We report here a case of a kidney transplant recipient in whom the ureter was initially implanted into the peritoneum. Excessive ultrafiltration volume and reversal of serum vs dialysate creatinine ratio when the patient was recommenced on continuous ambulatory peritoneal dialysis first suggested the diagnosis which was subsequently confirmed by a plain abdominal x-ray demonstrating placement of ureteric stent in the peritoneum. This rare complication was successfully corrected with surgical re-implantation of ureter into the bladder and 5 years later, the patient remains well with good graft function.
Cadaver ; Kidney Transplantation/*methods ; Postoperative Complications ; Reoperation ; Replantation ; Ureter/*surgery

Introduction: The objective of this cross-sectional study was to determine the body somatotypes, anthropometric characteristics and physical activity levels of young adults. Methods: Using a systematic sampling approach, a total of 180 students were recruited from three institutions of higher learning in the state of Kelantan. Body weight, height and other anthropometric dimensions including skinfold, bone breadth and limb girth were measured to determine their body mass index (BMI) and body somatotypes. Physical activity level was determined using the Short Form - International Physical Activity Questionnaire (IPAQ). Results: Almost half (49.4%) of the respondents were with a mean age of 21.5 (1.5), and mean BMI of 22.1 (4.5) kg/m2. The proportion of overweight and obese respondents based on the World Health Organisation (WHO) classification was 17.2% and 6.7%, respectively. In terms of body somatotype, 57.2% and 18.3% of them were classified as endomorphic and mesomorphic somatotype groups respectively, while another 24.4% were ectomorphic. The IPAQ scoring protocol indicated that 35.0% of them achieved high physical activity levels, while 19.3% reported low physical activity levels. There were significantly more endomorphic females, whereas the males significantly dominated the mesomorphic somatotype group. Conclusion: Respondents with mesomorphic body somatotype (relative muscularity) were categorised as obese under the BMI classification although their body weight could be due to higher skeletal/muscle mass. The somatotyping method can be used as an additional tool to the conventional BMI indicators for assessing adiposity.

Drug and Narcotic Control ; Humans ; Marijuana Abuse ; Medical Marijuana ; Singapore

Aged ; Biopsy ; methods ; Diagnosis, Differential ; Erythema ; diagnosis ; etiology ; Extremities ; pathology ; Fever ; complications ; Humans ; Immunoglobulin A ; analysis ; Male ; Purpura ; diagnosis ; etiology ; Skin ; diagnostic imaging ; pathology ; Vasculitis ; complications ; immunology

By 2050, it is predicted that six million hip fractures will occur each year of which the majority will happen in Asia. Malaysia is not spared from this predicted rise and its rate of increase will be one of the highest in this region. Much of this is driven by our unprecedented growth in the number of older people. Characteristics of individuals with hip fractures in Malaysia mirror what has been reported in other countries. They will be older multimorbid people who were already at risk of falls and fractures. Outcomes were poor with at least a quarter do not survive beyond 12 months and in those that do survive have limitation in their mobility and activities of daily living. Reviewing how these fractures are managed and incorporating new models of care, such as orthogeriatric care, could address these poor outcomes. Experts have warned of the devastating impact of hip fracture in Malaysia and that prompt action is urgently required. Despite that, there remains no national agenda to highlight the need to improve musculoskeletal health in the country

INTRODUCTIONThis study aimed to describe the planning, development and evaluation of the success of the first nationwide, resident-led, large-group teaching programme for medical students - the Singapore Health Services Student Internship Programme (SIP) Bootcamp.

METHODSThis was an initial feasibility study evaluating a half-day teaching boot camp initiated, developed and conducted by the resident educators. A three-month preparation period was required to set up an education subcommittee, liaise with medical student leaders, recruit resident educators, meet all the stakeholders and conduct the boot camp. During the SIP Bootcamp, resident educators conducted clinical case presentations using a question-and-answer format. Audience participation was strongly encouraged. A 15-item questionnaire was distributed to assess the participants' learning experience and the resident educators' teaching performance using a five-point Likert scale.

RESULTSOverall, 94.8% (n = 110) of the 116 respondents agreed that the teaching sessions were of high quality and content was relevant to their training. The resident educators appeared well-informed (96.6%, n = 112) and enthusiastic about their respective topics (98.3%, n = 114). However, a few students (9.5%, n = 11) felt that the audio-visual aids and handouts could be improved to better aid their learning process.

CONCLUSIONThis teaching boot camp for medical students was the first of its kind in Singapore and feedback from medical students showed that it was well-received. Further research using different teaching methods, including small-group discussions and surgical practical sessions by resident educators from different specialties, would be of great value to students.

Clinical Competence ; Curriculum ; Education, Medical ; methods ; organization & administration ; Feasibility Studies ; Humans ; Internship and Residency ; Schools, Medical ; Singapore ; Students, Medical ; Surveys and Questionnaires