Hong Kong Respiratory Medicine

Joint Website of HKTS, ACCP HK & Macau, HKLF

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2013 June 6 - Prone Positioning in Severe Acute Respiratory Distress Syndrome

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Claude Guérin, M.D., Ph.D., Jean Reignier, M.D., Ph.D., Jean-Christophe Richard, M.D., Ph.D., Pascal Beuret, M.D., Arnaud Gacouin, M.D., Thierry Boulain, M.D., Emmanuelle Mercier, M.D., Michel Badet, M.D., Alain Mercat, M.D., Ph.D., Olivier Baudin, M.D., Marc Clavel, M.D., Delphine Chatellier, M.D., Samir Jaber, M.D., Ph.D., Sylvène Rosselli, M.D., Jordi Mancebo, M.D., Ph.D., Michel Sirodot, M.D., Gilles Hilbert, M.D., Ph.D., Christian Bengler, M.D., Jack Richecoeur, M.D., Marc Gainnier, M.D., Ph.D., Frédérique Bayle, M.D., Gael Bourdin, M.D., Véronique Leray, M.D., Raphaele Girard, M.D., Loredana Baboi, Ph.D., and Louis Ayzac, M.D. for the PROSEVA Study Group
N Engl J Med 2013; 368:2159-2168June 6, 2013DOI: 10.1056/NEJMoa1214103


Background

Previous trials involving patients with the acute respiratory distress syndrome (ARDS) have failed to show a beneficial effect of prone positioning during mechanical ventilatory support on outcomes. We evaluated the effect of early application of prone positioning on outcomes in patients with severe ARDS.
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2013 June 13 - Targeted versus Universal Decolonization to Prevent ICU Infection

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Susan S. Huang, M.D., M.P.H., Edward Septimus, M.D., Ken Kleinman, Sc.D., Julia Moody, M.S., Jason Hickok, M.B.A., R.N., Taliser R. Avery, M.S., Julie Lankiewicz, M.P.H., Adrijana Gombosev, B.S., Leah Terpstra, B.A., Fallon Hartford, M.S., Mary K. Hayden, M.D., John A. Jernigan, M.D., Robert A. Weinstein, M.D., Victoria J. Fraser, M.D., Katherine Haffenreffer, B.S., Eric Cui, B.S., Rebecca E. Kaganov, B.A., Karen Lolans, B.S., Jonathan B. Perlin, M.D., Ph.D., and Richard Platt, M.D. for the CDC Prevention Epicenters Program and the AHRQ DECIDE Network and Healthcare-Associated Infections Program
N Engl J Med 2013; 368:2255-2265June 13, 2013DOI: 10.1056/NEJMoa1207290


Background
Both targeted decolonization and universal decolonization of patients in intensive care units (ICUs) are candidate strategies to prevent health care–associated infections, particularly those caused by methicillin-resistant Staphylococcus aureus (MRSA).
Last Updated on Friday, 14 June 2013 00:01 Read more...
 

2013 June 13 - Racemic Adrenaline and Inhalation Strategies in Acute Bronchiolitis

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 Håvard Ove Skjerven, M.D., Jon Olav Gjengstø Hunderi, M.D., Sabine Kristin Brügmann-Pieper, M.D., Anne Charlotte Brun, M.D., Hanne Engen, M.D., Leif Eskedal, M.D., Ph.D., Marius Haavaldsen, M.D., Bente Kvenshagen, M.D., Ph.D., Jon Lunde, M.D., Leif Bjarte Rolfsjord, M.D., Christian Siva, M.D., Truls Vikin, M.D., Petter Mowinckel, M.Sc., Kai-Håkon Carlsen, M.D., Ph.D., and Karin C. Lødrup Carlsen, M.D., Ph.D.
N Engl J Med 2013; 368:2286-2293June 13, 2013DOI: 10.1056/NEJMoa1301839


Background
Acute bronchiolitis in infants frequently results in hospitalization, but there is no established consensus on inhalation therapy — either the type of medication or the frequency of administration — that may be of value. We aimed to assess the effectiveness of inhaled racemic adrenaline as compared with inhaled saline and the strategy for frequency of inhalation (on demand vs. fixed schedule) in infants hospitalized with acute bronchiolitis.
Last Updated on Thursday, 13 June 2013 23:48 Read more...
 

2013 June 13 - Clinical Findings in 111 Cases of Influenza A (H7N9) Virus Infection

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 Hai-Nv Gao, M.D., Hong-Zhou Lu, M.D., Ph.D., Bin Cao, M.D., Bin Du, M.D., Hong Shang, M.D., Jian-He Gan, M.D., Shui-Hua Lu, M.D., Yi-Da Yang, M.D., Qiang Fang, M.D., Yin-Zhong Shen, M.D., Xiu-Ming Xi, M.D., Qin Gu, M.D., Xian-Mei Zhou, M.D., Hong-Ping Qu, M.D., Zheng Yan, M.D., Fang-Ming Li, M.D., Wei Zhao, M.D., Zhan-Cheng Gao, M.D., Guang-Fa Wang, M.D., Ling-Xiang Ruan, M.D., Wei-Hong Wang, M.D., Jun Ye, M.D., Hui-Fang Cao, M.D., Xing-Wang Li, M.D., Wen-Hong Zhang, M.D., Xu-Chen Fang, M.D., Jian He, M.D., Wei-Feng Liang, M.D., Juan Xie, M.D., Mei Zeng, M.D., Xian-Zheng Wu, M.D., Jun Li, M.D., Qi Xia, M.D., Zhao-Chen Jin, M.D., Qi Chen, M.D., Chao Tang, M.D., Zhi-Yong Zhang, M.D., Bao-Min Hou, M.D., Zhi-Xian Feng, M.D., Ji-Fang Sheng, M.D., Nan-Shan Zhong, M.D., and Lan-Juan Li, M.D. 
N Engl J Med 2013; 368:2277-2285June 13, 2013DOI: 10.1056/NEJMoa1305584

Background 
During the spring of 2013, a novel avian-origin influenza A (H7N9) virus emerged and spread among humans in China. Data were lacking on the clinical characteristics of the infections caused by this virus.
Last Updated on Thursday, 13 June 2013 23:50 Read more...
 

2013 June 10: TVB 晚間新聞: 肺炎鏈球菌

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講者: 林志良醫生

Dr David Lam appeared on TVB's evening news and discussed on pneumococcal pneumonia.


Last Updated on Wednesday, 12 June 2013 12:29 Read more...
 

2013 June 05- 新報: 支氣管擴張症

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香港哮喘會醫學顧問 陳偉文醫生

支氣管擴張是常見的慢性氣管疾病。有超過五至六成的過案病因不明,而其餘的病例有很多是因為過往的疾病如肺結核、麻疹和百日咳等的後遺或併發症所導致;但其他的嚴重肺部感染、和長期支氣管阻塞和發炎,都有機會發展為支氣管擴張。其他較罕見的病因還包括腫瘤、吸入異物、先天性的細胞纖毛功能障礙和免疫功能不全等。由於支氣管及其周圍肺組織的慢性炎症 損壞管壁,導致氣管擴張和變形。
Last Updated on Monday, 10 June 2013 20:32 Read more...
 

2013 May 29- 新報:認識心絞痛與冠心病

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香港哮喘會執委 王佩儀姑娘

心臟病是香港的第二號殺手,其中由冠心病(冠狀動脈性心臟病、又稱缺血性心臟病) 所引致的死亡約佔七成。冠心病亦是醫院急症室常見的危急病症,患者可以由全無病徵,不自知以至突然死亡,而患者亦有年輕化的趨勢。如果能夠及早認識冠心病的成因、預防、治療過程等,是可減低冠心病復發風險。

Last Updated on Monday, 03 June 2013 21:06 Read more...
 

Messages from President of the HKTS

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Inaugural message from the President of the Hong Kong Thoracic Society,
Dr. Fanny, Wai-San KO, March 2013

Dr. Fanny Ko

The Hong Kong Thoracic Society (HKTS) was established in August 1987. As of March 2013, we have over 1,000 members. With the formation of the new cabinet of council members for year 2013-2015, I am sure HKTS will continue its work as one of the leading organizations of respiratory health care professionals in Hong Kong.
Last Updated on Tuesday, 28 May 2013 23:28 Read more...
 

Message from the President of the ACCP (HK & Macau Chapter)

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Inaugural message from President of ACCP (HK & Macau Chapter ) Dr Arthur Chun-Wing LAU, Mar 2013

Dr. Arthur CW Lau

In the Annual General Meeting on 10th March 2013, the new 2013-2015 term of Council Members were formally elected. On behalf of the Chapter, I would like to thank Dr Johnny Chan for his excellent leadership in the past two years, and I also thank all retired Council Members for their contribution. I am sure that the five new Members, namely, Dr KC Chang (DH), Dr WK Lam (NDH), Dr Grace SM Lam (PYNEH), Dr Jamie Lam (QMH) and Dr MP Lee (QEH), will give extra energy and vitality to us in the coming two years and serve you with dedication.

Last Updated on Tuesday, 28 May 2013 23:31 Read more...
 

Message from the Chairman of the HKLF

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Inaugural message from Chairman of the Hong Kong Lung Foundation, Dr Wai-Ming CHAN, March 2013

Dr. WM Chan
It is my great honour to be elected Chairman of the Hong Kong Lung Foundation for the coming 2 years. The Hong Kong Lung Foundation is now a mature organization, based on a solid foundation laid down by generations of forerunners. It is the cornerstone of unity in the respiratory community and also the driving engine for numerous meaningful activities, which I will strive to continue and hopefully to prosper.
Last Updated on Tuesday, 28 May 2013 23:25 Read more...
 

The Hong Kong Lung Foundation Fellowship Application

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The fellowship is open to medical practitioners, allied health professionals, scientists, students and others for travelling aboard to engage in research, study and training in order to gain experience in modern methods of diagnosis, prevention and treatment of diseases of the respiratory system. Please note that priority will be given to active members of the Hong Kong Thoracic Society.

Last Updated on Monday, 03 June 2013 21:07 Read more...