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(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 4, 2009 Category: Internal Medicine Authors: P. Macdonald Tags: Letters to the Editor Source Type: journals

Cardiac transplantation should be considered in selected patients with either AL or hereditary forms of amyloidosis: the UK National Amyloidosis Centre experienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 4, 2009 Category: Internal Medicine Authors: S. D. J. Gibbs, P. T. Sattianayagam, P. N. Hawkins, J. D. Gillmore Tags: Letters to the Editor Source Type: journals

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(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 4, 2009 Category: Internal Medicine Authors: R. P. Anderson Tags: Letters to the Editor Source Type: journals

Acellular cerebral spinal fluid in the early stages of herpes simplex encephalitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 4, 2009 Category: Internal Medicine Authors: S. Barnes, S. Senanayake, M. Budge Tags: Letters to the Editor Source Type: journals

Watermelon stomach revealing generalized essential telangiectasiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 4, 2009 Category: Internal Medicine Authors: F. Tetart, A. Lorthioir, N. Girszyn, L. Lahaxe, P. Ducrotté, I. Marie Tags: Letters to the Editor Source Type: journals

The use of full-body low-dosage X-ray (Lodox/Statscan) in acute medical emergencies: a preliminary experienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 4, 2009 Category: Internal Medicine Authors: U. Schiemann, B. Schaller, H. Bonel, H. H. Brunner, H. Zimmermann, A. K. Exadaktylos Tags: Letters to the Editor Source Type: journals

High rates of infection associated with the use of maintenance rituximab monotherapy in non-Hodgkin lymphomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 4, 2009 Category: Internal Medicine Authors: A. Azad, P. Campbell Tags: Letters to the Editor Source Type: journals

Cannabinoid hyperemesisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 4, 2009 Category: Internal Medicine Authors: V. Sannarangappa, C. Tan Tags: Letters to the Editor Source Type: journals

Body packer with opiate toxicityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 4, 2009 Category: Internal Medicine Authors: H. Sanaei-Zadeh Tags: Images In Medicine Source Type: journals

Cancer in older people: a tale of two disciplinesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Internal Medicine Journal - November 4, 2009 Category: Internal Medicine Authors: C. B. Steer, G. M. Marx, N. Singhal, M. McJannett, D. Goldstein, R. Prowse Tags: Personal Viewpoint Source Type: journals

Pulmonary hypertension in pregnancy: two cases and review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Internal Medicine Journal - November 4, 2009 Category: Internal Medicine Authors: A. M. Higton, C. Whale, M. Musk, E. Gabbay Tags: Brief Communications Source Type: journals

Utility of regular medical examinations of occupational diversEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 certi...
Source: Internal Medicine Journal - November 4, 2009 Category: Internal Medicine Authors: C. Sames, D. Gorman, S. J. Mitchell, G. Gamble Tags: Brief Communications Source Type: journals

Atrial fibrillation and anticoagulation in a stroke unit populationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Internal Medicine Journal - November 4, 2009 Category: Internal Medicine Authors: O. Ahmad, K. E. Ahmad, K. B. G. Dear, I. Harvey, A. Hughes, C. J. Lueck Tags: Original Articles Source Type: journals

Managing depression across the life cycle: new strategies for clinicians and their patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 compre...
Source: Internal Medicine Journal - November 4, 2009 Category: Internal Medicine Authors: I. B. Hickie, S. L. Naismith, L. M. Norrie, E. M. Scott Tags: Clinical Perspectives Source Type: journals

Time to focus on the prevention of childhood pneumoniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - November 1, 2009 Category: Internal Medicine Authors: D. R. Murdoch, O. S. Levine Tags: Editorial Source Type: journals

Non-alcoholic fatty liver disease and microalbuminuria in non-diabetic patients: role of insulin resistanceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - October 13, 2009 Category: Internal Medicine Authors: Y. Yilmaz, Y. O. Alahdab, O. Ozdogan, E. Dolar Tags: Letters to the Editor Source Type: journals

Faecal immunological test blues: is there a psychiatric morbidity associated with the National Bowel Cancer Screening Program?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - October 13, 2009 Category: Internal Medicine Authors: L. Wigg, J. Chaudary, A. J. Wigg Tags: Letters to the Editor Source Type: journals

Peripheral neuropathy on imatinib treatment for chronic myeloid leukaemia: suspected adverse drug interaction with amlodipineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - October 13, 2009 Category: Internal Medicine Authors: D. M. Ross Tags: Letters to the Editor Source Type: journals

Clinical and molecular complete remission of primary duodenal follicular lymphoma following treatment with rituximab and cyclophosphamide, vincristine and prednisone chemotherapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - October 13, 2009 Category: Internal Medicine Authors: S. Falorio, F. Angrilli, G. Fioritoni Tags: Letters to the Editor Source Type: journals

Haematological manifestation of coeliac disease in a young patient with myocardial infarctionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - October 13, 2009 Category: Internal Medicine Authors: Z. Motovska, P. Widimsky, I. Brambaski, M. Dvorak, I. Julisova, T. Kozak Tags: Letters to the Editor Source Type: journals

Bad dental hygiene: don't let it go to your headEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - October 13, 2009 Category: Internal Medicine Authors: E. Wehbe, S. A. Antoun Tags: Images in Medicine Source Type: journals

The occurrence of asthma in hospitalized patients with type 2 diabetes mellitusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 co...
Source: Internal Medicine Journal - October 13, 2009 Category: Internal Medicine Authors: M. Hashemzadeh, M. R. Movahed Tags: Brief Communications Source Type: journals

The development and implementation of the Pathway for Improving the Care of the Dying in general medical wardsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Internal Medicine Journal - October 13, 2009 Category: Internal Medicine Authors: K. Jackson, C. Mooney, D. Campbell Tags: Brief Communications Source Type: journals

Testing the outcome score of spontaneous intracerebral haemorrhage in haemodialysis patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 t...
Source: Internal Medicine Journal - October 13, 2009 Category: Internal Medicine Authors: B.-R. Huang, Y.-L. Lo, C.-H. Chang, T.-Y. Chen Tags: Brief Communications Source Type: journals

Evidence-based management of heart failure in clinical practice: a review of device-based therapy useEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Internal Medicine Journal - October 13, 2009 Category: Internal Medicine Authors: S. Thavapalachandran, D. P. Leong, M. K. Stiles, B. John, H. Dimitri, D. H. Lau, P. J. Psaltis, A. G. Brooks, M. Alasady, H. S. Lim, G. D. Young, P. Sanders Tags: Original Articles Source Type: journals

Are specialist physicians missing out on the e-Health boat?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Internal Medicine Journal - October 13, 2009 Category: Internal Medicine Authors: M. Osborn, R. Day, J. Westbrook Tags: Original Articles Source Type: journals

Why can't I prescribe that antibiotic? The role of antimicrobial stewardship programmes in modern medicineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - October 13, 2009 Category: Internal Medicine Authors: Y. Hayashi, L. Davis, D. L. Paterson Tags: Editorials Source Type: journals

Physicians need to understand the importance of information technology in the 21st centuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - September 30, 2009 Category: Internal Medicine Authors: T. J. Hannan Tags: Editorials Source Type: journals

Does alcohol play a role in QT prolongation?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - September 16, 2009 Category: Internal Medicine Authors: H. J. Moriarty, T. P. Flewett, B. A. Hyslop Tags: Letters to the Editor Source Type: journals

Tako-tsubo cardiomyopathy after observing anaphylaxisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - September 16, 2009 Category: Internal Medicine Authors: C. Jellis, A. Hunter, R. Whitbourn, A. MacIsaac Tags: Letters to the Editor Source Type: journals

Pulmonary toxicity associated with infliximab therapy for ulcerative colitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - September 16, 2009 Category: Internal Medicine Authors: S. S. Heraganahally, V. Au, S. Kondru, S. Edwards, J. J. Bowden, D. Sajkov Tags: Letters to the Editor Source Type: journals

Complications of thoracentesisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - September 16, 2009 Category: Internal Medicine Authors: A. O. Soubani, M. Valdivieso Tags: Images in Medicine Source Type: journals

Medicinal use of leeches in the texts of ancient Greek, Roman and early Byzantine writersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 sw...
Source: Internal Medicine Journal - September 16, 2009 Category: Internal Medicine Authors: N. Papavramidou, H. Christopoulou-Aletra Tags: History in Medicine Source Type: journals

Fluoroquinolone-induced immune thrombocytopenia: a report and reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 purp...
Source: Internal Medicine Journal - September 16, 2009 Category: Internal Medicine Authors: C. Y. Cheah, B. De Keulenaer, M. F. Leahy Tags: Brief Communications Source Type: journals

A case of uterine tumour resembling ovarian sex cord tumour responding to second-line, single agent anastrazoleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the first case of response to second-line, single agent anastrazole in a patient with metastatic UTROSCT. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - September 16, 2009 Category: Internal Medicine Authors: P. Blinman, M. H. N. Tattersall Tags: Brief Communications Source Type: journals

Malignant fibrous histiocytoma complicating nephrogenic systemic fibrosis post liver transplantationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Internal Medicine Journal - September 16, 2009 Category: Internal Medicine Authors: K. So, G. C. MacQuillan, L. A. Adams, L. Delriviere, A. Mitchell, H. Moody, D. J. Wood, R. C. Junckerstorff, G. P. Jeffrey Tags: Brief Communications Source Type: journals

Selection of medical patients for prophylaxis of venous thromboembolism based on analysis of the benefit–hazard ratioEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Internal Medicine Journal - September 16, 2009 Category: Internal Medicine Authors: J. A. Millar Tags: Original Articles Source Type: journals

Preventing healthcare-associated infection: risks, healthcare systems and behaviourEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 interacti...
Source: Internal Medicine Journal - September 16, 2009 Category: Internal Medicine Authors: J. K. Ferguson Tags: Clinical Perspectives Source Type: journals

Role of cardiac magnetic resonance imaging in ischaemic heart diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Internal Medicine Journal - September 16, 2009 Category: Internal Medicine Authors: J. Wright, J. Bogaert Tags: Review Source Type: journals

ASCIA 2009 Abstract indexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - September 8, 2009 Category: Internal Medicine Tags: ASCIA 2009 & #x2013;20th Annual Scientific Meeting, Australasian Society of Clinical Immunology and Allergy, 16 #x2013;18 September 2009, Adelaide Convention Centre, Adelaide, South Australia, Australia. Conference Abstracts Source Type: journals

Clinical Grand RoundsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - September 8, 2009 Category: Internal Medicine Tags: ASCIA 2009 & #x2013;20th Annual Scientific Meeting, Australasian Society of Clinical Immunology and Allergy, 16 #x2013;18 September 2009, Adelaide Convention Centre, Adelaide, South Australia, Australia. Conference Abstracts Source Type: journals

Allergy UpdateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - September 8, 2009 Category: Internal Medicine Tags: ASCIA 2009 & #x2013;20th Annual Scientific Meeting, Australasian Society of Clinical Immunology and Allergy, 16 #x2013;18 September 2009, Adelaide Convention Centre, Adelaide, South Australia, Australia. Conference Abstracts Source Type: journals

ImmunopathologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - September 8, 2009 Category: Internal Medicine Tags: ASCIA 2009 & #x2013;20th Annual Scientific Meeting, Australasian Society of Clinical Immunology and Allergy, 16 #x2013;18 September 2009, Adelaide Convention Centre, Adelaide, South Australia, Australia. Conference Abstracts Source Type: journals

Immune DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - September 8, 2009 Category: Internal Medicine Tags: ASCIA 2009 & #x2013;20th Annual Scientific Meeting, Australasian Society of Clinical Immunology and Allergy, 16 #x2013;18 September 2009, Adelaide Convention Centre, Adelaide, South Australia, Australia. Conference Abstracts Source Type: journals

Balancing patient confidentiality and the needs of carersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - August 31, 2009 Category: Internal Medicine Authors: C. White, J. Hardy Tags: Editorial Source Type: journals

Allergic DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - August 31, 2009 Category: Internal Medicine Tags: ASCIA 2009 & #x2013;20th Annual Scientific Meeting, Australasian Society of Clinical Immunology and Allergy, 16 #x2013;18 September 2009, Adelaide Convention Centre, Adelaide, South Australia, Australia. Conference Abstracts Source Type: journals

ErrataEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - August 27, 2009 Category: Internal Medicine Tags: Errata Source Type: journals

A reader's responseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Internal Medicine Journal)
Source: Internal Medicine Journal - August 27, 2009 Category: Internal Medicine Authors: J. E. Thompson Tags: Letters to the Editor Source Type: journals