Ann Acad Med Singap
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Ann Acad Med Singap · Oct 2024
ReviewEnhancing guidelines for managing cognitively impaired drivers: Insights from Western evidence for Asian adaptation.
The global incidence of dementia is increasing, and cognitively impaired drivers are at a higher risk of crashes compared to healthy drivers. Doctors face challenges in assessing these at-risk drivers, with questionable adherence to existing guidelines. This study aimed to review and compare guidelines for managing cognitively impaired drivers from various countries. ⋯ Comprehensive, evidence-based guidelines from Western countries provide valuable resources that can help Singapore design or update its guideline.
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Ann Acad Med Singap · Sep 2024
Predictors of early removal of intragastric balloon due to intolerance: Insights from a multiethnic Asian cohort.
Intolerance frequently limits the use of intragastric balloons (IGBs) in the treatment of obesity. This includes refractory nausea, vomiting and abdominal discomfort. Our study aims to identify predictors of balloon intolerance and early removal, which will help to guide patient selection for this intervention and peri-procedure care. ⋯ Identifying predictors of balloon intolerance and early removal can enhance patient selection and improve peri-procedural care. In patients with a history of depression or anxiety, it is important to ensure adequate counselling and preparation prior to balloon insertion.
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Ann Acad Med Singap · Sep 2024
Review Practice Guideline2023 guidelines on the management of psoriasis by the Dermatological Society of Singapore.
Psoriasis is a multisystem, chronic, inflammatory dermatological disease. In routine clinical practice, the management of psoriasis varies significantly. The current study aimed to develop a set of practice guidelines relevant to dermatology practice in Singapore. ⋯ These guidelines were developed for dermatologists, family physicians, rheumatologists and other specialists to support their selection of appropriate management options.