To study the church growth of the Hong Kong Evangelical Church from 2003 to 2012

https://place.asburyseminary.edu/ecommonsatsdissertations/1852/thumbnail.jp

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Predominant synthesis of IgA with lambda light chain in IgA nephropathy

Predominant synthesis of IgA with lambda light chain in IgA nephropathy. The nature of the light chains in mesangial IgA deposits and serum IgA was studied in patients with IgA nephropathy. Immunofluorescence (IF) studies using murine monoclonal antibodies, rabbit and goat anti-human monospecific antisera were performed in kidney sections from 15 IgA nephritic patients with only IgA isotype detected in the renal biopsy. Lambda light chain IF was demonstrated in all biopsy specimens and kappa light chain IF in 11 renal biopsy specimens. The majority of renal biopsies showed a predominance of lambda light chain IF staining in the mesangial deposits. The concentration of individual immunoglobulins and their light chain fractions, and the kappa/lambda ratio were determined in the serum and the supernate from peripheral blood mononuclear cells culture of 30 IgA nephritic patients and 30 age-matched healthy controls. The IgA nephritic patients had a higher serum concentration of total IgA (P < 0.001) and a significantly lower IgA kappa/lambda ratio (P < 0.001) compared with the controls. The kappa/lambda ratio of supernatant IgA from IgA nephritic patients (N = 20) was also significantly lower than that of the normal subjects (N = 14), both in the unstimulated (P < 0.01) and poke weed mitogen stimulated, peripheral blood mononuclear-cell culture (P < 0.05). Our results showed that patients with primary IgA nephropathy displayed a unique immunologic response characterized by a predominance of IgA with lambda light chain in circulation

The brain lipidomes of subcortical ischemic vascular dementia and mixed dementia

10.1016/j.neurobiolaging.2014.02.025NEUROBIOLOGY OF AGING35102369-2381UNITED KINGDO

Tough and porous piezoelectric P(VDF-TrFE)/organosilicate composite membrane

Novel P(VDF-TrFE)/organosilicate composite membrane was fabricated by electrospinning. The electrospun composite membrane containing as little as 2 wt% of organosilicate demonstrated significant improvements in strength, modulus, and toughness by about 103%, 45%, and 97%, respectively, when compared with those of electrospun pure P(VDF-TrFE) membrane, while maintaining high porosity and good breathability and piezoelectricity. We believe that such an organosilicate-reinforced durable, porous, and piezoelectric P(VDF-TrFE) membrane has huge advantages in various applications such as flexible sensors, wearable electronics, filter membrane, tissue engineering, battery separator, and polymer electrolyte

Randomised double-blind controlled trial of non-invasive preimplantation genetic testing for aneuploidy in in vitro fertilisation: a protocol paper

Introduction The success rate of in vitro fertilisation (IVF) treatment for couples with infertility remains low due to lack of a reliable tool in selecting euploid embryos for transfer. This study aims to compare the efficacy in embryo selection based on morphology alone compared with non-invasive preimplantation genetic testing for aneuploidy (niPGT-A) and morphology in infertile women undergoing IVF.Methods and analysis This is a randomised double-blind controlled trial conducted in two tertiary assisted reproduction centres. A total of 500 infertile women will be recruited and undergo IVF as indicated. They will be randomly assigned on day 6 after oocyte retrieval into two groups: the intervention group using morphology and niPGT-A and the control group based on morphology alone. In the control group, blastocysts with the best quality morphology will be replaced first. In the intervention group, blastocysts with the best morphology and euploid result of spent culture medium will be replaced first. The primary outcome is a live birth per the first embryo transfer. The statistical analysis will be performed with the intention to treat and per protocol.Ethics and dissemination Ethics approval was sought from the institutional review board of the two participating units. All participants will provide written informed consent before joining the study. The results of the study will be submitted to scientific conferences and peer-reviewed journals.Trial registration number NCT04474522

Tough and porous piezoelectric P(VDF-TrFE)/organosilicate composite membrane

Novel P(VDF-TrFE)/organosilicate composite membrane was fabricated by electrospinning. The electrospun composite membrane containing as little as 2 wt% of organosilicate demonstrated significant improvements in strength, modulus, and toughness by about 103%, 45%, and 97%, respectively, when compared with those of electrospun pure P(VDF-TrFE) membrane, while maintaining high porosity and good breathability and piezoelectricity. We believe that such an organosilicate-reinforced durable, porous, and piezoelectric P(VDF-TrFE) membrane has huge advantages in various applications such as flexible sensors, wearable electronics, filter membrane, tissue engineering, battery separator, and polymer electrolyte.Department of Applied PhysicsDepartment of Electrical EngineeringInstitute of Textiles and Clothing2016-2017 > Academic research: refereed > Publication in refereed journalbcr