Letter to the Editor

Limb-Shaking Transient Ischemic Attack with Distal Micro-Embolic Signals and Impaired Cerebrovascular Reactivity Using Transcranial...

We present a patient with limb-shaking transient ischaemic attack (TIA) associated with extracranial carotid occlusion and suggest that the pathophysiological mechanism is hypoperfusion, as...

Fifty Years of PULHHEEMS—The British Army’s System of Medical Classification

The development of the British Army’s system of medical classification illustrates concepts that are very relevant to modern occupational health. In 1939, there was...

RE: Sleep Disturbances in Singaporean Children with Attention Deficit Hyperactivity Disorder

We thank the author for his valuable comments. Indeed, as far as we are aware, CBCL has not been validated for the assessment of...

Management of a Patient with Schizophrenia and Underlying Pituitary Macroadenoma

Hyperprolactinemia was found to be prevalent in a multi-centred study of 402 patients with schizophrenia, schizoaffective disorder and schizophreniform disorder treated with conventional antipsychotics...

Laboratory-acquired Brucellosis

Brucellosis is a serious disease seen worldwide and has been historically known as undulant fever, Bang’s disease, Gibraltar fever, Mediterranean fever, and Malta fever....

Asia’s First Successful Minimally Invasive Transapical Transcatheter Mitral Valve-in-Valve Implantation

Dear Editor, Reoperation for mitral valve re-replacement in patients with patent coronary bypass grafts can be a formidable task in the elderly. We report a...

Arrival of Candida auris Fungus in Singapore: Report of the First 3 Cases

Candida auris is an emerging fungus that is of increasing global concern. Healthcare-associated outbreaks and cases have been reported in 5 continents and the...

Re: One-year Review of Pityriasis Rosea at the National Skin Centre, Singapore

I refer to a paper published in the Annals Vol. 28 No. 6 November 1999 titled “One-year review of pityriasis rosea at the National...

Comparison of the Haemodynamic Parameters of Venous and Arterial Coronary Artery Bypass Conduits

Coronary artery bypass grafting (CABG) is an established revascularisation treatment for patients with coronary artery disease (CAD). However, the graft patency rate varies significantly...

A Pregnant Lady With Aggressive Breast Cancer

Breast cancer is known to occur in up to 1 in 3000 pregnancies and a few cases could be expected each year in our...
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