Background: Brainstem death (BSD), defined as the irreversible loss of consciousness, brainstem reflexes and the capacity to breathe, is not an uncommon scenario seen in the day to day practice of medical personnel. Upon the diagnosis of BSD, controversial issues of withdrawing life-supporting treatments and organ procuring for transplantation inevitably arise. This study evaluated the knowledge, acceptance and perception of BSD amongst medical students in Hong Kong.
Methods: A total of 126 medical students completed a self-administered questionnaire. Ten questions were used to assess their knowledge of BSD and this was correlated with their responses in three hypothetical vignettes.
Results: The mean score of the subjects' knowledge was 6.03 out of 10. Less than half (48.8%) of the subjects' knew that BSD is different from persistent vegetative state while 49.2% and 36.3% knew that BSD is accepted as death medically and legally in Hong Kong, respectively. When 'diagnosed' with BSD, 63.7%, 46.8% and 52.4% of the subjects would agree to the withdrawal of life-support from themselves, their most-loved one/family member and a stranger, respectively. Subjects with better knowledge and those who thought that doctors may tend to diagnose BSD to save resources or procure organs for transplantation were more ready to accept the withdrawal of life-support.
Conclusions: We concluded that knowledge of BSD amongst medical students was unsatisfactory and that urgent actions should be taken to remedy the situation. A better knowledge of BSD positively influenced the decision-making on withdrawing life-support and that adequate information regarding the outcome of BSD should be provided. On the other hand, the perception of doctors' intentions behind diagnosing BSD has no direct influence on the decision-making. More emphasis is required on medical education, including a specific emphasis in the undergraduate lecture curriculum and bedside exposure to BSD diagnosis

Belinda Harris's opening discussion of developments in Hong Kong will have a familiar ring to many readers. There is a recognition that the current curriculum is not an adequate preparation for life and there is now an emphasis on lifelong learning and a wider view of development. Such a move has significant implications for the development of attitudes and skills amongst teachers. The issues that surround such educational reform in Hong Kong are analysed. This is followed by the detailed description of a study which involved a group of Hong Kong teachers in a structured experiential learning activity. It was found that though the teachers concerned acknowledged the value of their experience, they felt that given the culture and ethos of their own schools it would not be possible for them to undertake similar work with pupils. On the basis of these outcomes the writer suggests that there will need to be considerable emphasis on teacher development in Hong Kong if the reforms are to succeed.
[Copyright of Pastoral Care in Education is the property of Routledge. Full article may be available at the publisher's website:
http://dx.doi.org/10.1111/1468-0122.00195 ]

Hong Kong students outperform their counterparts in most other countries in mathematics in the Third International Mathematics and Science Study Repeat (TIMSS-R) project, while their science performance is marginally above the international average. In order to probe below the surface of these achievement results, secondary analysis of the TIMSS-R Hong Kong data was performed to identify factors that affect student achievement. Results of the secondary analysis relating to curriculum provision, teacher characteristics, and classroom conditions and climate are reported in this paper. Based on the results, some recommendations are proposed to meet the need for quality education in the new era.
[Copyright of Canadian Journal of Science, Mathematics, & Technology Education is the property of Routledge. Full article may be available at the publisher's website:
http://dx.doi.org/10.1080/02783190009554009 ]

Hong Kong is embarking on curricular and pedagogic reforms which replace modernist, Tylerian approaches to the curriculum with recommendations that echo many features of complexity theory. The nature of complexity theory-based curricula are outlined, and these are used to interrogate three seminal curriculum reform documents in Hong Kong. The article suggests that they embody a paradigm shift in curriculum thinking. However, given that complexity theory is not without its problems for curricula, a case is made for an eclectic approach to curriculum planning, and it is this that is taking place in Hong Kong's reformist agenda.
[Copyright of Pedagogy, Culture & Society is the property of Routledge. Full article may be available at the publisher's website:
http://dx.doi.org/10.1080/14681360300200174]

This article examines the differences between the formally stated aims of education and the implementation of the school curriculum in order to show the divergence between what is initiated and what emerges as school practice. This implementation problem is examined from the policy-makers' and teachers' perspectives, with specific reference to physical education as a school subject in Hong Kong. First, it examines the existence and intention of educational policy towards curriculum as established by policy-makers. Second, the implementation process is evaluated from the teachers' perspective by employing a framework adopted by Cuban (1998) that utilized effectiveness, popularity, fidelity, adaptability and longevity. The data are derived from a case-study of a physical education programme that included document analysis, and interviews with teachers, parents and students. The case-study provided a subjective perspective of teachers and their work, while the framework assisted in demonstrating the absence of cohesion between the various government agencies. The resulting fragmentation of ideas leading to confusion and frustration for teachers also indicates that longevity and adaptability are likely to be the most constructive criteria for the assessment of curriculum change.
[Copyright of Curriculum Journal is the property of Routledge. Full article may be available at the publisher's website:
http://dx.doi.org/10.1080/0958517022000014718]