scholarly journals Clinical practice guidelines for the provision of renal service in Hong Kong: Haemodialysis

Nephrology ◽  
2019 ◽  
Vol 24 (S1) ◽  
pp. 41-59
Author(s):  
Yuk Lun Cheng ◽  
Hon Lok Tang ◽  
Matthew Kwok Lung Tong
2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Nannan Shi ◽  
Linda L. D. Zhong ◽  
XueJie Han ◽  
Tat Chi Ziea ◽  
Bacon Ng ◽  
...  

We presented a study protocol of developing Chinese medicine clinical practice guidelines for three common diseases in Hong Kong, including insomnia, chronic gastritis, and cerebral infarction. This research project will be conducted in three phases. First phase is the preparation stage which consists of the establishment of steering committee and panel. Second phase involves 6 steps, which are searching and identifying evidence, text mining process, Delphi survey, synthesizing of data, consensus conference, and drafting guidelines. In this phase, text mining technique, evidence-based method, and formal consensus method are combined to get consolidated supporting data as the source of CM CPGs. The final phase comprised external reviews, dissemination, and updating. The outputs from this project will provide three CM CPGs for insomnia, chronic gastritis, and cerebral infarction for Hong Kong local use.


Nephrology ◽  
2019 ◽  
Vol 24 (S1) ◽  
pp. 133-136
Author(s):  
Chi‐Bon Leung ◽  
Tze‐Hoi Kwan ◽  
Koon‐Shing Choi

Nephrology ◽  
2019 ◽  
Vol 24 (S1) ◽  
pp. 130-132 ◽  
Author(s):  
Philip Kam‐Tao Li ◽  
Bonnie Ching‐Ha Kwan ◽  
Andrew Kui‐Man Wong

Nephrology ◽  
2019 ◽  
Vol 24 (S1) ◽  
pp. 27-40
Author(s):  
Cheuk Chun Szeto ◽  
Wai Kei Lo ◽  
Philip Kam‐Tao Li

Nephrology ◽  
2019 ◽  
Vol 24 (S1) ◽  
pp. 98-129
Author(s):  
Sing Leung Lui ◽  
Desmond Yap ◽  
Vincent Cheng ◽  
Tak Mao Chan ◽  
Kwok Yung Yuen

Nephrology ◽  
2019 ◽  
Vol 24 (S1) ◽  
pp. 9-26 ◽  
Author(s):  
Sydney Chi‐Wai Tang ◽  
Andrew Kui‐Man Wong ◽  
Siu‐Ka Mak

2020 ◽  
Vol 5 (4) ◽  
pp. 1006-1010
Author(s):  
Jennifer Raminick ◽  
Hema Desai

Purpose Infants hospitalized for an acute respiratory illness often require the use of noninvasive respiratory support during the initial stage to improve their breathing. High flow oxygen therapy (HFOT) is becoming a more popular means of noninvasive respiratory support, often used to treat respiratory syncytial virus/bronchiolitis. These infants present with tachypnea and coughing, resulting in difficulties in coordinating sucking and swallowing. However, they are often allowed to feed orally despite having high respiratory rate, increased work of breathing and on HFOT, placing them at risk for aspiration. Feeding therapists who work with these infants have raised concerns that HFOT creates an additional risk factor for swallowing dysfunction, especially with infants who have compromised airways or other comorbidities. There is emerging literature concluding changes in pharyngeal pressures with HFOT, as well as aspiration in preterm neonates who are on nasal continuous positive airway pressure. However, there is no existing research exploring the effect of HFOT on swallowing in infants with acute respiratory illness. This discussion will present findings from literature on HFOT, oral feeding in the acutely ill infant population, and present clinical practice guidelines for safe feeding during critical care admission for acute respiratory illness. Conclusion Guidelines for safety of oral feeds for infants with acute respiratory illness on HFOT do not exist. However, providers and parents continue to want to provide oral feeds despite clinical signs of respiratory distress and coughing. To address this challenge, we initiated a process change to use clinical bedside evaluation and a “cross-systems approach” to provide recommendations for safer oral feeds while on HFOT as the infant is recovering from illness. Use of standardized feeding evaluation and protocol have improved consistency of practice within our department. However, further research is still necessary to develop clinical practice guidelines for safe oral feeding for infants on HFOT.


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