Hong Kong Medical Journal最新文献

{"title":"\"Inborn errors\" of artificial intelligence tools and practical tips for expert witnesses.","authors":"J S P Chiu, G K K Leung","doi":"10.12809/hkmj255184","DOIUrl":"https://doi.org/10.12809/hkmj255184","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The capacity of transfer learning to reshape the landscape of myopic practice.","authors":"C Y T Wong, L J Chen, H H W Lau","doi":"10.12809/hkmj2411559","DOIUrl":"https://doi.org/10.12809/hkmj2411559","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endovascular management of stent graft dislodgement during thoracic endovascular aortic repair: a case report.","authors":"C Zeng, Q Min, R Ye, Z Le, Y Li, X Duan, Q Duan, F Liu","doi":"10.12809/hkmj2512865","DOIUrl":"https://doi.org/10.12809/hkmj2512865","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental depression in the relationship between parental stress and child health among low-income families in Hong Kong.","authors":"E Y T Yu, E Y F Wan, R S M Wong, I L Mak, K S N Liu, C H N Yeung, P Ip, A F Y Tiwari, W Y Chin, E T Y Tse, C K H Wong, V Y Guo, C L K Lam","doi":"10.12809/hkmj2412040","DOIUrl":"https://doi.org/10.12809/hkmj2412040","url":null,"abstract":"<p><strong>Introduction: </strong>Low-income families face increased exposure to stressors, including material hardship and limited social support, which contribute to poor health outcomes. The poor health and behavioural problems in children from these families may exacerbate parental stress. This study explored the bidirectional relationship between parental stress and child health, along with its mediators and moderators, among low-income families in Hong Kong.</p><p><strong>Methods: </strong>In total, 217 families were recruited from two less affluent communities between 2016 and 2017; they were followed up at 12 and 24 months. Each parent-child pair was assessed using parent-completed questionnaires on socio-demographics, medical history, parental stress, health-related quality of life, child health and behaviour, family harmony, parenting style, and neighbourhood cohesion.</p><p><strong>Results: </strong>Thirty-eight parents (17.5%) reported significantly higher levels of stress than the control group. These individuals were more likely to be single parents (41.2% vs 18.5%), victims of intimate partner abuse (23.7% vs 10.9%), have a household income below 50% of the Hong Kong population median (50.0% vs 29.9%), and be diagnosed with mental illnesses (23.7% vs 5.1%). A bidirectional inverse relationship was observed between parental stress and child health at respective time points, with cross-effects from baseline child health to later parental stress, and from baseline parental stress to later child health. The relationship was mediated by the level of parental depression.</p><p><strong>Conclusion: </strong>Parental stress both precedes and results from child health and behavioural problems, with reciprocal short-term and long-term effects. Screening and intervention for parental depression are needed to mitigate the impacts of stress on health among parents and children.</p>","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and imaging patterns of child abuse in Hong Kong: a 10-year review from a tertiary centre.","authors":"C Y M Young, C H Yiu, K C H Tsoi, D F Y Chan, K Wang, W C W Chu","doi":"10.12809/hkmj2412361","DOIUrl":"https://doi.org/10.12809/hkmj2412361","url":null,"abstract":"<p><strong>Introduction: </strong>Child abuse, a pressing medical and social issue in Hong Kong, requires high vigilance for prompt identification and early management. The Mandatory Reporting of Child Abuse Ordinance has recently been gazetted, establishing a mandatory obligation for suspected injury reporting to protect children's rights. This study aimed to describe the incidence and patterns of child abuse in Hong Kong to draw attention to this key issue.</p><p><strong>Methods: </strong>A retrospective review of all reported child abuse cases admitted to Prince of Wales Hospital over a 10-year period (2014-2023) was performed.</p><p><strong>Results: </strong>In total, 503 cases of child abuse were retrieved from the hospital's electronic system, revealing an increasing trend over the years. Of these cases, 341 cases (67.8%) were attributed to physical abuse. Most cases involved trivial soft tissue injuries, apart from two limb fracture cases, which represented 0.4% of all reported child abuse cases (n=503) and 0.6% of all reported physical child abuse cases (n=341). Abusive head trauma (n=3) constituted 0.6% of all reported physical child abuse cases and 0.9% of all reported child abuse cases. Two cases of severe abusive head trauma required paediatric intensive care, and one case warranting neurosurgical intervention subsequently exhibited gross motor delay.</p><p><strong>Conclusion: </strong>Most child abuse cases in Hong Kong present with minor clinical manifestations. Imaging evidence of skeletal or neurological injury is present in a small proportion of patients. Abusive head injury is uncommon but carries far-reaching consequences; early recognition is essential to protect affected children from further harm. Paediatric radiologists play a pivotal role in making the diagnosis.</p>","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The scope and impact of original clinical research by Hong Kong public healthcare professionals.","authors":"P Y M Woo, D K K Wong, Q H W Wong, C K L Leung, Y H K Ip, D M Au, T S F Shek, B Siu, C Cheung, K Shing, A Wong, Y Khare, O W K Tsui, N H Y Tang, K M Kwok, M K Chiu, Y F Lau, K H M Wan, W C Leung","doi":"10.12809/hkmj2311155","DOIUrl":"https://doi.org/10.12809/hkmj2311155","url":null,"abstract":"<p><strong>Introduction: </strong>This study reviewed the landscape of clinical research conducted by public hospital clinicians in Hong Kong. It also explored whether an association exists between academic productivity and clinical performance.</p><p><strong>Methods: </strong>This was a territory-wide retrospective study of peer-reviewed original clinical research conducted by clinicians providing acute medical care at non-university public hospitals between 2016 and 2021. Citations were retrieved from the MEDLINE biomedical literature database. Scientometric analysis was performed by collecting journal-level, article-level, and author-level performance indicators. Clinical performance was assessed using crude mortality rate, inpatient hospitalisation duration, and the number of 30-day unplanned readmissions.</p><p><strong>Results: </strong>In total, 3142 peer-reviewed studies were published, of which 29.3% (n=921) were conducted by non-university hospital public healthcare professionals. The most productive specialty was clinical oncology, with 0.56 articles published per clinician. The overall mean journal impact factor and Eigenfactor score were 2.34 ± 3.72 and 0.01 ± 0.07, respectively. At the article level, the mean total number of citations was 6.33 ± 24.17, the mean Field Citation Ratio was 3.37 ± 2.04, and the mean Relative Citation Ratio (RCR) was 0.82 ± 3.32. A significant negative correlation was observed between crude mortality rate and RCR (<i>r</i>=-0.63; P=0.022). A negative correlation was also identified between 30-day readmissions and RCR (<i>r</i>=-0.72; P=0.006).</p><p><strong>Conclusion: </strong>Clinicians in Hong Kong's public healthcare system are research-active and have achieved a substantial degree of influence in their respective fields. Research performance was correlated with hospital crude mortality rates and 30-day unplanned readmissions.</p>","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Filicide in 2025: a recurrent curse in Hong Kong.","authors":"C H Y Chan, P Ip, K L Hon","doi":"10.12809/hkmj2513594","DOIUrl":"https://doi.org/10.12809/hkmj2513594","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Presentation, management, and clinical outcomes of von Hippel-Lindau syndrome.","authors":"A Y H Lee, D K W Leung, C H Leung, K H Y Tsang, A Yiu, C Y K Ho, J M K Ho, C F Ng","doi":"10.12809/hkmj2412496","DOIUrl":"https://doi.org/10.12809/hkmj2412496","url":null,"abstract":"<p><strong>Introduction: </strong>von Hippel-Lindau (VHL) syndrome is a rare autosomal dominant genetic disorder that typically leads to the development of multiple tumours in various organs. This study describes the lifetime journey of VHL patients in terms of their hospitalisation, surgery, and functional impairment, and aims to examine the local presentation patterns, treatment courses, and clinical outcomes associated with the condition.</p><p><strong>Methods: </strong>Thirty-two patients with VHL syndrome (mean age=27.9 ± 12.6 years) were retrospectively identified from five local public hospitals managed between 1 January 1993 and 30 September 2024, with a follow-up duration of 18.0 ± 10.8 years. Patient demographics, disease presentation, length of hospital stay, and treatments received were recorded and analysed.</p><p><strong>Results: </strong>Over a total of 575.9 person-years, 17 patients (53.1%) developed renal tumours and 10 (31.3%) underwent partial or radical nephrectomy. Twenty-four patients (75.0%) underwent central nervous system (CNS) surgery for haemangioma. Eleven patients (34.4%) had phaeochromocytoma, and eight (25.0%) underwent adrenalectomy. Nine patients (28.1%) had retinal haemangioma. During the study period, 368 emergency department visits, 1209 inpatient admissions, 192 intensive care unit days, and 5635 hospitalisation days were recorded. In total, 116 surgeries were performed involving the kidneys (n=17), pancreas (n=6), adrenal glands (n=10), and CNS (n=83). Six patients required dialysis; 4373 dialysis sessions were performed. Fifteen patients died. Among the nine who died of VHL syndrome, eight had developed cerebral haemangioblastoma, three had phaeochromocytoma, and four had renal tumours.</p><p><strong>Conclusion: </strong>Patients with VHL syndrome often experience early-onset and recurrent diseases affecting multiple organ systems, leading to substantial morbidity and mortality. A multidisciplinary approach, along with the introduction of novel treatments, may improve disease control and clinical outcomes.</p>","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corneal perforation in breast cancer patients receiving combination chemotherapy with pertuzumab/trastuzumab targeted therapy: a case report.","authors":"A L W Li, V W M Ho, D H T Wong, K K W Li","doi":"10.12809/hkmj2412588","DOIUrl":"https://doi.org/10.12809/hkmj2412588","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The introduction of trained nurses at Government Civil Hospital in the nineteenth century.","authors":"T W Wong","doi":"10.12809/hkmj-hkmms202508","DOIUrl":"10.12809/hkmj-hkmms202508","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":"31 4","pages":"335-336"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}