Adolescent development in the context of Canadian-Chinese immigrant families

This study investigates the developmental processes and outcomes of Canadian-Chinese adolescents in families who had immigrated from Hong Kong to the Toronto, Canada area between seven and fifteen years previously. In-depth qualitative interviews with nineteen adolescents, between the ages of sixteen and twenty-one, and ten parents were conducted between February and August 1997. The study\u27s results describe the dynamic interplay of culture and migration that shapes the developmental processes and outcomes of adolescence in Canadian-Chinese Hong Kong immigrant families. The results also address the meanings constructed by the parents and the adolescents as a result of their experiences. Studies show that the current wave of Hong Kong immigrants are middle-class professionals who migrated to Canada to achieve democratic, social, and economic security, in response to the perceived political threat resulting from the imminent return of Hong Kong to China in 1997. In their accounts of their reasons for migration, the parent respondents revealed that they were motivated by the desire to provide their children with a foreign passport and better education opportunities. Migration, therefore, has been connoted as the parents\u27 sacrifice for a better future for their children. As a result, adolescents have a strong sense of indebtedness and try their best to repay this debt. The concept of bao, (reciprocity) thus serves as the basis for parent-adolescent relationship and as a guide for their interaction. A not grown up forever theme emerged from the participants\u27 construction of adolescent development. It reflects the traditional Chinese construction of adolescence as a continuation of childhood in which parents still guide, teach, coach, and monitor their children, and adolescents still accept and respect their parents\u27 wishes, and remain not grown up and dependent. The informants\u27 reliance on this construction reflects the influence of the Chinese perception of human development and the hierarchical parent-child relationship in Chinese immigrant families. The findings also indicate that Chinese parents and adolescents co-construct the dominant theme of covert parental control in the adolescent development process. Covert control, in this context, refers to a form of parenting characterized by parental guidance, family teaching, coaching, and monitoring. Parents, through tact and skills, successfully influence and guide their children. Children, motivated by their sense of indebtedness and the benefit they gain from being a dependent, reinforce their parents\u27 covert control and the indigenous concept of guar: in Chinese parenting practice. The ideal outcome of adolescent development, as reflected in the narratives of the informants, is a self in relational networks. The migration experience of being uprooted and the traditional Chinese perception of the self, which is a self that is organized and developed in the context of relationships (guanxi), contribute to the self in relational network construction. According to Canadian-Chinese immigrant parents and adolescents, the expected developmental outcome of adolescence is a self that is appropriately positioned in the relational networks. The findings of this study reveal a Chinese conception of adolescent development in the context of culture and migration

Towards a Chinese Conception of Adolescent Development in a Migration Context

Although there are many well-known theories of adolescent development in the West, there is a notable lack of theory with empirical support to understand the process and outcome of Chinese adolescent development. This paper attempts to advance a Chinese conception of adolescent development in a migration context. A qualitative study approach was used to explore the experiences and views of 19 Chinese-Canadian adolescents from Hong Kong and ten of their parents. The findings indicate that parents and adolescents co-construct the dominant theme of “covert parental control” in the adolescent development process, and the concept of “self in relational networks” as the adolescent development outcome. Based on the developmental experiences of these Chinese-Canadian adolescents, a culturally sensitive model of Chinese adolescent development is proposed. This model incorporates culture and migration as two essential components of the framework for a theory regarding Chinese adolescent development. It acknowledges the experience of Chinese-Canadian immigrants, takes account of the participants' personal meanings, and incorporates the indigenous Chinese cultural concepts of bao (reciprocity), guan (guidance), and guanxi (relationship)

The effect of word structure on the processing of Chinese two-character compound words and its acquisition in Hong Kong school-aged children

Also available in print."A dissertation submitted in partial fulfilment of the requirements for the Bachelor of Science (Speech and Hearing Sciences), The University of Hong Kong, December 31, 2004."Thesis (B.Sc)--University of Hong Kong, 2004.published_or_final_versionSpeech and Hearing SciencesBachelorBachelor of Science in Speech and Hearing Science

Using Positive Youth Development Constructs to Design a Drug Education Curriculum for Junior Secondary Students in Hong Kong

This paper outlines the design of a new curriculum for positive youth development (P.A.T.H.S. II) in Hong Kong. The paper discusses the conceptual base for designing a drug-education curriculum for junior-secondary students using four positive youth development constructs—cognitive competence, emotional competence, beliefs in the future, and self-efficacy. The program design is premised on the belief that adolescents do have developmental assets; therefore, the curriculum is designed to develop their psychosocial competencies. The goal of the curriculum is to develop the selfhood of these youths and ultimately achieve the goal of successful adolescent development

ZnO nanorod/GaN light-emitting diodes: The origin of yellow and violet emission bands under reverse and forward bias

ZnO nanorods have been prepared by electrodeposition under identical conditions on various p-GaN-based thin film structures. The devices exhibited lighting up under both forward and reverse biases, but the turn-on voltage and the emission color were strongly dependent on the p-GaN-based structure used. The origin of different luminescence peaks under forward and reverse bias has been studied by comparing the devices with and without ZnO and by photoluminescence and cathodoluminescence spectroscopy. We found that both yellow-orange emission under reverse bias and violet emission under forward bias, which are commonly attributed to ZnO, actually originate from the p-GaN substrate and/or surface/interface defects. While the absolute brightness of devices without InGaN multiple quantum wells was low, high brightness with luminance exceeding 10 000 cd/m 2 and tunable emission (from orange at 2.1 V to blue at 2.7 V, with nearly white emission with Commission internationale de l'éclairage (CIE) coordinates (0.30, 0.31) achieved at 2.5 V) was obtained for different devices containing InGaN multiple quantum wells. © 2011 American Institute of Physics.published_or_final_versio

Comparison of depressive symptoms among healthcare workers in high-risk versus low-risk areas during the first month of the COVID-19 pandemic in China

IntroductionThe psychological health of healthcare workers (HCWs) has become a significant concern, particularly during the initial stage of a pandemic. This study compared the depressive symptoms among HCWs in high-risk areas (HRAs) and low-risk areas (LRAs) with matching demographics.MethodsA cross-sectional study was employed to compare the depressive symptoms (Patient Health Questionnaire score ≥ 10), workplace environment characteristics, the Health Belief Model (HBM) and socio-demographics of the HCWs working in HRAs and LRAs in several accessible regions (mainly Hubei Province and Guangdong–Hong Kong–Macao Greater–Bay–Area) in China. Eight hundred eighty-five HCWs were recruited for unmatched analysis between March 6 and April 2, 2020. After matching with occupation and years of service using a 1:2 ratio, 146 HCWs in HRAs and 290 HCWs in LRAs were selected for matched analysis. Subgroup analyzes were performed using two individual logistic regressions to delineate the associated factors in LRAs and HRAs, respectively.ResultsHCWs in LRAs (Prevalence = 23.7%) had 1.96 times higher odds of depressive symptoms than those in HRAs (Prevalence = 15.1%) after adjusting for occupation and years of service (p < 0.001). Significant differences in workplace environment characteristics (p < 0.001) and the 5-dimension of the HBM of HCWs (p < 0.001 to p = 0.025) were found between HRAs and LRAs.Logistic regression showed that workers with years of service between 10 and 20  years (OR:6.27), ever had contact with COVID-19 patients (OR:14.33) and had higher scores of “perceived barrier” of HBM (OR:4.48) predicted depressive symptoms in HRAs while working in pneumology departments and infectious disease units (OR:0.06), and high “self-efficacy” in the HBM (OR:0.13) was a protective factor against depressive symptoms.Contrarily, in LRAs, those HCWs who worked in ICUs (OR:2.59), had higher scores of “perceived susceptibility toward the COVID-19 outbreak” (OR:1.41), “perceived severity of the pandemic” (OR:1.25), and “perceived barriers of wearing masks” (OR:1.43) in the HBM predicted depressive symptoms. High “cues to action” (OR:0.79), and better “knowledge” (OR:0.79) in the HBM were protective factors against depressive symptoms.ConclusionThe risk of depressive symptoms of HCWS was double in LRAs than in HRAs in the first month of the COVID-19 pandemic. Furthermore, salient predictors for depressive symptoms among HCWs in HRAs and LRAs were very different

Implementation of the compulsory universal testing scheme in Hong Kong: Mathematical simulations of a household-based pooling approach

This study aims to propose a pooling approach to simulate the compulsory universal RT-PCR test in Hong Kong and explore the feasibility of implementing the pooling method on a household basis. The mathematical model is initially verified, and then the simulation is performed under different prevalence rates and pooled sizes. The simulated population is based in Hong Kong. The simulation included 10,000,000 swab samples, with a representative distribution of populations in Hong Kong. The samples were grouped into a batch size of 20. If the entire batch is positive, then the group is further divided into an identical group size of 10 for re-testing. Different combinations of mini-group sizes were also investigated. The proposed pooling method was extended to a household basis. A representative from each household is required to perform the RT-PCR test. Results of the simulation replications, indicate a significant reduction (p < 0.001) of 83.62, 64.18, and 48.46% in the testing volume for prevalence rate 1, 3, and 5%, respectively. Combined with the household-based pooling approach, the total number of RT-PCR is 437,304, 956,133, and 1,375,795 for prevalence rates 1, 3, and 5%, respectively. The household-based pooling strategy showed efficiency when the prevalence rates in the population were low. This pooling strategy can rapidly screen people in high-risk groups for COVID-19 infections and quarantine those who test positive, even when time and resources for testing are limited

Bridging dentistry and traditional Chinese medicine : a study on the current mutual understanding among the future practitioners

Objectives: This project aimed to promote the mutual understanding between dental and TCM students. The objectives were to describe the current teaching of dentistry in the TCM schools and that of TCM in the dental school, to describe the TCM students’ knowledge on dentistry and the dental students’ knowledge on TCM, and to produce promotional materials for enhancing the mutual understanding between dental and TCM students. Methods: Information on the current teaching of dentistry in the TCM schools and that of TCM in the dental school was collected through a search on the undergraduate programme syllabus and conducting interviews with the leaders of the schools. Questionnaire surveys were conducted among the final year students of the TCM and the dental schools to collect information on their knowledge of the counter profession. Two leaflets and a short video were produced with the aid of computer software and used in the promotional activities. Results: It was found that very little information on dentistry was covered in the undergraduate programmes of the three TCM schools, and vice versa in the dental school. A total of 39 TCM students and 55 dental students completed the questionnaire survey. Most of the students did not know the basic theories and practice of the counter profession. Less than half of the student knew what types of patient cases may be suitable for cross-referral to the other profession. Conclusions: The TCM and dental schools in Hong Kong do not have scheduled teaching on the counter profession. The TCM students have little knowledge on dentistry and how to collaborate with dental practitioners on patients presented with oral problems. Conversely, it is the same for the dental students. Lastly, informative printed and audio-visual promotional materials can be produced with limited resources and used to facilitate the mutual understanding between TCM and dental practitioners.published_or_final_versio

Albumin-bilirubin grade predicts the outcomes of liver resection versus radiofrequency ablation for very early/early stage of hepatocellular carcinoma

Background and purposeWhether liver resection or ablation should be the first-line treatment for very early/early hepatocellular carcinoma (HCC) in patients who are candidates for both remains controversial. The aim of this study was to determine if the newly-developed Albumin-Bilirubin (ALBI) grade might help in treatment selections and to evaluate the survival of patients treated with liver resection and radiofrequency ablation (RFA).MethodsPatients with BCLC stage 0/A HCC who were treated with curative liver resection and RFA from 2003 to 2013 were included. Baseline clinical and laboratory parameters were retrieved and reviewed from the hospital database. Liver function and its impact on survival was assessed by the ALBI score. Overall and disease-free survivals were compared between the two groups.Results488 patients underwent liver resection (n = 318) and RFA (n = 170) for BCLC stage 0/A HCC during the study period. Liver resection offered superior survival to RFA in patients with BCLC stage 0/A HCC in the whole cohort. After propensity score matching, liver resection offered superior overall survival and disease-free survival to RFA in patients with ALBI grade 1 (P = 0.0002 and P ConclusionsLiver resection offered superior survival to RFA in patients with BCLC stage 0/A HCC. The ALBI grade could identify those patients with worse liver function who did not gain any survival advantage from curative liver resection