89 research outputs found
A simple modification to the 25-gauge trocar and cannula system for retinopathy of prematurity related lens-sparing vitrectomy
published_or_final_versio
Helping beyond skills and ethics: cultivating compassion satisfaction among healthcare professionals working on ART in Hong Kong
Poster Presentation: P-552postprin
Age, Education, and Cognitive Decline: a prospective study of cognitive function in community-dwelling Chinese older adults in Hong Kong
Conference Theme: Mental Health for AllFree Paper 3.1 – Neuroscience and Mental HealthBackground: This study aimed to investigate the changes in
cognitive profiles and the effect of age and education on such
changes in an older community cohort over a 5-year period.
Methods: A random sample of 787 non-demented Chinese
elders in Hong Kong was assessed with a comprehensive
neuropsychological battery at baseline, in the 2nd and 5th
year.
Results: A total of 454 subjects were assessed at the 5th year.
For subjects with normal cognitive function at baseline, 186
(56.9%) remained cognitively normal, 115 (35.2%) had mild
cognitive impairment (MCI), and 26 (7.9%) became demented.
For subjects with MCI at baseline, 28 (22%) reverted to
normal, 59 (46.5%) remained as MCI, 40 (31.5%) became
demented. The decline in scores of Cantonese Mini-Mental
State Examination was significant over the years, with the
rate of decline being greater after the 2nd year. Using logistic
regression, age and education had significant predictive effects
on the progression to dementia, but the protective effect of
education was lost if the subjects were already suffering from
MCI at the baseline. Age was a significant factor affecting the
cognitive function over time, while the effect of education was
lost in the baseline MCI subjects.
Conclusions: A decline in cognitive profile took place before
the clinical diagnosis of dementia. The protective effect of
education on cognitive function appeared to have lost when
the person started to have MCI
Cognitive predictors for five-year conversion to dementia in community-dwelling Chinese older adults
BACKGROUND: This study evaluates which cognitive measure is best for predicting incident dementia in a population-based random sample of Chinese older adults without dementia over a five-year period. METHODS: A total of 787 community-dwelling Chinese older adults without dementia in Hong Kong were assessed at baseline (T0), at two years (T1), and at five years (T2). RESULTS: The annual conversion rate to dementia was 1.6% and 6.3% for baseline normal participants and baseline mild cognitive impairment (MCI) participants, respectively. The Cantonese version of Mini-mental State Examination (CMMSE) scores declined significantly over time. In participants who progressed to dementia, Category Verbal Fluency Test (CVFT) scores dropped significantly from T0 to T1. A 1-SD drop of either CMMSE or CVFT in two years predicted dementia at five years with 91.5% sensitivity and 62.0% specificity. A stable CMMSE and CVFT at two years predicted a 91% chance of not progressing to clinical dementia at five years. CONCLUSION: In this community sample of Chinese older adults, a decline in cognitive screening tests in short term (two years) offered useful information in predicting dementia conversion over a longer period.published_or_final_versio
Do cultural beliefs play a role in fertility-related quality of life? A study of Chinese women after unsuccessful first IVF cycle
This free journal suppl. entitled: Abstract book of the 31st ESHRE Annual Meeting, Lisbon, Portugal, 14–17 June 2015Poster Presentation: P-553postprin
Screening for retinopathy of prematurity and treatment outcome in a tertiary hospital in Hong Kong
published_or_final_versio
Understanding the preferred role in infertility treatment decision making among Chinese infertile women in Hong Kong
Session 38: Managing patient expectations: no. O-140This free journal suppl. entitled: Abstract book of the 31st ESHRE Annual Meeting, Lisbon, Portugal, 14–17 June 2015STUDY QUESTION: What are the treatment decision making preferences in Chinese women undergoing fertility treatments in Hong Kong? ...postprin
From Compassionate Fatigue to Compassion: A new direction of improving quality of life for healthcare professionals in reproductive health
Conference Theme: Multiplicity in action for better healthP9—Sexual health: no. P9apublished_or_final_versio
Acupuncture and related therapies for symptom management in palliative cancer care: Systematic review and meta-analysis
Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved. Available systematic reviews showed uncertainty on the effectiveness of using acupuncture and related therapies for palliative cancer care. The aim of this systematic review and meta-analysis was to summarize current best evidence on acupuncture and related therapies for palliative cancer care. Five international and 3 Chinese databases were searched. Randomized controlled trials (RCTs) comparing acupuncture and related therapies with conventional or sham treatments were considered. Primary outcomes included fatigue, paresthesia and dysesthesias, chronic pain, anorexia, insomnia, limb edema, constipation, and health-related quality of life, of which effective conventional interventions are limited. Thirteen RCTs were included. Compared with conventional interventions, meta-analysis demonstrated that acupuncture and related therapies significantly reduced pain (2 studies, n=175, pooled weighted mean difference: -0.76, 95% confidence interval: -0.14 to -0.39) among patients with liver or gastric cancer. Combined use of acupuncture and related therapies and Chinese herbal medicine improved quality of life in patients with gastrointestinal cancer (2 studies, n=111, pooled standard mean difference: 0.75, 95% confidence interval: 0.36-1.13). Acupressure showed significant efficacy in reducing fatigue in lung cancer patients when compared with sham acupressure. Adverse events for acupuncture and related therapies were infrequent and mild. Acupuncture and related therapies are effective in reducing pain, fatigue, and in improving quality of life when compared with conventional intervention alone among cancer patients. Limitations on current evidence body imply that they should be used as a complement, rather than an alternative, to conventional care. Effectiveness of acupuncture and related therapies for managing anorexia, reducing constipation, paresthesia and dysesthesia, insomnia, and limb edema in cancer patients is uncertain, warranting future RCTs in these areas
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