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Purpose: This article assessed the effectiveness of social networking strategies (networking strategic initiative [NSI]) to overcome stressful life events experienced in normal aging in Hong Kong. Method: A three-wave quasi-experimental panel design with an overall sample consisting of n = 288 Chinese elderly placed into two groups: NSI group: n[subscript 1] = 175 and comparison group: n[subscript 2] = 113. Face-to-face structured interviews were conducted for over 30 months. Five outcome measures including subjective well-being, self-esteem, locus of control, sense of belonging, and collective power were investigated, using a generalized linear mixed model for repeated measurements. Results: Findings revealed those who were continuously active throughout the intervention period experienced considerable increases in self-esteem and sense of belonging. Conclusion: No appreciable effects on any of the five outcome measures were found for those who were enrolled in the program and were inactive. The findings provide significant implications for future practice with community-dwelling elderly Chinese populations in Hong Kong and elsewhere.

Sustainable development is a priority area of research in many countries and regions nowadays. This paper illustrates how a multi-stakeholders engagement process can be applied to identify and prioritize the local community's concerns and issues regarding sustainable development in Hong Kong. Ten priority areas covering a wide range of community's concerns in relation to the economic growth, societal development and environmental protection have been identified. An index is then constructed based on these priority areas to track the public's views on the progress of Hong Kong towards a more sustainable city.

Objective: to investigate usage patterns and factors associated with maternal consumption of Chinese herbal medicines in China. Design: prospective cohort study. Information on the use of Chinese herbal medicines was collected from mothers by personal interview at hospital discharge and followed up by telephone at one, three and six months postpartum. Setting: seven hospitals in Jiangyou, Sichuan Province of China. Participants: 695 mothers who gave birth to a singleton infant. Measurements: prevalence, type, frequency and duration of herbal medicine usage. Logistic mixed regression analyses were performed to determine factors affecting the use. Findings: a total of 43.5% and 45.0% of mothers consumed Chinese herbal medicines during pregnancy and postpartum, respectively. Angelica sinsensis was the most popular herbal medicine among the participants (pregnancy 28.8%, postpartum 26.8%). Although herbal medicines were taken more regularly by postpartum users, the median usage duration varied from two to three months during pregnancy but 1-1.6 months postpartum. The majority of users (pregnancy 42.9%, postpartum 55.1%) were advised by their mother or mother-in-law to take Chinese herbal medicines. Antenatal alcohol drinking (adjusted odds ratio 2.75, 95% confidence interval 1.01-7.53) was associated with a marginally higher prevalence of herbal consumption during pregnancy, whereas mothers with a lower family income (adjusted odds ratio 1.52, 95% confidence interval 1.12-2.04) were more likely to consume Chinese herbal medicines in the postpartum period. Key conclusions and implications for practice: consumption of Chinese herbal medicines appears to be prevalent among Chinese mothers, especially those drinking alcohol whilst pregnant and women from a lower income household. Maternity health professionals need to be aware of the lack of evidence to support the use of Chinese herbal medicines during pregnancy and postpartum, and to provide their clients with scientifically based advice regarding herbal medicine use. [ABSTRACT FROM AUTHOR]

Background The mortality rate in patients with haemodynamically unstable pelvic fractures is as high as 40-60%. In recent years, angioembolisation and pelvic packing have been introduced as part of a multimodality treatment for these patients. Protocol-driven management has been shown to improve outcomes. Patients and methods This is a Level III retrospective cohort study of patients suffering from unstable pelvic fractures from 1 January 1996 to 30 September 2011. The aim of the study was to review our results, particularly in terms of mortality through the evolution of three phases of treatment protocols: preangiography, angiography and pelvic packing. Results The overall 30-day mortality rate for all patients was 47.2%, with a rate of 63.5% in the preangiography phase, 42.1% in the angiography phase and 30.6% in the pelvic packing phase. Multivariate logistic regression analysis identified the use of retroperitoneal packing as a significant independent predictive factor for 24 h mortality. Conclusions Our results showed an improvement in patient survival with sequential protocols over the study period, during which we incorporated a multidisciplinary approach to managing these complicated pelvic fractures. The results strongly suggest that retroperitoneal packing should be highly recommended for bleeding subsequent to pelvic fracture, in addition to other modalities of treatment. [ABSTRACT FROM AUTHOR]