Singapore medical journal最新文献

Impact of boarders in the emergency department. 寄宿生对急诊科的影响

IF 1.9

Singapore medical journal Pub Date : 2025-10-06 DOI: 10.4103/singaporemedj.SMJ-2024-184

Kee Liem Terence Chong, Jia Min Laura Tan, Hui Cheng Tan, Kuhan Venugopal, Jen Heng Pek, Yee Lyn Corinne Lau

{"title":"Impact of boarders in the emergency department.","authors":"Kee Liem Terence Chong, Jia Min Laura Tan, Hui Cheng Tan, Kuhan Venugopal, Jen Heng Pek, Yee Lyn Corinne Lau","doi":"10.4103/singaporemedj.SMJ-2024-184","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2024-184","url":null,"abstract":"Introduction: Boarders refer to patients who have been admitted to the hospital but remain in the emergency department (ED) while waiting for an available inpatient bed. We aimed to examine the correlations between the number of boarders and outcome measures, including effectiveness of patient care, patient safety, efficiency of patient care, patient experience and staff well-being in the ED.Methods: A retrospective study was carried out. Correlations between the number of boarders and outcome measures were assessed using Pearson's correlation (r) or Spearman's rho (ρ).Results: The average number of boarders correlated strongly with these outcomes: wait times for triage (r = 0.883, P < 0.001); consult among P2 (urgent) (r = 0.829, P < 0.001) and P3 (ambulatory) patients (r = 0.825, P < 0.001); urinary test (r = 0.562, P < 0.001) and computed tomography (r = 0.733, P < 0.001); time taken for administration of analgesia (r = 0.960, P < 0.001), antibiotics (r = 0.828, P < 0.001) and intravenous fluids (r = 0.872, P < 0.001); and the length of stay for admitted patients (r = 0.995, P < 0.001) and discharged patients (r = 0.797, P < 0.001). Additionally, medical errors (ρ = 0.646, P < 0.001), compliments (ρ = 0.520, P = 0.006), patients who were triaged but did not go through consult (ρ = 0.848, P < 0.001), as well as medical leave taken by doctors (r = 0.626, P = 0.001) and nurses (r = 0.815, P < 0.001) strongly correlated with the average number of boarders in the ED.Conclusion: Boarders lead to insufficient space and inefficient work processes, which compromise the delivery of emergency care in a timely and safe manner for patients in EDs.","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240664","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

Severe tinnitus: how can we approach it? 严重耳鸣：我们如何处理它？

IF 1.9

Singapore medical journal Pub Date : 2025-09-30 DOI: 10.4103/singaporemedj.SMJ-2025-073

Gary Jek Chong Lee, Jasmine Jek Peng Liew, Andrew Wei Li Teng

引用次数: 0

Olfactory testing with Sniffin' Sticks and University of Pennsylvania Smell Identification Test in Singapore. 嗅探棒嗅觉测试和新加坡宾夕法尼亚大学嗅觉识别测试。

IF 1.9

Singapore medical journal Pub Date : 2025-09-30 DOI: 10.4103/singaporemedj.SMJ-2024-208

Margaret Ru Xiang Zhang, Yew Kwang Ong, Xinni Xu

{"title":"Olfactory testing with Sniffin' Sticks and University of Pennsylvania Smell Identification Test in Singapore.","authors":"Margaret Ru Xiang Zhang, Yew Kwang Ong, Xinni Xu","doi":"10.4103/singaporemedj.SMJ-2024-208","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2024-208","url":null,"abstract":"Introduction: Sniffin' sticks (SS) and the University of Pennsylvania smell identification test (UPSIT) are widely used olfactory tests, but have not yet been validated in Singapore. The primary objective of our study was to compare the performance of the unmodified SS and UPSIT in healthy adults in Singapore. The clinical implication was illustrated with a group of patients with olfactory impairment.Methods: The SS and UPSIT were prospectively administered to healthy adults at a tertiary otolaryngology clinic from 15 May 2023 to 31 July 2023. Primary outcome measures were identification scores, 10th percentile scores, diagnosed olfactory function, and number of unfamiliar test odours. A retrospective review of patients with olfactory impairment was then performed. We compare their diagnosed olfactory function before and after benchmarking against heathy participants' scores.Results: Fifty healthy participants (mean age 34 ± 9.4 years) were recruited. With SS, the mean score was 12 ± 2.5 (out of 16) and the 10th percentile score was 10. With UPSIT, the mean score was 29.6 ± 5.8 (out of 40) and the 10th percentile score was 25.5. The SS and UPSIT categorised 22 (44.0%) and 46 (92.0%) healthy participants as having hyposmia/anosmia, respectively. Agreement between both tests was minimal (weighted Cohen's kappa -0.020, 95% CI -0.240 to 0.101, P = 0.626). Many test odours were unfamiliar (43.8% in SS vs. 47.5% in UPSIT). Seventy-one patients with olfactory impairment were then analysed. After adjustment, 13.9% (5/36) and 25.7% (9/35) of patients who underwent SS and UPSIT, respectively, had changes in diagnosed olfactory function.Conclusion: Our findings show that olfactory identification tests must be adapted and validated for the Singapore population to ensure meaningful interpretation of results.","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202713","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

Vaping: parallels with cigarette smoking and management approaches in Singapore. 电子烟：新加坡与吸烟的对比及管理方法。

IF 1.9

Singapore medical journal Pub Date : 2025-09-30 DOI: 10.4103/singaporemedj.SMJ-2025-085

Ser Hon Puah, Kwee Keng Kng, Lambert Low

引用次数: 0

Evaluation of cardiopulmonary resuscitation and automated external defibrillator skill retention with simplified community-based training. 通过简化社区培训评估心肺复苏和自动体外除颤器技能保留。

IF 1.9

Singapore medical journal Pub Date : 2025-09-19 DOI: 10.4103/singaporemedj.SMJ-2024-251

Theng Hong Neo, Alexander Elgin White, Phyo Thet Naing Win, Nurul Asyikin Binte Mohamed Jalil, Swee Han Lim, Marcus Eng Hock Ong

{"title":"Evaluation of cardiopulmonary resuscitation and automated external defibrillator skill retention with simplified community-based training.","authors":"Theng Hong Neo, Alexander Elgin White, Phyo Thet Naing Win, Nurul Asyikin Binte Mohamed Jalil, Swee Han Lim, Marcus Eng Hock Ong","doi":"10.4103/singaporemedj.SMJ-2024-251","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2024-251","url":null,"abstract":"Introduction: This study aimed to assess the retention of dispatcher-assisted cardiopulmonary resuscitation (CPR) skills and knowledge among newly trained laypersons in Singapore who were trained using the Dispatcher-Assisted first REsponder (DARE) programme.Method: This was a prospective before-after, single group simulation study using simulation-based assessments (SBA). Fifty participants were recruited and assessed over three rounds of simulated cardiac arrest. Participants were assessed before training for a baseline measure, immediately after DARE training and 4 months after DARE training. Participants' performance in executing the proper CPR sequence was evaluated using a ten-item scorecard. Secondary outcomes, as measured using a feedback device, included CPR compression quality (measured by depth, rate and chest recoil), time to administration of the first chest compression and time taken to administer the first AED shock.Results: Twenty-seven participants completed the study. The average (SD) pre-training SBA baseline score was 18.96 (3.87). The post-training SBA score was 25.22 (2.64), and the 4-month retention SBA (Ret-SBA) score was 23.63 (3.52). There was an average decline of 1.59 (P < 0.001) decline in the retention SBA score.Conclusion: Laypeople dispatcher-assisted CPR performance in this study declined 4 months after training. However, skill performance remained above pre-training levels. These findings suggest the need for retraining to sustain trainees' proficiency in dispatcher-assisted CPR skills; however, the optimal frequency of retraining requires additional investigation.","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093421","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

Carpal tunnel syndrome in primary care. 初级保健中的腕管综合征。

IF 1.9

Singapore medical journal Pub Date : 2025-09-01 Epub Date: 2025-09-27 DOI: 10.4103/singaporemedj.SMJ-2025-020

Kai Ping Sze, Adriel Zhijie Leong

引用次数: 0

World Heart Day 2025: Don't Miss a Beat - bridging gaps in cardiovascular health for women, children and the future. 2025年世界心脏日：一刻也不要错过——弥合妇女、儿童和未来在心血管健康方面的差距。

IF 1.9

Singapore medical journal Pub Date : 2025-09-01 Epub Date: 2025-09-27 DOI: 10.4103/singaporemedj.SMJ-2025-189

Anyi Audrey Zhang, Ching-Hui Sia, Kian Keong Poh

引用次数: 0

Perspectives of doctors on informed consent: findings of Singapore Medical Association survey. 医生对知情同意的看法：新加坡医学会调查的结果。

IF 1.9

Singapore medical journal Pub Date : 2025-09-01 Epub Date: 2025-09-27 DOI: 10.4103/singaporemedj.SMJ-2025-132

Chee Kwan Ng

引用次数: 0

Keeping good documentation: the ethical and legal issues in medical records. 保持良好的文件：医疗记录中的道德和法律问题。

IF 1.9

Singapore medical journal Pub Date : 2025-09-01 Epub Date: 2025-09-27 DOI: 10.4103/singaporemedj.SMJ-2025-042

Peter Chiu-Leung Chow

引用次数: 0

Percutaneous bicaval valve implantation for severe tricuspid regurgitation due to carcinoid syndrome. 经皮双腔瓣植入术治疗类癌综合征导致的严重三尖瓣反流。

IF 1.9

Singapore medical journal Pub Date : 2025-09-01 Epub Date: 2024-10-29 DOI: 10.4103/singaporemedj.SMJ-2024-009

Paul Toon Lim Chiam, Choon Pin Lim, Joshua Ping-Yun Loh, Ying Kiat Zee

引用次数: 0