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Singapore Medical Journal

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https://www.readbyqxmd.com/read/28681058/appearance-of-bioresorbable-vascular-scaffolds-on-computed-tomography-coronary-angiography
#1
Siong Sung Wong, Gunasekaran Ramsamy
No abstract text is available yet for this article.
July 6, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28681057/comfort-and-exertion-while-using-filtering-facepiece-respirators-with-exhalation-valve-and-an-active-venting-system-among-male-military-personnel
#2
Melvin Seng, Liang En Wee, Xiahong Zhao, Alex R Cook, Sin Eng Chia, Vernon J Lee
INTRODUCTION: This study aimed to determine if disposable filtering facepiece respirators (FFRs), with exhalation valve (EV) and a novel active venting system (AVS), provided greater perceived comfort and exertion when compared to standard N95 FFRs without these features among male military personnel performing prolonged essential outdoor duties. METHODS: We used a randomised open-label controlled crossover study design to compare three FFR options: (a) standard FFR; (b) FFR with EV; and (c) FFR with EV+AVS...
July 6, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28681056/training-eldercare-workers-in-mental-healthcare
#3
Gwen Li Sin, Donald Yeo, Hwan Jing Koh, Jimmy Lee, Li Ling Ng
INTRODUCTION: A significant proportion of older persons requiring support or care services have mental health concerns. There is a need to equip frontline eldercare workers with the necessary skills in caring for older persons with mental illnesses. The Community Psychogeriatric Programme aims to support community eldercare providers with training and consultation. We set out to measure eldercare workers' perceived levels of stress and knowledge on caring for older persons with mental illness before (pre-workshop), immediately after (post-workshop) and three months after (three-month follow-up) undergoing standardised training workshops on dementia and depression...
July 6, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28681055/early-clinical-manifestations-of-vibrio-necrotising-fasciitis-a-case-series
#4
Thean Howe Bryan Koh, Jiong Hao Jonathan Tan, Choon-Chiet Hong, Wilson Wang, Aziz Nather
We present five patients with vibrio necrotising fasciitis, a lethal and disabling disease. Among our patients, two had a history of exposure to either warm seawater or raw/live seafood, three had underlying chronic liver disease, and four presented with hypotension and fever. There were three deaths and four patients required intensive care unit stay. Among the survivors, one had high morbidity. Only one patient met the criteria of Laboratory Risk Indicator for Necrotizing Fasciitis score > 6. A clinician should suspect possible vibrio necrotising fasciitis if there is contact with fresh seafood/warm seawater, known history of chronic liver disease and pain out of proportion to cutaneous signs...
July 6, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28681054/establishment-of-a-minimally-invasive-cardiac-surgery-programme-in-singapore
#5
Theo Kofidis, Guohao Chang, Chuen Neng Lee
In Singapore, although minimally invasive cardiac surgery is available, it is not widely practised. Local surgeons have pioneered technologies in Singapore following their launch in the West and introduced them, addressing various heart pathologies. However, the unique position and function of Singapore in the region, the structure and dynamics of cardiothoracic surgery practice in government centres and private practice, and the overall small volume of patients in the country may pose limitations, in spite of all possibilities, in thriving and sharing of such new technologies...
July 6, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28540395/management-of-atherosclerosis-risk-factors-for-patients-at-high-cardiovascular-risk-in-the-real-world-practice-a-multicentre-study
#6
Arintaya Phrommintikul, Rungroj Krittayaphong, Wanwarang Wongcharoen, Sukit Yamwong, Smonporn Boonyaratavej, Rapeephon Kunjara-Na-Ayudhya, Pyatat Tatsanavivat, Piyamitr Sritara
INTRODUCTION: Atherosclerotic cardiovascular disease is a global health burden. However, there are heterogeneities among countries or regions regarding the risk factors and clinical manifestations of atherosclerotic diseases as well as their management patterns. METHODS: We collected data from 25 centres in Thailand. Patients with documented coronary artery disease or cerebrovascular disease or peripheral arterial disease, or with at least three atherosclerosis risk factors were enrolled between April 2011 and March 2014...
May 25, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28540394/clinical-efficacy-of-a-two-year-oral-health-programme-for-infants-and-toddlers-in-singapore
#7
Bien Lai, Wee Kiat Tan, Qing Shu Lu
INTRODUCTION: Dental caries, which is prevalent in Singapore preschoolers, is a disease that has a major impact on children's health and places a high cost on the society and health services. Oral health programmes for young children implemented in several parts of the world have been shown to be effective in the prevention of dental caries. We aimed to examine the clinical efficacy of an oral health programme for infants and toddlers in Singapore. METHODS: 90 children and their caregivers participated in the programme while 64 children who were 24 months older than the intervention group at initial visit were recruited as controls in a quasi-experimental study design...
May 25, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28540393/computed-tomography-scans-of-the-head-for-adult-patients-with-minor-head-injury-are-clinical-decision-rules-a-necessary-evil
#8
Desmond Wei Tan, Annabelle Mei En Lim, Daniel Yuxuan Ong, Li Lee Peng, Yiong Huak Chan, Irwani Ibrahim, Win Sen Kuan
INTRODUCTION: This study aimed to evaluate compliance with and performance of the Canadian Computed Tomography Head Rule (CCHR), and its applicability in the local adult population with minor head injury. METHODS: We conducted a retrospective study of consecutive patients who presented to the adult emergency department (ED) with minor head injury over six months. Data on predictor variables indicated in the CCHR was collected and compliance with the CCHR assessed by comparing the recommendations for head computed tomography (CT) scans to its actual usage...
May 25, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28503700/venous-ultrasonography-findings-and-clinical-correlations-in-104-thai-patients-with-chronic-venous-insufficiency-of-the-legs
#9
Burapa Kanchanabat, Waigoon Stapanavatr
INTRODUCTION: The pattern of venous reflux in Thai patients with chronic venous insufficiency (CVI) was studied in correlation with clinical manifestations. METHODS: Ultrasonography findings and clinical data were prospectively collected and retrospectively reviewed. RESULTS: CVI was found in 104 legs of 79 patients (mean age 59.8 ± 12.5 years; C4: 24.1%, C5: 8.9%; C6: 67.1%). Among 104 legs, 6.7% had history of deep vein thrombosis (DVT)...
May 15, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28503699/eating-psychopathology-and-psychosocial-impairment-in-patients-treated-at-a-singapore-eating-disorders-treatment-programme
#10
Kah Wee Ng, Angeline Kuek, Huei Yen Lee
INTRODUCTION: There is limited data on the psychopathology of eating disorders in Singapore. This study: (a) describes levels of eating psychopathology and psychosocial impairment among individuals diagnosed with eating disorders at our hospital; and (b) compares the related psychopathology of these patients. METHODS: Between 1 August 2010 and 31 July 2012, 257 individuals who met the diagnostic criteria for eating disorders completed the Eating Disorder Examination Questionnaire (EDE-Q) and Clinical Impairment Assessment questionnaire (CIA)...
May 15, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28503698/breast-reconstruction-rate-and-profile-in-a-singapore-patient-population-a-national-university-hospital-experience
#11
Nadia Sim, Sharon Soh, Chuan Han Ang, Chor Hoong Hing, Han Jing Lee, Vigneswaran Nallathamby, Yan Lin Yap, Wei Chen Ong, Thiam Chye Lim, Jane Lim
INTRODUCTION: Breast reconstruction is an integral part of breast cancer management, with the aim of restoring a breast to its natural form. There is increasing awareness among women that it is a safe procedure and its benefits extend beyond aesthetics. Our aim was to establish the rate of breast reconstruction and provide an overview of the patients who underwent breast reconstruction at National University Hospital (NUH), Singapore. METHODS: We evaluated factors, such as ethnicity, age, time and type of implant, for their impact on a patient's decision to proceed with breast reconstruction...
May 15, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28451695/low-maternal-serum-pregnancy-associated-plasma-protein-a-as-a-risk-factor-of-preeclampsia
#12
Suchaya Luewan, Monrudee Teja-Intr, Supatra Sirichotiyakul, Theera Tongsong
INTRODUCTION: Low levels of pregnancy-associated plasma protein-A (PAPP-A) might be associated with abnormal placentation, leading to the development of preeclampsia in late gestation. We aimed to determine the association between low serum PAPP-A levels and rates of preeclampsia in Thai women with otherwise low-risk pregnancies. METHODS: A cohort study was conducted on consecutive singleton pregnancies, undergoing first trimester screening for fetal Down syndrome, at a tertiary centre hospital...
April 28, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28451694/production-pressures-among-anaesthesiologists-in-singapore
#13
Jia Xin Chai, Shin Yuet Chong
INTRODUCTION: Production pressure is the pressure on personnel to prioritise production ahead of safety. We assessed the prevalence of production pressures among anaesthesiologists in Singapore. METHODS: A random online survey was conducted among local anaesthesiologists. Questions were asked about attitudes to production pressures in the work environment, occurrence of situations involving unsafe actions, and rating on the intensity of external and internal sources of pressure...
April 28, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28642963/clinics-in-diagnostic-imaging-178-w%C3%A3-nderlich-syndrome-and-pseudoaneurysm
#14
Raymond Chung, Ashish Chawla, Wilfred Cg Peh
Wünderlich syndrome is a rare entity characterised by spontaneous retroperitoneal haemorrhage with renal origin. We present a case of Wünderlich syndrome secondary to clotting dyscrasia in a 64-year-old woman. The patient experienced a second Wünderlich haemorrhagic event with metachronous pseudoaneurysm formation, which was likely secondary to the large subcapsular haematoma stripping the renal capsule and tearing the cortical arteries. Selective pseudoaneurysm embolisations were successfully performed on both occasions...
June 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28642962/authors-reply
#15
Keng Sheng Chew, Steven J Durning, Jeroen Jg van Merriënboer
No abstract text is available yet for this article.
June 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28642961/female-sexual-dysfunction-with-combined-oral-contraceptive-use
#16
Jean Jasmin M L Lee, Thiam Chye Tan, Seng Bin Ang
Combined oral contraceptive pills (COCs) remain one of the most popular forms of contraception to prevent unwanted pregnancy in women. While it is known that COCs can cause sexual dysfunction in women, there is currently no recommendation to screen for sexual function before and after initiation of COCs. We propose that, based on the evidence available, assessment of sexual function should be done at initiation of COCs, as well as at regular intervals thereafter. This would allow COC-related sexual dysfunction to be managed early, such as by switching the patient to newer-generation COCs or other forms of contraception...
June 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28642960/comment-on-teaching-metacognition-in-clinical-decision-making-using-a-novel-mnemonic-checklist-an-exploratory-study
#17
William Kelly
No abstract text is available yet for this article.
June 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28642959/progress-in-obstetrics-and-gynaecology-evidence-based-practices-and-practice-based-evidence-reviews
#18
Kok Hian Tan
No abstract text is available yet for this article.
June 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/27609506/tension-free-vaginal-tape-abbrevo-procedure-for-female-stress-urinary-incontinence-a-prospective-analysis-over-22-months
#19
Alice Kurien, Sarita Narang, How Chuan Han
INTRODUCTION: We aimed to study the efficacy and safety of the tension-free vaginal tape (TVT)-Abbrevo procedure for female stress urinary incontinence (SUI). METHODS: This was a prospective cohort study that aimed to determine the subjective and objective cure, improvement of SUI and incidence of complications among women who underwent TVT-Abbrevo for SUI during a period of 22 months from September 2011 to June 2013. RESULTS: A total of 76 patients, with a mean age of 48...
June 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/27439783/rapid-initiation-of-fetal-therapy-services-with-a-system-of-learner-centred-training-under-proctorship-the-national-university-hospital-singapore-experience
#20
Arundhati Gosavi, Pradip D Vijayakumar, Bryan Sw Ng, May-Han Loh, Lay Geok Tan, Nuryanti Johana, Yi Wan Tan, Dedy Sandikin, Lin Lin Su, Tuangsit Wataganara, Arijit Biswas, Mahesh A Choolani, Citra Nz Mattar
INTRODUCTION: Management of complicated monochorionic twins and certain intrauterine structural anomalies is a pressing challenge in communities that still lack advanced fetal therapy. We describe our efforts to rapidly initiate selective feticide using radiofrequency ablation (RFA) and selective fetoscopic laser photocoagulation (SFLP) for twin-to-twin transfusion syndrome (TTTS), and present the latter as a potential model for aspiring fetal therapy units. METHODS: Five pregnancies with fetal complications were identified for RFA...
June 2017: Singapore Medical Journal
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