Singapore medical journal最新文献

{"title":"Trichophyton indotineae: timely recognition of an emerging pathogen causing persistent dermatophytosis.","authors":"Xue Ling Ang, Pei Ming Yeo, Yen Ee Tan, Shiu Ming Pang, Chia Chun Ang","doi":"10.4103/singaporemedj.SMJ-2024-243","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2024-243","url":null,"abstract":"","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700807","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}

{"title":"Effects of music therapy on intravitreal injections: a randomised clinical trial.","authors":"Kai En Chan, Hannah Jia Hwee Tan, Kwan Yi Yap, Ruochen Du, Zhongzheng Lan, Blanche Xiao Hong Lim, Chris Hong Long Lim","doi":"10.4103/singaporemedj.SMJ-2024-156","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2024-156","url":null,"abstract":"<p><strong>Introduction: </strong>Procedures are frequently performed under regional or local anaesthesia, where patients maintain a level of consciousness. This has been associated with heightened pre- and intraprocedural anxiety levels, which may increase the risk of emotional distress and worsen patient outcomes. Music therapy has been proposed as an effective non-pharmacological intervention to reduce anxiety levels. This is a pilot study aimed at evaluating the effect of music therapy on anxiety and perceived pain during intravitreal injections (IVI) in the Singaporean context.</p><p><strong>Methods: </strong>Study participants were randomised into groups with and without music therapy. Anxiety levels were assessed using the Spielberger State-Trait Anxiety Inventory (state subscale) before and after IVI. The patients' perceptions of pain and discomfort were rated on a visual analogue scale.</p><p><strong>Results: </strong>Fifty and 51 patients were assigned to the music therapy and control groups, respectively. After IVI, anxiety levels were lower in the music therapy group than the control group (-5.94 ± 10.81 vs. -5.02 ± 7.59; P = 0.62), although the difference was not statistically significant. The levels of pain and discomfort reported by patients in both groups were comparable.</p><p><strong>Conclusion: </strong>In the setting of IVIs, anxiety levels among patients receiving music therapy were reduced compared to those who had no music therapy, although the difference in anxiety levels was not statistically significant. Future studies should evaluate the impact of patient autonomy over the choice of music on the effectiveness of music therapy.</p>","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661432","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}

{"title":"Inhaler adherence, associated factors and outcomes among adult asthma patients in Singapore.","authors":"Tingfeng Lee, Kui Jie Amy Teoh, Sanchalika Acharyya, Shu Yi Lee, Sze Min Tan, Cheila May Dizon Coliat, Lathy Prabhakaran, Chee Yen Goh, Nurul Shahida Binte Azman, Ping Hou, Esther Pee Hwee Pang","doi":"10.4103/singaporemedj.SMJ-2024-155","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2024-155","url":null,"abstract":"<p><strong>Introduction: </strong>Inhaler therapy is paramount in asthma management, yet non-adherence poses a significant challenge. This study investigates inhaler adherence patterns among adult asthma patients, employing the Test of Adherence to Inhalers (TAIs) questionnaire.</p><p><strong>Methods: </strong>This cross-sectional study recruited 99 eligible patients from a specialist outpatient clinic over six months. The TAI questionnaire was administered to the patients. Data on asthma control test scores, medication possession ratio, and healthcare utilisation were collected. Statistical analyses were performed to examine the associations between adherence, patient characteristics, and clinical outcomes.</p><p><strong>Results: </strong>More than half of the patients (68.7%) exhibited intermediate (n = 23) or poor (n = 45) adherence, with younger age associated with poorer adherence. Different patterns of non-compliance were identified; 38.8% (n = 19) of patients with poor adherence showed deliberate non-compliance, whereas only 7.3% (n = 3) with good adherence showed unconscious non-compliance. Surprisingly, patients with intermediate and poor adherence often achieved good asthma control, revealing potential challenges in outcome-based adherence assessments. A relatively higher but statistically non-significant proportion of patients with poor adherence had at least one hospitalisation or emergency department attendance due to asthma (42.2% with poor adherence vs. 35.5% with good adherence) or at least one asthma exacerbation requiring oral corticosteroid (64.4% with poor adherence vs. 48.4% with good adherence) in the past 12 months.</p><p><strong>Conclusion: </strong>This study provides insights into inhaler adherence among local adult asthma patients, identifying distinct adherence patterns and recognising potential complacency issues associated with traditional adherence assessments. Despite these limitations, our findings contribute to the optimisation of asthma care through a nuanced understanding of inhaler adherence.</p>","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661433","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}

{"title":"Adopting a consensus on the dose of antenatal steroids used by obstetric and neonatal services in Singapore in anticipation of imminent preterm birth.","authors":"Matthew Warren Kemp, Zubair Amin, Agnihotri Biswas, Mei Chien Chua, Bin Huey Quek, Lay Kok Tan, Victor Samuel Rajadurai, Devendra Kanagalingam, Woei Bing Poon, Lin Lin Su, Arjit Biswas, Shwetha Shanmugam, Navkaran Singh, Tak Yein Lim, Tiong Ghee Teoh, Sebastian Enrique Illanes, Alan Hall Jobe, Sean William David Carter, Mahesh Arjandas Choolani","doi":"10.4103/singaporemedj.SMJ-2025-040","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2025-040","url":null,"abstract":"<p><strong>Abstract: </strong>In Singapore, glucocorticoids are administered to pregnant women at risk of imminent preterm delivery. The primary desired benefit is maturation of the preterm fetal lung. The commonly used antenatal steroid regimen in Singapore, two doses of 12 mg dexamethasone phosphate at a 12-h interval, is not widely used in other jurisdictions. There are important pharmacokinetic and pharmacodynamic differences between the glucocorticoids used to elicit fetal lung maturation. Acknowledging the range of society-endorsed clinical guidelines in worldwide use, we recommend that obstetric and neonatal services in Singapore work towards adopting a more widely accepted antenatal steroid dosing regimen: either two 11.4 mg maternal intramuscular injections of betamethasone (as betamethasone phosphate and betamethasone acetate), spaced by 24 h, or four 6 mg maternal intramuscular injections of dexamethasone phosphate spaced by 12 h.</p>","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577505","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}

{"title":"Status of hepatitis B virus and hepatitis C elimination in Singapore: a call for action.","authors":"Yu Jun Wong, Daniel Huang","doi":"10.4103/singaporemedj.SMJ-2025-142","DOIUrl":"10.4103/singaporemedj.SMJ-2025-142","url":null,"abstract":"","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":"66 7","pages":"376-378"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700811","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}

{"title":"Advancing precision medicine: the case for monogenic diabetes mellitus in Singapore.","authors":"Jeannette Lay Kuan Goh, Saumya Shekhar Jamuar, Joan Khoo","doi":"10.4103/singaporemedj.SMJ-2025-115","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2025-115","url":null,"abstract":"","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556365","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}

{"title":"Initiation of enteral nutrition in critically ill patients.","authors":"Whye Chung Ma, Yie Hui Lau, Kay Choong See, Charles Chin Han Lew","doi":"10.4103/singaporemedj.SMJ-2024-151","DOIUrl":"10.4103/singaporemedj.SMJ-2024-151","url":null,"abstract":"","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":"66 7","pages":"401-406"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700808","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}

{"title":"Mid-year review of SMJ highlights in 2025.","authors":"Tiing Leong Ang","doi":"10.4103/singaporemedj.SMJ-2025-160","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2025-160","url":null,"abstract":"","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":"66 7","pages":"352-353"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710438","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}

{"title":"Transition to a hybrid teleradiology model with a new plug-and-play workstation concept.","authors":"Tze Yang Vincent Tiong, Pin Lin Kei, Kuan Yuen Yeong, Bernard Boon Kee Wee","doi":"10.4103/singaporemedj.SMJ-2024-118","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2024-118","url":null,"abstract":"","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556366","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}

{"title":"Mid-year review of SMJ highlights in 2025.","authors":"Tiing Leong Ang","doi":"10.4103/singaporemedj.SMJ-2025-160","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2025-160","url":null,"abstract":"","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":"66 7","pages":"352-353"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700810","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}