Singap Med J
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To study logistic requirements in acute burn care in Singapore and to correlate statistics on fire, unnatural deaths and burns. ⋯ Data presented useful for correlation of fire, mortality and burn statistics, resource allocation and new burn facility establishment.
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A 4-year-old boy with Escobar Syndrome, a rare syndrome of sporadic or autosomal recessive inheritance is described. The main features include small stature, multiple pterygia of the neck, axilla, antecubital area, a typical facies and limb abnormalities with normal intelligence.
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Comparative Study
Intrauterine growth of liveborn Malaysian infants between gestation of 28 to 42 weeks.
A cross-sectional study was carried out on 8,478 consecutive normal singleton Malaysian neonates born in the Maternity Hospital, Kuala Lumpur. The objectives were to compare the mean birth-weights, crown-heel lengths and head circumferences of Malay, Chinese and Indian infants at gestation age from 28 to 42 weeks, and to construct the Malaysian growth charts. Above the gestation age of 34 weeks, the birthweights were significantly influenced by maternal gravida status (p < 0.03), ethnic origin (p < 0.001) and/or sex of the neonates (p < 0.026). ⋯ It was most likely due to the small sample size which explained our inability to detect statistically significant difference in all measurements (birthweight, length and head circumference) by sex, ethnicity and maternal gravida status at gestation below 35 weeks. Based on the measurements obtained in this study, percentile charts for the Malaysian population were constructed and made available for the first time. These charts will be useful for the assessment of Malaysian neonates during the perinatal period.
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Case Reports
Continuous spinal analgesia--initial experiences with differential sensory block and labour pain relief.
This report describes the use of microcatheters to provide continuous spinal analgesia for the relief of labour pain. Bupivacaine 0.025% was administered through a 28G spinal microcatheter resulting in a differential block which provided effective labour pain relief. Conduction by the smaller pain fibres from the uterus were blocked, while relatively sparing the larger A fibres. ⋯ No patient had hypotension (blood pressure fall greater than 20%). However one patient suffered a severe post-dural puncture headache which required an epidural blood patch. Continuous intra-thecal spinal analgesia is a potential alternative to continuous epidural analgesia in the relief of labour pain.