Singapore medical journal最新文献

{"title":"Role of ChatGPT in interventional cardiology.","authors":"Ashita Ashish Sule, Kian-Keong Poh, Dinesh Kumar Srinivasan","doi":"10.4103/singaporemedj.SMJ-2024-139","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2024-139","url":null,"abstract":"<p><strong>Abstract: </strong>Since the development of Chat Generative Pre-trained Transformer (ChatGPT), its roles in health care and various medical specialties have been increasingly explored, showing significant potential in supplementing clinical approaches and management, as well as medical education and training for healthcare professionals. Furthermore, ChatGPT could have potential in the field of interventional cardiology, especially in aiding clinical decision-making, education and training. However, its role in interventional cardiology has yet to be comprehensively evaluated. This review aimed to evaluate existing literature on the potential of ChatGPT in interventional cardiology to better understand and utilise the platform for clinical decision-making, education and training in the future.</p>","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757258","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":"Subclustering general population with high body mass index to inform future risk of diabetes mellitus.","authors":"Huili Zheng, Chalani Udhyami Ubeynarayana, Serena Kiat Mun Low, Angela Mei Chung Moh, Jonathon Kay Chin Khoo, Bhuvaneswari Pandian, Yee Boon Soh, Bastari Irwan, Sweet Fun Wong, Su Chi Lim","doi":"10.4103/singaporemedj.SMJ-2024-099","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2024-099","url":null,"abstract":"","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143675143","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":"Emergency department visits by inmates: an epidemiology and service utilisation study.","authors":"Shaun Tay, Young Koh, Fatha Noorul As'art, Ling Tiah, Yin Yan Jia, Kelvin Kuan, Siang Hiong Goh, Beng Hoong Poon","doi":"10.4103/singaporemedj.SMJ-2024-073","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2024-073","url":null,"abstract":"","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143675142","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":"Ischaemic stroke in young adults: an overview of the classification, risk factors, aetiologies and outcomes.","authors":"Benjamin Yong-Qiang Tan, Sarah Ming Li Tan, Megan Bi Jia Ng, Bernard Pl Chan","doi":"10.4103/singaporemedj.SMJ-2024-010","DOIUrl":"10.4103/singaporemedj.SMJ-2024-010","url":null,"abstract":"","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627312","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":"Shifting the needle in cognitive health: urgent action on modifiable risk factors to prevent dementia in Singapore.","authors":"Benjamin Yong-Qiang Tan, Li Feng Tan, Jonathan Rosand","doi":"10.4103/singaporemedj.SMJ-2024-216","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2024-216","url":null,"abstract":"","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694986","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":"Infantile visceral leishmaniasis disguised as Kawasaki disease.","authors":"Anselm Chi-Wai Lee, Pei Ling Ooi, Mas Suhaila Isa, James Heng Chiak Sim, Jean-Marc Chavatte","doi":"10.4103/singaporemedj.SMJ-2024-109","DOIUrl":"https://doi.org/10.4103/singaporemedj.SMJ-2024-109","url":null,"abstract":"","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143545593","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":"Colorectal cancer screening.","authors":"Tiing Leong Ang","doi":"10.4103/SINGAPOREMEDJ.SMJ-2025-019","DOIUrl":"10.4103/SINGAPOREMEDJ.SMJ-2025-019","url":null,"abstract":"","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":"66 3","pages":"125-126"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11991074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672201","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}

{"title":"Coronary artery calcium scoring in primary care.","authors":"Edward Lee, Sky Koh, Ching-Hui Sia","doi":"10.4103/singaporemedj.SMJ-2024-211","DOIUrl":"10.4103/singaporemedj.SMJ-2024-211","url":null,"abstract":"","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":"66 3","pages":"163-166"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11991070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672202","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}

{"title":"Pulmonary hypertension in pregnancy: two sides to a coin.","authors":"Joy Yi Shan Ong, Jeannie Jing Yi Yap, Pradip Dashraath, Ting-Ting Low, Mahesh Choolani, Kian-Keong Poh","doi":"10.4103/singaporemedj.SMJ-2024-205","DOIUrl":"10.4103/singaporemedj.SMJ-2024-205","url":null,"abstract":"","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":"66 3","pages":"167-171"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11991068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672205","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}

{"title":"Low-density lipoprotein cholesterol goal attainment and mortality in ischaemic heart disease: a two-year observational study.","authors":"Ying Hui Mak, Fionn Chua, Xuan Han Koh, Vern Hsen Tan, Zhong Hui Lee, Audrey Lam, Kim Leng Tong, Colin Yeo, Weien Chow, Wann Jia Loh","doi":"10.4103/singaporemedj.SMJ-2024-172","DOIUrl":"10.4103/singaporemedj.SMJ-2024-172","url":null,"abstract":"<p><strong>Introduction: </strong>Achieving low-density lipoprotein cholesterol (LDL-C) levels is key to preventing atherosclerotic cardiovascular events. However, many high-risk cardiovascular patients still experience poor LDL-C goal attainment and receive suboptimal lipid-lowering therapy (LLT) prescriptions. Herein, we evaluated LLT prescription patterns, LDL-C goal attainment and cardiovascular mortality among this population group in Singapore.</p><p><strong>Methods: </strong>This prospective observational cohort study included 555 patients with ischaemic heart disease (IHD) admitted to the hospital in 2020. The LLT prescriptions, corresponding LDL-C levels and cardiovascular outcomes were assessed over a 24-month period.</p><p><strong>Results: </strong>Most participants were male (82.3%), with 48.5% identified as Chinese. High-intensity statin prescriptions increased from 45.4% at hospital admission to 87.1% at discharge and remained stable at approximately 80% at 6, 12, and 24 months post-discharge. Combination LLT prescriptions increased from 12.3% at discharge to 33.8% by 24 months. Ezetimibe was the most commonly prescribed second-line LLT (40.8%), followed by inclisiran (1.09%) and anti-proprotein convertase subtilisin/kexin type 9 monoclonal antibody therapies (0.87%). Over 24 months, LDL-C goal attainment rates were 22.1% for LDL-C < 1.4 mmol/L and 47.2% for LDL-C < 1.8 mmol/L. Multivariable Cox proportional hazards regression indicated that achieving LDL-C < 1.8 mmol/L goal was associated with a reduction in all-cause mortality at 24 months (hazard ratio 0.53, 95% confidence interval 0.30-0.94, P = 0.030).</p><p><strong>Conclusion: </strong>Treatment gaps in lipid management persist in 80% of the study population, indicating that statin monotherapy alone is insufficient to achieve LDL-C goals. Greater efforts to improve LDL-C goal attainment rates in high-risk cardiovascular patients are imperative.</p>","PeriodicalId":94289,"journal":{"name":"Singapore medical journal","volume":"66 3","pages":"154-162"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11991077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672204","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}