Volume 53, Number 10
October 2024

A multidisciplinary team approach in primary care is ideal in chronic kidney disease (CKD) management.

Outcomes of the HALT-CKD programme have been reported to be positive.

Illustration by Ladyfingers Co.

Enhancing guidelines for managing cognitively impaired drivers: Insights from Western evidence for Asian adaptation

Licensing authorities rely on medical certifications of fitness-to-drive when renewing licence for drivers who are at higher risk of crashes. Drivers with cognitive impairment are 2 to 8 times more likely to be involved in a crash compared to those without such impairments,1 and studies show they have a...

Automated Cobb angle measurement in scoliosis radiographs: A deep learning approach for screening

Dear Editor, Adolescent idiopathic scoliosis is the most common paediatric spinal deformity, impacting 1 in 300 children.1 In Singapore and other countries, national screening programmes have been established to detect scoliosis early, with the aim of using bracing to prevent progression to moderate or severe scoliosis, which may require surgical...

Intravenous epoprostenol therapy in the treatment of pulmonary arterial hypertension in Singapore

Illustration by Nata Blackthorn Dear Editor, Pulmonary arterial hypertension (PAH) is a progressive disease characterised by significant morbidity and mortality. Intravenous (IV) epoprostenol (Veletri, Johnson & Johnson, US), a prostacyclin analogue, has been shown to improve exercise tolerance, PAH symptoms, haemodynamics and survival.1,2 However, there is a lack of data on...

Five-year outcomes of a holistic programme for managing early chronic kidney disease in primary care

Singapore has the third highest incidence and sixth highest prevalence of end-stage kidney disease (ESKD) in the world.1 Globally, chronic kidney disease (CKD) is estimated to affect over 850 million people, with a prevalence of 13.4% among adults worldwide.2 Diabetes is the main cause of ESKD in new patients...

Factors influencing smoking cessation: Insights from Singapore’s nationwide health and lifestyle survey

The global prevalence of smoking has declined over the years. According to authors utilising data from the Global Burden of Disease, Injuries, and Risk Factors Study, from 1990 to 2020, the number of male smokers fell by 27.2%, whereas female smokers fell by 37.9%.1 Moreover, the decline in smoking...

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