Biomedical subjects

Timothy C Y Kwok

Publications and source records attributed to Timothy C Y Kwok.

3 recordsLinked to original sources

PubMed2003

Can IQCODE detect poststroke dementia?

BACKGROUND: Little is known about the performance of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) in the screening of post-stroke dementia (PSDE). METHODS: At 3 months after the index stroke, a research assistant administered the IQCODE to relatives of 189 Chinese patients with acute stroke who were consecutively admitted to a general hospital. A psychiatrist, who was blind to the IQCODE scores, interviewed all 189 patients and made DSM-IV diagnosis of dementia, which served as the benchmark for judging the performance of IQCODE in screening PSDE. RESULTS: The optimal cut-off point of IQCODE was 3.40. The sensitivity, specificity, and positive and negative predictive values of IQCODE, and the area under the receiver operating characteristic curve, were 88%, 75%, 33%, 98%, and 0.88, respectively. CONCLUSIONS: When used as a sole instrument, IQCODE does not appear to be useful in screening PSDE in Chinese elderly.

Aged↗

PubMed2002

Deficient dietary vitamin K intake among elderly nursing home residents in Hong Kong.

There is strong evidence supporting the importance of vitamin K in bone health and the aetiological role of vitamin K deficiency in osteoporosis. In view of the common occurrence of osteoporosis among older subjects in Hong Kong, we have studied the dietary vitamin K intakes in 100 residents of a nursing home (43 men, 57 women; median age 81.0 years) and 88 free-living subjects attending a day care centre (13 men, 75 women; median age 71.5 years). The subjects were interviewed and the average vitamin K intake in the preceding week was estimated, using a diet recall questionnaire modified from our previous surveys of dietary patterns in local Chinese people. The median vitamin K intake was much lower in nursing home residents than in free-living subjects (4.50 vs 488.09 microg/day or 0.13 vs 8.74 microg/kg/day, P<0.001). An intake that was below the recommended daily intake was far more common among nursing home residents (86.0 vs 11.4%, P < 0.001). Among nursing home residents, there was a negative correlation between age and vitamin K intake (r = -0.217, P = 0.030), but there was a positive correlation between body weight and vitamin K intake (r = 0.244, P = 0.015). No such relationship was seen among free-living subjects. Elderly nursing home residents in this study generally had a poor dietary vitamin K intake and might therefore be predisposed to osteoporosis. The importance of green leafy vegetables as a rich source of vitamin K should be emphasised.

Adult↗

PubMed2002

Death anxiety among Chinese elderly people in Hong Kong.

OBJECTIVES: This study aims to examine the cognitive and emotional reactions of Chinese elderly people toward death, to extend the use of a Western scale on death anxiety to a Chinese sample, and to explore the correlates of death anxiety. METHODS: A community sample of 237 Chinese elderly people (62 men and 175 women) in Hong Kong between the ages of 60 and 91 years old was individually interviewed. RESULTS: Among this elderly cohort, a high level of death anxiety was associated with younger age, a high level of psychological distress, and the presence of recent stressors but was unrelated to number of physical disorders, gender, personal income, marital and employment status, and religious affiliations. DISCUSSION: Reactions of Chinese elderly people toward specific death-related issues were discussed with regard to Chinese cultural beliefs. Limitations and implications of the present study were also discussed.

Age Factors↗