Singap Med J
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Knowing the preferred place of terminal care is helpful in the provision of services for the terminally ill. We carried out a survey of cancer in-patients and their relatives to determine the local preference for place of terminal care as well as the factors that affected their choice. ⋯ There is a greater preference in cancer patients for terminal care at home. This is especially so for the elderly and if there is assurance of domiciliary care. This is an impetus for greater support of home care services.
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This is a report of 3 Chinese children with intestinal lymphangiectasia in Malaysia. Two children responded to a low fat diet and medium-chain triglyceride supplement. The third child has recurrent chylous ascites. ⋯ Intestinal lymphangiectasia is a rare congenital disorder of the mesenteric lymphatic that leads to the obstruction of the lymphatics of the intestine and protein losing enteropathy. Restriction of dietary fat intake will usually result in remission. Recurrent chylous ascites is a problem and management can be difficult.
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The present study was undertaken to assess patients' knowledge of anaesthesia and perioperative care as well as their perception of anaesthetics and their role. ⋯ When forthcoming surgery and anaesthesia are discussed, it is important that patients realise that they are being cared for by anaesthetists who are doctors and efforts must be taken to educate the profession and public on the anaesthetists' role in perioperative care. This should enhance the professional image of anaesthesia and more importantly, improve patient confidence and quality of care.