Singapore medical journal最新文献_第6页

Efforts to promote life-saving skills in Singapore and globally. 努力在新加坡和全球推广救生技能。

IF 1.9

Singapore medical journal Pub Date : 2026-07-01 Epub Date: 2026-07-27 DOI: 10.4103/singaporemedj.SMJ-2026-414

Yih Yng Ng, Chi Keong Ching, Chiun How Teng, Yu-Chun Chien, Taku Iwami, Don Robespierre Reyes, Andrew Lockey, Bryan McNally, Marcus Eng Hock Ong, Swee Han Lim

引用次数: 0

Singapore Paediatric Life Support Guidelines 2026. 新加坡儿科生命支持指南2026。

IF 1.9

Singapore medical journal Pub Date : 2026-07-01 Epub Date: 2026-07-27 DOI: 10.4103/singaporemedj.SMJ-2026-318

Gene Yong-Kwang Ong, Nicola Ngiam, Lai Peng Tham, Anuradha P Menon, Jen Heng Pek, Anuradha Pandey, Supranee Mathiprechakul, Qiao Zhi Chee, Charmaine Jiahui Chan, Eileen Oh, Ivy Ang, Cheryl Bin Lin, Chai Mei Chang, Sashikumar Ganapathy, Jacqueline Sm Ong, Yee Hui Mok, Shu-Ling Chong, Kee Chong Ng

{"title":"Singapore Paediatric Life Support Guidelines 2026.","authors":"Gene Yong-Kwang Ong, Nicola Ngiam, Lai Peng Tham, Anuradha P Menon, Jen Heng Pek, Anuradha Pandey, Supranee Mathiprechakul, Qiao Zhi Chee, Charmaine Jiahui Chan, Eileen Oh, Ivy Ang, Cheryl Bin Lin, Chai Mei Chang, Sashikumar Ganapathy, Jacqueline Sm Ong, Yee Hui Mok, Shu-Ling Chong, Kee Chong Ng","doi":"10.4103/singaporemedj.SMJ-2026-318","DOIUrl":"10.4103/singaporemedj.SMJ-2026-318","url":null,"abstract":"Abstract: The Singapore Paediatric Life Support Guidelines 2026 updates the 2021 guidelines and provides evidence-based, consensus recommendations for life support in paediatric patients (<18 years of age), excluding newborns. We reviewed treatment recommendations from the International Liaison Committee on Resuscitation Paediatric Life Support Task Force as well as resuscitation guidelines from the American Heart Association, the European Resuscitation Council and other relevant studies and reviews published between January 2021 and January 2026 to inform these paediatric life support guidelines. This clinical practice guideline adopts an evidence-based and patient-centred approach to the life support of paediatric patients in Singapore. Recommendations were updated following deliberation of peer-reviewed evidence updates on paediatric resuscitation, with consideration of local context, resources and clinical practice.","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":"67 7","pages":"442-452"},"PeriodicalIF":1.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13516006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148595432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Singapore First Aid Guidelines 2026. 新加坡急救指南2026。

IF 1.9

Singapore medical journal Pub Date : 2026-07-01 Epub Date: 2026-07-27 DOI: 10.4103/singaporemedj.SMJ-2026-277

Andrew Fu Wah Ho, Janice Hui Hong Oh, Jen Heng Pek, Jun Hao Loke, Swee Han Lim

{"title":"Singapore First Aid Guidelines 2026.","authors":"Andrew Fu Wah Ho, Janice Hui Hong Oh, Jen Heng Pek, Jun Hao Loke, Swee Han Lim","doi":"10.4103/singaporemedj.SMJ-2026-277","DOIUrl":"10.4103/singaporemedj.SMJ-2026-277","url":null,"abstract":"Abstract: First aid is the immediate care provided for acute illness or injury and can be initiated by anyone in any situation. Its aims are the preservation of life, alleviation of suffering, prevention of further harm and promotion of recovery. To reflect evolving medical science surrounding first aid, the standards of care by first aiders must also evolve accordingly. The Singapore Resuscitation and First Aid Council has updated the national practice standards with the publication of the Singapore First Aid Guidelines 2026. The current guidelines incorporate the latest international evidence synthesis while prioritising relevance for Singapore's first aid training and operational context. The existing guidelines remain relevant unless specifically updated. The main additions and significant revisions in this edition include guidance on pulse oximeters, bronchodilators, supplementary oxygen, repeated doses of adrenaline in anaphylaxis, hypoglycaemia correction, physical counterpressure manoeuvres for presyncope, handling of amputated body parts, rehydration for exertional-related dehydration and treatment of jellyfish stings.","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":"67 7","pages":"466-471"},"PeriodicalIF":1.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13516000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148595487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The journey after restart: understanding the multidimensional experience of cardiac arrest survivors. 重启后的旅程：了解心脏骤停幸存者的多维体验。

IF 1.9

Singapore medical journal Pub Date : 2026-06-15 DOI: 10.4103/singaporemedj.SMJ-2025-173

Zariel Jiaying Sim, John Joson Ng, Yew Woon Chia, Shir Lynn Lim, Marcus Eng Hock Ong, Andrew Fu Wah Ho

引用次数: 0

The role of public health specialists in tertiary hospitals in Singapore. 新加坡三级医院公共卫生专家的作用。

IF 1.9

Singapore medical journal Pub Date : 2026-06-15 DOI: 10.4103/singaporemedj.SMJ-2025-266

Hao Yi Tan, Muhammad Taufeeq Wahab, Jason Ch Yap, Chuan Kit Foo, Ruban Poopalalingam, Hiang Khoon Tan, Wee Hoe Gan, Chien Earn Lee

引用次数: 0

Our power, our planet: medicine and environmental stewardship. 我们的力量，我们的星球：医药和环境管理。

IF 1.9

Singapore medical journal Pub Date : 2026-06-01 Epub Date: 2026-04-15 DOI: 10.4103/singaporemedj.SMJ-2026-211

Glenda Sze Ling Chong, Joelle Hwee Inn Tan, Aruzhan Shalabayeva, Krishnendu Gupta, Nick Watts, Mahesh Choolani

引用次数: 0

Glioblastoma: current challenges and future horizons. 胶质母细胞瘤：当前的挑战和未来的前景。

IF 1.9

Singapore medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-26 DOI: 10.4103/singaporemedj.SMJ-2026-356

Yuan-Lang Brian Chan, Ryan Khai Jie Pang, Boon Chuan Pang, Tseng Tsai Yeo, Benjamin Yq Tan

引用次数: 0

Evidence-to-Recommendation Framework for 2026 ACE Clinical Guideline on the management of knee osteoarthritis - a joint effort with patients. 关于膝关节骨关节炎管理的2026 ACE临床指南的证据-推荐框架-与患者共同努力。

IF 1.9

Singapore medical journal Pub Date : 2026-06-01 Epub Date: 2026-04-29 DOI: 10.4103/SINGAPOREMEDJ.SMJ-2026-139

Jeremy LE Chan, Sonja Cjh Chua, Ester Px Lee, Janell Kwok, Valentina Ricci, Phyllis Al Kim

{"title":"Evidence-to-Recommendation Framework for 2026 ACE Clinical Guideline on the management of knee osteoarthritis - a joint effort with patients.","authors":"Jeremy LE Chan, Sonja Cjh Chua, Ester Px Lee, Janell Kwok, Valentina Ricci, Phyllis Al Kim","doi":"10.4103/SINGAPOREMEDJ.SMJ-2026-139","DOIUrl":"10.4103/SINGAPOREMEDJ.SMJ-2026-139","url":null,"abstract":"Abstract: This Evidence-to-Recommendation (EtR) framework underpins the ACE Clinical Guideline (ACG) for the management of knee osteoarthritis (OA), providing rationale and justifications for its recommendations. Knee OA is a prevalent and debilitating condition in Singapore, with significant disease burden and impacts on healthcare utilisation costs. The ACG addresses management gaps that contribute to suboptimal clinical outcomes, including insufficient uptake of conservative management, limited knowledge of community exercise and physiotherapist resources, and inappropriate use of complementary and alternative treatments. The Grading of Recommendations Assessment, Development and Evaluation framework was followed to develop seven evidence-based recommendations that cover comprehensive biopsychosocial assessments, mainstay management strategies, pharmacological treatment, referral to allied health professionals, complementary and alternative treatment, and specialist referrals. This EtR framework summarises the factors that have informed the direction and strength of the ACG recommendations, including balance of benefits and risks, certainty of evidence, patient preferences and values, resources and feasibility considerations, and acceptability.","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":"336-344"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793762","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

Successful 24-hour discharge for total knee arthroplasty: importance of timing of surgery and physiotherapy in enhanced recovery after surgery protocol. 全膝关节置换术后 24 小时成功出院：手术时机和物理治疗在术后恢复强化方案中的重要性。

IF 1.9

Singapore medical journal Pub Date : 2026-06-01 Epub Date: 2024-10-22 DOI: 10.4103/singaporemedj.SMJ-2023-280

Hong Jing Lee, Sheng Xu, Eric Xuan Liu, Jason Beng Teck Lim, Ming Han Lincoln Liow, Hee Nee Pang, Darren Keng-Jin Tay, Seng Jin Yeo, Jerry Yongqiang Chen

{"title":"Successful 24-hour discharge for total knee arthroplasty: importance of timing of surgery and physiotherapy in enhanced recovery after surgery protocol.","authors":"Hong Jing Lee, Sheng Xu, Eric Xuan Liu, Jason Beng Teck Lim, Ming Han Lincoln Liow, Hee Nee Pang, Darren Keng-Jin Tay, Seng Jin Yeo, Jerry Yongqiang Chen","doi":"10.4103/singaporemedj.SMJ-2023-280","DOIUrl":"10.4103/singaporemedj.SMJ-2023-280","url":null,"abstract":"Introduction: The current literature is mixed on which patient factors, if any, predict the rate of successful discharge within 24 h of enhanced recovery after surgery (ERAS) total knee arthroplasty (TKA). This study aimed to investigate the influence of timing of surgery and physiotherapy on the rate of successful 24-h discharge.Methods: All 342 patients who underwent ERAS day surgery TKA from August 2020 to July 2021 were followed up prospectively. Patient characteristics and postoperative outcomes, such as number of physiotherapy sessions required before clearance for home, time taken after surgery to ambulate >10 m and length of stay (LOS), were recorded. Patients were grouped based on surgical end time (morning/afternoon/ evening) and time of physiotherapy review (morning/afternoon/evening/morning after). Patients successfully passed ERAS day surgery protocol if they were discharged within 24 h.Results: With regard to the timing of operation, the morning group had the shortest LOS ( P = 0.001) and a higher ERAS day surgery pass rate than the afternoon group ( P = 0.016). With regard to the timing of physiotherapy, the afternoon group took the shortest time to ambulate >10 m ( P < 0.001), had the shortest LOS ( P < 0.001) and had a higher ERAS day surgery pass rate as compared to the morning after the operation group ( P = 0.005).Conclusion: Patients who ended their operations in the morning and received physiotherapy review in the same afternoon were the most likely to be discharged within 24 h due to early ambulation and adequate time for spinal anaesthesia to wear off.","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":"374-379"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Computed tomographic evaluation of bronchiolitis: unravelling the multifaceted spectrum of airways and pulmonary abnormalities. 细支气管炎的计算机断层评估：揭示气道和肺部异常的多面谱。

IF 1.9

Singapore medical journal Pub Date : 2026-06-01 Epub Date: 2026-06-26 DOI: 10.4103/singaporemedj.SMJ-2023-142

Emma Choon Hwee Lee, Jyothirmayi Velaga, Salahudeen Mohamed Haja Mohideen

引用次数: 0