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Objective To explore Chinese women's perceptions of human papillomavirus (HPV) vaccination and their intention to be vaccinated.Design A cross-sectional community-based survey study.Setting Thirteen community women's health centres of The Family Planning Association of Hong Kong.Sample A total of 1450 ethnic Chinese women aged 18 or above who attended the health centres.Methods Participants completed a written consent and an anonymous questionnaire onsite.Main outcome measures Knowledge and beliefs about HPV and HPV vaccination against cervical cancer and participants' own intention to be vaccinated.Results About 38% of the participants (n = 527) had heard of HPV and 50% (n = 697) had heard of vaccination against cervical cancer. HPV infection was perceived to be stigmatising and detrimental to intimate, family and social relationships. Despite misconceptions and a grossly inadequate knowledge about HPV and HPV vaccination, 88% of the participants (n = 1219) indicated that they would likely be vaccinated. Majority of the participants believed that sexually experienced women should be vaccinated, while 27% opposed vaccinating sexually naive women. Younger age women who perceived a disruptive impact of HPV infection on intimate relationship and their partners' approval were significantly associated with a positive intention to be HPV vaccinated.Conclusions The easy acceptability of HPV vaccination among the mostly sexually experienced Chinese participants and their knowledge deficit on the subject may implicate potential misuse of the vaccines and a false sense of security against cervical cancer. There is a dire need for culturally sensitive and tailored education for the public, women of different ages and their partners about HPV and HPV vaccination. Emphasis must be placed on the prophylactic nature of the current vaccines, the uncertain effects when given to sexually experienced women, the importance of adolescent vaccination and the need for continued cervical screening whether vaccinated or not.

Acute appendicitis in Amyand's hernia occurs even less frequently, and is difficult to diagnose clinically. Imaging is valuable for its diagnosis and detection of the associated complications. Here we report our experience with this disease entity, its imaging features, and the results of a literature review.

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A B S T R A C TFollowing a survey on the clinical practice of geriatricians in the management of older people with diabetes and a study of hypoglycaemia in diabetic patients, a round-table discussion with geriatricians and endocrinologists was held in January 2015. Consensus was reached for six domains specifically related to older diabetic people: (1) the considerations when setting an individualised diabetic management; (2) inclusion of geriatric syndrome screening in assessment; (3) glycaemic and blood pressure targets; (4) pharmacotherapy; (5) restrictive diabetic diet; and (6) management goals for nursing home residents.

Giant cell tumours are locally aggressive benign bone lesions with typical imaging features. Giant cell tumours can affect virtually any part of the body, but tend to be situated in the appendicular skeleton, with the axial skeleton being an uncommon site of occurrence. This report is of four patients with axial giant cell tumour, two involving the thoracic spine, one involving the sacrum, and one involving the temporal bone, with corresponding clinical presentations and imaging findings.