's disease clinical setting, preoperative radiological data, operative and histological data, pre- and postoperative medication history and postoperative clinical course, including recurrence of disease, were extracted. Symptomatic anastomotic POR was defined as symptoms of Crohn's disease in the presence of confirmed anastomotic POR (endoscopic and/or radiological POR).
    Results: For the study period, 104 patients were eligible and included for analysis. The cumulative probability of symptomatic anastomotic POR was 14%, 30%, 42%, 50% and 50% at 1, 2, 3, 4 and 5 years, respectively. Two clinical variables on multivariate analysis were associated with increased risk of symptomatic anastomotic POR, namely age <17 years at diagnosis [hazard ratio (HR) 2.17, p = 0.019] and gastrointestinal involvement (extent) >30 cm (HR 1.85, p = 0.048).
    Conclusion: This study describes the natural history of POR after ileo-colic resection for Crohn's disease, as defined by endoscopic, radiological and clinical outcomes. Age <17 years at diagnosis and gastrointestinal involvement (extent) >30 cm were independent risk factors for symptomatic anastomotic POR.
    MeSH term(s) Adolescent ; Anastomosis, Surgical/adverse effects ; Colic ; Crohn Disease/surgery ; Humans ; Ileum/surgery ; Recurrence ; Retrospective Studies ; Risk Factors
    Language English
    Publishing date 2021-02-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.15530
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  10. Article ; Online: Treatment of fecal incontinence in the era of neuromodulation: is it time to rethink our approach?

    Hotouras, Alexander / Ribas, Yolanda / Allison, Marion E / Chan, Christopher L

    Diseases of the colon and rectum

    2014  Volume 57, Issue 9, Page(s) 1143–1144

    MeSH term(s) Electric Stimulation Therapy/economics ; Electric Stimulation Therapy/methods ; Fecal Incontinence/physiopathology ; Fecal Incontinence/therapy ; Humans ; Implantable Neurostimulators/economics ; Quality of Life
    Language English
    Publishing date 2014-09
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 212581-x
    ISSN 1530-0358 ; 0012-3706
    ISSN (online) 1530-0358
    ISSN 0012-3706
    DOI 10.1097/DCR.0000000000000179
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