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Mobile technology:Usage and perspective of patients and caregivers presenting to a tertiary care emergency department

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World Journal of Emergency Medicine 2020年第1期11卷 5-11页

作者： Zhenghong Liu Mingwei Ng Dinesh V.Gunasekeran Huihua Li Kishanti ponampalam r.ponampalam SingHealth Emergency Medicine residency Programme Singapore Health ServicesSingapore Ministry of Health Holdings Singapore Health Services research Unit Singapore General HospitalSingapore University of Newcastle Australia Department of Emergency Medicine Singapore General HospitalSingapore

BACKGrOUND:Developments in information technology(IT)have driven a push in healthcare innovation in the emergency department(ED).Many of these applications rely on mobile technology(MT)such as smartphones but not everyone is comfortable with MT *** study aims to characterize the technology usage behavior of users in the ED so as to guide the implementation of IT interventions in the ***:A cross-sectional survey was conducted in the emergency department of a tertiary *** and their caregivers aged 21 and above were *** survey collected demographic information,technology usage patterns,and participant reported comfort level in the usage of *** performed descriptive statistics and multivariate logistic regression to identify factors differentially associated with comfort in usage of ***:A total of 498 participants were recruited,and 299(60%)were *** was the most commonly written and read language(66.9%)and 64.2%reported a comfort level of 3/5 or more in using *** that were associated with being comfortable in using MT include having a tertiary education,being able to read and write English,as well as being a frequent user of *** were more likely to display these ***:A large proportion of ED patients are not comfortable in the usage of *** that predicted comfort level in the usage of MT were common amongst *** interventions should take this into consideration in the design of MT interventions.

关键词： Mobile health technology Information technology Emergency department

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World Journal of Emergency Medicine 2022年第5期13卷 422-424页

作者： Ian Zhirui Hong r.ponampalam Department of Emergency Medicine Singapore General Hospital169608Singapore

Dear editor,Human exposure to hydrocarbons(HCs)is unavoidable given their wide usage in a variety of common *** chloride(EC),a type of halogenated HC,has been used in the production of pharmaceuticals,dyes,and other chemicals used for industrial purposes.[1,2]EC was used as an anesthetic induction agent in the early 1900s.[3]Although its use as an inhalational agent has fallen out of favour,EC is still used as a topical pain medication today.[4]

关键词： hydrocarbons agent editor

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Venous thromboembolism in a healthy young man:An unintended consequence of coronavirus disease 2019 pandemic lockdown

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World Journal of Emergency Medicine 2020年第4期11卷 255-257页

作者： Jenshen Cheng Susmita roy Chowdhury Aliviya Dutta r.ponampalam SingHealth Emergency Medicine residency Programme Singapore Health ServicesSingapore Department of Emergency Medicine Singapore General HospitalSingapore

Dear editor,The coronavirus disease 2019(COVID-19)pandemic has enveloped the globe with ferocious pace,prompting lockdowns of countries and ***,up to one-third of the world’s population is living in some forms of coronavirus mass quarantine,which brings new and unprecedented challenges to healthcare systems *** of these is the potentially deleterious effects of physical inactivity due to enacted restrictions.

关键词： consequence prompt editor

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Hemorrhagic pancreatitis from fenofibrate and metformin toxicity:a case report

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World Journal of Emergency Medicine 2023年第6期14卷 495-498页

作者： Marcus Aik Beng Lee Mingwei Ng Paul Yugendra Yiju Yao r.ponampalam Boon Kiat Kenneth Tan Department of Emergency Medicine Singapore General HospitalSingapore 169608Singapore Analytical Toxicology Laboratory Health Sciences AuthoritySingapore 169078Singapore

Fibrates have been used for over forty-odd years to manage dyslipidemia and are generally considered safe and well-tolerated.^([1])However,little is known about the toxicity offibrates in overdose,[2]and most of the knowledge about fibrate toxicity comes from extrapolated observations of adverse effects encountered at therapeutic doses instead.

关键词： doses pancreatitis

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A case of persistent refractory hypoglycemia from polysubstance recreational drug use

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World Journal of Emergency Medicine 2023年第1期14卷 75-77页

作者： Jie Er Janice Soo Mingwei Ng Terence Kee Liem Chong Boon Kiat Kenneth Tan r.ponampalam Department of Emergency Medicine Singapore General Hospital169608Singapore

Dear editor,Studies have revealed a significant prevalence of mixed substance abuse,[1-3]and a focused approach towards polysubstance use has been emphasized.[4]Among recreational drugs,cases of hypoglycemia from ecstasy,[5]amphetamine,[6]eutylone,[7]and cannabinoid[8]use have been reported,but none of these cases have had persistent refractory hypoglycemia.

关键词： drugs cases prevalence

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Acute kidney injury associated with consumption of starfruit juice: A case report

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World Journal of Critical Care Medicine 2022年第5期11卷 330-334页

作者： Thajudeen Mohammed Zuhary r.ponampalam Department of Emergency Medicine Singapore General HospitalSingapore 169608Singapore

BACKGrOUND This study aims to highlight the potential serious complications of acute kidney injury(AKI)resulting from the consumption of excessive amounts of starfruit,a common traditional *** SUMMArY A 78-year-old male with a past medical history of hypertension,diabetes mellitus and hyperlipidemia without prior nephropathy presented to the emergency department(ED)with hiccups,nausea,vomiting and generalized *** the preceding 1 wk,he had consumed 3 bottles of concentrated juice self-prepared from 1 kg of small sour *** serum creatinine was noted to be 1101μmol/L from baseline normal prior to his ED *** was diagnosed with AKI secondary to excessive starfruit *** Consumption of starfruit can cause acute renal failure,with a good outcome when promptly identified and treated.

关键词： Acute kidney injury Acute renal failure Starfruit Hemodialysis Case report

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Medical students as disaster volunteers:A strategy for improving emergency department surge response in times of crisis

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World Journal of Critical Care Medicine 2021年第5期10卷 163-169页

作者： r.ponampalam Jeremy Zhenwen Pong Xiang-Yi Wong Department of Emergency Medicine Singapore General HospitalSingapore 169608Singapore Duke-NUS Medical School National University of SingaporeSingapore 169857Singapore

Disasters resulting in mass casualty incidents can rapidly overwhelm the Emergency Department(ED).To address critical manpower needs in the ED’s disaster response,medical student involvement has been ***-National University of Singapore Medical School is in proximity to Singapore General Hospital and represents an untapped manpower *** appropriate training and integration into ED disaster workflows,medical students can be leveraged upon as qualified *** review provides a snapshot of the conceptualization and setting up of the Disaster Volunteer Corps-a programme where medical students were recruited to receive regular training and assessment from emergency physicians on disaster response principles to fulfil specific roles during a crisis,while working as part of a team under *** discuss overall strategy and benefits to stakeholders,emphasizing the close symbiotic relationship between academia and healthcare services.

关键词： Disaster medicine Disaster response Medical students Volunteers Medical education

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