Chun Ian Soo, Woh Wei Mak, Mona Zaria Nasaruddin, Rosmadi Ismail, Andrea Yu-Lin Ban, Jamalul Azizi Abdul Rahaman
{"title":"Bronchial thermoplasty for severe asthmatics: a real-world clinical study from Malaysia.","authors":"Chun Ian Soo, Woh Wei Mak, Mona Zaria Nasaruddin, Rosmadi Ismail, Andrea Yu-Lin Ban, Jamalul Azizi Abdul Rahaman","doi":"10.11622/smedj.2021144","DOIUrl":"10.11622/smedj.2021144","url":null,"abstract":"","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/PMC10942133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39493749","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}
{"title":"Percutaneous iliosacral screw fixation of sacral U-type fracture using a mid-foot intramedullary bolt: a case report","authors":"Peng Lee, Yong Sheng Chen, Amritpal Singh, Antony Gardner","doi":"10.4103/singaporemedj.smj-2021-172","DOIUrl":"https://doi.org/10.4103/singaporemedj.smj-2021-172","url":null,"abstract":"","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139445000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zhe Zheng Clyde Lim, Cheryl Marise Peilin Tan, Rex Premchand Antony Xavier, M. G. J. Yam, I. T. Chua
{"title":"Femoral neck system as a safe alternative to cannulated compression screw and dynamic hip screw in femoral neck fractures: an early comparative study","authors":"Zhe Zheng Clyde Lim, Cheryl Marise Peilin Tan, Rex Premchand Antony Xavier, M. G. J. Yam, I. T. Chua","doi":"10.4103/singaporemedj.smj-2022-024","DOIUrl":"https://doi.org/10.4103/singaporemedj.smj-2022-024","url":null,"abstract":"\u0000 \u0000 \u0000 The femoral neck system (FNS) is a safe alternative to cannulated compression screw (CCS) and dynamic hip screw (DHS) in femoral neck fractures.\u0000 \u0000 \u0000 \u0000 A dual-centre retrospective cohort study was performed on femoral neck fractures (AO type 31-B) treated with closed reduction and internal fixation using FNS, DHS or CCS between April 2016 and April 2020. Exclusion criteria were as follows: patients aged below 16 years; chronic fractures beyond 7 days; pathological fractures; fracture extension to the intertrochanteric region or ipsilateral neck and shaft fractures; and open fractures. A total of 85 patients were identified: FNS (n = 28), DHS (n = 29) and CCS (n = 28).\u0000 \u0000 \u0000 \u0000 The FNS and CCS groups had a lower Garden and Pauwels classification compared to the DHS group (both P < 0.001). Both FNS and CCS groups were comparable in postoperative orthopaedic complications (10.7% [n = 3] vs. 3.6% [n = 1], adjusted P = 0.321). The DHS group had more postoperative orthopaedic complications than the FNS group, but this was not statistically significant (27.6% [n = 8] vs. 10.7% [n = 3], adjusted P = 0.321). There were no significant differences in median time to radiological union or median femoral neck shortening at union (both P > 0.05) among the three groups.\u0000 \u0000 \u0000 \u0000 The new DePuy Synthes FNS is a safe alternative to CCS with comparable complication rates for femoral neck fractures that are less displaced and more stable. The FNS also appears to be a safe alternative to DHS in the fixation of femoral neck fractures for the few cases of high-energy femoral neck fractures.\u0000","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139447147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Successful treatment of psoriasis-associated uveitis with ixekizumab after failure of secukinumab and risankizumab","authors":"Angelyn Chen Yin Lua, Soon-Phaik Chee, Hazel Hwee Boon Oon","doi":"10.4103/singaporemedj.smj-2023-133","DOIUrl":"https://doi.org/10.4103/singaporemedj.smj-2023-133","url":null,"abstract":"","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139452922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. N. Ngiam, Tiara Joy Foo, Genevieve MY Tan, Jason Phua, Hui Fang Lim, P. Tambyah, G. Yan
{"title":"Jarisch–Herxheimer reaction in a patient with Weil’s disease","authors":"J. N. Ngiam, Tiara Joy Foo, Genevieve MY Tan, Jason Phua, Hui Fang Lim, P. Tambyah, G. Yan","doi":"10.4103/singaporemedj.smj-2022-196","DOIUrl":"https://doi.org/10.4103/singaporemedj.smj-2022-196","url":null,"abstract":"","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139390512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Characteristics of patients who received Sinopharm BIPB vaccine in Singapore general practice","authors":"E. Chng, Aloysius Chow, Helen Elizabeth Smith","doi":"10.4103/singaporemedj.smj-2022-082","DOIUrl":"https://doi.org/10.4103/singaporemedj.smj-2022-082","url":null,"abstract":"","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139389837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Martin Yong Kwong Lee, Deanna Xiuting Koh, S. Chong, R. Chua
{"title":"Potential hurdles to prescribing COVID-19 oral antivirals in primary and community care","authors":"Martin Yong Kwong Lee, Deanna Xiuting Koh, S. Chong, R. Chua","doi":"10.4103/singaporemedj.smj-2023-054","DOIUrl":"https://doi.org/10.4103/singaporemedj.smj-2023-054","url":null,"abstract":"","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139390816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical and social domains of ageing research in Singapore (2008-2018): a scoping review.","authors":"Chen Hee Tam, Elaine Qiao Ying Ho, Sumali Subhashini Hewage, Shilpa Tyagi, Gerald Choon Huat Koh","doi":"10.11622/smedj.2021172","DOIUrl":"10.11622/smedj.2021172","url":null,"abstract":"<p><strong>Introduction: </strong>This scoping review examined the number, types and characteristics of journal publications on ageing in Singapore from 2008 to 2018 to determine how ageing research in medical and social domains in Singapore has transformed over time.</p><p><strong>Methods: </strong>Using relevant search terms, articles were extracted from multiple databases and then screened and reviewed for eligibility and inclusion by independent reviewers. Data such as article title, authors, year of publication, name of journal, type of journal, study design and the kind of data used were charted from the included articles for evidence synthesis.</p><p><strong>Results: </strong>Since 2008, there has been a steady increase in the number of publications on ageing in medical and social domains in Singapore. In the medical domain, publications on Ophthalmology (22%) made up the largest proportion of the existing medical literature on ageing in Singapore, followed by Physical Functioning (17%), which involved physiological measurements of physical well-being, and Geriatrics (16%). Non-medical publications comprised 38% of all the included publications, with publications on the social aspects of ageing (43%) forming the largest group in this cluster, followed by publications on Prevention (19%) and Healthcare services (18%). The study design was mostly observational (82%), with only 3% of interventional studies.</p><p><strong>Conclusion: </strong>While ageing research had expanded in Singapore in the last decade, it was predominantly discipline specific and observational in design. As ageing issues are complex, with biology intersecting with psychology and sociology, we call for greater interdisciplinary collaboration, the conduct of more interventional studies, as well as more research in understudied and emerging areas.</p>","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10863733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39575951","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}
{"title":"Improving children's cooperativeness during magnetic resonance imaging using interactive educational animated videos: a prospective, randomised, non-inferiority trial.","authors":"Evelyn Gabriela Utama, Seyed Ehsan Saffari, Phua Hwee Tang","doi":"10.11622/smedj.2021141","DOIUrl":"10.11622/smedj.2021141","url":null,"abstract":"<p><strong>Introduction: </strong>A previous prospective, randomised controlled trial showed that animated videos shown to children before magnetic resonance imaging (MRI) scan reduced the proportion of children needing repeated MRI sequences and improved confidence of the children staying still for at least 30 min. Children preferred the interactive video. We hypothesised that the interactive video is non-inferior to showing two videos (regular and interactive) in improving children's cooperativeness during MRI scans.</p><p><strong>Methods: </strong>In this Institutional Review Board-approved prospective, randomised, non-inferiority trial, 558 children aged 3-20 years scheduled for elective MRI scan from June 2017 to March 2019 were randomised into the interactive video only group and combined (regular and interactive) videos group. Children were shown the videos before their scan. Repeated MRI sequences, general anaesthesia (GA) requirement and improvement in confidence of staying still for at least 30 min were assessed.</p><p><strong>Results: </strong>In the interactive video group ( n = 277), 86 (31.0%) children needed repeated MRI sequences, two (0.7%) needed GA and the proportion of children who had confidence in staying still for more than 30 min increased by 22.1% after the video. In the combined videos group ( n = 281), 102 (36.3%) children needed repeated MRI sequences, six (2.1%) needed GA and the proportion of children who had confidence in staying still for more than 30 min increased by 23.2% after the videos; the results were not significantly different between the two groups.</p><p><strong>Conclusion: </strong>The interactive video group demonstrated non-inferiority to the combined videos group.</p>","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10863732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39517433","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}
P V Asharani, Vanessa Seet, Fiona Devi, Peizhi Wang, Kumarasan Roystonn, Mythily Subramaniam
{"title":"Electronic nicotine delivery systems: prevalence and perception of risk/harm in individuals with mental illness.","authors":"P V Asharani, Vanessa Seet, Fiona Devi, Peizhi Wang, Kumarasan Roystonn, Mythily Subramaniam","doi":"10.11622/smedj.2022091","DOIUrl":"10.11622/smedj.2022091","url":null,"abstract":"","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10863740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40534983","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}