Hong Kong Medical Journal最新文献_第7页

Cross-specialty point-of-care ultrasound education in The University of Hong Kong. 香港大学跨专业护理点超声波教育。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-06-01 Epub Date: 2024-06-04 DOI: 10.12809/hkmj2411666

A C K Cheung, P Y Ng, R P K Lam, G T C Wong

引用次数: 0

Neonatal haemoperitoneum due to splenic rupture: a case report. 脾破裂导致的新生儿腹腔积血：病例报告。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-06-01 Epub Date: 2024-06-06 DOI: 10.12809/hkmj2310935

S L H Cheung, B S Y Tsui, Y H Tam

引用次数: 0

Changes in cardiovascular disease risk predicted by the Framingham risk model in the Hong Kong population between 2003-2005 and 2014-2015: data from Population Health Surveys. 2003-2005年至2014-2015年期间香港人口根据弗雷明汉风险模型预测的心血管疾病风险变化：人口健康调查数据。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-06-01 Epub Date: 2024-05-29 DOI: 10.12809/hkmj2210513

B Y C Sung, E H M Tang, L Bedford, C K H Wong, E T Y Tse, E Y T Yu, B M Y Cheung, C L K Lam

{"title":"Changes in cardiovascular disease risk predicted by the Framingham risk model in the Hong Kong population between 2003-2005 and 2014-2015: data from Population Health Surveys.","authors":"B Y C Sung, E H M Tang, L Bedford, C K H Wong, E T Y Tse, E Y T Yu, B M Y Cheung, C L K Lam","doi":"10.12809/hkmj2210513","DOIUrl":"10.12809/hkmj2210513","url":null,"abstract":"Introduction: The Framingham risk model estimates a person's 10-year cardiovascular disease (CVD) risk. This study used this model to calculate the changes in sex- and age-specific CVD risks in the Hong Kong Population Health Survey (PHS) 2014/15 compared with two previous surveys conducted during 2003 and 2005, namely, PHS 2003/2004 and Heart Health Survey (HHS) 2004/2005.Methods: This study included individuals aged 30 to 74 years from PHS 2014/15 (n=1662; n=4 445 868 after population weighting) and PHS 2003/2004 and HHS 2004/2005 (n=818; n=3 495 074 after population weighting) with complete data for calculating the risk of CVD predicted by the Framingham model. Sex-specific CVD risks were calculated based on age, total cholesterol and high-density lipoprotein cholesterol levels, mean systolic blood pressure, smoking habit, diabetic status, and hypertension treatment. Mean sex- and age-specific CVD risks were calculated; differences in CVD risk between the two surveys were compared by independent t tests.Results: The difference in 10-year CVD risk from 2003-2005 to 2014-2015 was not statistically significant (10.2% vs 10.6%; P=0.29). After age standardisation according to World Health Organization world standard population data, a small decrease in CVD risk was observed, from 9.4% in 2003-2005 to 8.8% in 2014-2015. Analysis according to age-group showed that more participants aged 65 to 74 years were considered high risk in 2003 to 2005 (2003-2005: 66.8% vs 2014-2015: 53.1%; P=0.028). This difference may be due to the decrease in smokers among men (2003-2005: 30.5% vs 2014-2015: 24.0%; P<0.001).Conclusion: From 2003-2005 to 2014-2015, there was a small decrease in age-standardised 10-year CVD risk. A holistic public health approach simultaneously targeting multiple risk factors is needed to achieve greater decreases in CVD risk.","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"202-208"},"PeriodicalIF":3.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162711","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 : 2024-06-01

A Fung, R A Collins

引用次数: 0

Virtual multidisciplinary stroke care clinic for community-dwelling stroke survivors: a randomised controlled trial (abridged secondary publication). 针对社区中风幸存者的虚拟多学科中风护理诊所：随机对照试验（节选二次出版）。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-06-01

J P C Chau, S H S Lo, A Y L Lau, V W Y Lee, K C Choi, E W C Shum, S S Hung, V C T Mok, E K C Siow, J Y L Ching, S K Y Lam

引用次数: 0

Transurethral water vapour thermal therapy for benign prostatic hyperplasia under local anaesthesia alone: initial experience in Chinese patients. 单纯局部麻醉下经尿道水蒸气热疗治疗良性前列腺增生症：中国患者的初步经验。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-06-01 Epub Date: 2024-05-10 DOI: 10.12809/hkmj2210330

K L Lo, A Mok, I C H Ko, S K K Yuen, P K F Chiu, C F Ng

{"title":"Transurethral water vapour thermal therapy for benign prostatic hyperplasia under local anaesthesia alone: initial experience in Chinese patients.","authors":"K L Lo, A Mok, I C H Ko, S K K Yuen, P K F Chiu, C F Ng","doi":"10.12809/hkmj2210330","DOIUrl":"10.12809/hkmj2210330","url":null,"abstract":"Introduction: This study evaluated the perioperative and early postoperative outcomes of transurethral water vapour thermal therapy (WVTT) under local anaesthesia alone for benign prostatic enlargement in Chinese patients.Methods: This retrospective review of transurethral WVTT for benign prostatic enlargement focused on 50 Chinese patients who exhibited clinical indications (acute retention of urine or symptomatic lower urinary tract symptoms due to benign prostatic enlargement) for surgical treatment between June 2020 and December 2021 in Hong Kong. Exclusion criteria included active urinary tract problems and urological malignancies. Follow-up was conducted at 3 months postoperatively.Results: The median patient age was 71.5 years. The mean preoperative prostatic volume was 56.7 mL. The mean operation time was 25.1 minutes. All procedures were performed under local anaesthesia alone. The mean pain scores for transrectal ultrasound probe insertion, transperineal local anaesthesia injection, and transurethral WVTT were 2, 5, and 4, respectively. Forty-nine patients (98%) were discharged on the same day with a urethral catheter. Forty-eight patients (96%) successfully completed a trial without catheter within 3 weeks postoperatively. Five patients (10%) had unplanned hospital admission within 30 days postoperatively due to surgical complications (Clavien-Dindo grade 1).Conclusion: Transurethral WVTT, an advanced surgical treatment for benign prostatic enlargement, is a safe procedure that relieves lower urinary tract symptoms with minimal hospital stay. It can be performed in an office-based setting under local anaesthesia, maximising utilisation of the surgical theatre.","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"227-232"},"PeriodicalIF":3.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140898273","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

Community health worker-led multimedia intervention to increase cervical cancer screening uptake among South Asians: a randomised controlled trial (abridged secondary publication). 以社区卫生工作者为主导的多媒体干预，提高南亚人的宫颈癌筛查率：随机对照试验（节选二次出版）。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-06-01

C L Wong, W K W So, D N S Chan

引用次数: 0

Breaking barriers and inspiring hope: an interview with Dr Gary Ng. 打破障碍，激发希望：采访 Gary Ng 博士。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-06-01 DOI: 10.12809/hkmj-hc202406

Y T Law, C Lee

引用次数: 0

Molecular epidemiology of hepatitis C virus transmission networks among men who have sex with men in Hong Kong. 香港男男性行为者丙型肝炎病毒传播网络的分子流行病学。