Volume 44, Number 9
September 2015

Helping People with Mental Illness Return to Employment: Challenging Existing Beliefs

Sigmund Freud, the father of psychoanalysis, was asked once what makes people happy. His reply was, “love and work.” Employment does contribute many benefits to our lives. In addition to providing financial independence and security, it contributes to our sense of community, belonging and identity. Unemployment, on the other...

Health Screening Behaviour among Singaporeans

Early detection of disease through health screening, followed by assessment of abnormal screen results and management of chronic conditions, is a key strategy in non-communicable disease control. When used appropriately, screening followed by assessment of results and management of identified health conditions can prevent the development of complications early...

Clinical Decision Rules for Paediatric Minor Head Injury: Are CT Scans a Necessary Evil?

Head injury is a common complaint in the paediatric emergency department (ED), accounting for approximately 500,000 paediatric ED visits a year in the United States. While most head-injured children do not require treatment and may be discharged after a period of observation, an estimated 4% to 7% have intracranial...

Hyperfamiliarity in Dementia and Mild Cognitive Impairment

Hyperfamiliarity, a phenomenon in which novel stimuli evoke feelings of familiarity, has been described in dementia, temporal lobe epilepsy (TLE) and the lesioned brain. There is currently no universal term for the phenomenon of hyperfamiliarity. Labels have been used to describe spurious feelings of familiarity, including ‘false memory’, ‘false...

Localising Median Neuropathies: The Role of Different Investigations

A 50-year-old male with diabetic nephropathy and renal failure on maintenance haemodialysis through a left arterio-venous fistula was referred to the Neuroscience Clinic with pain, numbness and tingling over the lateral 3 fingers of the left hand of a few days duration. The pain increased when the fistula was...