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Age may explain the association of an early dialysis initiation with poor survival
Conclusion: History of ischemic heart disease, serum albumin and dialysis start before 2005 were risk factors for mortality in ESRD patients. Older age is usually associated with early dialysis initiation, so age adjustment is needed to perform studies aimed to calculate the effect of eGFR at dialysis initiation on survival.
Source: QJM - October 24, 2014 Category: Internal Medicine Authors: Soler, M. J., Montero, N., Pascual, M. J., Barrios, C., Marquez, E., Orfila, M. A., Cao, H., Arcos, E., Collado, S., Comas, J., Pascual, J. Tags: Original papers Source Type: research

Clinically important atrial arrhythmia and stroke risk: a UK-wide online survey among stroke physicians and cardiologists
Conclusions: There is a lack of consensus on the diagnosis and management of patients with brief runs of atrial arrhythmia detected on ambulatory ECG. Further research is needed to clarify the risk of stroke in this unique population of patients.
Source: QJM - October 24, 2014 Category: Internal Medicine Authors: Rankin, A. J., Tran, R. T., Abdul-Rahim, A. H., Rankin, A. C., Lees, K. R. Tags: Original papers Source Type: research

A mysterious stroke in a colon cancer patient
Source: QJM - October 24, 2014 Category: Internal Medicine Authors: Lin, R. J., Amoruso, D. R. Tags: Case reports Source Type: research

Does hyperostosis frontalis interna have any clinical relevance in stroke patients?
Source: QJM - August 26, 2014 Category: Internal Medicine Authors: Ntlholang, O., Mahon, O., Bradley, D., Harbison, J. A. Tags: Correspondence Source Type: research

Aggressive gyriform calcifications and seizures after ischemia stroke in a patient with primary hyperparathyroidism
Source: QJM - June 25, 2014 Category: Internal Medicine Authors: Chuang, T.- J., Tang, W.- H., Hung, Y.- J., Kuo, F.- C. Tags: Case reports Source Type: research

Cardioembolic stroke following a fractured transseptal wire
Source: QJM - May 24, 2014 Category: Internal Medicine Authors: Srinivasan, S., Mahta, A., Kesari, S. Tags: Clinical pictures Source Type: research

Stravinsky syndrome: giving a voice to chronic stroke disease
Source: QJM - May 24, 2014 Category: Internal Medicine Authors: O'Neill, D., Macsweeney, C. A., Cornell, I. A., Moss, H. Tags: Commentary Source Type: research

The prognostic significance of declining health-related quality of life scores at 6 months after coronary artery bypass surgery
Conclusions: Deteriorating function and HRQoL-scores at 6 months as compared to baseline postoperatively predict later adverse cardiovascular events after CABG.
Source: QJM - April 25, 2014 Category: Internal Medicine Authors: Gunn, J. M., Lautamaki, A. K., Hirvonen, J., Kuttila, K. T. Tags: Original papers Source Type: research

The causes of hypopituitarism in the absence of abnormal pituitary imaging
Conclusion: These results show that hypopituitarism in the absence of pituitary pathology or an identifiable cause is rare. In patients with multiple anterior pituitary hormone deficiencies haemochromatosis and sarcoidosis should be considered.
Source: QJM - December 20, 2013 Category: Internal Medicine Authors: Wilson, V., Mallipedhi, A., Stephens, J. W., Redfern, R. M., Price, D. E. Tags: Original papers Source Type: research

Stroke syndromes and clinical management
The knowledge of brain syndromes is essential for stroke physicians and neurologists, particularly those that can be extremely difficult and challenging to diagnose due to the great variability of symptom presentation and yet of clinical significance in terms of potential devastating effect with poor outcome. The diagnosis and understanding of stroke syndromes has improved dramatically over the years with the advent of modern imaging, while the management is similar to general care as recommended by various guidelines in addition to care of such patients on specialized units with facilities for continuous monitoring of vit...
Source: QJM - June 24, 2013 Category: Internal Medicine Authors: Balami, J. S., Chen, R. L., Buchan, A. M. Tags: Reviews Source Type: research

Factors that influence awareness and treatment of atrial fibrillation in older adults
Conclusions: With projected doubling of numbers of persons over 80 in the next 30 years in the British Isles, detection and management of AF is pressing. Two-thirds of adults at high risk of stroke were inadequately treated. More regular screening for AF, application of criteria for stroke and bleeding risk and awareness of factors influencing diagnosis and treatment is recommended.
Source: QJM - April 21, 2013 Category: Internal Medicine Authors: Frewen, J., Finucane, C., Cronin, H., Rice, C., Kearney, P. M., Harbison, J., Kenny, R. A. Tags: Original papers Source Type: research

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