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  1. Article ; Online: Coronavirus Disease 2019 (COVID-19) Response Measures-A Singapore Neurosurgical Academic Medical Center Experience in Emerging from the Worldwide Pandemic.

    Lim, Jia Xu / Leong, Adriel Z / Tan, Choo Heng / Teo, Kejia / Nga, Vincent D W / Lwin, Sein / Chou, Ning / Yeo, Tseng Tsai

    World neurosurgery

    2020  Volume 142, Page(s) 526–527

    MeSH term(s) Academic Medical Centers ; Ambulatory Care/organization & administration ; Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Hospital Departments/organization & administration ; Hospitalization ; Humans ; Neurosurgery/organization & administration ; Neurosurgical Procedures/methods ; Pandemics ; Personnel Staffing and Scheduling/organization & administration ; Pneumonia, Viral ; SARS-CoV-2 ; Singapore ; Telemedicine
    Keywords covid19
    Language English
    Publishing date 2020-09-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2020.07.159
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1159: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: COVID-19 response measures - a Singapore Neurosurgical Academic Medical Centre experience segregated team model to maintain tertiary level neurosurgical care during the COVID-19 outbreak.

    Leong, Adriel Z / Lim, Jia Xu / Tan, Choo Heng / Teo, Kejia / Nga, Vincent D W / Lwin, Sein / Chou, Ning / Yeo, Tseng Tsai

    British journal of neurosurgery

    2020  Volume 35, Issue 6, Page(s) 719–724

    Abstract: Aim: This article aims to inform and share the experience of a Singaporean tertiary level neurosurgical unit in an academic medical centre during the COVID-19 outbreak.: Method: This is a descriptive study of our segregation team model which is ... ...

    Abstract Aim: This article aims to inform and share the experience of a Singaporean tertiary level neurosurgical unit in an academic medical centre during the COVID-19 outbreak.
    Method: This is a descriptive study of our segregation team model which is designed with the aim of optimizing manpower and ensuring the safety and welfare of the neurosurgical unit, while maintaining and prioritizing excellent patient care.
    Result: We describe our method of team segregation, rostering, and outline some principles that we adhere to in its design. We also summarise the restructuring of our inpatient and outpatient service, including the operating theatre and protocols for specific procedures, intensive care and general wards, as well as clinic services and multidisciplinary meetings.
    Conclusion: We end with a commentary on residency training and anticipated challenges. Given the likely protracted course of the pandemic, it is key to account for sustainability of such measures and the conservation of resource via the reduction of pateint volume, upkeep of staff emotional and physical health and harnessing technologies such as telemedicine.
    MeSH term(s) Academic Medical Centers ; COVID-19 ; Disease Outbreaks ; Humans ; SARS-CoV-2 ; Singapore/epidemiology
    Keywords covid19
    Language English
    Publishing date 2020-06-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 639029-8
    ISSN 1360-046X ; 0268-8697
    ISSN (online) 1360-046X
    ISSN 0268-8697
    DOI 10.1080/02688697.2020.1758629
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2210: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  3. Article: Coronavirus Disease 2019 (COVID-19) Response Measures-A Singapore Neurosurgical Academic Medical Center Experience in Emerging from the Worldwide Pandemic

    Lim, Jia Xu / Leong, Adriel Z / Tan, Choo Heng / Teo, Kejia / Nga, Vincent D W / Lwin, Sein / Chou, Ning / Yeo, Tseng Tsai

    World Neurosurg

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #795371
    Database COVID19

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  4. Article ; Online: Coronavirus Disease 2019 (COVID-19) Response Measures—A Singapore Neurosurgical Academic Medical Center Experience in Emerging from the Worldwide Pandemic

    Lim, Jia Xu / Leong, Adriel Z. / Tan, Choo Heng / Teo, Kejia / Nga, Vincent D.W. / Lwin, Sein / Chou, Ning / Yeo, Tseng Tsai

    World Neurosurgery

    2020  Volume 142, Page(s) 526–527

    Keywords Surgery ; Clinical Neurology ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2020.07.159
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1159: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: COVID-19 response measures – a Singapore Neurosurgical Academic Medical Centre experience segregated team model to maintain tertiary level neurosurgical care during the COVID-19 outbreak

    Leong, Adriel Z. / Lim, Jia Xu / Tan, Choo Heng / Teo, Kejia / Nga, Vincent D. W. / Lwin, Sein / Chou, Ning / Yeo, Tseng Tsai

    British Journal of Neurosurgery

    2020  , Page(s) 1–6

    Keywords Surgery ; Clinical Neurology ; General Medicine ; covid19
    Language English
    Publisher Informa UK Limited
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 639029-8
    ISSN 0268-8697
    ISSN 0268-8697
    DOI 10.1080/02688697.2020.1758629
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2210: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  6. Article: COVID-19 response measures - a Singapore Neurosurgical Academic Medical Centre experience segregated team model to maintain tertiary level neurosurgical care during the COVID-19 outbreak

    Leong, Adriel Z / Lim, Jia Xu / Tan, Choo Heng / Teo, Kejia / Nga, Vincent D W / Lwin, Sein / Yeo, Tseng Tsai

    Br J Neurosurg

    Abstract: Aim: This article aims to inform and share the experience of a Singaporean tertiary level neurosurgical unit in an academic medical centre during the COVID-19 outbreak. Method: This is a descriptive study of our segregation team model which is designed ... ...

    Abstract Aim: This article aims to inform and share the experience of a Singaporean tertiary level neurosurgical unit in an academic medical centre during the COVID-19 outbreak. Method: This is a descriptive study of our segregation team model which is designed with the aim of optimizing manpower and ensuring the safety and welfare of the neurosurgical unit, while maintaining and prioritizing excellent patient care. Result: We describe our method of team segregation, rostering, and outline some principles that we adhere to in its design. We also summarise the restructuring of our inpatient and outpatient service, including the operating theatre and protocols for specific procedures, intensive care and general wards, as well as clinic services and multidisciplinary meetings. Conclusion: We end with a commentary on residency training and anticipated challenges. Given the likely protracted course of the pandemic, it is key to account for sustainability of such measures and the conservation of resource via the reduction of pateint volume, upkeep of staff emotional and physical health and harnessing technologies such as telemedicine.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #32530308
    Database COVID19

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    Inter-library loan at ZB MED

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  7. Article: COVID-19 response measures - a Singapore Neurosurgical Academic Medical Centre experience segregated team model to maintain tertiary level neurosurgical care during the COVID-19 outbreak

    Leong, Adriel Z / Lim, Jia Xu / Tan, Choo Heng / Teo, Kejia / Nga, Vincent D W / Lwin, Sein / Chou, Ning / Yeo, Tseng Tsai

    Br J Neurosurg

    Abstract: Aim: This article aims to inform and share the experience of a Singaporean tertiary level neurosurgical unit in an academic medical centre during the COVID-19 outbreak. Method: This is a descriptive study of our segregation team model which is designed ... ...

    Abstract Aim: This article aims to inform and share the experience of a Singaporean tertiary level neurosurgical unit in an academic medical centre during the COVID-19 outbreak. Method: This is a descriptive study of our segregation team model which is designed with the aim of optimizing manpower and ensuring the safety and welfare of the neurosurgical unit, while maintaining and prioritizing excellent patient care. Result: We describe our method of team segregation, rostering, and outline some principles that we adhere to in its design. We also summarise the restructuring of our inpatient and outpatient service, including the operating theatre and protocols for specific procedures, intensive care and general wards, as well as clinic services and multidisciplinary meetings. Conclusion: We end with a commentary on residency training and anticipated challenges. Given the likely protracted course of the pandemic, it is key to account for sustainability of such measures and the conservation of resource via the reduction of pateint volume, upkeep of staff emotional and physical health and harnessing technologies such as telemedicine.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #596279
    Database COVID19

    Kategorien

    Inter-library loan at ZB MED

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  8. Article ; Online: Psychosomatic symptoms during South East Asian haze crisis are related to changes in cerebral hemodynamics.

    Tan, Benjamin Y / Leong, Adriel Z / Leow, Aloysius S / Ngiam, Nicholas J / Ng, Bridget S / Sharma, Manasi / Yeo, Leonard L / Seow, Philip A / Hong, Chiew S / Chee, Young H / Chen, Jintao / Du, Zhengdao / Wong, Lily Y / Batra, Amit / Sarkar, Nabin / Teoh, Hock-Luen / Ho, Roger C / Sharma, Vijay K

    PloS one

    2019  Volume 14, Issue 1, Page(s) e0208724

    Abstract: Objectives: Forest fires in South Asia lead to widespread haze, where many healthy individuals develop psychosomatic symptoms. We investigated the effects of haze exposure on cerebral hemodynamics and new symptoms. We hypothesised that vasoactive ... ...

    Abstract Objectives: Forest fires in South Asia lead to widespread haze, where many healthy individuals develop psychosomatic symptoms. We investigated the effects of haze exposure on cerebral hemodynamics and new symptoms. We hypothesised that vasoactive substances present in the haze, would lead to vasodilation of cerebral vasculature, thereby altering cerebral hemodynamics, which in turn may account for new psychosomatic symptoms.
    Methods: Seventy-four healthy volunteers were recruited, and serial transcranial Doppler (TCD) ultrasonography was performed to record blood flow parameters of bilateral middle cerebral arteries (MCA). The first TCD was performed in an air-conditioned environment. It was repeated outdoors after the participants spent 30-minutes in the haze environment. The prevailing level of pollutant standards index (PSI) was recorded. Appropriate statistical analyses were performed to compare cerebral hemodynamics at baseline and after haze exposure in all participants. Subgroup analyses were then employed to compare the findings between symptomatic and asymptomatic participants.
    Results: Study participants' median age was 30 years (IQR 26-34), and new psychosomatic symptoms were reported by 35 (47.3%). There was a modest but significant decrease in pulsatility index (PI) and resistivity index (RI) in the left MCA after haze exposure (PI: p = 0.026; RI: p = 0.021). When compared to baseline parameters, haze exposure resulted in significantly lower mean PI (p = 0.001) and RI (p = 0.001) in symptomatic patients, but this difference was not present in asymptomatic patients (PI: p = 0.919; RI: p = 0.970).
    Conclusion: Haze causes significant alterations in cerebral hemodynamics in susceptible individuals, probably responsible for various psychosomatic symptoms. The prognostic implications and health effects of haze require evaluation in a larger study.
    MeSH term(s) Adult ; Air Pollutants/toxicity ; Air Pollution/adverse effects ; Asia ; Blood Flow Velocity/drug effects ; Blood Flow Velocity/physiology ; Carbon Dioxide/toxicity ; Cerebrovascular Circulation/drug effects ; Cerebrovascular Circulation/physiology ; Female ; Healthy Volunteers ; Hemodynamics/drug effects ; Hemodynamics/physiology ; Humans ; Male ; Middle Cerebral Artery/physiology ; Pulsatile Flow/drug effects ; Pulsatile Flow/physiology ; Ultrasonography, Doppler, Transcranial
    Chemical Substances Air Pollutants ; Carbon Dioxide (142M471B3J)
    Language English
    Publishing date 2019-01-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0208724
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Psychosomatic symptoms during South East Asian haze crisis are related to changes in cerebral hemodynamics.

    Benjamin Y Tan / Adriel Z Leong / Aloysius S Leow / Nicholas J Ngiam / Bridget S Ng / Manasi Sharma / Leonard L Yeo / Philip A Seow / Chiew S Hong / Young H Chee / Jintao Chen / Zhengdao Du / Lily Y Wong / Amit Batra / Nabin Sarkar / Hock-Luen Teoh / Roger C Ho / Vijay K Sharma

    PLoS ONE, Vol 14, Iss 1, p e

    2019  Volume 0208724

    Abstract: Objectives Forest fires in South Asia lead to widespread haze, where many healthy individuals develop psychosomatic symptoms. We investigated the effects of haze exposure on cerebral hemodynamics and new symptoms. We hypothesised that vasoactive ... ...

    Abstract Objectives Forest fires in South Asia lead to widespread haze, where many healthy individuals develop psychosomatic symptoms. We investigated the effects of haze exposure on cerebral hemodynamics and new symptoms. We hypothesised that vasoactive substances present in the haze, would lead to vasodilation of cerebral vasculature, thereby altering cerebral hemodynamics, which in turn may account for new psychosomatic symptoms. Methods Seventy-four healthy volunteers were recruited, and serial transcranial Doppler (TCD) ultrasonography was performed to record blood flow parameters of bilateral middle cerebral arteries (MCA). The first TCD was performed in an air-conditioned environment. It was repeated outdoors after the participants spent 30-minutes in the haze environment. The prevailing level of pollutant standards index (PSI) was recorded. Appropriate statistical analyses were performed to compare cerebral hemodynamics at baseline and after haze exposure in all participants. Subgroup analyses were then employed to compare the findings between symptomatic and asymptomatic participants. Results Study participants' median age was 30 years (IQR 26-34), and new psychosomatic symptoms were reported by 35 (47.3%). There was a modest but significant decrease in pulsatility index (PI) and resistivity index (RI) in the left MCA after haze exposure (PI: p = 0.026; RI: p = 0.021). When compared to baseline parameters, haze exposure resulted in significantly lower mean PI (p = 0.001) and RI (p = 0.001) in symptomatic patients, but this difference was not present in asymptomatic patients (PI: p = 0.919; RI: p = 0.970). Conclusion Haze causes significant alterations in cerebral hemodynamics in susceptible individuals, probably responsible for various psychosomatic symptoms. The prognostic implications and health effects of haze require evaluation in a larger study.
    Keywords Medicine ; R ; Science ; Q
    Subject code 150 ; 610
    Language English
    Publishing date 2019-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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