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Anticoagulation needs in asians with atrial fibrillation: a mythbuster.
Abstract Atrial fibrillation (AF) has long been known to increase the risk of stroke. As a result, relevant international guidelines recommend that measures to reduce the risk of thrombus formation should be considered in all patients presenting with AF. Based on risk assessment scores, patients would then receive either thrombocyte aggregation inhibitors or oral anticoagulants. Despite this advice, compliance rates with the recommendations are poor across all countries surveyed. Evidence from the Global Anticoagulant Registry in the Field (GARFIELD) registry shows that major deviation from guidelines is due in la...
Source: Annals of the Academy of Medicine, Singapore - May 1, 2014 Category: Journals (General) Authors: Aribou ZM, Mondry A Tags: Ann Acad Med Singapore Source Type: research

Normative Data for the Singapore English and Chinese SF-36 Version 2 Health Survey.
Conclusion: We have provided detailed normative data for the Singapore English and Chinese SF-36v2, which would be valuable in furthering HRQoL research in Singapore and possibly the region. PMID: 24557461 [PubMed - in process]
Source: Annals of the Academy of Medicine, Singapore - January 1, 2014 Category: Journals (General) Authors: Sow WT, Wee HL, Wu Y, Tai ES, Gandek B, Lee J, Ma S, Heng D, Thumboo J Tags: Ann Acad Med Singapore Source Type: research

Wake-up Stroke and Onset-to-door Duration Delays: Potential Future Indications for Reperfusion Therapy.
Conclusion: The one- third proportion of wake-up stroke in this cohort and low prevalence of relative contraindications suggest this is a promising group for emerging thrombolysis indications. With the majority of patients presenting after 8 hours, widening of the therapeutic window with new potential reperfusion treatments would not appreciably increase treatment utilisation. This study reaffirms the urgent need for public education to improve stroke awareness in Singapore. PMID: 24557460 [PubMed - in process]
Source: Annals of the Academy of Medicine, Singapore - January 1, 2014 Category: Journals (General) Authors: Tan MSh, Ang ES, Ho SS, Ng SC, Talabucon L, Woon FP, De Silva DA Tags: Ann Acad Med Singapore Source Type: research

Attitudes and Practices on the Consent Process and Decision-making for Intravenous Stroke Thrombolysis: Physicians' Perspective.
Conclusion: The next-of-kin is usually the decision-maker for stroke thrombolysis in practice for a mentally incapacitated patient despite most doctors considering thrombolysis an emergency treatment. This, together with the lack of consensus and variance in decision-making and consent practice amongst neurologists for stroke thrombolysis, demonstrates the need to develop best practice guidelines to standardise healthcare practices for greater consistency in health service delivery. PMID: 24356652 [PubMed - in process]
Source: Annals of the Academy of Medicine, Singapore - November 1, 2013 Category: Journals (General) Authors: Talabucon LP, Menon S, Toh AJ, Oh DC, De Silva DA Tags: Ann Acad Med Singapore Source Type: research

Public awareness of sepsis and stroke in singapore: a population-based survey.
Conclusion: Our findings reflect the differences in the public profile of sepsis versus stroke in Singapore. More concerted efforts involving healthcare professionals, medical societies, statutory boards, and the mass media are required to improve public awareness of these 2 conditions -especially sepsis. PMID: 23842767 [PubMed - in process]
Source: Annals of the Academy of Medicine, Singapore - June 1, 2013 Category: Journals (General) Authors: Phua J, Lim HF, Tay CK, Aung NW Tags: Ann Acad Med Singapore Source Type: research

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