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Most doctors provide a high standard of care to their patients. In addition to expertise in their specialty, they must also demonstrate important generic professional capabilities which are essential to providing safe and effective patient care. These broader human qualities – such as being able t...

In patients with acute leukemia, peripheral blood and bone marrow samples are periodically examined to monitor response to therapy and recovery of normal hematopoiesis. This is traditionally done by assessing cell morphology, a practice that lacks sensitivity and is prone to errors. Assays that can ...

Myopia, or near-sightedness, is an ocular condition where there is a mismatch between the optical power and length of the eye. The combined optical power of the eye is too strong for its corresponding axial length, causing incoming light to focus in front of the retina. The most common form worldwid...

Natural killer (NK) cells are normal white blood cells capable of killing cancer cells without prior sensitization. Unlike allogeneic T cells, NK cells do not cause graft-vs-host disease. Furthermore, allogeneic NK cell infusions are attractive for cancer therapy because of non–cross-resistant mec...

In our daily practice, we aim to improve patients' outcome by providing all sorts of treatment modalities. However, are we really creating suvivors and not victims? Studies have shown that patients discharged from ICU may suffer from post ICU syndrome, in which patients will be manifested as im...

Geriatric hip fracture contributes significant morbidity and mortality to older people. The number of fragility hip fracture is expected to increase exponentially over the next 30 years as a result of increased life expectancy and population growth. Older adults with fragility fractures tend to have...

The Orthoptic service in HK is teamed with the general Ophthalmology service to serve patients of all ages. With the opening of Hong Kong Children Hospital, it is necessary to re-engineer the Orthoptic service to meet the specific needs of children, the requirements of paediaric ophthalmologists and...

Patient blood management (PBM), with the principles of optimizing erythropoiesis, minimizing blood loss and optimizing patient-specific tolerance to anaemia, plays an increasingly important role in the management of both obstetric and gynaecological (O&G) patients. Severe iron-deficiency anaemia amo...

Enhanced Recovery After Surgery (ERAS) is a paradigm shift in perioperative care resulting in substantial improvements in clinical outcomes and cost effectiveness. It is a multimodal and multidisciplinary approach for surgical patients. A local ERAS team was established in United Christian Hospital ...

近年來，廣東省堅持以基層為重點，以改革為動力，將提升縣級以下醫療機構服務能力為突破口，不斷提升基層醫療衛生服務能力。2017-2019年各級財政投入500億元專項用於加強縣及縣以下基層醫療衛生機構建設，同時強化三醫聯...

Ageing in place is not only a policy target of the HKSAR Government, but also the desire of many elderly people. In the recently completed Elderly Services Programme Plan, the government pledged to provide more community support services to elderly people to enable them to live in the community ins...

Myopia is a global health threat. By year 2025, it is predicted approximately 50% and 10% of world’s population being myopic and highly myopic respectively. Notably, high myopia is associated with sight-threatening complications, including pre-senile cataract, glaucoma, retinal detachment, and cho...

Conventional non-surgical management of knee osteoarthritis (OA) stresses on improving knee muscle strength and range of motion. However, the results may not be satisfactory. Recent studies show that neuromuscular training is the key to enhance knee control and functional limitations in patients wit...

Over the past decade, there are many new advances in the management of cancers that included targeted therapies by either small molecules inhibitors or immunotherapy. Immunotherapy can further be classified into different categories such as active immunotherapy, passive immunotherapy, adoptive immun...

Facing with an ever-increasing turnover rate and increase fragility of in-patient in Shatin Hospital, finding an effective method to improve the accuracy in treatment prescription and improving the patient safety is always our utmost concern.  Recent advancement of technology empowers us to hav...

Orthokeratology involves the use of a specially designed contact lens to correct myopia. This treatment is popular among children since it could provide good vision without glasses during daytime. However, there could be chance of infection if the lens is handled improperly. Cases of severe infectio...

Clinical blood transfusion, since its introduction in the early 19th century, remains an important treatment modality in modern medicine. However, blood transfusion is associated with significant risks of complications, which are still here to stay despite the rapid advances in medicine over the las...

As part of our ERAS programme, Patient Blood Management (PBM) came into place in Tseung Kwan O Hospital (TKOH) since 2016. PBM is a multidisciplinary, evidence based approach to optimize use of donor blood and to improve clinical outcomes by avoiding unnecessary exposure to blood components. In TKO...

Point of Care Testing (POCT) is becoming increasing popular in different specialties of medicine. It has gained its popularity and recognition gradually over recent years. It allows for real-time and rapid assessment of patient status. It is especially important for those situations in which the pat...

Seasonal Influenza Vaccination (SIV) is the most effective measure to build up one’s defense against influenza and to prevent its complications. The vaccine efficacy ranges from 60-80% depending on the closeness of the vaccination strains and the circulating strains. The Government of the HKSAR im...

Introduction With the advancement in surgical techniques and arthroscopic instrumentations, minimally invasive hand surgery has become the most popular treatment options for most common hand diseases. It has proven to have faster patient recovery and lower morbidity. These can be divided into arthro...

Myopia is in epidemic proportion in China and many Asian cities. The prevalence of myopia is well beyond 80% in these cities. Since high myopia increases the risk of sight-threatening diseases such as glaucoma, retinal degeneration and detachments, it is important to decrease the prevalence of myopi...

•       This talk sets out the English National Health Service (NHS) approach to improving outcomes through greater personalisation of care underpinned by developments in genomics. •       It reviews how the world-leading 100,000 Genomes Project provided a proof of concept for the ...

Novel psychotrophic substances (NPS), also known as emerging drugs of abuse, are constantly evolving structural analogues of traditional drugs of abuse that have become a threat to public health worldwide and within our locality. This study reviewed the NPS detected in cases referred to the Hospital...

The main goal of management for Geriatric fragility fractures is to achieve an optimal functional state with maximal independence in community. This cannot be achieved without a care pathway with Ortho-geriatric collaboration and community partnership. A clinical pathway management with medical-soci...

Bone marrow and blood transplantation is currently the most commonly used modality of cell therapy for paediatric cancer. However, transplantation may not be possible because of lack of donor and may not always be successful because of various adverse events. In recent years, other cell based therap...

Risk of anaemia increases in chronic kidney disease patients, and is in proportion to the stages of kidney disease. The lecture will focus on pathogenesis of anaemia, of which relative deficit of erythropoietin and hypoxia-sensing mechanism are involved. In addition, role of iron deficiency has been...

In resource limited regions, many critically ill patients receive invasive mechanical ventilation in a non-ICU/designated high-care environment. In Hong Kong there are different models-of-care provided for this group of patients in general wards: unstructured care in general wards, or a designated w...

Acute ischemic stroke caused by large vessel occlusion (LVO) carries high morbidity and mortality, but is readily treatable if diagnosed early. Expeditious diagnosis and triage of LVO patients to hospitals equipped to perform emergency revascularization treatment maximizes the patient’s chance of ...

The relationship between intensive care medicine and healthcare quality and safety will be explored in this session. From the exploration, the speaker will identify opportunities and threats to share with the audience.