Volume 53, Number 6
To reduce the incidence of cervical cancer in Singapore, a new study highlights the need for a structured recall system in cancer screening and to address surveillance hesitancy.
Illustration by Ladyfingers Co.
Letter to the Editor
A consensus survey of neurologists and clinical geneticists on spinal muscular atrophy treatment in Singapore
Dear Editor,
Just a decade ago, spinal muscular atrophy (SMA) was considered a debilitating, progressive neuromuscular disease that inevitably led to chronic disability and a shortened lifespan. Now, it is treatable with nusinersen, onasemnogene abeparvovec (OAV) and risdiplam—the 3 disease-modifying drugs approved by the US Food and Drug Administration, the...
Editorial
The value of frailty assessments in older surgical patients undergoing emergency laparotomies in Singapore
Mortality in emergency laparotomy (EL) far exceeds that of elective bowel surgery, and standards for the National Emergency Laparotomy Audit (NELA) in the UK were introduced due to the high mortality within 1 month of EL.1 In Singapore, 30-day mortality varies between 5.4% and 14.7% after EL.2,3 However, 30-day...
Original Article
Improving the effectiveness of cervical cancer screening: Managing positive high-risk human papillomavirus results
Cervical cancer is one of the most preventable public health challenges worldwide.1-3 In 2020, a global estimate reported that 604,127 new cases of cervical cancer were diagnosed and 341,831 died from it.4 The World Health Organization launched a Cervical Cancer Elimination Initiative in 2018, with an aim to reduce...
Original Article
Assessing the impact of frailty in elderly patients undergoing emergency laparotomies in Singapore
The ageing population is a growing global phenomenon. In 2019, 14.4% of the population in Singapore, equivalent to 3.9 million people, were aged 65 years or older.1 This percentage is expected to increase to 25% by 2030, primarily due to increased life expectancy and lower fertility rates.1 Consequently, older...
Original Article
Impact of family and caregiver factors on development and behaviours in maltreated young children
Child maltreatment is defined as the neglect and abuse of children under 18 years old. It encompasses physical/emotional ill-treatment, sexual abuse, negligence and/or exploitation that causes harm to the child.1 Evidence has shown that Adverse Childhood Experiences (ACEs), such as maltreatment experienced during childhood, have a significant impact on...