MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Internal Medicine Journal' source. Thu, 18 Mar 2010 16:00:36 +0100 http://www.medworm.com/index.php?rid=3365495&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02151.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3365495 Mon, 15 Mar 2010 00:00:00 +0100 3365495 http://www.medworm.com/index.php?rid=3365494&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2010.02166.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3365494 Mon, 15 Mar 2010 00:00:00 +0100 3365494 http://www.medworm.com/index.php?rid=3365493&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02150.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3365493 Mon, 15 Mar 2010 00:00:00 +0100 3365493 http://www.medworm.com/index.php?rid=3365492&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02145.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3365492 Mon, 15 Mar 2010 00:00:00 +0100 3365492 http://www.medworm.com/index.php?rid=3365491&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2010.02181.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3365491 Mon, 15 Mar 2010 00:00:00 +0100 3365491 http://www.medworm.com/index.php?rid=3365489&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2010.02177.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3365489 Mon, 15 Mar 2010 00:00:00 +0100 3365489 http://www.medworm.com/index.php?rid=3365488&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02155.x Conventional teaching on the mechanisms and treatment of spontaneous pneumothorax is either obviously wrong or based on a misunderstanding of the natural history of the condition. Spontaneous pneumothorax is a generally benign, self-limiting condition where conservative management should be considered. If intervention is needed, medical thoracoscopy might be the procedure of choice. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3365488 Mon, 15 Mar 2010 00:00:00 +0100 3365488 http://www.medworm.com/index.php?rid=3365487&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02120.x This article includes a case report of a 31-year-old woman, who presented with recurrent transient loss of consciousness thought to be secondary to acute changes in intracranial pressure transmitted from a pseudomeningocele. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3365487 Mon, 15 Mar 2010 00:00:00 +0100 3365487 http://www.medworm.com/index.php?rid=3365486&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02153.x This study examined the hypothesis that patients taking antidepressants or presenting with fractures could represent new subgroups at higher risk for coeliac disease. A total of 105 and 199 consecutive patients presenting to hospital taking antidepressants and/or with a fracture was screened with IgA tissue transglutaminase and had their IgA serum levels quantified. Patients with positive serology were offered further diagnostic and management follow up. No patients taking antidepressants had positive serology. Seven with fractures had elevated titres of IgA tissue transglutaminase. All of these patients had presented with non-axial fractures, representing a prevalence of 5.2% (95% confidence interval: 1.4[ndash]8.9%). Uptake of further investigation and management was poor. Patients prese... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3365486 Mon, 15 Mar 2010 00:00:00 +0100 3365486 http://www.medworm.com/index.php?rid=3365485&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2010.02190.x Direct-to-consumer personal genome testing (DTC-PGT) screens a customer's genome for the presence of single nucleotide polymorphisms that are reported to be associated with various diseases, disease risk factors and personal characteristics. The range of health risks covered by personal genome testing (PGT) includes cancer, heart disease, obesity, diabetes mellitus and osteoporosis. PGT also detects a range of other characteristics, such as alcohol 'flush reaction', eye colour, ear wax type and bitter taste perception. Information about ancestry and family history is also available. Although DTC-PGT is still a relatively new enterprise, the technology has the potential for rapid expansion as it becomes more accessible to consumers who wish to obtain information about their genetic profile.... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3365485 Mon, 15 Mar 2010 00:00:00 +0100 3365485 http://www.medworm.com/index.php?rid=3345600&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2010.02189.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3345600 Mon, 08 Mar 2010 00:00:00 +0100 3345600 http://www.medworm.com/index.php?rid=3345599&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2010.02214.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3345599 Mon, 08 Mar 2010 00:00:00 +0100 3345599 http://www.medworm.com/index.php?rid=3345598&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2010.02188.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3345598 Mon, 08 Mar 2010 00:00:00 +0100 3345598 http://www.medworm.com/index.php?rid=3345597&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2010.02187.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3345597 Mon, 08 Mar 2010 00:00:00 +0100 3345597 http://www.medworm.com/index.php?rid=3337507&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02128.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3337507 Fri, 05 Mar 2010 00:00:00 +0100 3337507 http://www.medworm.com/index.php?rid=3337506&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02127.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3337506 Fri, 05 Mar 2010 00:00:00 +0100 3337506 http://www.medworm.com/index.php?rid=3337505&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02125.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3337505 Fri, 05 Mar 2010 00:00:00 +0100 3337505 http://www.medworm.com/index.php?rid=3337504&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02118.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3337504 Fri, 05 Mar 2010 00:00:00 +0100 3337504 http://www.medworm.com/index.php?rid=3337503&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02121.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3337503 Fri, 05 Mar 2010 00:00:00 +0100 3337503 http://www.medworm.com/index.php?rid=3337502&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02119.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3337502 Fri, 05 Mar 2010 00:00:00 +0100 3337502 http://www.medworm.com/index.php?rid=3337501&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2010.02147.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3337501 Fri, 05 Mar 2010 00:00:00 +0100 3337501 http://www.medworm.com/index.php?rid=3337500&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02148.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3337500 Fri, 05 Mar 2010 00:00:00 +0100 3337500 http://www.medworm.com/index.php?rid=3337499&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2010.02168.x We describe the case of a 55-year-old woman with advanced pancreatic adenocarcinoma, who developed clinical and radiological manifestations consistent with this syndrome as a complication of gemcitabine monotherapy. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3337499 Fri, 05 Mar 2010 00:00:00 +0100 3337499 http://www.medworm.com/index.php?rid=3337498&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02095.x We present a middle-aged female patient with severe subacute peripheral ishaemia, gangrene and eventual amputation of all four distal limbs due to a large non-metastatic left adrenal gland phaeochromocytoma and summarise the available literature concerning previously reported cases. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3337498 Fri, 05 Mar 2010 00:00:00 +0100 3337498 http://www.medworm.com/index.php?rid=3337497&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02122.x Anti-tumour necrosis factor (TNF) therapy is an effective but expensive option for treating inflammatory bowel disease (IBD). Its use is generally reserved for patients with severe refractory disease, often involving long-term administration. Anti-TNF therapy has the potential to be associated with various adverse effects, such as infection, malignancy and immunogenicity. Clinicians and patients should be familiar with these possibilities and adopt appropriate precautions prior to and during treatment to minimize risk. Guidelines have been developed for Australian prescribers intending to use anti-TNF therapy in IBD by a Working Party commissioned by IBD-Australia, a Special Interest Group affiliated with the Gastroenterology Society of Australia. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3337497 Fri, 05 Mar 2010 00:00:00 +0100 3337497 http://www.medworm.com/index.php?rid=3365477&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2010.02183.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3365477 Mon, 01 Mar 2010 00:00:00 +0100 3365477 http://www.medworm.com/index.php?rid=3345596&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2010.02186.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3345596 Mon, 01 Mar 2010 00:00:00 +0100 3345596 http://www.medworm.com/index.php?rid=3253505&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02083.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253505 Tue, 09 Feb 2010 00:00:00 +0100 3253505 http://www.medworm.com/index.php?rid=3253504&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02126.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253504 Tue, 09 Feb 2010 00:00:00 +0100 3253504 http://www.medworm.com/index.php?rid=3253503&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02117.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253503 Tue, 09 Feb 2010 00:00:00 +0100 3253503 http://www.medworm.com/index.php?rid=3253502&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02087.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253502 Tue, 09 Feb 2010 00:00:00 +0100 3253502 http://www.medworm.com/index.php?rid=3253501&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02124.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253501 Tue, 09 Feb 2010 00:00:00 +0100 3253501 http://www.medworm.com/index.php?rid=3253500&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02123.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253500 Tue, 09 Feb 2010 00:00:00 +0100 3253500 http://www.medworm.com/index.php?rid=3253499&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02086.x The enthusiasm for evidence-based medicine (EBM) has not been accompanied by the same success in bridging the gap between theory and practice. This paper advances the hypothesis that the phenomenon psychologists call hypocognition may hinder the development of EBM. People tend to respond to frames rather than to facts. To be accepted, a theory, however robust, must fit into a person's mental framework. The absence of a simple, consolidated framework is referred to as hypocognition. Hypocognition might limit the application of EBM in three ways. First, it fails to provide an analytical framework by which to orient the physician in the direction of continuous medical development and variability in individual people's responses. Second, little emphasis is placed on teaching clinical reasoning... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253499 Tue, 09 Feb 2010 00:00:00 +0100 3253499 http://www.medworm.com/index.php?rid=3253498&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02075.x The HICAP (Hypertension and Heart Failure in Primary Care) study is a cross-sectional, multicentre, epidemiological study conduced in primary care centres in Spain. The results indicate that among hypertensive patients without heart failure (HF), diagnosed renal dysfunction is associated with the risk for developing HF and that the renal function evaluation using the Modification of Diet in Renal Disease Study Group formula could be useful to detect hypertensive patients at high risk of developing HF. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253498 Tue, 09 Feb 2010 00:00:00 +0100 3253498 http://www.medworm.com/index.php?rid=3253497&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02096.x We report four cases of intentional overdose with this formulation resulting in delay to peak plasma paracetamol concentrations and prolonged paracetamol absorption. Physicians must be aware that a single plasma paracetamol estimation four or more hours post-ingestion may not be adequate in the risk assessment of patients requiring treatment with N-acetylcysteine (NAC). Current Australasian guidelines for the management of modified-release paracetamol overdose advise empiric commencement of NAC if the suspected ingested dose is greater than 10 grams or 200 mg/kg (whichever is the least), an initial plasma paracetamol concentration should be assayed four or more hours post-ingestion and a second assay should be estimated four hours after the first. Treatment with NAC should continue if eith... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253497 Tue, 09 Feb 2010 00:00:00 +0100 3253497 http://www.medworm.com/index.php?rid=3253496&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02097.x Reversible posterior encephalopathy (RPES) is an uncommon neurological syndrome that is being increasingly reported in association with anti-neoplastic therapies. The first case of reversible posterior encephalopathy associated with the proteosome inhibitor bortezomib is described and the reported experience of the occurrence of RPES with other antineoplastic therapies reviewed. Dysregulation of cerebral vasomotor autoregulation is postulated as the underlying pathophysiology in this case of bortezomib associated RPES. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253496 Tue, 09 Feb 2010 00:00:00 +0100 3253496 http://www.medworm.com/index.php?rid=3253495&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02082.x This report highlights an unusual cause of respiratory failure in a patient with SLE and provides support for reduced chest compliance rather than the diaphragmatic weakness as being the significant pathophysiological mechanism for ventilatory failure in these patients. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253495 Tue, 09 Feb 2010 00:00:00 +0100 3253495 http://www.medworm.com/index.php?rid=3253490&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2008.01883.x Conclusion: CAP in this setting is an Aboriginal health issue. The low mortality observed and results of microbiology investigations support the use of existing antibiotic protocols. Larger studies investigating CAP aetiology are warranted. Addressing social and environmental disadvantage remains the key factors in dealing with the burden of CAP in this setting. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253490 Tue, 09 Feb 2010 00:00:00 +0100 3253490 http://www.medworm.com/index.php?rid=3253489&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2008.01881.x Conclusion: Our study showed that in apparently normal adults the presence and the severity of proteinuria could be reflected by the peripheral neutrophil and monocyte counts, but not the lymphocyte count. These findings, together with the documented inflammatory basis of proteinuria and the diverse pathophysiological roles of differential leucocytes, suggest that peripheral differential leucocyte counting may be useful in predicting the course of an existing proteinuria. Perspective longitudinal follow-up studies are needed to test this presumption. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253489 Tue, 09 Feb 2010 00:00:00 +0100 3253489 http://www.medworm.com/index.php?rid=3253488&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02072.x Positron emission tomography (PET) using fluorine-18[ndash]2-fluoro-2-deoxy-d-glucose (FDG) has made a major impact in clinical oncology in diagnosing, staging and restaging malignancy as well as in monitoring therapy response. Over the past decade, there has been an enormous growth in the scientific and clinical evidence supporting PET including recent important contribution from the Australian PET Data Collection Project. Since 2001, hybrid PET-computed tomography has also largely replaced PET alone systems with significant improvement in diagnostic accuracy. This review is a brief update on the current status of FDG-PET focusing on its oncologic applications. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253488 Tue, 09 Feb 2010 00:00:00 +0100 3253488 http://www.medworm.com/index.php?rid=3253486&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02130.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253486 Tue, 09 Feb 2010 00:00:00 +0100 3253486 http://www.medworm.com/index.php?rid=3253485&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2010.02182.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253485 Tue, 09 Feb 2010 00:00:00 +0100 3253485 http://www.medworm.com/index.php?rid=3337489&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2010.02170.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3337489 Mon, 01 Feb 2010 00:00:00 +0100 3337489 http://www.medworm.com/index.php?rid=3365490&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2010.02176.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3365490 Thu, 07 Jan 2010 00:00:00 +0100 3365490 http://www.medworm.com/index.php?rid=3253484&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02131.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253484 Fri, 01 Jan 2010 00:00:00 +0100 3253484 http://www.medworm.com/index.php?rid=3128353&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02100.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128353 Wed, 30 Dec 2009 00:00:00 +0100 3128353 http://www.medworm.com/index.php?rid=3128352&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02099.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128352 Wed, 30 Dec 2009 00:00:00 +0100 3128352 http://www.medworm.com/index.php?rid=3128351&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02098.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128351 Wed, 30 Dec 2009 00:00:00 +0100 3128351 http://www.medworm.com/index.php?rid=3128350&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02094.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128350 Wed, 30 Dec 2009 00:00:00 +0100 3128350 http://www.medworm.com/index.php?rid=3128349&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02093.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128349 Wed, 30 Dec 2009 00:00:00 +0100 3128349 http://www.medworm.com/index.php?rid=3128348&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02092.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128348 Wed, 30 Dec 2009 00:00:00 +0100 3128348 http://www.medworm.com/index.php?rid=3128347&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02091.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128347 Wed, 30 Dec 2009 00:00:00 +0100 3128347 http://www.medworm.com/index.php?rid=3128346&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02090.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128346 Wed, 30 Dec 2009 00:00:00 +0100 3128346 http://www.medworm.com/index.php?rid=3128345&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02089.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128345 Wed, 30 Dec 2009 00:00:00 +0100 3128345 http://www.medworm.com/index.php?rid=3128344&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02088.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128344 Wed, 30 Dec 2009 00:00:00 +0100 3128344 http://www.medworm.com/index.php?rid=3128343&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02116.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128343 Wed, 30 Dec 2009 00:00:00 +0100 3128343 http://www.medworm.com/index.php?rid=3128342&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02115.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128342 Wed, 30 Dec 2009 00:00:00 +0100 3128342 http://www.medworm.com/index.php?rid=3128341&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02084.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128341 Wed, 30 Dec 2009 00:00:00 +0100 3128341 http://www.medworm.com/index.php?rid=3128340&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02073.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128340 Wed, 30 Dec 2009 00:00:00 +0100 3128340 http://www.medworm.com/index.php?rid=3128339&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02071.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128339 Wed, 30 Dec 2009 00:00:00 +0100 3128339 http://www.medworm.com/index.php?rid=3128338&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02077.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128338 Wed, 30 Dec 2009 00:00:00 +0100 3128338 http://www.medworm.com/index.php?rid=3128337&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02078.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128337 Wed, 30 Dec 2009 00:00:00 +0100 3128337 http://www.medworm.com/index.php?rid=3128336&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02076.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128336 Wed, 30 Dec 2009 00:00:00 +0100 3128336 http://www.medworm.com/index.php?rid=3128335&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02074.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128335 Wed, 30 Dec 2009 00:00:00 +0100 3128335 http://www.medworm.com/index.php?rid=3128334&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02080.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128334 Wed, 30 Dec 2009 00:00:00 +0100 3128334 http://www.medworm.com/index.php?rid=3128333&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02079.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128333 Wed, 30 Dec 2009 00:00:00 +0100 3128333 http://www.medworm.com/index.php?rid=3128332&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02070.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128332 Wed, 30 Dec 2009 00:00:00 +0100 3128332 http://www.medworm.com/index.php?rid=3128331&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02052.x We describe a retrospective case note review of 41 patients aged 65 years and over with spontaneous spinal infections over a 6-year period. The incidence was 9.8/100 000/year. Staphylococcus aureus was the most common isolate. The mean time from symptom onset to diagnosis was 34 days. Most patients presented with back pain and elevated CRP. Differentiation between discitis and other spinal infections does not appear to be important, as clinical characteristics and outcomes are similar. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128331 Wed, 30 Dec 2009 00:00:00 +0100 3128331 http://www.medworm.com/index.php?rid=3128330&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02053.x The current practice for cellulitis in diagnosis and treatment is mainly based on subjective clinical judgement without validated objective guidance. For patients with non-purulent cellulitis needing intravenous antibiotic treatment in hospital, we found soft tissue sonography performed around 4 days after initiation of antibiotics might have prognostic values. The patients with soft tissue sonographic pattern of subcutaneous thickening alone had shorter duration of antibiotic treatment and higher rate of early treatment response to antibiotics than those with the pattern of cobblestone appearance. Larger-scale research may be warranted to validate the prognostic roles of sonography in cellulitis management. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128330 Wed, 30 Dec 2009 00:00:00 +0100 3128330 http://www.medworm.com/index.php?rid=3128329&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02019.x Patients with inoperable non-small cell lung cancer diagnosed and managed at a single institution over a one-year period were identified. Those whose case had been discussed at a multidisciplinary meeting had better survival than those whose case was not discussed (mean survival; 280 days vs. 205 days, log-rank P= 0.048). (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128329 Wed, 30 Dec 2009 00:00:00 +0100 3128329 http://www.medworm.com/index.php?rid=3128328&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02085.x Consent to organ and tissue donation is higher when the deceased has indicated a wish to donate. The Australian Organ Donor Register (AODR) is the national register of preferences regarding donation. The AODR has a number of limitations; it has no mechanism for requiring individuals to register their wishes, while the online format both raises concerns about the validity of the consent obtained and precludes personal discussion of fears and concerns about donation. A solution to these limitations is to utilize state-based agencies that administer driving licences. This strategy ties the donation decision to an existing task (renewal of driving licences), and provides an opportunity for a personalized intervention at the time the decision is being made. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128328 Wed, 30 Dec 2009 00:00:00 +0100 3128328 http://www.medworm.com/index.php?rid=3128325&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01846.x Conclusion: In patients with end-stage renal failure on dialysis NT-pro-BNP provides greater prognostic information compared with TnT and TnI. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128325 Wed, 30 Dec 2009 00:00:00 +0100 3128325 http://www.medworm.com/index.php?rid=3128324&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2008.01882.x Conclusion: The tumour detection rate with flexible bronchoscopy in endoscopically visible lung malignancies is high. Cytology-based sampling techniques by means of bronchial washings and brushings significantly increase the overall diagnostic yield compared with forceps biopsy only. Repeat bronchoscopies after an initial non-diagnostic bronchoscopy have a relatively high diagnostic yield and should therefore be considered in all patients with endoscopically visible tumour. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128324 Wed, 30 Dec 2009 00:00:00 +0100 3128324 http://www.medworm.com/index.php?rid=3337492&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02149.x Conclusions: The FOBT was applied in clinically inappropriate settings without consideration to confounding issues, and often led to inappropriate clinical decisions with considerable cost to hospital and patient. There is no place for FOBT in an acute hospital setting. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3337492 Tue, 15 Dec 2009 00:00:00 +0100 3337492 http://www.medworm.com/index.php?rid=2962216&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02057.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2962216 Wed, 04 Nov 2009 00:00:00 +0100 2962216 http://www.medworm.com/index.php?rid=2962215&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02017.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2962215 Wed, 04 Nov 2009 00:00:00 +0100 2962215 http://www.medworm.com/index.php?rid=2962214&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02058.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2962214 Wed, 04 Nov 2009 00:00:00 +0100 2962214 http://www.medworm.com/index.php?rid=2962211&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02049.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2962211 Wed, 04 Nov 2009 00:00:00 +0100 2962211 http://www.medworm.com/index.php?rid=2962210&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02048.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2962210 Wed, 04 Nov 2009 00:00:00 +0100 2962210 http://www.medworm.com/index.php?rid=2962209&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02032.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2962209 Wed, 04 Nov 2009 00:00:00 +0100 2962209 http://www.medworm.com/index.php?rid=2962208&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02046.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2962208 Wed, 04 Nov 2009 00:00:00 +0100 2962208 http://www.medworm.com/index.php?rid=2962207&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02047.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2962207 Wed, 04 Nov 2009 00:00:00 +0100 2962207 http://www.medworm.com/index.php?rid=2962206&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02045.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2962206 Wed, 04 Nov 2009 00:00:00 +0100 2962206 http://www.medworm.com/index.php?rid=2962205&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02056.x Management of cancer in the elderly presents an unprecedented challenge in Australia with the proportion of the population aged over 65 years set to double over the next four decades. Despite the complex healthcare needs of the older patient with cancer, there is currently little communication or cooperation between the fields of oncology and geriatrics. Improved interdisciplinary communication would facilitate care that is framed within current oncology practice while taking account of physiological age, complex comorbidities, risk of adverse events and pharmacological interactions as well as the implications of cognitive impairment on suitability for treatment and consent. An important first step has been taken towards the development of a strategic, focused and collaborative approach to... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2962205 Wed, 04 Nov 2009 00:00:00 +0100 2962205 http://www.medworm.com/index.php?rid=2962204&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02051.x Pulmonary arterial hypertension (PAH) in pregnancy carries a mortality of 30[ndash]56%. There are few published data to guide clinicians in its management. Two pregnant women with severe PAH have been treated at Royal Perth Hospital with a successful result in both. Their presentation and management are described. We review the physiological changes in pregnancy, pathophysiology in PAH, and review the literature describing treatment of PAH in pregnancy. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2962204 Wed, 04 Nov 2009 00:00:00 +0100 2962204 http://www.medworm.com/index.php?rid=2962203&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02055.x The utility of regular medical fitness-for-diving examinations of occupational divers is unknown. The aim of this audit was to investigate the impact on the employment of occupational divers of a 5-yearly medical examination and an annual health surveillance questionnaire administered in intervening years. The medical records of all New Zealand occupational divers registered with the Department of Labour for at least 5 years were audited (n= 336). Each record included at least two full medical examinations (mean spacing of 5.6 years). An impact on career was defined as the diver being issued with either a conditional certificate of fitness or being graded as temporarily or permanently unfit for diving. The means by which the relevant medical issue was identified was recorded. Ten (3%) of 3... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2962203 Wed, 04 Nov 2009 00:00:00 +0100 2962203 http://www.medworm.com/index.php?rid=2962201&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2008.01878.x Conclusion: Our results stress the importance of initiating and maintaining anticoagulation in patients with AF and without obvious contraindications to minimize the risk of subsequent stroke. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2962201 Wed, 04 Nov 2009 00:00:00 +0100 2962201 http://www.medworm.com/index.php?rid=2962197&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02016.x Depression is the leading cause of non-fatal disease burden in Australia. Recently, increasing public recognition, together with the development of more integrated medical and psychological healthcare services has resulted in significant improvements. New pathophysiological models incorporate structural brain changes with established changes in neurotransmitter function. Further, recognition of predisposing factors and the salience of differential ages of onset have led to more pragmatic diagnostic systems. There is an ongoing need to promote early recognition, better information to inform treatment choices and more comprehensive treatment programmes that incorporate behavioural and lifestyle factors in addition to the wide range of pharmacological therapies that are now available. (Source... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2962197 Wed, 04 Nov 2009 00:00:00 +0100 2962197 http://www.medworm.com/index.php?rid=3128321&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02050.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128321 Sun, 01 Nov 2009 00:00:00 +0100 3128321 http://www.medworm.com/index.php?rid=2962195&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02054.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2962195 Sun, 01 Nov 2009 00:00:00 +0100 2962195 http://www.medworm.com/index.php?rid=3365484&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02107.x Conclusion: With increased awareness and earlier diagnosis of TSH-secreting pituitary adenomas, management can be appropriately directed towards the pituitary. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3365484 Thu, 22 Oct 2009 00:00:00 +0100 3365484 http://www.medworm.com/index.php?rid=3365479&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02111.x Considerable changes occur in the concentrations of numerous drugs after death. Some concentrations increase, others fall and some do not change. Active agents, such as gamma hydroxybutyrate and alcohol, may be synthesized in the deceased body. Many published tables contain lists of therapeutic, toxic and lethal concentrations that are misleading. While the process of post-mortem redistribution of drugs has been called a 'toxicological nightmare', it is still possible to obtain a lot of information from the integration of ante-mortem history with the post-mortem drug concentration. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3365479 Thu, 22 Oct 2009 00:00:00 +0100 3365479 http://www.medworm.com/index.php?rid=3365478&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02110.x Inflammatory bowel diseases (IBD), comprising Crohn's disease (CD) and ulcerative colitis (UC), are chronic inflammatory disorders of the gut, which lead to significant morbidity and impaired quality of life (QoL) in sufferers, without generally affecting mortality. Despite CD and UC being chronic, life-long illnesses, most medical management is directed at acute flares of disease. Moreover, with more intensive medical therapy and the development of biological therapy, there is a risk that management will become even more narrowly focused on acute care, and be directed only at those with more severe disease, rather than encompassing all sufferers and addressing important non-acute issues. This imbalance of concentration of medical attention on 'high-end' care is in part driven by the need ... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3365478 Thu, 22 Oct 2009 00:00:00 +0100 3365478 http://www.medworm.com/index.php?rid=3337490&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02109.x Chronic obstructive pulmonary disease (COPD) is a substantial health burden. Cardiovascular disease (CVD), the leading cause of death, frequently coexists with COPD, an effect attributed to high individual disease prevalences and shared risk factors. It has long been recognized that COPD, whether stable or during acute exacerbations, is associated with an excess of cardiac arrhythmias. Bronchodilator medications have been implicated in the excess CVD seen in COPD, either as an intrinsic medication effect or related to side-effects. Despite the theory behind increased pro-arrhythmic effects in COPD, the reported results of trials investigating this for inhaled formulations at therapeutic doses are few. Methodological flaws, retrospective analysis and inadequate adjustment for concomitant me... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3337490 Thu, 22 Oct 2009 00:00:00 +0100 3337490 http://www.medworm.com/index.php?rid=2893433&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02029.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2893433 Tue, 13 Oct 2009 23:00:00 +0100 2893433 http://www.medworm.com/index.php?rid=2893432&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02026.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2893432 Tue, 13 Oct 2009 23:00:00 +0100 2893432 http://www.medworm.com/index.php?rid=2893431&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02028.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2893431 Tue, 13 Oct 2009 23:00:00 +0100 2893431 http://www.medworm.com/index.php?rid=2893430&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02027.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2893430 Tue, 13 Oct 2009 23:00:00 +0100 2893430 http://www.medworm.com/index.php?rid=2893429&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01997.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2893429 Tue, 13 Oct 2009 23:00:00 +0100 2893429 http://www.medworm.com/index.php?rid=2893428&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01992.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2893428 Tue, 13 Oct 2009 23:00:00 +0100 2893428 http://www.medworm.com/index.php?rid=2893427&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01976.x Diabetes mellitus (DM) has been found to be associated with cardiovascular disease. The goal of this study is to evaluate the prevalence of asthma in patients with type II DM after adjusting for other comorbid conditions. We used patient treatment files of inpatients' admissions containing discharge diagnosis (Classification of Mental and Behavioural Disorders (ICD)-9 codes) from Veterans Health Administration Hospitals. The patients were divided into two groups: ICD-9 code for DM and a control group with hypertension but no DM. ICD-9 codes for asthma were used to study the prevalence of asthma in DM patients versus the control. We performed uni- and multi-variable analysis adjusting for comorbid conditions. Asthma was present in 13 242 (4.5%) of DM patients versus 16 038 (2.9%) in the con... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2893427 Tue, 13 Oct 2009 23:00:00 +0100 2893427 http://www.medworm.com/index.php?rid=2893426&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02002.x The majority of deaths in Australia occur in general hospital wards and most are neither sudden nor unexpected. The Pathway for Improving the Care of the Dying (PICD) is an adaptation of the Liverpool Care Pathway to the Australian healthcare setting (or 'to Australian conditions') and is designed to help ensure a 'good death' for patients dying outside the palliative care system. PICD consists of a series of prompts, guidelines, revised medical and nursing care plans and a number of medication algorithms. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2893426 Tue, 13 Oct 2009 23:00:00 +0100 2893426 http://www.medworm.com/index.php?rid=2893425&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02015.x The aim of this study is to determine the predictive value of the spontaneous intracerebral haemorrhage (ICH) outcome score (which we described previously) in haemodialysis (HD) patients who develop spontaneous ICH. The validation cohort consisted of all HD patients with spontaneous ICH presenting to Chang Gung Memorial Hospital in Taiwan during 2005[ndash]2007. The data were collected from one hospital and prospectively analysed, and the predictive model was tested using an external validation dataset. The prognostic factors were confirmed by chi-squared testing. We calculated the 30-day mortality in different groups of the validation cohort divided according to outcome score and tested the predictive value of the outcome score. The overall mortality rate was 52.6% in 38 HD patients. The ... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2893425 Tue, 13 Oct 2009 23:00:00 +0100 2893425 http://www.medworm.com/index.php?rid=2893422&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2008.01876.x Conclusion: There is substantial underuse of device therapy in patients with heart failure. Strikingly, whereas patients with symptoms of heart failure were more likely to receive a device, those being managed for ischaemic heart disease were not. There is also a high prevalence of failure to prescribe evidence-based pharmacotherapy in a tertiary hospital general cardiology clinic. This may be explained in part by the lack of a patient database to record treatment contraindications and to alert clinicians to possible gaps in patient therapy. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2893422 Tue, 13 Oct 2009 23:00:00 +0100 2893422 http://www.medworm.com/index.php?rid=2893420&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02023.x Conclusions: Fellows have not incorporated computers into their consulting rooms over which they have control. This is in contrast to general practitioners who have embraced computers after the provision of various incentives. The rate of use of computers by physicians for electronic prescribing in consulting rooms (11%) is very low in comparison with general practitioners (98%). One reason may be that physicians work in multiple locations whereas general practitioners are more likely to work from one location. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2893420 Tue, 13 Oct 2009 23:00:00 +0100 2893420 http://www.medworm.com/index.php?rid=2893417&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02025.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2893417 Tue, 13 Oct 2009 23:00:00 +0100 2893417 http://www.medworm.com/index.php?rid=3337491&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02069.x Obstructive sleep apnoea (OSA) is a common disorder characterized by the repetitive complete or partial collapse of the upper airway during sleep. It results in intermittent hypoxaemia and hypercapnia, cortical arousals and surges of sympathetic activity. The occurrence of OSA has also been linked to serious long-term adverse health consequences; such as hypertension, metabolic dysfunction, cardiovascular disease, neurocognitive deficits and motor vehicle accidents. There have been several advances in the field of particular clinical importance: (i) the development of portable monitoring as part of a simplified clinical algorithm for the diagnosis of OSA in selected patients; (ii) growing awareness of the cardio-metabolic health consequences of OSA and (iii) emerging evidence to support a ... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3337491 Wed, 07 Oct 2009 00:00:00 +0100 3337491 http://www.medworm.com/index.php?rid=3128322&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02081.x The task of confirming a diagnosis of multiple sclerosis (MS), one of the commonest neurological disorders affecting young adults, has altered significantly in the magnetic resonance imaging era. Conversely, key principles, most notably objective documentation of neurological dissemination in time and space, remain fundamental to the process. Clinical acumen and experience are equally as crucial as an ability to interpret relevant investigations. Recognising typical clinical patterns, addressing potential 'mimics', and stratifying prognosis of a clinically isolated syndrome are just some of the challenges inherent in diagnosing MS. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3128322 Wed, 07 Oct 2009 00:00:00 +0100 3128322 http://www.medworm.com/index.php?rid=2893416&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02030.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2893416 Wed, 30 Sep 2009 23:00:00 +0100 2893416 http://www.medworm.com/index.php?rid=2806519&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01964.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2806519 Wed, 16 Sep 2009 23:00:00 +0100 2806519 http://www.medworm.com/index.php?rid=2806518&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01926.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2806518 Wed, 16 Sep 2009 23:00:00 +0100 2806518 http://www.medworm.com/index.php?rid=2806517&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.001999.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2806517 Wed, 16 Sep 2009 23:00:00 +0100 2806517 http://www.medworm.com/index.php?rid=2806516&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01993.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2806516 Wed, 16 Sep 2009 23:00:00 +0100 2806516 http://www.medworm.com/index.php?rid=2806515&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01965.x Blood-letting was a common therapeutic method in antiquity; many means were used to draw blood, including the application of leeches. In this paper, ancient Greek, Roman and Byzantine authors up to the 7th century AD were studied, a research that provided us with references that may be divided into two groups: those related to the medicinal use of leeches, and those related to cases in which leeches were swallowed and had to be removed. In the first group, detailed descriptions of the method of usage and of the diseases requiring leeching were found. In the second group, brief reference is made to the problems caused by swallowing leeches, and to the methods used to expel them from the human organism. The earliest references to the medicinal use of leeches may be found in the writings of T... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2806515 Wed, 16 Sep 2009 23:00:00 +0100 2806515 http://www.medworm.com/index.php?rid=2806514&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01996.x We present a brief review of immunohaematopathology associated with fluoroquinolones and draw attention to the structural similarity between quinolones and quinine to explore potential mechanisms for the phenomenon. Fluoroquinolones can induce drug-dependent, platelet-reactive antibodies causing complement-mediated destruction of platelets. The underlying mechanism to explain this is unclear; however, we hypothesize that the chemical similarities shared with quinine may be contributory. When using these agents clinicians should be aware of the possibility of drug-induced thrombocytopenia or thrombotic thrombocytopenic purpura. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2806514 Wed, 16 Sep 2009 23:00:00 +0100 2806514 http://www.medworm.com/index.php?rid=2806513&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01998.x We report the first case of response to second-line, single agent anastrazole in a patient with metastatic UTROSCT. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2806513 Wed, 16 Sep 2009 23:00:00 +0100 2806513 http://www.medworm.com/index.php?rid=2806512&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01977.x We present this case highlighting the occurrence of two rare conditions in the same patient following liver transplantation. We believe this is the first case of its kind to be reported. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2806512 Wed, 16 Sep 2009 23:00:00 +0100 2806512 http://www.medworm.com/index.php?rid=2806511&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2008.01796.x Conclusion: A method for risk assessment for medical thromboprophylaxis has been developed. The results suggest that only a minority of medical patients with high RR should receive prophylaxis. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2806511 Wed, 16 Sep 2009 23:00:00 +0100 2806511 http://www.medworm.com/index.php?rid=2806506&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02004.x More than 177 000 potentially preventable healthcare-associated infections (HAIs) occur per annum in Australia with sizable attributable mortality. Organizational systems to protect against HAI in hospitals in Australia are relatively poorly developed. Awareness and practice of infection control by medical and other healthcare staff are often poor. These lapses in practice create significant risk for patients and staff from HAI. Excessive patient exposure to antimicrobials is another key factor in the emergence of antibiotic-resistant bacteria and Clostridium difficile infection. Physicians must ensure that their interactions with patients are safe from the infection prevention standpoint. The critical preventative practice is hand hygiene in accord with the World Health Organization 5 mom... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2806506 Wed, 16 Sep 2009 23:00:00 +0100 2806506 http://www.medworm.com/index.php?rid=2806505&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2008.01884.x This article describes briefly the basic principles and practical aspects of cardiac magnetic resonance imaging, and summarizes the pathophysiology of ischaemic heart disease. Then it discusses in detail the use of cardiac magnetic resonance imaging for detection of coronary artery disease, and for assessment of acute and stable coronary syndromes. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2806505 Wed, 16 Sep 2009 23:00:00 +0100 2806505 http://www.medworm.com/index.php?rid=2781004&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02038.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2781004 Tue, 08 Sep 2009 23:00:00 +0100 2781004 http://www.medworm.com/index.php?rid=2781003&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02037.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2781003 Tue, 08 Sep 2009 23:00:00 +0100 2781003 http://www.medworm.com/index.php?rid=2781002&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02036.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2781002 Tue, 08 Sep 2009 23:00:00 +0100 2781002 http://www.medworm.com/index.php?rid=2781001&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02035.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2781001 Tue, 08 Sep 2009 23:00:00 +0100 2781001 http://www.medworm.com/index.php?rid=2781000&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02034.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2781000 Tue, 08 Sep 2009 23:00:00 +0100 2781000 http://www.medworm.com/index.php?rid=2806504&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02018.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2806504 Mon, 31 Aug 2009 23:00:00 +0100 2806504 http://www.medworm.com/index.php?rid=2780999&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02033.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2780999 Mon, 31 Aug 2009 23:00:00 +0100 2780999 http://www.medworm.com/index.php?rid=2740397&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02031_3.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2740397 Thu, 27 Aug 2009 23:00:00 +0100 2740397 http://www.medworm.com/index.php?rid=2740396&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02031_2.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2740396 Thu, 27 Aug 2009 23:00:00 +0100 2740396 http://www.medworm.com/index.php?rid=2740395&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02031_1.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2740395 Thu, 27 Aug 2009 23:00:00 +0100 2740395 http://www.medworm.com/index.php?rid=2740394&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02000.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2740394 Thu, 27 Aug 2009 23:00:00 +0100 2740394 http://www.medworm.com/index.php?rid=2740393&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02001.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2740393 Thu, 27 Aug 2009 23:00:00 +0100 2740393 http://www.medworm.com/index.php?rid=2740392&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02003.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2740392 Thu, 27 Aug 2009 23:00:00 +0100 2740392 http://www.medworm.com/index.php?rid=2740391&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01972.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2740391 Thu, 27 Aug 2009 23:00:00 +0100 2740391 http://www.medworm.com/index.php?rid=2740390&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01978.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2740390 Thu, 27 Aug 2009 23:00:00 +0100 2740390 http://www.medworm.com/index.php?rid=2740389&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01968.x We present the case of a patient who suffered chronic active hepatitis C, cryoglobulinaemia and B-cell lymphoma and was later complicated by cutaneous T-cell lymphoma (CTCL). (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2740389 Thu, 27 Aug 2009 23:00:00 +0100 2740389 http://www.medworm.com/index.php?rid=2740388&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01973.x We present three patients who developed urticaria while taking an enteric formulation of aspirin, confirmed on a second exposure. Although hypersensitivity reactions to aspirin, especially in asthmatic patients or those with nasal polyps, are well reported, our patients did not exhibit any underlying history of atopy. Furthermore, two of the patients were able to tolerate a soluble formulation. We review the literature and discuss whether these symptoms might be caused by pharmaceutical excipients, present in very small amounts in the enteric coating, rather than the active ingredient acetylsalicylate. Adverse reactions to excipients are fortunately rare but are occasionally reported. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2740388 Thu, 27 Aug 2009 23:00:00 +0100 2740388 http://www.medworm.com/index.php?rid=2740384&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2008.01795.x Conclusion: Compared with published studies in multiple myeloma and solid organ transplant, these results support HDC as a cost-effective treatment in relapsed aggressive non-Hodgkin lymphoma. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2740384 Thu, 27 Aug 2009 23:00:00 +0100 2740384 http://www.medworm.com/index.php?rid=2740382&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01921.x Assessment for compensation of occupational injury forms is commonplace for occupational medicine specialists and less frequently for other health-care providers. There is no specific training to understand the legal system that forms the basis of any compensation system. This paper sets out a process for judging medical scientific evidence in cases of suspected occupational injury or disease. The process is confusing for medical and legal professionals because of the lack of a common understanding. Understanding the concepts of balance of probabilities and scientific probability is essential for clarity of approach. There is an inevitable conclusion that cause of occupational injury or disease in each case will rest on a sequential consideration of general and specific cause. (Source: Int... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2740382 Thu, 27 Aug 2009 23:00:00 +0100 2740382 http://www.medworm.com/index.php?rid=2740381&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2008.01797.x Roux-en-Y gastric bypass leads to a marked improvement of glucose control. The mechanisms are only partly known. Gastrointestinal hormones may play a role. Of these, glucagon-like peptide 1 and peptide YY have been most consistently associated with the beneficial effects of gastric bypass on glucose metabolism and weight. In this paper, a short review of the topic is presented and a suggestion of the improvement of glucose metabolism is made based on the current published work. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2740381 Thu, 27 Aug 2009 23:00:00 +0100 2740381 http://www.medworm.com/index.php?rid=2740380&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2008.01880.x Measurement of exercise capacity is an integral element in assessment of patients with cardiopulmonary disease. The 6-min walk test (6MWT) provides information regarding functional capacity, response to therapy and prognosis across a range of chronic cardiopulmonary conditions. A distance less than 350 m is associated with increased mortality in chronic obstructive pulmonary disease, chronic heart failure and pulmonary arterial hypertension. Desaturation during a 6MWT is an important prognostic indicator for patients with interstitial lung disease. The 6MWT is sensitive to commonly used therapies in chronic obstructive pulmonary disease such as pulmonary rehabilitation, oxygen, long-term use of inhaled corticosteroids and lung volume reduction surgery. However, it appears less reliable to ... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2740380 Thu, 27 Aug 2009 23:00:00 +0100 2740380 http://www.medworm.com/index.php?rid=3253487&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02040.x Older patients are at high risk of suboptimal prescribing (overuse, underuse and misuse of drugs), which can lead to serious adverse drug reactions (ADR). About one in four patients admitted to hospital are prescribed at least one inappropriate medication and up to 20% of all inpatient deaths are attributed to potentially preventable ADR. Lists of drugs to avoid (unnecessary or where risks outweigh benefits) and drugs not to be omitted (strong indications if there are no contraindications) can assist in identifying suboptimal prescribing although, to date, no trials have established the ability of such screening, by itself, to improve prescribing quality. Remedial strategies proven to be effective in randomized trials include detailed appraisal of medication lists by multidisciplinary team... Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=3253487 Thu, 27 Aug 2009 00:00:00 +0100 3253487 http://www.medworm.com/index.php?rid=2893418&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.02024.x This article reviews the NK receptors important in NK-mediated cytotoxicity in allogeneic haematopoietic stem cell transplantation. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2893418 Mon, 03 Aug 2009 23:00:00 +0100 2893418 http://www.medworm.com/index.php?rid=2740379&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01994.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2740379 Fri, 31 Jul 2009 23:00:00 +0100 2740379 http://www.medworm.com/index.php?rid=2624753&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01974.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2624753 Mon, 20 Jul 2009 23:00:00 +0100 2624753 http://www.medworm.com/index.php?rid=2624751&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01971.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2624751 Mon, 20 Jul 2009 23:00:00 +0100 2624751 http://www.medworm.com/index.php?rid=2624750&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01931.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2624750 Mon, 20 Jul 2009 23:00:00 +0100 2624750 http://www.medworm.com/index.php?rid=2624749&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01937.x (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2624749 Mon, 20 Jul 2009 23:00:00 +0100 2624749 http://www.medworm.com/index.php?rid=2624748&cid=s_28862_49_f&fid=28862&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1445-5994.2009.01919.x We report a novel case of fatal phlegmonous colitis in a cirrhotic patient receiving combination pegylated interferon and ribavirin for chronic hepatitis C, highlighting the importance of early recognition of this aggressive infectious entity. (Source: Internal Medicine Journal) Internal Medicine Journal journals http://www.medworm.com/rss/comments.php?id=2624748 Mon, 20 Jul 2009 23:00:00 +0100 2624748