Results of the first comprehensive light pollution survey in Hong Kong are presented. The night-sky brightness was measured and monitored around the city using a portable light-sensing device called the Sky Quality Meter over a 15-month period beginning in March 2008. A total of 1,957 data sets were taken at 199 distinct locations, including urban and rural sites covering all 18 Administrative Districts of Hong Kong. The survey shows that the environmental light pollution problem in Hong Kong is severe-the urban night skies (sky brightness at 15.0 mag arcsec −2 ) are on average ∼ 100 times brighter than at the darkest rural sites (20.1 mag arcsec −2 ), indicating that the high lighting densities in the densely populated residential and commercial areas lead to light pollution. In the worst polluted urban location studied, the night-sky at 13.2 mag arcsec −2 can be over 500 times brighter than the darkest sites in Hong Kong. The observed night-sky brightness is found to be affected by human factors such as land utilization and population density of the observation sites, together with meteorological

Background: Women have a higher rate of adverse events after mitral valve surgery. We sought to evaluate whether outcomes after transcatheter edge-to-edge repair intervention by sex have similar trends to mitral valve surgery. Methods: The primary outcome was 1-year major adverse events defined as a composite of all-cause mortality, stroke, and any bleeding in the overall study cohort. Patients who underwent transcatheter edge-to-edge repair for mitral regurgitation with the MitraClip system in the Society of Thoracic Surgery/American College of Cardiology Transcatheter Valve Therapy registry were evaluated. Linked administrative claims from the Centers for Medicare and Medicaid Services were used to evaluate 1-year clinical outcomes. Associations between sex and outcomes were evaluated using a multivariable logistic regression model for in-hospital outcomes and Cox model for 1-year outcomes. Results: From November 2013 to March 2017, 5295 patients, 47.6% (n=2523) of whom were female, underwent transcatheter edge-to-edge repair. Females were less likely to have >1 clip implanted ( P <0.001) and had a lower adjusted odds ratio of device success (adjusted odds ratio, 0.78 [95% CI, 0.67–0.90]), driven by lower odds of residual mitral gradient <5 mm Hg (adjusted odds ratio, 0.54 [CI, 0.46–0.63]) when compared with males. At 1-year follow-up, the primary outcome did not differ by sex. Female sex was associated with lower adjusted 1-year risk of all-cause mortality (adjusted hazard ratio, 0.80 [CI, 0.68–0.94]), but the adjusted 1-year risk of stroke and any bleeding did not differ by sex. Conclusions: No difference in composite outcome of all-cause mortality, stroke, and any bleeding was observed between females and males. Adjusted 1-year all-cause mortality was lower in females compared with males.

Light pollution is a form of environmental degradation in which excessive artificial outdoor lighting, such as street lamps, neon signs, and illuminated signboards, affects the natural environment and the ecosystem. Poorly designed outdoor lighting not only wastes energy, money, and valuable Earth resources, but also robs us of our beautiful night sky. Effects of light pollution on the night sky can be evaluated by the skyglow caused by these artificial lighting sources, through measurements of the night sky brightness (NSB). The Hong Kong Night Sky Brightness Monitoring Network (NSN) was established to monitor in detail the conditions of light pollution in Hong Kong. Monitoring stations were set up throughout the city covering a wide range of urban and rural settings to continuously measure the variations of the NSB. Over 4.6 million night sky measurements were collected from 18 distinct locations between May 2010 and March 2013. This huge dataset, over two thousand times larger than our previous survey (Pun & So 2012), forms the backbone for studies of the temporal and geographical variations of this environmental parameter and its correlation with various natural and artificial factors. The concepts and methodology of the NSN were presented here, together with an analysis of the overall night sky conditions in Hong Kong. The average NSB in Hong Kong, excluding data affected by the Moon, was 16.8 mag arcsec −2 , or 82 times brighter than the dark site standard established by the International Astronomical Union (IAU) (Smith 1979). The urban night sky was on average 15 times brighter than that in a rural location, firmly establishing the effects of artificial lighting sources on the night sky.

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