12 research outputs found
Investigation of electromechanical properties in ferroelectric thin films using Monte Carlo simulation
Author name used in this publication: Winnie W. Y. Chung2005-2006 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe
Investigating the effect of oxygen vacancy on the dielectric and electromechanical properties in ferroelectric ceramics
Author name used in this publication: Haixia Cao2008-2009 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe
Simulation of electromechanical responses of ferroelectric ceramics driven by combined alternating electrical and mechanical loadings
Author name used in this publication: Simon Ching-kin Chow2006-2007 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe
Deliberative Opinion Research in Hong Kong, The Preliminary Results of the Joint Survey in the Greater China Region 2013
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Political Efficacy and Participation in Hong Kong: Quality versus Quantity
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Building a Sustainable Central and Western District: Concepts, History, Current Situations and Recommendations
From Pulmonary Surfactant, Synthetic KL4 Peptide as Effective siRNA Delivery Vector for Pulmonary Delivery
The clinical impact of chromosomal microarray on paediatric care in Hong Kong.
OBJECTIVE: To evaluate the clinical impact of chromosomal microarray (CMA) on the management of paediatric patients in Hong Kong. METHODS: We performed NimbleGen 135k oligonucleotide array on 327 children with intellectual disability (ID)/developmental delay (DD), autism spectrum disorders (ASD), and/or multiple congenital anomalies (MCAs) in a university-affiliated paediatric unit from January 2011 to May 2013. The medical records of patients were reviewed in September 2013, focusing on the pathogenic/likely pathogenic CMA findings and their "clinical actionability" based on established criteria. RESULTS: Thirty-seven patients were reported to have pathogenic/likely pathogenic results, while 40 had findings of unknown significance. This gives a detection rate of 11% for clinically significant (pathogenic/likely pathogenic) findings. The significant findings have prompted clinical actions in 28 out of 37 patients (75.7%), while the findings with unknown significance have led to further management recommendation in only 1 patient (p < 0.001). Nineteen out of the 28 management recommendations are "evidence-based" on either practice guidelines endorsed by a professional society (n = 9, Level 1) or peer-reviewed publications making medical management recommendation (n = 10, Level 2). CMA results impact medical management by precipitating referral to a specialist (n = 24); diagnostic testing (n = 25), surveillance of complications (n = 19), interventional procedure (n = 7), medication (n = 15) or lifestyle modification (n = 12). CONCLUSION: The application of CMA in children with ID/DD, ASD, and/or MCAs in Hong Kong results in a diagnostic yield of ∼ 11% for pathogenic/likely pathogenic results. Importantly the yield for clinically actionable results is 8.6%. We advocate using diagnostic yield of clinically actionable results to evaluate CMA as it provides information of both clinical validity and clinical utility. Furthermore, it incorporates evidence-based medicine into the practice of genomic medicine. The same framework can be applied to other genomic testing strategies enabled by next-generation sequencing
Haematological and immunological data of Chinese children infected with coronavirus disease 2019
Haematological and immunological data of children with
COVID-19 infection is lacking. Between 21st January and
20th March 2020, 244 children who were confirmed to have
COVID-19 infection and admitted to the Wuhan Children’s
Hospital, China were retrospectively reviewed. 193 children
were considered as symptomatic, which was defined as having either the presence of clinical symptoms or the presence
of CT thorax abnormalities. Their haematological and immunological profiles, including complete blood counts, lymphocyte subsets (T, B and NK cell counts), immunoglobulin (Ig) profiles (IgG, IgA and IgM) and cytokine profiles
were analysed and compared between the symptomatic and
asymptomatic groups. The median values and the interquartile ranges were calculated. Comparison was made using the
Mann–Whitney U test. Children with symptomatic COVID19 infection had significantly lower haemoglobin levels, but
higher absolute lymphocyte and monocyte counts, IgG and
IgA levels, as well as interleukin 6 (IL-6), IL-10, tumour
necrosis factor alpha and interferon gamma levels. The obtained data will be utilized for further studies in comparing
children and adults with COVID-19 infections in other parts
of the world and with different severity