16 research outputs found
Synthesis and characterization of hybrid organic-inorganic materials based on sulphonated polyamideimide and silica
The preparation of hybrid organic–inorganic
membrane materials based on a sulphonated polyamideimide
resin and silica filler has been studied. The method
allows the sol–gel process to proceed in the presence of a
high molecular weight polyamideimide, resulting in well
dispersed silica nanoparticles (<50 nm) within the polymer
matrix with chemical bonding between the organic and
inorganic phases. Tetraethoxysilane (TEOS) was used as
the silica precursor and the organosilicate networks were
bonded to the polymer matrix via a coupling agent
aminopropyltriethoxysilane (APTrEOS). The structure and
properties of these hybrid materials were characterized via a
range of techniques including FTIR, TGA, DSC, SEM and
contact angle analysis. It was found that the compatibility
between organic and inorganic phases has been greatly
enhanced by the incorporation of APTrEOS. The thermal
stability and hydrophilic properties of hybrid materials have
also been significantly improved
Integrating rheumatology care in the community: can shared care work?
Introduction: Singapore's rapidly ageing population and chronic disease burden at public hospital specialist clinics herald a silver tsunami. In Singapore, “right siting” aims to manage stable chronic disease in primary care at a lower cost. To improve the quality of rheumatology care, we created shared care between rheumatologist and family physician to reduce hospital visits.Methods: Clinical practice improvement methodology was used to structure shared care of stable patients between hospital rheumatologists and eleven community family physicians; one ran a hospital clinic. A case manager coordinated the workflow.Results: About 220 patients entered shared care over 29 months. Patients without hospital subsidies (private patients) and private family physicians independently predicted successful shared care, defined as one cycle of alternating care.Discussion: Our shared care model incorporated a case manager, systematic workflows, patient selection criteria, willing family physician partners and rheumatologists in the absence of organizational integration. Health care affordability impacts successful shared care. Government subsidy hindered right siting to private primary care.Conclusions: Financing systems in Singapore, at health policy level, must allow transfer of hospital subsidies to primary care, both private and public, to make it more affordable than hospital care. Structural integration will create a seamless continuum between hospital and primary care
Covert COVID-19 and false-positive dengue serology in Singapore
10.1016/S1473-3099(20)30158-4LANCET INFECTIOUS DISEASES205536-53