Singap Med J
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Biography Historical Article
Virginia Apgar (1909-1974): Apgar score innovator.
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The ideal burn dressing for children should aim to alleviate pain, decrease length of hospital stay and minimise complications such as conversion and infection. The current literature is still inconclusive with regard to the gold standard burn dressing for the paediatric population. ⋯ Paediatric patients with partial thickness burns treated with Biobrane dressing had shorter hospital stay and lower incidence of infection compared to those treated with conventional silver foam dressing. Biobrane and silver foam dressings did not demonstrate any significant difference in terms of long-term scar outcomes over an average follow-up duration of two years.
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In light of the growing evidence base for better clinical results with the use of the dual bronchodilator indacaterol/glycopyrronium (IND/GLY) over inhaled corticosteroid-containing salmeterol/fluticasone combination (SFC), this study aimed to evaluate the cost-effectiveness of IND/GLY over SFC in patients with moderate-to-severe chronic obstructive pulmonary disease (COPD) who are at low risk of exacerbations, in the Singapore healthcare setting. ⋯ IND/GLY was estimated to be highly cost-effective compared to SFC in patients with moderate-to-severe COPD who are not at high risk of exacerbations in the Singapore healthcare setting.
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Neoadjuvant chemoradiotherapy (CRT) followed by total mesorectal excision (TME) surgery for locally advanced rectal cancer has been shown to improve local control and reduce toxicity, as compared to adjuvant CRT. We reported the outcomes of our patients with locally advanced rectal cancer treated at National University Hospital, Singapore. ⋯ Our outcomes were comparable to internationally published data, and this treatment regimen remains the standard of care for locally advanced rectal cancer in our local population.
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Case Reports
Clinics in diagnostic imaging (187). Popliteal artery entrapment syndrome (PAES) Type II.
A 26-year-old male patient was referred for exercise-induced claudication that had interfered with his military duties for the past two years. He was an occasional smoker with no other significant cardiovascular risk factors. ⋯ Based on the clinical presentation and imaging findings, he was diagnosed with popliteal artery entrapment syndrome. In this article, we discussed the typical presenting signs and symptoms of popliteal artery entrapment syndrome, the different imaging modalities available to aid diagnosis, classification of the condition and the available treatment options.