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The practice of collusion is commonplace within Asian healthcare settings. Here we study a typical case of collusion within the Singapore setting to highlight the rationale and the predisposing factors behind this practice. Through such understanding, it is believed that a better means of practice…

Recognition of early cognitive impairment in Parkinson´s disease (PD) is important since it represents a risk factor for developing Parkinson’s disease dementia and psychosis. The Mini-Mental State Examination (MMSE) remains the most commonly used screening instrument for global cognition, even though it has not been…

The prevalence of diarrhoea and pneumonia is quite alarming amongst children under 5 years of age who belong to low socioeconomic status. This study was carried out from January to December (2012) in Kushtia, and the total sample were boys (209) and girls (191). Anthropometric…

Most physicians experience difficulty when required to deliver bad news. Therefore, recommendations for facilitating breaking bad news were reviewed and a suitable model was described in this study. We performed a search with keywords “breaking bad news”, “strategy”, “protocol”,  “guideline” and “model” as the primary…

Bone and joint pain may be a presenting symptom in 25% of patients with acute leukemia; whereas generalised osteopenia and vertebral complications are less common.  An 11 years old boy reported a persistent low back pain since 6 weeks. The physical exam showed exquisite vertebral…

There is considerable controversy about the treatment of patients with malignant advanced pancreatic neuroendocrine tumors (PNETs). Aggressive surgery remains a potentially efficacious anti-tumor therapy but is rarely performed because of its possible morbidity and mortality.The purpose of this work is to describe a case of…

Malocclusion has great impact on society and the individual in terms of social and functional limitations, psychological trauma and discomfort. The Dental Aesthetic Index (DAI) is a WHO-recommended method of screening for dentofacial anomalies and orthodontic treatment need. This survey was conducted to determine the…

Detection of sub-clinical mastitis in goats is important in the prevention of clinical mastitis, and for the development of treatment protocols. The PortaSCC goat milk test® (Porta-test) is a novel commercial test for indirect  somatic cell count (SCC), and is marketed as a rapid diagnostic…

Retained foreign bodies may cause several and even severe complications. Due to a high rate of overlooked foreign bodies in the first examination they might last for years in the soft-tissue causing late and unspecific complaints. Image findings are often not specific, especially in non-radiopaque…

Achieving organizational excellence is not possible without visible involvement of leadership. This is however, a crucial question; whether leader’s participation is essential or there are other factors that effect on the implementation of excellence at the strategic management level. The following case presents the issues…