Hong Kong Medical Journal最新文献

{"title":"Establishment of the Institute for Medical Advancement and Clinical Excellence (IMACE).","authors":"G K K Leung, R M K Lam, P W Y Chiu, P K T Li, W Ho, T P S Ko, C S Lau, F C Pang","doi":"10.12809/hkmj255181","DOIUrl":"https://doi.org/10.12809/hkmj255181","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175417","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":"Roles of unmet supportive care needs, supportive cancer care service disruptions, and COVID-19-related perceptions in psychological distress among recently diagnosed breast cancer survivors in Hong Kong.","authors":"N C Y Yeung, S T Y Lau, W W S Mak, C Cheng, E Y Y Chan, J Y M Siu, P S Y Cheung","doi":"10.12809/hkmj2311302","DOIUrl":"https://doi.org/10.12809/hkmj2311302","url":null,"abstract":"<p><strong>Introduction: </strong>Receiving a cancer diagnosis and living with breast cancer can be particularly stressful during pandemic situations. This study examined how cancer care service disruptions, unmet supportive care needs (SCNs), and coronavirus disease 2019 (COVID-19)-related perceptions were associated with psychological distress among Hong Kong breast cancer survivors (BCS) during the COVID-19 pandemic.</p><p><strong>Methods: </strong>A total of 209 female BCS diagnosed since January 2020 (ie, the start of the COVID-19 pandemic in Hong Kong) were recruited from the Hong Kong Breast Cancer Registry to complete a cross-sectional survey measuring the aforementioned variables.</p><p><strong>Results: </strong>Multivariable logistic regression analysis indicated that unmet physical/daily living needs (odds ratio [OR]=1.03; P=0.002), unmet psychological needs (OR=1.06; P<0.001), and perceived severity of COVID-19-related health consequences in BCS (OR=1.67; P=0.02) were significantly associated with moderate-to-severe psychological distress. However, cancer treatment/supportive care service disruptions, fear of COVID-19, and unmet SCNs in patient care/health system information/sexual domains were not significant contributors (P=0.77-0.89).</p><p><strong>Conclusion: </strong>Half of the BCS in Hong Kong experienced substantial psychological distress during the pandemic. Survivors with higher levels of unmet SCNs in physical/daily living and psychological domains, as well as those with greater perceived severity of COVID-19-related health consequences, were more likely to experience moderate-to-severe psychological distress. These findings suggest that efforts to address specific unmet SCNs and risk perceptions are important for reducing psychological distress among BCS during pandemic situations.</p>","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112413","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":"Rethink personalised sudden cardiac death risk assessment in non-dilated left ventricular cardiomyopathy: a case report.","authors":"K W C Lun, J C Y Lee, E C Y Wong, M K Y Lee, D P H Lee","doi":"10.12809/hkmj2412128","DOIUrl":"https://doi.org/10.12809/hkmj2412128","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055315","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 moral burden of 'slow code' resuscitation in Hong Kong and its implications for advance medical decision legislation.","authors":"R Y Chung, W Zhong","doi":"10.12809/hkmj2411961","DOIUrl":"https://doi.org/10.12809/hkmj2411961","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812739","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":"Boosting human papillomavirus vaccination in Hong Kong: targeted strategies for parental engagement.","authors":"J Ke, D Zhu","doi":"10.12809/hkmj2412574","DOIUrl":"https://doi.org/10.12809/hkmj2412574","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":"31 2","pages":"172"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054691","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":"Are your kidneys OK? Detect early to protect kidney health.","authors":"J A Vassalotti, A Francis, A C Soares Dos Santos, Ricardo Correa-Rotter, D Abdellatif, L L Hsiao, S Roumeliotis, A Haris, L A Kumaraswami, S F Lui, A Balducci, V Liakopoulos","doi":"10.12809/hkmj255178","DOIUrl":"https://doi.org/10.12809/hkmj255178","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":"31 2","pages":"88-95"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057926","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":"Invasive pneumococcal disease in the post-COVID era.","authors":"K L Hon, K K Y Leung, Q Y C Wong, S L Ng, E H Y Tsang, W F Hui","doi":"10.12809/hkmj2411759","DOIUrl":"https://doi.org/10.12809/hkmj2411759","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":"31 2","pages":"168-171"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058028","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":"Frontal lobe epilepsy and hibernoma: a case report.","authors":"R Zhang, Z Gong, W Jiang","doi":"10.12809/hkmj2411940","DOIUrl":"10.12809/hkmj2411940","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"159-161"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774801","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":"Impact of iron deficiency on attention among school-aged adolescents in Hong Kong.","authors":"Y T Cheung, D F Y Chan, C K Lee, W C Tsoi, C W Lau, J N S Leung, J C C So, S T Y Tsang, C L P Wong, Y Y L Chu, C K Li","doi":"10.12809/hkmj2310950","DOIUrl":"10.12809/hkmj2310950","url":null,"abstract":"<p><strong>Introduction: </strong>Adolescence is a critical period for higher-order cognitive function development. The adverse effects of low iron reserves on attention are particularly relevant to school-aged students. Based on our previous study identifying a 11.1% prevalence of iron deficiency (ID) among Chinese school-aged adolescents aged 16 to 19 years in Hong Kong, the present study examined the association between iron status and attention outcomes in these adolescents.</p><p><strong>Methods: </strong>This cross-sectional study recruited 523 adolescents (65.0% female; mean age=17.5 years) from 16 local schools. Serum ferritin levels and complete blood counts were measured. Iron deficiency was defined as serum ferritin concentration <15 μg/L. The Conners Continuous Performance Test Third Edition was administered to assess impairments in three attention domains, namely, sustained attention, inattention, and impulsivity. Multivariable analyses, conducted both for the overall cohort and stratified by sex, were used to evaluate the associations between serum ferritin levels and attention outcomes, adjusting for fatigue and dietary patterns.</p><p><strong>Results: </strong>In the overall cohort, a lower serum ferritin concentration was significantly associated with sustained attention impairment (risk ratio [RR]=0.825, 95% confidence interval [95% CI]=0.732-0.946; P=0.040). Among female participants, those with sustained attention impairment had significantly lower serum ferritin concentrations than those with intact attention function (median=40.0 μg/L; interquartile range [IQR]=18.8-52.1 vs median=48.5 μg/L; IQR=21.8-73.8; P=0.038). Multivariable analysis showed a similar trend, though the association was not statistically significant (RR=0.954, 95% CI=0.904-1.005; P=0.073). Among male adolescents, iron reserves were not significantly associated with attention outcomes.</p><p><strong>Conclusion: </strong>These findings highlight the importance of timely ID screening and correction in school-aged adolescents, particularly among female adolescents.</p>","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"139-147"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812737","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 (child homicide by parents) in Hong Kong.","authors":"Y D Y Tang, J P Y Lam, A C Y Liu, B W M Siu","doi":"10.12809/hkmj2310809","DOIUrl":"10.12809/hkmj2310809","url":null,"abstract":"<p><strong>Introduction: </strong>Filicide refers to an act in which a parent or stepparent kills a child. This retrospective study provides the first comprehensive analysis of filicides in Hong Kong over a 15-year period.</p><p><strong>Methods: </strong>The study explored the local epidemiology, differences between maternal and paternal filicides, associated mental illnesses, and the criminal responsibility of the perpetrators.</p><p><strong>Results: </strong>Among 81 filicide cases (43 female victims, 37 male victims, and 1 victim of unknown gender), the incidence rate was 0.7 per 100 000 population. Mothers were responsible for two-thirds (66.7%) of the cases, fathers for 19.8%, and the remainder involved both parents. Victims aged <1 year (n=44) were nearly equal in number to those aged between 1 and 17 years (n=41). Mental illness was diagnosed in 31.0% of the perpetrators, predominantly depression and psychotic disorders. Paternal perpetrators exhibited a higher prevalence of mental illness and were more frequently involved in filicide-suicides. One-third (33%) of perpetrators with mental illness invoked the psychiatric defence of diminished responsibility, resulting in Hospital Order sentencing. Reduced culpability due to mental illness and the application of infanticide provisions provided legal protections for mothers who killed their children aged <1 year.</p><p><strong>Conclusion: </strong>Understanding the local epidemiology of filicide and the mental health conditions of perpetrators may help identify at-risk populations and develop effective intervention strategies.</p>","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"99-107"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755407","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}