Ann Acad Med Singap
-
Ann Acad Med Singap · Sep 2015
Observational StudyClinical Decision Rules for Paediatric Minor Head Injury: Are CT Scans a Necessary Evil?
High performing clinical decision rules (CDRs) have been derived to predict which head-injured child requires a computed tomography (CT) of the brain. We set out to evaluate the performance of these rules in the Singapore population. ⋯ The CDRs demonstrated high accuracy in detecting children with positive CT findings but direct application in areas with low rates of significant traumatic brain injury (TBI) is likely to increase unnecessary CT scans ordered. Clinical observation in most cases may be a better alternative.
-
This study assessed the health screening behaviour of Singaporeans and evaluated factors associated with low uptake of screening tests. ⋯ Sociodemographic factors that could be associated with a lower uptake of screening tests include: 1) low household income, 2) low education level, and 3) Malay ethnicity. Health promotion programmes and outreach to these groups can be enhanced to further improve screening uptake.
-
Ann Acad Med Singap · Sep 2015
Historical Article22nd Gordon Arthur Ransome Oration: Is Medicine Still an Art?