Disease-modifying treatments for primary autoimmune haemolytic anaemia

published_or_final_versio

Clinical and genetic profile of catecholaminergic polymorphic ventricular tachycardia in Hong Kong Chinese children

published_or_final_versio

Strategy for introducing antibacterial activity under ambient illumination in titania nanoparticles

Titanium dioxide (TiO2) is a wide bandgap (∼3.4 eV) semiconductor material which is commonly used as a photocatalyst and antibacterial material. UV illumination with energy similar to the bandgap is often needed to make the material active. It would be favorable for practical applications, if its action can also be activated under ambient. Recently, robust antibacterial action was demonstrated on ZnO nanoparticles under ambient illumination. In this study, we demonstrated robust antibacterial activity of TiO2 nanoparticles induced by annealing under ambient illumination. It was found that the antibacterial activity could be significantly changed by tuning the annealing temperatures and using different crucibles containing the nanoparticles. Bacterium Escherichia coli was used as the model organism in the test. It was observed that although no significant antibacterial activity was observed on the starting material (untreated commercial TiO2 nanoparticles), the activity increases significantly if the nanoparticles were annealed above 650 °C with crucible lined with copper foil. The survival rate of E. coli bacteria approaches to zero if the nanoparticles annealing temperature reaches 850 °C. Under optimized conditions, three different titania nanoparticle samples exhibited antibacterial activity under ambient illumination. This work sheds light on the development of ambient-active antibacterial coating and in particular, on the modification of any TiO2 material to become ambient-active with a suitable treatment. © 2015 SPIE.published_or_final_versio

De novo large rare copy-number variations contribute to conotruncal heart disease in Chinese patients

published_or_final_versio

Mental health & maltreatment risk of children with special educational needs during COVID-19

BACKGROUND: Children with special educational needs (SEN) are more vulnerable during the COVID-19 pandemic with risk of poor mental wellbeing and child maltreatment. OBJECTIVE: To examine the impact of COVID-19 on the mental health of children with SEN and their maltreatment risk. PARTICIPANTS AND SETTING: 417 children with SEN studying at special schools and 25,427 children with typical development (TD) studying at mainstream schools completed an online survey in April 2020 in Hong Kong during school closures due to COVID-19. METHOD: Emotional/behavioural difficulties, quality of life and parental stress of children with SEN were compared with typically developed children using mixed effect model. Linear regression analyses were performed to explore factors associated with child emotional/behavioural difficulties and parental stress during the pandemic. Chi-square test was performed to detect the differences in maltreatment risk before and during COVID-19. RESULTS: Children with SEN had significantly poorer overall quality of life (68.05 vs 80.65, p < 0.01). 23.5% of children had at least one episode of severe physical assault and 1.9% experienced very severe physical assault during COVID-19. Rates of physical assault increased significantly (59.8% vs. 71.2% p < 0.001) while children with mental disorders had increased risk of severe physical assault comparing to those without mental disorders (RR = 1.58, ꭓ2 = 5.19 p = 0.023). CONCLUSION: Children with SEN had poorer mental health than typically developed children during the COVID-19 pandemic. Maltreatment risk for children with SEN is higher in comparison to pre-COVID-19 era. Surveillance of child maltreatment, continuity of medical and rehabilitation care to support children with SEN are essential during a disease pandemic

HLA alleles associated with asparaginase hypersensitivity in Chinese children

Asparaginase is an important drug to treat childhood haematological malignancies. Data on the association between human leukocyte antigens (HLA) and asparaginase hypersensitivity among Chinese are lacking. We conducted a retrospective study to identify HLA alleles associated with asparaginase hypersensitivity among Chinese children with acute lymphoblastic leukaemia (ALL), mixed phenotype leukaemia and non-Hodgkin lymphoma (NHL), who received asparaginases with HLA typing performed between 2009 and 2019. 107 Chinese patients were analysed. 66.3% (71/107) developed hypersensitivity to at least one of the asparaginases. HLA-B*46:01 (OR 3.8, 95% CI 1.4-10.1, p < 0.01) and DRB1*09:01 (OR 4.3, 95% CI 1.6-11.4, p < 0.01) were significantly associated with L-asparaginase hypersensitivities, which remained significant after adjustment for age, gender and B cell ALL [HLA-B*46:01 (adjusted OR 3.5, 95% 1.3-10.5, p = 0.02) and DRB1*09:01 (OR 4.4, 95% CI 1.6-13.3, p < 0.01)]