Haemophilia and HIV infection in Hong Kong

This is a retrospective study of the problems faced and support received by HIV (human immunodeficiency virus) infected haemophilia patients in Hong Kong. Between December 1984 and December 1994, 63 patients were detected to be HIV positive, out of a total of 231 haemophiliacs screened. Infection could be traced back to before August 1985, when safer heat-treated clotting factors were not yet available. Psychosocial impacts were obvious in this group of patients because of the double blow of HIV infection and haemophilia. Amongst the more evident problems were obstacles in schooling, employment difficulties, and disturbed relationships with family and friends, to mention a few. Psychosocial support services have been rendered by both the government and non-governmental organizations in Hong Kong. Financial assistance has also been given by the government since April 1993. To date, only eleven (17.5%) patients were known to have progressed to AIDS. Medical treatment, psychosocial support and financial assistance are integral components of an effective AIDS care programme for HIV-infected haemophilia patients.     

Culture and psychology in Hong Kong.

Comments on a discussion of clinical psychology in Hong Kong by D. Ho (see record 1986-15498-001). It is argued that Ho's otherwise admirable article is marred by the misidentification of Maslow and Rogers as "modern prophets of individualism," as both would have accepted Ho's synthesis of Western individualism and Chinese collectivism. (2 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Knowledge of stroke in Hong Kong Chinese

Cervical ribs were observed in six hydropic fetuses with 45X karyotype. To test the usefulness of this observation in the macerated hydropic fetus where chromosome culture is problematic, a group of 36 hydropic fetuses was examined. Cases were chosen to include fetuses with several karyotypic and pathological abnormalities known to be associated with fetal hydrops. Whole-body anteroposterior radiographs were evaluated without knowledge of the fetal karyotype or pathological findings. Twenty-five fetuses had an abnormal karyotype, seven had a normal karyotype and in four culture failed. In the last group, the number of X, 21 and 18 chromosomes per nucleus was estimated using FISH. Radiographic analysis demonstrated that among the 16 fetuses with 45,X karyotype or a single copy of X and female phenotype, 12 had a pair of cervical ribs. Three other fetuses had a single cervical rib. Only one fetus had no cervical ribs. The last fetus had tubular hypoplasia of the aortic arch and persistent mesocolon. Twelve of the sixteen 45,X fetuses had tubular hypoplasia of the aortic arch. Seven had other cardiovascular anomalies, five had renal anomalies, and five had anomalies of intestinal rotation. Cervical rib appears to be more common than other frequently recorded associations of 45,X. It is a useful and easily demonstrated mark in the evaluation of the macerated hydropic fetus.     

Field Studies of Well-Instrumented Barrette in Hong Kong

A large excavated rectangular pile (barrette) with lateral earth pressure and pore-water pressure cells was successfully constructed and tested in a sequence of marine, alluvial, and weathered granite soils. A “soft” base formed beneath the bottom of the barrette permitted over 100 mm of vertical settlement, completely mobilizing the shaft friction at the barrette-soil interface. During the vertical load tests, an unusual and complex response of pore-water pressures and earth pressures at the barrette-soil interface was measured. During each vertical loading cycle (except the last one) and before interface slippage of the barrette occurred, excess positive pore-water pressures were recorded in all soil layers. Upon the initiation of slip at the barrette-soil interface, a sudden drop in the measured pore pressures as well as a substantial drop in lateral earth pressures generally resulted. Subsequent loading or unloading slippage events did not show the same dramatic behavior unless a period of consolidation∕recovery was allowed first. This implies that caution must be used in design of barrettes relying heavily on skin friction when shearing induces contractive soil behavior. The current test results indicated that the empirical uncorrected SPT-N value approach and the effective stress β-method were inconsistent.     

香港交通政策及其启示

香港交通运输系统的高效运转，得益于完善合理的交通政策。通过对其交通政策的详细介绍．希望可以对其他城市的交通建设提供可以借鉴的方面。     

Socioeconomic correlates of infant mortality in Hong Kong, 1979-93

Contractions change the configuration of the lesser curvature of the stomach while they indent the greater curvature. We studied these lesser curvature changes by measuring the position and angle of the gastric incisura on still frames captured from videotapes of isolated cat stomachs suspended in physiologic solution. In response to filling with 100 mL Krebs' solution stomachs generated a tonic contraction of the fundus/body segment and gave rise to a peristaltic contraction that spread from the body and through the antrum to the pylorus. In preparations where we left the duodenal cannula open we found that the incisura moves toward the gastro-oesophageal (GO) junction and the angle of the incisura widens as the contraction passes through the stomach and empties its contents. Furthermore, the angle of the incisura is most acute when the full stomach starts contracting in its fundic segment and again when the contraction involves the gastric sinus (the wedge-shaped segment adjacent to the incisura which forms the transition between the body and the antrum of the stomach). In preparations where the duodenal cannula was kept closed, the angle of the incisura becomes most acute when the contraction involves the gastric body and when the luminal pressure peaks. We conclude that changes in the position and angulation of the incisura are part of the mechanical response of the stomach to filling and emptying; unlike the peristaltic contraction along the greater curvature the net movement of the incisura goes in the orad direction. Movements of the incisura profoundly affect the configuration of the stomach and hence the distribution of luminal contents between various gastric segments. The gastric sling muscles are responsible for the formation of the gastric incisura but their role in any movements of the incisura remains to be defined.     

Prevalence and structure of dental benefit schemes in Hong Kong

Before the impact of employer-provided dental benefit schemes on the dental care delivery system can be evaluated in Hong Kong, the prevalence of these schemes and their structures must be established. A mailed questionnaire survey was conducted of a representative group of companies with more than 100 employees (n = 495). Response rate to the mail survey was 38 per cent (n = 186). Non-respondents were stratified according to their nature of business and one third was randomly selected for a follow-up by telephone to which 84 per cent responded (n = 81). After adjustment, 16 per cent of companies of that size were found to be providing dental benefit schemes to their staff. The prevalence was related to the nature of business of the companies. Among companies providing dental benefits, administrators from selected companies were interviewed. It was found that dental benefit schemes could be broadly divided into two types: One characterised by cash-benefit and the other by service-benefit. Treatment items covered by the schemes were mostly simple services such as diagnostic items, simple restorations and simple extractions. The influence of these dental benefit schemes on the dental care-seeking behaviour of the beneficiaries is under investigation.     

Chinese Values and Stressors of Construction Professionals in Hong Kong

The construction industry has been recognized as a stressful industry, and a great deal of stress is placed on various construction professionals (CPs). However, due to the different “values” among CPs in Hong Kong, susceptibility to stressors varies from individual to individual. People who grow up and live in different cultural environments have different values and this leads to different perceptions of stressors. This study aims to investigate the impact of Chinese values on the stressors of CPs in Hong Kong, one of the main cities in China. To achieve this aim, factor analysis, Pearson correlation analysis, and structural equation modeling were applied based on the survey data collected from CPs in Hong Kong. Four types of Chinese values and eight stressors are identified. The results reveal that: (1) social conventions value alleviate role ambiguity and poor workgroup relationship; (2) value of disciplined work ethos triggers work overload, although it alleviate poor workgroup relationship and work underload; (3) value of conservative personality alleviates work overload; (4) interpersonal integration value has indirect impacts on the various stressors; and (5) the objective poor working environment stressor has significant impact on the poor workgroup relationships and role ambiguity of individual CPs.     

An epidemiological profile of elderly suicides in Hong Kong

Suicide rates in Hong Kong increased with age, and the highest suicide rate occurred among the oldest age groups. Hong Kong has one of the highest elderly suicide rates in the world. The elderly suicide rate was four to five times above the average. Furthermore, gender differences were observed among different marital status groups. For example, single males had a much higher rate than single females and married males had a higher rate than their widowed counterparts. The suicide rate for an economically inactive person was six times higher than for an active one. Jumping has become increasingly common and seems to substitute for other methods of suicide. Winter months and the Chinese New Year period had the lowest suicide occurrence. Some explanations are given.     

Patterns of psychological test use in Hong Kong.

We surveyed the use of tests among 42 clinical psychologists in Hong Kong. Results showed that intelligence tests, objective and projective personality tests, and some neuropsychological tests were used frequently. Patterns of test use across settings revealed some homogeneity in that a few tests were frequently used in all the settings, and at the same time heterogeneity with some tests were preferred in particular settings. We identify the need for the development of culturally relevant tests in Hong Kong. The results are compared with survey results obtained in the United States, and recommendations are made with regard to the future of testing in Hong Kong. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Anaesthesia in Hong Kong. Its history and present position

The history of the development of the specialty of anaesthesia in Hong Kong, its present position and future prospects are discussed. Special reference is made to the activities of the Society of Anaesthetists in Hong Kong which has promoted the cause of anaesthesia and maintained extensive international links during the last 25 years.     

Plasma ascorbate and vitamin E levels in Hong Kong Chinese

Escherichia coli grown at pH 5.0 became acid-tolerant (acid-habituated) but, in addition, neutralized medium filtrates from cultures of E. coli grown to log-phase or stationary-phase at pH 5.0 (pH 5.0 filtrates) induced acid tolerance when added to log-phase E. coli growing at pH 7.0. In contrast, filtrates from pH 7.0-grown cultures were ineffective. The pH 5.0 filtrates were inactivated by heating in a boiling water-bath but there was less activity loss at 75 degrees C. Protease also inactivated such filtrates, which suggested that a heat-resistant protein (or proteins) in the filtrates was essential for the induction of acid tolerance. Filtrates from cells grown at pH 5.0 plus phosphate or adenosine 3':5'-cyclic monophosphate (cAMP) were much less effective in inducing acid tolerance, while the conversion of pH 7.0-grown log-phase cells to acid tolerance by pH 5.0 filtrates was inhibited by cAMP and bicarbonate. It seems likely that the acid tolerance response (acid habituation) involved the functioning of the extracellular protein(s) as protease reduces tolerance induction if added during acid habituation. Most inducible responses are believed to involve the functioning of only intracellular reactions and components; the present results suggest that this is not the case for acid habituation, as an extracellular protein (or proteins) is needed for induction.     

Play therapy in Hong Kong: Opportunities and challenges.

Play therapy is a well-established therapeutic approach for working with children and families in the West. This article describes the current situation of play therapy in Hong Kong—a cosmopolitan city where East meets West. The strengths, weaknesses, opportunities, and threats confronting the development of play therapy as an extension of core graduate-level mental health training are analyzed. Through this process, a number of strategic issues central to the growth and development of professionalism in play therapy are identified and discussed. A path for the future development of play therapy for mental health professionals in Hong Kong over the next decade is presented. Possibilities for collaboration in research and practice among play therapists from all over the world are also suggested. (PsycINFO Database Record (c) 2010 APA, all rights reserved)