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R Lo

Publications and source records attributed to R Lo.

62 records · Page 4Linked to original sources
PubMedDate not supplied

Prognosis in middle cerebral artery occlusion.

The natural history of MCA occlusion has become increasingly important since the surgical option of EC/IC bypass surgery has been available. The clinical course of 24 patients with angiographically-demonstrated occlusion of the MCA artery was reviewed. Eight patients presented with a major disabling stroke and five of these died during the acute phase of this ischemic event. The remaining 19 patients were followed for a mean of 54.2 months. There were five deaths in follow-up and two of these were due to subsequent strokes. Fourteen patients manifested a benign course: one of these had a further minor stroke and four had TIAs. Altogether, 3 strokes occurred during the follow-up period (2 fatal, 1 minor) and all were in the territory of the artery known to be occluded. Of those patients who survived their presenting ischemic event, 12 (63%) remained completely functional in terms of activities of daily living. MCA occlusion does not necessarily carry a poor prognosis with medial therapy alone and the role of bypass surgery hopefully will be clarified by the ongoing clinically randomized trial.

Adult↗
PubMedDate not supplied

Perceptions of nursing students on men entering nursing as a career.

The purpose of this study was to examine the perceptions of nursing students who were enrolled in an under-graduate nursing programme in a rural university, on men entering nursing as a career. Questionnaires were returned by 38 males (63%) and 117 females (50%). The major findings were that male nursing students intend to work in specialty areas such as emergency nursing, operating room nursing and intensive care. Both male and female nursing students perceived that the public displayed an increasing respect and acceptance of male nurses. Differences between male and female nursing students were evident in demographic characteristics, course interests, career aspirations, motivating factors and barriers associated with males choosing a nursing career.

Adult↗
PubMedDate not supplied

Liver transplantation--perspective from Hong Kong.

BACKGROUND/AIMS: We report our experience of 27 orthotopic liver transplantations in 26 patients performed at Queen Mary Hospital, Hong Kong during the period of October 1991 to October 1995. PATIENTS AND METHODS: There were 19 adults and 7 pediatric patients with a mean age of 29 years (range 8 months to 62 years). The underlying liver diseases of the 26 patients were biliary atresia (n = 6), Alagille syndrome (n = 1), primary biliary cirrhosis (n = 2) cryptogenic cirrhosis (n = 2), alcoholic cirrhosis (n = 5), Wilson's disease (n = 1), fulminant hepatic failure (n = 3), polycystic liver (n = 2), secondary biliary cirrhosis (n = 1), HBV cirrhosis (n = 2) and autoimmune hepatitis with hepatocellular carcinoma (n = 1). The pathology leading to re-transplantation in a pediatric patient was post-transplant hepatitis of unknown etiology. The liver grafts were obtained from 19 brainstem dead and 8 living donors. The pediatric patient requiring re-transplantation received a left lateral segment graft from her mother. Two adults received left lobe grafts from their family members. RESULTS: The overall graft survival is 88% and patient survival is 92%. There were only 2 deaths: one patient developed primary graft nonfunction and died from intracerebral bleeding 39 days after transplantation and the other died from graft rejection resistant to salvage by steroid pulse and OKT3. The other patients are well with functioning grafts. CONCLUSIONS: We hope that the current success rate can convince people in our locality in cadaveric organ donation so that living donors do not run the risk of dying from the operation, although the risk is estimated to be very small.

Adult↗
PubMedDate not supplied

The non-insulin-dependent diabetic: success and failure in compliance.

Failure to comply with medical regimes is endemic and is extremely costly both in economic and wellness terms. Adherence failure is explored in this study of 95 non-insulin-dependent-diabetics (NIDDM) subjects. Results indicate that the factors governing failure to adhere are not necessarily the obverse of psychosocial factors correlated with successful adherence to medical regimes. Success in complying to wellness behaviours was a function of positive attitudes and an acceptance of the challenges of the illness, the capacity to utilise family support, and not having negative self esteem. Failure to comply was a function of a syndrome of stress, chronic and transient mental distress. Common to both success and failure in complying were attitudes to health professionals, extent of knowledge about the disease and perceptions of the success or otherwise in overcoming inconvenience and barriers which might impede compliance.

Adult↗