Singapore medical journal最新文献

Idiopathic lymphocytic-eosinophilic pleural effusion with clinical response to corticosteroids: a case report. 特发性淋巴细胞-嗜酸性胸膜积液伴皮质类固醇临床反应1例报告。

Singapore medical journal Pub Date : 2025-06-17 DOI: 10.4103/singaporemedj.SMJ-2025-004

Justin Jin Hao Jang, Chia Meng Teoh, Pyng Lee

引用次数: 0

Re-employment medical examinations: assessing fitness to work in ageing healthcare workers. 再就业体检：评估老龄保健工作者的工作能力。

Singapore medical journal Pub Date : 2025-06-10 DOI: 10.4103/singaporemedj.SMJ-2024-192

Mei Ling Tan, Elliot Eu, Sylvia Teo, John Wah Lim, Shiu Hong Wong

引用次数: 0

Exploring adherence to antidiabetic medications in Singapore primary care: a comparison of four models of proportion of days covered. 探索新加坡初级保健中抗糖尿病药物的依从性：四种模式的天数比例比较。

Singapore medical journal Pub Date : 2025-06-10 DOI: 10.4103/singaporemedj.SMJ-2024-072

Hui Rei Yap, Wern Ee Tang

{"title":"Exploring adherence to antidiabetic medications in Singapore primary care: a comparison of four models of proportion of days covered.","authors":"Hui Rei Yap, Wern Ee Tang","doi":"10.4103/singaporemedj.SMJ-2024-072","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2024-072","url":null,"abstract":"Introduction: There is currently no standardised approach to calculate and report proportion of days covered (PDC), a medication adherence measure. We aimed to assess adherence to antidiabetic medications by applying four PDC models to a primary care database and examine the factors associated with medication adherence.Methods: Four models were used to calculate PDC for 789 patients with diabetes mellitus (DM) using the average PDC method. Models P1 and P2 incorporated prescribed and dispensed data, whereas models D1 and D2 used dispensed data only. Models P1 and D1 used an interval-based method, whereas models P2 and D2 used a prescription-based method. Gender, age at recruitment, race, number of chronic diseases, years of DM, glycated haemoglobin (HbA1c) levels and number of antidiabetic medication classes were tested in a univariate analysis. Stepwise selection method was used in the multivariate logistic regression model.Results: The proportion of adherent patients (PDC ≥80%) was 64.1% for model P1, 73.9% for P2, 66.5% for D1, and 87.3% for D2. Patients with PDC <80% were more likely to have HbA1c ≥9% (odds ratios 2.54 [P1], 2.69 [P2], 2.48 [D1], and 3.33 [D2]). Additionally, PDC <80% was associated with Malay or Indian ethnicity and having four or more chronic diseases.Conclusion: The PDC models that incorporate prescribed data and use interval-based methods may result in more patients being classified as having poor adherence. Compared to the other models, we postulate that model P2 may provide the most accurate estimate of adherence, as it takes into account the prescribers' intent by including prescribed data and changes in medication regimens by using prescription-based method.","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259850","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

Lateral extra-articular augmentation techniques alongside anterior cruciate ligament reconstruction: comparison of semi-anatomical, anatomical and non-anatomical procedures. 外侧关节外增强技术与前交叉韧带重建：半解剖、解剖和非解剖手术的比较。

Singapore medical journal Pub Date : 2025-06-10 DOI: 10.4103/singaporemedj.SMJ-2024-110

Angelo Vasileiou Vasiliadis, Nikolaos Koukoulias, Dimitrios Chytas, Aikaterini Vassiou, George Paraskevas, George Noussios

引用次数: 0

Public knowledge, awareness and perception of gut microbiome and faecal microbiota transplantation in Singapore: a survey study. 新加坡公众对肠道菌群和粪便菌群移植的知识、意识和感知：一项调查研究。

Singapore medical journal Pub Date : 2025-06-06 DOI: 10.4103/singaporemedj.SMJ-2024-076

Lydia Wan Zhen Lim, Kai Yee Toh, Alex Richard Cook, Jonathan Wei Jie Lee, Jeremy Fung Yen Lim

{"title":"Public knowledge, awareness and perception of gut microbiome and faecal microbiota transplantation in Singapore: a survey study.","authors":"Lydia Wan Zhen Lim, Kai Yee Toh, Alex Richard Cook, Jonathan Wei Jie Lee, Jeremy Fung Yen Lim","doi":"10.4103/singaporemedj.SMJ-2024-076","DOIUrl":"10.4103/singaporemedj.SMJ-2024-076","url":null,"abstract":"Introduction: Despite the exponential increase in microbiome research, knowledge and beliefs about the gut microbiome and faecal microbiota transplantation (FMT) remain unclear. The aim of this study was to identify the extent of knowledge, awareness and perception among the general public regarding the gut microbiome and FMT.Methods: An online questionnaire on knowledge and beliefs about the gut microbiome and FMT was administered to 1831 participants. Data analysis software was used to generate descriptive statistics and explore associations between knowledge and sociodemographic variables.Results: Even though only 33% of participants had heard of the gut microbiome, more than 92% had consumed probiotic drinks or supplements. While 85% had not heard of the FMT procedure, 72% of respondents would consider having FMT to treat Clostridioides difficile infection (CDI). Willingness to receive FMT depended mainly on recommendation from healthcare providers (77%). Knowledge and awareness regarding the gut microbiome and FMT were relatively low, despite most participants having prior gut health-related behaviours.Conclusion: This study identified the public's perceptions of FMT and the potential barriers to its uptake. Insights from the study highlight the need for health education to enhance acceptance of FMT and the importance of using information supported by medical professionals to immunise the public against poorly validated science.","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236363","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

Response to Comments on: obstructive sleep apnoea and nocturnal atrial fibrillation in patients with ischaemic heart disease. 缺血性心脏病患者的阻塞性睡眠呼吸暂停和夜间心房颤动

Singapore medical journal Pub Date : 2025-06-01 Epub Date: 2025-06-13 DOI: 10.4103/singaporemedj.SMJ-2025-117

Silin Kuang, See Meng Khoo

引用次数: 0

Approach to premature thelarche in children. 儿童过早发育的探讨。

Singapore medical journal Pub Date : 2025-06-01 Epub Date: 2025-06-13 DOI: 10.4103/singaporemedj.SMJ-2022-110

Wen Hann Chow, Kai Xiang Zhang, Wei Keong Daniel Chan

引用次数: 0

Comments on: obstructive sleep apnoea and nocturnal atrial fibrillation in patients with ischaemic heart disease. 评论：缺血性心脏病患者的阻塞性睡眠呼吸暂停和夜间心房颤动。

Singapore medical journal Pub Date : 2025-06-01 Epub Date: 2025-06-13 DOI: 10.4103/singaporemedj.SMJ-2025-110

Amir Reza Akbari, Benyamin Alam

引用次数: 0

Health literacy and self-care among patients with chronic kidney disease in a primary care setting. 初级医疗机构中慢性肾病患者的健康素养和自我护理。

Singapore medical journal Pub Date : 2025-06-01 Epub Date: 2024-01-12 DOI: 10.4103/singaporemedj.SMJ-2023-068

Han-Kwee Ho, Eileen Yi-Ling Koh, Adina Abdullah, Ngiap-Chuan Tan

{"title":"Health literacy and self-care among patients with chronic kidney disease in a primary care setting.","authors":"Han-Kwee Ho, Eileen Yi-Ling Koh, Adina Abdullah, Ngiap-Chuan Tan","doi":"10.4103/singaporemedj.SMJ-2023-068","DOIUrl":"10.4103/singaporemedj.SMJ-2023-068","url":null,"abstract":"Introduction: The study objective was to determine the levels of self-care and health literacy (HL) and their associations among patients with chronic kidney disease (CKD).Methods: This was a cross-sectional, questionnaire-based study conducted in a public primary care setting in Singapore. A total of 289 participants aged 21-80 years with hypertension were recruited. Self-care profiles were measured using the Hypertension Self-Care Profile (HTN-SCP; range 0-240, domain range 0-80). Health literacy was measured using the Short-Form Health Literacy Scale (HLS-SF12; range 0-50, limited literacy ≤33).Results: The mean self-care score was 182.7 (standard deviation [SD] 23.2). The median HL score was 34.7 (interquartile range [IQR] 31.9-40.3), and 31.1% of participants had limited HL. Self-care was not associated with age, CKD status, household income and education, but was associated with gender and HL score. In the final regression model, lower HL scores (adjusted β = 1.03, 95% confidence interval [CI] 0.7 to 1.36, P < 0.001) and male gender (adjusted β = -5.29, 95% CI -10.56 to -0.03, P = 0.049) were associated with lower self-care scores. The HL scores were associated with self-care domains of self-efficacy (HL: β = 0.30, 95% CI 0.17 to 0.42, P < 0.001), motivation (HL: β = 0.40, 95% CI 0.26 to 0.53, P < 0.001) and behaviour (HL: β = 0.38, 95% CI 0.26 to 0.50, P < 0.001).Conclusion: Thirty-one percent of the participants had limited HL. Self-care was not associated with age, race, CKD status, household income or education. Male gender and limited HL were associated with lower self-care. Self-care was associated with self-efficacy, motivation and behaviour. Future research could focus on more targeted approaches to improve self-care and HL among patients with CKD.","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":"307-313"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139428219","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

Clinics in diagnostic imaging (223). 临床诊断成像（223）。

Singapore medical journal Pub Date : 2025-06-01 Epub Date: 2025-06-13 DOI: 10.4103/singaporemedj.SMJ-2023-248

Wai Keat Lau, Natalie Li Xuan Lim, Ivandito Kuntjoro, Lynette Li San Teo

引用次数: 0