Displaying publications 181 - 200 of 1314 in total

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  1. Association of Deprescribing With Reduction in Mortality and Hospitalization: A Pragmatic Stepped-Wedge Cluster-Randomized Controlled Trial
    Kua CH, Yeo CYY, Tan PC, Char CWT, Tan CWY, Mak V, et al.
    J Am Med Dir Assoc, 2021 01;22(1):82-89.e3.
    PMID: 32423694 DOI: 10.1016/j.jamda.2020.03.012
    OBJECTIVES: Deprescribing has gained awareness recently, but the clinical benefits observed from randomized trials are limited. The aim of this study was to examine the effectiveness of a pharmacist-led 5-step team-care deprescribing intervention in nursing homes to reduce falls (fall risks and fall rates). Secondary aims include reducing mortality, number of hospitalized residents, pill burden, medication cost, and assessing the deprescribing acceptance rate.

    DESIGN: Pragmatic multicenter stepped-wedge cluster randomized controlled trial.

    SETTING AND PARTICIPANTS: Residents across 4 nursing homes in Singapore were included if they were aged 65 years and above, and taking 5 or more medications.

    METHODS: The intervention involved a 5-step deprescribing intervention, which involved a multidisciplinary team-care medication review with pharmacists, physicians, and nurses (in which pharmacists discussed with other team members the feasibility of deprescribing and implementation using the Beers and STOPP criteria) or to an active waitlist control for the first 3 months.

    RESULTS: Two hundred ninety-five residents from 4 nursing homes participated in the study from February 2017 to March 2018. At 6 months, the deprescribing intervention did not reduce falls. Subgroup analysis showed that intervention reduced fall risk scores within the deprescribing-naïve group by 0.18 (P = .04). Intervention was associated with a reduction in mortality [hazard ratio (HR) 0.16, 95% confidence interval 0.07, 0.41; P 

    Matched MeSH terms: Singapore
  2. New data on Horaeomorphus Schaufuss (Coleoptera: Staphylinidae: Scydmaeninae) from the Oriental region, with description of a bizarre new species from Yunnan, Southeast China
    Zhou DY, Li LZ
    Zootaxa, 2016;4161(2):271-81.
    PMID: 27615929 DOI: 10.11646/zootaxa.4161.2.9
    Horaeomorphus bicornis sp. n., a remarkable species with strongly modified head from Yunnan, Southwest China is described. A distinctly different female from the same locality is also recorded, its identity remains unconfirmed until associated males become available. The previously unknown female of H. hujiayaoi Zhou & Zhang, 2016, is discovered, with its spermatheca and female terminalia illustrated. Horaeomorphus punctatissimus Franz, 1992 is newly recorded from Mount Trus Madi, Malaysia. Two females of H. eumicroides Schaufuss, 1889 were discovered from Singapore, with female terminalia illustrated.
    Matched MeSH terms: Singapore
  3. Fulltext Polypoid endometriosis of post vaginal fornix: utility of MRI imaging of pelvis with diffusion weighted imaging for diagnosis
    Tham WP, Busmanis I, Tan WC, Kwek JW
    Med J Malaysia, 2016 Jun;71(3):144-6.
    PMID: 27495891
    Polypoid endometriosis is an uncommon variant of endometriosis which can mimic malignancy due to its presentation as masses. We present a case of polypoid endometriosis which simulated cervical malignancy both on clinical examination and on computed tomography (CT) scanning and discuss how magnetic resonance (MR) imaging, in particular Diffusion Weighted Imaging (DWI), can help to distinguish this condition from true malignancy and avoid invasive surgery.
    Matched MeSH terms: Singapore
  4. Mystic practices and their effects on modern society
    Danaraj AG
    Nurs J Singapore, 1977 Nov;17(2):51-3, 57.
    PMID: 247345
    Matched MeSH terms: Singapore
  5. The rehabilitation of severely disabled boys
    Mills R
    Med J Malaya, 1965 Dec;20(2):118-22.
    PMID: 4221971
    Matched MeSH terms: Singapore
  6. University education and personality problems of undergraduates
    Kadri ZN
    Med J Malaya, 1965 Dec;20(2):110-7.
    PMID: 4221970
    Matched MeSH terms: Singapore
  7. Mycoses of Malaya and Singapore
    KIRK R
    J Trop Med Hyg, 1959 Jan;62(1):10-7.
    PMID: 13621483
    Matched MeSH terms: Singapore
  8. A survey of snail hosts and larval trematodes collected by peninsular Malaysia and Singapore from 1972 to 1977
    Palmieri JR, Sullivan JT, Ow-Yang CK
    Southeast Asian J. Trop. Med. Public Health, 1977 Jun;8(2):275-7.
    PMID: 918717
    Matched MeSH terms: Singapore
  9. A study of the medico-social needs of old people living in Singapore
    DAVIES TA, MILLS R
    Med J Malaya, 1956 Sep;11(1):1-19.
    PMID: 13399539
    Matched MeSH terms: Singapore
  10. The mental health of Singapore. I. Suicide
    MURPHY HB
    Med J Malaya, 1954 Sep;9(1):1-45.
    PMID: 13213452
    Matched MeSH terms: Singapore
  11. Haemolytic disease of the new-born in Singapore
    MAYCOCK HG, GIBSON-HILL MM
    Med J Malaya, 1954 Jun;8(4):343-50.
    PMID: 13193272
    Matched MeSH terms: Singapore
  12. Full coma insulin therapy of schizophrenia in Singapore-a ten year appraisal
    TASSIS JA
    Med J Malaya, 1959 Sep;14:55-77.
    PMID: 13837015
    Matched MeSH terms: Singapore
  13. Energy requirements of the population in Singapore
    MILLIS J
    Med J Malaya, 1956 Dec;11(2):119-25.
    PMID: 13417935
    Matched MeSH terms: Singapore
  14. Developments in family planning overseas. 2
    Hewitt P
    Aust Nurses J, 1978 Jun;7(11):34-7.
    PMID: 249268
    Matched MeSH terms: Singapore
  15. Some interesting dermatoses recently observed in Singapore
    Tay CH
    Med J Malaya, 1970 Dec;25(2):113-9.
    PMID: 4251131
    Matched MeSH terms: Singapore
  16. Fulltext Overview of statutory inspection enforcement for certificated machinery by licensed person
    Shahronizam Noordin, Yuzainie Yusoff, Noorhasimah Awang, Siti Nurani Haji Hassan, Zulfadhli Suhaili, Samuri Mohd Mussim, et al.
    Journal of Occupational Safety and Health, 2015;12(2):31-40.
    MyJurnal
    Licensed person is a third party who was awarded a license to perform statutory inspection for certificated
    machinery under the provision of section 40 (1A), Factories and Machinery Act (Amendment) (FMA) 2006. The
    objectives of the study is to identify issues related to statutory inspection in Malaysia and to make comparisons with
    respect to the statutory inspection by Licensed Person adopted by other countries. The enforcement of Licensed
    Person in Malaysia is still in not yet implemented although Section 40 (1A) in FMA (Revision) 2006 regulating on
    Licensed Person had been introduced on 2006 and compared with other countries especially our neighboring country
    Singapore. Based on the DOSH inspection data analysis, the main issues relating to statutory inspection in Malaysia
    is the increment in backlog cases due to lack of number officers compare to the number of registered certificated
    machineries in Malaysia. As a conclusion, the implementation of Licensed Person is crucial in Malaysia to reduce the
    work and financial burden of Department of Occupational Safety and Health (DOSH) officer in enforcing FMA 1967
    and also to improve the quality of statutory inspection for the safety in workplace.
    Matched MeSH terms: Singapore
  17. Phylogeny and biogeography of Bent-toed Geckos (Cyrtodactylus Gray) of the Sundaic swamp clade
    Grismer LL, Davis HR
    Zootaxa, 2018 Sep 10;4472(2):365-374.
    PMID: 30313374 DOI: 10.11646/zootaxa.4472.2.9
    The Sundaic swamp clade of the genus Cyrtodactylus contains nine species that collectively range through Peninsular Malaysia and its associated land bridge islands, Singapore, Sumatra, Java, and Pulau Natuna Besar. Ancestral range reconstruction analyses using BioGeoBEARS based on an updated molecular phylogeny of the nine Sundaic swamp clade species of Cyrtodactylus demonstrated that this lineage evolved in Peninsular Malaysia, dispersed independently to Sumatra and Pulau Natuna Besar, Indonesia and most likely back into Peninsular Malaysia from Sumatra. This scenario is consistent with climate-driven, cyclical, ephemeral, geographic reconfigurations of Sundaic landmasses from at least the mid-Miocene to present.
    Matched MeSH terms: Singapore
  18. Fulltext Future of family medicine in developing countries
    Rajakumar MK
    10th WONCA World Conference, 1983.
    Republished in: Republished in: Teng CL, Khoo EM, Ng CJ (editors). Family Medicine, Healthcare and Society: Essays by Dr M K Rajakumar, Second Edition. Kuala Lumpur: Academy of Family Physicians of Malaysia, 2019: 23-26
    Matched MeSH terms: Singapore
  19. Identification key to the genera of adult female mosquitoes (Diptera: Culicidae) of Singapore
    Yeo H, Tan CH, Chong CS, Lam-Phua SG
    Zootaxa, 2019 Jul 01;4624(3):zootaxa.4624.3.9.
    PMID: 31716216 DOI: 10.11646/zootaxa.4624.3.9
    Accurate identification of mosquitoes is crucial for the management and control of vector species. Although Singapore is a tropical country with high mosquito diversity, there are no identification keys specific to its mosquito fauna. An illustrated identification key to the genera of the adult female mosquitoes of Singapore is presented. Twenty genera are characterized and two genera found in Malaysia, Culiseta and Topomyia, are also included. The key will aid non-taxonomically trained operational officers in adult mosquito identification. The key to the genera provides the first crucial step in the process to species identification.
    Matched MeSH terms: Singapore
  20. Orchids of cloud forest in Genting Highlands, Pahang, Malaysia
    Ng YJ, Go R, Rosimah Nulit, Khor HE, Tan MC, Farah Alia Nordin, et al.
    Sains Malaysiana, 2012;41:505-526.
    An inventory of orchid species diversity was carried out in cloud forest of Genting Highlands, which is one of the most developed highland areas in Peninsular Malaysia. Since 1967, construction of roads and hotel complexes has had a serious impact on its physical environment and vegetation. Habitat destructions together with climate change might have caused some orchid species to be extirpated locally or extinct. The cloud forest of Genting Highlands consists of four major peaks, Gunung Ulu Kali, Gunung Chin Chin, Gunung Lari Tembakau and Gunung Mengkuang. However, not much study on orchid diversity was conducted in these areas, therefore, this study is timely and essential to evaluate the current orchid diversity after a gap of three decades. Combined findings from the current study, previous published works and specimens deposited in local herbaria, including those at the Universiti Malaya, Universiti Kebangsaan Malaysia, Forest Researh Institute of Malaysia and Biology Department, Faculty of Science, Universiti Putra Malaysia and Singapore Botanic Gardens, an updated list of orchid species found in the cloud forests of Genting Highlands is presented. A total of 134 orchid taxa were recorded, comprised of 51 genera, 132 species, 1 subspecies and 2 varieties, of which 46 are new records to Genting Highlands. Hymenorchis javanica, a species previously reported as endemic to West Jawa was recently discovered in Gunung Ulu Kali. Thirty-three species discovered during this study are currently classified as endemic to Peninsular Malaysia, of which 20 are endemic to Pahang, Perak and Selangor and a very narrowly endemic species; Corybas villosus to Gunung Ulu Kali. Through our observations, most of the orchid species in Gunung Ulu Kali are very susceptible to disappearance due to loss of habitat and local climate change. An assessment of conservation status according to IUCN criterion revealed that 47 orchid taxa from Gunung Ulu Kali were threatened with extinction. Conservation actions were suggested to conserve the orchid diversity in the cloud forest areas of Genting Highlands.
    Matched MeSH terms: Singapore
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