Ann Acad Med Singap
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Ann Acad Med Singap · Jul 2019
ReviewScreening Tools for Sarcopenia in Community-Dwellers: A Scoping Review.
Sarcopenia is characterised by a progressive and generalised loss of skeletal muscle mass, strength and/or performance. It is associated with adverse health outcomes such as increased morbidity, functional decline and death. Early detection of sarcopenia in community-dwelling older adults is important to prevent these outcomes. Our scoping review evaluates validated screening tools that are used to identify community-dwelling older individuals at risk of sarcopenia and appraises their performance against international consensus definitions. ⋯ Our scoping review identified 6 candidate tools to screen for sarcopenia. Direct comparison studies in the community would help to provide insights into their comparative performance as screening tools. More studies are needed to reach a consensus on the best screening tool(s) to be used in clinical practice.
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Ann Acad Med Singap · Jul 2019
Clinical Determinants of Diabetes Progression in Multiethnic Asians with Type 2 Diabetes - A 3-Year Prospective Cohort Study.
The risk for diabetes progression varies greatly in individuals with type 2 diabetes mellitus (T2DM). We aimed to study the clinical determinants of diabetes progression in multiethnic Asians with T2DM. ⋯ Young age at T2DM diagnosis, high baseline HbA1c and Malay ethnicity are independent determinants of diabetes progression in Asians with T2DM. Further mechanistic studies are needed to elucidate the pathophysiology underpinning progressive loss of glycaemic control in patients with T2DM.
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Ann Acad Med Singap · Jul 2019
Non-Invasive Ventilation in Children with Paediatric Acute Respiratory Distress Syndrome.
Evidence supporting non-invasive ventilation (NIV) in paediatric acute respiratory distress syndrome (PARDS) remains sparse. We aimed to describe characteristics of patients with PARDS supported with NIV and risk factors for NIV failure. ⋯ The use of NIV in children with PARDS was associated with high failure rate. As such, future studies should examine the optimal selection criteria for NIV use in these children.
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Ann Acad Med Singap · Jul 2019
Historical ArticleThe Medical Humanities: Reconnecting with the Soul of Medicine.
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Ann Acad Med Singap · Jul 2019
EditorialWorld Hepatitis Day 2019 - Bringing Medical Advances to Every Man.
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