The Pictorial Fit-Frail Scale Malay Version (PFFS-M): Predictive Validity Testing in Malaysian Primary Care.

The purpose of this study was to evaluate the association between Pictorial Fit Frail Scale-Malay version (PFFS-M) and adverse outcomes, such as falls, new disability, hospitalisation, nursing home placement, and/or mortality, in patients aged 60 and older attending Malaysian public primary care clinics. We assessed the baseline PFFS-M levels of 197 patients contactable by phone at 18 months to determine the presence of adverse outcomes. 26 patients (13.2%) reported at least one adverse outcome, including five (2.5%) who fell, three (1.5%) who became disabled and homebound, 15 (7.6%) who were hospitalized, and three (1.5%) who died. Using binary multivariable logistic regression adjusted for age and gender, we found that patients who were at-risk of frailty and frail at baseline were associated with 5.97(95% CI [1.89-18.91]; P=0.002) and 6.13 (95% CI [1.86-20.24]; P= 0.003) times higher risk of developing adverse outcomes at 18 months, respectively, than patients who were not frail. The PFFS-M was associated with adverse outcomes.

Adenomatoid tumor of intratesticular localization.

The germinal cell tumor represents the most common malignancy of the testicular tissues. Benign testis tumors are exceptional, and in this situation organ preservation should be considered. The adenomatoid tumor is the most common paratesticular type with anatomic distribution limited to the epididymis, testicular membranes and rarely to the spermatic cord. Its intratesticular localization is very rare. We report here the clinical case of a 32-year-old man with a testicular tumor who came to our department with a 6-month growth of a testicular mass (normal alpha-fetoprotein and beta-HCG). The pathologic report revealed a solid and small tumor at the lower pole of the testicle with total intratesticular tumor growth (adenomatoid tumor of intratesticular localization). Because of its rarity, the clinical, diagnostic and therapeutic aspects and the possibilities of testicular preservation are discussed.