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Singapore Medical Journal

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https://www.readbyqxmd.com/read/28261742/endobronchial-lipoma
#1
Charlene Jy Liew, Kah Yee Tham, Angeline Cc Poh, Augustine Tee
No abstract text is available yet for this article.
March 6, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28261741/panbesy-induced-coronary-vasospasm
#2
Mohammed Rizwan Amanullah, Khim Leng Tong
No abstract text is available yet for this article.
March 6, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28210748/risk-factors-associated-with-abdominal-obesity-in-suburban-adolescents-from-a-malaysian-district
#3
Wai Fong Chew, Pooi Pooi Leong, Sook Fan Yap, A Malik Yasmin, Kong Bung Choo, Gary Kim Kuan Low, Nem Yun Boo
INTRODUCTION: We aimed to determine the risk factors associated with abdominal obesity (AO) in suburban adolescents. METHODS: This cross-sectional study included adolescents aged 15-17 years from five randomly selected secondary schools in the Hulu Langat district of Selangor State, Malaysia. Waist circumference (WC) was measured at the midpoint between the lower margin of last palpable rib and the top of iliac crest. Information on sociodemographic data, dietary habits, physical activity levels and duration of sleep was obtained via interviewer-administered questionnaires...
February 17, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28210747/extent-of-field-change-in-colorectal-cancers-with-braf-mutation
#4
Aaron Poh, Heidi Sian Ying Chang, Kok Yang Tan, Xin Xiu Sam, Avery Khoo, Shoa Nian Choo, Min En Nga, Wei Keat Wan
INTRODUCTION: Sporadic colorectal cancers with BRAF mutations constitute two distinct subgroups of colorectal cancers. Recent studies have linked the presence of the BRAF mutation to a familial inheritance pattern. This was a proof-of-concept study that aimed to examine: (a) the extent of field change in sporadic colorectal cancers with BRAF mutation; and (b) the extent of resection margins required and the pattern of DNA mismatch repair protein loss in these tumours. METHODS: Eight microsatellite instability-high (MSI-H) tumours with positive BRAF mutation from an existing histopathological database were selected for BRAF mutation and mismatch repair protein analysis...
February 17, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28210746/increased-neutrophil-to-lymphocyte-ratio-is-it-really-diagnostic-of-restless-legs-syndrome
#5
Mustafa Afifi
No abstract text is available yet for this article.
February 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28210745/spontaneous-coronary-artery-dissection
#6
Alexander Dashwood, Selvanayagam Niranjan, Saheb Al-Daher, Jerome Goldstein
No abstract text is available yet for this article.
February 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28210744/comment-on-zika-in-singapore-insights-from-one-health-and-social-medicine
#7
John H Lange, Luca Cegolon
No abstract text is available yet for this article.
February 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28210743/authors-reply
#8
Tamra Lysaght, Zohar Lederman, Paul Anantharajah Tambyah
No abstract text is available yet for this article.
February 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28210742/clinics-in-diagnostic-imaging-174-l5-vertebral-superior-facet-osteoblastoma-ob
#9
Manickam Subramanian, Hong Chou, Kabilan Chokkappan, Wilfred Cg Peh
A 25-year-old man presented with chronic low back pain and occasional radiation to the right lower limb. Magnetic resonance imaging and computed tomography (CT) of the lumbar spine showed an osteolytic expansile lesion with a central sclerotic nidus in the right superior facet of the L5 vertebra and surrounding marrow oedema. The diagnosis of osteoblastoma was made based on imaging findings and confirmed after CT-guided biopsy. Radiofrequency ablation of the lesion was successfully performed. The patient tolerated the procedure well and showed symptomatic relief...
February 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28210741/depression-in-primary-care-assessing-suicide-risk
#10
Chung Wai Mark Ng, Choon How How, Yin Ping Ng
Major depression is a common condition seen in the primary care setting. This article describes the suicide risk assessment of a depressed patient, including practical aspects of history-taking, consideration of factors in deciding if a patient requires immediate transfer for inpatient care and measures to be taken if the patient is not hospitalised. It follows on our earlier article about the approach to management of depression in primary care.
February 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/27609508/the-singapore-myeloma-study-group-consensus-guidelines-for-the-management-of-patients-with-multiple-myeloma
#11
Sanjay de Mel, Yunxin Chen, Sathish Kumar Gopalakrishnan, Melissa Ooi, Constance Teo, Daryl Tan, Min Li Claire Teo, Allison Cy Tso, Lian King Lee, Chandramouli Nagarajan, Yeow Tee Goh, Wee Joo Chng
Multiple myeloma (MM) is an incurable plasma cell neoplasm with an incidence of 100 patients per year in Singapore. Major advances have been made in the diagnosis, risk stratification and treatment of MM in the recent past. The reclassification of a subset of patients with smouldering MM, based on high-risk biomarkers, and the development of the revised international staging system are among the key new developments in diagnosis and staging. The use of novel agent-based treatment has resulted in significant improvements in the survival and quality of life of many patients with MM...
February 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/27526703/how-effective-is-acupuncture-for-reducing-pain-due-to-plantar-fasciitis
#12
Anandan Gerard Thiagarajah
INTRODUCTION: Plantar fasciitis is a commonly seen outpatient condition that has numerous treatment modalities of varying degrees of efficacy. This systematic review aimed to determine the effectiveness of acupuncture in reducing pain caused by plantar fasciitis. METHODS: Online literature searches were performed on the PubMed and Cochrane Library databases for studies on the use of acupuncture for pain caused by plantar fasciitis. Studies designed as randomised controlled trials and that compared acupuncture with standard treatments or had real versus sham acupuncture arms were selected...
February 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/26976222/radiological-analysis-of-the-medial-epicondyle-in-the-adolescent-throwing-athlete
#13
Wuey Min Ng, Chee Ken Chan, Norimasa Takahashi, Nobuaki Kawai, Kok Kheng Teh, R Saravana, Hiroyuki Sugaya
INTRODUCTION: Injuries to the medial structures of the elbow due to overhead throwing games are well documented. However, variations of medial epicondyles are not well described, especially in athletes with fused medial epicondyles. In this study, we evaluated variations in the medial epicondyle of baseball players who were aged 15-17 years and had fused epicondyles. METHODS: In this cross-sectional observational study, 155 skeletally mature baseball players with unilateral medial elbow pain and 310 elbow radiographs were reviewed by two independent reviewers...
February 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/26948107/the-long-and-short-of-cephalomedullary-nails-in-the-treatment-of-osteoporotic-pertrochanteric-fracture
#14
Choon Chiet Hong, Nazrul Nashi, Milindu Chanaka Makandura, Jiong Hao Jonathan Tan, Luke Peter, Diarmuid Murphy
INTRODUCTION: Pertrochanteric fractures after low-energy trauma are common among osteoporotic patients. Although the use of intramedullary devices to treat such fractures is becoming increasingly popular, there is a paucity of data comparing the outcomes of the use of short cephalomedullary nails (SCN) with the use of long cephalomedullary nails (LCN). This study aimed to compare the outcomes of treatment using LCN with treatment using SCN for patients with osteoporotic pertrochanteric fractures...
February 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/26891744/endoscopic-facelift-of-the-frontal-and-temporal-areas-in-multiple-planes
#15
Xiaogen Hu, Haihuan Ma, Zhiqiang Xue, Huijie Qi, Bo Chen
INTRODUCTION: The detachment planes used in endoscopic facelifts play an important role in determining the results of facial rejuvenation. In this study, we introduced the use of multiple detachment planes for endoscopic facelifts of the frontal and temporal areas, and examined its outcome. METHODS: This study included 47 patients (38 female, 9 male) who requested frontal and temporal facelifts from January 2009 to January 2014. The technique of dissection in multiple planes was used for all 47 patients...
February 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/26805666/an-evaluation-of-factors-affecting-adherence-to-antiepileptic-drugs-in-patients-with-epilepsy-a-cross-sectional-study
#16
Ranjana Gurumurthy, Kulkarni Chanda, Grk Sarma
INTRODUCTION: Adherence to antiepileptic drug (AED) therapy is important for controlling seizures in patients with epilepsy (PWE). It is vital to identify the factors influencing adherence to AED therapy using validated tools. This study aimed to evaluate the pattern and extent of AED adherence among PWE and to identify the factors that influence adherence. METHODS: This was a cross-sectional study involving PWE who had a confirmed diagnosis. Treatment adherence was assessed using the four-item Morisky Medication Adherence Scale...
February 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28111693/frederick-banting-1891-1941-discoverer-of-insulin
#17
Siang Yong Tan, Jason Merchant
No abstract text is available yet for this article.
January 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28111692/clinics-in-diagnostic-imaging-173-scimitar-syndrome-with-horseshoe-lung
#18
Vishal Gaikwad, Ashish Chawla, Tze Chwan Lim, Wilfred Cg Peh
A 56-year-old Chinese man presented with giddiness and vertigo. Subsequent chest radiography showed the classic scimitar sign of an abnormal pulmonary venous return. Further evaluation with non-contrast computed tomography substantiated the finding of a partial anomalous venous drainage pattern and identified an associated rare lung anomaly, horseshoe lung. The imaging findings of scimitar syndrome and its association with horseshoe lung are reviewed.
January 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28111691/colorectal-cancer-screening
#19
Pak Wo Webber Chan, Jing Hieng Ngu, Zhongxian Poh, Roy Soetikno
Colorectal cancer, which is the leading cancer in Singapore, can be prevented by increased use of screening and polypectomy. A range of screening strategies such as stool-based tests, flexible sigmoidoscopy, colonoscopy and computed tomography colonography are available, each with different strengths and limitations. Primary care physicians should discuss appropriate screening modalities with their patients, tailored to their individual needs. Physicians, patients and the government should work in partnership to improve uptake of colorectal cancer screening to reduce the morbidity and mortality from colorectal cancer...
January 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28111690/health-and-human-rights
#20
Sabaratnam Arulkumaran
No abstract text is available yet for this article.
January 2017: Singapore Medical Journal
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