Singap Med J
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Case Reports
Clinics in diagnostic imaging (32). Opportunistic pneumonia in acquired immunodeficiency syndrome (AIDS)
A 24-year old HIV-positive patient presented with fever and productive cough. Chest radiograph showed a cavitating pulmonary infiltrate. ⋯ He responded well to antibiotics. The radiographic patterns of opportunistic infection in patients with AIDS, with emphasis on cavitary pneumonia, is discussed.
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In a prospective study conducted over 4 months at the Accident and Emergency Department, 21 patients with 24 episodes of spontaneous paroxysmal supraventricular tachycardia (PSVT) were treated with intravenous adenosine at incremental doses of 3 mg, 6 mg, 9 mg and 12 mg until termination of the PSVT. There were 6 males and 15 females. The mean age was 54 +/- 17 years (range from 23 to 83 years). ⋯ When data were expressed in a cumulative manner, the response to intravenous adenosine 3 mg, 6 mg, 9 mg and 12 mg in the 24 episodes of PSVT were 5 episodes (21%), 16 episodes (67%), 20 episodes (83%) and 20 episodes (83%) respectively. Adverse effects were present in 10 episodes (42%) of the PSVT. They were all mild and transient, lasting less than 1 minute.
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This paper looks at the design of housing for an ageing population in the coming years, particularly the frail elderly, and at criteria which an architect would need to apply to provide for their social needs and various physical disabilities which may accompany old age. Recent local and overseas initiatives in providing special housing for elderly people are discussed and some proposals are made for more universal solutions, in the form of "lifetime homes".
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Randomized Controlled Trial Clinical Trial
Efficacy of bronchodilators in the treatment of bronchiolitis.
Bronchiolitis is a common respiratory infection affecting young children. Much controversy revolves around the efficacy of bronchodilators in the treatment of bronchiolitis. This study was conducted to address this issue. ⋯ The use of bronchodilators did not alter the course of the disease and is therefore not effective in the treatment of bronchiolitis.