Dr Jeremy Lin, a consultant at the Division of Paediatric Neurology, Khoo Teck Puat – National University Children’s Medical Institute, National University Hospital, Singapore, provides Roshini Claire Anthony with an in-depth look on spina bifida and explains the crucial role played by the primary care physician in managing this condition.
Migraine and headache are common ailments of people living in the modern era. Dr Jon Marshall of The Singapore Headache and Migraine Clinic shares his insights with Pearl Toh on how to manage migraine and headache using non-pharmaceutical strategies, with a focus on the manual medicine approach.
Depression is more prevalent among women than men.1 Given women’s central role in the family, postnatal depression must be addressed accordingly. Audrey Abella speaks with Dr Chua Tze-Ern, Head and Senior consultant, Women’s Mental Wellness Service at the Department of Psychological Medicine at KK Women’s and Children’s Hospital, Singapore, to discuss the importance of tackling postnatal depression in primary care.
Attention-deficit/hyperactivity disorder (ADHD) has traditionally been perceived as a childhood condition. Audrey Abella speaks with Dr Lim Boon Leng, psychiatrist at the Centre for Psychological Wellness at Gleneagles Medical Centre, Singapore, to shed light on adult ADHD and share insights on managing this condition in primary care.
Dr Poon Shi Hui, a consultant at the Department of Psychiatry at Singapore General Hospital, speaks to Roshini Claire Anthony on the different types of insomnia and the various management strategies deployed for each type.
Case 1: A 73-year-old man with good past health presented to the emergency department with a few days’ history of involuntary low-amplitude unpredictable movements of his left arms and legs.
Case 2: An 84-year-old man with a few years’ history of type 2 diabetes mellitus was admitted with 2 days’ history of involuntary flinging movements of his right arm and leg.
A 38-year-old right-handed man had had epilepsy since 2 months of age. There was no relevant family history. Perinatal history was unremarkable. No other risk factors such as central nervous system infection or cerebral trauma were identified. Developmental history did not show major delay. His epilepsy was uncontrolled despite trying valproate, carbamazepine, clobazam, levetiracetam, oxcarbamazepine and perampanel.
Associate Professor Reshma A Merchant, Head & Senior Consultant of the Division of Geriatric Medicine at the National University Hospital, Singapore, speaks with Audrey Abella to discuss the challenges associated with dementia, its impact on the ageing population, and how this condition can be best managed in primary care.
The standard combination therapy against paediatric migraine—consisting of a combination of parenteral medications—appears to yield moderate pain relief, which persists up to 1 week after administration, a new study has found.
The phase III OPTIMUM (Oral Ponesimod Versus Teriflunomide In Relapsing Multiple Sclerosis) study shows that ponesimod is superior to teriflunomide in reducing annualized relapse rate (ARR), fatigue, MRI activity, and brain volume loss in relapsing multiple sclerosis (RMS).