Ann Acad Med Singap
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Ann Acad Med Singap · Aug 2010
Off-pump coronary artery bypass is a safe option in patients presenting as emergency.
The applicability of off-pump coronary-artery bypass (OPCAB) in patients who present as emergency remains controversial. Herein, we explore the efficacy and safety of OPCAB in patients who were indicated for emergency surgery. ⋯ OPCAB strategy is a safe and efficient in emergency patients with reasonable good short-term postoperative outcomes.
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Ann Acad Med Singap · Aug 2010
Clinical features differentiating biliary atresia from other causes of neonatal cholestasis.
This study determined any clinical features which may help to differentiate biliary atresia (BA) from other causes of neonatal cholestasis (NC). ⋯ We did not find any single clinical feature with sufficient sensitivity and specificity to differentiate BA from other causes of NC. Repeated inspection of stools colour is necessary as occasionally, patients with BA may have initial pigmented stools. Biochemical assessment and imaging studies are important in the assessment of any infant with NC.
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Ann Acad Med Singap · Aug 2010
Clinical features of allergic rhinitis and skin prick test analysis based on the ARIA classification: a preliminary study in Malaysia.
Allergic rhinitis (AR) is a prevalent disease worldwide but is still underdiagnosed in many parts of Asia. We studied the clinical profiles of AR patients in our community based on the new ARIA classification and investigated the aetiological allergens using a skin prick test. ⋯ Our results reflected the AR profiles in our country, which was comparable with typical profiles of the neighbouring country and other Mediterranean countries with a similar temperate climate.