keyword
https://read.qxmd.com/read/36691703/estimates-of-covid-19-deaths-in-mainland-china-after-abandoning-zero-covid-policy
#21
JOURNAL ARTICLE
John P A Ioannidis, Francesco Zonta, Michael Levitt
BACKGROUND: China witnessed a surge of Omicron infections after abandoning "zero COVID" strategies on December 7, 2022. The authorities report very sparse deaths based on very restricted criteria, but massive deaths are speculated. METHODS: We aimed to estimate the COVID-19 fatalities in Mainland China until summer 2023 using the experiences of Hong Kong and of South Korea in 2022 as prototypes. Both these locations experienced massive Omicron waves after having had very few SARS-CoV-2 infections during 2020-2021...
January 23, 2023: European Journal of Clinical Investigation
https://read.qxmd.com/read/36670375/a-cross-sectional-study-of-the-endorsement-proportion-of-reporting-guidelines-in-1039-chinese-medical-journals
#22
JOURNAL ARTICLE
Yuting Duan, Lingyun Zhao, Yanfang Ma, Jingyuan Luo, Juexuan Chen, Jiangxia Miao, Xuan Zhang, David Moher, Zhaoxiang Bian
BACKGROUND: Reporting quality is a critical issue in health sciences. Adopting the reporting guidelines has been approved to be an effective way of enhancing the reporting quality and transparency of clinical research. In 2012, we found that only 7 (7/1221, 0.6%) journals adopted the Consolidated Standards of Reporting Trials (CONSORT) statement in China. The aim of the study was to know the implementation status of CONSORT and other reporting guidelines about clinical studies in China...
January 21, 2023: BMC Medical Research Methodology
https://read.qxmd.com/read/36651107/practitioner-review-it-s-time-to-bridge-the-gap-understanding-the-unmet-needs-of-consumers-with-attention-deficit-hyperactivity-disorder-a-systematic-review-and-recommendations
#23
REVIEW
Matthew Bisset, Louise E Brown, Sampada Bhide, Pooja Patel, Nardia Zendarski, David Coghill, Leanne Payne, Mark A Bellgrove, Christel M Middeldorp, Emma Sciberras
OBJECTIVE: Understanding the unmet needs of healthcare consumers with attention-deficit/hyperactivity disorder (ADHD) (individuals with ADHD and their caregivers) provides critical insight into gaps in services, education and research that require focus and funding to improve outcomes. This review examines the unmet needs of ADHD consumers from a consumer perspective. METHODS: A standardised search protocol identified peer-reviewed studies published between December 2011 and December 2021 focusing on consumer-identified needs relating to ADHD clinical care or research priorities...
June 2023: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://read.qxmd.com/read/36610889/successful-treatment-of-acute-encephalitis-and-hepatitis-in-a-child-with-covid-19-infection
#24
Chiao-Yu Cheng, Cheng-Hsien Tsai, Hsin-Pei Wang, Wei-Tse Chiu, Hsi-Chuan Hung, Chun-Yi Chi, I-Jung Tsai
We present the case of a 6-year-old Taiwanese boy with a fulminant course of COVID-19 manifesting as high fever, acute consciousness changes, and status epilepticus. Brain MRI showed restricted diffusion in the bilateral hemisphere. Electroencephalogram showed diffuse slow waves with few spikes. CSF study was clear without evidence of common pathogens. He received treatment with antiviral agents, corticosteroids, intravenous immunoglobulins, and anti-IL-6 monoclonal antibodies. However, progressive fulminant hepatitis, hyperammonaemia, and disseminated intravascular coagulopathy developed...
November 25, 2022: Journal of the Formosan Medical Association
https://read.qxmd.com/read/36597526/estimates-of-covid-19-deaths-in-mainland-china-after-abandoning-zero-covid-policy
#25
John P A Ioannidis, Francesco Zonta, Michael Levitt
BACKGROUND: China witnessed a surge of Omicron infections after abandoning "zero COVID" strategies on December 7, 2022. The authorities report very sparse deaths based on very restricted criteria, but massive deaths are speculated. METHODS: We aimed to estimate the COVID-19 fatalities in Mainland China until summer 2023 using the experiences of Hong Kong and of South Korea in 2022 as prototypes. Both these locations experienced massive Omicron waves after having had very few SARS-CoV-2 infections during 2020-2021...
December 31, 2022: medRxiv
https://read.qxmd.com/read/36523573/movement-guidelines-for-young-children-engaging-stakeholders-to-design-dissemination-strategies-in-the-hong-kong-early-childhood-education-context
#26
JOURNAL ARTICLE
Catherine M Capio, Rachel A Jones, Catalina Sau Man Ng, Cindy H P Sit, Kevin Kien Hoa Chung
BACKGROUND: Early childhood is a critical period during which patterns of movement behaviors are formed. The World Health Organization had endorsed guidelines for physical activity, sedentary behavior and sleep over a 24-h time period, which had been adopted by the Center for Health Protection of Hong Kong. This paper reports on stakeholder engagements that were conducted to inform the design of strategies to disseminate the guidelines in early childhood education (ECE) settings. METHODS: Using a mixed-methods study design, we sought to (a) assess the stakeholders' levels of awareness and knowledge of the Hong Kong movement guidelines for young children and (b) identify the factors that influence the uptake of the said guidelines...
2022: Frontiers in Public Health
https://read.qxmd.com/read/36523125/adult-patients-in-paediatric-intensive-care-units
#27
JOURNAL ARTICLE
K K Y Leung, K L Hon, F Oberender, P Ip, J Y L Tung
No abstract text is available yet for this article.
December 2022: Hong Kong Medical Journal
https://read.qxmd.com/read/36455920/-applying-swanson-s-caring-theory-to-a-patient-with-an-initial-diagnosis-of-marfan-s-syndrome-with-aortic-dissection
#28
JOURNAL ARTICLE
Wei-Hsiu Huang, Pei-Chih Wu
This article describes the author's experience using Swanson Care Theory in the provision of nursing care to a 20-year-old man, an exchange student from Hong Kong, following his initial diagnosis with Marfan's syndrome. This patient required emergency aortic root replacement surgery due to type A aortic dissection. Immediately after learning of his illness, the patient was faced with making a major surgical decision. The absence of relatives and friends close by to assist him made him unable to decide whether to agree to the operation...
December 2022: Hu Li za Zhi the Journal of Nursing
https://read.qxmd.com/read/36409451/diagnosis-treatment-and-prevention-of-monkeypox-in-children-an-experts-consensus-statement
#29
JOURNAL ARTICLE
Rong-Meng Jiang, Yue-Jie Zheng, Lei Zhou, Lu-Zhao Feng, Lin Ma, Bao-Ping Xu, Hong-Mei Xu, Wei Liu, Zheng-De Xie, Ji-Kui Deng, Li-Juan Xiong, Wan-Jun Luo, Zhi-Sheng Liu, Sai-Nan Shu, Jian-She Wang, Yi Jiang, Yun-Xiao Shang, Miao Liu, Li-Wei Gao, Zhuang Wei, Guang-Hua Liu, Gang Liu, Wei Xiang, Yu-Xia Cui, Gen Lu, Min Lu, Xiao-Xia Lu, Run-Ming Jin, Yan Bai, Le-Ping Ye, Dong-Chi Zhao, A-Dong Shen, Xiang Ma, Qing-Hua Lu, Feng-Xia Xue, Jian-Bo Shao, Tian-You Wang, Zheng-Yan Zhao, Xing-Wang Li, Yong-Hong Yang, Kun-Ling Shen
Monkeypox is a zoonotic disease. Since the first human monkeypox case was detected in 1970, it has been prevalent in some countries in central and western Africa. Since May 2022, monkeypox cases have been reported in more than 96 non-endemic countries and regions worldwide. As of September 14, 2022, there have been more than 58,200 human monkeypox cases, and there is community transmission. The cessation of smallpox vaccination in 1980, which had some cross-protection with monkeypox, resulted in a general lack of immunity to monkeypox, which caused global concern and vigilance...
November 21, 2022: World Journal of Pediatrics: WJP
https://read.qxmd.com/read/36345702/developing-a-health-literacy-scale-for-adults-in-hong-kong-a-modified-e-delphi-study-with-healthcare-consumers-and-providers
#30
JOURNAL ARTICLE
Cindy Yue Tian, Eliza Lai-Yi Wong, Richard H Xu, Annie Wai-Ling Cheung, Dong Dong, Phoenix K-H Mo
INTRODUCTION: Health literacy (HL) refers to individuals' abilities to process and use health information to promote health. This study aimed to develop the first HL measurement tool for the Chinese Hong Kong population. METHODS: A two-phase methodology was adopted. In Phase I, evidence synthesis with a deductive method was conducted to formulate the item list from the literature. In Phase II, a modified e-Delphi survey was conducted among stakeholders (i.e., healthcare providers and healthcare consumers) to confirm the content validity of the item list...
November 8, 2022: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://read.qxmd.com/read/36339196/rare-disease-emerging-as-a-global-public-health-priority
#31
REVIEW
Claudia Ching Yan Chung, Annie Tsz Wai Chu, Brian Hon Yin Chung
The genomics revolution over the past three decades has led to great strides in rare disease (RD) research, which presents a major shift in global policy landscape. While RDs are individually rare, there are common challenges and unmet medical and social needs experienced by the RD population globally. The various disabilities arising from RDs as well as diagnostic and treatment uncertainty were demonstrated to have detrimental influence on the health, psychosocial, and economic aspects of RD families. Despite the collective large number of patients and families affected by RDs internationally, the general lack of public awareness and expertise constraints have neglected and marginalized the RD population in health systems and in health- and social-care policies...
2022: Frontiers in Public Health
https://read.qxmd.com/read/36178636/factors-associated-with-perceived-cognitive-impairment-in-patients-with-advanced-lung-cancer-a-cross-sectional-analysis
#32
JOURNAL ARTICLE
Naomi Takemura, Mu-Hsing Ho, Denise Shuk Ting Cheung, Chia-Chin Lin
PURPOSE: Perceived cognitive impairment refers to cognitive dysfunction that particularly involves impairment in working or short-term memory, and inattention. This study aimed to identify factors associated with perceived cognitive impairment in patients with advanced lung cancer. METHODS: This cross-sectional analysis used pooled data from a prospective, ongoing randomized controlled trial examining the effectiveness of exercise in patients with advanced lung cancer (Trial Registration: NCT04119778)...
September 30, 2022: Supportive Care in Cancer
https://read.qxmd.com/read/36149516/functional-outcomes-at-picu-discharge-in-hemato-oncology-children-at-a-tertiary-oncology-center-in-hong-kong
#33
JOURNAL ARTICLE
Karen K Y Leung, Samiran Ray, Godfrey C F Chan, Kam Lun Hon
BACKGROUND: Advancements in cancer treatment have resulted in longer survival but often at the expense of new therapy-associated morbidities. The aim of this study is to evaluate functional outcomes of hemato-oncology patients at PICU discharge, and to identify associated risk factors. METHODS: A single-center retrospective observational study. All children (< 19 years) with a hemato-oncology diagnosis admitted to the Hong Kong Children's Hospital PICU over a 2-year period were included...
September 23, 2022: International Journal of Clinical Oncology
https://read.qxmd.com/read/36139951/plethora-of-antibiotics-usage-and-evaluation-of-carbapenem-prescribing-pattern-in-intensive-care-units-a-single-center-experience-of-malaysian-academic-hospital
#34
JOURNAL ARTICLE
Chee Lan Lau, Petrick Periyasamy, Muhd Nordin Saud, Sarah Anne Robert, Lay Yen Gan, Suet Yin Chin, Kiew Bing Pau, Shue Hong Kong, Farah Waheeda Tajurudin, Mei Kuen Yin, Sheah Lin Ghan, Nur Jannah Azman, Xin Yun Chua, Poy Kei Lye, Stephanie Wai Yee Tan, Dexter Van Dort, Ramliza Ramli, Toh Leong Tan, Aliza Mohamad Yusof, Saw Kian Cheah, Wan Rahiza Wan Mat, Isa Naina-Mohamed
Excessive antibiotic consumption is still common among critically ill patients admitted to intensive care units (ICU), especially during the coronavirus disease 2019 (COVID-19) period. Moreover, information regarding antimicrobial consumption among ICUs in South-East Asia remains scarce and limited. This study aims to determine antibiotics utilization in ICUs by measuring antibiotics consumption over the past six years (2016-2021) and specifically evaluating carbapenems prescribed in a COVID-19 ICU and a general intensive care unit (GICU) during the second year of the COVID-19 pandemic...
August 30, 2022: Antibiotics
https://read.qxmd.com/read/35981883/population-study-on-diagnosis-treatment-and-outcomes-of-critically-ill-patients-with-tuberculosis-in-hong-kong-2008-2018
#35
JOURNAL ARTICLE
Christina So, Lowell Ling, Wai Tat Wong, Jack Zhenhe Zhang, Chun Ming Ho, Pauline Yeung Ng, Hoi Ping Shum, Alwin Wai Tak Yeung, Kai Cheuk Sin, Jacky Chan, Ka Fai Au, Ting Liong, Eunise Ho, Fu Loi Chow, Laptin Ho, Kai Man Chan, Gavin Matthew Joynt
BACKGROUND: Tuberculosis (TB) is a preventable and curable disease, but mortality remains high among those who develop sepsis and critical illness from TB. METHODS: This was a population-based, multicentre retrospective cohort study of patients admitted to all 15 publicly funded Hong Kong adult intensive care units (ICUs) between 1 April 2008 and 31 March 2019. 940 adult critically ill patients with at least one positive Mycobacterium tuberculosis (MTB) culture were identified out of 133 858 ICU admissions...
August 18, 2022: Thorax
https://read.qxmd.com/read/35945924/favorable-outcome-of-geriatric-telemedicine-for-frail-older-adults-with-covid-19-staying-at-home-during-the-omicron-tsunami-in-hong-kong
#36
Tak-Kwan Kong
Hong Kong was hit by a tsunami of COVID-19 in mid-February 2022, impacting on frail older adults with high COVID-19 mortality. Two older adults with COVID-19 managed by geriatric telemedicine at home were reported with favorable outcome despite severe frailty (Clinical Frailty Score 7). Stressed by COVID-19, both presented with the geriatric giants or frailty syndromes of brain failure (delirium) and balance failure (falls). Their successful outcome resulted not from COVID-19 antiviral treatment, but individualized holistic person-centered care attending to the frailty syndromes: optimized treatment of comorbid conditions by medication review, medication reduction on recognition of drug-induced hypotension and hypoglycaemia, appropriate use of medication to reduce iatrogenesis, caregivers' replenishment of fluid and nutrition deficit, oxygen support during critical hypoxic period, and recognition and early treatment of superimposed infections (bacterial respiratory tract superinfection, herpes zoster)...
September 2022: Aging medicine
https://read.qxmd.com/read/35908299/impact-of-ais-2015-versus-1998-on-injury-severity-scoring-and-mortality-prediction-single-centre-retrospective-comparison-study
#37
JOURNAL ARTICLE
Yan Ho Li, Janice Hiu Hung Yeung, Kevin Kei Ching Hung, Chun Yu Lai, Ling Yan Leung, Chi Hung Cheng, Nai Kwong Cheung, Colin A Graham
BACKGROUND: A key component of trauma system evaluation is the Injury Severity Score (ISS). The ISS is dependent on the AIS, and as AIS versions are updated this effects the number of patients within a health system which are considered severely injured (ISS >15). This study aims to analyse the changes comparing AIS1998 and AIS2015, and its impact on injury severity scoring and survival prediction model in a major trauma centre. METHODS: This retrospective study reviewed all blunt trauma admissions from 1 January 2020 to 31 December 2020 from the trauma registry of Prince of Wales Hospital, Hong Kong...
October 2022: American Journal of Emergency Medicine
https://read.qxmd.com/read/35898339/estimation-of-disease-burden-and-clinical-severity-of-covid-19-caused-by-omicron-ba-2-in-shanghai-february-june-2022
#38
Xinhua Chen, Xuemei Yan, Kaiyuan Sun, Nan Zheng, Ruijia Sun, Jiaxin Zhou, Xiaowei Deng, Tingyu Zhuang, Jun Cai, Juanjuan Zhang, Marco Ajelli, Hongjie Yu
Background: An outbreak of COVID-19 caused by the SARS-CoV-2 Omicron BA.2 sublineage occurred in Shanghai, China from February to June 2022. The government organized multiple rounds of molecular test screenings for the entire population, providing a unique opportunity to capture the majority of subclinical infections and better characterize disease burden and the full spectrum of Omicron BA.2 clinical severity. Methods: Using daily reports from the websites of the Shanghai Municipal Health Commission, we estimated the incidence of infections, severe/critical infections, and deaths to assess the disease burden...
July 12, 2022: medRxiv
https://read.qxmd.com/read/35782699/immediate-effects-of-manual-hyperinflation-on-cardiorespiratory-function-and-sputum-clearance-in-mechanically-ventilated-pediatric-patients-a-randomized-crossover-trial
#39
JOURNAL ARTICLE
Tawatchai Luadsri, Jaturon Boonpitak, Kultida Pongdech-Udom, Patnuch Sukpom, Weerapong Chidnok
Background: In developing countries, lower respiratory tract infection is a major cause of death in children, with severely ill patients being admitted to the critical-care unit. While physical therapists commonly use the manual hyperinflation (MHI) technique for secretion mass clearance in critical-care patients, its efficacy has not been determined in pediatric patients. Objective: This study investigated the effects of MHI on secretion mass clearance and cardiorespiratory responses in pediatric patients undergoing mechanical ventilation...
June 2022: Hong Kong Physiotherapy Journal
https://read.qxmd.com/read/35782697/a-retrospective-study-of-physiotherapy-management-for-patients-with-pneumonia-requiring-invasive-ventilation-in-a-single-center-australian-icu
#40
JOURNAL ARTICLE
Baldwin Pok Man Kwan, Anne-Marie Hill, Mercedes Elliott, Lisa van der Lee
BACKGROUND: Pneumonia is a frequent diagnosis for patients admitted to Australian intensive care units (ICUs) for invasive ventilation. Physiotherapists in ICU provide interventions to enhance respiratory function and physical recovery. OBJECTIVE: This retrospective cohort study aimed to describe physiotherapy management of adults with pneumonia who require invasive mechanical ventilation in a single Level 3 ICU in a quaternary teaching hospital. METHODS: All adults admitted with a medical diagnosis of pneumonia requiring invasive mechanical ventilation over a two-year period were included...
June 2022: Hong Kong Physiotherapy Journal
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