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  1. Wong HK, Stephen ID
    J Eye Mov Res, 2019 Aug 05;12(2).
    PMID: 33828723 DOI: 10.16910/jemr.12.2.5
    Human behaviour is not only influenced by the physical presence of others, but also implied social presence. This study examines the impact of awareness of being eye-tracked on eye movement behaviour in a laboratory setting. During a classic yes/no face recognition task, participants were made to believe that their eye movements were recorded (or not recorded) by eye trackers. Their looking patterns with and without the awareness of being eye-tracked were compared while perceiving social (faces, faces-and-bodies) and non-social (inanimate objects) video stimuli. Area-of-interest (AOI) analysis revealed that misinformed participants (who were not aware that their eye movements were being recorded) looked more at the body (chest and waist) compared to informed participants (who believed they were being eye-tracked), whereas informed participants fixated longer on the mouth and shorter on the eyes of female models than misinformed participants did. These findings highlight the potential impact of an awareness of being eye tracked on one's eye movement pattern when perceiving a social stimulus. We conclude that even within laboratory settings an eye tracker may function as an implied social presence that leads individuals to modify their eye movement behaviour according to socially-derived inhibitory norms.
  2. Estudillo AJ, Wong HK
    PeerJ, 2021;9:e10629.
    PMID: 33510971 DOI: 10.7717/peerj.10629
    The 20-Item Prosopagnosia Items (PI-20) was recently introduced as a self-report measure of face recognition abilities and as an instrument to help the diagnosis of prosopagnosia. In general, studies using this questionnaire have shown that observers have moderate to strong insights into their face recognition abilities. However, it remains unknown whether these insights are equivalent for the whole range of face recognition abilities. The present study investigates this issue using the Mandarin version of the PI-20 and the Cambridge Face Memory Test Chinese (CFMT-Chinese). Our results showed a moderate negative association between the PI-20 and the CFMT-Chinese. However, this association was driven by people with low and high face recognition ability, but absent in people within the typical range of face recognition performance. The implications of these results for the study of individual differences and the diagnosis of prosopagnosia are discussed.
  3. Wong HK, Estudillo AJ
    Cogn Res Princ Implic, 2022 10 08;7(1):91.
    PMID: 36209185 DOI: 10.1186/s41235-022-00438-x
    Although putting on a mask over our nose and mouth is a simple but powerful way to protect ourselves and others during a pandemic, face masks may interfere with how we perceive and recognize one another, and hence, may have far-reaching impacts on communication and social interactions. To date, it remains relatively unknown the extent to which wearing a face mask that conceals the bottom part of the face affects the extraction of different facial information. To address this question, we compared young adults' performance between masked and unmasked faces in four different tasks: (1) emotion recognition task, (2) famous face recognition and naming test, (3) age estimation task, and (4) gender classification task. Results revealed that the presence of face mask has a negative impact on famous face recognition and emotion recognition, but to a smaller extent on age estimation and gender classification tasks. More interestingly, we observed a female advantage in the famous face recognition and emotion recognition tasks and a female own-gender bias in gender categorisation and age estimation tasks. Overall, these findings allude to the lack of malleability of the adulthood face recognition and perceptual systems.
  4. Estudillo AJ, Wong HK
    PLoS One, 2024;19(1):e0295407.
    PMID: 38166082 DOI: 10.1371/journal.pone.0295407
    Although it is generally accepted that face recognition relies on holistic processing, it has been suggested that the simultaneous face matching task may depend on a more analytical or featural processing approach. However, empirical evidence supporting this claim is limited. In two experiments, we further explored the role of holistic and featural processing on simultaneous face matching by manipulating holistic processing through inversion and presenting faces with or without face masks. The results from Experiment 1 revealed that both inversion and face masks impaired matching performance. However, while the inversion effect was evident in both full-view and masked faces, the mask effect was only found in upright, but not inverted, faces. These results were replicated in Experiment 2 but, the inversion and mask effects were stronger in delayed face matching than in simultaneous face matching. Our findings suggest that simultaneous face matching relies on holistic processing, but to a smaller extent compared to higher memory-demanding identification tasks.
  5. Wang W, Lee EH, Wong HK
    Ann Acad Med Singap, 2005 Jul;34(6):130C-136C.
    PMID: 16010393
    The Department of Orthopaedic Surgery at the University of Malaya (in Singapore) was established in 1952. Prior to this, the teaching of Orthopaedic Surgery at the University was undertaken by the Department of Surgery under the Professor of Surgery and Professor of Clinical Surgery. From a course consisting of 15 weekly classes on fractures for 18 undergraduates in the late 1930s, and the clinical postings in orthopaedic surgery for over 40 students in 1952, the programme now encompasses an exposure to musculoskeletal diseases and trauma in all 5 years of the undergraduate course. Over this time, the spectrum of clinical conditions has also changed, and with it the emphasis on the conditions to be taught; from that dealing primarily with tuberculosis of bones and joints, poliomyelitis, and childhood deformity, to those resulting from degenerative disorders, sports injuries, industrial and motor vehicle accidents, and cancer. The students are now taught orthopaedic surgery in all the major public hospitals. Local postgraduate training programmes for orthopaedic surgery started in the 1980s. From 1993, a more structured training and assessment programme was introduced for basic and advanced training in surgery and orthopaedics. Advanced trainees rotate through the various teaching hospitals to expose them to a wider range of orthopaedic problems as well as teachers. The postgraduate training programme is now well established, and Singapore is accredited by the Royal College of Surgeons of Edinburgh as an orthopaedic training centre for higher surgical training.
  6. Lua YH, Ong WW, Wong HK, Chew CH
    Trop Life Sci Res, 2020 Oct;31(3):63-75.
    PMID: 33214856 DOI: 10.21315/tlsr2020.31.3.5
    The metabolism of alcohol involves cytochrome P450 2E1 (CYP2E1)-induced oxidative stress, with the association of phosphatidylinositol-3-kinases (PI3K) and nuclear factor kappa B (NFκB) signalling pathways. CYP2E1 is primarily involved in the microsomal ethanol oxidising system, which generates massive reactive oxygen species (ROS) and ultimately leads to oxidative stress and tissue damage. Lauric acid, a major fatty acid in palm kernel oil, has been shown as a potential antioxidant. Here, we aimed to evaluate the use of lauric acid as a potential antioxidant against ethanol-mediated oxidative stress by investigating its effect on CYP2E1 mRNA expression and the signalling pathway in ethanol-induced HepG2 cells. HepG2 cells were firstly treated with different concentrations of ethanol, and subsequently co-treated with different concentrations of lauric acid for 24 h. Total cellular RNA and total protein were extracted, and qPCR and Western blot was carried out. Ethanol induced the mRNA expression of CYP2E1 significantly, but lauric acid was able to downregulate the induced CYP2E1 expression in a dose-dependent manner. Similarly, Western blot analysis and densitometry analysis showed that the phosphorylated PI3K p85 (Tyr458) protein was significantly elevated in ethanol-treated HepG2 cells, but co-treatment with lauric acid repressed the activation of PI3K. However, there was no significant difference in NFκB pathway, in which the normalised NFκB p105 (Ser933) phosphorylation remained constant in any treatment conditions in this study. This suggests that ethanol induced CYP2E1 expression by activating PI3K p85 (Tyr458) pathway, but not the NFκB p105 (Ser933) pathway in HepG2 cells.
  7. Wong HK, Keeble DRT, Stephen ID
    Br J Psychol, 2023 May;114 Suppl 1:134-149.
    PMID: 36647242 DOI: 10.1111/bjop.12629
    Previous cross-cultural eye-tracking studies examining face recognition discovered differences in the eye movement strategies that observers employ when perceiving faces. However, it is unclear (1) the degree to which this effect is fundamentally related to culture and (2) to what extent facial physiognomy can account for the differences in looking strategies when scanning own- and other-race faces. In the current study, Malay, Chinese and Indian young adults who live in the same multiracial country performed a modified yes/no recognition task. Participants' recognition accuracy and eye movements were recorded while viewing muted face videos of own- and other-race individuals. Behavioural results revealed a clear own-race advantage in recognition memory, and eye-tracking results showed that the three ethnic race groups adopted dissimilar fixation patterns when perceiving faces. Chinese participants preferentially attended more to the eyes than Indian participants did, while Indian participants made more and longer fixations on the nose than Malay participants did. In addition, we detected statistically significant, though subtle, differences in fixation patterns between the faces of the three races. These findings suggest that the racial differences in face-scanning patterns may be attributed both to culture and to variations in facial physiognomy between races.
  8. Wong HK, Estudillo AJ, Stephen ID, Keeble DRT
    Sci Rep, 2021 04 19;11(1):8507.
    PMID: 33875735 DOI: 10.1038/s41598-021-87933-1
    It is widely accepted that holistic processing is important for face perception. However, it remains unclear whether the other-race effect (ORE) (i.e. superior recognition for own-race faces) arises from reduced holistic processing of other-race faces. To address this issue, we adopted a cross-cultural design where Malaysian Chinese, African, European Caucasian and Australian Caucasian participants performed four different tasks: (1) yes-no face recognition, (2) composite, (3) whole-part and (4) global-local tasks. Each face task was completed with unfamiliar own- and other-race faces. Results showed a pronounced ORE in the face recognition task. Both composite-face and whole-part effects were found; however, these holistic effects did not appear to be stronger for other-race faces than for own-race faces. In the global-local task, Malaysian Chinese and African participants demonstrated a stronger global processing bias compared to both European- and Australian-Caucasian participants. Importantly, we found little or no cross-task correlation between any of the holistic processing measures and face recognition ability. Overall, our findings cast doubt on the prevailing account that the ORE in face recognition is due to reduced holistic processing in other-race faces. Further studies should adopt an interactionist approach taking into account cultural, motivational, and socio-cognitive factors.
  9. Kho SK, Keeble DRT, Wong HK, Estudillo AJ
    Neuropsychologia, 2023 Oct 10;189:108663.
    PMID: 37611740 DOI: 10.1016/j.neuropsychologia.2023.108663
    The functional role of the occipital face area (OFA) and the fusiform face area (FFA) in face recognition is inconclusive to date. While some research has shown that the OFA and FFA are involved in early (i.e., featural processing) and late (i.e., holistic processing) stages of face recognition respectively, other research suggests that both regions are involved in both early and late stages of face recognition. Thus, the current study aims to further examine the role of the OFA and the FFA using multifocal transcranial direct current stimulation (tDCS). In Experiment 1, we used computer-generated faces. Thirty-five participants completed whole face and facial features (i.e., eyes, nose, mouth) recognition tasks after OFA and FFA stimulation in a within-subject design. No difference was found in recognition performance after either OFA or FFA stimulation. In Experiment 2 with 60 participants, we used real faces, provided stimulation following a between-subjects design and included a sham control group. Results showed that FFA stimulation led to enhanced efficiency of facial features recognition. Additionally, no effect of OFA stimulation was found for either facial feature or whole face recognition. These results suggest the involvement of FFA in the recognition of facial features.
  10. Kho SK, Keeble D, Wong HK, Estudillo AJ
    Soc Neurosci, 2023 Dec;18(6):393-406.
    PMID: 37840302 DOI: 10.1080/17470919.2023.2263924
    Successful face recognition is important for social interactions and public security. Although some preliminary evidence suggests that anodal and cathodal transcranial direct current stimulation (tDCS) might modulate own- and other-race face identification, respectively, the findings are largely inconsistent. Hence, we examined the effect of both anodal and cathodal tDCS on the recognition of own- and other-race faces. Ninety participants first completed own- and other-race Cambridge Face Memory Test (CFMT) as baseline measurements. Next, they received either anodal tDCS, cathodal tDCS or sham stimulation and finally they completed alternative versions of the own- and other-race CFMT. No difference in performance, in terms of accuracy and reaction time, for own- and other-race face recognition between anodal tDCS, cathodal tDCS and sham stimulation was found. Our findings cast doubt upon the efficacy of tDCS to modulate performance in face identification tasks.
  11. Anthony K, Wong HK, Lim A, Sow F, Janssen SM
    Q J Exp Psychol (Hove), 2024 Mar;77(3):447-460.
    PMID: 37649149 DOI: 10.1177/17470218231200724
    The retrieval of autobiographical memories involves the construction of mental representations of past personal events. Many researchers examining the processes underlying memory retrieval argue that visual imagery plays a fundamental role. Other researchers, however, have argued that working memory is an integral component involved in memory retrieval. The goal of this study was to resolve these conflicting arguments by comparing the relative contributions of visual imagery and working memory during the retrieval of autobiographical memories in a dual-task paradigm. While following a moving dot, viewing a dynamic visual noise (DVN), or viewing a blank screen, 95 participants recalled their memories and subsequently rated them on different memory characteristics. The results suggest that inhibiting visual imagery by having participants view DVN merely delayed memory retrieval but did not affect the phenomenological quality of the memories retrieved. Taxations to the working memory by having participants follow a moving dot, on the contrary, resulted in only longer retrieval latencies and no reductions in the specificity, vividness, or the emotional intensity of the memories retrieved. Whereas the role of visual imagery during retrieval is clear, future studies could further examine the role of working memory during retrieval by administering a task that is less difficult or by recruiting a larger sample than this study. The results of this study seem to suggest that both visual imagery and working memory play a role during the retrieval of autobiographical memory, but more research needs to be conducted to determine their exact roles.
  12. Tang SG, Sieo CC, Kalavathy R, Saad WZ, Yong ST, Wong HK, et al.
    J Food Sci, 2015 Aug;80(8):C1686-95.
    PMID: 26174350 DOI: 10.1111/1750-3841.12947
    A 16-wk feeding experiment was conducted to investigate the effects of a prebiotic, isomaltooligosaccharide (IMO), a probiotic, PrimaLac®, and their combination as a synbiotic on the chemical compositions of egg yolks and the egg quality of laying hens. One hundred and sixty 16-wk-old Hisex Brown pullets were randomly assigned to 4 dietary treatments: (i) basal diet (control), (ii) basal diet + 1% IMO (PRE), (iii) basal diet + 0.1% PrimaLac® (PRO), and (iv) basal diet + 1% IMO + 0.1% PrimaLac® (SYN). PRE, PRO, or SYN supplementation not only significantly (P < 0.05) decreased the egg yolk cholesterol (24- and 28-wk-old) and total saturated fatty acids (SFA; 28-, 32-, and 36-wk-old), but also significantly (P < 0.05) increased total unsaturated fatty acids (UFA; 28-, 32-, and 36-wk-old), total omega 6 and polyunsaturated fatty acids (PUFA), including linoleic and alpha-linolenic acid levels in the eggs (28-wk-old). However, the total lipids, carotenoids, and tocopherols in the egg yolks were similar among all dietary treatments in the 24-, 28-, 32-, and 36-wk-old hens. Egg quality (Haugh unit, relative weights of the albumen and yolk, specific gravity, shell thickness, and yolk color) was not affected by PRE, PRO, or SYN supplementation. The results indicate that supplementations with IMO and PrimaLac® alone or in combination as a synbiotic might be useful for improving the cholesterol content and modifying the fatty acid compositions of egg yolk without affecting the quality of eggs from laying hens between 24 and 36 wk of age.
  13. Ong MH, Wong HK, Tengku-Muhammad TS, Choo QC, Chew CH
    Mol Biol Rep, 2019 Jun;46(3):2631-2641.
    PMID: 30989556 DOI: 10.1007/s11033-019-04661-6
    The prevalence of atherosclerosis has increased significantly in the recent years due to sedentary lifestyle and high-fat diet. However, the association between saturated fat intake and the increased risk for atherosclerotic cardiovascular diseases remains heavily debated. Lauric acid belongs to the saturated fatty acid group and its unique medium chain fatty acid properties are proven to be beneficial to humans in many ways. Thus, the aim of this project is to investigate the effect of lauric acid on the expression of a disintegrin and metalloproteinase with thrombospondin motifs (ADAMTS) genes-ADAMTS-1, ADAMTS-4, and ADAMTS-5-in macrophages. These genes encode for proteases that participate in the extracellular matrix remodeling and they play important roles in the vulnerability of atherosclerotic plaque. Here, we show that the treatment of 20 µM of lauric acid successfully reduced both transcriptional and translational expressions of these genes in THP-1 differentiated macrophages after 24-h incubation. Further cell signaling experiments using a panel of kinase inhibitors and phosphorylated antibodies proved that lauric acid down-regulated ADAMTS-1 by reducing the activation of PI3K and JNK at Tyr458 and Tyr185, respectively. Finally, JNK1 siRNA knockdown assay confirmed that ADAMTS-1 was regulated through JNK pathway, and lauric acid interfered with this pathway to down-regulate ADAMTS-1 expression. Although preliminary, this present study indicates that lauric acid has the potential to stabilize atherosclerotic plaque and may prevent thrombosis by interfering with the ADAMTS-1 expression through PI3K/JNK pathways.
  14. Tang SGH, Sieo CC, Ramasamy K, Saad WZ, Wong HK, Ho YW
    BMC Vet Res, 2017 Aug 17;13(1):248.
    PMID: 28814309 DOI: 10.1186/s12917-017-1160-y
    BACKGROUND: The increasing trend of ban on the use of antibiotic growth promoters (AGPs) across the globe in the poultry industry has led to a growing need for alternatives to AGPs. Prebiotic, probiotic and their combination as a synbiotic have been considered as potential alternatives. This study aimed to investigate the effects of a prebiotic (isomaltooligosaccharide, IMO), a probiotic (PrimaLac®), and their combination (synbiotic) on hen performance, biochemical and haematological responses, and relative organ weights from 20 to 52 weeks of age.

    RESULTS: Supplementation of 1% IMO (PRE), 0.1% PrimaLac® (PRO) and 1% IMO + 0.1% PrimaLac® (SYN) improved (P 

  15. Kho SK, Leong BQZ, Keeble DRT, Wong HK, Estudillo AJ
    Behav Res Methods, 2024 Mar;56(3):1192-1206.
    PMID: 36971958 DOI: 10.3758/s13428-023-02085-6
    The Cambridge Face Memory Test (CFMT) is one of the most important measures of individual differences in face recognition and for the diagnosis of prosopagnosia. Having two different CFMT versions using a different set of faces seems to improve the reliability of the evaluation. However, at the present time, there is only one Asian version of the test. In this study, we present the Cambridge Face Memory Test - Chinese Malaysian (CFMT-MY), a novel Asian CFMT using Chinese Malaysian faces. In Experiment 1, Chinese Malaysian participants (N = 134) completed two versions of the Asian CFMT and one object recognition test. The CFMT-MY showed a normal distribution, high internal reliability, high consistency and presented convergent and divergent validity. Additionally, in contrast to the original Asian CFMT, the CFMT-MY showed an increasing level of difficulties across stages. In Experiment 2, Caucasian participants (N = 135) completed the two versions of the Asian CFMT and the original Caucasian CFMT. Results showed that the CFMT-MY exhibited the other-race effect. Overall, the CFMT-MY seems to be suitable for the diagnosis of face recognition difficulties and could be used as a measure of face recognition ability by researchers who wish to examine face-related research questions such as individual differences or the other-race effect.
  16. Lim WS, Ng DL, Kor SB, Wong HK, Tengku-Muhammad TS, Choo QC, et al.
    Cytokine, 2013 Jan;61(1):266-74.
    PMID: 23141142 DOI: 10.1016/j.cyto.2012.10.007
    Peroxisome proliferator activated receptor-alpha (PPARα) plays a major role in the regulation of lipid and glucose homeostasis, and inflammatory responses. The objectives of the study were to systematically investigate the effects of TNF-α and its regulatory pathway on PPARα expression in HepG2 cells using Real-Time RT-PCR and western blot analysis. Here, TNF-α suppressed PPARα mRNA expression in a dose- and time-dependent manner at the level of gene transcription. Pre-treatment of cells with 10μM of Wedelolactone for 2h was sufficient to restore PPARα expression to basal levels and also affected the expression of PPARα-regulated genes. This study also demonstrated that TNF-α represses PPARα expression by augmenting the activity of canonical NF-κB signalling pathway. This was shown by the abrogation of TNF-α-mediated PPARα down-regulation, after both p65 and p50 were knocked down via siRNA. The IKK contributes to IκBα degradation and mediates inducible phosphorylation of p105 at Ser933. Surprisingly, phosphorylation of p65 at Ser468 and Ser536 were severely abrogated with Wedelolactone inhibition, suggesting that Ser468 and Ser536, but not Ser276, may mediate the TNF-α inhibitory action on PPARα gene expression. These results suggest that TNF-α might, at least in part, suppress PPARα expression through activation of IKK/p50/p105/p65 pathway. Furthermore, phosphorylation of p65 at Ser468 and Ser536 may play a crucial role in the mechanism that limits PPARα production in the human HepG2 cells.
  17. House T, Wong HK, Samuel NW, Stephen ID, Brooks KR, Bould H, et al.
    R Soc Open Sci, 2023 Sep;10(9):230674.
    PMID: 37736527 DOI: 10.1098/rsos.230674
    Studies suggest that an attentional bias to thin bodies is common among those with high levels of body dissatisfaction, which is a risk factor for, and symptom of, various eating disorders. However, these studies have predominantly been conducted in Western countries with body stimuli involving images of White people. In a preregistered study, we recruited 150 Malaysian Chinese women and 150 White Australian women for a study using standardized images of East Asian and White Australian bodies. To measure attentional bias to thin bodies, participants completed a dot probe task which presented images of women who self-identified their ethnicity as East Asian or as White Australian. Contrary to previous findings, we found no evidence for an association between body dissatisfaction and attentional bias to thin bodies. This lack of association was not affected by participant ethnicity (Malaysian Chinese versus White Australian) or ethnic congruency between participants and body stimuli (own-ethnicity versus other-ethnicity). However, the internal consistency of the dot probe task was poor. These results suggest that either the relationship between body dissatisfaction and attentional bias to thin bodies is not robust, or the dot probe task may not be a reliable measure of attentional bias to body size.
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