Singapore medical journal
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Singapore medical journal · Jan 2025
Multicenter StudyGastrointestinal transit time of radiopaque ingested foreign bodies in children: experience of two paediatric tertiary centres.
Foreign body (FB) ingestion is a common paediatric emergency. While guidelines exist for urgent intervention, less is known of the natural progress of FBs passing through the gastrointestinal tract (GIT). We reviewed these FB transit times in an outpatient cohort. ⋯ This study provides insight into the transit times of FB ingested by children, which helps medical professionals to decide on the optimal time for follow-up visits and provide appropriate counsel to caregivers.
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Singapore medical journal · Jan 2025
Development of the modified safety attitude questionnaire for the medical imaging department.
Medical errors commonly occur in medical imaging departments. These errors are frequently influenced by patient safety culture. This study aimed to develop a suitable patient safety culture assessment tool for medical imaging departments. ⋯ The modified five-factor, 22-item SAQ-MI is a suitable tool for the evaluation of patient safety culture in a medical imaging department. Differences in patient safety culture exist between occupation groups, which will inform future intervention studies.
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Singapore medical journal · Jan 2025
Comparative StudyImmune thrombocytopenia in infants: a retrospective study with comparison to toddlers.
Immune thrombocytopenia (ITP) is the most common cause of acquired bleeding in childhood, but little is known about the clinical course and outcomes in infants with ITP. ⋯ ITP in infants is almost always a self-limiting and transient illness, and the majority of cases do not require treatment.
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Singapore medical journal · Jan 2025
Use of metallic ureteric stents for chronic ureteric obstruction and its association with value-based care.
We aimed to compare the real-world data and our clinical experience with metallic stents (MSs) and conventional polymeric stents (PSs) in the management of both malignant and benign chronic ureteric obstruction (CUO), in terms of clinical outcomes and costs. ⋯ Resonance MS is a better option than PS to manage CUO from malignant and benign causes because its significantly longer indwelling time mitigates the higher unit cost of the stent. It potentially reduces the number of procedures and operations in patients. Thus, it should be considered for all patients with CUO requiring long-term ureteric drainage.