Ann Acad Med Singap
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Ann Acad Med Singap · Dec 2020
Association of Cord Blood Thyroid-Stimulating Hormone Levels with Maternal, Delivery and Infant Factors.
This study examined maternal, delivery and infant factors associated with cord thyroid-stimulating hormone (TSH) concentrations in an Asian population. ⋯ Interpretation of cord serum TSH results may need to take into account mode of delivery and measurement method.
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Ann Acad Med Singap · Dec 2020
Understanding the Psychosocial Needs of Women who Present with Advanced Breast Cancer.
Advanced breast cancer (ABC) remains common in Singapore. In 2019, 22.1% of breast cancer patients presented with ABC in our institution. Despite increasing affluence and the advent of national mammographic screening, the incidence of ABC has not changed significantly. This suggests inherent differences in women who present late. We aim to explore the socio-economic background, knowledge and attitudes of women who present with ABC. ⋯ Further public education to improve understanding of breast cancer and screening mammography may help to improve rates for earlier detection of breast cancer.
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Ann Acad Med Singap · Dec 2020
Strategies for Management of Peritoneal Dialysis Patients in Singapore during COVID-19 Pandemic.
Peritoneal dialysis (PD) is the only well-established home-based dialysis therapy in Singapore. As it is a home-based modality, PD should be considered as a preferred mode of kidney replacement therapy (KRT) for patients with kidney failure during this COVID-19 pandemic as it avoids frequent visits to hospitals and/or satellite dialysis centres. The highly infectious nature of this virus has led to the implementation of the Disease Outbreak Response System Condition orange status in Singapore since early February 2020. This paper summarises the strategies for management of several aspects of PD in Singapore during this COVID-19 pandemic, including PD catheter insertion, PD training, home visit and assisted PD, outpatient PD clinic, inpatient management of PD patients with or without COVID-19 infection, PD as KRT for COVID-19 patients with acute kidney injury, management of common complications in PD (peritonitis and fluid overload), and management of PD inventory.
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Ann Acad Med Singap · Dec 2020
Risk Stratification of Paediatric Sports Injuries Seen at a Tertiary Hospital.
In this study, we described paediatric sports injuries seen in the paediatric emergency department of a large, tertiary paediatric hospital in Singapore and evaluated risk factors for severe sports injuries. ⋯ Predictors for severe sports injuries identified may aid in risk stratification and resource allocation.
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Ann Acad Med Singap · Dec 2020
Maternal and Fetal Outcomes in Systemic Lupus Erythematosus Pregnancies.
To describe the maternal and fetal outcomes in systemic lupus erythematosus (SLE) pregnancies followed-up in a single tertiary referral centre. ⋯ Although the majority had quiescent SLE disease activity at baseline, SLE pregnancies were associated with high rates of adverse fetal and maternal outcomes.