Proceedings of Singapore Healthcare最新文献_第10页

Stature estimation of Malaysians using post-mortem computed tomography images of the spine 使用脊柱的死后计算机断层扫描图像估计马来西亚人的身材

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221122305

Mansharan Kaur Chainchel Singh, P. S. Lai, Sabrilhakim Sidek, Mohamad Helmee Mohd Noor, S. N. Abdul Rashid, S. Siew

{"title":"Stature estimation of Malaysians using post-mortem computed tomography images of the spine","authors":"Mansharan Kaur Chainchel Singh, P. S. Lai, Sabrilhakim Sidek, Mohamad Helmee Mohd Noor, S. N. Abdul Rashid, S. Siew","doi":"10.1177/20101058221122305","DOIUrl":"https://doi.org/10.1177/20101058221122305","url":null,"abstract":"Background Stature estimation is important in medical investigations to identify victims and is most accurate using anatomical methods utilizing the entire skeleton. However, in cases of mass fatalities, it has been calculated using regression analysis formulas of different body parts. Radiology especially post-mortem computed tomography (PMCT) is increasingly being used in victim identification as it is non- invasive and allows for multi planar reconstruction. Methods This study aims to generate stature estimation formulae using regression analysis of the vertebral column incorporating population that form the Malaysian ancestry i.e. Malay, Chinese and Indian using PMCT. This was a retrospective study involving 115 subjects who had a PMCT. Subjects consisted of Malaysian males and females (92 males and 23 females) aged 18–70 years. Cervical length (CL), thoracic length (TL), lumbar length and the whole spine length (WSL) incorporating cervical, thoracic and lumbar length were compared against cadaveric length. Results Whole spine length had the highest correlation coefficient of 0.570 and showed highest correlation with cadaveric length among female subjects compared to males. Whole spine length amongst the Malay was the highest followed by the Chinese and Indian ethnic groups (r = 0.671, 0.629, 0.402). Conclusion Our study concluded that the use of WSL from PMCT images can be used for body height estimation amongst Malaysians. This study has also successfully generated population-specific database for Malaysian experts to perform stature estimation using measurements of the vertebral column.","PeriodicalId":44685,"journal":{"name":"Proceedings of Singapore Healthcare","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48472463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Therapy Response of the Yttrium-90 (Y-90) Colloid and Rhenium-186 (Re-186) Sulphur Colloid Radiosynovectomy in Hemophilic Arthropathy 钇-90（Y-90）胶体和铼-186（Re-186）硫胶体放射滑膜切除术治疗血友病性关节病的疗效

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-05-01 DOI: 10.1177/20101058221103375

Kamalia Kamarulzaman, Lee Boon Nang, I. Shuaib, F. Abdul Karim, Wan Mohd Nazlee Wan Zainon, Norazlina Mat Nawi

{"title":"Therapy Response of the Yttrium-90 (Y-90) Colloid and Rhenium-186 (Re-186) Sulphur Colloid Radiosynovectomy in Hemophilic Arthropathy","authors":"Kamalia Kamarulzaman, Lee Boon Nang, I. Shuaib, F. Abdul Karim, Wan Mohd Nazlee Wan Zainon, Norazlina Mat Nawi","doi":"10.1177/20101058221103375","DOIUrl":"https://doi.org/10.1177/20101058221103375","url":null,"abstract":"Introduction Radiosynovectomy (also known as radiosynoviorthesis) is a local form of radiotherapy that is used in chronic hemophilic synovitis in the absence of radiological evidence of extensive joint damage and in patients that have failed conservative therapy with clotting factor replacement and physiotherapy. Objectives To evaluate the effectiveness of the Yttrium-90 (Y-90) colloid and Rhenium-186 (Re-186) sulphur colloid radiosynovectomy in hemophilic arthropathy in terms of bleeding frequency, pain score, range of motion and performance score. Methodology This was a prospective cohort trial. A total of 68 hemophilic arthropathy patients who had been treated with radiosynovectomy for knee, ankle, elbow and hip joint were included in this study. Patients were followed up to assess their bleeding frequency, pain score, range of motion of the affected joint and Karnofsky or Lansky performance scale at pre and 6 months post therapy. Result A marked decrease (80–100%) in bleeding frequency was seen in 66.2% of patients, 14.7% of patients had moderate decrease (51–79%) and mild decrease (30–50%) was seen in 14.7% of patients. The frequency of intraarticular bleeding and pain score were significantly reduced at 6 months follow up (p<0.005). The Karnofsky and Lansky performance scales were also improved at 6 months follow up (p<0.005). There was no significant difference between percentage of range of motion measured before and after the therapy (p>0.005). Conclusion Radiosynovectomy is a safe and effective procedure in limiting bleeding frequency, reducing pain and increasing performance scale.","PeriodicalId":44685,"journal":{"name":"Proceedings of Singapore Healthcare","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46268900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

de Winter syndrome, a STEMI-equivalent ECG pattern leading to life-threatening arrhythmia: A case report from a non-cardiac catheterization laboratory hospital de Winter综合征，一种STEMI等效心电图模式导致危及生命的心律失常：一家非心导管插入术实验室医院的病例报告

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-04-07 DOI: 10.1177/20101058221083391

N. Parthiban, H. Sani

{"title":"de Winter syndrome, a STEMI-equivalent ECG pattern leading to life-threatening arrhythmia: A case report from a non-cardiac catheterization laboratory hospital","authors":"N. Parthiban, H. Sani","doi":"10.1177/20101058221083391","DOIUrl":"https://doi.org/10.1177/20101058221083391","url":null,"abstract":"de Winter syndrome is a rare but important electrocardiographic pattern to recognize in patients presenting with chest pain. Under-recognition and delayed revascularization in patients with de Winter syndrome may lead to poor clinical outcomes. Despite increasing evidence of its association with total occlusion of the left anterior descending artery, the role of thrombolysis in the absence of percutaneous coronary intervention is not specifically addressed in recent international guidelines. Herein, we report a case of a 50-year-old gentleman with no known medical illness who presented with excruciating chest pain associated with diaphoresis, nausea, and reduced effort tolerance. Clinical examination revealed a distressed patient with bibasal crepitations with no other significant findings. The first ECG was sinus bradycardia with poor R-wave progression. ECG repeated 6 h later revealed de Winter syndrome. Within minutes, the patient developed sustained pulse ventricular tachycardia requiring synchronized cardioversion. The patient was intubated for impending cardiorespiratory failure. We took the pharmacoinvasive approach. The patient received thrombolytic therapy as percutaneous coronary intervention (PCI) was not available and transferring to the nearest cardiac center was not possible within the therapeutic window. He was then subsequently transferred to the nearest cardiac center post thrombolysis for PCI. We report this case study to highlight the importance of recognizing this STEMI-equivalent ECG pattern in patients presenting with chest pain, and call for randomized control trials to evaluate the effectiveness of thrombolytic therapy as an alternative emergent reperfusion strategy in de Winter syndrome in non-cardiac centers.","PeriodicalId":44685,"journal":{"name":"Proceedings of Singapore Healthcare","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47358732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous tumour lysis syndrome as a rare presentation of thymoma with peripheral blood lymphocytosis 自发性肿瘤溶解综合征是胸腺瘤伴外周血淋巴细胞增多症的罕见表现

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-04-01 DOI: 10.1177/20101058221089989

L. Nyanti, Andy Sing Ong Tang, Adam Ismail, L. Chew, T. S. Leong

引用次数: 0

Using the technology acceptance model to examine acceptance of telemedicine by cancer patients in an ambulatory care setting 使用技术接受模型检查癌症患者在流动护理环境中对远程医疗的接受程度

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-04-01 DOI: 10.1177/20101058221104578

Z. Chan, Chen Fang Lim, J. Leow, Feng Yong Chium, Su Wen Lim, Charlotte Hui Min Tong, Jessie Jie Xi Zhou, Moses Min Yuan Tsi, R. Tan, L. Chew

{"title":"Using the technology acceptance model to examine acceptance of telemedicine by cancer patients in an ambulatory care setting","authors":"Z. Chan, Chen Fang Lim, J. Leow, Feng Yong Chium, Su Wen Lim, Charlotte Hui Min Tong, Jessie Jie Xi Zhou, Moses Min Yuan Tsi, R. Tan, L. Chew","doi":"10.1177/20101058221104578","DOIUrl":"https://doi.org/10.1177/20101058221104578","url":null,"abstract":"Background: Telemedicine has demonstrated benefits for cancer patients including the potential to improve care coordination and patient outcomes. Since June 2020, teleconsultations have been implemented in the National Cancer Centre Singapore. Objectives: This study aims to assess cancer patients acceptance of telemedicine as a complement to traditional in-person care and identify factors affecting their acceptance. Methods: An online self-administered questionnaire was designed using a modified technology acceptance model (TAM) previously validated to predict acceptance of telemedicine by patients and factors affecting acceptance. Descriptive statistics were used to summarise data on demographic factors and TAM construct scores. Univariate and multivariate logistic regression were used to determine how demographics factors and TAM constructs influenced acceptance. Results: Respondents (n = 278; mean age 59 years) were mostly female (67.6%), Chinese (86.3%) and received parenteral chemotherapy (72.6%). Technology access and confidence were generally moderate to high, while past telemedicine use was low (18%). Overall, more than half (59.7%) expressed acceptance. The odds of acceptance were significantly higher if respondents agreed that their healthcare access would improve by using telemedicine (OR 4.17, 95% CI 1.71–10.16) or they would have the necessary resources for using telemedicine (OR 4.54, 95% CI 2.30–8.97). Conclusion: Acceptance of telemedicine was high amongst respondents. Facilitating conditions such as having necessary resources and perceived improved access were identified as main predictors of high acceptance. Telemedicine services should work to improve these aspects, leverage on advantages and address disadvantages brought up by patients.","PeriodicalId":44685,"journal":{"name":"Proceedings of Singapore Healthcare","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46108228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the barriers to pregnant women’s engagement in the childbirth process from Iranian midwives’ point of view: A qualitative study 从伊朗助产士的角度探讨孕妇参与分娩过程的障碍:一项定性研究

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-04-01 DOI: 10.1177/20101058221089990

Roghieh Bayrami, R. Baghaei

{"title":"Exploring the barriers to pregnant women’s engagement in the childbirth process from Iranian midwives’ point of view: A qualitative study","authors":"Roghieh Bayrami, R. Baghaei","doi":"10.1177/20101058221089990","DOIUrl":"https://doi.org/10.1177/20101058221089990","url":null,"abstract":"Purpose: Pregnant women’s engagement in the childbirth process increases their satisfaction with childbirth, and in turn leads to a reduction in the frequency of cesarean sections and adverse pregnancy consequences. This study aimed to explore the barriers to pregnant women’s engagement in the childbirth process based on midwives' perspective. Methods: This qualitative study was conducted on 24 midwives working in Urmia hospitals in 2019. Data were collected through semi-structured in-depth individual interviews with the midwives. The participants were selected through purposeful sampling. Data analysis was performed using conventional content analysis with MAXQDA 10. Results: Analysis of the data resulted in two main categories “weakness of pregnant women’s participatory culture” (negative attitude of healthcare staff towards pregnant women’s engagement, ineffective relationships, insufficient engagement in respectful care, lack of pregnant women’s awareness of their rights and low health literacy of the pregnant women, and “managerial factors” (neglect of physiological childbirth aspects and hospital rules). Conclusion: Pregnant women’s participation in childbirth can be enhanced by promoting pregnant women’s participatory culture by making mothers aware of their rights and providing in-service training for healthcare staff to observe the rights and dignity of pregnant women. Moreover, the promotion of physiological childbirth and the correction of hospital rules can promote pregnant women’s engagement in childbirth.","PeriodicalId":44685,"journal":{"name":"Proceedings of Singapore Healthcare","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47869220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Guideline for Management of Down Syndrome in Singapore 新加坡唐氏综合症临床治疗指南

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-04-01 DOI: 10.1177/20101058221104582

Kavitha Sothirasan, A. Anand, M. Chua, P. Khoo, Mei Chien Chua

引用次数: 0

Management of a patient with polymorphic ventricular tachycardia from aconitum poisoning 乌头中毒致多形性室性心动过速1例的处理

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-04-01 DOI: 10.1177/20101058221085742

S. Ho, K. Kuan

{"title":"Management of a patient with polymorphic ventricular tachycardia from aconitum poisoning","authors":"S. Ho, K. Kuan","doi":"10.1177/20101058221085742","DOIUrl":"https://doi.org/10.1177/20101058221085742","url":null,"abstract":"An 81-year-old man presented to the Emergency Department with shortness of breath, generalised weakness, numbness, giddiness, nausea and vomiting after consuming an inadequately prepared Traditional Chinese Medicine preparation that contained herbal aconitum (Chuanwu and Caowu). His electrocardiogram (ECG) and rhythm strips showed multiple runs of non-sustained ventricular tachycardia monomorphic ventricular tachycardia and slowed polymorphic ventricular tachycardia. He was treated with intravenous (IV) amiodarone, magnesium and lignocaine, and was started on IV noradrenaline after developing haemodynamic compromise. There was no digoxin detected in the blood and urine. At 12 h, aconitine was not detected in the blood (cut off at <1 ng/mL) but aconitine and hypaconitine was detected in the urine qualitatively. He underwent a coronary angiogram at 12 h post-admission which showed minor coronary artery disease. A formal echocardiogram showed left ventricular ejection fraction 50–55% with no regional wall motion abnormalities of the left ventricle. He made an uneventful recovery and reverted to normal sinus rhythm at 29 h of admission. He was discharged well on Day 4 of admission with a diagnosis of polymorphic ventricular tachycardia secondary to Aconitum poisoning.","PeriodicalId":44685,"journal":{"name":"Proceedings of Singapore Healthcare","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42515466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute Necrotizing Pancreatitis Caused by Transient Hypertriglyceridemia in a Patient With DKA and Normal Serum Amylase and Lipase DKA和正常血清淀粉酶和脂肪酶患者短暂性高甘油三酯血症引起的急性坏死性胰腺炎

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-04-01 DOI: 10.1177/20101058221083390

Hui Sin Cheng, Wilbert H H Ho, V. Poulose

引用次数: 0

Spontaneous base of penile abscess successfully treated by transperineal incision and drainage: A case report 经会阴切开引流成功治疗自发性阴茎基底脓肿1例

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-04-01 DOI: 10.1177/20101058221097556

L. T. Lee, S. Hon, J. S. Chuah, Yu Jin Tee, Syed Omar Mohd Ibrahim

引用次数: 0