Hong Kong Medical Journal最新文献

{"title":"Genetic bases of schizophrenia phenotypes: abridged secondary publication.","authors":"K C Y Wong, S T Rao, S Zhi, P B M Leung, B K W Lee, E F C Cheung, R C K Chan, K K Y Ho, K S Y Hung, T C K Hui, P C Sham, S S Y Lui, H C So","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":"32 Suppl 1 1","pages":"22-23"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349617","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":"Identification of pathogenic genomic variants in idiopathic azoospermia by long-fragment-read genome sequencing: abridged secondary publication.","authors":"Z Dong, T Y Leung, J P W Chung, Y Cao","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":"32 Suppl 1 1","pages":"17-21"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349631","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":"Influenza and Epstein-Barr virus encephalitis in children: could we be missing them and why?","authors":"J W T Tang, K L Hon","doi":"10.12809/hkmj2512931","DOIUrl":"https://doi.org/10.12809/hkmj2512931","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":"32 1","pages":"72-74"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158623","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":"Webbed left atrial septal pouch mimicking septal abnormality on imaging: a case report.","authors":"G Yang, S Xiao, J Yang, N Li, Y Zou, Z Liu, Y Gao, P He","doi":"10.12809/hkmj2412292","DOIUrl":"10.12809/hkmj2412292","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"51-54"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100916","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":"Mirror therapy and transcutaneous electrical nerve stimulation to improve upper limb function in patients with stroke: abridged secondary publication.","authors":"S S M Ng, S S L Lam, C W K Lai, R C K Chung, W W L Ng, M W S Tang, E Hui, J Woo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":"32 Suppl 1 1","pages":"29-30"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349597","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":"Third-trimester prenatal brain imaging for early diagnosis of glutaric aciduria type 1 in monochorionic diamniotic twins.","authors":"I Y M Wah, Y Cao, N K L Wong, K W Choy, T Y Leung, J S C Chong, L Wong, Y H Ting, L C Poon","doi":"10.12809/hkmj2512984","DOIUrl":"10.12809/hkmj2512984","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"69.e1-69.e2"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047330","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":"A ten-year evaluation of the incidence of obstetric anal sphincter injury with a reduced episiotomy rate.","authors":"Y Y Lau, T W Chau, W C Tang, R Y K Cheung, S M Ng, T M Tso, S S C Chan","doi":"10.12809/hkmj2512846","DOIUrl":"10.12809/hkmj2512846","url":null,"abstract":"<p><strong>Introduction: </strong>The role of episiotomy in preventing obstetric anal sphincter injury (OASIS) remains controversial. Liberal use of episiotomy has been reduced locally. This study aimed to review the incidence of OASIS in our unit over the past decade given the reduced episiotomy rate.</p><p><strong>Methods: </strong>A retrospective study was conducted in a single tertiary obstetrics and gynaecology unit. All singleton vaginal deliveries, including normal and instrumental deliveries, between 2012 and 2021 were included. Data were retrieved from the hospital electronic delivery database between July 2022 and June 2023. The degree of OASIS was assessed using the Abdul Sultan classification.</p><p><strong>Results: </strong>In total, 43 732 deliveries were included. The episiotomy rate decreased from 62.8% in 2012 to 44.7% in 2021 (P<0.001), while the OASIS rate increased from 0.3% to 1.4% over the same period (P<0.001). Among nulliparous women, the OASIS rate was significantly lower with episiotomy in both normal vaginal deliveries (0.6% vs 1.7%; P<0.001) and instrumental deliveries with episiotomy than without (1.7% vs 42.9%; P<0.001). Among multiparous women, the OASIS rate was significantly lower in normal vaginal delivery without episiotomy than with (0.3% vs 0.5%; P=0.026), but significantly lower in instrumental deliveries with episiotomy than without (0.5% vs 23.5% P<0.001). Overall, episiotomy was a protective factor for OASIS (odds ratio=0.273, 95% confidence interval= 0.208-0.358; P<0.001).</p><p><strong>Conclusion: </strong>Episiotomy was protective against OASIS among nulliparous women with singleton normal vaginal delivery and instrumental delivery in an Asian population. It also conferred protection among multiparous women undergoing instrumental delivery but not in those having normal vaginal delivery.</p>","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"6-12"},"PeriodicalIF":3.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087655","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":"Pneumonia-associated inflammatory myofibroblastic tumour: a case report.","authors":"X Mo, Y Zhuang, L Zhang, C Chen","doi":"10.12809/hkmj2512953","DOIUrl":"10.12809/hkmj2512953","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"55-57"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004462","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":"Validation of diagnosis codes for pleural diseases and procedure codes for relevant respiratory procedures in a healthcare database in Hong Kong: a single tertiary centre study.","authors":"K K P Chan, T C C Ng, C Y Sze, K C Ling, C Chan, C H Y Lau, S W T Ho, J K C Ng, R L P Lo, W H Yip, J C L Ngai, K W To, F W S Ko, D S C Hui","doi":"10.12809/hkmj2412275","DOIUrl":"10.12809/hkmj2412275","url":null,"abstract":"<p><strong>Introduction: </strong>There are insufficient population-based epidemiological data on various pleural diseases in Hong Kong. We aimed to validate ICD-9-CM (International Classification of Diseases, Ninth Revision, Clinical Modification) codes for pleural diseases and relevant procedures prior to conducting epidemiological analyses using local electronic health records.</p><p><strong>Methods: </strong>Hospitalisation episodes coded as 'pneumothorax', 'pleural effusion', and trauma-related pleural events, as well as procedures beginning with ICD-9-CM codes 33 and 34 between 2013 and 2022, were retrieved from the Hospital Authority. Paediatric patients and uninterrupted hospitalisation episodes were excluded. The cohort was filtered to include those hospitalised at Prince of Wales Hospital (PWH). Up to 50 hospitalisation episodes were randomly selected for manual validation. Positive predictive values (PPVs) with 95% confidence intervals of individual codes were calculated; successful validation was defined as a PPV ≥0.700. The primary endpoint was the PPV of individual diagnosis and procedure codes.</p><p><strong>Results: </strong>A total of 26 757, 218 018, 1269, 185 154, and 106 450 hospitalisation episodes with non-traumatic pneumothorax, non-traumatic pleural effusion, trauma-related pleural events, procedures with code 33, and procedures with code 34, respectively, were retrieved. Within the PWH cohort, PPVs for these diagnosis and procedure codes were 0.853 (0.787-0.904), 0.928 (0.903-0.948), 0.957 (0.907-0.981), 0.932 (0.913-0.948), and 0.933 (0.916-0.948), respectively. Procedures involving indwelling pleural catheterisation and open drainage of the pleural cavity failed validation due to frequent miscoding.</p><p><strong>Conclusion: </strong>This is the first validation study of clinical codes for pleural diseases and related procedures in Hong Kong. All diagnosis codes and most procedure codes were successfully validated.</p>","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"13-22"},"PeriodicalIF":3.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087715","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 Hong Kong Hospital Authority reform: a historical perspective. Foreword.","authors":"F C Pang","doi":"10.12809/hkmj-hc202512-fw","DOIUrl":"https://doi.org/10.12809/hkmj-hc202512-fw","url":null,"abstract":"","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":"31 6","pages":"508-514"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783385","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}