Annals of the Academy of Medicine, Singapore最新文献_第4页

Singapore clinical guideline on parenteral nutrition in adult patients in the acute hospital setting. 新加坡临床指南在急性医院设置成人患者肠外营养。

IF 2.5

Annals of the Academy of Medicine, Singapore Pub Date : 2025-06-17 DOI: 10.47102/annals-acadmedsg.2024318

Johnathan Huey Ming Lum, Hazel Ee Ling Yeong, Pauleon Enjiu Tan, Ennaliza Salazar, Tingfeng Lee, Yunn Cheng Ng, Janet Ngian Choo Chong, Pay Wen Yong, Jeannie Peng Lan Ong, Siao Ching Gooi, Kristie Huirong Fan, Weihao Chen, Mei Yoke Lim, Kon Voi Tay, Doris Hui Lan Ng

{"title":"Singapore clinical guideline on parenteral nutrition in adult patients in the acute hospital setting.","authors":"Johnathan Huey Ming Lum, Hazel Ee Ling Yeong, Pauleon Enjiu Tan, Ennaliza Salazar, Tingfeng Lee, Yunn Cheng Ng, Janet Ngian Choo Chong, Pay Wen Yong, Jeannie Peng Lan Ong, Siao Ching Gooi, Kristie Huirong Fan, Weihao Chen, Mei Yoke Lim, Kon Voi Tay, Doris Hui Lan Ng","doi":"10.47102/annals-acadmedsg.2024318","DOIUrl":"10.47102/annals-acadmedsg.2024318","url":null,"abstract":"Introduction: The primary objective of this guideline is to establish evidence-based recommendations for the clinical use of parenteral nutrition (PN) in adult patients within the acute hospital setting in Singapore.Method: An expert workgroup, consisting of healthcare practitioners actively involved in clinical nutrition support across all public health institutions, systematically evaluated existing evidence and addressed clinical questions relating to PN therapy.Results: This clinical practice guideline developed 30 recommendations for PN therapy, which cover these key aspects related to PN use: indications, patient assess-ment, titration and formulation of PN bags, access routes and devices, and monitoring and management of PN-related complications.Conclusion: This guideline provides recommendations to ensure appropriate and safe clinical practice of PN therapy in adult patients within the acute hospital setting.","PeriodicalId":502093,"journal":{"name":"Annals of the Academy of Medicine, Singapore","volume":"54 6","pages":"350-369"},"PeriodicalIF":2.5,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602662","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

Pulling teeth or pulling together? Time to improve antibiotic prescribing in dentistry. 拔牙还是一起拔牙？是时候改进牙科的抗生素处方了。

IF 2.5

Annals of the Academy of Medicine, Singapore Pub Date : 2025-06-16 DOI: 10.47102/annals-acadmedsg.2025167

Daphne Yii, Yvonne Peijun Zhou, Shimin Jasmine Chung

引用次数: 0

Fluoride benefits and risks: Lessons from 70 years of water fluoridation in Singapore. 氟化物的益处和风险：新加坡70年水氟化的经验教训。

IF 2.5

Annals of the Academy of Medicine, Singapore Pub Date : 2025-06-16 DOI: 10.47102/annals-acadmedsg.202521

Ruixiang Yee, Huei Jinn Tong, Chai Kiat Chng

引用次数: 0

A novel opioid-sparing method for post-laparotomy pain management in gynaecologic oncology patients. 一种用于妇科肿瘤患者剖腹手术后疼痛管理的新型阿片类药物节约方法。

IF 2

Annals of the Academy of Medicine, Singapore Pub Date : 2025-06-12 DOI: 10.47102/annals-acadmedsg.202517

Yue Luna Wang, Jing Lin Jeslyn Wong, Hong Jye Neo, Shuang Ye Pearl Tong

引用次数: 0

Making sense of ICD-11 diagnostic criteria of compulsive sexual behavioural disorder. 理解ICD-11强迫性性行为障碍的诊断标准。

IF 2.5

Annals of the Academy of Medicine, Singapore Pub Date : 2025-06-10 DOI: 10.47102/annals-acadmedsg.2024266

Syidda Amron, Kandasami Gomathinayagam, Cheng Lee, Song Guo, Hui Shan Tan

引用次数: 0

Sniffin' Sticks and Scentsor for integrating the "forgotten sense" into everyday practice. 将“被遗忘的感觉”整合到日常练习中的嗅探棒和嗅探器。

IF 2.5

Annals of the Academy of Medicine, Singapore Pub Date : 2025-06-09 DOI: 10.47102/annals-acadmedsg.2025123

Abhilash Balakrishnan, Neville Wei Yang Teo, Shuhui Xu

引用次数: 0

Development and validation of odour identification tests for olfactory assessment in Singapore. 新加坡嗅觉评估的气味识别测试的开发和验证。

IF 2.5

Annals of the Academy of Medicine, Singapore Pub Date : 2025-06-06 DOI: 10.47102/annals-acadmedsg.2024364

Xinni Xu, Margaret Ru Xiang Zhang, Terese Huiying Low, Yew Kwang Ong

{"title":"Development and validation of odour identification tests for olfactory assessment in Singapore.","authors":"Xinni Xu, Margaret Ru Xiang Zhang, Terese Huiying Low, Yew Kwang Ong","doi":"10.47102/annals-acadmedsg.2024364","DOIUrl":"https://doi.org/10.47102/annals-acadmedsg.2024364","url":null,"abstract":"Introduction: Odour recognition is influenced by culture. Odour identification tests need to be adapted to a population to accurately assess olfactory function. This study's objectives were to validate the Singapore version of the Sniffin' Sticks (SS-Sg) and a locally-developed odour recognition test (Scentsor) for Singapore.Method: This prospective study was performed in 3 otolaryngology outpatient clinics in 3 phases (1 May to 15 November 2024). Phase 1 was a survey evaluation of 93 odour descriptors to identify familiar odour descriptors to be used in the tests (n=414); Phase 2 evaluated and finalised SS-Sg and Scentsor to ensure test odours were recognised by ≥75% of healthy controls (n=130); and Phase 3 validated both tests on healthy controls (n=473) to obtain normative data, to determine test-retest reliability (n=50), and to assess the ability to distinguish patients with olfactory loss (n=67).Results: In Phase 1, the unmodified SS blue and purple sets had 15/32 (46.9%) unfamiliar test odours and 25 unfamiliar distractors combined. In Phase 2, after modification, all odours in SS-Sg and Scentsor were correctly identified by ≥75% of controls. In Phase 3, normative data (age 21-83 years) was obtained. Both tests had good test-retest reliability (Pearson's correlation coefficient of 0.88 with<0.001 for SS-Sg; and at 0.90 with<0.001 for Scentsor). Both tests differentiated among normosmia, hyposmia and anosmia (SS-Sg scores: 12.6 [±2.4] versus [vs] 9.8 (±3.2) vs 6.0 [±2.3] respectively,<0.001; Scentsor scores: 14.3 [±1.8] vs 11.3 [±2.8] vs 5.8 [±3.4] respectively,<0.001).Conclusion: SS-Sg and Scentsor have been validated to assess olfaction in Singapore.","PeriodicalId":502093,"journal":{"name":"Annals of the Academy of Medicine, Singapore","volume":"54 6","pages":"329-339"},"PeriodicalIF":2.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602656","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

Perceptions, knowledge and barriers: A survey of healthcare workers on shingles vaccination. 观念、知识和障碍：对卫生保健工作者关于带状疱疹疫苗接种的调查。

IF 2.5

Annals of the Academy of Medicine, Singapore Pub Date : 2025-06-03 DOI: 10.47102/annals-acadmedsg.202544

Jessica Weizhen Chen, Chaoyan Dong, Derrick Chen Wee Aw

引用次数: 0

It's virtually a normal delivery! Revolutionising obstetric teaching with emerging technologies. 这实际上是一次正常的分娩！用新兴技术革新产科教学。

IF 2.5

Annals of the Academy of Medicine, Singapore Pub Date : 2025-05-30 DOI: 10.47102/annals-acadmedsg.202564

Haojie Cheng, Chang Liu, Eng Tat Khoo, Abhiram Kanneganti, Mahesh Choolani, Arundhati Tushar Gosavi

引用次数: 0

Utilising a COM-B framework to modify antibiotic prescription behaviours following third molar surgeries. 利用COM-B框架修改第三磨牙手术后的抗生素处方行为。

IF 2.5

Annals of the Academy of Medicine, Singapore Pub Date : 2025-05-28 DOI: 10.47102/annals-acadmedsg.202523

Chee Weng Yong, Ruth Choe, Sarah Kho Xian Chua, Jing Li Lum, Wendy Chia-Wei Wang

{"title":"Utilising a COM-B framework to modify antibiotic prescription behaviours following third molar surgeries.","authors":"Chee Weng Yong, Ruth Choe, Sarah Kho Xian Chua, Jing Li Lum, Wendy Chia-Wei Wang","doi":"10.47102/annals-acadmedsg.202523","DOIUrl":"https://doi.org/10.47102/annals-acadmedsg.202523","url":null,"abstract":"Introduction: Antimicrobial resistance (AMR) poses a critical global health threat, with millions of deaths attributed to it annually. Antibiotic stewardship to combat AMR is the responsibility of all healthcare professionals. Despite evidence suggesting that it is unnecessary, dentists routinely prescribe prophylactic antibiotics following third molar (3M) surgeries.Method: This mixed-methods study examined the behavioural barriers influencing antibiotic prescribing practices within the Division of Oral and Maxillofacial Surgery at the National University Centre for Oral Health Singapore. This study used the capability, opportunity and motivation for behavioural change or COM-B framework to implement interventions targeting the behavioural barriers.Results: Pre- and post-intervention data over 6 months showed a significant reduction in antibiotic prescriptions from 84.45% to 20.89%, following the implementation of COM-B strategies (P<0.001). Qualitative feedback from focus group discussions highlighted a positive shift in clinicians' attitudes towards antibiotic reduction, acknowledging the minimal infection risk associated with non-prescribing practices. Notably, complication rates remained stable throughout the study period, indicating no adverse effects from reduced antibiotic usage.Conclusion: These findings demonstrated that the COM-B model can be successfully applied to modify deeply ingrained prescription habits, and underscored the effectiveness of a structured behavioural change intervention in enhancing compliance with antibiotic stewardship guidelines. The study advocates continuation of initiatives to sustain this positive trend and mitigate AMR in clinical practice.","PeriodicalId":502093,"journal":{"name":"Annals of the Academy of Medicine, Singapore","volume":"54 6","pages":"340-349"},"PeriodicalIF":2.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602664","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