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Singapore Medical Journal

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https://www.readbyqxmd.com/read/29214323/economic-value-of-using-partially-hydrolysed-infant-formula-for-risk-reduction-of-atopic-dermatitis-in-high-risk-infants-not-exclusively-breastfed-in-singapore
#1
Marc F Botteman, Abhijeet J Bhanegaonkar, Erica G Horodniceanu, Xiang Ji, Bee Wah Lee, Lynette P Shek, Hugo Ps Van Bever, Patrick Detzel
INTRODUCTION: Previous trials have demonstrated reductions in atopic dermatitis (AD) incidence when healthy, high-risk, non-exclusively breastfed infants were fed until four months of age with 100% whey-based partially hydrolysed formula (PHF-W) versus standard cow's milk formula (CMF). We assessed this intervention's cost-effectiveness in Singapore. METHODS: Modelling techniques were used to simulate, from birth to Month 30, the incidence, and clinical and economic burden of AD in high-risk, non-exclusively breastfed infants fed with PHF-W or CMF for up to four months...
December 7, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29214322/road-traffic-accidents-in-children-the-what-how-and-why
#2
Yue Yen Lee, Eric Fang, Yanyi Weng, Sashikumar Ganapathy
INTRODUCTION: Road traffic accidents (RTAs) in Singapore involving children were evaluated, with particular focus on the epidemiology, surrounding circumstances and outcomes of these accidents. Key factors associated with worse prognosis were identified. We proposed some measures that may be implemented to reduce the frequency and severity of such accidents. METHODS: This was a retrospective study of RTAs involving children aged 0-16 years who presented to the Children's Emergency at KK Women's and Children's Hospital, Singapore, from January 2011 to June 2014...
December 7, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29214321/hemithyroidectomy-for-low-risk-follicular-carcinoma-of-thyroid-results-from-a-regional-hospital
#3
Tam-Lin Chow, Susanna Wai-Yin Tam, Chi-Yee Choi, Wilson Wai-Yin Kwan
INTRODUCTION: Excellent outcome after conservative thyroid surgery for low-risk follicular thyroid carcinoma (FTC) has been reported from highly specialised centres. However, it is uncertain whether similar treatment results can be achieved in low-volume hospitals. METHODS: At our institution, 49 patients with FTC were treated during 1991-2014. Patients with minimally invasive FTC (MIFTC) were usually treated with hemithyroidectomy. The demographic data, pathology, treatment modality and oncological outcomes of these patients were retrospectively evaluated...
December 7, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29167910/easy-to-learn-cardiopulmonary-resuscitation-training-programme-a-randomised-controlled-trial-on-laypeople-s-resuscitation-performance
#4
Rachel Jia Min Ko, Swee Han Lim, Vivien Xi Wu, Tak Yam Leong, Sok Ying Liaw
INTRODUCTION: Simplifying the learning of cardiopulmonary resuscitation (CPR) is advocated to improve skill acquisition and retention. A simplified CPR training programme focusing on continuous chest compression, with a simple landmark tracing technique, was introduced to laypeople. The study aimed to examine the effectiveness of the simplified CPR training in improving lay rescuers' CPR performance as compared to standard CPR. METHODS: 85 laypeople (aged 21-60 years) were recruited and randomly assigned to undertake either a two-hour simplified CPR training or standard CPR training...
November 13, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29167909/outcomes-of-neoadjuvant-chemoradiotherapy-followed-by-total-mesorectal-excision-surgery-for-locally-advanced-rectal-cancer-a-single-institution-experience
#5
Michelle Shu Fen Tseng, Huili Zheng, Ivy Wei Shan Ng, Yiat Horng Leong, Cheng Nang Leong, Wei Peng Yong, Wai Kit Cheong, Jeremy Chee Seong Tey
INTRODUCTION: Neoadjuvant chemoradiotherapy (CRT) followed by total mesorectal excision (TME) surgery for locally advanced rectal cancer has been shown to improve local control and reduce toxicity, as compared to adjuvant CRT. We report the outcomes of our patients with locally advanced rectal cancer treated at National University Hospital, Singapore. METHODS: From April 2002 to December 2014, 117 patients with T3/4, N0/+, M0 rectal cancer received neoadjuvant CRT followed by TME surgery...
November 13, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29167908/a-pilot-single-centre-cross-sectional-study-to-determine-the-knowledge-and-management-of-sports-concussion-by-emergency-physicians-an-experience-from-singapore
#6
Dinesh Sirisena, Joy Walter, Joo Haw Ong, Joanne Probert
INTRODUCTION: Sports concussion remains a challenging condition to manage despite changes to policy and practice since the 2012 Concussion in Sport Group consensus meeting. Emergency physicians (EPs) are often the first line of medical care for athletes in amateur and youth collision sports. This single-centre cross-sectional study aimed to establish the understanding and management of concussion by EPs in Singapore. METHODS: An anonymised 17-item online questionnaire was sent out to EPs using the Google Forms application, requesting information on clinical experience, training, exposure to concussion cases in the emergency department (ED) and assessed knowledge of the condition...
November 13, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29022041/empathy-and-burnout-a-study-on-residents-from-a-singapore-institution
#7
Phong Teck Lee, Julian Loh, Gerald Sng, Joshua Tung, Khung Keong Yeo
INTRODUCTION: Empathy and burnout are two entities that are important in a physician's career. They are likely to relate to one another and can be heavily influenced by surrounding factors, such as medical education, local practices and cultural expectations. Empathy and burnout studies have not been performed in Singapore. This study was designed to evaluate empathy and burnout levels using the Jefferson Scale of Physician Empathy (JSPE) and Maslach Burnout Inventory (MBI) among residents in Singapore, and compare them with US literature...
October 12, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29022040/short-term-outcomes-of-patients-with-type-2-diabetes-mellitus-treated-with-canagliflozin-compared-with-sitagliptin-in-a-real-world-setting
#8
Yan Li Shao, Kuan Hao Yee, Seow Ken Koh, Yip Fong Wong, Lee Ying Yeoh, Serena Low, Chee Fang Sum
INTRODUCTION: We aimed to evaluate the effectiveness and safety of canagliflozin when compared to sitagliptin in a real-world setting among multiethnic patients with type 2 diabetes mellitus (T2DM) in Singapore. METHODS: This was a new-user, active-comparator, single-centre retrospective cohort study. Patients aged 18-69 years with T2DM and estimated glomerular filtration rate ≥ 60 mL/min/1.73 m² were eligible if they were initiated and on steady daily dose of canagliflozin 300 mg or sitagliptin 100 mg and had 24 weeks of follow-up subsequently...
October 12, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29022039/paediatric-supracondylar-humeral-fractures-a-technique-for-safe-medial-pin-passage-with-zero-incidence-of-iatrogenic-ulnar-nerve-injury
#9
Chin Yee Woo, Han Loong Ho, Mohammad Bin Zainuddin Ashik, Kevin Boon Leong Lim
INTRODUCTION: The cross Kirschner wire (k-wire) configuration in closed reduction and percutaneous pinning of paediatric supracondylar humeral fracture afford superior stability. However, medial pin placement presents a risk of iatrogenic ulnar nerve injury. This study describes, in step-by-step detail, another safe method of percutaneous medial pin insertion. METHODS: The technique involved placing the patient's arm in external rotation, with elbow flexed no more than 45° after closed reduction...
October 12, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28983580/laparoscopic-sleeve-gastrectomy-for-morbidly-obese-adolescents-in-singapore
#10
Dallan Dargan, Dmitrii Dolgunov, Khin Thida Soe, Pamela Er, Fathimath Naseer, Davide Lomanto, Jimmy By So, Asim Shabbir
INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) outcomes among adolescents and adolescent obesity associated factors in Singapore were evaluated. METHODS: Prospectively collected data of patients aged 16-19 years at first presentation who underwent LSG was retrospectively reviewed. A questionnaire was completed incorporating cigarette, alcohol, dietary and exercise habits; family history of obesity; Berlin and Epworth scores; and Patient Health Questionnaire-9 (PHQ-9) scores...
October 6, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28983579/cost-effectiveness-of-two-dose-human-papillomavirus-vaccination-in-singapore
#11
Sun Kuie Tay, Bee-Wah Lee, Woo Yun Sohn, I-Heng Lee, Gaurav Mathur, Melvin Sanicas, Georges Van Kriekinge
INTRODUCTION: Cervical cancer is the tenth most common cancer and the eighth most frequent cause of death among women in Singapore. Human papillomavirus (HPV) infection is the necessary cause of cervical cancer and therefore the risk of cervical cancer can be substantially reduced through vaccination. This study was conducted to evaluate the cost-effectiveness of two-dose HPV vaccination, as part of a national vaccination programme for 12-year-old girls in Singapore, from the perspective of the healthcare payer...
October 6, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28983578/the-singapore-paediatric-triage-scale-validation-study
#12
Sashikumar Ganapathy, Joo Guan Yeo, Xing Hui Michelle Thia, Geok Mei Andrea Hei, Lai Peng Tham
INTRODUCTION: This study aimed to determine the usefulness and validity of the triaging scale used in our emergency department (ED) by analysing its association with surrogate clinical outcome measures of severity consisting of hospitalisation rate, intensive care unit (ICU) admission, length of ED stay, predictive value for admission and length of hospitalisation. METHODS: A retrospective observational study was conducted of the performance markers of Singapore Paediatric Triage Scale (SPTS) to identify children that needed immediate and greater care...
October 6, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28983577/early-experience-with-robot-assisted-laparoscopic-hepatobiliary-and-pancreatic-surgery-in-singapore-single-institution-experience-with-20-consecutive-patients
#13
Brian Kp Goh, Ser-Yee Lee, Chung-Yip Chan, Jen-San Wong, Peng-Chung Cheow, Alexander Yf Chung, London Lpj Ooi
INTRODUCTION: Presently, experience with robot-assisted laparoscopic (RAL) hepatobiliary and pancreatic (HPB) surgery remains limited worldwide. In this study, we report our early experience with RAL HPB surgery in Singapore. METHODS: A retrospective review was conducted of the first 20 consecutive patients who underwent RAL HPB surgery at a single institution over a 34-month period from February 2013 to November 2015. The 20 cases were performed by three principal surgeons, of which 17 (85...
October 6, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28948287/the-role-responsibilities-and-essential-skills-of-being-a-court-appointed-medical-assessor
#14
Judith Prakash
No abstract text is available yet for this article.
September 26, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29167911/conservative-treatment-of-hydrothorax-in-a-patient-receiving-peritoneal-dialysis
#15
Chrysoula Leonidas Pipili, Eva Nikolaos Kiousi, Edmond Periklis Ntenta, Kyriaki Ioannis Vasileiou, Eirini Ioannis Grapsa
No abstract text is available yet for this article.
November 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29167907/definitive-tests-for-dengue-fever-when-and-which-should-i-use
#16
Hui Bin Yvonne Chan, Choon How How, Chung Wai Mark Ng
Dengue is a mosquito-borne viral disease that has established itself globally in both endemic and epidemic transmission cycles. While diagnostic decision-making for dengue is often guided by clinical judgement, definitive laboratory tests, including rapid point-of-care tests, have many advantages in the primary care setting. These include providing epidemiological data and diagnostic clarity for atypical cases, as well as contributing to patient education and compliance. This article discussed the types of diagnostic methods for dengue, when to use them and the appropriateness of each test...
November 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29167906/ceftriaxone-induced-pseudolithiasis-not-just-a-theoretical-risk
#17
Lijia Fan, Perry Lau, Jeevesh Kapur, Sivaramakrishnan Venkatesh Karthik
No abstract text is available yet for this article.
November 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29167905/clinics-in-diagnostic-imaging-181-cervical-spine-perineural-cysts
#18
Wei Kiong Cheong, Bak Siew Steven Wong
A 47-year-old woman who underwent resection of known spinal meningioma at the T1 level returned for postoperative magnetic resonance imaging of the cervical spine. Incidentally, thin-walled structures with signal intensities that are similar to those of cerebrospinal fluid were found to be present in the left neural exit canal at the C7-T1 level and bilateral neural exit canals at the C6-7 level. Imaging findings were in keeping with perineural cysts. Cervical spine perineural cysts are likely underreported, as most of them are asymptomatic...
November 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29119195/clinics-in-diagnostic-imaging-180-ductal-carcinoma-in-situ-dcis
#19
Eu Jin Tan, Tammy Hui Lin Moey, Preetha Madhukumar, Lester Chee Hao Leong
A 26-year-old woman presented with a slow-growing right breast lump. Excision biopsy of the lump showed invasive ductal carcinoma with adjacent ductal carcinoma in situ (DCIS). Preoperative imaging was performed to assess the extent of disease. Magnetic resonance (MR) imaging of the breasts showed an area of clustered ring enhancement deep to the biopsy site, which was representative of residual DCIS. DCIS is a common noninvasive malignancy that manifests as a primary breast tumour or in association with other lesions...
October 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29119194/charles-richard-drew-1904-1950-father-of-blood-banking
#20
Siang Yong Tan, Christopher Merritt
No abstract text is available yet for this article.
October 2017: Singapore Medical Journal
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