High Resolution Computed Tomography (HRCT) Imaging Findings of Oval Window Atresia with Surgical Correlation.
CONCLUSION: OWA is a rare entity that can be diagnosed with certainty on HRCT, best visualised on coronal plane. Imaging findings of associated middle ear abnormalities, position of the facial nerve canal, which is invariably mal-positioned, and associated deformity of the incus are important for presurgical planning and consent. PMID: 32712631 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - May 31, 2020 Category: General Medicine Authors: Khoo HW, Choong CC, Yeo SB, Goh JP, Tan TY Tags: Ann Acad Med Singapore Source Type: research

Effects of Cast Immobilisation on Skin Barrier Function.
CONCLUSION: Moderate but significant changes in TEWL, SC hydration and subjective symptoms were observed during the duration of cast immobilisation, demonstrating that cast immobilisation for up to 4 weeks exerts moderate adverse impact on patients' skin. Further studies to explore the use of better materials for cast immobilisation to improve skin barrier function and overall patient satisfaction are warranted. PMID: 32712632 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - May 31, 2020 Category: General Medicine Authors: Woo CY, Koh MJ, Fung WK, Chan CS, Chua CB, Tay GT, Acharyya S, Chew GF, Lee NK, Lim KB Tags: Ann Acad Med Singapore Source Type: research

Mid-Term Outcomes of Patients with Central Venous Occlusive Disease Undergoing Surveillance Venography and Intervention.
CONCLUSION: CVOs are more difficult to treat than CVS. High primary assisted patency rates can be achieved with surveillance venography, albeit at the expense of increased number of interventions. Further cost effectiveness studies need to be performed to study the true benefit of our surveillance programme. PMID: 32712633 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - May 31, 2020 Category: General Medicine Authors: Wong HL, Chan SXJ, Ramamuthy S, Tay KH, Chong TT, Tan CS, Patel A, Too CW, Irani FG, Choong LH, Chng SP, Tan BS Tags: Ann Acad Med Singapore Source Type: research

Epidemiology and Factors Associated with Remission of Pemphigus Vulgaris and Foliaceus in Singapore.
CONCLUSION: Higher initial prednisolone dose and the use of azathioprine in PV desmoglein 1 antibody titre at diagnosis in PV and PF might be prognostic markers for achieving remission. Use of dapsone was associated with lower overall remission in PV, but this might be confounded because dapsone was used as an adjuvant therapy in recalcitrant cases. Owing to study methodology and limitations, further evaluation is needed for better prognostication of pemphigus. PMID: 32712634 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - May 31, 2020 Category: General Medicine Authors: Cai SC, Zhao X, Tang MB, Lim YL Tags: Ann Acad Med Singapore Source Type: research

Current Status of Laparoscopic and Robotic Pancreatic Surgery and Its Adoption in Singapore.
Abstract Despite the potential clinical advantages offered by laparoscopic pancreatic surgery (LPS), the main obstacle to its widespread adoption is the technically demanding nature of the procedure and its steep learning curve. LPS and robotic pancreatic surgery (RPS) have been proven to result in superior short-term perioperative outcomes and equivalent long-term oncological outcomes compared to the conventional open approach, with the caveat that they are performed by expert surgeons who have been trained to perform such procedures. The primary challenge faced by most pancreatic surgeons is the steep le...
Source: Annals of the Academy of Medicine, Singapore - May 31, 2020 Category: General Medicine Authors: Goh BK, Teo RY Tags: Ann Acad Med Singapore Source Type: research

Transcatheter Aortic Valve Implantation in Singapore: Reflecting on the First Decade.
PMID: 32582903 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - April 30, 2020 Category: General Medicine Authors: Tay EL Tags: Ann Acad Med Singapore Source Type: research

Impact of Chronic Kidney Disease on Outcomes in Transcatheter Aortic Valve Implantation.
CONCLUSION: CKD in severe AS patients undergoing TAVI portends significantly higher mortality and morbidity. Renal disease progression impacts negatively on outcomes and identifies a challenging subgroup of patients for optimal management. PMID: 32582904 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - April 30, 2020 Category: General Medicine Authors: Yap JJ, Tay JC, Ewe SH, Thiagarajan N, Chia SY, Amanullah MR, Lim ST, Chao VT, Ho KW Tags: Ann Acad Med Singapore Source Type: research

Nation-Wide Observational Study of Cardiac Arrests Occurring in Nursing Homes and Nursing Facilities in Singapore.
CONCLUSION: Neurological outcomes were poorer in NH survivors of OHCA. These findings should inform health policies on termination of resuscitation, advance care directives and do-not-resuscitate orders in this population. PMID: 32582905 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - April 30, 2020 Category: General Medicine Authors: Ho AF, Lee KY, Lin X, Hao Y, Shahidah N, Ng YY, Leong BS, Sia CH, Tan BY, Tay AM, Ng MX, Gan HN, Mao DR, Chia MY, Cheah SO, Ong ME Tags: Ann Acad Med Singapore Source Type: research

Assessing the Content Validity of the EQ-5D Questionnaire Among Asians in Singapore: A Qualitative Study.
CONCLUSIONS: This study confirmed that EQ-5D dimensions are important and relevant aspects of health to Asians in Singapore, although some dimensions that could be important to Singaporeans are absent. PMID: 32582906 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - April 30, 2020 Category: General Medicine Authors: Lee GL, Tan RL, Herdman M, Luo N Tags: Ann Acad Med Singapore Source Type: research

Survival and Predictors of Mortality in Acute Kidney Injury Patients Treated with Sustained Low Efficiency Dialysis.
CONCLUSIONS: Our study found similar in-hospital and 30-day mortality for AKI patients treated with SLED. High pre-SLED levels of serum albumin, creatinine and number of SLED were significantly associated with reduced risk of death and high pre-SLED serum potassium was associated with increased risk of death. These results indicate that SLED is safe treatment, with few haemorrhage and haemodynamic complications. PMID: 32582907 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - April 30, 2020 Category: General Medicine Authors: Phongphitakchai A, Boonsrirat U Tags: Ann Acad Med Singapore Source Type: research

Precautions When Providing Dental Care During Coronavirus Disease 2019 (COVID-19) Pandemic.
Abstract Transmission of coronavirus disease 2019 (COVID-19)-caused by novel severe acute respiratory syndrome coronavirus 2-through aerosolised saliva and respiratory droplets is possible when aerosol-generating dental procedures are performed. Consequently, dental practitioners are at increased risk of being infected when treating COVID-19 patients. A comprehensive review of the current literature on precautions when providing dental care during the COVID-19 pandemic is discussed and recommendations for dental practitioners are made. Dental practitioners should actively keep themselves abreast of the gui...
Source: Annals of the Academy of Medicine, Singapore - April 30, 2020 Category: General Medicine Authors: Shi AH, Guo W, Chng CK, Chan BH Tags: Ann Acad Med Singapore Source Type: research

Clinical Updates on the Diagnosis and Management of Chronic Thromboembolic Pulmonary Hypertension.
CONCLUSION: Operability assessment by a multidisciplinary team is crucial for the management of CTEPH, as pulmonary endarterectomy (PEA) remains the guideline recommended treatment and has the best chance of cure. For inoperable patients or those with residual disease post-PEA, medical therapy or balloon pulmonary angioplasty are potential treatment options. PMID: 32582909 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - April 30, 2020 Category: General Medicine Authors: Ruan W, Yap JJ, Quah KK, Cheah FK, Phua GC, Sewa DW, Ismail AB, Chia AX, Jenkins D, Tan JL, Chao VT, Lim ST Tags: Ann Acad Med Singapore Source Type: research

Factors that Predict Delayed Neurological Sequelae of Carbon Monoxide Poisoning from a 10-Year Clinico-Radiological Review.
PMID: 32582910 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - April 30, 2020 Category: General Medicine Authors: Neo S, Kok SS, Tan K, Kumar S Tags: Ann Acad Med Singapore Source Type: research

A "Saga" of Adenanthera Pavonina Seed Ingestion in a Toddler.
PMID: 32582911 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - April 30, 2020 Category: General Medicine Authors: James V, Warier A, Ong GY Tags: Ann Acad Med Singapore Source Type: research

Caution with Hair Dye: Foreign Body Skull Erosive Granuloma from Exogenous Hair Pigmentation.
PMID: 32582912 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - April 30, 2020 Category: General Medicine Authors: Mak DS, Hwang PY Tags: Ann Acad Med Singapore Source Type: research