Volume 44, Number 11
November 2015

Violence Against Healthcare Staff – A Multidimensional Problem

Aggression and violence is prevalent in healthcare, with rates of 60% worldwide. Potentially, 70% of Singapore’s hospital staff have experienced physical abuse, given significant under-reporting. With increasing demand on healthcare services, recognition and management of this problem is essential. This article is available only as a PDF. Please click on...

Functional Outcomes of the Second Surgery Are Similar to the First in Asians Undergoing Staged-Bilateral Total Knee Arthroplasty

Total knee arthroplasty (TKA) is one of the most common elective surgical procedures performed to alleviate pain and disability associated with knee osteoarthritis. Patients suffering from bilateral knee osteoarthritis intuitively would require bilateral TKA. In such patients, the surgeries can be performed either simultaneously or in a staged manner....

Fetal Non-invasive Electrocardiography Contributes to Better Diagnostics of Fetal Distress: A Cross-sectional Study Among Patients with Pre-eclampsia

Autonomic nervous regulation spreads its influence on fetal heart rate, creating cardiac rhythm complexity. Fetal heart rate has a multifractal nature that is largely connected with its biophysical activity. Heart rate variability (HRV) is a convenient instrument of investigation in the field of neurodevelopment. The spectral analysis of HRV...

Causative Pathogens of Febrile Neutropaenia in Children Treated for Acute Lymphoblastic Leukaemia

Acute lymphoblastic leukaemia (ALL) is the most common form of childhood cancer in Singapore, accounting for 44% of all causes of childhood cancer annually. Treatment of childhood ALL consists of a period of intensive chemotherapy followed by maintenance chemotherapy for up to 2 years, with the objective of producing...

Optimising Aesthetic Reconstruction of Scalp Soft Tissue by an Algorithm Based on Defect Size and Location

Full-thickness scalp soft tissue defects are common and causes include trauma, tumour resection, radiation necrosis and infection. The need for adequate coverage is important as the scalp provides protection to underlying structures such as the calvarium, meninges and brain parenchyma. Poor decision-making in reconstructive choice can lead to wound...