Ann Acad Med Singap
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Ann Acad Med Singap · Feb 2021
ReviewMetformin use in patients with type 2 diabetes mellitus and chronic kidney disease: An evidence-based review.
Practice guidelines advise caution on the use of metformin in patients with type 2 diabetes mellitus with chronic kidney disease (CKD). This review aims to examine the evidence for the benefits and risks of metformin use in patients with T2DM and CKD. ⋯ Existing recommendations to restrict metformin use in diabetes patients with CKD need to be reviewed in light of emerging evidence supporting its overall benefits in these patients.
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Ann Acad Med Singap · Feb 2021
Randomized Controlled TrialVirtual reality mobile application to improve videoscopic airway training: A randomised trial.
Flexible bronchoscopic intubation (FBI) is an important technique in managing an anticipated difficult airway, yet it is rarely performed and has a steep learning curve. We aim to evaluate if the integration of virtual reality gaming application into routine FBI training for emergency department doctors would be more effective than traditional teaching methods. ⋯ Incorporating virtual reality with traditional teaching methods allows learners to be trained on FBI safely without compromising patient care. Junior physicians appear to benefit more compared to senior physicians.
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Ann Acad Med Singap · Feb 2021
Chronic disease self-management competency and care satisfaction between users of public and private primary care in Singapore.
Primary healthcare providers play a crucial role in educating their patients on chronic disease self-management (CDSM). This study aims to evaluate CDSM competency and satisfaction in patients receiving their healthcare from public or private healthcare providers. ⋯ Polyclinics and GPs provide quality primary care as evidenced by high and comparable levels of CDSM competency. Redistribution of patients from public to private clinics may result in improvements in healthcare service quality.
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Ann Acad Med Singap · Feb 2021
Epidemiology and risk stratification of minor head injuries in school-going children.
Head injuries occur commonly in children and can lead to concussion injuries. We aim to describe the epidemiology of head injuries among school-going children and identify predictors of brain concussions in Singapore. ⋯ This study provides a detailed description of the pattern of head injuries among school-going children in Singapore. High risk patients may require closer monitoring to detect post-concussion syndrome early.