John Whay Kuang Chia

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BACKGROUND Latex hypersensitivity has been described in discrete populations including health care workers and children with spina bifida (SB). OBJECTIVE This study was designed to determine whether the SB population is a unique neuroimmunologic group manifesting this sensitivity. METHODS Four groups of subjects were studied. These included: 36 patients(More)
Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is a neuro-immune disease of uncertain pathogenesis. Human parvovirus B19 infection has been shown to occur just prior to development of the onset of CFS/ME in several cases, although B19 seroprevalence studies do not show any significant differences between CFS/ME and controls. In this study, we(More)
Chronic pain is a common clinical finding in spinal cord injury (SCI), with a reported incidence of between 45% and 90%. This figure was obtained by using nonstandardized pain evaluation and for mostly inpatient populations. Because of the shortcomings of previous investigations and the wide range of reported incidence, a study was conducted using(More)
Wakeboarding is a relatively new and exciting sporting activity which is similar to water-skiing. While there have been several reports of water-skiing-related injuries, there has been nothing reported in the literature so far concerning injuries in wakeboarding. We present the case of a 14-year-old male who sustained an unusual intracranial subdural(More)
BACKGROUND Aspirin has been shown to lower the incidence and the mortality of vascular disease and cancer but its wider adoption appears to be seriously impeded by concerns about gastrointestinal (GI) bleeding. Unlike heart attacks, stroke and cancer, GI bleeding is an acute event, usually followed by complete recovery. We propose therefore that a more(More)
INTRODUCTION Peritoneal carcinomatosis (PC) is increasingly being treated with cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). We provide a review of a high-volume Asian institute's experience and survival outcomes with this procedure. METHODS Data were prospectively collected from 201 consecutive CRS and HIPEC(More)
An extensive, multiloculated prostatic abscess due to Staphylococcus aureus developed in a patient with mycosis fungoides. The clinical symptoms and signs were largely masked by prior antibiotic therapy until after urethral instrumentations. Computed axial tomographic scanning of the pelvis confirmed the clinical diagnosis and demonstrated the resolution of(More)
10095 Background: LMS is a narrowly defined subset of soft tissue sarcoma with heterogeneous clinical presentation. Recent reports suggest differences in treatment responses between uterine (uLMS) and extrauterine (euLMS) disease. We sought to identify prognostic factors in LMS patients (pts) and study the impact of primary site on clinical outcomes. (More)
Recently, the quinolone class of antibiotics has been used successfully in a few patients with granuloma inguinale. We report a case of chronic granuloma inguinale, failing repeated antibiotic treatment over 15 years, which responded to a 2 month course of trovofloxacin. A 33 year old white woman developed granuloma inguinale involving the vulva, left(More)