Mammography for breast cancer detection in Hong Kong

Wong, Kathy; Lui, CY

doi:10.12809/hkmj164916

Cited by 5 publications

(7 citation statements)

References 9 publications

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“…By 1990s, trauma leading to LEA has been reduced to 7.1% in one of the major trauma centers. 2 This reflected the changes in socioeconomic activities and further regulations in road and occupational safeties in our locality throughout the decades. Nowadays, the etiology for major LEA in Hong Kong follows the pattern in Western populations due to rising life expectancy and prevalence of diabetes mellitus and peripheral vascular disease.…”

Section: Discussionmentioning

confidence: 93%

“…8 The prosthetic fitting rate in our study was higher than the local data two decades ago, both in transtibial (55% vs. 30.8%) and transfemoral amputations (14% vs. 8.8%). 2 There are several predictors of walking ability following major LEA, which include age at amputation, level of amputation, preamputation mobility and independence of activities of daily living, one-leg balance on the unaffected limb, cognitive impairment, and severe comorbidity. [9][10][11] Stump problems and delay in rehabilitation are predictors of poor outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Five-year outcomes of major lower extremity amputation and two-staged admission pathway for new transtibial amputees in a local hospital

Leong-Pan

Gabriel

Chun-Hung

2020

Journal of Orthopaedics, Trauma and Rehabilitation

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Background: Transtibial amputation and subsequent prosthetic fitting can cause prolonged hospital length of stay (LOS). Recently, a two-staged admission pathway for new transtibial amputees was introduced in a local hospital to shorten hospital LOS. Methods: A retrospective cohort study was performed to review the 5-year outcomes of major lower extremity amputation in a local hospital and to compare the difference in LOS and functional outcomes between traditional (group 1) and two-staged (group 2) admission pathways for new transtibial amputees. Results: The fitting rate was 55% in transtibial amputees, 14% in transfemoral amputees, and only 3.7% in dementia patients. For new transtibial amputees, the mean postoperative LOS was significantly reduced by 32.8 days in group 2. Besides, more patients in group 2 were able to walk without aid. Conclusion: LOS for new transtibial amputees can be greatly reduced by the two-staged admission pathway to minimize hospital operational cost.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Five-year outcomes of major lower extremity amputation and two-staged admission pathway for new transtibial amputees in a local hospital

Leong-Pan

Gabriel

Chun-Hung

2020

Journal of Orthopaedics, Trauma and Rehabilitation

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“…En cuanto a la adquisición de prótesis, solo el 18% de la muestra de este estudio logró adquirir este dispositivo, comparado con Costa Rica que llega al 29% 22 , y en Hong Kong al 22,3% 23 . En otros países de Latinoamérica como México, se rehabilita con dispositivo protésico a 1 de cada 10 pacientes con amputación de miembro inferior 24 .…”

Section: Discussionunclassified

Perfil clínico de los pacientes en rehabilitación por amputación de miembro inferior en el Hospital San Juan de Dios, Chile

Peña-Espitia,

Rosales-Lillo

2023

Rev. chil. salud pública

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Introducción: La amputación de miembro inferior es una de las principales causas de discapa¬cidad permanente, la que se asocia en más del 80% a complicaciones de la diabetes mellitus. En Chile existe poca información en relación a las características clínicas y demográficas de los pacientes amputados en los hospitales públicos. Materiales y métodos: Estudio observacional, descriptivo y retrospectivo. La población fue pacientes amputados de miembro inferior atendidos por fisiatría del Servicio de Salud Metropo¬litano Occidente, mientras que la muestra se tomó de pacientes con amputación de miembro inferior nivel transtibial y transfemoral atendidos por fisiatría en el Hospital San Juan de Dios entre diciembre de 2019 y marzo de 2020. Resultados: La base de datos contenía información de 75 pacientes, siendo el 88% de género masculino. La media de la edad fue de 59,6 años. El mayor número de amputaciones fue de tipo unilateral (82,6%), predominantemente de lateralidad derecha y nivel transtibial. La principal causa de amputación fue complicaciones de la diabetes mellitus en un 85,3%. Solo el 17,3% adquirió prótesis, la mayoría de forma particular. Solo un 14,7% se reinsertó laboralmente. Discusión: La limitada adquisición de dispositivos protésicos es un obstáculo para la rehabili¬tación de pacientes con amputación de miembro inferior, aspecto que incide directamente en la independencia en la marcha y en la reinserción laboral de los pacientes. Sería interesante realizar un estudio de costo-efectividad entre el financiamiento de prótesis versus los meses de licencia médica que debe subsidiar el estado.

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“…Zakaria et al 5 found the frequent exposure to an angry public, increase in workload, long working hours, dynamic work conditions (including frequent change of guidelines and management approach), and perceived underpayment are factors leading to burnout during COVID‐19 in Malaysia. A survey conducted by Wong et al 6 in four public EDs in Hong Kong showed that ED healthcare professionals who had a higher level of self‐reported resilience had better compassion satisfaction and lower levels of secondary traumatic stress and burnout, highlighting the importance of fostering resilience among ED staff. The pandemic is also known to impact on psychological health in our everyday lives 7 .…”

mentioning

confidence: 99%