6th Annual Scientific Meeting
Healthcare Forward: New Diagnostics and Treatment
22 January 2022
Our second virtual Annual Scientific Meeting enabled us to interact with the medical fraternity online.
Dr. Danny Soon Clinical Pharmacologist
In a pandemic, lives and livelihoods are at stake, and the impact on both can be severe and precipitous. Of all the tools at hand, only vaccines allow us to rapidly build long lasting immunity in the population, to slow transmission, and reduce severe illness and hospitalisations. For the first time in humanity’s history, we had in 2020, the tools to rapidly identify, and then sequence the culprit. Researchers and companies ramped up discovery and development projects, with the ambition of getting vaccines into arms before the end of the year. In a dynamic and constantly evolving situation, how does one evaluate and pre-emptively choose vaccines based on limited early data?
Dr. Loh Jiashen Infectious Diseases Specialist
When COVID-19 burst onto the world stage and struck Singapore in January 2022, we had no tests available. The genomic sequence was quickly released by China and rapidly shared around the world, enabling our first test in this pandemic, the PCR test. Many months later, serological test emerged and allowed progress in vaccine immunology of COVID-19, epidemiological work, therapeutic research and other areas.
Mass testing with antigen tests then became a part of daily life last year. All these tools struggle to remain relevant amidst wave after wave of variants and case loads. In this session, we will share some understanding about the strengths, limitations, applications and experiences with these tests.
Our speakers Dr. Danny Soon and Dr. Loh Jiashen addressed incoming questions in a panel discussion, moderated by Dr. Stephen Chang.
Dr. Ravindra Singh ShekhawatNeurologist
This talk will help physicians to know more about various types of dementia , investigation workup and a brief summary of conventional and latest treatment for dementia.
Interesting cases to be discussed focussing on rapidly progressive dementia and cases of cognitive impairment in elderly where early intervention can help.
Dr. Kua Ee HeokPsychiatrist
This talk will focus on how GPs can manage psychological symptoms of dementia patients and how to advise family-carers. Behavioural techniques and medications will be discussed.
Dr. Santhosh RajRadiologist (Neuroradiology)
This talk will discuss how GPs and primary care physicians can utilize MRI imaging of the brain to screen for biomarkers of dementia. We will also discuss how AI can help enhance and augment the information obtained from MRI brain scans for dementia.
Our speakers Dr. Ravindra Singh Shekhawat, Dr. Kua Ee Heok and Dr. Santhosh Raj addressed incoming questions in a panel discussion, moderated by Dr. Vina Doshi.
Dr. Hsieh Wen-SonMedical Oncoologist
Antibodies based therapies offer an incredible range of targets for the treatment of cancer. Antibodies that target growth and survival signals as well as those that target immune checkpoints have revolutionized the treatment of cancer in the last two decades. More advances in the antibody based treatment are on the way. Antibody drug conjugates offer the ability to precisely deliver cytotoxic drugs in a selective manner to cancer cells while bispecific antibodies offer another potent method of stimulating antigen specific antitumor responses to kill cancer cells. These novel strategies will further improve the treatment outcomes for cancer patients.
Dr. Frances LimGeneral Surgeon
Many women find that their bodies are never quite the same following pregnancy and childbirth. Pelvic floor and abdominal wall dysfunctions are frequently seen in pregnancy due to the physiological changes, which may include urinary and fecal/flatal incontinence, pelvic organ prolapse, sexual dysfunction, pelvic pain and diathesis recti. Of all of the changes, few are as upsetting as experiencing difficulties with fecal incontinence.
Among women, childbirth is one of the most persistent and important factors for developing pelvic floor disorder. Vaginal deliveries complicated by abnormal presentation of the fetus, obstetric anal sphincter injuries (OASIS) and/or instrumental delivery, and forceps deliveries in particular, are obstetric factors found to increase the risk of short and long-term postpartum fecal incontinence.
Unfortunately, this is often unrecognized by clinicians because patients do not report their symptoms. The emotional, psychological, and social problems created by fecal incontinence can be devastating, debilitating, and costly.
Rectus abdominis (RAD) diastasis is an anatomic term describing a condition in which the two rectus muscles are separated by an abnormal distance. Acquired RAD can result from any number of conditions that weaken the linea alba, such as pregnancy, resulting in protrusion of abdominal contents. This resulted in a persistent abdominal bulge and can be associated with back pain, incontinence and pelvic organ prolapse.
This talk will provide a review of peripartum fecal incontinence and diathesis recti. We will discuss presentation, nonoperative and operative management of these conditions.
Dr. Kelvin WongCardiologist
This talk will provide an overview of the recent developments /devices that may help in the management of Patients with cardiac conditions. This is particularly relevant in this new era of telehealth medicine and remote monitoring
Dr. Soon Sue ReneENT Specialist
Obstructive sleep apnea (OSA) is increasingly prevalent in our local population and can affect people of all age groups. It is associated with multiple medical conditions if left untreated. Though positive airway pressure therapy is advocated as the gold standard management, patient acceptance and compliance remain an issue.
Recent advances with drug induced sleep endoscopy, minimally invasive multilevel sleep surgery and hypoglossal nerve stimulators have revolutionized the surgical treatment options in OSA. These modalities are safe and effective in patients who are properly selected.
This talk provides an overview of the upper airway surgical options in the treatment of OSA.
Dr. Matthew TanEndocrinologist
Biohacking (“human enhancement/augmentation”) can be considered a do-it-yourself biology aimed at improving health and performance through strategic interventions. In social media, you probably have heard some of the fads ranging from nutrigenomics to cryotherapy and even simple techniques like intermittent fasting can be considered as a low tech biohack. There are more extreme and controversial biohacking that you might have read about – like implanting chips/RFID “cyborg-type” experimentation, and also gene editing, however for the purpose of this talk – I will steer clear of such extreme controversies and focus on basic glucose homeostasis instead as one area that perhaps careful biohacking could be safe and effective.
Devices/wearables that may give the user deeper insights on the fluctuations of interstitial glucose under different circumstances – ranging from nutrition to exercise and activity could aid not just patients who are suffering from diabetes mellitus, but perhaps even in people who are not yet diabetic in making the right tweaks for better daily performances.