Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine
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To ascertain the prevalence of subclinical severe acute respiratory syndrome-coronavirus (SARS-CoV) infection and study the transmission of SARS-CoV in a local outbreak at a residential care home for the elderly. ⋯ Subclinical SARS-CoV infection was rare in a residential care home for the elderly with an outbreak of SARS. Nonetheless the close working and living conditions for staff and residents in such a home may facilitate transmission of SARS despite vigilant precautionary measures.
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Multicenter Study
MicroAlbuminuria Prevalence Study (MAPS) in hypertensive type 2 diabetic patients in Hong Kong.
To assess the prevalence of macroalbuminuria and microalbuminuria, and the level of blood pressure control in patients with type 2 diabetes and hypertension in Hong Kong. ⋯ In Hong Kong, the prevalence of microalbuminuria and macroalbuminuria is high in type 2 diabetic patients with hypertension, particularly in males and those with poorly controlled systolic blood pressure. Tight glycaemic control, antihypertensive therapy, and use of renin-angiotensin system inhibitors/blockers are necessary to retard the progression of nephropathy to advanced renal disease.
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Case Reports
Percutaneous replacement of a right jugular dialysis catheter via a stenosed superior vena cava.
A female patient with end-stage renal failure, who was maintained on haemodialysis via multiple central dialysis catheters, developed chronic occlusion of the left brachiocephalic vein. Subsequently, the right jugular dual lumen PermCath became dysfunctional because of marked superior vena cava stenosis. Angioplasty of the superior vena cava stenosis was performed but failed to restore adequate catheter function. ⋯ During surgery, the right jugular PermCath was removed, the superior vena cava was stented to establish venous patency, and a new PermCath was re-inserted via the existing right jugular puncture site. The technique helps reduce cost and time, and avoids another jugular puncture. In addition, this procedure saves a central venous access which is important in patients on long-term haemodialysis.