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Grant Mc Pherson, 37, had sex with student Jessica Lorenzin, 20, at hotels and they even had a threesome in a spa.

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This population-based, cross-sectional study was conducted in Singapore in 3280 Malay adults, aged 40 to 80 years.

Results From a total of 4168 eligible subjects, 3280 (78.7%) were examined.

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In multiple logistic regression models, pterygium was independently associated with increasing age (OR, 1.3; 95% CI 1.1 to 1.4), male sex (OR, 1.9; 95% CI 1.5 to 2.6) and high systolic blood pressure (OR, 1.6; 95% CI 1.2 to 2.1).

Grade 3 pterygium (n=92) was also associated with cholesterol in the fourth versus the first quartile (p=0.02) and with male sex.