Dietary practices and lipid intake in relation to plasma lipid profile in Hong Kong Chinese

OBJECTIVE: To study dietary lipid intake and plasma lipid profile of the Hong Kong Chinese population as part of a territory wide survey on cardiovascular risk factors. DESIGN: Randomised age and sex stratified survey. SUBJECTS: 1010 subjects aged 25-74 y (500 men, 510 women). MEASUREMENTS: A food frequency method with food tables compiled for Hong Kong was used for nutrient quantitation, while a separate questionnaire was used to examine dietary practices. Plasma lipid profile was estimated using standard laboratory methods. RESULTS: Total calorie, fat, saturated fatty acid (SFA), poly- and mono-unsaturated fatty acid (PUFA and MUFA), and cholesterol intake were higher in men; however when adjusted for caloric intake no difference was observed. Men had lower intake of PUFA as percentage of total energy had a higher Hegsted Score compared with women. Subjects consuming beans twice or more per week had lower total cholesterol and LDL-cholesterol concentrations. Overall, the population dietary intake was close to the ideal for cardiovascular health: percentage fat not greater than 30% of the total calorie intake, saturated fat intake not greater than 10% of calories, and cholesterol less than 180 mg/1000 Kcal. CONCLUSION: The dietary pattern for Hong Kong Chinese appear to be satisfactory with respect to cardiovascular health.     

Nucleotide sequence of an alternative glucoamylase-encoding gene (glaB) expressed in solid-state culture of Aspergillus oryzae

The potential health effects of environmental contaminants in traditional food has become a concern among northern communities because of the presence of environmental contaminants in the Arctic ecosystem. Exposure assessments are needed but they require comprehensive dietary information and contaminant data. Over the last 10 years, there has been considerable effort to monitor the level of contaminants in fish and wildlife collected from different regions in northern and Arctic Canada. The development of a database and its application for dietary contaminant exposure assessment are described. We conducted an extensive literature review on levels of environmental contaminants in northern and Arctic Canada. The ranges of levels of four contaminants of major concern (chlordane, mercury, polychlorinated biphenyls and toxaphene) in 81 species of marine mammals, terrestrial mammals, birds, fish and plants are summarized. These data represent 69% of the 117 species of fish, wildlife and plants mentioned in our dietary interviews conducted in the northern communities. A significant percentage of the foods had contaminant levels exceeding the guidelines used by Health Canada for market food consumed by the 'southern' populations. Mathematic modelling of the distributions of the data showed that contaminant levels in most food groups are log-normally distributed and have a typical coefficient of variation of about 100%. Examples are presented to demonstrate the use of the data for contaminant exposure assessment. Average contaminant exposure levels estimated using the database for two communities are comparable to those obtained previously using community specific data. With the current knowledge of environmental contaminant levels in the northern traditional food system, it may be feasible to conduct preliminary risk assessment of dietary exposure of environmental contaminants when some diet information for a community is available. Further sampling and analysis may be needed only for confirmation purposes.     

Age, sex, marital status and suicide: an empirical study of east and west

The relationships among age, sex, marital status and suicidal behaviour in Australia and Hong Kong showed disparity in age-specific suicide rates among the four marital status groups, never married, married, widowed and divorced, for both sexes in the two locations. Examining the coefficients of preservation suggested the coefficient for never married to married in all cases was larger than 1, except for the groups of teenagers aged 15-19 years for both sexes and of elderly women aged 60 years or over in Hong Kong. The widowed or divorced groups have lower suicide rates than the married women among the elderly in Hong Kong. Hong Kong women seem not to have been benefited in marriage as much as men. Responsibility and workload in married life rather than low social status are the likely reasons for the relative high female suicide rate in Hong Kong. Possible cultural and environmental factors which are somewhat speculative (yet to be confirmed) are discussed.     

Prevalence and genotypes of alpha- and beta-thalassemia carriers in Hong Kong -- implications for population screening

BACKGROUND: The thalassemias are common in southern China. We determined the prevalence of heterozygous carriers of these genetic disorders in Hong Kong and assessed the feasibility of a community-based screening program. METHODS: An educational and screening program for the thalassemias was carried out in three high schools with a total of 2420 students. Seventy-five percent of the students agreed to undergo screening, which consisted of blood counts, hemoglobin electrophoresis, serum ferritin measurements, and DNA analyses. RESULTS: Of the 1800 blood samples tested, 150 (8.3 percent) had microcytosis (mean corpuscular volume, <80 microm3). Ninety students (5.0 percent) were carriers of alpha-thalassemia, of whom 81 (4.5 percent) were carriers of the Southeast Asian type of deletion, in which both alpha-globin genes on the same chromosome 16 are deleted. Sixty-one students (3.4 percent) were carriers of either beta-thalassemia or the mutation coding for hemoglobin E. Six students were carriers of both alpha- and beta-thalassemias. On the basis of these figures, the estimated numbers of pregnancies in Hong Kong in which the fetus is at risk for homozygous alpha-thalassemia and beta-thalassemia major or intermedia are 145 and 80 per year, respectively. In Hong Kong the actual numbers of women referred for prenatal diagnoses of these disorders are approximately 95 and 40 per year, respectively. CONCLUSIONS: Despite the availability of hospital-based screening and prenatal diagnosis for many years in Hong Kong, many women carrying fetuses at risk for thalassemia are not referred for genetic counseling. A community-based program of education, screening, and counseling is needed in Hong Kong and southern China.     

Adjudication: Temporary Binding and Tiered Dispute Resolution in Construction and Engineering: Hong Kong Experience

Hong Kong (under the “One Country Two Systems” Policy, Hong Kong, although an administrative region of the PRC operates a separate legal system, whose roots lie in the English common law system) has a justified reputation for being at the forefront of developments in techniques to avoid and resolve disputes in the construction industry. [This is illustrated by the adoption of the UNITRCAL Model Law by the Arbitration (Amendment) Ordinance 1996, specific powers given to Arbitral Tribunals under the Arbitration Ordinance (Cap. 341) including powers to consolidate, and the development of the dispute resolution adviser system. See the genesis, development and future use of the dispute resolution adviser system by Colin J Wall, Hong Kong Society of Construction Law dated November 17, 2004]. However, it has not, to date, seen the widespread adoption of adjudication as a means of resolving disputes. This article examines the history of the use of adjudication in Hong Kong, current trends, and offers some possible reasons for the limited adoption of adjudication.     

Effects of Placement Method on Geotechnical Behavior of Hydraulic Fill Sands

Results of an investigation of the geotechnical behavior of a hydraulic sand placed at a land reclamation site in Hong Kong are presented and interpreted. The study was conducted to aid in developing guidelines for quality control of hydraulic landfill placement. The work described consisted of: (1) field investigations; (2) static and cyclic triaxial testing; and (3) calibration chamber tests to study the cone penetration test versus Dr relationships for marine sands obtained from the reclamation sites. The results of this study clearly indicate that the placement technique is the single most important factor controlling the geotechnical behavior of a given type of sand when placed as a hydraulic fill. The weakest zone is generally located just beneath the water level where fill deposition is placed by pipeline discharge.     

Current and potential doses from Arctic seafood consumption

Current collective and individual dose rates to humans are estimated from the consumption of seafood harvested in the Arctic Seas. Statistical data on catches are used for the dose assessment, as well as observed data (1991-1994) on the radioactivity of marine biota. The actual collective dose rates to the world population are estimated to be: 2.7-4.5 manSv/year due to consumption of seafood from the Barents Sea, and 0.03 manSv/year-due to seafood from the Kara Sea. The contribution of 137Cs to the collective dose rate is about 90%. Current individual dose rates to high-rate consumers are estimated to be: 2.6 x 10(-6) Sv/year due to seafood from the Barents Sea; and 4.2 x 10(-6) Sv/year-due to seafood from the Kara Sea. The future radiological impact of the radioactive waste (RW) disposals in the Kara Sea is simulated for the period over 1000 years, using the regional box model of the Arctic Seas. The model predictions are made for three hypothetical scenarios of long-term radionuclide releases, prepared within the framework of the International Arctic Seas Assessment Project. The potential collective dose to world population truncated to 3000 AD is shown to be not higher than 0.13 manSv. The maximum individual dose rates from Arctic seafood consumption are estimated to be about 1.2 x 10(-7) Sv/year. The predicted doses are much smaller than the actual doses due to the current radioactive contamination of the Arctic Seas.     

The spectrum of chronic lymphoproliferative disorders in Hong Kong. A prospective study

We report the incidence of the chronic lymphoproliferative disorders evolving with leukaemia in Hong Kong. Our findings demonstrate that B cell malignancies are significantly more frequent than mature T cell neoplasms, a picture similar to that seen in Western countries but different from other Eastern countries, eg Japan, where T cell malignancies are more frequent. In contrast to the West, where chronic lymphocytic leukaemia (CLL) is the most common disorder, in Hong Kong there is a clear predominance of B cell lymphomas in leukaemic phase accounting for two-thirds of the cases and particularly those displaying lymphoplasmacytic features or with villous lymphocytes. CLL in Hong Kong has similar clinical and laboratory features to the disease in patients from the West. Distinct disease categories, rare in the West such as the variant form of hairy cell leukaemia and T cell prolymphocytic leukaemia, are also documented. It is unclear whether the differences in prevalence of disease subtypes between Hong Kong and the West relate to different genetic background or environmental factors determinant of the development or progression of the leukaemia. Further studies investigating the genetic/molecular lesions may help to clarify whether the aetiopathogenesis of the lymphoid disorders in Hong Kong is similar to that of Western countries.     

Field Evaluation of a Glass-Fiber Soil Reinforcement System

A soil reinforcement system using the combination of glass-fiber-reinforced polymer (GFRP) pipe and pressure grouting has been developed by a Korean company. The system is being adopted as slope stabilization measures in Hong Kong. Individual GFRP pipes were designed and installed as soil nails with the exception that two-stage pressure grouting was applied instead of gravity grouting. A full-scale field evaluation on constructability and in situ performance of the system was performed in Hong Kong. The performance of the constructed nails was evaluated by pullout tests. The construction procedure, site adaptations of the Korean product made in Hong Kong, field test procedure, and performance of the constructed soil nails are reported in this paper.     

Potential Obstacles to Successful Implementation of Public-Private Partnerships in Beijing and the Hong Kong Special Administrative Region

Public-private partnership (PPP) has been practiced for quite some time around the world and there are numerous infrastructure, construction, and building projects which are employing the concepts. Unfortunately, not all of these PPP projects are equally successful and some of these projects have been exposed to formidable obstacles. The need to identify potential obstacles for PPP projects is therefore becoming an important issue for both research and practice. Despite the amount of interest vested in PPP, it is normally the advantages of PPP that are touched on rather than the potential obstacles. Both Beijing and the Hong Kong Special Administrative Region (referred to as Hong Kong from here onwards) have been keen to introduce more PPP projects. This paper presents part of the findings of an empirical questionnaire survey in relation to the prevailing barriers to PPP success conducted in these two administrative systems. It was anticipated that the obstacles would be similar for these jurisdictions. Respondents were asked to rate the level of severity of thirteen potential obstacles toward PPP projects identified from a literature review. The top three obstacles rated by the Beijing respondents were found to be “lengthy delays in negotiation,” “lack of experience and appropriate skills,” and “lengthy delays because of political debate.” Similarly the first and third obstacles ranked by the Beijing respondents were also ranked within top three by the Hong Kong respondents, together with “very few schemes have actually reached the contract stage (aborted before contract).” It was also discerned that “less employment positions,” “reduce the project accountability,” and “high project costs” were all ranked bottom by both of the Beijing and Hong Kong respondents. Moreover, the results obtained in the United Kingdom reported in other studies also shown consistency with those of Beijing and Hong Kong. Therefore the research hypothesis was proved to be true. Although the importance of the obstacles was similar it was realized that the scores obtained in the United Kingdom survey were much lower. This observation showed that the British respondents were less threatened by the obstacles, probably due to the fact that they are much more experienced and confident in undertaking PPP projects compared to Beijing and Hong Kong. Further analysis of the data reflected that the responses within each administrative system were consistent as revealed from the Kendall’s concordance analysis. Although the Spearman rank correlation test indicated that there was no significant disagreement on the rankings of obstacles between respondents of the two administrative systems, considerable difference was detected by the independent two-sample t-test in the mean value of their responses between the two administrative systems for the two obstacles lack of experience and appropriate skills and lengthy delays in negotiation. In Beijing, respondents felt that lack of experience and appropriate skills were highly important ranking it second place, but in Hong Kong this obstacle was ranked eighth, showing their confidence in experience and skills. For lengthy delays in negotiation, although the ranking between Beijing and Hong Kong was similar the difference in score showed a large variation. This represents a difference in tendering procedures between the two administrative regions. Triangulation with real cases largely supports the survey findings.     

Drivers for Adopting Public Private Partnerships—Empirical Comparison between China and Hong Kong Special Administrative Region

The private sector has long been involved in delivering public sector projects, whether its role has been as a partner or just as a contractor for the government. Over recent years the interest in adopting public private partnerships (PPPs) has increased internationally. Many research studies have presented positive reasons for the governments and the private sector to welcome this form of procurement, rather than continue adopting the traditional options. This paper aims to explore and compare the key drivers for adopting PPP in China and the Hong Kong Special Administrative Region (referred to as Hong Kong from here onwards). An empirical questionnaire survey was conducted in both of these administrative systems and survey respondents were invited to rate their perceptions on the importance of 15 different drivers identified. Eighty-seven completed survey questionnaires were returned for analysis. The findings indicated that respondents from China rated economy-related drivers higher, whereas Hong Kong respondents tended to rate efficiency-related drivers higher. China’s demand for more public infrastructure and services has imposed great pressure on the government’s budget, and therefore economic drivers were rated higher. On the other hand, with adequate financial reserve in hand and budget surplus over recent years, Hong Kong has tended to prefer paying for projects upfront, and hence efficiency was regarded more significantly. Among the 15 drivers, both of the respondents from China and Hong Kong selected, “provide an integrated solution (for public infrastructure/services)” and “solve the problem of public sector budget restraint” to be within the top three drivers. Despite the general agreement on the ranking pattern, the results of independent two-sample t-test showed that China and Hong Kong shared very different views on the driver “reduce the total project cost.” This driver was ranked rather high by the mainland Chinese respondents, but much lower by the Hong Kong respondents. This finding can be construed that economic drivers are in general rated higher in China as compared to that in Hong Kong.     

B cell mitogenic activity of house dust mite, Dermatophagoides farinae, antigens

Hong Kong, Taiwan, Singapore, and Malaysia are initiating health care reform to meet the changing demands of populations with improved socioeconomic status and access to modern technologies and who are living longer than in previous generations. Hong Kong, in particular, is facing a unique set of circumstances as its people prepare for the transition in 1997 from a British colony to a Special Administrative Region of China. While spending only 4% of its gross domestic product on health care, it has a large and regulated public hospital system for most inpatient medical care and a separate, loosely regulated private health care system for most outpatient medical care. In 1993 the Secretary for Health and Welfare of Hong Kong initiated a year-long process to debate the pros and cons of 5 fundamental programs for health care reform. After a year of open consultation, options were chosen. We describe the Hong Kong health care system, the fundamental changes that have been adopted, and lessons for reformers in the United States.     

Achieving Client Satisfaction for Engineering Consulting Firms

Client satisfaction, as a very important total quality management philosophy, lately has been incorporated in the 2000 edition of the ISO 9000 quality management system. Senior construction professionals in Hong Kong were interviewed in a two-stage survey to identify a comprehensive list of factors (and their indicators) for measuring client satisfaction in the context of engineering consulting services. From the survey data, the clients’ level of satisfaction with those factors and the indicators were prioritized. The resulting list of priorities showed the collective opinion of 47 senior and experienced professionals working in the field on what services provided by consulting firms were the most or least satisfactory in Hong Kong. The data obtained from the 47 professionals were further employed to establish a client satisfaction function using multiple linear regression for deriving strategies for consultants to achieve client satisfaction. The approach of this research is useful to engineering consulting firms, not only in Hong Kong, but also in other places for identifying and improving on their own weak areas to enhance the quality of services for their clients.     

Intracranial epidermoid and dermoid cysts. Results of microneurosurgery

A number of radon-related properties have been surveyed in underground shopping centers in Hong Kong. These parameters include the radon concentration, the total potential alpha energy concentration of radon progeny, the equilibrium factor and the unattached fraction of radon progeny. The mean values recorded for these were 29.2 +/- 7.8 Bq/m3, 3.60 +/- 1.53 mWL, 0.46 +/- 0.16 and 0.05 +/- 0.03, respectively. Based on these figures, we have calculated the average radon dose received by employees in an underground shopping center in Hong Kong to be 0.22 mSv/yr, which represents an approximate increase of 8% over the total dose of about 2.7 mSv/yr received by the average person in Hong Kong.     

Genetic and environmental risk factors for Parkinson's disease in a Chinese population

An epidemiological study of the environmental and genetic factors as well as the possible interplay between them was conducted among 215 patients with Parkinson's disease and 313 controls in a Chinese population in Hong Kong. In univariate analysis, a regular tea drinking habit was found to be a protective factor, which had not been reported before. Smoking (a protective factor), family history, duration of pesticide exposure (in years) in farming and pesticide exposure during farming in women (both risk factors) have been reported previously. In multivariate analysis, current smoking reached borderline significance at the 5% level and the variables, years exposed to pesticides and family history were significant at the 10% level. By contrast with the common occurrence of polymorphism of the CYP2D6 gene (a gene involved with xenobiotic metabolism) in white people, it is very rare in China and is not thought to be a significant factor contributing to Parkinson's disease in Chinese people.     

Construction Mediation Landscape in the Civil Justice System in Hong Kong

Alternative dispute resolution techniques as means to speedily and economically resolve certain types of disputes have been well recognized. In this regard, some jurisdictions have opted to use mandatory adjudication to deal with construction, in particular payment-related disputes. The situation in Hong Kong is a bit different. The Government of the Hong Kong Special Administrative Region aspires to make Hong Kong a hub for arbitration and mediation services for the region. Voluntary mediation has been introduced in the civil procedures rules of the High Court as part of the newly launched Civil Justice Reform. Adverse cost order is used to discourage “refusal to mediate” and “failing to attempt to mediate.” While the new measures that came into effect on April 2, 2009, sound sensible, a better picture on the actual impacts will unfold as more cases reach the Court. Nonetheless, the cost sanction may be able to make the voluntary use of mediation less voluntary.     

Radon-222 and gamma ray levels associated with the collection, processing, transmission, and utilization of natural gas

The natural gas industry in British Columbia was investigated for exposure to radioactive contaminants such as radon-222 and lead-210. Radon activity associated with the gathering system ranged from 7-921 Bq/m3. The pipelines to the processing facility contained sludge that had a mean lead-210 activity of 0.494 Bq/g (0.379 standard deviation [SD]) and a mean radium-226 activity of 0.417 (0.398 SD). Within the processing facility the highest levels of radon were associated with propane production streams, and activities as high as 4958 Bq/m3 were found. Equipment handling these streams was also found to have a buildup of scale with lead-210, radium-224, and radium-226 activity. The transmission of salable gas to the consumer indicated a decrease in radon activity that was slightly lower than the estimated radon activity based on the half-life of radon, the distance from the production facility, and the speed of gas transmission. The risk of radon exposure to the worker was deemed well below the guidelines and would be controlled more than adequately by means of the occupational standards for the natural gas components. Gamma ray exposure was also well below the occupational standards. Radon exposure to the consumer was virtually nonexistent in the Vancouver region from both natural gas and propane. Although this might not be the case for consumers of propane closer to the production facilities, its contribution is likely to be minimal.     

Obituary: Lee C. Lee (1935-2006).

Presents an obituary for Lee C. Lee. As the first woman of Asian ancestry to be a tenured professor at Cornell University, she was a pioneer in the development of Asian American psychology and an expert on Asian American identity. Her specialty areas included parental values and socialization in China, as well as coping issues among Asian American and Chinese immigrants. While at Cornell, Lee founded the first comprehensive Asian American studies program on the East coast. Lee was also instrumental in the creation of the Hong Kong America Center. As a distinguished Fulbright professor, she served as the center's founding director in 1992. The center is an independent, nonprofit association promoting the understanding of society, culture, and the arts of America in Hong Kong and the understanding of society, culture, and the arts of Hong Kong in the United States. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Long-Term Trends in Extreme Temperatures in Hong Kong and Southern China

The observed long-term trends in extreme temperatures in Hong Kong were studied based on the meteorological data recorded at the Hong Kong Observatory Headquarters from 1885-2008. Results show that,over the past 124 years, the extreme daily minimum and maximum temperatures, as well as the length of the warm spell in Hong Kong, exhibit statistically significant long-term rising trends, while the length of the cold spell shows a statistically significant decreasing trend. The time-dependent return period analysis also indicated that the return period for daily minimum temperature at 4℃ or lower lengthened considerably from 6 years in 1900 to over 150 years in 2000, while the return periods for daily maximum temperature reaching 35℃ or above shortened drastically from 32 years in 1900 to 4.5 years in 2000. Past trends in extreme temperatures from selected weather stations in southern China from 1951-2004 were also assessed.Over 70% of the stations studied yielded a statistically significant rising trend in extreme daily minimum temperature, while the trend for extreme maximum temperatures was found to vary, with no significant trend established for the majority of stations.     

Allopurinol reduces bacterial translocation, intestinal mucosal lipid peroxidation, and neutrophil-derived myeloperoxidase activity in chronic portal hypertensive and common bile duct-ligated growing rats

The Chinese population in Hong Kong has a low incidence of invasive Haemophilus influenzae type b(Hib) disease, as well as carriage of the microorganism. Likely stimuli for the natural antibodies to Hib, which might protect against Hib infection, are cross-reactive antigens of bacteria like Escherichia coli K 100. Our aim was to determine the isotype and idiotype distribution and cross-reactivity of natural antibodies against Hib capsular polysaccharide (CP) in healthy Hong Kong Chinese. Titration of 20 sera by ELISA showed IgG antibodies reacting with Hib CP in all individuals. The antibodies were mainly IgG2, and their avidity index ranged widely. Isoelectric focusing (IEF) combined with immunoblotting showed patterns of IgG2 antibody clones against the CP of Hib and E. coli K 100 which were similar in 10 cases. Absorption with Hib CP only eliminated some bands in two sera. Absorption with K 100 CP did not remove any anti-Hib CP bands. In three sera additional clones of antibodies reacting to K 100 CP only, disappeared after absorption with this CP. Spectrotypic analyses of IgG antibodies reacting with anti-Hib idiotype 1 (Id-1) revealed stronger IEF patterns with bands in differing locations compared with anti-Hib CP antibodies. The strong reactivity of serum IgG, IgA and IgM antibodies with monoclonal anti-Hib Id-1 was confirmed by ELISA. This reactivity was not abolished after absorption of the sera with either Hib CP, or K 100 CP. The data indicate a high prevalence of Id-1 among Hong Kong Chinese. However, only one individual had Id-1 antibodies specific for Hib CP, judging from absorption experiments. Others had much lower activity of Id-1 anti-Hib CP antibodies compared with the total IgG Id-1, suggesting that Hong Kong subjects have Id-1-positive antibodies in their serum which are not specific for Hib CP. This is consistent with the nature of Id-1, which is a marker of A2VL region usage rather than a marker of a Hib CP paratope. We suggest that natural antibodies reacting with Hib CP in healthy Hong Kong Chinese are the product of exposure to some cross-reactive antigen(s), different from both Hib and E. coli K 100 CP.