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Combating obesity in Southeast Asia countries:current status and the way forward

Global Health Journal 2024年第3期8卷 147-151页

作者： e siong tee Siok Hui Voon Southeast Asia Public Health Nutrition Network Council of Nutrition Society of MalaysiaPetaling JayaSelangor 46150Malaysia

Obesity is gaining prominence as a serious public health challenge in the Southeast Asia(SeA)region,with an alarming rate of increase in its *** in the region have shown commitment to curbing the rise of obesity by establishing policies,strategies,and action *** paper summarises the current situation and strategies undertaken to combat obesity and related chronic *** a range of policies and strate-gies have been developed,including national nutrition action plans,community intervention programmes,fiscal measures,nutrition labelling to promote healthier choices,countries in the region are struggling to make signifi-cant progress toward halting the scourge of *** is imperative to strengthen existing health systems with a paradigm shift from a focus on"sick care"to and enhancing nutrition initiatives to support obesity prevention.A comprehensive and coordinated approach is essential,one that emphasises high-level coordination across all lev-els of government and multiple sectors,and a unified plan rather than fragmented *** strategies to be effective and sustainable,they must address the fundamental environmental determinants of poor dietary choices and nutritional inequalities.A more holistic approach is clearly needed to improve the entire food environment,which in SeA countries must include the multitude of eating places where large segments of the population"eat out"everyday to meet their energy and nutrient *** is a recognised need for more comprehensive measures to promote healthy eating among school children and ensure a supportive environment for lifelong healthy *** paper calls for a whole-of-government,whole-of-society approach that combines changes to the fundamental food environment and accompanied by systematic monitoring and surveillance systems to achieve long-lasting health outcomes.

关键词： Obesity Obesity prevention Policies Strategies Southeast Asia

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在马来西亚促进健康饮食和活力生活

在马来西亚促进健康饮食和活力生活

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膳食营养、身体活动与健康——达能营养中心第十一次学术年会

作者： tee e-siong 马来西亚营养学会

全球,慢性非传染性疾病(NCDs)的负担已经迅速上升NCDs,特别是心血管疾病,二型糖尿病和癌症成为造成疾病、死亡和致残全球负担的重要因素世界卫生组织(WHO)指出这些疾病的危险因素与饮食和身体活动密切相关因此,第57届世界卫生大会(WHA)... 详细信息

全球,慢性非传染性疾病(NCDs)的负担已经迅速上升NCDs,特别是心血管疾病,二型糖尿病和癌症成为造成疾病、死亡和致残全球负担的重要因素世界卫生组织(WHO)指出这些疾病的危险因素与饮食和身体活动密切相关因此,第57届世界卫生大会(WHA)在2004年5月签署了"WHO饮食、身体活动与健康全球策略"

关键词：健康饮食马来西亚世界卫生大会

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Southeast Asian Perspectives on Nutrition Needs for the New Millennium

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Biomedical and environmental Sciences 2001年第1期14卷 75-81页

作者： e-siong tee Head Division of Human Nutrition Institute for Medical Research

Over the last three decades, there has been significant changes in the lifestyles of communities, including food habits, and food purchasing and consumption patterns in the Southeast Asian region. As a result, there is a definite change in the food and nutrition issues in the region. Nutritional deficiencies in many of these countries are slowly being decreased in magnitude. On the other hand, the significant proportions of the population are now faced with the other facet of the malnutrition problem, namely diet related chronic diseases. However, because of the different stages of socio economic development, the extent of each of these extremes of the malnutrition problems varies considerably between the different countries in Southeast Asia. Nutrition needs in the new millennium would necessarily differ somewhat among these countries while at the same time, there would be a considerable amount of similarities. This presentation highlights several macro issues that countries in the region may focus on in the near future. Various intervention programmes have been undertaken by authorities to tackle the co existence of twin faces of malnutrition in many developing countries. It would be desirable to have a blue print of such programmes and activities in the National Plans of Action for Nutrition (NPANs). The NPAN should be more than a framework or a descriptive document. It should be a tool for action, an operational plan that sets out priorities; identifies projects and activities, with details of implementation such as what, how and when; designates responsibilities and accountability for the activities; identifies resource requirements and their source; and sets out the plan for monitoring and evaluation. One of the main obstacles in the formulation and effective implementation of intervention programmes in developing countries is the lack of comprehensive data on the extent of the problems in many cases and the causes of such problems specificy to the

关键词： developing countries nutritional status consumption patterns operational plan Southeast Asia Life Sciences food habits

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Abbreviated Report of the WHO Western Pacific Region Workshop on National Plans of Action for Nutrition: Key elements for Success, Constraints and Future Plans

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Biomedical and environmental Sciences 2001年第1期14卷 87-91页

作者： e-siong tee Head Division of Human Nutrition

A workshop on National Plans of Action for Nutrition: Constraints, Key elements for Success, and Future Plans was convened and organized by the WHO Regional Office for the Western Pacific in collaboration with the Institute for Medical Research Malaysia and co sponsored with FAO and UNICeF from 25—29 October 1999. It was attended by representatives of 25 countries in the region and resource persons, representatives from WHO and other international agencies. The objectives of the workshop were to review the progress of countries in developing, implementing and monitoring national plans of action for nutrition (NPANs) in the Western Pacific Region and to identify constraints and key elements of success in these efforts. Most of the countries have NPANs, either approved and implemented or awaiting official endorsement. The Plan formulation is usually multisectoral, involving several government ministries, non governmental organizations, and international agencies. Often official adoption or endorsement of the Plan comes from the head of state and cabinet or the minister of health, one to six years from the start of its formulation. The NPAN has stimulated support for the development and implementation of nutrition projects and activities, with comparatively greater involvement of and more support from government ministries, UN agencies and non-governmental agencies compared to local communities, bilateral and private sectors and research and academic institutions. Monitoring and evaluation are important components of NPANs. They are, however, not given high priority and often not built into the plan. The role of an intersectoral coordinating body is considered crucial to a country's nutrition program. Most countries have an intersectoral structure or coordinating body to ensure the proper implementation, monitoring and evaluation of their NPANs. The workshop identified the constraints and key elements of success in each of the four stages of the NPAN process: d

关键词： Workshop on National Plans of Action for Nutrition Constraints and Future Plans Key elements for Success Abbreviated Report of the WHO Western Pacific Region

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社区居家老年人跌倒经历的体验:质性研究的meta整合

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International Journal of Nursing Sciences 2024年第2期11卷 276-285页

作者：江慧悯袁浩斌 Stephen tee 林爱贞 Faculty of Health Sciences and Sports Macao Polytechnic UniversityMacaoChina Faculty of Health and Social Sciences Bournemouth UniversityBournemouthEnglandUK

目的系统评价和整合社区居家老年人跌倒经历的看法与体验,为后续发展跌倒预防及管理的干预提供信息,为健康照护实践提供建议。方法依据乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)质性系统评价方法论进行质性研究meta整合,在Pub... 详细信息

目的系统评价和整合社区居家老年人跌倒经历的看法与体验,为后续发展跌倒预防及管理的干预提供信息,为健康照护实践提供建议。方法依据乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)质性系统评价方法论进行质性研究meta整合,在PubMed、CINAHL、PsycInfo、embase、Web of science等数据库进行检索,发表时间限定为2010年1月至2023年5月,仅纳入经同行评审的英文文献。使用JBI质性研究质量评价标准评价纳入文献的方法学质量,按照ConQual评分准则检验整合结果的信度。本综述方案已在PROSPeRO注册(CRD 42023421789)。结果共纳入10项研究,方法学质量评价得分为60%至90%。提炼59个完好明确的结果,将相似结果归纳组合形成7个类别,并综合成3个整合结果,在ConQual评分上,综合结果2评为中等,综合结果1和3评为低等。整合结果1:跌倒后老年人经历了身体的损伤和疼痛、日常活动受限、社交受限、独立性降低或丧失、并有恐惧和无助感。整合结果2:经历跌倒后,老年人反思跌倒的原因,并识别、解释风险因素。整合结果3:老年人对跌倒原因和后果有正面和负面的看法,其采取的应对跌倒的措施包括使用辅助器具、纠正风险因素、寻求医疗帮助、关注身体和心理状况等。结论医疗卫生提供者应重视老年人跌倒后的感受、经历,以及对跌倒原因和影响的反思,进行特定的干预。今后还需要进行纵向研究,以检测跌倒对老年人的长期影响,深入了解他们的反思、感知、态度和预防行为随时间的改变情况。

关键词：老年人社区经历跌倒观点系统综述

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A low power 50Hz argon plasma for surface modification of polytetrafluoroethylene

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Plasma Science and Technology 2022年第11期24卷 1-13页

作者： Yen Theng LAU Wee siong CHIU Hong Chun Lee Haw Jiunn WOO Oi Hoong CHIN Teck Yong TOU Department of Physics Faculty of ScienceUniversity of MalayaKuala Lumpur 50603Malaysia Faculty of engineering Multimedia UniversityPersiaran CyberjayaCyberjaya 63100Malaysia

The characteristics of a low power 50 Hz argon plasma for surface treatment of polytetrafluoroethylene(PTFe)film is presented in this *** current–voltage behavior of the discharge and time-varying intensity of the discharge showed that a DC glow discharge was generated in reversed polarity at every *** discharge power between 0.5 and 1 W,the measured electron temperature and density were 2–3 eV and∼10^(8) cm^(−3),*** optical emission spectrum of the argon plasma showed presence of some‘impurity species’such as OH,N_(2) and H,which presumably originated from the residual air in the discharge *** exposure of PTFe films to the argon glow plasma at pressure 120 Pa and discharge power 0.5 to 1 W,the water contact angle reduced by 4%to 20%from the original 114°at pristine condition,which confirms improvement of its surface *** increase in wettability was attributed to incorporation of oxygen-containing functional groups on the treated surface and concomitant reduction in fluorine as revealed by the XPS analysis and increase in surface roughness analyzed from the atomic force *** upon storage in ambient air showed retention of the induced increase in surface wettability.

关键词： 50 Hz glow discharge plasma surface treatment PTFe hydrophobic recovery ageing effect

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氢氧化铬诱发的蒙脱石微团簇电子显微镜研究

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地质科学译丛 1996年第3期13卷 1-2页

作者： Willam e.Dubbin tee Boon Goh 刘平 Department of Soil Science University of Manitoba WinnipegMB Canada Department of Soil Science University of ManitobaWinnipegMB Canada

在扫描电镜、透射电镜实验研究的基础上,首次报道了通过吸附氢氧化铬聚合物诱发的蒙脱石纺缍体微团簇的成因。

关键词：氢氧化铬微团簇蒙脱石扫描电镜透射电镜

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Systematic review of the outcomes of surgical resection for intermediate and advanced Barcelona Clinic Liver Cancer stage hepatocellular carcinoma:A critical appraisal of the evidence

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World Journal of Hepatology 2018年第6期10卷 433-447页

作者： Ye Xin Koh Hwee Leong Tan Weng Kit Lye Juinn Huar Kam Adrian Kah Heng Chiow siong San Tan Su Pin Choo Alexander Yaw Fui Chung Brian Kim Poh Goh Department of Hepatopancreatobiliary and Transplant Surgery Singapore General HospitalSingapore 169608Singapore Center for Quantitative Medicine Duke-NUS Graduate Medical SchoolSingapore 169857Singapore Department of General Surgery Hepatopancreatobiliary ServiceChangi General HospitalSingapore 529889Singapore Department of Medical Oncology National Cancer Centre SingaporeSingapore 169610Singapore Duke-NUS Graduate Medical School Singapore 169857Singapore

AIM To perform a systematic review to determine the survival outcomes after curative resection of intermediate and advanced hepatocellular carcinomas(HCC).MeTHODS A systematic review of the published literature was performed using the PubM ed database from 1 st January 1999 to 31 st Dec 2014 to identify studies that reported outcomes of liver resection as the primary curative treatment for Barcelona Clinic Liver Cancer(BCLC) stage B or C HCC. The primary end point was to determine the overall survival(OS) and disease free survival(DFS) of liver resection of HCC in BCLC stage B or C in patients with adequate liver reserve(i.e., Child's A or B status). The secondary end points were to assess the morbidity and mortality of liver resection in large HCC(defined as lesions larger than 10 cm in diameter) and to compare the OS and DFS after surgical resection of solitary vs multifocal *** We identified 74 articles which met the inclusion criteria and were analyzed in this systematic review. Analysis of the resection outcomes of the included studies were grouped according to(1) BCLC stage B or C HCC,(2) Size of HCC and(3) multifocal tumors. The median 5-year OS of BCLC stage B was 38.7%(range 10.0-57.0); while the median 5-year OS of BCLC stage C was 20.0%(range 0.0-42.0). The collective median 5-year OS of both stages was 27.9%(0.0-57.0). In examining the morbidity and mortality following liver resection in large HCC, the pooled RR for morbidity [RR(95%CI) = 1.00(0.76-1.31)] and mortality [RR(95%CI) = 1.15(0.73-1.80)] were not significant. Within the spectrum of BCLC B and C lesions, tumors greater than 10 cm were reported to have median 5-year OS of 33.0% and multifocal lesions 54.0%.CONCLUSION Indication for surgical resection should be extended to BCLC stage B lesions in selected patients. Further studies are needed to stratify stage C lesions for resection.

关键词： Barcelona Clinic Liver Cancer Hepatocellular carcinoma Hepatectomy Milan criteria

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亚临床和显性肥厚型心肌病左室张力异常:心脏MR特征追踪

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国际医学放射学杂志 2019年第3期 353-354页

作者：庞国栋 D.M.Vigneault e.Yang P.J.Jensen M.W.tee H.Farhad L.Chu Department of Radiology and Imaging Sciences Clinical CenterNational Institutes of Health

摘要目的评价肥厚型心肌病(HCM)病人的心肌应变和周向跨壁应变差(cTSD,心外膜和心内膜周向应变的差异),并探讨cTSD与其他疾病状态下的解剖和功能指标之间

关键词：肥厚型心肌病亚临床 HCM MR

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心脏再同步治疗对心肌复极的影响及其潜在致心律失常作用

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中华心律失常学杂志 2006年第2期10卷 124-129页

作者：吕家高林立白融 Wee siong Teo Ruth Kam 王琳武汉华中科技大学同济医学院附属同济医院心内科 430030 Department of Cardidogy National Heart CentreSingapore

目的以双心室起搏为核心技术的心脏再同步治疗技术(CRT)用于治疗慢性心力衰竭(CHF)时可能引起心肌复极异常而具有潜在的致心律失常危险性。本研究以接受CRT的CHF患者为对象,观察反映心肌复极特性的心电图指标在不同部位起搏时的变化及差... 详细信息

目的以双心室起搏为核心技术的心脏再同步治疗技术(CRT)用于治疗慢性心力衰竭(CHF)时可能引起心肌复极异常而具有潜在的致心律失常危险性。本研究以接受CRT的CHF患者为对象,观察反映心肌复极特性的心电图指标在不同部位起搏时的变化及差异,并结合患者转归探讨其意义。方法21例接受CRT和/或CRT-D治疗的CHF患者入选。在植入术过程中或者复查时,将CRT装置分别程控为右心室心内膜起搏(RV-endo)、左心室心外膜起搏(LV-epi)和双心室起搏(Biv),同步记录12导联心电图,测量心电图上反映复极时间和复极差异的指标QT间期、JT间期和Tp-e间期,并在不同起搏部位间比较这些参数的差异。结果准确反映心肌复极时间的JT间期和公认代表心肌跨室壁复极离散的Tp-e间期均在LV-epi起搏时最长[(341.78±61.69)ms,(199.70±62.44)ms],Biv起搏时次之[(325.86±59.19)ms,(184.89±74.08)ms],RV-endo起搏时最短[(286.14±38.68)ms,(146.41±31.16)ms],三者比较差异有统计学意义(P<0.0001)。QT间期的变化有类似趋势但差异无统计学意义。在(29.18±18.38)个月的随访期中,共发生4例死亡,其中1例猝死,1例发生“心律失常风暴”并最终死于无休止性室性心动过速。结论在CHF患者已有器质性心肌病变的基础上,左心室心外膜起搏和目前CRT采用的双心室起搏延长心肌复极时间并增大跨室壁心肌复极离散,从而为促进恶性心律失常的发生提供了“基质”。

关键词：心脏再同步治疗心外膜起搏心力衰竭 Tp-e间期跨室壁复极离散

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