Ann Acad Med Singap
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Ann Acad Med Singap · Jun 2015
Observational StudyFasting during Ramadan and Associated Changes in Glycaemia, Caloric Intake and Body Composition with Gender Differences in Singapore.
Millions of Muslim patients with diabetes mellitus (DM) fast during Ramadan. However, little is known about the metabolic impact of Ramadan fasting. We aimed to study the changes in body composition and metabolic profile in this group of patients. ⋯ Ramadan fasting can be practiced safely with prior patient education and medication adjustment. It also confers modest benefits on metabolic profile and body composition, especially among females.
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Ann Acad Med Singap · Jun 2015
Comparative StudyUnipolar versus Bipolar Hemiarthroplasty for Displaced Femoral Neck Fractures in the Elderly: Is There a Difference?
Hip hemiarthoplasties are commonly performed for displaced femoral neck fractures. Considerable differences of opinion exists regarding the choice between unipolar and bipolar designs. The main theoretical advantage of a bipolar over a unipolar prosthesis is the reduction of acetabular erosion due to movement taking place within the implant rather than at the acetabular implant interface. It is thus hypothesised that bipolar prostheses lead to better long-term functional outcomes with less complications. In this study, we aimed to compare unipolar (Moore's) and bipolar hemiarthroplasty looking specifically for differences in 1) pain and functional hip scores; 2) rates of acetabular erosion, component migration and revision surgery; and 3) rates of postoperative morbidity. ⋯ Use of the more expensive bipolar prosthesis in elderly and premorbidly ambulant patient is not justified.