2013 Feb - Acute kidney injury in the paediatric intensive care unit: identification by modified RIFLE criteria

WF Hui, Winnie KY Chan, TY Miu ; Department of Paediatrics, Queen Elizabeth Hospital, Hong Kong; Hong Kong Med J 2013;19:13-9
Objective. To evaluate the prevalence and outcome of acute kidney injury in paediatric intensive care units using the modified RIFLE score (pRIFLE).

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2013 Feb - Chinese herbal medicine–induced anticholinergic poisoning in Hong Kong

KL Cheng, YC Chan, Tony WL Mak, ML Tse, FL Lau; Hong Kong Poison Information Centre, Hong Kong; Hong Kong Med J 2013;19:38-41
Objective. To study the epidemiology, causes, and clinical course of Chinese herbal medicine–induced anticholinergic poisoning in Hong Kong.

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2012 Aug - A rare neurological complication due to lithium poisoning

Chan CH, Leung AK, Cheung YF, Chan PY, Yeung KW, Lai KY.; Hong Kong Med J. 2012 Aug;18(4):343-5.
Lithium salts have been used in treatment of depression and bipolar disorder for more than 50 years. Neurotoxic side-effects such as nystagmus, ataxia, tremor, fasciculation, clonus, seizure and even coma have been well described in the literature. We present a case of generalised peripheral neuropathy following lithium intoxication...

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2012 Aug - Outcome of adult critically ill patients mechanically ventilated on general medical wards

Tang WM, Tong CK, Yu WC, Tong KL, Buckley TA.; Hong Kong Med J. 2012 Aug;18(4):284-90.
OBJECTIVE. A significant number of critically ill mechanically ventilated patients are not admitted to the Intensive Care Unit but are cared for on general wards. This study looked at the outcome of these patients.

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2012 Dec - Children on continuous renal replacement therapy: prognostic factors

Hui WF, Chan WK, Lee KW.; Hong Kong Med J. 2012 Dec;18(6):475-81.
OBJECTIVES. To identify prognostic factors in children receiving continuous renal replacement therapy.

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2012 Aug - Outcome of adult critically ill patients mechanically ventilated on general medical wards

WM Tang, CK Tong, WC Yu, KL Tong, Thomas A Buckley  Intensive Care Unit, Princess Margaret Hospital, Laichikok, Kowloon, Hong Kong  Hong Kong Med J 2012;18:284-90
OBJECTIVE. A significant number of critically ill mechanically ventilated patients are not admitted to the Intensive Care Unit but are cared for on general wards. This study looked at the outcome of these patients.

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2011 Dec - Utilisation and outcome of renal replacement therapy in an Asian tertiary intensive care unit

Gordon YS Choi, Gavin M Joynt, Charles D Gomersall, HY So. Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong. Hong Kong Med J 2011;17:446-52
OBJECTIVES. To determine the period prevalence, demographic characteristics, cost of treatment, and outcomes of patients admitted to the intensive care unit for continuous renal replacement therapy.

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2011 Apr - Advance directives and life-sustaining treatment: attitudes of Hong Kong Chinese elders with chronic disease

Fion H Ting, Esther Mok. Hong Kong Med J 2011;17:105-11
OBJECTIVE. To examine the attitudes of Hong Kong Chinese elders with chronic disease with regard to advance directives and life-sustaining treatment.

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2011 Apr - Factors affecting mortality in Hong Kong patients with upper limb necrotising fasciitis

Yeung YK, Ho ST, Yen CH, Ho PC, Tse WL, Lau YK, Choi KY, Choi ST, Lam MM, Cheng SH, Wong TC; The Hong Kong Society for Surgery of the Hand. Hong Kong Med J 2011;17:96-104
OBJECTIVE. To identify predictive factors for mortality of patients with upper limb necrotising fasciitis.

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2009 Dec - Medical ethics and the elderly

C P I Chan, Y L Wong, K Y E Sha. Department of Medicine and Geriatrics, United Christian Hospital, Hong Kong
CASE REPORT
On 24 February 2009, an 80-year-old woman presented to the geriatric ward with malaise and bilateral lower-limb oedema.

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2010 June- - Medical Practice - Probiotics: current trends in the treatment of diarrhoea

Sujatha S Narayan, Sharmila Jalgaonkar, S Shahani, Vijaya N Kulkarni. K J Somaiya Medical College, Sion, Mumbai, India
In recent years, research into and public interest in probiotics and probiotic foods have risen.

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2010 Aug - Review Article - Neuroimaging techniques in epilepsy

Vincent Lai, Henry KF Mak, Ada WY Yung, WY Ho, KN Hung. Department of Radiology, Tuen Mun Hospital, Hong Kong
OBJECTIVE. To review state-of-the-art neuroimaging modalities in epilepsy and their clinical applications.

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2010 Aug - Phaeochromocytoma in the Hong Kong Chinese population

Joyce SY Yau, June KY Li, Vicki HK Tam, LM Fung, CK Yeung, KW Chan, KM Lee, KF Lee, WS Cheung, Vincent TF Yeung, YP Yuen, WK Kwan. Department of Medicine, Yan Chai Hospital, Hong Kong
OBJECTIVE. To review the clinical manifestations of phaeochromocytoma in a Hong Kong Chinese population.

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2010 Sep/Oct - Respiratory Update: Update of Publications by HK Authors

Dr. David CL Lam, Department of Medicine, QMH
From June to August, 2010, 24 articles with contribution by local colleagues in respiratory medicine or relevant topics were published in indexed medical journals or PubMed Central and were selected for sharing in this column.

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2010 Dec - Cast nephropathy with acute renal failure treated with high cut-off haemodialysis in a patient with multiple myeloma

Shum HP, Chan KC, Chow CC, Kho BC, Yan WW.; Hong Kong Med J. 2010 Dec;16(6):489-92.
We report a case of a Chinese woman who presented with multiple myeloma and acute renal failure due to cast nephropathy, with an extremely high serum lambda free light chain concentration.

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2010 Dec - Hong Kong's experience on the use of extracorporeal membrane oxygenation for the treatment of influenza A (H1N1)

Kenny KC Chan1, KL Lee2, Philip KN Lam3, KI Law4, Gavin M Joynt5, WW Yan6. From the Intensive Care Units of 1,6: Pamela Youde Nethersole Eastern Hospital; 2,4: United Christian Hospital, 3,5: Prince of Wales Hospital, Hong Kong. Hong Kong Med J 2010;16:Epub 2010 Oct 6

Figure. A patient on ECMO being transported back to the ICU of Pamela Youde Nethersole Eastern Hospital from another hospital where a team of four doctors and one nurse specialist from PYNEH performed on-site setup of ECMO there for this patient suffering from severe Mycoplasma pneumonia. The patient was considered too sick for transport because of relentless desaturation. ECMO promptly corrected the oxygen saturation and allowed safe transport. This patient eventually recovered. Similar scenario may occur in many other causes of acute respiratory failure indicated for ECMO, including influenza (H1N1) infection, therefore provision of on-site ECMO setup service is necessary. 
Link to the video clip on ECMO at the HK Medical J website here (narrated by Dr Grace SM Lam)
OBJECTIVE. To report Hong Kong's experience with the use of extracorporeal membrane oxygenation for the treatment of acute respiratory distress syndrome caused by influenza A (H1N1).

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2010 Aug - Clostridium perfringens liver abscess with massive haemolysis

H Ng, SM Lam, HP Shum, WW Yan, Department of Medicine, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong. Hong Kong Med J 2010;16:310-2
Liver abscesses are commonly caused by Enterobacteriaceae and anaerobes. This report is of a patient with liver abscess with massive haemolysis and multiorgan failure caused by Clostridium perfringens.

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2010 Jun - Should lidocaine spray be used to ease nasogastric tube insertion? A double blind, randomised controlled trial

CP Chan, FL Lau. St Teresa's Hospital, Prince Edward Road, Hong Kong. Hong Kong Med J 2010;16:Epub 2010 Jun 4
OBJECTIVE. To investigate the efficacy and safety of lidocaine nasal spray before nasogastric tube insertion in an emergency department.

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2010 Jun - Comparing the effectiveness of video self-instruction versus traditional classroom instruction targeted at cardiopulmonary resuscitation skills for laypersons: a prospective randomised controlled trial

CH Chung, Axel YC Siu, Lucia LK Po, CY Lam, Peter CY Wong. Hong Kong St John Ambulance, St John Tower, 2 Macdonnell Road, Hong Kong. Hong Kong Med J 2010;16:165-70
OBJECTIVE. To determine whether in the local lay Hong Kong population, video self-instruction about cardiopulmonary resuscitation has comparable results to traditional classroom instructions.

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2010 June - Antibiotic lock solutions for the prevention of catheter-related bacteraemia in haemodialysis patients

KM Chow, YL Poon, MP Lam, KL Poon, CC Szeto, Philip KT Li. Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong. Hong Kong Med J 2010;16:Epub 2010 Jun 4
OBJECTIVE. To investigate the effect of antibiotic lock solutions for preventing catheter-related bacteraemia in patients receiving haemodialysis.

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