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3 results on '"Yee Keow Chiong"'

1. Health practices, behaviours and quality of life of low-income preschoolers: A community-based cross-sectional comparison study in Singapore.

Author

Shang Chee Chong, Aishworiya, Ramkumar, Woon Li Seo, Yee Keow Chiong, Koh, Gerald Choon-Huat, Lin, Jeremy Bingyuan, Lynn Heng, Mohd, Thahirah Habib, Young Ern Saw, Yiong Huak Chan, Jing Shi Chua, and Shorey, Shefaly

Subjects
QUALITY of life, HEALTH behavior, MALAYS (Asian people), PRESCHOOL children, SCREEN time, DENTISTS
Abstract

Introduction: Children from low-income (LI) families often suffer from poor health, with sub-optimal health practices. This cross-sectional study examined the differences in health habits and health-related quality of life (HRQoL) of LI preschool children compared to non-low-income preschool peers (PPG). Method: Using data from the social-health Circle of Care-Health Development Screening Programme (CoC-HDSP) in Singapore, 118 LI children and 304 PPG children aged 18 months to 6 years old and their families were recruited from 13 government-funded preschools. Health practices examined included screen time habits, sleep, nutrition, dental health and the children's HRQoL using PedsQL 4.0 Generic Core Scales. Results: Majority of the children were aged 4-6 years in kindergarten 1 and 2. There were more Malay children in the LI than the PPG (61.9% versus [vs] 29.3%, P<0.001). Low-income children were more likely to have lower-educated parents (P<0.001). The completed vaccination rate in the LI group was lower than those in PPG (84.7% vs 98.0%, P<0.001). More in the LI group utilised emergency services for acute illnesses (P<0.05). Fewer LI children had ever visited a dentist (47.4% vs 75.4%, P<0.001), and more LI children consumed sweetened drinks daily (33.3% vs 8.6%, P<0.001). The LI group reported poorerquality sleep (48.3% vs 27.2%, P<0.001), though both groups exceeded the daily recommended screen viewing duration. The LI group scored higher in the social (mean 92.4±12.2 vs 84.3±15.3, P<0.001) and emotional (mean 85.2±15.1 vs 76.6±17.3, P<0.001) domains of the PedsQL 4.0 when compared to PPG. Conclusion: Low-income children have poorer health practices, receive less preventive paediatric care, and utilise more emergency services for acute illnesses. These findings are important for developing interventions that work towards improving the health of LI children. [ABSTRACT FROM AUTHOR]

Published
2024
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2. Pneumococcal Pneumonia Resembling Acute Myocardial Infarction in an Adolescent Male

Author

Si Min Chan, Ian Tan, Yee Keow Chiong, Wen Yi Thong, Terence Cw Lim, and Mark Y. Chan

Subjects
Male, Microbiology (medical), medicine.medical_specialty, Myocarditis, Adolescent, Myocardial Infarction, medicine.disease_cause, Diagnosis, Differential, Electrocardiography, Internal medicine, Streptococcus pneumoniae, Humans, Medicine, Myocardial infarction, business.industry, Streptococcus, Cardiogenic shock, Pneumonia, Pneumococcal, medicine.disease, Infectious Diseases, Bacteremia, Pediatrics, Perinatology and Child Health, Pneumococcal pneumonia, Radiography, Thoracic, Inflammation Mediators, business, Rhabdomyolysis, Biomarkers
Abstract

Myocarditis is commonly associated with viruses. However, we present a novel case of a teenager with pneumococcal pneumonia and bacteremia complicated by myocarditis and rhabdomyolysis, presenting with features of acute ST-elevation myocardial infarction and cardiogenic shock. Physicians should be aware that Streptococcus pneumoniae infection, like Group A Streptococcus, can mimic acute myocardial infarction in young males without cardiovascular risk factors.

Published
2020

3. End-of-life decision making in critical illness: Perspectives of Asian parents

Author

Yee Keow Chiong, Nicola Ngiam, and Kristy Xinghan Fu

Subjects
Parents, medicine.medical_specialty, Palliative care, Critical Illness, Decision Making, Pain, Likert scale, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Health care, medicine, Outpatient clinic, Humans, 030212 general & internal medicine, Prospective Studies, Child, General Nursing, Pediatric intensive care unit, Terminal Care, 030504 nursing, business.industry, General Medicine, Emergency department, Death, Psychiatry and Mental health, Clinical Psychology, Family medicine, 0305 other medical science, Psychology, business, End-of-life care, Cohort study
Abstract

ObjectiveTo explore parents’ perspectives regarding end-of-life (EOL) decisions, factors and possible barriers that influence the EOL decision making process, and to understand parental preferences for communication about EOL care in an Asian population.MethodA prospective questionnaire cohort study conducted in a university-based tertiary care hospital. 30 parents of children who had been admitted to general pediatric wards for acute ailments and/or were being followed up in general pediatric outpatient clinics after inpatient admissions or emergency department visits completed 30 interviewer-administered questionnaires. With the first 10 completed questionnaires, we sought feedback on the design of the four case vignettes and related questions. Responses to specific questions related to each case vignette were rated on a Likert scale.ResultsThe majority of parents were able to comprehend and identify with the issues in the case vignettes, which allowed them to respond appropriately. Parents tended to avoid active withdrawal or withholding of life-sustaining treatment. The top three priorities for parents making EOL decisions for their children were: the chance of improvement, the presence of pain or discomfort, and information provided by healthcare staff. Parents reported that they would prefer to know immediately if their child is at risk of dying; they also preferred to get as much information as possible from the healthcare team and thought that meeting with the healthcare team before making EOL decisions was pivotal.Significance of resultsParents place highest priorities on their child's likelihood of improvement, perception of their child's pain, and information provided by healthcare professionals in making EOL decisions.

Published
2021

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