Cutaneous manifestation mimicking Stevens-Johnson syndrome in a critically ill patient: looks similar but totally different.
PMID: 29226836 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - December 1, 2017 Category: General Medicine Authors: Lim JA, Chong SE, Zainal Abidin H, Hassan MH Tags: Hong Kong Med J Source Type: research

Nephrolithiasis associated with the use of topiramate in children.
PMID: 29226837 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - December 1, 2017 Category: General Medicine Authors: Yam KM, Yau ML, Fung EL Tags: Hong Kong Med J Source Type: research

Protection of rescuers in emergency care: where does Hong Kong stand?
PMID: 29226838 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - December 1, 2017 Category: General Medicine Authors: Wai AK Tags: Hong Kong Med J Source Type: research

Opt-in or opt-out: that is not the question.
PMID: 29226839 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - December 1, 2017 Category: General Medicine Authors: Fan RP, Chan HM Tags: Hong Kong Med J Source Type: research

Challenges to the adoption of risk algorithms for colorectal cancer screening programmes: perspectives for future research.
PMID: 29226840 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - December 1, 2017 Category: General Medicine Authors: Huang JJ, Huang JL Tags: Hong Kong Med J Source Type: research

Missing key factors in nutritional assessment and bone density in children with eczema.
PMID: 29226841 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - December 1, 2017 Category: General Medicine Authors: Hofmeister M Tags: Hong Kong Med J Source Type: research

Authors' reply: Missing key factors in nutritional assessment and bone density in children with eczema.
Hong Kong Med J)
Source: Hong Kong Med J - December 1, 2017 Category: General Medicine Authors: Authors' reply: Missing key factors in nutritional assessment and bone density in children with eczema. Tags: Hong Kong Med J Source Type: research

2-oxo-PCE: ketamine analogue on the streets.
PMID: 29226843 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - December 1, 2017 Category: General Medicine Authors: Chong YK, Tang MH, Chan CL, Li YK, Ching CK, Mak TW Tags: Hong Kong Med J Source Type: research

Polycystic ovary syndrome: a common reproductive syndrome with long-term metabolic consequences.
Abstract Polycystic ovary syndrome is the most common endocrine disorder among women of reproductive age. Although traditionally viewed as a reproductive disorder, there is increasing appreciation that it is associated with significantly increased risk of cardiometabolic disorders. Women with polycystic ovary syndrome may present to clinicians via a variety of different routes and symptoms. Although the impact on reproduction predominates during the reproductive years, the increased cardiometabolic problems are likely to become more important at later stages of the life course. Women with polycystic ovary syndrome...
Source: Hong Kong Med J - November 24, 2017 Category: General Medicine Authors: Yau TT, Ng NY, Cheung LP, Ma RC Tags: Hong Kong Med J Source Type: research

Childhood lead poisoning: an overview.
Abstract Childhood lead poisoning is a major public health concern in many countries. In 2015, the Hong Kong SAR Government and its citizens faced a major public health crisis due to the presence of lead in the drinking water of a number of public housing estates. Fortunately, no child was diagnosed with lead poisoning that required treatment with chelation. Lead is a ubiquitous, naturally occurring material that exists in air, dust, soil, and water. It is also widely present in industrial products including petrol, paints, ceramics, food cans, candies, cosmetics, traditional remedies, batteries, solder, stained g...
Source: Hong Kong Med J - October 13, 2017 Category: General Medicine Authors: Hon KL, Fung CK, Leung AK Tags: Hong Kong Med J Source Type: research

Patient opinion of lower urinary tract symptoms and their treatment: a cross-sectional survey in Hong Kong public urology clinics.
CONCLUSIONS: In Hong Kong, nocturia emerged as the most prevalent and one of the most bothersome symptoms among men who sought urologist care for lower urinary tract symptoms. Compared with the non-Hong Kong population, Hong Kong respondents tended to be highly symptomatic and bothered. They were, however, less likely to have received treatment and were generally less satisfied with previous treatment. PMID: 29026056 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 13, 2017 Category: General Medicine Authors: Ho LY, Chan CK, Chu PS Tags: Hong Kong Med J Source Type: research

Pathological outcome for Chinese patients with low-risk prostate cancer eligible for active surveillance and undergoing radical prostatectomy: comparison of six different active surveillance protocols.
CONCLUSIONS: Active surveillance protocols based on prostate-specific antigen and Gleason score alone or including Gleason score of 3+4 may miss high-risk disease and should be used cautiously. The John Hopkins and PRIAS protocols are highly specific in identifying localised disease and low-risk histology. PMID: 29026057 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 13, 2017 Category: General Medicine Authors: Tsang CF, Tsu JH, Lai TC, Wong KW, Ho BS, Ng AT, Ma WK, Yiu MK Tags: Hong Kong Med J Source Type: research

Clinical utility of late-night and post-overnight dexamethasone suppression salivary cortisone for the investigation of Cushing's syndrome.
CONCLUSIONS: Both late-night and post-overnight dexamethasone suppression salivary cortisone levels are of diagnostic value in the investigation of hypercortisolism. PMID: 29026058 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 13, 2017 Category: General Medicine Authors: Ng CM, Lam TK, Au Yeung YC, Choi CH, Iu YP, Shek CC, Tiu SC Tags: Hong Kong Med J Source Type: research

Doctor for Society: paying tribute to role models of humanitarianism and professionalism.
PMID: 29026046 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2017 Category: General Medicine Authors: Lai EC, Wong MC Tags: Hong Kong Med J Source Type: research

Response to the Food and Drug Administration warning on the use of anaesthetics in young children.
PMID: 29026047 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2017 Category: General Medicine Authors: Wong S, Hui TW Tags: Hong Kong Med J Source Type: research

Spinal cord stimulation for chronic non-cancer pain: a review of current evidence and practice.
Abstract Spinal cord stimulation provides analgesia through electrical stimulation of the dorsal column of the spinal cord via electrode leads placed into the epidural space. In traditional tonic stimulation, a painful sensation is replaced with paraesthesia. Spinal cord stimulation is effective in reducing neuropathic pain, enhancing function, and improving quality of life in different chronic pain conditions. Currently, there is most evidence to support its use for failed back surgery syndrome when multidisciplinary conventional management is unsuccessful. Temporary trial leads are inserted in carefully selected...
Source: Hong Kong Med J - October 1, 2017 Category: General Medicine Authors: Wong SS, Chan CW, Cheung CW Tags: Hong Kong Med J Source Type: research

Diabetes in older people: position statement of The Hong Kong Geriatrics Society and the Hong Kong Society of Endocrinology, Metabolism and Reproduction.
Abstract Following a survey on the clinical practice of geriatricians in the management of older people with diabetes and a study of hypoglycaemia in diabetic patients, a round-table discussion with geriatricians and endocrinologists was held in January 2015. Consensus was reached for six domains specifically related to older diabetic people: (1) the considerations when setting an individualised diabetic management; (2) inclusion of geriatric syndrome screening in assessment; (3) glycaemic and blood pressure targets; (4) pharmacotherapy; (5) restrictive diabetic diet; and (6) management goals for nursing home resi...
Source: Hong Kong Med J - October 1, 2017 Category: General Medicine Authors: Wong CW, Lee JS, Tam KF, Hung HF, So WY, Shum CK, Lam CY, Cheng JN, Man SP, Auyeung TW Tags: Hong Kong Med J Source Type: research

Immunoglobulin G4-related sclerosing disease involving the mandible.
PMID: 29026050 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2017 Category: General Medicine Authors: Tong AC, Ng IO, Lo MC Tags: Hong Kong Med J Source Type: research

Immunoglobulin G4-related disease masquerading as tonsil carcinoma.
PMID: 29026051 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2017 Category: General Medicine Authors: Chow TL, Yuen NW, Kwan WW, Choi CY Tags: Hong Kong Med J Source Type: research

Can Hong Kong take advantage of recent advances in allergy prevention?
PMID: 29026052 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2017 Category: General Medicine Authors: Lee TH, Ho HK, Leung TF Tags: Hong Kong Med J Source Type: research

Obituary: Professor Sir David Todd.
PMID: 29026053 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2017 Category: General Medicine Authors: Lau CS Tags: Hong Kong Med J Source Type: research

Functional status and early surgery in elderly patients with hip fracture.
PMID: 29026054 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2017 Category: General Medicine Authors: Mazzola P Tags: Hong Kong Med J Source Type: research

Cancer screening for older people: to screen or not to screen.
Abstract In this scoping review, the evidence of the benefits of screening older people for the five most common types of cancer in Hong Kong, namely colorectal, lung, breast, liver, and prostate cancers, will be discussed. Although cancer treatments can be extensive and a good prognosis is less likely if cancer is diagnosed at a late stage, screening programmes for older people in primary care remain a matter of contention. The general recommendation for the screening of older people is to adopt an individualised approach that takes account of not only age but also co-morbidity, life expectancy, harms and benefit...
Source: Hong Kong Med J - September 1, 2017 Category: General Medicine Authors: Lai CK, Igarashi A, Lau NM, Yu CT Tags: Hong Kong Med J Source Type: research

Immunoglobulin G4-related disease in Hong Kong: clinical features, treatment practices, and its association with multisystem disease.
CONCLUSION: We identified pre-treatment serum immunoglobulin G4 to be associated with multisystem disease, especially with salivary gland involvement, highlighting its potential for disease prognostication and monitoring. Increased physician awareness and multidisciplinary efforts are required for early diagnosis and optimal management of this masquerading disease. PMID: 28862143 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - September 1, 2017 Category: General Medicine Authors: Li PH, Ko KL, Ho CT, Lau LL, Tsang RK, Cheung TT, Leung WK, Lau CS Tags: Hong Kong Med J Source Type: research

Beating 'Guangdong cancer': a review and update on nasopharyngeal cancer.
Abstract Once endemic in southern China, nasopharyngeal cancer is becoming less prevalent in Hong Kong. This is probably due to a better understanding of the risk factors associated with the disease, its genomic landscape, advances in radiotherapy technology, and development of effective systemic agents. More specifically, the close relationship between Epstein-Barr virus and nasopharyngeal cancer opens up the possibility of using Epstein-Barr virus DNA as a biomarker for early detection and monitoring of the disease. On the other hand, the looming genomic data for nasopharyngeal cancer aid in the development of p...
Source: Hong Kong Med J - September 1, 2017 Category: General Medicine Authors: Ho CS Tags: Hong Kong Med J Source Type: research

Expanded newborn metabolic screening programme in Hong Kong: a three-year journey.
CONCLUSION: The Centre of Inborn Errors of Metabolism has established a comprehensive expanded newborn screening programme for selected inborn errors of metabolism. It sets a standard against which the performance of other private newborn screening tests can be compared. Our experience can also serve as a reference for policymakers when they contemplate establishing a government-funded universal expanded newborn screening programme in the future. PMID: 28862145 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - September 1, 2017 Category: General Medicine Authors: Chong SC, Law LK, Hui J, Lai CY, Leung TY, Yuen YP Tags: Hong Kong Med J Source Type: research

Occupational stress and burnout among Hong Kong dentists.
This study aimed to evaluate burnout among Hong Kong dentists and its association with occupational stress. METHODS: We surveyed a random sample of 1086 registered dentists in Hong Kong, which formed 50% of the local profession. They were mailed an anonymous questionnaire about burnout and occupational stress in 2015. The questionnaire assessed occupational stress, coping strategies, effects of stress, level of burnout, and socio-demographic characteristics of the respondents. Occupational stress assessment concerned 33 stressors in five groups: patient-related, time-related, income-related, job-related, and staff-/te...
Source: Hong Kong Med J - August 25, 2017 Category: General Medicine Authors: Choy HB, Wong MC Tags: Hong Kong Med J Source Type: research

Hypersensitivity to antipyretics: pathogenesis, diagnosis, and management.
Abstract Antipyretics are commonly prescribed drugs and hypersensitivity occurs at rates of 0.01% to 0.3%. Hypersensitivity can be due to immune mechanisms that include type I to IV hypersensitivity. Type I hypersensitivity results from specific immunoglobulin E production following sensitisation on first exposure. Subsequent exposures elicit degranulation of mast cells, culminating an immediate reaction. Non-type I hypersensitivity is a delayed reaction that involves various effector cells, resulting in maculopapular rash, fixed drug eruptions, drug reaction with eosinophilia and systemic symptoms, and Stevens-Jo...
Source: Hong Kong Med J - July 7, 2017 Category: General Medicine Authors: Lee QU Tags: Hong Kong Med J Source Type: research

A cross-sectional study of the knowledge, attitude, and practice of patients aged 50 years or above towards herpes zoster in an out-patient setting.
This study aimed to investigate the knowledge, attitude, and practice of patients aged 50 years or above towards herpes zoster and its vaccination. METHODS: This was a cross-sectional study in the format of a structured questionnaire interview carried out in Sai Ying Pun Jockey Club General Outpatient Clinic in Hong Kong. Knowledge of herpes zoster and its vaccination was assessed, and patient attitudes to and concerns about the disease were evaluated. Factors that affected a decision about vaccination against herpes zoster were investigated. RESULTS: A total of 408 Hong Kong citizens aged 50 years or above were ...
Source: Hong Kong Med J - July 7, 2017 Category: General Medicine Authors: Lam AC, Chan MY, Chou HY, Ho SY, Li HL, Lo CY, Shek KF, To SY, Yam KK, Yeung I Tags: Hong Kong Med J Source Type: research

Neonatal outcomes of preterm or very-low-birth-weight infants over a decade from Queen Mary Hospital, Hong Kong: comparison with the Vermont Oxford Network.
This study aimed to evaluate the survival rate on discharge and morbidity of preterm/very-low-birth-weight infants (≤29+6 weeks and/or birth weight
Source: Hong Kong Med J - July 7, 2017 Category: General Medicine Authors: Chee YY, Wong MS, Wong RM, Wong KY Tags: Hong Kong Med J Source Type: research

Are we making good use of our public resources? The false-positive rate of screening by fundus photography for diabetic macular oedema.
CONCLUSION: The high false-positive rate of the current diabetic macular oedema screening adopted by the United Kingdom and Hong Kong may lead to unnecessary psychological stress for patients and place a financial burden on the health care system. A better way of screening is urgently needed. Performing additional spectral-domain optical coherence tomography scans on selected patients fulfils this need. PMID: 28684650 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - July 7, 2017 Category: General Medicine Authors: Wong RL, Tsang CW, Wong DS, McGhee S, Lam CH, Lian J, Lee JW, Lai JS, Chong V, Wong IY Tags: Hong Kong Med J Source Type: research

Secular trends in caesarean section rates over 20 years in a regional obstetric unit in Hong Kong.
This study aimed to examine the trends in caesarean section rates over a 20-year period at a public regional obstetric unit in Hong Kong using the Robson's Ten-group Classification System. METHODS: All deliveries in a single obstetric unit during a 20-year period (1995-2014) were classified into 10 subgroups according to the Robson's classification. The annual caesarean section rate for each subgroup was calculated and then stratified into 5-year intervals to analyse any significant trends. RESULTS: The caesarean section rates in a total of 86 262 births with complete data were analysed. The overall caesarean sec...
Source: Hong Kong Med J - July 7, 2017 Category: General Medicine Authors: Chung WH, Kong CW, To WW Tags: Hong Kong Med J Source Type: research

Early surgery for Hong Kong Chinese elderly patients with hip fracture reduces short-term and long-term mortality.
CONCLUSION: Prevalence of geriatric hip fracture will continue to rise and further increase the burden on our health care system. After implementation of Key Performance Indicator, most elderly patients with hip fracture underwent surgery within 2 days provided they were medically fit. Early surgery can reduce both short-term and long-term mortality. Setting up a fragility fracture registry would be beneficial for further studies. PMID: 28655864 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - June 28, 2017 Category: General Medicine Authors: Liu SK, Ho AW, Wong SH Tags: Hong Kong Med J Source Type: research

Transcatheter aortic valve implantation: initial experience in Hong Kong.
CONCLUSIONS: Transcatheter aortic valve implantation has been developed as an alternative treatment for patients with symptomatic severe aortic stenosis who are deemed inoperable or high risk for surgery. Our results are very promising and comparable with those of major clinical trials. PMID: 28655865 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - June 28, 2017 Category: General Medicine Authors: Lee MK, Chui SF, Chan AK, Chan JL, Wong EC, Chan KT, Cheung HL, Chiang CS Tags: Hong Kong Med J Source Type: research

Triplet pregnancy with fetal reduction: experience in Hong Kong.
CONCLUSIONS: Approximately 50% of women with a triplet pregnancy in Hong Kong elected to undergo fetal reduction. This was associated with a significant reduction in extreme preterm delivery and associated morbidity and mortality. PMID: 28642442 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - June 23, 2017 Category: General Medicine Authors: Tse WT, Law LW, Sahota DS, Leung TY, Cheng YK Tags: Hong Kong Med J Source Type: research

Neoadjuvant chemotherapy increases rates of breast-conserving surgery in early operable breast cancer.
This study aimed to evaluate the effectiveness of neoadjuvant chemotherapy in early operable cancers. METHODS: A retrospective study was carried out at the Hong Kong Sanatorium & Hospital of 102 patients with stage I to III primary breast cancer. All patients who underwent neoadjuvant chemotherapy followed by definitive breast surgery between January 2004 and July 2013 were included. Their pathological complete response and rate of breast-conserving surgery were studied. Data were compared using Chi squared test and Student's t test. RESULTS: After neoadjuvant chemotherapy, 23% of patients achieved a patholog...
Source: Hong Kong Med J - May 9, 2017 Category: General Medicine Authors: Man VC, Cheung PS Tags: Hong Kong Med J Source Type: research

A descriptive study of Lewy body dementia with functional imaging support in a Chinese population: a preliminary study.
CONCLUSIONS: Fall, dysphagia, aspiration pneumonia, and pressure sores were common among patients with Lewy body dementia. Those with an Alzheimer's disease pattern of functional imaging had a younger age of onset and lower 1-year Mini-Mental State Examination score. PMID: 28473650 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - May 5, 2017 Category: Journals (General) Authors: Shea YF, Chu LW, Lee SC Tags: Hong Kong Med J Source Type: research

How well are we managing fragility hip fractures? A narrative report on the review with the attempt to setup a Fragility Fracture Registry in Hong Kong.
Abstract INTRODUCTION: In setting up a disease registry for fragility fractures in Hong Kong, we conducted a retrospective systematic study on the management of fragility hip fractures. Patient outcomes were compared with the standards from our orthopaedic working group and those from the British Orthopaedic Association that runs a mature fracture registry in the United Kingdom. METHODS: Clinical data on fragility hip fracture patients admitted to six acute major hospitals in Hong Kong in 2012 were captured. These included demographics, pre- and post-operative assessments, discharge details, complications, an...
Source: Hong Kong Med J - May 5, 2017 Category: Journals (General) Authors: Leung KS, Yuen WF, Ngai WK, Lam CY, Lau TW, Lee KB, Siu KM, Tang N, Wong SH, Cheung WH Tags: Hong Kong Med J Source Type: research

Genetically modified foods and allergy.
Abstract 2015 marked the 25th anniversary of the commercial use and availability of genetically modified crops. The area of planted biotech crops cultivated globally occupies a cumulative two billion hectares, equivalent to twice the land size of China or the United States. Foods derived from genetically modified plants are widely consumed in many countries and genetically modified soybean protein is extensively used in processed foods throughout the industrialised countries. Genetically modified food technology offers a possible solution to meet current and future challenges in food and medicine. Yet there is a s...
Source: Hong Kong Med J - May 5, 2017 Category: Journals (General) Authors: Lee TH, Ho HK, Leung TF Tags: Hong Kong Med J Source Type: research

Clinical use of venoarterial extracorporeal membrane oxygenation.
This article reviews the physiological principles of such extracorporeal technique and its interaction with the native heart. Practical aspects including equipment, patient selection, and common complications with their prevention and specific management are summarised. The strategy for weaning from venoarterial extracorporeal membrane oxygenation is also discussed. PMID: 28473653 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - May 5, 2017 Category: Journals (General) Authors: Ng GW, Yuen HJ, Sin KC, Leung AK, Au Yeung KW, Lai KY Tags: Hong Kong Med J Source Type: research

Common urological problems in children: inguinoscrotal pathologies.
Abstract Urological problems in children are often encountered in general clinical practice. This review forms the second paper of our series on common urological problems in children about inguinoscrotal pathologies. We aimed to provide concise information for doctors who are unfamiliar with this topic. PMID: 28473654 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - May 5, 2017 Category: Journals (General) Authors: Chan IH, Wong KK Tags: Hong Kong Med J Source Type: research

Prevalence of kidney stones and associated risk factors in the Shunyi District of Beijing.
CONCLUSIONS: Male gender, drinking white spirits, and a history of urolithiasis are potentially associated with kidney stone formation. PMID: 28416732 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - April 18, 2017 Category: Journals (General) Authors: Jiang YG, He LH, Luo GT, Zhang XD Tags: Hong Kong Med J Source Type: research

Factors associated with multi-disciplinary case conference outcomes in children admitted to a regional hospital in Hong Kong with suspected child abuse: a retrospective case series with internal comparison.
CONCLUSIONS: Risk assessment should be performed when handling suspected child abuse cases. A high aggregate score should arouse suspicion in all disciplines managing child abuse cases. PMID: 28416733 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - April 18, 2017 Category: Journals (General) Authors: Lo WC, Fung GP, Cheung PC Tags: Hong Kong Med J Source Type: research

Outcomes after oesophageal perforation: a retrospective cohort study of patients with different aetiologies.
In this study, we sought to identify risk factors for hospital mortality. METHODS: We retrospectively examined patients treated for oesophageal perforation in a university teaching hospital in Hong Kong between January 1997 and December 2013. Their demographic and clinical characteristics, aetiology, management strategies, and outcomes were recorded and analysed. RESULTS: We identified a cohort of 43 patients treated for perforation of the oesophagus (28 men; median age, 66 years; age range, 30-98 years). Perforation was spontaneous in 22 (51.2%) patients (15 with Boerhaave's syndrome and seven with malignant per...
Source: Hong Kong Med J - March 9, 2017 Category: Journals (General) Authors: Law TT, Chan JY, Chan DK, Tong D, Wong IY, Chan FS, Law S Tags: Hong Kong Med J Source Type: research

Medium-term results of ceramic-on-polyethylene Zweym üller-Plus total hip arthroplasty.
This study aimed to obtain medium-term results at a follow-up of>10 years for Zweymüller-Plus total hip arthroplasty with ceramic-on-polyethylene bearing. METHODS: A retrospective study was conducted to review the results after a minimum of 12.4 years of 207 consecutive total hip arthroplasties in 185 patients in Peking University People's Hospital in China using the Zweymüller SL-Plus stem in combination with the Bicon-Plus threaded cup and ceramic-on-polyethylene bearing between October 1994 and April 2000. RESULTS: During the study period, two patients (2 hips) died and 25 patients (28 hips) were ...
Source: Hong Kong Med J - March 9, 2017 Category: Journals (General) Authors: Li H, Zhang S, Wang XM, Lin JH, Kou BL Tags: Hong Kong Med J Source Type: research

Factors that influence recurrent lumbar disc herniation.
In this study, we retrospectively analysed the influence of disc degeneration, endplate changes, surgical technique, and patient's clinical characteristics on recurrent lumbar disc herniation. METHODS: Patients who underwent primary single-level L4-L5 lumbar discectomy and who were reoperated on for recurrent L4-L5 disc herniation were retrospectively reviewed. All these operations were performed between August 2004 and September 2009 at the Neurosurgery Department of Ataturk Education and Research Hospital in Ankara, Turkey. RESULTS: During the study period, 126 patients were reviewed, with 101 patients underwen...
Source: Hong Kong Med J - March 2, 2017 Category: Journals (General) Authors: Yaman ME, Kazancı A, Yaman ND, Baş F, Ayberk G Tags: Hong Kong Med J Source Type: research

Identification of fragile X pre-mutation carriers in the Chinese obstetric population using a robust FMR1 polymerase chain reaction assay: implications for screening and prenatal diagnosis.
CONCLUSIONS: The overall prevalence of pre-mutation and asymptomatic full-mutation carriers in the Chinese pregnant population was one in 883, detected by a new FMR1 polymerase chain reaction assay. PMID: 28253484 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - March 2, 2017 Category: Journals (General) Authors: Cheng YK, Lin CS, Kwok YK, Chan YM, Lau TK, Leung TY, Choy KW Tags: Hong Kong Med J Source Type: research

Mothers' attitude to the use of a combined oral contraceptive pill by their daughters for menstrual disorders or contraception.
CONCLUSIONS: Chinese women had a low acceptance level of using combined oral contraceptive pills as a legitimate treatment for their daughters. This was associated with lack of knowledge or a high degree of uncertainty about their risks and benefits. It is important that health caregivers provide up-to-date information about combined oral contraceptive pills to women and their daughters. PMID: 28232640 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - February 23, 2017 Category: Journals (General) Authors: Yiu KW, Chan SS, Chung TK Tags: Hong Kong Med J Source Type: research

Atrial fibrillation patients who sustained warfarin-associated intracerebral haemorrhage have poor neurological outcomes: results from a matched case series.
CONCLUSION: Warfarin-associated intracerebral haemorrhage in patients with atrial fibrillation carried a higher stroke mortality than the non-warfarinised patients. PMID: 28232641 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - February 23, 2017 Category: Journals (General) Authors: Fong MK, Sheng B, Chu YP, Wong WT, Lau PP, Wong HY, Lau KK Tags: Hong Kong Med J Source Type: research

A hospital-wide screening programme to control an outbreak of vancomycin-resistant enterococci in a large tertiary hospital in Hong Kong.
CONCLUSIONS: We report the largest cohesive effort to control spread of vancomycin-resistant enterococci in Hong Kong. Coupled with other infection control measures, we successfully controlled vancomycin-resistant enterococci to the pre-outbreak level. We have demonstrated that the monumental tasks can be achieved with meticulous planning, and thorough communication and understanding between all stakeholders. PMID: 28232642 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - February 23, 2017 Category: Journals (General) Authors: Lai CK, Wong SY, Lee SS, Siu HK, Chiu CY, Tsang DN, Ip MP, Hung CT Tags: Hong Kong Med J Source Type: research