The impact of SARS and COVID-19 on major trauma in Hong Kong

Objectives To describe an updated epidemiology of major trauma cases presenting to a regional hospital in Hong Kong and to analyse the impact of enhanced intensive care on the outcome of major trauma patients. Methods This was a retrospective comparative study. In late 2004, we amended our trauma care system with enhancement of intensive care in the management of major trauma patients. An 18-month period was chosen before and after the amendment respectively and patients' data and crude mortality rate between the two periods were compared. Stratified analyses based on mechanism of injury, injury severity and physiological parameters were also performed. Finally, a TRISS analysis was included. Results Altogether 163 and 155 patients were included in our study from the two periods respectively. The majority involved blunt injury and one third of them had injury severity score (ISS) greater than 15. Road traffic accidents and fall from height remained as the two leading causes of major trauma. The median length of stay in the intensive care unit increased for one day (p<0.01) in the later period but the median total length of stay in hospital remained the same. The mortality rate decreased from 10.4% to 9.7% (p=0.82). Conclusion With enhanced intensive care, there is an apparent decrease in mortality of major trauma patients but its significance needs to be determined with a larger scale study.

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Share Contract Revisited: A New Transaction Cost Approach

Man and the Economy ◽

10.1515/me-2021-0001 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Jian Ding ◽

Yixiao Zhou

Keyword(s):

Hong Kong ◽

Transaction Cost ◽

Empirical Studies ◽

Theoretical Explanation ◽

Empirical Testing ◽

Cost Approach ◽

Satisfactory Answer ◽

The Impact

Abstract The purpose of this paper is to explore how sharecropping contracts are chosen over fixed-rent contracts. There are two concerning issues. First, theoretical explanation has been criticized for not providing a satisfactory answer to the question as to why share contracts are chosen. Second, among the existing empirical studies, there are great controversies about the impact of variance of output. Inspired by the latest insights from (Cheung, S. N. S. 2014. Economic Explanation. Hong Kong: Arcadia Press.), this paper not only provides an explanation for the choice of share contract that is suitable for empirical testing, but also solves the puzzle over variance of output.

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Impact of 24/7 Onsite Emergency Radiology Staff Coverage on Emergency Department Workflow

Canadian Association of Radiologists Journal ◽

10.1177/08465371211023861 ◽

2021 ◽

pp. 084653712110238

Author(s):

Francesco Macri ◽

Bonnie T. Niu ◽

Shannon Erdelyi ◽

John R. Mayo ◽

Faisal Khosa ◽

...

Keyword(s):

Emergency Department ◽

Major Trauma ◽

Patient Flow ◽

Interrupted Time Series ◽

Trauma Patients ◽

Linear Regression Models ◽

High Acuity ◽

Time Series Approach ◽

Comparison Series ◽

The Impact

Purpose: Assess the impact of 24/7/365 emergency trauma radiology (ETR) coverage on Emergency Department (ED) patient flow in an urban, quaternary-care teaching hospital. Methods: Patient ED visit and imaging information were extracted from the hospital patient care information system for 2008 to 2018. An interrupted time-series approach with a comparison group was used to study the impact of 24/7/365 ETR on average monthly ED length of stay (ED-LOS) and Emergency Physician to disposition time (EP-DISP). Linear regression models were fit with abrupt and permanent interrupts for 24/7/365 ETR, a coefficient for comparison series and a SARIMA error term; subgroup analyses were performed by patient arrival time, imaging type and chief complaint. Results: During the study period, there were 949,029 ED visits and 739,796 diagnostic tests. Following implementation of 24/7/365 coverage, we found a significant decrease in EP-DISP time for patients requiring only radiographs (-29 min;95%CI:-52,-6) and a significant increase in EP-DISP time for major trauma patients (46 min;95%CI:13,79). No significant change in patient throughput was observed during evening hours for any patient subgroup. For overnight patients, there was a reduction in EP-DISP for patients with symptoms consistent with stroke (-78 min;95%CI:-131,-24) and for high acuity patients who required imaging (-33 min;95%CI:-57,-10). Changes in ED-LOS followed a similar pattern. Conclusions: At our institution, 24/7/365 in-house ETR staff radiology coverage was associated with improved ED flow for patients requiring only radiographs and for overnight stroke and high acuity patients. Major trauma patients spent more time in the ED, perhaps reflecting the required multidisciplinary management.

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The Impact of Supply of Subsidized Sale Flats on Private Housing Prices in Hong Kong

Journal of Real Estate Literature ◽

10.1080/10835547.2007.12090206 ◽

2007 ◽

Vol 15 (2) ◽

pp. 253-280

Author(s):

Eddie Hui ◽

Joe Wong

Keyword(s):

Hong Kong ◽

Housing Prices ◽

Private Housing ◽

The Impact

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The Impact of Housing and Financial Wealth on Household Consumption: Evidence from Hong Kong

Journal of Real Estate Literature ◽

10.1080/10835547.2007.12090213 ◽

2007 ◽

Vol 15 (3) ◽

pp. 429-440

Author(s):

Raymond Tse ◽

K Man ◽

L Choy

Keyword(s):

Hong Kong ◽

Household Consumption ◽

Financial Wealth ◽

The Impact

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Comparison of influenza disease burden in older populations of Hong Kong and Brisbane: the impact of influenza and pneumococcal vaccination

BMC Infectious Diseases ◽

10.1186/s12879-019-3735-7 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Lin Yang ◽

King Pan Chan ◽

Chit Ming Wong ◽

Susan Shui Seng Chiu ◽

Ricardo J. Soares Magalhaes ◽

...

Keyword(s):

Hong Kong ◽

Disease Burden ◽

Pneumococcal Vaccination ◽

Older Populations ◽

The Impact

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Differences between Chinese Adolescent Immigrants and Adolescent Non-Immigrants in Hong Kong: Perceived Psychosocial Attributes, School Environment and Characteristics of Hong Kong Adolescents

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18073739 ◽

2021 ◽

Vol 18 (7) ◽

pp. 3739

Author(s):

Hechao Jiang ◽

Daniel T. L. Shek ◽

Moon Y. M. Law

Keyword(s):

Hong Kong ◽

Psychosocial Development ◽

School Environment ◽

Social Trust ◽

Moral Character ◽

Mainland Chinese ◽

Adolescent Immigrants ◽

Chinese Adolescent ◽

Hong Kong Adolescents ◽

The Impact

Although the impact of immigration on adolescent developmental outcomes has received extensive scholarly attention, the impact of internal migration, particularly in the Chinese context, on adolescents’ psychosocial development has not been scientifically investigated. This study examined whether mainland Chinese adolescent immigrants (N = 590) and adolescent non-immigrants (n = 1798) differed on: (a) psychosocial attributes indexed by character traits, well-being, social behavior, and views on child development, (b) perceived school environment, and (c) perceptions of characteristics of Hong Kong adolescents. Consistent with the healthy migration hypothesis, Hong Kong adolescents and mainland Chinese adolescent immigrants did not differ on most of the outcomes; Chinese adolescent immigrants showed higher perceived moral character, empathy, and social trust than did Hong Kong adolescent non-immigrants. Chinese adolescent immigrants also showed more favorable perceptions of the school environment and moral character, social trust and social responsibility of adolescents in Hong Kong. This pioneer Chinese study provides support for the healthy immigration hypothesis (immigration paradox hypothesis) but not the immigration morbidity hypothesis within the specific sociocultural context of Hong Kong in China.

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The Impact of “Manipulated News” on Student Attitudes and Perceptions and Their Participation in the Umbrella Movement in Hong Kong

Social Media + Society ◽

10.1177/20563051211019715 ◽

2021 ◽

Vol 7 (2) ◽

pp. 205630512110197

Author(s):

Chesca Ka Po Wong ◽

Runping Zhu ◽

Richard Krever ◽

Alfred Siu Choi

Keyword(s):

Social Media ◽

Content Analysis ◽

Hong Kong ◽

Survey Research ◽

Student Attitudes ◽

Qualitative Content Analysis ◽

Fake News ◽

Attitudes And Perceptions ◽

The Impact ◽

Potential Use

While the impact of fake news on viewers, particularly marginalized media users, has been a cause of growing concern, there has been little attention paid to the phenomenon of deliberately “manipulated” news published on social media by mainstream news publishers. Using qualitative content analysis and quantitative survey research, this study showed that consciously biased animated news videos released in the midst of the Umbrella Movement protests in Hong Kong impacted on both the attitudes of students and their participation in the protests. The findings raise concerns over potential use of the format by media owners to promote their preferred ideologies.

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