Ann Acad Med Singap
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Ann Acad Med Singap · May 2003
ReviewLong-term follow-up and outcome of extremely-low-birth-weight (ELBW) infants.
Modern day obstetric and neonatal care has dramatically increased the survival of the extremely-low-birth-weight (ELBW) neonates. As the limits of viability decrease, it is of paramount importance to have reliable data on long-term morbidity. Long-term follow-up of these high-risk survivors is thus becoming an integral part of neonatal intensive care units. ⋯ In managing ELBW infants, a holistic, systematic approach is needed to assess the degree and impact of impairment on their daily function and issues related to quality of life.
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Ann Acad Med Singap · May 2003
Case ReportsBoerhaave's syndrome presenting as a right-sided pleural effusion.
Boerhaave's syndrome is an uncommon condition where there is oesophageal rupture following forceful vomiting, subsequent mediastinitis and is associated with high mortality and morbidity in the absence of therapy. We present a case of Boerhaave's syndrome in a 79-year-old woman who developed a right-sided effusion, an unusual presentation. ⋯ Physicians should have a high index of suspicion of oesophageal rupture when patients present with Meckler's triad of symptoms and especially when pleural fluid cultures grow bacteria native to the gastrointestinal tract.
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Ann Acad Med Singap · May 2003
Editorial Historical ArticleSevere acute respiratory syndrome (SARS)--150 days on.