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Source: Internal Medicine Journal

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Total 81 results found since Jan 2013.

Enteral tube feeding of patients with acute stroke: When does the risk of diarrhoea increase?
ConclusionsThe length of time on ETF is associated with diarrhoea development in patients with acute stroke, demonstrating a temporal cut‐off point. Seven days or longer on ETF is related to the occurrence of diarrhoea, whereas less than 7 days on ETF does not show this effect.
Source: Internal Medicine Journal - September 16, 2014 Category: Internal Medicine Authors: Juan Jose Arevalo‐Manso, Patricia Martinez‐Sanchez, Belen Juarez‐Martin, Blanca Fuentes, Gerardo Ruiz‐Ares, Borja Enrique Sanz‐Cuesta, Pilar Parrilla‐Novo, Exuperio Diez‐Tejedor Tags: Original Article Source Type: research

Twenty‐eight day Holter monitoring is poorly tolerated and insensitive for paroxysmal atrial fibrillation detection in cryptogenic stroke
Abstract This pilot study in a prospective cohort of 20 cryptogenic stroke patients showed that a significant proportion has paroxysmal atrial fibrillation undetected by 24‐h Holter monitoring. However, longer monitoring with 28‐day Holter was poorly tolerated and still insufficiently sensitive for paroxysmal atrial fibrillation detection. Further studies are urgently needed to elucidate the optimal timing, method and duration of cardiac rhythm monitoring following ischaemic stroke.
Source: Internal Medicine Journal - May 12, 2014 Category: Internal Medicine Authors: H. T. Tu, S. Spence, J. M. Kalman, S. M. Davis Tags: Brief Communications Source Type: research

Are suspected stroke patients identified by paramedics transported to appropriate stroke centres in Victoria, Australia?
Abstract Emergency medical services (EMS) are vital to ensuring acute stroke patients are transported to thrombolysis and/or stroke unit centres. This 6‐month audit of Victorian EMS cases found the majority of suspected acute strokes are transported to appropriate stroke centres. However, there is still room for improvement, in particular, strategies to improve access to stroke services in some rural regions and to ensure patients/relatives are fully informed when requesting transport to a non‐stroke service hospital.
Source: Internal Medicine Journal - May 12, 2014 Category: Internal Medicine Authors: J. E. Bray, K. Coughlan, I. Mosley, B. Barger, C. Bladin Tags: Brief Communications Source Type: research

Elevated mean platelet volume is associated with silent cerebral infarction
ConclusionMPV is a novel index for SCI regardless of classical cardiovascular risk factors.
Source: Internal Medicine Journal - April 21, 2014 Category: Internal Medicine Authors: Bing Li, Xin Liu, Zhi‐gang Cao, Ying Li, Tie‐min Liu, Rui‐tao Wang Tags: Original Article Source Type: research

Left atrial appendage occlusion with the Watchman device in a patient with paroxysmal atrial fibrillation and intolerance of all forms of anticoagulation due to hereditary haemorrhagic telangiectasia
Abstract An elderly woman presented to our attention because of paroxysmal atrial fibrillation and cerebrovascular events requiring systemic anticoagulation and a concomitant, serious bleeding diathesis (the Osler‐Weber‐Rendu syndrome, or hereditary haemorrhagic telangiectasia). Her risk of suffering a major stroke was significant given a CHA2DS2VASc score of 6. However, she was unable to tolerate any form of anticoagulation because of torrential epistaxis and previous gastrointestinal haemorrhage on antiplatelet therapy. We proceeded with percutaneous occlusion of the left atrial appendage with a Watchman device. Ten ...
Source: Internal Medicine Journal - March 13, 2014 Category: Internal Medicine Authors: R. Spina, B. Gunalingam Tags: Brief Communication Source Type: research

Recurrence of Carney complex atrial myxoma causing embolic stroke
Source: Internal Medicine Journal - March 13, 2014 Category: Internal Medicine Authors: R. J. Gordon, R. Q. J. Latona, D. T. Sonigra, L. A. K. Embling, S. Niranjan Tags: Letter to the Editor Source Type: research

Stroke thrombolysis: per ardua, ad astra …
Source: Internal Medicine Journal - February 17, 2014 Category: Internal Medicine Authors: C. Bladin Tags: Editorial Source Type: research

Health status, late effects and long‐term survivorship of allogeneic bone marrow transplantation: a retrospective study
ConclusionThis study shows that allo‐HSCT patients are living with high burdens of chronic diseases that warrant lifelong surveillance and engagement with healthcare. Structured, multi‐disciplinary care as recommended by published guidelines for allo‐HSCT survivors may reduce long‐term effects and improve their outcomes.
Source: Internal Medicine Journal - February 17, 2014 Category: Internal Medicine Authors: G. Gifford, J. Sim, A. Horne, D. Ma Tags: Original Article Source Type: research

Intravenous thrombolysis is unsafe in stroke due to infective endocarditis
We describe a patient with occult endocarditis who was treated with thrombolysis for acute stroke and review other cases reported in the literature.
Source: Internal Medicine Journal - February 17, 2014 Category: Internal Medicine Authors: W. J. Brownlee, N. E. Anderson, P. A. Barber Tags: Brief Communication Source Type: research

Purple toes syndrome following stroke thrombolysis and warfarin therapy
Source: Internal Medicine Journal - January 23, 2014 Category: Internal Medicine Authors: T. Mooney, P. Joseph Tags: Letter to the Editor Source Type: research

Assessment of point‐of‐care measurement of international normalised ratio using the CoaguChek XS Plus system in the setting of acute ischaemic stroke
ConclusionPoint‐of‐care INR testing correlates well with laboratory values. The results in this study mostly relate to values in the normal range. We suggest that it can be used to try to shorten door‐to‐needle time.
Source: Internal Medicine Journal - November 15, 2013 Category: Internal Medicine Authors: D. Nusa, I. Harvey, A. Y. Almansouri, S. Wright, T. Neeman, O Ahmad, A. R. Hughes, C. J. Lueck Tags: Original Article Source Type: research

Minimising time to treatment: targeted strategies to minimise time to thrombolysis for acute ischaemic stroke
Abstract Time to thrombolysis is a critical determinant of favourable outcomes in acute ischaemic stroke. It is not infrequent that patient outcomes are compromised due to out‐of‐hospital and in‐hospital time delays. On the other hand, time delays could be minimised through the identification of barriers and the implementation of targeted solutions. This review outlines the different strategies in minimising treatment delays and offers recommendations. Literature search in PubMed, Medline and EBSCO Host was conducted to identify studies that are relevant to reduction of time to treatment from January 1995 to December...
Source: Internal Medicine Journal - November 15, 2013 Category: Internal Medicine Authors: Y. J. Tai, B. Yan Tags: Review Source Type: research

Health Status, Late Effects and Long Term Survivorship of Allogeneic Bone Marrow Transplantation: A Retrospective Study
ConclusionThis study shows that allo‐HSCT recipients are living with high burdens of chronic diseases that warrant lifelong surveillance and engagement with healthcare. Structured, multi‐disciplinary care as recommended by published guidelines for allo‐HSCT survivors may reduce long term effects and improve their outcomes.
Source: Internal Medicine Journal - November 1, 2013 Category: Internal Medicine Authors: Grace Gifford, Joycelyn Sim, Annabel Horne, David Ma Tags: Original Article Source Type: research

Exertional heat stroke, rhabdomyolysis and susceptibility to malignant hyperthermia
We report a case of exertional heat stroke and rhabdomyolysis in a man later determined to have the malignant hyperthermia phenotype. We review the existing literature regarding this association and suggest future research that could address areas of remaining clinical uncertainty.
Source: Internal Medicine Journal - September 4, 2013 Category: Internal Medicine Authors: J. Thomas, T. Crowhurst Tags: Brief Communication Source Type: research

Advances in chronic obstructive pulmonary disease
Abstract Chronic obstructive pulmonary disease (COPD) is characterised by progressive airflow limitation in the presence of identifiable risk factors. Inflammation is the central pathological feature in the pathogenesis of COPD. In addition to its pulmonary effects, COPD is associated with significant extrapulmonary manifestations, including ischaemic heart disease, osteoporosis, stroke and diabetes. Anxiety and depression are also common. Spirometry remains the gold standard diagnostic tool. Pharmacologic and non‐pharmacologic therapy can improve symptoms, quality of life and exercise capacity and, through their effects...
Source: Internal Medicine Journal - August 6, 2013 Category: Internal Medicine Authors: C. F. McDonald, Y. Khor Tags: Clinical Perspectives Source Type: research