Evaluation of Scoring Systems and Prognostic Factors in Patients With Spinal Metastases From Lung Cancer.

Study Design: A retrospective study of 180 patients with lung cancer spinal metastases, wherein prognostic score-predicted survival was compared with actual survival.

Objective: To evaluate and compare the accuracy of prognostic scoring systems in lung cancer spinal metastases.

Summary Of Background Data: The modified Tokuhashi, Tomita, modified Bauer, and Oswestry scores are currently used to guide decisions regarding operative treatment of patients with spinal metastases.

The modified Pirogoff's amputation in treating diabetic foot infections: surgical technique and case series.

Background: This paper describes the surgical technique of a modified Pirogoff's amputation performed by the senior author and reports the results of this operation in a single surgeon case series for patients with diabetic foot infections.

Methods: Six patients with diabetic foot infections were operated on by the National University Hospital (NUH) diabetic foot team in Singapore between November 2011 and January 2012. All patients underwent a modified Pirogoff's amputation for diabetic foot infections.

Irreducible dislocation of the fourth metatarsophalangeal joint--a case report.

Traumatic dislocation of the metatarsophalangeal joint of an isolated lesser toe is an uncommon injury. We report a patient who presented 1 day after a dorsiflexion injury of the right foot. Physical examination showed a shortened and angulated right fourth toe resulting in scissoring of his digits.

Atypical Essex-Lopresti injury of the forearm: a case report.

The Essex-Lopresti injury of the forearm is difficult to diagnose. A missed diagnosis can lead to persistent pain and instability of the wrist. We report a 33-year-old man with a pre-existing cubital varus deformity who sustained an atypical Essex-Lopresti injury after a fall on his elbow.

Prevalence of refractive errors in teenage high school students in Singapore.

We aimed to study the prevalence of refractive conditions in Singapore teenagers. Grade 9 and 10 students (n = 946) aged 15-19 years from two secondary schools in Singapore were recruited. The refractive errors of the students' eyes were measured using non-cycloplegic autorefraction.