MyMedR

Fulltext Low-wage migrant workers during coronavirus disease 2019: a social determinants analysis

Saparamadu AADNS, Sharpe A, Kim S, Barbosa BLFA, Pereira A

J Public Health Policy, 2021 Sep;42(3):452-464.

PMID: 34417557 DOI: 10.1057/s41271-021-00303-z

The severe acute respiratory syndrome coronavirus 2 pandemic has had disproportionate effects on economically and socially marginalized people. We explore the effects on low-wage migrant workers (migrant workers) in three countries: Singapore, South Korea and Brazil, through the lens of the social determinants of health. Our analysis shows that governments missed key opportunities to mitigate pandemic risks for migrant workers. Government measures demonstrate potential for effective and sustainable policy reform, including universal and equitable access to healthcare, social safety nets and labour rights for migrant workers-key concerns of the Global Compact for Migration. A whole-of-society and a whole-of-government approach with Health in All Policies, and migrant worker frameworks developed by the World Health Organization could be instrumental. The current situation indicates a need to frame public health crisis responses and policies in ways that recognize social determinants as fundamental to health.

Matched MeSH terms: Singapore/epidemiology

Fulltext Budget impact analysis of wider adoption of biphasic insulin Aspart (Biasp) in the treatment of type 2 diabetes mellitus (T2DM): a perspective of patients treated by public providers in Singapore. [Abstract]

Tan SC, Matzen P, Khoo SP

Value Health, 2014 Nov;17(7):A743.

PMID: 27202681 DOI: 10.1016/j.jval.2014.08.153

Objectives
Economic evaluations of BIAsp have been published in the context of different countries. This study aimed to evaluate the financial impact from a perspective of patients treated by public providers of different adoption rates of Biphasic Insulin Aspart (BIAsp; NovoMix 30 FlexPen®) versus Biphasic Human Insulin (BHI; Mixtard Penfill®) in treating T2DM.
Methods
An Excel based 5-year budget impact model was built to estimate insulin treated patients by public providers using the local prevalence data. The published demographic, efficacy and adverse event data for ASEAN subgroup analyses of A1chieve study was applied. Both insulin acquisition costs and medical costs for major hypoglycaemia and other complications were applied with a 3% discount rate to the estimated corresponding incidence rates derived from the UKPDS equations. The projected adoption rates were based on the 2013 utilisation volume data. Other local specific considerations e.g. subsidized selling prices and co-payments were included in the analyses for an assumed size of eligible patients. Sensitivity analyses were conducted.
Results
The adoption rates of BIAsp were assumed to increase from 23.6% in 2013 to 30% or 36.5% in 2018 for base case and upside scenario, respectively. In comparison to base case scenario, increases in adoption rate of BIAsp were associated with a cumulative increase up to slightly greater than S$ 2.02M in insulin acquisition cost but a potential cumulative net saving up to approximately S$0.92M in overall total costs over 5 years, attributing to subsidized selling price of BIAsp assuming it is included standard drug list and its significantly lower major hypoglycaemia risk, respectively. Cost savings were predicted for other complications.
Conclusions
The wider adoption of BIAsp was predicted to result in net cost savings from patient perspective in Singapore. More cost saving would be estimated in analyses with reduced productivity loss from a societal perspective.

Matched MeSH terms: Singapore

Fulltext An unusual localised reaction associated with vancomycin therapy

Tan CK, Huang YQ, Yap KB

Med J Malaysia, 2013 Oct;68(5):443-4.

PMID: 24632878

Vancomycin has been documented to cause various adverse cutaneous reactions. We present a case report of a man, who developed a large localized erythematous plaque in his forearm following parenteral vancomycin therapy. We believe this to be the first reported case of such cutaneous reaction associated with parenteral vancomycin therapy.

Matched MeSH terms: Singapore

Fulltext Sporadic renal angiomyolipoma with IVC extension

Priyanka G, Poh EY, Yeong SS

Med J Malaysia, 2013 Dec;68(6):473-4.

PMID: 24632917

Angiomyolipomas (AML) are the most common mesenchymal renal neoplasms arising in the cortex or medulla. Intra-renal and retroperitoneal hemorrhages have been frequently reported. AML can exceptionally involve the renal vein and inferior vena cava. We report a case with extension into the inferior vena cava.

Matched MeSH terms: Singapore

Fulltext Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia

Pocock NS, Phua KH

Global Health, 2011;7:12.

PMID: 21539751 DOI: 10.1186/1744-8603-7-12

Medical tourism is a growing phenomenon with policy implications for health systems, particularly of destination countries. Private actors and governments in Southeast Asia are promoting the medical tourist industry, but the potential impact on health systems, particularly in terms of equity in access and availability for local consumers, is unclear. This article presents a conceptual framework that outlines the policy implications of medical tourism's growth for health systems, drawing on the cases of Thailand, Singapore and Malaysia, three regional hubs for medical tourism, via an extensive review of academic and grey literature. Variables for further analysis of the potential impact of medical tourism on health systems are also identified. The framework can provide a basis for empirical, in country studies weighing the benefits and disadvantages of medical tourism for health systems. The policy implications described are of particular relevance for policymakers and industry practitioners in other Southeast Asian countries with similar health systems where governments have expressed interest in facilitating the growth of the medical tourist industry. This article calls for a universal definition of medical tourism and medical tourists to be enunciated, as well as concerted data collection efforts, to be undertaken prior to any meaningful empirical analysis of medical tourism's impact on health systems.

Matched MeSH terms: Singapore

Fulltext Singapore Declaration on equitable access to health information in the Western Pacific Region

Arokiasamy JT

Med J Malaysia, 2009 Dec;64(4):264-5.

PMID: 20954548

As part of an initiative of the World Health Organization (WHO) to establish a virtual Global Health Library, the WHO Regional Office for the Western Pacific has developed the Western Pacific Regional Index Medicus, or WPRIM, to facilitate the sharing, exchange and management of health knowledge. It is recognized that articles in peer-reviewed journals contain information that is essential for health services, health sciences, health policy and public health promotion. The need to access research publications from work done in the various countries of the Region has resulted in each country’s National Journal Selection Committee screening their journals using certain minimum criteria. Those selected are recommended to be part of the WPRIM.

Matched MeSH terms: Singapore

Fulltext Can intra-articular therapies prior to total knee arthroplasty increase the risk of periprosthetic infection?

Yeo QY, Lye DC, Sathappan SS

Med J Malaysia, 2015 Feb;70(1):54-6.

PMID: 26032534

Intra-articular therapies, such as steroid injection, viscosupplement injection and acupuncture, are common non-surgical options for patients with osteoarthritis of the knee. With any intra-articular injection or acupuncture procedure, there is a potential for inoculation with bacteria leading to possible knee infection. The authors report a patient who incurred an acute infection found after a total knee arthroplasty attributed to prior acupuncture procedure done as part of conservative treatment.

Matched MeSH terms: Singapore

The combined Singapore-Malaysia Congress of Medicine

Lee KO

Ann Acad Med Singap, 1997 May;26(3):265.

PMID: 9285013

Matched MeSH terms: Singapore

Profile of Singaporean dental students--1982-I

Chellappah NK, Vignehsa H

Singapore Dent J, 1983 Nov;8(2):45-9.

PMID: 6596722

Matched MeSH terms: Singapore

Fulltext Serum alpha-i acid glycoprotein in thyroid dysfunctions

Ho CL, Cheah JS

Med J Malaysia, 1982 Mar;37(1):70-1.

PMID: 7121352

The serum alpha-1 acid glycoprotein of 9 euthyroid subjects, 14 hypothyroid patients and 21 hyperthyroid patients was determined by radial immunodiffussion in agar plates. The serum alpha1 acid glycoprotein level in both the hypothyroid and hyperthyroid patients were significantly lowered when compared to the euthyroid subjects. There was no significant correlation between the alpha-1 acid glycoprotein level mid the Liothyronine resin uptake (T3 resin. uptake) and the serum total Thyroxine Iodide (T4I) level.

Matched MeSH terms: Singapore

Infectious mononucleosis in Singapore: a report of two cases

Ee B, Cheah JS, Ransome GA

Med J Malaya, 1972 Jun;26(4):288-90.

PMID: 5069420

Matched MeSH terms: Singapore

Fulltext Take-off and landing kinetics of a free-ranging gliding mammal, the Malayan colugo (Galeopterus variegatus)

Byrnes G, Lim NT, Spence AJ

Proc Biol Sci, 2008 May 7;275(1638):1007-13.

PMID: 18252673 DOI: 10.1098/rspb.2007.1684

Arboreal animals negotiate a highly three-dimensional world that is discontinuous on many spatial scales. As the scale of substrate discontinuity increases, many arboreal animals rely on leaping or gliding locomotion between distant supports. In order to successfully move through their habitat, gliding animals must actively modulate both propulsive and aerodynamic forces. Here we examined the take-off and landing kinetics of a free-ranging gliding mammal, the Malayan colugo (Galeopterus variegatus) using a custom-designed three-dimensional accelerometry system. We found that colugos increase the propulsive impulse to affect longer glides. However, we also found that landing forces are negatively associated with glide distance. Landing forces decrease rapidly as glide distance increases from the shortest glides, then level off, suggesting that the ability to reorient the aerodynamic forces prior to landing is an important mechanism to reduce velocity and thus landing forces. This ability to substantially alter the aerodynamic forces acting on the patagial wing in order to reorient the body is a key to the transition between leaping and gliding and allows gliding mammals to travel long distances between trees with reduced risk of injury. Longer glides may increase the access to distributed resources and reduce the exposure to predators in the canopy or on the forest floor.

Matched MeSH terms: Singapore

Fulltext Assessing Professionalism in Medicine - A Scoping Review of Assessment Tools from 1990 to 2018

Tay KT, Ng S, Hee JM, Chia EWY, Vythilingam D, Ong YT, et al.

J Med Educ Curric Dev, 2020 10 16;7:2382120520955159.

PMID: 33150208 DOI: 10.1177/2382120520955159

Background: Medical professionalism enhances doctor-patient relationships and advances patient-centric care. However, despite its pivotal role, the concept of medical professionalism remains diversely understood, taught and thus poorly assessed with Singapore lacking a linguistically sensitive, context specific and culturally appropriate assessment tool. A scoping review of assessments of professionalism in medicine was thus carried out to better guide its understanding.

Methods: Arksey and O'Malley's (2005) approach to scoping reviews was used to identify appropriate publications featured in four databases published between 1 January 1990 and 31 December 2018. Seven members of the research team employed thematic analysis to evaluate the selected articles.

Results: 3799 abstracts were identified, 138 full-text articles reviewed and 74 studies included. The two themes identified were the context-specific nature of assessments and competency-based stages in medical professionalism.

Conclusions: Prevailing assessments of professionalism in medicine must contend with differences in setting, context and levels of professional development as these explicate variances found in existing assessment criteria and approaches. However, acknowledging the significance of context-specific competency-based stages in medical professionalism will allow the forwarding of guiding principles to aid the design of a culturally-sensitive and practical approach to assessing professionalism.

Matched MeSH terms: Singapore

Calcareous deposits in the subdeltoid bursa

Tan KC

Journal of the Malaya Branch of the British Medical Association, 1941;5:60-1.

Matched MeSH terms: Singapore

Liver abscess

Monro JK

Journal of the Malaya Branch of the British Medical Association, 1941;5:108-9.

Matched MeSH terms: Singapore

A case of tropical typhus fever in Singapore

Norris VH

Malayan Medical Journal, 1927;2:44-5.

Matched MeSH terms: Singapore

Our venereal diseases problem. Part II

Galloway D

Malayan Medical Journal, 1932;7:125-9.

Matched MeSH terms: Singapore

A case of nephrosis

Hawes RB

Malayan Medical Journal, 1931;6:108-110.

Matched MeSH terms: Singapore

Asia Pacific Society of Human Genetics (APSHG) from conception to 2019: 13 years of collaboration to tackle congenital malformation and genetic disorders in Asia

Wasant P, Padilla C, Lam S, Thong MK, Lai PS

Am J Med Genet C Semin Med Genet, 2019 06;181(2):155-165.

PMID: 31050142 DOI: 10.1002/ajmg.c.31701

Putting together the reports in this issue that come from a representation of the different countries in Asia presents an opportunity to share the unique story of the Asia Pacific Society of Human Genetics (APSHG), which has provided the authors of many of these articles. This paper, authored by the Past Presidents of the Society, shares glimpses of how medical genetics activities were first organized in the Asia Pacific region and provides interesting corollaries on how under-developed and developing countries in this part of the world had developed a unique network for exchange and sharing of expertise and resources. Although APSHG was formally registered as a Society in Singapore in 2006, the Society has its origins as far back as in the 1990s with members from different countries meeting informally, exchanging ideas, and collaborating. This treatise documents the story of the experiences of the Society and hopes it will provide inspiration on how members of a genetics community can foster and build a thriving environment to promote this field.

Matched MeSH terms: Singapore

Well-being and needs of Malay carers of people with mental illness in Singapore

Poon AWC, Abdul Wahab N, Salim R, Ow R

Health Soc Care Community, 2021 01;29(1):164-174.

PMID: 32619086 DOI: 10.1111/hsc.13079

Despite the importance of carers supporting the lives of people with mental illness, there are limited studies investigating the well-being and needs of Malay carers in multicultural Singapore. The Malays consist of 13.4% of Singapore's population. A mixed methods qualitative dominant research approach was used to explore the well-being and needs of Malay carers in a voluntary welfare organisation. The Kessler-10, Friendship Scale and Carers' and Users' Expectations of Services-Carer version were used to assess the needs and well-being of 17 Malay carers. Findings show that Malay carers experienced poor well-being and had numerous unmet needs. Four main themes were found: (a) Concerns related to relatives with mental illness, (b) Mental health practices related to carers, (c) Holistic support for carers and (d) Preference for greater spiritual support in mental health. Recovery-oriented mental health practice implications are discussed. Spirituality of Malay carers needs to be given greater consideration in recovery-oriented mental health services.

Matched MeSH terms: Singapore

Displaying publications 161 - 180 of 1316 in total