Annals Academy of Medicine Singapore最新文献_第6页

Evaluation of a return to work coordination programme for injured workers in a public hospital in Singapore. 对新加坡一家公立医院受伤工人重返工作岗位协调方案的评估

IF 5.2 4区医学

Annals Academy of Medicine Singapore Pub Date : 2023-06-27 DOI: 10.47102/annals-acadmedsg.2022232

Zhenzhen Chen, Siok Kee Pow, Li Xin Ong, Lay Lay Tan, See Ming Lim, Yi-Fu Jeff Hwang

{"title":"Evaluation of a return to work coordination programme for injured workers in a public hospital in Singapore.","authors":"Zhenzhen Chen, Siok Kee Pow, Li Xin Ong, Lay Lay Tan, See Ming Lim, Yi-Fu Jeff Hwang","doi":"10.47102/annals-acadmedsg.2022232","DOIUrl":"10.47102/annals-acadmedsg.2022232","url":null,"abstract":"Introduction: This study evaluates the effectiveness of a hospital-based return to work (RTW) programme in facilitating injured workers to RTW earlier through personalised case management. Factors associated with programme effectiveness are also examined.Method: This was a quasi-experimental study comparing 81 participants who underwent conventional treatment before the RTW programme with 108 participants who directly received the RTW intervention. Analyses included time to RTW and the factors associated with dropout. Stratified analysis and multivariate logistic regression were used to mitigate potential selection bias from the additional recruitment process for the intervention group.Results: Participants in the intervention group returned to work 59.5 days earlier, with 84% able to RTW 6 months post injury compared with the control (63%; P<0.01). Stratified analysis found the intervention to be associated with better RTW outcomes among males, younger workers, non-residents, blue-collared workers, workers from the construction, marine, manufacturing and metalworking industries, and workers having lower Work Ability score (WAS), while light-duty provision was a possible confounder. The better outcomes in the intervention group were also independent of company size and injury severity. After adjusting for the above factors, the intervention group had 2.2 times higher odds of RTW at 6 months (95% confidence interval 0.84–5.90). Lower WAS and longer delay in initial RTW assessment were associated with delayed RTW within the intervention group. Migrant workers experienced higher dropout rates, thus being identified as a vulnerable group.Conclusion: The RTW coordination model of care is effective in facilitating RTW, with early programme referral being an important facilitator and WAS as a useful screening tool for delayed RTW.","PeriodicalId":50774,"journal":{"name":"Annals Academy of Medicine Singapore","volume":null,"pages":null},"PeriodicalIF":5.2,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48128262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk and protective factors of mental health during the COVID-19 pandemic: A cross-sectional study in Singapore. COVID-19大流行期间心理健康的风险和保护因素:新加坡的横断面研究

IF 5.2 4区医学

Annals Academy of Medicine Singapore Pub Date : 2023-05-30 DOI: 10.47102/annals-acadmedsg.202341

Mythily Subramaniam, Edimansyah Abdin, Saleha Shafie, Peizhi Wang, Shazana Shahwan, Pratika Satghare, Boon Yiang Chua, Michael Y Ni, Phyllis Lun, Wen Lin Teh, Janhavi Ajit Vaingankar, Siow Ann Chong

{"title":"Risk and protective factors of mental health during the COVID-19 pandemic: A cross-sectional study in Singapore.","authors":"Mythily Subramaniam, Edimansyah Abdin, Saleha Shafie, Peizhi Wang, Shazana Shahwan, Pratika Satghare, Boon Yiang Chua, Michael Y Ni, Phyllis Lun, Wen Lin Teh, Janhavi Ajit Vaingankar, Siow Ann Chong","doi":"10.47102/annals-acadmedsg.202341","DOIUrl":"10.47102/annals-acadmedsg.202341","url":null,"abstract":"Introduction: The main aims of the study were to: establish the average levels of psychological distress, suicidality and positive mental health (PMH); and examine their associated risk and protective factors in the population of Singapore during the early phase of the COVID-19 pandemic.Method: Participants from a national psychiatric epidemiological study conducted in the general population of Singapore from 2016 to 2018, who had agreed to be re-contacted, were invited to participate in the study that was conducted from May 2020 to June 2021. Questionnaires assessing psychological distress, causes of stress, resilience and PMH were administered.Results: A total of 1,129 respondents completed the study. The mean age was 47.7 (standard deviation = 16.5) years. The prevalence of stress, depression and anxiety was 7.1%, 8.0% and 8.4%, respectively. The final pathways model showed that high concerns related to possible COVID-19 infection of family members or friends were significantly associated with higher stress (β = 0.242, P<0.001), depression (β = 0.152, P=0.001) and anxiety (β = 0.280, P<0.001). High resilience was significantly associated with lower stress (β = -0.482, P<0.001), depression (β = -0.394, P<0.001) and anxiety (β = -0.516, P<0.001), and with high PMH (β = 0.498, P<0.001).Conclusion: The findings highlight the negative impact of fear of COVID-19 infection, social distancing and isolation on the mental health of the population. Resilience and PMH were associated with lower psychological stress, and interventions to improve these characteristics can enhance mental health and well-being.","PeriodicalId":50774,"journal":{"name":"Annals Academy of Medicine Singapore","volume":null,"pages":null},"PeriodicalIF":5.2,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47824333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of four electrocardiographic criteria for the detection of cardiac abnormalities in Singapore athletes. 新加坡运动员检测心脏异常的四个心电图标准的比较

IF 5.2 4区医学

Annals Academy of Medicine Singapore Pub Date : 2023-05-30 DOI: 10.47102/annals-acadmedsg.2022191

Benji Lim, Baoying Lim, Fadzil Hamzah, Ang Tee Lim, Chung Sien Ng, Benedict Tan, Khim Leng Tong

{"title":"Comparison of four electrocardiographic criteria for the detection of cardiac abnormalities in Singapore athletes.","authors":"Benji Lim, Baoying Lim, Fadzil Hamzah, Ang Tee Lim, Chung Sien Ng, Benedict Tan, Khim Leng Tong","doi":"10.47102/annals-acadmedsg.2022191","DOIUrl":"10.47102/annals-acadmedsg.2022191","url":null,"abstract":"Introduction: Sudden cardiac death in athletes is a rare occurrence, the most common cause being hypertrophic cardiomyopathy, which increases the risk of sustained ventricular tachycardia or ventricular fibrillation. Most of these young athletes are asymptomatic prior to the cardiac arrest. Several electrocardiogram criteria such as the European Society of Cardiology group 2 Criteria changes, Seattle Criteria, Refined Criteria, and most recently the 2017 International Criteria, have sought to improve the accuracy of identifying these at-risk athletes during pre-participation screening while minimising unnecessary investigations for the majority of athletes at low risk.We aimed to compare the above four criteria in our Singapore athlete population to identify which criterion performed the best in detecting cardiac abnormalities on echocardiography.Method: Out of 1,515 athletes included in Changi General Hospital, Singapore registry between June 2007 and June 2014, the electrocardiograms of 270 athletes with further cardiac investigations were analysed. We compared the above four electrocardiographic criteria to evaluate which performed best for detecting cardiac abnormalities on echocardiography in our Southeast Asian athlete population.Results: The European Society of Cardiology, Seattle, Refined and 2017 International Criteria had a sensitivity of 20%, 0%, 20% and 5%, respectively; a specificity of 64%, 93%, 84% and 97%, respectively; a positive predictive value of 4%, 0%, 9% and 11%, respectively; and a negative predictive value of 91%, 92%, 93% and 93%, respectively for detecting abnormalities on echocardiography.Conclusion: The latest 2017 International Criteria performed the best as it had the highest specificity and positive predictive value, joint highest negative predictive value, and lowest false positive rate.","PeriodicalId":50774,"journal":{"name":"Annals Academy of Medicine Singapore","volume":null,"pages":null},"PeriodicalIF":5.2,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45752392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Healthcare worker job burnout, anxiety and depression: A one-year comparison during COVID-19 in Singapore. 医护人员工作倦怠、焦虑和抑郁:新加坡COVID-19期间的一年比较

IF 5.2 4区医学

Annals Academy of Medicine Singapore Pub Date : 2023-05-30 DOI: 10.47102/annals-acadmedsg.2022370

Irene Teo, Junxing Chay, Lindy Mingxian Quek, Sharon C Sung, Hiang Khoon Tan

引用次数: 0

Impact of COVID-19 on mental health and social service provision in Singapore: Learnings from a descriptive mixed-methods study for future resource planning. 新冠肺炎对新加坡心理健康和社会服务提供的影响：从未来资源规划的描述性混合方法研究中学习

IF 5.2 4区医学

Annals Academy of Medicine Singapore Pub Date : 2023-05-30 DOI: 10.47102/annals-acadmedsg.2022332

Zack Zhong Sheng Goh, Lai Gwen Chan, Jael YiYing Lai, Jimmy Lee, Eng Sing Lee, Winnie Shok Wen Soon, Adrian Toh, Konstadina Griva

{"title":"Impact of COVID-19 on mental health and social service provision in Singapore: Learnings from a descriptive mixed-methods study for future resource planning.","authors":"Zack Zhong Sheng Goh, Lai Gwen Chan, Jael YiYing Lai, Jimmy Lee, Eng Sing Lee, Winnie Shok Wen Soon, Adrian Toh, Konstadina Griva","doi":"10.47102/annals-acadmedsg.2022332","DOIUrl":"10.47102/annals-acadmedsg.2022332","url":null,"abstract":"Introduction: COVID-19 restrictions and lockdown measures have led to impact on the mental health and social service delivery, including the rapid adoption of digital solutions to mental healthcare delivery in Singapore. This study aims to rapidly document the quantitative and qualitative impact of the pandemic restrictions on mental health and social services.Method: This descriptive mixed-methods study consisted of a survey arm and a qualitative arm. Providers and clients from eligible mental health organisations and social service agencies were recruited. The respondents completed a survey on changes to their service delivery and the extent of impact of the pandemic on their clients. In-depth interviews were also conducted with representatives of the organisations and clients.Results: There were 31 organisation representatives to the survey, while 16 providers and 3 clients participated in the in-depth interviews. In the survey arm, all representatives reported pivoting to remote means of delivering care during the lockdown. An increase in new client referrals and more domestic violence were reported from primary and community health partners respondents who made up 55.5% of health partners respondents. Three distinct response themes were recorded in the in-depth interviews: impact on clients, impact on service provision and impact on mental health landscape.Conclusion: Two key findings are distilled: (1) mental health and social services have been challenged to meet the evolving demands brought about by the pandemic; (2) more societal attention is needed on mental health and social services. The findings indicate a necessary need for extensive studies on COVID-19 that can inform policies to build a more pandemic-resilient nation.","PeriodicalId":50774,"journal":{"name":"Annals Academy of Medicine Singapore","volume":null,"pages":null},"PeriodicalIF":5.2,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43372090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical efficacy of primary human papillomavirus (HPV) screening with partial genotyping for HPV-16 and HPV-18 subtypes in women from 25 years old. 25岁女性原发性人乳头瘤病毒(HPV)部分基因分型筛查HPV-16和HPV-18亚型的临床疗效

IF 5.2 4区医学

Annals Academy of Medicine Singapore Pub Date : 2023-05-30 DOI: 10.47102/annals-acadmedsg.2022471

Joella Xiaohong Ang, Wai Yen Lee, Sun Kuie Tay

{"title":"Clinical efficacy of primary human papillomavirus (HPV) screening with partial genotyping for HPV-16 and HPV-18 subtypes in women from 25 years old.","authors":"Joella Xiaohong Ang, Wai Yen Lee, Sun Kuie Tay","doi":"10.47102/annals-acadmedsg.2022471","DOIUrl":"10.47102/annals-acadmedsg.2022471","url":null,"abstract":"Introduction: Cervical screening programmes differ in the age of women recommended for primary human papillomavirus (HPV) testing. This study aims to determine the clinical efficacy and impact of 14-high-risk HPV DNA testing for women from 25 years old.Method: This was a retrospective analysis of data collected prospectively from women 25 years or older who attended hospital-based gynaecology clinics for cervical screening. Women with history of cervical neoplasia or abnormal cytology were excluded. High-risk HPV DNA testing with partial genotyping for HPV-16 and HPV-18 were performed on cobas 4800 System (Roche Diagnostics International AG, Rotkreuz, Switzerland). Women tested positive for the 12 other high-risk HPV subtypes (HPV-12 other) had a reflex cytology test. Positive screening included positive for HPV-16 and/or HPV-18, HPV-12 other with cytology abnormalities equal to or greater than atypical squamous cells of undetermined significance, and repeated positive HPV at 12 months. HPV detection and colposcopy referral rates, and detection of high-grade neoplasia were determined.Results: Of 10,967 women studied, 822 (7.50%) were HPV DNA positive. The overall discharge rate to routine screening according to screening protocol was 93.1%. Colposcopy referral rate was 4.4%. The screening detected 41 cervical intraepithelial neoplasia grade 2+ (CIN2+) (0.37%) and 31 (0.28%) CIN3+. The number of colposcopies needed per case of CIN2+ was 9.5, similar for women below and above 30 years old. The number of colposcopies needed per case of CIN3+ for HPV-16 positivity was 8.5, compared to 17.0 for other categories (P=0.040). Colposcopy efficacy was similar for HPV-18 and HPV-12 other positivity with abnormal cytology.Conclusion: Taking CIN2+ detection and colposcopy referral rate as endpoints, HPV testing in Singapore can be extended to include women from 25 years old.","PeriodicalId":50774,"journal":{"name":"Annals Academy of Medicine Singapore","volume":null,"pages":null},"PeriodicalIF":5.2,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45219926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of COVID-19 on mental health and healthcare service delivery. COVID-19对精神卫生和卫生保健服务提供的影响

IF 5.2 4区医学

Annals Academy of Medicine Singapore Pub Date : 2023-05-30 DOI: 10.47102/annals-acadmedsg.2023121

Wah Yun Low, Wen Ting Tong

引用次数: 0

Investigating the stressors and coping mechanisms of students in medical school: A qualitative study. 医学院学生压力源及应对机制的质性研究

IF 5.2 4区医学

Annals Academy of Medicine Singapore Pub Date : 2023-05-30 DOI: 10.47102/annals-acadmedsg.2022366

Malcolm Mahadevan, Wai Jia Tam, Faye Yu Ci Ng, Jun Wei Yeo, Carlos Collares, Jascha de Nooijer

引用次数: 0

Poor survival rate of pregnancy-associated breast cancer in Asian countries. 亚洲国家妊娠相关乳腺癌生存率低

IF 5.2 4区医学

Annals Academy of Medicine Singapore Pub Date : 2023-05-30 DOI: 10.47102/annals-acadmedsg.2022423

S S Abrar, Bachok Norsa'adah

引用次数: 0

Improving electrocardiogram interpretation in Asian athletes: A call to action. 改善亚洲运动员的心电图解读:行动呼吁

IF 5.2 4区医学

Annals Academy of Medicine Singapore Pub Date : 2023-05-30 DOI: 10.47102/annals-acadmedsg.2023110

Lucky Cuenza, Adrian Piers Cheong, Tee Joo Yeo

引用次数: 0