23rd Gordon Arthur Ransome Oration: Law and Medicine: Professions of Honour, Service and Excellence.
Abstract Amidst dramatic global change, there is a greater need than ever for principled and committed professionals. The sibling professions of law and medicine, in particular, serve crucial functions in contemporary society. To meet the challenges of the future, members of both professions must appreciate and commit to their shared calling to public service, and ensure that it is not overridden by the profit motive. Three further commitments follow from this: first, to nurture and mentor new entrants to the professions to ensure the continuance of that mission of public service; second, to improve accessibility ...
Source: Ann Acad Med Singapo... - September 1, 2017 Category: General Medicine Authors: Menon S Tags: Ann Acad Med Singapore Source Type: research

Improving Asthma Outcomes: Strategies for the Future.
PMID: 28062880 [PubMed - in process] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - December 1, 2016 Category: Journals (General) Authors: Lim TK Tags: Ann Acad Med Singapore Source Type: research

Characteristics and Risk Factors for Mortality in Paediatric In-Hospital Cardiac Events in Singapore: Retrospective Single Centre Experience.
Abstract Introduction: There is limited data on paediatric resuscitation outcomes in Asia. We aimed to describe outcomes of paediatric in-hospital cardiac arrests (IHCA) and peri-resuscitation factors associated with mortality in our institution. Materials and Methods: Using data from our hospital's code registry from 2009 to 2014, we analysed all patients younger than 18 years of age with IHCA who required cardiopulmonary resuscitation (CPR). Exposure variables were obtained from clinical demographics, CPR and post-resuscitation data. Outcomes measured were: survival after initial CPR event and survival to hospit...
Source: Ann Acad Med Singapo... - December 1, 2016 Category: Journals (General) Authors: Mok YH, Loke AP, Loh TF, Lee JH Tags: Ann Acad Med Singapore Source Type: research

Anaphylaxis in Children: Experience of 485 Episodes in 1,272,482 Patient Attendances at a Tertiary Paediatric Emergency Department from 2007 to 2014.
Conclusion: We described the presentation and management of anaphylaxis in the Singapore population. A history of drug allergy is associated with severe presentation. Biphasic reactions are rare in our population. PMID: 28062882 [PubMed - in process] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - December 1, 2016 Category: Journals (General) Authors: Ganapathy S, Lwin Z, Ting DH, Goh LS, Chong SL Tags: Ann Acad Med Singapore Source Type: research

Relationship between Sleep Habits and Nighttime Sleep among Healthy Preschool Children in Taiwan.
Conclusion: Sleep loss and poor sleep quality in preschool children could be alleviated, at least partly, by curtailing bedtime TV-viewing, limiting light exposure during sleeping, and reducing bed-sharing habit. PMID: 28062883 [PubMed - in process] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - December 1, 2016 Category: Journals (General) Authors: Lo MJ Tags: Ann Acad Med Singapore Source Type: research

Extended-Spectrum Beta-Lactamase-Producing Enterobacteriaceae in Retail Chicken Meat in Singapore.
PMID: 28062884 [PubMed - in process] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - December 1, 2016 Category: Journals (General) Authors: Lim EJ, Ho SX, Cao DY, Lau QC, Koh TH, Hsu LY Tags: Ann Acad Med Singapore Source Type: research

View towards Rehabilitation in the Home - A Survey of Patient's Mindset towards a Home Rehabilitation Programme.
PMID: 28062885 [PubMed - in process] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - December 1, 2016 Category: Journals (General) Authors: Tay SS, Wee TC, Mohamed Noor S, Hassan N Tags: Ann Acad Med Singapore Source Type: research

Milder Form of Urea Cycle Defect Revisited: Report and Review of Hyperornithinaemia-Hyperammonaemia-Homocitrullinuria (HHH) Syndrome Diagnosed in a Teenage Girl Presenting with Recurrent Encephalopathy.
PMID: 28062886 [PubMed - in process] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - December 1, 2016 Category: Journals (General) Authors: Qadri SK, Ting TW, Lim JS, Jamuar SS Tags: Ann Acad Med Singapore Source Type: research

Right Iliac Fossa Pain.
PMID: 28062887 [PubMed - in process] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - December 1, 2016 Category: Journals (General) Authors: Abu Hassan H, Suppiah S Tags: Ann Acad Med Singapore Source Type: research

Neutrophilic Dermatoses as a Continuous Spectrum: An Illustrative Case.
PMID: 28062888 [PubMed - in process] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - December 1, 2016 Category: Journals (General) Authors: Yeo PM, Tan KW, Lim RS, Seng SC, Ong JP, Rajaratnam R Tags: Ann Acad Med Singapore Source Type: research

Board of Reviewers.
Authors: PMID: 28062889 [PubMed - in process] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - December 1, 2016 Category: Journals (General) Tags: Ann Acad Med Singapore Source Type: research

Author Index.
Authors: PMID: 28062890 [PubMed - in process] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - December 1, 2016 Category: Journals (General) Tags: Ann Acad Med Singapore Source Type: research

Killed by Internet Addiction? A Real Possibility.
PMID: 27090075 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - December 1, 2015 Category: Journals (General) Authors: Lee KC, Lim CH, Hsu AA Tags: Ann Acad Med Singapore Source Type: research

Disseminated Bacillus Calmette-Gu érin and Susceptibility to Mycobacterial Infections-Implications on Bacillus Calmette-Guérin Vaccinations.
Disseminated Bacillus Calmette-Guérin and Susceptibility to Mycobacterial Infections-Implications on Bacillus Calmette-Guérin Vaccinations. Ann Acad Med Singapore. 2015 Aug;44(8):297-301 Authors: Lee PP Abstract Bacillus Calmette-Guérin (BCG) is a live vaccine and has the potential to cause local disease and systemic dissemination in immunocompromised hosts, including infants who are infected with human immunodeficiency virus (HIV) through vertical transmission, and patients with primary immunodeficiencies (PID) such as severe combined immunodeficiency (SCID), chronic granulomatou...
Source: Ann Acad Med Singapo... - August 1, 2015 Category: Journals (General) Authors: Lee PP Tags: Ann Acad Med Singapore Source Type: research

Ultrasound-guided thyroid fine needle aspiration biopsy--the way forward.
PMID: 25797821 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - February 1, 2015 Category: Journals (General) Authors: Chng CL Tags: Ann Acad Med Singapore Source Type: research

Clinician scientists in public sector hospitals--why and how?
PMID: 25588914 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - December 1, 2014 Category: Journals (General) Authors: Tai ES Tags: Ann Acad Med Singapore Source Type: research

Neurophobia in medical students and junior doctors--blame the GIK.
CONCLUSION: Neurophobia is highly prevalent amongst Singapore medical students and junior doctors. Low interest and knowledge are independent risk factors shared by both groups; female gender may also be a shared risk factor. The mnemonic GIK (Gender, Interest, Knowledge) identifies the risk factors to mitigate when planning teaching strategies to reduce neurophobia. PMID: 24356651 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - November 1, 2013 Category: Journals (General) Authors: Kam KQ, Tan GS, Tan K, Lim EC, Koh NY, Tan NC Tags: Ann Acad Med Singapore Source Type: research

Conflict of Interest in Research--The Clinician Scientist's Perspective.
Abstract Conflict of interest (COI) in research represents situations that pose risks of undue influence on scientific objectivity and judgment because of secondary interests. This is complex but is inherent to biomedical research. The role of a clinician scientist can be conflicted when scientific objectivity is perceived to compete with scientific success (publications, grants), partiality to patients (clinical trials), obligations to colleagues (allowing poor scholarship to pass), research sponsors (industry), and financial gains (patents, royalties). While there are many ways which COIs can occur in research, ...
Source: Ann Acad Med Singapo... - November 1, 2013 Category: Journals (General) Authors: Kong NH, Chow PK Tags: Ann Acad Med Singapore Source Type: research

HIV-Associated Neurocognitive Disorders--An issue of Growing Importance.
CONCLUSION: Increased awareness of HAND, with earlier diagnosis and targeted, multi-disciplinary management of this challenging condition, may lead to better all-round outcomes for people living with HIV and AIDS in Singapore. PMID: 24254240 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - October 1, 2013 Category: Journals (General) Authors: Chan LG, Wong CS Tags: Ann Acad Med Singapore Source Type: research

Psychosocial care for cancer patients--too little, too late?
Abstract Assessment of psychosocial and psychiatric needs is an increasingly important component of cancer care. Clinical experience with patients indicate that distress, anxiety and depression are prevalent from early stages of the illness. Strategies to enhance psychosocial care are presented and these include early identification through screening, training for healthcare staff working with cancer patients and support not only for patients but their caregivers as well. PMID: 24254241 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - October 1, 2013 Category: Journals (General) Authors: Mahendran R, Chua J, Wuan E, Ang EN, Lim SE, Kua EH Tags: Ann Acad Med Singapore Source Type: research

Personalised and precision pain medicine--a dream coming true?
PMID: 24254244 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - October 1, 2013 Category: Journals (General) Authors: Poon KH, Lee TL Tags: Ann Acad Med Singapore Source Type: research

Dengue--old disease, new challenges in an ageing population.
PMID: 24045371 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - August 1, 2013 Category: Journals (General) Authors: Low JG, Ooi EE Tags: Ann Acad Med Singapore Source Type: research

Application of science to medicine--the clinician-scientist.
PMID: 23949259 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - July 1, 2013 Category: Journals (General) Authors: Huang Z, Yong EL Tags: Ann Acad Med Singapore Source Type: research

Borderline viability--neonatal outcomes of infants in Singapore over a period of 18 years (1990 - 2007).
This study assesses the trends and predictors of mortality and morbidity in infants of gestational age (GA)
Source: Ann Acad Med Singapo... - July 1, 2013 Category: Journals (General) Authors: Agarwal P, Sriram B, Lim SB, Tin AS, Rajadurai VS Tags: Ann Acad Med Singapore Source Type: research

The quest for a H1N1 flu vaccine.
PMID: 23949265 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - July 1, 2013 Category: Journals (General) Authors: Matter A Tags: Ann Acad Med Singapore Source Type: research

Evidence-based guidelines on the use of opioids in chronic non-cancer pain--a consensus statement by the Pain Association of Singapore Task Force.
CONCLUSION: Due to insufficient evidence, the task force does not recommend the use of opioids as first-line treatment for various CNCP. They can be used as secondor third-line treatment, preferably as part of a multimodal approach. Additional studies conducted over extended periods are required. PMID: 23604503 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - March 1, 2013 Category: Journals (General) Authors: Ho KY, Chua NH, George JM, Yeo SN, Main NB, Choo CY, Tan JW, Tan KH, Ng BY, Pain Association of Singapore Task Force Tags: Ann Acad Med Singapore Source Type: research

Successful ageing in Singapore--a viable goal?
PMID: 23417585 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - January 1, 2013 Category: Journals (General) Authors: Mahendran R, Feng L, Ng TP, Kua EH Tags: Ann Acad Med Singapore Source Type: research

Short- and long-term outcomes at 2, 5 and 8 years old for neonates at borderline viability--an 11-year experience.
CONCLUSION: Our results indicated that local figures for mortality and morbidity remained high at the limits of viability, although they were comparable to outcomes for large scale studies in advanced countries. PMID: 23417586 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - January 1, 2013 Category: Journals (General) Authors: Poon WB, Ho SK, Yeo CL Tags: Ann Acad Med Singapore Source Type: research

Viral hepatitis--the silent killer.
PMID: 22892603 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - July 1, 2012 Category: Journals (General) Authors: Oon GC Tags: Ann Acad Med Singapore Source Type: research

Pelvic inflammatory disease caused by Streptococcus pneumoniae in a heavy smoker after laparoscopic surgery.
PMID: 22892609 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - July 1, 2012 Category: Journals (General) Authors: Mack E, Wee HY Tags: Ann Acad Med Singapore Source Type: research

8th FY Khoo Memorial Lecture 2012--Why radiologists need philosophy.
PMID: 22892612 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - July 1, 2012 Category: Journals (General) Authors: Wang SC Tags: Ann Acad Med Singapore Source Type: research

Do parents talk to their adolescent children about sex?--findings from a community survey in Singapore.
CONCLUSION: Caregivers generally felt it was important but were significantly much less comfortable and confident talking about sexuality issues with their children, which leads to a lower frequency of caregiver-child sexuality communication. Educational programmes on adolescent sexual health targeting parents/caregivers are needed. They must be equipped with skills and provided with resources to enable them to talk to their adolescent children about sexuality. PMID: 22821244 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - June 1, 2012 Category: Journals (General) Authors: Hu Y, Wong ML, Prema V, Wong ML, Fong NP, Tsai FF, Vijaya K Tags: Ann Acad Med Singapore Source Type: research

prognostic significance of vascular endothelial growth factor C in systemic malignancies besides non-small cell lung carcinomas.
PMID: 22821252 [PubMed - indexed for MEDLINE] (Source: Ann Acad Med Singapo...)
Source: Ann Acad Med Singapo... - June 1, 2012 Category: Journals (General) Authors: Kapoor S Tags: Ann Acad Med Singapore Source Type: research