An evaluation study on the elderly housing initiative in Hong Kong

The Hong Kong Housing Society (HKHS) of the Hong Kong Government launched the Senior Citizen Residence Scheme (SEN) in 2001 to provide housing units for the middle-class elders aged 60 and above, who have pre-set limits of asset and guaranteed income (Hong Kong Housing Society, n.d.). As a result, two public estates came into operation one year after in 2002. At present, a total of about 800 elders live in these two estates. The present study is under the auspices of the HKHS to evaluate the satisfaction of the residents in the two estates, to make recommendations on the improvement of the residence services and the living conditions in the two estates, and to make recommendations on future development of the SEN project. Both qualitative and quantitative approaches were adopted in the present study. First of all, a total of seven focus-group sessions, within each having 8-10 elders led by an experienced facilitator, were conducted to collect information on residents’ satisfaction on their living environment and the provision rendered in the housing estates. The members of the focus group consisted of males and females, younger and older elderly persons, and were selected from the healthy and active residents in the two housing estates. Secondly, three independent observers were appointed to sit in the focus-group discussion and daily routine activities and meetings taken part by the residents of the housing estates. The observers submitted their observation reports of residents’ views on their living environment and the provision rendered in the housing estates as well as the interaction in their communication. Thirdly, an accessible sample was drawn from all target residents through a face-to-face questionnaire survey. Since some residents were either reluctant to be interviewed or having difficulties to answer questions due to poor health, all other residents were interviewed by trained staff. The findings of the study are as follows: 1. In general, the majority of the residents living in the two Housing Estates are satisfied with the management, the facilities and the services provided. 2. There are differences in the domains of satisfaction between the residents in the two Housing Estates. Specifically, the Cheerful Court (one of the two Housing Estates) residents are more satisfied with their living environment whereas the Jolly Place (another one of the two Housing Estates) residents are happier with the basic optional services provided for them. 3. Improvement on the particulars of the facilities and services provided in the two Housing Estates, as shown in the analysis results, should be made in order to raise the satisfaction level of the residents

An exploratory study on the elders\u27 needs and attitudes towards radio programmes

Not many studies in the literature were to investigate the positive impacts of radio on health of the elderly in Hong Kong. If listening to radio has a positive impact on older people’s health, there would be important implications to the social services in Hong Kong, with regard to further studies on an in-depth understanding of this issue and policy recommendations for the Hong Kong government to improve social services of the elderly population. In light of the above rationale, the present study was designed to explore the qualitative impacts of listening radio on the well-being of elderly people in Hong Kong. The specific aims of the study were: 1. to explore the profile and the listening patterns of elderly audiences; 2. to explore the preference and needs of the elderly audience on radio programme in HK; 3. to explore impacts of the radio programmes on elderly’s life satisfaction and the quality of life. 4. to explore the notions of lifelong learning through the medium, which Radio 5 is serving such a function

An exploratory study of pet raising and health of the elderly people in Hong Kong

Introduction: Pets such as dogs, cats and fish were popular in many other countries (Marx et al., 1988; Gammonley, 1991; Brodie & Biley, 1999; PIAS, 2002). In Hong Kong, pet owners increased to 0.26 million (Census and Statistics Department, 2006). Dating back to 1980s, a research study reported the association between pet ownerships and health benefits for humans (McNicholas et al., 2005). According to the report, domesticated pets brought a sense of companionship and provided pet owners with pleasure. These pets could be tools for enhancing human social relationship and could also provide their owners with emotional comfort. Recent studies also revealed that the influence of the complex and rich relationship between pets and owners might far surpass daily pleasure in terms of improving physical, psychological and mental health of the elderly (Serpell, 1991; Garrity et al., 1989; Murrell et al., 1983). 1.2. Objectives : Not many studies in the literature were to investigate the positive impacts of pet raising on health of the elderly in Hong Kong. If pet raising had a positive impact on older people’s health, there would be important implications to the health services in Hong Kong, with regard to further studies on an in-depth understanding of this issue and policy recommendations for the Hong Kong government to improve the health services of the elderly population. In light of the above rationale, the present study was designed to explore the qualitative impacts of pet raising on well-being of the elderly people in Hong Kong. The specific aims of the study were: To explore the value of pet raising as perceived by the elderly people in Hong Kong; To explore the impacts of pet raising on the physical, psychological and overall life satisfaction of the elderly people in Hong Kong; To identify the critical factors influencing the physical, psychological and overall life satisfaction of the elderly people in Hong Kong; and To make suggestions to policy makers regarding effective health services for the elderly people in Hong Kong

Determinants of Mortality in Children under Five Years of Age with Severe Acute Malnutrition Admitted to the Yalgado Ouédraogo Teaching Hospital (Burkina Faso)

Background: To determine critical factors associated with severely malnourished children under five this case-control study was conducted. Methods: The data of a total of 433 children aged 0-59 months and admitted to the Hospital Yalgado Ouedraogo, (CHU – YO) between January 31, 2009 to January 31, 2013, were included in the analysis: 72 for the case group and 361 for the control group. Clinical and treatment records were accessed and data were analyzed. Results: For clinical signs, determinants of mortality were diarrhea [OR = 4.6; (95%CI 2.6-8.2], anorexia [OR = 2.7; (95%CI 1.4-5.0] and hepatomegaly [OR = 2.6; (95%CI 1.4-4.8]. For infections, determinants of mortality were pediatric HIV/AIDS [OR = 10.9; (95%CI 5.6-21.5] and digestive illnesses [OR = 5.1 (95%CI 2.8-9.4)]. Regarding the complications of malnutrition, determinants of mortality were severe dehydration [OR = 16.4 (95%CI 8.0-33.5)], skin lesions [OR = 14.3 (95%CI 6.4 -31.9)], heart failure [OR = 6.8 (95%CI 2.5-19.0)] and severe anemia [OR = 3.2(95%CI 1.4-7.1)]. For biochemical indicators, low serum sodium [OR = 0.7(95%CI 0.5-1.0)] and potassium levels [OR = 0.9(95%CI 0.9-1.0)] were the critical factors. In addition the risk of death was associated with low value of MUAC [OR = 0.9 (95% CI 0.8-0.9)]. Conclusions: The risk of death of children with severe acute malnutrition varies according to different factors studied

Phylo: A Citizen Science Approach for Improving Multiple Sequence Alignment

BACKGROUND: Comparative genomics, or the study of the relationships of genome structure and function across different species, offers a powerful tool for studying evolution, annotating genomes, and understanding the causes of various genetic disorders. However, aligning multiple sequences of DNA, an essential intermediate step for most types of analyses, is a difficult computational task. In parallel, citizen science, an approach that takes advantage of the fact that the human brain is exquisitely tuned to solving specific types of problems, is becoming increasingly popular. There, instances of hard computational problems are dispatched to a crowd of non-expert human game players and solutions are sent back to a central server. METHODOLOGY/PRINCIPAL FINDINGS: We introduce Phylo, a human-based computing framework applying "crowd sourcing" techniques to solve the Multiple Sequence Alignment (MSA) problem. The key idea of Phylo is to convert the MSA problem into a casual game that can be played by ordinary web users with a minimal prior knowledge of the biological context. We applied this strategy to improve the alignment of the promoters of disease-related genes from up to 44 vertebrate species. Since the launch in November 2010, we received more than 350,000 solutions submitted from more than 12,000 registered users. Our results show that solutions submitted contributed to improving the accuracy of up to 70% of the alignment blocks considered. CONCLUSIONS/SIGNIFICANCE: We demonstrate that, combined with classical algorithms, crowd computing techniques can be successfully used to help improving the accuracy of MSA. More importantly, we show that an NP-hard computational problem can be embedded in casual game that can be easily played by people without significant scientific training. This suggests that citizen science approaches can be used to exploit the billions of "human-brain peta-flops" of computation that are spent every day playing games. Phylo is available at: http://phylo.cs.mcgill.ca

The development and validation of a scoring tool to predict the operative duration of elective laparoscopic cholecystectomy

Background: The ability to accurately predict operative duration has the potential to optimise theatre efficiency and utilisation, thus reducing costs and increasing staff and patient satisfaction. With laparoscopic cholecystectomy being one of the most commonly performed procedures worldwide, a tool to predict operative duration could be extremely beneficial to healthcare organisations. Methods: Data collected from the CholeS study on patients undergoing cholecystectomy in UK and Irish hospitals between 04/2014 and 05/2014 were used to study operative duration. A multivariable binary logistic regression model was produced in order to identify significant independent predictors of long (> 90 min) operations. The resulting model was converted to a risk score, which was subsequently validated on second cohort of patients using ROC curves. Results: After exclusions, data were available for 7227 patients in the derivation (CholeS) cohort. The median operative duration was 60 min (interquartile range 45–85), with 17.7% of operations lasting longer than 90 min. Ten factors were found to be significant independent predictors of operative durations > 90 min, including ASA, age, previous surgical admissions, BMI, gallbladder wall thickness and CBD diameter. A risk score was then produced from these factors, and applied to a cohort of 2405 patients from a tertiary centre for external validation. This returned an area under the ROC curve of 0.708 (SE = 0.013, p  90 min increasing more than eightfold from 5.1 to 41.8% in the extremes of the score. Conclusion: The scoring tool produced in this study was found to be significantly predictive of long operative durations on validation in an external cohort. As such, the tool may have the potential to enable organisations to better organise theatre lists and deliver greater efficiencies in care