Singap Med J
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Recurrent appendicitis is defined when patients with recurring similar right iliac fossa pain had acute appendicitis confirmed at the time of operation and the pain completely subsided after surgery. We conducted a retrospective study on our patients with appendicitis. ⋯ Fifty-eight percent of the episode occur within six months of the presentation. We conclude that recurrent appendicitis should be considered as a differential diagnosis in patients with recurrent right iliac fossa pain.
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Comparative Study
Complications in stroke patients: a study carried out at the Rehabilitation Medicine Service, Changi General Hospital.
The aim of this study was to look at the type and frequencies of complications after an acute stroke in an inpatient rehabilitation setting. We also looked at the type of complications which required the transfer of patient care back to the primary referring physician. ⋯ Complications post stroke are common. Some patients required transfer of care back to the primary referring physician. A pro-active approach is ideal in all post stroke patients, in order to identify and treat any complications early, thereby, improving outcome and reducing costs.
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To assess the prescribing practice, use and potential adverse effects of psychoactive medications in Singapore nursing homes. ⋯ Majority of the nursing home residents were on psychoactive medications. Residents with dementia were more likely to be on psychoactive medications. Statistically significant association was observed between the use of inappropriate psychoactive medications and the diagnosis of dementia. Better documentation of clinical diagnoses and indications, and regular medication review for potential adverse drug reactions would improve the quality of care in Singapore nursing homes.
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Comparative Study
Minimally invasive unicondylar versus total condylar knee arthroplasty--early results of a matched-pair comparison.
Fifty consecutive patients with isolated medial compartmental osteoarthritis of the knee were treated with minimally invasive unicompartmental knee arthroplasty (UKA). An equal number of patients with total knee arthroplasty (TKA) performed in the same period were selected and matched with respect to age, pre-operative range of motion and radiological grade of knee arthrosis. ⋯ Comparison of the two groups at six months show that patients with minimally invasive UKA have less blood loss, quicker rehabilitation, earlier ambulation, shorter hospitalisation stay and better post-operative range-of-motion with reduced hospitalisation cost. Reflecting on a six-month follow-up and immediate post-operative events, we conclude that minimally invasive UKA is a relatively more cost effective procedure than TKA for these patients.