Volume 42, Number 6 June 2013

Residency Programmes in Singapore—Challenges Ahead

Transitioning from the specialist training system of the United Kingdom (UK) to the Residency system of the United States of America, Singapore1 is in a position to evaluate both and integrate their best features into one uniquely Singaporean system that addresses the needs of healthcare services in the country. This...

Better Hand Hygiene Means Safer Care

The 1st World Health Organization (WHO) Global Patient Safety Challenge, “Clean Care is Safer Care”, was launched in October 2005. Since then, Prof Didier Pittet, the External Programme Lead reported that 131 WHO Member States and autonomous areas have pledged their support. As of May 2013, over 15,700 healthcare facilities...

Public Awareness of Sepsis and Stroke in Singapore: A Population-Based Survey

Sepsis and stroke are common diseases with several similarities. Firstly, they are both frequent causes of death. A recent review by Adhikari and colleagues based on data from the United States and the World Health Organization (WHO) suggested that sepsis kills more than 11,000 people per day, while the...

An Alternative Treatment Option for Scaphoid Nonunion Advanced Collapse (SNAC) and Radioscaphoid Osteoarthritis: Early Results of a Prospective Study on the Pyrocarbon Adaptive Proximal Scaphoid Implant (APSI)

Scaphoid nonunion advanced collapse (SNAC) and radioscaphoid osteoarthritis are well recognised conditions that are considered very difficult to treat, not only by general orthopaedic surgeons but also hand and upper limb specialists. Some of the more popular treatment options for SNAC wrists include proximal row carpectomy (PRC) and four...

CT-Guided Thoracic Biopsy: Evaluating Diagnostic Yield and Complications

Percutaneous transthoracic needle biopsies which have been performed for more than a century have since gained wide acceptance for diagnosing malignant and benign lung lesions. Technological advances in computed tomography (CT) have resulted in increased detection of pulmonary and mediastinal masses which are not only detected at an increased rate but...