1.Mother’s mental preparedness for pregnancy : The affecting factors and its effect on birth outcomes
Sharifah Sulaiha Syed Aznal ; Chee Yoong Wong ; Pamela Lee Ling Tan ; Vee Vee See ; Chui King Wong
International e-Journal of Science, Medicine and Education 2014;8(3):19-27
Background: Increased maternal anxiety level has been
reported to have detrimental effects on the physical
outcome of pregnancies such as not achieving vaginal
births. This study thus aims to determine the level and
factors affecting mental preparedness among mothers
with normal pregnancies and its correlation with birth
outcomes.
Methods: Three hundred healthy mothers above 37
weeks of gestation in the early stage of labour were
assessed for their level of mental preparation before birth
process and outcomes after births which include general
feeling (euphoria), ability to withstand labour pain
and bonding with the new born. The successfulness of
vaginal birth and other data on factors affecting mental
preparation were also collected.
Results: The level of mental preparedness was found
good in 78% of the mothers, mainly determined by
their socioeconomic status, family support and personal
ability to adjust to changes. Age (p= 0.048), parity
(0.00) and income (0.01) were found to influence mental
preparedness significantly. Race, occupation, education
level and marital status are however not significantly
related. Poor mental preparedness is associated with
greater pain during labour. A correlation analysis also
found a positive relationship between the level of mental
preparation and mental outcomes following birth in
these mothers but it did not significantly influence the
mode of delivery.
Conclusion: Mental preparation before birth seems to
have an effect on mental outcomes of mothers following
birth process. It is vital that mothers of the younger age
group with no previous obstetric experience be given
more attention in preparing them mentally before they
face the painful birth process.
2.Physiological Changes During Prone Positioning in COVID-19 Acute Respiratory Distress Syndrome.
Rui Min LEE ; Geak Poh TAN ; Ser Hon PUAH ; Li Min LING ; Chiaw Yee CHOY ; Sanjay H CHOTIRMALL ; John ABISHEGANADEN ; Jee Jian SEE ; Hui Ling TAN ; Yu Lin WONG
Annals of the Academy of Medicine, Singapore 2020;49(7):509-513
Adult
;
Aged
;
Betacoronavirus
;
Coronavirus Infections
;
complications
;
therapy
;
Critical Care
;
Female
;
Humans
;
Length of Stay
;
Male
;
Middle Aged
;
Pandemics
;
Patient Positioning
;
Pneumonia, Viral
;
complications
;
therapy
;
Prone Position
;
Respiratory Distress Syndrome, Adult
;
therapy
;
virology
;
Respiratory Function Tests
;
Retrospective Studies
;
Treatment Outcome
3.A Unique Drug Rash: Bleomycin-induced Flagellate Erythema in a Patient with Hodgkin Lymphoma
See Ling Tan ; Nurul Farhana Bt Mohd Joni ; Azura Bt Mohd Affandi
Malaysian Journal of Dermatology 2022;48(Jun 2022):84-86
Summary
Flagellate erythema is characterized by “whiplike’’ linear streaks, usually following bleomycin
chemotherapy or is associated with consumption of shiitake mushrooms, dermatomyositis, adult onset
still disease as well as human immunodeficiency disease. Here, we describe a case of bleomycin-induced flagellate erythema in a patient with Hodgkin lymphoma.
Hodgkin Disease--drug therapy
4.Stress and its relationship with body mass index among biomedical science students in Kuala Lumpur, Malaysia
Nur Zakiah Mohd Saat ; Ismarulyusda Ishak ; Syarif Husin Lubis ; See Huong Wen ; Siti Nor Lily Suriyanee Mohd ; Norul Sahira Zakaria ; Tan Xin Ee ; Marlini Othman ; Tang Hui Shein ; Zahirah Zulkifli ; Tan Liy Si ; Law Ngiik Ling ; Surayya Razali ; Umi Romaizatul Amiera Zainudin ; Yeoh Thong Wei ; Luqman Osman ; Kholilul Syafiq Baharuddin
ASEAN Journal of Psychiatry 2010;11(2):190-197
Objective: The objective of this study
was to assess the relationship between stress score and body mass index (BMI) of students of Science in Kuala Lumpur. Methods: A cross-sectional study
was carried out among 126
students. Data about stress score
were collected using a questionnaire,
the Student-Life Stress Inventory
(SLSI) Data about BMI were calculated from
height and weight of the respondents.
Results: A total of 117 (92.85%)
out of 126 students had responded.
The mean difference of stress score
among first, second and third year
students were 87.6 ± 17.0, 83.4 ± 16.9
and 86.7 ± 15.4 respectively. The mean
difference of stress scores between the
Bumiputra and non-Bumiputra students
were 87.9 ± 16.5 and 83.2 ± 15.9 .The
mean of body mass Index(BMI) between
first, second and third year students
were 21.0 ± 3.5, 20.3 ± 2.7 and 21.8 ± 4.3
respectively. Conclusions: This study showed
that the stress level is higher in first year,
female and bumiputra student. There was no
significant relationship between stress score
and BMI.
5.Association of Cord Blood Thyroid-Stimulating Hormone Levels with Maternal, Delivery and Infant Factors.
Karen M L TAN ; Anne H Y CHU ; See Ling LOY ; Victor Samuel RAJADURAI ; Clement K M HO ; Yap Seng CHONG ; Neerja KARNANI ; Yung Seng LEE ; Fabian Kok Peng YAP ; Shiao Yng CHAN
Annals of the Academy of Medicine, Singapore 2020;49(12):937-947
INTRODUCTION:
This study examined maternal, delivery and infant factors associated with cord thyroid-stimulating hormone (TSH) concentrations in an Asian population.
METHODS:
The Growing Up in Singapore Towards healthy Outcomes (GUSTO) study is a mother-offspring birth cohort from 2 major hospitals in Singapore. Cord serum TSH was measured using the Abbott ARCHITECT TSH Chemiluminescent Microparticle Immunoassay and the ADVIA Centaur TSH-3 Immunoassay. After excluding infants with a maternal history of thyroid disease, screening cord TSH results from 604 infants were available for multivariable regression analysis in relation to the factors of interest.
RESULTS:
Babies born by vaginal delivery had significantly higher cord serum TSH concentrations than babies born by caesarean section. Cord serum TSH concentrations differed significantly by measurement method. There was no association of cord TSH concentrations with ethnicity, sex, birth weight, gestational age, maternal body mass index, gestational weight gain, gestational diabetes mellitus status and other maternal, delivery and infant factors studied.
CONCLUSION
Interpretation of cord serum TSH results may need to take into account mode of delivery and measurement method.
6.Safety, tolerability and efficacy of LEGA-Kid® mechanical percussion device versus conventional chest physiotherapy in children: a randomised, single-blind controlled study.
Yuen Ling HUE ; Lucy Chai See LUM ; Siti Hawa AHMAD ; Soon Sin TAN ; Shin Yee WONG ; Anna Marie NATHAN ; Kah Peng EG ; Melissa de Bruyne Ming May CHOON
Singapore medical journal 2022;63(2):105-110
INTRODUCTION:
Chest physiotherapy (CPT) may benefit children aged below five years who suffer from lower respiratory tract infection (LRTI). However, its effects depend on the technique used. This study aimed to determine whether mechanical CPT using the LEGA-Kid® mechanical percussion device is superior to manual CPT in children with LRTI.
METHODS:
Children aged five months to five years who were admitted and referred for CPT from January to April 2017 were randomised to either manual CPT or mechanical CPT with LEGA-Kid. Outcomes measured before intervention and two hours after intervention were respiratory rate (RR), oxygen saturation and modified Respiratory Distress Assessment Instrument (mRDAI) score.
RESULTS:
All 30 enrolled patients showed significant reduction in post-intervention RR and mRDAI scores. There was an 8% reduction in RR for the manual CPT group (p = 0.002) and a 16.5% reduction in the mechanical CPT group (p = 0.0001), with a significantly greater reduction in the latter (p = 0.024). mRDAI scores decreased by 2.96 in the manual group (p = 0.0001) and 3.62 in the mechanical group (p = 0.002), with no significant difference between the groups. There was no significant improvement in oxygen saturation, and no adverse events were observed after CPT.
CONCLUSION
Children receiving both manual and mechanical CPT showed improvements in respiratory distress symptoms, with no adverse effects. A combined strategy of nebulised hypertonic saline followed by CPT for LRTI removes airway secretions and results in improvements in moderately severe respiratory distress. The LEGA-Kid mechanical CPT method is superior to manual CPT in reducing the RR.
Child
;
Humans
;
Percussion/methods*
;
Physical Therapy Modalities
;
Respiratory Distress Syndrome
;
Respiratory Therapy/methods*
;
Respiratory Tract Infections
;
Single-Blind Method