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Hong Kong Medical Journal, Xianggang Yi Xue za Zhi

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https://www.readbyqxmd.com/read/29633715/willingness-for-deceased-organ-donation-under-different-legislative-systems-in-hong-kong-population-based-cross-sectional-survey
#1
T K Cheung, T C Cheng, L Y Wong
INTRODUCTION: Under the current opt-in system, the deceased organ donation rate remains low in Hong Kong. An opt-out system and an opt-in system combined with organ allocation priority (ie, priority to donors as transplant recipients) have been proposed to encourage willingness among the general population towards deceased organ donation. This study aimed to compare willingness, and its determinants, across these three legislative systems. METHODS: A random telephone survey of Hong Kong permanent residents aged ≥18 years was conducted between August and October 2016 using an anonymous questionnaire...
April 10, 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29632275/management-of-complications-of-ketamine-abuse-10-years-experience-in-hong-kong
#2
REVIEW
Y L Hong, C H Yee, Y H Tam, J Hm Wong, P T Lai, C F Ng
Ketamine is an N-methyl-d-aspartate receptor antagonist, a dissociative anaesthetic agent and a treatment option for major depression, treatment-resistant depression, and bipolar disorder. Its strong psychostimulant properties and easy absorption make it a favourable candidate for substance abuse. Ketamine entered Hong Kong as a club drug in 2000 and the first local report of ketamine-associated urinary cystitis was published in 2007. Ketamine-associated lower-urinary tract symptoms include frequency, urgency, nocturia, dysuria, urge incontinence, and occasionally painful haematuria...
April 6, 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29632274/reduction-of-operative-mortality-after-implementation-of-surgical-outcomes-monitoring-and-improvement-programme-by-hong-kong-hospital-authority
#3
W C Yuen, K Wong, Y S Cheung, P Bs Lai
INTRODUCTION: Since 2008, the Hong Kong Hospital Authority has implemented a Surgical Outcomes Monitoring and Improvement Programme (SOMIP) at 17 public hospitals with surgical departments. This study aimed to assess the change in operative mortality rate after implementation of SOMIP. METHODS: The SOMIP included all Hospital Authority patients undergoing major/ultra-major procedures in general surgery, urology, plastic surgery, and paediatric surgery. Patients undergoing liver or renal transplantation or who had multiple trauma or massive bowel ischaemia were excluded...
April 6, 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29632273/outcomes-and-morbidities-of-patients-who-survive-haemoglobin-bart-s-hydrops-fetalis-syndrome-20-year-retrospective-review
#4
W Yk Chan, A Wk Leung, C W Luk, R Ch Li, A Sc Ling, S Y Ha
INTRODUCTION: Haemoglobin Bart's hydrops fetalis syndrome was once considered a fatal condition. However, advances over the past two decades have enabled survival of affected patients. Data relating to their morbidities and outcomes will help medical specialists formulate a management plan and parental counselling. METHODS: All babies with the syndrome who survived beyond the neonatal period and were subsequently managed long-term in eight public hospitals in Hong Kong from 1 January 1996 to 31 December 2015 were included...
April 6, 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29632272/understanding-breast-cancer-screening-past-present-and-future
#5
REVIEW
J Cm Sitt, C Y Lui, L Hy Sinn, J Cy Fong
This article provides an up-to-date overview of breast cancer mammography screening and briefly discusses its history, controversies, current guidelines, practices across Asia, and future directions. An emphasis is made on shared decision-making--instead of giving just a 'yes' or 'no' answer to patients, the focus should be on providing sufficient information about the pros and cons of screening to help women make a personal, informed choice. Frontline experts, including breast surgeons, oncologists, breast radiologists, and their representative professional associations should all participate in guideline panels, with the goal of improving cancer detection, reducing mortality, and improving patient outcome...
April 6, 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29622760/effect-of-a-financial-incentive-on-the-acceptance-of-a-smoking-cessation-programme-with-service-charge-a-cluster-controlled-trial
#6
K S Wong, S N Fu, K L Cheung, M C Dao, W M Sy
INTRODUCTION: Frontline health care professionals in Hong Kong may encounter high refusal rates for the Hospital Authority's Smoking Counselling and Cessation Programme (SCCP) when smokers know it is subject to a service charge. We compared SCCP booking and attendance rates among smokers with or without a financial incentive. METHODS: In this multicentre non-randomised cluster-controlled trial, adult smokers who attended one of six general out-patient clinics between November 2015 and April 2016 were invited to join an SCCP...
April 4, 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29622759/endobronchial-valve-for-treatment-of-persistent-air-leak-complicating-spontaneous-pneumothorax
#7
W C Yu, E Lm Yu, H C Kwok, H L She, K K Kwong, Y H Chan, Y L Tsang, Y C Yeung
INTRODUCTION: Endobronchial one-way valves have been proposed as treatment for persistent air leak complicating spontaneous pneumothorax in which surgical intervention is not feasible. However, published data on efficacy, safety, and factors associated with success are scanty. METHODS: This is a retrospective study of 37 patients at a general hospital from 2008 to 2016. The impact of endobronchial valve implantation on the time to air-leak cessation after bronchoscopy was evaluated...
April 4, 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29497013/genetic-basis-of-channelopathies-and-cardiomyopathies-in-hong-kong-chinese-patients-a-10-year-regional-laboratory-experience
#8
C M Mak, S Pl Chen, N S Mok, W K Siu, H Hc Lee, C K Ching, P T Tsui, N C Fong, Y P Yuen, W T Poon, C Y Law, Y K Chong, Y W Chan, T C Yung, K Yy Fan, C W Lam
INTRODUCTION: Hereditary channelopathies and cardiomyopathies are potentially lethal and are clinically and genetically heterogeneous, involving at least 90 genes. Genetic testing can provide an accurate diagnosis, guide treatment, and enable cascade screening. The genetic basis among the Hong Kong Chinese population is largely unknown. We aimed to report on 28 unrelated patients with positive genetic findings detected from January 2006 to December 2015. METHODS: Sanger sequencing was performed for 28 unrelated patients with a clinical diagnosis of channelopathies or cardiomyopathies, testing for the following genes: KCNQ1, KCNH2, KCNE1, KCNE2, and SCN5A, for long QT syndrome; SCN5A for Brugada syndrome; RYR2 for catecholaminergic polymorphic ventricular tachycardia; MYH7 and MYBPC3 for hypertrophic cardiomyopathy; LMNA for dilated cardiomyopathy; and PKP2 and DSP for arrhythmogenic right ventricular dysplasia/cardiomyopathy...
March 2, 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29658490/pleural-adenosine-deaminase-cut-off-value-for-the-diagnosis-of-tuberculous-pleural-effusion-using-the-diazyme-assay
#9
LETTER
A Servonnet, C Frederic, F Fargeau, H Delacour
No abstract text is available yet for this article.
April 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29658489/characteristic-imaging-features-of-clonorchiasis
#10
W K Lo, S M Yu, J Cs Chan
No abstract text is available yet for this article.
April 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29658488/pancreatic-pseudocyst-rupture-into-the-portal-vein-diagnosed-by-magnetic-resonance-imaging
#11
H C Lee, K H Tse
No abstract text is available yet for this article.
April 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29658487/cystic-artery-pseudoaneurysm-with-haemobilia-after-laparoscopic-cholecystectomy
#12
K To, E Ch Lai, D Tm Chung, O Cy Chan, C N Tang
No abstract text is available yet for this article.
April 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29658486/familial-eruptive-syringoma
#13
M Yaldiz, C Cosansu, M T Erdem, B S Dikicier, Z Kahyaoglu
No abstract text is available yet for this article.
April 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29658485/hyperbaric-oxygen-therapy-its-use-in-medical-emergencies-and-its-development-in-hong-kong
#14
J Ks Leung, R Pk Lam
Hyperbaric oxygen therapy is widely accepted as life-saving treatment for decompression illness. Yet its use in acute carbon monoxide poisoning has remained controversial because of inconsistent findings in clinical trials. Hyperbaric oxygen therapy has an adjunctive role in managing gas gangrene, necrotising soft-tissue infection, and crush injury, as supported by case series. Several cases have been reported in the literature detailing the use of hyperbaric oxygen therapy in patients with severe anaemia in whom blood transfusion is not possible...
April 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29658484/complexity-of-syncope-in-elderly-people-a-comprehensive-geriatric-approach
#15
C W Wong
Syncope is a prevalent health problem among elderly people. It may be neurally mediated or caused by conditions such as orthostatic hypotension, postprandial hypotension, and cardiac disorders. A combination of different aetiologies is not uncommon in the elderly people. Many pathophysiological processes, including age-related physiological changes, co-morbidities, concomitant medication use, and prolonged bedrest, coexist and predispose elderly people to syncope; advanced age and cardiac syncope are associated with increased mortality...
April 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29658483/bacteriology-and-risk-factors-associated-with-periprosthetic-joint-infection-after-primary-total-knee-arthroplasty-retrospective-study-of-2543-cases
#16
K T Siu, F Y Ng, P K Chan, H Ch Fu, C H Yan, K Y Chiu
INTRODUCTION: Periprosthetic joint infection after total knee arthroplasty is a serious complication. This study aimed to identify risk factors and bacteriological features associated with periprosthetic joint infection after primary total knee arthroplasty performed at a teaching hospital. METHODS: We reviewed 2543 elective primary total knee arthroplasties performed at our institution from 1993 to 2013. Data were collected from the Hong Kong Hospital Authority's Clinical Data Analysis and Reporting System, the Infection Control Team, and the joint replacement division registry...
April 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29658482/multidisciplinary-care-for-better-clinical-outcomes-role-of-pharmacists-in-medication-management
#17
EDITORIAL
V Wy Lee, F Wt Cheng
No abstract text is available yet for this article.
April 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29535279/intra-operative-periarticular-multimodal-injection-in-total-knee-arthroplasty-a-local-hospital-experience-in-hong-kong
#18
J Ch Fan
INTRODUCTION: Data from a local report revealed the superior outcome of regional anaesthesia and analgesia compared with general anaesthesia and intravenous patient-controlled analgesia in total knee arthroplasty. This retrospective study aimed to assess the efficacy of intra-operative periarticular multimodal injection in improving postoperative pain and reducing morphine consumption with patient-controlled analgesia after total knee arthroplasty in patients with knee osteoarthritis...
April 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29302017/outcomes-of-a-pharmacist-led-medication-review-programme-for-hospitalised-elderly-patients
#19
P Kc Chiu, A Wk Lee, T Yw See, F Hw Chan
INTRODUCTION: Elderly patients are at risk of drug-related problems. This study aimed to determine whether a pharmacist-led medication review programme could reduce inappropriate medications and hospital readmissions among geriatric in-patients in Hong Kong. METHODS: This prospective controlled study was conducted in a geriatric unit of a regional hospital in Hong Kong. The study period was from December 2013 to September 2014. Two hundred and twelve patients were allocated to receive either routine care (104) or pharmacist intervention (108) that included medication reconciliation, medication review, and medication counselling...
February 9, 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29424348/mesenteric-fibromatosis-a-rare-cause-of-peritonitis
#20
E Pl Ng, S Y Kwok, K F Lok, M P Chow, P Yy Lau
No abstract text is available yet for this article.
February 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
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