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Singapore Medical Journal

Aytül Karabekiroğlu, Esra Yancar Demir, Servet Aker, Birsen Kocamanoğlu, Gamze Sırmalı Karabulut
INTRODUCTION: Cancer is a chronic disease that requires long-term treatment and care. Caregivers of cancer patients are at greater risk of developing depression than the general population. The effect of caregivers' cognitive flexibility on depression and anxiety has not been studied. We aimed to investigate the social characteristics, burden level and cognitive flexibility of caregivers of advanced cancer patients, and determine the relationship between these factors and depression and anxiety...
June 7, 2018: Singapore Medical Journal
Saw Ohn Mar, Osman Ali, Sugathan Sandheep, Zul Husayni, Muhammad Zuhri
INTRODUCTION: This study explored the attitudes towards vasectomy and its acceptance as a method of contraception among clinical-year medical students, and determined the association between their demographic characteristics, and attitudes and acceptance. METHODS: A cross-sectional survey was conducted among clinical-year medical students from a Malaysian private medical college using a self-administered questionnaire. RESULTS: Among 330 participants with a female preponderance, mean age was 22...
June 7, 2018: Singapore Medical Journal
Jie Ming Nigel Fong, Yeong Tze Wilnard Tan, Andrew Arjun Sayampanathan, Niraj Mohan, Yun Qing Koh, Jin Hao Justin Jang, Jin Rong Ivan Low, Anupama Vasudevan, Chew Lip Ng, Paul Ananth Tambyah
INTRODUCTION: Medical school fees are rising globally. Student debt and financial background may affect residency choices, but few studies have been conducted in Asia. This study aimed to explore the relationship between financial background, student debt and postgraduate residency choices among medical students in Singapore. METHODS: An anonymised survey of all medical students in Singapore was conducted, with a response rate of 67.9%. RESULTS: 40...
June 7, 2018: Singapore Medical Journal
Doris Fok, Izzuddin Mohd Aris, Jiahui Ho, Yiong-Huak Chan, Mary Rauff, James Kc Lui, Mark D Cregan, Peter Hartmann, Yap Seng Chong, Citra Nz Mattar
INTRODUCTION: Lactogenesis II (LaII) failure can be prevented in at-risk mothers with simple proactive interventions. In a randomised trial, we investigated the efficacy of early and regular breast milk expression in establishing LaII, using an electric double-breast pump. METHODS: Mothers with uncomplicated singleton deliveries were randomised to intervention (n = 31) or control groups (n = 29). The former commenced breast milk expression with an electric pump within one hour of delivery and maintained regular expression with direct breastfeeding...
June 7, 2018: Singapore Medical Journal
Wu Chean Lee, Sumanth Kumar Gera, Arjandas Mahadev
INTRODUCTION: Developmental dysplasia of the hip (DDH) is a common orthopaedic condition at birth. Non-surgical management with Pavlik harness can effectively treat DDH with early clinical diagnosis at newborn, but open surgeries continue to be performed. We aimed to elucidate the reasons for this. METHODS: A retrospective review was performed of all open surgeries related to DDH from 2006 to 2016. Patients were either born at our institution (Group 1) or outside of it (Group 2)...
May 18, 2018: Singapore Medical Journal
Hui Mei Cheng, Wen Chun Liu, Germaine Chua, Choon Fong Liew, Winnie Li, Winnie Choo, Hazel H Oon
INTRODUCTION: Cigarette smoking is a leading cause of morbidity and mortality, and has a deleterious effect on dermatological conditions, such as skin cancers, hidradenitis suppurativa and psoriasis. The study aimed to evaluate the efficacy of a pharmacist-led smoking cessation clinic in reducing cigarette smoking at a tertiary referral dermatology centre. We describe the impact of this clinic to provide guidance on how such a model could be further improved and implemented more widely...
May 18, 2018: Singapore Medical Journal
Chiaw Ling Chng, Hong Chang Tan, Chow Wei Too, Wei Ying Lim, Priscilla Pei Sze Chiam, Ling Zhu, Nivedita Vikas Nadkarni, Adoree Yi Ying Lim
INTRODUCTION: We aimed to compare the malignancy risk stratification of histologically proven thyroid nodules using the 2015 American Thyroid Association (ATA) Management Guidelines, 2014 British Thyroid Association (BTA) Guidelines for the Management of Thyroid Cancer and Thyroid Imaging Reporting and Data System (TIRADS). METHODS: Thyroid nodules measuring > 1 cm resected over 5.5 years were retrospectively studied. Information like gender and age, and cytology and histopathology results were collected...
May 18, 2018: Singapore Medical Journal
Caroline Bsirini, Bruce R Smoller
Although spongiotic (eczematous), psoriatic and cutaneous skin infections are among the most common dermatology consultations, melanocytic lesions - including the different types of nevi and melanomas - are among those that cause a great deal of concern and stress to patients and their clinicians. A diagnosis of benign melanocytic nevus carries a very good prognosis. However, a diagnosis of melanoma might imply more aggressive treatment, lifelong surveillance and a worse prognosis. Differentiating between these conditions is not always a straightforward process for clinicians and pathologists...
May 18, 2018: Singapore Medical Journal
Rusli Bin Nordin, Trived Soni, Amrina Kaur, Kean Por Loh, Shashi Miranda
INTRODUCTION: Erectile dysfunction (ED) is a serious burden globally that affects men as well as their partners. Therefore, the aim of this study was to determine the prevalence and predictors of ED among male outpatient clinic attendees in Johor, Malaysia. METHODS: A cross-sectional study of Malaysian men aged 18 and older attending two major outpatient clinics in Johor Bahru and Segamat between 1 January and 31 March 2016 was undertaken. Subjects were chosen via simple random sampling and a sample size of 400 was recruited...
May 18, 2018: Singapore Medical Journal
Mythily Subramaniam, Edimansyah Abdin, Janhavi A Vaingankar, Rajeswari Sambasivam, Esmond Seow, Louisa Picco, Hong Choon Chua, Rathi Mahendran, Li Ling Ng, Siow Ann Chong
INTRODUCTION: The current study aimed to estimate the overall prevalence and sociodemographic correlates of successful ageing, as defined by Rowe and Kahn, among a national sample of multiethnic adults aged 60 years and older in Singapore. METHODS: Data from older adults who participated in the Well-being of the Singapore Elderly study were analysed in the present study. Successful ageing included five indicators: no major diseases; no disability; high cognitive functioning; high physical functioning; and active engagement with life...
May 18, 2018: Singapore Medical Journal
Pei Shan Tan, Jarrod Kah Hwee Tan, Eng Loy Tan, Lay Kok Tan
INTRODUCTION: This study aimed to compare instrumental vaginal deliveries (IDs) and Caesarean sections (CSs) performed at full cervical dilatation, including factors influencing delivery and differences in maternal and neonatal outcomes. METHODS: A retrospective review of patients who experienced prolonged second stage of labour at Singapore General Hospital from 2010 to 2012 was conducted. A comparison between CS and ID was made through the analysis of maternal/neonatal characteristics and peripartum outcomes...
April 19, 2018: Singapore Medical Journal
Takashi Kajiya, Hiroshi Yamaguchi, Junichiro Takaoka, Kengo Fukunaga, Ryoichi Arima, Akihiro Miyamura, Toshiko Ninomiya, Nobuhiko Atsuchi, Yoshihiko Atsuchi, Mitsuyasu Terashima, Hideaki Kaneda, Mitsuru Ohishi
INTRODUCTION: The pathophysiology and mechanism of in-stent restenosis (ISR) after implantation of second-generation drug-eluting stents (DESs) are not fully clear. We compared the morphological characteristics of ISR between first- and second-generation DESs using frequency-domain optical coherence tomography (OCT). METHODS: Patients who underwent follow-up coronary angiography (CAG) after first- (Cypher and Taxus) and second- (Nobori, Promus Element, Resolute Integrity and Xience) generation DES implantations were examined...
April 10, 2018: Singapore Medical Journal
Sui An Lie, Kwang Yang Aaron Lee, Meng Huat Goh, Sudha Harikrishnan, Ruban Poopalalingam
INTRODUCTION: Timely administration of prophylactic antibiotic within 60 minutes before surgical incision is important for reducing surgical site infections. This quality-improvement initiative aimed to work toward achieving 100% compliance to perioperative antibiotic administration. METHODS: We examined the workflow in our Anaesthesia Information Management System (AIMS) and proposed interventions using cause-and-effect analysis on anonymised anaesthetic records of eligible surgical cases extracted from it...
April 10, 2018: Singapore Medical Journal
Sora Yasri, Viroj Wiwanitkit
No abstract text is available yet for this article.
May 2018: Singapore Medical Journal
Sora Yasri, Viroj Wiwanitkit
No abstract text is available yet for this article.
May 2018: Singapore Medical Journal
Choon Lai Toh, Andrew Dutton
No abstract text is available yet for this article.
May 2018: Singapore Medical Journal
Christine Yuanxin Chen, Peiying Gan, Choon How How
Frailty is a distinct clinical syndrome wherein the individual has low reserves and is highly vulnerable to internal and external stressors. Although it is associated with disability and multiple comorbidities, it can also be present in individuals who seem healthy. Frailty is multidimensional and its pathophysiology is complex. Early identification and intervention can potentially decrease or reverse frailty, especially in the early stages. Primary care physicians, community nurses and community social networks have important roles in the identification of pre-frail and frail elderly through the use of simple frailty screening tools and rapid geriatric assessments...
May 2018: Singapore Medical Journal
Li Ching Lau, Hui Liang Koh, Wei Luen James Yip, Ching Ching Ong
We report a case of a 61-year-old woman with a large atrial septal defect (ASD) that was detected incidentally on chest radiography and computed tomography when she presented with sepsis. Echocardiography confirmed a large secundum ASD with left-to-right shunt flow, right heart dilatation and severe pulmonary hypertension. The patient had a poor clinical outcome despite intensive care and eventually passed away. Haemodynamically significant ASDs have a known association with increased morbidity and mortality, and their early detection and closure cannot be understated...
May 2018: Singapore Medical Journal
Yu Jun Wong, Karen Jui Lin Choo, Jade Xiao Jue Soh, Chee Kiat Tan
No abstract text is available yet for this article.
May 2018: Singapore Medical Journal
Jia Wei Lim, Siow Xian Chee, Wen Jun Wong, Qiu Ling He, Tang Ching Lau
Traditional Chinese medicine (TCM)-based herbal therapies have gained increasing popularity worldwide, raising concerns of its efficacy, safety profile and potential interactions with Western medications. Antithrombotic agents are among the most common prescription drugs involved in herb-drug interactions, and this article focused on aspirin, one of the most widely used antiplatelet agents worldwide. We discussed herbs that have potential interactions by exploring Western and TCM approaches to thrombotic events...
May 2018: Singapore Medical Journal
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