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Insomnia in the Elderly: Evaluation and Management 老年人失眠的评估与管理
The Singapore family physician Pub Date : 2022-03-01 DOI: 10.33591/sfp.48.2.u3
{"title":"Insomnia in the Elderly: Evaluation and Management","authors":"","doi":"10.33591/sfp.48.2.u3","DOIUrl":"https://doi.org/10.33591/sfp.48.2.u3","url":null,"abstract":"","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47052689","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
Behavioural and Psychological Symptoms of Dementia – Assessment and Management 痴呆症的行为和心理症状——评估和管理
The Singapore family physician Pub Date : 2022-03-01 DOI: 10.33591/sfp.47.2.u1
V. Mok, W. Ling
{"title":"Behavioural and Psychological Symptoms of Dementia – Assessment and Management","authors":"V. Mok, W. Ling","doi":"10.33591/sfp.47.2.u1","DOIUrl":"https://doi.org/10.33591/sfp.47.2.u1","url":null,"abstract":"Behavioural and psychological symptoms of dementia (BPSD) are defined as signs and symptoms of disturbed perception, thought content, mood or behaviour. BPSD are very common regardless of the type of dementia and is present in nearly all people with dementia over the course of their illness. A local study conducted in 2013 found the prevalence of BPSD be 67.9 percent. BSPD are associated with major adverse of BPSD involves the understanding of how the interplay of various factors (persons with dementia, caregivers, and environment) may cause BPSD and that interventions must be tailored to each individual. The first line of management should always be non-pharmacological interventions where possible. The ultimate goal in treatment of BPSD is to alleviate persons with dementia.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47562499","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
Chronic Disease Management 2022 2022年慢性病管理
The Singapore family physician Pub Date : 2022-01-01 DOI: 10.33591/sfp.48.1.e
{"title":"Chronic Disease Management 2022","authors":"","doi":"10.33591/sfp.48.1.e","DOIUrl":"https://doi.org/10.33591/sfp.48.1.e","url":null,"abstract":"","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47420704","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
Inflammatory Bowel Disease – An Update for Primary Care Physicians 炎症性肠病-初级保健医生的更新
The Singapore family physician Pub Date : 2022-01-01 DOI: 10.33591/sfp.48.1.uo1
C. Lim, E. Salazar, M. Tan, W. Chan
{"title":"Inflammatory Bowel Disease – An Update for Primary Care Physicians","authors":"C. Lim, E. Salazar, M. Tan, W. Chan","doi":"10.33591/sfp.48.1.uo1","DOIUrl":"https://doi.org/10.33591/sfp.48.1.uo1","url":null,"abstract":"Inflammatory bowel disease (IBD) is a chronic, idiopathic, inflammatory disorder of the gastrointestinal tract that is typically categorised into Crohn’s disease and ulcerative colitis. Traditionally, IBD was regarded as a disease of the western world. Newer epidemiological studies suggest that, with the turn of the 21st century, IBD has become a global disease with rising incidence in newly industrialised countries in Asia, Africa, and South America. There are also advances in the diagnostics and therapeutic armamentarium of IBD. In this review, we provide an update on the epidemiology, clinical features, investigations, and management of IBD. We also highlight the importance of vaccination in IBD and provide practical points for family physicians.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43679188","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
Updates in DM and CKD management: Are SGLT2 Inhibitors the answer? 糖尿病和CKD管理的更新：SGLT2抑制剂是答案吗？
The Singapore family physician Pub Date : 2021-10-01 DOI: 10.33591/sfp.47.8.e
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引用次数: 0
How Can We Halt-CKD in Primary Care?: Clinical Care Paths to Manage Chronic Kidney Disease 如何在初级保健中停止ckd ?管理慢性肾脏疾病的临床护理路径
The Singapore family physician Pub Date : 2021-10-01 DOI: 10.33591/sfp.47.8.u3
Dr Ooi Xi Yan, Yeo See Cheng
{"title":"How Can We Halt-CKD in Primary Care?: Clinical Care Paths to Manage Chronic Kidney Disease","authors":"Dr Ooi Xi Yan, Yeo See Cheng","doi":"10.33591/sfp.47.8.u3","DOIUrl":"https://doi.org/10.33591/sfp.47.8.u3","url":null,"abstract":"Chronic kidney disease (CKD) is a major health problem in Singapore, and its incidence is projected to rise. Slowing the progression of CKD is paramount in enabling patients to live longer without complications or the need for kidney replacement therapy, allaying the health and economic burden of CKD on individuals and the society. Effective treatment strategies comprise of lifestyle, dietary, and medical management, which include dietary sodium restriction, physical activity, smoking cessation, blood pressure and glucose control, and use of renin-angiotensin system inhibitors to reduce albuminuria. The Holistic Approach in Lowering and Tracking Chronic Kidney Disease (HALTCKD) programme is a concerted effort to delay the progression of CKD through a multi-faceted, integrated approach. Here, we outline the rationale and aims of these recommendations, provide practical tips for implementing these interventions, and highlight future opportunities in our ongoing battle against CKD.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42629108","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
I’d like to write another book" – Integrated Primary Care for an At-Risk Elder (IPCARE) Requiring Expedited Peritoneal Dialysis from Rapid Progression of End-Stage Renal Failure 我想再写一本书——《因终末期肾衰竭的快速进展而需要快速腹膜透析的高危老年人的综合初级保健》
The Singapore family physician Pub Date : 2021-10-01 DOI: 10.33591/sfp.47.8.up1
Gabrielle N. Yee
{"title":"I’d like to write another book\" – Integrated Primary Care for an At-Risk Elder (IPCARE) Requiring Expedited Peritoneal Dialysis from Rapid Progression of End-Stage Renal Failure","authors":"Gabrielle N. Yee","doi":"10.33591/sfp.47.8.up1","DOIUrl":"https://doi.org/10.33591/sfp.47.8.up1","url":null,"abstract":"An 84-year-old gentleman with stage 5 chronic kidney disease (CKD) from diabetic nephropathy required community hospital step-down after repeated hospitalisations for fluid overload. Renal function decline outpaced appointments for initiation of peritonealdialysis (PD). Biological and psychosocial barriers to dialysis initiation had to be tackled across settings in a collaborative, multi-disciplinary manner aligning various stakeholders. These included initial delirium that affected his mental capacity regarding placement and treatment, and concern regarding potential contraindications to PD. At the patient level, family physicians (FPs) are wellplaced to assess the mental capacity of patients, advocating and communicating their capacitated preferences to all stakeholders, collaborating with relevant subspecialists for dialysis initiation, and comanaging with community FP partners as medical experts in the anticipatory transitional care for patients with rapidly progressive end-stage renal failure (ESFR). The role of IPCARE as a systemic key enabler is also discussed. SFP2021; 47(8) : 31-35","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48176337","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
Are Our Type 2 Diabetes Patients Sufficiently Protected from Cardiorenal Complications? 我们的2型糖尿病患者有足够的保护免受心肾并发症吗?
The Singapore family physician Pub Date : 2021-10-01 DOI: 10.33591/sfp.47.8.u1
AProf Goh Su-Yen
{"title":"Are Our Type 2 Diabetes Patients Sufficiently Protected from Cardiorenal Complications?","authors":"AProf Goh Su-Yen","doi":"10.33591/sfp.47.8.u1","DOIUrl":"https://doi.org/10.33591/sfp.47.8.u1","url":null,"abstract":"Cardiovascular and renal outcome trials categorically demonstrate the benefits of SGLT2 inhibitors (SGLT2i). Various pharmacotherapy algorithms recommend early use of SGLT2i, especially among those with existing cardiovascular disease, heart failure, or kidney disease. Despite a widening spectrum of patient eligibility, treatment gaps and clinical inertia still exist.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44792075","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
10 Readings 10阅读
The Singapore family physician Pub Date : 2021-10-01 DOI: 10.33591/sfp.47.8.ur
{"title":"10 Readings","authors":"","doi":"10.33591/sfp.47.8.ur","DOIUrl":"https://doi.org/10.33591/sfp.47.8.ur","url":null,"abstract":"","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69456094","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
PATIENTS WITH SEVERE ASTHMA NEED ACCURATE DIAGNOSIS AND CORRECT TREATMENT: HOW CAN WE ACHIEVE THAT? 严重哮喘患者需要准确的诊断和正确的治疗:我们如何才能做到这一点?
The Singapore family physician Pub Date : 2021-10-01 DOI: 10.33591/sfp.47.7.u3
Dr Chan Kwok Wai Adrian
{"title":"PATIENTS WITH SEVERE ASTHMA NEED ACCURATE DIAGNOSIS AND CORRECT TREATMENT: HOW CAN WE ACHIEVE THAT?","authors":"Dr Chan Kwok Wai Adrian","doi":"10.33591/sfp.47.7.u3","DOIUrl":"https://doi.org/10.33591/sfp.47.7.u3","url":null,"abstract":"CHAN KWOK WAI ADRIAN Respiratory Physician Mouth Elizabeth Novena Hospital Singapore ABSTRACT Since asthma is frequently encountered in the primary care setting, it is important to distinguish uncontrolled or difficult-to-control asthma from severe asthma. Severe asthma is defined as asthma that is uncontrolled despite adherence with an optimised high-dose combination of inhaled corticosteroids (ICS) and long-acting beta-agonists (LABA) therapy, or that requires high-dose ICS– LABA to remain controlled. This article highlights simple decisions and diagnosis steps that may help primary care physicians and general practitioners to identify patients who could benefit from tertiary care specialist assessment once other factors, such as inhaler technique, adherence, and comorbidities have been evaluated. It also briefly discusses the impact of oral corticosteroids (OCS) use and the challenges of the COVID-19 lockdown on asthma management.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45926570","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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