Volume 36, Number 12

December 2007

Problems – Theoretical and Real – In the Drug Treatment of HIV-AIDS

Human immunodeficiency virus (HIV) infection is the most important infectious disease of our time. Likewise, the availability of highly effective therapy for HIV represents one of the greatest accomplishments of drug research and development in modern times. Antiretroviral therapy (ART), usually comprising a combination of 3 drugs that act...

Safety, Reactogenicity and Immunogenicity of the Live Attenuated Combined Measles, Mumps and Rubella Vaccine Containing the RIT 4385 Mumps Strain in Healthy Singaporean Children

Measles, mumps and rubella (MMR) are contagious viral diseases associated with high mortality and morbidity, often linked with severe complications. Globally, measles remains the main cause of vaccine-preventable morbidity and mortality in children. This is true even in the Western Pacific region, despite the fact that immunisation has reduced...

Trends in Mortality from Acute Myocardial Infarction in the Coronary Care Unit

Acute myocardial infarction (AMI) is a serious manifestation of coronary artery disease that is associated with high mortality from arrhythmias and heart failure. Its treatment has evolved over the decades. In the 1960s, coronary care units (CCUs) were developed to allow for close monitoring of AMI patients recognised to...

Measuring the Quality of Care of Diabetic Patients at the Specialist Outpatient Clinics in Public Hospitals in Singapore

Singapore is a country with a high prevalence of diabetes mellitus, 1 8.2% amongst its population aged between 18 and 69 years,2 and is joint second in the world for “pre-diabetes” after Nauru. 3 About 17% of all patients admitted to 3 acute hospitals in the National Healthcare Group...

A Survey of Brain Death Certification – An Impetus for Standardisation and Improvement

Brain death is legally recognised in most developed countries. Certification is usually a prelude to either the withdrawal of cardiorespiratory life support or organ procurement and donation. It is therefore a diagnosis of great significance, and there should be rigorous standards in place to govern the process of brain...