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Bronchial thermoplasty for severe asthmatics: a real-world clinical study from Malaysia. 严重哮喘患者的支气管热成形术:来自马来西亚的真实世界临床研究。
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-02-01 Epub Date: 2021-10-07 DOI: 10.11622/smedj.2021144
Chun Ian Soo, Woh Wei Mak, Mona Zaria Nasaruddin, Rosmadi Ismail, Andrea Yu-Lin Ban, Jamalul Azizi Abdul Rahaman
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引用次数: 0
Percutaneous iliosacral screw fixation of sacral U-type fracture using a mid-foot intramedullary bolt: a case report 使用中足髓内栓经皮髂骶螺钉固定骶骨 U 型骨折:病例报告
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-01-08 DOI: 10.4103/singaporemedj.smj-2021-172
Peng Lee, Yong Sheng Chen, Amritpal Singh, Antony Gardner
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引用次数: 0
Femoral neck system as a safe alternative to cannulated compression screw and dynamic hip screw in femoral neck fractures: an early comparative study 股骨颈系统在股骨颈骨折中作为插管加压螺钉和动态髋螺钉的安全替代品:早期比较研究
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-01-08 DOI: 10.4103/singaporemedj.smj-2022-024
Zhe Zheng Clyde Lim, Cheryl Marise Peilin Tan, Rex Premchand Antony Xavier, M. G. J. Yam, I. T. Chua
The femoral neck system (FNS) is a safe alternative to cannulated compression screw (CCS) and dynamic hip screw (DHS) in femoral neck fractures. A dual-centre retrospective cohort study was performed on femoral neck fractures (AO type 31-B) treated with closed reduction and internal fixation using FNS, DHS or CCS between April 2016 and April 2020. Exclusion criteria were as follows: patients aged below 16 years; chronic fractures beyond 7 days; pathological fractures; fracture extension to the intertrochanteric region or ipsilateral neck and shaft fractures; and open fractures. A total of 85 patients were identified: FNS (n = 28), DHS (n = 29) and CCS (n = 28). The FNS and CCS groups had a lower Garden and Pauwels classification compared to the DHS group (both P < 0.001). Both FNS and CCS groups were comparable in postoperative orthopaedic complications (10.7% [n = 3] vs. 3.6% [n = 1], adjusted P = 0.321). The DHS group had more postoperative orthopaedic complications than the FNS group, but this was not statistically significant (27.6% [n = 8] vs. 10.7% [n = 3], adjusted P = 0.321). There were no significant differences in median time to radiological union or median femoral neck shortening at union (both P > 0.05) among the three groups. The new DePuy Synthes FNS is a safe alternative to CCS with comparable complication rates for femoral neck fractures that are less displaced and more stable. The FNS also appears to be a safe alternative to DHS in the fixation of femoral neck fractures for the few cases of high-energy femoral neck fractures.
股骨颈系统(FNS)是股骨颈骨折中套管加压螺钉(CCS)和动态髋螺钉(DHS)的安全替代方案。 2016年4月至2020年4月期间,一项双中心回顾性队列研究对使用FNS、DHS或CCS进行闭合复位和内固定治疗的股骨颈骨折(AO 31-B型)进行了研究。排除标准如下:患者年龄小于16岁;慢性骨折超过7天;病理性骨折;骨折扩展至转子间区或同侧股骨颈和股骨颈轴骨折;开放性骨折。共确定了 85 名患者:FNS组(28人)、DHS组(29人)和CCS组(28人)。 与 DHS 组相比,FNS 组和 CCS 组的 Garden 和 Pauwels 分级较低(P 均<0.001)。在术后骨科并发症方面,FNS 组和 CCS 组具有可比性(10.7% [n = 3] vs. 3.6% [n = 1],调整后 P = 0.321)。DHS 组的术后骨科并发症多于 FNS 组,但差异无统计学意义(27.6% [n = 8] vs. 10.7% [n = 3],调整后 P = 0.321)。三组之间的放射学结合中位时间或结合时股骨颈缩短中位数无明显差异(P均>0.05)。 新型 DePuy Synthes FNS 是 CCS 的安全替代方案,对于移位较少且较稳定的股骨颈骨折,其并发症发生率与 CCS 相当。对于少数高能量股骨颈骨折病例,FNS似乎也是DHS固定股骨颈骨折的安全替代方案。
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引用次数: 0
Successful treatment of psoriasis-associated uveitis with ixekizumab after failure of secukinumab and risankizumab 在secukinumab和risankizumab治疗失败后使用ixekizumab成功治疗银屑病相关葡萄膜炎
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-01-02 DOI: 10.4103/singaporemedj.smj-2023-133
Angelyn Chen Yin Lua, Soon-Phaik Chee, Hazel Hwee Boon Oon
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引用次数: 0
Jarisch–Herxheimer reaction in a patient with Weil’s disease 一名魏尔病患者的雅利什-赫克海默反应
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-01-02 DOI: 10.4103/singaporemedj.smj-2022-196
J. N. Ngiam, Tiara Joy Foo, Genevieve MY Tan, Jason Phua, Hui Fang Lim, P. Tambyah, G. Yan
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引用次数: 0
Characteristics of patients who received Sinopharm BIPB vaccine in Singapore general practice 在新加坡全科诊所接种国药集团 BIPB 疫苗的患者特征
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-01-02 DOI: 10.4103/singaporemedj.smj-2022-082
E. Chng, Aloysius Chow, Helen Elizabeth Smith
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引用次数: 0
Potential hurdles to prescribing COVID-19 oral antivirals in primary and community care 基层和社区医疗机构开具 COVID-19 口服抗病毒药物处方的潜在障碍
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-01-02 DOI: 10.4103/singaporemedj.smj-2023-054
Martin Yong Kwong Lee, Deanna Xiuting Koh, S. Chong, R. Chua
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引用次数: 0
Medical and social domains of ageing research in Singapore (2008-2018): a scoping review. 新加坡老龄化的医学和社会领域研究(2008-2018 年):范围综述。
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2021-10-31 DOI: 10.11622/smedj.2021172
Chen Hee Tam, Elaine Qiao Ying Ho, Sumali Subhashini Hewage, Shilpa Tyagi, Gerald Choon Huat Koh

Introduction: This scoping review examined the number, types and characteristics of journal publications on ageing in Singapore from 2008 to 2018 to determine how ageing research in medical and social domains in Singapore has transformed over time.

Methods: Using relevant search terms, articles were extracted from multiple databases and then screened and reviewed for eligibility and inclusion by independent reviewers. Data such as article title, authors, year of publication, name of journal, type of journal, study design and the kind of data used were charted from the included articles for evidence synthesis.

Results: Since 2008, there has been a steady increase in the number of publications on ageing in medical and social domains in Singapore. In the medical domain, publications on Ophthalmology (22%) made up the largest proportion of the existing medical literature on ageing in Singapore, followed by Physical Functioning (17%), which involved physiological measurements of physical well-being, and Geriatrics (16%). Non-medical publications comprised 38% of all the included publications, with publications on the social aspects of ageing (43%) forming the largest group in this cluster, followed by publications on Prevention (19%) and Healthcare services (18%). The study design was mostly observational (82%), with only 3% of interventional studies.

Conclusion: While ageing research had expanded in Singapore in the last decade, it was predominantly discipline specific and observational in design. As ageing issues are complex, with biology intersecting with psychology and sociology, we call for greater interdisciplinary collaboration, the conduct of more interventional studies, as well as more research in understudied and emerging areas.

导言:这篇范围界定综述研究了2008年至2018年新加坡有关老龄化的期刊论文的数量、类型和特点,以确定新加坡医学和社会领域的老龄化研究是如何随着时间的推移而转变的:使用相关检索词,从多个数据库中提取文章,然后由独立审稿人进行筛选和审查,以确定是否符合条件并纳入文章。从收录的文章中整理出文章标题、作者、发表年份、期刊名称、期刊类型、研究设计和使用的数据种类等数据,以便进行证据综合:自 2008 年以来,新加坡在医学和社会领域发表的有关老龄化的论文数量稳步增长。在医学领域,有关眼科的出版物(22%)占新加坡现有老龄化医学文献的最大比例,其次是涉及身体健康生理测量的《身体功能》(17%)和《老年医学》(16%)。非医学出版物占所有收录出版物的 38%,其中关于老龄化社会方面的出版物(43%)是这类出版物中最多的,其次是关于预防(19%)和保健服务(18%)的出版物。研究设计多为观察性研究(82%),干预性研究仅占 3%:虽然新加坡的老龄化研究在过去十年中有所扩展,但主要是针对特定学科和观察性研究。由于老龄化问题十分复杂,生物学与心理学和社会学相互交叉,我们呼吁加强跨学科合作,开展更多干预性研究,并在研究不足和新兴领域开展更多研究。
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引用次数: 0
Improving children's cooperativeness during magnetic resonance imaging using interactive educational animated videos: a prospective, randomised, non-inferiority trial. 利用互动教育动画视频提高儿童在磁共振成像过程中的合作能力:一项前瞻性、随机、非劣效试验。
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2021-10-07 DOI: 10.11622/smedj.2021141
Evelyn Gabriela Utama, Seyed Ehsan Saffari, Phua Hwee Tang

Introduction: A previous prospective, randomised controlled trial showed that animated videos shown to children before magnetic resonance imaging (MRI) scan reduced the proportion of children needing repeated MRI sequences and improved confidence of the children staying still for at least 30 min. Children preferred the interactive video. We hypothesised that the interactive video is non-inferior to showing two videos (regular and interactive) in improving children's cooperativeness during MRI scans.

Methods: In this Institutional Review Board-approved prospective, randomised, non-inferiority trial, 558 children aged 3-20 years scheduled for elective MRI scan from June 2017 to March 2019 were randomised into the interactive video only group and combined (regular and interactive) videos group. Children were shown the videos before their scan. Repeated MRI sequences, general anaesthesia (GA) requirement and improvement in confidence of staying still for at least 30 min were assessed.

Results: In the interactive video group ( n = 277), 86 (31.0%) children needed repeated MRI sequences, two (0.7%) needed GA and the proportion of children who had confidence in staying still for more than 30 min increased by 22.1% after the video. In the combined videos group ( n = 281), 102 (36.3%) children needed repeated MRI sequences, six (2.1%) needed GA and the proportion of children who had confidence in staying still for more than 30 min increased by 23.2% after the videos; the results were not significantly different between the two groups.

Conclusion: The interactive video group demonstrated non-inferiority to the combined videos group.

简介之前进行的一项前瞻性随机对照试验表明,在磁共振成像(MRI)扫描前向儿童播放动画视频,可减少需要重复磁共振成像序列的儿童比例,并提高儿童保持静止至少 30 分钟的信心。儿童更喜欢互动视频。我们假设,在提高儿童在核磁共振成像扫描过程中的合作性方面,互动视频并不比播放两种视频(普通视频和互动视频)效果差:在这项经机构审查委员会批准的前瞻性、随机、非劣效试验中,558 名年龄在 3-20 岁、计划在 2017 年 6 月至 2019 年 3 月期间进行选择性核磁共振扫描的儿童被随机分为仅互动视频组和组合(常规和互动)视频组。儿童在扫描前观看视频。对重复的核磁共振成像序列、全身麻醉(GA)要求和保持静止至少 30 分钟的信心改善情况进行了评估:结果:互动视频组(n = 277)中,86 名儿童(31.0%)需要重复 MRI 序列,2 名儿童(0.7%)需要全身麻醉,观看视频后,有信心保持静止超过 30 分钟的儿童比例增加了 22.1%。在综合视频组(n = 281)中,102 名儿童(36.3%)需要重复核磁共振成像序列,6 名儿童(2.1%)需要 GA,在观看视频后有信心保持 30 分钟以上静止不动的儿童比例增加了 23.2%;两组之间的结果没有显著差异:结论:互动视频组的效果不劣于综合视频组。
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引用次数: 0
Electronic nicotine delivery systems: prevalence and perception of risk/harm in individuals with mental illness. 电子尼古丁递送系统:精神病患者的患病率和对风险/伤害的认知。
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2022-07-19 DOI: 10.11622/smedj.2022091
P V Asharani, Vanessa Seet, Fiona Devi, Peizhi Wang, Kumarasan Roystonn, Mythily Subramaniam
{"title":"Electronic nicotine delivery systems: prevalence and perception of risk/harm in individuals with mental illness.","authors":"P V Asharani, Vanessa Seet, Fiona Devi, Peizhi Wang, Kumarasan Roystonn, Mythily Subramaniam","doi":"10.11622/smedj.2022091","DOIUrl":"10.11622/smedj.2022091","url":null,"abstract":"","PeriodicalId":21752,"journal":{"name":"Singapore medical journal","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10863740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40534983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Singapore medical journal
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