1.Teleradiology in Singapore--taking stock and looking ahead.
Lionel T E CHENG ; Samuel E S NG
Annals of the Academy of Medicine, Singapore 2006;35(8):552-556
Teleradiology will have a significant impact on the delivery of healthcare and the practice of medicine. In order to ensure a positive outcome, the expected benefits, limitations and potential pitfalls of teleradiology must be carefully considered. For Singapore, teleradiology can be used to facilitate a quantum leap in the standards of radiological services. This can be achieved through the development of an integrated, nationwide, high-speed radiology network which will allow patients to have access to high-quality and responsive subspecialty radiology expertise located throughout the country. If judiciously implemented, teleradiology has the potential to propel Singapore radiology to an unprecedented level of professional quality and service delivery, and will provide the framework for sustainable radiological insourcing from other countries.
Communication
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Economic Competition
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Health Services Accessibility
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Humans
;
International Cooperation
;
Outsourced Services
;
Quality of Health Care
;
Singapore
;
Teleradiology
;
organization & administration
;
trends
3.Demand for and accessibility to reproductive health service of urban floating population.
Journal of Huazhong University of Science and Technology (Medical Sciences) 2005;25(5):608-11
The demand for knowledge of productive health and the current status of productive health services provided by relevant governmental institutions were qualitatively and quantitatively studied. The study identified the key factors that influenced the demand for the productive health services and results of the services. It also discussed the effective approaches to control, planning and sustainable development of the reproductive health services for the floating populations.
Attitude to Health
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China
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Health Services Accessibility
;
Health Services Needs and Demand/*statistics & numerical data
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Questionnaires
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*Reproductive Health Services/supply & distribution
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Sampling Studies
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Transients and Migrants
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Travel
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Urban Health Services/*organization & administration
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Urban Health Services/standards
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Young Adult
4.Improving mental health care for people with an intellectual disability in Singapore: bridging the health-social care divide.
Ker-Chiah WEI ; Cheng LEE ; Rathi MAHENDRAN ; Choon Guan LIM
Singapore medical journal 2012;53(7):428-432
Intellectual disability is known to be associated with a high incidence of psychiatric co-morbidity and problem behaviours. However, there are many challenges in trying to meet the mental health needs of people with an intellectual disability, and these are often not adequately addressed in Singapore's current healthcare system. This article outlines the present service provisions for this area in the country and details the importance of, as well as difficulties in the integration of health and social care measures in service development and delivery.
Adult
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Child
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Education, Special
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Health Services Accessibility
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Health Services Needs and Demand
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Humans
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Intellectual Disability
;
epidemiology
;
rehabilitation
;
therapy
;
Intelligence Tests
;
Mental Health
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Mental Health Services
;
organization & administration
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Mentally Disabled Persons
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Program Development
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Quality of Health Care
;
Singapore
6.Practical Considerations for Converting Operating Rooms and Post-anaesthesia Care Units into Intensive Care Units in the COVID-19 Pandemic - Experience from a Large Singapore Tertiary Hospital.
Zihui TAN ; Priscilla Hui Yi PHOON ; Claudia Jong-Chie TIEN ; Johari KATIJO ; Shin Yi NG ; Meng Huat GOH
Annals of the Academy of Medicine, Singapore 2020;49(12):1009-1012
COVID-19 has spread globally, infecting and killing millions of people worldwide. The use of operating rooms (ORs) and the post-anaesthesia care unit (PACU) for intensive care is part of surge response planning. We aim to describe and discuss some of the practical considerations involved in a large tertiary hospital in Singapore. Firstly, considerations for setting up a level III intensive care unit (ICU) include that of space, staff, supplies and standards. Secondly, oxygen supply of the entire hospital is a major determinant of the number of ventilators it can support, including those on non-invasive forms of oxygen therapy. Thirdly, air flows due to positive pressure systems within the OR complex need to be addressed. In addition, due to the worldwide shortage of ICU ventilators, the US Food and Drug Administration has granted temporary approval for the use of anaesthesia gas machines for patients requiring mechanical ventilation. Lastly, planning of logistics and staff deployment needs to be carefully considered during a crisis. Although OR and PACU are not designed for long-term care of critically ill patients, they may be adapted for ICU use with careful planning in the current pandemic.
COVID-19/therapy*
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Critical Care/organization & administration*
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Critical Illness
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Health Care Rationing/organization & administration*
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Health Resources/organization & administration*
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Health Services Accessibility/organization & administration*
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Humans
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Intensive Care Units/organization & administration*
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Operating Rooms/organization & administration*
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Pandemics
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Respiration, Artificial
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Singapore/epidemiology*
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Tertiary Care Centers/organization & administration*
7.The best corrected presenting distance visual acuity in forensic medicine.
Journal of Forensic Medicine 2011;27(3):208-210
At present the sight impairment evaluation in forensic medicine of China is based on the international classification of disease by WHO in 1973. The main measured indicator is "best corrected visual acuity". It is different from "presenting distance visual acuity" in some situations. In the new blindness and vision loss classification made by WHO in 2003, "presenting distance visual acuity" took the place of the "best corrected visual acuity". In the practice of forensic medicine, "presenting distance visual acuity" can not reflect the real visual acuity duo to the exaggeration or disguise of the wounded. We suggest to use "the best corrected presenting distance visual acuity" instead of "presenting distance visual acuity" in order to avoid the influences of the exaggeration or disguise of the wounded.
Activities of Daily Living
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Blindness/diagnosis*
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China
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Expert Testimony
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Forensic Medicine
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Health Services Accessibility
;
Humans
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Vision Disorders/diagnosis*
;
Visual Acuity
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Visual Field Tests/standards*
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Visual Fields
;
Visually Impaired Persons
;
World Health Organization