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Full-Text Articles in Medicine and Health Sciences

Attitudes As Barriers In Breast Screening: A Prospective Study Among Singapore Women, Paulin Tay Straughan, Adeline Seow Dec 2000

Attitudes As Barriers In Breast Screening: A Prospective Study Among Singapore Women, Paulin Tay Straughan, Adeline Seow

Research Collection School of Social Sciences

Health care systems do not exist in isolation, but rather, as part of the larger social and cultural mosaic. In particular, perceived attitudes are major obstacles in health promotion exercises. This problem is especially true for non-white populations where little is known about the prevailing social and cultural perceptions towards western biomedical prescriptions. To further our understanding of Asian women's acceptance of mammograms, three attitudinal indexes are conceptualised, constructed and validated. Data fi om a prospective survey showed the significance of fatalistic attitudes, perceived barriers and perceived efficacy of early detection in predicting women's acceptance of a free mammogram at …


The Ethics Of Placebo-Controlled Trials In Developing Countries To Prevent Mother-To-Child Transmission Of Hiv, John N. Williams Sep 2000

The Ethics Of Placebo-Controlled Trials In Developing Countries To Prevent Mother-To-Child Transmission Of Hiv, John N. Williams

Research Collection School of Social Sciences

Placebo-trials on HIV-infected pregnant women in developing countries like Thailand and Uganda have provoked recent controversy. Such experiments aim to find a treatment that will cut the rate of vertical transmission more efficiently than existing treatments like zidovudine. This scenario is first stated as generally as possible, before three ethical principles found in the Belmont Report, itself a sharpening of the Helsinki Declaration, are stated. These three principles are the Principle of Utility, the Principle of Autonomy and the Principle of Justice. These are taken as voices of moral imperative. But although each has intuitive appeal, it can be shown …


Prognostic Impact Of P53 Status In Ewing Sarcoma, E. De Alava, C. Antonescu, A. Panizo, Denis H. Y. Leung, P. Meyers, A. Huvos, F. J. Pardo-Mindan, J. Healey, M. Ladanyi Aug 2000

Prognostic Impact Of P53 Status In Ewing Sarcoma, E. De Alava, C. Antonescu, A. Panizo, Denis H. Y. Leung, P. Meyers, A. Huvos, F. J. Pardo-Mindan, J. Healey, M. Ladanyi

Research Collection School Of Economics

Disease stage at the time of diagnosis and response to therapy are the main prognostic factors for patients with Ewing sarcoma or peripheral neuroectodermal tumor (ES/PNET). The primary genetic alteration in ES/PNET, the fusion of the EWS gene with FLI1 or ERG, is diagnostically highly specific for these tumors, and molecular variation in the structure of the EWS-FLI1 fusion gene also is of prognostic significance. In contrast, secondary genetic alterations, such as P53 alterations, are relatively uncommon in ES/PNET, and their prognostic impact has not been extensively studied. METHODS: Prechemotherapy, paraffin embedded, nondecalcified, primary tumor material in a well-characterized series …


Decision Support Methods In Diabetic Patient Management By Insulin Administration Neural Network Vs. Induction Methods For Knowledge Classification, B. V. Ambrosiadou, S. Vadera, Venky Shankaraman, D. Goulis, G. Gogou May 2000

Decision Support Methods In Diabetic Patient Management By Insulin Administration Neural Network Vs. Induction Methods For Knowledge Classification, B. V. Ambrosiadou, S. Vadera, Venky Shankaraman, D. Goulis, G. Gogou

Research Collection School Of Computing and Information Systems

Diabetes mellitus is now recognised as a major worldwide public health problem. At present, about 100 million people are registered as diabetic patients. Many clinical, social and economic problems occur as a consequence of insulin-dependent diabetes. Treatment attempts to prevent or delay complications by applying ‘optimal’ glycaemic control. Therefore, there is a continuous need for effective monitoring of the patient. Given the popularity of decision tree learning algorithms as well as neural networks for knowledge classification which is further used for decision support, this paper examines their relative merits by applying one algorithm from each family on a medical problem; …


A Review Of Offenders In A State Psychiatric Hospital, L. E. C. Lim, L. L. Tan, M. Sung, K. L. Chan, M. I. Loh, Paulin T. Straughan Mar 2000

A Review Of Offenders In A State Psychiatric Hospital, L. E. C. Lim, L. L. Tan, M. Sung, K. L. Chan, M. I. Loh, Paulin T. Straughan

Research Collection School of Social Sciences

Patients remanded over a two-year period to Woodbridge Hospital by Court Order were studied retrospectively. Schizophrenia was the most common diagnosis, theft and robbery the most prevalent offences. Males greatly outnumbered females. There were important gender differences, with males tending to commit sexual offences and females, theft and mischief. Males were less likely to be acquainted with their victims but those who caused hurt were more likely to know their victims. Outrage of modesty and theft were more likely to be committed against strangers. The reconviction rate was 26%, with repeat offenders more likely to commit sexual offences and theft. …


Two Hundred Gastrointestinal Stromal Tumors: Recurrence Patterns And Prognostic Factors For Survival, Ronald P. Dematteo, Jonathan J. Lewis, Denis H. Y. Leung, Salvinder S. Mudan, James M. Woodruff, Murray F. Brennan Jan 2000

Two Hundred Gastrointestinal Stromal Tumors: Recurrence Patterns And Prognostic Factors For Survival, Ronald P. Dematteo, Jonathan J. Lewis, Denis H. Y. Leung, Salvinder S. Mudan, James M. Woodruff, Murray F. Brennan

Research Collection School Of Economics

Objective: To analyze the outcome of 200 patients with gastrointestinal stromal tumor (GIST) who were treated at a single institution and followed up prospectively. Summary Background Data: A GIST is a visceral sarcoma that arises from the gastrointestinal tract. Surgical resection is the mainstay of treatment because adjuvant therapy is unproven. Methods: Two hundred patients with malignant GIST were admitted and treated at Memorial Hospital during the past 16 years. Patient, tumor, and treatment variables were analyzed to identify patterns of tumor recurrence and factors that predict survival. Results: Of the 200 patients, 46% had primary disease without metastasis, 47% …


The Long Term Effects Of Angiotensin Converting Enzyme Inhibition And Metabolic Control On Cardiovascular And Renal Outcomes In Hypertensive Type 2 Diabetic Patients, Julien C. N. Chan, Gary T. C. Ko, Denis H. Y. Leung Jan 2000

The Long Term Effects Of Angiotensin Converting Enzyme Inhibition And Metabolic Control On Cardiovascular And Renal Outcomes In Hypertensive Type 2 Diabetic Patients, Julien C. N. Chan, Gary T. C. Ko, Denis H. Y. Leung

Research Collection School Of Economics

Long-term effects of angiotensin-converting enzyme inhibition and metabolic control in hypertensive type 2 diabetic patients. Background. In hypertensive type 2 diabetic patients, treatment with angiotensin-converting enzyme (ACE) inhibitors is associated with a lower incidence of cardiovascular events than those treated with calcium channel-blocking agents. However, the long-term renal effects of ACE inhibitors in these patients remain inconclusive. In 1989, we commenced a placebo-controlled, double-blind, randomized study to examine the anti-albuminuric effects of enalapril versus nifedipine (slow release) in 102 hypertensive, type 2 diabetic patients. These patients have been followed up for a mean trial duration of 5.5 ± 2.2 years. …