Proceedings of Singapore Healthcare最新文献_第6页

Paediatric interlabial bleeding: More than vaginal pathology 儿科唇间出血:不只是阴道病理

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2023-01-02 DOI: 10.1177/20101058221149579

Zeng Hao Joel Wong

{"title":"Paediatric interlabial bleeding: More than vaginal pathology","authors":"Zeng Hao Joel Wong","doi":"10.1177/20101058221149579","DOIUrl":"https://doi.org/10.1177/20101058221149579","url":null,"abstract":"A 10 years old girl was referred with the complaints of “per vaginal bleeding and a mass after cycling”. During the first 2 weeks of symptoms, she had visited three different doctors with possible delayed recognition of her diagnosis. Clinical examination revealed an underweight, non-dysmorphic, prepubertal girl with vulvitis and an inflamed interlabial bleeding mass with ulceration. Imaging revealed a subcentimetre arteriovenous fistula and haematoma in the vagina. After one more week (total 3 weeks) of medical therapy, the indication for surgery was worsening of symptoms and failure of medical management. Examination under anaesthesia and cystoscopy revealed a complete urethra prolapse. Dilute adrenaline was injected into the prolapsed mucosa. The prolapse was excised in elliptical segments, and the edges closed with interrupted absorbable sutures. Sub-centimetre segments of mucosa were left between the excised specimens. Bipolar diathermy was used only for hemostasis and circumferential coagulation on the mucosa was avoided. These measures prevent an iatrogenic stenosis. The urethra prolapse was reduced, with no recurrence demonstrated on Valsalva maneuver. Post-operatively, her symptoms resolved. Oral antibiotics, sitz baths, antimicrobial cream and topical estrogen were administered. There was no recurrent urethra prolapse or stricture. The aim of this case report is to increase awareness of the urethral prolapse in the paediatric population and its management.","PeriodicalId":44685,"journal":{"name":"Proceedings of Singapore Healthcare","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41601828","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

Evaluating the impact of coronavirus disease on burnout among healthcare workers using maslach burnout inventory tool: A systematic review 使用maslach倦怠量表工具评估冠状病毒疾病对医护人员倦怠的影响：一项系统综述

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221117390

Reanne Tang, Ou Feng, Jin Jian Chong, Aiwen Wang

{"title":"Evaluating the impact of coronavirus disease on burnout among healthcare workers using maslach burnout inventory tool: A systematic review","authors":"Reanne Tang, Ou Feng, Jin Jian Chong, Aiwen Wang","doi":"10.1177/20101058221117390","DOIUrl":"https://doi.org/10.1177/20101058221117390","url":null,"abstract":"Background Burnout has been prevalent among healthcare workers (HCWs). However, the effect of the Coronavirus Disease (COVID-19) pandemic on this phenomenon in HCWs is unclear. Objective This systematic review aims to evaluate the impact of COVID-19 on burnout of HCWs using Maslach Burnout Inventory (MBI). Methods A systematic search was performed on PubMed database for articles published between 1 December 2019 and 30 June 2021. Search strategy combined terms for HCWs, COVID-19, burnout, and MBI. The main outcome of interest was burnout, including both mean prevalence and MBI scores for high emotional exhaustion (EE), high depersonalisation (DP) and low personal accomplishment (PA). Results Four cohort studies, 90 cross-sectional studies and one randomised-controlled trial were included for review. Only one cohort study compared burnout data among HCWs before and during COVID-19. It reported a statistically significant increase in mean EE and PA scores from 21.9 to 24.8 (p = .001), and 42.7 to 48.7 (p = .001), respectively. The remaining studies only evaluated burnout data during COVID-19 but were missing burnout data prior to the pandemic for comparison. Across these studies, the overall mean prevalence of burnout among HCWs was 39.95%, with mean MBI EE scores of 22.07, DP scores of 7.83, and PA scores of 32.53. Burnout outcomes were generally comparable across specific healthcare professions such as doctors and nurses. Conclusion Whilst quality research elucidating the effect of pandemic on burnout is lacking, current burnout prevalence among HCWs during COVID-19 is notable.","PeriodicalId":44685,"journal":{"name":"Proceedings of Singapore Healthcare","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43373013","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: 3

Hemichorea as initial presentation of newly diagnosed diabetes and acute lacunar stroke 偏瘫是新诊断的糖尿病和急性腔隙性中风的最初表现

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221147766

Thandar Oo, Wan Tin Lim

引用次数: 1

Universal COVID-19 pre-procedural swabs in children in a developing country: A comparison of findings over two transmission waves 发展中国家儿童普遍使用新冠肺炎术前拭子：两种传播波结果的比较

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221131656

Chee Yang Tan, Amelia Marie Theseira, Syukri Ahmad Zubaidi, N. Atiya, Anand Sanmugam, Srihari Singaravel, S. Nah

{"title":"Universal COVID-19 pre-procedural swabs in children in a developing country: A comparison of findings over two transmission waves","authors":"Chee Yang Tan, Amelia Marie Theseira, Syukri Ahmad Zubaidi, N. Atiya, Anand Sanmugam, Srihari Singaravel, S. Nah","doi":"10.1177/20101058221131656","DOIUrl":"https://doi.org/10.1177/20101058221131656","url":null,"abstract":"Aim The Coronavirus disease (COVID-19) pandemic has strained healthcare systems worldwide. Some institutions have implemented additional precautionary measures such as pre-procedural swabbing (PPS) to reduce transmission in patients and healthcare workers. We evaluate our experience with universal pre-procedural screening for COVID-19 in low-risk pediatric patients. Methods We performed a retrospective review of patients aged 18 years and below who underwent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) real-time reverse transcription-polymerase chain reaction (rRT-PCR) assay swabs in our center over two waves (1st May 2020 to 31st July 2020 and 1st April 2021 to 30th June 2021). We included patients who underwent rRT-PCR for SARS-CoV-2 prior to any procedures requiring general anesthesia and were deemed low risk for COVID-19 according to our institutional screening criteria. All study patients were followed up for 14 days post-procedure. Results Of 2065 swabs done for patients aged 18 years and below during the study period, 645 (31.2%) were pre-procedural swabs. Patients were aged 4.2 years (median, interquartile range: 1.6 years–9.8 years). Two patients (0.3%) tested positive for COVID-19 by PPS, detected during Period 2 – both had risk criteria which were overlooked by healthcare workers. Within 14 days post-procedure, 10 patients had unscheduled readmissions and 15 required repeat rRT-PCR, all of which were negative. Conclusions In patients deemed low risk for COVID-19 infection according to our screening criteria, routine pre-procedural swabbing returns a low positive rate. Our findings can guide screening protocols at institutions that provide surgical services during the COVID-19 pandemic.","PeriodicalId":44685,"journal":{"name":"Proceedings of Singapore Healthcare","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49574014","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

Towards zero waste in pharmacy: Challenges and opportunities in Singapore 迈向药房零浪费:新加坡的挑战与机遇

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221146323

J. Leow, Liyi Looi, Yixuan Lee, L. Chew

{"title":"Towards zero waste in pharmacy: Challenges and opportunities in Singapore","authors":"J. Leow, Liyi Looi, Yixuan Lee, L. Chew","doi":"10.1177/20101058221146323","DOIUrl":"https://doi.org/10.1177/20101058221146323","url":null,"abstract":"Background In line with zero-waste movement, there is a need for pharmacies to start reducing waste. There is no systematic waste minimization efforts by local pharmacies or studies to evaluate their effectiveness. Aim Assess behavioral change factors towards waste minimization at National Cancer Centre Singapore and evaluate effectiveness of recycling effort and patient education campaign. Methods Preliminary surveys were carried out among pharmacy staff, patients/caregivers to assess behavioral change factors. Recycling rate of staff and plastic bag consumption levels of patients/caregivers were measured. Results 46 staff members and 335 patients/caregivers were surveyed. Both populations were optimistic about the suggested green initiatives, 82.6% of staff members viewed recycling as a potential solution to reduce waste and 67.6% of patients and caregivers demonstrated willingness to participate in a Bring Your Own Bag (BYOB) campaign. Recycling efforts improved recycling rates by 53.4% while BYOB campaign resulted in no notable decrease in plastic bag consumption levels. Conclusion This study revealed the need for improvements in current waste management practices in local pharmacies, and demonstrated the effectiveness of implementing a recycling effort. BYOB campaign was not shown to be effective. Follow-up studies should be carried out to capture long-term sustainability data. Future efforts should include studies at other non-specialized local pharmacies.","PeriodicalId":44685,"journal":{"name":"Proceedings of Singapore Healthcare","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43776182","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

Disability and oral health in association of south east Asians - A survey for conceptualisation and development 东南亚人的残疾和口腔健康——概念化和发展调查

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221111579

Guang Xu David Lim, Siti Hamzah, Ricca Rocco Mae Bernardino, Patcharawan Sukhumalind, N. S. Ishak, Adiningrum Wiradidjaja Adiwoso

{"title":"Disability and oral health in association of south east Asians - A survey for conceptualisation and development","authors":"Guang Xu David Lim, Siti Hamzah, Ricca Rocco Mae Bernardino, Patcharawan Sukhumalind, N. S. Ishak, Adiningrum Wiradidjaja Adiwoso","doi":"10.1177/20101058221111579","DOIUrl":"https://doi.org/10.1177/20101058221111579","url":null,"abstract":"Background All member states in the Association of South East Asians (ASEAN) are ratified signatories of the UN Convention on the Rights of Persons with Disabilities. However, disability and oral health (DOH) can be an elusive ambition for developing nations. Objectives This survey aims to conceptualise ‘barriers’, ‘improvements’, ‘challenges in dental practice’, and ‘ways to collaborate’, to inform policy development for DOH within ASEAN. Methods The survey employed a novel quasi-qualitative design. It was electronically distributed to dentists with DOH specialty training in ASEAN within the International Association of Disability and Oral Health’s network from September 2018 to June 2020. The ‘barriers’ and ‘improvements’ would be categorised into five dimensions of healthcare - a framework by Levesque and colleagues (2013). Results 21 valid responses were received from Brunei, Indonesia, Malaysia, Philippines, Singapore and Thailand. From the care provider’s perspective, adequate training (appropriateness) was most prioritised. From the patient’s aspect, low oral health literacy (ability to perceive) was the most significant. ‘Social perception’ was collectively ranked as the key ‘challenge in dental practices’. Suggested ‘ways to collaborate’ could be categorised into five areas: engagement; advocacy; policies; specialty, and; upskilling. Conclusions The findings suggest an urgent need to address low oral health prioritisation, a drive to upskill providers, a challenge of ‘social perceptions’, and a consensual appeal for state-level support. A multi-sector collaboration is needed to align current strategies in order to achieve equity for DOH in ASEAN.","PeriodicalId":44685,"journal":{"name":"Proceedings of Singapore Healthcare","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45357302","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

Relationship between SARS-CoV-2 and hearing loss: A mini-review SARS-CoV-2与听力损失的关系:一项小型综述

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221139957

Sin Wai Lee, Kenneth Wei De Chua, H. Yuen

引用次数: 0

Breastfeeding With Infectious Diseases 感染性疾病的母乳喂养

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221123395

Samantha Yeo, Liying Yang, Kirsten Ong, T. Yong

{"title":"Breastfeeding With Infectious Diseases","authors":"Samantha Yeo, Liying Yang, Kirsten Ong, T. Yong","doi":"10.1177/20101058221123395","DOIUrl":"https://doi.org/10.1177/20101058221123395","url":null,"abstract":"Aims: Human breast milk remains an important source of protection against infection, inflammation, allergy and long-term metabolic disorders for the breastfed offspring. During cases of ongoing infection, the dilemma faced by both medical health professionals and mothers is the need to balance the risk of continuing versus temporarily or permanently ceasing to breastfeed. The aim of our article is to review existing literature regarding breastfeeding during acute infectious and non-infectious illnesses and to provide feasible evidence-based suggestions which can be implemented by medical practitioners during counselling of breastfeeding mothers. Method: A literature search was conducted on PubMed (US National Library of Medicine) using various combinations of keywords related to breastfeeding and the various infections. The citations from all selected articles were reviewed for additional studies. Results: Most ongoing infections are not contraindications for breastfeeding, with the exceptions of Human Immunodeficiency viruses (HIV), Human T-cell lymphotropic virus (HTLV) types 1 and 2. Even with HIV, there is increasing evidence to reassure that with adequate antiretroviral therapy, breastfeeding is likely to be safe. Of particular concern during the COVID-19 pandemic too, current evidence indicates that mothers with COVID-19 infection can safely breastfeed, and therefore initiation and continuation of breastfeeding should continue to protect the health of the babies and mothers. Conclusion: During this pandemic especially, there is a strong and urgent need to support mothers with acute infections who wish to breastfeed. With better awareness, physicians can play an important role in securing positive experiences for breastfeeding mothers and optimizing infant outcomes.","PeriodicalId":44685,"journal":{"name":"Proceedings of Singapore Healthcare","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43590443","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: 1

Osimertinib 80 mg EOD? Does this work? 奥西替尼80mg EOD?这能起作用吗？

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221114743

Yeong Y Yik, Arvindran A/L Alaga, H. S. Hin

引用次数: 2

Concurrent facial nerve palsy and uvula deviation after paediatric dental rehabilitation–A case report 小儿口腔康复后并发面神经麻痹及小舌偏曲1例

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221111663

M. Long, M. Khor, Satish Kumar Reddy Challa

引用次数: 0