Drive care: System for monitoring driver’s concentration and consciousness using consumer grade electonnencephalogram (EEG) headset 護駕: 利用消費級可裝載腦波監測儀實現實時監控駕駛者專注度系統

As people increasingly drive cars for both work and personal purposes, the dangers posed by drug driving, drink driving or sleep-deprived driving are growing threats to society. Highly dangerous driving behaviour and numerous traffic accidents occur because drivers are insufficiently conscious or inadequately focused while driving... 不論是為了工作還是個人需要，不少人都愛自行駕車，但藥後駕駛、醉酒駕駛、或駕駛前睡眠不足，往往容易對巿民的安全構成威脅。司機無法保持清醒或專注地駕駛而導致高危駕駛行為或交通意外，屢見不鮮... Award: Silver奬項: 銀

Study of behavior of plastic modified bitumen by incorporating carbon black

In recent years, the performance of polymer modified bitumen has been widely studied. This study reports a research carried out to investigate the properties of polymer modified bitumen (PMB) by using polypropylene as modifier, carbon black as additives, to examine the optimum ratio of polypropylene to carbon black. With this objective, sample preparation using wet mixing method combining high shear mix was firstly performed. Subsequently, 18 samples were developed for the study, of which the polypropylene (PP) contents 10%, 12%, 14%, 16%, 18% and 20% with 2%, 3%, 4% of carbon black content. Afterwards, samples were characterized by standard tests (Dynamic Shear Rheometer and Viscosity), and all the test results showed improved performance. Finally, the results concluded that the optimum binder-PP ratio PMB for applying is 14% PP with 3% carbon black

PFOS-elicited metabolic perturbation in liver and fatty acid metabolites in testis of adult mice

IntroductionMultiple factors can contribute to sub-fecundity, including genetics, lifestyle, and environmental contaminants. PFASs are characterized as “forever chemicals” due to their ubiquitous contamination and their persistence in the environment, wildlife, and humans. Numerous studies have demonstrated that PFAS exposure adversely affects multiple bodily functions, including liver metabolism and gonadal function. It is unclear, however, how the disruption of hepatic fatty acid metabolism affects testicular function.MethodsIn this study, male mice were administered 0.3 and 3 μg/g body weight of PFOS for 21 days.ResultsOur data showed that PFOS exposure caused hepatic steatosis, as evidenced by significant increases in triglyceride levels, expression of ATP-citrate lyase, and fatty acid synthase, as well as fasting insulin levels. PFOS perturbed the expression levels of hepatokines, of which fibroblast growth factor-21 (Fgf-21), leukocyte cell-derived chemotaxin-2 (Lect-2), and retinol-binding protein-4 (Rbp-4) were significantly reduced, whereas angiopoietin-like 4 (Angptl4) was noticeably increased. While Rbp-4 and Fgf-21 are known to contribute to spermatogenesis and testosterone synthesis. In PFOS-exposed groups, testicular ATP, and testosterone decreased significantly with a significant increase in the expression of peroxisome proliferator-activated receptor-coactivator 1α. Mass spectrophotometry imaging revealed the localization of PFOS in testes, along with significant increases in fatty acid metabolites. These included arachidonic acid, dihomo-α-linolenic acid, dihomo-γ-linolenic acid, oxidized ceramide, diacylglycerol, phosphatidylcholine, and phosphatidylethanolamine, which are associated with inflammation and post-testicular causes of infertility.DiscussionThis study revealed potential links between PFOS-elicited changes in hepatic metabolism and their impacts on testicular biology. This study provides insights into alternative targets elicited by PFOS that can be used to develop diagnostic and therapeutic strategies for improving testicular dysfunction

Social Media Usage and Influenza Beliefs, Risk Perceptions and Behavioral Intentions Among Students at a University in Southeastern US

Background: To document social media usage for the retrieval of health information among college students; and to understand the beliefs, risk perceptions and behavioral intentions among participants who retrieved CDC influenza information via social media. Methods: We conducted an online survey to a convenience sample of students at a university in Southeastern United States during Spring 2015. The survey was self-administered and every matriculating student received an electronic invitation to participate at least once. Results: A total of 930 students completed the online survey. Most participants (n=905, 97.3%) reported that they had used a social networking site in the previous 12 months. However, only one-third (n=317, 34.1%) reported that they used social networking sites to read CDC health information or messages. Nearly one-fifth of participants (n=172, 18.5%) reported reading CDC influenza information during the 2014-15 influenza season. Among the subset of readers of CDC influenza information during the 2014-15 influenza season (N=153), 77 (50.99%) reported that it was likely they would get the influenza vaccine in the next 12 months. Women reported stronger risk perceptions and behavioral intentions than men. Blacks/African Americans reported more negative influenza-related beliefs and weaker risk perceptions compared to Whites. Conclusions: While social media penetration is high among university students in Southeastern US, only a minority of survey participants retrieved CDC influenza information via social media. Among these individuals, about half reported that they intended to vaccinate against influenza. Further research is needed to enhance CDC social media penetration among college students

Fall-related attendance and associated hospitalisation of children and adolescents in Hong Kong: a 12-year retrospective study

Objectives: The present study aimed to examine the trends and characteristics of fall-related attendance in accident and emergency department (AED) by injury type and the trend in associated average length of stay (LOS) among children and adolescents in Hong Kong. Design: A retrospective approach was adopted. Setting: AED, involving all local public emergency departments from 2001 to 2012. Participants: 63 557 subjects aged 0–19 years with fall injury record were included in the analysis. Primary outcome measures: Fall-related injury number and rates were calculated and reported. Poisson and negative binomial regression models were used to study the trends of injury incidence rate at different body regions. Results: AED fall-related attendance rate increased significantly with an annual percentage change of 4.45 (95% CI 3.43 to 5.47%, p<0.0001). The attendance number of male subjects was persistently higher than female subjects. The standardised rate of fracture injury increased by 1.31% (95% CI 0.56 to 2.05%, p<0.0001) and that of non-fracture injury increased by 9.23% (95% CI 7.07 to 11.43%, p<0.0001) annually. Upper limb was the most frequently fractured location. It included forearm/elbow, shoulder/upper arm and wrist/hand with descending order of frequency. On the contrary, head was the most frequent non-fracture location, followed by forearm/elbow. Conclusions: The rates of fall-related attendance have been increasing and still remain high. There were significant increases in non-fracture injuries. Fractures were most frequently found in the upper extremity of a child while the most common non-fracture location was head. It appears that more efforts should be made and preventive measures should be implemented for children and adolescents in Hong Kong

Chinese Social Media Reaction to the MERS-Cov and Avian Influenza A (H7N9) Outbreaks

Background: As internet and social media use have skyrocketed, epidemiologists have begun to use online data such as Google query data and Twitter trends to track the activity levels of influenza and other infectious diseases. In China, Weibo is an extremely popular microblogging site that is equivalent to Twitter. Capitalizing on the wealth of public opinion data contained in posts on Weibo, this study used Weibo as a measure of the Chinese people’s reactions to two different outbreaks: the 2012 Middle East Respiratory Syndrome Coronavirus (MERS-CoV) outbreak, and the 2013 outbreak of human infection of avian influenza A(H7N9) in China. Methods: Keyword searches were performed in Weibo data collected by The University of Hong Kong’s Weiboscope project. Baseline values were determined for each keyword and reaction values per million posts in the days after outbreak information was released to the public. Results: The results show that the Chinese people reacted significantly to both outbreaks online, where their social media reaction was two orders of magnitude stronger to the H7N9 influenza outbreak that happened in China than the MERS-CoV outbreak that was far away from China. Conclusions: These results demonstrate that social media could be a useful measure of public awareness and reaction to disease outbreak information released by health authorities

Post-activation performance enhancement of flywheel training on lower limb explosive power performance

The study aimed to investigate the post-activation performance enhancement (PAPE) of flywheel training (FT) on lower limb explosive power performance. Using a randomized crossover design, 20 trained men (age = 21.5 ± 1.4 years; training experience 5.5 ± 1.2 years) completed seven main conditions after three familiarization sessions. The first three conditions tested the PAPE of the FT on the counter movement jump (CMJ) under three different inertial loads (0.041 kg·m2 as L; 0.057 kg·m2 as ML; and 0.122 kg·m2 as P), whereas the following four conditions tested the PAPE of FT on the 30 m sprint, which consisted of three inertial loads (L, ML, and P) and a control condition. Participants were required to perform the CMJ or 30 m sprint at baseline (Tb) and immediately (T0), 4 min (T4), 8 min (T8), 12 min (T12), and 16 min (T16) after exercise, respectively. The results of the CMJ conditions showed that PAPE peaked at T4 (p < 0.01) and almost subsided at T12 (p > 0.05) in ML and P conditions. Meanwhile, PAPE appeared earlier in the P condition, and the effect was more significant (P:ES = 1.09; ML:ES = 0.79). 30 m sprint results showed significant improvement only in the ML condition. The PAPE peaked at T4 (p < 0.05, ES = −0.47) and almost subsided at T8 (p > 0.05). It was mainly due to the significant enhancement of the 10–30 m segmental timing performance at T4 (p < 0.05, ES = −0.49). This study indicates that the size of the inertial load could influence the magnitude of the PAPE produced by the explosive force of the lower limb. The PAPE of the vertical explosive force increased with increasing inertial load, but the PAPE of the horizontal explosive force did not appear at the maximum inertial load. The most effective elicitation of the PAPE was at 4–8 min after the FT

Application of explanatory sequential design of mixed methods research in conciliating qualitative and quantitative findings on social stressors and to examine the social problem solving orientation in substance abuse population

Substance abuse has been a problem with every society and across every generation. The increasing number of substance abusers in Hong Kong causes a huge impact to our healthcare system. With the consideration in the complexity of psychosocial nature of this population, the utility of both qualitative and quantitative research methods have been becoming increasingly accepted in health sciences. This is a pioneer project in Hong Kong that employed mixed methods research for substance abuse populations which incorporates evidence of pre-treatment individual characteristics and other specific-tailored treatment factors in promoting changes over time. This study aimed at developing a comprehensive understanding of how individual factors, different social stressors and social problem solving orientation in shaping their behavior. This study covered two phases. The first one was to collect quantitative data in subjects’ ability in problem recognition, treatment readiness, social values and their orientation in social problem solving. A regression model of relapse prediction was constructed, in which, social problem solving was the most prominent factor, followed by treatment readiness, problem recognition and emotional problem. In the second phase of the study, individual semi-structure interview, and qualitative focus group activities of free-listing and pile-sorting were employed to collect qualitative data on the impact of various social stressors like stress from peers, from family, and from work or study. In the final step, we interpreted findings from these two subsets of quantitative and qualitative data. Results indicated stress from peers was the most prominent single stressor of substance abusers, which yielded similar impact as the combination of cross-product of stress from family and from work or study. Moreover, most subjects adopted negative orientation in their social problem solving, in which, stress from work or study noted with the highest response rate in negative orientation in their social problem solving

Validation and application of health utilities index in Chinese subjects with down syndrome

Objectives: The objectives of the study were (1) to validate the Chinese version of Health Utilities Index (HUI-Ch); (2) to examine the Health-related Quality of Life (HRQoL) of Chinese subjects with Down syndrome (DS); and (3) to study the impact of chronic health conditions on HRQoL of Chinese with DS. Methods: The multiple choice questionnaire for scoring Health Utilities Index Mark 2 (HUI2) and Health Utilities Index Mark 3 (HUI3) was translated and validated. In addition to the HRQoL scores from HUI2 and HUI3, proxy-data on socio-demographics, and 10 common chronic health conditions for people with DS were collected and analyzed. Data analysis involves multiple imputation and multiple regression analysis to predict variations in HRQoL in relation to different factors. Lastly, a gradient interval was constructed on the number of chronic health conditions in relation to HRQoL. Results: HUI-Ch was validated according to standard guidelines. People with DS were found to have a lower HRQoL as compared to the general population, with the majority categorized as moderate or severe on the scale. Behavioral and hearing problems on HUI2, and hearing problems on HUI3 were found to be statistically significant predictors of a lower HRQoL score. A significant gradient relationship existed showing when the number of health problems increased, the HRQoL scores decreased. Conclusions: HUI-Ch is a valid instrument to assess HRQoL. It can have broad application in Chinese subjects with DS including the study of the impact of different chronic health conditions on their quality of life. The quantifiable nature of HUI-Ch will facilitate longitudinal study on the well-being of subjects with DS and evaluation of effectiveness of intervention programs in the near future