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  1. Book ; Online ; E-Book: Prehabilitation for cancer surgery

    Chakraborty, Arunangshu / Balakrishnan, Ashokka

    2022  

    Author's details Arunangshu Chakraborty, Ashokka Balakrishnan, editors
    MeSH term(s) Neoplasms/surgery. ; Diet Therapy.
    Keywords Cancer/Surgery ; Diet therapy
    Subject code 616.994059
    Language English
    Size 1 online resource (346 pages)
    Publisher Springer
    Publishing place Singapore
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 981-16-6493-5 ; 981-16-6494-3 ; 978-981-16-6493-9 ; 978-981-16-6494-6
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Book ; Online ; E-Book: A practical guide to point of care ultrasound (POCUS)

    Chakraborty, Arunangshu / Ashokka, Balakrishnan

    2022  

    Author's details Arunangshu Chakraborty, Balakrishnan Ashokka editors
    Keywords Anesthesiology ; Critical care medicine ; Emergency medicine ; Radiology
    Language English
    Size 1 Online-Ressource (XI, 201 Seiten), Illustrationen
    Publisher Springer
    Publishing place Singapore
    Publishing country Singapore
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT021483309
    ISBN 978-981-16-7687-1 ; 9789811676864 ; 981-16-7687-9 ; 9811676860
    DOI 10.1007/978-981-16-7687-1
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  3. Article: Does Patient Blood Management Affect Outcomes in Metastatic Spine Tumour Surgery? A Review of Current Concepts.

    Kumar, Naresh / Lee, Eunice Xin Yi / Hui, Si Jian / Kumar, Laranya / Jonathan Tan, Jiong Hao / Ashokka, Balakrishnan

    Global spine journal

    2024  , Page(s) 21925682231167096

    Abstract: Study design: Narrative review.: Objective: The spine is the most common site of metastases, associated with decreased quality of life. Increase in metastatic spine tumour surgery (MSTS) has caused us to focus on the management of blood, as blood ... ...

    Abstract Study design: Narrative review.
    Objective: The spine is the most common site of metastases, associated with decreased quality of life. Increase in metastatic spine tumour surgery (MSTS) has caused us to focus on the management of blood, as blood loss is a significant morbidity in these patients. However, blood transfusion is also not without its own risks, and hence this led to blood conservation strategies and implementation of a concept of patient blood management (PBM) in clinical practise focusing on these patients.
    Methods: A narrative review was conducted and all studies that were related to blood management in metastatic spine disease as well as PBM surrounding this condition were included.
    Results: A total of 64 studies were included in this review. We discussed a new concept of patient blood management in patients undergoing MSTS, with stratification to pre-operative and intra-operative factors, as well as anaesthesia and surgical considerations. The studies show that PBM and reduction in blood transfusion allows for reduced readmission rates, lower risks associated with blood transfusion, and lower morbidity for patients undergoing MSTS.
    Conclusion: Through this review, we highlight various pre-operative and intra-operative methods in the surgical and anaesthesia domains that can help with PBM. It is an important concept with the significant amount of blood loss expected from MSTS.
    Level of evidence: Not applicable.
    Language English
    Publishing date 2024-03-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2648287-3
    ISSN 2192-5690 ; 2192-5682
    ISSN (online) 2192-5690
    ISSN 2192-5682
    DOI 10.1177/21925682231167096
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  4. Article ; Online: Twelve tips for developing a systematic acute care curriculum for medical students.

    Ashokka, Balakrishnan / Ching Lee, Deanna Wai / Dong, Chaoyan

    Medical teacher

    2021  Volume 45, Issue 1, Page(s) 17–24

    Abstract: There are inadequacies in the practice-readiness of junior doctors for providing acute care in areas of clinical deterioration. In addition, the existing undergraduate curricula are fragmented in how acute care is taught in medical schools. We propose ... ...

    Abstract There are inadequacies in the practice-readiness of junior doctors for providing acute care in areas of clinical deterioration. In addition, the existing undergraduate curricula are fragmented in how acute care is taught in medical schools. We propose twelve tips for developing a systematic acute care curriculum, including what to teach, how to teach it and, how to assess. Furthermore, we propose and incorporate an acute care learning dashboard as an assessment tool which collates and demonstrates the occurrence of learning, faculty feedback, and students' reflection. We also summarise the existing online resources available for acute care training. We hope to address the existing issues and improve acute care training to prepare the graduates to become practice-ready professionals.
    MeSH term(s) Humans ; Students, Medical ; Curriculum ; Learning ; Feedback ; Education, Medical, Undergraduate
    Language English
    Publishing date 2021-10-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 424426-6
    ISSN 1466-187X ; 0142-159X
    ISSN (online) 1466-187X
    ISSN 0142-159X
    DOI 10.1080/0142159X.2021.1987405
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 2176: Show issues Location:
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  5. Article: Tragus pressure-guided removal of airway devices for safe emergence from sedation: A randomised controlled trial.

    Ashokka, Balakrishnan / Venkatesan, Shree / Foong, Theng Wai / Lee, Chang Chuan Melvin / Ti, Lian Kah

    Annals of the Academy of Medicine, Singapore

    2022  Volume 51, Issue 10, Page(s) 661–663

    MeSH term(s) Humans ; Continuous Positive Airway Pressure ; Anesthesia, General
    Language English
    Publishing date 2022-11-01
    Publishing country Singapore
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 604527-3
    ISSN 0304-4602
    ISSN 0304-4602
    DOI 10.47102/annals-acadmedsg.2022152
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Telesimulation in healthcare education: A scoping review.

    Yasser, Nursyafiqah B M / Tan, Apphia J Q / Harder, Nicole / Ashokka, Balakrishnan / Chua, Wei Ling / Liaw, Sok Ying

    Nurse education today

    2023  Volume 126, Page(s) 105805

    Abstract: Objectives: To provide a comprehensive overview on the utilization and effectiveness of telesimulation in healthcare education.: Design: A scoping review.: Data sources: A search of five databases including PubMed, Web of Science, Cochrane, EMBASE ...

    Abstract Objectives: To provide a comprehensive overview on the utilization and effectiveness of telesimulation in healthcare education.
    Design: A scoping review.
    Data sources: A search of five databases including PubMed, Web of Science, Cochrane, EMBASE and ProQuest was conducted between 2000 and 2022.
    Review methods: Arksey and O' Malley's scoping review framework was utilised. Data were narratively synthesised.
    Results: 29 articles were included. More than half of the publications on telesimulation were borne out of need during the COVID-19 pandemic. Innovation reports were the most prevalent publications followed by descriptive studies. Telesimulation was applied for the delivery of diverse learning content including patient care management, procedural skills and team training. A variety of videoconferencing software and simulation modalities have been used for telesimulation. Telesimulation was generally well-received, despite its technical challenges. Learning effectiveness of telesimulation was evident in quasi-experimental studies.
    Conclusion: Telesimulation has been gaining acceptance as a distance-based simulation education modality. It will continue to evolve and potentially blend with in-person simulation. More rigorous research is warranted to evaluate learning outcomes and establish best practices in telesimulation.
    MeSH term(s) Humans ; Pandemics ; COVID-19 ; Educational Status ; Learning ; Delivery of Health Care
    Language English
    Publishing date 2023-03-31
    Publishing country Scotland
    Document type Journal Article ; Review
    ZDB-ID 1062570-7
    ISSN 1532-2793 ; 0260-6917
    ISSN (online) 1532-2793
    ISSN 0260-6917
    DOI 10.1016/j.nedt.2023.105805
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 3117: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  7. Article: Labour epidural practice in a tertiary training centre.

    Ashokka, Balakrishnan / Arora, Deepika / Niranjan Kumar, Shrividya / Chin, Rachel / Kannan, Rajesh / Ng, Bryan / Loh, May Han

    Annals of the Academy of Medicine, Singapore

    2022  Volume 51, Issue 1, Page(s) 49–52

    MeSH term(s) Analgesia, Epidural ; Female ; Humans ; Labor, Obstetric ; Pregnancy
    Language English
    Publishing date 2022-01-29
    Publishing country Singapore
    Document type Journal Article
    ZDB-ID 604527-3
    ISSN 0304-4602
    ISSN 0304-4602
    DOI 10.47102/annals-acadmedsg.2021421
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  8. Article ; Online: Considerations for Continuing Simulation Training During Infectious Outbreaks.

    Ong, Say Yang / Ashokka, Balakrishnan / Khoo, Deborah / Kelly, Michelle A

    Simulation in healthcare : journal of the Society for Simulation in Healthcare

    2020  Volume 15, Issue 6, Page(s) 422–426

    Abstract: Statement: Healthcare simulation training can be significantly disrupted by infectious disease outbreaks, yet it is a key component in several important medical education activities, such as resuscitation refresher training and high-stakes prelicensure ... ...

    Abstract Statement: Healthcare simulation training can be significantly disrupted by infectious disease outbreaks, yet it is a key component in several important medical education activities, such as resuscitation refresher training and high-stakes prelicensure healthcare examinations. This article details the strategic and tactical considerations for continuing simulation training during infectious disease outbreaks. A framework of graded responses, titrated to outbreak severity, is provided from the perspective of an academic medical center managing simulation training during the early stage of the now global coronavirus disease 2019 outbreak.
    MeSH term(s) Academic Medical Centers ; COVID-19/epidemiology ; Humans ; Infection Control/standards ; Pandemics ; Practice Guidelines as Topic ; SARS-CoV-2 ; Simulation Training/organization & administration ; Simulation Training/standards
    Keywords covid19
    Language English
    Publishing date 2020-08-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2223429-9
    ISSN 1559-713X ; 1559-2332
    ISSN (online) 1559-713X
    ISSN 1559-2332
    DOI 10.1097/SIH.0000000000000496
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: ‘Exam preparedness’

    Balakrishnan Ashokka / Tat Leang Lee / Daniëlle M.L. Verstegen

    The Asia Pacific Scholar, Vol 6, Iss 4, Pp 80-

    Exploring non-academic predictors of postgraduate exam success

    2021  Volume 91

    Abstract: Introduction: There are certain factors in exam preparedness that are not well studied in the postgraduate medical education context. Non-academic predictors have been extensively researched but usually in isolation. Methods: The study involved a ... ...

    Abstract Introduction: There are certain factors in exam preparedness that are not well studied in the postgraduate medical education context. Non-academic predictors have been extensively researched but usually in isolation. Methods: The study involved a sequential explanatory mixed methods research design. The study was conducted among anaesthesia postgraduates appearing for high-stake nation-wide primary examination. Data obtained by a questionnaire assessing pre-examination attributes were compared with the students’ reflections through focus group discussions (FGD) after the formal declaration of results. The examination had an overall pass rate of 42.9% (18 out of 42). Results: The study showed that pre-examination questionnaire could identify attributes and study behaviours in the postgraduates who passed. Passers procrastinated three times lesser, pursuing a timetable-based study (conscientiousness); had higher metacognitive self-regulation (p value<0.05) applying concentrated self-directed learning & effective group study and higher self-efficacy compared to those who failed. The focus group discussions affirmed of these attributes in candidates who ‘breeze through exams’. Postgraduate success required better ‘work-study’ balance, self & cross regulation and peer and faculty support. Conclusion: Implementing a composite tool to assess ‘exam preparedness’, we propose, would help the learners and teachers to skim for non-academic factors (metacognitive self-regulation, self-efficacy, conscientiousness) that influence the chances of success. Understanding & predicting this would help educators to identify the ‘candidates with difficulty’ and delegate personalised faculty attention. This could guide the exam candidates to have a ‘reality check’ to plan and pace their effort with peer learning, consolidated study and goal orientation.
    Keywords postgraduate exam success ; non-academic predictors ; self-regulation ; Education (General) ; L7-991 ; Medicine (General) ; R5-920
    Subject code 370
    Language English
    Publishing date 2021-10-01T00:00:00Z
    Publisher National University of Singapore
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Continuing medical education during a pandemic: an academic institution's experience.

    Kanneganti, Abhiram / Sia, Ching-Hui / Ashokka, Balakrishnan / Ooi, Shirley Beng Suat

    Postgraduate medical journal

    2020  Volume 96, Issue 1137, Page(s) 384–386

    Abstract: The COVID-19 pandemic has affected healthcare systems worldwide. The disruption to hospital routines has affected continuing medical education (CME) for specialty trainees (STs). We share our academic institution's experience in mitigating the disruption ...

    Abstract The COVID-19 pandemic has affected healthcare systems worldwide. The disruption to hospital routines has affected continuing medical education (CME) for specialty trainees (STs). We share our academic institution's experience in mitigating the disruption on the CME programme amidst the pandemic. Most specialty training programmes had switched to videoconferencing to maintain teaching. Some programmes also utilized small group teachings with precautions and e-learning modules. Surgical residencies were disproportionately affected due to reductions in elective procedures but some ways to provide continued surgical exposure include going through archived surgical videos with technical pointers from experienced faculty and usage of surgical simulators . We should adapt CME sessions to keep trainees up to date with core clinical competencies as they will continue to manage both COVID-19 and non-COVID-19 cases and this pandemic may last until year's end.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Clinical Competence/standards ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Delivery of Health Care/organization & administration ; Education, Medical, Continuing/trends ; Emergency Medicine/education ; Health Services Research ; Humans ; Infectious Disease Medicine/education ; Medicine ; Organizational Innovation ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Preventive Medicine/education ; Psychiatry/education ; Pulmonary Medicine/education ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-05-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 80325-x
    ISSN 1469-0756 ; 0032-5473
    ISSN (online) 1469-0756
    ISSN 0032-5473
    DOI 10.1136/postgradmedj-2020-137840
    Database MEDical Literature Analysis and Retrieval System OnLINE

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