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A Case Of Atrial Fibrillation In An Elderly Patient With Recurrent Falls And Dementia 老年反复跌倒合并痴呆患者心房颤动1例
The Singapore family physician Pub Date : 2020-09-01 DOI: 10.33591/sfp.46.7.uc1
Ng Li Yan, Jeffrey Jiang Song’En
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引用次数: 0
Attention to Cardiovascular and Renal Complications in Diabetes – how to prevent them? 关注糖尿病的心血管和肾脏并发症——如何预防？
The Singapore family physician Pub Date : 2020-09-01 DOI: 10.33591/sfp.46.6.u3
T. Lau
{"title":"Attention to Cardiovascular and Renal Complications in Diabetes – how to prevent them?","authors":"T. Lau","doi":"10.33591/sfp.46.6.u3","DOIUrl":"https://doi.org/10.33591/sfp.46.6.u3","url":null,"abstract":"It is a well-established fact that patients with diabetes mellitus are at high risk of cardiovascular and renal complications in the course of their lifetime. Much effort has been invested in understanding the pathobiology of this as well as in developing an effective strategy to reduce the morbidity and mortality associated with it. Metabolic control together with mitigating other known risk factors for the cardiovascular and renal disease has been the basis of improving the outcomes of all patients with diabetes. Ongoing scientific discoveries continue to provide physicians and patients with better means of treatment over the years. Each is a step forward, and with the addition of new classes of therapeutics, we will need to reconstruct the management pathway that is best for each patient given their risk profiles and characteristics.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"46 1","pages":"12-15"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45387068","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
Gastrostomy Tube Feeding and Management in the Community 社区胃造口管喂养与管理
The Singapore family physician Pub Date : 2020-09-01 DOI: 10.33591/sfp.46.6.uo1
Tan Sze Huei Elisa, Tan Kok Heng Adrian, Ho Yu-Ling
{"title":"Gastrostomy Tube Feeding and Management in the Community","authors":"Tan Sze Huei Elisa, Tan Kok Heng Adrian, Ho Yu-Ling","doi":"10.33591/sfp.46.6.uo1","DOIUrl":"https://doi.org/10.33591/sfp.46.6.uo1","url":null,"abstract":"HO YU-LING Medical Student Yong Loo Lin School of Medicine National University of Singapore ABSTRACT Gastrostomy tube feeding is the preferred method of long-term feeding for individuals who are not able to maintain adequate oral intake due to dysphagia or other underlying medical conditions. Family physicians may come into contact with patients who are on gastrostomy tube feeding in the inpatient, outpatient or community settings. As such, it is important to understand its indications and contraindications, complications and general management. The Home Ventilation and Respiratory Support Service in Tan Tock Seng Hospital manage patients on long-term invasive or non-invasive ventilation in the community who may also require gastrostomy tubes due to their underlying disease, and also does gastrostomy tube change in the home setting where appropriate. In this article, we review the indications and contraindications for gastrostomy insertion and the types of gastrostomy tubes available. We review the evidence for gastrostomy feeding compared to other modes of enteral feeding, namely nasogastric tube feeding, which is the most widely-used form of enteral feeding. Finally, we also cover current guidelines and recommendations for gastrostomy tube management in the community, such as tube change and complications, and selection of feeds.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"46 1","pages":"26-33"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46209396","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
Understanding and Navigating Mental Health Resources in the Community through a Case Study 通过个案研究了解和引导社区心理健康资源
The Singapore family physician Pub Date : 2020-09-01 DOI: 10.33591/sfp.46.6.up1
Fok Wai Yee Rose, F. Vasanwala, Lowon Luke
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引用次数: 0
Acute Lymphoblastic Leukaemia In A 7-year-old Presenting With Lower Limb Pain – Not Just Your Simple Growing Pains! 急性淋巴细胞白血病患者7岁下肢疼痛-不只是你简单的生长痛!
The Singapore family physician Pub Date : 2020-09-01 DOI: 10.33591/sfp.46.7.up1
Lin Xin, Jeffrey Jiang Song’E
{"title":"Acute Lymphoblastic Leukaemia In A 7-year-old Presenting With Lower Limb Pain – Not Just Your Simple Growing Pains!","authors":"Lin Xin, Jeffrey Jiang Song’E","doi":"10.33591/sfp.46.7.up1","DOIUrl":"https://doi.org/10.33591/sfp.46.7.up1","url":null,"abstract":"","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"46 1","pages":"32-35"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48401052","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
SGLT2-inhibitor and its place in Contemporary Diabetes Management sglt2抑制剂及其在当代糖尿病管理中的地位
The Singapore family physician Pub Date : 2020-09-01 DOI: 10.33591/sfp.46.6.u2
Khoo Chin Meng
{"title":"SGLT2-inhibitor and its place in Contemporary Diabetes Management","authors":"Khoo Chin Meng","doi":"10.33591/sfp.46.6.u2","DOIUrl":"https://doi.org/10.33591/sfp.46.6.u2","url":null,"abstract":"The therapeutic approach for patients with type 2 diabetes is evolving rapidly. The recent published cardiovascular outcomes trials (EMPA-Reg, Canvas and DECLARE-TIMI 58), and DAPA-HF and CREDENCE studies demonstrated the benefits of Sodium-glucose transporter 2 inhibitors (SGLT2i) in improving the outcomes of diabetic patients with cardiovascular disease, heart failure and diabetic nephropathy. The cardiorenal benefits are seen beyond the glycaemic control. The treatment algorithm recommends early use of SGLT2i, especially among those with existing cardiovascular disease, heart failure or kidney disease. The side effects of SGLT2i are related to its underlying mechanisms of action, i.e. a higher incidence of genital yeast infections and urinary tract infections. SGLT2i can also cause euglycaemic ketoacidosis and is not currently indicated for use in patients with type 1 diabetes.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"46 1","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42059391","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
Applying the International Classification Of Functioning, Disability And Health (ICF) And Kawa Models In Family Medicine - A Case Of An Adolescent With A Stroke. 国际功能、残疾和健康分类(ICF)和Kawa模型在家庭医学中的应用——一个青少年中风病例。
The Singapore family physician Pub Date : 2020-09-01 DOI: 10.33591/sfp.46.7.up2
Tan Ming, Jeffrey Jiang Song’En
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引用次数: 0
Assessment of the Type 2 Diabetes Patient at Risk of Cardio-renal Complications 2型糖尿病患者心肾并发症风险评估
The Singapore family physician Pub Date : 2020-09-01 DOI: 10.33591/sfp.46.6.u1
Lim Choon Pin
{"title":"Assessment of the Type 2 Diabetes Patient at Risk of Cardio-renal Complications","authors":"Lim Choon Pin","doi":"10.33591/sfp.46.6.u1","DOIUrl":"https://doi.org/10.33591/sfp.46.6.u1","url":null,"abstract":"Diabetes patients are at high risk of developing cardiovascular and renal complications. These conditions increase cardiovascular mortality as well as the development of end-stage renal disease. In this article, we will discuss the mechanisms behind the development of heart and renal disease in diabetic patients and how to evaluate these patients to aid in the early detection of these conditions and identify high-risk patients who may benefit from treatment with new glucose-lowering therapies.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"46 1","pages":"5-7"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47369088","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
Treating Diabetes in Older Adults – Optimising Glycaemic Targets with Comorbidities in Mind 治疗老年糖尿病——考虑合并症优化血糖靶点
The Singapore family physician Pub Date : 2020-09-01 DOI: 10.33591/sfp.46.7.u1
Khoo Chin Meng
{"title":"Treating Diabetes in Older Adults – Optimising Glycaemic Targets with Comorbidities in Mind","authors":"Khoo Chin Meng","doi":"10.33591/sfp.46.7.u1","DOIUrl":"https://doi.org/10.33591/sfp.46.7.u1","url":null,"abstract":"","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"46 1","pages":"6-10"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48455332","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
SELECTION OF TEN READINGS ON "CONTEMPORARY TYPE 2 DIABETES MANAGEMENT – WHAT’S NEW?" 选择十篇关于“当代2型糖尿病管理——有什么新进展?”
The Singapore family physician Pub Date : 2020-09-01 DOI: 10.33591/sfp.46.6.ur
L. Goh
{"title":"SELECTION OF TEN READINGS ON \"CONTEMPORARY TYPE 2 DIABETES MANAGEMENT – WHAT’S NEW?\"","authors":"L. Goh","doi":"10.33591/sfp.46.6.ur","DOIUrl":"https://doi.org/10.33591/sfp.46.6.ur","url":null,"abstract":"","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"46 1","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47295722","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
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