Ask MEDICUS

 

Ask MEDICUS

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In the last issue of MEDICUS, our experts discussed brain aneurysms and what factors lead to them, as well as tackled the question of whether engineering students could enrol at Duke-NUS.

For this issue, our Graduate Studies Department delves into the ways in which our graduate students are supported in terms of financial stipends, and our researchers take a look at one of the most common causes of blindness in ageing: age-related macular degeneration.

As always, we’re just a click away, so send us your questions by clicking the button below! No question is too big or small, so whether it’s science, medicine or health, experts from our Signature Research Programmes and Centres, as well as the SingHealth Duke-NUS Academic Medical Centre, have got you covered.

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Have a question? Send it in and it may be answered in the next issue of MEDICUS!

ASK MEDICUS


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Credit: iStock.com / FrazaoStudioMX

If I enroll in the MD-PhD track (combining medical education with research training), would it be possible to receive a stipend like a salaried researcher? What are my options for supporting myself financially?

Navid Eftekharian

There are several options for research fellowships at Duke-NUS. All students who join Duke-NUS under either the PhD (Integrated Biology and Medicine) or PhD (Quantitative Biology and Medicine) programmes will be offered the Duke-NUS PhD Fellowship and the Khoo Pre-Doctoral Fellowship Award respectively, where any tuition and miscellaneous fees payable will be fully funded by the School for up to five years as our PhD programmes are full-time programmes.

 In addition, all students enrolling in the MD-PhD track are entitled to receive a competitive monthly stipend while doing their PhD studies. Any students who are Singapore Citizens will also receive a voluntary CPF contribution from the School, tied to the prevailing employer’s CPF contribution rate (currently 17 per cent), together with their monthly stipend. 

Besides the financial support provided for students’ PhD studies, all MD-PhD students have their tuition fees for their MD studies fully subsidises/covered. This  means that students are only liable for out-of-pocket payments for their miscellaneous fees (estimated at a couple of hundred dollars per academic year.

We provide this robust financial support so that students do not have to seek paid work while pursuing their PhDs and can fully focus on succeeding in their studies.


Prof Silke Vogel

Professor Silke Vogel
Senior Associate Dean, Graduate Studies (PhD & Accredited Programmes) Department
On behalf of the Duke-NUS’ Graduate Studies Department





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Regions of photoreceptor regeneration in the retinas of preclinical models (inside dashed boxes) highlighted by various molecular markers of photoreceptor function (named at top right). // Credit: Centre for Vision Research, Duke-NUS

Please tell me more about eye diseases associated with growing older, such as age-related macular degeneration (AMD). Is the loss of eyesight with age permanent?

Anonymous

Age-related macular degeneration, commonly referred to as AMD, is one of the world’s most common causes of severe eyesight loss in older people. Populations across the globe, especially in Singapore, are ageing, making treatment for this condition increasingly salient.

There are two types of AMD: Wet AMD, where blood vessels grow under the macula, causing fluid to leak into the retina, and dry AMD, where cellular debris gradually damages light-sensitive cells in the eye, leading to a loss of vision. Dry AMD accounts for most AMD cases. Untreated, patients will first experience partial vision loss, and eventually total blindness. Pinpointing the cause of degeneration in ageing eyes is an ongoing quest.

Currently, treatments available only target early to mid-onset AMD patients. Treatments used to slow the growth of blood vessels in the eye, called anti-VEGF therapies, are aimed at wet AMD, while retinal injections that address inflammation have been recently approved for dry AMD.

However, there is currently no treatment that combats the progressive and irreversible loss of retinal cells for advanced-stage AMD patients of both types. Excitingly, scientists at the Centre for Vision Research at Duke-NUS have now harnessed the potential of human pluripotent stem cells, or stem cells capable of giving rise to several cell types, to develop cells that function similarly to human foetal retinal cells.

These retinal cells have been shown to partially restore vision in preclinical models, and the research team is currently refining the therapy for clinical trials. At the same time, we are also developing a new method of restoring vision by creating a two-layered retinal scaffold—a synthetic replacement for two layers of retinal cells, photoreceptors and a retinal pigment epithelium, which enables the photoreceptors to detect light.

Most significantly, these therapeutic retinal cells—developed with the help of a protein called laminin—could potentially be transplanted into the eyes of patients with irreversible retinal cell loss, with the hope that the transplanted cells will integrate with the patients’ eye circuitry. This work hinges on a matter of processing information: we hope that the patients’ brains will be able to perceive and decode optical information when it is received from the transplanted cells.


Assistant Professor Tay Hwee Goon
Duke-NUS’ Centre for Vision Research

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