Proceedings of Singapore Healthcare最新文献_第7页

Thymic squamous cell carcinoma lurking in a growing large cyst: A case report 潜伏在生长中的大囊肿中的胸腺鳞状细胞癌1例报告

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221117891

Tomoki Nakagawa, R. Masuda, Hiraiwa Shinichiro, S. Yamada, M. Iwazaki

引用次数: 0

Anti tumor necrosis factor induced focal myositis 抗肿瘤坏死因子诱导的局灶性肌炎

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221147755

A. Masnammany, Wendy Lau, P. Wong, N. Manolios

引用次数: 1

Identifying and ranking the attributes of hospitals readiness to apply bring your own device: An explanatory sequential mixed study 识别和排序医院准备申请的属性自带设备：一项解释性的序贯混合研究

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221144113

M. Jahanbakhsh, M. Amini-Rarani, Shahram Tahmasebian, Masoumeh Shahbazi

{"title":"Identifying and ranking the attributes of hospitals readiness to apply bring your own device: An explanatory sequential mixed study","authors":"M. Jahanbakhsh, M. Amini-Rarani, Shahram Tahmasebian, Masoumeh Shahbazi","doi":"10.1177/20101058221144113","DOIUrl":"https://doi.org/10.1177/20101058221144113","url":null,"abstract":"Objective The Bring Your Own Device (BYOD) approach has promoted the usage of personal mobile devices for organizational and carrier purposes. Applying a BYOD approach might provide various challenges for healthcare organizations. This study endeavored to identify the attributes of hospitals readiness in applying BYOD and to rank these attributes in order to develop appropriate policies for dealing with challenges. Materials and methods This study is an explanatory sequential mixed method design that was carried out in two qualitative and quantitative phases for identifying the BYOD attributes and ranking them, respectively. Semi-structured interviews with 15 experts in the BYOD field were performed through in the qualitative phase. Purposive and snowball sampling approaches were used to choose experts. Thematic analysis was used to analyze qualitative data. The identified attributes were ranked in a quantitative phase by asking 10 experts using fuzzy hierarchical analysis. Results Six main themes and 23 subthemes were identified. The findings of hierarchical analysis showed that ethical considerations, management principles, human resources, legislation considerations, cost, and technical infrastructure as the six main themes, respectively, have priority in hospitals readiness for BYOD. Conclusion Addressing the highlighted priorities, from ethical considerations to technical infrastructure, in the formulation and implementation of formal programs and policies by health managers and authorities will prepare hospitals for the use of BYOD while decreasing the challenges associated with it.","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":"43048533","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

The association between pre-operative malnutrition and post-amputation clinical outcomes: A systematic review 术前营养不良与截肢后临床结果的关系:一项系统综述

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221094864

Xiaomei Zheng, Mei En Joy Yeo, Charles Chin Han Lew

{"title":"The association between pre-operative malnutrition and post-amputation clinical outcomes: A systematic review","authors":"Xiaomei Zheng, Mei En Joy Yeo, Charles Chin Han Lew","doi":"10.1177/20101058221094864","DOIUrl":"https://doi.org/10.1177/20101058221094864","url":null,"abstract":"Background: In patients who underwent lower limb amputation (LLA), the prevalence of malnutrition and its association with clinical outcomes are unclear. Objectives: This systematic review aims to identify literature and summarise existing information on (1) the prevalence of malnutrition in the patients with LLA and (2) the association between pre-operative nutritional status and post-surgery clinical outcomes in patients who require amputation. Methods: A search was conducted in four electronic databases (Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, CINAHL and Scopus) to identify eligible studies. The search strategy was based on keywords – amputation, malnutrition and undernutrition. Article were included regardless of the study design; and if they were written in English; included adult patients with lower limb or foot amputation; and performed pre-amputation nutrition assessments. Results: Seven articles met the eligibility criteria. Malnutrition was assessed by biochemistry and/or anthropometry – none of which are validated nutrition assessment tools. Nevertheless, abnormal biochemistry and/or anthropometry results were associated with delayed wound healing, complications and failed amputation compared to normal ranges. The association between abnormal biochemistry and/or anthropometry parameters and mortality was less consistent. Only one study used a validated nutrition screen tool and found half of the population with LLA were at risk of malnutrition, but no association was reported. Conclusions: The association between malnutrition and clinical outcomes in patients who underwent LLA remains unclear as all the eligible studies that investigated association used unvalidated nutrition assessment tools. There is an urgent need to address this knowledge gap in future research.","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":"44095563","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

Lung mass in patient with congestive heart failure – Now you see it, now you don’t ! 充血性心力衰竭患者的肺肿块-现在你看到了，现在你看不见了!

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221144111

Kuan Yau Yeh, Asyif Fairus Ahmad, A. Alaga

{"title":"Lung mass in patient with congestive heart failure – Now you see it, now you don’t !","authors":"Kuan Yau Yeh, Asyif Fairus Ahmad, A. Alaga","doi":"10.1177/20101058221144111","DOIUrl":"https://doi.org/10.1177/20101058221144111","url":null,"abstract":"Phantom tumour, vanishing tumour, and pseudotumour of the lung are terms used to describe the tumour appearance on a chest radiograph of a decompensated heart failure patient, which typically disappears after appropriate treatment of their underlying condition. It is a loculated pleural effusion in the fissures that gives rise to the tumour appearance on the chest radiograph of a patient with heart failure. Its existence might mislead the diagnosis, resulting in unnecessary invasive diagnostic investigations done on the patient. We present a case of a 64 year-old male with multiple co-morbidities presenting with dyspnea, loss of weight, and loss of appetite. A chest radiograph showed homogenous opacity over the right lower zone with cardiomegaly, raising the suspicion of a lung mass apart from heart failure. It disappeared after appropriate diuretic treatment. The computed tomography (CT) thorax, which was planned by the primary team, subsequently showed no lung mass. Hence, a high index of suspicion of phantom tumour is important when a lung mass is noted on a chest radiograph of a patient clinically presented with heart failure. This is because exposure to ionising radiation from CT is completely avoidable with just appropriate treatment of fluid overload. However, CT is still the best modality for assisting physicians in a doubtful case.","PeriodicalId":44685,"journal":{"name":"Proceedings of Singapore Healthcare","volume":"31 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41557630","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

Contemporary review of heart transplant immunology and immunosuppressive therapy 心脏移植免疫学与免疫抑制治疗的现代综述

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221138840

Kamalesh Anbalakan, K. Chew, J. Loh, D. Sim, S. Lai, Louis Teo Loon Yee

{"title":"Contemporary review of heart transplant immunology and immunosuppressive therapy","authors":"Kamalesh Anbalakan, K. Chew, J. Loh, D. Sim, S. Lai, Louis Teo Loon Yee","doi":"10.1177/20101058221138840","DOIUrl":"https://doi.org/10.1177/20101058221138840","url":null,"abstract":"Background Survival after heart transplantation (HT) has improved considerably since the first HT was performed in 1967 in Cape Town, South Africa. Understanding immunology behind organ rejection has paved way for advances in the assessment of pre-transplant compatibility, development of newer and more specific immunosuppressive drugs, and management of rejection. Objectives Unlike medical therapy for heart failure, transplant protocols vary considerably between different centers. These variations in protocols generally reflect unique population characteristics and the availability of resources. This review article aims to provide a consolidated update on contemporary cardiac transplant medicine. We also aim to highlight local practice and its difference from our international counterparts. Methods A literature search was performed on Pubmed and Cochrane Central Register of Controlled Trials to identify trials and review articles that discussed heart transplant immunology and protocols. The International Society for Heart and Lung Transplant (ISHLT) guidelines were also reviewed. We focused on risk factors, prevention strategies, and treatment of cardiac rejection. Results A total of 48 articles were selected to provide a comprehensive overview of the contemporary practice of cardiac transplant immunosuppressive therapy. Comparisons were made with local data and practice protocols to highlight key differences. Conclusion Heart transplant covers a small subset of cardiac patients and much of the evidence is derived from empirical observations and retrospective analysis. This accounts for the heterogeneity in care and treatment protocols. More studies are needed to select best practices from around the world to further improve 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":"45383361","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

Methaemoglobinaemia in pregnancy: Real world experience in a single centre in Malaysia 妊娠期甲基血红蛋白血症:马来西亚单一中心的真实世界经验

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221111575

Andy Sing Ong Tang, Kok Choon Cheah, T. S. Leong, L. Chew

引用次数: 0

Subjective sleep quality among hospitalised adult patients: An observational, cross-sectional study 成年住院患者的主观睡眠质量：一项观察性横断面研究

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221111664

Siti Nadiah Binte Arman, YingHui Lee, Violeta Lopez, Siew Hoon Lim

{"title":"Subjective sleep quality among hospitalised adult patients: An observational, cross-sectional study","authors":"Siti Nadiah Binte Arman, YingHui Lee, Violeta Lopez, Siew Hoon Lim","doi":"10.1177/20101058221111664","DOIUrl":"https://doi.org/10.1177/20101058221111664","url":null,"abstract":"Background Inpatient sleep quality is influenced by multiple factors including medical conditions, use of medication and the ward environment. Without adequate rest, detrimental effects on patients’ physical and psychological performances may persist, inhibiting recovery and increasing length of stay. Objective This study examined the sleep quality of adult inpatients and its’ associations with sociodemographic, clinical and environmental factors. Methods An observational study was conducted in the medical wards of an acute care hospital in Singapore from July to December 2018. Patients completed the Pittsburgh Sleep Quality Index (PSQI) to establish baseline sleeping habits and the Richards-Campbell Sleep Questionnaire (RCSQ) to assess perception of sleep quality during hospitalisation. Noise levels were measured using the SL-4023SD sound level meter. Environmental factors affecting sleep were also recorded. Results 52 patients were recruited reported a mean RCSQ score of 5.83 (SD = 2.31) and mean Global PSQI score was 6.06 (SD = 3.33), indicative of poor baseline sleep. The highest mean noise level presented with an average reading of 80 dB, surpassing the WHO recommended noise levels by two times. Subjective sleep quality was not affected by demographic, clinical factors and bed locations. Patients exposed to night lamps reported a reduction in sleep quality (p = .04). Conclusions Recognising the importance of overall sleep quality and the identification of external factors influencing patients’ sleep quality during hospitalisation is a vital step towards developing successful interventions to promote good sleep hygiene in the general wards of the Asian context.","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":"48239493","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

Thoracoscopic lobectomy for an aberrant pulmonary artery of mediastinal inferior lobar branch: A case report 胸腔镜肺叶切除术治疗纵隔下肺叶分支异常肺动脉1例

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221111576

Hajime Watanabe, A. Wada, Tomoki Nakagawa, R. Masuda, S. Yamada, M. Iwazaki

引用次数: 0

Safety, adherence and efficacy of PCSK9 inhibitors: a retrospective real-world study PCSK9抑制剂的安全性、依从性和有效性:一项回顾性现实世界研究

IF 0.5

Proceedings of Singapore Healthcare Pub Date : 2022-06-01 DOI: 10.1177/20101058221144115

Bee Ling Kelly Chng, Wei Heng, Yu Ming Soon, J. S. Hon, Y. Lau, R. Tan, J. Tan

{"title":"Safety, adherence and efficacy of PCSK9 inhibitors: a retrospective real-world study","authors":"Bee Ling Kelly Chng, Wei Heng, Yu Ming Soon, J. S. Hon, Y. Lau, R. Tan, J. Tan","doi":"10.1177/20101058221144115","DOIUrl":"https://doi.org/10.1177/20101058221144115","url":null,"abstract":"Introduction PCSK9 inhibitors demonstrated their effectiveness in reducing low-density lipoprotein cholesterol (LDL-C) and cardiovascular events in landmark trials. It remains unclear whether the results can be translated to Asian populations. This study was designed to assess the real-world safety, adherence and efficacy of PCSK9 inhibitors. Methods A retrospective review for patients newly initiated on PCSK9 inhibitors between 1st June 2017 and 31st July 2021 was conducted in a tertiary cardiology centre. Patients aged ≥ 21 years with a minimum one-month follow-up were included. Adverse drug reactions (ADRs), drug discontinuation, adherence patterns and efficacy between evolocumab and alirocumab groups were compared. Multivariable and propensity score adjusted Cox regression analyses were applied to analyse the outcomes. Results Of 87 patients screened, 80 (51 evolocumab; 29 alirocumab) were included. There were no significant differences between evolocumab and alirocumab groups in ADRs (11.8% vs 3.4%, adjusted HR, 2.97; 95% CI, 0.34 – 25.89 in multivariable analysis; adjusted HR, 3.24; 95% CI, 0.38–27.69 after propensity score adjustment) and discontinuation rates (27.5% vs 34.5%, adjusted HR, 0.89; 95% CI, 0.40–2.02 in multivariable analysis; adjusted HR, 0.88; 95% CI, 0.39–1.99 after propensity score adjustment). High medication cost was the main reason for discontinuation. One-third of patients had inadequate adherence to PCSK9 inhibitors. Both groups showed significant reductions of LDL-C compared to baseline. Conclusions PCSK9 inhibitors are efficacious, safe and well tolerated. Further studies are warranted to examine the cost-effectiveness of PCSK9 inhibitors to rationalise their sustainable use for cardiovascular prevention.","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":"45584284","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: 2