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Interview Functional Independence Measure score: self-reporting as a simpler alternative to multidisciplinary functional assessment.
CONCLUSION: There was no FIM assessment for 14 (29.8%) patients, which highlighted the need for alternative assessment tools. Discrepancies in some scores could be due to ignorance among patients about their own limitations or feelings of embarrassment about reporting. Our results may not be valid for patient populations with cognitive or communication deficits. However, a modest agreement between patient self-reporting and multidisciplinary assessment of FIM motor score was demonstrated. Though patients tend to overrate their performance, self-reported FIM motor score could be an alternative in situations where multidisci...
Source: Singapore Medical Journal - September 5, 2018 Category: General Medicine Authors: Vadassery SJ, Kong KH, Ho WML Tags: Singapore Med J Source Type: research

Improving telestroke treatment times through a quality improvement initiative in a Singapore emergency department.
CONCLUSION: The quality improvement initiative resulted in a reduction in median DTN time. Our approach allowed for a systematic method to resolve delays within the telestroke workflow. This initiative is part of an ongoing effort aimed at providing thrombolysis safely to eligible patients in the shortest possible time. PMID: 30009318 [PubMed - as supplied by publisher]
Source: Singapore Medical Journal - July 16, 2018 Category: General Medicine Authors: Mong R, Tiah L, Wong M, Tan C Tags: Singapore Med J Source Type: research

The use of virtual reality-based therapy to augment poststroke upper limb recovery.
Abstract Stroke remains one of the major causes of disability worldwide. This case report illustrates the complementary use of biomechanical and kinematic in-game markers, in addition to standard clinical outcomes, to comprehensively assess and track a patient's disabilities. A 65-year-old patient was admitted for right-sided weakness and clinically diagnosed with acute ischaemic stroke. She participated in a short trial of standard stroke occupational therapy and physiotherapy with additional daily virtual reality (VR)-based therapy. Outcomes were tracked using kinematic data and conventional clinical assessments...
Source: Singapore Medical Journal - July 1, 2015 Category: Journals (General) Authors: Samuel GS, Choo M, Chan WY, Kok S, Ng YS Tags: Singapore Med J Source Type: research

Discriminant Analysis for predictor of falls in stroke patients by using the Berg Balance Scale.
Conclusion: The results of this study suggest that BBS score is a strong predictor of falls in stroke patients. As balance is closely related to the risk of falls in hospitalised stroke patients, BBS might be useful in the prediction of falls. PMID: 25678051 [PubMed - as supplied by publisher]
Source: Singapore Medical Journal - February 13, 2015 Category: Journals (General) Authors: Maeda N, Urabe Y, Murakami M, Itotani K, Kato J Tags: Singapore Med J Source Type: research

Neurogenic heterotopic ossification after a stroke: diagnostic and radiological challenges.
Abstract Heterotopic ossification (HO) is the aberrant formation of ectopic bone within the soft tissues, of which the aetiology is usually either traumatic or neurogenic. Neurogenic HO is a known but uncommon complication that occurs after a cerebral or spinal insult. The condition may present with a spectrum of symptoms and is often difficult to diagnose clinically. Although different imaging modalities have been used to diagnose HO, clinicians and radiologists may occasionally encounter radiological features of HO that may mimic other disease conditions. We herein report a rare case of neurogenic HO occurring i...
Source: Singapore Medical Journal - August 1, 2014 Category: Journals (General) Authors: Pek CH, Lim MC, Yong R, Wong HP Tags: Singapore Med J Source Type: research

Coarctation of the aorta: nonsurgical treatment using stent implantation.
CONCLUSION: This is the first reported series in Singapore on the nonsurgical treatment of CoAs in adult patients using stents during interventional cardiac catheterisation. This less invasive procedure may lead to a new paradigm shift with regard to the treatment of CoA. PMID: 25017404 [PubMed - in process]
Source: Singapore Medical Journal - June 1, 2014 Category: Journals (General) Authors: Ang HL, Lim CW, Hia C, Yip J, Quek SC Tags: Singapore Med J Source Type: research

Posterior reversible encephalopathy syndrome: an acute manifestation of systemic lupus erythematous.
Abstract Stroke mimickers are common, and they represent a diagnostic dilemma for clinicians. Many, like posterior reversible encephalopathy syndrome (PRES), are easily reversible. The manifestation of PRES is characterised by headaches, convulsions, altered mental functioning and blindness. In most cases, computed tomography of the brain will show hypodense lesions in the parieto-occpitial lobe, which only further confounds the physician. Although this syndrome is uncommon, prompt and accurate recognition allows early treatment, which has been shown to produce favourable outcomes. Herein, we report the case of a ...
Source: Singapore Medical Journal - September 1, 2013 Category: Journals (General) Authors: Chan MJ, Ong YS Tags: Singapore Med J Source Type: research

Electrocardiography series. Diabetes mellitus and heart disease.
Abstract Diabetes mellitus is responsible for diverse cardiovascular complications such as accelerated atherosclerosis, increased plaque burden and diffuse coronary lesions. It is also a major risk factor for myocardial infarction, stroke and peripheral vascular disease. Here, we present two cases. The first patient had subtle changes in the ECGs, with severe coronary artery disease requiring coronary artery bypass grafting, while the second had deep T wave inversion in the ECG and was found to have normal coronary arteries and nonischaemic cardiomyopathy. Although ECG failed to show the severity of the disease, i...
Source: Singapore Medical Journal - July 1, 2013 Category: Journals (General) Authors: Ambhore A, Teo SG, Poh KK Tags: Singapore Med J Source Type: research

Lifetime cost-effectiveness analysis of ticagrelor in patients with acute coronary syndromes based on the PLATO trial: a Singapore healthcare perspective.
CONCLUSION: Based on PLATO trial data, one-year treatment with ticagrelor versus generic clopidogrel in patients with ACS, relative to WHO reference standards, is cost-effective from a Singapore public healthcare perspective. PMID: 23546032 [PubMed - in process]
Source: Singapore Medical Journal - March 1, 2013 Category: Journals (General) Authors: Chin CT, Mellstrom C, Chua TS, Matchar DB Tags: Singapore Med J Source Type: research

Bell's palsy in Singapore: a view from the patient's perspective.
CONCLUSION: We have found that patients with Bell's palsy in Singapore are not very knowledgeable about the disease. Although the Internet is a useful resource, a physician's explanation of the disease and its natural progression remains of utmost importance. PMID: 23462831 [PubMed - in process]
Source: Singapore Medical Journal - February 1, 2013 Category: Journals (General) Authors: Charn TC, Subramaniam S, Yuen HW Tags: Singapore Med J Source Type: research

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