13 research outputs found

    Another light in the dark: review of new method for the arthroscopic repair of triangular fibrocartilage complex

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    The triangular fibrocartilage complex (TFCC) is an anatomically and biomechanically important structure. Repair of radial-sided TFCC tear has previously been challenging. We designed a new method of radial-sided TFCC tear repair and found that it was also applicable for ulnar-sided TFCC tear repair. From October 2006 to December 2010, 10 patients underwent this operation and were reviewed: 9 men and 1 woman, with a mean age of 33.9 years. Average postoperative follow-up was 8 months. We graded results according to the Mayo modified wrist score. We rated 2 of the 10 patients (20%) as 'excellent,' 3 (30%) as 'good,' and 5 (50%) as 'fair.' The 5 patients who were rated as 'fair' returned to regular jobs or had restricted employment. Based on this small sample, we recommend that this technique be considered an alternative method for TFCC repair.postprin

    An update on irreversible electroporation of liver tumours

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    Evaluation of anti-oxidant capacity of root of Scutellaria baicalensis Georgi, in comparison with roots of polygonum multiflorum thunb and Panax ginseng CA Meyer

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    Author name used in this publication: Jian-Hong WuAuthor name used in this publication: Alice Lai-Shan AuAuthor name used in this publication: Peter Hoi-Fu Yu2009-2010 > Academic research: refereed > Publication in refereed journalAccepted ManuscriptPublishe

    Neurological Complications In Chinese Children Undergoing Hematopoietic Stem Cell Transplantation (hsct)

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    Background and Aims: HSCT is a curative strategy in a variety of benign and malignant pediatric disorders. Neurological complications could result in significant morbidity and might impact survival. We perform a review for the burden of neurological complications in local pediatric HSCTs. Method: Retrospective review of consecutive HSCTs performed in a tertiary pediatric unit from 2007-2016. Neurological symptoms and complications occurring from start of conditioning to 6m after HSCT were included. Underlying demographics, HSCT indications, regimens and outcomes were studied for risk factors and impact on survival evaluated. Results: 196 HSCT episodes were included, with median age at HSCT being 6.3y (range: 0.3–20.6). Indications of HSCT included leukemia/lymphoma in 85 (43%), benign hematological/immunological disorders in 56 (29%), CNS tumors in 12 (6%), non-CNS solid tumors in 43 (22%). 144 episodes (74%) were allogeneic while 52 (26%) were autologous. Stem cell source was BM in 57 (29%), CB in 65 (33%) and PBSC in 74 (38%). For episodes of allogeneic HSCT, donors were matched-unrelated in 82 (42%), matched-siblings in 38 (19%) and haploidentical in 24 (12%). CNS complications developed in 33 (17%) HSCT episodes. Symptoms of presentation included alteration in consciousness (n=7), seizure (n=9), headache (n=16), motor deficits (n=10), visual disturbances (n=9), sensory dysfunction (n=2), and others (n=8). Etiologies of these complications were attributed to primary disease in 9, drug effects in 5 (including PRES in 3), stroke/ICH in 4, infection in 3, and radiotherapy (RT) effect in 2 and hypocalcemia in 1. Neurological complications were significantly associated with indications of HSCT (leukemia/lymphoma = 21%; benign hematological/immunodeficiency 14%; CNS tumors 42%; Non-CNS solid 5%; p=0.01); pre-HSCT CNS involvement by underlying disease (No involvement = 13% vs disease involvement = 39%; p=0.001), and RT-containing conditioning regimen (no RT = 13% vs RT-containing = 28%; p=0.018). Pre-HSCT CNS directed treatment, stem cell source, donor type, busulphan/cyclosporin use were not significantly associated with CNS complications. Upon multivariate analysis, pre-HSCT CNS involvement by underlying disease remained to be the only significant factor (p=0.019). When analysis was limited to allogeneic HSCT episodes, CNS complications were still associated with CNS involvement by underlying disease (p=0.011) and TBI/TLI-containing conditioning (p=0.029). HSCT episodes with CNS complications were associated with inferior outcome (2y OS 53.9%±8.8% vs 63.8%±4.2%; p=0.016). Conclusion: Neurological complications were common in pediatric HSCTs and had adverse impact on survival. Etiologies were multifactorial with pre-HSCT CNS involvement by underlying disease and radiation during conditioning being risk factors

    Hong Kong dentists' preparedness for medical emergency in dental clinics

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    Hepatitis transactivator protein X promotes extracellular matrix modification through HIF/LOX pathway in liver cancer

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    2017-2018 > Academic research: refereed > Publication in refereed journal201810 bcrcVersion of RecordPublishe
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