Singapore medical journal最新文献

{"title":"Prevalence of impostor phenomenon and burnout in a Singapore health system.","authors":"Jun Hui Tan, Ke Xin Eh, Zheng Jye Ling","doi":"10.4103/singaporemedj.SMJ-2022-006","DOIUrl":"10.4103/singaporemedj.SMJ-2022-006","url":null,"abstract":"<p><strong>Introduction: </strong>Impostor phenomenon (IP) is a set of feelings encountered by individuals of being incompetent, despite experiencing successes. IP affects not only individuals on a personal level, but also organisations where the leadership diversity decreases due to employees' self-doubt. We aim to investigate the prevalence of IP and burnout among employees in the National University Health System (NUHS).</p><p><strong>Methods: </strong>All permanently employed full-time NUHS employees aged 21 years and above were invited to participate in this self-administered cross-sectional study between April 2021 and August 2021. Mass emails with the embedded study link were sent every 2-3 weeks to the employees' corporate email accounts.</p><p><strong>Results: </strong>In our study, 61% of our study respondents reported having IP experiences and 97% reported having burnout. The associations of IP with ethnicity and age group were significant. Post hoc tests, however, showed that the association was statistically significant only in the 21-29 years age group.</p><p><strong>Conclusion: </strong>We found that there was no statistical significance between gender and the Maslach Burnout Inventory (MBI) profile types. However, we found that IP was significantly associated with individuals in the 21-29 years age group. This could be because younger individuals who just entered workforce may feel uncomfortable with their newfound independence and responsibility. Workplace support, such as workshops, and emotional support were found to be useful in helping individuals cope with IP. Future studies could be done post coronavirus disease 2019 (COVID-19) pandemic among healthcare workers to have a larger sample size to determine true IP and burnout prevalence.</p>","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":" ","pages":"540-544"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9383469","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":"Presenting characteristics, histological subtypes and outcomes of adult central nervous system tumours: retrospective review of a surgical cohort.","authors":"Mervyn Jun Rui Lim, Yilong Zheng, Sean Wai-Onn Eng, Celest Wen Ting Seah, Shuning Fu, Lucas Zheng Long Lam, Joel Yat Seng Wong, Balamurugan Vellayappan, Andrea Li-Ann Wong, Kejia Teo, Vincent Diong Weng Nga, Sein Lwin, Tseng Tsai Yeo","doi":"10.4103/singaporemedj.SMJ-2022-069","DOIUrl":"10.4103/singaporemedj.SMJ-2022-069","url":null,"abstract":"<p><strong>Introduction: </strong>The most recent local study on the incidence of histological subtypes of all brain and spinal tumours treated surgically was published in 2000. In view of the outdated data, we investigated the presenting characteristics, histological subtypes and outcomes of adult patients who underwent surgery for brain or spinal tumours at our institution.</p><p><strong>Methods: </strong>A single-centre retrospective review of 501 patients who underwent surgery for brain or spinal tumours from 2016 to 2020 was conducted. The inclusion criteria were (a) patients who had a brain or spinal tumour that was histologically verified and (b) patients who were aged 18 years and above at the time of surgery.</p><p><strong>Results: </strong>Four hundred and thirty-five patients (86.8%) had brain tumours and 66 patients (13.2%) had spinal tumours. Patients with brain tumours frequently presented with cranial nerve palsy, headache and weakness, while patients with spinal tumours frequently presented with weakness, numbness and back pain. Overall, the most common histological types of brain and spinal tumours were metastases, meningiomas and tumours of the sellar region. The most common complications after surgery were cerebrospinal fluid leak, diabetes insipidus and urinary tract infection. In addition, 15.2% of the brain tumours and 13.6% of the spinal tumours recurred, while 25.7% of patients with brain tumours and 18.2% of patients with spinal tumours died. High-grade gliomas and metastases had the poorest survival and highest recurrence rates.</p><p><strong>Conclusion: </strong>This study serves as a comprehensive update of the epidemiology of brain and spinal tumours and could help guide further studies on brain and spinal tumours.</p>","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":" ","pages":"545-550"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10168023","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":"Staying safe at home: a qualitative study of parental perspectives on child injury prevention in Singapore.","authors":"Gwen Yung-Hsin Hwarng, Amelia Suan-Lin Koe, Sashikumar Ganapathy","doi":"10.11622/smedj.2021211","DOIUrl":"10.11622/smedj.2021211","url":null,"abstract":"","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":" ","pages":"557-560"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39659182","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":"Fostering resilience in junior doctors: insights from senior physicians.","authors":"Mae Yue Tan, Jia Ming Low, Yun Ying Tammy Tsang, Kang Sim, Marion M Aw","doi":"10.11622/smedj.2021213","DOIUrl":"10.11622/smedj.2021213","url":null,"abstract":"","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":" ","pages":"561-565"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39748100","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":"Recommendations for enhanced primary series (third dose) COVID-19 vaccination for people with rheumatic diseases: chapter of Rheumatologists, College of Physicians, Singapore.","authors":"Chuanhui Xu, Manjari Lahiri, Amelia Santosa, Li-Ching Chew, Stanley Angkodjojo, Melonie Sriranganathan, Warren Fong, Thaschawee Arkachaisri, Ernest Suresh, Kok Ooi Kong, Aisha Lateef, Tau Hong Lee, Keng Hong Leong, Andrea Low, Teck Choon Tan, Ying-Ying Leung","doi":"10.4103/singaporemedj.SMJ-2022-070","DOIUrl":"10.4103/singaporemedj.SMJ-2022-070","url":null,"abstract":"<p><strong>Introduction: </strong>This review aims to provide evidence-based recommendations for an enhanced primary series (third dose) coronavirus disease 2019 (COVID-19) vaccination in people with rheumatic diseases (PRDs) in the local and regional context.</p><p><strong>Methods: </strong>Literature reviews were performed regarding the necessity, efficacy, safety and strategies for enhanced primary series COVID-19 vaccination in PRDs. Recommendations were developed based on evidence according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology. Evidence was synthesised by eight working group members, and the consensus was achieved by a Delphi method with nine members of an expert task force panel.</p><p><strong>Results: </strong>Two graded recommendations and one ungraded position statement were developed. PRDs have impaired immunogenicity from the COVID-19 vaccine and are at an increased risk of postvaccine breakthrough severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and poor clinical outcomes, compared to the general population. We strongly recommend that PRDs on immunomodulatory drugs be offered a third dose of the messenger RNA (mRNA) vaccine as part of an enhanced primary series, after the standard two-dose regimen. We conditionally recommend that the third dose of mRNA vaccine against SARS-CoV-2 be given at least 4 weeks after the second dose or as soon as possible thereafter. There is insufficient data to inform whether the third mRNA vaccine should be homologous or heterologous in PRDs.</p><p><strong>Conclusion: </strong>These recommendations that were developed through evidence synthesis and formal consensus process provide guidance for an enhanced primary series COVID-19 vaccination in PRDs.</p>","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":" ","pages":"532-539"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9911387","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":"A systems thinking approach to tackle the national challenge of burnout among healthcare workers.","authors":"Huai Yang Lim, Shirley Beng Suat Ooi","doi":"10.4103/singaporemedj.SMJ-2021-317","DOIUrl":"10.4103/singaporemedj.SMJ-2021-317","url":null,"abstract":"","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":" ","pages":"551-556"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12599988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10169933","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":"Endothelial dysfunction in subclinical hyperthyroidism: a randomised trial.","authors":"Shaikh Abdul Kader Kamaldeen Abdul Shakoor, Hongli Jiao, Kiat Hoe Ong, Alvin Wai Kit Tan, Huiling Liew","doi":"10.11622/smedj.2021215","DOIUrl":"10.11622/smedj.2021215","url":null,"abstract":"","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":" ","pages":"566-569"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39748101","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":"Exploration of integrated targeted serum and hair metabolomic profiles in men with androgenetic alopecia.","authors":"Min Hee Kim, In Jin Ha, Kyuseok Kim","doi":"10.4103/singaporemedj.SMJ-2021-154","DOIUrl":"10.4103/singaporemedj.SMJ-2021-154","url":null,"abstract":"","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":" ","pages":"501-507"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9363622","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":"Metal on metal: removal of an extruding mandibular titanium reconstruction plate using a high-speed surgical drill.","authors":"Janet Hung, O-Wern Low, Jing Tzer Lee, Hanjing Lee, Vigneswaran Nallathamby, Yan Lin Yap, Jane Lim, Thiam Chye Lim","doi":"10.11622/smedj.2021216","DOIUrl":"10.11622/smedj.2021216","url":null,"abstract":"","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":" ","pages":"508-510"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39748104","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":"The epidemiology and distribution of hand fractures in Singapore.","authors":"Jin Xi Lim, Lan Anh Thi Le, Jared Ze Yang Yeh, Jia Jun Justin Boey, Vaikunthan Rajaratnam","doi":"10.4103/singaporemedj.SMJ-2021-334","DOIUrl":"10.4103/singaporemedj.SMJ-2021-334","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to elucidate the epidemiology and distribution of hand fractures in Singapore.</p><p><strong>Methods: </strong>A total of 701 hand fractures in 596 patients aged 21 years and above from a single centre were reviewed from 2010 to 2011. Details regarding the patient demographics, occupation, mechanism of injury, associated injuries and treatment were obtained.</p><p><strong>Results: </strong>Hand fractures were particularly significant in patients between the ages of 21 and 40 years 58.9% of the total cases. The relative risk of hand fractures in males was 5.5 times greater than that in females. The majority of hand fractures occurred at the workplace (47.7%), with crush injury being the main mechanism of injury (33.6%). The most common locations of hand fracture were the little finger ray (31.2%) and distal phalanges (37.7%). There were 170 cases that underwent surgical fixation, which accounted for 24.3% of all fractures. Fixation rate was similar for both closed and open fractures but was significantly higher in the proximal and middle phalanges compared to the distal phalanx and metacarpal ( P < 0.001). With regards to surgical fixation methods, wires were commonly used in either tuft fractures (100.0%) or intra-articular fractures (69.9%), whereas plates and screws were commonly used in shaft fractures (65.5%).</p><p><strong>Conclusion: </strong>The most significant population that sustained hand fractures in Singapore are young to middle-aged males who are skilled manual workers. The most commonly involved ray and location of hand fractures are the little finger ray and the distal phalanges, respectively, as they are in a relatively more exposed location.</p>","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":" ","pages":"476-480"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9817076","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}