Dementia Screening & Assessment

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Please note that this webpage is for educational purposes only. MD International Medical Centre does not conduct Dementia Screening & Assessment.

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Dementia is a general term for loss of memory, language, problem-solving and other thinking abilities that are severe enough to interfere with daily life.

Below are 2 simple screening tests you can do if you suspect that someone in your home might be suffering from Dementia. Please seek professional medical help if you are unsure by visiting your family doctor.

Elderly Cognitive Assessment Questionaire (ECAQ) :

Memory

1. I want you to remember this number. Can you repeat after me (4517)? I shall test you again in 15 minutes.

2. How old are you?

3. When is your birthday? OR what year were you born in?

Orientation & Information

4. What is the year?

5. Date?

6. Day?

7. Month?

8. What is this place called? (Home etc)

9. What is his/her job? (eg choose someone in the home)

Memory Recall

10. Can you recall the number again (from question 1)?

SCORE : Each question correctly answered is 1 point.

The ECAQ is a 10-item cognitive test which assesses memory and information-orientation. Using a cut-off score of 5/6, it has 85.3% sensitivity with 91.5% specificity for identifying cognitive impairment.

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Abbreviated Mental Test (AMT) :

Education level : ___________ years

What is the year?

What is the time? (within 1 hr)

What is your age?

What is your date of birth?

What is your home address?

Where are we now?

Who is our country's Prime Minister?

What is his/her job? (show picture)

Memory phrase "37 Bukit Timah Road"

Count backwards from 20 to 1

Recall memory phrase

TOTAL SCORE : Each question correctly answered is 1 point.

For mild cognitive impairment, AMT's cut-off score is 7/8 (81% sensitivity with 89% specificity)

Suspect dementia if :

Education years 0-6 and AMT score 0-6

Education years >6 and score 0-8

Please seek Medical attention as soon as possible if you are unsure of you or your family's health condition.

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Health Assessment & Screening Packages

Vitamins & Nutrients for a Well-functioning Immune System to Protect against COVID-19 & other Viral Infections

(Ref: Nutrients. 2020 Apr 23;12(4). pii: E1181. doi: 10.3390/nu12041181 Optimal Nutritional Status for a Well-Functioning Immune System Is an Important Factor to Protect against Viral Infections Calder PC¹, Carr AC², Gombart AF³, Eggersdorfer M⁴.

Part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).

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Groups at Higher Risk for Severe Illness in a COVID-19 Infection

Comorbidities & Underlying Health Conditions in COVID-19 Patients with Complications

·       Hypertension

·       Diabetes mellitus

·       Cerebrovascular disease

·       Cardiovascular disease

·       Chronic lung diseases including COPD

·       Chronic Kidney disease

·       Asthma

·       Dementia

·       Chronic Neurological Disorders

·       Cancer

·       Rheumatological Disorder

·       Obesity

·       Smoking

·       Chronic Hematologic disease / Haemoglobin Blood Disorders

·       Liver disease / Hepatitis B Infection

·       Malnutrition

·       Immunodeficiency / Immunocompromised eg HIV AIDS

·       People aged 65 and older

(Ref: https://www.nature.com/articles/s41430-020-0642-3.pdf, Dailymail.co.uk, https://pubmed.ncbi.nlm.nih.gov/32320003/, Comorbidity and its impact on 1590 patients with Covid-19 in China: A Nationwide Analysis https://erj.ersjournals.com/content/early/2020/03/17/13993003.00547-2020

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Co-infection of COVID-19 with other infectious diseases is possible.

Reduce your risk of getting sick with COVID-19

• Make sure your vaccinations are up-to-date. People older than 65 years, and those with many underlying conditions, such as those who are immunocompromised or with significant liver disease, are recommended to receive vaccinations against Influenza and pneumococcal disease (PCV). Click here for Vaccination schedules (NAIS/NCIS).
  
• Do not delay getting medical care for your underlying condition because of COVID-19. MD International Medical Centre has contingency MOH infection prevention protocols to protect you from getting COVID-19 if you need care for your underlying condition.
• Continue your medications and do not change your treatment plan without talking to your doctor.
• Make sure that you have at least a two-week supply of your chronic disease medications.
• Call MDIMC @ Tel: 6694 1661 for a medical appointment if you have any concerns about your underlying medical conditions or if you get sick. Our clinic is a PHPC-accredited medical clinic. Under the MOH Swab & Go Home programme, our doctors can do a COVID-19 PCR Swab test if you meet the MOH medical crtieria.

Asymptomatic patients may not display no symptoms of illness. Vulnerable people should get vaccinated against Influenza as the stop gap until the COVID vaccine is found. The Flu vaccine would protect susceptible people from, as well as exclude the Flu and H1N1 viruses should they start to show URTI or ARI symptoms.

- Latest Influenza Vaccine

The latest Influenza Vaccine is now available. It protects against the Flu and H1N1 Viruses. In the event that a person displays flu-like symptoms after the Flu vaccination, both Flu and H1N1 may be excluded in his diagnosis, and treatment can be sought quickly should the patient have contracted COVID-19.

Ministry of Health Safety protocols are adhered to at all times for the safe vaccination of you and your family.

* Latest COVID-19 Updates & Health Tips

* Importance of Keeping your Vaccinations Up-to-date

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MD International Medical Centre

Medical Services available :

• General Medicine / General Practice
• Minor Surgical Procedures
  
• Dermatology - Skin Problems (Eczema, Acne, Rash, Boils, Dermatitis, Pigmented or Dry Skin, Mole/Skin Tag/Wart Removal)
  
• Dermoscopy - Non-invasive Detection of Skin Cancer, Pubic lice & Scabbies
• Treatment of Insect Bites & Stings
• Infectious diseases & Virology (COVID-19. Dengue, Flu, Hepatitis B)
• Respiratory Medicine - Cough, Wheezing, Shortness of breath
  
• Obesity / Weight control
• Stomach ache
  
• Respiratory Lung Diseases
• Liver Diseases
• Kidney disease / Kidney stones
  
• Eye Health / Opthalmology
  
• Ear Nose Throat / ENT -
  Nose Bleed-Epistaxis /Snoring & Sleep Apnoea /Verigo & Dizziness
• Removal of Ear Wax
• Personal Health
• Allergies Test & Management
• Treatment of Allergic Rhinitis
  
• Asthma Management
• Vaccinations / Immunization (eg Flu vaccination)
• Depression / Anxiety / Stress Management
• Management of Chronic Diseases (eg Diabetes / Hypertension)
• Treating Prediabetes, Diabetes & Insulin Resistance
  
• Heart Disease / High Cholesterol Management
• Health Management
• Men's Health
• Women's Health - Osteoporosis, Heavy Periods, Breast lumps, Urinary Tract Infection, Anaemia, Tremors
  
• Child Health & Nutrition / Pediatrics
• Elderly / Senior Health
• Dementia Screening
• Neurological Disorders
  
• Treatment of Gout
• Pain Management (eg Arthritis, Back Pain, Migraine)
• Sports Injuries
  
• Travel Health (eg Vaccinations / Travellers' Diarrhoea)
  
• Health Screening / Blood tests
• Pre-Employment check-up
• Work Permit / Employment Pass / Student Pass / Driving License Check-up
• Blood Disorders
  

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Public Health Preparedness Clinic

National University Health System Primary Care Network

Singapore Ministry of Health Chronic Disease Management Programme (CDMP)

The information provided in this website is for knowledge purposes only. It does not constitute medical advice.

Should you encounter any medical problem that you are unsure of, always consult your doctor or health care provider for assistance and medical advice.

MD International (Singapore) Pte Ltd

Get your:

* Sinopharm COVID-19 Vaccine / Booster

* Latest Influenza Vaccine (Protects against Flu and H1N1 Viruses)

* Pre-Departure COVID-19 PCR  Swab

* Serology Tests for Travellers 

* Supervised Antigen Rapid Test (Tele-ART) done from your home

* Serology Testing to Certify Vaccination status * Pre-Event COVID Testing

Make your appointment at Tel: 6694 1661.

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MDIMC Medical Team

Together, Being here for you.

Doing Our Best in the COVID-19 Pandemic!

“Do all the good you can,
By all the means you can,
In all the ways you can,
In all the places you can,
At all the times you can,
To all the people you can,
As long as ever you can.”
― John Wesley

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Risk Factors of COVID-19 Complications

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COVID-19 Singapore Public places visited by cases in the community

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9 Taman Serasi #01-11, Botanic Gardens View

Tel : 65-6694-1661  Fax : 65-6694 1771

Email : contact@mdimc.sg

Clinic hours:

Monday to Friday: 9am-12.30pm / 2pm-6.30pm    Saturday: 9.30am-1pm

*Last registration is 30mins before the closing time

Closed on Sundays & Public Holidays

- Cashless service with most International Insurance companies and Insurance Medical cards are accepted

- Japanese & Mandarin-speaking Doctors and Medical staff

Please contact us at Tel: 6694 1661 to make an appointment.

Please make an appointment for the following at Tel: 6694 1661:

* Minor Surgical Procedure

* Health Screening / Blood Test

* Dermatology Treatment

* Allergy Testing

* Pain Management & Treatment

* Vaccination

* Supervised COVID ART Test / Pre-Event Test

* Pre-Departure PCR Swab Test / Serology Testing

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OUR MEDICAL TEAM

Dr Don Lau – Medical Director

MBBS (Monash), B Med Sc (Hons) (Monash), Dip Pract Derm (Wales, UK)

Fujiwara Takanori

The Chiropractic Association Singapore, Japan Chiropractic Register, American Chiropractic Association, California Chiropractic Association

Physiotherapy-trained NBCE The National Board of Chiropractic Examiners

YAMAGATA Chihiro 山懸千尋

Registered Psychologist

MD International Medical Centre

Medical Services

• General Practice Family Medicine
• Minor Surgical Procedures / Laser Treatments
• Management of Chronic Diseases (Diabetes / Hypertension / Heart Disease / High Cholesterol Management)
• Pain Management (Joint pains, Knee Pain, Back Pain, Migraine, Sports Injuries)
• Shockwave Treatment / Deep Muscle Stimulator DMS Therapy
• Dermatology Treatments - Skin Problems (Eczema, Acne, Rash & Hives, Boils, Dermatitis, Pigmented or Dry Skin, Moles, Skin Tags, Corns & Calluses, Wart, Treatment of Insect Bites & Stings)
• Dermoscopy - Non-invasive Detection of Skin Cancer
• Allergies Test & Management / Treatment of Allergic Rhinitis / Asthma Management
• Vaccinations / Immunization (National Adult Immunisation Schedule / National Child Immunisation Schedule / Influenza)
• Infectious diseases & Virology (COVID-19, Dengue, Flu, Hepatitis B)
• Respiratory Medicine - Cough, Wheezing, Shortness of breath
• Eye Health / Ophthalmology (Conjunctivitis, Foreign body in the Eye)
  
• Ear Nose Throat / ENT Rhinoscopy (Nose Bleed-Epistaxis, Snoring & Sleep Apnoea, Vertigo & Dizziness, Removal of Ear Wax)
• Audiogram – Hearing test
• Personal Health (Stomach ache, Irritable Bowel Syndrome, Heartburn, Treatment of Gout)
• Elderly / Senior Health (Arthritis)
• Men's Health
• Women's Health (Osteoporosis, Heavy Periods, Breast lumps, Urinary Tract Infection, Anaemia, Tremors)
• Child Health & Nutrition / Paediatrics
• Travel Health (Vaccinations / Travellers' Diarrhoea)
• Health Assessment, Screening & Management / Blood tests
• Pre-Employment check-up / Work Permit / Employment Pass / Student Pass / Driving License Check-up
• Obesity / Weight control
• Neurological Disorders / Dementia Screening
• Depression / Anxiety Management
  
• Insomnia & Stress Management

Minor Surgical Procedures :

·       Injection for Supraspinatus or Bicipital Tendonitis / Epicondylitis / Trigger finger / Plantar Fasciitis

·       Tendon Sheath Injection

·       Excision of small Skin tumours / Lipomas / Nail bed / Ear lobe cysts / Meibomian cyst

·       Removal of Skin sutures / Skin tags / Sebaceous cysts / Various foreign bodies / Corneal foreign body

·       Liquid Nitrogen Therapy

·       Treatment of Plantar Warts / Calluses / Corns / Ganglions

·       Splinters under nails

·       Olecranon and Pre-patellar Bursitis

·       Ear syringing

·       Embedded earring stud