Hong Kong Medical Journal最新文献_第8页

Prevalence and severity of asthma among school children in Hong Kong. 香港学童的哮喘发病率和严重程度。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-10-01 DOI: 10.12809/hkmj2310882

J W C H Cheng, Y P Tsang, Y Y Lam, A K Y Chu, C S Y Ng, C H Y Chan, Y L Fung, P S Y Chau, D C K Luk

{"title":"Prevalence and severity of asthma among school children in Hong Kong.","authors":"J W C H Cheng, Y P Tsang, Y Y Lam, A K Y Chu, C S Y Ng, C H Y Chan, Y L Fung, P S Y Chau, D C K Luk","doi":"10.12809/hkmj2310882","DOIUrl":"https://doi.org/10.12809/hkmj2310882","url":null,"abstract":"Introduction: This study presents contemporary epidemiological data regarding the prevalence and severity of asthma and wheezing among children in Hong Kong, which provides an update to the results of the International Study of Asthma and Allergies in Childhood (ISAAC) conducted in 1994-1995 and 2001-2003.Methods: This cross-sectional investigation was based on the ISAAC study protocol. Responses from 1100 children aged 6 to 7 years (Primary 1-2) and 1048 children aged 13 to 14 years (Secondary 2-3) in Hong Kong between September 2020 and August 2021 were analysed. Sex differences within each age-group were assessed using Chi squared and independent t tests. Demographic information was entered into hierarchical logistic regression models to identify potential predictive factors associated with asthma severity. Annual change in prevalence was calculated via division of the prevalence by the number of years between surveys. Logistic regression modelling was conducted to identify risk factors associated with asthma severity.Results: The prevalences of current wheezing were 6.19% and 4.97% in the primary and secondary school groups, respectively. The prevalences of asthma ever were 5.55% and 6.12%, whereas those of wheezing ever were 20.38% and 12.05%, in the primary and secondary school groups, respectively.Conclusion: Asthma severity and prevalence have decreased in Hong Kong since 1994-1995. A followup study will explore the protective and risk factors contributing to these trends.","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":"30 5","pages":"371-379"},"PeriodicalIF":3.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478440","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

The use of paracetamol in clinical consultations: are current prescribing practices safe? 在临床会诊中使用扑热息痛：目前的处方做法安全吗？

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-10-01 DOI: 10.12809/hkmj245164

B H M Ma, M C S Wong

引用次数: 0

Marchiafava-Bignami disease. 马奇亚法瓦-比尼亚米病

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.12809/hkmj2310892

F Ren, Q Wang

引用次数: 0

Sodium nitrite-induced methemoglobinaemia: a case report. 亚硝酸钠诱发高铁血红蛋白血症：病例报告。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-10-01 Epub Date: 2024-10-09 DOI: 10.12809/hkmj2311153

C Y Yeung, H G Lam, F L Lee, F K C Chu, C K Chan

引用次数: 0

Dr Kok-cheang Yeo (1903-2004): the first Chinese Director of Medical and Health Services in Hong Kong. 杨国章医生（1903-2004 年）：香港第一位华人医务卫生署署长。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-10-01 DOI: 10.12809/hkmj-hkmms202410

T W Wong, M Chan-Yeung

引用次数: 0

Mental health among parents and their children with eczema in Hong Kong. 香港患有湿疹的父母及其子女的心理健康。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-10-01 Epub Date: 2024-10-03 DOI: 10.12809/hkmj219738

P H Lam, K L Hon, S Loo, C K Li, P Ip, M J Koh, C H Y Chan

{"title":"Mental health among parents and their children with eczema in Hong Kong.","authors":"P H Lam, K L Hon, S Loo, C K Li, P Ip, M J Koh, C H Y Chan","doi":"10.12809/hkmj219738","DOIUrl":"10.12809/hkmj219738","url":null,"abstract":"Introduction: This cross-sectional survey research investigated mental health symptoms and quality of life among Chinese parents and their children with eczema at a paediatric dermatology clinic in Hong Kong from November 2018 to October 2020.Methods: Health-related quality of life, eczema severity, and mental health among children with eczema, as well as their parents' mental health, were studied using the Children's Dermatology Life Quality Index (CDLQI), Infants' Dermatitis Quality of Life Index (IDQOL), Nottingham Eczema Severity Score (NESS), Patient-Oriented Eczema Measure (POEM), and the Chinese version of the 21-item Depression, Anxiety, and Stress Scales (DASS-21).Results: In total, 432 children and 380 parents were recruited. Eczema severity (NESS and POEM) and health-related quality of life (CDLQI) were significantly positively associated with parental and child depression, anxiety, and stress levels according to the DASS-21, regardless of sex (children: r=0.28- 0.72, P<0.001 to 0.007; parents: r=0.20-0.52, P<0.001 to 0.034). Maternal depression was marginally positively associated with increased anxiety in boys with eczema (r=0.311; P=0.045). Younger parents had higher risk of developing more anxiety and stress compared with the older parents (adjusted odds ratio [aOR]=-0.342, P=0.014 and aOR=-0.395, P=0.019, respectively). Depression level of parents with primary to secondary education was 58% higher than their counterparts with post-secondary education or above (aOR=-1.579; P=0.007).Conclusion: Depression, anxiety, and stress among children with eczema and their parents were associated with eczema severity and impaired quality of life in those children. These findings regarding impaired mental health in children with eczema and their parents highlight the need to include mental well-being and psychosocial outcomes in future studies and clinical practice.","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"362-370"},"PeriodicalIF":3.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367110","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

Enhancing human papillomavirus vaccine acceptance in Hong Kong: a call for action and public education. 提高香港对人类乳头瘤病毒疫苗的接受程度：呼吁行动和公众教育。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-10-01 DOI: 10.12809/hkmj245166

Z Chen, J Y K Chan, P K S Chan

引用次数: 0

Alectinib-induced haemolytic anaemia in anaplastic lymphoma kinase-positive non-small-cell lung cancer: a case report. 非小细胞淋巴瘤激酶阳性非小细胞肺癌患者阿来替尼诱发的溶血性贫血：病例报告。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-10-01 Epub Date: 2024-10-14 DOI: 10.12809/hkmj2311077

T C H Leung, T C Y So

引用次数: 0

End-of-life practices in Hong Kong intensive care units: results from the Ethicus-2 study. 香港重症监护病房的临终关怀实践：Ethicus-2 研究的结果。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-08-01 Epub Date: 2024-08-15 DOI: 10.12809/hkmj2310944

G M Joynt, S K H Ling, L L Chang, P N W Tsai, G K F Au, D H K So, F L Chow, P K N Lam, A Avidan, C L Sprung, A Lee

{"title":"End-of-life practices in Hong Kong intensive care units: results from the Ethicus-2 study.","authors":"G M Joynt, S K H Ling, L L Chang, P N W Tsai, G K F Au, D H K So, F L Chow, P K N Lam, A Avidan, C L Sprung, A Lee","doi":"10.12809/hkmj2310944","DOIUrl":"10.12809/hkmj2310944","url":null,"abstract":"Introduction: The need for end-of-life care is common in intensive care units (ICUs). Although guidelines exist, little is known about actual end-of-life care practices in Hong Kong ICUs. The study aim was to provide a detailed description of these practices.Methods: This prospective, multicentre observational sub-analysis of the Ethicus-2 study explored end-of-life practices in eight participating Hong Kong ICUs. Consecutive adult ICU patients admitted during a 6-month period with life-sustaining treatment (LST) limitation or death were included. Follow-up continued until death or 2 months from the initial decision to limit LST.Results: Of 4922 screened patients, 548 (11.1%) had LST limitation (withholding or withdrawal) or died (failed cardiopulmonary resuscitation/brain death). Life-sustaining treatment limitation occurred in 455 (83.0%) patients: 353 (77.6%) had decisions to withhold LST and 102 (22.4%) had decisions to withdraw LST. Of those who died without LST limitation, 80 (86.0%) had failed cardiopulmonary resuscitation and 13 (14.0%) were declared brain dead. Discussions of LST limitation were initiated by ICU physicians in most (86.2%) cases. Shared decision-making between ICU physicians and families was the predominant model; only 6.0% of patients retained decision-making capacity. Primary medical reasons for LST limitation were unresponsiveness to maximal therapy (49.2%) and multiorgan failure (17.1%). The most important consideration for decision-making was the patient's best interest (81.5%).Conclusion: Life-sustaining treatment limitations are common in Hong Kong ICUs; shared decision-making between physicians and families in the patient's best interest is the predominant model. Loss of decision-making capacity is common at the end of life. Patients should be encouraged to communicate end-of-life treatment preferences to family members/surrogates, or through advance directives.","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"300-309"},"PeriodicalIF":3.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983656","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

The Hong Kong Renal Registry: a recent update. 香港肾脏注册资料库：近期更新。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-08-01 Epub Date: 2024-08-05 DOI: 10.12809/hkmj2411504

J Y H Chan, Y L Cheng, S K Yuen, P N Wong, H M Cheng, K L Mo, C Y Yung, K M Chow, S K S Fung, W L Chak, M K M Ma, T L Ho, A Lee, S Wong, S F Cheung, A L T Ma, C C Szeto, S C W Tang, S L Lui

引用次数: 0