• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

A comparative study of pulse pressure variation, stroke volume variation and central venous pressure in patients undergoing kidney transplantation
CONCLUSION: Under the conditions of our study, SVV and CVP exhibited similar performance in predicting fluid responsiveness and could inform fluid management during KT as compared with PPV.PMID:34911180 | DOI:10.11622/smedj.2021221
Source: Singapore Medical Journal - December 15, 2021 Category: General Medicine Authors: Kyung Mi Kim Gaab Soo Kim Minsoo Han 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

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

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

Simultaneous cardiocerebral infarctions: a five-year retrospective case series reviewing natural history
CONCLUSION: CCI is a rare but devastating clinical scenario, with high incidence of morbidity and mortality. Treatment strategy can impact patient outcome, and further research is warranted on the ideal acute and post-reperfusion treatments for CCI. In this series, IV tPA at stroke doses appeared to be the preferred initial step for its treatment, with subsequent coronary or cerebral endovascular therapy, if necessary.PMID:33866711 | DOI:10.11622/smedj.2021043
Source: Singapore Medical Journal - April 18, 2021 Category: General Medicine Authors: Cheryl ZY Chong Benjamin YQ Tan Ching-Hui Sia Thet Khaing Leonard LL Yeo Source Type: research

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

Clinical and neurocognitive outcomes after transcatheter aortic valve implantation (TAVI) with cerebral protection: initial experience with a novel dual-filter device in Southeast Asia
CONCLUSION: In this early Asian experience of TAVI under cerebral protection, the filter device was successfully deployed in 95% of patients with 100% procedural success. There were no filter-related complications and no stroke or mortality at 30 days. Overall cognition was preserved, although increased age was associated with a decline in AMT score.PMID:35196849 | DOI:10.11622/smedj.2022030
Source: Singapore Medical Journal - February 24, 2022 Category: General Medicine Authors: Paul Toon Lim Chiam Nien Shen Chan Yean Teng Lim Choon Pin Lim Dinesh Nair Tai Tian Lim Chao Yang Soon Brian Chung Hoe Khoo Jimmy Lim Kok Soon Tan Leslie Lam Peter Yan Yau Wei Ooi Mei Sian Chong Source Type: research

Pages: 1  2  3  4  5  6  7  8  9  10  11