292 research outputs found

    Anxiety, but not depression, mediates stress and somatic symptoms in Chinese

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    Posters: abstract no. 2980Conference Theme: Stretching the Boundaries: From Mechanisms of Disease to Models of Healthpublished_or_final_versio

    Evolving frontiers in severe polytrauma management: refining the essential principles

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    This editorial aims to refine the severe polytrauma management principles. While keeping ABCDE priorities, the termination of futile resuscitation and the early use of tourniquet to stop exsanguinating limb bleeding are crucial. Difficult-airway-management (DAM) is by a structured 5-level approach. The computerised tomography (CT) scanner is the tunnel to death for hemodynamically unstable patients. Focused Abdominal Sonography for Trauma-Ultrasonography (FAST USG) has replaced diagnostic peritoneal lavage (DPL) and is expanding to USG life support. Direct whole-body multidetector-row computed tomography (MDCT) expedites diagnosis & treatment. Non-operative management is a viable option in rapid responders in shock. Damage control resuscitation comprising of permissive hypotension, hemostatic resuscitation & damage control surgery (DCS) help prevent the lethal triad of trauma. Massive transfusion protocol reduces mortality and decreases the blood requirement. DCS attains rapid correction of the deranged physiology. Mortality reduction in major pelvic disruption requires a multi-disciplinary protocol, the novel pre-peritoneal pelvic packing and the angio-embolization. When operation is the definitive treatment for injury, prevention is best therapy. © Penerbit Universiti Sains Malaysia, 2013.published_or_final_versio

    Patterns, aetiology and risk factors of intimate partner violence-related injuries to head, neck and face in Chinese women

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    Family violence accounts for 25% of homicides in Hong Kong

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    Letters to the editorpublished_or_final_versio

    Ownership Structure, Corporate Governance and Financial Performance: A Study of Public Listed Companies in Malaysia

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    This research study is aimed at the top 200 capitalized companies listed in Bursa Malaysia as of 31 December 2005. We analyzed these companies’ corporate governance disclosure and practices, financial performance and whether there are significant relationship between having good corporate governance and achieving better financial outcome. The uniqueness of this study from others is that we segregate the findings based on different ownership structures of these sample companies, for comparative purpose. Hence we would also be able to understand better the background and motivation of these different entities of family controlled companies (FCCs), government linked companies (GLCs) and multinational companies (MNCs) in their governance practice and financial performance. The most interesting findings from this research objective are: GLCs generally have better corporate governance, followed by MNCs and FCCs in terms of overall weighted scores of Corporate Governance Survey (CGSR) for year 2005. However, surprisingly MNCs have best basic compliance score as compared to other local entities. MNCs generally have better financial performances in terms of Earning per Share (EPS), Price-Earning Ratio (PER) and Return on Equity (ROE), followed by FCCs and GLCs. However out of the four financial performance measures used, GLCs generally have higher Net Profit after Tax (NPAT) comparatively. As for the relationship between corporate governance and financial performance: For total samples, NPAT has significant correlation with CGSR 2005 weighted average scores and international best practice of corporate governance, whilst EPS only correlates significantly with international best practice score. As for different ownership structures, MNCs show strong correlation between corporate governance (particularly international best practice) with EPS, NPAT and ROE respectively. GLCs and FCCs only correlates significantly in terms of NPAT and international best practice scores, and this raises the question of benefit in having good corporate governance for these local entities

    Practices, predictors and consequences of expressed breast-milk feeding in healthy full-term infants

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    To investigate the prevalence and predictors of expressed breast-milk feeding in healthy full-term infants and its association with total duration of breast-milk feeding. Prospective cohort study. In-patient postnatal units of four public hospitals in Hong Kong. A total of 2450 mother–infant pairs were recruited in 2006–2007 and 2011–2012 and followed up prospectively for 12 months or until breast-milk feeding had stopped. Across the first 6 months postpartum, the rate of exclusive expressed breast-milk feeding ranged from 5·1 to 8·0 % in 2006–2007 and from 18·0 to 19·8 % in 2011–2012. Factors associated with higher rate of exclusive expressed breast-milk feeding included supplementation with infant formula, lack of previous breast-milk feeding experience, having a planned caesarean section delivery and returning to work postpartum. Exclusive expressed breast-milk feeding was associated with an increased risk of early breast-milk feeding cessation when compared with direct feeding at the breast. The hazard ratio (95 % CI) ranged from 1·25 (1·04, 1·51) to 1·91 (1·34, 2·73) across the first 6 months. Mothers of healthy term infants should be encouraged and supported to feed directly at the breast. Exclusive expressed breast-milk feeding should be recommended only when medically necessary and not as a substitute for feeding directly at the breast. Further research is required to explore mothers’ reasons for exclusive expressed breast-milk feeding and to identify the health outcomes associated with this practice.postprin
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