EVALUATION OF ENERGY PERFORMANCE USING DOE-2 ENERGY SIMULATION PROGRAM IN SINGAPORE

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Po Seng Kian

2000-01-01

Full Text Available Recently, due to worldwide energy cost rising significantly, there has been an essential need to minimize the energy consumption. This global warning address many countries including Singapore realizing the important of energy efficiency in industries and buildings. This paper deals with analyzing the energy consumption of an 11-storey commercial building in Singapore using DOE-2 Energy Simulation Program. A study is made on the benefits derived from modifying the building envelope, space system setting, air-conditioning plant, and lighting. This encompasses a description of its quantitative impact on cooling load, energy consumption and energy saving achieved as compared with the original building. Following this, a life cycle costing is done to determine the economic benefits attained from this modification. This study shows that some alternative solutions can be achieved using energy simulation program to conserve the energy consumption.

Simulating Residential Demand in Singapore through Five Decades of Demographic Change

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Davis, N. R.; Fernández, J.

2011-12-01

Singapore's rapid and well-documented development over the last half-century provides an ideal case for studying urban metabolism. Extensive data [1, 2] facilitate the modeling of historical dynamics of population and resource consumption. This paper presents an agent-based population model that simulates key demographic factors - number, size, and relative income of households - through fifty years of development in Singapore. This is the first step in a broader study linking demographic factors to residential demand for urban land, materials, water, and energy. Previous studies of the resource demands of housing stock have accounted for demographics by modifying the important population driver with a single, aggregated "lifestyle" term [3, 4]. However, demographic changes that result from development can influence the nature of the residential sector, and warrant a closer look. Increasing levels of education and affluence coupled with decreasing birth rates have yielded an aging population and changing family structures in Singapore [5]. These factors all contribute to an increasingly resource-intense residential sector. Singaporeans' elevated per capita income and life expectancy have created demand for larger household area, which means a growing percentage of available land must be dedicated to residential use [6]. While the majority of Singapore's housing is public - a strategy designed to maximize land use efficiency - residents are increasingly seeking private alternatives [7]. In the private sector, lower density housing puts even greater pressure on the finite supply of undeveloped land. Agent-based modeling is used to study the selected aspects of demography. The population is disaggregated into historical time-series distributions of age, family size, education, and income. We propose a simplified methodology correlating average education level with birth rate, and income to categorize households and establish housing unit demand. Aggregated lifestyle

"Crossing" in Singapore

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Vaish, Viniti; Roslan, Mardiana

2011-01-01

This paper explores the way a group of pre-teens in Singapore use Malay, Chinese and English to perform identity. It is based on one case study of a Malay girl, Syafiqah, from a larger project called The Sociolinguistic Survey of Singapore 2006, and does not claim to be generalizable. The data are transcripts of recordings made on the speech…

Singapore's double festival

Energy Technology Data Exchange (ETDEWEB)

Fraser, Gordon

1990-09-15

Coinciding with celebrations for the nation's 25th anniversary, the 25th International Conference on High Energy Physics, held in Singapore from 2-8 August, was itself a double festival, with the Standard Model of contemporary physics and CERN's new LEP electron-positron collider providing the twin themes.

Oil price fluctuations and Singapore economy

International Nuclear Information System (INIS)

Youngho Chang; Joonfong Wong

2003-01-01

This study finds that the impact of an oil price shock on the Singapore economy is marginal. Both impulse response and variance decomposition analysis provide reasonable grounds to believe that the impact only had an insignificant adverse effect on Singapore's gross domestic product (GDP), inflation and unemployment rates. Further analysis on two oil vulnerability measures supports the finding: the declining trend of oil intensity in Singapore since 1989 and the declining shares of the Singapore's expenditure on oil consumption as a percentage of its nominal GDP. This study identifies, however, that the impact of an oil price shock on the Singapore economy should not be considered negligible even though it is small. (Author)

Oil price fluctuations and Singapore economy

International Nuclear Information System (INIS)

Chang Youngho; Wong, Joon Fong

2003-01-01

This study finds that the impact of an oil price shock on the Singapore economy is marginal. Both impulse response and variance decomposition analysis provide reasonable grounds to believe that the impact only had an insignificant adverse effect on Singapore's gross domestic product (GDP), inflation and unemployment rates. Further analysis on two oil vulnerability measures supports the finding: the declining trend of oil intensity in Singapore since 1989 and the declining shares of the Singapore's expenditure on oil consumption as a percentage of its nominal GDP. This study identifies, however, that the impact of an oil price shock on the Singapore economy should not be considered negligible even though it is small

Singapore Education Sector Analysis: Improvement and Challenges in Academic Performance of Four Ethnic Groups in Singapore.

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Yamashita, Mika

Singapore is a multi-ethnic nation-state with the following ethnic groups: Chinese (76.8%), Malay (13.9%), Indian (7.9%), and Others (1.4%) such as Eurasians, Europeans, Arabs, Jews, and Japanese. A bilingual policy, which takes English as a lingua franca and Mandarin, Malay, and Tamil as mother tongue for each ethnic group, reflects this…

Report on the international conference and bridge inspection in Singapore and Hong Kong. `97 Singapore and Hong Kong inspector group; Singapore Hong Kong no kokusai kaigi to kyoryo shisatsu hokoku. `97 Singapore Hong Kong shisatsudan

Energy Technology Data Exchange (ETDEWEB)

Abe, N.; Arai, H.; Shiota, R.; Takagaki, T.; Mori, T.

1997-07-31

The 4th International Symposium on Noteworthy Development in Prestressing and Precasting was held in Singapore in July 1997. The `97 Singapore and Hong Kong inspector group was organized by the Japan Prestressed Concrete Engineering Association to participate the symposium and inspect some bridges. The symposium consisted of reading of 17 presented papers (including questions and answers) related to introduction of PC and PCa structures of every country, PCa void lower slab for building floors, bridge, PCa joint, PCa residence, earthquake resistance, and structure analysis. Suzuki`s keynote address `Development and present state of PC road bridges in Japan` classified PC road bridges ranging from an early PC beam bridge to a recent PC cable stayed bridge and PC extra-dosed bridge for every kind and period, and systematically presented the growth of the Japanese highway network and PC bridge. The inspector group visited 3 bridges in Singapore, and 3 bridges in Hong Kong. 8 figs., 2 tabs.

Diarrheagenic pathogens in adults attending a hospital in Singapore.

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Chau, Man Ling; Hartantyo, Sri Harminda Pahm; Yap, Min; Kang, Joanne Su Lin; Aung, Kyaw Thu; Gutiérrez, Ramona Alikiiteaga; Ng, Lee Ching; Tam, Clarence C; Barkham, Timothy

2016-01-28

Singapore's diarrhoeal notification system is based on specific pathogens. Official data may thus be skewed towards notifiable diseases. Limited information is available on the profiles of aetiological agents responsible for acute gastroenteritis (AGE) cases, especially among the adult population. To understand the frequency and distribution of potential causative agents of diarrheal disease in Singapore, we screened adults' stool samples collected from a large public hospital. The stool samples were screened for 18 diarrheagenic pathogens using a combination of commercial multiplex polymerase chain reaction (PCR), in-house singleplex PCR and immunochromatographic assays. One hundred adult faecal samples that were collected from October 2013 to January 2014 for routine diagnostic purposes and submitted for culture at Tan Tock Seng Hospital, Singapore were used. Pathogens were detected in 32% of the samples. The predominant organisms encountered were norovirus genogroup II (11%), Aeromonas spp. (9%) and Campylobacter spp. (5%). One sample was positive for both verocytotoxigenic E. coli (VTEC) and E. coli O157:H7. Two other samples were positive for VTEC only, and one other sample was positive for E. coli O157:H7 only. Astrovirus, C. perfringens, Shigella spp. and toxigenic C. difficile were each detected in 2% of the samples. Cryptosporidium parvum, Giardia lamblia, group A rotavirus, Salmonella spp. and Vibrio spp. were each detected in 1% of the samples. No L. monocytogenes, Y. enterocolitica, enteric adenovirus, or norovirus genogroup I were detected. Our preliminary findings suggest that pathogens causing non-notifiable diseases might have contributed considerably to the adult hospitalised AGE cases. However, as the samples were from an adult hospital, the data obtained may not be representative of the whole community. Thus, a larger study to collect clinical samples and risk exposure data from primary healthcare clinics and children hospital is planned for, to

The Singapore research story

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Teck Seng, Low; Thampuran, Raj

2016-01-01

Ever since Singapore became independent in 1965, its leaders have invested tremendous efforts and resources to develop its economy in order to create jobs for its people and to support national development. This book describes the challenging journey of Singapore in developing a knowledge-based economy driven by research and innovation and the roles played by research institutes, universities, research manpower and appropriate collaboration between research institutes and industry. The book traces the foundations of Singapore's research story from the time of its independence in 1965 to the present day. Through interviews with the key players and research into the records, the establishment of the key institutes and the roles of a global cast of researchers, scientists and engineers in setting up the R&D infrastructure are outlined. The impact that the concerted efforts of the last 25 years to build up a credible and world-class research capability in Singapore is discussed, as are the tremendous challeng...

A Study on the Comprehensive and Integrated Workplace Safety and Health Services in Singapore.

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Chia, Sin Eng; Wah, Lim John; Khim, Judy Sng Gek; Yoong, Joanne; Lim, Raymond Boon Tar; Seng, Chia Kee

2015-09-01

The aim of this study was to evaluate the level of comprehensiveness and integration of workplace safety and health (WSH) services (safety, occupational health, and well-being) in Singapore. Thirty workplaces from five different sectors comprising more than 28,000 workers were assessed using three custom-developed tools. One quarter of the workplaces have applied the principles of comprehensive and integrated WSH. Among those that managed WSH comprehensively, workers were 4.4 times (95% confidence interval [CI], 2.33 to 8.25) more likely to be proud to work for their company, 7.4 times (95% CI, 3.96 to 13.90) more likely to be satisfied with their current job, and 1.7 times (95% CI, 1.21 to 2.32) more likely to balance the demands of work and home. There is a need to enhance awareness and education on comprehensive and integrated WSH in Singapore companies.

Evolution of Singapore's School Mathematics Curriculum

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Kaur, Berinderjeet

2014-01-01

The evolution of Singapore's school mathematics curriculum is in tandem with developments in the education system of Singapore. In the last six decades, economic policies of the government that are necessary for the survival of Singapore in a fast changing world have shaped the aims of the school mathematics curriculum. The present day curriculum…

Trends in patterns of anterior uveitis in a tertiary institution in singapore.

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Tan, Wai Jia; Poh, Eugenie W; Wong, Poh-Ying; Ho, Su-Ling; Lim, Wee-Kiak; Teoh, Stephen C

2013-08-01

To report the trends in etiology of patients with anterior uveitis (AU) in Singapore over 6 years. A retrospective review of the clinical records of all new patients who presented with anterior uveitis to the uveitis subspecialty clinic from 2005 to 2010 at Tan Tock Seng Hospital, Singapore. There were 552 new cases of AU. This comprised 59.5% of a total of 928 new patients diagnosed with uveitis from 2005 to 2010. The mean age was 48.0 ± 17.2 years. There was a male predominance (62.5%), with a male:female ratio of 1.7:1. The majority were of Chinese ethnicity (69%), followed by Malays (13.2%). Most cases were unilateral (79.5%) and idiopathic (50.4%). Common etiological causes included Fuchs heterochromic iridocyclitis (FHI) (5.6%), ankylosing spondylitis (AS)-related AU (5.1%), herpes simplex virus (HSV) (4.7%), and herpes zoster virus (HZV) (4.5%). There were increasing trends in AS-related AU from 3.2% in 2008 to 6.5% in 2010, and psoriasis-associated AU from 1.7% in 2005 to 4.0% in 2008. There were decreasing trends in the incidence of FHI from 10.6% in 2006 to 4.7% in 2009. No change in incidence of viral etiologies was noted, but cytomegalovirus-related immune-recovery uveitis (IRU) comprised 7.4%. IRU showed an increasing trend from 1.7% in 2005 to 11.9% in 2007, then decreased to 3.3% in 2010. Using the Pearson chi-square test, there was no statistically significant association between ethnicities (Chinese, Malay, Indian) comparing infectious and noninfectious cases (p = 0.788), idiopathic and nonidiopathic cases (p = 0.170), or between the various etiologies of uveitis (p = 0.168). AU was the predominant form of uveitis seen at our centers. Infectious etiologies (18.5%) are the most common among nonidiopathic cases, with herpes viruses (9.2%) being most prevalent. Despite increased use of polymerase chain reaction (PCR) in the detection of microbial and viral DNA, there was no overall increase in detection of infectious causes for

Heterocyclic aromatic amines in domestically prepared chicken and fish from Singapore Chinese households.

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Salmon, C P; Knize, M G; Felton, J S; Zhao, B; Seow, A

2006-04-01

Chicken and fish samples prepared by 42 Singapore Chinese in their homes were obtained. Researchers were present to collect data on raw sample weight, cooking time, maximum cooking surface temperature, and cooked sample weight. Each participant prepared one pan-fried fish sample and two pan-fried chicken samples, one marinated, one not marinated. The cooked samples were analyzed for five heterocyclic aromatic amine (HAA) mutagens, including MeIQx (2-amino-3,8-dimethylimidazo[4,5-f]quinoxaline); 4,8-DiMeIQx (2-amino-3,4,8-trimethylimidazo[4,5-f]quinoxaline); 7,8-DiMeIQx (2-amino-3,7,8-trimethylimidazo[4,5-f]quinoxaline); PhIP (2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine), and IFP (2-amino-(1,6-dimethylfuro[3,2-e]imidazo[4,5-b])pyridine). A paired Student's t-test showed that marinated chicken had lower concentrations of PhIP (pchicken, and also that weight loss due to cooking was less in marinated chicken than in non-marinated chicken (pchicken (pchicken (pchicken (pchicken (pchicken (p<0.05). This study provides new information on HAA content in the Singapore Chinese diet.

English Literatures in Post-Colonial Singapore

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Dass, Rozita

2015-01-01

The emergence of a vibrant literary, culture and arts scene promotes Singapore's claims as a hub for arts and culture in the Asian region, and as a global arts city by the 21st century. The richness and variety of Singapore literature from the early post-colonial years are evident in the evolution of a Singapore literary culture. The diaspora of…

Singapore Paediatric Resuscitation Guidelines 2016.

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Ong, Gene Yong Kwang; Chan, Irene Lai Yeen; Ng, Agnes Suah Bwee; Chew, Su Yah; Mok, Yee Hui; Chan, Yoke Hwee; Ong, Jacqueline Soo May; Ganapathy, Sashikumar; Ng, Kee Chong

2017-07-01

We present the revised 2016 Singapore paediatric resuscitation guidelines. The International Liaison Committee on Resuscitation's Pediatric Taskforce Consensus Statements on Science and Treatment Recommendations, as well as the updated resuscitation guidelines from the American Heart Association and European Resuscitation Council released in October 2015, were debated and discussed by the workgroup. The final recommendations for the Singapore Paediatric Resuscitation Guidelines 2016 were derived after carefully reviewing the current available evidence in the literature and balancing it with local clinical practice. Copyright: © Singapore Medical Association.

Conducting clinical trials in Singapore.

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Woo, K T

1999-04-01

All clinical trials in Singapore will now have to conform to the Medicines (Clinical Trials) Amended Regulations 1998 and the Singapore Good Clinical Practice (GCP) Guidelines 1998. The Medical Clinical Research Committee (MCRC) has been established to oversee the conduct of clinical drug trials in Singapore and together with the legislations in place, these will ensure that clinical trials conducted in Singapore are properly controlled and the well-being of trial subjects are safe guarded. All clinical drug trials require a Clinical Trial Certificate from the MCRC before the trial can proceed. The hospital ethics committee (EC) vets the application for a trial certificate before it is sent to MCRC. The drug company sponsoring the trial has to indemnify the trial investigators and the hospital for negligence arising from the trial. The MCRC, apart from ensuring the safety of trial subjects, has to provide continuing review of the clinical trial and monitors adverse events in the course of the trial. The EC will conduct continuing review of clinical trials. When a non-drug clinical trial is carried out, the EC will ensure that the proposed protocol addresses ethical concerns and meets regulatory requirements for such trials. There is great potential for pharmaceutical Research & Development (R&D) in Singapore. We must develop our skills and infrastructure in clinical trials to enable Singapore to be a regional hub for R&D of drugs in Asia.

Mathematics Education in Singapore - an Insider's Perspective

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Kaur, Berinderjeet

2014-01-01

Singapore's Education System has evolved over time and so has Mathematics Education in Singapore. The present day School Mathematics Curricula can best be described as one that caters for the needs of every child in school. It is based on a framework that has mathematical problem solving as its primary focus. The developments from 1946 to 2012 that have shaped the present School Mathematics Curricula in Singapore are direct consequences of developments in the Education System of Singapore dur...

Forensic psychiatry in Singapore.

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Chan, Lai Gwen; Tomita, Todd

2013-12-01

Singapore is a geographically small nation-state that has transformed itself from a third-world country to a developed nation after attaining political independence 46 years ago. The pace of change has been tremendous and mental health care is no exception. This paper provides an overview of mental health care and a review of key mental health legislation, including a National Mental Health Blueprint that was rolled out in 2007. On this background, the paper focuses on a description of forensic psychiatric services in Singapore. The role of the Department of Forensic Psychiatry at the Institute of Mental Health, which is the only forensic psychiatry department in the country, will be highlighted. Civil commitment and the treatment of unfit accused persons and insanity acquittees is reviewed. The role of forensic psychiatric assessments in the Singapore courts is examined. The application of the insanity and diminished responsibility defenses are reviewed. A trend is identified in the Singapore courts towards a more rehabilitation-focused sentencing approach and the role that forensic psychiatric assessments play in cases involving mentally disordered offenders is highlighted. Copyright © 2013 Wiley Publishing Asia Pty Ltd.

The U.S.-Singapore Free Trade Agreement: Effects After Five Years

Science.gov (United States)

2010-03-26

U.S. service providers in Singapore under the FTA , Citibank has been able to expand its operations there (it has 50% of the credit card market...failing to comply with a collection of information if it does not display a currently valid OMB control number. 1. REPORT DATE 26 MAR 2010 2. REPORT...U.S.-Singapore Free Trade Agreement: Effects After Five Years Congressional Research Service Summary The U.S.-Singapore Free Trade Agreement ( FTA

Singapores uddannelsessystem og læringsmiljø

DEFF Research Database (Denmark)

Caeli, Elisa Nadire; Chan, Michael

2018-01-01

I uddannelsesverdenen er Singapore kendt som den nation, der rangerer højest ud af de 72 nationer i PISA’s undersøgelse af elevers præstationer på fagområderne naturvidenskab, matematik og læsning. Det har i danske medier skabt fængende slaglinjer som ”I Singapore er de bare bedst” (Berlingske......, 2016), der indikerer, at Singapores uddannelsessystem må være bedre end det danske, når de formår gang på gang at stryge til tops i faglige test, mens vi danderer den længere nede ad rangstigen. Så enkel er forklaringen imidlertid ikke, mener denne artikels forfattere. Singapore anses ganske vist som...... uddannelse. Denne artikel har til formål at give indsigt i Singapores uddannelsessystem og læringsmiljø og singaporeanske børns (skole)liv med henblik på at forstå, hvad to nationer som Danmark og Singapore kan lære af hinanden og at eliminere slaglinjer som den nævnte ved at beskrive de mange faktorer, der...

Opt-out of voluntary HIV testing: a Singapore hospital's experience.

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Chua, Arlene C; Leo, Yee Sin; Cavailler, Philippe; Chu, Christine; Ng, Aloysius; Ng, Oon Tek; Krishnan, Prabha

2012-01-01

Since 2008, the Singapore Ministry of Health (MOH) has expanded HIV testing by increasing anonymous HIV test sites, as well as issuing a directive to hospitals to offer routine voluntary opt out inpatient HIV testing. We reviewed this program implemented at the end of 2008 at Tan Tock Seng Hospital (TTSH), the second largest acute care general hospital in Singapore. From January 2009 to December 2010, all inpatients aged greater or equal than 21 years were screened for HIV unless they declined or were not eligible for screening. We reviewed the implementation of the Opt Out testing policy. There were a total of 93,211 admissions; 41,543 patients were included based on HIV screening program eligibility criteria. Among those included, 79% (n = 32,675) opted out of HIV screening. The overall acceptance rate was 21%. Majority of eligible patients who were tested (63%) were men. The mean age of tested patients was 52 years. The opt out rate was significantly higher among females (OR: 1.5, 95%CI: 1.4-1.6), aged >60 years (OR: 2.3, 95%CI: 2.2-2.4) and Chinese ethnicity (OR: 1.7, 95%CI:1.6-1.8). The false positive rate of the HIV screening test is 0.56%. The proportion of patients with HIV infection among those who underwent HIV screening is 0.18%. All 16 confirmed HIV patients were linked to care. The default opt-in rate of inpatient HIV testing was low at Tan Tock Seng Hospital, Singapore. Efforts to address individual HIV risk perception and campaigns against HIV stigma are needed to encourage more individuals to be tested for HIV.

The Passive in Singapore English.

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Bao, Zhiming; Wee, Lionel

1999-01-01

Presents an analysis of the two passive (or passive-like) constructions in Singapore English which exhibit substrate influence from Malay and Chinese. The paper shows that while substrate languages contribute to the grammar of Singapore English, the continued prestige of standard English exerts normative pressure and mitigates the effect of…

Characterization of Singapore RDF resources and analysis of their heating value

Directory of Open Access Journals (Sweden)

Lei Zhao

2016-01-01

Full Text Available Refuse Derived Fuel (RDF was formulated from several municipal waste components in Singapore in order to maximize energy efficiency and minimize the environmental impacts. At first, the physicochemical properties (proximate and ultimate analysis, chloro, heavy metals and the heating values of waste components were analyzed to assess their thermal behaviour. Three RDF prototypes were formulated by combining individual waste type in various fractions with respect to their properties and heating values. Landfill mining material and chicken manure were also involved in the RDF formation as alternative fuel sources. Optimum RDF was formulated consisting of 42% plastics, 41% paper/cardboard, 7% textile and 10% horticultural waste, based on the existing Singapore waste composition. This RDF had a lower heating value of 23.7 MJ kg−1, which was less than mineral fuel but it could meet the fuel requirements given in the European standards. The addition of chicken manure and landfill mining material in RDF lowered the heating value and increased heavy metal concentration, but they are considered good alternative fuel. It is believed that power plants or dedicated incinerators could be potential end-users of RDF in Singapore.

Singapore refiners in midst of huge construction campaign

International Nuclear Information System (INIS)

Land, R.

1992-01-01

This paper reports that Singapore's downstream capacity continues to mushroom. Singapore refiners, upbeat about long term prospects for petroleum products demand in the Asia-Pacific region, and are pressing plans to boost processing capacity. Their plans go beyond capacity expansions. They are proceeding with projects to upgrade refineries to emphasize production of higher value products and to further integrate refining capabilities wit the region's petrochemical industry. Planned expansion and upgrading projects at Singapore refineries call for outlays of more than $1 billion to boost total capacity to about 1.1 million b/d in 1993 and 1.27 million b/d by 1995. That would be the highest level since the mid-1980s, when refiners such as Shell Singapore cut capacity amid an oil glut. Singapore refineries currently are running at effective full capacity of 1.04 million b/d. Meanwhile, Singapore refiners are aggressively courting customers in the Indochina subcontinent, where long isolated centrally planned economies are turning gradually to free markets

Prevalence and risk factors of depression in the elderly nursing home residents in Singapore.

Science.gov (United States)

Tiong, Wei Wei; Yap, Philip; Huat Koh, Gerald Choon; Phoon Fong, Ngan; Luo, Nan

2013-01-01

Depression is a common health problem in elderly nursing home (NH) residents and is often under-recognized and under-treated. This study aimed to determine the prevalence rates of depression and identify the risk factors associated with depression in the elderly NH population in Singapore. A sample of 375 residents in six NHs in Singapore, aged 55 years and above, was assessed with the Structural Clinical Interview (SCID), based on the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) criteria. The association of demographic, functional and health-related characteristics with depression was examined using multivariate logistic regression analyses. Overall point prevalence for depression in the elderly NH residents was found to be 21.1% (95% confidence intervals (CI): 17.1%-25.6%). The prevalence rate for minor depression in the elderly NH residents was 14.4% (95% CI: 11.1%-18.5%) and 6.7% (95% CI: 4.5%-9.8%) for major depression. Significant risk factors that were found to be associated with depression were length of stay for more than 2 years, known history of depression, pain, and no or lack of social contact. The prevalence rates for depression were high among NH residents in Singapore. More attention is needed to care for the psychosocial needs of elderly NH residents in Singapore.

Event coverage: ESMO Asia Congress returns to Singapore

Directory of Open Access Journals (Sweden)

Editorial Office

2016-12-01

Full Text Available The second ESMO Asia 2016 Congress, led by an international committee to promote the sharing of expertise and interaction between regional and international experts in oncology, returned for a second appearance at the Suntec Convention and Exhibition Centre in Singapore recently. Organized by the European Society for Medical Oncology (ESMO, the Asian leg of the annual scientific and educational congress was held from December 16–19th, 2016 and attended by over 2,000 healthcare professionals and exhibitors, including representatives from AMOR who were also present to cover the event. ESMO Asia 2016 brought together oncologists from the Asian region and beyond to discuss important discoveries in oncology and to update delegates on the latest standards of care, the organizer noted in its media release. More specifically, delegates attending the meeting took the opportunity to exchange thoughts and ideas on current clinical challenges and novel treatment strategies for a variety of tumor subtypes, as well as to highlight emerging cancer therapeutics that are rapidly gaining attention in clinical settings. In addition to highlighting the latest in cancer research, the congress also sought to underscore bioethical, economic, and social challenges posed by cancer by addressing crucial issues such as the rising costs of treatments, the need for psychological support for patients, the need for better palliative care, and the vital importance of improving access to innovative drugs. In this edition of the ESMO Asia congress, the keynote lectures consisted of two topics: how the differences between tumors can impact the design of effective treatments, and the link between common Epstein-Barr virus and nasopharyngeal cancer. With these two keynote lectures setting the tone for the congress, delegates saw a wide range of key discussions pertaining to the clinical relevance of molecular advances and innovative treatment approaches. Moreover, sessions that

Opt-out of voluntary HIV testing: a Singapore hospital's experience.

Directory of Open Access Journals (Sweden)

Arlene C Chua

Full Text Available INTRODUCTION: Since 2008, the Singapore Ministry of Health (MOH has expanded HIV testing by increasing anonymous HIV test sites, as well as issuing a directive to hospitals to offer routine voluntary opt out inpatient HIV testing. We reviewed this program implemented at the end of 2008 at Tan Tock Seng Hospital (TTSH, the second largest acute care general hospital in Singapore. METHODS AND FINDINGS: From January 2009 to December 2010, all inpatients aged greater or equal than 21 years were screened for HIV unless they declined or were not eligible for screening. We reviewed the implementation of the Opt Out testing policy. There were a total of 93,211 admissions; 41,543 patients were included based on HIV screening program eligibility criteria. Among those included, 79% (n = 32,675 opted out of HIV screening. The overall acceptance rate was 21%. Majority of eligible patients who were tested (63% were men. The mean age of tested patients was 52 years. The opt out rate was significantly higher among females (OR: 1.5, 95%CI: 1.4-1.6, aged >60 years (OR: 2.3, 95%CI: 2.2-2.4 and Chinese ethnicity (OR: 1.7, 95%CI:1.6-1.8. The false positive rate of the HIV screening test is 0.56%. The proportion of patients with HIV infection among those who underwent HIV screening is 0.18%. All 16 confirmed HIV patients were linked to care. CONCLUSION: The default opt-in rate of inpatient HIV testing was low at Tan Tock Seng Hospital, Singapore. Efforts to address individual HIV risk perception and campaigns against HIV stigma are needed to encourage more individuals to be tested for HIV.

Prevalence, subtypes, severity and determinants of ocular trauma: The Singapore Chinese Eye Study.

Science.gov (United States)

Wong, Mark Yz; Man, Ryan Ek; Gupta, Preeti; Sabanayagam, Charumathi; Wong, Tien Yin; Cheng, Ching-Yu; Lamoureux, Ecosse Luc

2018-02-01

To describe the prevalence, subtypes, severity and determinants of ocular trauma (OT) in a population-based study in Singapore. We included 3353 Chinese adults aged ≥40 years from the Singapore Chinese Eye Study, a population-based study, conducted between 2009 and 2011. OT was defined as self-reported history of any eye injury requiring medical attention with or without hospitalisation, and further classified as blunt object, sharp object or chemical burns related. Age and gender-standardised prevalence was estimated using the 2010 Singapore Chinese population census. Multivariable models were used to assess the independent associations of OT with age, gender, income, education, literacy, alcohol consumption, smoking and history of falls. The mean (SD) age was 59.7 (9.9) years and 49.4% were male. There were 138 OT cases, giving a crude and age and gender-standardised prevalence of 4.1% (95% CI 3.5% to 4.8%) and 4.4% (95% CI 3.7% to 5.2%), respectively. Of these, 45 (32.6%), 56 (40.6%) and 10 (7.3%) were blunt object, sharp object and chemical burns-related trauma, respectively. Twenty eight (20.3%) required hospitalisation, with no difference between subtypes. In multivariable models, men (OR (95% CI): 2.80 (1.79-4.39)), younger persons (per year decrease in age (1.03 (1.00-1.05)) and lower education levels (1.8 (1.25-2.60); comparing ≤6 years vs >6 years of education) were independent determinants of OT. OT affected one in 25 adults, with 20% of these requiring hospitalisation. Because OT is preventable, raising awareness and education strategies in the population would allow prevention of vision loss particularly in men, and younger and lesser-educated individuals. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Singapore's Aarden City Construction and Green Building Development

Science.gov (United States)

Xiong, Chenhui; Chen, Jian

2018-05-01

The government of Singapore has a high demand for city construction planning always adhere to the implementation of "garden city " theory. Singapore’s government has been following the "sustainable" of Singapore's requirement and fully embodies the "green building" and "environmental protection"concept. To set the ecological construction and protection of water resources as the total target, minimize damage to the environment of economic development, make Singapore a pioneer "green building". In recent years, the Chinese government is promoting green building but harvest little, in this case, for the development of "green building", China can draw lessons from Singapore's experience.

Relationships between indices of obesity and its co-morbidities in multi-ethnic Singapore

NARCIS (Netherlands)

Deurenberg-Yap, M.; Chew, S.K.; Lin, V.F.; Tan, B.Y.; Staveren, van W.A.; Deurenberg, P.

2001-01-01

Paper Relationships between indices of obesity and its co-morbidities in multi-ethnic Singapore M Deurenberg-Yap1, S K Chew2, V F P Lin1, B Y Tan2, W A van Staveren3 and P Deurenberg3,4 1Research and Information Management, Health Promotion Board, Singapore 2Department of Epidemiology and Disease

75 FR 6169 - Request for Public Comment on a Commercial Availability Request Under the U.S.-Singapore Free...

Science.gov (United States)

2010-02-08

... Availability Request Under the U.S.-Singapore Free Trade Agreement February 2, 2010. AGENCY: Committee for the... modification of the U.S.-Singapore Free Trade Agreement (USSFTA) rules of origin for certain apparel articles... of Singapore for consultations under Article 3.18.4(a)(i) of the USSFTA. Singapore is seeking...

Saving Chinese-Language Education in Singapore

Science.gov (United States)

Lee, Cher Leng

2012-01-01

Three-quarters of Singapore's population consists of ethnic Chinese, and yet, learning Chinese (Mandarin) has been a headache for many Singapore students. Recently, many scholars have argued that the rhetoric of language planning for Mandarin Chinese should be shifted from emphasizing its cultural value to stressing its economic value since…

Singapore's double festival

International Nuclear Information System (INIS)

Fraser, Gordon

1990-01-01

Coinciding with celebrations for the nation's 25th anniversary, the 25th International Conference on High Energy Physics, held in Singapore from 2-8 August, was itself a double festival, with the Standard Model of contemporary physics and CERN's new LEP electron-positron collider providing the twin themes

The Statecraft of Singapore's Lee Kuan Yew

National Research Council Canada - National Science Library

Toh, K

1996-01-01

.... The ejection of Singapore from the Federation led Lee to focus on two strategic goals: the survival of Singapore as an independent state while simultaneously pursuing nation-building under the threats of communism and internal ethnic conflicts...

Outbreak of caliciviruses in the Singapore military, 2015.

Science.gov (United States)

Neo, Freddy Jun Xian; Loh, Jimmy Jin Phang; Ting, Peijun; Yeo, Wei Xin; Gao, Christine Qiu Han; Lee, Vernon Jian Ming; Tan, Boon Huan; Ng, Ching Ging

2017-11-14

From 31 August to 9 September 2015, a total of 150 military personnel at a military institution in Singapore were infected with acute gastroenteritis (AGE) with an attack rate of approximately 3%. This study aimed to determine the epidemiology of the outbreak, investigate its origins, and discuss measures to prevent future occurrences. After the AGE outbreak was declared on 31 August 2015, symptom surveys, hygiene inspections, and the testing of water, food, and stool samples were initiated. We collected 86 stool samples from AGE cases and 58 samples from food-handlers during the course of the outbreak and these stool samples were tested for 8 bacterial pathogens and 2 viral pathogens (i.e., norovirus and sapovirus). We detected Sapovirus (SaV), group I Norovirus (NoV GI) and group II Norovirus (NoV GII) from the stool samples of AGE cases. Further sequence analyses showed that the AGE outbreak in August was caused mainly by three rarely reported calicivirus novel genotypes: NoV GI.7, NoV GII.17 and SaV GII.3. Control measures implemented focused on the escalation of personal and environmental hygiene, which included the separation of affected and unaffected soldiers, enforcement of rigorous hand-washing and hygiene, raising awareness of food and water safety, and disinfection of communal areas with bleach. This study identified both NoV and SaV as the causative agents for an AGE outbreak at a Singapore military camp in August 2015. This study is also the first to report SaV as one of the main causative agents, highlighting the importance of caliciviruses as causative agents of AGE outbreaks in the Singapore military. As there are no commercially available vaccines against caliciviruses, strict personal hygiene and proper disinfection of environmental surfaces remain crucial to prevent calicivirus outbreak and transmission.

Mother Tongue Education in Singapore: Concerns, Issues and Controversies

Science.gov (United States)

Ng, Chin Leong Patrick

2014-01-01

In 1966, the Singapore Government implemented the English-knowing bilingual policy which made it mandatory for all Chinese students to study English as a "First Language" and the Chinese language (CL) as a "Mother Tongue Language" in Singapore schools. Using key literature relevant to Singapore's bilingual educational policy…

Islam and Citizenship Education in Singapore: Challenges and Implications

Science.gov (United States)

Tan, Charlene

2007-01-01

The religious diversity of Singapore, coupled with the current phenomenon of Islamic revivalism, makes the management of religion a paramount concern for the Singapore government. By examining the developments of Islam in Singapore, this article explores the challenges and implications these developments have on citizenship education in the…

Increasing Dengue Incidence in Singapore over the Past 40 Years: Population Growth, Climate and Mobility.

Directory of Open Access Journals (Sweden)

Claudio Jose Struchiner

Full Text Available In Singapore, the frequency and magnitude of dengue epidemics have increased significantly over the past 40 years. It is important to understand the main drivers for the rapid increase in dengue incidence. We studied the relative contributions of putative drivers for the rise of dengue in Singapore: population growth, climate parameters and international air passenger arrivals from dengue endemic countries, for the time period of 1974 until 2011. We used multivariable Poisson regression models with the following predictors: Annual Population Size; Aedes Premises Index; Mean Annual Temperature; Minimum and Maximum Temperature Recorded in each year; Annual Precipitation and Annual Number of Air Passengers arriving from dengue-endemic South-East Asia to Singapore. The relative risk (RR of the increase in dengue incidence due to population growth over the study period was 42.7, while the climate variables (mean and minimum temperature together explained an RR of 7.1 (RR defined as risk at the end of the time period relative to the beginning and goodness of fit associated with the model leading to these estimates assessed by pseudo-R2 equal to 0.83. Estimating the extent of the contribution of these individual factors on the increasing dengue incidence, we found that population growth contributed to 86% while the residual 14% was explained by increase in temperature. We found no correlation with incoming air passenger arrivals into Singapore from dengue endemic countries. Our findings have significant implications for predicting future trends of the dengue epidemics given the rapid urbanization with population growth in many dengue endemic countries. It is time for policy-makers and the scientific community alike to pay more attention to the negative impact of urbanization and urban climate on diseases such as dengue.

Biochemical characteristics of glucose-6-phosphate dehydrogenase variants among the Malays of Singapore with report of a new non-deficient (GdSingapore) and three deficient variants.

Science.gov (United States)

Saha, N; Hong, S H; Wong, H A; Jeyaseelan, K; Tay, J S

1991-12-01

Biochemical characteristics of one non-deficient fast G6PD variant (GdSingapore) and six different deficient variants (three new, two Mahidol, one each of Indonesian and Mediterranean) were studied among the Malays of Singapore. The GdSingapore variant had normal enzyme activity (82%) and fast electrophoretic mobilities (140% in TEB buffer, 160% in phosphate and 140% in Tris-HCl buffer systems respectively). This variant is further characterized by normal Km for G6P; utilization of analogues (Gal6P, 2dG6P; dAmNADP), heat stability and pH optimum. The other six deficient G6PD variants had normal electrophoretic mobility in TEB buffer with enzyme activities ranging from 1 to 12% of GdB+. The biochemical characteristics identity them to be 2 Mahidol, 1 Indonesian and 1 Mediterranean variants and three new deficient variants.

National Information Infrastructure and the realization of Singapore IT2000 initiative

Directory of Open Access Journals (Sweden)

Cheryl Marie Cordeiro

2001-01-01

Full Text Available Being a small island and without any natural resource, Singapore has much to depend on its human potential and investment in National Information Infrastructure (NII in order to find its place in the ever competitive global world economies. From Singapore's first experience with the setting up and accessing of the Internet in 1991, the Singapore Government has expended so much creative and financial energy into using information technology to spearhead Singapore's success in terms of enticing and encouraging economic growth and achieving national competitiveness on a global scale. In 1991, the Singapore government, together with the National Computer Board (NCB currently known as the Infocomm Development Authority (IDA, launched the IT 2000, with the objective of converting Singapore into an intelligent island. With many NII projects in place and the various government initiative, this study focus on the role of Singapore Government in the development of the national information infrastructure and the realisation of IT2000 vision. This investigative study delves into the role of the Singapore government in helping Singapore forge its path into the new millennium of the information world.

An Ecologic Study of Trends in the Prevalence of Myopia in Chinese Adults in Singapore Born from the 1920s to 1980s.

Science.gov (United States)

Sensaki, Sonoko; Sabanayagam, Charumathi; Verkicharla, Pavan K; Awodele, Adeola; Tan, Kok Hian; Chia, Audrey; Saw, Seang Mei

2017-06-01

This study aimed to investigate secular trends in the prevalence of myopia over 6 decades (from the 1920s to 1980s) in Chinese adults in Singapore. Parental myopia prevalence was estimated using a parent-completed questionnaire in paediatric cohorts that included: 1) The Singapore Cohort Of Risk factors for Myopia (SCORM), 2) The Strabismus, Amblyopia and Refractive Error in Singaporean Children (STARS), and 3) The Growing Up in Singapore Towards healthy Outcomes (GUSTO). Published estimates for myopia prevalence from 5 adult studies in Singapore were reviewed. Secular trends in the prevalence of myopia were correlated with changes in the education system. The prevalence of parental myopia in SCORM (n = 2943), STARS (n = 4938), and GUSTO (n = 1072) was 47.8%, 53.4%, and 73.4%, respectively; corresponding calendar years these parents might have started schooling were 1966, 1973, and 1983 (born in 1960, 1967, and 1977), respectively. Mean age of parents was 41.3, 40.1, and 33.4 years, respectively. Prevalence of myopia in adult studies in persons who started elementary school in 1928, 1934, 1938, 1939, 1942, 1948, 1952, 1958, 1962, 1972, 1982, and 1995 were 36.4%, 39.7%, 30.0%, 31.5%, 33.0%, 26.4%, 32.5%, 48.7%, 39.4%, 52.0%, 82.2%, and 85.9%, respectively. During the past few decades, the prevalence of myopia increased rapidly, especially in persons who started elementary school after the 1980s (born after 1970). The education system was expanded after Singapore's independence in 1965, and the new education system was introduced in 1978. These changes, together with increasing intensive schooling, may have contributed to the increase in myopia prevalence.

76 FR 60100 - The Singapore Fund, Inc.; Notice of Application

Science.gov (United States)

2011-09-28

... Singapore Fund, Inc.; Notice of Application September 22, 2011. AGENCY: Securities and Exchange Commission (``Commission''). Applicant: The Singapore Fund, Inc. (the ``Fund''). ACTION: Notice of application for an order... through investment primarily in Singapore equity securities. Applicant states that under normal...

Seroprevalence of antibodies against chikungunya virus in Singapore resident adult population.

Science.gov (United States)

Ang, Li Wei; Kam, Yiu Wing; Lin, Cui; Krishnan, Prabha Unny; Tay, Joanne; Ng, Lee Ching; James, Lyn; Lee, Vernon J M; Goh, Kee Tai; Ng, Lisa F P; Lin, Raymond T P

2017-12-01

We determined the seroprevalence of chikungunya virus (CHIKV) infection in the adult resident population in Singapore following local outbreaks of chikungunya fever (CHIKF) in 2008-2009. Our cross-sectional study involved residual sera from 3,293 adults aged 18-79 years who had participated in the National Health Survey in 2010. Sera were tested for IgG antibodies against CHIKV and dengue virus (DENV) and neutralizing antibodies against CHIKV. The prevalence of CHIKV-neutralizing antibodies among Singapore residents aged 18-79 years was 1.9% (95% confidence interval: 1.4%- 2.3%). The CHIKV seroprevalence was highest in the elderly aged 70-79 years at 11.5%, followed by those aged 30-39 years at 3.1%. Men had significantly higher CHIKV seroprevalence than women (2.5% versus 1.3%, p = 0.01). Among the three main ethnic groups, Indians had the highest seroprevalence (3.5%) compared to Chinese (1.6%) and Malays (0.7%) (p = 0.02 and p = 0.01, respectively). Multivariable logistic regression identified adults aged 30-39 years and 70-79 years, men, those of Indian ethnicity and ethnic minority groups, and residence on ground floor of public and private housing apartments as factors that were significantly associated with a higher likelihood of exposure to CHIKV. The overall prevalence of anti-DENV IgG antibodies was 56.8% (95% CI: 55.1%- 58.5%), while 1.5% (95% CI: 1.1%- 2.0%) of adults possessed both neutralizing antibodies against CHIKV and IgG antibodies against DENV. Singapore remains highly susceptible to CHIKV infection. There is a need to maintain a high degree of vigilance through disease surveillance and vector control. Findings from such serological study, when conducted on a regular periodic basis, could supplement surveillance to provide insights on CHIKV circulation in at-risk population.

Exploring new waters in Singapore

OpenAIRE

Søgaard, Therese Flathaug; Mathisen, Elisabeth; Rabben, Katrine; Adolfsen, Anette Holø; Leversen, Joakim Michael Langseth

2011-01-01

Snorre Food Pte Ltd (SF) is an importer of cold-water seafood to Singapore and was founded in 1987 by Mr. Frank Næsheim. At present time SF has a FiSK outlet located at their office premises in Jurong East, Singapore. However, because the outlet is at their production premises, Singaporean regulations prohibit SF from marketing the outlet as a regular store. In addition, they find the location inconvenient for their customers. Due to the location and strict regulations, SF w...

Deep Culture Matters: Multiracialism in Singapore Schools

Science.gov (United States)

Tan, Charlene

2012-01-01

Multiculturalism is more accurately described as "multiracialism" in Singapore as the government classifies everyone based on four racial identities according to one's paternal line: Chinese, Malay, Indian, and others. Exploring the principle and practice of multiracialism in Singapore schools, this article points out that the surface…

Asian population frequencies and haplotype distribution of killer cell immunoglobulin-like receptor (KIR) genes among Chinese, Malay, and Indian in Singapore.

Science.gov (United States)

Lee, Yi Chuan; Chan, Soh Ha; Ren, Ee Chee

2008-11-01

Killer cell immunoglobulin-like receptors (KIR) gene frequencies have been shown to be distinctly different between populations and contribute to functional variation in the immune response. We have investigated KIR gene frequencies in 370 individuals representing three Asian populations in Singapore and report here the distribution of 14 KIR genes (2DL1, 2DL2, 2DL3, 2DL4, 2DL5, 2DS1, 2DS2, 2DS3, 2DS4, 2DS5, 3DL1, 3DL2, 3DL3, 3DS1) with two pseudogenes (2DP1, 3DP1) among Singapore Chinese (n = 210); Singapore Malay (n = 80), and Singapore Indian (n = 80). Four framework genes (KIR3DL3, 3DP1, 2DL4, 3DL2) and a nonframework pseudogene 2DP1 were detected in all samples while KIR2DS2, 2DL2, 2DL5, and 2DS5 had the greatest significant variation across the three populations. Fifteen significant linkage patterns, consistent with associations between genes of A and B haplotypes, were observed. Eighty-four distinct KIR profiles were determined in our populations, 38 of which had not been described in other populations. KIR haplotype studies were performed using nine Singapore Chinese families comprising 34 individuals. All genotypes could be resolved into corresponding pairs of existing haplotypes with eight distinct KIR genotypes and eight different haplotypes. The haplotype A2 with frequency of 63.9% was dominant in Singapore Chinese, comparable to that reported in Korean and Chinese Han. The A haplotypes predominate in Singapore Chinese, with ratio of A to B haplotypes of approximately 3:1. Comparison with KIR frequencies in other populations showed that Singapore Chinese shared similar distributions with Chinese Han, Japanese, and Korean; Singapore Indian was found to be comparable with North Indian Hindus while Singapore Malay resembled the Thai.

Fertility trends in Singapore.

Science.gov (United States)

Singh, K; Viegas, O; Ratnam, S S

1988-10-01

In 1966, the Singapore National Family Planning and Population Program established the goal of reaching replacement fertility by 1990 and zero population growth by the year 2030. To achieve this goal, the government relied on a series of incentives and disincentives to discourage births above the 3rd birth order, including tax relief for the 1st 3 children only, paid medical leave for women undergoing sterilization after the 3rd or subsequent birth, monetary stipends in some cases where the mother is sterilized after the 1st or 2nd birth, and increasing accouchement charges for increasing birth orders. Also important to demographic planning were liberalization of Singapore's abortion legislation and more aggressive promotion of contraception. As a result of these efforts, Singapore's crude birth rate has declined from 29.5/1000 population in 1965 to 16.6/1000 in 1985. Also observed have been dramatic declines in infant mortality in this same period, from 26.2/1000 live births to 9.3/1000, and in maternal mortality, from 52/100,000 live births to 10/100,000. In 1985, 42% of total births were to women in the 25-29-year age group. The numbers of 4th and later births fell by 90% between 1966 and 1985. The total fertility rate has declined from 4.6/woman in 1965 to 3.1 in 1970 to 1.6 in 1986. Below replacement level fertility was achieved in 1975, in part because of government policy but also as a result of cultural and socioeconomic factors such as increasing female labor force participation rates, a break-up of the extended family system, a rise in the age at 1st marriage, and rises in educational attainment. The drop in fertility was contributed mainly by the higher socioeconomic class, more affluent, and educated Singaporeans. Thus, in 1981, the government introduced certain pronatalist policies and incentives to encourage better educated women to produce more children, e.g., tax relief and the elimination of monetary incentives to sterilization acceptors above a

Mandatory continuing professional education in pharmacy: the Singapore experience.

Science.gov (United States)

Ang, Hui-Gek; Pua, Yong-Hao; Subari, Nur Azah

2013-08-01

Mandatory Continuing Professional Education (CPE) for the renewal of pharmacists' practising certificate was implemented in Singapore in 2008 OBJECTIVE: To study pharmacists' perceptions and attitudes about the impact of mandatory CPE in Singapore. Singapore. Internet-based questionnaire survey, conducted between May and June 2011. Pharmacists' perceptions and attitudes toward mandatory CPE and the perceived difficulty in fulfilling the CPE requirements. The overall survey response rate was 52 % (840/1,609). Of the respondents, 32 % were non-practising, 49 % were practising in patient care areas, and 19 % were practising in non-patient care areas. More than half the pharmacists agreed that mandatory CPE (1) enhanced or increased their knowledge base and skills (70 %; 95 % CI 67-73 %), (2) motivated them to continually learn (64 %; 95 % CI, 60-67 %), and (3) motivated them to reflect on their professional practice or work (58 %; 95 % CI, 54-61 %). Mandatory CPE was not perceived to enhance or increase employability. Non-practising pharmacists appeared to have the greatest difficulty meeting the CPE requirements. In general, pharmacists value mandatory CPE more for positive professional reasons than for employability reasons. The survey results may serve as useful baseline data for future studies of pharmacists' perceptions and attitudes toward CPE in Singapore.

Singapore-US Strategic Dialogue on Biosecurity

Science.gov (United States)

2014-07-01

infectious disease outbreaks with epidemic potential, as Singapore is an island with heavy, daily traffic as a result of trade, tourism , and workers...geography—Singapore is an island with heavy, daily traffic as a result of trade, tourism , and workers from Indonesia and Malaysia. The American...underscoring teamwork among scientists as a major driving force behind innovation. Participants discussed issues surrounding the “ dark side” of the

Oral susceptibility of Singapore Aedes (Stegomyia aegypti (Linnaeus to Zika virus.

Directory of Open Access Journals (Sweden)

MeiZhi Irene Li

Full Text Available Zika virus (ZIKV is a little known flavivirus that caused a major outbreak in 2007, in the South-western Pacific Island of Yap. It causes dengue-like syndromes but with milder symptoms. In Africa, where it was first isolated, ZIKV is mainly transmitted by sylvatic Aedes mosquitoes. The virus has also been isolated from Ae. aegypti and it is considered to be the vector involved in the urban transmission of the virus. Transmission of the virus by an African strain of Ae. aegypti has also been demonstrated under laboratory conditions. The aim of the present study is to describe the oral susceptibility of a Singapore strain of Ae. aegypti to ZIKV, under conditions that simulate local climate.To assess the receptivity of Singapore's Ae. aegypti to the virus, we orally exposed a local mosquito strain to a Ugandan strain of ZIKV. Upon exposure, fully engorged mosquitoes were maintained in an environmental chamber set at 29 °C and 70-75% RH. Eight mosquitoes were then sampled daily from day 1 to day 7, and subsequently on days 10 and 14 post exposure (pe. The virus titer of the midgut and salivary glands of each mosquito were determined using a tissue culture infectious dose(50 (TCID(50 assay. High midgut infection and salivary gland dissemination rates were observed. By day 5 after the infectious blood meal, ZIKV was found in the salivary glands of more than half of the mosquitoes tested (62%; and by day 10, all mosquitoes were potentially infective.This study showed that Singapore's urban Ae. aegypti are susceptible and are potentially capable of transmitting ZIKV. The virus could be established in Singapore should it be introduced. Nevertheless, Singapore's current dengue control strategy is applicable to control ZIKV.

Sorting Citizens: Differentiated Citizenship Education in Singapore

Science.gov (United States)

Ho, Li-Ching

2012-01-01

Using Singapore as a case study, this paper examines how the discourses of democratic elitism and meritocracy help allocate different citizen roles to students and define the nature of the social studies citizenship education programmes for different educational tracks. While the Singapore education system is not unique in its stratification of…

Singapore’s Strategic Dilemma: US or China

Science.gov (United States)

2016-06-10

Forex Hub in the World,” The New Paper, September 8, 2013, accessed April 26, 2016, http://news.asiaone.com/news/ singapore/spore-3rd-largest- forex ...matters. The New Paper. “Singapore is 3rd Largest Forex Hub in the World.” The New Paper, September 8, 2013. Accessed April 26, 2016. http...news.asiaone.com/news/ singapore/spore-3rd-largest- forex -hub-world. Wagner, Daniel. “The Rule of Law is China’s Challenge in the South China Sea.” The World

The energy cost of water independence: the case of Singapore.

Science.gov (United States)

Vincent, Lenouvel; Michel, Lafforgue; Catherine, Chevauché; Pauline, Rhétoré

2014-01-01

Finding alternative resources to secure or increase water availability is a key issue in most urban areas. This makes the research of alternative and local water resources of increasing importance. In the context of political tension with its main water provider (Malaysia), Singapore has been implementing a comprehensive water policy for some decades, which relies on water demand management and local water resource mobilisation in order to reach water self-sufficiency by 2060. The production of water from alternative resources through seawater desalination or water reclamation implies energy consumptive technologies such as reverse osmosis. In the context of increasing energy costs and high primary energy dependency, this water self-sufficiency objective is likely to be an important challenge for Singapore. The aim of this paper is to quantify the long-term impact of Singapore's water policy on the national electricity bill and to investigate the impact of Singapore's projects to reduce its water energy footprint. We estimate that 2.0% of the Singaporean electricity demand is already dedicated to water and wastewater treatment processes. If its water-energy footprint dramatically increases in the coming decades, ambitious research projects may buffer the energy cost of water self-sufficiency.

Coffee Intake and Risk of Colorectal Cancer Among Chinese in Singapore: The Singapore Chinese Health Study

OpenAIRE

Peterson, Sabrina; Yuan, Jian-Min; Koh, Woon-Puay; Sun, Can-Lan; Wang, Renwei; Turesky, Robert J.; Yu, Mimi C.

2010-01-01

We prospectively investigated whether coffee consumption was associated with decreased risk of colorectal cancer and whether cigarette smoking and stage of disease modify the association in the Singapore Chinese Health Study. During the first 12 years of follow-up, 961 colorectal cancer cases occurred in the cohort of over 60,000 middle-aged or older Chinese men and women living in Singapore. Baseline dietary exposures were assessed through in-person interviews using a validated food frequenc...

Trends in patterns of intermediate uveitis in a tertiary institution in Singapore.

Directory of Open Access Journals (Sweden)

Helen Mi

Full Text Available The study aims to describe the characteristics and etiologic causes of intermediate uveitis (IU patients seen by a tertiary eye center in Singapore over 8 years.This was a retrospective analysis of the clinical records of consecutive new cases of IU that presented to the uveitis subspecialty clinic from 2004-2011 at Tan Tock Seng Hospital. Data collected included demographics, clinical and laboratory findings. Diagnoses were based on standardized clinical history, ophthalmological examination and investigations.There were 66 new cases of IU, comprising 5.7% of 1168 new uveitis patients. The median age of diagnosis was 40 years (mean 39.4±15.9, with largest subgroup of the patients in the age group of 41-60 years (36.4%. The majority was Chinese (57.6%, followed by Asian Indians (18.2% and Malays (16.7%. The ethnicity distribution was dissimilar to our ethnic distribution in Singapore (p<0.001 with an increased incidence of IU in the Asian Indian population. Most were idiopathic (59.1% in etiology, followed by tuberculosis (TB (15.2%. Ocular complications developed in 21 patients (31.8%, with cystoid macular edema (CME being the commonest (28.8%. Severe vitritis occurred in 9.1% of patients, and was significantly associated with TB-associated IU (p<0.001. There was a downward trend for the incidence of the proportion of IU patients over the total uveitis patients (p = 0.021, with Spearman's rho of -0.786.Despite the downward trend, TB-associated IU was still of higher prevalence compared to less endemic areas, emphasizing the need for increased TB surveillance. A high index of suspicion for TB-associated IU is required in patients with severe vitritis. Comparisons with other countries revealed disparities in the IU etiologies, indicating possible geographical differences. Prevalence of known immune-mediated etiologies of IU is less compared to the western population. Our study also suggests a probable predisposition of the Singapore local

Food allergy in Singapore: opening a new chapter

Science.gov (United States)

Lee, Alison Joanne; Shek, Lynette Pei-Chi

2014-01-01

With the exception of shellfish, the overall food allergy rates in Singapore have not reached the epidemic proportions of the West. The rates of egg, milk and fish allergies remain low. However, the patterns of some food allergies in Singapore have changed over the last decade. For example, peanut allergy, once rare in Singapore, is now the most common cause of anaphylaxis in children. Studies analysing lifestyle practices, particularly with respect to prevention of food allergy, are necessary in order for practitioners to understand global differences and maintain this low prevalence. PMID:24862746

Senior Executives' Perceptions of Business-to-Consumer (B2C) Online Marketing Strategies: The Case of Singapore.

Science.gov (United States)

Teo, Thompson S. H.; Tan, Jek Swan

2002-01-01

Describes a study on Internet marketing strategies of business-to-consumer (B2C) firms in Singapore. Results of a survey and hierarchical regression analyses indicate that strategies to attract customers and to relate to customers have significant positive relationships to online brand equity, which is positively related to financial growth.…

Udvikling. Singapores store væksteventyr

DEFF Research Database (Denmark)

Søborg, Henrik; Fleming, Daniel

2015-01-01

The economic development of Singapore has been a success story. The analysis examines the main actors in this development and raises the question whether the country can take the next step to become a smart nation.......The economic development of Singapore has been a success story. The analysis examines the main actors in this development and raises the question whether the country can take the next step to become a smart nation....

Singapore's Global Schoolhouse Strategy: Retreat or Recalibration?

Science.gov (United States)

Waring, Peter

2014-01-01

In 2002 a high-level economic review committee recommended that Singapore position itself as a "global schoolhouse". An ambitious target was set to attract 150,000 international students to Singapore by 2015 and to lift the education sector's contribution to GDP from 1.9% to 5% in the same timeframe. The global schoolhouse was viewed as…

Mathematics Education in Singapore--An Insider's Perspective

Science.gov (United States)

Kaur, Berinderjeet

2014-01-01

Singapore's Education System has evolved over time and so has Mathematics Education in Singapore. The present day School Mathematics Curricula can best be described as one that caters for the needs of every child in school. It is based on a framework that has mathematical problem solving as its primary focus. The developments from 1946 to 2012…

Children's Rights: Television Programmes Aired in Singapore

Science.gov (United States)

Warrier, Sheela; Ebbeck, Marjory

2014-01-01

This article focuses on aspects of children's rights as portrayed in television. The results of a six-month research study show analyses of television content of Channel 5, which is the only free-to-air, 24-hour, English-language entertainment channel in Singapore. The results identify the role of television in assisting Singapore to meet its…

2001 survey on primary medical care in Singapore.

Science.gov (United States)

Emmanuel, S C; Phua, H P; Cheong, P Y

2004-05-01

. The average working hours of each of these private practitioners was 7.6 hours per day. Family doctors in public sector primary medical care clinics were responsible for 16.6 percent of the patient-load for primary medical care in Singapore while the remaining 83.4 percent was provided by family doctors in private practice. Singaporeans made approximately 4.4 visits to a family doctor in 2001, which was lower than the 5.0 visits ascertained in 1993. Chronic medical conditions seen by family doctors as a whole, increased from 29.2 percent in 1993 to 34.3 percent in 2001. Upper respiratory tract infections and hypertension were the two leading disease conditions seen at both private and public sector primary medical care clinics in 2001. The load of hypertension managed at primary medical care clinics had notably increased. The public sector share of outpatient load at 17 percent in 2001 is well within the 25 percent level set in the Government's 1993 White Paper on Affordable Healthcare. The private sector remains the main provider of primary medical care in Singapore, serving 83 percent of the population. The average workload for each family doctor in private practice had dropped from 40 to 33 patients a day between 1993 and 2001. There had been a notable growth in family doctors working in the private sector over this period. Both sectors saw an increase in the chronic disease load that they managed.

The effectiveness of anti-corruption policy: the Singapore experience

Directory of Open Access Journals (Sweden)

Dinu MANOLE

2017-09-01

Full Text Available Corruption is a problem that needs to be dealt with in both the public and private sectors. Singapore has adopted a comprehensive approach in tackling corruption in both sectors for a long time. The anti‐ corruption successes of Singapore have encouraged the establishment of strong, centralized anti‐corruption agencies across the globe. In this article, it is accentuated the importance of the effectiveness of anti-corruption policy in the general context of public administration in Singapore.

Singapore the Frontrunner: Media discourse analysis of Singaporean modernity

OpenAIRE

Kalajainen, Helena Diana Johanna; Larsen, Anna Amalie Breusch

2017-01-01

The upcoming project engages in the concept of modernity which in this digitalised and globalised age has become challenged on its meaning. Specifically, using the modern state of Singapore as a case, the project explores the image of Singaporean modernity, in both local Singaporean media, and western British media. The project theoretically engages with the general concept of modernity, focusing on the repre-sentation of a unique path of Singapore to become a modern state - The Singapore-an ...

The prevalence and types of glaucoma in malay people: the Singapore Malay eye study.

Science.gov (United States)

Shen, Sunny Y; Wong, Tien Y; Foster, Paul J; Loo, Jing-Liang; Rosman, Mohamad; Loon, Seng-Chee; Wong, Wan Ling; Saw, Seang-Mei; Aung, Tin

2008-09-01

To assess the prevalence and types of glaucoma in an Asian Malay population. The Singapore Malay Eye Study is a population-based, cross-sectional survey that examined 3280 (78.7% response) persons aged 40 to 80 years. Participants underwent a standardized clinical examination including slit-lamp biomicroscopy, Goldmann applanation tonometry, and dilated optic disc assessment. Participants who were suspected to have glaucoma also underwent visual field examination (24-2 SITA standard, Humphrey Visual Field Analyzer II), gonioscopy, and repeat applanation tonometry. Glaucoma was defined according to International Society for Geographical and Epidemiologic Ophthalmology criteria. Of the 3280 participants, 150 (4.6%) had diagnosed glaucoma, giving an age- and sex-standardized prevalence of 3.4% (95% confidence interval [CI], 3.3%-3.5%). The age- and sex-standardized prevalence of primary open-angle glaucoma was 2.5% (95% CI, 2.4%-2.6%), primary angle-closure glaucoma 0.12% (95% CI, 0.10%-0.14%), and secondary glaucoma 0.61% (95% CI, 0.59%-0.63%). Of the 150 glaucoma cases, only 12 (8%) had a previous known history of glaucoma. Twenty-seven (18%) eyes had low vision (based on best corrected visual acuity logarithm of the minimal angle of resolution [logMAR] >0.30 to /=1.00). The prevalence of glaucoma among Malay persons 40 years of age and older in Singapore is 3.4%, comparable to ethnic Chinese people in Singapore and other racial/ethnic groups in Asia. As in Chinese, Caucasians, and African people, primary open-angle glaucoma was the main form of glaucoma in this population. More than 90% of glaucoma cases were previously undetected.

Factors influencing warfarin control in Australia and Singapore.

Science.gov (United States)

Bernaitis, Nijole; Ching, Chi Keong; Teo, Siew Chong; Chen, Liping; Badrick, Tony; Davey, Andrew K; Crilly, Julia; Anoopkumar-Dukie, Shailendra

2017-09-01

Warfarin is widely used for patients with non-valvular atrial fibrillation (NVAF). Variations in warfarin control, as measured by time in therapeutic range (TTR), have been reported across different regions and ethnicities, particularly between Western and Asian countries. However, there is limited data on comparative factors influencing warfarin control in Caucasian and Asian patients. Therefore, the aim of this study was to determine warfarin control and potential factors influencing this in patients with NVAF in Australia and Singapore. Retrospective data was collected for patients receiving warfarin for January to June 2014 in Australia and Singapore. TTR was calculated for individuals with mean patient TTR used for analysis. Possible influential factors on TTR were analysed including age, gender, concurrent co-morbidities, and concurrent medication. The mean TTR was significantly higher in Australia (82%) than Singapore (58%). At both sites, chronic kidney disease significantly lowered this TTR. Further factors influencing control were anaemia and ageWarfarin control was significantly higher in Australia compared to Singapore, however chronic kidney disease reduced control at both sites. The different levels of control in these two countries, together with patient factors further reducing control may impact on anticoagulant choice in these countries with better outcomes from warfarin in Australia compared to Singapore. Copyright © 2017 Elsevier Ltd. All rights reserved.

Occupational rehabilitation in Singapore and Malaysia.

Science.gov (United States)

Chan, Kay-Fei; Tan, Charlie W C; Yeo, Doreen S C; Tan, Heidi S K; Tan, F L; Tan, E W; Szeto, Grace P Y; Cheng, Andy S K

2011-03-01

Asia is the new and favored magnet of economic attention and foreign investments after it made an almost uneventful rebound from the depths of financial crisis of 2008/2009. Not many Western observers fully understand the diversity that is Asia other than perhaps its 2 growing economic giants of China and India. Indeed many smaller countries like Singapore and Malaysia in South East Asia along with Australia and Hong Kong (a Special Administrative Region within China) look to symbiotic relationships with these two economic giants. The purpose of this discussion paper is to examine the current issues related to the development and provision of occupational rehabilitation services in Singapore and Malaysia with a forward-looking view of how Asia's different developing societies could potentially benefit from better alignment of occupational rehabilitation practices and sharing of expertise through international collaboration and dialogue platforms. Seven therapists and one physician who are frequently involved in occupational rehabilitation services in their home countries critically reviewed the current issues in Singapore and Malaysia which included analysis of the prevalence and cost of occupational injury; overview of workers' compensation system; current practices, obstacles, and challenges in providing occupational rehabilitation and return to work practices. They also offered opinions about how to improve the occupational rehabilitation programs of their two home countries. Even though Malaysia and Singapore are two different countries, in many ways their current provision of occupational rehabilitation services and the problems they face with are very similar. There is a lot of room for systemic improvements that require government support and action. Most prominently, the training of more healthcare professionals in the assessment and rehabilitation of the injured worker should be encouraged. There could be better liaison between the many stakeholders and

A Standalone but Not Lonely Language: Chinese Linguistic Environment and Education in Singapore Context

Science.gov (United States)

Min, Huang; Kangdi, Cheng

2016-01-01

Bilingual education policy in Singapore permits the students learn both English as working language and mother tongues, such as Chinese, as L2 anchoring to culture heritage. Starting from historical and sociolinguistic reasons, this paper is intended to provide a panoramic view of Chinese education in Singapore, clarify and compare Chinese…

Let Your Participants Star in Your Singapore Trainings

Science.gov (United States)

Jacobs, George

2013-01-01

This article explains the why and how of active learning, which is based on cognitive psychology. Also explained is the Singapore Ministry of Education's slogan, "Teach Less, Learn More," a good slogan for promoting active learning. [This article was published in "Singapore Business Review," Apr 1 2013.

First record of Parelasmopus setiger Chevreux, 1901 from Singapore, including synonymization of Parelasmopus siamensis Wongkamhaeng, Coleman & Pholpunthin, 2013 with Parelasmopus setiger (Crustacea, Amphipoda, Maeridae

Directory of Open Access Journals (Sweden)

Azman Abdul Rahim

2015-04-01

Full Text Available Parelasmopus setiger has been widely described from tropical to subtropical regions from Philippine Islands, Sulu Sea, Indonesia, Australia, north Indian Ocean and the Seychelles by several authors. The present study provides detailed descriptions of Parelasmopus setiger Chevreux, 1901 (Crustacea: Amphipoda based on newly collected specimens from Pulau Hantu, Singapore. Morphological characters of the specimens closely resemble those of Parelasmopus setiger and Parelasmopus siamensis Wongkamhaeng, Coleman & Pholpunthin, 2013. The specimens of both the species were quite similar to the Singapore specimens, although the shapes of appendages vary with growth and locality; therefore, P. siamensis is synonymized with P. setiger. The following species characteristics for P. setiger are indicated: 1 antenna 1 peduncle with 2 setae; 2 male gnathopod 2 propodus palm transverse; 3 Pereopods 5 to 7 posterior margins with long slender setae; and 4 dorsal carina pattern for pereonite 7 and pleonites 1 to 3.

Glucose-6-phosphate dehydrogenase deficiency in Singapore.

Science.gov (United States)

Quak, S H; Saha, N; Tay, J S

1996-01-01

Glucose-6-phosphate dehydrogenase (G6PD) in man is an X-linked enzyme. The deficiency of this enzyme is one of the most common inherited metabolic disorders in man. In Singapore, three clinical syndromes associated with G6PD deficiency had been described: severe haemolysis in neonates with kernicterus, haemoglobinuria and "viral hepatitis"-like syndrome. The human G6PD monomer consists of 515 amino acids. Only the tetrameric or dimeric forms composed of a single type subunit are catylitically active. The complete amino acid sequence of G6PD had been elucidated in man and various other animals. The region of high homology among the enzymes of various animals is presumably functionally active. Among the Chinese in Singapore, three common molecular variants had been identified: Canton (nt 1376 G --> T), Kaiping (nt 1388 G --> A) and Mediterranean (nt 563 C --> T) in frequencies of 24%, 21% and 10% respectively. In addition, two common mutants (Gaozhou, nt 95 A --> G and Chinese 5, nt 1024 C --> T) have been detected in Singapore Chinese in low frequencies. In Malays, 6 different deficient variants are known in Singapore (3 new, 1 Mahidol, 1 Indonesian and 1 Mediterranean).

Renal and obstetric outcomes in pregnancy after kidney transplantation: Twelve-year experience in a Singapore transplant center.

Science.gov (United States)

Kwek, Jia Liang; Tey, Vanessa; Yang, Liying; Kanagalingam, Devendra; Kee, Terence

2015-09-01

Renal and obstetric outcomes in pregnancy after kidney transplantation in Singapore were last studied in 2002. A review of these outcomes in Singapore is now timely following advances in transplant and obstetric medicine. The aim was to evaluate the renal and obstetric outcomes in pregnancy after kidney transplantation in a Singapore tertiary center. Kidney transplant recipients who underwent pregnancy after transplantation at Singapore General Hospital between January 2001 and December 2012 were identified. Data on demographics, comorbidities and clinical outcomes were collected. There were 10 pregnancies identified in nine recipients. The median age of recipient at childbearing was 34.6 years (IQR, 32.8-36.8) and the median interval from transplantation to conception was 69 months (IQR, 38-97). There was no difference between the median pre-pregnancy estimated glomerular filtration rate (eGFR) (47.9 mL/min/1.73 m(2); IQR, 38.4-56.8) and median eGFR at time of last post-partum follow up (43.9 mL/min/1.73 m(2); IQR, 34.5-48.7, P = 0.549). Borderline allograft rejection occurred in one recipient (10.0%) 36 days after birth due to non-adherence to immunosuppressive medication, with subsequent allograft loss 37 months after birth. No mortalities were recorded during the study period. All the 10 pregnancies (100%) ended in singleton live births. Pre-eclampsia occurred in five pregnancies (50.0%), and there were seven (70.0%) preterm deliveries. The median gestational age was 35.4 weeks (IQR, 32.6-38.2) and the median birthweight was 2353 g (IQR, 1811-2648). Post-transplantation pregnancies ended successfully with no significant worsening of allograft function, but they were associated with risks to both recipients and newborns. © 2015 Japan Society of Obstetrics and Gynecology.

Singapore Math®. What Works Clearinghouse Intervention Report. Updated December 2015

Science.gov (United States)

What Works Clearinghouse, 2015

2015-01-01

This report on "Singapore Math®" updates the 2009 WWC review of the curriculum to include seven new studies. Despite the additional research, no studies meet WWC design standards and therefore, no conclusions can be made about the effectiveness of "Singapore Math®." [For the 2009 report, "Singapore Math," see…

Development of new NDT certification scheme in Singapore

International Nuclear Information System (INIS)

Wong, B.S.; Prabhakaran, K.G.; Babu, S.K.; Kuppuswamy, N.

2009-01-01

Nondestructive testing plays a vital role in Singapore Industry either it is construction or it it oil and gas. To cope up with the future demands for nondestructive testing personnel and cater to the local industry needs for qualified and certified NDT operators, Nondestructive Testing Society (Singapore)-NDTSS launched the SGNDT Certification Scheme. The aim of the organization is to promote and standardize the quality of NDT through education and training based on a scheme that is on par with internationally recognized 3rd party certifications. The certification also provides a greater confidence to the clients and end users who utilize the NDT test results provided by the certified operators. NDE certification in Singapore varies from industries and currently relies on the in-house certification scheme based on SNT-TC-1A where organizations find it difficult to standardize the skill and reliability of operators. NDE Certification system varies globally from countries to countries. A proper certification system is required to produce successful NDT Practitioners to suit the local industry. This paper outlines the development of Singapore NDT Certification Scheme (SGNDT), the operations, levels of qualification, the method of operation and control measures. The Training and Certification committee, Quality Management system within the certification scheme and the current system practiced in Singapore are discussed in this paper. The paper also highlights the importance of third party certification scheme. (author)

Downscaling of sea level and fluxes in the Malacca and Singapore Straits using A2 scenario projections of AR4 GCMs

Science.gov (United States)

Tkalich, Pavel; Koshebutsky, Volodymyr; Maderich, Vladimir; Thompson, Bijoy

2013-04-01

IPCC-coordinated work has been completed within Fourth Assessment Report (AR4) to project climate and ocean variables for the 21st century using coupled atmospheric-ocean General Circulation Models (GCMs). Resolution of the GCMs is not sufficient to resolve local features of narrow Malacca and Singapore Straits, having complex coastal line and bathymetry; therefore, dynamical downscaling of ocean variables from the global grid to the regional scale is advisable using ocean models, such as Regional Ocean Modeling System (ROMS). ROMS is customized for the domain centered on the Singapore and Malacca Straits, extending from 98°E to 109°E and 6°S to 14°N. Following IPCC methodology, the modelling is done for the past reference period 1961-1990, and then for the 21st century projections; subsequently, established past and projected trends and variability of ocean parameters are inter-compared. Boundary conditions for the past reference period are extracted from Simple Ocean Data Assimilation (SODA), while the projections are made using A2 scenario runs of ECHAM5 and CCSM3 GCMs. Atmospheric forcing for ROMS is downscaled with WRF using ERA-40 dataset for the past period, and outputs of atmospheric variables of respective GCMs for the projections. ROMS-downscaled regional sea level change during 1961-1990, corrected for the global thermosteric effect, land-ice melting and Global Isostatic Adjustment (GIA) effect, corresponds to a mean total trend of 1.52 mm/year, which is higher than the global estimate 1.25 mm/year and observed global sea-level rise (1.44 mm/year) for the same period. Local linear trend in the Singapore Strait (0.9 mm/year) corresponds to the observed trend at Victoria Dock tide gauge (1.1 mm/year) for the past period. Mean discharges through the Karimata, Malacca and Singapore Straits are 0.9, 0.21 and 0.12 Sv, respectively, fall in the range of observations and recent model estimates. A2 scenario projections using ROMS-ECHAM5 and ROMS-CCSM3 for

Distributed Leadership and Teacher Job Satisfaction in Singapore

Science.gov (United States)

García Torres, Darlene

2018-01-01

Purpose: Singapore is a country with low teacher attrition rates and high performance on international assessments (TIMSS 2011/2015 and PISA 2012/2015). Consequently, its education system is often considered as a model for other nations. The purpose of this paper is to extend research on teacher job satisfaction in Singapore and provide…

Psychometric Evaluation of the Young Children's Participation and Environment Measure (YC-PEM) for use in Singapore.

Science.gov (United States)

Lim, Chun Yi; Law, Mary; Khetani, Mary; Rosenbaum, Peter; Pollock, Nancy

2018-08-01

To estimate the psychometric properties of a culturally adapted version of the Young Children's Participation and Environment Measure (YC-PEM) for use among Singaporean families. This is a prospective cohort study. Caregivers of 151 Singaporean children with (n = 83) and without (n = 68) developmental disabilities, between 0 and 7 years, completed the YC-PEM (Singapore) questionnaire with 3 participation scales (frequency, involvement, and change desired) and 1 environment scale for three settings: home, childcare/preschool, and community. Setting-specific estimates of internal consistency, test-retest reliability, and construct validity were obtained. Internal consistency estimates varied from .59 to .92 for the participation scales and .73 to .79 for the environment scale. Test-retest reliability estimates from the YC-PEM conducted on two occasions, 2-3 weeks apart, varied from .39 to .89 for the participation scales and from .65 to .80 for the environment scale. Moderate to large differences were found in participation and perceived environmental support between children with and without a disability. YC-PEM (Singapore) scales have adequate psychometric properties except for low internal consistency for the childcare/preschool participation frequency scale and low test-retest reliability for home participation frequency scale. The YC-PEM (Singapore) may be used for population-level studies involving young children with and without developmental disabilities.

Motivation Beliefs of Secondary School Teachers in Canada and Singapore: A Mixed Methods Study

Science.gov (United States)

Klassen, Robert M.; Chong, Wan Har; Huan, Vivien S.; Wong, Isabella; Kates, Allison; Hannok, Wanwisa

2008-01-01

A mixed methods approach was used to explore secondary teachers' motivation beliefs in Canada and Singapore. Results from Study 1 revealed that socio-economic status (SES) was the strongest predictor of school climate in Canada, and that collective efficacy mediated the effect of SES on school climate in Singapore, but not in Canada. In Study 2,…

Sea Level Trend and Variability in the Straits of Singapore and Malacca

Science.gov (United States)

Luu, Q.; Tkalich, P.

2013-12-01

The Straits of Singapore and Malacca (SSM) connect the Andaman Sea located northeast of the Indian Ocean to the South China Sea, the largest marginal sea situated in the tropical Pacific Ocean. Consequently, sea level in the SSM is assumed to be governed by various regional phenomena associated with the adjacent parts of Indian and Pacific Oceans. At annual scale sea level variability is dominant by the Asian monsoon. Interannual sea level signals are modulated by the El Niño-Southern Oscillation (ENSO) and the Indian Ocean Dipole (IOD). In the long term, regional sea level is driven by the global climate change. However, relative impacts of these multi-scale phenomena on regional sea level in the SSM are yet to be quantified. In present study, publicly available tide gauge records and satellite altimetry data are used to derive long-term sea level trend and variability in SSM. We used the data from research-quality stations, including four located in the Singapore Strait (Tanjong Pagar, Raffles Lighthouse, Sultan Shoal and Sembawang) and seven situated in the Malacca Strait (Kelang, Keling, Kukup, Langkawji, Lumut, Penang and Ko Taphao Noi), each one having 25-39 year data up to the year 2011. Harmonic analysis is performed to filter out astronomic tides from the tide gauge records when necessary; and missing data are reconstructed using identified relationships between sea level and the governing phenomena. The obtained sea level anomalies (SLAs) and reconstructed mean sea level are then validated against satellite altimetry data from AVISO. At multi-decadal scale, annual measured sea level in the SSM is varying with global mean sea level, rising for the period 1984-2009 at the rate 1.8-2.3 mm/year in the Singapore Strait and 1.1-2.8 mm/year in the Malacca Strait. Interannual regional sea level drops are associated with El Niño events, while the rises are correlated with La Niña episodes; both variations are in the range of ×5 cm with correlation coefficient

Large-scale weather dynamics during the 2015 haze event in Singapore

Science.gov (United States)

Djamil, Yudha; Lee, Wen-Chien; Tien Dat, Pham; Kuwata, Mikinori

2017-04-01

The 2015 haze event in South East Asia is widely considered as a period of the worst air quality in the region in more than a decade. The source of the haze was from forest and peatland fire in Sumatra and Kalimantan Islands, Indonesia. The fires were mostly came from the practice of forest clearance known as slash and burn, to be converted to palm oil plantation. Such practice of clearance although occurs seasonally but at 2015 it became worst by the impact of strong El Nino. The long period of dryer atmosphere over the region due to El Nino makes the fire easier to ignite, spread and difficult to stop. The biomass emission from the forest and peatland fire caused large-scale haze pollution problem in both Islands and further spread into the neighboring countries such as Singapore and Malaysia. In Singapore, for about two months (September-October, 2015) the air quality was in the unhealthy level. Such unfortunate condition caused some socioeconomic losses such as school closure, cancellation of outdoor events, health issues and many more with total losses estimated as S700 million. The unhealthy level of Singapore's air quality is based on the increasing pollutant standard index (PSI>120) due to the haze arrival, it even reached a hazardous level (PSI= 300) for several days. PSI is a metric of air quality in Singapore that aggregate six pollutants (SO2, PM10, PM2.5, NO2, CO and O3). In this study, we focused on PSI variability in weekly-biweekly time scales (periodicity < 30 days) since it is the least understood compare to their diurnal and seasonal scales. We have identified three dominant time scales of PSI ( 5, 10 and 20 days) using Wavelet method and investigated their large-scale atmospheric structures. The PSI associated large-scale column moisture horizontal structures over the Indo-Pacific basin are dominated by easterly propagating gyres in synoptic (macro) scale for the 5 days ( 10 and 20 days) time scales. The propagating gyres manifest as cyclical

Group Investigation Effects on Achievement, Motivation, and Perceptions of Students in Singapore

Science.gov (United States)

Tan, Ivy Geok Chin; Sharan, Shlomo; Lee, Christine Kim Eng

2007-01-01

In an experiment conducted in 7 eighth-grade (Ages 13-14) classes in Singapore, the authors evaluated the effects of the group investigation method of cooperative learning versus the effects of the traditional whole-class method of instruction on students' academic achievement and on their motivation to learn. The authors also investigated…

Ethnic variation of the histological subtypes of renal cell carcinoma in Singapore

Directory of Open Access Journals (Sweden)

E.V. Ezenwa

2014-12-01

Conclusion: The commonest histological subtype of RCC in each of the studied ethnic groups in Singapore is clear cell carcinoma. However, most of the cancer deaths in Chinese (16.9% and Malays (66.7% were associated with the papillary cell type, while in Indians the sarcomatoid component prevailed (9.7%. Thus, the usual prognostic trend for RCC subtypes cannot be applied to all Singaporean ethnicities, necessitating individualization of prognosis for each group.

Integrated care for diabetes - The Singapore Approach

Directory of Open Access Journals (Sweden)

Su Qian Yeo

2012-03-01

Full Text Available Background The prevalence of diabetes mellitus is 12.7% in Singapore. Managing people with diabetes in the community may be needed to reduce unnecessary utilisation of expensive specialist resources and to reduce hospital waiting times for patients with complications. Care Practice The Singapore General Hospital (SGH Delivering on Target (DOT Programme was launched in 2005 to right-site clinically stable diabetic patients from the hospital to private DOT GPs. The Chronic Disease Management Office (CDMO was established and a fully customised DOT information technology (IT system was developed. Three initiatives were implemented: (i Subsidised Drug Delivery Programme, (ii Diagnostic Tests Incentive Programme, and (iii Allied Healthcare Incentive Programme. Discussion Right-siting was enabled through patient incentives that eased the burden of out-of-pocket expenditure. Right Siting Officers (RSOs maintained a general oversight of the patient pathway. The integrated system supported shared care follow-up by enabling DOT GPs to share updates on the patients' health status with the referring specialists. Conclusion A coherent process across all healthcare providers similar to the SGH DOT Programme may facilitate efforts to shift the care for people with diabetes to the community and to provide integrated care. Successful integration may require incentives for institutional partners and patients.

Review of Singapore's air quality and greenhouse gas emissions: current situation and opportunities.

Science.gov (United States)

Velasco, Erik; Roth, Matthias

2012-06-01

Singapore has many environmental accomplishments to its credit. Accessible data on air quality indicates that all criteria pollutants satisfy both U.S. Environmental Protection Agency (EPA) and World Health Organization (WHO) air quality standards and guidelines, respectively. The exception is PM2.5 (particles with an aerodynamic diameter pollutant in Singapore but may potentially be the major local air pollution problem and cause for health concern. Levels of other airborne pollutants as well as their physical and chemical processes associated with local formation, transformation, dispersion, and deposition are not known. According to available emission inventories, Singapore contribution to the total atmospheric pollution and carbon budget at the regional and global scales is small. Emissions per unit gross domestic product (GDP) are low compared with other countries, although Singapore's per-capita GDP and per-capita emissions are among the highest in the world. Some information is available on health effects, but the impacts on the ecosystem and the complex interactions of air pollution and climate change at a regional level are also unknown. This article reviews existing available information on atmospheric pollution and greenhouse gas emissions and proposes a multipollutant approach to greenhouse gas mitigation and local air quality. Singapore, by reducing its per-capita emissions, increasing the availability of information (e.g., through regularly publishing hourly and/or daily PM2.5 concentrations) and developing a research agenda in this area, would likely be seen to be a model of a high-density, livable, and sustainable city in Southeast Asia and other tropical regions worldwide.

Linguistic Landscape in Singapore: What Shop Names Reveal about Singapore's Multilingualism

Science.gov (United States)

Shang, Guowen; Guo, Libo

2017-01-01

The visibility and salience of specific languages in public spaces are important parameters of their ethnolinguistic vitality in a society. Drawing upon data from first-hand fieldwork, this paper explores the display of multiple languages in shop names presented in Singapore's neighbourhood centres in order to reveal how local shop owners address…

Singapore's Anopheles sinensis Form A is susceptible to Plasmodium vivax isolates from the western Thailand-Myanmar border.

Science.gov (United States)

Pang, Sook-Cheng; Andolina, Chiara; Malleret, Benoit; Christensen, Peter R; Lam-Phua, Sai-Gek; Razak, Muhammad Aliff Bin Abdul; Chong, Chee-Seng; Li, Daiqin; Chu, Cindy S; Russell, Bruce; Rénia, Laurent; Ng, Lee-Ching; Nosten, Francois

2017-11-16

Singapore has been certified malaria-free by the World Health Organization since November 1982. However, sporadic autochthonous malaria outbreaks do occur. In one of the most recent outbreaks of vivax malaria, an entomological investigation identified Anopheles sinensis as the most probable vector. As metaphase karyotype studies divided An. sinensis into two forms, A and B, with different vector competence: the investigation of vector competence of An. sinensis found in Singapore was thus pursued using Plasmodium vivax field isolates from the Thailand-Myanmar border. Adults and larvae An. sinensis were collected from Singapore from 14 different locations, using various trapping and collection methods between September 2013 and January 2016. Molecular identification of An. sinensis species were conducted by amplifying the ITS2 and CO1 region using PCR. Experimental infections of An. sinensis using blood from seven patients infected with P. vivax from the Thailand-Myanmar border were conducted with Anopheles cracens (An. dirus B) as control. Phylogenetic analysis showed that An. sinensis (F 22 , F 2 and collected from outbreak areas) found in Singapore was entirely Form A, and closely related to An. sinensis Form A from Thailand. Artificial infection of these Singapore strain An. sinensis Form A resulted in the development of oocysts in four experiments, with the number of sporozoites produced by one An. sinensis ranging from 4301 to 14,538. Infection experiments showed that An. sinensis Form A from Singapore was susceptible to Thai-Myanmar P. vivax strain, suggesting a potential role as a malaria vector in Singapore.

Instrumentation project of 3rd desalination plant at Tuas (Singapore)

OpenAIRE

Charco Iniesta, Sara

2016-01-01

This project consists on the description of instrumentation used in Tuas III desalination plant at Singapore and its flow process description. The project has been developed as part of the work of the instrumentation department of the responsible company of the engineering design of Tuas III desalination plant. First of all is important to know the water problems which suffer all the people who live in Singapore. Singapore is a city-state and is home to 5.5 million residents. The coun...

Feasibility Study of Renewable Energy in Singapore

OpenAIRE

King, Sebastian; Wettergren, Per

2011-01-01

Singapore is a country that is currently highly dependent on import of oil and gas. In order to be able to shift into a more sustainable energy system, Singapore is investing in research regarding different technologies and systems so as to establish more sustainable energy solutions. Seeing how air-conditioning accounts for approximately 30 % of Singapore’s total energy consumption, a feasibility study is being conducted on whether an integrated system using a thermally active building syste...

Urban simulation evaluation with study case of the Singapore Management University, Singapore

Science.gov (United States)

Seanders, O.

2018-01-01

This paper reports and discusses about the urban simulation evaluation with a study case, The Singapore Managemant University (SMU), the first major university to be located in the city centre. It is located in Bras Basah District, with some controversy on the geographical establishment, the physical realization of the University in the original plan required some demolishes, urban historical building, a public park and in the end will impact the lose of some certain qualities of the urban space. From this case we can see that the urban design and cultural heritage principles could come into conflicts with the more practical concerns of space constraints and transportation efficiency. This SMU case reflect the problem of the developing countries that have to decide between conservation of buildings and green spaces and space demands. In this case, for Singapore, it marks a progress in the step of greater community involvement in the planning process.

Commuter exposure to aerosol pollution on public transport in Singapore

Science.gov (United States)

Tan, S.; Velasco, E.; Roth, M.; Norford, L.

2013-12-01

Personal exposure to aerosol pollutants in the transport microenvironment of Singapore has not been well documented. Studies from many cities suggest that brief periods of exposure to high concentrations of airborne pollutants may have significant health impacts. Thus, a large proportion of aerosol exposure may be experienced during daily commuting trips due to the proximity to traffic. A better understanding of the variability across transport modes is therefore needed to design transport policies that minimize commuters' exposure. In light of this, personal exposure measurements of PM10 and PM2.5, particle number (PN), black carbon (BC), carbon monoxide (CO), particle-bound polycyclic aromatic hydrocarbons (pPAH), and active surface area (SA) were conducted on a selected route in downtown Singapore. Portable and real-time monitoring instruments were carried onto three different modes of public transport (bus, taxi, subway) and by foot. Simultaneous measurements were taken at a nearby park to capture the background concentrations. Large variability was observed amongst the various transport modes investigated. For example, the particle number concentration was on average 1.5, 1.6, 0.8, and 2.2 times higher inside buses, taxis, subway and by foot, respectively, than at the background site. Based on the results, it is possible to come up with a ranking of the 'cleanest' transport mode for Singapore.

Parental Perspectives and Challenges in Inclusive Education in Singapore

Science.gov (United States)

Wong, Meng Ee; Poon, Kenneth K.; Kaur, Sarinajit; Ng, Zi Jia

2015-01-01

Relatively little work has focused on inclusive education in Singapore. This study examines the experiences and perceptions of parents whose children with disabilities are attending mainstream secondary schools in Singapore. Data was drawn from interviews with 13 parents of children with mild disabilities. Our findings reveal that parental…

Special Libraries in Singapore.

Science.gov (United States)

Leong, Alice

1979-01-01

Distinguishes five main categories of special libraries in Singapore: those of private organizations, foreign governments, government departments, statutory boards, and regional organizations. Statistical data are provided for library holdings, professional staff employment, and subject profiles, and suggestions for improving various aspects of…

Empathy and burnout: a study on residents from a Singapore institution.

Science.gov (United States)

Lee, Phong Teck; Loh, Julian; Sng, Gerald; Tung, Joshua; Yeo, Khung Keong

2018-01-01

Empathy and burnout are two entities that are important in a physician's career. They are likely to relate to each other and can be heavily influenced by surrounding factors, such as medical education, local practices and cultural expectations. To our knowledge, empathy and burnout studies have not been performed in Singapore. This study was designed to evaluate empathy and burnout levels using the Jefferson Scale of Physician Empathy (JSPE) and Maslach Burnout Inventory (MBI) among residents in Singapore, and compare them with the United States (US) literature. The JSPE, MBI and a self-designed questionnaire were completed by 446 trainees at a residency-sponsoring institution in Singapore. Residents in Singapore had lower empathy and higher rates of burnout compared to US literature. Physician empathy was associated with burnout: residents with higher empathy scores had higher personal accomplishment (p burnout scores compared to the US literature. Further research into the underlying cause is imperative to guide intervention. Copyright: © Singapore Medical Association.

Singapore's Contribution to Arctic Cooperation

DEFF Research Database (Denmark)

Burke, Danita Catherine; Saramago, Andre

2018-01-01

This article explores how Singapore uses its internal skills in education and human resources training to project its soft power internationally. This inquiry is carried out with reference to the ‘leadership inside-out’ model of soft power projection, first, by analysing Singapore’s use of educat......This article explores how Singapore uses its internal skills in education and human resources training to project its soft power internationally. This inquiry is carried out with reference to the ‘leadership inside-out’ model of soft power projection, first, by analysing Singapore’s use...... Asian state, namely the potential opening of the Northern Sea Route, which might pose a ‘Venice-style’ threat to Singapore’s status as a key hub in international shipping....

Prevalence and associative factors of orthostatic hypotension in older adults: Results from the Well-being of the Singapore Elderly (WiSE) study.

Science.gov (United States)

Ong, Hui Lin; Abdin, Edimansyah; Seow, Esmond; Pang, Shirlene; Sagayadevan, Vathsala; Chang, Sherilyn; Vaingankar, Janhavi Ajit; Chong, Siow Ann; Subramaniam, Mythily

2017-09-01

Orthostatic hypotension (OH) is commonly reported among older adults and is associated with an increased risk of mortality. This study aimed to describe the prevalence and investigate the possible associations between OH with sociodemographic variables, chronic medical conditions, health service utilisation, dementia and cognitive status among older adults residing in Singapore. Data was collected from 2266 participants aged 60 years and older who participated in the Well-being of the Singapore Elderly (WiSE) study in 2013. Face-to-face interviews were conducted and data collected includes sociodemographic information, blood pressure measurements, medical history, health services utilisation, and cognitive status. The prevalence of OH among older adults in Singapore was 7.8%. OH was highest in participants aged 85 years and above (OR: 2.33; 1.26-4.30; p=0.007) compared to those aged 75-84 years (OR: 1.76; 1.08-2.85; p=0.023). Participants with hypertension were more likely to have OH (OR: 3.03; 1.56-5.88, p=0.001) than those without hypertension. Those with dementia were also more likely to have OH than those with normal cognitive status (p=0.007). Older age, hypertension, and dementia were independently associated with OH in the older adult population in Singapore. Interventions such as home safety assessment and preventive measures should be implemented to improve older adult's functional capacity and quality of life to prevent injury. Copyright © 2017 Elsevier B.V. All rights reserved.

Knowledge of Signs and Symptoms of Heart Attack and Stroke among Singapore Residents

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Joy Li Juan Quah

2014-01-01

Full Text Available Aim. To determine the level of knowledge of signs and symptoms of heart attack and stroke in Singapore resident population, in comparison to the global community. Methods. A population based, random sample of 7,840 household addresses was selected from a validated national sampling frame. Each participant was asked eight questions on signs and symptoms of heart attack and 10 questions on stroke. Results. The response rate was 65.2% with 4,192 respondents. The level of knowledge for preselected, common signs and symptoms of heart attack and stroke was 57.8% and 57.1%, respectively. The respondents scored a mean of 5.0 (SD 2.4 out of 8 for heart attack, while they scored a mean of 6.8 (SD 2.9 out of 10 for stroke. Respondents who were ≥50 years, with lower educational level, and unemployed/retired had the least knowledge about both conditions. The level of knowledge of signs and symptoms of heart attack and stroke in Singapore is comparable to USA and Canada. Conclusion. We found a comparable knowledge of stroke and heart attack signs and symptoms in the community to countries within the same economic, educational, and healthcare strata. However older persons, those with lower educational level and those who are unemployed/retired, require more public health education efforts.

Norwegian Foreign Direct Investment : Destination Singapore Inc.

OpenAIRE

Hasli, Siri Hetle

2009-01-01

The growth and spread of FDI during the 20th century has been described as a significant economic-geographic development. Norwegian FDI has been increasing since the 1980s, but the large scale of it is a new phenomenon. Singapore is now the third most important host country for Norwegian FDI. This thesis is a study of Norwegian FDI in Singapore, and the research question is: Which economic and political factors do Norwegian companies regard as important when investing abroad, and to what degr...

A bibliometric study of scientific research conducted on second-generation antipsychotic drugs in Singapore.

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López-Muñoz, Francisco; Sim, Kang; Shen, Winston Wu; Huelves, Lorena; Moreno, Raquel; Molina, Juan de Dios; Rubio, Gabriel; Noriega, Concha; Pérez-Nieto, Miguel Ángel; Alamo, Cecilio

2014-01-01

A bibliometric study was carried out to ascertain the volume and impact of scientific literature published on second-generation antipsychotic drugs (SGAs) in Singapore from 1997 to 2011. A search of the EMBASE and MEDLINE databases was performed to identify articles originating from Singapore that included the descriptors 'atypic* antipsychotic*', 'second-generation antipsychotic*', 'clozapine', 'risperidone', 'olanzapine', 'ziprasidone', 'quetiapine', 'sertindole', 'aripiprazole', 'paliperidone', 'amisulpride', 'zotepine', 'asenapine', 'iloperidone', 'lurasidone', 'perospirone' and 'blonanserin' in the article titles. Certain bibliometric indicators of production and dispersion (e.g. Price's Law on the increase of scientific literature, and Bradford's Law) were applied, and the participation index of various countries was calculated. The bibliometric data was also correlated with some social and health data from Singapore, such as the total per capita expenditure on health and gross domestic expenditure on research and development. From 1997 to 2011, a total of 51 articles on SGAs in Singapore were published. Our results suggested non-fulfilment of Price's Law (r = 0.0648 after exponential adjustment vs. r = 0.2140 after linear adjustment). The most widely studied drugs were clozapine (21 articles), risperidone (16 articles) and olanzapine (8 articles). Division into Bradford zones yielded a nucleus occupied by the Journal of Clinical Psychopharmacology (6 articles) and the Singapore Medical Journal(4 articles). The analysed material was published in a total of 30 journals, with the majority from six journals. Four of these six journals have an impact factor greater than 2. Publications on SGAs in Singapore are still too few to confirm an exponential growth of scientific literature.

Mathematics Education in Singapore – An Insider’s Perspective

Directory of Open Access Journals (Sweden)

Berinderjeet Kaur

2014-07-01

Full Text Available Singapore’s Education System has evolved over time and so has Mathematics Education in Singapore. The present day School Mathematics Curricula can best be described as one that caters for the needs of every child in school. It is based on a framework that has mathematical problem solving as its primary focus. The developments from 1946 to 2012 that have shaped the present School Mathematics Curricula in Singapore are direct consequences of developments in the Education System of Singapore during the same period. The curriculum, teachers, leaners and the learning environment may be said to contribute towards Singapore’s performance in international benchmark studies such as TIMSS and PISA.

Knowledge of diabetes mellitus and safe practices during Ramadan fasting among Muslim patients with diabetes mellitus in Singapore.

Science.gov (United States)

Zainudin, Sueziani Binte; Ang, Dun Yong; Soh, Abel Wah Ek

2017-05-01

This study aimed to explore the level of knowledge of Muslim patients with diabetes mellitus (DM) regarding DM and the self-management of DM when fasting during Ramadan. Muslim patients with DM attending the Diabetes Centre of Singapore General Hospital, Singapore, were surveyed on their knowledge of DM and self-management of DM when fasting during Ramadan. Data on patient demographics, DM history and management of DM during the previous Ramadan was also collected. A total of 92 patients (34 male, 58 female) were surveyed. The mean age of the patients was 53.4 ± 13.3 years. The patients were either Malay (91.3%) or Indian (8.7%), and most (66.3%) had at least a secondary school education. Most (89.1%) had Type 2 DM. The mean duration of DM was 8.7 ± 5.1 years and mean pre-Ramadan haemoglobin A1c was 8.4% ± 1.8%. DM treatment consisted of insulin therapy (37.0%), oral glucose-lowering drugs (35.9%) and combined therapy (22.8%). The mean DM knowledge score was 58.8% for general knowledge and 75.9% for fasting knowledge. During the previous Ramadan, although 71.4% of the patients consulted their physicians, 37.3% did not monitor their blood glucose levels and 47.0% had hypoglycaemic episodes. Among those who had hypoglycaemia, 10.8% continued to fast. Unsafe self-management practices were observed among DM patients who fasted during Ramadan. Efforts should be made to bridge the gap between knowledge of DM and self-management of DM. Copyright: © Singapore Medical Association

Statistical Assessment of the Effectiveness of Transformation Change (by Case of Singapore

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Zhuravlyov

2017-02-01

Full Text Available In studies of economic transformations and their statistical assessment, the causality of processes specific to economic relations and development of institutions is overlooked. The article is devoted to the important topic of statistical assessment of the transformations effectiveness. The case of Singapore is taken because it is an Asian country demonstrating the essential role of the institutional environment in the national economy transformations. The regression analysis of the impact of institutional factors on economic growth in Singapore is made using 17 indicators: civil freedoms, corruption, economic freedom, economic globalization, spending on education, use of energy, share of women at labor market, fiscal freedom, price for fuel, PPP, effectiveness of public administration, level of consumption, Human Development Index, Internet users, life expectancy, unemployment, openness of trade. Economic interpretation of the statistical assessment of economic transformations in Singapore is as follows: quality of the institutional environment (control of corruption, economic freedom, supremacy of law etc. has critical importance for economic development in Singapore; the increasing spending on education has positive effects for economic growth in Singapore; economic growth in Singapore has high positive correlation with energy consumption.

Experience and Lessons Learned from Conditioning of Spent Sealed Sources in Singapore - 13107

Energy Technology Data Exchange (ETDEWEB)

Hong, Dae-Seok; Kang, Il-Sik; Jang, Kyung-Duk; Jang, Won-Hyuk [Korea Atomic Energy Research Institute, 1045 Daedeokdaero, Yuseong, Daejeon (Korea, Republic of); Hoo, Wee-Teck [National Environment Agency, 40 Scotts Road 228231 (Singapore)

2013-07-01

In 2010, IAEA requested KAERI (Korea Atomic Energy Research Institute) to support Singapore for conditioning spent sealed sources. Those that had been used for a lightning conductor, check source, or smoke detector, various sealed sources had been collected and stored by the NEA (National Environment Agency) in Singapore. Based on experiences for the conditioning of Ra-226 sources in some Asian countries since 2000, KAERI sent an expert team to Singapore for the safe management of spent sealed sources in 2011. As a result of the conditioning, about 575.21 mCi of Am-241, Ra-226, Co-60, and Sr-90 were safely conditioned in 3 concrete lining drums with the cooperation of the KAERI expert team, the IAEA supervisor, the NEA staff and local laborers in Singapore. Some lessons were learned during the operation: (1) preparations by a local authority are very helpful for an efficient operation, (2) a preliminary inspection by an expert team is helpful for the operation, (3) brief reports before and after daily operation are useful for communication, and (4) a training opportunity is required for the sustainability of the expert team. (authors)

Language and Social Identity Amongst Tamil-English Bilinguals in Singapore.

Science.gov (United States)

Saravanan, Vanithamani

1993-01-01

This article examines the position of the Tamil language in Singapore. It is one of the four languages in Singapore but shows signs of decline in recent years relative to English, Chinese, and Malay. The reasons for this are explored. (Contains 24 references.) (JL)

MANAGED FLOAT EXCHANGE RATE SYSTEM: THE SINGAPORE EXPERIENCE

OpenAIRE

HOE EE KHOR; JASON LEE; EDWARD ROBINSON; SAKTIANDI SUPAAT

2007-01-01

This paper examines the key characteristics of Singapore's exchange rate-centered monetary policy; in particular, its managed float regime which incorporates key features of the basket, band and crawl system popularized by Williamson (1998, 1999). We assess how the flexibility accorded by this framework has been advantageous in facilitating adjustment to various shocks to the economy. A characterization of the countercyclical nature of Singapore's exchange rate policy is also offered, with re...

The influence of climate variables on dengue in Singapore.

Science.gov (United States)

Pinto, Edna; Coelho, Micheline; Oliver, Leuda; Massad, Eduardo

2011-12-01

In this work we correlated dengue cases with climatic variables for the city of Singapore. This was done through a Poisson Regression Model (PRM) that considers dengue cases as the dependent variable and the climatic variables (rainfall, maximum and minimum temperature and relative humidity) as independent variables. We also used Principal Components Analysis (PCA) to choose the variables that influence in the increase of the number of dengue cases in Singapore, where PC₁ (Principal component 1) is represented by temperature and rainfall and PC₂ (Principal component 2) is represented by relative humidity. We calculated the probability of occurrence of new cases of dengue and the relative risk of occurrence of dengue cases influenced by climatic variable. The months from July to September showed the highest probabilities of the occurrence of new cases of the disease throughout the year. This was based on an analysis of time series of maximum and minimum temperature. An interesting result was that for every 2-10°C of variation of the maximum temperature, there was an average increase of 22.2-184.6% in the number of dengue cases. For the minimum temperature, we observed that for the same variation, there was an average increase of 26.1-230.3% in the number of the dengue cases from April to August. The precipitation and the relative humidity, after analysis of correlation, were discarded in the use of Poisson Regression Model because they did not present good correlation with the dengue cases. Additionally, the relative risk of the occurrence of the cases of the disease under the influence of the variation of temperature was from 1.2-2.8 for maximum temperature and increased from 1.3-3.3 for minimum temperature. Therefore, the variable temperature (maximum and minimum) was the best predictor for the increased number of dengue cases in Singapore.

19 CFR 10.570 - Goods re-entered after repair or alteration in Singapore.

Science.gov (United States)

2010-04-01

... Singapore. 10.570 Section 10.570 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND... States-Singapore Free Trade Agreement Goods Returned After Repair Or Alteration § 10.570 Goods re-entered after repair or alteration in Singapore. (a) General. This section sets forth the rules which apply for...

The Quest for Global Competitiveness: Promotion of Innovation and Entrepreneurial Universities in Singapore

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Mok, Ka Ho

2015-01-01

The economy of Singapore has been continuously reforming since its independence. In the late 1980s, the economy of Singapore depended heavily on the vibrant manufacturing sector formed by foreign direct investment and multinational companies. This article critically reviews the policies and reform measures adopted by the Singapore government in…

Examination of Measurement Invariance across Culture and Gender on the RCMAS-2 Short Form among Singapore and U.S. Adolescents

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Lowe, Patricia A.; Ang, Rebecca P.

2016-01-01

Tests of measurement invariance were conducted across culture and gender on the Revised Children's Manifest Anxiety Scale-Second Edition (RCMAS-2) Short Form in a sample of 1,003 Singapore and U.S. adolescents. The results of multi-group confirmatory factor analyses across culture and gender supported at least partial measurement invariance. ANOVA…

Healthy Competition and Unsound Comparison: Reforming Educational Competition in Singapore

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Christensen, Søren

2015-01-01

It is frequently claimed that the "competition state" responds to external competition by making competition increasingly central to its internal processes as well. This article discusses education reform in Singapore as departing from the opposite position. In Singapore "excessive" competition in education is now targeted by…

Towards Evidence-Based Initial Teacher Education in Singapore: A Review of Current Literature

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Low, Ee-Ling; Hui, Chenri; Taylor, Peter G.; Ng, Pak Tee

2012-01-01

Initial teacher education (ITE) in Singapore is shifting towards evidence-based practice. Despite a clear policy orientation, ITE in Singapore has not yet produced the evidence base that it is anticipating. This paper presents an analytical review of previous research into ITE in Singapore and makes comparisons to the larger international context.…

Singapore Chooses Teachers Carefully

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Sclafani, Susan K.

2015-01-01

At the heart of the plans and programs that launched Singapore's rise to the top of international education comparisons are the tiny nation-state's commitments to its teaching force beginning with its highly competitive selection process and carrying through its teacher training, its career-long professional development, and even an enhanced…

Smoking and risk of kidney failure in the Singapore Chinese health study.

Directory of Open Access Journals (Sweden)

Aizhen Jin

Full Text Available The relationship between smoking and risk of kidney failure, especially in people of Chinese origin, is not clear. We analyzed data from the Singapore Chinese Health Study to investigate whether smoking increases the risk of kidney failure.The Singapore Chinese Health Study is a population-based cohort of 63,257 Chinese adults enrolled between 1993 and 1998. Information on smoking status was collected at baseline. Incidence of kidney failure was identified via record linkage with the nationwide Singapore Renal Registry until 2008. Kidney failure was defined by one of the following: 1 serum creatinine level of more than or equal to 500 µmol/l (5.7 mg/dl, 2 estimated glomerular filtration rate of less than 15 ml/min/1.73 m(2, 3 undergoing hemodialysis or peritoneal dialysis, 4 undergone kidney transplantation. Cox proportional hazard regression analysis was performed for the outcome of kidney failure after adjusting for age, education, dialect, herbal medications, body mass index, sex, physician-diagnosed hypertension and diabetes mellitus.The mean age of subjects was 55.6 years at baseline, and 44% were men. Overall 30.6% were ever smokers (current or former at baseline. A total of 674 incident cases of kidney failure occurred during a median follow-up of 13.3 years. Among men, smokers had a significant increase in the adjusted risk of kidney failure [hazard ratio (HR: 1.29; 95% CI: 1.02-1.64] compared to never smokers. There was a strong dose-dependent association between number of years of smoking and kidney failure, (p for trend = 0.011. The risk decreased with prolonged cessation (quitting ≥10 years since baseline. The number of women smokers was too few for conclusive relationship.Information on baseline kidney function was not available.Cigarette smoking is associated with increased risk of kidney failure among Chinese men. The risk appears to be dose- and duration-dependent and modifiable after long duration of cessation.

Establishing multiple omics baselines for three Southeast Asian populations in the Singapore Integrative Omics Study.

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Saw, Woei-Yuh; Tantoso, Erwin; Begum, Husna; Zhou, Lihan; Zou, Ruiyang; He, Cheng; Chan, Sze Ling; Tan, Linda Wei-Lin; Wong, Lai-Ping; Xu, Wenting; Moong, Don Kyin Nwe; Lim, Yenly; Li, Bowen; Pillai, Nisha Esakimuthu; Peterson, Trevor A; Bielawny, Tomasz; Meikle, Peter J; Mundra, Piyushkumar A; Lim, Wei-Yen; Luo, Ma; Chia, Kee-Seng; Ong, Rick Twee-Hee; Brunham, Liam R; Khor, Chiea-Chuen; Too, Heng Phon; Soong, Richie; Wenk, Markus R; Little, Peter; Teo, Yik-Ying

2017-09-21

The Singapore Integrative Omics Study provides valuable insights on establishing population reference measurement in 364 Chinese, Malay, and Indian individuals. These measurements include > 2.5 millions genetic variants, 21,649 transcripts expression, 282 lipid species quantification, and 284 clinical, lifestyle, and dietary variables. This concept paper introduces the depth of the data resource, and investigates the extent of ethnic variation at these omics and non-omics biomarkers. It is evident that there are specific biomarkers in each of these platforms to differentiate between the ethnicities, and intra-population analyses suggest that Chinese and Indians are the most biologically homogeneous and heterogeneous, respectively, of the three groups. Consistent patterns of correlations between lipid species also suggest the possibility of lipid tagging to simplify future lipidomics assays. The Singapore Integrative Omics Study is expected to allow the characterization of intra-omic and inter-omic correlations within and across all three ethnic groups through a systems biology approach.The Singapore Genome Variation projects characterized the genetics of Singapore's Chinese, Malay, and Indian populations. The Singapore Integrative Omics Study introduced here goes further in providing multi-omic measurements in individuals from these populations, including genetic, transcriptome, lipidome, and lifestyle data, and will facilitate the study of common diseases in Asian communities.

Development of a Coupled Ocean-Hydrologic Model to Simulate Pollutant Transport in Singapore Coastal Waters

Science.gov (United States)

Chua, V. P.

2015-12-01

Intensive agricultural, economic and industrial activities in Singapore and Malaysia have made our coastal areas under high risk of water pollution. A coupled ocean-hydrologic model is employed to perform three-dimensional simulations of flow and pollutant transport in Singapore coastal waters. The hydrologic SWAT model is coupled with the coastal ocean SUNTANS model by outputting streamflow and pollutant concentrations from the SWAT model and using them as inputs for the SUNTANS model at common boundary points. The coupled model is calibrated with observed sea surface elevations and velocities, and high correlation coefficients that exceed 0.97 and 0.91 are found for sea surface elevations and velocities, respectively. The pollutants are modeled as Gaussian passive tracers, and are released at five upstream locations in Singapore coastal waters. During the Northeast monsoon, pollutants released in Source 1 (Johor River), Source 2 (Tiram River), Source 3 (Layang River) and Source 4 (Layau River) enter the Singapore Strait after 4 days of release and reach Sentosa Island within 9 days. Meanwhile, pollutants released in Source 5 (Kallang River) reach Sentosa Island after 4 days. During the Southwest monsoon, the dispersion time is roughly doubled, with pollutants from Sources 1 - 4 entering the Singapore Strait only after 12 days of release due to weak currents.

Academically Elite Students in Singapore: A Collective Moral Stance toward Aspirations and Trajectories

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Lu, Luke

2016-01-01

This paper draws on a Linguistic Ethnography (Blommaert & Rampton 2011) of a group of academically elite students in Singapore. The group comprises locals born in Singapore, as well as immigrants from China and Vietnam. My informants all attended a top-ranked secondary school in Singapore. I present data from interviews and a focus group…

The Republic of Singapore: Informed Questions

National Research Council Canada - National Science Library

Marhoffer, William R

2003-01-01

.... Yet despite its size and paucity of natural resources, Singapore's strategic location at the maritime crossroads of Southeast Asia, along with its industrious population and political stability...

Carbon monoxide poisoning: a five year review at Tan Tock Seng Hospital, Singapore.

Science.gov (United States)

Handa, P K; Tai, D Y H

2005-11-01

Carbon monoxide poisoning (COP) is one of the leading causes of death from poisoning worldwide. There is no published study of COP in Singapore so far. All patients admitted with the diagnosis of COP to Tan Tock Seng Hospital (TTSH) over 5 years from 1999 to 2003 were retrospectively reviewed. The diagnosis was based on a history of potential exposure to carbon monoxide (CO) and elevated levels of carboxyhaemoglobin (COHb). The causes, demographic data, clinical presentations, management and complications were analysed. There were 12 patients with COP. Their average age was 38.9 (+/-11.8) years, with a male-to-female ratio of 3:1. Accidental COP (58.3%) was more common than intentional COP (41.7%). The most common cause of accidental COP was smoke inhalation from a faulty vehicle. Gas stove was the most preferred source for intentional poisoning. Presenting features were headache (83.3%), confusion (83.3%), coma (12.7%) and agitation (8.3%). The mean COHb level on admission was 35.9% (+/-13.6). All were treated with 100% oxygen. All the patients achieved normal levels of COHb within 24 hours of admission. Two (16.7%) required intubation for airway protection as they were comatose on arrival, of which 1 presented with very high level of COHb (48.1%) and was the only patient to be treated with hyperbaric oxygen. Acute complications were globus pallidus infarction (16.6%), acute respiratory distress syndrome (8.3%) and myocardial ischaemia (8.3%). Most of the patients (91.7%) were discharged well from the hospital. One patient developed parkinsonism after a follow-up of 2 years. There were no deaths. COP is relatively uncommon in Singapore. It has a low rate of short- and long-term complications.

Plasma physics studies in Singapore

International Nuclear Information System (INIS)

Jones, R.

1982-01-01

We briefly outline the plasma physics research program being conducted in the Department of Physics of the National University of Singapore. The work places particular emphasis on open system end plugging, ion source development, and anomalous transport studies. (author)

Distributed Leadership to Support PLCs in Asian Pragmatic Singapore Schools

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Hairon, Salleh; Goh, Jonathan Wee Pin; Lin, Tzu-Bin

2014-01-01

Nation states around the world, including Singapore, are endeavouring to reform their education systems in order to successfully compete in the global economy (Carnoy, 1999). With human capital as Singapore's primary resource, it is unsurprising that the state has placed great emphasis on strengthening the economic-education nexus. This tight…

The Curriculum of Climate Change Education: A Case for Singapore

Science.gov (United States)

Chang, Chew-Hung; Pascua, Liberty

2017-01-01

The inclusion of the climate change topic in the curriculum of school subjects in Singapore was pivotal, such that it positioned the discourse squarely in the structure of Singapore's education system. In an examination of the intersections and disjoints between state policies on climate change against the programmatic curriculum, results showed…

Electricity consumption, industrial production, and entrepreneurship in Singapore

International Nuclear Information System (INIS)

Sun, Sizhong; Anwar, Sajid

2015-01-01

Within the context of a tri-variate vector autoregressive framework that includes entrepreneurship, this paper examines the link between electricity consumption and industrial production in Singapore's manufacturing sector. Unlike the existing studies, this paper focuses on one sector of the economy and utilises a unique monthly dataset. Empirical analysis based on Johansen's cointegration approach shows that the three variables are cointegrated – i.e., a stable long-run relationship exists among electricity consumption, output and entrepreneurship in Singapore's manufacturing sector. Empirical analysis based on data from January 1983 to February 2014 reveals that electricity consumption adjusts very slowly to shocks to industrial production and entrepreneurship. Furthermore, entrepreneurship Granger causes electricity consumption, which causes industrial production. As electricity consumption causes industrial output, the growth hypothesis concerning energy consumption and economic growth holds in Singapore's manufacturing sector and policies that restrict electricity production, without electricity imports, are likely to lead to a decline in the manufacturing output. - Highlights: • Using a unique monthly dataset, we focus on Singapore's manufacturing sector. • Electricity consumption, output and entrepreneurship are cointegrated. • Electricity consumption adjusts very slowly to shocks to the other variables. • Entrepreneurship causes electricity consumption which causes industrial production. • We find that growth hypothesis governs the electricity consumption and real output

Online social networking addiction among college students in Singapore: Comorbidity with behavioral addiction and affective disorder.

Science.gov (United States)

Tang, Catherine So-Kum; Koh, Yvaine Yee Woen

2017-02-01

This study aimed to determine the prevalence of addiction to social networking sites/platforms (SNS) and its comorbidity with other behavioral addiction and affective disorder among college students in Singapore. 1110 college students (age: M=21.46, SD=1.80) in Singapore completed measures assessing online social networking, unhealthy food intake and shopping addiction as well as depression, anxiety and mania. Descriptive analyses were conducted to investigate the prevalence and comorbidity of behavioral addiction and affective disorder. Chi-square tests were used to examine gender differences. The prevalence rates of SNS, food and shopping addiction were 29.5%, 4.7% and 9.3% respectively for the total sample. SNS addiction was found to co-occur with food addiction (3%), shopping addiction (5%), and both food and shopping addiction (1%). The comorbidity rates of SNS addiction and affective disorder were 21% for depression, 27.7% for anxiety, and 26.1% for mania. Compared with the total sample, students with SNS addiction reported higher comorbidity rates with other behavioral addiction and affective disorder. In general, females as compared to males reported higher comorbidity rates of SNS addiction and affective disorder. SNS addiction has a high prevalence rate among college students in Singapore. Students with SNS addiction were vulnerable to experience other behavior addiction as well as affective disorder, especially among females. Copyright © 2016. Published by Elsevier B.V.

Exploring infant feeding practices: cross-sectional surveys of South Western Sydney, Singapore, and Ho Chi Minh City.

Science.gov (United States)

Leow, Timothy Yong Qun; Ung, Andrew; Qian, Shelley; Nguyen, Jessie Thanh; An, Yvonne; Mudgil, Poonam; Whitehall, John

2017-06-13

Infant feeding practices are known to influence the child's long-term health. Studies have associated obesity and other diseases with reduced breastfeeding and early introduction of high calorie beverages (HCBs). The rising prevalence of obesity is already a problem in most developed countries, especially Australia, but cultural differences are influential. Our aim is to examine and compare infant feeding practices and educational levels of respondents through questionnaires in three culturally different sites: Campbelltown (South Western Sydney), Australia, Singapore and Ho Chi Minh City, Vietnam (HCMC). Consenting parents and carers (aged ≥18 years old) of at least one child (≤6 years old) were recruited from paediatric clinics in Campbelltown, Singapore and HCMC. Participants completed an infant feeding practices questionnaire regarding breastfeeding, beverage and solid initiation in addition to the parent's ethnicity, age, and educational level. Data was analysed quantitatively using SPSS. Two hundred eighty-three participants were recruited across the three sites, HCMC (n = 84), Campbelltown (n = 108), and Singapore (n = 91). 237 (82.6%) children were breastfed but in all only 100 (60.2%) were exclusively breastfed for five months or more. There was a statistical difference in rates of breast feeding between each region. HCMC (n = 18, 21.4%) had the lowest, followed by Campbelltown (n = 35, 32.4%), and then Singapore (n = 47, 51.7%). There was also a difference in rates of introduction of HCBs by 3 years of age, with those in HCMC (n = 71, 84.5%) were higher than Campbelltown (n = 71, 65.8%) and Singapore (n = 48, 52.8%). The educational level of respondents was lower in Vietnam where only 46.4% (n = 39) had completed post-secondary education, compared to 75.0% (n = 81) in Campbelltown and 75.8% (n = 69) in Singapore. Rates of breast feeding were inversely correlated with rates of introduction of HCB and positively related to

Citygml Modelling for Singapore 3d National Mapping

Science.gov (United States)

Soon, K. H.; Khoo, V. H. S.

2017-10-01

Since 2014, the Land Survey Division of Singapore Land Authority (SLA) has spearheaded a Whole-of-Government (WOG) 3D mapping project to create and maintain a 3D national map for Singapore. The implementation of the project is divided into two phases. The first phase of the project, which was based on airborne data collection, has produced 3D models for Relief, Building, Vegetation and Waterbody. This part of the work was completed in 2016. To complement the first phase, the second phase used mobile imaging and scanning technique. This phase is targeted to be completed by the mid of 2017 and is creating 3D models for Transportation, CityFurniture, Bridge and Tunnel. The project has extensively adopted the Open Geospatial Consortium (OGC)'s CityGML standard. Out of 10 currently supported thematic modules in CityGML 2.0, the project has implemented 8. The paper describes the adoption of CityGML in the project, and discusses challenges, data validations and management of the models.

Physiotherapists' Beliefs About Whiplash-associated Disorder: A Comparison Between Singapore and Queensland, Australia.

Science.gov (United States)

Ng, Tze Siong; Pedler, Ashley; Vicenzino, Bill; Sterling, Michele

2015-06-01

Healthcare providers' beliefs may play a role in the outcome of whiplash-associated disorders (WAD), a condition which is proposed to be culturally dependent. Clinical practice guidelines recommend an active approach for the management of WAD, which is often delivered by physiotherapists. However, there is no data on physiotherapists' whiplash beliefs. Our primary objective was to determine physiotherapists' beliefs from Queensland (Australia) and Singapore, two cultures with differing prevalence of chronic musculoskeletal pain and chronic WAD. A pen and paper survey of musculoskeletal physiotherapists practicing in Queensland and Singapore was conducted. Participants completed questionnaires consisting of patient vignettes and statements inquiring knowledge and attitudes towards WAD. Chi-square tests of significance were used to compare the responses of physiotherapists from both samples. Ninety-one (response rate 45%) Queensland-based and 94 (response rate 98%) Singapore-based physiotherapists participated in the study. The beliefs in the management strategies for the patient vignettes were generally consistent with practice guidelines. A higher proportion of Queensland-based physiotherapists expected permanent disabilities for the patient vignette depicting chronic WAD (Queensland: 55% Singapore: 28% Pearson chi-sq 18.76, p Queensland and Singapore were similar but there were specific differences. Physiotherapists' whiplash beliefs in Queensland and Singapore did not clearly reflect the difference in prevalence of chronic musculoskeletal pain or chronic WAD in Queensland and Singapore. Copyright © 2014 John Wiley & Sons, Ltd.

A Review of Singapore Principals' Leadership Qualities, Styles, and Roles

Science.gov (United States)

Ng, David Foo Seong; Nguyen, Dong Thanh; Wong, Benjamin Koon Siak; Choy, William Kim Weng

2015-01-01

Purpose: The purpose of this paper is to present a review of empirical studies on principal leadership in Singapore. It seeks to provide a general picture of Singapore principals' leadership qualities, styles, and roles. Design/methodology/approach: This is a systematic review of empirical studies, using a "bounded" approach with a focus…

Going Underground in Singapore

CERN Multimedia

John Osborne (GS/SEM)

2010-01-01

Singapore has plans to build a massive Underground Science City (USC) housing R&D laboratories and IT data centres. A delegation involved in the planning to build the subterranean complex visited CERN on 18 October 2010 to learn from civil engineers and safety experts about how CERN plans and constructs its underground facilities.   The delegation from Singapore. The various bodies and corporations working on the USC project are currently studying the feasibility of constructing up to 40 caverns (60 m below ground) similar in size to an LHC experiment hall, in a similar type of rock. Civil engineering and geotechnical experts are calculating the maximum size of the cavern complex that can be safely built. The complex could one day accommodate between 3000 and 5000 workers on a daily basis, so typical issues of size and number of access shafts need to be carefully studied. At first glance, you might not think the LHC has much in common with the USC project; as Rolf Heuer pointed out: &ldq...

Singapore Language Enhancer: Identity Included

Science.gov (United States)

Wee, Desmond

2009-01-01

This article explores the rhetoric of the four official languages (English, Mandarin, Malay and Tamil) in Singapore and the domestic aversion towards Chinese "dialects" and colloquial "Singlish". The "Speak Mandarin Campaign" alongside the "Speak Good English Movement" represent a display of intercultural…

Direct medical cost of stroke in Singapore.

Science.gov (United States)

Ng, Charmaine Shuyu; Toh, Matthias Paul Han Sim; Ng, Jiaying; Ko, Yu

2015-10-01

Globally, stroke is recognized as one of the main causes of long-term disability, accounting for approximately 5·7 million deaths each year. It is a debilitating and costly chronic condition that consumes about 2-4% of total healthcare expenditure. To estimate the direct medical cost associated with stroke in Singapore in 2012 and to determine associated predictors. The National Healthcare Group Chronic Disease Management System database was used to identify patients with stroke between the years 2006 and 2012. Estimated stroke-related costs included hospitalizations, accident and emergency room visits, outpatient physician visits, laboratory tests, and medications. A total of 700 patients were randomly selected for the analyses. The mean annual direct medical cost was found to be S$12 473·7, of which 93·6% were accounted for by inpatient services, 4·9% by outpatient services, and 1·5% by A&E services. Independent determinants of greater total costs were stroke types, such as ischemic stroke (P = 0·005), subarachnoid hemorrhage (P costs. Efforts to reduce inpatient costs and to allocate health resources to focus on the primary prevention of stroke should become a priority. © 2015 World Stroke Organization.

Direct medical cost of type 2 diabetes in singapore.

Directory of Open Access Journals (Sweden)

Charmaine Shuyu Ng

Full Text Available Due to the chronic nature of diabetes along with their complications, they have been recognised as a major health issue, which results in significant economic burden. This study aims to estimate the direct medical cost associated with type 2 diabetes mellitus (T2DM in Singapore in 2010 and to examine both the relationship between demographic and clinical state variables with the total estimated expenditure. The National Healthcare Group (NHG Chronic Disease Management System (CDMS database was used to identify patients with T2DM in the year 2010. DM-attributable costs estimated included hospitalisations, accident and emergency (A&E room visits, outpatient physician visits, medications, laboratory tests and allied health services. All charges and unit costs were provided by the NHG. A total of 500 patients with DM were identified for the analyses. The mean annual direct medical cost was found to be $2,034, of which 61% was accounted for by inpatient services, 35% by outpatient services, and 4% by A&E services. Independent determinants of total costs were DM treatments such as the use of insulin only (p<0.001 and the combination of both oral medications and insulin (p=0.047 as well as having complications such as cerebrovascular disease (p<0.001, cardiovascular disease (p=0.002, peripheral vascular disease (p=0.001, and nephropathy (p=0.041. In this study, the cost of DM treatments and DM-related complications were found to be strong determinants of costs. This finding suggests an imperative need to address the economic burden associated with diabetes with urgency and to reorganise resources required to improve healthcare costs.

New energy technologies in Singapore

International Nuclear Information System (INIS)

2009-01-01

Singapore is considered as an interesting example: this country has become the third world oil refining centre and the first Asian oil trade place, but has also implemented a series of strategic measures to promote a sustainable development. The Singapore Green Plan was launched in 1992 and defines important objectives in terms of reduction of carbon emissions, of water consumption, of improvement of waste management services, and so on. This policy results in investments in experimental programs for the development of new energy technologies. This paper presents the public actors (institutions and public agencies) and their projects, the academic projects and programs, and the private sector projects. These programs and projects are concerning the search for clean energies, the development of the solar capacity, various renewable energies, or the automotive industry (projects conducted by Bosch, Renault and Nissan, Daimler, this last one on biofuels)

The Singapore general election 1997

DEFF Research Database (Denmark)

Li, Jinshan; Elklit, Jørgen

1999-01-01

The parliamentary eklection in singapore in January 1997 is examined, as is the particular electoral system ('the party block vote') which is found to be a central element in the electoral strategy of the ruling party, PAP. the functioning of this rare electoral system is, however, only one eleme...... in explaining how PAP has been able to win comfortable majorities in the House. The analysis contributes to the understandi9ng of how a semi-democratic regime can stay in power. The political and electoral process in relation to the 1997 election is also analysed......The parliamentary eklection in singapore in January 1997 is examined, as is the particular electoral system ('the party block vote') which is found to be a central element in the electoral strategy of the ruling party, PAP. the functioning of this rare electoral system is, however, only one element...

Clinical and microbiological characteristics of cryptococcosis in Singapore: predominance of Cryptococcus neoformans compared with Cryptococcus gattii.

Science.gov (United States)

Chan, Monica; Lye, David; Win, Mar Kyaw; Chow, Angela; Barkham, Tim

2014-09-01

To describe the clinical features, treatments, outcomes, and subtype prevalence of cryptococcosis in Singapore. All patients with laboratory confirmed cryptococcal infections admitted from 1999 to 2007 to a teaching hospital in Singapore were reviewed retrospectively. Identification and molecular types of Cryptococcus neoformans variants and Cryptococcus gattii were determined by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). Serotypes were inferred with a multiplex PCR method. Of 62 patients with cryptococcosis, C. neoformans var. grubii was the predominant subtype (in 95%), affecting mainly immunocompromised hosts (91%) with HIV infection (80%). Patients with HIV were younger (median age 36.5 vs. 49.5 years, p=0.006) and less likely to present with an altered mental status (14% vs. 50%, p=0.013). In contrast, delayed treatment (median 7 days vs. 2 days, p=0.03), pulmonary involvement (58% vs. 14%, p=0.03), and initial treatment with fluconazole (25% vs. 2%, p=0.02) were more common in HIV-negative patients. C. gattii was uncommon, affecting only three patients, all of whom were immunocompetent and had disseminated disease with pulmonary and neurological involvement. All C. gattii were RFLP type VG II, serotype B and all C. neoformans var. grubii were RFLP type VN I, serotype A, except for one that was RFLP type VN II. C. neoformans var. grubii, subtype VN I, was the predominant subtype in Singapore, infecting younger, mainly immunocompromised hosts with HIV. C. gattii was uncommon, causing pulmonary manifestations in older, immunocompetent patients and were RFLP type VG II. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

Prospective surveillance and molecular characterization of seasonal influenza in a university cohort in Singapore.

Science.gov (United States)

Virk, Ramandeep Kaur; Tambyah, Paul Anantharajah; Inoue, Masafumi; Lim, Elizabeth Ai-Sim; Chan, Ka-Wei; Chua, Catherine; Tan, Boon-Huan

2014-01-01

Southeast Asia is believed to be a potential locus for the emergence of novel influenza strains, and therefore accurate sentinel surveillance in the region is critical. Limited information exists on sentinel surveillance of influenza-like illness (ILI) in young adults in Singapore in a University campus setting. The objective of the present study was to determine the proportion of ILI caused by influenza A and B viruses in a university cohort in Singapore. We conducted a prospective surveillance study from May through October 2007, at the National University of Singapore (NUS). Basic demographic information and nasopharyngeal swabs were collected from students and staff with ILI. Reverse-transcriptase PCR (RT-PCR) and viral isolation were employed to detect influenza viruses. Sequencing of hemagglutinin (HA) and neuraminidase (NA) genes of some representative isolates was also performed. Overall proportions of influenza A and B virus infections were 47/266 (18%) and 9/266 (3%) respectively. The predominant subtype was A/H3N2 (55%) and the rest were A/H1N1 (45%). The overall sensitivity difference for detection of influenza A viruses using RT-PCR and viral isolation was 53%. Phylogenetic analyses of HA and NA gene sequences of Singapore strains showed identities higher than 98% within both the genes. The strains were more similar to strains included in the WHO vaccine recommendation for the following year (2008). Genetic markers of oseltamivir resistance were not detected in any of the sequenced Singapore isolates. HA and NA gene sequences of Singapore strains were similar to vaccine strains for the upcoming influenza season. No drug resistance was found. Sentinel surveillance on university campuses should make use of molecular methods to better detect emerging and re-emerging influenza viral threats.

Prospective surveillance and molecular characterization of seasonal influenza in a university cohort in Singapore.

Directory of Open Access Journals (Sweden)

Ramandeep Kaur Virk

Full Text Available BACKGROUND: Southeast Asia is believed to be a potential locus for the emergence of novel influenza strains, and therefore accurate sentinel surveillance in the region is critical. Limited information exists on sentinel surveillance of influenza-like illness (ILI in young adults in Singapore in a University campus setting. The objective of the present study was to determine the proportion of ILI caused by influenza A and B viruses in a university cohort in Singapore. METHODOLOGY/PRINCIPAL FINDINGS: We conducted a prospective surveillance study from May through October 2007, at the National University of Singapore (NUS. Basic demographic information and nasopharyngeal swabs were collected from students and staff with ILI. Reverse-transcriptase PCR (RT-PCR and viral isolation were employed to detect influenza viruses. Sequencing of hemagglutinin (HA and neuraminidase (NA genes of some representative isolates was also performed. Overall proportions of influenza A and B virus infections were 47/266 (18% and 9/266 (3% respectively. The predominant subtype was A/H3N2 (55% and the rest were A/H1N1 (45%. The overall sensitivity difference for detection of influenza A viruses using RT-PCR and viral isolation was 53%. Phylogenetic analyses of HA and NA gene sequences of Singapore strains showed identities higher than 98% within both the genes. The strains were more similar to strains included in the WHO vaccine recommendation for the following year (2008. Genetic markers of oseltamivir resistance were not detected in any of the sequenced Singapore isolates. CONCLUSIONS/SIGNIFICANCE: HA and NA gene sequences of Singapore strains were similar to vaccine strains for the upcoming influenza season. No drug resistance was found. Sentinel surveillance on university campuses should make use of molecular methods to better detect emerging and re-emerging influenza viral threats.

Rapidly growing mycobacteria in Singapore, 2006-2011.

Science.gov (United States)

Tang, S S; Lye, D C; Jureen, R; Sng, L-H; Hsu, L Y

2015-03-01

Nontuberculous mycobacteria infection is a growing global concern, but data from Asia are limited. This study aimed to describe the distribution and antibiotic susceptibility profiles of rapidly growing mycobacterium (RGM) isolates in Singapore. Clinical RGM isolates with antibiotic susceptibility tests performed between 2006 and 2011 were identified using microbiology laboratory databases and minimum inhibitory concentrations of amikacin, cefoxitin, clarithromycin, ciprofloxacin, doxycycline, imipenem, linezolid, moxifloxacin, sulfamethoxazole or trimethoprim-sulfamethoxazole, tigecycline and tobramycin were recorded. Regression analysis was performed to detect changes in antibiotic susceptibility patterns over time. A total of 427 isolates were included. Of these, 277 (65%) were from respiratory specimens, 42 (10%) were related to skin and soft tissue infections and 36 (8%) were recovered from blood specimens. The two most common species identified were Mycobacterium abscessus (73%) and Mycobacterium fortuitum group (22%), with amikacin and clarithromycin being most active against the former, and quinolones and trimethoprim-sulfamethoxazole against the latter. Decreases in susceptibility of M. abscessus to linezolid by 8.8% per year (p 0.001), M. fortuitum group to imipenem by 9.5% per year (p 0.023) and clarithromycin by 4.7% per year (p 0.033) were observed. M. abscessus in respiratory specimens is the most common RGM identified in Singapore. Antibiotic options for treatment of RGM infections are increasingly limited. Copyright © 2014 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

A comparison of RANZCR and Singapore-designed radiation oncology practice audit instruments: how does reproducibility affect future approaches to revalidation

International Nuclear Information System (INIS)

Lu, Jiade J.; Wynne, Christopher J.; Kumar, Mahesh B.; Shakespeare, Thomas P.; Mukherjee, Rahul; Back, Michael F.

2004-01-01

Physician competency assessment requires the use of validated methods and instruments. The Royal Australian and New Zealand College of Radiologists (RANZCR) developed a draft audit form to be evaluated as a competency assessment instrument for radiation oncologists (ROs) in Australasia. We evaluated the reliability of the RANZCR instrument as well as a separate The Cancer Institute (TCI) Singapore-designed instrument by having two ROs perform an independent chart review of 80 randomly selected patients seen at The Cancer Institute (TCI), Singapore. Both RANZCR and TCI Singapore instruments were used to score each chart. Inter- and intra-observer reliability for both audit instruments were compared using misclassification rates as the primary end-point. Overall, for inter-observer reproducibility, 2.3% of TCI Singapore items were misclassified compared to 22.3% of RANZCR items (P < 0.0001, 100.00% confidence that TCI instrument has less inter-observer misclassification). For intra-observer reproducibility, 2.4% of TCI Singapore items were misclassified compared to 13.6% of RANZCR items (P < 0.0001, 100.00% confidence that TCI instrument has less intra-observer misclassification). The proposed RANZCR RO revalidation audit instrument requires further refinement to improve validity. Several items require modification or removal because of lack of reliability, whereas inclusion of other important and reproducible items can be incorporated as demonstrated by the TCI Singapore instrument. The TCI Singapore instrument also has the advantage of incorporating a simple scoring system and criticality index to allow discrimination between ROs and comparisons against future College standards Copyright (2004) Blackwell Publishing Asia Pty Ltd

Casemix reimbursement: a Singapore Children's Hospital perspective.

Science.gov (United States)

Yoong, S L

2001-07-01

Casemix reimbursement was introduced to Singapore in October 1999 using the Australian National Diagnosis Related Groups Version 3.1 (AN-DRGs 3.1). The possible impact of this classification system on a Singapore Children's Hospital is discussed. Data on paediatric patients in KK Women's and Children's Hospital (KKH) were drawn from the inhouse Datamart warehouse system, and reviewed with regards to volume of patients, length of stay and charges. Several high cost categories were selected for a more in-depth review and discussed. The classification system and reimbursement method did not take into account the higher cost of treating children, thus penalising the Children's Hospital. The wide variety of cases treated also gave rise to difficulty in obtaining appropriate reimbursement. The lack of severity of illness measures was a drawback in the Diagnosis Related Group (DRG) for ventilated patients. The lack of outcome measures gave rise to potentially inequitable reimbursement in some high cost neonatal DRGs. While Casemix is an improvement over previous methods of providing Government funding in Singapore, particular aspects need to be reviewed, and reimbursement criteria refined to ensure equitable funding to Children's Hospital.

A CONSISTENT ESTIMATE FOR THE IMPACT OF SINGAPORE'S EXCHANGE RATE ON COMPETITIVENESS

OpenAIRE

JANG PING THIA

2010-01-01

Services form a larger part of the Singapore economy. However, it is difficult to analyze the exchange rate impact on services due to the lack of price data. Regression of output or export on exchange rate, while highly intuitive, is likely to suffer from the endogeneity problem since Singapore's exchange rate is used as a counter-cyclical policy tool. This results in inconsistent estimates. I propose a novel approach to overcome these limitations by using Hong Kong as a control for Singapore...

A Genetic Variant in TGFBR3-CDC7 Is Associated with Visual Field Progression in Primary Open-Angle Glaucoma Patients from Singapore.

Science.gov (United States)

Trikha, Sameer; Saffari, Ehsan; Nongpiur, Monisha; Baskaran, Mani; Ho, Henrietta; Li, Zheng; Tan, Peng-Yi; Allen, John; Khor, Chiea-Chuen; Perera, Shamira A; Cheng, Ching-Yu; Aung, Tin; Vithana, Eranga

2015-12-01

To investigate whether known genetic loci for primary open-angle glaucoma (POAG) are associated with visual field (VF) progression in patients from a Singaporean Chinese population. Retrospective study. Patients with 5 or more reliable VF measurements who were being followed up at a Singapore hospital. Visual field progression was identified using Progressor software version 3.7 (Medisoft, Leeds, United Kingdom) and defined by pointwise linear regression (PLR) criteria as follows: any 2 contiguous points in the same hemifield progressing (≤-1.00 dB/year for inner points and ≤-2.00 dB/year for edge points; P field progression. Of the 1334 patients included in the study, 469 subjects (35.1%) completed 5 or more reliable VF measurements (mean follow-up, 9.01 years; standard deviation, 5.00 years). The mean age of patients was 59.6 years (standard deviation, 9.0 years); 305 patients were men and all were Chinese. The average IOP in eyes fulfilling PLR progression was 16.5 mmHg versus 17.7 mmHg in those who did not (P = 0.52). Univariate analysis revealed that increased VCDR (P = 0.003), reduced CCT (P = 0.045), and reduced superior and inferior retinal nerve fiber layer thickness (P = 0.01, respectively) were associated with VF progression. No clinical or structural features were associated significantly with VF progression on multivariate analysis. The rs1192415 index SNP in TGFBR3-CDC7 (P = 0.002; odds ratio, 6.71 per risk allele) was the only SNP associated with VF progression. The presence of the index SNP rs1192415 (TGFBR3-CDC7) was associated with VF progression in POAG patients. These findings warrant further investigation in independent cohorts. Copyright © 2015 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

Clinical Outcome among Nasopharyngeal Cancer Patients in a Multi-Ethnic Society in Singapore.

Directory of Open Access Journals (Sweden)

Han Wen Mak

Full Text Available Nasopharyngeal cancer (NPC is endemic among Chinese populations in Southeast Asia. However, the outcomes of non-Chinese NPC patients in Singapore are not well reported.To determine if non-Chinese NPC patients have a different prognosis and examine the clinical outcomes of NPC patients in a multi-ethnic society.Retrospective chart review of 558 NPC patients treated at a single academic tertiary hospital from 2002 to 2012. Survival and recurrence rates were analysed and predictive factors identified using the Kaplan-Meier method and Cox regression model.Our cohort comprised 409 males (73.3% and 149 females (26.7% with a median age of 52 years. There were 476 Chinese (85.3%, 57 Malays (10.2%, and 25 of other ethnic groups (4.5%. Non-Chinese patients were more likely to be associated with advanced nodal disease at initial presentation (p = 0.049, compared with the Chinese. However, there were no statistical differences in their overall survival (OS or disease specific survival (DSS (p = 0.934 and p = 0.857 respectively. The 3-year and 5-year cohort OS and DSS rates were 79.3%, 70.7%, and 83.2%, 77.4% respectively. Advanced age (p<0.001, N2 disease (p = 0.036, N3 disease (p<0.001, and metastatic disease (p<0.001 at presentation were independently associated with poor overall survival. N2 disease (p = 0.032, N3 disease (p<0.001 and metastatic disease (p<0.001 were also independently associated with poor DSS. No predictive factors were associated with loco-regional recurrence after definitive treatment. Advanced age (p = 0.044, N2 disease (p = 0.033 and N3 disease (p<0.001 were independently associated with distant relapse.In a multi-ethnic society in Singapore, non-Chinese are more likely to present with advanced nodal disease. This however did not translate into poorer survival outcomes. Older patients with N2 or N3 disease are associated with a higher risk of distant relapse and poor overall survival.

Computer Habits and Behaviours among Young Children in Singapore

Science.gov (United States)

Karuppiah, Nirmala

2015-01-01

This exploratory research project was aimed at developing baseline data on computer habits and behaviours among preschool children in Singapore. Three sets of data were collected from teachers, parents and children which are (1) why and how young children use computers; (2) what are the key physical, social and health habits and behaviours of…

Comparison of foE and M(3000)F2 variability at Ibadan, Singapore and Slough

Science.gov (United States)

Somoye, E. O.; Onori, E. O.; Akala, A. O.

2013-01-01

The variability, VR, of critical frequency of E-layer, foE, and ionospheric propagation factor, M(3000)F2 at Ibadan (7.4°N, 3.9°E, 6°S dip) is investigated for local time, seasonal and solar cycle variations. Latitudinal influence of these characteristics is sought by comparison with foE VR and M(3000)F2 VR of Slough ( 51.5°N, 359.4°E, 66.5°N dip) in the European sector, and Singapore (1.3°N,103.8°E, 17.6°S dip) in the Asian sector. While the pattern of foE VR is similar to those of other F2 characteristics with characteristic peaks around dawn and dusk, M(3000)F2 VR shows no clear diurnal trend.A lower bound of foE VR is usually 3% while the maximum VR ranges between 8% and13% at post-sunrise and pre-sunset hours at all the epochs, M(3000)F2 VR is however lower during MSA (about 9%) than during LSA and HSA when it is 4% to about 12-14%. Generally, daytime M(3000)F2 VR is greater than that of foE VR by between 5% and 10%. Furthermore, no latitudinal difference is observed in both characteristics during both HSA and MSA. While nighttime M(3000)F2 VR is about half that of nighttime foF2 VR (the critical frequency of F2-layer ) VR, daytime VR of both characteristics are about equal during the three epochs at Ibadan. For Slough, nighttime M(3000)F2 VR and nighttime foF2 VR as well as the daytime VR of both characteristics are about equal. This difference is most likely due to latitudinal effect.

Crisis prevention and management during SARS outbreak, Singapore.

Science.gov (United States)

Quah, Stella R; Hin-Peng, Lee

2004-02-01

We discuss crisis prevention and management during the first 3 months of the severe acute respiratory syndrome (SARS) outbreak in Singapore. Four public health issues were considered: prevention measures, self-health evaluation, SARS knowledge, and appraisal of crisis management. We conducted telephone interviews with a representative sample of 1,201 adults, > or = 21 years of age. We found that sex, age, and attitude (anxiety and perception of open communication with authorities) were associated with practicing preventive measures. Analysis of Singapore's outbreak improves our understanding of the social dimensions of infectious disease outbreaks.

Singapore: Background and U.S. Relations

National Research Council Canada - National Science Library

Chanlett-Avery, Emma

2008-01-01

A former colonial island trading and military outpost of the far-flung British Empire, the tiny Republic of Singapore has transformed itself into a modem Asian nation and a major player in the global...

75 FR 28059 - Actual Effects of the Free Trade Agreements With Chile, Australia, and Singapore

Science.gov (United States)

2010-05-19

... Agreements With Chile, Australia, and Singapore AGENCY: United States International Trade Commission. ACTION... Trade Agreements with Chile, Australia, and Singapore. DATES: July 15, 2010: Deadline for filing written... effects of the free trade agreements (FTAs) concluded with Chile, Singapore, and Australia. In its report...

Serving up successful recipes. The menu at CW's Singapore conference

International Nuclear Information System (INIS)

Jackson, D.

1993-01-01

Chemical companies in the US and Europe generally have little enough cause for optimism when examining domestic investment prospects in the short term. But when it comes to looking farther afield, there is no doubt that opportunities abound for companies in Asia/Pacific. The prospects for the region can start to be understood when taking into account that Asian GDP will equal that of North America or Europe by the end of the decade, and it is estimated to be four or five times that by the year 2050, as Eastman Chemical president Earnest Deavenport noted in his keynote speech at Chemical Week's third annual Asia/Pacific conference recently in Singapore. Moreover, consumption of products requiring chemicals, plastics, and synthetic fibers is forecast to rise at roughly twice the pace of economic growth-that is, 10%-12%. Eastman predicts that Asia/Pacific's market share of the chemicals sector will be the world's largest by 2002, increasing from 26% to 35%, with the value of industry production more than doubling, to $604 billion. Recent forecasts for 1993 GDP growth range from 4.7% in Hong Kong and Singapore at the low end to 12% for China at the top

Human Effects and Soil Surface CO2 fluxes in Tropical Urban Green Areas, Singapore

Science.gov (United States)

Ng, Bernard; Gandois, Laure; Kai, Fuu Ming; Chua, Amy; Cobb, Alex; Harvey, Charles; Hutyra, Lucy

2013-04-01

Urban green spaces are appreciated for their amenity value, with increasing interest in the ecosystem services they could provide (e.g. climate amelioration and increasingly as possible sites for carbon sequestration). In Singapore, turfgrass occupies approximately 20% of the total land area and is readily found on both planned and residual spaces. This project aims at understanding carbon fluxes in tropical urban green areas, including controls of soil environmental factors and the effect of urban management techniques. Given the large pool of potentially labile carbon, management regimes are recognised to have an influence on soil environmental factors (temperature and moisture), this would affect soil respiration and feedbacks to the greenhouse effect. A modified closed dynamic chamber method was employed to measure total soil respiration fluxes. In addition to soil respiration rates, environmental factors such as soil moisture and temperature, and ambient air temperature were monitored for the site in an attempt to evaluate their control on the observed fluxes. Measurements of soil-atmosphere CO2 exchanges are reported for four experimental plots within the Singtel-Kranji Radio Transmission Station (103o43'49E, 1o25'53N), an area dominated by Axonopus compressus. Different treatments such as the removal of turf, and application of clippings were effected as a means to determine the fluxes from the various components (respiration of soil and turf, and decomposition of clippings), and to explore the effects of human intervention on observed effluxes. The soil surface CO2 fluxes observed during the daylight hours ranges from 2.835 + 0.772 umol m-2 s-1 for the bare plot as compared to 6.654 + 1.134 umol m-2 s-1 for the turfed plot; this could be attributed to both autotrophic and heterotrophic respiration. Strong controls of both soil temperature and soil moisture are observed on measured soil fluxes. On the base soils, fluxes were positively correlated to soil

The Quest for Innovation and Entrepreneurship in Singapore: Strategies and Challenges

Science.gov (United States)

Ng, Pak Tee

2012-01-01

Innovation and entrepreneurship are two very important ingredients in the continuous economic growth of Singapore. This article describes and analyses how Singapore attempts to develop innovation and entrepreneurship through initiatives at the national level and at the universities and schools level. In particular, the article examines the recent…

The Purposes Outdoor Education Does, Could and Should Serve in Singapore

Science.gov (United States)

Ho, Susanna

2014-01-01

This paper discusses the purposes that outdoor education does, could and should serve in Singapore. Gert Biesta's conceptualisation of three functions of education is adapted to frame deliberations on the purposes of outdoor education in Singapore's socio-political and educational milieu. The author suggests that outdoor education in Singapore…

7th WACBE World Congress on Bioengineering 2015

CERN Document Server

Lim, Chwee

2015-01-01

This volume publishes the proceedings of the WACBE World Congress on Bioengineering 2015 (WACBE 2015), which was be held in Singapore, from 6 to 8 July 2015. The World Association for Chinese Biomedical Engineers (WACBE) organizes this World Congress biannually. Our past congresses have brought together many biomedical engineers from over the world to share their experiences and views on the future development of biomedical engineering. The 7th WACBE World Congress on Bioengineering 2015 in Singapore continued to offer such a networking platform for all biomedical engineers. Hosted by the Biomedical Engineering Society (Singapore) and the Department of Biomedical Engineering, National University of Singapore, the congress covered all related areas in bioengineering.

Whole grain intake, determined by dietary records and plasma alkylresorcinol concentrations, is low among pregnant women in Singapore.

Science.gov (United States)

Ross, Alastair B; Colega, Marjorelee T; Lim, Ai Lin; Silva-Zolezzi, Irma; Macé, Katherine; Saw, Seang Mei; Kwek, Kenneth; Gluckman, Peter; Godfrey, Keith M; Chong, Yap-Seng; Chong, Mary F F

2015-01-01

To quantify whole grain intake in pregnant women in Singapore in order to provide the first detailed analysis of whole grain intake in an Asian country and in pregnant women. Analysis of 24-h diet recalls in a cross-sectional cohort study and analysis of a biomarker of whole grain intake (plasma alkylresorcinols) in a subset of subjects. The Growing Up in Singapore Towards healthy Outcomes-mother offspring cohort study based in Singapore. 998 pregnant mothers with complete 24-h recalls taken during their 26-28th week of gestation. Plasma samples from a randomly select subset of 100 subjects were analysed for plasma alkylresorcinols. Median (IQR) whole grain intake for the cohort and the 30% who reported eating whole grains were 0 (IQR 0, 9) and 23.6 (IQR 14.6, 44.2) g/day respectively. Plasma alkylresorcinol concentrations were very low [median (IQR)=9 (3, 15) nmol/L], suggesting low intake of whole grain wheat in this population. Plasma alkylresorcinols were correlated with whole grain wheat intake (Spearman's r=0.35; pSingapore was well below the 2-3 (60-95 g) servings of whole grains per day recommended by the Singapore Health Promotion Board. Efforts to increase whole grain intake should be supported to encourage people to choose whole grains over refined grains in their diet.

Association between diabetes mellitus and cirrhosis mortality: the Singapore Chinese Health Study.

Science.gov (United States)

Goh, George Boon-Bee; Pan, An; Chow, Wan-Cheng; Yuan, Jian-Min; Koh, Woon-Puay

2017-02-01

Diabetes mellitus has been linked to cirrhosis-related mortality in Western populations, but less is known about this relationship in Asian populations. We studied the impact of diabetes on the risk of cirrhosis mortality in a population-based cohort among Chinese in Singapore. We used data collected and analysed from the Singapore Chinese Health Study, a prospective community-based cohort of 63 275 subjects aged 45-74 years during enrolment between 1993 and 1998. Information on diet, lifestyle and medical history was collected via structured questionnaire. Mortality cases from cirrhosis in the cohort were identified via linkage with nationwide death registry up to 31 December 2014. Cox proportional regression models were used to estimate the associations with adjustment for risk factors of cirrhosis. After a mean follow-up of 16.9 years, there were 133 deaths from cirrhosis. Diabetes was associated with an increased risk of cirrhosis mortality (hazard ratio [HR]: 2.80; 95% confidence interval [CI]: 2.04-3.83), and for both viral (HR: 2.20; 95% CI: 1.18-4.11) and non-viral hepatitis-related cirrhosis mortality (HR: 3.06; 95% CI: 2.13-4.41). The association between diabetes and non-viral hepatitis-related cirrhosis mortality was stronger among participants of body mass index (BMI) less than 23 kg/m 2 (HR: 7.11; 95% CI: 3.42-14.79) compared to heavier individuals (HR: 2.28; 95% CI: 1.20-4.35) (P interaction =0.02). Diabetes is a risk factor for cirrhosis mortality, especially for non-viral hepatitis-related cirrhosis in population with BMI considered low or normal in Asia. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Green Buildings in Singapore : Analyzing a Frontrunner’s Sectoral Innovation System

NARCIS (Netherlands)

Siva, Vidushini; Hoppe, Thomas; Jain, Mansi

2017-01-01

The building sector in Singapore consumes up to half of the nation’s total energy. The government has therefore been urging the transformation of the industry by targeting 80% of all buildings to be green-certified by 2030. Thus far, Singapore has done relatively well, and is widely viewed as

Public awareness in Singapore

International Nuclear Information System (INIS)

Aziz Nather

1999-01-01

Public education is vital for the viability and development of any tissue bank. Whilst the Medical Therapy, Education and Research Act 1972 requiring consent from relative or next kin provides for procurement and transplantation of tissues, the public needs to be educated. Whilst much is known about kidney, liver and heart transplantation. NUH Tissue Bank adopts a 4-point strategy for public education:- 1.The Kidney Team headed by National Kidney Foundation has an aggressive, yearly public education drive. Our first strategy has been to join them in the National Kidney Donation Campaigns and slowly use their forum for Tissue Donation Drives. This has proved successful. 2. We took a key role in supporting the formation of the Society of transplantation of Singapore. I was elected Member of the Executive Committee and currently its Treasurer. The Society itself run scientific and public forums and with each one the public became more informed about us. 3.We ourselves actively publicise our workshops - seize every opportunity via TV, Radio, Newspaper, Hospital Bulletins, Campus News, Asian Medical News, etc. We did this once a year conservatively since 1995. 4. NUH Tissue Bank was invited to join a task force headed by Director of Medical Services, Dr Chen Ai Ju for increasing Organ and Tissue Donation in Singapore in January 1997. This has been very productive. Government is providing a one to two million dollars budget per year. March has been designed 'National Donation March'. The first drive will be in March 1999. In all our deliberation, we always take into consideration the cultural values and religious sensitivities of our multiracial population 80% Chinese, 15% Malays, 5% Indians

Ambulatory and home blood pressure monitoring: gaps between clinical guidelines and clinical practice in Singapore

Directory of Open Access Journals (Sweden)

Setia S

2017-07-01

Full Text Available Sajita Setia,1 Kannan Subramaniam,2 Boon Wee Teo,3 Jam Chin Tay4 1Chief Medical Office, Medical Affairs, Pfizer Pte Ltd, Singapore; 2Global Medical Affairs, Asia Pacific Region, Pfizer Australia, West Ryde, New South Wales, Australia; 3Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; 4Department of General Medicine, Tan Tock Seng Hospital, Singapore Purpose: Out-of-office blood pressure (BP measurements (home blood pressure monitoring [HBPM] and ambulatory blood pressure monitoring [ABPM] provide important additional information for effective hypertension detection and management decisions. Therefore, out-of-office BP measurement is now recommended by several international guidelines. This study evaluated the practice and uptake of HBPM and ABPM among physicians from Singapore. Materials and methods: A sample of physicians from Singapore was surveyed between 8 September and 5 October 2016. Those included were in public or private practice had been practicing for ≥3 years, directly cared for patients ≥70% of the time, and treated ≥30 patients for hypertension per month. The questionnaire covered six main categories: general BP management, BP variability (BPV awareness/diagnosis, HBPM, ABPM, BPV management, and associated training needs. Results: Sixty physicians (30 general practitioners, 20 cardiologists, and 10 nephrologists were included (77% male, 85% aged 31–60 years, and mean 22-year practice. Physicians recommended HBPM and ABPM to 81% and 27% of hypertensive patients, respectively. HBPM was most often used to monitor antihypertensive therapy (88% of physicians and 97% thought that ABPM was useful for providing information on BPV. HBPM instructions often differed from current guideline recommendations in terms of frequency, number of measurements, and timing. The proportion of consultation time devoted to discussing HBPM and BPV was one-quarter or less for 73% of physicians, and

The use of law to encourage smaller families in Singapore.

Science.gov (United States)

Smith, T W

1980-01-01

To pursue its goal of rapid economic development, Singapore provides family planning services and has vigorously encouraged its citizens to limit family size. The government has legislated disincentives for families to have more than 2 children. This discussion reviews the history of these legal measures and their usefulness as a tool to promote social change and development. Singapore has used the law as a means to encourage family planning in order to supplement the overall thrust for economic development in the late 1960s. Freed from obligations to the Malaysian Federation and lacking the support of the British military as of 1969, Lee Kuan Yew led his people's economic development along a Western model. Reduction of population growth is an essential component of that model. Lee stressed family planning by providing clinics, by advertising, by promoting housing and lifestyles conducive to nuclear families, and by gradually adopting a set of laws favoring small families. These laws were introduced in different sectors of the economy at different times and were revised as social conditions changed. Typically, they set a minor monetary or priority penalty for parents of 3 or more children. The laws discourage additional births rather than prohibit them, guiding rather than forcing family planning decisions. To what extent the laws were the cause of decreasing family size in Singapore is uncertain, but they contributed to some extent to the country's phenomenal progress in income and lifestyle. The Abortion Act of 1969 legalized abortion on nonmedical grounds with the Singapore Family Planning and Population Board (SFPPB) approval. The Act was amended twice in 1974 to make abortions available "on demand." The charging of progressive delivery (accouchement) fees in government hospitals for mothers with 2 or more children might be considered as the focal point of the total disincentives system. The fees placed financial pressure directly on those who violated the

Chinese Entrepreneurship: A Study in Singapore.

Science.gov (United States)

Lee, Jean; Chan, Javihn

1998-01-01

Content analysis of interviews with second-generation Chinese entrepreneurs in Singapore revealed the majority were male and had high school education. Their motivational orientations for business ownership were classified as follows: achievers, networkers, and hard workers. (SK)

Standardising the Chinese Language in Singapore: Issues of Policy and Practice

Science.gov (United States)

Shang, Guowen; Zhao, Shouhui

2017-01-01

The selection of standards and norms constitutes the first and most important step for language standardisation. In this paper, we examine the standard establishment for Huayu (or Singapore Mandarin), a new Chinese variety that has emerged in Singapore as a result of centralised planning and inter-linguistic contact. Huayu is the officially…

Status of Tamil Language in Singapore: An Analysis of Family Domain

Science.gov (United States)

Kadakara, Shanmugam

2015-01-01

This paper addresses the phenomenon of Language Maintenance and Language Shift through a qualitative study of Tamil language in the family domain in Singapore. The influence of Singapore's bilingual policy and the institutional support offered for maintenance of Tamil language provide the context in which the central research problem of the status…

Popular Music in Singapore: Cultural Interactions and the “Inauthenticity” of Singaporean Music

OpenAIRE

Fu Lequn

2015-01-01

The popular music industry in Singapore advocates for Western music as being superior to local Singaporean music. Singaporeans are usually skeptical about the quality of Singaporean musicians, because of the “inauthentic” stereotype of Singaporean music. So this paper analyses the culture interaction and Singapore music from some current phenomenon that J-pop, K-pop and other music types become an integral part of music culture in Singapore. At the same time, this paper elaborates Authenticit...

Foreign Terrorist Threat to Singapore: An Assessment

National Research Council Canada - National Science Library

Choon, Ang

2001-01-01

... to Singapore, by studying five main phenomena in Asia that tends to result in terrorism: communist insurgency, ethnic/religious separatism, religious extremism, international terrorism, and political rivalries...

A Rasch Analysis of the Junior Metacognitive Awareness Inventory with Singapore Students

Science.gov (United States)

Ning, Hoi Kwan

2018-01-01

The psychometric properties of the 2 versions of the Junior Metacognitive Awareness Inventory were examined with Singapore student samples. Other than 2 misfitting items and an underutilized response scale, Rasch analysis demonstrated that the instruments have good measurement precision, and no differential item functioning was detected across…

A Multimethod Approach towards Assessing Urban Flood Patterns and Its Associated Vulnerabilities in Singapore

OpenAIRE

Winston T. L. Chow; Brendan D. Cheong; Beatrice H. Ho

2016-01-01

We investigated flooding patterns in the urbanised city-state of Singapore through a multimethod approach combining station precipitation data with archival newspaper and governmental records; changes in flash floods frequencies or reported impacts of floods towards Singapore society were documented. We subsequently discussed potential flooding impacts in the context of urban vulnerability, based on future urbanisation and forecasted precipitation projections for Singapore. We find that, desp...

Economic impact of dengue illness and the cost-effectiveness of future vaccination programs in Singapore.

Directory of Open Access Journals (Sweden)

Luis R Carrasco

2011-12-01

Full Text Available BACKGROUND: Dengue illness causes 50-100 million infections worldwide and threatens 2.5 billion people in the tropical and subtropical regions. Little is known about the disease burden and economic impact of dengue in higher resourced countries or the cost-effectiveness of potential dengue vaccines in such settings. METHODS AND FINDINGS: We estimate the direct and indirect costs of dengue from hospitalized and ambulatory cases in Singapore. We consider inter alia the impacts of dengue on the economy using the human-capital and the friction cost methods. Disease burden was estimated using disability-adjusted life years (DALYs and the cost-effectiveness of a potential vaccine program was evaluated. The average economic impact of dengue illness in Singapore from 2000 to 2009 in constant 2010 US$ ranged between $0.85 billion and $1.15 billion, of which control costs constitute 42%-59%. Using empirically derived disability weights, we estimated an annual average disease burden of 9-14 DALYs per 100 000 habitants, making it comparable to diseases such as hepatitis B or syphilis. The proportion of symptomatic dengue cases detected by the national surveillance system was estimated to be low, and to decrease with age. Under population projections by the United Nations, the price per dose threshold for which vaccines stop being more cost-effective than the current vector control program ranged from $50 for mass vaccination requiring 3 doses and only conferring 10 years of immunity to $300 for vaccination requiring 2 doses and conferring lifetime immunity. The thresholds for these vaccine programs to not be cost-effective for Singapore were $100 and $500 per dose respectively. CONCLUSIONS: Dengue illness presents a serious economic and disease burden in Singapore. Dengue vaccines are expected to be cost-effective if reasonably low prices are adopted and will help to reduce the economic and disease burden of dengue in Singapore substantially.

Adaptation of Chinese and English versions of the Ankylosing Spondylitis quality of life (ASQoL) scale for use in Singapore.

Science.gov (United States)

Leung, Ying Ying; Lee, Weixian; Lui, Nai Lee; Rouse, Matthew; McKenna, Stephen P; Thumboo, Julian

2017-08-17

To cross-culturally adapt and validate the Singapore Chinese and Singapore English versions of the Ankylosing Spondylitis Quality of Life (ASQoL) scales. Translation of the ASQoL into Singapore Chinese and English was performed by professional and lay translation panels. Field-testing for face and content validity was performed by interviewing ten Chinese speaking and ten English speaking axial spondyloarthritis (AxSpA) patients. AxSpA patients (either Chinese or English speaking) were invited to take part in validation surveys. The Health Assessment Questionnaire (HAQ), Short Form Health Survey (SF-36), Bath Indices, and other measures of disease activity were used as comparator scales for convergent validity. A separate sample of AxSpA patients were invited to participate in a test-retest postal study, with 2 weeks between administrations. The cross-sectional study included 183 patients (77% males, 82% English speaking), with a mean (SD) age of 39.4 (13.7) years. The ASQoL had excellent internal consistency (Cronbach's alpha = 0.88), and correlated moderately with all the comparator scales. The ASQoL was able to distinguish between patients grouped by disease activity and perceived general health. The ASQoL fulfilled the Rasch model analysis for fit, reliability and unidimensionality requirements. No significant differential item functioning was noted for gender, age below or above 50 years, and language of administration. Test-retest reliability was good (r = 0.81). The ASQoL was adapted into Singapore Chinese and English language versions, and shown to be culturally relevant, valid and reliable when used with combined samples of AxSpA patients who speak either Chinese or English.

Usability Study to Assess the IGBP Land Cover Classification for Singapore

Directory of Open Access Journals (Sweden)

Nanki Sidhu

2017-10-01

Full Text Available Our research focuses on assessing the usability of the International Geosphere Biosphere Programme (IGBP classification scheme provided in the MODIS MCD12Q1-1 dataset for assessing the land cover of the city-state, Singapore. We conducted a user study with responses from 33 users by providing them with Google Earth images from different parts of Singapore, asking survey-takers to classify these images according to their understanding by the IGBP definitions provided. We also conducted interviews with experts from major governmental agencies working with satellite imagery, which highlighted the need for a detailed land classification for Singapore. In addition to the qualitative analysis of the IGBP land classification scheme, we carried out a validation of the MCD12Q1-1 remote sensing product against SPOT-5 imagery for our study area. The user study revealed that survey-takers were able to correctly classify urban areas, as well as densely forested areas. Misclassifications between Cropland and Mixed Forest classes were highest and were attributed by users to the broad terminology of the IGBP of the two land cover class definitions. For the accuracy assessment, we obtained validation points using weighted and unweighted stratified sampling. The overall classification accuracy for all 17 IGBP land classes is 62%. Upon selecting only the four most occurring IGBP land classes in Singapore, the classification accuracy improved to 71%. Validation of the MCD12Q1-1 against ground truth for Singapore revealed less-common land classes that may be of importance in a global context but are sources of error when the same product is applied at a smaller scale. Combining the user study with the accuracy assessment gives a comprehensive overview of the challenges associated with using global-level land cover data to derive localized land cover information specifically for smaller land masses like Singapore.

Quality of life of family caregivers of cancer patients in Singapore and globally.

Science.gov (United States)

Lim, Haikel A; Tan, Joyce Ys; Chua, Joanne; Yoong, Russell Kl; Lim, Siew Eng; Kua, Ee Heok; Mahendran, Rathi

2017-05-01

Family caregivers of cancer patients often suffer from impaired quality of life (QOL) due to stress arising from the responsibility of caregiving. Most research on such QOL impairments was conducted in Western populations. Thus, this exploratory study sought to (a) examine the QOL levels of family caregivers of cancer patients in an Asian population in Singapore, in relation to caregivers from other countries within and outside of Asia; and (b) investigate the association between sociodemographic factors and QOL impairments in family caregivers in Singapore. A total of 258 family caregivers of cancer patients who were receiving outpatient treatment completed the Caregiver Quality of Life Index-Cancer (CQOLC) and a sociodemographic survey. We compared the published CQOLC total scores from Turkey, Iran, Taiwan, South Korea, the United Kingdom, the United States and Canada with the Singapore dataset and examined the demographic relationships. Caregivers in Singapore and Asia had lower CQOLC total scores than their Western counterparts. Caregivers who were male, of Chinese ethnicity, had parental relationships with their care recipient, or cared for advanced-stage cancer patients were found to have impaired QOL. The findings of this study highlight possible areas in which support can be provided for family caregivers of cancer patients, and underscore the need to reconcile cultural diversity, values, societal expectations and demographic characteristics in Singapore. Copyright: © Singapore Medical Association

Singapore's Response to the Global War for Talent: Politics and Education

Science.gov (United States)

Ng, Pak Tee

2011-01-01

This paper describes and analyses how Singapore engages in the global war for talent. The paper discusses how Singapore demonstrates a Foucauldian perspective of "governmentality" in trying to mould citizens into a way of thinking that is geared suitably to an engagement in a global talent war. It first examines the social, political and…

Cancer Supportive and Survivorship Care in Singapore: Current Challenges and Future Outlook

Directory of Open Access Journals (Sweden)

Kiley Wei-Jen Loh

2018-02-01

Full Text Available Despite being a relatively young nation, Singapore has established itself as a leading multifaceted medical hub, both regionally and globally. Although Singapore continues to pursue excellence in oncology care, cancer supportive care and survivorship care remain in the infancy stage. In an effort to advance this important aspect of oncology care in Singapore, the first cancer supportive and survivorship care forum was held in December 2016, involving 74 oncology practitioners. The primary goals of this forum were to raise awareness of the importance of cancer supportive and survivorship care and to provide a platform for oncology practitioners of diverse backgrounds to converge and address the challenges associated with the delivery of cancer supportive and survivorship care in Singapore. Key challenges identified during this forum included, but were not limited to, care fragmentation in an oncologist-centric model of care, poor integration of allied health and rehabilitation services, passive engagement of community partners, lack of specialized skill sets and knowledge in supportive and survivorship care, and patient-related barriers such as poor health literacy. The survivorship care model commonly used in Singapore places an imbalanced emphasis on surveillance for cancer recurrence and second primary cancers, with little attention given to the supportive and survivorship needs of the survivors. In summary, these challenges set the stage for the development and use of a more survivor-centric model, one that focuses not only on cancer surveillance, but also on the broad and unique physical and psychosocial needs of survivors of cancer in Singapore.

[Commentary on self-compiled teaching materialsby Singapore Chinese Physician Training College].

Science.gov (United States)

Chen, S H; Cai, H X

2017-05-28

The Singapore Chinese Physician Training College has been playing a role in the development of traditional Chinese medicine (TCM) and the training of TCM talents in modern and contemporary Singapore not to be ignored. Due to the limitations of the objective condition, the College had to creatively compile by themselves 115 volumes of teaching materials with rather complete subjects, which did pay attention to applying theory to practice, ran through the thought of Chinese integrating with western medicine, and is of literature and cultural significance.As a carrier of educational contents and methods, these teaching materials not only embodied the educational idea of the editor, but also reflected the status of TCM development in modern Singapore.

The bottom water exchange between the Singapore Strait and the West Johor Strait

Science.gov (United States)

Sun, Yunfang; Eltahir, Elfatih; Malanotte-Rizzoli, Paola

2017-08-01

As a part of the border between Singapore and Malaysia, the West Johor Strait (WJS) suffered newly from harmful algal blooms. There is no previous study showing the source of the nutrients in the WJS. This paper is investigating the possible water exchange between the water in the WJS and the bottom water in Singapore Strait. This paper adopts a two-level nesting atmosphere-ocean coupled models to downscale the global atmosphere-ocean model into the Singapore coastal water, keeping the large-scale and long-term ocean and climate circulation signals and the advantages of the high-resolution. Based on the high-resolution ocean circulation fields, a Lagrangian particle tracking model is used to trace the Singapore Strait's bottom water movement and the water mixing in the WJS. The results showed that the numerical models well resolved the Singapore coastal water regional circulation. There is a small but significant bottom water (1.25%) transport from the Singapore Strait to the WJS, which occurs from the southwest coastline of Singapore. The bottom water in the Singapore Strait prefers to enter the WJS during the spring tide and the flood period, and stay in Johor Strait for 6.4 days. The spring tide is the first-order factor for the water vertical mixing in the WJS, the wind is also very important for the vertical mixing especially in neap tide condition. An overall very important factor is the light perturbation. With the strongest vertical mixing of nutrients and bottom sediments due to the spring tide, the latter ones may inhibit the light penetration during the spring tide and reduce the algal bloom. The light penetration otherwise is greater during the neap tide, when the winds are the most important factor and hence favor the algal bloom. With the strongest wind in February and the longest permanence time in June and the sufficient nutrient supply in February and June, the most serious algal blooms may happen in February and June in the WJS.

Corporate Governance in Singapore : Recent Developments For the Next Millennium

OpenAIRE

Mak Yuen Teen; Phillip H. Phan

2000-01-01

This paper surveys the regulatory and structural environment as it relates to corporate governance in Singapore, and present empirical evidence on corporate governance practices in areas such as ownership structure, disclosure, board and directors, the use of share option schemes, and the impact of government corporate ownership. It reviews corporate governance reforms that have been implemented or proposed, and assesses their likely impact on future corporate governance practices in Singapor...

Trends in Income Disparity and Equality Enhancing (?) Education Policies in the Development Stages of Singapore

Science.gov (United States)

Mukhopadhaya, P.

2003-01-01

This paper examines the trends in income diversity in Singapore at the total and disaggregated level using Labour Force Survey data. The income inequality in Singapore is found to be significantly high. One reason is the selective migration policy of the government of Singapore. The government has made conscious efforts to bring equality in…

Attribution of the Main Sources of Biomass Burning in South East Asia that Impact on Air Quality in Singapore

Science.gov (United States)

Hansen, A. B.; Kendall, E.; Chew, B. N.; Chong, W. M.; Gan, C.; Hort, M. C.; Shaw, F.; Witham, C. S.

2017-12-01

Biomass burning in South East Asia causes intense haze episodes in Singapore, these are of major concern to the local government and the population exposed to the haze. Using a Lagrangian dispersion model we have studied haze in the seven most recent years (2010 - 2016) to gain a deeper understanding of intense haze in Singapore. In this study, modelled haze time-series at one eastern and one western monitoring station in Singapore are compared to local observed PM10 and PM2.5 air concentrations. The haze time-series are broken down by season or month, source region, and monitoring location.The analysis, presented as time series and pie charts, illustrates the relative contribution to haze in Singapore from different regions, variations between seasons and the correlation of impact to the combined timing of burning activity and meteorological patterns. Air history maps, showing where air arriving in Singapore originates from and/or has travelled through, are used to isolate the meteorological dependence of impacts. These show a strong monsoonal variation and help explain the inter-annual differences between sources and actual concentrations of biomass burning PM in Singapore. For example, there is a strong correlation in 2013 between burning in Riau and haze in Singapore, but a weak correlation in other years when a significant part of haze originates from, e.g., Peninsula Malaysia, but emissions are seemingly negligible. We see that, in spite of the size of Singapore, there is significant difference in concentrations and major contributing source regions between the two monitoring stations, annually and seasonally. The differences at the two monitoring stations are seen in varying degrees in the years 2011, 2012, 2014, and 2015, throughout different seasons. Although only biomass burning is considered in the simulations, our modelled results are in good agreement with local observations. We have identified the source regions with the biggest contributions to haze

The work-family interface in the United States and Singapore: conflict across cultures.

Science.gov (United States)

Galovan, Adam M; Fackrell, Tamara; Buswell, Lydia; Jones, Blake L; Hill, E Jeffrey; Carroll, Sarah June

2010-10-01

This article examines the work-family interface in a cross-cultural comparison between two nationally representative samples from the United States (n = 1,860) and Singapore (n = 1,035) with emphasis on work-family conflict. Family-to-work conflict was negatively related to marital satisfaction in both Singapore and the United States, although the effect was stronger in the United States. Similarly, family-to-work conflict was positively related to job satisfaction in the United States but was negatively related in Singapore. As expected, schedule flexibility was negatively related to depression in the United States, but in Singapore the relationship was positive. These findings suggest that theoretical relationships in the work-family interface developed in the more culturally individualistic West may need to be adapted when studying populations in the more collectivist East.

Education and Intergenerational Mobility in Singapore

Science.gov (United States)

Ng, Irene Y. H.

2014-01-01

International research on the effects of educational regimes on intergenerational mobility suggests that Singapore's education system possesses characteristics that tend to decrease intergenerational mobility. These characteristics include ability-based and school-based streaming, privatization of basic and tertiary education, expansion of…

Tropical urban lichens: observations from Singapore

NARCIS (Netherlands)

Sipman, H.J.M.

2009-01-01

The known lichen diversity of Singapore, 296 species, is comparable with temperate lowland areas, but the taxa involved are different, even at high taxonomic levels: the commonest orders are Arthoniales and Graphidales instead of Lecanorales. Epiphytic species dominate, while saxicolous and

Patient safety culture among medical students in Singapore and Hong Kong.

Science.gov (United States)

Leung, Gilberto Ka Kit; Ang, Sophia Bee Leng; Lau, Tang Ching; Neo, Hong Jye; Patil, Nivritti Gajanan; Ti, Lian Kah

2013-09-01

Undergraduate education in medical schools plays an important role in promoting patient safety. Medical students from different backgrounds may have different perceptions and attitudes toward issues concerning safety. This study aimed to investigate whether patient safety cultures differed between students from two Asian countries, and if they did, to find out how they differed. This study also aimed to identify the educational needs of these students. A voluntary, cross-sectional and self-administered questionnaire survey was conducted on 259 students from two medical schools - one in Hong Kong and the other in Singapore. None of the students had received any formal teaching on patient safety. We used a validated survey instrument, the Attitudes to Patient Safety Questionnaire III (APSQ-III), which was designed specifically for students and covered nine key factors of patient safety culture. Of the 259 students, 81 (31.3%) were from Hong Kong and 178 (68.7%) were from Singapore. The overall response rate was 66.4%. Significant differences between the two groups of students were found for two key factors - 'patient safety training', with Hong Kong students being more likely to report having received more of such training (p = 0.007); and 'error reporting confidence', which Singapore students reported having less of (p working hours and professional incompetence were important causes of medical errors. The importance of patient involvement and team functioning were ranked relatively lower by the students. Students from different countries with no prior teaching on patient safety may differ in their baseline patient safety cultures and educational needs. Our findings serve as a reference for future longitudinal studies on the effects of different teaching and healthcare development programmes.

Comparision of Istanbul with Hong Kong and Singapore for Regional Treasury Centers

Directory of Open Access Journals (Sweden)

Ahmet Selçuk DİZKIRICI

2012-12-01

Full Text Available The purpose of the study is examining Istanbul to find out whether or not it has the ability to become an appropriate location to host regional treasury centers. Hence; Simkova’s 11 location criteria are compared across Istanbul additionally Hong Kong and Singapore, being already attractive locations in South East Asia for multinational corporations to set up their regional finance offices, to specify Istanbul’s weaker facilities even if it is not regarded as a rival for Hong Kong and Singapore. The study contributes to the understanding of Simkova’s location criteria assessment before establishing a regional treasury center in any location, as it is applied to some European countries and three Asian countries: Brunei, Hong Kong and Singapore, previously. Lastly, it is concluded that Istanbul is not as superior as Hong Kong and Singapore but it has reasonable conditions to become an attractive location for regional treasury centers.

Infectious diseases and migrant worker health in Singapore: a receiving country's perspective.

Science.gov (United States)

Sadarangani, Sapna P; Lim, Poh Lian; Vasoo, Shawn

2017-07-01

Approximately 1.4 million migrant workers reside in Singapore, presenting unique infectious disease challenges to both migrants and Singapore. A Pubmed, MEDLINE (Ovid), EBSCO Host (Global Health) and Google Scholar search was performed for both peer, non-peer reviewed articles and reports relevant to migrant health in Singapore, published between 1 January 1989 and 1 September 2016. Additional studies were identified from citations within searched articles. We also reviewed published data and policy documents from the Ministries of Health and Manpower, Singapore. A significant proportion of malaria, enteric fevers, hepatitis A and E and tuberculosis diagnosed in Singapore involve migrant workers. From the 1990-2000 through 2009-11, while malaria and hepatitis A cases have decreased and remain sporadic, enteric fevers and tuberculosis cases have increased, possibly due to greater influx of migrant workers. Hepatitis E numbers remain low but migrant workers account for half of diagnosed cases. In an interplay of immune naivete, work and living conditions, migrants in the construction industry are at higher risk of arboviral infections such as dengue, Zika and chikungunya. Infections such as chikungunya were likely introduced into Singapore by travellers including migrant workers from the Indian subcontinent but autochthonous transmission continued due to the presence of competent mosquito vectors. There is less data regarding sexual health, networks and infections amongst migrant workers, an area which merits further attention. Migrant workers appear to be at higher risk than Singaporeans for specific infectious diseases, probably due to a complex interplay of several factors, including higher disease prevalence in their countries of origin, socio-economic factors, their living conditions in Singapore and financial, language and cultural barriers to healthcare access. Receiving countries need improved surveillance, expansion of preventive measures and decreased

Instructional Leadership Structure in Singapore: A Co-Existence of Hierarchy and Heterarchy

Science.gov (United States)

Nguyen, Dong Thanh; Ng, David; Yap, Pui San

2017-01-01

Purpose: The purpose of this paper is to explore the instructional leadership practices and structure in Singapore primary schools. Design/methodology/approach: The study employs a qualitative approach. Data were collected from interviews of 30 Singapore primary school principals and 25 working-day observations of five principals. A grounded…

Lee Kuan Yew: Master Builder of Singapore

National Research Council Canada - National Science Library

Exner, Philip J

1996-01-01

.... Few, however, have independence forced upon them as Singapore did. On August 9, 1965, after several stormy years attempting to integrate in a post-colonial federation, it was unexpectedly expelled from Malaysia...

Ceriops zippeliana Blume (Rhizophoraceae, a New Record of a Mangrove Species in Singapore

Directory of Open Access Journals (Sweden)

Chiou-Rong Sheue

2010-03-01

Full Text Available Ceriops zippeliana Blume is here reported as a new record for the mangrove forests in Singapore. The botanical description of this new record with color plates and a key to the two Ceriops species in Singapore are provided. It is noteworthy that C. tagal (Perr. C. B. Rob. is rarer than C. zippeliana in Singapore. Thus, special attention for conservation should be focused on C. tagal and a further survey of this genus would provide valuable information to better manage Singapore’s mangrove plant biodiversity.

Popular Music in Singapore: Cultural Interactions and the “Inauthenticity” of Singaporean Music

Directory of Open Access Journals (Sweden)

Fu Lequn

2015-01-01

Full Text Available The popular music industry in Singapore advocates for Western music as being superior to local Singaporean music. Singaporeans are usually skeptical about the quality of Singaporean musicians, because of the “inauthentic” stereotype of Singaporean music. So this paper analyses the culture interaction and Singapore music from some current phenomenon that J-pop, K-pop and other music types become an integral part of music culture in Singapore. At the same time, this paper elaborates Authenticity and its importance in Singaporean music and media industry and its influences.

Image of the Singapore Child

Science.gov (United States)

Ebbeck, Marjory; Warrier, Sheela

2008-01-01

The purpose of this study was to analyse the contents of one of the leading newspapers of Singapore in an effort to identify the public image of the children of the nation. Newspaper clippings of news/articles, pictures/photographs and advertisements featuring children below 15 years of age were collected over a one-week period and the content…

Adult Learners Understanding in Learning Islam Using the Andragogy Approach in Singapore

Science.gov (United States)

Kadir, Mohd Amin Bin

2016-01-01

This study describes adult learners understanding in learning Islam using the andragogy approach in Singapore comprising multicultural and multi-religious society. Singapore is a secular state where freedom of religion is encrypted in the constitution and Malay/Muslim comprises 13.3% of the population. Adults learn Islam to deepen their…

76 FR 55347 - Aerospace Executive Service Trade Mission at Singapore Air Show

Science.gov (United States)

2011-09-07

.... Commercial Setting The Singapore Air Show (SAS) is Asia's largest aerospace and defense event and one of the... growth, with Asia being one of the major hubs of the air freight business. Also, the rising GDP rates... Mission at Singapore Air Show AGENCY: International Trade Administration, Department of Commerce. ACTION...

FTO variants are associated with obesity in the Chinese and Malay populations in Singapore.

Science.gov (United States)

Tan, Jonathan T; Dorajoo, Rajkumar; Seielstad, Mark; Sim, Xue Ling; Ong, Rick Twee-Hee; Chia, Kee Seng; Wong, Tien Yin; Saw, Seang Mei; Chew, Suok Kai; Aung, Tin; Tai, E-Shyong

2008-10-01

Association between genetic variants at the FTO locus and obesity has been consistently observed in populations of European ancestry and inconsistently in non-Europeans. The aim of this study was to examine the effects of FTO variants on obesity and type 2 diabetes in Southeast Asian populations. We examined associations between nine previously reported FTO single nucleotide polymorphisms (SNPs) with obesity, type 2 diabetes, and related traits in 4,298 participants (2,919 Chinese, 785 Malays, and 594 Asian Indians) from the 1998 Singapore National Health Survey (NHS98) and 2,996 Malays from the Singapore Malay Eye Study (SiMES). All nine SNPs exhibited strong linkage disequilibrium (r(2) = 0.6-0.99), and minor alleles were associated with obesity in the same direction as previous studies with effect sizes ranging from 0.42 to 0.68 kg/m(2) (P Chinese, 0.65 to 0.91 kg/m(2) (P Malays, and 0.52 to 0.64 kg/m(2) (P Malays after adjustment for age, sex, smoking, alcohol consumption, and exercise. The variants were also associated with type 2 diabetes, though not after adjustment for BMI (with the exception of the SiMES Malays: odds ratio 1.17-1.22; P Chinese and Malays in Singapore. Our data do not support the hypothesis that differences in allele frequency or genetic architecture underlie the lack of association observed in some populations of Asian ancestry. Examination of gene-environment interactions involving variants at this locus may provide further insights into the role of FTO in the pathogenesis of human obesity and diabetes.

International Uranium Resources Evaluation Project (IUREP) national favourability studies: Singapore

International Nuclear Information System (INIS)

1977-12-01

Singapore's fairly small size belies its wealth which comes not from production and use of its own raw materials including mineral products, but from importing raw materials and using them in manufacturing and refining. The state has a granite core exposed in the center of the island covered on the west by quartzites and shales, and on the east by recent detritus. There is no mining industry and no uranium potential is assigned to Singapore. (author)

Motivation and Psychological Contract in the Singapore Private Banking Industry

OpenAIRE

Poh, Din Kiat

2008-01-01

This management project seeks to understand the sources of motivation and the types of psychological contracts prevalent amongst employees in Singapore's private banking industry. Singapore's private banking industry had seen tremendous growth in the last few years with the Government's push to make it the Switzerland of Asia. This growth has resulted in high demand for talent and high turnover rates. It is often said that money is not the key reason why people stayed motivated. Part of this ...

The Translation of Knowledge into Practice in the Management of Atrial Fibrillation in Singapore.

Science.gov (United States)

Woo, Fong Yeong Brigitte; Lim, Toon Wei; Tam, Wai San Wilson

2018-03-12

Atrial fibrillation (AF) is a clinically significant cardiac arrhythmia known to increase the risk of stroke by at least four times. Stroke-risk assessment and thromboprophylaxis are vital components in AF management. Guidelines are available to standardise AF management, but physicians' adherence to the recommended guidelines has been low. The aims were to: 1. Examine and compare the level of knowledge and current practice in AF management between cardiologists and non-cardiologist physicians in Singapore; 2. Identify physicians' perceived barriers to prescribing oral anticoagulants (OACs) when indicated; 3. Identify strategies to optimise AF management. From June 2017 to August 2017, a cross-sectional online survey involving physicians was conducted in Singapore. The survey instrument was adapted from a previously developed instrument, and validated locally by five cardiologists. It explored the physicians' stroke-risk assessment practices, estimation of stroke risk and benefits of anticoagulation, likelihood of prescribing anticoagulation when indicated, perceived barriers to anticoagulation, and strategies to optimise AF management. Sixty-three physicians completed the survey (14 cardiologists and 49 non-cardiologist physicians). No significant difference was found between cardiologists and non-cardiologist physicians in their assessment and estimation of stroke risk for stable AF patients. However, when presented with an AF patient with stroke risk, cardiologists were more likely than non-cardiologist physicians to prescribe novel OACs (93% vs. 51%; χ 2 =7.933, p=0.004). Compared to cardiologists, the majority of the non-cardiologist physicians thought the risk of falls were usually or always barriers to prescribing OACs (29% vs 69%; χ 2 =7.579, p=0.006). Among the suggested strategies to support them in AF management, physicians have overwhelmingly rated two as "quite useful" and "very useful": the establishment of clinics for monitoring anticoagulated

Modelling of Singapore's topographic transformation based on DEMs

Science.gov (United States)

Wang, Tao; Belle, Iris; Hassler, Uta

2015-02-01

Singapore's topography has been heavily transformed by industrialization and urbanization processes. To investigate topographic changes and evaluate soil mass flows, historical topographic maps of 1924 and 2012 were employed, and basic topographic features were vectorized. Digital elevation models (DEMs) for the two years were reconstructed based on vector features. Corresponding slope maps, a surface difference map and a scatter plot of elevation changes were generated and used to quantify and categorize the nature of the topographic transformation. The surface difference map is aggregated into five main categories of changes: (1) areas without significant height changes, (2) lowered-down areas where hill ranges were cut down, (3) raised-up areas where valleys and swamps were filled in, (4) reclaimed areas from the sea, and (5) new water-covered areas. Considering spatial proximity and configurations of different types of changes, topographic transformation can be differentiated as either creating inland flat areas or reclaiming new land from the sea. Typical topographic changes are discussed in the context of Singapore's urbanization processes. The two slope maps and elevation histograms show that generally, the topographic surface of Singapore has become flatter and lower since 1924. More than 89% of height changes have happened within a range of 20 m and 95% have been below 40 m. Because of differences in land surveying and map drawing methods, uncertainties and inaccuracies inherent in the 1924 topographic maps are discussed in detail. In this work, a modified version of a traditional scatter plot is used to present height transformation patterns intuitively. This method of deriving categorical maps of topographical changes from a surface difference map can be used in similar studies to qualitatively interpret transformation. Slope maps and histograms were also used jointly to reveal additional patterns of topographic change.

Online Learning in Singapore Primary Schools: An Interview with Seng Chee Tan

Science.gov (United States)

Hawthorne, Elizabeth; Tan, Seng Chee

2005-01-01

The Southeast Asian country of Singapore comprises a main island and numerous islets between Malaysia and Indonesia. Inhabited by Chinese, Malays, Indians, Eurasians, and other ethnic populations, Singapore is a vibrant mix of different cultures and religions. It is also reputed to be the most wired island in the world. This characteristic--along…

The Worst Disaster: The Decisive Point and the Fall of Singapore

Science.gov (United States)

2007-11-06

British territory of Malaya includes Singapore. In 1957, Malaysia became an independent state. In 1965, ore seceded from Malaysia . A.J Kennedy, A...repulsed? Per the leisurely pace of Singapore’s defense planning to date, it would certainly have been uncharacteristic of the entire Singapore... leisurely pace, Britain’s pre-WWII operational commanders were unable to compensate for a newly identified decisive point. Conversely, today’s

Three decades of breast-feeding trends in Singapore.

Science.gov (United States)

Chua, S; Viegas, O A; Ratnam, S S

1990-03-01

In 1985, about 60% of well-to-do mothers in Singapore initiated breastfeeding (BF). This value compares favorably with the 36% of poor mothers BF, but is still unacceptably low compared with the 85-95% of well-to-do mothers and 90% of poor mothers who were BF their babies during the 1950s. There has been a general decline in the incidence and duration of BF in Singapore over the last 36 years, however, in the last decade, a larger proportion of well-to-do mothers had initiated and continued BF. Whilst the overall decline probably reflects increasing affluence and "westernization" of the population, the variation between these 2 economic groups is probably a result of differences in education. Among the 3 major ethnic communities, the Chinese favor BF the least and the Malays favor it the most. The differences are also believed to be related to cultural variations and the ability of the ethnic groups to resist the trend towards BF in favor of traditional practices and beliefs. In 1951, over 80% of infants were BF for 4 or more weeks, but by 1978 only 37% were being breast fed. In 1985, 39% of the well-to-do mothers chose to breastfed their infants. Differences between well-to-do and poor groups were originally small. During the 1960-1970 period, the differences widened. In the 1980s, they seem to have narrowed, however. Among the poor population, the proportion seems to be leveling off, while it is going up for well-to-do mothers. These changes are not unique to Singapore. The ethnic community has, and continues to have, a strong influence on the choice of feeding method. Ethnic Chinese throughout Southeast Asia are poor breast feeders. The most important traditional practice for the Malay and Indian mothers is support from relatives. Their religion may play an important role, too. Islam tells them to breastfeed. Chinese mothers often have false ideas about BF. They feel that it will ruin their figures, or that artificial formulas are better because they are more

WebQuests and Collaborative Learning in Teacher Preparation: A Singapore Study

Science.gov (United States)

Yang, Chien-Hui; Tzuo, Pei-Wen; Komara, Cecile

2011-01-01

This research project aimed to introduce WebQuests to train special education preservice teachers in Singapore. The following research questions were posed: (1) Does the use of WebQuests in teacher preparation promote special education teacher understanding on Universal Design for Learning in accommodating students with diverse learning needs? (2)…

Postnatal experiences and support needs of first-time mothers in Singapore: a descriptive qualitative study.

Science.gov (United States)

Ong, Shu Fen; Chan, Wai-Chi Sally; Shorey, Shefaly; Chong, Yap Seng; Klainin-Yobas, Piyanee; He, Hong-Gu

2014-06-01

to explore first-time mothers' postnatal experiences and support needs after hospital discharge in Singapore. a descriptive qualitative study was adopted in this study. Participants were recruited from a public tertiary hospital in Singapore. Semi-structured interviews were used for data collection and the interview transcripts were analysed using thematic analysis. a purposive sample of 13 English-speaking first-time mothers of age 21 years and above were interviewed within 7-11 days after their hospital discharge. five themes emerged from the thematic analysis: (1) mixed emotions: participants experienced anxiety, labile emotions and stress over infant care; (2) breast feeding concerns: low breast milk supply and physical discomfort; (3) social support: many participants had sufficient social support from family members except their husbands; (4) cultural postnatal practice: majority of participants followed traditional postnatal practices of their culture; and (5) professional support needs: participants needed more information, access to health care services and continuity of care. this study highlighted the importance of providing professional postnatal care to first-time mothers after their discharge from the hospital. Future studies are needed to explore new practices that will enhance the quality of maternity health care and promote positive maternal experiences and well-being in Singapore. there is a need for more innovative advertisement to promote antenatal classes and improve attendance rate. Health care providers should assist women in establishing proper breast feeding techniques. Alternative models of care in the postnatal period, such as midwifery-led care, could facilitate a more woman-centred approach. Postnatal home visits may be considered within the first week of the mothers' hospital discharge, which may be legislated by public health care policies. © 2013 Elsevier Ltd. All rights reserved.

Language and Language Policy in Singapore.

Science.gov (United States)

Baxter, William H., III

1985-01-01

Singapore's language policy must balance the wishes of the various ethnic groups, the political situation in the regions, and the needs of economic development. Malay, Mandarin Chinese, English, and Tamil are all recognized as official languages. Malay has special symbolic status as the national language. (RM)

Frequent hospital admissions in Singapore: clinical risk factors and impact of socioeconomic status.

Science.gov (United States)

Low, Lian Leng; Tay, Wei Yi; Ng, Matthew Joo Ming; Tan, Shu Yun; Liu, Nan; Lee, Kheng Hock

2018-01-01

Frequent admitters to hospitals are high-cost patients who strain finite healthcare resources. However, the exact risk factors for frequent admissions, which can be used to guide risk stratification and design effective interventions locally, remain unknown. Our study aimed to identify the clinical and sociodemographic risk factors associated with frequent hospital admissions in Singapore. An observational study was conducted using retrospective 2014 data from the administrative database at Singapore General Hospital, Singapore. Variables were identified a priori and included patient demographics, comorbidities, prior healthcare utilisation, and clinical and laboratory variables during the index admission. Multivariate logistic regression analysis was used to identify independent risk factors for frequent admissions. A total of 16,306 unique patients were analysed and 1,640 (10.1%) patients were classified as frequent admitters. On multivariate logistic regression, 16 variables were independently associated with frequent hospital admissions, including age, cerebrovascular disease, history of malignancy, haemoglobin, serum creatinine, serum albumin, and number of specialist outpatient clinic visits, emergency department visits, admissions preceding index admission and medications dispensed at discharge. Patients staying in public rental housing had a 30% higher risk of being a frequent admitter after adjusting for demographics and clinical conditions. Our study, the first in our knowledge to examine the clinical risk factors for frequent admissions in Singapore, validated the use of public rental housing as a sensitive indicator of area-level socioeconomic status in Singapore. These risk factors can be used to identify high-risk patients in the hospital so that they can receive interventions that reduce readmission risk. Copyright: © Singapore Medical Association

Singapore Cancer Network (SCAN) Guidelines for Systemic Therapy of Pancreatic Adenocarcinoma.

Science.gov (United States)

2015-10-01

The SCAN pancreatic cancer workgroup aimed to develop Singapore Cancer Network (SCAN) clinical practice guidelines for systemic therapy for pancreatic adenocarcinoma in Singapore. The workgroup utilised a modified ADAPTE process to calibrate high quality international evidence-based clinical practice guidelines to our local setting. Five international guidelines were evaluated- those developed by the National Cancer Comprehensive Network (2014), the European Society of Medical Oncology (2012), Cancer Care Ontario (2013), the Japan Pancreas Society (2013) and the British Society of Gastroenterology, Pancreatic Society of Great Britain and Ireland, and the Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland (2005). Recommendations on the management of resected, borderline resectable, locally advanced and metastatic pancreatic adenocarcinoma were developed. These adapted guidelines form the SCAN Guidelines for systemic therapy for pancreatic adenocarcinoma in Singapore.

Labor skills and foreign investment in a dynamic economy : estimating the knowledge-capital model for Singapore

OpenAIRE

Chellaraj, Gnanaraj; Maskus, Keith E.; Mattoo, Aaditya

2009-01-01

Singapore is an interesting example of how the pattern of foreign investment changes with economic development. The authors analyze inbound and outbound investment between Singapore and a sample of industrialized and developing countries over the period 1984-2003. They find that Singapore s two-way investment with industrialized nations has shifted into skill-seeking activities over the p...

"Hottest Brand, Coolest Pedagogy": Approaches to Corporate Branding in Singapore's Higher Education Sector

Science.gov (United States)

Ng, Carl Jon Way

2016-01-01

This article examines the corporate branding efforts of Singapore's publicly funded higher education institutions within a context of neoliberal marketization. Adopting a discourse-analytic perspective, it examines the kind of branding approaches employed by Singapore's universities and polytechnics, and how these approaches are realized…

Opt-out of Voluntary HIV Testing: A Singapore Hospital's Experience

OpenAIRE

Chua, Arlene C.; Leo, Yee Sin; Cavailler, Philippe; Chu, Christine; Ng, Aloysius; Ng, Oon Tek; Krishnan, Prabha

2012-01-01

INTRODUCTION: Since 2008, the Singapore Ministry of Health (MOH) has expanded HIV testing by increasing anonymous HIV test sites, as well as issuing a directive to hospitals to offer routine voluntary opt out inpatient HIV testing. We reviewed this program implemented at the end of 2008 at Tan Tock Seng Hospital (TTSH), the second largest acute care general hospital in Singapore. METHODS AND FINDINGS: From January 2009 to December 2010, all inpatients aged greater or equal than 21 years were ...

Madrasah in Singapore: Tradition and modernity in religious education

Directory of Open Access Journals (Sweden)

Kerstin Steiner

2011-06-01

Full Text Available The educational policies of the Singapore government are driven by the needs of a modern knowledge-based society and economic development, with the state advocating modernity while the Muslim minority, arguably, appeared to be caught in tradition and holding on to “old fashioned” education. However, whether the new attempts at modernizing madrasah education driven by the state will succeed remains to be seen, as earlier  attempts of reformation driven by the Muslim community, or parts thereof, have been rather unsuccessful. This paper analyses the discourse between tradition and modernity of Islamic religious education in Singapore.

Regulatory control of Chinese Proprietary Medicines in Singapore.

Science.gov (United States)

Yee, Shen-Kuan; Chu, Swee-Seng; Xu, Yi-Min; Choo, Peck-Lin

2005-02-01

In Singapore, there has been a growing public interest in traditional Chinese medicine (TCM), which plays an important role in the healthcare system. With effect from 1 September 1999, the control on Chinese Proprietary Medicines (CPM) was implemented in three phases over a span of 3 years. Under the CPM regulatory framework, CPM importers, wholesalers, manufacturers and re-packers must be licensed and CPM products assessed and listed by the health authority before they are allowed for sale. Product assessment is based on the criteria of safety and quality which include limits of toxic heavy metals and microbial contents. During the 3-year CPM listing exercise, irregularities were detected, including intrinsic toxicity, adulteration, substitution, contamination, misidentification, non-traditional and/or inappropriate usage, incorrect preparation, inappropriate labelling, exaggerated claims and/or advertising. The full implementation of CPM control by September 2001 saw the listing of 7943 CPM products and brought about an improvement in the quality and safety of CPM in Singapore as well as the removal of sub-standard, fake/imitation and adulterated products. The standards of practices by local CPM dealers have also been raised. These improvements have, in turn, increased the level of public confidence in CPM products in Singapore.

Doing Business in the Global Village: Japanese Professionals on EL Needs in Singapore

Science.gov (United States)

Yoneda, Mitaka

2015-01-01

This paper presents an analysis of English language (EL) education from the perspectives of Japanese and non-Japanese professionals in Singapore, based on their experiences of "doing business" in Singapore. As established career business people, the perspectives of Japanese participants offer a retrospective evaluation of their…

DNA-Based Analyses of Molds in Singapore Public Buildings Results in a Proposed Singapore Environmental Relative Moldiness Index

Science.gov (United States)

Dust samples (n=75) were collected from shopping malls, hotels and libraries in Singapore and then analyzed using Mold Specific Quantitative Polymerase Chain Reaction(MSQPCR) for the 36 molds that make up the Environmental Relative Moldiness Index (ERMI). Most of these molds (23/...

A comparison of municipal solid waste management in Berlin and Singapore

International Nuclear Information System (INIS)

Zhang Dongqing; Keat, Tan Soon; Gersberg, Richard M.

2010-01-01

A comparative analysis of municipal solid waste management (MSWM) in Singapore and Berlin was carried out in order to identify its current status, and highlight the prevailing conditions of MSWM. An overview of the various aspects of MSWM in these two cities is provided, with emphasis on comparing the legal, technical, and managerial aspects of MSW. Collection systems and recycling practiced with respect to the involvement of the government and the private sector, are also presented. Over last two decades, the city of Berlin has made impressive progress with respect to its waste management. The amounts of waste have declined significantly, and at the same time the proportion that could be recovered and recycled has increased. In contrast, although Singapore's recycling rate has been increasing over the past few years, rapid economic and population growth as well as change in consumption patterns in this city-state has caused waste generation to continue to increase. Landfilling of MSW plays minor role in both cities, one due to geography (Singapore) and the other due to legislative prohibition (Berlin). Consequently, both in Singapore and Berlin, waste is increasingly being used as a valuable resource and great efforts have been made for the development of incineration technology and energy recovery, as well as climate protection.

Latex sensitisation in healthcare workers in Singapore.

Science.gov (United States)

Tang, M B Y; Leow, Y H; Ng, V; Koh, D; Goh, C L

2005-06-01

Epidemiological data on latex sensitisation among Asian healthcare workers is lacking. The aim of the study is to determine the rate of latex sensitisation in our healthcare workers. We recruited 313 healthcare workers, of which 46.6% were operating theatre staff and 53.4% were non-operating theatre staff. Seventy-one administrative staff served as controls. All participants answered a self-administered questionnaire relating to latex exposure and glove-related symptoms. Latex sensitisation was determined by skin prick testing to latex and latex-specific IgE detection. The prevalence of latex sensitisation among healthcare workers was 9.6%, with no difference between operating theatre and nonoperating theatre staff. Glove-related symptoms were reported in 13.7% of all healthcare workers, of which 22.9% were sensitised to latex. Only 26.7% of latex-sensitised healthcare workers had glove-related symptoms while the rest were asymptomatic. The most common symptoms were itch and hand eczema but the most important discriminating symptom was contact urticaria. Personal history of atopy was more common in sensitised healthcare workers (40.0%) compared to non-sensitised workers (31.8%). Only 1 out of 9 (11.2%) symptomatic latex-sensitised subjects had sought previous medical attention for the problem. Latex sensitisation among healthcare workers in Singapore should be considered a significant occupational health risk, as it is in the West. Increased screening and awareness of this problem is essential to identify those at risk.

PRESS FREEDOM IN SINGAPORE AND MALAYSIA: DEFAMATION

Directory of Open Access Journals (Sweden)

Georgia Kate Chapman

2015-04-01

Full Text Available This paper focuses on the arguments around restriction on freedom of the press in the Strong States of Singapore and Malaysia. It assesses the presence of constraints on press freedoms in democratic western countries imposed by corporation rather than state and the similar effects that these constraints may have on bias present in publicly accessible news reporting. It argues that independence of the press does not just require protection from legal and executive regulation, but also protection from large media corporations and their political alignments. This report will assess the bias of reporting and news media publication that exists in Malaysia and Singapore due to legislative and regulatory constraints as opposed to bias that exist in the western liberal democratic nations of the United Kingdom (UK and the United States of America (USA due to Media Organisation control.

Is Singapore's School Geography Becoming Too Responsive to the Changing Needs of Society?

Science.gov (United States)

Chang, Chew-Hung

2014-01-01

In understanding the divergences and commonalities in the representations of geography across different national settings, the case of Singapore is examined through the notion of politicisation of school curricula to meet the needs of "significant power groups". In particular, the development of school geography in Singapore and its…

Affordability of cancer treatment for aging cancer patients in Singapore: an analysis of health, lifestyle, and financial burden.

Science.gov (United States)

Chan, Alexandre; Chiang, Yu Yan; Low, Xiu Hui; Yap, Kevin Yi-Lwern; Ng, Raymond

2013-12-01

With the expected rise in newly diagnosed cancer cases among the elderly in Singapore, the affordability of cancer treatments, particularly of targeted therapies, will be a growing concern for patients. This study examines the perspectives of aging cancer patients on the financial burden of their cancer treatments. A single-center, prospective study was conducted in the largest ambulatory cancer center in Singapore. Older (50 years old and above) cancer patients receiving treatment were recruited. Patients completed three sets of self-reporting tools assessing their (a) demographics and lifestyles, (b) health-related quality of life, and (c) perceptions of cancer treatment costs. The association between targeted therapy utilities and their perceived financial burden was evaluated using a multivariable logistic regression. Five hundred and sixteen patients were included in the study. The majority of the respondents (69.6 %) were between 50 and 64 years old. The majority were Singaporeans (97.7 %), belonged to the ethnic Chinese group (88.4 %), and most were female (59.1 %). The users of targeted therapies were 2.92 times more likely to perceive that the amount of cash that they spent on cancer treatment was more than expected and 2.52 times more likely to have difficulty paying for cancer treatments. Fortunately, the majority of the respondents (70.6 %) found their existing financial schemes helpful in reducing the necessary out-of-pocket expenses. Although aging cancer patients feel that the financial schemes in Singapore have helped them tremendously, the general perception is that they require further help to offset their out-of-pocket expenses. This is especially true for users of targeted therapies and those who have a poorer health status.

Singapore Students' Misconceptions of Climate Change

Science.gov (United States)

Chang, Chew-Hung; Pascua, Liberty

2016-01-01

Climate change is an important theme in the investigation of human-environment interactions in geographic education. This study explored the nature of students' understanding of concepts and processes related to climate change. Through semi-structured interviews, data was collected from 27 Secondary 3 (Grade 9) students from Singapore. The data…

Effect of variations in rainfall intensity on slope stability in Singapore

OpenAIRE

Christofer Kristo; Harianto Rahardjo; Alfrendo Satyanaga

2017-01-01

Numerous scientific evidence has given credence to the true existence and deleterious impacts of climate change. One aspect of climate change is the variations in rainfall patterns, which affect the flux boundary condition across ground surface. A possible disastrous consequence of this change is the occurrence of rainfall-induced slope failures. This paper aims to investigate the variations in rainfall patterns in Singapore and its effect on slope stability. Singapore's historical rainfall d...

Conceptualisation of learning satisfaction experienced by non-traditional learners in Singapore

OpenAIRE

Khiat, Henry

2013-01-01

This study uncovered the different factors that make up the learning satisfaction of non-traditional learners in Singapore. Data was collected from a component of the student evaluation exercise in a Singapore university in 2011. A mixed-methods approach was adopted in the analysis. The study stated that non-traditional learners’ learning satisfaction can be generally grouped into four main categories: a) Desirable Learning Deliverables; b) Directed Learning Related Factors; c) Lecturer/Tutor...

Molecular characterization of misidentified Plasmodium ovale imported cases in Singapore.

Science.gov (United States)

Chavatte, Jean-Marc; Tan, Sarah Bee Hui; Snounou, Georges; Lin, Raymond Tzer Pin Valentine

2015-11-14

Plasmodium ovale, considered the rarest of the malaria parasites of humans, consists of two morphologically identical but genetically distinct sympatric species, Plasmodium ovale curtisi and Plasmodium ovale wallikeri. These parasites resemble morphologically to Plasmodium vivax with which they also share a tertian periodicity and the ability to cause relapses, making them easily misidentified as P. vivax. Plasmodium ovale infections are rarely reported, but given the likelihood of misidentification, their prevalence might be underestimated. Morphological and molecular analysis of confirmed malaria cases admitted in Singapore in 2012-2014 detected nine imported P. ovale cases that had been misidentified as P. vivax. Since P. ovale had not been previously officially reported in Singapore, a retrospective analysis of available, frozen, archival blood samples was performed and returned two additional misidentified P. ovale cases in 2003 and 2006. These eleven P. ovale samples were characterized with respect to seven molecular markers (ssrRNA, Potra, Porbp2, Pog3p, dhfr-ts, cytb, cox1) used in recent studies to distinguish between the two sympatric species, and to a further three genes (tufa, clpC and asl). The morphological features of P. ovale and the differential diagnosis with P. vivax were reviewed and illustrated by microphotographs. The genetic dimorphism between P. ovale curtisi and P. ovale wallikeri was assessed by ten molecular markers distributed across the three genomes of the parasite (Genbank KP050361-KP050470). The data obtained for seven of these markers were compared with those published and confirmed that both P. ovale species were present. This dimorphism was also confirmed for the first time on: (1) two genes from the apicoplast genome (tufA and clpC genes); and, (2) the asl gene that was used for phylogenetic analyses of other Plasmodium species, and that was found to harbour the highest number of dimorphic loci between the two P. ovale species

The economic impact of sea-level rise on nonmarket lands in Singapore.

Science.gov (United States)

Ng, Wei-Shiuen; Mendelsohn, Robert

2006-09-01

Sea-level rise, as a result of climate change, will likely inflict considerable economic consequences on coastal regions, particularly low-lying island states like Singapore. Although the literature has addressed the vulnerability of developed coastal lands, this is the first economic study to address nonmarket lands, such as beaches, marshes and mangrove estuaries. This travel cost and contingent valuation study reveals that consumers in Singapore attach considerable value to beaches. The contingent valuation study also attached high values to marshes and mangroves but this result was not supported by the travel cost study. Although protecting nonmarket land uses from sea-level rise is expensive, the study shows that at least highly valued resources, such as Singapore's popular beaches, should be protected.

Epidemiology of Travel-associated Pandemic (H1N1) 2009 Infection in 116 Patients, Singapore

OpenAIRE

Mukherjee, Pratik; Lim, Poh Lian; Chow, Angela; Barkham, Timothy; Seow, Eillyne; Win, Mar Kyaw; Chua, Arlene; Leo, Yee Sin; Chen, Mark I-Cheng

2010-01-01

In June 2009, during Singapore?s pandemic influenza plan containment phase, pandemic (H1N1) 2009 was introduced into the country through imported cases. To understand how travel patterns affected the initial outbreak, we examined epidemiologic and travel data for the first 116 case-patients admitted to Tan Tock Seng Hospital, Singapore, with travel-associated infection. Sixty-one percent and 54% of patients, respectively, met US Centers for Disease Control and Prevention and World Health Orga...

Logistics in hospitals: a case study of some Singapore hospitals.

Science.gov (United States)

Pan, Zhi Xiong; Pokharel, Shaligram

2007-01-01

The purpose of this paper is to investigate logistics activities in Singapore hospitals. It defines various types of activities handled by a logistics division. Inventory management policy and the use of information and communication technologies (ICT) for logistics purposes are also discussed. The study identifies the nature of strategic alliances in Singapore's health care industry. This study was conducted by utilizing a framework for data collection, pre-testing the questionnaire and conducting interviews. Various relevant literature was reviewed to design the questionnaire. This study finds that logistics division carry out many related activities and some of them also provide engineering services. The hospitals make use of ICT. The hospitals are clustered under various groups to minimize the cost of operation, including the logistics related costs. However, hospitals do not see alliances with suppliers as a strategic option; rather they focus on outsourcing of logistics services. The findings also show that Singapore hospitals have a good stocking policy for both medical and non-medical items so that changes in patient mix can be easily handled. Singapore is continuously improving its health care industry and therefore, the findings will help hospitals in other regions to adopt some of the practices, like concentrating on local vendors, outsourcing, clustering, and maximum use of information technology as competitive factors that can improve the service and reduce the cost of operation. The paper suggests motivators and barriers to the use of ICT in logistics in the health care industry.

Fast-food consumers in Singapore: demographic profile, diet quality and weight status.

Science.gov (United States)

Whitton, Clare; Ma, Yi; Bastian, Amber Carla; Fen Chan, Mei; Chew, Ling

2014-08-01

To determine the demographic profile of fast-food consumers among adult Singapore residents and ascertain whether fast-food consumption frequency is associated with diet quality and weight status. A nationally representative cross-sectional survey including an FFQ and anthropometric measures. Participants were grouped based on their fast-food consumption frequency as non-consumer, occasional consumer or regular consumer, with regular defined as at least once per week. Individuals living in the community in Singapore. Singapore residents (n 1627) aged 18-69 years of Chinese, Malay and Indian ethnicity. Proportions of regular fast-food consumers were higher in younger age groups, higher income groups and middle education level groups. Mean daily energy intake was positively associated with fast-food consumption frequency (non-consumers 9636 kJ (2303 kcal); occasional consumers 11 159 kJ (2667 kcal); regular consumers 13 100 kJ (3131 kcal); P for trend food consumers were more likely to exceed the RDA for energy, fat and saturated fat, and less likely to meet wholegrain and fruit recommendations. Both regular consumers (OR = 1·24; 95 % CI 1·03, 1·51) and occasional consumers (OR = 1·52; 95 % CI 1·32, 1·77) were more likely to have a waist:hip ratio indicating abdominal obesity. Occasional consumers were more likely to have a BMI ≥ 23·0 kg/m2 (OR = 1·19; 95 % CI 1·04, 1·37), whereas regular consumers were less likely (OR = 0·76; 95 % CI 0·64, 0·91) to have an 'at-risk' BMI. Fast-food consumption is most prevalent in young adults, high income and middle education level groups. Frequent fast-food consumption in Singapore is associated with unfavourable dietary and nutrient profiles and abdominal obesity.

Malaysia/Singapore: Where Asian Cultures Meet. Participants' Papers. Fulbright-Hays Seminars Abroad Program, 2001 (Malaysia and Singapore).

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Malaysian-American Commission on Educational Exchange, Kuala Lumpur.

The general objective of the Fulbright-Hays Seminars Abroad Program is to help U.S. educators enhance their international understanding and increase their knowledge of the people and culture of other countries. This particular program offered participants an overview of life in Malaysia and Singapore through seminars and other activities.…

Prevalence and correlates of heart disease among adults in Singapore.

Science.gov (United States)

Picco, Louisa; Subramaniam, Mythily; Abdin, Edimansyah; Vaingankar, Janhavi Ajit; Chong, Siow Ann

2016-02-01

Heart disease is one of the leading causes of morbidity and mortality worldwide and it has been well established that it is associated with both mental and physical conditions. This paper describes the prevalence of heart disease with mental disorders and other chronic physical conditions among the Singapore resident population. Data were from the Singapore Mental Health Study which was a representative, cross-sectional epidemiological survey undertaken with 6616 Singapore residents, between December 2009 and December 2010. The Composite International Diagnostic Interview Version 3.0 was used to establish the diagnosis of mental disorders, while a chronic medical conditions checklist was used to gather information on 15 physical conditions, including various forms of heart disease. Health-related quality of life was measured using the Euro-Quality of Life Scale (EQ-5D). The lifetime prevalence of heart disease was 2.8%. Socio-demographic correlates of heart disease included older age, Indian ethnicity, secondary education (vs. tertiary) and being economically inactive. After adjusting for socio-demographic variables and other comorbid physical and mental disorders, the prevalence of major depressive disorder and bipolar disorder were significantly higher among those with heart disease, as were diabetes, arthritis, kidney failure and lung disease. These findings highlight important associations between heart disease and various socio-demographic correlates, mental disorders and physical conditions. Given the high prevalence of mood disorders among heart disease patients, timely and appropriate screening and treatment of mental disorders among this group is essential. Copyright © 2015 Elsevier B.V. All rights reserved.

SARS in Singapore: surveillance strategies in a globalising city.

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Teo, Peggy; Yeoh, Brenda S A; Ong, Shir Nee

2005-06-01

Public health measures employed to fight against the spread of SARS need to be guided by biomedical knowledge as well as an understanding of the social science aspects of the disease. Using Singapore as a case study, we explore how the state constructs the disease and implements measures targeted at creating a ring of defense around the island and using surveillance to monitor and prevent its spread. While there is support, there is also resentment among some Singaporeans who complain that their right to privacy has been invaded and that over surveillance may have actually occurred. Marginalisation and discrimination have not only affected the local population but in this open economy which is striving to achieve global city status, businesses, tourism, foreign talent, foreign contract workers and foreign students studying in Singapore have also been negatively affected. While Singapore has been applauded by WHO and used as an example of quick and effective response, a holistic approach to the management of infectious disease must address the social implications of strategies that are drawn from medical knowledge alone because it impinges on the social lives of people and how people interact with each other under stressful circumstances.

A Psychometric Evaluation of the Achievement Goal Questionnaire-Revised in Singapore Secondary Students

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Ning, Hoi Kwan

2017-01-01

This study examined the psychometric properties of the Achievement Goal Questionnaire-Revised (AGQ-R) in a sample of Singapore secondary students (N = 1,171). Confirmatory factor analyses provided support for the AGQ-R in measuring the four achievements goals delineated in the 2 × 2 framework. Measurement invariance across ethnic groups was…

Overseas Voter Mobilisation in Singapore: Implications from Malaysia’s 13th General Election

Directory of Open Access Journals (Sweden)

James Gomez

2013-01-01

Full Text Available This paper discusses voter mobilisation and other election-related activities of Malaysian voters living, studying and working in Singapore in the context of Malaysia’s 13th general election (GE13. According to the World Bank, nearly 400,000 Malaysians reside in the city-state. Thus these figures represent a significant Malaysian voter pool based in Singapore. Efforts to mobilise these voters for general elections or other causes have political implications for both countries, which became apparent following Singapore-based Malaysians’ activities to encourage Malaysians to return home to cast their votes during the 13th general election. Singapore’s strict public assembly laws led to several legal issues related to the voter mobilisation and election campaign activities undertaken by Malaysians in the city-state. These legal issues became a source of friction between the two countries during the elections as government leaders and authorities on both sides of the causeway accused the other of interfering in domestic political matters. Given the growing number of Malaysians in Singapore and the likely repeat of Malaysian voter mobilisation activities in Singapore in the run-up to the fourteenth general election (GE14 in 2018, issues related to the election activities of Malaysian voters in Singapore stand to be another set of factors that will shape the health of bilateral relations between these two countries.

[Present situation and development of acupuncture and moxibustion in Singapore].

Science.gov (United States)

Meng, Xian-Jun; Zhu, An-Ning; Liao, Xiu-Lian; Ouyang, Qiang-Bo

2013-10-01

The development history, education, legislation, charge and institutes of acupuncture and moxibustion in Singapore are introduced in this article. Acupuncture and moxibustion has been developed in Singapore since 1840. Nowadays there are three universities that set up standard Chinese medicine courses and two acupuncture-moxibustion associations. Legislation of acupuncture and moxibustion is published in 2000. The acupuncture and moxibustion is applied for approximately 50 kinds of diseases. The acupuncture and moxibustion is at one's own expense in public or private institutions, but cheap or completely free in charity.

Urbanization and carbon dioxide emissions in Singapore: evidence from the ARDL approach.

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Ali, Hamisu Sadi; Abdul-Rahim, A S; Ribadu, Mohammed Bashir

2017-01-01

The main aim of this article is to examine empirically the impact of urbanization on carbon dioxide emissions in Singapore from 1970 to 2015. The autoregressive distributed lags (ARDL) approach is applied within the analysis. The main finding reveals a negative and significant impact of urbanization on carbon emissions in Singapore, which means that urban development in Singapore is not a barrier to the improvement of environmental quality. Thus, urbanization enhances environmental quality by reducing carbon emissions in the sample country. The result also highlighted that economic growth has a positive and significant impact on carbon emissions, which suggests that economic growth reduces environmental quality through its direct effect of increasing carbon emissions in the country. Despite the high level of urbanization in Singapore, which shows that 100 % of the populace is living in the urban center, it does not lead to more environmental degradation. Hence, urbanization will not be considered an obstacle when initiating policies that will be used to reduce environmental degradation in the country. Policy makers should consider the country's level of economic growth instead of urbanization when formulating policies to reduce environmental degradation, due to its direct impact on increasing carbon dioxide emissions.

Incidence, Trends and Ethnic Differences of Oropharyngeal, Anal and Cervical Cancers: Singapore, 1968-2012.

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Jennifer O Lam

Full Text Available In recent decades, several Western countries have reported an increase in oropharyngeal and anal cancers caused by human papillomavirus (HPV. Trends in HPV-associated cancers in Asia have not been as well described. We describe the epidemiology of potentially HPV-related cancers reported to the Singapore Cancer Registry from 1968-2012. Analysis included 998 oropharyngeal squamous cell carcinoma (OPSCC, 183 anal squamous cell carcinoma (ASCC and 8,019 invasive cervical cancer (ICC cases. Additionally, 368 anal non-squamous cell carcinoma (ANSCC and 2,018 non-oropharyngeal head and neck carcinoma (non-OP HNC cases were included as comparators. Age-standardized incidence rates (ASR were determined by gender and ethnicity (Chinese, Malay and Indian. Joinpoint regression was used to evaluate annual percentage change (APC in incidence. OPSCC incidence increased in both genders (men 1993-2012, APC = 1.9%, p<0.001; women 1968-2012, APC = 2.0%, p = 0.01 and was 5 times higher in men than women. In contrast, non-OP HNC incidence declined between 1968-2012 among men (APC = -1.6%, p<0.001 and women (APC = -0.4%, p = 0.06. ASCC and ANSCC were rare (ASR = 0.2 and 0.7 per 100,000 person-years, respectively and did not change significantly over time except for increasing ANSCCs in men (APC = 2.8%, p<0.001. ICC was the most common HPV-associated cancer (ASR = 19.9 per 100,000 person-years but declined significantly between 1968-2012 (APC = -2.4%. Incidence of each cancer varied across ethnicities. Similar to trends in Western countries, OPSCC incidence increased in recent years, while non-OP HNC decreased. ICC remains the most common HPV-related cancer in Singapore, but Pap screening programs have led to consistently decreasing incidence.

Gender differences in the trend of colorectal cancer incidence in Singapore, 1968–2002

NARCIS (Netherlands)

I.M.C.M. de Kok (Inge); C.S. Wong (Chia Siong); K.S. Chia (Kee Seng); X. Sim (Xueling); C.S. Tan (Chuen Seng); L.A.L.M. Kiemeney (Bart); H.M. Verkooijen (Helena)

2008-01-01

textabstractBackground and aims Over the past decades, incidence trends of colorectal cancer are sharply increased in Singapore. In this population-based study we describe changes in colorectal cancer incidence in Singapore and explore the reasons behind these changes through age-period cohort

Resting Stage of Plankton Diversity from Singapore Coastal Water: Implications for Harmful Algae Blooms and Coastal Management

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Trottet, Aurore; Wilson, Bryan; Sew Wei Xin, Genevieve; George, Christaline; Casten, Lemuel; Schmoker, Claire; Rawi, Nurul Syazana Binte Modh; Chew Siew, Moon; Larsen, Ole; Eikaas, Hans S.; Tun, Karenne; Drillet, Guillaume

2018-02-01

Resting strategies of planktonic organisms are important for the ecological processes of coastal waters and their impacts should be taken into consideration in management of water bodies used by multiple industries. We combined different approaches to evaluate the importance of resting stages in Singapore coastal waters. We used molecular approaches to improve the knowledge on Singapore biodiversity, we sampled and extracted cysts from sediments to evaluate the density of resting stages in Johor Strait, and we compared systematically information on Singapore planktonic biodiversity to existing published information on resting stages from these reported organisms. This is the first study evaluating the importance of resting stages in Singapore waters. Above 120 species reported in Singapore are known to produce resting stages though no previous work has ever been done to evaluate the importance of these strategies in these waters. The results from the resting stage survey confirmed 0.66 to 5.34 cyst g-1 dry weight sediment were present in the Johor Strait suggesting that cysts may be flushed by tidal currents into and out of the strait regularly. This also suggest that the blooms occurring in Singapore are likely due to secondary growth of Harmful Algae Bloom species in the water rather than from direct germination of cysts from sediment. Finally, we discuss the importance of these resting eggs for three main national industries in Singapore (shipping, marine aquaculture and provision of drinking water through seawater desalination). We argue that this study will serve as a baseline for some of the future management of Singapore waters.

Prospective study of dietary patterns and colorectal cancer among Singapore Chinese

OpenAIRE

Butler, L M; Wang, R; Koh, W-P; Yu, M C

2008-01-01

An influence of Western diet and lifestyle factors observed among Singapore Chinese may contribute to the population's marked rise in colorectal cancer incidence over the past two decades. Thus far, however, there is little evidence for individual nutrients and foods as major contributing factors in this population. We evaluated whether patterns of food intake were associated with colorectal cancer in a population-based cohort of 61,321 Singapore Chinese that was established in 1993?98. Two d...

Hypertension and blood pressure variability management practices among physicians in Singapore.

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Setia, Sajita; Subramaniam, Kannan; Tay, Jam Chin; Teo, Boon Wee

2017-01-01

There are limited data on blood pressure variability (BPV) in Singapore. The absence of updated local guidelines might contribute to variations in diagnosis, treatment and control of hypertension and BPV between physicians. This study evaluated BPV awareness, hypertension management and associated training needs in physicians from Singapore. Physicians from Singapore were surveyed between September 8, 2016, and October 5, 2016. Those included were in public or private practice for ≥3 years, cared directly for patients ≥70% of the time and treated ≥30 patients for hypertension each month. The questionnaire covered 6 main categories: general blood pressure (BP) management, BPV awareness/diagnosis, home BP monitoring (HBPM), ambulatory BP monitoring (ABPM), BPV management and associated training needs. Responses from 60 physicians (30 general practitioners [GPs], 20 cardiologists, 10 nephrologists) were analyzed (77% male, 85% aged 31-60 years, mean 22 years of practice). Approximately 63% of physicians considered white-coat hypertension as part of BPV. The most common diagnostic tool was HBPM (overall 77%, GPs 63%, cardiologists 65%, nephrologists 70%), but ABPM was rated as the tool most valued by physicians (80% overall), especially specialists (97%). Withdrawn Singapore guidelines were still being used by 73% of GPs. Approximately 48% of physicians surveyed did not adhere to the BP cutoff recommended by most guidelines for diagnosing hypertension using HBPM (>135/85 mmHg). Hypertension treatment practices also varied from available guideline recommendations, although physicians did tend to use a lower BP target for patients with diabetes or kidney disease. There were a number of challenges to estimating BPV, the most common of which was patient refusal of ABPM/HBPM. The majority of physicians (82%) had no training on BPV, but stated that this would be useful. There appear to be gaps in knowledge and guideline adherence relating to the assessment and

Food Franchising Entrepreneurship in Singapore

OpenAIRE

Kow, WaiYee@ZoeyKoh

2009-01-01

Purpose – This report aims to bridge the concepts of entrepreneurship, strategic management and franchising model to develop a framework for the food business in Singapore. Methodology – Based on entrepreneurship literature search, the paper identifies the importance of whole brain entrepreneurial team approach in the food business due to its nature of broad consumers’ base; entrepreneurial behaviour in information source to identify opportunities and innovation in food product, process an...

Clinical and Molecular Epidemiology of Carbapenem-Resistant Enterobacteriaceae Among Adult Inpatients in Singapore.

Science.gov (United States)

Marimuthu, Kalisvar; Venkatachalam, Indumathi; Khong, Wei Xin; Koh, Tse Hsien; Cherng, Benjamin Pei Zhi; Van La, My; De, Partha Pratim; Krishnan, Prabha Unny; Tan, Thean Yen; Choon, Raymond Fong Kok; Pada, Surinder Kaur; Lam, Choong Weng; Ooi, Say Tat; Deepak, Rama Narayana; Smitasin, Nares; Tan, Eng Lee; Lee, Jia Jun; Kurup, Asok; Young, Barnaby; Sim, Nancy Tee Wen; Thoon, Koh Cheng; Fisher, Dale; Ling, Moi Lin; Peng, Brenda Ang Sze; Teo, Yik-Ying; Hsu, Li Yang; Lin, Raymond Tzer Pin; Ong, Rick Twee-Hee; Teo, Jeanette; Ng, Oon Tek

2017-05-15

Since 2010, the incidence of carbapenem-resistant Enterobacteriaceae (CRE) has been increasing in Singapore. We analyzed the clinical and molecular epidemiology of CRE among adult inpatients in Singapore. Quarterly incidence of unique subjects (per 100000 patient-days) with positive clinical and surveillance cultures for CRE were estimated based on mandatory data submitted to the National Public Health Laboratory by public hospitals between 2010 and 2015. CRE-positive adult inpatients were prospectively recruited from 6 public sector hospitals between December 2013 and April 2015. Subjects answered a standardized epidemiologic questionnaire and provided samples for this study. Further clinical information was extracted from subjects' electronic medical records. Whole-genome sequencing was performed on study isolates to determine transmission clusters. Incidence of CRE clinical cultures among adult inpatients plateaued from 2013 (range: 7.73 to 10.32 per 100000 patient-days) following an initial increase between 2010 and end-2012. We prospectively recruited 249 subjects. Their median age was 65 years, 108 (43%) were female, and 161 (64.7%) had carbapenemase-producing Enterobacteriaceae (CPE). On multivariate analysis, prior carbapenem exposure (OR: 3.23; 95% CI: 1.67-6.25) and hematological malignancies (OR: 2.85; 95% CI: 1.10-7.41) were associated with non-carbapenemase-producing CRE (NCPE) (n = 88) compared with CPE (n = 161) subjects. Among 430 CRE isolates from the 249 subjects, 307(71.3%) were CPE, of which 154(50.2%) were blaKPC-positive, 97(31.6%) blaNDM-positive, and 42 (13.7%) blaOXA-positive. Klebsiella pneumoniae (n = 180, 41.9%), Escherichia coli (n = 129, 30.0%) and Enterobacter cloacae (n = 62, 14.4%) were the main Enterobacteriaceae species. WGS (n = 206) revealed diverse bacterial strain type (STs). The predominant blaKPC-positive plasmid was pHS102707 (n = 62, 55.4%) and the predominant blaNDM-positive plasmid was pNDM-ECS01 (n = 46, 48.9%). Five

Day Care Centers for Seniors in Singapore: Looking Back and Looking Ahead.

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Liu, Germaine; Yap, Philip; Wong, Gabriel H Z; Wei, Heng Xiao; Hua, Ee Chye

2015-07-01

The burden of care for frail elderly persons on families and the society is ever real as our population ages. Given the dual-income nature of many working families, day care centers offer a strong alternative to nursing homes for families wishing to provide custodial care and meaningful engagement for seniors while continuing to uphold their filial duties. Recognizing this, several initiatives, such as SPICE (Singapore Programme for Integrated Care for the Elderly) and Weekend Respite Care, have been launched to enhance the services of Singapore's day care centers. This article traces the evolution of this process, distills current challenges, and offers policy recommendations to improve Singapore's day care services for seniors. Copyright © 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

A Multimethod Approach towards Assessing Urban Flood Patterns and Its Associated Vulnerabilities in Singapore

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Winston T. L. Chow

2016-01-01

Full Text Available We investigated flooding patterns in the urbanised city-state of Singapore through a multimethod approach combining station precipitation data with archival newspaper and governmental records; changes in flash floods frequencies or reported impacts of floods towards Singapore society were documented. We subsequently discussed potential flooding impacts in the context of urban vulnerability, based on future urbanisation and forecasted precipitation projections for Singapore. We find that, despite effective flood management, (i significant increases in reported flash flood frequency occurred in contemporary (post-2000 relative to preceding (1984–1999 periods, (ii these flash floods coincide with more localised, “patchy” storm events, (iii storms in recent years are also more intense and frequent, and (iv floods result in low human casualties but have high economic costs via insurance damage claims. We assess that Singapore presently has low vulnerability to floods vis-à-vis other regional cities largely due to holistic flood management via consistent and successful infrastructural development, widespread flood monitoring, and effective advisory platforms. We conclude, however, that future vulnerabilities may increase from stresses arising from physical exposure to climate change and from demographic sensitivity via rapid population growth. Anticipating these changes is potentially useful in maintaining the high resilience of Singapore towards this hydrometeorological hazard.

Psychological and behavioural characteristics of females with anorexia nervosa in Singapore.

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Tan, Evangeline S L; Hawkins, Russell M F

2017-12-01

This study aimed to compare a sample of females with anorexia nervosa in Singapore with international clinical and population samples from published data in terms of endorsement of risk factors related to anorexia nervosa, severity of eating pathology and levels of psychosocial impairment and to explore the nature of the relationships between the anorexia nervosa risk factors and adherence to Asian cultural values. Data from the Eating Disorder Inventory-3 (EDI-3), the Eating Attitudes Test (EAT-26), the Perceived Sociocultural Pressure Scale (PSPS), the Ideal Body Stereotype Scale (IBSS), the Eating Disorder Examination Questionnaire (EDE-Q), the Clinical Impairment Assessment Questionnaire, and the Asian American Values Scale-Multidimensional (AAVS-M) were collected from 41 female patients (13-31 years old) who presented for treatment of anorexia nervosa at the Singapore General Hospital. The profile and presentation of anorexia nervosa in Singapore was comparable to that observed in the Western clinical samples in terms of levels of endorsement of the risk factors for anorexia nervosa. No protective benefit of orientation to Asian culture was found. The observed pattern of general similarity of presentation between Western data and Singaporean data, together with the finding that no protective benefit of orientation to Asian culture was observed, suggests that it may be appropriate to directly apply evidence-based Western models of intervention to the treatment of anorexia nervosa in Singapore.

A comparison of municipal solid waste management in Berlin and Singapore.

Science.gov (United States)

Zhang, Dongqing; Keat, Tan Soon; Gersberg, Richard M

2010-05-01

A comparative analysis of municipal solid waste management (MSWM) in Singapore and Berlin was carried out in order to identify its current status, and highlight the prevailing conditions of MSWM. An overview of the various aspects of MSWM in these two cities is provided, with emphasis on comparing the legal, technical, and managerial aspects of MSW. Collection systems and recycling practiced with respect to the involvement of the government and the private sector, are also presented. Over last two decades, the city of Berlin has made impressive progress with respect to its waste management. The amounts of waste have declined significantly, and at the same time the proportion that could be recovered and recycled has increased. In contrast, although Singapore's recycling rate has been increasing over the past few years, rapid economic and population growth as well as change in consumption patterns in this city-state has caused waste generation to continue to increase. Landfilling of MSW plays minor role in both cities, one due to geography (Singapore) and the other due to legislative prohibition (Berlin). Consequently, both in Singapore and Berlin, waste is increasingly being used as a valuable resource and great efforts have been made for the development of incineration technology and energy recovery, as well as climate protection. Copyright (c) 2010 Elsevier Ltd. All rights reserved.

Individualized and Depoliticized: A Study of Chinese Blogosphere in Singapore

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Carol Soon

2015-10-01

Full Text Available Research on new media such as blogs examines users’ motivations and gratifications, and how individuals and organizations use them for political participation. In Singapore, political blogs have attracted much public scrutiny due to the bloggers’ online and offline challenges of official discourse. While previous research has established the political significance of these blogs, extant scholarship is limited to blogs written in the English language. Little is known about blogs maintained by the Chinese community, the largest ethnic group in multi-racial Singapore. This study is a first to examine this community and the space they inhabit online. Through web crawling, we identified 201 Chinese-language blogs and through content analysis, we analyzed if Chinese bloggers contributed to public debates and used their blogs for civic engagement. Their content, motivations for blogging in the language, hyperlinking practices and use of badges indicated that Chinese bloggers in Singapore do not use blogs for political participation and mobilization, but are individualized and a-politicized. We discuss possible reasons and implications in this paper.

Energy conservation through smart homes in a smart city: A lesson for Singapore households

International Nuclear Information System (INIS)

Bhati, Abhishek; Hansen, Michael; Chan, Ching Man

2017-01-01

Energy saving is a hot topic due to the proliferation of climate changes and energy challenges globally. However, people's perception about using smart technology for energy saving is still in the concept stage. This means that people talk about environmental awareness readily, yet in reality, they accept to pay the given energy bill. Due to the availability of electricity and its integral role, modulating consumers’ attitudes towards energy savings can be a challenge. Notably, the gap in today's smart technology design in smart homes is the understanding of consumers’ behaviour and the integration of this understanding into the smart technology. As part of the Paris Climate change agreement (2015), it is paramount for Singapore to introduce smart technologies targeted to reduce energy consumption. This paper focused on the perception of Singapore households on smart technology and its usage to save energy. Areas of current research include: (1) energy consumption in Singapore households, (2) public programs and policies in energy savings, (3) use of technology in energy savings, and (4) household perception of energy savings in smart homes. Furthermore, three case studies are reviewed in relation to smart homes and smart technology, while discussing the maturity of existing solutions. - Highlights: • Analyse perception of Singapore households about the usage of smart technology to save energy. • Reviews energy consumption, public policies and household perception of energy savings. • Three case studies were developed and reviewed in relation to smart homes and smart technology. • Analyse research gap of household behaviours and perceptions as smart home design focus.

Meritocracy, Elitism, and Egalitarianism: A Preliminary and Provisional Assessment of Singapore's Primary Education Review

Science.gov (United States)

Lim, Leonel

2013-01-01

Meritocracy functions in Singapore as the key principle of governance and educational distribution. However, the concept of meritocracy itself contains a number of inherent contradictions, most evidently witnessed in the tension between its egalitarian and elitist strands. This tension is documented in the recommendations of Singapore's recent…

Footwear characteristics in people with inflammatory arthritis in Singapore.

Science.gov (United States)

Carter, K; Lahiri, M; Cheung, P P; Santosa, A; Rome, K

2016-01-01

Foot problems are common in people with inflammatory arthritis. Despite suitable footwear having the potential to alleviate pain, improve mobility and maintain independence, previous studies have found many people with inflammatory arthritis wearing poorly fitting and inappropriate footwear. Footwear styles and characteristics have not been reported in a Singapore inflammatory arthritis population. The objective of this study was to identify current footwear styles and characteristics of footwear worn by people with inflammatory arthritis in Singapore. One-hundred-and-one participants with inflammatory arthritis were recruited from the rheumatology outpatient clinic of a large public hospital in Singapore. Disease and clinical characteristics were recorded. A patient-reported outcome included current foot pain. An objective footwear assessment of style, age of shoe, fit and construction was conducted. The majority of participants were Chinese women with a mean (SD) age was 52.0 (15.0) years old and a mean (SD) disease duration of 9.3 (0.3) years. We found 50 % of participants (n = 51) reported footwear problems. Sandals (n = 27, 26 %), flip-flops (n = 19, 19 %) and moccasin type (n = 19, 19 %) was the most common footwear choice. Evaluation of footwear characteristics found that there was a lack of motion control features. Only 32 (32 %) participants had correctly fitting footwear with regard to length, width and depth. No participant was wearing therapeutic footwear. This study provides the first insight into footwear preferences of people with inflammatory arthritis in Singapore. Use of slip-on and poorly fitting footwear was found to be common in people with inflammatory arthritis. Further research on footwear preferences in Southeast-Asian communities needs to take into account cultural habit and preference, socio-economic status, footwear options and affordability.

Migrant female domestic workers: debating the economic, social and political impacts in Singapore.

Science.gov (United States)

Yeoh, B S; Huang, S; Gonzalez, J

1999-01-01

This article analyzes the impact of migrant female domestic workers on the socioeconomic and political context in Singapore. Although Singapore state policy opposes long-term immigration, there is a labor shortage which permits a transient work force of low-skilled foreign workers. In the late 1990s, Singapore had over 100,000 foreign maids, of whom 75% were from the Philippines, 20% were from Indonesia, and the rest were from Sri Lanka. Legislation ensures their short-term migrant status, restricts their numbers, and governs their employment. Migrant workers are also regulated through a stringent allocation system based on household income of employers and the need for caregivers for children. Work permits are conditioned on non-marriage to citizens of Singapore or pregnancy. Terms and conditions of migrant employment are not specified, which permits long hours of work and potential for inhumane treatment. Migrant women fulfill jobs not desired by natives and accept these jobs at lower wages. There is disagreement about the motivation for the maid levy and its need, fairness, and effectiveness in reducing demand for foreign maids. Most public discussion focuses on social values and morality of foreign maids. Politically, tensions arise over the legality of migration, which results from tourist worker migration to Singapore and circumvents Filipino labor controls. Most of the adjustment cases that come to the attention of OWWA are tourist workers. Policies should be gender sensitive.

Foreign domestic workers and home-based care for elders in Singapore.

Science.gov (United States)

Yeoh, Brenda S A; Huang, Shirlena

2010-01-01

As with other developed nations where rapid population aging has led to increasing health care and social care burdens, Singapore has searched for ways of paying for and providing long-term care for its increasing numbers of elders. The Singapore state, faced with the prospect of one-fifth of the population aged 65 or older by 2030, has reinforced its basic principle of rendering the family the "primary caregiving unit" and home-based care as the highly preferred option for eldercare. Our paper demonstrates why, despite the range of alternative care arrangements available or emerging on Singapore's eldercare landscape, the employment of live-in foreign domestic workers as care workers for the elderly has become one of the more common de facto modes of providing care for the elderly. In this context, we discuss the politics of eldercare in the privatized sphere of homespace and conclude with policy implications relating to the employment of foreign domestic workers as caregivers for the elderly.

Emerging Education Hubs: The Case of Singapore

Science.gov (United States)

Sidhu, Ravinder; Ho, K.-C.; Yeoh, Brenda

2011-01-01

In anticipation of a globalising post-Fordist political economy, countries and universities are increasingly pursuing strategic transnational education and research alliances. This article analyses the Global Schoolhouse, a key education policy platform that aims to transform Singapore into a knowledge and innovation hub by establishing networks…

Validation of the kidney disease quality of life-short form: a cross-sectional study of a dialysis-targeted health measure in Singapore.

Science.gov (United States)

Joshi, Veena D; Mooppil, Nandakumar; Lim, Jeremy Fy

2010-12-20

In Singapore, the prevalence of end-stage renal disease (ESRD) and the number of people on dialysis is increasing. The impact of ESRD on patient quality of life has been recognized as an important outcome measure. The Kidney Disease Quality Of Life-Short Form (KDQOL-SF™) has been validated and is widely used as a measure of quality of life in dialysis patients in many countries, but not in Singapore. We aimed to determine the reliability and validity of the KDQOL-SF™ for haemodialysis patients in Singapore. From December 2006 through January 2007, this cross-sectional study gathered data on patients ≥21 years old, who were undergoing haemodialysis at National Kidney Foundation in Singapore. We used exploratory factor analysis to determine construct validity of the eight KDQOL-SF™ sub-scales, Cronbach's alpha coefficient to determine internal consistency reliability, correlation of the overall health rating with kidney disease-targeted scales to confirm validity, and correlation of the eight sub-scales with age, income and education to determine convergent and divergent validity. Of 1980 haemodialysis patients, 1180 (59%) completed the KDQOL-SF™. Full information was available for 980 participants, with a mean age of 56 years. The sample was representative of the total dialysis population in Singapore, except Indian ethnicity that was over-represented. The instrument designers' proposed eight sub-scales were confirmed, which together accounted for 68.4% of the variance. All sub-scales had a Cronbach's α above the recommended minimum value of 0.7 to indicate good reliability (range: 0.72 to 0.95), except for Social function (0.66). Correlation of items within subscales was higher than correlation of items outside subscales in 90% of the cases. The overall health rating positively correlated with kidney disease-targeted scales, confirming validity. General health subscales were found to have significant associations with age, income and education

Entomologic and virologic investigation of Chikungunya, Singapore.

Science.gov (United States)

Ng, Lee-Ching; Tan, Li-Kiang; Tan, Cheong-Huat; Tan, Sharon S Y; Hapuarachchi, Hapuarachchige C; Pok, Kwoon-Yong; Lai, Yee-Ling; Lam-Phua, Sai-Gek; Bucht, Göran; Lin, Raymond T P; Leo, Yee-Sin; Tan, Boon-Hian; Han, Hwi-Kwang; Ooi, Peng-Lim S; James, Lyn; Khoo, Seow-Poh

2009-08-01

Local transmission of chikungunya, a debilitating mosquito-borne viral disease, was first reported in Singapore in January 2008. After 3 months of absence, locally acquired Chikungunya cases resurfaced in May 2008, causing an outbreak that resulted in a total of 231 cases by September 2008. The circulating viruses were related to East, Central, and South African genotypes that emerged in the Indian Ocean region in 2005. The first local outbreak was due to a wild-type virus (alanine at codon 226 of the envelope 1 gene) and occurred in an area where Aedes aegypti mosquitoes were the primary vector. Strains isolated during subsequent outbreaks showed alanine to valine substitution (A226V) and largely spread in areas predominated by Ae. albopictus mosquitoes. These findings led to a revision of the current vector control strategy in Singapore. This report highlights the use of entomologic and virologic data to assist in the control of chikungunya in disease-endemic areas.

Singapore's Zero-Energy Building's daylight monitoring system

Energy Technology Data Exchange (ETDEWEB)

Grobe, Lars; Wittkopf, Stephen; Pandey, Anupama Rana; Xiaoming, Yang; Seng, Ang Kian; Scartezzini, Jean-Louis; Selkowitz, Stephen

2010-02-28

A setup to monitor the daylighting performance of different glazing types in Singapore is presented. The glazing is installed in the facade of four dedicated testing chambers in BCAA's Zero Energy Building in Singapore. These test rooms are equipped with sensors that both record illuminances on the work plane, and luminances as seen by occupants. The physical and logical design of the monitoring system is presented. Criteria to assess the daylighting performance are introduced, and initial results of the work in progress are presented.

Current status of subfamily Ichneumoninae (Hymenoptera: Ichneumonidae) from Malaysia and Singapore

Science.gov (United States)

Norhafiza, A. F.; Idris, A. B.

2013-11-01

In this paper, 25 genera and 38 species under 10 tribes (Alomyini, Compsophorini, Goedartiini, Heresiarchini, Ichneumonini, Ischnojoppini, Joppocryptini, Listrodromini, Oedicephalini and Platylabini) of the subfamily Ichneumoninae housed in the Centre for Insect Systematics, UKM and Raffles Museum of Biodiversity Research (National University of Singapore) are reported from Malaysia and Singapore. The tribe Heresiarchini has the greatest number of species (13) followed by Ichneumonini with six species. Imeria is the largest genus which contains five species recorded. Six species in this study are new records for Malaysia.

Social Foundations of Public-Private Partnerships in Education: The Historical Cases of Post-War Singapore and Hong Kong

Science.gov (United States)

Wong, Ting-Hong

2015-01-01

This paper compares public-private partnerships (PPPs) in education in post-war Singapore and Hong Kong. After the Second World War the Singapore government shied away from PPPs, while the state in Hong Kong collaborated extensively with the non-state sector in education. Singapore was a small city-state flanked by two Muslim nations, and its…

Singapore Technologies Electronics——Committed to Growth in China

Institute of Scientific and Technical Information of China (English)

无

2008-01-01

@@ About STElectronics Headquartered in Singapore, ST Electronics has almost 40 years of experience providing electronics, communications and ICT (information communications technologies) solutions to governments and commercial enterprises worldwide.

Doing Business Economy Profile 2015 : Singapore

OpenAIRE

World Bank Group

2014-01-01

This economy profile for Doing Business 2015 presents the 11 Doing Business indicators for Singapore. To allow for useful comparison, the profile also provides data for other selected economies (comparator economies) for each indicator. Doing Business 2015 is the 12th edition in a series of annual reports measuring the regulations that enhance business activity and those that constrain it....

Distributed Leadership for ICT Reform in Singapore

Science.gov (United States)

Ng, David; Ho, Jeanne

2012-01-01

This study examines distributed leadership in Information Communication Technology reform in a government school in Singapore. The study adopts a naturalistic inquiry approach, drawing upon a case study of the aforementioned school for much of its data. The study found that leadership for Information Communication Technology reform is distributed…

77 FR 39320 - Suggestions for Environmental Cooperation Pursuant to the United States-Singapore Memorandum of...

Science.gov (United States)

2012-07-02

... friendly environmental technology and pollution management techniques; (2) participating in regional... DEPARTMENT OF STATE [Public Notice 7943] Suggestions for Environmental Cooperation Pursuant to the United States-Singapore Memorandum of Intent on Environmental Cooperation AGENCY: Department of State...

Singapore Technologies Electronics——Committed to Growth in China

Institute of Scientific and Technical Information of China (English)

无

2007-01-01

@@ About ST Electronics Headquartered in Singapore, ST Electronics has almost 40 years of experience providing electronics, communications and ICT (information communications technologies) solutions to governments and commercial enterprises worldwide.

Singapore Technologies Electronics——Committed to Growth in China

Institute of Scientific and Technical Information of China (English)

无

2007-01-01

@@ About ST Electronics Headquartered in Singapore,ST Electronics has almost 40 years of experience providing electronics,communications and ICT (information communications technologies) solutions to governments and commercial enterprises worldwide.

Singapore Technologies Electronics——Committed to Growth in China

Institute of Scientific and Technical Information of China (English)

无

2008-01-01

@@ About ST Electronics Headquartered in Singapore,ST Electronics has almost 40 years of experience providing electronics,communications and ICT(information communications technologies)solutions to governments and commercial enterprises worldwide.

Diabetes mellitus prevalence is increasing in South Asians but is stable in Chinese living in Singapore and Mauritius.

Science.gov (United States)

Tan, Kristin H X; Barr, Elizabeth L M; Koshkina, Vira; Ma, Stefan; Kowlessur, Sudhir; Magliano, Dianna J; Söderberg, Stefan; Chia, Kee Seng; Zimmet, Paul; Lim, Wei-Yen

2017-09-01

Asia is experiencing a type 2 diabetes epidemic, but prevalence differs by ethnicity and level of socioeconomic development. Singapore and Mauritius have implemented comprehensive campaigns to address this public health problem. We compared diabetes and obesity prevalence trends among Chinese and South Asians living in Singapore and Mauritius to determine the contribution of ethnicity and economic development to diabetes. Age-specific data from serial national population-based surveys in Singapore and Mauritius between 1987 and 2010 were used to estimate age-standardized diabetes and obesity prevalence. Modified Breslow-Cox proportional hazard models were used to obtain rate ratios for diabetes risk factors. In Singapore, the age-standardized prevalence of diabetes remained stable for Chinese (men: 14% in 1992, 13% in 2010; women: 12% in 1992, 10% in 2010), but increases were observed for South Asians (men: 20% in 1992, 26% in 2010; women: 18% in 1992, 20% in 2010). There were similar patterns in Mauritius. In both countries, obesity prevalence trends were stable for Chinese women, but increased for Chinese men and South Asians. Associations between obesity and diabetes were stronger in Chinese than South Asians regardless of country. Despite different socioeconomic settings in Singapore and Mauritius, we observed rising diabetes prevalence among South Asians but stable prevalence in Chinese in both countries. This provides further evidence that ethnicity contributes to the development of diabetes, and that there should be an increased emphasis on future prevention strategies targeting South Asian populations in these countries. © 2016 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.

Ethnobotanical survey of usage of fresh medicinal plants in Singapore.

Science.gov (United States)

Siew, Yin-Yin; Zareisedehizadeh, Sogand; Seetoh, Wei-Guang; Neo, Soek-Ying; Tan, Chay-Hoon; Koh, Hwee-Ling

2014-09-29

The use of medicinal plants in human health has been documented since ancient times and they provide a useful source of new therapeutics. In Singapore, despite the accessibility to modern healthcare, there still exist pockets of the population who choose to use locally grown fresh medicinal plants for health promotion and even therapeutic purposes. However to date, there is no published report of first-hand account of their usage in Singapore. As land is scarce and rapidly used for re-development, such important knowledge may be lost if not properly documented in time. This work safeguards the local folk knowledge, and provides information on common and scarcely reported fresh medicinal plants. The objective of this study is to gather information regarding the usage of fresh medicinal plants in Singapore through face-to-face interviews. Information on demographic data and plant-use methods were collated via face-to-face interviews of 200 fresh medicinal plant users who have used fresh medicinal plants in the last five years. The survey protocol was approved by the National University of Singapore Institutional Review Board and informed consent was obtained from every participant. A total of 414 plants represented by 104 plant species from 44 families were reportedly used by the 200 participants. The five most commonly used plants were Clinacanthus nutans (34 users), Strobilanthes crispus (31 users), Pereskia bleo (25 users), Aloe vera (18 users) and Zingiber officinale (16 users). Leaves were the most commonly used plant part while preparing a decoction was the most common method of preparation. The majority of interviewees used plants for general health purposes and to treat diseases related to the respiratory system and cancer. Our survey has successfully documented the rich wealth of traditional usage and knowledge on 414 fresh medicinal plants grown in Singapore through face-to-face interviews with 200 users. This study will serve as a useful resource for

Procurement of construction services: a case study on bidding competition in Singapore public sector contracts

Science.gov (United States)

Oo, B. L.; Yan, Y.

2018-04-01

There are many variables that public clients need to consider in their bidding procedure to enhance efficiency in their procurement for construction services. This paper focusses on the competitive bidding process for public sector procurement of construction services in Singapore. A distinctive feature of the Singapore government competitive bidding process is that full bidding feedback information is released to all competing bidders (and public). The specific objectives are: (i) to examine the degree of competition in the construction markets; and (ii) to examine the bidding performance of competing bidders. Based on a collection of bidding data for a 15-month period, the results show the market environment of the Singapore public sector construction contracting is highly competitive with long bidder lists. In selection of contractors, only 50% of the contracts were awarded to lowest bidders. The results also show that the competing contractors can be broadly classified into three groups based on their bidding performance in terms of number of bidding attempts, bidding success rate and bidding competitiveness. These results provide a useful insight into the bidding competition in the Singapore public sector construction contracting, especially to new market entrants and foreign contractors who want to bid for jobs in Singapore.

Reconciling Discourse about Geography and Teaching Geography: The Case of Singapore Pre-Service Teachers

Science.gov (United States)

Seow, Tricia

2016-01-01

This study draws upon a Foucauldian notion of discourse to explore how four pre-service geography teachers in Singapore made decisions about what geography is and how to enact their understandings of geography in their classrooms. This analysis of discursive power is particularly relevant to Singapore because of the high level of state control…

Stakeholders' Perceptions of School Counselling in Singapore

Science.gov (United States)

Low, Poi Kee

2015-01-01

This article reports on a qualitative study that set out to understand stakeholders' perception of the school counselling service in Singapore. Using semi-structured interviews, this study explored the perceptions of three main stakeholder groups, namely teachers and counsellors working within the schools and those working in the communities.…

A REVIEW OF FACTORS AFFECTING BUILDING DEFECTS IN SINGAPORE

Directory of Open Access Journals (Sweden)

Po Seng Kian

2001-01-01

Full Text Available In developing countries, building maintenance technology is currently vastly underrated and ignored by owners, managers, and professionals. The building and construction authority of Singapore (BCA has identified that the complaints about building defects have gone up in recent years with common problems such as leaky roof and walls, floor defect, and improper outlet pipe. This paper presents a brief description on building defect in use for commercial building as well as residential buildings in Singapore. The main objective is to highlight the important problems and suggest a greater participation of professionals in building maintenance. It also provides some site investigations photographs of various defects, which is expected to be useful for builders, architects, and others who deal with building materials.

Newspaper media reporting of motor vehicle crashes in Singapore: an opportunity lost for injury prevention education?

Science.gov (United States)

Heng, Kenneth W J; Vasu, Alicia

2010-06-01

Newspaper media advocacy can help steer public attention away from motor vehicle crash (MVC) injuries as a personal problem to that of a social and public health issue. If used properly, newspaper media is potentially a powerful mass educator on MVC prevention. However, there is often a conflict of interest in which newspapers, in an attempt to boost readership and revenue, may over-emphasize and sensationalize the human-interest aspect of an MVC story. The aim of this study is to examine newspaper articles of MVCs in Singapore to assess how our newspaper media coverage portray MVCs and identify factors that mitigate injury and educate the public on injury prevention measures. Details of the MVC were extracted from 12 months of newspaper coverage in Singapore. Two independent coders were used to establish inter-rater reliability. From 1 January to 31 December 2007, 201 articles about MVCs were published. About 74.1% of articles assigned blame to a particular road user, negligence on either road user was implied in 56.7% of articles, and road safety messages were mentioned in 8% of the articles. The mainstream communication tone used was positive for law enforcement (71.1%) and neutral towards injury prevention or road safety messages (89.1%). Newspaper media reporting of MVCs in Singapore generally does not include injury prevention messages or highlight injury-mitigating measures. This is a lost opportunity for public education. Collaboration between public health practitioners and newspaper media is required to address this issue.

Mental disorders: employment and work productivity in Singapore.

Science.gov (United States)

Chong, Siow Ann; Vaingankar, Janhavi Ajit; Abdin, Edimansyah; Subramaniam, Mythily

2013-01-01

To examine the association between mental disorders and work disability in the adult resident population in Singapore. Data are from the Singapore Mental Health Study, which was a household survey of a nationally representative sample. The main instrument used was the Composite International Diagnostic Interview (CIDI). Employment-related information was collected using the modified employment module of the CIDI. A total of 6,429 respondents were included in the analysis, 71 % (n = 4,594) were employed, 24.5 % (n = 1,522) were economically inactive and 4.5 % (n = 313) were unemployed. Among the employed, 2.3 % had a 12-month prevalence of at least one mental disorder, while 5.3 % of the unemployed had at least one mental disorder. The average number of work loss days (absenteeism) per capita among those with a mental disorder was 0.5 per month that is equivalent to an annualized national projection of approximately 0.3 million productivity days. The average work-cutback days (presenteeism) were 0.4 days among this group. Of the mentally ill in the workforce, a high proportion (86.5 %) did not ever seek help for problems related to mental health. Our findings provide information on the significant consequences of mental disorders on the workforce in terms of lost work productivity, which could pave the way for a more rational allocation of scarce resources.

Water mites of the family Pontarachnidae from Singapore, with a description of one new species (Acari: Hydrachnidia)

NARCIS (Netherlands)

Smit, H.

2009-01-01

One new species of the water mite family Pontarachnidae, Litarachna triangularis, new species, is described from Singapore. In addition, L. curtipalpis Smit is reported for the first time from Singapore.

Singapore Technologies Electronics——Committed to Growth in China

Institute of Scientific and Technical Information of China (English)

无

2007-01-01

@@ About ST Electronics Headquartered in Singapore,ST Electronics has almost 40 years of experience providing electronics,communications,ICT(Information Communications Technologies)and IT(Information Technologies)solutions to governments and commercial enterorises worldwide.

Prospective study of dietary patterns and colorectal cancer among Singapore Chinese.

Science.gov (United States)

Butler, L M; Wang, R; Koh, W-P; Yu, M C

2008-11-04

An influence of Western diet and lifestyle factors observed among Singapore Chinese may contribute to the population's marked rise in colorectal cancer incidence over the past two decades. Thus far, however, there is little evidence for individual nutrients and foods as major contributing factors in this population. We evaluated whether patterns of food intake were associated with colorectal cancer in a population-based cohort of 61,321 Singapore Chinese that was established in 1993-98. Two dietary patterns, meat-dim sum and vegetable-fruit-soy, were previously identified by principal components analysis using baseline dietary data from a validated 165-item food frequency questionnaire. As of 31 December 2005, 961 incident colorectal cancer cases were diagnosed. Proportional hazards regression was used to calculate adjusted hazard ratios. Using nearly 10 years of follow-up data, we observed no association with either the meat-dim sum or vegetable-fruit-soy pattern for colorectal cancer. In conclusion, neither individual nutrients or foods nor dietary patterns appear to explain the rise in colorectal cancer among Singapore Chinese population.

Cointegration, error-correction, and the relationship between GDP and energy. The case of South Korea and Singapore

International Nuclear Information System (INIS)

Glasure, Yong U.; Lee, Aie-Rie

1998-01-01

This paper examines the causality issue between energy consumption and GDP for South Korea and Singapore, with the aid of cointegration and error-correction modeling. Results of the cointegration and error-correction models indicate bidirectional causality between GDP and energy consumption for both South Korea and Singapore. However, results of the standard Granger causality tests show no causal relationship between GDP and energy consumption for South Korea and unidirectional causal relationship from energy consumption to GDP for Singapore

The Model Method: Singapore Children's Tool for Representing and Solving Algebraic Word Problems

Science.gov (United States)

Ng, Swee Fong; Lee, Kerry

2009-01-01

Solving arithmetic and algebraic word problems is a key component of the Singapore elementary mathematics curriculum. One heuristic taught, the model method, involves drawing a diagram to represent key information in the problem. We describe the model method and a three-phase theoretical framework supporting its use. We conducted 2 studies to…

Complexity of Language Ideologies in Transnational Movement: Korean "Jogi Yuhak" Families' Ambivalent Attitudes towards Local Varieties of English in Singapore

Science.gov (United States)

Bae, So Hee

2015-01-01

This paper discusses the complex and competing language ideologies that Korean educational migrant families in Singapore hold about the normativity and legitimacy of English language varieties. During their educational migration in Singapore, Korean families show ambivalent attitudes toward the local variety of English in Singapore, Singlish.…

Bariatric surgery in Singapore from 2005 to 2009

Directory of Open Access Journals (Sweden)

Rajat Goel

2013-01-01

Conclusion: There is a flux of newer procedures in Singapore. Adjustable gastric banding, which was the only available procedure being performed in 2004, was gradually being replaced by other procedures such as sleeve gastrectomy and Roux-en-Y gastric bypass in 2009.

Resting Stage of Plankton Diversity from Singapore Coastal Water: Implications for Harmful Algae Blooms and Coastal Management.

Science.gov (United States)

Trottet, Aurore; Wilson, Bryan; Sew Wei Xin, Genevieve; George, Christaline; Casten, Lemuel; Schmoker, Claire; Rawi, Nurul Syazana Binte Modh; Chew Siew, Moon; Larsen, Ole; Eikaas, Hans S; Tun, Karenne; Drillet, Guillaume

2018-02-01

Resting strategies of planktonic organisms are important for the ecological processes of coastal waters and their impacts should be taken into consideration in management of water bodies used by multiple industries. We combined different approaches to evaluate the importance of resting stages in Singapore coastal waters. We used molecular approaches to improve the knowledge on Singapore biodiversity, we sampled and extracted cysts from sediments to evaluate the density of resting stages in Johor Strait, and we compared systematically information on Singapore planktonic biodiversity to existing published information on resting stages from these reported organisms. This is the first study evaluating the importance of resting stages in Singapore waters. Above 120 species reported in Singapore are known to produce resting stages though no previous work has ever been done to evaluate the importance of these strategies in these waters. The results from the resting stage survey confirmed 0.66 to 5.34 cyst g -1 dry weight sediment were present in the Johor Strait suggesting that cysts may be flushed by tidal currents into and out of the strait regularly. This also suggest that the blooms occurring in Singapore are likely due to secondary growth of Harmful Algae Bloom species in the water rather than from direct germination of cysts from sediment. Finally, we discuss the importance of these resting eggs for three main national industries in Singapore (shipping, marine aquaculture and provision of drinking water through seawater desalination). We argue that this study will serve as a baseline for some of the future management of Singapore waters.

Filial Piety, Social Change, and Singapore Youth.

Science.gov (United States)

Thomas, Elwyn

1990-01-01

Claims that modernization in Singapore has had little effect on the Chinese concept of filial piety, a key factor in moral development. Argues that social change and modernization are challenging this firmly held tenet. Focuses on studies of student attitudes toward filial piety and moral values. Analyzes values and beliefs of Chinese, Malay, and…

Is mindfulness associated with stress and burnout among mental health professionals in Singapore?

Science.gov (United States)

Yang, Suyi; Meredith, Pamela; Khan, Asaduzzaman

2017-07-01

High levels of stress and burnout have been reported among mental health professionals worldwide, including Singapore, with concerning potential implications for the quality of patient care. Mindfulness has been associated with decreased stress and burnout; however, associations between mindfulness, stress, and burnout have not been examined in Singapore. The aim of this study was to investigate whether mindfulness is associated with stress and burnout among healthcare professionals working in a mental health setting in Singapore. A total of 224 Singaporean mental health professionals completed a cross-sectional survey which included measures of: mindfulness (observe, describe, act with awareness, non-judge, and non-react), stress, and burnout (exhaustion and disengagement). Using multiple regression, significant negative associations were found between each of the mindfulness facets and: stress, exhaustion, and disengagement, while controlling for years of experience. Of the five mindfulness facets, act with awareness demonstrated the strongest negative association with all three variables. This study showed that mental health professionals in Singapore who have higher levels of mindfulness also have lower levels stress and burnout (disengagement and exhaustion). Future longitudinal research is warranted to better understand the directionality of these associations, with implications for the development of interventions aimed to reduce stress and burnout within this population.

Particle exposure and inhaled dose during commuting in Singapore

Science.gov (United States)

Tan, Sok Huang; Roth, Matthias; Velasco, Erik

2017-12-01

Exposure concentration and inhaled dose of particles during door-to-door trips walking and using motorized transport modes (subway, bus, taxi) are evaluated along a selected route in a commercial district of Singapore. Concentrations of particles smaller than 2.5 μm in size (PM2.5), black carbon, particle-bound polycyclic aromatic hydrocarbons, number of particles, active surface area and carbon monoxide have been measured in-situ using portable instruments. Simultaneous measurements were conducted at a nearby park to capture the background concentrations. The heart rate of the participants was monitored during the measurements as a proxy of the inhalation rate used to calculate the inhaled dose of particles. All measured metrics were highest and well above background levels during walking. No significant difference was observed in the exposure concentration of PM2.5 for the three motorized transport modes, unlike for the metrics associated with ultrafine particles (UFP). The concentration of these freshly emitted particles was significantly lower on subway trips. The absence of combustion sources, use of air conditioning and screen doors at station platforms are effective measures to protect passengers' health. For other transport modes, sections of trips close to accelerating and idling vehicles, such as bus stops, traffic junctions and taxi stands, represent hotspots of particles. Reducing the waiting time at such locations will lower pollutants exposure and inhaled dose during a commute. After taking into account the effect of inhalation and travel duration when calculating dose, the health benefit of commuting by subway for this particular district of Singapore became even more evident. For example, pedestrians breathe in 2.6 and 3.2 times more PM2.5 and UFP, respectively than subway commuters. Public buses were the second best alternative. Walking emerged as the worst commuting mode in terms of particle exposure and inhaled dose.

Certification of poliomyelitis eradication in Singapore and the challenges ahead.

Science.gov (United States)

Lee, Hwee Ching; Tay, Joanne; Kwok, Cynthia Y H; Wee, Moi Kim; Ang, Li Wei; Kita, Yuske; Cutter, Jeffery L; Chan, Kwai Peng; Chew, Suok Kai; Goh, Kee Tai

2012-11-01

This study reviewed the epidemiological trends of poliomyelitis from 1946 to 2010, and the impact of the national immunisation programme in raising the population herd immunity against poliovirus. We also traced the efforts Singapore has made to achieve certification of poliomyelitis eradication by the World Health Organisation. Epidemiological data on all reported cases of poliomyelitis were obtained from the Communicable Diseases Division of the Ministry of Health as well as historical records. Coverage of the childhood immunisation programme against poliomyelitis was based on the immunisation data maintained by the National Immunisation Registry, Health Promotion Board. To assess the herd immunity of the population against poliovirus, 6 serological surveys were conducted in 1962, 1978, 1982 to 1984, 1989, 1993 and from 2008 to 2010. Singapore was among the fi rst countries in the world to introduce live oral poliovirus vaccine (OPV) on a mass scale in 1958. With the comprehensive coverage of the national childhood immunisation programme, the incidence of paralytic poliomyelitis declined from 74 cases in 1963 to 5 cases from 1971 to 1973. The immunisation coverage for infants, preschool and primary school children has been maintained at 92% to 97% over the past decade. No indigenous poliomyelitis case had been reported since 1978 and all cases reported subsequently were imported. Singapore was certified poliomyelitis free along with the rest of the Western Pacific Region in 2000 after fulfilling all criteria for poliomyelitis eradication, including the establishment of a robust acute flaccid paralysis surveillance system. However, post-certification challenges remain, with the risk of wild poliovirus importation. Furthermore, it is timely to consider the replacement of OPV with the inactivated poliovirus vaccine in Singapore's national immunisation programme given the risk of vaccine-associated paralytic poliomyelitis and circulating vaccine-derived polioviruses.

Influenza A (H1N1-2009) pandemic in Singapore--public health control measures implemented and lessons learnt.

Science.gov (United States)

Tay, Joanne; Ng, Yeuk Fan; Cutter, Jeffery L; James, Lyn

2010-04-01

We describe the public health control measures implemented in Singapore to limit the spread of influenza A (H1N1-2009) and mitigate its social effects. We also discuss the key learning points from this experience. Singapore's public health control measures were broadly divided into 2 phases: containment and mitigation. Containment strategies included the triage of febrile patients at frontline healthcare settings, admission and isolation of confirmed cases, mandatory Quarantine Orders (QO) for close contacts, and temperature screening at border entry points. After sustained community transmission became established, containment shifted to mitigation. Hospitals only admitted H1N1-2009 cases based on clinical indications, not for isolation. Mild cases were managed in the community. Contact tracing and QOs tapered off, and border temperature screening ended. The 5 key lessons learnt were: (1) Be prepared, but retain flexibility in implementing control measures; (2) Surveillance, good scientific information and operational research can increase a system's ability to manage risk during a public health crisis; (3) Integrated systems-level responses are essential for a coherent public health response; (4) Effective handling of manpower surges requires creative strategies; and (5) Communication must be strategic, timely, concise and clear. Singapore's effective response to the H1N1-2009 pandemic, founded on experience in managing the 2003 SARS epidemic, was a whole-of-government approach towards pandemic preparedness planning. Documenting the measures taken and lessons learnt provides a learning opportunity for both doctors and policy makers, and can help fortify Singapore's ability to respond to future major disease outbreaks.

On the Complexity of Chinese Sentences in Singapore Primary Textbooks

Directory of Open Access Journals (Sweden)

Goh Saye Wee

2016-12-01

Full Text Available This paper uses the sentences from the Singapore primary school Chinese textbooks as the research material, using sentence as a unit; analyses sentence composition and sentence patterns, from quantity, distribution, characteristic and semantic type aspects to examine the progression of sentence complexity in Chinese language. The paper describes how the sentence develops in a systemic and complexity aspect in textbooks of various levels. The paper suggests 7 types of sentence pattern grading in term of complexity progression, and proposes a formula to examine and calculate the complexity index of a sentence. The findings derive a set of valuable data to expound the complexity of a sentence and discuss the variable factors influencing the complexity of sentences used in primary school Chinese textbooks.

Five hypotheses concerning the fate of the Singapore issues in the Doha Round

OpenAIRE

Evenett, Simon J.

2017-01-01

At the Cancún Ministerial Conference, the members of the World Trade Organization (WTO) disagreed on whether to launch negotiations on multilateral disciplines concerning the four areas of government policy collectively known as the ‘Singapore issues'. This amounted to a decision not to expand the WTO's boundaries along these dimensions. In this paper, five hypotheses concerning the treatment of the Singapore issues by the WTO's membership are described and assessed. The implications of this ...

Climate variability and increase in intensity and magnitude of dengue incidence in Singapore

OpenAIRE

Hii, Yien Ling; Rocklöv, Joacim; Ng, Nawi; Tang, Choon Siang; Pang, Fung Yin; Sauerborn, Rainer

2009-01-01

Introduction: Dengue is currently a major public health burden in Asia Pacific Region. This study aims to establish an association between dengue incidence, mean temperature and precipitation and further discuss how weather predictors influence the increase in intensity and magnitude of dengue in Singapore during the period 2000-2007. Materials and methods: Weekly dengue incidence data, daily mean temperature and precipitation and the midyear population data in Singapore during 2000-2007 were...

Overseas Voter Mobilisation in Singapore: Implications from Malaysia’s 13th General Election

OpenAIRE

James Gomez; Rusdi Omar

2013-01-01

"This paper discusses voter mobilisation and other election-related activities of Malaysian voters living, studying and working in Singapore in the context of Malaysia's 13th general election (GE13). According to the World Bank, nearly 400,000 Malaysians reside in the city-state. Thus these figures represent a significant Malaysian voter pool based in Singapore. Efforts to mobilise these voters for general elections or other causes have political implications for both countries, which became ...

Credit Card Selection Criteria: Singapore Perspective

OpenAIRE

Lydia L. Gan; Ramin Cooper Maysami

2006-01-01

This study used factor analysis to examine credit card selection criteria among Singaporeans. The results showed that convenience of use and protection, economics, and flexibility were the main drivers, while the reputation of card was the least important in determining credit card selection in Singapore. Demographic results showed that high-income earners, the better educated, the elderly, married and the professional preferred the convenience-protection factor to the economic-promotional fa...

Validation of the Kidney Disease Quality of Life-Short Form: a cross-sectional study of a dialysis-targeted health measure in Singapore

Directory of Open Access Journals (Sweden)

Mooppil Nandakumar

2010-12-01

Full Text Available Abstract Background In Singapore, the prevalence of end-stage renal disease (ESRD and the number of people on dialysis is increasing. The impact of ESRD on patient quality of life has been recognized as an important outcome measure. The Kidney Disease Quality Of Life-Short Form (KDQOL-SF™ has been validated and is widely used as a measure of quality of life in dialysis patients in many countries, but not in Singapore. We aimed to determine the reliability and validity of the KDQOL-SF™ for haemodialysis patients in Singapore. Methods From December 2006 through January 2007, this cross-sectional study gathered data on patients ≥21 years old, who were undergoing haemodialysis at National Kidney Foundation in Singapore. We used exploratory factor analysis to determine construct validity of the eight KDQOL-SF™ sub-scales, Cronbach's alpha coefficient to determine internal consistency reliability, correlation of the overall health rating with kidney disease-targeted scales to confirm validity, and correlation of the eight sub-scales with age, income and education to determine convergent and divergent validity. Results Of 1980 haemodialysis patients, 1180 (59% completed the KDQOL-SF™. Full information was available for 980 participants, with a mean age of 56 years. The sample was representative of the total dialysis population in Singapore, except Indian ethnicity that was over-represented. The instrument designers' proposed eight sub-scales were confirmed, which together accounted for 68.4% of the variance. All sub-scales had a Cronbach's α above the recommended minimum value of 0.7 to indicate good reliability (range: 0.72 to 0.95, except for Social function (0.66. Correlation of items within subscales was higher than correlation of items outside subscales in 90% of the cases. The overall health rating positively correlated with kidney disease-targeted scales, confirming validity. General health subscales were found to have significant

Internet and smartphone application usage in eating disorders: A descriptive study in Singapore.

Science.gov (United States)

Tan, Tina; Kuek, Angeline; Goh, Shih Ee; Lee, Ee Lian; Kwok, Victor

2016-02-01

Eating disorders are associated with significant morbidity and mortality. The Internet is a popular medium for individuals with eating disorders to discuss and reinforce their affliction. However, the available literature on Internet usage and eating disorders is scarce, especially in the area of social media and smartphone application ("app") usage. This study looked at the Internet and smartphone app usage patterns of participants who presented with an eating disorder in Singapore, and whether it corresponded to severity of illness. Individuals who presented to the Eating Disorders clinic at the Singapore General Hospital completed a self-reported questionnaire on Internet and app usage. They also completed the EDE-Q, EAT-26 and CIA 3.0. 55 participants completed the study. 41.8% had anorexia nervosa, 34.5% had bulimia nervosa, and 9.1% were ED-NOS. 41.8% felt that apps helped to perpetuate their illness while 32.7% felt that the apps were helpful for recovery. Overall, any smartphone application usage was associated with younger age and greater eating disorder psychopathology and psychosocial impairment. While 30.9% had encountered eating disorder-related content on Facebook, only 12.7% visited Facebook groups related to eating disorders. For YouTube, "Cooking and Food" and "Beauty and Fashion" videos were among the top 3 types of videos that participants watched. In conclusion, Internet and smartphone app usage is significant, and they are associated with greater severity of illness. It is necessary to include interventions in this aspect as part of treatment of eating disorders. Copyright © 2015 Elsevier B.V. All rights reserved.

Long-Term Statin Administration Does Not Affect Warfarin Time in Therapeutic Range in Australia or Singapore

Directory of Open Access Journals (Sweden)

Nijole Bernaitis

2018-05-01

Full Text Available Background: Warfarin requires ongoing monitoring of the International Normalised Ratio (INR. This is because numerous factors influence the response, including drug interactions with commonly-prescribed medications, such as statins. The administration of statins with warfarin may change INR; however, there is limited information regarding the effects on warfarin control as measured by time in therapeutic range (TTR. Statins may also alter bleeds with warfarin, but there are conflicting reports demonstrating both increased and decreased bleeds, and limited data on diverse ethnic populations. Therefore, the aim of this study was to determine the effect of statin administration on warfarin control and bleeds in patients in Australia and Singapore. Methods: Retrospective data were collected for patients on warfarin between January and June 2014 in Australia and Singapore. Patient data were used to calculate TTR and bleed events. Concurrent statin therapy was assessed and comparisons of TTR and bleed incidence were made across patient subgroups. Results: Warfarin control in Australia and Singapore was not significantly affected by statins, as measured by TTR (83% and 58%, respectively, frequency of testing, and warfarin doses. In Australia, statin use did not significantly affect bleeds, whilst in Singapore the bleed incidence was significantly lower for patients on statins. Conclusions: Chronic concurrent administration of statins with warfarin does not adversely affect warfarin TTR in Australia or Singapore. In Singapore, patients on statins, compared to no statins, had a lower bleed incidence and this requires further investigation, especially given the potential genetic influences of ethnicity on both statin and warfarin metabolism.

Globalisation of Language and Culture in Singapore

Science.gov (United States)

Vaish, Viniti

2007-01-01

What are the effects of globalisation on patterns of language use in the domain of media in Singapore? Rather than only cultural imperialism of hegemonic English, which is no doubt the case, the use of languages in the "mediascap" also shows the consumption of non-English languages and cultures. Though English may be the main language of…

Singapore Healthy Older People Everyday (HOPE) Study: Prevalence of Frailty and Associated Factors in Older Adults.

Science.gov (United States)

Merchant, Reshma A; Chen, Matthew Zhixuan; Tan, Linda Wei Lin; Lim, Moses YiDong; Ho, Han Kwee; van Dam, Rob M

2017-08-01

In the context of a rapidly ageing population, Singapore is anticipating a rise in multimorbidity, disability, and dependency, which are driven by physical frailty. Healthy Older People Everyday (HOPE) is an epidemiologic population-based study on community-dwelling older adults aged 65 years and older in Singapore. To investigate the prevalence of frail and prefrail states and their association with polypharmacy, multimorbidity, cognitive and functional status, and perceived health status among community-dwelling older adults in Singapore. Participants for HOPE were older adults aged 65 years and older recruited from a cohort study on the northwest region of Singapore. Analysis was performed on data collected from a combination of interviewer-administered questionnaires (including FRAIL scale, EQ-5D, Mini Mental State Examination, Barthel index, and Lawton IADL scale), clinical assessments, and physical measurements (including hand grip strength and Timed-Up-and-Go [TUG] test). A total of 1051 older adults (mean age 71.2 years) completed the study. More than half (57.2%) were female. The prevalence of frailty and prefrailty was 6.2% and 37%, respectively. Frailty was associated with older age, female gender, Indian (instead of Chinese) ethnicity, multimorbidity, polypharmacy, cognitive and functional impairment, weaker hand grip strength, longer TUG times, and poor perceived health status. Those with underlying cognitive impairment and frailty were at greater risk of adverse health outcome. Frailty is a complex health state with multiple domains and dimensions. In our study in a multiethnic Asian population, we identified nonmodifiable factors and modifiable risk factors (multimorbidity, polypharmacy, cognitive and functional impairment) that were associated with frailty. Interventions will have to be multipronged and will require a collaborated effort in order to effect change and improve the health span in rapidly ageing populations. Copyright © 2017 AMDA �

Role of the state in population planning: Singapore and Pakistan.

Science.gov (United States)

Hassan, R

1984-01-01

in 1965. Singapore's leadership has supported family planning actively and consistently since 1966, and the country's socioeconomic development has contributed to its remarkable fertility decline. A 1975 survey of 864 persons in Singapore and a 1981 survey of 584 persons in Pakistan included questions on opinions of the appropriate role of the state in population planning. In Singapore and Pakistan respectively, 31 and 17% felt that the government should have a strict role in controlling family size, 32 and 10% felt that the government should primarily provide advice and pass laws, 18 and 18% felt the government should provide advice only, 17 and 37% felt it should be left to the married couple, and 2 and 18% didn't know. The empirical evidence suggests that the political legitimacy of the state and public policies to promote distributive justice, are both more developed in Singapore than Pakistan, have significant influence on the degree of public acceptance of state intervention in family planning.

Teachers' Perceptions of School Leaders' Empowering Behaviours and Psychological Empowerment: Evidence from a Singapore Sample

Science.gov (United States)

Lee, Ai Noi; Nie, Youyan

2017-01-01

Using a convenience sample of 289 teachers in Singapore, this study examined: (1) whether there were significant differences between teachers' perceptions of principal's and immediate supervisor's empowering behaviours; and (2) teachers' perceptions of principal's and immediate supervisor's empowering behaviours in relation to teachers'…

SINGAPORE'S DEMOGRAPHIC TRANSITION, THE LABOR FORCE AND GOVERNMENT POLICIES: THE LAST FIFTY YEARS

OpenAIRE

MUI TENG YAP; CHRISTOPHER GEE

2015-01-01

The trajectory of Singapore's population size and composition can be mapped out with its progression through the various phases of demographic transition from high birth and death rates in the post-war years to very low birth and death rates today, all within the context of rapid economic and social development that has taken place in the past 50 years. Population planning has been integral in Singapore's national development strategy, balancing the economy's needs for more and better qualifi...

Prevalence rates and epidemiological risk factors for astigmatism in Singapore school children.

Science.gov (United States)

Tong, Louis; Saw, Seang-Mei; Carkeet, Andrew; Chan, Wai-Ying; Wu, Hui-Min; Tan, Donald

2002-09-01

This study examined the prevalence rate of astigmatism and its epidemiological risk factors in Singapore school children. In a study of school children aged 7 to 9 years old in two schools in Singapore in 1999, a detailed questionnaire was administered to parents regarding reading or close-work habits, past history of close-work, family history, and socioeconomic factors. Cycloplegic refraction was performed five times in each eye. Defining astigmatism as worse than or equal to 0.5, 0.75, and 1 D cylinder in the right eye, the prevalence of astigmatism was calculated. The study population consisted of 1028 children. The prevalence rate of astigmatism (worse than or equal to 1 D cylinder) was 19.2% (95% confidence interval, 16.8 to 21.6). This was not different between genders, ethnic groups, or age (p > 0.05). With-the-rule astigmatism was more common than against-the-rule astigmatism. The prevalence of astigmatism and myopia was 9.8% (95% confidence interval, 8.0 to 11.6). A high AC/A ratio was associated (p = 0.003) with astigmatism, even after exclusion of myopic children. On vectorial analysis, J0 and J45 were associated with the number of hours of playing video games, whereas J45 was also associated with computer use. Only J45 was associated to male gender, a high AC/A ratio, and a family history of myopia. The prevalence rate of astigmatism (> or = 1 D) was 19%. Playing video games and computer use may be associated with astigmatism severity, although the presence of astigmatism (> or = 1 D) was not associated with any nearwork factors. A family history of myopia was associated with oblique astigmatism severity. A high AC/A ratio is associated with astigmatism, and this requires further investigation.

Rising incidence of thyroid cancer in Singapore not solely due to micropapillary subtype.

Science.gov (United States)

Shulin, J H; Aizhen, J; Kuo, S M; Tan, W B; Ngiam, K Y; Parameswaran, R

2018-04-01

Introduction The annual incidence of thyroid cancer is known to vary with geographic area, age and gender. The increasing incidence of thyroid cancer has been attributed to increase in detection of micropapillary subtype, among other factors. The aim of the study was to investigate time trends in the incidence of thyroid cancer in Singapore, an iodine-sufficient area. Materials and methods Data retrieved from the Singapore National Cancer Registry on all thyroid cancers that were diagnosed from 1974 to 2013 were reviewed. We studied the time trends of thyroid cancer based on gender, race, pathology and treatment modalities where available. Results The age-standardised incidence rate of thyroid cancer increased to 5.6/100,000 in 2013 from 2.5/100,000 in 1974. Thyroid cancer appeared to be more common in women, with a higher incidence in Chinese and Malays compared with Indians. Papillary carcinoma is the most common subtype. The percentage of papillary microcarcinoma has remained relatively stable at around 38% of all papillary cancers between 2007 and 2013. Although the incidence of thyroid cancer has increased since 1974, the mortality rate has remained stable. Conclusion This trend of increase in incidence of thyroid cancer in Singapore compares with other published series; however, the rise seen was not solely due to micropapillary type. Thyroid cancer was also more common in Chinese and Malays compared with Indians for reasons that needs to be studied further.

Response Asymmetry in Spillover Volatility: An Empirical Study in the Indonesia and Singapore Stock Market

Directory of Open Access Journals (Sweden)

Siti Saadah

2013-07-01

Full Text Available Normal 0 false false false EN-US X-NONE X-NONE Following the blueprint of the ASEAN integration 2015, the integration of the financial markets in this region will increase. This study investigates the existence of a volatility spillover from the Singaporean stock market into Indonesia, including its transmission pattern. Singapore, as an advanced country in the ASEAN region, has played an important role as the information leader in the market of this region, so that it is very possible that the shocks in the Singapore’s stock market will be transmitted to another stock market in this region. Using TGARCH (1,1 model specification regarding the data of the daily return of the Indonesia market index (IHSG for the period of January 2008 – August 2012, it is observed that the shock that took place in the Singapore stock market is immediately transmitted to the Indonesia stock market with two important asymmetric patterns. The transmission of the shock from the Singapore stock exchange becomes stronger when this market (1 experiences a negative return, and (2 is in the bearish phase.  Normal 0 false false false EN-US X-NONE X-NONE Solar PV leasing in Singapore: enhancing return on investments with options

Science.gov (United States)

Song, Shuang; Poh, K. L.

2017-05-01

Renewable energy is getting more important nowadays as an alternative to traditional energies. Solar energy, according to Energy Market Authority, is the most viable in the context of Singapore compared to other renewable energy sources due to land constraints. In light of the increasing adoption of solar power in Singapore, this paper focuses on solar PV leasing using a case study. This paper assesses the prospect for solar PV leasing companies in Singapore through the lens of embedded real options. The recent news that solar power is becoming the cheapest form of new electricity presents the leasing company an option to expand the scale of solar PV system. Taking into account this option, the Net Present Value (NPV) of the investment increased significantly compared to the case without real options. Technological developments result in a continuously changing environment with uncertainties. Thus, decision makers need to be aware of the inherent risk associated and identify options to maximize NPV. This upside potential is realized by exercising the managerial flexibility and exploiting the uncertainty. The paper enables solar energy planners to consider possible managerial flexibilities under uncertainties, showing how option thinking can be incorporated in the valuation of solar energy.

"Our Shared Values" in Singapore: A Confucian Perspective

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Tan, Charlene

2012-01-01

In this essay Charlene Tan offers a philosophical analysis of the Singapore state's vision of shared citizenship by examining it from a Confucian perspective. The state's vision, known formally as "Our Shared Values," consists of communitarian values that reflect the official ideology of multiculturalism. This initiative included a White…

The Singapore years and subsequently.

Science.gov (United States)

Mahathir, M

2005-07-01

Tun Dr Mahathir Mohamad was a medical student at the King Edward VII College of Medicine from 1947 to 1953. He described his student days with fondness; he made many friends while he was at the College. He recounted his early days as a doctor before he entered politics in 1964. He became the fourth and longest serving Prime Minister of Malaysia for 22 years from 1981 to 2003. He concluded "The contribution of my Medical College days in Singapore to the racial harmony, peace and prosperity of Malaysia is tangible but unquantifiable."

Achievement report for fiscal 1981 on solar system survey projects implemented overseas. Singapore and Australia; 1981 nendo solar system kaigai chosa jigyo seika hokokusho. Singapore Australia

Energy Technology Data Exchange (ETDEWEB)

NONE

1982-06-01

During a 20-day survey tour to Singapore and Australia which started on February 7, 1982, visits were paid to 6 universities, 2 national or state research institutes, 2 state government agencies, 6 passive solar facilities, and some industrial societies and solar equipment manufactures. At universities and research institutes, research and experiments are earnestly under way for the development of solar heat collectors, for the research and testing of software programs therefor, and for the research and development of photovoltaic and geothermal power generation systems. In the case of photovoltaic power, in particular, many programs require the construction of pilot plants and simultaneous supply of power to general consumers with tests and experiments continued for the pilot plants for putting the technology to practical use. This is thought to demonstrate the urgent need for measures for out-of-the-way locations. Electric power is priced at 7-8 yen/kWh, approximately half the price in Japan. Marginal supply capability is low because power is generated mainly by coal and no nuclear power is available. Efforts at underground reserves exploitation have become very active and, since there is need to supply power to the back regions, funds are eagerly invested in on-site power generation and photovoltaic power development. In Australia, power supply is monopolized by state governments. Even in Australia, who enjoy 65% self-sufficiency in oil and export a substantial amounts of natural gas and coal, there are enthusiastic efforts at harnessing solar energy. (NEDO)

Climate variability and increase in intensity and magnitude of dengue incidence in Singapore.

Science.gov (United States)

Hii, Yien Ling; Rocklöv, Joacim; Ng, Nawi; Tang, Choon Siang; Pang, Fung Yin; Sauerborn, Rainer

2009-11-11

Dengue is currently a major public health burden in Asia Pacific Region. This study aims to establish an association between dengue incidence, mean temperature and precipitation, and further discuss how weather predictors influence the increase in intensity and magnitude of dengue in Singapore during the period 2000-2007. Weekly dengue incidence data, daily mean temperature and precipitation and the midyear population data in Singapore during 2000-2007 were retrieved and analysed. We employed a time series Poisson regression model including time factors such as time trends, lagged terms of weather predictors, considered autocorrelation, and accounted for changes in population size by offsetting. The weekly mean temperature and cumulative precipitation were statistically significant related to the increases of dengue incidence in Singapore. Our findings showed that dengue incidence increased linearly at time lag of 5-16 and 5-20 weeks succeeding elevated temperature and precipitation, respectively. However, negative association occurred at lag week 17-20 with low weekly mean temperature as well as lag week 1-4 and 17-20 with low cumulative precipitation. As Singapore experienced higher weekly mean temperature and cumulative precipitation in the years 2004-2007, our results signified hazardous impacts of climate factors on the increase in intensity and magnitude of dengue cases. The ongoing global climate change might potentially increase the burden of dengue fever infection in near future.

Defining reasonable patient standard and preference for shared decision making among patients undergoing anaesthesia in Singapore.

Science.gov (United States)

Yek, J L J; Lee, A K Y; Tan, J A D; Lin, G Y; Thamotharampillai, T; Abdullah, H R

2017-02-02

A cross-sectional study to ascertain what the Singapore population would regard as material risk in the anaesthesia consent-taking process and identify demographic factors that predict patient preferences in medical decision-making to tailor a more patient-centered informed consent. A survey was performed involving patients 21 years old and above who attended the pre-operative evaluation clinic over a 1-month period in Singapore General Hospital. Questionnaires were administered to assess patients' perception of material risks, by trained interviewers. Patients' demographics were obtained. Mann-Whitney U test and Kruskal-Wallis one-way analysis of variance was used. Statistical significance was taken at p participate and 24 were excluded due to language barrier. 364 patients were recruited. A higher level of education (p participation in medical decisions. Gender, marital status, type of surgery, and previous surgical history did not affect their level of participation. The complications most patients knew about were Nausea (64.8%), Drowsiness (62.4%) and Surgical Wound Pain (58.8%). Patients ranked Heart Attack (59.3%), Death (53.8%) and Stroke (52.7%) as the most significant risks that they wanted to be informed about in greater detail. Most patients wanted to make a joint decision with the anaesthetist (52.2%), instead of letting the doctor decide (37.1%) or deciding for themselves (10.7%). Discussion with the anaesthetist (61.3%) is the preferred medium of communication compared to reading a pamphlet (23.4%) or watching a video (15.4%). Age and educational level can influence medical decision-making. Despite the digital age, most patients still prefer a clinic consult instead of audio-visual multimedia for pre-operative anaesthetic counselling. The local population appears to place greater importance on rare but serious complications compared to common complications. This illustrates the need to contextualize information provided during informed consent to

An Assessment of the Use of Geographical Information Systems (GIS) in Teaching Geography in Singapore Schools

Science.gov (United States)

Yap, Lee Yong; Tan, Geok Chin Ivy; Zhu, Xuan; Wettasinghe, Marissa C.

2008-01-01

In 1998, geographical information systems (GIS) were introduced to secondary schools in Singapore as a tool for teaching geography at the secondary and junior college levels. However, general observations and feedback from school teachers suggested that only a small number of secondary schools and junior colleges in Singapore were actually using…

Seeking Resilience and Sustainability: Outdoor Education in Singapore

Science.gov (United States)

Martin, Peter; Ho, Susanna

2009-01-01

Outdoor education is not a universal value. Rather, outdoor education's contributions need to be grounded in time, place and culture. In this paper we describe the historical and cultural milieu that has enabled the emergence of outdoor education in Singapore and report on exploratory survey research into Singaporean teachers' conceptions of…

Organisational Legitimacy of the Singapore Ministry of Education

Science.gov (United States)

Tan, Cheng Yong

2013-01-01

This paper analyses the perceived organisational legitimacy of the Singapore Ministry of Education (MOE) in preparing the population for work in the knowledge-based economy (KBE). It is argued that challenges to MOE's legitimacy are emerging with ramifications that are difficult to ignore. These challenges relate to equipping the population with…

Role of outpatient parenteral antibiotic therapy in the treatment of community acquired skin and soft tissue infections in Singapore.

Science.gov (United States)

Chan, Monica; Ooi, Chee Kheong; Wong, Joshua; Zhong, Lihua; Lye, David

2017-07-06

Treatment of community acquired skin and soft tissue infections (SSTIs) is a common indication for outpatient parenteral antibiotic therapy (OPAT) in USA, UK and Australasia, however data from Asia are lacking. OPAT is well established within the Singapore healthcare since 2002, however, systematic use of OPAT for the treatment of SSTIs remains infrequent. In this report, we describe the treatment and outcome of patients with SSTIs referred directly from Emergency Department (ED) to OPAT for continuation of intravenous (IV) antibiotics in Singapore, thus avoiding potential hospital admission. This is a single center university hospital retrospective study of patients with SSTIs presenting to ED who were assessed to require IV antibiotics and accepted to the OPAT clinic for continuation of IV treatment. Exclusion criteria were: haemodynamic instability, uncontrolled or serious underlying co-morbidities, necessity for inpatient surgical drainage, facial cellulitis and cephalosporin allergy. Patients returned daily to the hospital’s OPAT clinic for administration of IV antibiotics and review, then switched to oral antibiotics on improvement. From 7 February 2012 to 31 July 2015, 120 patients with SSTIs were treated in OPAT. Median age was 56 years and 63% were male. Lower limbs were affected in 91%. Diabetes was present in 20%. Sixty-seven (56%) had been treated with oral antibiotics for a median duration of 3 days prior to OPAT treatment. Common symptoms were erythema (100%), swelling (96%), pain (88%) and fever (55%). Antibiotics administered were IV cefazolin with oral probenecid (71%) or IV ceftriaxone (29%) for median 3 days then oral cloxacillin (85%) for median 7 days. Clinical improvement occurred in 90%. Twelve patients (10%) were hospitalized for worsening cellulitis, with 4 patients requiring surgical drainage of abscess. Microbiological cultures from 2 patients with drained abscess grew methicillin sensitive Staphylococcus aureus (MSSA) and Klebsiella

Attitudes to Mental Illness and Its Demographic Correlates among General Population in Singapore.

Directory of Open Access Journals (Sweden)

Qi Yuan

Full Text Available Public attitudes to mental illness could influence how the public interact with, provide opportunities for, and help people with mental illness.This study aims to explore the underlying factors of the Attitudes to Mental Illness questionnaire among the general population in Singapore and the socio-demographic correlates of each factor.From March 2014 to April 2015, a nation-wide cross-sectional survey on mental health literacy with 3,006 participants was conducted in Singapore.Factor analysis revealed a 4-factor structure for the Attitudes to Mental Illness questionnaire among the Singapore general population, namely social distancing, tolerance/support for community care, social restrictiveness, and prejudice and misconception. Older age, male gender, lower education and socio-economic status were associated with more negative attitudes towards the mentally ill. Chinese showed more negative attitudes than Indians and Malays (except for prejudice and misconception.There is a need for culture-specific interventions, and the associated factors identified in this study should be considered for future attitude campaigns.

Attitudes to Mental Illness and Its Demographic Correlates among General Population in Singapore.

Science.gov (United States)

Yuan, Qi; Abdin, Edimansyah; Picco, Louisa; Vaingankar, Janhavi Ajit; Shahwan, Shazana; Jeyagurunathan, Anitha; Sagayadevan, Vathsala; Shafie, Saleha; Tay, Jenny; Chong, Siow Ann; Subramaniam, Mythily

2016-01-01

Public attitudes to mental illness could influence how the public interact with, provide opportunities for, and help people with mental illness. This study aims to explore the underlying factors of the Attitudes to Mental Illness questionnaire among the general population in Singapore and the socio-demographic correlates of each factor. From March 2014 to April 2015, a nation-wide cross-sectional survey on mental health literacy with 3,006 participants was conducted in Singapore. Factor analysis revealed a 4-factor structure for the Attitudes to Mental Illness questionnaire among the Singapore general population, namely social distancing, tolerance/support for community care, social restrictiveness, and prejudice and misconception. Older age, male gender, lower education and socio-economic status were associated with more negative attitudes towards the mentally ill. Chinese showed more negative attitudes than Indians and Malays (except for prejudice and misconception). There is a need for culture-specific interventions, and the associated factors identified in this study should be considered for future attitude campaigns.

Language Status and Literacy Trend in a Multilingual Society - Singapore

Science.gov (United States)

Kuo, Eddie C. Y.

1974-01-01

Using data from census reports and educational statistics, this paper analyzes the language status and literacy trends in multilingual Singapore, where the four official languages are Malay, Chinese, Tamil and English. (CK)

Building energy efficiency labeling programme in Singapore

International Nuclear Information System (INIS)

Lee, Siew Eang; Rajagopalan, Priyadarsini

2008-01-01

The use of electricity in buildings constitutes around 16% of Singapore's energy demand. In view of the fact that Singapore is an urban city with no rural base, which depends heavily on air-conditioning to cool its buildings all year round, the survival as a nation depends on its ability to excel economically. To incorporate energy efficiency measures is one of the key missions to ensure that the economy is sustainable. The recently launched building energy efficiency labelling programme is such an initiative. Buildings whose energy performance are among the nation's top 25% and maintain a healthy and productive indoor environment as well as uphold a minimum performance for different systems can qualify to attain the Energy Smart Office Label. Detailed methodologies of the labelling process as well as the performance standards are elaborated. The main strengths of this system namely a rigorous benchmarking database and an independent audit conducted by a private accredited Energy Service Company (ESCO) are highlighted. A few buildings were awarded the Energy Smart Office Label during the launching of the programme conducted in December 2005. The labeling of other types of buildings like hotels, schools, hospitals, etc. is ongoing

The Republic of Singapore: Informed Questions

Science.gov (United States)

2003-01-01

Singapore in 2001,” Asian Survey, Vol. XLII, No. 1, January/February 2002, p. 164. 14 International Chamber of Commerce , Commercial Crime Services, “Piracy...February 2003). 15 International Chamber of Commerce , “High seas terrorism alert in piracy report,”29 January 2003, <http://www.iccwbo.org/home...International Chamber of Commerce , “ICC report sends six warships into battle against pirates,” 12 February 2002, <http://www.iccwbo.org/home/news_archives/2002

Feasibility study on energy saving and the reduction of CO2 emission at Petrochemical Corporation of Singapore

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-03-01

A feasibility study has been executed on energy conservation and greenhouse gas emission reduction, taking up as the objects the first-period crackers and their utility related facilities at Petrochemical Corporation of Singapore (PCS). In the study, discussions were given on restructuring of the overall energy balance by using the pinch technology, adoption of the advanced recovery system (ARS) made by S and W, and a cogeneration system using gas turbine generators. As a result of the discussions for the case of using the pinch technology, ARS, and 45-MW gas turbines, the annual reduction in the fuel consumption was found to correspond to crude oil of 5.1, 3.1 and 39.0 kt, respectively. Furthermore, the annual greenhouse gas emission reduction would be 15.8, 9.7 and 120.6 kt. The total required fund for modification construction of the naphtha crackers for energy conservation would be 460 million yen, 3,700 million yen, and 5,460 million yen respectively for the pinch technology, ARS and 45-MW gas turbines. The internal profitability of the total investment would be 19% for the pinch technology, and 27% for the 45-MW gas turbines. (NEDO)

Business ethics and prospects for restorative justice in selected commercial organisations based in Singapore

OpenAIRE

Abdul Rahim, Razwana Begum

2017-01-01

This study explores the principles and practices of business ethics in commercial organisations in Singapore. It also addresses the potential of the concept, restorative justice as a feature of ethical practice in commercial organisations. Two research questions guided the study which were i) what are the principles and practices of business ethics in commercial organisations based in Singapore and ii) what is the potential of restorative justice in commercial organisations based in Singapo...

78 FR 56861 - Certain Steel Nails From the People's Republic of China: Preliminary Results of the Fourth...

Science.gov (United States)

2013-09-16

... Industries Co., Ltd 26.41 (21) S-Mart (Tianjin) Technology Development Co., 26.41 Ltd v22) Suntec Industries..., ``Stanley''). \\3\\ Qingdao JISCO Co., Ltd. and ECO System Corporation (d/b/a JISCO Corporation) (collectively...

A Wavelet Support Vector Machine Combination Model for Singapore Tourist Arrival to Malaysia

Science.gov (United States)

Rafidah, A.; Shabri, Ani; Nurulhuda, A.; Suhaila, Y.

2017-08-01

In this study, wavelet support vector machine model (WSVM) is proposed and applied for monthly data Singapore tourist time series prediction. The WSVM model is combination between wavelet analysis and support vector machine (SVM). In this study, we have two parts, first part we compare between the kernel function and second part we compare between the developed models with single model, SVM. The result showed that kernel function linear better than RBF while WSVM outperform with single model SVM to forecast monthly Singapore tourist arrival to Malaysia.

Simulation-based decision support framework for dynamic ambulance redeployment in Singapore.

Science.gov (United States)

Lam, Sean Shao Wei; Ng, Clarence Boon Liang; Nguyen, Francis Ngoc Hoang Long; Ng, Yih Yng; Ong, Marcus Eng Hock

2017-10-01

Dynamic ambulance redeployment policies tend to introduce much more flexibilities in improving ambulance resource allocation by capitalizing on the definite geospatial-temporal variations in ambulance demand patterns over the time-of-the-day and day-of-the-week effects. A novel modelling framework based on the Approximate Dynamic Programming (ADP) approach leveraging on a Discrete Events Simulation (DES) model for dynamic ambulance redeployment in Singapore is proposed in this paper. The study was based on the Singapore's national Emergency Medical Services (EMS) system. Based on a dataset comprising 216,973 valid incidents over a continuous two-years study period from 1 January 2011-31 December 2012, a DES model for the EMS system was developed. An ADP model based on linear value function approximations was then evaluated using the DES model via the temporal difference (TD) learning family of algorithms. The objective of the ADP model is to derive approximate optimal dynamic redeployment policies based on the primary outcome of ambulance coverage. Considering an 8min response time threshold, an estimated 5% reduction in the proportion of calls that cannot be reached within the threshold (equivalent to approximately 8000 dispatches) was observed from the computational experiments. The study also revealed that the redeployment policies which are restricted within the same operational division could potentially result in a more promising response time performance. Furthermore, the best policy involved the combination of redeploying ambulances whenever they are released from service and that of relocating ambulances that are idle in bases. This study demonstrated the successful application of an approximate modelling framework based on ADP that leverages upon a detailed DES model of the Singapore's EMS system to generate approximate optimal dynamic redeployment plans. Various policies and scenarios relevant to the Singapore EMS system were evaluated. Copyright © 2017

Effect of variations in rainfall intensity on slope stability in Singapore

Directory of Open Access Journals (Sweden)

Christofer Kristo

2017-12-01

Full Text Available Numerous scientific evidence has given credence to the true existence and deleterious impacts of climate change. One aspect of climate change is the variations in rainfall patterns, which affect the flux boundary condition across ground surface. A possible disastrous consequence of this change is the occurrence of rainfall-induced slope failures. This paper aims to investigate the variations in rainfall patterns in Singapore and its effect on slope stability. Singapore's historical rainfall data from Seletar and Paya Lebar weather stations for the period of 1985–2009 were obtained and analysed by duration using linear regression. A general increasing trend was observed in both weather stations, with a possible shift to longer duration rainfall events, despite being statistically insignificant according to the Mann-Kendall test. Using the derived trends, projected rainfall intensities in 2050 and 2100 were used in the seepage and slope stability analyses performed on a typical residual soil slope in Singapore. A significant reduction in factor of safety was observed in the next 50 years, with only a marginal decrease in factor of safety in the subsequent 50 years. This indicates a possible detrimental effect of variations in rainfall patterns on slope stability in Singapore, especially in the next 50 years. The statistical analyses on rainfall data from Seletar and Paya Lebar weather stations for the period of 1985–2009 indicated that rainfall intensity tend to increase over the years, with a possible shift to longer duration rainfall events in the future. The stability analyses showed a significant decrease in factor of safety from 2003 to 2050 due to increase in rainfall intensity, suggesting that a climate change might have existed beyond 2009 with possibly detrimental effects to slope stability. Keywords: Climate change, Rainfall, Seepage, Slope stability

Eating psychopathology and psychosocial impairment in patients treated at a Singapore eating disorders treatment programme.

Science.gov (United States)

Ng, Kah Wee; Kuek, Angeline; Lee, Huei Yen

2018-01-01

There is limited data on the psychopathology of eating disorders in Singapore. This study: (a) described levels of eating psychopathology and psychosocial impairment among individuals diagnosed with eating disorders at our hospital; and (b) compared the related psychopathology of these patients. Between 1 August 2010 and 31 July 2012, 257 individuals who met the diagnostic criteria for eating disorders completed the Eating Disorder Examination Questionnaire (EDE-Q) and Clinical Impairment Assessment questionnaire (CIA). A majority of participants were women and of Chinese ethnicity. Diagnoses included anorexia nervosa (AN; 41.6%), bulimia nervosa (BN; 29.6%) and eating disorder not otherwise specified (EDNOS; 28.8%). Mean age at presentation was 20.52 ± 7.14 years and mean body mass index was 17.84 ± 4.18 kg/m 2 . Individuals with AN were significantly younger at presentation and had shorter duration of untreated illness compared to those with BN and EDNOS. There were no significant differences in the CIA scores of the diagnostic groups. Participants with BN scored higher in all subscales of the EDE-Q than those with AN and EDNOS. Our sample scored lower in most subscales of EDE-Q when compared to treatment centres in Sweden, Australia and the United States. Our clinical sample reported lower scores of psychopathology compared to overseas centres. This could be attributed to the higher percentages of BN and EDNOS diagnosed in overseas populations. Individuals with AN showed higher levels of psychopathology in our study compared to patients from the United States. Copyright: © Singapore Medical Association

Welding in Singapore; Singapore no yosetsu jijo. Sekai no 40% no seizo kichi (2010 nen) (Tonan Asia no doko) donoyonishite ibunka no kabe wo koeruka

Energy Technology Data Exchange (ETDEWEB)

Inoue, S. [Singapore Welding Society, (Singapore)

1997-07-01

From the position participating as a president of the Singapore Welding Society invited from Japan, the author of this paper introduces the welding situation in that country with emphasis placed on technical exchanges. South East Asia consists of a number of countries in which different kinds of races are present with different cultures. The region is now accomplishing a transfiguration into the manufacturing base of the world. Singapore exists as its core, and is carrying out lubricating functions for industrial growth of the region. It is an important matter how technical transfer will be made from industrialized nations such as Europe, America and Japan into Singapore to meet the above functions. Being different from Japan where a homogeneous society is viewed more importantly, welders, for example, change their place of employment from one to another despite the fact that welders are qualified for their skills by companies independently. Therefore, people concerned with welding in oil refineries, the government agencies and academic societies have developed extensive committee activities for unification of standards for welding skill examinations and for preparation of common implementation law bills. They have spent two years only for preparing the drafts. As a result, a network covering different kinds of business was successfully realized to exchange human resources and information and perform skill management. 4 figs.

Assessment and the Logic of Instructional Practice in Secondary 3 English and Mathematics Classrooms in Singapore

Science.gov (United States)

Hogan, David; Chan, Melvin; Rahim, Ridzuan; Kwek, Dennis; Aye, Khin Maung; Loo, Siok Chen; Sheng, Yee Zher; Luo, Wenshu

2013-01-01

By any measure, Singapore's educational system has generated an extraordinary record of achievement over the past two or three decades. In this article, we report on one key component of a broader three year investigation into why Singapore has done so well, and explore the logic, strength, resilience and limits of the underlying pedagogical model…

Long-Term Neurodevelopmental Outcomes of Premature Infants in Singapore.

Science.gov (United States)

Teo, Charmaine M; Poon, Woei Bing; Ho, Selina Ky

2018-02-01

Neonatal care advances have resulted in improved survival but have raised concerns of increase in neurodevelopmental impairment. This study looked at long-term neurodevelopmental outcomes at ages 5 and 8 years of very low birthweight infants born in the 2000s as compared to the 1990s. Neurodevelopmental assessment at 2 years old was compared to that at 5 and 8 years to determine if assessment at 2 years was predictive of later outcomes. A retrospective cohort study of consecutive infants with birthweight less than 1250 grams admitted to a tertiary centre in Singapore between January 1994 to December 1995 (Epoch I) and January 2004 to December 2005 (Epoch II) were included. Neurodevelopmental impairment was defined as having intelligence quotient (IQ) of less than 70, cerebral palsy, legal blindness, or hearing impairment requiring hearing aids. Mean gestational age was lower for Epoch II compared to Epoch I (28.1 ± 2.5 vs 29.4 ± 2.7 weeks, P = 0.004). Death or neurodevelopmental impairment rates did not differ (24.3% and 17.1% at 5 years old, P = 0.398; 29.1% and 25.0% at 8 years old, P = 0.709). There was improvement in visual impairment rate at 8 years in Epoch II (10.7% vs 34.0%, P = 0.024). Mean IQ was better in Epoch II (109 and 107 vs 97 and 99 at 5 [ P = 0.001] and 8 years [ P = 0.047], respectively). All infants with no neurodevelopmental impairment at 2 years remained without impairment later on. Over a decade, neurodevelopmental outcomes did not worsen despite lower mean gestational age. Long- term improvement in IQ scores and a reduction in visual impairment rates were seen. Our data suggests that children without neurodevelopmental impairment at 2 years are without impairment later on; therefore, they may need only developmental monitoring with targeted assessments instead of routine formal IQ assessments.

Cholesterol-raising diterpenes in types of coffee commonly consumed in Singapore, Indonesia and India and associations with blood lipids: a survey and cross sectional study.

Science.gov (United States)

Naidoo, Nasheen; Chen, Cynthia; Rebello, Salome A; Speer, Karl; Tai, E Shyong; Lee, Jeanette; Buchmann, Sandra; Koelling-Speer, Isabelle; van Dam, Rob M

2011-05-15

To measure the content of cholesterol-raising diterpenes in coffee sold at the retailer level in Singapore, Indonesia and India and to determine the relationship of coffee consumption with lipid levels in a population-based study in Singapore. Survey and cross-sectional study in local coffee shops in Singapore, Indonesia and India to measure the diterpene content in coffee, and a population-based study in Singapore to examine the relationship of coffee consumption and blood lipid levels. Interviews and coffee samples (n=27) were collected from coffee shops in Singapore, Indonesia and India. In addition, 3000 men and women who were Chinese, Malay, and Indian residents of Singapore participated in a cross-sectional study. The traditional 'sock' method of coffee preparation used in Singapore resulted in cafestol concentrations comparable to European paper drip filtered coffee (mean 0.09±SD 0.064 mg/cup). This amount would result in negligible predicted increases in serum cholesterol and triglyceride concentrations. Similarly low amounts of cafestol were found in Indian 'filter' coffee that used a metal mesh filter (0.05±0.05 mg/cup). Coffee samples from Indonesia using the 'sock' method (0.85±0.41 mg/cup) or a metal mesh filter (0.98 mg/cup) contained higher amounts of cafestol comparable to espresso coffee. Unfiltered coffee from Indonesia contained an amount of cafestol (4.43 mg/cup) similar to Scandinavian boiled, Turkish and French press coffee with substantial predicted increases in serum cholesterol (0.33 mmol/l) and triglycerides (0.20 mmol/l) concentrations for consumption of 5 cups per day. In the Singaporean population, higher coffee consumption was not substantially associated with serum lipid concentrations after adjustment for potential confounders [LDL-cholesterol: 3.07 (95% confidence interval 2.97-3.18) for Singapore and India, coffee consumption in these countries does not appear to be a risk factor for elevation of serum cholesterol, whereas

Prognostic factors for open globe injuries and correlation of Ocular Trauma Score at a tertiary referral eye care centre in Singapore

Directory of Open Access Journals (Sweden)

Rupesh Agrawal

2013-01-01

Full Text Available Objective: To evaluate the factors influencing final vision outcome after surgical repair of open globe injuries and to correlate the Ocular trauma score. Materials and Methods: Retrospective case analysis of patients with open globe injuries at a tertiary referral eye care centre in Singapore was performed. Pre-operative factors affecting final vision outcome in patients with open globe injury and correlation of ocular trauma score in our study with international ocular trauma scoring system was performed. Results: Case records of 172 eyes with open globe injury were analyzed. Mean age was 36. 67 years. Mean follow up was 12.26 m. Males were pre-dominantly affected. Initial visual acuity was ≥20/40, 20/50 < 20/200, 20/200- CF, HM- PL and NLP in 24 (14%, 39 (22.7%, 16 (9.3%, 66 (38.4% and 27 (15.7% eyes respectively. Final visual acuity was ≤20/40, 20/50 < 20/200, 20/200- 1/200, HM- PL and NLP in 76 (44.2%, 28 (16.3%, 11 (6.4%, 30 (17.4% and 27 (15.7% eyes respectively. Ocular trauma score in our study correlates with international ocular trauma scoring system. Conclusion: The present study showed pre-operative variables such as mode of injury, pre-operative visual acuity, traumatic cataract, hyphaema, relative afferent papillary defect, vitreous lossand vitreous hemorrhage to be adversely affecting the final vision outcome. Our study showed a good synchrony with international ocular trauma score (OTS and based on this study we were able to validate application of OTS in Singapore population. Recognizing these factors can help the surgeon in evidence based counseling.

Comparative study of teaching content in teacher education programmes in Canada, Denmark, Finland and Singapore

DEFF Research Database (Denmark)

Rasmussen, Jens; Bayer, Martin

2014-01-01

of professional knowledge within the Danish teacher education programmes, which is not true of the programmes in the Top-3 countries and (2) the programmes in Canada and Singapore more frequently employ literature combining research-based knowledge with practical guidance and experiences, while the programmes......This article presents the results of a comparative study of the content in selected teacher education programmes for primary and lower secondary teachers in Canada, Denmark, Finland and Singapore. First and foremost, the study is a comparison between teacher education programmes in, on the one hand....... The study does not offer proof of any clear difference between the Danish teacher education programmes and those found in the top-performing countries. Two main findings are: (1) philosophically based professional knowledge, much of which is normative in character, forms an extensive part of the body...

Dance Education in Singapore: Policy, Discourse, and Practice

Science.gov (United States)

Chua, Joey

2018-01-01

This article provides an overview of dance education in schools in Singapore with regard to physical education, co-curricular activity, initiatives by the National Arts Council's Arts Education unit, and pre-tertiary and tertiary dance programs. In an effort to gain a better understanding of how well the official discourse and the reality of…

"Inculcating" Creativity: Culture as Public Pedagogy in Singapore

Science.gov (United States)

Lee, Terence

2014-01-01

The Singapore government has long relied on the inherent public pedagogical qualities of culture in the forms of official cultural and media policies and in the unscripted signifiers of cultural conduct, such as in the public's attitude towards the arts. The prime objective is to instrumentalise citizens on how they should become both economically…

Bilingualism without Diglossia: The Indian Community in Singapore

Science.gov (United States)

Vaish, Viniti

2007-01-01

This paper tells a tentative story from the preliminary findings of The Sociolinguistic Survey of Singapore, 2006 (SSS 2006). Though the main study reports on language use amongst Chinese, Malay and Indian communities, my focus is only on Indian homes. The paper reports results from five domains: school, family and friends, media, public space and…

Emergency department crowding in Singapore: Insights from a systems thinking approach.

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Schoenenberger, Lukas K; Bayer, Steffen; Ansah, John P; Matchar, David B; Mohanavalli, Rajagopal L; Lam, Sean Sw; Ong, Marcus Eh

2016-01-01

Emergency Department crowding is a serious and international health care problem that seems to be resistant to most well intended but often reductionist policy approaches. In this study, we examine Emergency Department crowding in Singapore from a systems thinking perspective using causal loop diagramming to visualize the systemic structure underlying this complex phenomenon. Furthermore, we evaluate the relative impact of three different policies in reducing Emergency Department crowding in Singapore: introduction of geriatric emergency medicine, expansion of emergency medicine training, and implementation of enhanced primary care. The construction of the qualitative causal loop diagram is based on consultations with Emergency Department experts, direct observation, and a thorough literature review. For the purpose of policy analysis, a novel approach, the path analysis, is applied. The path analysis revealed that both the introduction of geriatric emergency medicine and the expansion of emergency medicine training may be associated with undesirable consequences contributing to Emergency Department crowding. In contrast, enhancing primary care was found to be germane in reducing Emergency Department crowding; in addition, it has apparently no negative side effects, considering the boundary of the model created. Causal loop diagramming was a powerful tool for eliciting the systemic structure of Emergency Department crowding in Singapore. Additionally, the developed model was valuable in testing different policy options.

First Indo-Singapore Symposium on “Advanced Functional Materials ...

Indian Academy of Sciences (India)

A total of 124 papers covering the four areas were presented which included 23 invited talks and 101 poster presentations. The invited talks were distributed between Indian, Singapore and French scientists which greatly facilitated discussions and opportunity for exchanges. Among the many manuscripts that.

High Spectral Resolution Lidar and MPLNET Micro Pulse Lidar Aerosol Optical Property Retrieval Intercomparison During the 2012 7-SEAS Field Campaign at Singapore

Science.gov (United States)

Lolli, Simone; Welton, Ellsworth J.; Campbell, James R.; Eloranta, Edwin; Holben, Brent N.; Chew, Boon Ning; Salinas, Santo V.

2014-01-01

From August 2012 to February 2013 a High Resolution Spectral Lidar (HSRL; 532 nm) was deployed at that National University of Singapore near a NASA Micro Pulse Lidar NETwork (MPLNET; 527 nm) site. A primary objective of the MPLNET lidar project is the production and dissemination of reliable Level 1 measurements and Level 2 retrieval products. This paper characterizes and quantifies error in Level 2 aerosol optical property retrievals conducted through inversion techniques that derive backscattering and extinction coefficients from MPLNET elastic single-wavelength datasets. MPLNET Level 2 retrievals for aerosol optical depth and extinction/backscatter coefficient profiles are compared with corresponding HSRL datasets, for which the instrument collects direct measurements of each using a unique optical configuration that segregates aerosol and cloud backscattered signal from molecular signal. The intercomparison is performed, and error matrices reported, for lower (0-5km) and the upper (>5km) troposphere, respectively, to distinguish uncertainties observed within and above the MPLNET instrument optical overlap regime.

Sex, Grade-Level and Stream Differences in Learning Environment and Attitudes to Science in Singapore Primary Schools

Science.gov (United States)

Peer, Jarina; Fraser, Barry J.

2015-01-01

Learning environment research provides a well-established approach for describing and understanding what goes on in classrooms and has attracted considerable interest in Singapore. This article reports the first study of science classroom environments in Singapore primary schools. Ten scales from the What Is Happening In this Class?,…

Disciplinary Boundaries and Climate Change Education: Teachers' Conceptions of Climate Change Education in the Philippines and Singapore

Science.gov (United States)

Ho, Li-Ching; Seow, Tricia

2017-01-01

This qualitative study examines how climate change scientific knowledge is framed and positioned within the Singapore and Philippines school curricula in relation to broader citizenship concepts and ideas. The findings reveal that climate change is taught in very different ways within both education systems. The Singapore case demonstrates the…

E-learning adoption in hospitality education: An analysis with special focus on Singapore

Directory of Open Access Journals (Sweden)

Revi Nair

2016-06-01

Full Text Available This paper explores issues and challenges in the adoption of e-learning in hospitality education, with special reference to Singapore. Hospitality being a ‘high-touch’ profession and many hospitality related skills being largely intangible, there has been significant industry resistance in technology adoption. There has been concerns from multiple stakeholder groups as to how effectively can technologies compensate for the loss of social context of traditional hands-on learning. However, in Singapore, some polytechnic based schools have practically demonstrated the ways by which technology could be meaningfully integrated into hospitality education.

Reliability and Validity of the English-, Chinese- and Malay-Language Versions of the World Health Organization Quality of Life (WHOQOL-BREF) Questionnaire in Singapore.

Science.gov (United States)

Cheung, Yin Bun; Yeo, Khung Keong; Chong, Kok Joon; Khoo, Eric Yh; Wee, Hwee Lin

2017-12-01

The World Health Organization Quality of Life (WHOQOL-BREF) questionnaire is a 26-item questionnaire that evaluates 4 domains of quality of life (QoL), namely Physical, Psychological, Social Relationships and Environment. This study aimed to evaluate the validity and reliability of the WHOQOL-BREF among Singapore residents aged 21 and above. We recruited participants from the general population by using multistage cluster sampling and participants from 2 hospitals by using convenience sampling. Participants completed either English, Chinese or Malay versions of the WHOQOL-BREF and the EuroQoL 5 Dimension 5 Levels (EQ-5D-5L) questionnaires. Confirmatory factor analysis, known-group validity, internal consistency (Cronbach's alpha) and test-retest reliability using the intraclass correlation coefficient (ICC) were performed. Data from 1316 participants were analysed (Chinese: 46.9%, Malay: 41.0% and Indian: 11.7%; 57.5% mean, mean standard deviation [SD, range] age: 51.9 [15.68, 24 to 90] years); 154 participants took part in the retest in various languages (English: 60, Chinese: 49 and Malay: 45). Tucker-Lewis Index (TLI) was 0.919, 0.913 and 0.909 for the English, Chinese and Malay versions, respectively. Cronbach's alpha exceeded 0.7 and ICC exceeded 0.4 for all domains in all language versions. The WHOQOL-BREF is valid and reliable for assessing QoL in Singapore. Model fit is reasonable with room for improvement.

Characterization of extreme flood and drought events in Singapore and investigation of their relationships with ENSO

Science.gov (United States)

Li, Xin; Babovic, Vladan

2016-04-01

Flood and drought are hydrologic extreme events that have significant impact on human and natural systems. Characterization of flood and drought in terms of their start, duration and strength, and investigation of the impact of natural climate variability (i.e., ENSO) and anthropogenic climate change on them can help decision makers to facilitate adaptions to mitigate potential enormous economic costs. To date, numerous studies in this area have been conducted, however, they are primarily focused on extra-tropical regions. Therefore, this study presented a detailed framework to characterize flood and drought events in a tropical urban city-state (i.e., Singapore), based on daily data from 26 precipitation stations. Flood and drought events are extracted from standardized precipitation anomalies from monthly to seasonal time scales. Frequency, duration and magnitude of flood and drought at all the stations are analyzed based on crossing theory. In addition, spatial variation of flood and drought characteristics in Singapore is investigated using ordinary kriging method. Lastly, the impact of ENSO condition on flood and drought characteristics is analyzed using regional regression method. The results show that Singapore can be prone to extreme flood and drought events at both monthly and seasonal time scales. ENSO has significant influence on flood and drought characteristics in Singapore, but mainly during the South West Monsoon season. During the El Niño phase, drought can become more extreme. The results have implications for water management practices in Singapore.

Climatic influence on electricity consumption: The case of Singapore and Hong Kong

International Nuclear Information System (INIS)

Ang, B.W.; Wang, H.; Ma, Xiaojing

2017-01-01

Global warming and the associated risks for natural and human systems have been major global concerns. The International Panel on Climate Change (IPCC) has projected average global surface temperature to increase by between 0.3 °C and 4.8 °C by the end of this century, depending on the greenhouse gas emission scenarios assessed. In the tropical and sub-tropical regions increases in temperature will lead to greater use of electricity for space cooling, a development that is undesirable from energy and sustainability viewpoints. We investigate how temperature increases affect electricity consumption in Singapore and Hong Kong. This is done by consuming sector, i.e. residential, commercial and industrial. Singapore and Hong Kong are respectively two tropical and subtropical cities with comparable physical, population and economy sizes. Two different approaches are used to relate their sectoral electricity consumption to temperature using regression analysis. It is estimated that total annual electricity consumption would increase by between 3% and 4% in Singapore in 2015 if there were to be a 1 °C rise in temperature. The corresponding estimates for Hong Kong are between 4% and 5%. In both cities, increases would be the greatest in the residential sector, followed by the commercial sector and the industrial sector. - Highlights: • Growth and changes in electricity consumption in Singapore and Hong Kong over the past 25 years are compared. • Relationships between electricity consumption and temperature by consuming sector are modelled. • Two statistical approaches are used to study the relationships. • Impacts of a 1 °C rise in temperature on sectoral and total electricity consumption are estimated.

The Tongue in Between: Some Thoughts on the Teaching of Chinese as a Second Language in Singapore

Science.gov (United States)

Tan, Chee Lay

2014-01-01

In Singapore's unique and complex linguistic environment, it is common to have Chinese-language learners from many different backgrounds in the same school classroom, which is why Singapore is nicknamed as a "language laboratory." In this paper, I hope to examine our linguistic environment and response strategies from different angles,…

Knowledge-based development in Singapore and Malaysia

OpenAIRE

Menkhoff, Thomas; Gerke, Solvay; Evers, Hans-Dieter; Chay, Yue Wah

2009-01-01

This paper addresses the question how knowledge is used to benefit the economic development of Singapore and Malaysia. Both countries have followed strict science policies to establish knowledge governance regimes for a knowledge-based economy. On the basis of empirical studies in both countries we show, how ethnic and religious diversity impact on the ability to develop an epistemic culture of knowledge sharing and ultimately an innovative knowledge-based economy.

Proposed ethical guidelines and legislative framework for permitting gestational surrogacy in Singapore.

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Heng, Boon Chin

2007-09-01

Gestational surrogacy is currently banned in Singapore but is much debated. Some ethical guidelines and legislation for permitting gestational surrogacy in Singapore are proposed and discussed including: (i) review and approval of gestational surrogacy by the Ministry of Health on a case-by-case basis; (ii) stringent guidelines for gonadotrophin stimulation, IVF and ICSI procedures in 'traditional' surrogacy; (iii) restriction of gestational surrogates to parous married women with stable family relationships; (iv) exclusion of foreign women from acting as gestational surrogates, except for close relatives of the recipient couple; (v) reimbursement and/or compensation of gestational surrogates based on the direct expenses model; (vi) exclusion of medical professionals from surrogate recruitment and reimbursement; (vii) the surrogacy contract must make it legally binding for the prospective recipient couple to accept the child, even if it is born with congenital deformities; (viii) stringent guidelines for combining surrogacy with egg donation from a third woman, who is neither the social nor gestational mother. Policymakers in Singapore should conduct a public referendum on the legalization of gestational surrogacy and actively consult the views of healthcare professionals, religious and community leaders, as well as the general public, before reaching any decision.

Sex (Education) in the City: Singapore's Sexuality Education Curriculum

Science.gov (United States)

Liew, Warren Mark

2014-01-01

This paper examines the Singapore Ministry of Education's sexuality education curriculum in relation to two leading approaches to sex education, namely, abstinence-only-until-marriage education (AOUME) and comprehensive sexuality education (CSE). Based on competing cultural, political, and religious beliefs, the arguments between the advocates of…

Tongue-Tied in Singapore: A Language Policy for Tamil?

Science.gov (United States)

Schiffman, Harold F.

2003-01-01

Discusses the Tamil language situation in Singapore, which lends itself ideally to the study of minority-language maintenance. Examines attempts to maintain Tamil, a highly diglossic language in emigration and concludes that the well-meaning bilingual education system actually produces a situation of subtractive bilingualism. (Author/VWL)

Toward a Cosmopolitan Vision of English Education in Singapore

Science.gov (United States)

Choo, Suzanne S.

2014-01-01

English education has played a vital role in facilitating Singapore's global city ambitions since the country's independence. While the state has prioritized English education's cognitive objective emphasizing information processing and effective communication skills, it has given insufficient attention to the role of English in equipping students…

Cross-Cultural Studies of Implicit Theories of Creativity: A Comparative Analysis between the United States and the Main Ethnic Groups in Singapore

Science.gov (United States)

Ramos, Suzanna J.; Puccio, Gerard J.

2014-01-01

This article explores the extent of influence of culture on implicit theories of creativity among laypeople from the United States and Singapore, as well as the ethnic groups in Singapore. Adaptive and innovative styles of creativity were examined, as well as their own conceptions of creativity. Laypersons from the United States and Singapore were…

Singapore Haze in June 2013: Consequences of Land-Use Change, Fires, and Anomalous Meteorology for Air Quality in Equatorial Asia

Science.gov (United States)

Koplitz, S.; Mickley, L. J.; Jacob, D. J.; Kim, P. S.; DeFries, R. S.; Marlier, M. E.; Schwartz, J.; Buonocore, J.; Myers, S. S.

2014-12-01

Much of Equatorial Asia is currently undergoing extensive burning from agricultural fires and rapid land-use conversion to oil palm plantations, with substantial consequences for air quality and health. In June 2013, Singapore experienced severe smoke levels, with surface particulate matter concentrations greater than ten times average. Unlike past haze events in Singapore (e.g. September 1997 and October 2006), the June 2013 pollution event occurred during El Nino-neutral conditions. Using a combination of observations and chemical transport modeling, we examine relationships between sea surface temperatures, wind fields, fire patterns, and aerosol optical depth during the June 2013 haze event. We find reasonable agreement between satellite measurements of aerosol optical depth (AOD) from the MODIS and MISR instruments and in-situ measurements from the AERONET stations across Equatorial Asia for 2005-2010 (MODIS R2 = 0.39, bias = -1.6%; MISR R2 = 0.27, bias = -42%). However, AOD observations fail to capture the Singapore pollution event of June 2013. Simulations with the GEOS-Chem model suggest that anomalously high dust concentrations during June 2013 may have impaired the ability of MODIS to monitor the haze over Singapore. In contrast, we show that the OMI Aerosol Index can effectively capture these smoke events and may be used to monitor future haze episodes in Equatorial Asia. We find that the June 2013 haze in Singapore may be attributed to anomalously strong westerlies carrying smoke from Riau Province in Indonesia. These westerlies, 5 m s-1 faster than the 2005-2010 mean June winds, are consistent with the phase of the Madden-Julian Oscillation (MJO) crossing the Maritime Continent at that time. These westerlies may have been further enhanced by a negative phase of the Indian Ocean Dipole (IOD), an east-west gradient in sea surface temperature anomalies across the Indian Ocean, with cold sea surface temperature anomalies (-3 C°) off the Arabian coast and

Efficiency and deregulation of the electricity market in Singapore

International Nuclear Information System (INIS)

Youngho Chang; Tuan Hin Tay

2006-01-01

This study examines production efficiency of electricity generation in the New Electricity Market of Singapore (NEMS), where deregulation is currently proceeding. Singapore is reliant on foreign direct investments and exports so competition from countries with lower costs such as China and India is exerting pressure on the government to reduce the costs of doing business here. Electricity cost is one of these. Deregulation is believed to be able to bring about lower electricity costs due to the various efficiency gains possible. This study concerns itself mainly with production efficiency and attempts to calculate possible production efficiency gains by using linear programming model. Production-efficiency gains are quantified by the base case scenario of continued regulation versus four counterfactual deregulation scenarios. The results indicate that cost gains could be about eight per cent of current production cost, and this is possibly a lower-bound estimate. However, whether the purported efficiency gains are realized is to be seen as the deregulation proceeds. (author)

Efficiency and deregulation of the electricity market in Singapore

International Nuclear Information System (INIS)

Chang, Youngho; Hin Tay, Tuan

2006-01-01

This study examines production efficiency of electricity generation in the New Electricity Market of Singapore (NEMS), where deregulation is currently proceeding. Singapore is reliant on foreign direct investments and exports so competition from countries with lower costs such as China and India is exerting pressure on the government to reduce the costs of doing business here. Electricity cost is one of these. Deregulation is believed to be able to bring about lower electricity costs due to the various efficiency gains possible. This study concerns itself mainly with production efficiency and attempts to calculate possible production efficiency gains by using linear programming model. Production-efficiency gains are quantified by the base case scenario of continued regulation versus four counterfactual deregulation scenarios. The results indicate that cost gains could be about eight per cent of current production cost, and this is possibly a lower-bound estimate. However, whether the purported efficiency gains are realized is to be seen as the deregulation proceeds

Incidence, Trends and Ethnic Differences of Oropharyngeal, Anal and Cervical Cancers: Singapore, 1968-2012

Science.gov (United States)

Lam, Jennifer O.; Lim, Wei-Yen; Chow, Khuan-Yew; D’Souza, Gypsyamber

2015-01-01

In recent decades, several Western countries have reported an increase in oropharyngeal and anal cancers caused by human papillomavirus (HPV). Trends in HPV-associated cancers in Asia have not been as well described. We describe the epidemiology of potentially HPV-related cancers reported to the Singapore Cancer Registry from 1968–2012. Analysis included 998 oropharyngeal squamous cell carcinoma (OPSCC), 183 anal squamous cell carcinoma (ASCC) and 8,019 invasive cervical cancer (ICC) cases. Additionally, 368 anal non-squamous cell carcinoma (ANSCC) and 2,018 non-oropharyngeal head and neck carcinoma (non-OP HNC) cases were included as comparators. Age-standardized incidence rates (ASR) were determined by gender and ethnicity (Chinese, Malay and Indian). Joinpoint regression was used to evaluate annual percentage change (APC) in incidence. OPSCC incidence increased in both genders (men 1993–2012, APC = 1.9%, pSingapore, but Pap screening programs have led to consistently decreasing incidence. PMID:26720001

Attitudes to Mental Illness and Its Demographic Correlates among General Population in Singapore

Science.gov (United States)

Yuan, Qi; Abdin, Edimansyah; Picco, Louisa; Vaingankar, Janhavi Ajit; Shahwan, Shazana; Jeyagurunathan, Anitha; Sagayadevan, Vathsala; Shafie, Saleha; Tay, Jenny; Chong, Siow Ann; Subramaniam, Mythily

2016-01-01

Background Public attitudes to mental illness could influence how the public interact with, provide opportunities for, and help people with mental illness. Aims This study aims to explore the underlying factors of the Attitudes to Mental Illness questionnaire among the general population in Singapore and the socio-demographic correlates of each factor. Methods From March 2014 to April 2015, a nation-wide cross-sectional survey on mental health literacy with 3,006 participants was conducted in Singapore. Results Factor analysis revealed a 4-factor structure for the Attitudes to Mental Illness questionnaire among the Singapore general population, namely social distancing, tolerance/support for community care, social restrictiveness, and prejudice and misconception. Older age, male gender, lower education and socio-economic status were associated with more negative attitudes towards the mentally ill. Chinese showed more negative attitudes than Indians and Malays (except for prejudice and misconception). Conclusions There is a need for culture-specific interventions, and the associated factors identified in this study should be considered for future attitude campaigns. PMID:27893796

The Association of Prehypertension With Meals Eaten Away From Home in Young Adults in Singapore.

Science.gov (United States)

Seow, Dominique Y B; Haaland, Benjamin; Jafar, Tazeen H

2015-10-01

Elevated blood pressure (BP) during early life years is associated with future risk of hypertension and cardiovascular morbidity and mortality. This study aimed to determine the prevalence and lifestyle factors associated with prehypertension (systolic BP (SBP) 120-139 mm Hg and/or diastolic BP (DBP) 80-89 mm Hg) or hypertension (SBP ≥ 140 mm Hg and/or DBP ≥ 90 mm Hg or on antihypertensive medications) among young adults at a Singapore university. A cross-sectional survey of 501 university-going young adults aged 18-40 years in Singapore was conducted using convenience sampling. Data on BP, body mass index (BMI), and lifestyle factors (meals eaten away from home/week, physical activity) was collected, and their association with prehypertension or hypertension was determined. Prehypertension was found in 27.4% (95% confidence interval (95% CI) = 24-32) of the population: 49% (44-58) in men and 9% (6-13) in women (P Singapore and is associated with potentially preventable lifestyle factors. Our findings call for large-scale population-based studies, including lifestyle modification trials for prevention of hypertension among young adults in Singapore. © American Journal of Hypertension, Ltd 2015. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Functions of nonsuicidal self-injury in Singapore adolescents: Implications for intervention.

Science.gov (United States)

Ong, Say How; Tan, Augustine Chin Yeow; Liang, Wilfred Zhijian

2017-08-01

The functions of nonsuicidal self-injury (NSSI) and DSM-IV-TR diagnoses were examined in a sample of thirty ethnic adolescents followed up in a local child and adolescent psychiatric clinic in Singapore. The most commonly endorsed function of NSSI on the Functional Assessment of Self-Mutilation scale was Automatic Negative Reinforcement (A-NR) and the least being Social Negative Reinforcement (S-NR). Participants were more likely to be diagnosed as having Major Depression Disorder. Depressed adolescents did not differ from non-depressed counterparts in their endorsement of social reinforcement functions. The results suggest that specific psychosocial interventions may help address both automatic and social functions of NSSI in Singapore adolescents. Copyright © 2017 Elsevier B.V. All rights reserved.

An analysis of roadway noise at residential estates in close proximity to expressways in Singapore

Directory of Open Access Journals (Sweden)

Indraneel Bhanap

2013-01-01

Full Text Available Singapore is a city-state of 5 million people. The entire urban population has expanded from 4.4 million to 5 million in a matter of 5 years. Because of the scarcity of land available, more major roads and expressways are being run close to residential developments, exposing the residents to expressway noise. Recognizing the problems of noise in a high-density urban society such as Singapore, the National Environmental Agency of Singapore (NEA has set prescribed noise limits for residential areas. The purpose of this paper is to analyze the noise level in one such development that is adjacent to an expressway, examine the effect of building height on noise and to compare the results with the NEA standards. The paper concludes with the implications of the results and a discussion on the solution to the problem.

Singapore Urological Association Clinical Guidelines for Male Lower Urinary Tract Symptoms/Benign Prostatic Hyperplasia.

Science.gov (United States)

2017-08-01

The first clinical guidelines for male lower urinary tract symptoms (LUTS)/benign prostatic hyperplasia (BPH) were published in 2005. An update is urgently needed in view of BPH being recognised as one of ten chronic illnesses by the Ministry of Health, Singapore. This review summarises the definition of BPH and the epidemiology of male LUTS/BPH in Singapore. BPH can be phenotyped with noninvasive transabdominal ultrasonography, according to intravesical prostatic protrusion and prostate volume, and classified according to severity (staging) for individualised treatment. At the initial evaluation, the majority of patients (59%) can be managed with fluid adjustment, exercise and diet; 32% with medications, using alpha blockers and/or 5-alpha reductase inhibitors for prostates weighing more than 30 g; and 9% with surgical intervention for more advanced disease. The 2015 guidelines comprise updated evidence that will help family medicine practitioners and specialists manage this common ailment more cost-effectively. Copyright: © Singapore Medical Association.

Examination of the Singapore Code of Corporate Governance and its Impact on Corporate Reporting and Investor Perception/Decision

OpenAIRE

Gopalakrishnan, Jainty

2006-01-01

ABSTRACT Thirty companies with market capitalisation above two hundred million (Sin$200million) as at 1 July 2006 were selected from the Singapore Stock Exchange (SGX) Main Board. These thirty companies represent 7.5 percent (%) of the population of the SGX main board. The latest annual reports (2005) for these companies were downloaded from the SGX website. These companies were chosen for this study because institutional investors are likely to have strong interest in them. The seco...

Elite Schools, Postcolonial Chineseness and Hegemonic Masculinities in Singapore

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Goh, Daniel P. S.

2015-01-01

The educational reproduction of elite masculinity in postcolonial societies has not been properly studied. This is partly because the postcolonial masculinities of non-western elites are accomplished through the cultivation of naturalized practices signifying the body politic of the nation-state. In Singapore, same-sex elite schools of colonial…

Theoretical Discussion on Forms of Cultural Capital in Singapore

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Tan, Cheng Yong

2013-01-01

This article is a theoretical discussion on five forms of cultural resources that constitute cultural capital for children in the meritocratic yet stratified society of Singapore. These five forms of cultural capital are namely "academic" tastes and leisure preferences, use of Standard English, access to and dispositions toward…

Blazing the trail: Official Report : Singapore 2010 Youth Olympic Games

OpenAIRE

2012-01-01

The official report of the 1st Youth Olympic Games, “Blazing the trail: Official Report: Singapore 2010 Youth Olympic Games” consisted of one volume, published in French and English. The French version was published only in electronic form

Demographics and clinical presentation of slipped capital femoral epiphysis in Singapore: comparing the East with the West.

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Lim, Yi-Jia; Kagda, Fareed; Lam, Khee Sien; Hui, James H P; Lim, Kevin B L; Mahadev, Arjandas; Lee, Eng Hin

2008-11-01

This study examines the demographics and clinical presentation of slipped capital femoral epiphysis in Singapore. Sixty-six patients (53 boys, 13 girls) with 77 involved hips were reviewed retrospectively. Local prevalence was 1.2/100,000 children. Twenty-four patients were Chinese, 12 were Malay, 27 were Indians, and three patients were Eurasians. A total of 76.6% of patients above the 90th percentile for body weight were present; 16.7% of patients had bilateral involvement. Seventeen patients had endocrine-related problems. We had a high male preponderance, and a disproportionately high number of Indian patients. A high proportion of patients were obese. Our incidence of bilateral involvement seems to be higher than our Indonesian neighbors. The differences seen may be due to genetic and sociocultural variations.

Singapore's proposed graduate medical school--an expensive medical tutorial college or an opportunity for transforming Singapore medicine?

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Soo, K C

2005-07-01

The proposed Graduate Medical School at the Outram Campus will open in 2007. The main value of this medical school is the transformation of the medical institutions in the campus and SingHealth into Academic Medical Centres. Such centres will train and host quality physicians and physician-scientists. It will help push the development of translational research, complementing the country's investment in Biopolis. It will also underpin Singapore's push into regional medical tourism and its development as an educational hub in the biomedical sciences.

Occurrence and distribution of pharmaceutically active and endocrine disrupting compounds in Singapore's marine environment: Influence of hydrodynamics and physical–chemical properties

Energy Technology Data Exchange (ETDEWEB)

Bayen, Stéphane [Singapore-Delft Water Alliance, National University of Singapore (Singapore); Zhang, Hui [Department of Civil and Environmental Engineering, National University of Singapore (Singapore); Desai, Malan Manish [Tropical Marine Science Institute, National University of Singapore (Singapore); Ooi, Seng Keat [Singapore-Delft Water Alliance, National University of Singapore (Singapore); Kelly, Barry C., E-mail: bckelly@nus.edu.sg [Department of Civil and Environmental Engineering, National University of Singapore (Singapore)

2013-11-15

The fate and exposure risks of pharmaceutically active compounds (PhACs) and endocrine disrupting chemicals (EDCs) in marine environments are not well-understood. In this study we developed a multi-residue analytical method for quantifying concentrations of forty target compounds in seawater from Singapore. Analyses of samples (n = 24) from eight sites showed the occurrence of several compounds, including gemfibrozil (<0.09–19.8 ng/L), triclosan (<0.55–10.5 ng/L), carbamazepine (<0.28–10.9 ng/L) and ibuprofen (<2.2–9.1 ng/L). A 3D hydrodynamic model for Singapore was used to predict residence time (t{sub R}). Principal Components Analysis revealed a strong relationship between t{sub R} and contaminant concentrations. While source emissions are undoubtedly important, proximate distance to a wastewater treatment plant had little influence on concentrations. The site with the greatest t{sub R}, which exhibited the highest concentrations, is adjacent to Singapore's largest protected wetland reserve. The results highlight an important linkage between hydrodynamic behavior and contaminant exposure risks in complex coastal marine ecosystems. Highlights: •A field study of emerging contaminants in Singapore's coastal marine environment was conducted. •PhACs such as gemfibrozil, triclosan, carbamazepine and ibuprofen were frequently detected. •Site proximity to WWTP had little influence on ambient concentrations. •Contaminant concentrations were highly correlated to hydrodynamic residence time. •Coastal hydrodynamic behaviour greatly influences contaminant exposure risks. -- A field study demonstrates the influence of hydrodynamic residence time and physical–chemical properties on exposure risks of PhACs and EDCs in coastal marine ecosystems.

77 FR 6782 - In the Matter of: Kok Tong Lim, a/k/a Thomas Lim Blk 258A Compassvale Road #07-551 Singapore...

Science.gov (United States)

2012-02-09

... Thomas Lim Blk 258A Compassvale Road 07-551 Singapore 541258; Order Denying Export Privileges On October...'') of Singapore, pled guilty to one count of violating the International Emergency Economic Powers Act..., a/k/a Thomas Lim, with the last known address at: Blk 258A,Compassvale Road 07-551, Singapore 541258...

Lifelong Learning, Income Inequality and Social Mobility in Singapore

Science.gov (United States)

Lee, Millie; Morris, Paul

2016-01-01

Singapore has been assigned the role of a "model" nation state primarily for two reasons: its rapid rate of economic growth and its outstanding performance on cross-national tests of educational achievement, such as PISA. This has resulted in advocates of reform citing it as illustrating "best practices", especially in the…

Teaching Critical Thinking: Cultural Challenges and Strategies in Singapore

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Tan, Charlene

2017-01-01

Among the challenges faced by educators in promoting critical thinking is that of cultural compatibility. Using Singapore as an illustrative case study, this paper explores the cultural challenges and recommended strategies for the teaching of critical thinking in schools. The research for this study is based on a theoretical framework that…

Evaluating the cost-effectiveness of lifestyle modification versus metformin therapy for the prevention of diabetes in Singapore.

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May Ee Png

Full Text Available BACKGROUND: In Singapore, as diabetes is an increasingly important public health issue, the cost-effectiveness of pursuing lifestyle modification programs and/or alternative prevention strategies is of critical importance for policymakers. While the US Diabetes Prevention Program (DPP compared weight loss through lifestyle modification with oral treatment of diabetes drug metformin to prevent/delay the onset of type 2 diabetes in pre-diabetic subjects, no data on either the actual or potential cost effectiveness of such a program is available for East or South-east Asian populations. This study estimates the 3-year cost-effectiveness of lifestyle modification and metformin among pre-diabetic subjects from a Singapore health system and societal perspective. METHODOLOGY: Cost effectiveness was analysed from 2010-2012 using a decision-based model to estimate the rates of getting diabetes, healthcare costs and health-related quality of life. Cost per quality-adjusted life year (QALY was estimated using costs relevant to the time horizon of the study from Singapore. All costs are expressed in 2012 US dollars. PRINCIPAL FINDINGS: The total economic cost for non-diabetic subjects from the societal perspective was US$25,867, US$28,108 and US$26,177 for placebo, lifestyle modification and metformin intervention respectively. For diabetic patients, the total economic cost from the societal perspective was US$32,921, US$35,163 and US$33,232 for placebo, lifestyle modification and metformin intervention respectively. Lifestyle modification relative to placebo is likely to be associated with an incremental cost per QALY gained at US$36,663 while that of metformin intervention is likely to be US$6,367 from a societal perspective. CONCLUSION: Based on adaptation of the DPP data to local conditions, both lifestyle modification and metformin intervention are likely to be cost-effective and worth implementing in Singapore to prevent or delay the onset of type 2

General Practitioner's Attitudes and Confidence in Managing Patients with Dementia in Singapore.

Science.gov (United States)

Subramaniam, Mythily; Ong, Hui Lin; Abdin, Edimansyah; Chua, Boon Yiang; Shafie, Saleha; Siva Kumar, Fiona Devi; Foo, Sophia; Ng, Li Ling; Lum, Alvin; Vaingankar, Janhavi A; Chong, Siow Ann

2018-03-01

The number of people living with dementia is increasing globally as a result of an ageing population. General practitioners (GPs), as the front-line care providers in communities, are important stakeholders in the system of care for people with dementia. This commentary describes a study conducted to understand GPs' attitudes and self-perceived competencies when dealing with patients with dementia and their caregivers in Singapore. A set of study information sheet and survey questionnaires were mailed to selected GP clinics in Singapore. The survey, comprising the "GP Attitudes and Competencies Towards Dementia" questionnaire, was administered. A total of 400 GPs returned the survey, giving the study a response rate of 52.3%. About 74% of the GPs (n=296) were seeing dementia patients in their clinics. Almost all the GPs strongly agreed that early recognition of dementia served the welfare of the patients (n=385; 96%) and their relatives (n=387; 97%). About half (51.5%) of the respondents strongly agreed or agreed that they felt confident carrying out an early diagnosis of dementia. Factor analysis of questionnaire revealed 4 factors representing "benefits of early diagnosis and treatment of patients with dementia", "confidence in dealing with patients and caregiver of dementia", "negative perceptions towards dementia care" and "training needs". GPs in Singapore held a generally positive attitude towards the need for early dementia diagnosis but were not equally confident or comfortable about making the diagnosis themselves and communicating with and managing patients with dementia in the primary care setting. Dementia education and training should therefore be a critical step in equipping GPs for dementia care in Singapore. Shared care teams could further help build up GPs' knowledge, confidence and comfort in managing patients with dementia.

Systematic study on genetic and epimutational profile of a cohort of Amsterdam criteria-defined Lynch Syndrome in Singapore.

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Yanqun Liu

Full Text Available BACKGROUND: Germline defects of mismatch repair (MMR genes underlie Lynch Syndrome (LS. We aimed to gain comprehensive genetic and epigenetic profiles of LS families in Singapore, which will facilitate efficient molecular diagnosis of LS in Singapore and the region. METHODS: Fifty nine unrelated families were studied. Mutations in exons, splice-site junctions and promoters of five MMR genes were scanned by high resolution melting assay followed by DNA sequencing, large fragment deletions/duplications and promoter methylation in MLH1, MSH2, MSH6 and PMS2 were evaluated by multiplex ligation-dependent probe amplification. Tumor microsatellite instability (MSI was assessed with five mononucleotide markers and immunohistochemical staining (IHC was also performed. RESULTS: Pathogenic defects, all confined to MLH1 and MSH2, were identified in 17 out of 59 (28.8% families. The mutational spectrum was highly heterogeneous and 28 novel variants were identified. One recurrent mutation in MLH1 (c.793C>T was also observed. 92.9% sensitivity for indication of germline mutations conferred by IHC surpassed 64.3% sensitivity by MSI. Furthermore, 15.6% patients with MSS tumors harbored pathogenic mutations. CONCLUSIONS: Among major ethnic groups in Singapore, all pathogenic germline defects were confined to MLH1 and MSH2. Caution should be applied when the Amsterdam criteria and consensus microsatellite marker panel recommended in the revised Bethesda guidelines are applied to the local context. We recommend a screening strategy for the local LS by starting with tumor IHC and the hotspot mutation testing at MLH1 c.793C>T followed by comprehensive mutation scanning in MLH1 and MSH2 prior to proceeding to other MMR genes.

Physical activity and risk of end-stage kidney disease in the Singapore Chinese Health Study.

Science.gov (United States)

Jafar, Tazeen Hasan; Jin, Aizhen; Koh, Woon-Puay; Yuan, Jian-Min; Chow, Khuan Yew

2015-02-01

To explore the relationship between physical activity and risk of end-stage kidney disease (ESKD). We analysed data on a prospective cohort of 59,552 Chinese adults aged 45-74 years enrolled in the Singapore Chinese Health Study. Information on physical activity was collected with a structured questionnaire. Physically active individuals were defined as those who engaged in any moderate activities for 2 h or more per week and any strenuous activities 30 min or more per week. Incident ESKD was identified via record linkage with the Singapore Registry of Birth and Death and Singapore Renal Registry. Cox proportional hazards regression method was used for analysis for risk of incident ESKD alone or ESKD plus death associated with physical activity. During a median follow-up of 15.3 years, a total of 642 incident ESKD occurred, and 9808 study participants died. A 24% lower adjusted risk of ESKD (hazard ratio: 0.76; 95% confidence interval: 0.62-0.93) was associated with moderate or strenuous physical activities compared with no regular physical activity. This association appeared to be dose dependent with the lowest risk for subjects at highest intensity of physical activity (P trend <0.003). Similar results were observed for risk of ESKD plus death. Higher levels of physical activity are associated with lower risk of ESKD. Our findings highlight the role of physical activity for prevention of ESKD, which deserves further evaluation in intervention trials. © 2014 Asian Pacific Society of Nephrology.

Transformative Pedagogy, Leadership and School Organisation for the Twenty-First-Century Knowledge-Based Economy: The Case of Singapore

Science.gov (United States)

Dimmock, Clive; Goh, Jonathan W. P.

2011-01-01

Singapore has a high performing school system; its students top international tests in maths and science. Yet while the Singapore government cherishes its world class "brand", it realises that in a globally competitive world, its schools need to prepare students for the twenty-first-century knowledge-based economy (KBE). Accordingly,…

Singapore-India Relations: A Return to History

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Ming Hwa Ting

2009-01-01

Full Text Available Michael Leifer observes Singapore-India relations to be ‘diplomatically distant’. This observation was correct during the Cold War when differing political ideologies made it difficult for these two countries to develop close relations. With the end of the Cold War, bilateral relations improved rapidly, especially on the economic front. Consequently, most literature focuses on the economic interaction between them, at the expense of other significant developments on the political, military as well as social and cultural fronts. In order to better understand Singapore-India relations in the present, a well-rounded approach is necessary. Hence, this article addresses this lacuna in the present scholarship by providing a comprehensive overview that takes into account developments in both the areas of high and low politics. In so doing, this article argues that Singapore-India relations are now no longer ‘diplomatically distant’, but instead mirror the close relations they had during the colonial period, and so represent a ‘return to history’ instead. --- Michael Leifer beschreibt die Beziehungen zwischen Singapur und Indien als "diplomatisch distanziert". Diese Beobachtung war während des Kalten Krieges korrekt, als unterschiedliche politische Ideologien eine enge Zusammenarbeit dieser beiden Länder erschwerten. Mit dem Ende des Kalten Krieges verbesserten sich bilaterale Beziehungen – vor allem im wirtschaftlichen Bereich – rapide. Aus diesem Grund konzentrieren sich die meisten Publikationen auf die wirtschaftliche Interaktion der beiden Länder und vernachlässigen gleichzeitig weitere wichtige Entwicklungen in der politischen, militärischen, sozialen und kulturellen Sphäre. Um die Beziehungen zwischen Singapur und Indien besser zu verstehen, ist ein vielseitigerer Ansatz notwendig. Der vorliegende Artikel versucht diese Lücke gegenwärtiger Forschung zu schließen und einen umfassenden Überblick der Entwicklungen

Is There a ‘Glass Ceiling’ for Female Managers in Singapore Organizations?

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Vlado Dimovski

2010-12-01

Full Text Available This study presents an overview of glass-ceiling type barriers inorganizations based on the perceptions of a sample of Singaporemid-level women managers. Previous studies indicated the existenceof a glass ceiling in organizations and presented strategicrecommendations with regard to what corporations could do toremove or reduce the glass ceiling. This study investigates howwomen in middle management perceive their career advancementopportunities and what they consider their organizations tobe doing to support their advancement. Glass ceiling and informalstructures in the organizations will be analyzed from the aspectsof corporate climate, corporate practices, and corporate culture.The relevant questions are derived from the model developed byBergman and Hallberg (2002. This study aims to answer whetherthere is a glass ceiling present in Singapore companies. The studybegins with an introduction of the concept of a glass ceiling thatprevents women from advancing, and then continues with previousstudies on corporate climate, corporate practices and corporateculture, and data analysis of samples from Singapore organizations.The findings show that women middle managers inSingapore organizations face a glass ceiling in their working environmentwhich, for example, inhibits the promotion of femalemanagers, and entails a barrier to the career development opportunitiesof women presents that women do not have enough organizationalsupport, including networking, mentoring, and familyfriendly initiatives.

Investigation of IT/IS Outsourcing in Singapore

OpenAIRE

Mui, Angela Koh Ser

2003-01-01

The concept of outsourcing information technology (IT) or systems (IS) has been around since mid 1960s. Today, outsourcing has become a potentially viable business solution that many IT managers are looking into in order to remain competitive in the current dynamic business and technological environment. In Singapore, the recent IT outsourcing by DBS Bank has raised the awareness and sparked off the interest to conduct this study. The purpose of this thesis is therefore to investigate this la...

PRESS FREEDOM IN SINGAPORE AND MALAYSIA: DEFAMATION

OpenAIRE

Georgia Kate Chapman

2015-01-01

This paper focuses on the arguments around restriction on freedom of the press in the Strong States of Singapore and Malaysia. It assesses the presence of constraints on press freedoms in democratic western countries imposed by corporation rather than state and the similar effects that these constraints may have on bias present in publicly accessible news reporting. It argues that independence of the press does not just require protection from legal and executive regulation, but also protecti...

Automation, Computerisation and Future Employment in Singapore

OpenAIRE

Lee, King Fuei

2016-01-01

Digitalization is expected to radically change the prospects of the types of occupations that will be needed in the future. This research note examines the susceptibility of jobs to computerization and automation in Singapore by drawing on the methodology and initial data in Frey and Osborne (2013). We find that about one-quarter of Singaporean employment is at high risk of computerization. This places the country as having one of the lowest proportions of jobs under high risk internationally...

Use of Microtremor Array Recordings for Mapping Subsurface Soil Structure, Singapore

Science.gov (United States)

Walling, M.

2012-12-01

Microtremor array recordings are carried out in Singapore, for different geology, to study the influence of each site in modeling the subsurface structure. The Spatial Autocorrelation (SPAC) method is utilized for the computation of the soil profiles. The array configuration of the recording consists of 7 seismometers, recording the vertical component of the ground motion, and the recording at each site is carried out for 30 minutes. The results from the analysis show that the soil structure modeled for the young alluvial of Kallang Formation (KF), in terms of shear wave velocity (Vs), gives a good correlation with borehole information, while for the older geological formation of Jurong Formation (JF) (sedimentary rock sequence) and Old Alluvial (OA) (dense alluvium formation), the correlation is not very clear due to the lack of impedance contrast. The older formation of Bukit Timah Granite (BTG) show contrasting results within the formation, with the northern BTG suggesting a low Vs upper layer of about 20m - 30m while the southern BTG reveals a dense formation. The discrepancy in the variation within BTG is confirmed from borehole data that reveals the northern BTG to have undergone intense weathering while the southern BTG have not undergone noticeable weathering. Few sites with bad recording quality could not resolve the soil structure. Microtremor array recording is good for mapping sites with soft soil formation and weathered rock formation but can be limited in the absence of subsurface velocity contrast and bad quality of microtremor records.; The correlation between the Vs30 estimated from SPAC method and borehole data for the four major geological formations of Singapore. The encircled sites are the sites with recording error.

Signature Pedagogies for Educators Using Films: An Example from Singapore

Science.gov (United States)

Tan, Charlene; Koh, Kim

2018-01-01

This article discusses the application of Shulman's "signature pedagogies" through the utilization of films for preservice teachers and school leaders in Singapore. Using the films "Dead Poets Society" and "Ahead of the Class," this article explains how these films facilitated the participants' engagement with the…

Seasonal sea level variability and anomalies in the Singapore Strait

Digital Repository Service at National Institute of Oceanography (India)

Tkalich, P.; Vethamony, P.; Babu, M.T.; Pokratath, P.

of a tropical cyclone near the equator (Chang, 2003). Vamei developed on December 26 at 1.4 N in the South China Sea, and made landfall approximately 60km northeast of Singapore in the southeastern portion of the Malaysian state of Johor (Fig. 6a...

PISA and High-Performing Education Systems: Explaining Singapore's Education Success

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Deng, Zongyi; Gopinathan, S.

2016-01-01

Singapore's remarkable performance in Programme for International Student Assessment (PISA) has placed it among the world's high-performing education systems (HPES). In the literature on HPES, its "secret formula" for education success is explained in terms of teacher quality, school leadership, system characteristics and educational…

Migration and Singapore: implications for the Asia Pacific.

Science.gov (United States)

Low, L

1994-01-01

Regarding immigration and emigration issues, there is a need for greater and more detailed data collection, an emphasis on data on illegal as well as legal migration, an examination of the impact of direct foreign investment on job creation and new labor market entrants, and a strengthening of international conventions for protection of foreign workers. The Pacific Economic Cooperation Council (PECC), Human Resource Development Task Force, is the source for projections of labor demand and supply for 18 PECC countries in 1993 and 1994. These projections indicate labor shortages in 1993 in Canada, Taiwan, Hong Kong, Malaysia, Singapore, and Thailand. The greatest labor supplier will be China. Japan and Korea are expected to have economic downturns, which will increase excess labor. The extent of excess labor is estimated to be 8.01 million in 1993 and 12.43 in 1994. The nature of the calculations could potentially exaggerate existing demand. A variety of theories are used to determine the direction and flow of migration, capital, goods and services, and technology. Estimates of migration flows indicate an increase to 100 million migrants in 1992, or 1.8% of world population (35 million in Sub-Saharan Africa, 15 million in Asia and the Middle East, and almost 13 million in Western Europe and North America). The value of remittances is estimated at $66 million (US dollars), which is slightly less than the value of oil trade and exceeds the $46 million in foreign aid. It is hypothesized that wider spatial and income inequalities with expanding globalization will increase migration flows. The case of Singapore illustrates how manipulation of the labor market reduces potential problems. Immigration policy historically encouraged migration of skilled and professional workers. In 1990 foreign workers in Singapore constituted 12% of the labor force. Since 1982 a monthly foreign worker levy has been imposed. The levy is increased when needed in order to slow demand. In 1992

Special Education Teacher Preparation in Singapore's Dual Education System

Science.gov (United States)

Walker, Zachary

2016-01-01

Global comparisons of teacher education programs should start with an understanding of the school systems that teachers are being prepared for in their local contexts. The purpose of this article is to describe Singapore's dual education system as well as teacher preparation in a country that educates many students with disabilities in a separate…

Preventive measures to eliminate asbestos-related diseases in singapore.

Science.gov (United States)

Lim, John Wah; Koh, David; Khim, Judy Sng Gek; Le, Giang Vinh; Takahashi, Ken

2011-09-01

The incidence of asbestos-related diseases (ARD) has increased in the last four decades. In view of the historical use of asbestos in Singapore since the country started banning it in phases in 1989 and the long latency of the disease, the incidence of ARD can be expected to increase further. As occupational exposure to asbestos still occurs, preventive measures to eliminate ARD continue to be required to protect the health of both workers and the public from asbestos exposure. The majority of occupational exposures to asbestos at present occur during the removal of old buildings. Preventive measures have been utilized by different government ministries and agencies in eliminating ARD in Singapore over the past 40 years. These measures have included the enforcement of legislation, substitution with safer materials, and engineering controls during asbestos removal as well as improvements in personal hygiene and the use of personal protective equipment. The existing Workman's Compensation System for ARD should be further refined, given that is currently stipulates that claims for asbestosis and malignant mesothelioma be made within 36 and 12 months after ceasing employment.

Blogging as Popular History Making, Blogs as Public History: The Singapore Case Study

Directory of Open Access Journals (Sweden)

Stephanie Ho

2007-08-01

Full Text Available Blogging is a twenty-first century phenomenon that has heralded an age where ordinary people can make their voices heard in the public sphere of the Internet. This article explores blogging as a form of popular history making; the blog as a public history document; and how blogging is transforming the nature of public history and practice of history making in Singapore. An analysis of two Singapore ‘historical’ blogs illustrates how blogging is building a foundation for a more participatory historical society in the island nation. At the same time, the case studies also demonstrate the limitations of blogging and blogs in challenging official versions of history.

Progression of fibromyalgia: results from a 2-year observational fibromyalgia and chronic pain study in the US

OpenAIRE

Adams, Edgar H; McElroy, Heather J; Udall, Margarita; Masters, Elizabeth T; Mann, Rachael M; Schaefer, Caroline P; Cappelleri, Joseph C; Clair, Andrew G; Hopps, Markay; Daniel, Shoshana R; Mease, Philip; Silverman, Stuart L; Staud, Roland

2016-01-01

Edgar H Adams,1 Heather J McElroy,2 Margarita Udall,3 Elizabeth T Masters,3 Rachael M Mann,4 Caroline P Schaefer,1 Joseph C Cappelleri,5 Andrew G Clair,3 Markay Hopps,3 Shoshana R Daniel,6 Philip Mease,7,8 Stuart L Silverman,9,10 Roland Staud11 1Covance Market Access Services Inc, Gaithersburg, MD, USA; 2Covance (Asia) Pte Ltd, Singapore, Singapore; 3Pfizer Inc, New York, NY, 4Covance Market Access Services Inc, San Diego, CA, 5Pfizer Inc, Groton, CT, 6Covance Market Access Services Inc, Cons...

Demographics and Personality Factors Associated with Burnout among Nurses in a Singapore Tertiary Hospital

Science.gov (United States)

Dhaliwal, Satvinder S.; Ayre, Tracy Carol; Uthaman, Thendral; Fong, Kuan Yok; Tien, Choo Eng; Zhou, Huaqiong; Della, Phillip

2016-01-01

Background. The aim of the study was to evaluate the prevalence and extent of burnout among nurses in Singapore and investigate the influence of demographic factors and personal characteristics on the burnout syndrome. Methods. A cross-sectional survey design was adopted. All registered nurses working in Singapore General Hospital were approached to participate. A questionnaire eliciting data on demographics, burnout (measured using the Maslach Burnout Inventory, MBI), and personality profile (measured using the NEO Five-Factor Inventory, NEO-FFI) was used. Results. 1830 nurses out of 3588 responded (response rate: 51%). Results from 1826 respondents were available for analysis. The MBI identified 39% to have high emotional exhaustion (EE, cut-off score of >27), 40% having high depersonalization (DP, cut-off score of >10), and 59% having low personal accomplishment (PA, cut-off score of nurses less than 30 years with high to very high neuroticism were more likely to experience high EE, high DP, and low PA. Conclusion. Younger nurses in Singapore are at increased risk of burnout. Personality traits also played a significant role in the experience of burnout. PMID:27478835

Association between preoperative anaemia with length of hospital stay among patients undergoing primary total knee arthroplasty in Singapore: a single-centre retrospective study.

Science.gov (United States)

Abdullah, Hairil Rizal; Sim, Yilin Eileen; Hao, Ying; Lin, Geng Yu; Liew, Geoffrey Haw Chieh; Lamoureux, Ecosse L; Tan, Mann Hong

2017-06-08

Studies in western healthcare settings suggest that preoperative anaemia is associated with poor outcomes after elective orthopaedic surgery. We investigated the prevalence of preoperative anaemia among patients with primary unilateral total knee arthroplasty (TKA) in Singapore and its association with length of hospital stay (LOS), perioperative blood transfusion and hospital readmission rates. Retrospective cohort study performed in a tertiary academic medical centre in Singapore, involving patients who underwent primary unilateral TKA between January 2013 and June 2014. Demographics, comorbidities, preoperative haemoglobin (Hb) level, LOS and 30-day readmission data were collected. Anaemia was classified according to WHO definition. Prolonged LOS was defined as more than 6 days, which corresponds to >75th centile LOS of the data. We analysed 2394 patients. The prevalence of anaemia was 23.7%. 403 patients (16.8%) had mild anaemia and 164 patients (6.8%) had moderate to severe anaemia. Overall mean LOS was 5.4±4.8 days. Based on multivariate logistic regression, preoperative anaemia significantly increased LOS (mild anaemia, adjusted OR (aOR) 1.71, p70 years were associated with prolonged LOS. Our 30-day related readmission rate was 1.7% (42) cases. Anaemia is common among patients undergoing elective TKA in Singapore and is independently associated with prolonged LOS and increased perioperative blood transfusion. We suggest measures to correct anaemia prior to surgery, including the use of non-gender-based Hb cut-off for establishing diagnosis. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Error Analysis for Arithmetic Word Problems--A Case Study of Primary Three Students in One Singapore School

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Cheng, Lu Pien

2015-01-01

In this study, ways in which 9-year old students from one Singapore school solved 1-step and 2-step word problems based on the three semantic structures were examined. The students' work and diagrams provided insights into the range of errors in word problem solving for 1- step and 2-step word problems. In particular, the errors provided some…

Two-year outcome of normal-birth-weight infants admitted to a Singapore neonatal intensive care unit.

Science.gov (United States)

Lian, W B; Yeo, C L; Ho, L Y

2002-03-01

To describe the characteristics, the immediate and short-term outcome and predictors of mortality in normal-birth-weight (NBW) infants admitted to a tertiary neonatal intensive care unit (NICU) in Singapore. We retrospectively reviewed the medical records of 137 consecutive NBW infants admitted to the NICU of the Singapore General Hospital from January 1991 to December 1992. Data on the diagnoses, clinical presentation of illness, intervention received, complications and outcome as well as follow-up patterns for the first 2 years of life, were collected and analysed. NBW NICU infants comprised 1.8% of births in our hospital and 40.8% of all NICU admissions. The main reasons for NICU admissions were respiratory disorders (61.3%), congenital anomalies (15.3%) and asphyxia neonatorum (11.7%). Respiratory support was necessary in 81.8%. Among those ventilated, the only predictive factor contributing to mortality was the mean inspired oxygen concentration. The mortality rate was 11.7%. Causes of death included congenital anomalies (43.75%), asphyxia neonatorum (31.25%) and pulmonary failure secondary to meconium aspiration syndrome (12.5%). The median hospital stay among survivors (88.3%) was 11.0 (range, 4 to 70) days. Of 42 patients (out of 117 survivors) who received follow-up for at least 6 months, 39 infants did not have evidence of any major neurodevelopmental abnormalities at their last follow-up visit, prior to or at 2 years of age. Despite their short hospital stay (compared to very-low-birth-weight infants), the high volume of NBW admissions make the care of this population an important area for review to enhance advances in and hence, reduce the cost of NICU care. With improved antenatal diagnostic techniques (allowing earlier and more accurate diagnosis of congenital malformations) and better antenatal and perinatal care (allowing better management of at-risk pregnancies), it is anticipated that there should be a reduction in such admissions with better

Cultural Aspects of Language Imposition in Malaya, Singapore, and Indonesia.

Science.gov (United States)

Bickley, Verner C.

1973-01-01

This paper distinguishes Bahasa Malaysia (Malaysian language) and Bahasa Indonesia (Indonesian language) according to type and function and summarizes their development as the national languages of Malaya, Singapore, and Indonesia. It presents a short, historical account of the spread, through religious and educational activities, of the English…

Educational Leadership in Singapore: Tight Coupling, Sustainability, Scalability, and Succession

Science.gov (United States)

Dimmock, Clive; Tan, Cheng Yong

2013-01-01

Purpose: While Singapore's outstanding educational achievements are well known worldwide, there is a disproportionate paucity of literature on school leadership practices that contribute to and support pedagogical initiatives that--along with socio-cultural factors--are normally considered responsible for its educational success. The aim of this…

Libraries in West Malaysia and Singapore; A Short History.

Science.gov (United States)

Tee, Edward Lim Huck

An attempt is made to trace the history of every major library in Malay and Singapore. Social and recreational club libraries are not included, and school libraries are not extensively covered. Although it is possible to trace the history of Malaysia's libraries back to the first millenium of the Christian era, there are few written records…

On (mis-)conceptions of culture as a vehicle of business succes: Singapore Chinese investment strategies after failing in China

NARCIS (Netherlands)

Dahles, H.

2007-01-01

The focus of this paper is on the strategies applied by Singapore Chinese businesses upon failing in their China business ventures. It has been argued that both the increase in Singapore ventures into China and the failures are due to either cultural issues (misconceptions of 'shared ethnicity') or

Public perceptions, knowledge and awareness of cholesterol management in Singapore: a prospective pilot study.

Science.gov (United States)

Aung, Than Htike; Go, Yun Yun; Low, Lip Ping; Chua, Terrance

2013-01-01

Hyperlipidaemia is a major risk factor for coronary artery disease (CAD). Its effective treatment has been shown to reduce the incidence of cardiovascular events, both in secondary and primary prevention. An essential component of risk factor management at the community level is public awareness and knowledge of treatment benefits. However, this data is limited in Singapore. A cross-sectional survey questionnaire of public perception and knowledge on cholesterol treatment among adult Singaporeans aged 30-69 years was commissioned by the Singapore Heart Foundation and conducted by a professional market survey company. Regional quota sampling was performed to ensure that the sample was representative of the Singapore population. This was followed by random sampling of households and respondents. Of the 365 respondents, 40.9% were male, 70.3% were Chinese, 18.8% Malay and 10.9% Indian. The mean age was 47.5 years. Although 81.9% of respondents had medical check-ups involving blood tests, only 11.0% knew their actual cholesterol levels. A third of the respondents saw herbal medicine as healthier and safer than Western medication. More than 80% of respondents believed that diet and exercise were equally effective at lowering cholesterol as medication. About half of the respondents associated long-term use of statins with damage to the liver and kidney, while a third associated chronic statin use with the development of cancer. There are gaps in the level of public awareness and understanding of cholesterol treatment in Singapore. Common misconceptions should be addressed, as they could potentially impair effective management or treatment compliance.

Internationalization of Tertiary Education Services in Singapore

OpenAIRE

Mun-Heng Toh

2012-01-01

This paper traces the development of the education sector from its nascent stage of serving economic development needs to the internationalization stage of fulfilling Singapore’s aspiration to be a global education hub. The state plays an important role in guiding and fostering development of the education sector in the creation and production of human capital for domestic production as well as cross-border trading to generate income and employment, and attract talent to the economy. Reg...

An Outcomes Study on the Effects of the Singapore General Hospital Burns Protocol.

Science.gov (United States)

Liang, Weihao; Kok, Yee Onn; Tan, Bien Keem; Chong, Si Jack

2018-01-01

The Singapore General Hospital Burns Protocol was implemented in May 2014 to standardize treatment for all burns patients, incorporate new techniques and materials, and streamline the processes and workflow of burns management. This study aims to analyze the effects of the Burns Protocol 2 years after its implementation. Using a REDCap electronic database, all burns patients admitted from May 2013 to April 2016 were included in the study. The historical preimplementation control group composed of patients admitted from May 2013 to April 2014 (n = 96). The postimplementation prospective study cohort consisted of patients admitted from May 2014 to April 2016 (n = 243). Details of the patients collected included age, sex, comorbidities, total body surface area (TBSA) burns, time until surgery, number of surgeries, number of positive tissue and blood cultures, and length of hospital stay. There was no statistically significant difference in the demographics of both groups. The study group had a statistically significant shorter time to surgery compared with the control group (20.8 vs 38.1, P burns, was statistically significant (number of surgeries/TBSA, 0.324 vs 0.506; P = 0.0499). The study group also had significantly shorter length of stay (12.5 vs 16.8, P = 0.0273), a shorter length of stay/TBSA burns (0.874 vs 1.342, P = 0.0101), and fewer positive tissue cultures (0.6 vs 1.3, P = 0.0003). The study group also trended toward fewer positive blood culture results (0.09 vs 0.35, P = 0.0593), although the difference was just shy of statistical significance. The new Singapore General Hospital Burns Protocol had revolutionized Singapore burns care by introducing a streamlined, multidisciplinary burns management, resulting in improved patient outcomes, lowered health care costs, and improved system resource use.

Current status: biomass valorisation and biofuels in Singapore

International Nuclear Information System (INIS)

Guermont, C.; Barbi, A.P.

2010-05-01

After having briefly presented the main types of biofuels (bio-ethanol, bio-diesel) and their first, second and third generation technologies to produce them (from food crops, from non food crops, and from algae), this report presents Singapore public R and D centres working in the field of biofuels development, and their activities. It also presents actors belonging to the private sector, and various realized and announced projects on biofuels

The Need for Transformational Leadership in Singapore's School-Based Reform

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Retna, Kala S.; Ng, Pak Tee

2009-01-01

In Singapore, "decentralization" and "school-based reforms" are key words within the current education reform agenda. This article argues that a key success factor in this agenda is transformational leadership in school. With more autonomy given to the school, transformational leadership at the school level will facilitate the…

Socially Challenged Collaborative Learning of Secondary School Students in Singapore

Science.gov (United States)

Pang, Christopher; Lau, Jesslyn; Seah, Chong Poh; Cheong, Linda; Low, Audrey

2018-01-01

Using a grounded theory research design, this paper examined the collaborative learning experiences of secondary school students in Singapore. The core phenomenon that emerged was the need for social interactions in collaborative learning, both in classroom and online settings. Educators often take for granted that effective collaborative learning…

Developing New Reading Assessments to Promote Beginning Reading in Singapore

Science.gov (United States)

Koh, Kim H.; Paris, Scott G.

2011-01-01

Effective reading instruction and intervention are rooted in effective assessments of children's developing skills in reading. The article aims to describe the development of new reading assessments to help promote beginning reading in Singapore primary schools. We begin with an introduction to the educational landscape and policies before…

AEC Scorecard Phase IV: Furthering the Implementation of the AEC Blueprint Measures The Singapore Country Report

OpenAIRE

Hank LIM; Bernard AW; LOKE Hoe Yeong

2015-01-01

Singapore is an open economy that is critically dependent on leveraging external resources to achieve its economic growth. To achieve that objective, the government is strongly committed to maintaining a free and competitive economy. In the case of service liberalisation, however, there are a number of restrictions on foreign labour in the service sectors under review that may have an adverse impact on the service sectors. Nonetheless, Singapore is ready to integrate fully into the Associatio...

Overseas Voter Mobilisation in Singapore: Implications from Malaysia’s 13th General Election

OpenAIRE

James Gomez; Rusdi Omar

2013-01-01

This paper discusses voter mobilisation and other election-related activities of Malaysian voters living, studying and working in Singapore in the context of Malaysia’s 13th general election (GE13). According to the World Bank, nearly 400,000 Malaysians reside in the city-state. Thus these figures represent a significant Malaysian voter pool based in Singapore. Efforts to mobilise these voters for general elections or other causes have political implications for both countries, which became...

Hand-grip strength among older adults in Singapore: a comparison with international norms and associative factors.

Science.gov (United States)

Ong, Hui Lin; Abdin, Edimansyah; Chua, Boon Yiang; Zhang, Yunjue; Seow, Esmond; Vaingankar, Janhavi Ajit; Chong, Siow Ann; Subramaniam, Mythily

2017-08-04

Hand-grip strength (HGS) serves as a proxy measure for muscle function and physical health. Studies have shown that low HGS is associated with common age-related disorders including frailty and sarcopenia. The aim of the present study was to establish the normative values of HGS among older adults in Singapore and to compare it with data from Western and other Asian countries. The study also aimed to explore the sociodemographic and anthropometric correlates of HGS. Data were collected from 2043 men and women aged 60 years and above who took part in the Well-being of the Singapore Elderly study in 2013. HGS was obtained using a Jamar Plus + digital hand dynamometer. Normative data were stratified by; 5-year age groups, sex and ethnicity. Relationships between the HGS with various sociodemographic and anthropometric correlates were examined using multiple linear regression analysis. The mean HGS demonstrate a decreasing trend with increased age across all ethnic groups and sexes. HGS among Singapore older adults were relatively low compared to Western and other Asian countries. Males in the youngest age group (60-64) and of Chinese ethnicity attained greater HGS values than their counterparts. When the regression analysis was stratified for sex, significant associations were found between height, upper arm circumference with HGS in the males sample, and between height, weight, waist circumference and HGS in the females sample. Older adults in Singapore have a relatively weak HGS compared to other countries. Greater height and weight, and smaller waist circumference are independently associated with greater HGS in females but not males. These results facilitate the interpretation of HGS conducting using Jamar digital-type dynamometers among the older adults in Singapore.

A multicultural joint venture under the post-developmental state in Singapore

NARCIS (Netherlands)

Dahles, H.; Bruckwilder, M.

2005-01-01

As a multi-cultural country with a British colonial past hosting many different ethnic groups including Westerners, Singapore juggles with the often conflicting forces of Westernization (holding the promise of economic prosperity) and Asianization (holding the promise of a distinct cultural

The clinical profile of patients with anorexia nervosa in Singapore: a follow-up descriptive study.

Science.gov (United States)

Kuek, Angeline; Utpala, Ranjani; Lee, Huei Yen

2015-06-01

The prevalence rate of anorexia nervosa is lower in Asia than in the West, although studies have found that it is on the rise in Asia. This study aims to present the clinical profile of patients presenting with anorexia nervosa in Singapore. The present study used archival data from the Eating Disorder Programme registry of the Department of Psychiatry, Singapore General Hospital, Singapore. Patient records from 2003 to 2010 were collected and analysed. Presenting characteristics of the patients were also compared with those of another local study conducted eight years earlier. From 2003 to 2010, a total of 271 patients were diagnosed with anorexia nervosa by a psychiatrist in our hospital. Of these, 251 (92.6%) were female and 238 (87.8%) were Chinese. Our patients had a lower mean weight (36.83 kg, p < 0.001) and a lower mean body mass index (BMI) (14.43 kg/m(2), p < 0.001) than patients from the previous local study. Almost half of all our patients (n = 135, 49.8%) were diagnosed with at least one psychiatric comorbidity and 50 (18.5%) had a history of self-harm. The presenting characteristics of our study cohort were similar to those of the Western population. However, the lower presenting weight and BMI in our cohort indicates that cases seen today are more severe than those seen eight years ago. Therefore, it is important to put in place prevention programmes to help adolescents cultivate a healthy body image as well as early intervention programmes to improve detection rates and treatment outcomes.

A Professional Learning Community for the New Teacher Professionalism: The Case of a State-Led Initiative in Singapore Schools

Science.gov (United States)

Lee, Daphnee; Lee, Wing On

2013-01-01

This paper seeks to explore the empirical fit of two PLC models, using Singapore as a case. Insights emerged from documentary analyses and interviews with state-affiliated agents from the Academy of Singapore Teachers. The proposed DuFour--Fullan model, despite policy aspirations, remains largely DuFour-predominant in practice. Aspirations for a…

Prevalence of microplastics in Singapore's coastal marine environment

International Nuclear Information System (INIS)

Ng, K.L.; Obbard, J.P. . E-mail esejpo@nus.edu.sg

2006-01-01

Microplastics have been recently identified as marine pollutants of significant concern due to their persistence, ubiquity and potential to act as vectors for the transfer and exposure of persistent organic pollutants to marine organisms. This study documents, for the first time, the presence and abundance of microplastics (>1.6 μm) in Singapore's coastal environment. An optimized sampling protocol for the collection and analysis of microplastics was developed, and beach sediments and seawater (surface microlayer and subsurface layer) samples were collected from nine different locations around the coastline. Low density microplastics were separated from sediments by flotation and polymer types were identified using Fourier transform infrared (FTIR) spectrometry. Synthetic polymer microplastics identified in beach sediments included polyethylene, polypropylene, polystyrene, nylon, polyvinyl alcohol and acrylonitrile butadiene styrene. Microplastics were detected in samples from four out of seven beach environments, with the greatest quantity found in sediments from two popular beaches in the eastern part of Singapore. Polyethylene, polypropylene and polystyrene microplastics were also found in the surface microlayer (50-60 μm) and subsurface layer (1 m) of coastal waters. The presence of microplastics in sediments and seawater is likely due to on-going waste disposal practices from industries and recreational activities, and discharge from shipping

Inpatient cost for hip fracture patients managed with an orthogeriatric care model in Singapore.

Science.gov (United States)

Tan, Lester Teong Jin; Wong, Seng Joung; Kwek, Ernest Beng Kee

2017-03-01

The estimated incidence of hip fractures worldwide was 1.26 million in 1990 and is expected to double to 2.6 million by 2025. The cost of care for hip fracture patients is a significant economic burden. This study aimed to look at the inpatient cost of hip fractures among elderly patients placed under a mature orthogeriatric co-managed system. This study was a retrospective analysis of 244 patients who were admitted to the Department of Orthopaedics of Tan Tock Seng Hospital, Singapore, in 2011 for hip fractures under a mature orthogeriatric hip fracture care path. Information regarding costs, surgical procedures performed and patient demographics was collected. The mean cost of hospitalisation was SGD 13,313.81. The mean cost was significantly higher for the patients who were managed surgically than for the patients who were managed non-surgically (SGD 14,815.70 vs. SGD 9,011.38; p 48 hours was SGD 2,716.63. Reducing the time to surgery and preventing pre- and postoperative complications can help reduce overall costs. A standardised care path that empowers allied health professionals can help to reduce perioperative complications, and a combined orthogeriatric care service can facilitate prompt surgical treatment. Copyright: © Singapore Medical Association

How do Singapore patients view post-anaesthesia adverse outcomes? A single-centre willingness-to-pay study.

Science.gov (United States)

Look, Xinqi; Mok, May Un Sam; Tay, Yan Sheng; Abdullah, Hairil Rizal

2018-05-01

Knowing how patients value the quality of anaesthesia helps anaesthesiologists to customise their service. However, generalising findings from Western population-based willingness-to-pay studies across different cultures and societies might result in the oversight of some contextualised perspectives of the anaesthesia experience. This study aimed to capture the Singapore perspective of undesired post-anaesthesia outcomes. 132 patients recruited in a pre-anaesthetic evaluation clinic were given questionnaires describing ten possible post-anaesthetic outcomes. Outcomes were ranked for undesirability and assigned relative value through the hypothetical proportioning of SGD 100 to avoid their occurrence. Data was analysed with reference to patients' background and anaesthetic history. A response rate of 69.1% (n = 132/191) was achieved. Outcomes from the most to least undesirable were pain; vomiting; nausea; shivering; orodental trauma; sore throat; abrasions; somnolence; and thirst. Relative values allocated, in descending order, were pain; vomiting; nausea; orodental trauma; abrasions; sore throat; shivering; somnolence; and thirst. Similar to previous studies in Western populations, pain, vomiting and nausea were the top three adverse outcomes that Singapore patients wished to avoid. However, discrepancies with Western patients were seen in spending attitudes, possibly accounted for by differences in healthcare socioeconomics. This study provided a better understanding of Singapore patients' perspectives on post-anaesthesia adverse outcomes and could help to improve treatment strategy and resource management. Copyright: © Singapore Medical Association.

Singapore International Schools: Best Practice in Culturally Diverse Music Education

Science.gov (United States)

Cain, Melissa Anne

2010-01-01

This paper explores the preliminary outcomes of research into the place and role of cultural diversity in primary music classes at five International Schools in Singapore. It highlights the ways in which school philosophy, policy, curriculum and in-service training influence teacher practice. The research provides insights into the challenges…

Change and Continuity in the Singapore Literature-in-English Curriculum

Science.gov (United States)

Loh, Chin Ee

2018-01-01

This paper examines contestations over the value of Literature in the secondary school curriculum in the former British colony of Singapore and the way the Literature curriculum has been framed to understand the various issues surrounding the role of Literature education. Using Raymond Williams' framework of dominant, residual and emergent…

Suicide Methods in Singapore (2000-2004): Types and Associations

Science.gov (United States)

Chia, Boon-Hock; Franzco, Audrey Chia; Ng, Wai-Yee; Tai, Bee-Choo

2011-01-01

The choice of suicide methods varies between countries. Common methods used in Singapore between 2000 and 2004 were jumping (72.4%), hanging (16.6%), and poisoning (5.9%). Those who jumped were more likely to be young, single, female, and to have had a major mental illness. By comparison, those who hung themselves were more likely to be older (OR…

Freezing the biological clock: a viable fertility preservation option for young Singapore women?

Science.gov (United States)

Blyth, Eric; Yee, Samantha; Lee, Geok Ling

2013-09-01

In March 2012, an article in The Straits Times entitled 'Freezing eggs could reverse falling birth rate' suggested that employing the latest oocyte cryopreservation techniques could both foster individual women's reproductive autonomy and impact Singapore's fertility rate, which in recent years has consistently been among the world's lowest. The article cited both local and international fertility specialists' approval of elective oocyte cryopreservation for young women wishing to protect their reproductive potential against ageing and as a potential antidote to the contemporary 'delay and defer' model of family-building. Later in 2012, the Ministry of Health announced a review of oocyte cryopreservation policy taking into account related medical, scientific and ethical issues, while the Singapore College of Obstetricians and Gynaecologists endorsed oocyte cryopreservation as an "important, safe and efficient technology". This paper outlines and analyses the arguments and empirical evidence used both to support and oppose offering elective oocyte cryopreservation as a routine fertility service, before concluding that this remains unjustifiable on the basis of insufficient evidence of its clinical efficacy and safety as regards either pregnancy rates or birth outcomes. If it is to be made available at all for these reasons in Singapore, it should be subjected to rigorous clinic-specific evaluation in accordance with accepted clinical and ethical norms.

Handbook of Accelerator Physics and Engineering (sections 2.7.1 - 2.7.5 and 7.6.2)

Energy Technology Data Exchange (ETDEWEB)

Roser, T.

1999-04-19

The sections written by this author are: 2.7.1- Thomas - BMT equation; 2.2.2- Spinor Algebra; 2.7.3- Spin Rotators and Siberian Snakes; 2.7.4- Ring with Spin Rotator and Siberian Snakes; 2.7.5- Depolarizing Resonances and Spin Flippers; & 7.6.2- Proton Beam Polarimeters

Knowledge, Attitude, and Practice of Dry Eye Treatment by Institutional Chinese Physicians in Singapore

Science.gov (United States)

Lan, Wanwen; Lee, Sze Yee; Lee, Man Xin; Tong, Louis

2012-01-01

Dry eye is a common health problem worldwide, causing significant discomfort and inconvenience to sufferers. The conventional treatment of dry eye via topical administration of eye drops is deemed palliative and unsatisfactory to many. Traditional Chinese medicine (TCM) has shown some promise in dry eye treatment; however, the extent of its use and acceptance is uncertain. We evaluated the knowledge, attitude, and practice of institutional TCM practitioners in the treatment of dry eye in Singapore. A questionnaire was generated to address the study aims and sent to TCM practitioners listed in the Singapore TCM practitioners' board database. About three quarters of respondents thought that dry eye was not severe enough to be a public health burden but most thought that TCM was effective in the treatment of dry eye. Acupuncture and herbal medicine were most commonly used TCM modalities in dry eye treatment, and a single TCM treatment session would be charged S$20–50 by the practitioner. The majority of surveyed institutional TCM practitioners in Singapore believe that TCM is relevant in dry eye treatment. Public awareness should be raised regarding the availability of TCM as alternative medicine for dry eye. PMID:23213306

Green Buildings in Singapore; Analyzing a Frontrunner’s Sectoral Innovation System

Directory of Open Access Journals (Sweden)

Vidushini Siva

2017-05-01

Full Text Available The building sector in Singapore consumes up to half of the nation’s total energy. The government has therefore been urging the transformation of the industry by targeting 80% of all buildings to be green-certified by 2030. Thus far, Singapore has done relatively well, and is widely viewed as frontrunner in this respect. This paper addresses the question: what are the benefits and limitations of Singapore’s sectoral innovation system in spurring an energy transition in the building sector, in particular by up-scaling the use of green building technology? The Sectoral Innovation Systems (SIS theoretical framework was used to analyze the Singapore case. Four SIS components were assessed: technological regime, market demand, actor interactions and networks, and institutional framework. The benefits of Singapore’s sectoral innovation system identified in the analysis basically concern aspects of all of the four elements of SIS. Particular success factors concerned the launching of an integrated strategy to support green building innovations (i.e., the Green Mark policy scheme, implementing support policies, and setting up test beds. Furthermore, a masterplan to engage and educate end-users was implemented, knowledge exchange platforms were set up, regulations on the use of efficient equipment in buildings were issued, and standards and a certification system were adopted. The results also shed light on key barriers, namely, the reluctance of building users to change their habits, ineffective stakeholder collaboration, and green buildings innovation support coming from the government only. Measures in place have been moderately effective.

The Relationship between Civic Attitudes and Voting Intention: An Analysis of Vocational Upper Secondary Schools in England and Singapore

Science.gov (United States)

Han, Christine; Hoskins, Bryony; Sim, Jasmine Boon-Yee

2014-01-01

From 2009 to 2011, a team from the Centre for Learning and Life Chances in Knowledge Economies and Societies carried out a mixed-methods study of young people in England and Singapore. With regard to civic attitudes, the study showed that there was a greater sense of political self-efficacy and collective (school) efficacy in Singapore than in…

Preventive Measures to Eliminate Asbestos-Related Diseases in Singapore

Directory of Open Access Journals (Sweden)

John Wah Lim

2011-09-01

Full Text Available The incidence of asbestos-related diseases (ARD has increased in the last four decades. In view of the historical use of asbestos in Singapore since the country started banning it in phases in 1989 and the long latency of the disease, the incidence of ARD can be expected to increase further. As occupational exposure to asbestos still occurs, preventive measures to eliminate ARD continue to be required to protect the health of both workers and the public from asbestos exposure. The majority of occupational exposures to asbestos at present occur during the removal of old buildings. Preventive measures have been utilized by different government ministries and agencies in eliminating ARD in Singapore over the past 40 years. These measures have included the enforcement of legislation, substitution with safer materials, and engineering controls during asbestos removal as well as improvements in personal hygiene and the use of personal protective equipment. The existing Workman’s Compensation System for ARD should be further refined, given that is currently stipulates that claims for asbestosis and malignant mesothelioma be made within 36 and 12 months after ceasing employment.

The Relationship between Smartphone Use and Academic Performance in a Sample of Tertiary Students in Singapore: A Cross-Sectional Study

Science.gov (United States)

Zhao, Jingming; Yuping, Wei; Maideen, Ismail; Moe, Zan Khin; Nasirudeen, A. M. A.

2018-01-01

The use of smartphone for socialising and learning has become a norm among students in Singapore. Educational institutions are creating lessons and applications for use on mobile platforms. However, the effectiveness of smartphones for learning has not been well studied in Singapore. This study was conducted to understand the association between…

Meat, Dietary Heme Iron, and Risk of Type 2 Diabetes Mellitus: The Singapore Chinese Health Study.

Science.gov (United States)

Talaei, Mohammad; Wang, Ye-Li; Yuan, Jian-Min; Pan, An; Koh, Woon-Puay

2017-10-01

We evaluated the relationships of red meat, poultry, fish, and shellfish intakes, as well as heme iron intake, with the risk of type 2 diabetes mellitus (T2D).The Singapore Chinese Health Study is a population-based cohort study that recruited 63,257 Chinese adults aged 45-74 years from 1993 to 1998. Usual diet was evaluated using a validated 165-item semiquantitative food frequency questionnaire at recruitment. Physician-diagnosed T2D was self-reported during 2 follow-up interviews in 1999-2004 and 2006-2010. During a mean follow-up of 10.9 years, 5,207 incident cases of T2D were reported. When comparing persons in the highest intake quartiles with those in the lowest, the multivariate-adjusted hazard ratio for T2D was 1.23 (95% confidence interval (CI): 1.14, 1.33) for red meat intake (P for trend meat intake remained significantly associated with T2D risk (multivariate-adjusted hazard ratio = 1.13, 95% CI: 1.01, 1.25; P for trend = 0.02). Heme iron was associated with a higher risk of T2D even after additional adjustment for red meat intake (multivariate-adjusted hazard ratio = 1.14, 95% CI: 1.02, 1.28; P for trend = 0.03). In conclusion, red meat and poultry intakes were associated with a higher risk of T2D. These associations were mediated completely for poultry and partially for red meat by heme iron intake. © The Author(s) 2017. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Phase diagrams of systems of Sr2V2O7-M2V2O7 and of Ba2V2O7-M2V2O7 (M=Ca,Cd)

International Nuclear Information System (INIS)

Fotiev, A.A.; Zhuravlev, V.D.; Zhukov, V.P.

1982-01-01

Using the methods of X-ray phase and differential thermal anlyses phase equilibria in the systems Sr 2 V 2 O 7 -M 2 V 2 O 7 and Ba 2 V 2 O 7 -M 2 V 2 O 7 , where M--Ca, Cd, are studied, their phase diagrams being built. New double pyrovanadates Mosub(0.5)Srsub(1.5)Vsub(2)Osub(7) and MBaV 2 O 7 are found [ru

Social Effects and Limitations of Development Planning: The Case of Indonesia and Singapore

Science.gov (United States)

Goering, John M.

1972-01-01

The effects and limitations of the choices made by development planners in their efforts to promote either agrarian development or industrial development in Indonesia and Singapore are discussed. (Author/FF)

Use of Facebook: A Case Study of Singapore Students' Experience

Science.gov (United States)

Hew, Khe Foon; Cheung, Wing Sum

2012-01-01

Facebook has become one of the most popular social network sites among many students. However, current research on Facebook use has focused mainly on Anglo-American students. Relatively little is known about Facebook use in Singapore. Data were collected from 83 students (ages ranged from 15 to 23). This study uses a naturalistic case study…

Wireless Laptops in English Classrooms: A SWOT Analysis from Singapore

Science.gov (United States)

Towndrow, Phillip A.; Vaish, Viniti

2009-01-01

This paper presents illustrative findings from a one-year pilot study undertaken in the English department of a high school in Singapore that was in the first year of implementing a one-to-one wireless laptop programme. The findings show that learning was often constrained by lecture-style presentations and overt test preparation. Despite…

English, Language Shift and Values Shift in Japan and Singapore

Science.gov (United States)

Morita, Liang

2015-01-01

This is a comparative study of English language education in Japan and Singapore and the role English plays in both countries. English language education in Japan has not been very effective. Although the communicative approach to teaching English was introduced in the 1980s, schools still use the grammar-translation method and most Japanese do…

Cost of Medical Care of Patients with Advanced Serious Illness in Singapore (COMPASS): prospective cohort study protocol.

Science.gov (United States)

Teo, Irene; Singh, Ratna; Malhotra, Chetna; Ozdemir, Semra; Dent, Rebecca A; Kumarakulasinghe, Nesaretnam Barr; Yeo, Wee Lee; Cheung, Yin Bun; Malhotra, Rahul; Kanesvaran, Ravindran; Yee, Alethea Chung Pheng; Chan, Noreen; Wu, Huei Yaw; Chin, Soh Mun; Allyn, Hum Yin Mei; Yang, Grace Meijuan; Neo, Patricia Soek Hui; Nadkarni, Nivedita V; Harding, Richard; Finkelstein, Eric A

2018-04-23

Advanced cancer significantly impacts quality of life of patients and families as they cope with symptom burden, treatment decision-making, uncertainty and costs of treatment. In Singapore, information about the experiences of advanced cancer patients and families and the financial cost they incur for end-of-life care is lacking. Understanding of this information is needed to inform practice and policy to ensure continuity and affordability of care at the end of life. The primary objectives of the Cost of Medical Care of Patients with Advanced Serious Illness in Singapore (COMPASS) cohort study are to describe changes in quality of life and to quantify healthcare utilization and costs of patients with advanced cancer at the end of life. Secondary objectives are to investigate patient and caregiver preferences for diagnostic and prognostic information, preferences for end-of-life care, caregiver burden and perceived quality of care and to explore how these change as illness progresses and finally to measure bereavement adjustment. The purpose of this paper is to present the COMPASS protocol in order to promote scientific transparency. This cohort study recruits advanced cancer patients (n = 600) from outpatient medical oncology clinics at two public tertiary healthcare institutions in Singapore. Patients and their primary informal caregiver are surveyed every 3 months until patients' death; caregivers are followed until 6 months post patient death. Patient medical and billing records are obtained and merged with patient survey data. The treating medical oncologists of participating patients are surveyed to obtain their beliefs regarding care delivery for the patient. The study will allow combination of self-report, medical, and cost data from various sources to present a comprehensive picture of the end-of-life experience of advanced cancer patients in a unique Asian setting. This study is responsive to Singapore's National Strategy for Palliative Care which

Competing with the Big Boys - Strategies for Growth for a Startup Company in the Singapore Food Industry

OpenAIRE

Chew, Kee Heng

2010-01-01

Entrepreneurship provides the basis for satisfying of personal goals and possibly profit maximization; Singapore has a good infrastructure in place to facilitate new business setup and other business functions. Being one of the first few industries that have promoted trade and main revenue drivers, the Singapore Food Industry is in its mature state and entrenched with established big-name global, regional and national players with long histories. But because of its ability to innovate, and wi...

Educational Policy Trajectories in an Era of Globalization: Singapore and Cambodia

Science.gov (United States)

Tan, Charlene

2010-01-01

This paper critically discusses the educational policy trajectories of Singapore and Cambodia in an era of globalization. Drawing upon David Johnson's five metaphors to describe the historical and political forces that shape educational policy trajectories, the paper argues that Cambodia's current educational policy trajectory is characterized by…

LCA-LCCA of oil fired steam turbine power plant in Singapore

International Nuclear Information System (INIS)

Kannan, R.; Tso, C.P.; Osman, Ramli; Ho, H.K.

2004-01-01

A life cycle assessment (LCA) was conducted to quantify the non-renewable energy use and global warming potential in electricity generation from a typical oil fired steam turbine plant in Singapore. As the conventional LCA does not include any cost analysis, which is a major criterion in decision making, the cost of power generation is estimated using a life cycle cost analysis (LCCA) tool. It is estimated that the hidden processes consumed about 9% additional energy on top of the fuel embedded energy, while the hidden GHG emission is about 12%. A correlation is established to estimate the life cycle energy use and GHG emissions directly from the power plant net efficiency. The study methodology, results and the empirical relations are presented, together with a brief overview of the Singapore power sector. It also highlights the need for consideration of the reserves availability in the pricing mechanism and how such cost indices could be developed based on the LCA-LCCA. (Author)

LCA-LCCA of oil fired steam turbine power plant in Singapore

International Nuclear Information System (INIS)

Kannan, R.; Tso, C.P.; Osman, Ramli; Ho, H.K.

2004-01-01

A life cycle assessment (LCA) was conducted to quantify the non-renewable energy use and global warming potential in electricity generation from a typical oil fired steam turbine plant in Singapore. As the conventional LCA does not include any cost analysis, which is a major criterion in decision making, the cost of power generation is estimated using a life cycle cost analysis (LCCA) tool. It is estimated that the hidden processes consumed about 9% additional energy on top of the fuel embedded energy, while the hidden GHG emission is about 12%. A correlation is established to estimate the life cycle energy use and GHG emissions directly from the power plant net efficiency. The study methodology, results and the empirical relations are presented, together with a brief overview of the Singapore power sector. It also highlights the need for consideration of the reserves availability in the pricing mechanism and how such cost indices could be developed based on the LCA-LCCA

Perceived job image among police officers in Singapore: factorial dimensions and differential effects.

Science.gov (United States)

Lim, V K; Teo, T S; See, S K

2000-12-01

The authors examined the perceived job image of police officers in Singapore and its differential effects on their work-related attitudes (e.g., job satisfaction, organizational commitment, and intention to quit). The authors obtained data from questionnaire surveys and focus-group interviews. Perceived job image consisted of 4 dimensions: (a) prestige, (b) integrity, (c) competence, and (d) nonroutine job nature. Results of hierarchical regression analyses suggested that the first 2 dimensions of the perceived job image construct were salient in affecting the police officers' work-related attitudes.

DAYLIGHTING AND ENERGY PERFORMANCE OF POST MILLENIUM CONDOMINIUMS IN SINGAPORE

Directory of Open Access Journals (Sweden)

Uma Maheswaran

2007-03-01

habitable spaces in their residence. This paper is an attempt to discuss a few examples of condominiums around the western part of Singapore as a means of discussing the emerging design trends as well as to discuss the performance aspects of the design solutions in terms of day lighting and energy consumption.

Analysing Meritocratic (In)equality in Singapore: Ideology, Curriculum and Reproduction

Science.gov (United States)

Lim, Leonel

2016-01-01

In this article I first discuss how in Singapore the concept of meritocracy captures both elitist and egalitarian aspirations, and the ways in which its education policies have for a long time vacillated between these conflicting dimensions. I then argue that critical studies of meritocracy need to go beyond an understanding of the term as an…

Do Mothers' and Fathers' Authoritative and Authoritarian Parenting Interact? An Exploration on Schooling Aspects with a Singapore Adolescent Sample

Science.gov (United States)

Sim, Tick N.; Chin, Jeffery E. H.

2014-01-01

Our study sought mainly to examine interactions between mothers' and fathers' authoritative and authoritarian parenting. A total of 284 adolescents (mean age 13.5) from 2 Singapore schools contributed self-report data on their parents' parenting and various schooling aspects. Prior to testing for interactions, adolescents with two authoritative…

Are satellite products good proxies for gauge precipitation over Singapore?

Science.gov (United States)

Hur, Jina; Raghavan, Srivatsan V.; Nguyen, Ngoc Son; Liong, Shie-Yui

2018-05-01

The uncertainties in two high-resolution satellite precipitation products (TRMM 3B42 v7.0 and GSMaP v5.222) were investigated by comparing them against rain gauge observations over Singapore on sub-daily scales. The satellite-borne precipitation products are assessed in terms of seasonal, monthly and daily variations, the diurnal cycle, and extreme precipitation over a 10-year period (2000-2010). Results indicate that the uncertainties in extreme precipitation is higher in GSMaP than in TRMM, possibly due to the issues such as satellite merging algorithm, the finer spatio-temporal scale of high intensity precipitation, and the swath time of satellite. Such discrepancies between satellite-borne and gauge-based precipitations at sub-daily scale can possibly lead to distorting analysis of precipitation characteristics and/or application model results. Overall, both satellite products are unable to capture the observed extremes and provide a good agreement with observations only at coarse time scales. Also, the satellite products agree well on the late afternoon maximum and heavier rainfall of gauge-based data in winter season when the Intertropical Convergence Zone (ITCZ) is located over Singapore. However, they do not reproduce the gauge-observed diurnal cycle in summer. The disagreement in summer could be attributed to the dominant satellite overpass time (about 14:00 SGT) later than the diurnal peak time (about 09:00 SGT) of gauge precipitation. From the analyses of extreme precipitation indices, it is inferred that both satellite datasets tend to overestimate the light rain and frequency but underestimate high intensity precipitation and the length of dry spells. This study on quantification of their uncertainty is useful in many aspects especially that these satellite products stand scrutiny over places where there are no good ground data to be compared against. This has serious implications on climate studies as in model evaluations and in particular, climate

Exploring Neighborhood Unit’s Planning Elements and Configuration Methods in Seoul and Singapore from a Walkability Perspective

Directory of Open Access Journals (Sweden)

Jeeun Lee

2018-03-01

Full Text Available This paper is to explore how the neighborhood-unit concept, which had been initially promoted by North America and the United Kingdom, was adopted and utilized in the Asian cities of high-density developments, such as Seoul and Singapore from a walkability perspective. Among various environmental elements of walkability in a given neighborhood unit, 10 planning elements, as well as their configuration methods, were drawn from the review of the existing studies, which became an analytical framework for this paper. The findings of the analysis are as follows. First, there were similarities, yet also marked distinctions between the cases of Seoul and Singapore, on the one hand, and those in North America and the UK on the other, with respect to the configuration methods, categorized into four groups of typologies: ‘Neighborhood Size’, ‘Neighborhood Structure’, ‘Neighborhood Network’, and ‘Neighborhood Facilities’. The differences largely resulted from the high-density developments in Seoul and Singapore. In the years since the 1990s, however, when the concept of sustainable development was strengthened, the configuration methods, related to ‘Neighborhood Structure’ and to ‘Neighborhood Facilities’ in most cases, were enhanced to suit more neighborhood walking. The initial concept of the neighborhood unit was actively modified to accommodate the high-density urban situations in Seoul and Singapore, having both positive and negative impacts on neighborhood walkability.

Japan og Singapore i Arktis

DEFF Research Database (Denmark)

Tonami, Aki; Watters, Stewart

2013-01-01

There is a growing awareness in the Nordic region of Asia’s increased interest in the Arctic region and Arctic affairs, including in relation to Greenland. However, with the possible exception of China, there has been little Western scholarly work to analyze exactly why Asian countries...... are interested in the Arctic. Looking at the Arctic engagement of Japan and Singapore, this paper finds that their interest in the Polar Regions is not necessarily a new phenomenon and that Arctic policy, as with the development of other foreign policy objectives, is a complex mix of national, bureaucratic...... and group interests. For Greenlandic and Danish policymakers, it may be useful to understand the genesis of Japan and Singapore’s Arctic policies and that their interest is complex and multi-faceted....

Cartographic Mismatches and Language Policy: The Case of Hindi in Singapore

Science.gov (United States)

Jain, Ritu; Wee, Lionel

2018-01-01

In this paper, we present Singapore's language policy as a case of flexible responsiveness to demographic and societal shifts as a result of high migration. The particular need to accommodate the enhanced linguistic diversity among the linguistically heterogeneous Indians, previously served by Tamil, has led to the "semiofficial"…

Virtual Environments and the Ongoing Work of Becoming a Singapore Teacher

Science.gov (United States)

Zuiker, Steven J.; Ang, Doreen

2011-01-01

The study explores the intersection between cyberinfrastructure and models of teacher education and professional development in Singapore. A case study explores how a pre-service and an in-service workshop in a virtual environment support efforts to understand and enlist constructivist pedagogies for classroom learning and to foster continuous…

Incremental Beliefs of Ability, Achievement Emotions and Learning of Singapore Students

Science.gov (United States)

Luo, Wenshu; Lee, Kerry; Ng, Pak Tee; Ong, Joanne Xiao Wei

2014-01-01

This study investigated the relationships of students' incremental beliefs of math ability to their achievement emotions, classroom engagement and math achievement. A sample of 273 secondary students in Singapore were administered measures of incremental beliefs of math ability, math enjoyment, pride, boredom and anxiety, as well as math classroom…

"In the Nation's Good": Physical Education and School Sport in Singapore

Science.gov (United States)

Fry, Joan Marian; McNeill, Michael Charles

2011-01-01

Since independence in 1965, education and sport have been instrumental in Singapore's nation building, with a rapid rise in education and economic status. This article examines the roles of physical education and school sport in the local context and makes comparison with global themes ("instrumentality" and "marginality"). It…

Financial structures, firms, and the welfare states in South Korea and Singapore

NARCIS (Netherlands)

Lim, S.

South Korea and Singapore display distinctive patterns of social provision. The Singaporean welfare state has served as the primary provider of social infrastructure and services, whereas the South Korean welfare state has developed its primary role in supporting income maintenance. These

Awareness, knowledge, healthy lifestyle behaviors, and their correlates to coronary heart disease among working women in Singapore.

Science.gov (United States)

Ramachandran, Hadassah Joann; Wu, Vivien Xi; He, Hong-Gu; Jiang, Ying; Wang, Wenru

2016-01-01

The objectives of the study were to investigate awareness, knowledge, healthy lifestyle behaviors, and their correlates to coronary heart disease (CHD) among working women in Singapore. CHD is the leading cause of death for women globally, yet women are unaware of this or the associated risk factors that make them vulnerable to CHD. A cross-sectional descriptive study with a quota sample of 200 working women was conducted in Singapore. Data were collected using self-administered questionnaires, including the Heart Disease Fact Questionnaire-2, Behavioral Risk Factor Surveillance System, and a section on Awareness of CHD. Participants demonstrated suboptimal awareness of CHD being the leading cause of death among women and the risk factors associated with morbidity. Healthy lifestyle behaviors were found to be affected by age, ethnicity, marital status, income status, presence of chronic diseases, and working groups. Health care providers should systematically evaluate women at risk for CHD and provide both gender-sensitive and age-specific education. Copyright © 2016 Elsevier Inc. All rights reserved.

A cohort study to analyze the risk of venous thromboembolism mortality in patients admitted to the general medicine department, tan tock seng hospital, singapore.

Science.gov (United States)

Sule, Ashish Anil; Chin, Tay Jam; Sinnathamby, Letchumi; Lee, Hwei Khien; Earnest, Arul

2011-06-01

The purpose of this study was to assess the risk of venous thromboembolism (VTE) in patients admitted to the Tan Tock Seng Hospital (TTSH), Singapore during October and November 2009. The primary outcome assessed was mortality due to VTE, or development of deep vein thrombosis or pulmonary embolism (PE) within 3 months from the day of admission. Both univariate and multivariate analyses were performed for all-cause mortality and deaths associated with PE. Seven hundred twenty-one patients admitted to the 5th floor of the General Medicine Department, TTSH, during the 2 months were analyzed. There were 368 (51.04%) female patients and 353 (48.96%) male patients. As per race distribution, 566 (78.50%) patients were Chinese, 100 (13.86%) patients were Malaysians, 46 (6.38%) patients were Indians, and 9 (1.26%) were other races. Four hundred ninety-two (68.24%) were independent for activities of daily living (ADL) and 229 (31.76%) were dependent for all ADL. There were in all 42 deaths. There were definite PE deaths in 2 (4.76%) patients, probable PE deaths in 3 (7.14%) patients, and suspected PE deaths in 8 (19.05%) patients. Twenty (47.62%) deaths were due to pneumonia, 3 (7.14%) deaths were due to urinary tract infections, and 4 (9.52%) deaths were due to other infections. Two (4.76%) deaths were due to myocardial infarction. The risk of VTE was high in acutely ill patients admitted to the General Medicine Department, TTSH, Singapore. The factors that predispose patients to a very high risk are ADL dependence, acute heart failure, past history of VTE, or if they are clinically dehydrated and have acute renal failure. This warrants increased awareness and need for VTE prophylaxis.

Secure cloud computing implementation study for Singapore military operations

OpenAIRE

Guoquan, Lai

2016-01-01

Approved for public release; distribution is unlimited Cloud computing benefits organizations in many ways. With characteristics such as resource pooling, broad network access, on-demand self-service, and rapid elasticity, an organization's overall IT management can be significantly reduced (in terms of labor, software, and hardware) and its work processes made more efficient. However, is cloud computing suitable for the Singapore Armed Forces (SAF)? How can the SAF migrate its traditional...

Future requirements for and supply of ophthalmologists for an aging population in Singapore.

Science.gov (United States)

Ansah, John P; De Korne, Dirk; Bayer, Steffen; Pan, Chong; Jayabaskar, Thiyagarajan; Matchar, David B; Lew, Nicola; Phua, Andrew; Koh, Victoria; Lamoureux, Ecosse; Quek, Desmond

2015-11-17

Singapore's population, as that of many other countries, is aging; this is likely to lead to an increase in eye diseases and the demand for eye care. Since ophthalmologist training is long and expensive, early planning is essential. This paper forecasts workforce and training requirements for Singapore up to the year 2040 under several plausible future scenarios. The Singapore Eye Care Workforce Model was created as a continuous time compartment model with explicit workforce stocks using system dynamics. The model has three modules: prevalence of eye disease, demand, and workforce requirements. The model is used to simulate the prevalence of eye diseases, patient visits, and workforce requirements for the public sector under different scenarios in order to determine training requirements. Four scenarios were constructed. Under the baseline business-as-usual scenario, the required number of ophthalmologists is projected to increase by 117% from 2015 to 2040. Under the current policy scenario (assuming an increase of service uptake due to increased awareness, availability, and accessibility of eye care services), the increase will be 175%, while under the new model of care scenario (considering the additional effect of providing some services by non-ophthalmologists) the increase will only be 150%. The moderated workload scenario (assuming in addition a reduction of the clinical workload) projects an increase in the required number of ophthalmologists of 192% by 2040. Considering the uncertainties in the projected demand for eye care services, under the business-as-usual scenario, a residency intake of 8-22 residents per year is required, 17-21 under the current policy scenario, 14-18 under the new model of care scenario, and, under the moderated workload scenario, an intake of 18-23 residents per year is required. The results show that under all scenarios considered, Singapore's aging and growing population will result in an almost doubling of the number of

Investigating the haze transport from 1997 biomass burning in Southeast Asia: its impact upon Singapore

Science.gov (United States)

Koe, Lawrence C. C.; Arellano, Avelino F.; McGregor, John L.

The 1997 Indonesia forest fires was an environmental disaster of exceptional proportions. Such a disaster caused massive transboundary air pollution and indiscriminate destruction of biodiversity in the world. The immediate consequence of the fires was the production of large amounts of haze in the region, causing visibility and health problems within Southeast Asia. Furthermore, fires of these magnitudes are potential contributors to global warming and climate change due to the emission of large amounts of greenhouse gases and other pyrogenic products.The long-range transport of fire-related haze in the region is investigated using trajectories from the CSIRO Division of Atmospheric Research Limited Area Model (DARLAM). Emission scenarios were constructed for hotspot areas in Sumatra and Kalimantan for the months of September and October 1997 to determine the period and fire locations most critical to Singapore. This study also examines some transport issues raised from field observations. Results show that fires in the coastal areas of southeast Sumatra and southwest Kalimantan can be potential contributors to transboundary air pollution in Singapore. Singapore was directly affected by haze from these areas whereas Kuala Lumpur was heavily affected by the haze coming from Sumatra. In most cases, Singapore was more affected by fires from Kalimantan than was Kuala Lumpur. This was mainly a result of the shifting of monsoons. The transition of monsoons resulted in weaker low-level winds and shifted convergence zones near to the southeast of Peninsular Malaysia. In addition to severe drought and massive fire activity in 1997, the timing of the monsoon transition has a strong influence on haze transport in the region.

Improving biomass burning pollution predictions in Singapore using AERONET and Lidar observations.

Science.gov (United States)

Hardacre, Catherine; Chew, Boon Ning; Gan, Christopher; Burgin, Laura; Hort, Matthew; Lee, Shao Yi; Shaw, Felicia; Witham, Claire

2016-04-01

Every year millions of people are affected by poor air quality from trans-boundary smoke haze emitted from large scale biomass burning in Asia. These fires are a particular problem in the Indonesian regions of Sumatra and Kalimantan where peat fires, lit to clear land for oil palm plantations and agriculture, typically result in high levels of particulate matter (PM) emissions. In June 2013 and from August-October 2015 the combination of widespread burning, meteorological and climatological conditions resulted in severe air pollution throughout Southeast Asia. The Met Office of the United Kingdom (UKMO) and the Hazard and Risk Impact Assessment Unit of the Meteorological Service of Singapore (MSS) have developed a quantitative haze forecast to provide a reliable, routine warning of haze events in the Singapore region. The forecast system uses the UKMO's Lagrangian particle dispersion model NAME (Numerical Atmosphere-dispersion Modelling Environment) in combination with high resolution, satellite based emission data from the Global Fire Emissions System (GFAS). The buoyancy of biomass burning smoke and it's rise through the atmosphere has a large impact on the amount of air pollution at the Earth's surface. This is important in Singapore, which is affected by pollution that has travelled long distances and that will have a vertical distribution influenced by meteorology. The vertical distribution of atmospheric aerosol can be observed by Lidar which provides information about haze plume structure. NAME output from two severe haze periods that occurred in June 2013 and from August-October 2015 was compared with observations of total column aerosol optical depth (AOD) from AERONET stations in Singapore and the surrounding region, as well as vertically resolved Lidar data from a station maintained by MSS and from MPLNET. Comparing total column and vertically resolved AOD observations with NAME output indicates that the model underestimates PM concentrations throughout

The Sports Challenge international programme for identified 'at risk' children and adolescents: a Singapore study.

Science.gov (United States)

Tester, G J; Watkins, G G; Rouse, I

1999-01-01

The current world wide phenomena of youth suicide which became a major issue for countries in the early nineties, is still growing exponentially. The Sports Challenge program was initiated in 1992 in Western Australia to identify 'at risk' children and adolescents who display: a low sense of basic trust, a sense of shame and doubt, a sense of inferiority and a sense of identity confusion with common characteristics of low self esteem. The subsequent program is based on a strong statistical paradigm encompassing current and historical information with reliable and objective evaluation measures. To this end, since 1992, Sports Challenge has been recognised as a 'World Best Practice' in redressing the issue of 'at risk' children and adolescents. The program now operates in over 150 schools and communities throughout Australia and 24 schools and Detention Centres in Singapore. This paper will allow a window into the development of the program and the successful transfer of the project into Singapore. The Singapore study which began in 1996 has revealed the success of the Sports Challenge program cross culturally with improvement in self esteem and self concept of 'at risk' groups in the range of 18% to 44%.

Celebrating Musical Diversity: Training Culturally Responsive Music Educators in Multiracial Singapore

Science.gov (United States)

Cain, Melissa

2015-01-01

This article explores outcomes of research into the role and place of cultural diversity in primary music classes at five government schools in Singapore. The study highlights the ways in which a variety of factors such as specialist music training, government policy, curriculum documents, and professional development influence teacher practice.…

An Ecological View of Conceptualising Change in the Singapore Education System

Science.gov (United States)

Lee, Shu-Shing; Hung, David; Teh, Laik Woon

2016-01-01

This paper attempts to discuss how the Singapore Education System is shifting towards student-centred designs and pedagogies, yet retaining a unique Singaporean orientation. It complements the McKinsey report by analysing directives and efforts to understand trade-offs, consequences, and insights for moving forward. The paper uses an ecological…

Estimation of lung cancer burden in Australia, the Philippines, and Singapore: an evaluation of disability adjusted life years.

Science.gov (United States)

Morampudi, Suman; Das, Neha; Gowda, Arun; Patil, Anand

2017-02-01

Lung cancer is one of the leading cancers and major causes of cancer mortality worldwide. The economic burden associated with the high mortality of lung cancer is high, which accounts for nearly $180 billion on a global scale in 2008. This paper aims to understand the economic burden of lung cancer in terms of disability adjusted life years (DALY) in Australia, the Philippines, and Singapore. The years of life lost (YLL) and years lost due to disability (YLD) were calculated using the formula developed by Murray and Lopez in 1996 as part of a comprehensive assessment of mortality and disability for diseases, injuries and risk factors in 1990 and projected to 2020. The same formula is represented in the Global Burden of Disease template provided by the World Health Organization. Appropriate assumptions were made when data were unavailable and projections were performed using regression analysis to obtain data for 2015. The total DALYs due to lung cancer in Australia, the Philippines, and Singapore were 91,695, 38,584, and 12,435, respectively, and the corresponding DALY rates per a population of 1,000 were 4.0, 0.4, and 2.2, respectively, with a discount rate of 3%. When researchers calculated DALYs without the discount rate, the burden of disease increased substantially; the DALYs were 117,438 in Australia, 50,977 in the Philippines, and 16,379 in Singapore. Overall, YLL or premature death accounted for more than 95% of DALYs in these countries. Strategies for prevention, early diagnosis, and prompt treatment must be devised for diseases where the major burden is due to mortality.

Aedes (Stegomyia albopictus (Skuse: a potential vector of Zika virus in Singapore.

Directory of Open Access Journals (Sweden)

Pei-Sze Jeslyn Wong

Full Text Available Zika virus (ZIKV is a little known arbovirus until it caused a major outbreak in the Pacific Island of Yap in 2007. Although the virus has a wide geographic distribution, most of the known vectors are sylvatic Aedes mosquitoes from Africa where the virus was first isolated. Presently, Ae. aegypti is the only known vector to transmit the virus outside the African continent, though Ae. albopictus has long been a suspected vector. Currently, Ae. albopictus has been shown capable of transmitting more than 20 arboviruses and its notoriety as an important vector came to light during the recent chikungunya pandemic. The vulnerability of Singapore to emerging infectious arboviruses has stimulated our interest to determine the competence of local Ae. albopictus to transmit ZIKV.To determine the competence of Ae. albopictus to ZIKV, we orally infected local mosquito strains to a Ugandan strain virus. Fully engorged mosquitoes were maintained in an environmental chamber set at 29°C and 80-85%RH. Twelve mosquitoes were then sampled daily from day one to seven and on day 10 and 14 post infection (pi. Zika virus titre in the midgut and salivary glands of each mosquito were determined using tissue culture infectious dose50 assay, while transmissibility of the virus was determined by detecting viral antigen in the mosquito saliva by qRT-PCR. High dissemination and transmission rate of ZIKV were observed. By day 7-pi, all mosquitoes have disseminated infection and 73% of these mosquitoes have ZIKV in their saliva. By day 10-pi, all mosquitoes were potentially infectious.The study highlighted the potential of Ae. albopictus to transmit ZIKV and the possibility that the virus could be established locally. Nonetheless, the threat of ZIKV can be mitigated by existing dengue and chikungunya control program being implemented in Singapore.

Toward a Theoretical Framework for Studying Climate Change Policies: Insights from the Case Study of Singapore

OpenAIRE

Ai Sian Ng; May O. Lwin; Augustine Pang

2017-01-01

The world decided in December 2015 to take actions to reduce global warming. To contribute toward this goal, this research examines possible policy levers for inclusion in the climate change ratification plan. A case study of the measures taken by the Republic of Singapore, a low-lying 719.2 km2 island without natural resources in Asia, is conducted. Being vulnerable to climate change impact and yet having to balance her people’s needs and economic progress with limited resources, the measure...

ISSUES AND CHALLENGES OF CORPORATE CHANGE INITIATIVES IN SINGAPORE'S SMALL BUSINESS SECTOR

Directory of Open Access Journals (Sweden)

Thomas Menkhoff

2003-01-01

Full Text Available This paper explores the change propensity of owners of small and medium-sized enterprises (SMEs and associated challenges in the Republic of Singapore. Based on both qualitative interviews and quantitative survey research amongst Singapore's SME owners and change advocates, it identifies several critical issues with regard to the successful management of organizational transitions in small firms: "the need to change", "the mindset of small entrepreneurs", "change management know how" and "the value of external consultancy inputs". The data suggest that awareness building measures and educational efforts are necessary to enable more owners of local SMEs to benefit from change management tools and concepts as well as respective external expertise. Change management training and exposure to "best" (sectoral change management practices and successful projects facilitated by external change agents might help more small entrepreneurs to manage both intra-organizationally and externally induced organizational changes more effectively.

Short-term poor glycemic control and retinal microvascular changes in pediatric Type 1 Diabetes patients in Singapore: a pilot study.

Science.gov (United States)

Li, Ling-Jun; Lamoureux, Ecosse; Wong, Tien Yin; Lek, Ngee

2017-06-15

Poor glycemic control in Type 1 Diabetes (T1D) patients is strongly associated with an increased risk of diabetes-related microvascular complications later in life, but it is unclear whether short period of poor glycemic control in children with T1D can cause evident microvascular morphological changes long before any pathological manifestation. Our study aimed to investigate the longitudinal association between poor glycemic control and subsequent changes in retinal microvasculature, in a pilot study of 55 pediatric T1D patients from Singapore after a one-year follow-up. This is a hospital-based, exposure-matched and retrospective longitudinal study. A total of 55 T1D patients were included from Singapore KK Women's and Children Hospital, 28 of whom had poor glycemic control (average glycated hemoglobin [HbA1c] ≥8% during the year) while the other 27 age- and gender-matched subjects had good glycemic control (HbA1c Singapore I Vessel Assessment [SIVA], version 4.0, Singapore Eye Research Institute, Singapore) and a spectrum of retinal vascular parameters (e.g. caliber, tortuosity, branching angle and fractal dimension) were measured quantitatively from 0.5 to 2.0 disc diameters. There was no significant difference in ethnicity, duration of T1D, blood pressure, body mass index (BMI) and low-density cholesterol lipoprotein (LDL) between the two groups. Retinal imaging was obtained at the end of 1 year of glycemic control assessment. In multiple linear regression adjusting for ethnicity, BMI, LDL and duration of T1D, patients with poor glycemic control tended to have marginally wider retinal arteriolar caliber (6.0 μm, 95% CI: -0.9, 12.8) and had significantly larger retinal arteriolar branching angle (10.1 degrees, 95% CI: 1.4, 18.9) compared with their age- and gender- matched counterparts with good glycemic control. Our findings showed that abnormal retinal microvascular morphology was evident in pediatric patients with T1D after one-year's poor glycemic

Composite Measures of Individual and Area-Level Socio-Economic Status Are Associated with Visual Impairment in Singapore

Science.gov (United States)

Wah, Win; Earnest, Arul; Sabanayagam, Charumathi; Cheng, Ching-Yu; Ong, Marcus Eng Hock; Wong, Tien Y.; Lamoureux, Ecosse L.

2015-01-01

Purpose To investigate the independent relationship of individual- and area-level socio-economic status (SES) with the presence and severity of visual impairment (VI) in an Asian population. Methods Cross-sectional data from 9993 Chinese, Malay and Indian adults aged 40–80 years who participated in the Singapore Epidemiology of eye Diseases (2004–2011) in Singapore. Based on the presenting visual acuity (PVA) in the better-seeing eye, VI was categorized into normal vision (logMAR≤0.30), low vision (logMAR>0.30Singapore census. A high SEDI score indicates a relatively poor SES. Associations between SES measures and presence and severity of VI were examined using multi-level, mixed-effects logistic and multinomial regression models. Results The age-adjusted prevalence of any VI was 19.62% (low vision = 19%, blindness = 0.62%). Both individual- and area-level SES were positively associated with any VI and low vision after adjusting for confounders. The odds ratio (95% confidence interval) of any VI was 2.11(1.88–2.37) for low-SES and 1.07(1.02–1.13) per 1 standard deviation increase in SEDI. When stratified by unilateral/bilateral categories, while low SES showed significant associations with all categories, SEDI showed a significant association with bilateral low vision only. The association between low SES and any VI remained significant among all age, gender and ethnic sub-groups. Although a consistent positive association was observed between area-level SEDI and any VI, the associations were significant among participants aged 40–65 years and male. Conclusion In this community-based sample of Asian adults, both individual- and area-level SES were independently associated with the presence and severity of VI. PMID:26555141

Factors influencing the decision to pursue emergency medicine as a career among medical students in Singapore.

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Chew, Shi Hao; Ibrahim, Irwani; Yong, Yan Zhen; Shi, Lu Ming; Zheng, Qi Shi; Samarasekera, Dujeepa D; Ooi, Shirley Beng Suat

2018-03-01

The introduction of the residency programme in Singapore allows medical students to apply for residency in their graduating year. Our study aimed to determine the interest levels and motivating factors for pursuing emergency medicine (EM) as a career among medical students in Singapore. A self-administered questionnaire was distributed to Year 1-5 medical students in 2012. Participants indicated their interest in pursuing EM as a career and the degree to which a series of variables influenced their choices. Influencing factors were analysed using multinomial logistic regression. A total of 800 completed questionnaires were collected. 21.0% of the participants expressed interest in pursuing EM. Perceived personality fit and having done an elective in EM were strongly positive influencing factors. Junior medical students were more likely to cite the wide diversity of medical conditions and the lack of a long-term doctor-patient relationship to be negative factors, while senior medical students were more likely to cite personality fit and perceived prestige of EM as negative factors. Careful selection of EM applicants is important to the future development of EM in Singapore. Our study showed that personality fit might be the most important influencing factor in choosing EM as a career. Therefore, greater effort should be made to help medical students explore their interest in and suitability for a particular specialty. These include giving medical students earlier exposure to EM, encouraging participation in student interest groups and using appropriate personality tests for career guidance. Copyright: © Singapore Medical Association.

A randomised trial to evaluate the immunogenicity, reactogenicity, and safety of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) co-administered with routine childhood vaccines in Singapore and Malaysia.

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Lim, Fong Seng; Koh, Mia Tuang; Tan, Kah Kee; Chan, Poh Chong; Chong, Chia Yin; Shung Yehudi, Yeo Wee; Teoh, Yee Leong; Shafi, Fakrudeen; Hezareh, Marjan; Swinnen, Kristien; Borys, Dorota

2014-10-02

The immunogenicity, reactogenicity, and safety of the 10-valent pneumococcal non-typeable Haemophilus influenzae protein D conjugate vaccine (PHiD-CV) co-administered with routine childhood vaccines were evaluated among infants from Singapore and Malaysia, where PHiD-CV has been licensed. In the primary vaccination phase, 298 infants from Singapore and 168 infants from Malaysia were randomised to receive the Phase III Clinical (Clin) or the Commercial (Com) lot of PHiD-CV at 2, 3, and 5 months of age. In the booster vaccination phase, 238 toddlers from Singapore received one dose of the PHiD-CV Commercial lot at 18-21 months of age. Immune responses to pneumococcal polysaccharides were measured using 22F-inhibition enzyme-linked immunosorbent assay (ELISA) and functional opsonophagocytic activity (OPA) assay and to protein D, using ELISA. Immune responses induced by primary vaccination with the PHiD-CV Commercial lot were non-inferior to the Phase III Clinical lot in terms of adjusted antibody geometric mean concentration (GMC) ratios for each vaccine pneumococcal serotype and protein D. For each vaccine pneumococcal serotype, ≥93.6% and ≥88.5% of infants from Malaysia and Singapore had post-primary vaccination antibody concentrations ≥0.2 μg/mL and OPA titres ≥8, in the Clin and Com groups, respectively. For each vaccine pneumococcal serotype, ≥60.8% and ≥98.2% of toddlers from Singapore had pre- and post-booster antibody concentrations ≥0.2 μg/mL, in the Clin and Com groups, respectively. All children, except one, had measurable anti-protein D antibodies and the primary and booster doses of the co-administered vaccines were immunogenic. The incidence of each grade 3 solicited symptom was ≤11.1% in both study phases. No serious adverse events considered causally related to vaccination were reported throughout the study. PHiD-CV given as three-dose primary vaccination to infants in Singapore and Malaysia and booster vaccination to toddlers in

Television food advertising in Singapore: the nature and extent of children's exposure.

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Huang, Liyan; Mehta, Kaye; Wong, Mun Loke

2012-06-01

Television advertising is an effective medium for reaching young children and influencing their food choice. Studies have shown that messages conveyed by food advertisements are rarely consistent with healthy eating messages. With the increasing purchasing power of children, food companies are focusing on children as lucrative target audiences. Extensive marketing of energy-dense, nutrient-poor foods to children potentially contributes to the 'obesogenic' environment. This study aims to determine the degree and nature of food advertisements that Singaporean children are exposed to on television. Ninety-eight hours of children's television programmes broadcast by free-to-air stations were recorded and analysed. Advertisements with the intent of selling and sponsorships for programmes were included. Foods advertised were considered healthy if they met the criteria of the Healthier Choice Symbol in Singapore. Of the 1344 advertisements and sponsorships identified, 33% were for food. Of the food advertisements, 38% were considered healthy, while 57% were not. Candy, confectionery and fast food advertisements accounted for 46% of total food advertisements. Significantly more unhealthy food advertisements were screened on weekends compared with weekdays (p advertisements in Singapore and the results of this study provide background data on the extent of food advertising that children in Singapore are exposed to. Consistent with other countries, unhealthy food advertisements continue to dominate children's television programmes. This study suggests that Singaporean children are exposed to high levels of advertising for unhealthy foods. The study provides a baseline against which measures aimed at reducing children's exposure to television food advertising can be evaluated.

Self-reported health status of older adults in Malaysia and Singapore: evidence from the 2007 Global Ageing Survey

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Khan, Hafiz T. A.; Flynn, Matthew

2015-01-01

The aim of this study is to investigate the correlates of self-reported health (SRH) among older adults in Malaysia and Singapore. The study uses data collected in the Global Ageing Study (GLAS) 2007, one of the largest surveys of its kind, specially designed to investigate attitudes towards later life, ageing and retirement. Data were collected from 1002 and 1004 respondents from Malaysia and Singapore respectively. The study found that Singaporeans report a healthier life than Malaysians. T...

Micro-consequences of low fertility in Singapore.

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Cheung, P P

1990-12-01

When below-replacement fertility was reached in Singapore due to the decline in female marriage rates and the reduction in average family size, economic resources were no longer needed to support a dependent population. Funds were used for developmental projects which increased per capita income and the economic base. But manpower needs were unmet because the younger cohort size was too small and the population was aging. Besides these changes in age and economic structure, some of the impact on family and occupational structure is described. For instance, there was a delay in marriage age from 23.7 years in 1970 to 26 years in 1989. This means daughters remain living with parents in Chinese and Indian households and in Malay households were this has been the practice. Consequently, daughters prevent married sons from sharing a parental home. Daughters assume the responsibilities for parental care. It is suggested that if inheritance patterns change to reflect a greater inheritance to daughters, daughters may choose greater independence from parental control. Social service for single women may require more flexibility and acceptance of lifestyles of single women living along. The smaller family size of 2.6 children also means a contraction of the childbearing period to age 35. Women 25-29 years in the labor force in 1989 constituted 74% and 50.2% for ages 40-44 with an overall rate of 48.4%. Rising educational attainment and opportunities available created this situation. With the changes in work priority comes the change in child care arrangements such that grandparents and relatives (30% in 1989) were used. Demand has increased for day care centers. Foreign household domestics are being recruited (7% of all households). Husband and wife relationships have placed the women in greater control over decision making particularly on the number of children. Daughters are not as discriminated against because of the economic returns. The rising status is reflected in

Singapore Synchrotron Light Source - Status, first results, program

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Moser, H O; Kempson, V C; Kong, J R; Li, Z W; Nyunt, T; Qian, H J; Rossmanith, R; Tor, P H; Wilhelmi, O; Yang, P; Zheng, H W; Underhay, I J

2003-01-01

The Singapore Synchrotron Light Source is a general-purpose synchrotron radiation facility serving research organisations and industry. Beamlines active or coming up within 2002 include lithography for micro/nanofabrication, phase contrast imaging, surface science, and X-ray diffraction and absorption. An infrared spectro/microscopy beamline is expected to become operational in 2003. Further beamlines are under discussion with user groups. The Microtron Undulator Radiation Facility (MURF) is under development to provide brilliant VUV radiation and to prepare for subsequent development of an EUV and X-ray FEL.

Mobility and Desire: International Students and Asian Regionalism in Aspirational Singapore

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Collins, Francis L.; Sidhu, Ravinder; Lewis, Nick; Yeoh, Brenda S. A.

2014-01-01

Higher education is playing an important role in Singapore's most recent cycle of modernization: to re-make itself into a global city through the continued accumulation of capital, "talent," and knowledge. This paper is a critical analysis of the accounts of a group of international students enrolled at the National University of…

Moral Development and Student Motivation in Moral Education: A Singapore Study

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Koh, Caroline

2012-01-01

Recent world events such as the threat of terrorism and the global economic crises have rekindled an interest in ethics and values education. This study, conducted in Singapore, combines a Kohlbergian approach to the assessment of moral judgement with a framework based on the self-determination theory to assess the motivational regulations of…

Comparing State Hegemonies: Chinese Universities in Postwar Singapore and Hong Kong

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Wong, Ting-Hong

2005-01-01

After World War II, Chinese residents of Singapore demanded the establishment of local Chinese universities. The ruling regime, however, which was under the shadow of the neighboring Malay-dominated Malay Peninsula, was forced to suppress the development of such schools. In Hong Kong, the British needed to install a Chinese university to counter…

Internet Use and Psychological Wellbeing: A Study of International Students in Singapore

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Dutta, Oindrila; Chye, Stefanie Yen Leng

2017-01-01

We investigated the relationship between psychological wellbeing (as indicated by participants' level of loneliness, perceived academic stress and depression) and generalized problematic internet use. Data was collected from a sample of 103 international students studying in Singapore. Statistical analyses revealed that depression was the most…

Trends and predictors of cesarean birth in Singapore, 2005-2014: A population-based cohort study.

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Chi, Claudia; Pang, Deanette; Aris, Izzuddin M; Teo, Wei Ting; Li, Sarah Weiling; Biswas, Arijit; Yong, Eu Leong; Chong, Yap Seng; Tan, Kelvin; Kramer, Michael S

2018-02-17

Rates of cesarean birth have continued to rise in many high-income countries. We examined the temporal trends and predictors of cesarean birth in Singapore. Linked hospitalization and Birth Registry data were used to examine all live births to Singaporean citizens and permanent residents between January 1, 2005 and December 31, 2014 (n = 342 932 births). We calculated cesarean rates and age-adjusted average annual percent change (AAPC) in those rates and used sequential multivariable regression modeling to assess the contribution of changes in predictors to the change in cesarean rates over time. The overall cesarean rate in Singapore rose from 32.2% in 2005 to 37.4% in 2014. Among singleton, cephalic, term pregnancies, the two major predictions of cesarean were nulliparity and previous cesarean, each accounting for just over one-third of all cesareans. Higher AAPC was observed in nulliparous women of Indian ethnicity (0.74% [95% confidence interval 0.68-0.80]) compared with Chinese (0.62% [0.60-0.65]) or Malay women (0.63% [0.59-0.68]), and in women who delivered in private hospitals (0.62% [0.60-0.64]) compared with those delivered under subsidized care in public hospitals (0.58% [0.52-0.63]). Parity and education had the largest influences on cesarean birth trend (attenuation of AAPC from 0.62% [0.59-0.66] to 0.39% [0.38-0.40] after adjustment). Cesarean birth has continued to rise at a steady rate in Singapore. Strategies to curb this temporal increase include avoidance of medically unnecessary primary cesarean and attempts at trial of labor and vaginal delivery among women with a history of prior cesarean. © 2018 Wiley Periodicals, Inc.

Medical Tourism Destination SWOT Analysis: A Case Study of Malaysia, Thailand, Singapore and India

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Wong Kee Mun

2014-01-01

Full Text Available The growth of global medical tourism in the recent years had spurred the interest of many governments to join in the bandwagon, particularly from Asia. Using the SWOT analytical model, this paper provides pertinent comparative analysis of the medical tourism destinations here being Malaysia, Thailand, Singapore and India. Each destination possesses its own value propositions to convince the demands of medical tourists. Malaysia and Thailand have a good mixture of elements (medical, tourism and wellness to be an excellent medical tourism destination while Singapore and India need further development in some of these elements. Meeting or exceeding the medical tourists’ expectations and requirements are the priority of medical tourism destination marketers in ensuring a successful medical tourism industry development.

Estimation of Vs30 Soil Profile Structure of Singapore from Microtremor Records

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Walling, M. Y.; Megawati, K.; Zhu, C.

2012-04-01

Singapore lies at the southern tip of the Malay Peninsula, covering a land area of 600 km2 and with a population exceeding 5 million. Array microtremor recording were carried out in Singapore for 40 sites that encompasses the sites of all the major geological formations. The Spatial Autocorrelation (SPAC) method is employed to determine the phase velocity dispersion curves and subsequently inverted to determine the shallow shear-wave velocity (V s) and soil stratigraphy. The depth of penetration is generally about 30 m - 40 m for most of the sites. For the present study, the V s estimation is restricted to the upper 30 m of the soil (V s30), confirming with the IBC (2006). The Reclaimed Land and the young Quaternary soft soil deposit of Kallang Formation show low V s30 values ranging from 207 m/s - 247 m/s, belonging to site E and at the boundary of site E and D. The Old Alluvium formation shows higher V s30 values ranging from 362 m/s - 563 m/s and can be classified under site C. The estimated V s30 for the sedimentary sequence of Jurong Formation reveal site C classification, with the V s30 range from 317 m/s - 712 m/s. On the other hand, the Bukit Timah Granite body shows low V s30 ranging from 225 m/s - 387 m/s, with most of the sites concentrated under site D classification and few sites at the boundary of sites D and C, for the upper 30 m. This low V s30 value of the granitic body can be explained in the light of intense weathering that the granite body has undergone for the upper layer, which is also supported from borehole records. The SPAC results are compared with nearby borehole data and they show a good correlation for sites that have soft soil formation and for the weathered granite body. The correlation confirms the reliability of SPAC method that can be applied for highly populated urbanized places like Singapore. The present research finding will be useful for further studies of site response analysis, site characterization and ground motion

Cost-effectiveness of osteo-odonto keratoprosthesis in Singapore.

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Dong, Di; Tan, Anna; Mehta, Jodhbir S; Tan, Donald; Finkelstein, Eric Andrew

2014-01-01

To determine the long-term cost-effectiveness of osteo-odonto keratoprosthesis (OOKP) relative to no treatment among patients with end-stage corneal and ocular surface diseases in Singapore. Cost-effectiveness analysis based on data from a retrospective cohort study. From a health system perspective, we calculated the incremental cost-effectiveness ratio of OOKP treatment relative to no treatment over a 30-year horizon, based on data from a cohort of 23 patients who underwent OOKP surgery between 2004 and 2009 at Singapore National Eye Centre. Preoperative and postoperative vision-related quality-of-life values were estimated from patients' visual outcomes and were used to calculate the gain in quality-adjusted life years (QALYs) resulting from OOKP treatment. Unsubsidized costs for surgery, consultations, examinations, medications, follow-up visits, and treatments for complications were retrieved from patients' bills to estimate the total costs associated with OOKP treatment. Sensitivity analyses were conducted to test the robustness of the model. Over a 30-year period, OOKP treatment, compared with no treatment, improved QALYs by 3.991 among patients with end-stage corneal and ocular surface diseases at an additional cost of S$67 840 (US$55 150), resulting in an incremental cost-effectiveness ratio of S$17 000/QALY (US$13 820/QALY). Based on commonly cited cost-effectiveness benchmarks, the OOKP is a cost-effective treatment for patients with end-stage corneal and ocular surface diseases. Copyright © 2014 Elsevier Inc. All rights reserved.

Impact assessment of waste management options in Singapore.

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Tan, Reginald B H; Khoo, Hsien H

2006-03-01

This paper describes the application of life cycle assessment for evaluating various waste management options in Singapore, a small-island city state. The impact assessment method by SimaPro is carried out for comparing the potential environmental impacts of waste treatment options including landfilling, incineration, recycling, and composting. The inventory data include gases and leachate from landfills, air emissions and energy recovery from incinerators, energy (and emission) savings from recycling, composting gases, and transport pollution. The impact assessment results for climate change, acidification, and ecotoxicity show that the incineration of materials imposes considerable harm to both human health and the environment, especially for the burning of plastics, paper/cardboard, and ferrous metals. The results also show that, although some amount of energy can be derived from the incineration of wastes, these benefits are outweighed by the air pollution (heavy metals and dioxins/furans) that incinerators produce. For Singapore, landfill gases and leachate generate minimal environmental damage because of the nation's policy to landfill only 10% of the total disposed wastes. Land transportation and separation of waste materials also pose minimal environmental damage. However, sea transportation to the landfill could contribute significantly to acidification because of the emissions of sulfur oxides and nitrogen oxides from barges. The composting of horticultural wastes hardly imposes any environmental damage. Out of all the waste strategies, the recycling of wastes offers the best solution for environmental protection and improved human health for the nation. Significant emission savings can be realized through recycling.

Indoor air quality and the law in Singapore.

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Chan, P

1999-12-01

With the greater use of air-conditioned offices in Singapore, achieving good indoor air quality has become an important issue. The laws that impose duties upon designers and contractors with respect to the design and construction of air-conditioning and mechanical ventilation (ACMV) systems are set out in the Building Control Regulations and the Singapore Standard Code of Practice for Mechanical Ventilation and Air-conditioning in Buildings (hereinafter "SS CP 13:1980"). ACMV maintenance is governed by the Environmental Public Health Act, the Building and Common Property (Maintenance and Management) Act, and the Land Titles (Strata) Act, as well as by lease or tenancy agreements. Designers, contractors, developers, building owners and management corporations may also be liable to the workers, occupants and other premises users for indoor air quality (IAQ)-related injuries under the general principles of contract and tort. Recently, the Guidelines for Good Indoor Air Quality in Office Premises was issued by the Ministry of Environment to complement SS CP 13:1980 toward improving the indoor air quality of air-conditioned office premises. Although the Guidelines have no statutory effect, they may be adopted as contractual requirements in construction, lease and maintenance contracts. They may also be used to determine the relevant standard of duty of care required to discharge tortious liability. This paper looks at the existing laws and rules affecting the design, construction and maintenance of air-conditioned offices in light of Part III of the Ministry's Guidelines.

Higher Education in East Asia and Singapore: Rise of the Confucian Model

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Marginson, Simon

2011-01-01

The paper reviews Asia-Pacific higher education and university research, focusing principally on the "Confucian" education nations Japan, Korea, China, Hong Kong China, Taiwan, Singapore and Vietnam. Except for Vietnam, these systems exhibit a special developmental dynamism--still playing out everywhere except Japan--and have created a…

Assessment of TRMM 3B43 product for drought monitoring in Singapore

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Tan, Mou Leong; Chua, Vivien P.; Tan, Kok Chooi; Brindha, K.

2017-10-01

Drought is one of the most hazardous natural disasters for human beings and the environment. Using only rain gauge is insufficient to monitor the drought pattern effectively as it impacts large areas. This situation is more critical on small island countries, with limited rain gauges for monitoring drought pattern over the ocean regions. This study aims to assess the capability of Tropical Rainfall Measuring Mission (TRMM) Multisatellite Precipitation Analysis (TMPA) 3B43 product in monitoring drought in Singapore from 1998 to 2014. The Standardized Precipitation Index (SPI) at various time-scales is used for identifying drought patterns. Results show moderate to good correlations between TMPA- 3B43 and rain gauges in the SPI estimations. Besides that, TMPA-3B43 exhibits a similar temporal drought behavior as the rain gauges. These findings indicate the TMPA 3B43 product as a very useful tool to study drought pattern over Singapore.

Psychology and psychiatry in Singapore courts: A baseline survey of the mental health landscape in the legal arena.

Science.gov (United States)

Gwee, Kenji

Despite the increasing prevalence and involvement of mental health professionals in local courts, there has been no systematic study of the role played by these expert witnesses in Singapore courtrooms. An empirical study of all existing recorded cases on Lawnet (Singapore's legal database of all court trial cases) from 1975-2014 involving psychologists and psychiatrists was conducted. Results revealed that, not only were these mental health experts increasingly dotting the landscape of the legal arena, the variety of their contributions has also been gradually growing. Furthermore, there were marked differences across criminal, civil and custody cases with regards to the issues of how these experts were consulted and how their inputs utilized and appreciated by judges. Differences between psychology and psychiatry were also apparent. A future with more assistance rendered by these professions to courts, as well as greater synergy between law and mental health, was predicted for Singapore courts. Copyright © 2017 Elsevier Ltd. All rights reserved.

Utility of COX1 phylogenetics to differentiate between locally acquired and imported Plasmodium knowlesi infections in Singapore.

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Loh, Jin Phang; Gao, Qiu Han Christine; Lee, Vernon J; Tetteh, Kevin; Drakeley, Chris

2016-12-01

Although there have been several phylogenetic studies on Plasmodium knowlesi (P. knowlesi), only cytochrome c oxidase subunit 1 (COX1) gene analysis has shown some geographical differentiation between the isolates of different countries. Phylogenetic analysis of locally acquired P. knowlesi infections, based on circumsporozoite, small subunit ribosomal ribonucleic acid (SSU rRNA), merozoite surface protein 1 and COX1 gene targets, was performed. The results were compared with the published sequences of regional isolates from Malaysia and Thailand. Phylogenetic analysis of the circumsporozoite, SSU rRNA and merozoite surface protein 1 gene sequences for regional P. knowlesi isolates showed no obvious differentiation that could be attributed to their geographical origin. However, COX1 gene analysis showed that it was possible to differentiate between Singapore-acquired P. knowlesi infections and P. knowlesi infections from Peninsular Malaysia and Sarawak, Borneo, Malaysia. The ability to differentiate between locally acquired P. knowlesi infections and imported P. knowlesi infections has important utility for the monitoring of P. knowlesi malaria control programmes in Singapore. Copyright: © Singapore Medical Association

Ethnic differences in quality of life in adolescents among Chinese, Malay and Indians in Singapore.

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Ng, Tze Pin; Lim, Lionel Chee Chong; Jin, Aizhen; Shinfuku, N

2005-09-01

Health-related quality of life in adolescents and ethnic and cultural differences are not well characterized. We used the Quality of Life Questionnaire for Adolescents (QOLQA) to examine ethnic differences in reported QOL scores among Chinese, Malay and Indian ethnicities in Singapore. The 70-item QOLQA measuring five QOL domains (physical, psychological, independence, social and environmental) was administered to a random sample of 1363 school-children aged 10-15 years, representative of the ethnic composition of Singapore adolescents (Chinese 72%, Malays 20% and Indians 8%). Indians reported the highest overall QOL (mean 3.71 +/- SD 0.54) compared to Chinese (3.59 +/- 0.43), p Malays (3.58 +/- 0.44), p Chinese (3.55 +/- 0.54), p Chinese scored highest on physical and independence domains (3.97 +/- 0.54), p Malays (3.82 +/- 0.55). There were no statistically significant gender differences in QOL scores. QOL declined significantly from age 10 to 15 for overall score, psychological, physical (p Chinese (r = 0.39) or Malays (r = 0.39), Indians showed a higher correlation of psychological scores with physical score (r = 0.59) and with other domain scores. Significant ethnic differences in reported adolescent quality of life among Chinese, Malays and Indians in Singapore that are independent of socioeconomic and health status suggest important cultural differences.

Cost-effectiveness of hydrotherapy versus land-based therapy in patients with musculoskeletal disorders in Singapore.

Science.gov (United States)

Teng, Monica; Zhou, Hui Jun; Lin, Liang; Lim, Pang Hung; Yeo, Doreen; Goh, Suzanne; Tjan, Soon Yin; Lim, Boon Peng

2018-03-09

The study evaluated the cost-effectiveness of hydrotherapy versus land-based therapy in patients with musculoskeletal disorders (MSDs) in Singapore. A decision-analytic model was constructed to compare the cost-effectiveness of hydrotherapy to land-based therapy over 3 months from societal perspective. Target population comprised patients with low back pain (LBP), osteoarthritis (OA), rheumatoid arthritis (RA), total hip replacement (THR) and total knee replacement (TKR). Subgroup analyses were carried out to determine the cost-effectiveness of hydrotherapy in individual MSDs. Relative treatment effects were obtained through a systematic review of published data. Compared to land-based therapy, hydrotherapy was associated with an incremental cost-effectiveness ratio (ICER) of SGD 27 471 per quality-adjusted life-year (QALY) gained, which was below the willingness-to-pay threshold of SGD 70 000 per QALY (one gross domestic product per capita in Singapore in 2015). For the respective MSDs, hydrotherapy were dominant (more effective and less costly) in THR and TKR, cost-effective for LBP and RA, and not cost-effective for OA. Treatment adherence and cost of hydrotherapy were key drivers to the ICER values. Hydrotherapy was a cost-effective rehabilitation compared to land-based therapy for a population with MSDs in Singapore. However, the benefit of hydrotherapy was not observed in patients with OA.

The Singapore-Cambridge General Certificate of Education Advanced-Level General Paper Examination

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Hassan, Nurul Huda; Shih, Chih-Min

2013-01-01

This article describes and reviews the Singapore-Cambridge General Certificate of Education Advanced Level General Paper (GP) examination. As a written test that is administered to preuniversity students, the GP examination is internationally recognised and accepted by universities and employers as proof of English competence. In this article, the…

A Prototype Semantic Web-Based Digital Content Exchange for Schools in Singapore

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Shabajee, Paul; McBride, Brian; Steer, Damian; Reynolds, Dave

2006-01-01

Singapore has many large and educationally valuable digital collections and is planning the development of many more. These digital collections contain historical, cultural and scientific multimedia objects, along with learning objects. At present, school teachers and pupils find it hard to locate many of these resources using traditional search…

For Group, (f)or Self: Communitarianism, Confucianism and Values Education in Singapore

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Tan, Charlene

2013-01-01

Values education in Asian societies is commonly underpinned by an ideology of communitarianism that seeks to promote the needs and interests of "others" over the "self." An example of an Asian country that promotes communitarian values through its values education curriculum is Singapore. By reviewing the moral and citizenship…

Patterns of medication use and factors associated with antibiotic use among adult fever patients at Singapore primary care clinics

Directory of Open Access Journals (Sweden)

Zaw Myo Tun

2016-11-01

Full Text Available Abstract Background Antimicrobial resistance is a public health problem of global importance. In Singapore, much focus has been given to antibiotic usage patterns in hospital settings. Data on antibiotic use in primary care is lacking. We describe antibiotic usage patterns and assess factors contributing to antibiotic usage among adults presenting with acute febrile illness (AFI in primary care settings in Singapore. Methods We analyzed data from the Early Dengue infection and outcome study. Adults with AFI presenting at 5 Singapore polyclinics were included. We used multivariable logistic regression to assess demographic, clinical and laboratory factors associated with antibiotic usage among adults with AFI. Results Between December 2007 and February 2013, 1884 adult AFI patients were enrolled. Overall, 16% of adult AFI patients reported antibiotic use. We observed a rise in the use of over-the-counter medications in late 2009 and a decrease in antibiotic use during 2010, possibly related to the outbreak of pandemic influenza A H1N1 virus. After adjusting for age, gender, polyclinic and year of enrolment, the following factors were associated with higher odds of antibiotic use: living in landed property (compared to public housing (OR = 1.73; 95% CI: 1.06–2.80; body mass index (BMI <18.5 (OR = 1.87; 95% CI: 1.19–2.93; elevated white blood cell (WBC count (OR = 1.98; 95% CI: 1.42–2.78; and persistence of initial symptoms at 2–3 days follow-up with OR (95% CI for categories of 1, 2, 3, and ≥4 persisting symptoms being 2.00 (1.38–2.92, 2.67 (1.80–3.97, 4.26 (2.73–6.64, and 2.79 (1.84–4.24 respectively. Conclusions Our study provides insights on antibiotic usage among adult patients presenting to primary care clinics with febrile illness, and suggests that high socio-economic status, and risk factors of a severe illness, that is, low BMI and persistence of initial symptoms, are associated with higher antibiotic use

Validation of the UCLA Scleroderma Clinical Trial Consortium Gastrointestinal Tract Instrument 2.0 in English- and Chinese-speaking patients in a multi-ethnic Singapore systemic sclerosis cohort.

Science.gov (United States)

Low, Andrea Hsiu Ling; Xin, Xiaohui; Law, Weng Giap; Teng, Gim Gee; Santosa, Amelia; Lim, Anita; Chan, Grace; Ng, Swee Cheng; Thumboo, Julian

2017-07-01

The aim of this study was to (1) translate the Gastrointestinal Tract Instrument (GIT) 2.0 from English to Chinese and (2) validate both versions in a multi-ethnic systemic sclerosis cohort in Singapore (SCORE). The English GIT2.0 was translated to Chinese using a standard forward-backward translation approach. Psychometric evaluation of the GIT2.0 included internal consistency reliability (using Cronbach's alpha), test-retest reliability (using intra-class correlation coefficient (ICC)), scale level factor analysis, and construct validity (using Spearman correlation) against the modified Scleroderma Health Assessment Questionnaire (S-HAQ) and the SF-36 v2. Most of the patients were females (88.6%) and Chinese (78.2%), with mean (SD) age of 51.0 (13.0) years and median disease duration of 4.5 years. We administered English (n = 146) and Chinese (n = 74) GIT2.0. The mean (SD) total GIT score was 0.29 (0.37). There was good internal consistency (Cronbach's alpha >0.70 for all subscales) and good test-retest reliability for the scale and all subscales (ICC 0.71-0.92) except for "diarrhoea" (ICC = 0.54). Our hypothesised a priori construct validity was supported by moderate correlations between the total GIT score and S-HAQ GI subscale (r = 0.446), and the social functioning subscale and SF36v2 role-social domain (r = 0.337), and weak-to-moderate correlation between the emotional subscale and SF-36v2 role-emotional (r = 0.295) and mental health (r = 0.298) domains and mental component summary (r = 0.356). Exploratory factor analysis of the seven subscales yielded a two-factor solution explaining 69.63% of the total variance. This study provides evidence for the reliability and validity of the English and Chinese GIT2.0 to be used in Singapore for research and routine practice.