The Elderly Emergency Laparotomy Patient - More Than Just the Operation.
Abstract The elderly patient presenting with an acute surgical abdomen or bowel obstruction has become a common and challenging situation. These patients bring comorbidity and frailty that necessitate appropriate risk assessment and comprehensive perioperative management. Robust communication is required between patients, families and health professions. The Australia and New Zealand Emergency Laparotomy Audit-Quality Improvement (ANZELA-QI) study is based on the United Kingdom's National Emergency Laparotomy Audit (NELA) and will gather large scale data, providing hospital-level information to enable clin...
Source: Annals of the Academy of Medicine, Singapore - October 31, 2019 Category: General Medicine Authors: Fernando J, Loh SM Tags: Ann Acad Med Singapore Source Type: research

Prehabilitation and Its Role in Geriatric Surgery.
Abstract As the world's population ages rapidly, many elderly people are living to a much more advanced age than before. Consequently, medical conditions that require surgical interventions such as solid organ cancers are also getting more common. While young and fit patients may be able to withstand surgical stresses and recover rapidly after operation, older adults may find these challenging. Rehabilitation that is instituted in the postoperative period aims to help patients regain physical fitness and robustness to preoperative levels. However, recent studies have shown that prehabilitation may be more ...
Source: Annals of the Academy of Medicine, Singapore - October 31, 2019 Category: General Medicine Authors: Kow AW Tags: Ann Acad Med Singapore Source Type: research

Declining Stroke Mortality in Singapore and The Challenges Ahead.
PMID: 31875467 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - September 30, 2019 Category: General Medicine Authors: Hung J, De Silva DA, Seet RC Tags: Ann Acad Med Singapore Source Type: research

Confirmatory Factor Analysis and Measurement Invariance of the Multidimensional Scale of Perceived Social Support in Young Psychiatric and Non-Psychiatric Asians.
CONCLUSION: The 3-factor model of MSPSS can be used to compare psychiatric and non-psychiatric subjects locally. Since psychiatric patients reported lower MSPSS scores, future research could examine the causative factors that contribute to lower perceived social support in young adults seeking psychiatric intervention. PMID: 31875468 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - September 30, 2019 Category: General Medicine Authors: Teh WL, Shahwan S, Abdin E, Zhang Y, Sambasivam R, Devi F, Verma S, Chong SA, Subramaniam M Tags: Ann Acad Med Singapore Source Type: research

Clinical Findings of Ankylosing Spondylitis With and Without Human Leukocyte Antigen (HLA)-B27 and HLA-B51.
CONCLUSION: HLA-B27 was associated with the development of uveitis but not with other clinical findings or disease activity in AS patients. HLA-B51 was not associated with the clinical findings or disease activity of AS. PMID: 31875469 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - September 30, 2019 Category: General Medicine Authors: Jung JH, Bang CH, Seok H, Choi SJ, Song GG Tags: Ann Acad Med Singapore Source Type: research

The Need for Scholarly Evaluation of Programmes Targeting Mental Health Stigma in Singapore.
Abstract Stigma towards people with mental illness is widely prevalent in Singapore despite nearly 2 decades of anti-stigma efforts. The latest and most ambitious initiative to tackle stigma, "Beyond the Label", was launched in 2018. We believe that it is timely to highlight the missing gap in Singapore's anti-stigma efforts-the lack of evaluative research on anti-stigma programmes. It is crucial that organisations involved in the battle against stigma publish peer-reviewed papers detailing the construction and effectiveness of their programmes vis-à-vis established frameworks or guidelines. We also provi...
Source: Annals of the Academy of Medicine, Singapore - September 30, 2019 Category: General Medicine Authors: Kuek JH, Chen SY, Chua HC Tags: Ann Acad Med Singapore Source Type: research

From Hospital to Home: Impact of Transitional Care on Cost, Hospitalisation and Mortality.
PMID: 31875471 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - September 30, 2019 Category: General Medicine Authors: Ang YH, Ginting ML, Wong CH, Tew CW, Liu C, Sivapragasam NR, Matchar DB Tags: Ann Acad Med Singapore Source Type: research

Proximal Tibial Stress Fractures: A Diagnostic Challenge.
PMID: 31875472 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - September 30, 2019 Category: General Medicine Authors: Wu C, Ho SW, Tan LT Tags: Ann Acad Med Singapore Source Type: research

Primary Angiosarcoma Masquerading as Scalp Haematoma After Head Injury.
PMID: 31875473 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - September 30, 2019 Category: General Medicine Authors: Low SY, Lee HY, Yeo MS Tags: Ann Acad Med Singapore Source Type: research

Managing Suicide Ideation: A Targeted Approach.
PMID: 31737892 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - August 31, 2019 Category: General Medicine Authors: Wong JC Tags: Ann Acad Med Singapore Source Type: research

Reliability of Graders and Comparison with an Automated Algorithm for Vertical Cup-Disc Ratio Grading in Fundus Photographs.
CONCLUSION: The results suggest that AA is comparable to and may have more consistent performance than human graders in CDR grading of fundus photographs. This may have potential application as a screening tool to help detect asymptomatic glaucoma-suspect patients in the community. PMID: 31737893 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - August 31, 2019 Category: General Medicine Authors: Tong W, Romero M, Lim V, Loon SC, Suwandono ME, Shuang Y, Di X, Kanagasingam Y, Koh V Tags: Ann Acad Med Singapore Source Type: research

Positive Fluid Balance is Associated with Poor Clinical Outcomes in Paediatric Severe Sepsis and Septic Shock.
CONCLUSION: Cumulative %FO within the first 5 days of PICU stay was consistently and independently associated with poor clinical outcomes in children with severe sepsis and septic shock. Future studies are needed to test the impact of restrictive fluid strategies in these children. PMID: 31737894 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - August 31, 2019 Category: General Medicine Authors: Wong JJ, Ho SX, Lee AOC, Sultana R, Chong SL, Mok YH, Chan YH, Lee JH Tags: Ann Acad Med Singapore Source Type: research

Pralatrexate Induces Long-Term Remission in Relapsed Subcutaneous Panniculitis-Like T-Cell Lymphoma.
PMID: 31737895 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - August 31, 2019 Category: General Medicine Authors: Ong SY, Phipps C, Kaur H, Tan L, Lee YS Tags: Ann Acad Med Singapore Source Type: research

Characteristics and Management of Autoimmune Bullous Disease in Psoriasis Patients.
PMID: 31737896 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - August 31, 2019 Category: General Medicine Authors: Toh JJ, Lim YL, Yew YW Tags: Ann Acad Med Singapore Source Type: research

An Unusual Cause of Stroke-Like Symptoms in an Elderly Patient.
PMID: 31737897 [PubMed - in process] (Source: Annals of the Academy of Medicine, Singapore)
Source: Annals of the Academy of Medicine, Singapore - August 31, 2019 Category: General Medicine Authors: Kee CK, Ngam PI, Tan AP Tags: Ann Acad Med Singapore Source Type: research