Annals of The College of Surgeons Hong Kong最新文献_第6页

Pattern of head injury among the paediatric population: Experience of a local neurosurgical centre 儿科人群头部损伤的模式:当地神经外科中心的经验

Annals of The College of Surgeons Hong Kong Pub Date : 2002-02-01 DOI: 10.1046/J.1442-2034.2002.00124.X

K. Leung, D. Fong

{"title":"Pattern of head injury among the paediatric population: Experience of a local neurosurgical centre","authors":"K. Leung, D. Fong","doi":"10.1046/J.1442-2034.2002.00124.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00124.X","url":null,"abstract":"Objective: \u0000 \u0000To review the pattern of head injury among the paediatric population. \u0000 \u0000 \u0000 \u0000Method: \u0000 \u0000The hospital records of all patients younger than 12 years of age who had been admitted to the Neurosurgical Department at Tuen Mun Hospital for head injury between January 1992 and June 1996 were reviewed. The demographic data, causes and location of injury, initial Glasgow Coma Scale, associating symptoms and signs, radiological findings, and outcome were analyzed. \u0000 \u0000 \u0000 \u0000Results: \u0000 \u0000A total of 1240 patients were registered, the male to female ratio being 1.7 : 1. Annual incidence was 1.7 per 1000 population, and 41% of patients were younger than 1 year of age. Fall was the commonest cause, accounting for 77.5% of the cases, followed by accidental blow (13.5%), and traffic accident (7.9%). Of theses cases, 1.9% had significant intracranial injuries, of which epidural haematoma accounted for 48% of this category. \u0000 \u0000 \u0000 \u0000Conclusions: \u0000 \u0000Recognizing the pattern of head injury among children helps to identify any high-risk groups and environment, which will then help us to design more appropriate preventive measures. \u0000 \u0000 \u0000 \u0000Chinese Abstract \u0000 \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"29 1","pages":"4-7"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73695338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Review of surgical services in the Hospital Authority. Final report submitted to the Coordinating Committee in Surgery: Part 1 检讨医院管理局的外科服务。提交给外科协调委员会的最终报告:第1部分

Annals of The College of Surgeons Hong Kong Pub Date : 2001-05-01 DOI: 10.1046/J.1442-2034.2001.00102.X

D. Carter, R. Finley, J. May, B. Pruitt, Dickson Chang

引用次数: 2

Leaking thoraco-abdominal aortic aneurysm in Marfan syndrome 马凡氏综合征的胸腹主动脉瘤漏出

Annals of The College of Surgeons Hong Kong Pub Date : 1999-11-01 DOI: 10.1046/J.1442-2034.1999.00026.X

Wong Cc, Ting Albert Cw, Chen Wk

引用次数: 0

Efficacy of ciprofloxacin in urinary tract infections and risk factors for ciprofloxacin‐resistant infections 环丙沙星治疗尿路感染的疗效及耐环丙沙星感染的危险因素

Annals of The College of Surgeons Hong Kong Pub Date : 1999-11-01 DOI: 10.1046/J.1442-2034.1999.00032.X

Lee Daniel Tai‐Yam, Venu Velayudhan, Kwok Samuel Po‐Yin

{"title":"Efficacy of ciprofloxacin in urinary tract infections and risk factors for ciprofloxacin‐resistant infections","authors":"Lee Daniel Tai‐Yam, Venu Velayudhan, Kwok Samuel Po‐Yin","doi":"10.1046/J.1442-2034.1999.00032.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.1999.00032.X","url":null,"abstract":"Objectives: The study was undertaken to assess the safety and efficacy of sequential intravenous and oral ciprofloxacin in the treatment of moderate-to-severe urinary tract infections (UTI), and to identify risk factors for acquiring UTI caused by ciprofloxacin-resistant organisms. \u0000 \u0000Materials and Methods: Using a prospective, open, single-centre study design, hospitalized patients with a clinical diagnosis of moderately severe UTI were enrolled. After a minimum of 3 days of intravenous ciprofloxacin, patients were switched to oral therapy. Assessment for response and analysis of risk factors were performed at the end of therapy. \u0000 \u0000Results: Between December 1996 and November 1997, a total of 66 patients met the criteria for efficacy evaluation. Among the 55 patients with ciprofloxacin-sensitive organisms, 51 patients (93%) were cured. Persisting infection was noted in three patients (5%) and one patient (2%) was re-infected with a ciprofloxacin-resistant organism. Of the organisms isolated, 14 (19%) were resistant to ciprofloxacin. The presence of prostatic obstruction (odds ratio 6.02, 95% confidence interval (CI) 1.28–28.30, P = 0.02) and recurrent UTI (odds ratio 8.63, 95% CI 1.81–41.17, P = 0.007) were independently associated with infections caused by ciprofloxacin-resistant organisms. Adverse events were reported in 5 patients (8%) but no premature discontinuation or mortality was documented. \u0000 \u0000Conclusion: Sequential therapy with oral therapy after initial parenteral ciprofloxacin is safe and effective in the management of moderate-to-severe UTI in appropriately selected patients.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"30 1","pages":"115-119"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81373223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laparoscopic Liver Resection 腹腔镜肝切除术

Annals of The College of Surgeons Hong Kong Pub Date : 1999-11-01 DOI: 10.1046/J.1442-2034.1999.00034.X

Tsang Wilson Wc, Tang Cn, Siu Wt, Lindsay Kw

引用次数: 2

Guide for passing sections B and C of the FRCSEd/FCSHK: 3. Advice on the clinical examination 通过FRCSEd/FCSHK B和C部分的指南:关于临床检查的建议

Annals of The College of Surgeons Hong Kong Pub Date : 1999-11-01 DOI: 10.1046/J.1442-2034.1999.00013.X

Tong Wc

引用次数: 0

Sildenafil (Viagra®) and erectile dysfunction 西地那非(伟哥®)和勃起功能障碍

Annals of The College of Surgeons Hong Kong Pub Date : 1999-11-01 DOI: 10.1046/J.1442-2034.1999.00035.X

Leung Lok Sang, Y. Chun

引用次数: 3

Hepatocellular carcinoma: Screening and non-surgical treatment 肝细胞癌:筛查和非手术治疗

Annals of The College of Surgeons Hong Kong Pub Date : 1999-11-01 DOI: 10.1046/J.1442-2034.1999.00033.X

Yuen Man-Fung, Lai Ching-Lung

{"title":"Hepatocellular carcinoma: Screening and non-surgical treatment","authors":"Yuen Man-Fung, Lai Ching-Lung","doi":"10.1046/J.1442-2034.1999.00033.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.1999.00033.X","url":null,"abstract":"Hepatocellular carcinoma (HCC) is the second commonest cancer in Hong Kong. Recent advances show that HCC can be derived from hepatocytes and from progenitor oval cells. Those from progenitor oval cells express both hepatocyte and biliary markers and are associated with poorer differentiation, more cellular proliferation, more aggressive clinical course and poorer prognosis. Patients with HCC usually present late and the choice of treatment modalities will be limited. Screening for early subclinical HCC in high-risk groups is indicated. In patients diagnosed by screening, the clinical parameters were significantly more favourable, with a higher resectability rate, a higher chance of responding to transarterial chemoembolization (TACE) and a better survival. Treatment for HCC at present is still not satisfactory because of the late presentation, low resection rate, the high recurrence/new occurrence rate and the high prevalence of background cirrhosis. Surgical resection remains the first choice of treatment. However, there is a high recurrence rate. Medical treatment for inoperable HCC can be divided into systemic and local/regional therapy. To date, there are relatively few randomized controlled trials. Systemic therapy consists of the use of doxorubicin, alpha-interferon, tamoxifen or combination therapy. For the local/regional therapy, alcohol injection and TACE with lipiodol are the two commonly used methods. Selective intra-arterial infusion of 90yttrium has also been described. Randomized controlled trials are urgently needed to assess the efficacy of various medical treatments.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"1 1","pages":"107-111"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76963491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The College of Surgeons of Hong Kong: Continuing professional development 香港外科专科学院:持续专业发展

Annals of The College of Surgeons Hong Kong Pub Date : 1999-11-01 DOI: 10.1046/J.1442-2034.1999.00036.X

J. Lau

引用次数: 0

The origins of surgery: 1. From prehistory to Renaissance* 外科手术的起源:1;从史前到文艺复兴*

Annals of The College of Surgeons Hong Kong Pub Date : 1999-11-01 DOI: 10.1046/J.1442-2034.1999.00027.X

F. Tai

引用次数: 4