Perioperative outcomes and risk assessment in dialysis patients: current knwoledge and future directions
This article is protected by copyright. All rights reserved. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 28, 2018 Category: Internal Medicine Authors: Dharmenaan Palamuthusingam, David Johnson, Carmel Hawley, Elaine Pascoe, Pal Sivalingam, Magid Fahim Tags: Review Source Type: research

Male Sex Increases Mortality in Patients Presenting with Ventricular Tachyarrhythmias
AbstractObjectivesThe study sought to assess the impact of male sex on survival in patients presenting with ventricular tachyarrhythmias.MethodsAll consecutive patients surviving ventricular tachycardia (VT) and ventricular fibrillation (VF) on admission from 2002 to 2016 were included and stratified according to sex differences by propensity score matching. The primary prognostic endpoint was all ‐cause mortality at 30 months. Secondary endpoints were all‐cause mortality at 30 days, at index hospitalization, after discharge, the composite of recurrent ventricular tachyarrhythmias and appropriate ICD interrogation, and...
Source: Internal Medicine Journal - November 27, 2018 Category: Internal Medicine Authors: Kathrin Weidner, Michael Behnes, Jonas Rusnak, Tobias Schupp, Jorge Hoppner, Gabriel Taton, Linda Reiser, Armin Bollow, Thomas Reichelt, Dominik Ellguth, Niko Engelke, Philipp Kuche, Uzair Ansari, Ibrahim El ‐Battrawy, Siegfried Lang, Chr Tags: Original Article Source Type: research

Characteristics and Outcomes of Patients with Acute Liver Failure Admitted to Australian and New Zealand Intensive Care Units
AbstractBackgroundKnowledge about patients with Acute Liver Failure (ALF) in Australia and New Zealand (ANZ) is lacking. We hypothesised that the pattern of disease would be similar to previous studies and that, despite low transplantation rates, mortality would be comparable.MethodsWe obtained data from the ANZ Intensive Care Society Adult Patient Database and the ANZ Liver Transplant Registry for ten years commencing 2005 and analysed for patient outcomes.ResultsDuring the study period, 1 022 698 adults were admitted to intensive care units (ICUs) across ANZ, of which 723 had ALF. The estimated annual incidence of ALF ov...
Source: Internal Medicine Journal - November 27, 2018 Category: Internal Medicine Authors: Stephen Warrillow, Michael Bailey, David Pilcher, Alex Kazemi, Colin McArthur, Paul Young, Rinaldo Bellomo Tags: Original Article Source Type: research

Protective Effect of Acquired Long QT Syndrome in Takotsubo Syndrome
ABSTRACTBackgroundClinical variables that predict long ‐term mortality and recurrence of Takotsubo syndrome (TTS) are not completely understoodas the role of acquired QTc interval prolongation.Methods and resultsQTc intervals were analysed in 105 patients presenting with symptoms of TTS. These patients were included in an ongoing retrospective cohort database. The cohort was subsequently subdivided into two groups, based on the presence (long QT group (LQT), n=73, 69.52%) or absence (non ‐long QT group (non‐LQT), n=32, 30.43%) of QTc interval prolongation. Patients were followed over a mean‐period of 4.2 years. The...
Source: Internal Medicine Journal - November 26, 2018 Category: Internal Medicine Authors: Anna Hohneck, Ibrahim El ‐Battrawy, Siegfried Lang, Uzair Ansari, Katja Schramm, Xiaobo Zhou, Martin Borggrefe, Ibrahim Akin Tags: Original Article Source Type: research

Recent Trends in Cyclic Vomiting Syndrome ‐ Associated Hospitalizations with Liberalization of Cannabis Use in the State of Colorado
ABSTRACTBackgroundCurrently 29 states in the United States along with the District of Columbia have legalized cannabis in some forms. There is a paucity of data on the impact of legalization of cannabis use on hospitalizations due to cyclic vomiting syndrome (CVS).AimTo study the trends in CVS ‐related hospitalizations and cannabis use in CVS in relation to legalization of recreational cannabis use in Colorado.MethodsAll hospital admissions in Colorado between 2010 ‐2014 with the diagnosis of CVS were identified using the Colorado State Inpatient Database (SID). Five‐year trends in CVS‐related hospitalizations alon...
Source: Internal Medicine Journal - November 13, 2018 Category: Internal Medicine Authors: Sanjay Bhandari, Pinky Jha, Krista M. Lisdahl, Cecilia J. Hillard, Thangam Venkatesan Tags: Original Article Source Type: research

Serum urate levels and therapy in adults treated with long ‐term dialysis: a retrospective cross‐sectional study
AbstractBackgroundTo estimate the point prevalence of gout, gout treatment, and achievement of target serum urate (SU) among adults treated with long ‐term dialysis.MethodsThree secular cohorts of adults receiving dialysis for at least 90 days on 1st February 2017, 1st January 2016 and 1st January 2015 were identified. Medical records were reviewed for SU concentrations. Results were compared between haemodialysis (HD) and peritoneal dialysis (PD), and participants prescribed and not prescribed urate ‐lowering therapy. The percentage reduction in SU 24 and 48 hours post‐haemodialysis was estimated based on data from ...
Source: Internal Medicine Journal - November 13, 2018 Category: Internal Medicine Authors: Estella Yeo, Suetonia C Palmer, Peter T Chapman, Christopher Frampton, Lisa K Stamp Tags: Original Article Source Type: research

‘Looking after the Survivors’: The Health of a Cohort of Long term HIV Patients 25 Years on
ConclusionsThis study showed high rates of ‘non‐HIV morbidity’ in a group of long term HIV patients in South Australia. Clinicians should aggressively modify cardiovascular risk factors, ensure appropriate immunisations, monitor mental health and consider targeted malignancy screening in these patients. A robust clinical infrastructure and multidisciplinary team is required to facilitate the complex care needs of long term HIV patients.This article is protected by copyright. All rights reserved. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 13, 2018 Category: Internal Medicine Authors: Thomas McNeil, Emily Rowe Tags: Original Article Source Type: research

Multi ‐Centre Ethics and Research Governance Review Can Impede Non‐Interventional Clinical Research
ConclusionsLengthy governance approval processes negate benefits gained from centralised ethics review under the NMA.This article is protected by copyright. All rights reserved. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 12, 2018 Category: Internal Medicine Authors: Christine Duplancic, Tania Crough, Scott C. Bell, for the Australian NTM in CF Study Group, Rachel Thomson, Claire Wainwright, Archie Clements, Andres Floto, Geraint Rogers, Peter Sly, Lucy Burr, Iain Feather, Susan Moloney, Keith Grimwood, Tags: Original Article Source Type: research

Presenting signs and patient co ‐variables in Gaucher disease: outcome of the Gaucher Early Diagnosis Consensus (GED‐C) Delphi initiative
ConclusionsThe signs and co ‐variables identified in the GED‐C initiative as potentially indicative of early GD will help to guide non‐specialists and raise their index of suspicion in identifying patients potentially suitable for diagnostic testing for GD.This article is protected by copyright. All rights reserved. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 10, 2018 Category: Internal Medicine Authors: Atul Mehta, David J. Kuter, Sam S. Salek, Nadia Belmatoug, Bruno Bembi, Jeremy Bright, Stephan vom Dahl, Federica Deodato, Maja Di Rocco, Ozlem Goker ‐Alpan, Derralynn A. Hughes, Elena A. Lukina, Maciej Machaczka, Eugen Mengel, Aabha Nagra Tags: Original Article Source Type: research

Frailty is associated with reduced prospect of discharge home after in ‐hospital cardiac arrest
ConclusionsFrail patients are unlikely to make a good recovery after in ‐hospital arrest and this should be taken into account when planning care with patients and their families.This article is protected by copyright. All rights reserved. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 8, 2018 Category: Internal Medicine Authors: Roger J Smith, David A Reid, John D Santamaria Tags: Original Article Source Type: research

Time to colonoscopy for patients accessing the Direct Access Colonoscopy Service compared to the normal service in Newcastle, Australia
AbstractBackgroundThe 2017 NBCSP report records a median time from positive faecal occult blood test to colonoscopy of 53 days. There is some intrinsic delay in accessing specialist medical opinion prior to colonoscopy. The aim of this study was to examine the effect of the introduction of a Direct Access Colonoscopy Service (DACS).MethodsUsing prospectively maintained databases, patients undergoing normal service (NS) colonoscopy and those referred to DACS were compared.The primary outcome measure was the time from GP referral to colonoscopy. Secondary outcome measures included the proportion of patients who met the curre...
Source: Internal Medicine Journal - November 8, 2018 Category: Internal Medicine Authors: Louise Clarke, Peter Pockney, Donna Gillies, Robert Foster, Jon Gani Tags: Original Article Source Type: research

Impact of increased access to novel agents on the survival of multiple myeloma patients treated at a single New Zealand centre
AbstractAimThe impact of changes in novel agent (NA) usage on the survival of multiple myeloma (MM) patients in real world hospital settings is unclear. In New Zealand (NZ) in 2011, front ‐line Bortezomib became available and thalidomide availability was expanded. This retrospective study analyses the impact these change had on the survival of MM patients treated at a NZ hospital.MethodsClinical and overall survival (OS) data were collected on MM patients who were treated at Christchurch Hospital during 2000 ‐2009 (pre‐Cohort, n=337) and 2011‐2017 (post‐Cohort, n=343). Outcomes were compared using pre‐Cohort da...
Source: Internal Medicine Journal - November 8, 2018 Category: Internal Medicine Authors: Barry D. Hock, Katie S. Mulholland, Peter Ganly, Judith L. McKenzie, John F. Pearson, Sean A. MacPherson Tags: Original Article Source Type: research

Recommendations for the use of pegylated interferon ‐α in the treatment of classical myeloproliferative neoplasms
This article is protected by copyright. All rights reserved. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 8, 2018 Category: Internal Medicine Authors: Cecily J. Forsyth, Wai ‐Hoong Chan, Andrew P. Grigg, Nathalie C. Cook, Steven W. Lane, Kate L. Burbury, Andrew C. Perkins, David M. Ross Tags: Review Source Type: research

Characteristics and outcomes of oncology unit patients requiring admission to an Australian intensive care unit
ConclusionOur patient population had good short ‐term survival outcomes despite most receiving palliative treatment. Cancer patients can achieve positive outcomes after ICU admission and appropriate selection of patients is crucial.This article is protected by copyright. All rights reserved. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 8, 2018 Category: Internal Medicine Authors: Aaron C. Tan, Sarah K. Jacques, Meredith Oatley, Alexander D. Guminski Tags: Original Article Source Type: research

Issue Information
Internal Medicine Journal,Volume 48, Issue S6, Page 1-4, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

Author Index
Internal Medicine Journal,Volume 48, Issue S6, Page 36-38, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P49: product characteristics and post marketing safety data for intragam 10 (10% ivig) in the first 12 months of clinical use in australia
Internal Medicine Journal,Volume 48, Issue S6, Page 19-19, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

Cgr 14: pores for thought
Internal Medicine Journal,Volume 48, Issue S6, Page 34-35, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P14: safe hospital meals for inpatients with food allergy ‐ a whole of system approach
Internal Medicine Journal,Volume 48, Issue S6, Page 8-8, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P55: pitfalls of immunotherapy: lessons from a patient with ctla ‐4 haploinsufficiency
Internal Medicine Journal,Volume 48, Issue S6, Page 20-21, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P20: effect of heat processing on ige reactivity and cross ‐reactivity of asia‐pacific mollusc species: identification of novel sydney rock oyster tropomyosin sac g 1
Internal Medicine Journal,Volume 48, Issue S6, Page 10-10, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P61: a new type of hereditary angioedema: hae caused by a mutation of the plasminogen gene
Internal Medicine Journal,Volume 48, Issue S6, Page 22-22, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P18: nip allergies in the bub – an initiative of the national allergy strategy
Internal Medicine Journal,Volume 48, Issue S6, Page 9-9, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P59: omalizumab to treat idiopathic non ‐histaminergic acquired angioedema
Internal Medicine Journal,Volume 48, Issue S6, Page 22-22, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P24: anaphylaxis to methotrexate in a child with chronic recurrent multifocal osteomyelitis
Internal Medicine Journal,Volume 48, Issue S6, Page 11-11, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P65: quantitative profiling of serum anti ‐dsdna heavy‐chains during a flare of acute cutaneous lupus erythematosus: a new approach for tracking pathogenic clones in lupus
Internal Medicine Journal,Volume 48, Issue S6, Page 24-24, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P30: direct oral challenge for rapid penicillin de ‐labelling in acute admitted general medical patients
Internal Medicine Journal,Volume 48, Issue S6, Page 13-13, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P71: autoimmune lymphoproliferative syndrome (alps) ‐ a case study
Internal Medicine Journal,Volume 48, Issue S6, Page 25-26, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P28: development of a generic ascia action plan for anaphylaxis
Internal Medicine Journal,Volume 48, Issue S6, Page 12-13, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

Cgr 3: a case report of parry romberg syndrome
Internal Medicine Journal,Volume 48, Issue S6, Page 31-31, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

R3: regulatory and t helper cell responses in children with food allergy
Internal Medicine Journal,Volume 48, Issue S6, Page 27-28, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P3: rates of allergic reactions in high risk infants during first introduction of peanut
Internal Medicine Journal,Volume 48, Issue S6, Page 5-5, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P69: biologic therapy ‐induced psoriasis: an illustrative case
Internal Medicine Journal,Volume 48, Issue S6, Page 25-25, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P34: safety and immunological response to 300ir house dust mite sublingual tablets in four phase iii trials
Internal Medicine Journal,Volume 48, Issue S6, Page 14-14, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P40: demographics of jack jumper ant allergic individuals referred to the victorian insect venom immunotherapy service
Internal Medicine Journal,Volume 48, Issue S6, Page 16-16, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

Cgr 7: inflammation and heartache
Internal Medicine Journal,Volume 48, Issue S6, Page 32-32, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

R7: clinical impact of whole genome sequencing on the diagnosis and management of patients with primary immunodeficiency diseases – the clinical immunogenomics research consortium australia (circa) experience
Internal Medicine Journal,Volume 48, Issue S6, Page 29-29, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P7: the efficacy of skin testing to egg white in predicting the outcome of oral food challenge to cooked egg
Internal Medicine Journal,Volume 48, Issue S6, Page 6-6, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P38: the role of skin and serum testing in children with a distant history of parent reported beta ‐lactam allergy
Internal Medicine Journal,Volume 48, Issue S6, Page 15-16, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P44: a shared care model for allergy – kimberley region pilot
Internal Medicine Journal,Volume 48, Issue S6, Page 17-17, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P50: development of new ascia subcutaneous immunoglobulin (scig) resources
Internal Medicine Journal,Volume 48, Issue S6, Page 19-19, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P48: ascia transplantation and primary immunodeficiency (tapid) project
Internal Medicine Journal,Volume 48, Issue S6, Page 18-19, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

Cgr 13: a case of recurrent infections and cytopaenias due to gata2 deficiency
Internal Medicine Journal,Volume 48, Issue S6, Page 34-34, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P13: community child health nurses knowledge and beliefs regarding infant feeding
Internal Medicine Journal,Volume 48, Issue S6, Page 8-8, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P54: SUCCESS AND CHALLENGES WITH SCIg TRAINING AND TREATMENT; A NURSING PERSPECTIVE
Internal Medicine Journal,Volume 48, Issue S6, Page 20-20, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P60: review of current methodological practices for anca detection
Internal Medicine Journal,Volume 48, Issue S6, Page 22-22, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

Cgr 17: mutants, magnesium and mononucleosis
Internal Medicine Journal,Volume 48, Issue S6, Page 35-35, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P17: food allergy management in hospitals
Internal Medicine Journal,Volume 48, Issue S6, Page 9-9, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P58: toward excellence in ezcema: improving the outcomes for children and adolescents with a multidisciplinary severe eczema clinic
Internal Medicine Journal,Volume 48, Issue S6, Page 21-22, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research

P23: mindfulness for resilience in chronic atopic conditions ‐ a matter of mind over body
Internal Medicine Journal,Volume 48, Issue S6, Page 10-11, November 2018. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 5, 2018 Category: Internal Medicine Source Type: research