Hong Kong Medical Journal最新文献

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Mixed laterally spreading tumour and neuroendocrine tumour in the rectum: a case report. 直肠混合性侧散性肿瘤及神经内分泌肿瘤1例。
IF 3.1 4区 医学
Hong Kong Medical Journal Pub Date : 2025-07-11 DOI: 10.12809/hkmj2412738
W Zhou, X Ke, Y Lin, G Li, M Zheng, G Linfu, L Liu
{"title":"Mixed laterally spreading tumour and neuroendocrine tumour in the rectum: a case report.","authors":"W Zhou, X Ke, Y Lin, G Li, M Zheng, G Linfu, L Liu","doi":"10.12809/hkmj2412738","DOIUrl":"https://doi.org/10.12809/hkmj2412738","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610088","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}
引用次数: 0
Strengthening service integration of non-locally trained healthcare professionals through crew resource management: longitudinal measures and beyond. 通过人员资源管理加强非本地培训医护专业人员的服务整合:纵向措施及其他措施。
IF 3.1 4区 医学
Hong Kong Medical Journal Pub Date : 2025-07-11 DOI: 10.12809/hkmj2513451
E H K So, V K L Cheung, L H Chan, J W H Yip, P K Wong, S H K Cheung, N H Chia, G W Y Ng
{"title":"Strengthening service integration of non-locally trained healthcare professionals through crew resource management: longitudinal measures and beyond.","authors":"E H K So, V K L Cheung, L H Chan, J W H Yip, P K Wong, S H K Cheung, N H Chia, G W Y Ng","doi":"10.12809/hkmj2513451","DOIUrl":"https://doi.org/10.12809/hkmj2513451","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610089","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}
引用次数: 0
It's time to re-examine medical professionalism in medical education. 是时候重新审视医学教育中的医学专业精神了。
IF 3.1 4区 医学
Hong Kong Medical Journal Pub Date : 2025-07-11 DOI: 10.12809/hkmj2412468
H Ye
{"title":"It's time to re-examine medical professionalism in medical education.","authors":"H Ye","doi":"10.12809/hkmj2412468","DOIUrl":"https://doi.org/10.12809/hkmj2412468","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610087","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}
引用次数: 0
New IMPACT Guideline to help doctors on rational prescription of antimicrobials. 新的IMPACT指南帮助医生合理处方抗微生物药物。
IF 3.1 4区 医学
Hong Kong Medical Journal Pub Date : 2025-06-30 DOI: 10.12809/hkmj255183
E S K Ma, E L K Tsui, T C Wu, P L Ho
{"title":"New IMPACT Guideline to help doctors on rational prescription of antimicrobials.","authors":"E S K Ma, E L K Tsui, T C Wu, P L Ho","doi":"10.12809/hkmj255183","DOIUrl":"https://doi.org/10.12809/hkmj255183","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530570","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}
引用次数: 0
Machine learning model for prediction of coronavirus disease 2019 within 6 months after three doses of BNT162b2 in Hong Kong. 在香港注射三剂BNT162b2后6个月内预测2019冠状病毒病的机器学习模型。
IF 3.1 4区 医学
Hong Kong Medical Journal Pub Date : 2025-06-23 DOI: 10.12809/hkmj2411879
J T Tan, R Zhang, K H Chan, J Qin, I F N Hung, K S Cheung
{"title":"Machine learning model for prediction of coronavirus disease 2019 within 6 months after three doses of BNT162b2 in Hong Kong.","authors":"J T Tan, R Zhang, K H Chan, J Qin, I F N Hung, K S Cheung","doi":"10.12809/hkmj2411879","DOIUrl":"10.12809/hkmj2411879","url":null,"abstract":"<p><strong>Introduction: </strong>We aimed to develop a machine learning (ML) model to predict the risk of coronavirus disease 2019 (COVID-19) among three-dose BNT162b2 vaccine recipients in Hong Kong.</p><p><strong>Methods: </strong>A total of 304 individuals who had received three doses of BNT162b2 were recruited from three vaccination centres in Hong Kong between May and August 2021. The dataset was randomly divided into training (n=184) and testing (n=120) sets in a 6:4 ratio. Demographics, co-morbidities and medications, blood tests (complete blood count, liver and renal function tests, glycated haemoglobin level, lipid profile, and presence of hepatitis B surface antigen), and controlled attenuation parameter (CAP) were used to develop six ML models (logistic regression, linear discriminant analysis, random forest, naïve Bayes, neural network [NN], and extreme gradient boosting models) to predict COVID-19 risk. Model performance was assessed using area under the receiver operating characteristic curve (AUC), sensitivity, specificity, and positive predictive value (PPV) and negative predictive value (NPV).</p><p><strong>Results: </strong>Among the study population (median age: 50.9 years [interquartile range=43.6-57.8]; men: 30.9% [n=94]), 27 participants (8.9%) developed COVID-19 within 6 months. Fifteen clinical variables were used to train the models. The NN model achieved the best performance, with an AUC of 0.74 (95% confidence interval [95% CI]=0.60-0.88). Using the optimal cut-off value based on the maximised Youden index, sensitivity, specificity, PPV, and NPV were 90% (95% CI=55%-100%), 58% (95% CI=48%-68%), 16% (95% CI=8%-29%), and 98% (95% CI=92%-100%), respectively. The top predictors in the NN model include age, prediabetes/diabetes, CAP, alanine aminotransferase level, and aspartate aminotransferase level.</p><p><strong>Conclusion: </strong>An NN model integrating 15 clinical variables effectively identified individuals at low risk of COVID-19 following three doses of BNT162b2.</p>","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369440","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}
引用次数: 0
Living donor renal transplantation in a patient with human immunodeficiency virus: a case report. 人类免疫缺陷病毒患者活体肾移植一例报告。
IF 3.1 4区 医学
Hong Kong Medical Journal Pub Date : 2025-06-01 Epub Date: 2025-06-12 DOI: 10.12809/hkmj2411809
T L Leung, J M C Chan, I L Y Wong, C K Y Poon, W Lee, K F Yim, O T Y Tsang, S K S Fung, A Cheuk, H L Tang
{"title":"Living donor renal transplantation in a patient with human immunodeficiency virus: a case report.","authors":"T L Leung, J M C Chan, I L Y Wong, C K Y Poon, W Lee, K F Yim, O T Y Tsang, S K S Fung, A Cheuk, H L Tang","doi":"10.12809/hkmj2411809","DOIUrl":"10.12809/hkmj2411809","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"233-235"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276380","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}
引用次数: 0
Medico-socio-legal collaboration in the primary care setting in Hong Kong. 香港基层医疗机构的医学与社会法律合作。
IF 3.1 4区 医学
Hong Kong Medical Journal Pub Date : 2025-06-01 Epub Date: 2025-06-13 DOI: 10.12809/hkmj255180
E T Y Tse, A Lee, K W Tong, P Lu, J E Parry, C Lw Chan, W C W Wong
{"title":"Medico-socio-legal collaboration in the primary care setting in Hong Kong.","authors":"E T Y Tse, A Lee, K W Tong, P Lu, J E Parry, C Lw Chan, W C W Wong","doi":"10.12809/hkmj255180","DOIUrl":"10.12809/hkmj255180","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"190-191"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286923","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}
引用次数: 0
Stepped care approach to filicides in Hong Kong. 香港对杀婴者采取阶梯式护理方法。
IF 3.1 4区 医学
Hong Kong Medical Journal Pub Date : 2025-06-01 Epub Date: 2025-06-13 DOI: 10.12809/hkmj2311459
K L Hon, C H Y Chan, K K Y Leung, W F Hui, P Ip
{"title":"Stepped care approach to filicides in Hong Kong.","authors":"K L Hon, C H Y Chan, K K Y Leung, W F Hui, P Ip","doi":"10.12809/hkmj2311459","DOIUrl":"10.12809/hkmj2311459","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"243-246"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286924","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}
引用次数: 0
Through the lens of history: century-old snapshots from Tsan Yuk Hospital. 透过历史的镜头:灿玉医院的百年快照。
IF 3.1 4区 医学
Hong Kong Medical Journal Pub Date : 2025-06-01 DOI: 10.12809/hkmj-hkmms202506
S Adams, C P Lee, E Au Yeung, W C Leung
{"title":"Through the lens of history: century-old snapshots from Tsan Yuk Hospital.","authors":"S Adams, C P Lee, E Au Yeung, W C Leung","doi":"10.12809/hkmj-hkmms202506","DOIUrl":"10.12809/hkmj-hkmms202506","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":"31 3","pages":"250-252"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369442","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}
引用次数: 0
Editorial. 社论。
IF 3.1 4区 医学
Hong Kong Medical Journal Pub Date : 2025-06-01
A Fung, R A Collins
{"title":"Editorial.","authors":"A Fung, R A Collins","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":"31 Suppl 3 3","pages":"3"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555473","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}
引用次数: 0
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