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In the field of counselling, an increasing number of counsellors are trying to incorporate Buddhist ideas and practices into their practice, but few pragmatic resources from the Buddhist framework ...

Although the need for Buddhist chaplaincy has been increasing tremendously, very few counseling resources and interventions are tailored for Buddhist chaplains. Based on the compassion ideal in Mah...

Room-temperature dynamic light-enhanced galvanometric response of supersonic cluster beam deposited (SCBD) zinc oxide (ZnO) films to oxygen (O2) was investigated. The photocurrent was recorded when above-bandgap light is turned on, being maintained and turned off. Measurements were done in dry gaseous environment, and repeated in dry and wet gaseous environment after adding a water-proof superhydrophobic polymer coating on top. A dissolved oxygen sensor prototype made of a polymer-coated ZnO film was fabricated to detect oxygen content in water. A model involving photo generation and recombination of electron-hole pairs, trapping and release of conduction electrons associated with sorption-desorption processes of oxygen was proposed. A practical method for determining the O2 concentration in the media based on fitting parameters to the dynamic photocurrent was tested.

Vertical transfer has been an increasingly prominent pathway to baccalaureate studies. However, few studies have investigated factors that predict academic performance and degree attainment of vertical transfer students in an Asian educational context. This study gathered data from the institutional dataset of 4133 records of vertical transfer students admitted between 2014 and 2017 in Hong Kong. Logistic regression analyses yielded that being female, first-semester GPA, number of courses per normal semester, and number of courses per summer semester were significant predictors of baccalaureate degree attainment. Linear regression analyses showed that gender (being female), pre-transfer GPA, post-transfer GPA difference, articulating within the same institution, proportion of credits for non- specialized courses, and number of courses per summer semester were associated positively with final GPA of those attaining a degree, while the presence of transfer shock and the number of credits required per year of study were negative predictors. Discussion and implications are presented.

Nursing assistants (NAs) working in nursing homes (NHs) are at higher risk for work-related musculoskeletal symptoms (WRMSs) than their counterparts working in other health care settings. Worldwide, NAs have ranked shoulders in the top three body parts at risk of WRMSs. However, factors associated with their shoulder WRMSs are currently unknown. The aim of this study was to identify these associated risk factors among NAs working in NHs. 440 NAs from 47 nursing homes (with 60–90% response rate from each nursing home), recruited by convenience sampling, participated in this cross-sectional study in 2014–2015. A validated and reliable questionnaire was used for data collection. Information on demographic, job content questionnaire (JCQ), perceived physical exertion (PE), workstyle, ergonomic and manual handling knowledge and other work-related factors was collected using a self-administered questionnaire. 53% of the participants reported experiencing with WRMSs in their shoulders. Nine associated factors of shoulder WRMSs were identified using bivariate analysis. With the adjustment of age and gender using multivariable logistic regression, body mass index (OR = .931, 95% CI [.874–.991]), job title of health workers (OR = 2.72, 95% CI [1.18–6.25]) and workstyle-working through pain (OR = 1.06, 95% CI [1.01–1.11]) remained as predictors. Effort should be directed at integrating “workstyle intervention” into lifestyle physical activity training for NAs.

Utility pipes on the facades of high-rise buildings are susceptible to the harsh environment. Damaged pipes are conventionally replaced manually, which is inconvenient to customers and leads to material wastage and worker safety concerns. This work proposes a different approach by developing a robotic solution in a preventive maintenance manner. The entire robotic system consists of a service robot working at heights and a remote ground station. This paper presents the work process and the major robotic modules: a manipulator arm, a two-finger gripper with force feedback, a sparkless polishing tool with contact feedback, a painting tool with a dip replenish mechanism, and on-board visual monitoring. Field deployment test results validate the effectiveness of the concept. The proposed system saves time from eliminating scaffold preparation setup and reduces material wastage compared with conventional methods. The developed robotic system and process have a potential application in relevant high-rise utility operations.

ObjectiveTransitional care is important to successful hospital discharge. Providing patients with a clear and concise summary of medication-related information can help improve outcomes, in particular, among older adults. The present study aimed to propose a framework for the development of salient medication reminders (SMR), which include drug-related risks and precautions, using the Delphi process.DesignIdentification of potential SMR statements for 80% of medication types used by older adult patients discharged from geriatric medicine departments, followed by a Delphi survey and expert panel discussion.SettingsMedical and geriatric departments of public hospitals in Hong Kong.ParticipantsA panel of 13 geriatric medical experts.Outcome measureA Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree) points, scoring item relevance, importance and clarity. The minimum of 70% consensus was required for each statement to be included.ResultsThe expert panel achieved consensus through the Delphi process on 80 statements for 44 medication entities. Subsequently, the SMR steering group endorsed the inclusion of these statements in the SMR to be disseminated among older adults at the time of discharge from geriatric medicine departments.ConclusionsThe Delphi process contributed to the development of SMR for older adult patients discharged from public hospitals in Hong Kong. Patient experience with and staff response to the SMR were assessed at four hospitals before implementation at all public hospitals.

This investigation examines the association of four measures of poverty (income-based, expenditure-based and asset-based poverty, and material deprivation) with life satisfaction. Perceived life satisfaction was measured among 1,410 older Chinese persons aged 65 and over. Besides life satisfaction and measures of poverty, the study assessed socio-demographic variables, financial strain, health indicators, and social and community resources. Those who faced expenditure-based poverty, material deprivation and asset-based poverty reported a significantly lower level of perceived life satisfaction, while the association between expenditure-based poverty and life satisfaction was found to be the strongest. Other factors that had an impact on life satisfaction included gender, education and marital status; financial strain; social support; the number of close family members and friends; self-rated health; functional capacity; perceived memory; pain; sleep quality; neighbourhood collective efficacy; and engagement in cultural and entertainment activities. From the theoretical perspective, the findings have strong implications for the understanding of the factors that shape the perception of quality of life in old age. Our results also have important policy implications for the official measurement of poverty, monitoring of the poverty situation and the development of anti-poverty measures to help older persons living in poverty to improve the quality of their lives.

In September 2013, the Government of the Hong Kong Special Administrative Region established Hong Kong’s first official poverty line. The new poverty line is used as a major yardstick in social welfare policy formulation and in the allocation of public resources aimed at combating poverty; despite its importance, however, its robustness has not been examined. Using data from the 2011 Population Census, we examined the robustness of the official poverty line in measuring child poverty in Hong Kong through assessing the sensitivity of child poverty measures to the choice of different equivalence scales. The results show that the child poverty profile in Hong Kong is generally not sensitive to the choice of equivalence scale and that the official poverty line correctly identifies those children who live in poverty. Rates of child poverty among boys and girls of different ages, with different family backgrounds and living in households with different compositions, were calculated and ranked using different equivalence scales; these rankings were found to be very similar to those yielded by the official poverty measure. Thus, the choice of adult equivalence scale does not favour any subgroup. We also examined the child poverty profile in Hong Kong based on the official poverty measure and with our 2011 census data. We found that the children in our sample were more likely than the adults to live in poverty household; that more than half of the children who lived in poverty belonged to working poor families; and that children living in public housing were particularly likely to suffer from severe poverty. In light of these findings, we urge the government to prioritise taking measures aimed at lifting children out of poverty.

A light-harvesting triblock copolymer incorporated with pyrene and ruthenium complex photosensitizing moieties was synthesized and integrated into the dispersion and surface functionalization of multiwalled carbon nanotubes (MWCNTs) via noncovalent π–π interactions. Molecular dynamics simulation results show that the copolymer interacts with MWCNTs mainly through the pyrene blocks and that the Ru complex moieties far away from the MWCNT could preserve the charge-separated states of the electron donor–acceptor system after photo excitation. This new molecular structure serves as a good model for studying the fundamental photophysics of light harvesting systems based on polymer/carbon nanotube hybrids. Results from femtosecond transient absorption spectroscopy show that the electron transfer process occurs within 383 ps from the Ru complex to MWCNT, which is much faster than the relaxation of the triplet metal-to-ligand charge transfer excited state of the Ru complex. The rapid electron injection process in...

This paper analyzes the data from the Population Census of 2011 to identify the characteristics of poor ethnic minority groups in Hong Kong and the factors that are associated with child poverty among these ethnic minorities. The results show that the child poverty level varies between different ethnic groups and that ethnic minorities from developing nations are likely to have a higher poverty level. In particular, Pakistani children have the highest poverty rate among all ethnic groups. The results also show that Pakistani, Nepalese, and Mixed (Chinese and Asian) nationalities have a higher child poverty rate than that of Chinese individuals who constitute the majority of the Hong Kong population. The main reason for this is that, unlike their Chinese counterparts, some of these ethnic minority households have not benefited from their own human capital or their length of exposure in the local society in Hong Kong. And even if they have benefited, the positive impact of these factors on ethnic minority households was much weaker compared to that of Chinese households. These results suggest that ethnic minorities need to be categorized as a separate group in order to assess their specific needs, and assimilation policies, especially support on Chinese language learning, need to be an integral part of the government’s poverty reduction strategy to reduce child poverty among ethnic minorities.

Purpose Patients with pre-existing cervical spinal canal stenosis (CSCS) may have minimal or no symptoms. However, performing preventive decompression is controversial as the incidence of CSCS leading to severe cord injury is unknown. Hence, this study aims to revisit the threshold for surgery in “silent” CSCS by reviewing the neurologic outcomes of patients with undiagnosed CSCS who sustained a cervical spinal cord injury (CSCI). Methods Two groups of subjects were recruited for analysis. Firstly, patients with trauma-induced CSCI without fracture or dislocation were included. Pre-existing CSCS was diagnosed by MRI measurements. The second group consisted of asymptomatic subjects recruited from the general population who also had MRIs performed. Canal sizes were compared between this control group and the patient group. Within the patient group, neurological assessments and outcomes by Frankel classification were performed in patients treated surgically or conservatively. Results 32 patients with CSCS were recruited. The mean spinal canal sagittal diameter (disc-level) of all CSCS cases was 5.3 ± 1.4 mm (1.3–8.2). In comparison, the diameter was 10.5 ± 1.7 mm (6.6–14.6) in the 47 asymptomatic individuals recruited from the general population. Decompression was performed in 17 patients and conservative treatment in 15. Mean follow-up was 19.3 ± 17.0 months (6–84). At the final follow-up, 3 patients (9.3%) returned to their pre-injury Frankel grade, whereas 26 patients (83.3%) lost one or more neurological grade. Three patients (9.3%) died. Conclusions Majority of patients with “silent” CSCS who sustained cervical cord injuries did not return to their pre-injury neurological status. All of these subjects have pre-existing canal stenosis hence the risk of cord injury. Given the poor neurological outcome of CSCS, a lower threshold for surgery could be indicated to avoid these disastrous injuries. However, before making any conclusive recommendation we must first identify the prevalence of “silent” CSCS in the general population and the risk of developing spinal cord injury with more prospective population-based studies.

Background/Objective This work describes a new approach for gait analysis and balance measurement. It uses an inertial measurement unit (IMU) that can either be embedded inside a dynamically unstable platform for balance measurement or mounted on the lower back of a human participant for gait analysis. Methods and Results The acceleration data along three Cartesian coordinates is analyzed by the gait-force model to extract bio-mechanics information in both the dynamic state as in the gait analyzer and the steady state as in the balance scale. For the gait analyzer, the simple, noninvasive and versatile approach makes it appealing to a broad range of applications in clinical diagnosis, rehabilitation monitoring, athletic training, sport-apparel design, and many other areas. For the balance scale, it provides a portable platform to measure the postural deviation and the balance index under visual or vestibular sensory input conditions. Despite its simple construction and operation, excellent agreement has been demonstrated between its performance and the high-cost commercial balance unit over a wide dynamic range. Conclusion The portable balance scale is an ideal tool for routine monitoring of balance index, fall-risk assessment, and other balance-related health issues for both clinical and household use.

Laparoscopic Adjustable Gastric Banding is one of the cardinal bariatric interventions and due to its early safety profile, became the mainstay. Major long-term complications of gastric banding include pouch-herniation-dilation and gastric erosion. A 59-year-old female presented to the emergency department with a 2-week history of progressive central abdominal pain and distention on a background history of a laparoscopic adjustable band insertion 11 years previously. Subsequent computed tomography demonstrated an intragastric band erosion. An exploratory laparotomy demonstrated a gastric band eroded through the stomach sealed by a biofilm. Secondary findings included small bowel ischemia and portal vein thrombosis. The gastric band was extracted, and the stomach was repaired. The ischemic small bowel was resected with primary anastomosis. The patient recovered uneventfully. Gastric band erosion should be considered in all patients presenting with abdominal pain and previous weight loss surgery. Prompt recognition may avoid fatal consequences.

Background Firefighters’ health is often affected by a high prevalence of obesity and cardiovascular diseases, which are common risk factors for sudden cardiac death. The aim of this study is to investigate the feasibility of enhancing healthy eating habits in firefighters through an education programme. Methods This will be a cluster randomized control trial study. The participants will be assigned randomly into either control (health promotion pamphlet) or intervention (health promotion pamphlet and education materials through WhatsApp) groups. Changes in healthy eating habits will be assessed by a self-administered questionnaire and anthropometric measurements at three different time points. Discussion More education is required in order to improve firefighters’ eating habits. Trial registration ISRCTN registry identifier: Registered on 8 April 2019 ISRCTN95472464.

Pain management is a fundamental to nursing care for most of patients with chronic conditions.

Background: Chronic pain is common among older adults and is associated with adverse physical and psychological outcomes. Given the expected burden and limited healthcare resources, an innovative and cost-effective method to manage chronic pain should be developed. Peer volunteers (PVs) have been used as an affordable alternative to professional services to help patients manage their chronic conditions including pain with success and acceptance. The aim of this paper is to explore the experiences and perceptions of PVs in a peer-led pain management program among nursing home residents. Methods: This longitudinal study formed part of a wider research study, a clustered randomised controlled trial, which investigates the effectiveness of a 12-week peer-led pain management program (PAP) in relieving chronic pain and enhancing pain self-efficacy among nursing home residents. Quantitative data were collected from questionnaires (demographics, pain situation and pain knowledge) for all PVs. Qualitative data (PVs’ experiences in leading the PAP, their perceived benefits, limitations and barriers encountered, its usefulness to the participants and recommendations for improving the PAP) were collected from focus group for a selected sample at baseline (before attending the training) and at week 12 (upon completion of the PAP). Data were analysed using the Statistical Package for Social Sciences and NVivo 8. Results: A total of 46 PVs were recruited (34 female, 74%), with mean±SD age of 61.0±5.1 years. Thirty-one PVs reported to have chronic pain. Before the training, self-rated pain knowledge was 39.1±20.4 (maximum 100 points). When actual pain knowledge was assessed, a mean pain knowledge score of 86.1±10.6 points was found. There was a significant difference between the self-rated pain knowledge and the pain knowledge score (p

This study was to examine the kinematics, muscle activities, and perceived physical exertion in different regions of the spine during patient transfers by nursing students between a bed and a wheelchair, with or without a transfer belt in a laboratory setting. Results showed that with the effect of the belt, the % maximum voluntary contraction of the lumbar erector spinae was reduced significantly by nearly 10%. Muscle activity was significantly increased in thoracic erector and multifidus spinae during wheelchair-to-bed transfer, compared to bed-to-wheelchair transfers. There was no significant effect of belt or task on the spinal angular displacement in different spinal regions. Using the transfer belt was associated with a significantly decreased score for perceived exertion. In conclusion, this study supports the use of a transfer belt contributing to lower muscle activity and lower perceived physical exertion in the low back.

ObjectivesStudies of violence towards nursing students (NSs) have been scattered mainly in the West and Middle East, but to date there have been no studies in Eastern countries. Differences in nursing education systems and cultures might have contributed to variations in incidences of clinical violence. The purpose of this study was to investigate the prevalence, associated factors and impact of clinical violence to NSs.MethodsThis was a cross-sectional survey study. Convenience sampling was used to recruit university NSs from March to June 2012 in classroom settings in Hong Kong. A valid and reliable questionnaire was used to collect the data. 1297 questionnaires were distributed and 1017 NSs completed questionnaires, with a response rate of 78.41%.ResultsOf the 1017 NSs, 37.3% (n=379) reported having experienced clinical violence during their nursing studies. The prevalence of verbal abuse (30.6%) was significantly greater than that of physical violence (16.5%). The perpetrators of verbal abuse were predominantly patients (66.8%), hospital staff (29.7%), university supervisors (13.4%) and patients’ relatives (13.2%). Patients (91.0%) were the greatest source of physically violent assaults. Compared with those who had experienced physical violence, the NSs who had experienced verbal abuse were more likely not to take action, and not to stop or report the incident, but were also more likely to tell their friends/families. Although the negative effects on emotions, clinical performance and the extent to which they were disturbed by the violence were significantly greater for verbal abuse than that for physical violence, their intention to leave the nursing profession after experiencing either verbal or physical violence was significantly higher after than before the experience (pConclusionsOur results found a moderately high prevalence of clinical violence among NSs. Provision and/or reinforcement of appropriate training about clinical violence in the nursing curricula is necessary.

Studies on work-related musculoskeletal symptoms (WRMSs) have been conducted mainly on different types of workforce but not many on low-skilled workers. The purpose of this study was to evaluate the effectiveness of a multidisciplinary exercise program in decreasing the number of body parts with WRMSs for low-skilled workers. This study used a repeated-measures, single-group design. One hundred and five (105) workers participated in eight weekly 90-min sessions (including 45-min workshops and 45-min exercises) in low-income community settings. The exercise program involved a 21-movement stretching exercise and a 10-movement muscle-strengthening exercise. Questionnaire and health-assessment data were collected at the baseline (N = 105) and immediately after the 8-week program (n = 86). The average age of the 105 participants was 50.5 &plusmn, 8.7 years (ranging from 31 to 67). Over 80% (n = 87) of them were female, 68.6% (n = 72) were married, and 68.6% (n = 72) had completed secondary school. They reported an average of three body parts with WRMSs at baseline (T0). By the end of the eight weeks (T1), the participants had reduced the number of WRMS-affected body parts, job stress, and incidences of working through pain, and had improved spine flexibility and handgrip strength. The factors significantly affecting the reduction in the number of body parts with WRMSs were change in the workstyle of working through pain, and self-rated health status. Our study has demonstrated that a community-based multidisciplinary program can reduce the number of body parts affected by WRMSs in low-skilled workers in low-income communities.

This article provides a personal reflection on my Buddhist path as a clinical psychologist to illustrate my actual practice, my internal processes, and the benefits of Buddhist practice to my personal and professional life. My practice is primarily based upon the Satipatt.ha¯na Sutta, a canonical text for Buddhist meditation as a means for sitting meditation and daily introspection and reflection. Using my professional experiences as the context, I describe how I have used my Buddhist practice to notice and understand my anxiety, thereby deliberatively making choices that result in less suffering for myself. Summarising these experiences, I also delineate several recommendations for mental health professionals who are interested in applying Buddhist teachings to themselves and their clients.

Fibrodysplasia ossificans progressiva (FOP) is an ultra‐rare, inherited, connective tissue disease with ∼800 documented cases worldwide. The principal pathological feature of FOP is the transition of skeletal muscle, tendons, ligaments, and fascia into cartilage and bone. This heterotopic ossification (HO) is often preceded by painful soft tissue swellings or flare‐ups that may last several months. For many individuals, experiencing a flare‐up may represent a worsening of their condition and contribute to feelings of anxiety or suppressed affect, both of which are well‐recognized to exacerbate pain perception. To date, much remains unknown regarding the dynamics of pain and emotional health in FOP during flare‐up and also quiescent, non–flare‐up disease phases. In order to elucidate the occurrence and effect of pain in FOP, this study analyzed Patient‐Reported Outcomes Measurement Information System–based questionnaires completed by 99 patients participating in the international FOP Registry over a 30‐month period. We observed that although moderate to severe pain (≥4, 0 to 10 pain scale) was commonly associated with flare‐ups (56% to 67%), surprisingly, 30% to 55% of patients experienced similar pain levels during non–flare‐up states. In those patients reporting pain levels of ≥4, 45% to 74% of patients report experiencing anxiety, depression, or irritability, with 36% to 48% reporting emotional problems during no to mild pain states. Furthermore, independent of the flare‐up status, the severity of pain in FOP patients was found to be significantly anti‐correlated with emotional health, physical health, and overall quality‐of‐life. These findings strongly suggest the need for an improved understanding of pain and emotional health in FOP during flare‐up and quiescent periods. © 2019 The Authors. JBMR Plus published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research.

Computational thinking (CT) is becoming a growing field in educational research and practice. CT is not only related to coding or programming, but also a fundamental skill for everyone to solve problems effectively and efficiently with solutions that are reusable in different contexts, which helps to improve our analytical ability for different tasks. Therefore, parents are eager to enroll their children in children programming courses. This paper presents the design of a web-based game for learning computational thinking anywhere and anytime. It has a visual programming environment for programming virtual robot to complete specific tasks. Our game levels are designed to cover the following five core elements of CT: reformulation, recursion, decomposition, abstraction and systematic testing. The game also supports collaborative learning, in which some game levels involve multiple robots to be programmed by multiple players at the same time. A survey on twenty undergraduate computer science students showed that our game requires the application of the above five core elements of CT to complete, and is likely to be an attractive learning tool for learners including primary students.

Computational thinking (CT) has gained increasing attention from education researchers, practitioners, and parents in the past decade, as CT is a fundamental skill for everyone to solve problems ef...

As Hong Kong is undergoing rapid population ageing over the past few decades, and this trend is expected to persist due to low fertility rates and extended life expectancy. This trend has significant implications for Hong Kong’s labor market and workforce. This study aims to gain a better understanding of the experiences, needs, and definitions of older workers in Hong Kong. It helps to draw attention to issues of occupational safety and health (OSH) risks and help identifying and promoting strategies and interventions for effectively supporting the ageing workforce in the workplace. The major objective of this research is to identify the OSH problems and challenges perceived by the older workers, employers and other stakeholders. Both quantitative and qualitative research methods are applied. A qualitative study with focus groups and individual in-depth interviews have been conducted with a representative sample of 70 stakeholders, including employees, employers, representative of labour unions, policymakers, NGO representatives and researchers in the related disciplines. We obtained their views on age-related changes within the older workforce and how such changes would affect their work ability, the OSH issues facing the older workers in different industries, and the facilitators and barriers associated with remaining in or joining the labour force. Feasible intervention strategies for effectively supporting the ageing workforce in the workplace are also being identified.

Repentance in Chinese Buddhism is a common practice for monastics and lay practitioners to repent for transgressions and commit to corrective actions guided by Buddhism. Regardless of the significance and prevalence of repentance, little is known about its psychological effects and implications for counseling. In response to the American Psychological Association’s guidelines to respect clients’ cultural practices, this article addresses the research gap by elucidating the practices and implications of repentance, the psychological significance, and implications for mental health professionals to consider and apply repentance in counseling. A hypothetical case example was used to illustrate the pragmatic application of repentance.

This paper surveys five introductory textbooks on Chinese religion(s) published over the past 25 years. For instructors choosing a textbook, we provide a comparison of each work’s format and conten...

In this study, 6 commercially available single jersey knit outerwears with different colour were collected from the market which claimed to have ultraviolet protection factor of 25. In vitro method with the use of spectrophotometer was used for evaluating their ultraviolet protection properties. Experimental results revealed that the L* values has a higher correlation with UPF but a* and b* values do not have a significant correlation with UPF of fabrics. Moreover, all samples had a UPF value higher than 25.

We collected 6 commercially available single jersey knit outerwears from the market which claimed to have ultraviolet protection factor of 25. In vitro method with the use of spectrophotometer was used for investigating their ultraviolet protection properties under different moisture conditions. Experimental results revealed that the moisture would greatly reduce the UV protecion properties of knit outwears. The higher the moisture content, the lower will be the UV proection properties of the outwears.