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Leung KY. Basic or detailed morphology scan in mid-trimester? Hong Kong Med J 2024; 30:176-178. [PMID: 38623829 DOI: 10.12809/hkmj2310772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/17/2024] Open
Affiliation(s)
- K Y Leung
- Private Practice, Hong Kong SAR, China
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2
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Leung KY, Bala K, Cho JY, Gokhale S, Kikuchi A, Liang P, Ong CL, Nguyen-Phuoc QB, Wataganara T, Wan YL. Utility and challenges of ultrasound education for medical and allied health students in Asia. Hong Kong Med J 2024; 30:75-79. [PMID: 38327163 DOI: 10.12809/hkmj2210647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2024] Open
Affiliation(s)
- K Y Leung
- Gleneagles Hospital Hong Kong, Hong Kong SAR, China
- Department of Obstetrics and Gynaecology, The University of Hong Kong, Hong Kong SAR, China
| | - K Bala
- Bangladesh Institute of Ultrasound in Medicine and Research, University of Science and Technology Chittagong, Dhaka, Bangladesh
| | - J Y Cho
- Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea
| | - S Gokhale
- Department of Radiology, Sri Aurobindo Institute of Medical Sciences, Sri Aurobindo University, Indore, India
| | - A Kikuchi
- Department of Obstetrics and Gynecology, Saitama Medical Center, Saitama Medical University, Moroyama, Japan
| | - P Liang
- Department of Ultrasound, Fifth Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China
| | - C L Ong
- Department of Diagnostic and Interventional Imaging, KK Women's and Children's Hospital, Singapore
| | - Q B Nguyen-Phuoc
- Department of Medical Imaging, Can Tho University Hospital, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam
| | - T Wataganara
- Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Y L Wan
- Department of Medical Imaging and Intervention, Linkou Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan
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Wang MP, Luk TT, Lam TH, Li WHC, Leung WC, Leung KY, Cheung KW, Kwa C, Siong KH, Tang KK, Lee KW. Combination of brief advice, nicotine replacement therapy sampling, and active referral for smoking expectant fathers: abridged secondary publication. Hong Kong Med J 2023; 29 Suppl 2:25-28. [PMID: 36951002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/24/2023] Open
Affiliation(s)
- M P Wang
- School of Nursing, The University of Hong Kong, Hong Kong SAR, China
| | - T T Luk
- School of Nursing, The University of Hong Kong, Hong Kong SAR, China
| | - T H Lam
- School of Public Health, The University of Hong Kong, Hong Kong SAR, China
| | - W H C Li
- School of Public Health, The University of Hong Kong, Hong Kong SAR, China
| | - W C Leung
- Department of Obstetrics and Gynaecology, Kwong Wah Hospital, Hong Kong SAR, China
| | - K Y Leung
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Hong Kong SAR, China
| | - K W Cheung
- Department of Obstetrics and Gynaecology, Queen Mary Hospital, Hong Kong SAR, China
| | - C Kwa
- Department of Obstetrics and Gynaecology, United Christian Hospital, Hong Kong SAR, China
| | - K H Siong
- Department of Obstetrics and Gynaecology, Tuen Mun Hospital, Hong Kong SAR, China
| | - K K Tang
- Department of Obstetrics and Gynaecology, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China
| | - K W Lee
- Department of Obstetrics and Gynaecology, Princess Margaret Hospital, Hong Kong SAR, China
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Bhide A, Acharya G, Baschat A, Bilardo CM, Brezinka C, Cafici D, Ebbing C, Hernandez-Andrade E, Kalache K, Kingdom J, Kiserud T, Kumar S, Lee W, Lees C, Leung KY, Malinger G, Mari G, Prefumo F, Sepulveda W, Trudinger B. ISUOG Practice Guidelines (updated): use of Doppler velocimetry in obstetrics. Ultrasound Obstet Gynecol 2021; 58:331-339. [PMID: 34278615 DOI: 10.1002/uog.23698] [Citation(s) in RCA: 54] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Accepted: 06/01/2021] [Indexed: 06/13/2023]
Affiliation(s)
- A Bhide
- Fetal Medicine Unit, St George's University Hospital and St George's University of London, London, UK
| | - G Acharya
- Division of Obstetrics and Gynecology, Department of Clinical Science, Intervention and Technology, Karolinska Institutet & Center for Fetal Medicine, Karolinska University Hospital, Stockholm, Sweden
- Women's Health and Perinatology Research Group, Faculty of Medicine, University of Tromsø and University Hospital of Northern Norway, Tromsø, Norway
| | - A Baschat
- Johns Hopkins Center for Fetal Therapy, Department of Gynecology & Obstetrics, Johns Hopkins University, Baltimore, MD, USA
| | - C M Bilardo
- Department of Obstetrics and Gynecology Amsterdam UMC, Amsterdam and Academic Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - C Brezinka
- Univ Klinik fuer Gynaekologie und Geburtshilfe, Innsbruck, Austria
| | - D Cafici
- Sociedad Argentina de Ultrasonografía en Medicina y Biología, Argentina
| | - C Ebbing
- Department of Obstetrics and Gynecology, Haukeland University Hospital, and Department of Clinical Medicine, University of Bergen, Bergen, Norway
| | - E Hernandez-Andrade
- Department of Obstetrics and Gynecology and Reproductive Sciences, McGovern Medical School, University of Texas, Health Science Center at Houston (UTHealth), Houston, TX, USA
| | - K Kalache
- Gynaecology, Charité, CBF, Berlin, Germany
| | - J Kingdom
- Maternal-Fetal Medicine Division, Department of Obstetrics & Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, Canada
| | - T Kiserud
- Department of Clinical Science, University of Bergen and Department of Obstetrics and Gynecology, Haukeland University Hospital, Bergen, Norway
| | - S Kumar
- Mater Research Institute/University of Queensland, Brisbane, Australia
| | - W Lee
- Texas Children's Fetal Center, Texas Children's Hospital Pavilion for Women, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA
| | - C Lees
- Centre for Fetal Care, Queen Charlotte's & Chelsea Hospital, Imperial College Healthcare NHS Trust, London, UK
- Department of Development & Regeneration KU Leuven, Leuven, Belgium
| | - K Y Leung
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Hong Kong
| | - G Malinger
- Division of Ob-Gyn Ultrasound, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - G Mari
- Women's Health Institute, Department of Obstetrics and Gynecology, Cleveland Clinic Foundation, Cleveland, OH, USA
| | - F Prefumo
- Division of Obstetrics and Gynaecology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
| | - W Sepulveda
- FETALMED - Maternal-Fetal Diagnostic Center, Fetal Imaging Unit, Santiago, Chile
| | - B Trudinger
- Department of Obstetrics and Gynaecology, University of Sydney, Sydney, Australia
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5
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Mohan H, Guzman Lenis M, Laurette EY, Tejada O, Sanghvi T, Leung KY, Cahill LS, Sled JG, Delgado-Olguín P, Greene NDE, Copp AJ, Serghides L. In response to the Letter to the Editor by Romach et al. re our publication "Dolutegravir in pregnant mice is associated with increased rates of fetal defects at therapeutic but not at supratherapeutic levels". EBioMedicine 2021; 66:103334. [PMID: 33862586 PMCID: PMC8054139 DOI: 10.1016/j.ebiom.2021.103334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Accepted: 03/24/2021] [Indexed: 11/25/2022] Open
Affiliation(s)
- H Mohan
- Toronto General Hospital Research Institute, University Health Network, Toronto, Canada
| | - M Guzman Lenis
- Toronto General Hospital Research Institute, University Health Network, Toronto, Canada
| | - E Y Laurette
- Toronto General Hospital Research Institute, University Health Network, Toronto, Canada
| | - O Tejada
- Toronto General Hospital Research Institute, University Health Network, Toronto, Canada
| | - T Sanghvi
- Toronto General Hospital Research Institute, University Health Network, Toronto, Canada
| | - K-Y Leung
- Developmental Biology & Cancer Department, UCL Great Ormond Street Institute of Child Health, University College London, London, UK
| | - L S Cahill
- Mouse Imaging Centre, The Hospital for Sick Children, Toronto, Ontario, Canada; Department of Chemistry, Memorial University of Newfoundland, St John's, Newfoundland and Labrador, Canada
| | - J G Sled
- Mouse Imaging Centre, The Hospital for Sick Children, Toronto, Ontario, Canada; Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada; Translational Medicine, The Hospital for Sick Children, Toronto, Ontario M5G 0A4, Canada
| | - P Delgado-Olguín
- Translational Medicine, The Hospital for Sick Children, Toronto, Ontario M5G 0A4, Canada; Department of Molecular Genetics, University of Toronto, Toronto, Ontario M5S 1A8, Canada; Heart & Stroke Richard Lewar Centre of Excellence, Toronto, Ontario M5S 3H2, Canada
| | - N D E Greene
- Developmental Biology & Cancer Department, UCL Great Ormond Street Institute of Child Health, University College London, London, UK
| | - A J Copp
- Developmental Biology & Cancer Department, UCL Great Ormond Street Institute of Child Health, University College London, London, UK
| | - L Serghides
- Toronto General Hospital Research Institute, University Health Network, Toronto, Canada; Department of Immunology and Institute of Medical Sciences, University of Toronto, Toronto, Ontario, Canada; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
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Affiliation(s)
- F N Y Yu
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Hong Kong
| | - K Y Leung
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Hong Kong.,Department of Obstetrics and Gynaecology, Gleneagles Hospital Hong Kong, Hong Kong
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7
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Tse KY, Yu FNY, Leung KY. Comparison of carbetocin and oxytocin infusions in reducing the requirement for additional uterotonics or procedures in women at increased risk of postpartum haemorrhage after Caesarean section. Hong Kong Med J 2020; 26:382-389. [PMID: 33028723 DOI: 10.12809/hkmj208683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
INTRODUCTION Postpartum haemorrhage is a major cause of maternal mortality and morbidity, commonly due to uterine atony. Prophylactic oxytocin use during Caesarean section is recommended; patients with a high risk of postpartum haemorrhage may require additional uterotonics or procedures. Carbetocin is a long-acting analogue of oxytocin which has shown beneficial results, compared with oxytocin. This study compared the requirement for additional uterotonics or procedures between at-risk women who underwent carbetocin infusion and those who underwent oxytocin infusion. METHODS This retrospective cohort study included women at increased risk of postpartum haemorrhage after Caesarean section for various indications in a public hospital. Women who received carbetocin infusion and women who received oxytocin infusion were compared, stratified by Caesarean section timing (elective or emergency). The primary outcome was the requirement for additional uterotonic agents or procedures. Secondary outcomes included total blood loss, operating time, rate of postpartum haemorrhage, need for blood transfusion, and need for hysterectomy. RESULTS Of 1236 women included in the study, 752 received oxytocin first and 484 received carbetocin first. The two groups had comparable blood loss, operating time, rate of postpartum haemorrhage, requirement for additional uterotonics or procedures, need for blood transfusion, and need for hysterectomy. There was a reduction in the requirement for additional uterotonics or procedures, and in the rate of postpartum haemorrhage for women with major placenta praevia or with multiple pregnancies, following receipt of carbetocin first. CONCLUSION Compared with oxytocin, carbetocin can reduce the requirement for additional uterotonics or procedures in selected high-risk patient groups.
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Affiliation(s)
- K Y Tse
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Hong Kong
| | - F N Y Yu
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Hong Kong
| | - K Y Leung
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Hong Kong
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Yu FNY, Leung KY. Antenatal diagnosis of placenta accreta spectrum (PAS) disorders. Best Pract Res Clin Obstet Gynaecol 2020; 72:13-24. [PMID: 32747328 DOI: 10.1016/j.bpobgyn.2020.06.010] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 06/22/2020] [Accepted: 06/25/2020] [Indexed: 11/25/2022]
Abstract
Antenatal diagnosis of placenta accreta spectrum (PAS) disorders allows planned management by a multidisciplinary team in a tertiary center, and thus can reduce hemorrhagic morbidity, compared with intrapartum diagnosis. Previous Cesarean section and placenta previa are the two most common risk factors. Prenatal ultrasound is a promising diagnostic tool for PAS in the second or third trimester. Recent evidence shows sonographic markers of PAS can be present in the first trimester. Prenatal ultrasound may help predict the depth and topography of placental invasion which are the major determinants of maternal morbidity. The presence of increased vascularity in the inferior part of the lower uterine segment and the parametrial region is associated with a more severe disorder according to a newly proposed staging system. In this chapter, we will discuss how to improve the prediction of PAS, the depth, and topography of placental invasion.
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Affiliation(s)
- Florrie N Y Yu
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Hong Kong SAR, China
| | - K Y Leung
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Hong Kong SAR, China; Gleneagles Hong Kong, Hong Kong SAR, China.
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Leung TY, Au Yeung KC, Leung WC, Leung KY, Lo TK, To WWK, Lau WL, Chan LW, Sahota DS, Choy RKW. Prenatal diagnosis of pathogenic genomic imbalance in fetuses with increased nuchal translucency but normal karyotyping using chromosomal microarray. Hong Kong Med J 2019; 25 Suppl 5:30-32. [PMID: 31416984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023] Open
Affiliation(s)
- T Y Leung
- Department of Obstetrics & Gynaecology, The Chinese University of Hong Kong
| | - K C Au Yeung
- Department of Obstetrics & Gynaecology, Tuen Mun Hospital
| | - W C Leung
- Department of Obstetrics & Gynaecology, Kwong Wah Hospital
| | - K Y Leung
- Department of Obstetrics & Gynaecology, Queen Elizabeth Hospital
| | - T K Lo
- Department of Obstetrics & Gynaecology, Princess Margaret Hospital
| | - W W K To
- Department of Obstetrics & Gynaecology, United Christian Hospital
| | - W L Lau
- Department of Obstetrics & Gynaecology, Kwong Wah Hospital
| | - L W Chan
- Department of Obstetrics & Gynaecology, United Christian Hospital
| | - D S Sahota
- Department of Obstetrics & Gynaecology, The Chinese University of Hong Kong
| | - R K W Choy
- Department of Obstetrics & Gynaecology, The Chinese University of Hong Kong
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Mak A, Lee H, Poon CF, Kwok SL, Ma T, Chan KYK, Kan A, Tang M, Leung KY. Factors associated with common and atypical chromosome abnormalities after positive combined first-trimester screening in Chinese women: a retrospective cohort study. BMC Pregnancy Childbirth 2019; 19:55. [PMID: 30717698 PMCID: PMC6360741 DOI: 10.1186/s12884-019-2205-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Accepted: 01/28/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND When cell-free DNA (cfDNA) testing is used as a secondary screening tool following combined first-trimester screening (cFTS), cFTS is used to estimate the prior risk for chromosome abnormalities. This study aimed to assess the factors that are associated with common and atypical abnormalities following cFTS, including cFTS risk, advanced maternal age, increased nuchal translucency (NT) ≥3.5 mm, and abnormal levels of serum markers. METHODS We reviewed a historical cohort of 1855 Chinese women carrying singleton pregnancies with a positive cFTS [at a threshold of 1:250 for trisomy (T) 21 or 1:180 for T18] in one public hospital over a five-year period. All chromosome abnormalities were confirmed by invasive prenatal diagnosis (IPD) with karyotyping, with or without array comparative genomic hybridization. Using multivariable binary logistic regression analysis, we determined the parameters that were associated with common and atypical abnormalities. RESULTS Overall, the prevalence of common and atypical abnormalities was 6.2 and 1.2%, respectively, and the prevalence increased with the risk of T21 by cFTS. In pregnancies with a risk of T21 > 1 in 100, a high risk of both T21 and T18, an increased NT, or a pregnancy-associated plasma A (PAPP-A) level < 0.2 multiple of medians (MoM), the prevalence of common abnormalities was 12.2, 64.7, 25.5 and 33.8%, respectively, while that of atypical abnormalities was 1.6, 3.9, 4.2, and 7.4%, respectively. In the multivariable binary logistic regression analysis, out of these four factors, only two (increased NT and PAPP_A < 0.2 MoM) were significant predictors of common and atypical abnormalities, respectively. Of all positive cFTS pregnancies, 50.4% did not have any of these four factors, and the prevalence of common and atypical abnormalities was 1.1 and 0.6%, respectively. There were three atypical abnormalities, all of which were mosaicism, and they were detected among women with IPD alone. The ages of these women were ≥ 35 years. All three pregnancies were continued after proper counseling. After giving birth, only one child had mild abnormalities, while the other two were phenotypically normal. CONCLUSIONS Our study identified factors associated with common and atypical abnormalities after cFTS. These factors can be used to estimate the prior risk for these abnormalities to help with post-cFTS counseling in terms of choosing between cfDNA testing and IPD.
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Affiliation(s)
- Annisa Mak
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, 30 Gascoigne Road, Hong Kong, SAR, China
| | - Helena Lee
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, 30 Gascoigne Road, Hong Kong, SAR, China
| | - C F Poon
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, 30 Gascoigne Road, Hong Kong, SAR, China
| | - S L Kwok
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, 30 Gascoigne Road, Hong Kong, SAR, China
| | - Teresa Ma
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, 30 Gascoigne Road, Hong Kong, SAR, China
| | - K Y K Chan
- Department of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, 102 Pokfulam Road, Hong Kong, SAR, China
| | - Anita Kan
- Department of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, 102 Pokfulam Road, Hong Kong, SAR, China
| | - Mary Tang
- Department of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, 102 Pokfulam Road, Hong Kong, SAR, China
| | - K Y Leung
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, 30 Gascoigne Road, Hong Kong, SAR, China.
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Hansson D, Leung KY, Britton T, Strömdahl S. A dynamic network model to disentangle the roles of steady and casual partners for HIV transmission among MSM. Epidemics 2019; 27:66-76. [PMID: 30738786 DOI: 10.1016/j.epidem.2019.02.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Revised: 12/03/2018] [Accepted: 02/01/2019] [Indexed: 10/27/2022] Open
Abstract
HIV is a sexually transmitted infection (STI) whose transmission process is highly dependent on the sexual network structure of the population under consideration. Most sexual behaviour data is egocentric in nature. We develop a stochastic dynamic sexual network model that utilises this type of egocentric network data. The model incorporates both steady and casual sex partners, and can be seen as a stochastic form of a generalised pair-formation model. We model the spread of an infection where individuals are susceptible, infectious, or successfully treated (and unable to transmit) and derive analytical expressions for several epidemiological quantities. We use sexual behaviour and HIV prevalence data that was gathered among 403 MSM at an STI clinic in Stockholm. To accurately capture transmission dynamics for this population, we need to explicitly model both casual sex partners and steady partnerships. Our model yields an estimate for the mean time until diagnosis followed by successful treatment that is in line with literature. This study indicates that small reductions in the time to diagnosis, and thereby, beginning of treatment, may substantially reduce HIV prevalence. Moreover, we find that moderate increases in condom use with casual sex partners have greater impact on reducing prevalence than the same increases in condom use with steady sex partners. This result demonstrates the relative importance of casual contacts on the HIV transmission dynamics among MSM in Sweden. Our results highlight the importance of HIV testing and condom-use interventions, and the role that casual and steady partners play in this, in order to turn the epidemiological trend in Sweden towards decreased HIV incidence.
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Affiliation(s)
- D Hansson
- Department of Mathematics, Stockholm University, SE-10691 Stockholm, Sweden.
| | - K Y Leung
- Department of Mathematics, Stockholm University, SE-10691 Stockholm, Sweden
| | - T Britton
- Department of Mathematics, Stockholm University, SE-10691 Stockholm, Sweden
| | - S Strömdahl
- Department of Medical Sciences, Section of Infectious Diseases, Uppsala University, 75185 Uppsala, Sweden; Department of Public Health Sciences, Karolinska Institute, SE-17177 Stockholm, Sweden
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12
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Affiliation(s)
- A Sl Mak
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Jordan, Hong Kong
| | - K Y Leung
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Jordan, Hong Kong
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13
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Leung KY, Mok KL, Yuen CK, Wong YT, Kan PG. Evaluation of a Commercial Phantom and Pork Meat Model for Simulation Based Training of Ultrasound Guided Intravenous Catheterisation. HONG KONG J EMERG ME 2017. [DOI: 10.1177/102490791602300304] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Introduction Establishing intravenous access is a common procedure being performed in the emergency department. Ultrasound guidance is useful for difficult intravenous cannulation. We compared a commercially available Blue Phantom™ and a self-made pork meat model for suitability of simulation based training. Methods We recruited emergency physicians from two public regional hospitals in our locality. We also recruited Myanmar emergency physicians from an ultrasound course. They were given a 30-minute hands-on practice on both phantoms. Questionnaires, which asked about the practical feeling and overall impression of both phantoms, were distributed afterwards. Results Thirty-nine emergency physicians with varied experience in ultrasound guided intravenous catheterisation enrolled in the study. The median score were 4 (i.e. agree) in seven out of eight pairs of questions. The practical feeling and overall personal impression were very similar between Blue Phantom™ and pork meat model. Conclusions The suitability of self-made pork meat model was similar to Blue Phantom™ for the training of ultrasound guided IV catheterisation. Pork meat model can used as an alternative training tool. (Hong Kong j.emerg.med. 2016;23:153-158)
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14
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Lee HHL, Mak ASL, Kou KO, Poon CF, Wong WS, Chiu KH, Au PKC, Chan KYK, Kan ASY, Tang MHY, Leung KY. An Unusual Hydrops Fetalis Associated with Compound Heterozygosity for Krüppel-like Factor 1 mutations. Hemoglobin 2017; 40:431-434. [PMID: 28361594 DOI: 10.1080/03630269.2016.1267017] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Hydrops fetalis is commonly due to Hb Bart's (γ4) disease in South East Asia. Here, we report an unusual case of hydrops fetalis due to congenital dyserythropoietic anemia (CDA) associated with compound heterozygosity for Krüppel-like factor 1 (KLF1) gene mutations. Fetal cardiomegaly was first detected on routine mid-trimester scan in a pregnant woman with normal mean corpuscular volume (MCV) and Rhesus positive status. The fetus subsequently developed hydrops fetalis, and cordocentesis showed severe fetal anemia with a hemoglobin (Hb) level of 3.4 g/dL. Common causes of fetal anemia including Hb Bart's disease, parvovirus infection, and red cell antibodies were excluded. In view of the marked increase in erythroblasts at various stages of erythropoiesis, the diagnosis of CDA was suspected. We screened the couple for previously reported KLF1 gene mutations, showing that the mother was heterozygous for the c.525_526insCGGCGCC, p.Gly176Argfs*179 mutation, and her husband heterozygous for c.1012C>A, p.Pro338Thr mutation. The fetus was a compound heterozygote for these two KLF1 mutations. After counseling, repeated intrauterine transfusions were given at 27, 29, and 34 weeks' gestation; the hydrops fetalis was resolved. The baby was delivered at 34 weeks' gestation and required monthly blood transfusions but was otherwise thriving. Bone marrow aspiration at 10 months of age showed the features of ineffective erythropoiesis, compatible with CDA. In conclusion, hydrops fetalis can rarely be due to CDA associated with a compound heterozygous mutation for KLF1 gene mutations, and be managed by repeated intrauterine transfusions. Our present report adds to the wide clinical spectrum of KLF1 mutations.
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Affiliation(s)
- Helena H L Lee
- a Department of Obstetrics and Gynaecology , Queen Elizabeth Hospital , Hong Kong SAR , People's Republic of China
| | - Annisa S L Mak
- a Department of Obstetrics and Gynaecology , Queen Elizabeth Hospital , Hong Kong SAR , People's Republic of China
| | - K O Kou
- a Department of Obstetrics and Gynaecology , Queen Elizabeth Hospital , Hong Kong SAR , People's Republic of China
| | - C F Poon
- a Department of Obstetrics and Gynaecology , Queen Elizabeth Hospital , Hong Kong SAR , People's Republic of China
| | - W S Wong
- b Department of Clinical Pathology , Queen Elizabeth Hospital , Hong Kong SAR , People's Republic of China
| | - K H Chiu
- c Department of Paediatrics , Queen Elizabeth Hospital , Hong Kong SAR , People's Republic of China
| | - Patrick K C Au
- d Prenatal Diagnostic Laboratory, Department of Obstetrics and Gynaecology, Tsan Yuk Hospital , The University of Hong Kong , Hong Kong SAR , People's Republic of China
| | - Kelvin Y K Chan
- d Prenatal Diagnostic Laboratory, Department of Obstetrics and Gynaecology, Tsan Yuk Hospital , The University of Hong Kong , Hong Kong SAR , People's Republic of China
| | - Anita S Y Kan
- d Prenatal Diagnostic Laboratory, Department of Obstetrics and Gynaecology, Tsan Yuk Hospital , The University of Hong Kong , Hong Kong SAR , People's Republic of China
| | - Mary H Y Tang
- d Prenatal Diagnostic Laboratory, Department of Obstetrics and Gynaecology, Tsan Yuk Hospital , The University of Hong Kong , Hong Kong SAR , People's Republic of China
| | - K Y Leung
- a Department of Obstetrics and Gynaecology , Queen Elizabeth Hospital , Hong Kong SAR , People's Republic of China
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Wong KYK, Chan VWT, Kwok PCH, Leung KY. Mid-term Results and Efficacy of Uterine Artery Embolisation for Symptomatic Fibroids in the Local Population. Hong Kong J Radiol 2017. [DOI: 10.12809/hkjr1615307] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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16
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Affiliation(s)
- K Y Leung
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Jordan, Hong Kong
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17
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Cheung HC, Leung KY, Choi CH. Diagnostic accuracy of spot urine protein-to-creatinine ratio for proteinuria and its association with adverse pregnancy outcomes in Chinese pregnant patients with pre-eclampsia. Hong Kong Med J 2016; 22:249-55. [PMID: 27149973 DOI: 10.12809/hkmj154659] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
INTRODUCTION International guidelines have endorsed spot urine protein-to-creatinine ratio of >30 mg protein/mmol creatinine as an alternative to a 24-hour urine sample to represent significant proteinuria. This study aimed to determine the accuracy of spot urine protein-to-creatinine ratio in predicting significant proteinuria and adverse pregnancy outcome. METHODS This case series was conducted in a regional obstetric unit in Hong Kong. A total of 120 Chinese pregnant patients with pre-eclampsia delivered at Queen Elizabeth Hospital from January 2011 to December 2013 were included. Relationship of spot urine protein-to-creatinine ratio and 24-hour proteinuria; accuracy of the ratio against 24-hour urine protein at different cut-offs; and relationship of such ratio and adverse pregnancy outcome were studied. RESULTS Spot urine protein-to-creatinine ratio was correlated with 24-hour urine protein with Pearson correlation coefficient of 0.914 (P<0.0001) when the ratio was <200 mg/mmol. The optimal threshold of spot urine protein-to-creatinine ratio for diagnosing proteinuria in Chinese pregnant patients (33 mg/mmol) was similar to that stated in the international literature (30 mg/mmol). A cut-off of 20 mg/mmol provided a 100% sensitivity, and 52 mg/mmol provided a 100% specificity. There was no significant difference in spot urine protein-to-creatinine ratio between cases with and without adverse pregnancy outcome. CONCLUSIONS Spot urine protein-to-creatinine ratio had a positive and significant correlation with 24-hour urine results in Chinese pre-eclamptic women when the ratio was <200 mg/mmol. Nonetheless, this ratio was not predictive of adverse pregnancy outcome.
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Affiliation(s)
- H C Cheung
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Jordan, Hong Kong
| | - K Y Leung
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Jordan, Hong Kong
| | - C H Choi
- Department of Medicine, Queen Elizabeth Hospital, Jordan, Hong Kong
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18
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Kou KO, Poon CF, Kwok SL, Chan KY, Tang MH, Kan AS, Leung KY. Effect of non-invasive prenatal testing as a contingent approach on the indications for invasive prenatal diagnosis and prenatal detection rate of Down's syndrome. Hong Kong Med J 2016; 22:223-30. [PMID: 27149976 DOI: 10.12809/hkmj154730] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
INTRODUCTION In Hong Kong, universal combined first-trimester screening for Down's syndrome was started as a 'free service' in July 2010. Non-invasive prenatal testing was available as a self-financed item in August 2011. This study aimed to determine whether the introduction of non-invasive prenatal testing as a contingent approach influenced the indications for invasive prenatal diagnosis and the consequent prenatal detection of Down's syndrome. METHODS This historical cohort study was conducted at the Prenatal Diagnosis Clinic of Queen Elizabeth Hospital in Hong Kong. We compared the indications for invasive prenatal diagnosis and prenatal detection of Down's syndrome in singleton pregnancies 1 year before and 2 years following the availability of non-invasive prenatal testing as a contingent test after a positive aneuploidy test. All pregnant women who attended our hospital for counselling about universal Down's syndrome screening between August 2010 and July 2013 were recruited. RESULTS A total of 16 098 women were counselled. After the introduction of non-invasive prenatal testing, the invasive prenatal diagnosis rate for a positive aneuploidy screening reduced from 77.7% in 2010-11 to 68.8% in 2012-13. The new combined conventional plus non-invasive prenatal testing strategy was associated with a lower false-positive rate (6.9% in 2010-11 vs 5.2% in 2011-12 and 4.9% in 2012-13). There was no significant increase in invasive prenatal diagnosis for structural anomalies over the years. There was no significant trend in the overall prenatal detection rate of Down's syndrome (100% 1 year before vs 89.1% 2 years after introduction of non-invasive prenatal testing). Four (2.6%) of 156 women who underwent non-invasive prenatal testing for a screen-positive result had a high-risk result for trisomy 21, which was subsequently confirmed by invasive prenatal diagnosis. There were no false-negative cases. CONCLUSION The introduction of non-invasive prenatal testing as a contingent approach reduced the invasive prenatal diagnosis rate for a positive aneuploidy screening without affecting the invasive prenatal diagnosis rate for structural anomalies or the overall detection rate of fetal Down's syndrome.
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Affiliation(s)
- K O Kou
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Jordan, Hong Kong
| | - C F Poon
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Jordan, Hong Kong
| | - S L Kwok
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Jordan, Hong Kong
| | - K Yk Chan
- Prenatal Diagnostic Laboratory, Tsan Yuk Hospital and Department of Obstetrics and Gynaecology, Queen Mary Hospital, Hong Kong
| | - M Hy Tang
- Prenatal Diagnostic Laboratory, Tsan Yuk Hospital and Department of Obstetrics and Gynaecology, Queen Mary Hospital, Hong Kong
| | - A Sy Kan
- Prenatal Diagnostic Laboratory, Tsan Yuk Hospital and Department of Obstetrics and Gynaecology, Queen Mary Hospital, Hong Kong
| | - K Y Leung
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Jordan, Hong Kong
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19
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An FP, Balantekin AB, Band HR, Bishai M, Blyth S, Butorov I, Cao D, Cao GF, Cao J, Cen WR, Chan YL, Chang JF, Chang LC, Chang Y, Chen HS, Chen QY, Chen SM, Chen YX, Chen Y, Cheng JH, Cheng J, Cheng YP, Cherwinka JJ, Chu MC, Cummings JP, de Arcos J, Deng ZY, Ding XF, Ding YY, Diwan MV, Dove J, Draeger E, Dwyer DA, Edwards WR, Ely SR, Gill R, Gonchar M, Gong GH, Gong H, Grassi M, Gu WQ, Guan MY, Guo L, Guo XH, Hackenburg RW, Han R, Hans S, He M, Heeger KM, Heng YK, Higuera A, Hor YK, Hsiung YB, Hu BZ, Hu LM, Hu LJ, Hu T, Hu W, Huang EC, Huang HX, Huang XT, Huber P, Hussain G, Jaffe DE, Jaffke P, Jen KL, Jetter S, Ji XP, Ji XL, Jiao JB, Johnson RA, Kang L, Kettell SH, Kohn S, Kramer M, Kwan KK, Kwok MW, Kwok T, Langford TJ, Lau K, Lebanowski L, Lee J, Lei RT, Leitner R, Leung KY, Leung JKC, Lewis CA, Li DJ, Li F, Li GS, Li QJ, Li SC, Li WD, Li XN, Li XQ, Li YF, Li ZB, Liang H, Lin CJ, Lin GL, Lin PY, Lin SK, Ling JJ, Link JM, Littenberg L, Littlejohn BR, Liu DW, Liu H, Liu JL, Liu JC, Liu SS, Lu C, Lu HQ, Lu JS, Luk KB, Ma QM, Ma XY, Ma XB, Ma YQ, Martinez Caicedo DA, McDonald KT, McKeown RD, Meng Y, Mitchell I, Monari Kebwaro J, Nakajima Y, Napolitano J, Naumov D, Naumova E, Ngai HY, Ning Z, Ochoa-Ricoux JP, Olshevski A, Pan HR, Park J, Patton S, Pec V, Peng JC, Piilonen LE, Pinsky L, Pun CSJ, Qi FZ, Qi M, Qian X, Raper N, Ren B, Ren J, Rosero R, Roskovec B, Ruan XC, Shao BB, Steiner H, Sun GX, Sun JL, Tang W, Taychenachev D, Tsang KV, Tull CE, Tung YC, Viaux N, Viren B, Vorobel V, Wang CH, Wang M, Wang NY, Wang RG, Wang W, Wang WW, Wang X, Wang YF, Wang Z, Wang Z, Wang ZM, Wei HY, Wen LJ, Whisnant K, White CG, Whitehead L, Wise T, Wong HLH, Wong SCF, Worcester E, Wu Q, Xia DM, Xia JK, Xia X, Xing ZZ, Xu JY, Xu JL, Xu J, Xu Y, Xue T, Yan J, Yang CG, Yang L, Yang MS, Yang MT, Ye M, Yeh M, Young BL, Yu GY, Yu ZY, Zang SL, Zhan L, Zhang C, Zhang HH, Zhang JW, Zhang QM, Zhang YM, Zhang YX, Zhang YM, Zhang ZJ, Zhang ZY, Zhang ZP, Zhao J, Zhao QW, Zhao YF, Zhao YB, Zheng L, Zhong WL, Zhou L, Zhou N, Zhuang HL, Zou JH. Measurement of the Reactor Antineutrino Flux and Spectrum at Daya Bay. Phys Rev Lett 2016; 116:061801. [PMID: 26918980 DOI: 10.1103/physrevlett.116.061801] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/18/2015] [Indexed: 06/05/2023]
Abstract
This Letter reports a measurement of the flux and energy spectrum of electron antineutrinos from six 2.9 GWth nuclear reactors with six detectors deployed in two near (effective baselines 512 and 561 m) and one far (1579 m) underground experimental halls in the Daya Bay experiment. Using 217 days of data, 296 721 and 41 589 inverse β decay (IBD) candidates were detected in the near and far halls, respectively. The measured IBD yield is (1.55±0.04) ×10(-18) cm(2) GW(-1) day(-1) or (5.92±0.14) ×10(-43) cm(2) fission(-1). This flux measurement is consistent with previous short-baseline reactor antineutrino experiments and is 0.946±0.022 (0.991±0.023) relative to the flux predicted with the Huber-Mueller (ILL-Vogel) fissile antineutrino model. The measured IBD positron energy spectrum deviates from both spectral predictions by more than 2σ over the full energy range with a local significance of up to ∼4σ between 4-6 MeV. A reactor antineutrino spectrum of IBD reactions is extracted from the measured positron energy spectrum for model-independent predictions.
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Affiliation(s)
- F P An
- Institute of Modern Physics, East China University of Science and Technology, Shanghai, China
| | | | - H R Band
- Department of Physics, Yale University, New Haven, Connecticut, USA
| | - M Bishai
- Brookhaven National Laboratory, Upton, New York, USA
| | - S Blyth
- Department of Physics, National Taiwan University, Taipei, Taiwan
- National United University, Miao-Li, Taiwan
| | - I Butorov
- Joint Institute for Nuclear Research, Dubna, Moscow Region, Russia
| | - D Cao
- Nanjing University, Nanjing, China
| | - G F Cao
- Institute of High Energy Physics, Beijing, China
| | - J Cao
- Institute of High Energy Physics, Beijing, China
| | - W R Cen
- Institute of High Energy Physics, Beijing, China
| | - Y L Chan
- Chinese University of Hong Kong, Hong Kong, China
| | - J F Chang
- Institute of High Energy Physics, Beijing, China
| | - L C Chang
- Institute of Physics, National Chiao-Tung University, Hsinchu, Taiwan
| | - Y Chang
- National United University, Miao-Li, Taiwan
| | - H S Chen
- Institute of High Energy Physics, Beijing, China
| | - Q Y Chen
- Shandong University, Jinan, China
| | - S M Chen
- Department of Engineering Physics, Tsinghua University, Beijing, China
| | - Y X Chen
- North China Electric Power University, Beijing, China
| | - Y Chen
- Shenzhen University, Shenzhen, China
| | - J H Cheng
- Institute of Physics, National Chiao-Tung University, Hsinchu, Taiwan
| | - J Cheng
- Shandong University, Jinan, China
| | - Y P Cheng
- Institute of High Energy Physics, Beijing, China
| | | | - M C Chu
- Chinese University of Hong Kong, Hong Kong, China
| | | | - J de Arcos
- Department of Physics, Illinois Institute of Technology, Chicago, Illinois, USA
| | - Z Y Deng
- Institute of High Energy Physics, Beijing, China
| | - X F Ding
- Institute of High Energy Physics, Beijing, China
| | - Y Y Ding
- Institute of High Energy Physics, Beijing, China
| | - M V Diwan
- Brookhaven National Laboratory, Upton, New York, USA
| | - J Dove
- Department of Physics, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA
| | - E Draeger
- Department of Physics, Illinois Institute of Technology, Chicago, Illinois, USA
| | - D A Dwyer
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
| | - W R Edwards
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
| | - S R Ely
- Department of Physics, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA
| | - R Gill
- Brookhaven National Laboratory, Upton, New York, USA
| | - M Gonchar
- Joint Institute for Nuclear Research, Dubna, Moscow Region, Russia
| | - G H Gong
- Department of Engineering Physics, Tsinghua University, Beijing, China
| | - H Gong
- Department of Engineering Physics, Tsinghua University, Beijing, China
| | - M Grassi
- Institute of High Energy Physics, Beijing, China
| | - W Q Gu
- Shanghai Jiao Tong University, Shanghai, China
| | - M Y Guan
- Institute of High Energy Physics, Beijing, China
| | - L Guo
- Department of Engineering Physics, Tsinghua University, Beijing, China
| | - X H Guo
- Beijing Normal University, Beijing, China
| | | | - R Han
- North China Electric Power University, Beijing, China
| | - S Hans
- Brookhaven National Laboratory, Upton, New York, USA
| | - M He
- Institute of High Energy Physics, Beijing, China
| | - K M Heeger
- Department of Physics, Yale University, New Haven, Connecticut, USA
| | - Y K Heng
- Institute of High Energy Physics, Beijing, China
| | - A Higuera
- Department of Physics, University of Houston, Houston, Texas, USA
| | - Y K Hor
- Center for Neutrino Physics, Virginia Tech, Blacksburg, Virginia, USA
| | - Y B Hsiung
- Department of Physics, National Taiwan University, Taipei, Taiwan
| | - B Z Hu
- Department of Physics, National Taiwan University, Taipei, Taiwan
| | - L M Hu
- Brookhaven National Laboratory, Upton, New York, USA
| | - L J Hu
- Beijing Normal University, Beijing, China
| | - T Hu
- Institute of High Energy Physics, Beijing, China
| | - W Hu
- Institute of High Energy Physics, Beijing, China
| | - E C Huang
- Department of Physics, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA
| | - H X Huang
- China Institute of Atomic Energy, Beijing, China
| | | | - P Huber
- Center for Neutrino Physics, Virginia Tech, Blacksburg, Virginia, USA
| | - G Hussain
- Department of Engineering Physics, Tsinghua University, Beijing, China
| | - D E Jaffe
- Brookhaven National Laboratory, Upton, New York, USA
| | - P Jaffke
- Center for Neutrino Physics, Virginia Tech, Blacksburg, Virginia, USA
| | - K L Jen
- Institute of Physics, National Chiao-Tung University, Hsinchu, Taiwan
| | - S Jetter
- Institute of High Energy Physics, Beijing, China
| | - X P Ji
- Department of Engineering Physics, Tsinghua University, Beijing, China
- School of Physics, Nankai University, Tianjin, China
| | - X L Ji
- Institute of High Energy Physics, Beijing, China
| | - J B Jiao
- Shandong University, Jinan, China
| | - R A Johnson
- Department of Physics, University of Cincinnati, Cincinnati, Ohio, USA
| | - L Kang
- Dongguan University of Technology, Dongguan, China
| | - S H Kettell
- Brookhaven National Laboratory, Upton, New York, USA
| | - S Kohn
- Department of Physics, University of California, Berkeley, California, USA
| | - M Kramer
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
- Department of Physics, University of California, Berkeley, California, USA
| | - K K Kwan
- Chinese University of Hong Kong, Hong Kong, China
| | - M W Kwok
- Chinese University of Hong Kong, Hong Kong, China
| | - T Kwok
- Department of Physics, The University of Hong Kong, Pokfulam, Hong Kong, China
| | - T J Langford
- Department of Physics, Yale University, New Haven, Connecticut, USA
| | - K Lau
- Department of Physics, University of Houston, Houston, Texas, USA
| | - L Lebanowski
- Department of Engineering Physics, Tsinghua University, Beijing, China
| | - J Lee
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
| | - R T Lei
- Dongguan University of Technology, Dongguan, China
| | - R Leitner
- Charles University, Faculty of Mathematics and Physics, Prague, Czech Republic
| | - K Y Leung
- Department of Physics, The University of Hong Kong, Pokfulam, Hong Kong, China
| | - J K C Leung
- Department of Physics, The University of Hong Kong, Pokfulam, Hong Kong, China
| | - C A Lewis
- University of Wisconsin, Madison, Wisconsin, USA
| | - D J Li
- University of Science and Technology of China, Hefei, China
| | - F Li
- Institute of High Energy Physics, Beijing, China
| | - G S Li
- Shanghai Jiao Tong University, Shanghai, China
| | - Q J Li
- Institute of High Energy Physics, Beijing, China
| | - S C Li
- Department of Physics, The University of Hong Kong, Pokfulam, Hong Kong, China
| | - W D Li
- Institute of High Energy Physics, Beijing, China
| | - X N Li
- Institute of High Energy Physics, Beijing, China
| | - X Q Li
- School of Physics, Nankai University, Tianjin, China
| | - Y F Li
- Institute of High Energy Physics, Beijing, China
| | - Z B Li
- Sun Yat-Sen (Zhongshan) University, Guangzhou, China
| | - H Liang
- University of Science and Technology of China, Hefei, China
| | - C J Lin
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
| | - G L Lin
- Institute of Physics, National Chiao-Tung University, Hsinchu, Taiwan
| | - P Y Lin
- Institute of Physics, National Chiao-Tung University, Hsinchu, Taiwan
| | - S K Lin
- Department of Physics, University of Houston, Houston, Texas, USA
| | - J J Ling
- Brookhaven National Laboratory, Upton, New York, USA
- Department of Physics, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA
- Sun Yat-Sen (Zhongshan) University, Guangzhou, China
| | - J M Link
- Center for Neutrino Physics, Virginia Tech, Blacksburg, Virginia, USA
| | - L Littenberg
- Brookhaven National Laboratory, Upton, New York, USA
| | - B R Littlejohn
- Department of Physics, Illinois Institute of Technology, Chicago, Illinois, USA
- Department of Physics, University of Cincinnati, Cincinnati, Ohio, USA
| | - D W Liu
- Department of Physics, University of Houston, Houston, Texas, USA
| | - H Liu
- Department of Physics, University of Houston, Houston, Texas, USA
| | - J L Liu
- Shanghai Jiao Tong University, Shanghai, China
| | - J C Liu
- Institute of High Energy Physics, Beijing, China
| | - S S Liu
- Department of Physics, The University of Hong Kong, Pokfulam, Hong Kong, China
| | - C Lu
- Joseph Henry Laboratories, Princeton University, Princeton, New Jersey, USA
| | - H Q Lu
- Institute of High Energy Physics, Beijing, China
| | - J S Lu
- Institute of High Energy Physics, Beijing, China
| | - K B Luk
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
- Department of Physics, University of California, Berkeley, California, USA
| | - Q M Ma
- Institute of High Energy Physics, Beijing, China
| | - X Y Ma
- Institute of High Energy Physics, Beijing, China
| | - X B Ma
- North China Electric Power University, Beijing, China
| | - Y Q Ma
- Institute of High Energy Physics, Beijing, China
| | | | - K T McDonald
- Joseph Henry Laboratories, Princeton University, Princeton, New Jersey, USA
| | - R D McKeown
- California Institute of Technology, Pasadena, California, USA
- College of William and Mary, Williamsburg, Virginia, USA
| | - Y Meng
- Center for Neutrino Physics, Virginia Tech, Blacksburg, Virginia, USA
| | - I Mitchell
- Department of Physics, University of Houston, Houston, Texas, USA
| | | | - Y Nakajima
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
| | - J Napolitano
- Department of Physics, College of Science and Technology, Temple University, Philadelphia, Pennsylvania, USA
| | - D Naumov
- Joint Institute for Nuclear Research, Dubna, Moscow Region, Russia
| | - E Naumova
- Joint Institute for Nuclear Research, Dubna, Moscow Region, Russia
| | - H Y Ngai
- Department of Physics, The University of Hong Kong, Pokfulam, Hong Kong, China
| | - Z Ning
- Institute of High Energy Physics, Beijing, China
| | - J P Ochoa-Ricoux
- Instituto de Física, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - A Olshevski
- Joint Institute for Nuclear Research, Dubna, Moscow Region, Russia
| | - H-R Pan
- Department of Physics, National Taiwan University, Taipei, Taiwan
| | - J Park
- Center for Neutrino Physics, Virginia Tech, Blacksburg, Virginia, USA
| | - S Patton
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
| | - V Pec
- Charles University, Faculty of Mathematics and Physics, Prague, Czech Republic
| | - J C Peng
- Department of Physics, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA
| | - L E Piilonen
- Center for Neutrino Physics, Virginia Tech, Blacksburg, Virginia, USA
| | - L Pinsky
- Department of Physics, University of Houston, Houston, Texas, USA
| | - C S J Pun
- Department of Physics, The University of Hong Kong, Pokfulam, Hong Kong, China
| | - F Z Qi
- Institute of High Energy Physics, Beijing, China
| | - M Qi
- Nanjing University, Nanjing, China
| | - X Qian
- Brookhaven National Laboratory, Upton, New York, USA
| | - N Raper
- Department of Physics, Applied Physics, and Astronomy, Rensselaer Polytechnic Institute, Troy, New York, USA
| | - B Ren
- Dongguan University of Technology, Dongguan, China
| | - J Ren
- China Institute of Atomic Energy, Beijing, China
| | - R Rosero
- Brookhaven National Laboratory, Upton, New York, USA
| | - B Roskovec
- Charles University, Faculty of Mathematics and Physics, Prague, Czech Republic
| | - X C Ruan
- China Institute of Atomic Energy, Beijing, China
| | - B B Shao
- Department of Engineering Physics, Tsinghua University, Beijing, China
| | - H Steiner
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
- Department of Physics, University of California, Berkeley, California, USA
| | - G X Sun
- Institute of High Energy Physics, Beijing, China
| | - J L Sun
- China General Nuclear Power Group, China
| | - W Tang
- Brookhaven National Laboratory, Upton, New York, USA
| | - D Taychenachev
- Joint Institute for Nuclear Research, Dubna, Moscow Region, Russia
| | - K V Tsang
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
| | - C E Tull
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
| | - Y C Tung
- Department of Physics, National Taiwan University, Taipei, Taiwan
| | - N Viaux
- Instituto de Física, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - B Viren
- Brookhaven National Laboratory, Upton, New York, USA
| | - V Vorobel
- Charles University, Faculty of Mathematics and Physics, Prague, Czech Republic
| | - C H Wang
- National United University, Miao-Li, Taiwan
| | - M Wang
- Shandong University, Jinan, China
| | - N Y Wang
- Beijing Normal University, Beijing, China
| | - R G Wang
- Institute of High Energy Physics, Beijing, China
| | - W Wang
- Sun Yat-Sen (Zhongshan) University, Guangzhou, China
- College of William and Mary, Williamsburg, Virginia, USA
| | - W W Wang
- Nanjing University, Nanjing, China
| | - X Wang
- College of Electronic Science and Engineering, National University of Defense Technology, Changsha, China
| | - Y F Wang
- Institute of High Energy Physics, Beijing, China
| | - Z Wang
- Department of Engineering Physics, Tsinghua University, Beijing, China
| | - Z Wang
- Institute of High Energy Physics, Beijing, China
| | - Z M Wang
- Institute of High Energy Physics, Beijing, China
| | - H Y Wei
- Department of Engineering Physics, Tsinghua University, Beijing, China
| | - L J Wen
- Institute of High Energy Physics, Beijing, China
| | | | - C G White
- Department of Physics, Illinois Institute of Technology, Chicago, Illinois, USA
| | - L Whitehead
- Department of Physics, University of Houston, Houston, Texas, USA
| | - T Wise
- University of Wisconsin, Madison, Wisconsin, USA
| | - H L H Wong
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
- Department of Physics, University of California, Berkeley, California, USA
| | - S C F Wong
- Chinese University of Hong Kong, Hong Kong, China
- Sun Yat-Sen (Zhongshan) University, Guangzhou, China
| | - E Worcester
- Brookhaven National Laboratory, Upton, New York, USA
| | - Q Wu
- Shandong University, Jinan, China
| | - D M Xia
- Institute of High Energy Physics, Beijing, China
- Chongqing University, Chongqing, China
| | - J K Xia
- Institute of High Energy Physics, Beijing, China
| | - X Xia
- Shandong University, Jinan, China
| | - Z Z Xing
- Institute of High Energy Physics, Beijing, China
| | - J Y Xu
- Chinese University of Hong Kong, Hong Kong, China
| | - J L Xu
- Institute of High Energy Physics, Beijing, China
| | - J Xu
- Beijing Normal University, Beijing, China
| | - Y Xu
- School of Physics, Nankai University, Tianjin, China
| | - T Xue
- Department of Engineering Physics, Tsinghua University, Beijing, China
| | - J Yan
- Xi'an Jiaotong University, Xi'an, China
| | - C G Yang
- Institute of High Energy Physics, Beijing, China
| | - L Yang
- Dongguan University of Technology, Dongguan, China
| | - M S Yang
- Institute of High Energy Physics, Beijing, China
| | - M T Yang
- Shandong University, Jinan, China
| | - M Ye
- Institute of High Energy Physics, Beijing, China
| | - M Yeh
- Brookhaven National Laboratory, Upton, New York, USA
| | - B L Young
- Iowa State University, Ames, Iowa, USA
| | - G Y Yu
- Nanjing University, Nanjing, China
| | - Z Y Yu
- Institute of High Energy Physics, Beijing, China
| | - S L Zang
- Nanjing University, Nanjing, China
| | - L Zhan
- Institute of High Energy Physics, Beijing, China
| | - C Zhang
- Brookhaven National Laboratory, Upton, New York, USA
| | - H H Zhang
- Sun Yat-Sen (Zhongshan) University, Guangzhou, China
| | - J W Zhang
- Institute of High Energy Physics, Beijing, China
| | - Q M Zhang
- Xi'an Jiaotong University, Xi'an, China
| | - Y M Zhang
- Department of Engineering Physics, Tsinghua University, Beijing, China
| | - Y X Zhang
- China General Nuclear Power Group, China
| | - Y M Zhang
- Sun Yat-Sen (Zhongshan) University, Guangzhou, China
| | - Z J Zhang
- Dongguan University of Technology, Dongguan, China
| | - Z Y Zhang
- Institute of High Energy Physics, Beijing, China
| | - Z P Zhang
- University of Science and Technology of China, Hefei, China
| | - J Zhao
- Institute of High Energy Physics, Beijing, China
| | - Q W Zhao
- Institute of High Energy Physics, Beijing, China
| | - Y F Zhao
- North China Electric Power University, Beijing, China
| | - Y B Zhao
- Institute of High Energy Physics, Beijing, China
| | - L Zheng
- University of Science and Technology of China, Hefei, China
| | - W L Zhong
- Institute of High Energy Physics, Beijing, China
| | - L Zhou
- Institute of High Energy Physics, Beijing, China
| | - N Zhou
- University of Science and Technology of China, Hefei, China
| | - H L Zhuang
- Institute of High Energy Physics, Beijing, China
| | - J H Zou
- Institute of High Energy Physics, Beijing, China
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Leung SSK, Lee AM, Wong DFK, Wong CM, Leung KY, Chiang VCL, Yung WK, Chan SWC, Chung KF. A brief group intervention using a cognitive-behavioural approach to reduce postnatal depressive symptoms: a randomised controlled trial. Hong Kong Med J 2016; 22 Suppl 2:S4-S8. [PMID: 26908335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Affiliation(s)
- S S K Leung
- Institute of Professional Education, Hong Kong Baptist Hospital
| | - A M Lee
- Department of Psychiatry, The University of Hong Kong
| | - D F K Wong
- Department of Social Work and Social Administration, The City University of Hong Kong
| | - C M Wong
- Department of Community Medicine, The University of Hong Kong
| | - K Y Leung
- Department of Obstetric & Gynaecology, Queen Elizabeth Hospital, Hong Kong
| | - V C L Chiang
- School of Nursing, Hong Kong Polytechnic University
| | - W K Yung
- Department of Obstetric & Gynaecology, Kwong Wah Hospital, Hong Kong
| | - S W C Chan
- Alice Lee Centre for Nursing Studies, National University of Singapore
| | - K F Chung
- Department of Psychiatry, The University of Hong Kong
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21
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Koh YW, Lee AM, Chan CY, Fong DYT, Lee CP, Leung KY, Tang CSK. Survey on examining prevalence of paternal anxiety and its risk factors in perinatal period in Hong Kong: a longitudinal study. BMC Public Health 2015; 15:1131. [PMID: 26572228 PMCID: PMC4647473 DOI: 10.1186/s12889-015-2436-4] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2015] [Accepted: 10/20/2015] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND There is emerging evidence of the significance of paternal mental health problems among the expectant fathers during the antenatal and postnatal period. The present study aims at determining the prevalence of paternal perinatal anxiety and identifying its risk factors among the fathers. METHODS A total of 622 expectant fathers were recruited in Hong Kong. The expectant fathers were assessed using standardized and validated psychological instruments on three time points including early pregnancy, late pregnancy and 6 week postnatal. Independent samples t-test, one way ANOVA, Pearson's correlation and multiple linear regression were used to examine the effect of hypothesized risk factors. Hierarchical multiple regression and mixed effect model were also conducted with potential confounding factors controlled for. RESULTS Results showed that a significant proportion of expectant fathers experienced anxiety during the perinatal period. Low self-esteem and poor social support were found to be risk factors of paternal anxiety across pregnancy to postnatal period. Work-family conflict could significantly predict paternal anxiety in the pregnancy period. CONCLUSIONS The present study points to the need for greater research and clinical attention to paternal anxiety, given that it is a highly prevalent problem and could be detrimental to their partner's well-being and children development. The present findings contributes to the theoretical understanding of the prevalence and risk factors of paternal perinatal anxiety and have implications for the design of effective identification, prevention, and interventions of these clinical problems.
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Affiliation(s)
- Y W Koh
- Department of Psychiatry, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
| | - A M Lee
- Department of Psychiatry, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
| | - C Y Chan
- Department of Psychiatry, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
| | - D Y T Fong
- School of Nursing, The University of Hong Kong, Pokfulam, Hong Kong.
| | - C P Lee
- Department of Obstetrics & Gynaecology, The University of Hong Kong, Pokfulam, Hong Kong.
| | - K Y Leung
- Department of Obstetrics & Gynaecology, The University of Hong Kong, Pokfulam, Hong Kong.
| | - C S K Tang
- National University of Singapore, Singapore, Singapore.
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22
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An FP, Balantekin AB, Band HR, Bishai M, Blyth S, Butorov I, Cao GF, Cao J, Cen WR, Chan YL, Chang JF, Chang LC, Chang Y, Chen HS, Chen QY, Chen SM, Chen YX, Chen Y, Cheng JH, Cheng J, Cheng YP, Cherwinka JJ, Chu MC, Cummings JP, de Arcos J, Deng ZY, Ding XF, Ding YY, Diwan MV, Draeger E, Dwyer DA, Edwards WR, Ely SR, Gill R, Gonchar M, Gong GH, Gong H, Grassi M, Gu WQ, Guan MY, Guo L, Guo XH, Hackenburg RW, Han R, Hans S, He M, Heeger KM, Heng YK, Higuera A, Hor YK, Hsiung YB, Hu BZ, Hu LM, Hu LJ, Hu T, Hu W, Huang EC, Huang HX, Huang XT, Huber P, Hussain G, Jaffe DE, Jaffke P, Jen KL, Jetter S, Ji XP, Ji XL, Jiao JB, Johnson RA, Kang L, Kettell SH, Kramer M, Kwan KK, Kwok MW, Kwok T, Langford TJ, Lau K, Lebanowski L, Lee J, Lei RT, Leitner R, Leung KY, Leung JKC, Lewis CA, Li DJ, Li F, Li GS, Li QJ, Li SC, Li WD, Li XN, Li XQ, Li YF, Li ZB, Liang H, Lin CJ, Lin GL, Lin PY, Lin SK, Ling JJ, Link JM, Littenberg L, Littlejohn BR, Liu DW, Liu H, Liu JL, Liu JC, Liu SS, Lu C, Lu HQ, Lu JS, Luk KB, Ma QM, Ma XY, Ma XB, Ma YQ, Martinez Caicedo DA, McDonald KT, McKeown RD, Meng Y, Mitchell I, Monari Kebwaro J, Nakajima Y, Napolitano J, Naumov D, Naumova E, Ngai HY, Ning Z, Ochoa-Ricoux JP, Olshevski A, Park J, Patton S, Pec V, Peng JC, Piilonen LE, Pinsky L, Pun CSJ, Qi FZ, Qi M, Qian X, Raper N, Ren B, Ren J, Rosero R, Roskovec B, Ruan XC, Shao BB, Steiner H, Sun GX, Sun JL, Tang W, Taychenachev D, Themann H, Tsang KV, Tull CE, Tung YC, Viaux N, Viren B, Vorobel V, Wang CH, Wang M, Wang NY, Wang RG, Wang W, Wang WW, Wang X, Wang YF, Wang Z, Wang Z, Wang ZM, Wei HY, Wen LJ, Whisnant K, White CG, Whitehead L, Wise T, Wong HLH, Wong SCF, Worcester E, Wu Q, Xia DM, Xia JK, Xia X, Xing ZZ, Xu JY, Xu JL, Xu J, Xu Y, Xue T, Yan J, Yang CG, Yang L, Yang MS, Yang MT, Ye M, Yeh M, Yeh YS, Young BL, Yu GY, Yu ZY, Zang SL, Zhan L, Zhang C, Zhang HH, Zhang JW, Zhang QM, Zhang YM, Zhang YX, Zhang YM, Zhang ZJ, Zhang ZY, Zhang ZP, Zhao J, Zhao QW, Zhao YF, Zhao YB, Zheng L, Zhong WL, Zhou L, Zhou N, Zhuang HL, Zou JH. New measurement of antineutrino oscillation with the full detector configuration at Daya Bay. Phys Rev Lett 2015; 115:111802. [PMID: 26406819 DOI: 10.1103/physrevlett.115.111802] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2015] [Indexed: 06/05/2023]
Abstract
We report a new measurement of electron antineutrino disappearance using the fully constructed Daya Bay Reactor Neutrino Experiment. The final two of eight antineutrino detectors were installed in the summer of 2012. Including the 404 days of data collected from October 2012 to November 2013 resulted in a total exposure of 6.9×10^{5} GW_{th} ton days, a 3.6 times increase over our previous results. Improvements in energy calibration limited variations between detectors to 0.2%. Removal of six ^{241}Am-^{13}C radioactive calibration sources reduced the background by a factor of 2 for the detectors in the experimental hall furthest from the reactors. Direct prediction of the antineutrino signal in the far detectors based on the measurements in the near detectors explicitly minimized the dependence of the measurement on models of reactor antineutrino emission. The uncertainties in our estimates of sin^{2}2θ_{13} and |Δm_{ee}^{2}| were halved as a result of these improvements. An analysis of the relative antineutrino rates and energy spectra between detectors gave sin^{2}2θ_{13}=0.084±0.005 and |Δm_{ee}^{2}|=(2.42±0.11)×10^{-3} eV^{2} in the three-neutrino framework.
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Affiliation(s)
- F P An
- Institute of Modern Physics, East China University of Science and Technology, Shanghai
| | | | - H R Band
- Department of Physics, Yale University, New Haven, Connecticut, USA
| | - M Bishai
- Brookhaven National Laboratory, Upton, New York, USA
| | - S Blyth
- Department of Physics, National Taiwan University, Taipei
- National United University, Miao-Li
| | - I Butorov
- Joint Institute for Nuclear Research, Dubna, Moscow Region
| | - G F Cao
- Institute of High Energy Physics, Beijing
| | - J Cao
- Institute of High Energy Physics, Beijing
| | - W R Cen
- Institute of High Energy Physics, Beijing
| | - Y L Chan
- Chinese University of Hong Kong, Hong Kong
| | - J F Chang
- Institute of High Energy Physics, Beijing
| | - L C Chang
- Institute of Physics, National Chiao-Tung University, Hsinchu
| | - Y Chang
- National United University, Miao-Li
| | - H S Chen
- Institute of High Energy Physics, Beijing
| | | | - S M Chen
- Department of Engineering Physics, Tsinghua University, Beijing
| | - Y X Chen
- North China Electric Power University, Beijing
| | - Y Chen
- Shenzhen University, Shenzhen
| | - J H Cheng
- Institute of Physics, National Chiao-Tung University, Hsinchu
| | | | - Y P Cheng
- Institute of High Energy Physics, Beijing
| | | | - M C Chu
- Chinese University of Hong Kong, Hong Kong
| | | | - J de Arcos
- Department of Physics, Illinois Institute of Technology, Chicago, Illinois, USA
| | - Z Y Deng
- Institute of High Energy Physics, Beijing
| | - X F Ding
- Institute of High Energy Physics, Beijing
| | - Y Y Ding
- Institute of High Energy Physics, Beijing
| | - M V Diwan
- Brookhaven National Laboratory, Upton, New York, USA
| | - E Draeger
- Department of Physics, Illinois Institute of Technology, Chicago, Illinois, USA
| | - D A Dwyer
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
| | - W R Edwards
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
- Department of Physics, University of California, Berkeley, California, USA
| | - S R Ely
- Department of Physics, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA
| | - R Gill
- Brookhaven National Laboratory, Upton, New York, USA
| | - M Gonchar
- Joint Institute for Nuclear Research, Dubna, Moscow Region
| | - G H Gong
- Department of Engineering Physics, Tsinghua University, Beijing
| | - H Gong
- Department of Engineering Physics, Tsinghua University, Beijing
| | - M Grassi
- Institute of High Energy Physics, Beijing
| | - W Q Gu
- Shanghai Jiao Tong University, Shanghai
| | - M Y Guan
- Institute of High Energy Physics, Beijing
| | - L Guo
- Department of Engineering Physics, Tsinghua University, Beijing
| | - X H Guo
- Beijing Normal University, Beijing
| | | | - R Han
- North China Electric Power University, Beijing
| | - S Hans
- Brookhaven National Laboratory, Upton, New York, USA
| | - M He
- Institute of High Energy Physics, Beijing
| | - K M Heeger
- Department of Physics, Yale University, New Haven, Connecticut, USA
| | - Y K Heng
- Institute of High Energy Physics, Beijing
| | - A Higuera
- Department of Physics, University of Houston, Houston, Texas, USA
| | - Y K Hor
- Center for Neutrino Physics, Virginia Tech, Blacksburg, Virginia, USA
| | - Y B Hsiung
- Department of Physics, National Taiwan University, Taipei
| | - B Z Hu
- Department of Physics, National Taiwan University, Taipei
| | - L M Hu
- Brookhaven National Laboratory, Upton, New York, USA
| | - L J Hu
- Beijing Normal University, Beijing
| | - T Hu
- Institute of High Energy Physics, Beijing
| | - W Hu
- Institute of High Energy Physics, Beijing
| | - E C Huang
- Department of Physics, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA
| | - H X Huang
- China Institute of Atomic Energy, Beijing
| | | | - P Huber
- Center for Neutrino Physics, Virginia Tech, Blacksburg, Virginia, USA
| | - G Hussain
- Department of Engineering Physics, Tsinghua University, Beijing
| | - D E Jaffe
- Brookhaven National Laboratory, Upton, New York, USA
| | - P Jaffke
- Center for Neutrino Physics, Virginia Tech, Blacksburg, Virginia, USA
| | - K L Jen
- Institute of Physics, National Chiao-Tung University, Hsinchu
| | - S Jetter
- Institute of High Energy Physics, Beijing
| | - X P Ji
- Department of Engineering Physics, Tsinghua University, Beijing
- School of Physics, Nankai University, Tianjin
| | - X L Ji
- Institute of High Energy Physics, Beijing
| | | | - R A Johnson
- Department of Physics, University of Cincinnati, Cincinnati, Ohio, USA
| | - L Kang
- Dongguan University of Technology, Dongguan
| | - S H Kettell
- Brookhaven National Laboratory, Upton, New York, USA
| | - M Kramer
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
- Department of Physics, University of California, Berkeley, California, USA
| | - K K Kwan
- Chinese University of Hong Kong, Hong Kong
| | - M W Kwok
- Chinese University of Hong Kong, Hong Kong
| | - T Kwok
- Department of Physics, The University of Hong Kong, Pokfulam, Hong Kong
| | - T J Langford
- Department of Physics, Yale University, New Haven, Connecticut, USA
| | - K Lau
- Department of Physics, University of Houston, Houston, Texas, USA
| | - L Lebanowski
- Department of Engineering Physics, Tsinghua University, Beijing
| | - J Lee
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
| | - R T Lei
- Dongguan University of Technology, Dongguan
| | - R Leitner
- Charles University, Faculty of Mathematics and Physics, Prague, Czech Republic
| | - K Y Leung
- Department of Physics, The University of Hong Kong, Pokfulam, Hong Kong
| | - J K C Leung
- Department of Physics, The University of Hong Kong, Pokfulam, Hong Kong
| | - C A Lewis
- University of Wisconsin, Madison, Wisconsin, USA
| | - D J Li
- University of Science and Technology of China, Hefei
| | - F Li
- Institute of High Energy Physics, Beijing
| | - G S Li
- Shanghai Jiao Tong University, Shanghai
| | - Q J Li
- Institute of High Energy Physics, Beijing
| | - S C Li
- Department of Physics, The University of Hong Kong, Pokfulam, Hong Kong
| | - W D Li
- Institute of High Energy Physics, Beijing
| | - X N Li
- Institute of High Energy Physics, Beijing
| | - X Q Li
- School of Physics, Nankai University, Tianjin
| | - Y F Li
- Institute of High Energy Physics, Beijing
| | - Z B Li
- Sun Yat-Sen (Zhongshan) University, Guangzhou
| | - H Liang
- University of Science and Technology of China, Hefei
| | - C J Lin
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
| | - G L Lin
- Institute of Physics, National Chiao-Tung University, Hsinchu
| | - P Y Lin
- Institute of Physics, National Chiao-Tung University, Hsinchu
| | - S K Lin
- Department of Physics, University of Houston, Houston, Texas, USA
| | - J J Ling
- Brookhaven National Laboratory, Upton, New York, USA
- Department of Physics, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA
| | - J M Link
- Center for Neutrino Physics, Virginia Tech, Blacksburg, Virginia, USA
| | - L Littenberg
- Brookhaven National Laboratory, Upton, New York, USA
| | - B R Littlejohn
- Department of Physics, Illinois Institute of Technology, Chicago, Illinois, USA
- Department of Physics, University of Cincinnati, Cincinnati, Ohio, USA
| | - D W Liu
- Department of Physics, University of Houston, Houston, Texas, USA
| | - H Liu
- Department of Physics, University of Houston, Houston, Texas, USA
| | - J L Liu
- Shanghai Jiao Tong University, Shanghai
| | - J C Liu
- Institute of High Energy Physics, Beijing
| | - S S Liu
- Department of Physics, The University of Hong Kong, Pokfulam, Hong Kong
| | - C Lu
- Joseph Henry Laboratories, Princeton University, Princeton, New Jersey, USA
| | - H Q Lu
- Institute of High Energy Physics, Beijing
| | - J S Lu
- Institute of High Energy Physics, Beijing
| | - K B Luk
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
- Department of Physics, University of California, Berkeley, California, USA
| | - Q M Ma
- Institute of High Energy Physics, Beijing
| | - X Y Ma
- Institute of High Energy Physics, Beijing
| | - X B Ma
- North China Electric Power University, Beijing
| | - Y Q Ma
- Institute of High Energy Physics, Beijing
| | | | - K T McDonald
- Joseph Henry Laboratories, Princeton University, Princeton, New Jersey, USA
| | - R D McKeown
- California Institute of Technology, Pasadena, California, USA
- College of William and Mary, Williamsburg, Virginia, USA
| | - Y Meng
- Center for Neutrino Physics, Virginia Tech, Blacksburg, Virginia, USA
| | - I Mitchell
- Department of Physics, University of Houston, Houston, Texas, USA
| | | | - Y Nakajima
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
| | - J Napolitano
- Department of Physics, College of Science and Technology, Temple University, Philadelphia, Pennsylvania, USA
| | - D Naumov
- Joint Institute for Nuclear Research, Dubna, Moscow Region
| | - E Naumova
- Joint Institute for Nuclear Research, Dubna, Moscow Region
| | - H Y Ngai
- Department of Physics, The University of Hong Kong, Pokfulam, Hong Kong
| | - Z Ning
- Institute of High Energy Physics, Beijing
| | - J P Ochoa-Ricoux
- Instituto de Física, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - A Olshevski
- Joint Institute for Nuclear Research, Dubna, Moscow Region
| | - J Park
- Center for Neutrino Physics, Virginia Tech, Blacksburg, Virginia, USA
| | - S Patton
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
| | - V Pec
- Charles University, Faculty of Mathematics and Physics, Prague, Czech Republic
| | - J C Peng
- Department of Physics, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA
| | - L E Piilonen
- Center for Neutrino Physics, Virginia Tech, Blacksburg, Virginia, USA
| | - L Pinsky
- Department of Physics, University of Houston, Houston, Texas, USA
| | - C S J Pun
- Department of Physics, The University of Hong Kong, Pokfulam, Hong Kong
| | - F Z Qi
- Institute of High Energy Physics, Beijing
| | - M Qi
- Nanjing University, Nanjing
| | - X Qian
- Brookhaven National Laboratory, Upton, New York, USA
| | - N Raper
- Department of Physics, Applied Physics, and Astronomy, Rensselaer Polytechnic Institute, Troy, New York, USA
| | - B Ren
- Dongguan University of Technology, Dongguan
| | - J Ren
- China Institute of Atomic Energy, Beijing
| | - R Rosero
- Brookhaven National Laboratory, Upton, New York, USA
| | - B Roskovec
- Charles University, Faculty of Mathematics and Physics, Prague, Czech Republic
| | - X C Ruan
- China Institute of Atomic Energy, Beijing
| | - B B Shao
- Department of Engineering Physics, Tsinghua University, Beijing
| | - H Steiner
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
- Department of Physics, University of California, Berkeley, California, USA
| | - G X Sun
- Institute of High Energy Physics, Beijing
| | - J L Sun
- China General Nuclear Power Group
| | - W Tang
- Brookhaven National Laboratory, Upton, New York, USA
| | - D Taychenachev
- Joint Institute for Nuclear Research, Dubna, Moscow Region
| | - H Themann
- Brookhaven National Laboratory, Upton, New York, USA
| | - K V Tsang
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
| | - C E Tull
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
| | - Y C Tung
- Department of Physics, National Taiwan University, Taipei
| | - N Viaux
- Instituto de Física, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - B Viren
- Brookhaven National Laboratory, Upton, New York, USA
| | - V Vorobel
- Charles University, Faculty of Mathematics and Physics, Prague, Czech Republic
| | - C H Wang
- National United University, Miao-Li
| | - M Wang
- Shandong University, Jinan
| | - N Y Wang
- Beijing Normal University, Beijing
| | - R G Wang
- Institute of High Energy Physics, Beijing
| | - W Wang
- Sun Yat-Sen (Zhongshan) University, Guangzhou
| | | | - X Wang
- College of Electronic Science and Engineering, National University of Defense Technology, Changsha
| | - Y F Wang
- Institute of High Energy Physics, Beijing
| | - Z Wang
- Department of Engineering Physics, Tsinghua University, Beijing
| | - Z Wang
- Institute of High Energy Physics, Beijing
| | - Z M Wang
- Institute of High Energy Physics, Beijing
| | - H Y Wei
- Department of Engineering Physics, Tsinghua University, Beijing
| | - L J Wen
- Institute of High Energy Physics, Beijing
| | | | - C G White
- Department of Physics, Illinois Institute of Technology, Chicago, Illinois, USA
| | - L Whitehead
- Department of Physics, University of Houston, Houston, Texas, USA
| | - T Wise
- University of Wisconsin, Madison, Wisconsin, USA
| | - H L H Wong
- Lawrence Berkeley National Laboratory, Berkeley, California, USA
- Department of Physics, University of California, Berkeley, California, USA
| | - S C F Wong
- Chinese University of Hong Kong, Hong Kong
- Sun Yat-Sen (Zhongshan) University, Guangzhou
| | - E Worcester
- Brookhaven National Laboratory, Upton, New York, USA
| | - Q Wu
- Shandong University, Jinan
| | - D M Xia
- Institute of High Energy Physics, Beijing
- Chongqing University, Chongqing
| | - J K Xia
- Institute of High Energy Physics, Beijing
| | - X Xia
- Shandong University, Jinan
| | - Z Z Xing
- Institute of High Energy Physics, Beijing
| | - J Y Xu
- Chinese University of Hong Kong, Hong Kong
| | - J L Xu
- Institute of High Energy Physics, Beijing
| | - J Xu
- Beijing Normal University, Beijing
| | - Y Xu
- School of Physics, Nankai University, Tianjin
| | - T Xue
- Department of Engineering Physics, Tsinghua University, Beijing
| | - J Yan
- Xi'an Jiaotong University, Xi'an
| | - C G Yang
- Institute of High Energy Physics, Beijing
| | - L Yang
- Dongguan University of Technology, Dongguan
| | - M S Yang
- Institute of High Energy Physics, Beijing
| | | | - M Ye
- Institute of High Energy Physics, Beijing
| | - M Yeh
- Brookhaven National Laboratory, Upton, New York, USA
| | - Y S Yeh
- Institute of Physics, National Chiao-Tung University, Hsinchu
| | - B L Young
- Iowa State University, Ames, Iowa, USA
| | - G Y Yu
- Nanjing University, Nanjing
| | - Z Y Yu
- Institute of High Energy Physics, Beijing
| | | | - L Zhan
- Institute of High Energy Physics, Beijing
| | - C Zhang
- Brookhaven National Laboratory, Upton, New York, USA
| | - H H Zhang
- Sun Yat-Sen (Zhongshan) University, Guangzhou
| | - J W Zhang
- Institute of High Energy Physics, Beijing
| | | | - Y M Zhang
- Department of Engineering Physics, Tsinghua University, Beijing
| | | | - Y M Zhang
- Sun Yat-Sen (Zhongshan) University, Guangzhou
| | - Z J Zhang
- Dongguan University of Technology, Dongguan
| | - Z Y Zhang
- Institute of High Energy Physics, Beijing
| | - Z P Zhang
- University of Science and Technology of China, Hefei
| | - J Zhao
- Institute of High Energy Physics, Beijing
| | - Q W Zhao
- Institute of High Energy Physics, Beijing
| | - Y F Zhao
- North China Electric Power University, Beijing
| | - Y B Zhao
- Institute of High Energy Physics, Beijing
| | - L Zheng
- University of Science and Technology of China, Hefei
| | - W L Zhong
- Institute of High Energy Physics, Beijing
| | - L Zhou
- Institute of High Energy Physics, Beijing
| | - N Zhou
- University of Science and Technology of China, Hefei
| | - H L Zhuang
- Institute of High Energy Physics, Beijing
| | - J H Zou
- Institute of High Energy Physics, Beijing
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23
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Affiliation(s)
- K Y Leung
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Jordan, Hong Kong
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24
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Pang KKY, Chao NSY, Tsang TK, Lau BYT, Leung KY, Ting SH, Leung MWY, Liu KKW. From observation to aetiology: a case report of a twin fetus-in-fetu and a revisit of the known rarity. Hong Kong Med J 2015; 21:80-3. [DOI: 10.12809/hkmj133925] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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25
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Kou KO, Lee H, Lau B, Wong WS, Kan A, Tang M, Lau ET, Poon CF, Leung KY. Two unusual cases of haemoglobin Bart's hydrops fetalis due to uniparental disomy or non-paternity. Fetal Diagn Ther 2013; 35:306-8. [PMID: 24051347 DOI: 10.1159/000354808] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2013] [Accepted: 07/30/2013] [Indexed: 11/19/2022]
Abstract
The authors present 2 unusual cases of haemoglobin (Hb) Bart's hydrops fetalis and highlight the problem of a screening system for α-thalassaemia which focuses on maternal and paternal mean corpuscular volume (MCV) alone. Normal paternal MCV may not preclude fetal Hb Bart's disease because of the rare occurrence of maternal uniparental disomy or non-paternity. During a mid-trimester anomaly scan, with fetal cardiomegaly or hydrops in a woman with low MCV but normal paternal MCV, obstetricians should remain alert for fetal Hb Bart's disease. This is very important and relevant for national screening systems in South-East Asia, where a routine mid-trimester scan may not be available. A routine mid-trimester anomaly scan should therefore be implemented and in high prevalence areas, sonographers should be sensitive to the cardio-thoracic ratio even if screening shows that pregnancy is unlikely to be at risk.
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Affiliation(s)
- K O Kou
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Hong Kong, SAR, China
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Christensen KE, Deng L, Leung KY, Arning E, Bottiglieri T, Malysheva OV, Caudill MA, Krupenko NI, Greene ND, Jerome-Majewska L, MacKenzie RE, Rozen R. A novel mouse model for genetic variation in 10-formyltetrahydrofolate synthetase exhibits disturbed purine synthesis with impacts on pregnancy and embryonic development. Hum Mol Genet 2013; 22:3705-19. [PMID: 23704330 DOI: 10.1093/hmg/ddt223] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Genetic variants in one-carbon folate metabolism have been identified as risk factors for disease because they may impair the production or use of one-carbon folates required for nucleotide synthesis and methylation. p.R653Q (1958G>A) is a single-nucleotide polymorphism (SNP) in the 10-formyltetrahydrofolate (formylTHF) synthetase domain of the trifunctional enzyme MTHFD1; this domain produces the formylTHF which is required for the de novo synthesis of purines. Approximately 20% of Caucasians are homozygous for the Q allele. MTHFD1 p.R653Q has been proposed as a risk factor for neural tube defects (NTDs), congenital heart defects (CHDs) and pregnancy losses. We have generated a novel mouse model in which the MTHFD1 synthetase activity is inactivated without affecting protein expression or the other activities of this enzyme. Complete loss of synthetase activity (Mthfd1S(-/-)) is incompatible with life; embryos die shortly after 10.5 days gestation, and are developmentally delayed or abnormal. The proportion of 10-formylTHF in the plasma and liver of Mthfd1S(+/-) mice is reduced (P < 0.05), and de novo purine synthesis is impaired in Mthfd1S(+/-) mouse embryonic fibroblasts (MEFs, P < 0.005). Female Mthfd1S(+/-) mice had decreased neutrophil counts (P < 0.05) during pregnancy and increased incidence of developmental defects in embryos (P = 0.052). These findings suggest that synthetase deficiency may lead to pregnancy complications through decreased purine synthesis and reduced cellular proliferation. Additional investigation of the impact of synthetase polymorphisms on human pregnancy is warranted.
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Affiliation(s)
- K E Christensen
- Departments of Human Genetics and Pediatrics, McGill University, and Montreal Children's Hospital site/McGill University Health Centre Research Institute, Montreal, Quebec, Canada
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Abstract
OBJECTIVES To identify factors affecting the sex ratio at birth. DESIGN Cross-sectional study. SETTING Obstetric department of a public hospital in Hong Kong. PARTICIPANTS All pregnant women delivered between 2001 and 2010. MAIN OUTCOME MEASURES Sex ratio at birth versus women's eligibility status, age, parity, number of miscarriages or terminations of pregnancy, and number of fetuses were analysed using the Chi squared test. Multivariate regression was used to determine the effects of multiple factors on the sex of the newborn. RESULTS A total of 54 039 cases were reviewed. The sex ratio at birth changed since 2003, and became unbalanced (>107 males per 100 females) since 2006 revealed by a significant increase in males per 100 females, from 106.6 in 2001-2005 to 111.4 in 2006-2010. From 2001 to 2010, the sex ratio at birth increased from being balanced to becoming unbalanced in eligible persons, and became more unbalanced in non-eligible persons. The ratio increased in eligible persons after having two children, but in non-eligible persons after having one child. The sex ratio at birth was unbalanced (1.095) in singleton pregnancies, but balanced (1.019) in multiple pregnancies. Based on logistic regression, the chance of a male baby being born increased with parity of 2 or above (odds ratio=1.1; P<0.001), non-eligible person status (odds ratio=1.05; P=0.034), and delivery in the period 2006-2010 (odds ratio=1.04; P=0.019). The ratio was not increased with advanced maternal age, the number of miscarriages/terminations of pregnancy, and number of fetuses. CONCLUSION Compared with 2001-2005, the sex ratio at birth became unbalanced in 2006-2010. An unbalanced ratio ensued in the latter period in both eligible and non-eligible persons, but to a greater extent and even after having one child in the latter group.
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Affiliation(s)
- W C Tse
- Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Jordan, Kowloon, Hong Kong.
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Bhide A, Acharya G, Bilardo CM, Brezinka C, Cafici D, Hernandez-Andrade E, Kalache K, Kingdom J, Kiserud T, Lee W, Lees C, Leung KY, Malinger G, Mari G, Prefumo F, Sepulveda W, Trudinger B. ISUOG practice guidelines: use of Doppler ultrasonography in obstetrics. Ultrasound Obstet Gynecol 2013; 41:233-239. [PMID: 23371348 DOI: 10.1002/uog.12371] [Citation(s) in RCA: 282] [Impact Index Per Article: 25.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- A Bhide
- Fetal Medicine Unit, Academic Department of Obstetrics and Gynaecology, St George’s, University of London, London, UK
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Leung KY, Kretzschmar MEE, Diekmann O. Dynamic concurrent partnership networks incorporating demography. Theor Popul Biol 2012; 82:229-39. [PMID: 22884770 DOI: 10.1016/j.tpb.2012.07.001] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2012] [Revised: 07/13/2012] [Accepted: 07/20/2012] [Indexed: 01/22/2023]
Abstract
We introduce a population model that incorporates From a mathematical point of view we deal with continuous-time Markov chains at the individual level, with the interaction between individuals captured by a global variable describing opportunities for new partnerships. We show that for large time a stationary distribution is attained and we deduce various statistical features of that distribution, with particular attention for concurrency, i.e. the overlap in time of multiple partnerships of one and the same individual. Our ultimate motivation is to model the spread of sexually transmitted infections in the population, for which the present paper serves as a prelude.
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Affiliation(s)
- K Y Leung
- Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Universiteitsweg 100, 3584 CG Utrecht, The Netherlands.
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An FP, Bai JZ, Balantekin AB, Band HR, Beavis D, Beriguete W, Bishai M, Blyth S, Boddy K, Brown RL, Cai B, Cao GF, Cao J, Carr R, Chan WT, Chang JF, Chang Y, Chasman C, Chen HS, Chen HY, Chen SJ, Chen SM, Chen XC, Chen XH, Chen XS, Chen Y, Chen YX, Cherwinka JJ, Chu MC, Cummings JP, Deng ZY, Ding YY, Diwan MV, Dong L, Draeger E, Du XF, Dwyer DA, Edwards WR, Ely SR, Fang SD, Fu JY, Fu ZW, Ge LQ, Ghazikhanian V, Gill RL, Goett J, Gonchar M, Gong GH, Gong H, Gornushkin YA, Greenler LS, Gu WQ, Guan MY, Guo XH, Hackenburg RW, Hahn RL, Hans S, He M, He Q, He WS, Heeger KM, Heng YK, Hinrichs P, Ho TH, Hor YK, Hsiung YB, Hu BZ, Hu T, Hu T, Huang HX, Huang HZ, Huang PW, Huang X, Huang XT, Huber P, Isvan Z, Jaffe DE, Jetter S, Ji XL, Ji XP, Jiang HJ, Jiang WQ, Jiao JB, Johnson RA, Kang L, Kettell SH, Kramer M, Kwan KK, Kwok MW, Kwok T, Lai CY, Lai WC, Lai WH, Lau K, Lebanowski L, Lee J, Lee MKP, Leitner R, Leung JKC, Leung KY, Lewis CA, Li B, Li F, Li GS, Li J, Li QJ, Li SF, Li WD, Li XB, Li XN, Li XQ, Li Y, Li ZB, Liang H, Liang J, Lin CJ, Lin GL, Lin SK, Lin SX, Lin YC, Ling JJ, Link JM, Littenberg L, Littlejohn BR, Liu BJ, Liu C, Liu DW, Liu H, Liu JC, Liu JL, Liu S, Liu X, Liu YB, Lu C, Lu HQ, Luk A, Luk KB, Luo T, Luo XL, Ma LH, Ma QM, Ma XB, Ma XY, Ma YQ, Mayes B, McDonald KT, McFarlane MC, McKeown RD, Meng Y, Mohapatra D, Morgan JE, Nakajima Y, Napolitano J, Naumov D, Nemchenok I, Newsom C, Ngai HY, Ngai WK, Nie YB, Ning Z, Ochoa-Ricoux JP, Oh D, Olshevski A, Pagac A, Patton S, Pearson C, Pec V, Peng JC, Piilonen LE, Pinsky L, Pun CSJ, Qi FZ, Qi M, Qian X, Raper N, Rosero R, Roskovec B, Ruan XC, Seilhan B, Shao BB, Shih K, Steiner H, Stoler P, Sun GX, Sun JL, Tam YH, Tanaka HK, Tang X, Themann H, Torun Y, Trentalange S, Tsai O, Tsang KV, Tsang RHM, Tull C, Viren B, Virostek S, Vorobel V, Wang CH, Wang LS, Wang LY, Wang LZ, Wang M, Wang NY, Wang RG, Wang T, Wang W, Wang X, Wang X, Wang YF, Wang Z, Wang Z, Wang ZM, Webber DM, Wei YD, Wen LJ, Wenman DL, Whisnant K, White CG, Whitehead L, Whitten CA, Wilhelmi J, Wise T, Wong HC, Wong HLH, Wong J, Worcester ET, Wu FF, Wu Q, Xia DM, Xiang ST, Xiao Q, Xing ZZ, Xu G, Xu J, Xu J, Xu JL, Xu W, Xu Y, Xue T, Yang CG, Yang L, Ye M, Yeh M, Yeh YS, Yip K, Young BL, Yu ZY, Zhan L, Zhang C, Zhang FH, Zhang JW, Zhang QM, Zhang K, Zhang QX, Zhang SH, Zhang YC, Zhang YH, Zhang YX, Zhang ZJ, Zhang ZP, Zhang ZY, Zhao J, Zhao QW, Zhao YB, Zheng L, Zhong WL, Zhou L, Zhou ZY, Zhuang HL, Zou JH. Observation of electron-antineutrino disappearance at Daya Bay. Phys Rev Lett 2012; 108:171803. [PMID: 22680853 DOI: 10.1103/physrevlett.108.171803] [Citation(s) in RCA: 124] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2012] [Indexed: 05/23/2023]
Abstract
The Daya Bay Reactor Neutrino Experiment has measured a nonzero value for the neutrino mixing angle θ(13) with a significance of 5.2 standard deviations. Antineutrinos from six 2.9 GWth reactors were detected in six antineutrino detectors deployed in two near (flux-weighted baseline 470 m and 576 m) and one far (1648 m) underground experimental halls. With a 43,000 ton-GWth-day live-time exposure in 55 days, 10,416 (80,376) electron-antineutrino candidates were detected at the far hall (near halls). The ratio of the observed to expected number of antineutrinos at the far hall is R=0.940±0.011(stat.)±0.004(syst.). A rate-only analysis finds sin(2)2θ(13)=0.092±0.016(stat.)±0.005(syst.) in a three-neutrino framework.
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Affiliation(s)
- F P An
- Institute of High Energy Physics, Beijing, China
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Yang F, Leung KY, Hou YW, Yuan Y, Tang MHY. Birth-weight prediction using three-dimensional sonographic fractional thigh volume at term in a Chinese population. Ultrasound Obstet Gynecol 2011; 38:425-433. [PMID: 21308831 DOI: 10.1002/uog.8945] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/12/2011] [Indexed: 05/30/2023]
Abstract
OBJECTIVES To develop and validate new birth-weight prediction models in Chinese pregnant women using fractional thigh volume. METHODS Healthy late third-trimester fetuses within 5 days of delivery were prospectively examined using two- (2D) and three- (3D) dimensional ultrasonography. Measurements were performed using 2D ultrasound for standard fetal biometry and 3D ultrasound for fractional thigh volume (TVol) and middle thigh circumference. The intraclass correlation coefficient (ICC) was used to analyze the inter- and intraobserver reliability of the 3D ultrasound measurements of 40 fetuses. Five birth-weight prediction models were developed using linear regression analysis, and these were compared with previously published models in a validation group. RESULTS Of the 290 fetuses studied, 100 were used in the development of prediction models and 190 in the validation of prediction models. The inter- and intraobserver variability for TVol and middle thigh circumference measurements was small (all ICCs ≥ 0.95). The prediction model using TVol, femur length (FL), abdominal circumference (AC) and biparietal diameter (BPD) provided the most precise birth-weight estimation, with a random error of 4.68% and R(2) of 0.825. It correctly predicted 69.5 and 95.3% of birth weights to within 5 and 10% of actual birth weight. By comparison, the Hadlock model with standard fetal biometry (BPD, head circumference, AC and FL) gave a random error of 6.41%. The percentage of birth-weight prediction within 5 and 10% of actual birth weight was 46.3 and 82.6%, respectively. CONCLUSION Consistent with studies on Caucasian populations, a new birth-weight prediction model based on fractional thigh volume, BPD, AC and FL, is reliable during the late third trimester in a Chinese population, and allows better prediction than does the Hadlock model.
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Affiliation(s)
- F Yang
- Department of Obstetrics and Gynaecology, University of Hong Kong, Hong Kong, China
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32
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Abstract
Yes-associated protein (YAP) regulates DNA damage and chemosensitivity, as well as functioning as a pro-growth, cell size regulator. For both of its roles, regulation by phosphorylation is crucial. We undertook an in vitro screen to identify novel YAP kinases to discover new signaling pathways to better understand YAP's function. We identified JNK1 and JNK2 as robust YAP kinases, as well as mapped multiple sites of phosphorylation. Using inhibitors and siRNA, we showed that JNK specifically phosphorylates endogenous YAP in a number of cell types. We show that YAP protects keratinocytes from UV irradiation but promotes UV-induced apoptosis in a squamous cell carcinoma. We defined the mechanism for this dual role to be YAP's ability to bind and stabilize the pro-proliferative ΔNp63α isoform in a JNK-dependent manner. Our report indicates that an evaluation of the expression of the different isoforms of p63 and p73 is crucial in determining YAP's function.
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Affiliation(s)
- V Tomlinson
- Centre for Molecular Oncology and Imaging, Institute of Cancer, London, UK
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Yuan Y, Leung KY, Ouyang YS, Yang F, Tang MHY, Chau AKT, Dai Q. Simultaneous real-time imaging of four-chamber and left ventricular outflow tract views using xPlane imaging capability of a matrix array probe. Ultrasound Obstet Gynecol 2011; 37:302-309. [PMID: 21077157 DOI: 10.1002/uog.8883] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/25/2010] [Indexed: 05/30/2023]
Abstract
OBJECTIVES To determine the feasibility and reliability of using xPlane imaging to examine simultaneously the four-chamber and left ventricular outflow tract (LVOT) views in real time, to assess rotation angles from the four-chamber view to the LVOT view, and to investigate factors affecting the angles. METHODS In 145 fetuses at 11-37 weeks' gestation, we visualized the four-chamber view in one of three cardiac positions: a subcostal view with the apex at the 3 or 9 o'clock position; an apical view with the apex at the 12 or 6 o'clock position; or a view with the fetal heart apex midway between these two positions. We then used the rotation function of xPlane imaging, using the four-chamber view as the reference plane, to visualize the LVOT view simultaneously in real time on the secondary image plane, on the right side of the split screen, by rotating a reference line from 0° with a rotation step of 5°. The rotation angle necessary for the first appearance of LVOT was recorded as the first rotation angle. The reference line was then rotated until the LVOT was just out of view, and this last rotation angle was recorded as the second rotation angle. The difference between these two angles was recorded as the angle span of the LVOT display. Reliability was assessed by intraclass correlation coefficient (ICC). RESULTS Of the 145 fetuses examined, 29 had cardiac defects. Using xPlane imaging, the LVOT was visualized successfully after 14 weeks in 95.1% of cases. The first and second rotation angles varied significantly with cardiac position (P < 0.001); when the fetal heart was examined using a subcostal approach with the apex at the 3 or 9 o'clock position, the first rotation angle was smaller than that at the apical view for normal hearts (20° vs. 50°, P < 0.001). There was also a significant difference for the second rotation angle and for the angle span, between fetuses with and without normal LVOT (P = 0.038 and 0.006, respectively). Regarding intra- and interobserver reliability for measurement of first and second rotation angles, the ICCs were high (range, 0.847-0.980). CONCLUSION Using xPlane imaging, it is feasible to examine simultaneously the four-chamber and LVOT views in real time, and measurement of the rotation angles between these two views is reproducible. The rotation angles depend on the position of the fetal heart, and the normality of the LVOT. Proposed algorithms for examination of the fetal heart with three-/four-dimensional ultrasonography may need to be adapted to optimize visualization of the standard planes.
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Affiliation(s)
- Y Yuan
- Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China
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Salomon LJ, Alfirevic Z, Berghella V, Bilardo C, Hernandez-Andrade E, Johnsen SL, Kalache K, Leung KY, Malinger G, Munoz H, Prefumo F, Toi A, Lee W. Practice guidelines for performance of the routine mid-trimester fetal ultrasound scan. Ultrasound Obstet Gynecol 2011; 37:116-26. [PMID: 20842655 DOI: 10.1002/uog.8831] [Citation(s) in RCA: 602] [Impact Index Per Article: 46.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Cheong KB, Leung KY, Li TKT, Chan HY, Lee YP, Tang MHY. Comparison of inter- and intraobserver agreement and reliability between three different types of placental volume measurement technique (XI VOCAL, VOCAL and multiplanar) and validity in the in-vitro setting. Ultrasound Obstet Gynecol 2010; 36:210-217. [PMID: 20201116 DOI: 10.1002/uog.7609] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
OBJECTIVES To compare XI VOCAL (eXtended Imaging Virtual Organ Computer-aided AnaLysis) for three-dimensional (3D) ultrasound volumetry of the placenta and of phantom objects with a rotational method using VOCAL and with the multiplanar method. METHODS We acquired 3D volume datasets from 32 fetuses at 11-14 weeks' gestation. Placental volume was calculated twice by each of two observers using XI VOCAL (with 5, 10, 15 and 20 slices), multiplanar (1-mm interval) and VOCAL (with 12 degrees, 18 degrees and 30 degrees rotation) methods. In addition, validity was assessed using the in-vitro setting with three phantom objects of known volume. RESULTS Both inter- and intraobserver reliabilities were very high for all three methods. There was no systematic bias between any two methods except between XI VOCAL (10 slices) and the multiplanar (1-mm interval) method, with a smaller volume using the former method. The limits of agreement were wide between any two of the three methods. In the in-vitro setting, there was a trend towards less valid measurements with the XI VOCAL technique and fewer slices. With the same number of steps, measurements made with VOCAL (12 degrees and 18 degrees) were more valid than were those made with XI VOCAL (15 and 10 slices, respectively). CONCLUSION XI VOCAL cannot be used interchangeably with VOCAL or multiplanar techniques in measuring placental volume at 11-14 weeks' gestation.
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Affiliation(s)
- K B Cheong
- Department of Obstetrics and Gynaecology, University of Hong Kong, Queen Mary Hospital, Hong Kong, SAR China
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Yang F, Leung KY, Lee YP, Chan HY, Tang MHY. Fetal biometry by an inexperienced operator using two- and three-dimensional ultrasound. Ultrasound Obstet Gynecol 2010; 35:566-71. [PMID: 20183864 DOI: 10.1002/uog.7600] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
OBJECTIVE To compare the reproducibility, accuracy and time required for fetal biometric measurements using two-dimensional (2D) and three-dimensional (3D) ultrasonography by an inexperienced operator. METHODS Fifty consecutive fetuses were evaluated at a gestational age of 17-34 weeks. For every fetus measurements-including biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC) and femur length (FL)-were made by an inexperienced operator using 2D ultrasound and then saved 3D volumes. As a control, measurements were also made by an experienced operator using 2D ultrasonography alone. Each fetal biometric parameter was measured twice by each operator. All images were assessed by two experienced reviewers, blinded to the operator's identity, using a scoring system based on objective evaluation criteria. RESULTS The interobserver, intraobserver and inter- method variability for 2D ultrasonography by the experienced operator (2D-exp), and 2D and 3D ultrasonography by the inexperienced operator (2D-inexp and 3D-inexp) was small (all intraclass correlation coefficients > or = 0.991). A non-significantly higher proportion of fetal biometric measurements by 3D-inexp than 2D-inexp were within 1 mm of the measurements by 2D-exp. There were no differences in the mean image quality scores of fetal biometry between 2D-exp and 2D-inexp, 2D-exp and 3D-inexp. However, the quality score of AC images obtained by 3D-inexp was greater than that obtained by 2D-inexp (5.5 vs. 5.3, P = 0.018). The mean time required to measure BPD, HC, AC and FL was less for 3D-inexp than for 2D-inexp (67.2 vs. 97.0 s, 64.6 vs. 97.0 s, 60.1 vs. 81.5 s and 65.5 vs. 95.1 s, respectively; all P < 0.001), but was significantly greater than for 2D-exp, with corresponding figures of 24.3, 24.3, 27.9 and 27.2 s. CONCLUSION Fetal biometric measurements obtained by an inexperienced operator using both 2D and 3D ultrasound were reproducible and showed good agreement with those obtained by an experienced operator. The use of 3D ultrasound by an inexperienced operator allows faster measurements to be made than by 2D ultrasound and also seems to facilitate the acquisition of higher-quality images for measurement of AC.
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Affiliation(s)
- F Yang
- Department of Obstetrics and Gynecology, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China
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Chan K, Yam I, Leung KY, Tang M, Chan TK, Chan V. Detection of paternal alleles in maternal plasma for non-invasive prenatal diagnosis of beta-thalassemia: a feasibility study in southern Chinese. Eur J Obstet Gynecol Reprod Biol 2010; 150:28-33. [PMID: 20206431 DOI: 10.1016/j.ejogrb.2010.02.016] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2009] [Accepted: 02/03/2010] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To evaluate in maternal plasma, the efficacy of detecting the paternal beta-gene mutation and informative single nucleotide polymorphisms (SNPs) linked to the paternal-mutant or -normal allele in non-invasive prenatal diagnosis (NIPND). STUDY DESIGN In 20 at-risk pregnancies, using the allele-specific arrayed primer extension (AS-APEX) technology of the previously published "Thalassemia" array, cyanine-5-deoxycytosine triphosphate (Cy5-dCTP) was incorporated into the extended strands to matched PCR-amplified maternal plasma DNA templates, to detect both the paternal beta-gene mutation and informative paternal SNPs. RESULTS Sensitivity experiment showed that 5pg DNA as starting template gave detectable signals on the array. In 13 cases (65%), the paternal-derived beta-gene mutation and/or informative mutant-associated SNP were detected. A subsequent invasive procedure was required to determine if the fetus had a beta-thalassemia (thal) major or minor genotype. In 3 cases (15%), absence of the paternal mutant or mutant-associated SNP excluded a beta-thal major fetus; while in 4 cases (20%), this approach was non-discriminative as both parents carry the same mutation without any informative SNP. CONCLUSION This approach was useful in 16 out of 20 (80%) pregnancies at risk for beta-thal in southern Chinese.
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Affiliation(s)
- Kaimin Chan
- University Department of Medicine, Queen Mary Hospital, Hong Kong
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Leung KY, Cheong KB, Lee CP, Chan V, Lam YH, Tang M. Ultrasonographic prediction of homozygous alpha0-thalassemia using placental thickness, fetal cardiothoracic ratio and middle cerebral artery Doppler: alone or in combination? Ultrasound Obstet Gynecol 2010; 35:149-154. [PMID: 20047196 DOI: 10.1002/uog.7443] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
OBJECTIVE To compare the predictive values of three ultrasonographic parameters: placental thickness (PT), fetal cardiothoracic ratio (CTR) and middle cerebral artery peak systolic velocity (MCA-PSV), alone or in combination, in pregnancies affected by homozygous alpha(0)-thalassemia at 12-20 weeks' gestation. METHODS Pregnant women at risk of carrying a fetus affected by homozygous alpha(0)-thalassemia were studied from 1995 to 2006 using serial ultrasonography at 12-15 weeks, 16-20 weeks and 30 weeks' gestation. We measured CTR and PT from 1995, and MCA-PSV as well from 1997. An invasive prenatal test was offered if cardiomegaly with or without placentomegaly was detected but the MCA-PSV results were used only retrospectively for analysis. RESULTS Of a total of 777 at-risk fetuses studied, 138 (17.8%) were affected by homozygous alpha(0)-thalassemia. At 12-15 weeks' gestation, 598 ultrasound examinations were performed. CTR was better than both PT and MCA-PSV in the prediction of affected pregnancies. The highest sensitivity (98.3%) was achieved by the combination of CTR and/or MCA-PSV at a false-positive rate of 15.8%. At 16-20 weeks' gestation, 410 ultrasound examinations were performed, 121 of which were at the patient's first visit and 289 of which were at a follow-up visit. Both CTR and MCA-PSV predicted the affected pregnancies equally well. The sensitivity of CTR was 100.0%, but the false-positive rate was 5.2%. In contrast, the false-positive rate of MCA-PSV alone was 1.4% and that of the combination of CTR and MCA-PSV was 0%, although their sensitivities were less than 65%. CONCLUSIONS The data suggest that adding MCA-PSV to CTR in the prediction of homozygous alpha(0)-thalassemia can increase the sensitivity at 12-15 weeks and decrease the false-positive rate at 16-20 weeks' gestation.
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Affiliation(s)
- K Y Leung
- Department of Obstetrics & Gynaecology, The University of Hong Kong, Queen Mary Hospital, Hong Kong, Republic of China.
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Cheong KB, Leung KY, Chan HY, Lee YP, Yang F, Tang MHY. Comparison of inter- and intraobserver agreement between three types of fetal volume measurement technique (XI VOCAL, VOCAL and multiplanar). Ultrasound Obstet Gynecol 2009; 33:287-294. [PMID: 19248036 DOI: 10.1002/uog.6255] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
OBJECTIVES To compare the new XI VOCAL (eXtended Imaging Virtual Organ Computer-aided Analysis) for three-dimensional (3D) ultrasound measurement of fetal volume with the conventional multiplanar technique and a rotational method using VOCAL. METHODS We acquired 3D volume datasets from 30 fetuses at 11-14 weeks of gestation using a commercially available ultrasound system. Fetal volume was calculated using XI VOCAL (with 5, 10, 15 and 20 slices), multiplanar (1-mm interval) and VOCAL (with 12 degrees, 18 degrees and 30 degrees rotation) techniques. The level of agreement for interobserver and intraobserver variability was determined and evaluated for all methods and reliability was assessed. RESULTS Fetal volume measurements obtained using XI VOCAL (10 slices) showed good correlation with those obtained using VOCAL (18 degrees) (r = 0.940, P = 0.076; intraclass correlation coefficient (ICC), 0.962 (95% CI, 0.920-0.982), P = 0.182), and XI VOCAL (15 slices) showed good correlation with VOCAL (12 degrees ) (r = 0.961, P = 0.092; ICC, 0.979 (95% CI, 0.957-0.990), P = 0.190). The mean difference between paired measurements by the XI VOCAL (10 slices) and VOCAL (18 degrees ) methods was 1.00 mL, while that by the XI VOCAL (15 slices) and VOCAL (12 degrees) methods was 0.90 mL. 95% limits of agreement were - 2.80 to 4.80 between XI VOCAL (10 slices) and VOCAL (18 degrees) and - 1.90 to 3.70 between XI VOCAL (15 slices) and VOCAL (12 degrees). There was a small difference in the time required to complete the fetal volume measurement between XI VOCAL and VOCAL when a similar number of slices or rotational steps was used (P < 0.05), XI VOCAL taking less time. CONCLUSION XI VOCAL (with 10, 15 and 20 slices) can be used interchangeably with the multiplanar technique (1-mm interval) for the measurement of fetal volume. XI VOCAL (10 slices) and VOCAL (18 degrees) can be used interchangeably, as can XI VOCAL (15 slices) and VOCAL (12 degrees), for the measurement of fetal volume.
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Affiliation(s)
- K B Cheong
- Department of Obstetrics and Gynaecology, The University of Hong Kong, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, Hong Kong, SAR China. cheong kah
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Chan BC, Hui PW, Leung WC, Leung KY, Pun TC, Lee CP. Application of transcervical hysterofetoscopy and cord blood collection at first trimester termination of pregnancy for fetal abnormalities. Prenat Diagn 2008; 28:939-42. [PMID: 18792922 DOI: 10.1002/pd.2085] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE To examine the applicability of hysterofetoscopy and cord blood collection at first trimester termination of pregnancy for fetal abnormalities. METHODS From 2004 to 2007, transcervical hysterofetoscopy was performed in seven patients at the same operation setting of surgical termination of pregnancy. The findings were compared with prenatal diagnosis. Feasibility of cord blood collection was also examined. RESULTS Out of these seven patients, six of them had prenatal ultrasound diagnosis of cystic hygroma. All of them had chromosomal abnormalities. Subcutaneous oedema was confirmed by hysterofetoscopy with good view. Another pregnancy was complicated by homozygous alpha thalassaemia and the diagnosis was confirmed by electrophoresis of fetal haemoglobin collected from umbilical cord vessel. Cord blood collection was also attempted in two other patients yielding fetal blood with minimal maternal contamination. CONCLUSION Transcervical hysterofetoscopy is a feasible tool in confirming external fetal structural abnormalities before surgical termination of pregnancy. It can be performed under either general anaesthesia or conscious sedation. Umbilical cord blood collection can facilitate confirmation of genetic diseases. It may also allow the potential of isolating fetal mesenchymal stem cell in first trimester.
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Affiliation(s)
- B C Chan
- Department of Obstetrics and Gynaecology, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong.
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Abstract
Alpha-thalassaemia is one of the most common human genetic disorders. Couples in which both partners carry alpha(0)-thalassaemia traits have a 25% risk of having a fetus affected by homozygous alpha-thalassaemia or haemoglobin Bart's disease, with severe fetal anaemia in utero, hydrops fetalis, stillbirth or early neonatal death, as well as causing various maternal morbidities. This disorder is common in southeast Asia and southern China, and the expanding populations of southeast Asian immigrants in the US, Canada, UK and Europe mean that this disorder is no longer rare in these countries.
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Affiliation(s)
- W C Leung
- Department of Obstetrics & Gynaecology, Kwong Wah Hospital, Kowloon, Hong Kong.
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Law KM, Leung KY, Tang MHY, Chau AKT. Prenatal two- and three-dimensional sonographic diagnosis of total anomalous pulmonary venous connection. Ultrasound Obstet Gynecol 2007; 30:788-9. [PMID: 17663483 DOI: 10.1002/uog.4085] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
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Lau SKP, Woo PCY, Fan RYY, Ma SSL, Hui WT, Au SY, Chan LL, Chan JYF, Lau ATK, Leung KY, Pun TCT, She HHL, Wong CY, Wong LLL, Yuen KY. Isolation of Laribacter hongkongensis, a novel bacterium associated with gastroenteritis, from drinking water reservoirs in Hong Kong. J Appl Microbiol 2007; 103:507-15. [PMID: 17714383 DOI: 10.1111/j.1365-2672.2006.03263.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIMS Freshwater fish has been found to be the reservoir of Laribacter hongkongensis, a recently discovered bacterium associated with community-acquired gastroenteritis. However, little is known about the ecology of this bacterium in the aquatic environment. We carried out a surveillance study to investigate the presence of L. hongkongensis in water and freshwater fish from 10 drinking water reservoirs in Hong Kong. METHODS AND RESULTS Using membrane filtration, L. hongkongensis was isolated from the waters of six reservoirs, with numbers ranging from 1 to 12 CFU l(-1). Higher recovery rates were observed in summer and during days of higher water and ambient temperatures. Of 27 freshwater fish collected from the reservoirs, L. hongkongensis was recovered from the intestines of two fish, a Goldfish and a Nile tilapia. Overall, 35 different pulsed-field gel electrophoresis patterns are found among the 59 isolates recovered from water and the two isolates from freshwater fish. CONCLUSIONS The present report represents the first to demonstrate the presence of L. hongkongensis in natural water environments. SIGNIFICANCE AND IMPACT OF THE STUDY Although it is unlikely that treated, drinking water is an important source of L. hongkongensis-associated gastroenteritis, one should be aware of the possibility of other contaminated water as a source of human infection.
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Affiliation(s)
- S K P Lau
- State Key Laboratory of Emerging Infectious Diseases, The University of Hong Kong, Hong Kong, China
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Leung KY. Changing pattern of hysterectomies for benign conditions. Hong Kong Med J 2007; 13:176-7. [PMID: 17548904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/15/2023] Open
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Yin A, Ng EHY, Zhang X, He Y, Wu J, Leung KY. Correlation of maternal plasma total cell-free DNA and fetal DNA levels with short term outcome of first-trimester vaginal bleeding. Hum Reprod 2007; 22:1736-43. [PMID: 17416916 DOI: 10.1093/humrep/dem058] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The current methods using sonographic parameters and/or maternal serum beta-HCG levels to predict spontaneous abortion are not satisfactory. The aim of this study was to determine whether maternal plasma fetal DNA and total DNA levels could be used to predict spontaneous abortion. METHODS We prospectively studied pregnant women who presented with vaginal bleeding in the first trimester of pregnancy, and those who had no vaginal bleeding (controls). DYS14 and the beta-globin gene were used to measure the maternal plasma levels of fetal and total DNA, respectively, by real-time PCR. RESULTS A total of 1114 women were studied. Both maternal plasma fetal and total DNA concentrations increased with gestation from 6 to 11.6 weeks in the controls. The multiple of medians (MoMs) of fetal and total DNA concentration in those who miscarried were significantly greater (P < 0.001) than in the normal controls by about 5- and 4-fold respectively. Using a cut-off value of 1.6 MoMs for total DNA to predict spontaneous abortion, the sensitivity was 98.2% and false positive rate was 4.7%. However, using a cut-off value of 1.8 MoMs for fetal DNA, the corresponding figures were 97% and 44.3%, respectively. CONCLUSIONS Both maternal plasma fetal and total DNA concentrations increased throughout the first trimester. Significantly high levels of fetal and total DNA were found in those who miscarried.
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Affiliation(s)
- Aihua Yin
- Department of Anatomy, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, Guangdong 510089, People's Republic of China
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Leung WC, Chan BCP, Ma G, Lam KW, Leung KY, Pun TC, Lao TT, Lee CP. Continued reduction in the incidence of birth trauma and birth asphyxia related to instrumental deliveries after the study period: Was this the Hawthorne effect? Eur J Obstet Gynecol Reprod Biol 2007; 130:165-8. [PMID: 16567034 DOI: 10.1016/j.ejogrb.2006.02.013] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2005] [Revised: 12/19/2005] [Accepted: 02/08/2006] [Indexed: 11/24/2022]
Abstract
BACKGROUND The incidence of birth trauma and birth asphyxia related to instrumental deliveries in our obstetric unit was high (2.8%) in 1998-1999. A study was performed in 2000 to identify the risk factors. Unexpectedly, the incidence (0.6%) was reduced significantly during the study period. We attributed this phenomenon to the famous Hawthorne effect (tendency to improve performance because of awareness of being studied). OBJECTIVES The objectives were to study whether there is a continued reduction in the incidence of birth trauma and birth asphyxia related to instrumental deliveries in the post-study period (2001-2003) and to investigate the presence of underlying confounding factors apart from the Hawthorne effect. METHOD To compare the hospital obstetric statistics among the pre-study period (1998-1999), the study period (2000) and the post-study period (2001-2003), in particular the incidence of birth trauma and birth asphyxia related to instrumental deliveries, the instrumental delivery rate, the overall Caesarean section rate, the Caesarean section rate for no progress of labour, the incidence of failed instrumental delivery, the incidence of attempted instrumental delivery in the operating theatre, and incidence of direct second-stage Caesarean sections. RESULTS The incidence of birth trauma and birth asphyxia related to instrumental deliveries (0.6%) during the study period (2000) was significantly lower than that (2.8%) during the pre-study period (1998-1999; RR 0.27, 95% CI 0.11-0.70). This phenomenon continued into the post-study period (2001-2003) when the incidence of 1.0% was similarly lower than that in the pre-study period (RR 0.35, 95% CI 0.20-0.64). The instrumental delivery rate decreased further in the post-study period (13.5%) compared with those in the study (16.6%) and pre-study (19.5%) periods (RR 0.81, 95% CI 0.75-0.89 and RR 0.69, 95% CI 0.65-0.74, respectively). There was a marked increase in the direct second-stage Caesarean section rate in the post-study period (7.1%) compared to those in the study (0.4%) and pre-study (0.7%) periods (RR 15.9, 95% CI 5.05-49.73 and RR 9.77, 95% CI 5.28-18.08, respectively). CONCLUSION A change in obstetric practice was identified that may explain the continued reduction in the incidence of birth trauma and birth asphyxia related to instrumental deliveries in the post-study period.
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Affiliation(s)
- W C Leung
- Department of Obstetrics and Gynaecology, Queen Mary Hospital, University of Hong Kong, HKSAR, China.
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Abstract
OBJECTIVES To determine the prenatal diagnostic accuracy of two-dimensional ultrasound (2DUS) alone versus 2DUS in conjunction with three-dimensional ultrasonography (3DUS) including orthogonal display (OGD) and three-dimensional extended Imaging for cleft lip and primary palate. MATERIALS AND METHOD Fetuses being suspected of having a facial cleft by previous ultrasound examination or family history were examined sequentially with 2DUS and then 3DUS. RESULTS Of a total of 30 infants, 22 had cleft lip and nine also had cleft palate at birth. The use of 2DUS with or without 3DUS correctly identified all cases of cleft lips prenatally. However, the use of 2DUS in conjunction with 3DUS correctly identified more cleft primary palate than 2DUS alone (88.9% vs 22.2%, P < 0.01). Cleft primary palate was well demonstrated in both the multi-slice view (MSV) and OGD modes. In one case, a cleft palate was shown in the MSV mode but not in the Oblique view (OBV) mode. All the unaffected fetuses were reported as no cleft palate with the use of MSV mode. CONCLUSIONS Combined approach of 2DUS and 3DUS with both OGD and MSV modes significantly improved the prenatal detection rate for a cleft palate compared with 2DUS alone (88.9% vs 22.2%) without decreasing the specificity.
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Affiliation(s)
- L M Wang
- Guangdong Women and Children Hospital, Ultrasound, China
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Leung KY, Ngai CSW, Lee A, Chan HY, Leung WC, Lee CP, Tang MHY. The effects on maternal anxiety of two-dimensional versus two- plus three-/four-dimensional ultrasound in pregnancies at risk of fetal abnormalities: A randomized study. Ultrasound Obstet Gynecol 2006; 28:249-54. [PMID: 16909403 DOI: 10.1002/uog.2844] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
OBJECTIVE To test the hypothesis that the use of two-dimensional (2D) ultrasonography with three-dimensional/four-dimensional (3D/4D) ultrasonography can reduce anxiety to a greater extent in women at risk of having a fetus with congenital abnormalities than the use of 2D ultrasonography alone. METHODS A total of 124 women attending the prenatal diagnostic clinic of a teaching hospital were randomized into the intervention group (2D ultrasonography followed by 3D/4D ultrasonography) or control group (2D ultrasonography alone). The primary outcome was maternal anxiety levels, which were assessed by the Spielberger state-trait anxiety inventory. We measured the anxiety levels in all women at the first visit, at around 18 weeks' gestation (immediately after ultrasound examinations) and at 28 weeks' gestation. RESULTS A short-term reduction of the state-anxiety score (by around 2 points) from the first visit to after ultrasound examinations was observed in both the intervention group and the control group. Unexpectedly, a small increase in the state-anxiety score from the first visit to 28 weeks' gestation was observed in the intervention group but not in the control group, though there was no significant difference in the changes between the two groups. Repeated measures ANOVA (analysis of variance) also showed that there was no significant interaction effect between groups and time of assessment on the state-anxiety scores (F = 1.072 and P = 0.344). About 80% of women reported a better understanding that their baby was normal after viewing 3D rather than 2D images. CONCLUSION This randomized study indicates that the addition of 3D/4D ultrasound does not cause a significant reduction in maternal anxiety in pregnancies at risk of fetal abnormalities compared with conventional 2D ultrasound alone.
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Affiliation(s)
- K Y Leung
- The Department of Obstetrics and Gynecology, Queen Mary Hospital, The University of Hong Kong, Hong Kong SAR.
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Chen M, Leung KY, Lee CP, Tang MHY, Ho PC. Placental volume measured by three-dimensional ultrasound in the prediction of fetal alpha(0)-thalassemia: a preliminary report. Ultrasound Obstet Gynecol 2006; 28:166-72. [PMID: 16652395 DOI: 10.1002/uog.2721] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
OBJECTIVE To evaluate the use of placental volume measured by three-dimensional (3D) ultrasound in predicting fetal homozygous alpha(0)-thalassemia (Hb-Bart's disease). METHODS From June 2002 to May 2004 singleton pregnancies at risk of alpha(0)-thalassemia and normal controls were studied prospectively at 9-12 weeks of gestation. Affected fetuses were suspected to have alpha(0)-thalassemia by two-dimensional (2D) ultrasound and confirmed by DNA analysis. Placental volume was measured on 3D ultrasound by a multiplanar technique. Intra- and interobserver agreement of measurements was assessed. The placental volume/crown-rump length quotient of the affected fetuses was compared with that of normal fetuses. RESULTS The final study group comprised 105 pregnancies; 43 were at risk of alpha(0)-thalassemia and 62 were normal controls. Eleven (10.5%) fetuses were affected by alpha(0)-thalassemia, all from the at-risk group, and the others were normal. Intra- and interobserver agreement of volume measurement by 3D ultrasound was relatively poor; this was reflected in the wide limits of agreement, which ranged from -10.82 to 40.86 mL. The mean +/- SD placental volume/crown-rump length quotient in affected pregnancies was larger than that in unaffected pregnancies (1.37 +/- 0.65 vs. 1.13 +/- 0.39), but this difference was not significant (P > 0.05). CONCLUSIONS Assessment of placental volume by 3D ultrasound does not seem to be superior to 2D ultrasound in the first-trimester prediction of alpha(0)-thalassemia.
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Affiliation(s)
- M Chen
- Department of Obstetrics and Gynaecology, The University of Hong Kong, Queen Mary Hospital, Hong Kong
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Leung KY, Liao C, Li QM, Ma SY, Tang MHY, Lee CP, Chan V, Lam YH. A new strategy for prenatal diagnosis of homozygous alpha(0)-thalassemia. Ultrasound Obstet Gynecol 2006; 28:173-7. [PMID: 16652394 DOI: 10.1002/uog.2720] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
OBJECTIVES We have shown previously that ultrasound examination performed by one experienced operator can be useful to exclude homozygous alpha(0)-thalassemia in a tertiary referral center. This study aimed to determine whether the technique was still applicable when performed by several operators and in different centers. METHODS At the Maternal and Neonatal Hospital of Guangzhou (MNH) and Tsan Yuk Hospital of Hong Kong (TYH), women at risk of homozygous alpha(0)-thalassemia were given the option of a non-invasive approach (using serial ultrasound examinations at 12-15, 16-20 and 25-30 weeks' gestation) to exclude an affected pregnancy. The fetal cardiothoracic ratio (CTR) was measured at each of these examinations and the placental thickness was measured at 12-15 weeks' gestation. The operators of MNH received training on the ultrasound examination techniques at TYH and the quality of the subsequent ultrasound examinations was checked regularly. The final diagnosis of homozygous alpha(0)-thalassemia was confirmed using an invasive test. RESULTS Of 832 at-risk pregnancies studied in the two hospitals, 168 (20.2%) were affected. The overall sensitivity and specificity of the non-invasive approach was 100% and 95.6%, respectively. At MNH, the need for an invasive test was reduced by 80.8%, and all the affected pregnancies were diagnosed before 24 weeks' gestation. The results achieved at MNH were comparable with those at TYH. The at-risk pregnancies including the affected ones presented at a more advanced gestational age at MNH. At each hospital, one affected pregnancy was missed at the 12-week scan but this was subsequently detected at the 15-18-week scan. CONCLUSIONS This non-invasive approach to exclude homozygous alpha(0)-thalassemia can be applicable when it is performed by several operators and in different centers.
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Affiliation(s)
- K Y Leung
- Department of Obstetrics and Gynaecology, The University of Hong Kong, Queen Mary Hospital, Guangzhou, Guangdong, China.
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