Singap Med J
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This study aims to determine the prevalence of emotional and behavioural problems in a community sample of Singaporean children aged 6-12 years, and its agreement according to parent, teacher and child reports. ⋯ The prevalence rates of emotional and behavioural problems in Singaporean children based on CBCL ratings are comparable to those in the West, but the low response rate and exclusion of children with special needs limit the generalisability of our findings. Singaporean children have higher rates of internalising problems compared to externalising problems, while Western children have higher rates of externalising problems compared to internalising problems.
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We evaluated the relative position of the greater palatine foramen (GPF) for precise injection of local anaesthetics, for optimal pain control in maxillofacial and dental surgeries. ⋯ The perpendicular distance of the GPF in Indian skulls was about 15 mm, the distance of GPF to incisive fossa was approximately 37 mm, and the GIM angle was 21 degrees.
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Most patients presenting to the emergency department (ED) with minor head injury (HI) can be discharged, provided a caregiver is present and careful discharge instructions are given. The study ED uses an advice leaflet with verbal reinforcement to patients and caregivers detailing post-discharge instructions and warning symptoms of worsening HI. We aim to evaluate local patients' and caregivers' compliance to discharge instructions and their ability to recall HI advice. ⋯ Our study raises concerns about the reliability of discharge advice for minor HI patients.
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Scurvy is an ancient disease. Over the years, with advances in the understanding of the disease, general improvement in health standards and nutrition, scurvy is now rarely encountered. ⋯ With vitamin C replacement, psychiatric medication and cognitive behavioural therapy, there was a dramatic improvement in her condition. This case serves as a reminder to the clinician that, even though rare in today's practice, ascorbic acid deficiency is still encountered, and when recognised, is an easily treatable disease.
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Calcium supplementation and pharmacotherapy are recommended in the preventive management of osteoporosis. Many previous studies report of underdiagnosis and undertreatment of osteoporosis among elderly patients with hip fractures. We undertook this study to determine the dietary calcium levels in our local elderly population who were admitted with hip fractures. ⋯ The dietary calcium intake of our elderly patients with hip fractures is insufficient. They would benefit from dietary education and calcium supplements to prevent deterioration in bone density and subsequent osteoporotic fractures.