Singapore medical journal最新文献_第5页

Protecting high-risk institutionalised residents from COVID-19: a Singapore dormitory experience. 保护高危机构居民免受新冠肺炎感染：新加坡宿舍体验。

IF 2.7 4区医学

Singapore medical journal Pub Date : 2024-03-01 Epub Date: 2022-05-25 DOI: 10.11622/smedj.2022059

Leonard Leong Litt Yeo, Amanda Chee Yun Chan, Ming Xue Jing, Yock Young Dan, Thomas Kwok Seng Loh, Dale Fisher, Jonathan Jia Yuan Ong

引用次数: 0

Leveraging electronic medical records for passive disease surveillance in a COVID-19 care facility. 利用电子病历对 COVID-19 护理机构进行被动式疾病监测。

IF 2.7 4区医学

Singapore medical journal Pub Date : 2024-03-01 Epub Date: 2022-02-10 DOI: 10.11622/smedj.2022010

Hao Sen Andrew Fang, Jonathan Kia-Sheng Phua, Terrence Chiew, Daniel De-Liang Loh, Ming Han Lincoln Liow, Weien Chow, Xian-Yang Charles Goh, Hian Liang Huang

引用次数: 0

Risks of thermal home remedies for COVID-19. 全速前进还是全速前进？COVID-19 中家庭热疗法的风险和益处。

IF 2.7 4区医学

Singapore medical journal Pub Date : 2024-03-01 Epub Date: 2022-05-25 DOI: 10.11622/smedj.2022062

Changa Kurukularatne

引用次数: 0

Joining the frontline against the COVID-19 pandemic: perspectives and readiness of graduating medical students. 加入抗击 COVID-19 大流行的前线：即将毕业的医学生的观点和准备情况。

IF 2.7 4区医学

Singapore medical journal Pub Date : 2024-03-01 Epub Date: 2021-10-24 DOI: 10.11622/smedj.2021155

Joo Wei Chua, Isaac Kah Siang Ng, Zhaojin Chen, Desmond Boon Seng Teo

引用次数: 0

Prevalence of risk of distress and associated factors among physicians, nurses and rehabilitation therapists in a community hospital: a cross-sectional study. 一家社区医院的医生、护士和康复治疗师普遍存在的痛苦风险及相关因素：一项横断面研究。

IF 2.7 4区医学

Singapore medical journal Pub Date : 2024-02-01 Epub Date: 2021-10-24 DOI: 10.11622/smedj.2021169

Grace Shu Hui Chiang, Lian Leng Low, Tee Hien Chia, Meena Sundram, Boon Yeow Tan

引用次数: 0

Improving the predictive capability of Framingham Risk Score for the risk of myocardial infarction based on coronary artery calcium score in healthy Singaporeans. 根据健康新加坡人的冠状动脉钙化评分提高弗雷明汉风险评分对心肌梗死风险的预测能力。

IF 2.7 4区医学

Singapore medical journal Pub Date : 2024-02-01 Epub Date: 2021-10-11 DOI: 10.11622/smedj.2021151

Ching Yee Ivory Yeo, John Carson Jr Allen, Weiting Huang, Wei Ying Tan, Siew Ching Kong, Khung Keong Yeo

{"title":"Improving the predictive capability of Framingham Risk Score for the risk of myocardial infarction based on coronary artery calcium score in healthy Singaporeans.","authors":"Ching Yee Ivory Yeo, John Carson Jr Allen, Weiting Huang, Wei Ying Tan, Siew Ching Kong, Khung Keong Yeo","doi":"10.11622/smedj.2021151","DOIUrl":"10.11622/smedj.2021151","url":null,"abstract":"Introduction: Cardiovascular disease was the top cause of deaths and disability in Singapore in 2018, contributing extensively to the local healthcare burden. Primary prevention identifies at-risk individuals for the swift implementation of preventive measures. This has been traditionally done using the Singapore-adapted Framingham Risk Score (SG FRS). However, its most recent recalibration was more than a decade ago. Recent changes in patient demographics and risk factors have undermined the accuracy of SG FRS, and the rising popularity of wearable health metrics has led to new data types with the potential to improve risk prediction.Methods: In healthy Singaporeans enrolled in SingHEART study (absence of any clinical outcomes), we investigated improvements in SG FRS to predict myocardial infarction risk based on high/low classification of the Agatston score (surrogate outcome). Logistic regression, receiver operating characteristic and net reclassification index (NRI) analyses were conducted.Results: We demonstrated a significant improvement in the area under curve (AUC) of SG FRS (AUC = 0.641) after recalibration and incorporation of additional variables (fasting blood glucose and wearable-derived activity levels) (AUC = 0.774) ( P < 0.001). SG FRS++ significantly increases accuracy in risk prediction (NRI = 0.219, P = 0.00254).Conclusion: Existing Singapore cardiovascular disease risk prediction guidelines should be updated to improve risk prediction accuracy. Recalibrating existing risk functions and utilising wearable metrics that provide a large pool of objective health data can improve existing risk prediction tools. Lastly, activity levels and prediabetic state are important factors for coronary heart disease risk stratification, especially in low-risk individuals.","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10942132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39501477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ulcerative colitis: STRIDE-ing beyond symptoms with new standards. 溃疡性结肠炎：用新标准超越症状。

IF 2.7 4区医学

Singapore medical journal Pub Date : 2024-02-01 Epub Date: 2021-11-26 DOI: 10.11622/smedj.2021173

Shu Wen Tay, Kevin Kim Jun Teh, Tiing-Leong Ang, Malcolm Tan

引用次数: 0

Perceptions of Singaporeans towards informed consent: a cross-sectional survey. 新加坡人对知情同意的看法：横断面调查。

IF 2.7 4区医学

Singapore medical journal Pub Date : 2024-02-01 Epub Date: 2021-10-31 DOI: 10.11622/smedj.2021163

Mehek Gupta, Sudharsan Madhavan, Felicia Siok Ying Teo, Jee Keem Low, Vishal G Shelat

{"title":"Perceptions of Singaporeans towards informed consent: a cross-sectional survey.","authors":"Mehek Gupta, Sudharsan Madhavan, Felicia Siok Ying Teo, Jee Keem Low, Vishal G Shelat","doi":"10.11622/smedj.2021163","DOIUrl":"10.11622/smedj.2021163","url":null,"abstract":"Introduction: In a patient-centric health system, it is essential to know patients' views about informed consent. The objective of this study was to understand the perceptions of the local population regarding informed consent.Methods: Spanning 6 weeks from January 2016 to March 2016, a cross-sectional survey of adults attending the General Surgery outpatient clinics at Tan Tock Seng Hospital was conducted. Sociodemographic data, lifestyle- and health-related information, perception and purpose of consent forms, and decision-making preferences were studied.Results: A total of 445 adults participated in the survey. Most participants were aged below 40 years ( n = 265, 60.1%), female ( n = 309, 70.1%) and degree holders ( n = 196, 44.4%). Also, 56.9% of participants wanted to know every possible risk, while 28.3% wanted to know the common and serious risks. On multivariate analysis, age (61-74 years: odds ratio [OR] 11.1, 95% confidence interval [CI] 2.2-56.1, P = 0.004; age >75 years: OR 22.2, 95% CI 1.8-279.1, P = 0.017) was a predictor of not wanting to know any risks. Age also predicted risk of disclosure for death (age 61-74 years: OR 13.4, 95% CI 4.2-42.6, P < 0.001; age >75 years: OR 32.0, 95% CI 4.5-228.0, P = 0.001). Most participants (48.1%) preferred making shared decisions with doctors, and an important predictor was employment status (OR 4.8, 95% CI 1.9-12.2, P = 0.001).Conclusion: Sociodemographic factors and educational level influence decision-making, and therefore, the informed consent process should be tailored for each patient.","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10942135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39664105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predictors of postoperative hospital length of stay after total knee arthroplasty. 全膝关节置换术后住院时间的预测因素。

IF 2.7 4区医学

Singapore medical journal Pub Date : 2024-02-01 Epub Date: 2021-10-24 DOI: 10.11622/smedj.2021142

Davide Tornese, Alessandro Robustelli, Gabriele Ricci, Paola Maria Vittoria Rancoita, Nicola Maffulli, Giuseppe Michele Peretti

{"title":"Predictors of postoperative hospital length of stay after total knee arthroplasty.","authors":"Davide Tornese, Alessandro Robustelli, Gabriele Ricci, Paola Maria Vittoria Rancoita, Nicola Maffulli, Giuseppe Michele Peretti","doi":"10.11622/smedj.2021142","DOIUrl":"10.11622/smedj.2021142","url":null,"abstract":"Introduction: We aimed to collect and analyse clinical and functional variables of patients undergoing rehabilitation after total knee arthroplasty (TKA), to identify the variables that influence the postoperative hospital length of stay (LOS).Methods: We conducted a retrospective analysis of prospectively collected data of 1,082 consecutive patients (746 females and 336 males) who underwent primary TKA and rehabilitation in our orthopaedic institute between January 2013 and July 2017. Clinical and anthropometric data were analysed using a multivariate linear regression model.Results: The average LOS was 5.08 ± 2.52 days in the Department of Orthopaedic Surgery and 12.67 ± 5.54 days in the Sports Rehabilitation Unit. Factors such as age, female sex and the presence of comorbidities were predictive of a longer stay. The presence of caregiver assistance at home was associated with shorter LOS. There was no evidence of a statistically significant positive association between body mass index and LOS.Conclusion: An in-depth and early knowledge of factors that influence LOS may enable the multidisciplinary team to plan a patient-tailored rehabilitation path and better allocate resources to maximise patients' functional recovery, while reducing LOS and the overall cost of the procedure.","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10942137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39550113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Image quality, contrast enhancement and radiation dose of electrocardiograph- versus non-electrocardiograph-triggered computed tomography angiography of the aorta. 心电图与非心电图触发的主动脉计算机断层扫描血管造影的图像质量、对比度增强和辐射剂量。

IF 2.7 4区医学

Singapore medical journal Pub Date : 2024-02-01 Epub Date: 2021-10-24 DOI: 10.11622/smedj.2021166

Ying Mei Wong, Ching Ching Ong, Chong Ri Liang, Choon Ann Tan, Lynette Li San Teo

{"title":"Image quality, contrast enhancement and radiation dose of electrocardiograph- versus non-electrocardiograph-triggered computed tomography angiography of the aorta.","authors":"Ying Mei Wong, Ching Ching Ong, Chong Ri Liang, Choon Ann Tan, Lynette Li San Teo","doi":"10.11622/smedj.2021166","DOIUrl":"10.11622/smedj.2021166","url":null,"abstract":"Introduction: Computed tomography angiography of the aorta (CTAA) is the modality of choice for investigating aortic disease. Our aim was to evaluate the image quality, contrast enhancement and radiation dose of electrocardiograph (ECG)-triggered and non-ECG-triggered CTAA on a 256-slice single-source CT scanner. This allows the requesting clinician and the radiologist to balance radiation risk and image quality.Methods: We retrospectively assessed the data of 126 patients who had undergone CTAA on a single-source CT scanner using ECG-triggered (group 1, n = 77) or non-ECG-triggered (group 2, n = 49) protocols. Radiation doses were compared. Qualitative (4-point scale) and quantitative image quality assessments were performed.Results: The mean volume CT dose index, dose length product and effective dose in group 1 were 12.4 ± 1.9 mGy, 765.8 ± 112.4 mGy cm and 13.0 ± 1.9 mSv, respectively. These were significantly higher compared to group 2 values (9.1 ± 2.6 mGy, 624.1 ± 174.8 mGy cm and 10.6 ± 3.0 mSv, respectively) ( P < 0.001). Qualitative assessment showed the image quality at the aortic root-proximal ascending aorta was significantly higher in group 1 (median 3) than in group 2 (median 2, P < 0.001). Quantitative assessment showed significantly better mean arterial attenuation, signal-to-noise ratio and contrast-to-noise ratio in ECG-triggered CTAA compared to non-ECG-triggered CTAA.Conclusion: ECG-triggered CTAA in a single-source scanner has superior image quality and vessel attenuation of aortic root/ascending aorta, but a higher radiation dose of approximately 23%. Its use should be considered specifically when assessing aortic root/ascending aorta pathology.","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10942131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39550054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0