A5055763912- Innovations in Medical Education
- Childhood Cancer Survivors' Quality of Life
- Diversity and Career in Medicine
- Family and Patient Care in Intensive Care Units
- Adolescent and Pediatric Healthcare
- COVID-19 and healthcare impacts
- Emergency and Acute Care Studies
- Global Health Workforce Issues
- Child and Adolescent Health
- Healthcare Systems and Challenges
- Down syndrome and intellectual disability research
- Sepsis Diagnosis and Treatment
- Medical Education and Admissions
- Infant Development and Preterm Care
- Infectious Encephalopathies and Encephalitis
- Empathy and Medical Education
- Cerebral Palsy and Movement Disorders
- Genomic variations and chromosomal abnormalities
- Botulinum Toxin and Related Neurological Disorders
- Hospital Admissions and Outcomes
- Skin and Cellular Biology Research
- Film in Education and Therapy
- Stress Responses and Cortisol
- Bacterial Infections and Vaccines
- Genetics and Neurodevelopmental Disorders
KK Women's and Children's Hospital
2012-2025
Boston Children's Hospital
2015
OBJECTIVES: Children with chronic critical illness (CCI) are hypothesized to be a high-risk patient population persistent multiple organ dysfunction and functional morbidities resulting in recurrent or prolonged care; however, it is unclear how CCI should defined. The aim of this scoping review was evaluate the existing literature for case definitions pediatric PICU admission explore methodologies used derive these definitions. DATA SOURCES: Four electronic databases (Ovid Medline, Embase,...
Abstract Background Rising number of children with complex medical conditions necessitate regular healthcare quality evaluation to achieve optimal outcomes. To address the need for a periodic and quick assessment care in serious childhood illnesses, we developed short version previously validated 45-item PaRental Experience Children serIOUS illnesses (PRECIOUS) measure. Methodology PRECIOUS was administered by parents living at two time-points (baseline weeks) an online survey. Short-Form...
Objective Children with long‐term tracheostomies are at higher risk of complications. This study aims to describe the epidemiology, outcomes, and factors associated successful decannulation in children undergoing tracheostomy. Study Design Case series chart review. Setting Tertiary hospital. Subjects Methods A retrospective analysis was conducted on pediatric performed from 2006 2016. Demographics, preexisting comorbidities, indications for tracheostomy, pretracheostomy ventilatory...
To determine the measurement properties of PaRental Experience with care for Children serIOUS illnesses (PRECIOUS), a parent-reported measure Quality Care seriously ill children across settings and illness trajectories.
Introduction Being responsive to end-users is essential good care. Limited in-depth exploration of parental perspectives on care received by children over the course serious illness has hindered development process measures evaluate quality Our objective was identify key indicators prioritized parents in seriously ill young and develop a framework guide assessment Methods This qualitative study followed Charmaz's Constructivist Grounded Theory. In-depth semi-structured interviews were...
Abstract Background Parent-reported experience measures are part of pediatric Quality Care (QoC) assessments. However, existing were not developed for use across multiple healthcare settings or throughout the illness trajectory seriously ill children. Formative work involving in-depth interviews with parents children serious illnesses generated 66 draft items describing key QoC processes. Our present aim is to develop a comprehensive parent-reported measure and evaluate its content validity...
This paper describes an innovative just-in-time health humanities programme to educate and provide support COVID-19 frontline doctors-in-training. The incorporates small-group screening of the Netflix documentary, Next Pandemic from Explained series, followed by a one-hour facilitated discussion explore themes surrounding current pandemic its impact on doctors in tertiary paediatric hospital Singapore. Themes derived film included preparedness, blame, healthcare workers public, which were...
The methyl-CpG-binding protein 2 gene (MECP2) on the X chromosome encodes an essential epigenetic regulator in human postnatal brain development.Increased dosage of MECP2 causes a severe syndromic form intellectual disability, duplication syndrome.Males with this syndrome have progressive neurological disorder, to profound epilepsy and recurrent respiratory infections.We report three cases copy number gain Xq28 involving gene.The gains were detected by chromosomal microarray analysis ranged...
Mild encephalopathy with reversible splenial lesion (MERS) is a recently described clinico-radiological syndrome. It characterised by acute mild and changes in the splenium of corpus callosum on brain magnetic resonance imaging (MRI). MERS has been mainly East Asian populations. Infection, particularly influenza, most common association. The prognosis generally favourable spontaneous resolution clinical radiological abnormalities. We report two cases non-influenza children, one associated...
Down syndrome (DS) is the most common genetic cause of intellectual disability and associated with multiple medical conditions affecting various organ systems, impacting individual’s health, development function.1 In Singapore, life-birth prevalence DS was 0.89 per 1000 births in 1990s, a figure expected to decline further due improved antenatal testing methods, despite increasing trend maternal age.2 Advances technology, including surgery for complex congenital heart disease, have extended...
Introduction: Residents-as-teachers (RAT) programmes benefit both medical students and residents. However, common barriers encountered include busy clinical duties, congested lesson schedules duty-hour regulations. Methods: The study aimed to determine if providing a structured teaching platform logistic support, through the Paediatric Residents As Teaching Advocates (PRATA) programme, would enhance residents’ competencies reduce learning faced by students. programme was held over 23 months...
Dear Editor, The ongoing COVID-19 pandemic is likely to have far-reaching implications on residency training under the competency-based system, Accreditation Council for Graduate Medical Education I (ACGME-I). caused considerable disruption due longer infectious period and greater asymptomatic transmissibility.1 This study aims identify impact of paediatrics, obstetrics
Dear Editor, The ongoing COVID-19 pandemic is likely to have far-reaching implications on residency training under the competency-based system, Accreditation Council for Graduate Medical Education I (ACGME-I). caused considerable disruption due longer infectious period and greater asymptomatic transmissibility.1 This study aims identify impact of paediatrics, obstetrics
The selection process for potential residents needs to be reviewed regularly and assessed if effective in selecting the best-fit who can achieve academic professional excellence. Objective measures must take precedence over subjective criteria reduce bias while ensuring transparency accountability. However, predictors of an ideal resident his/her performance during residency training have been a great challenge identify as part process. use examination results from medical school...
Introduction: Pediatric chronic critical illness(PCCI) is defined by a prolonged stay in the pediatric intensive care unit(PICU) and medical technology dependence after illness. This study aims to describe functional status of PCCI patients. We hypothesized that children with pre-existing complex disease(C-CD) will have greater deterioration on PICU discharge compared those without. Methods: was retrospective patients admitted mixed for ≥14 consecutive days. Patients were divided into 2...