Rohan Jayasinghe
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View article: Developing a Same-Day Discharge Clinical Pathway for Patients Undergoing Elective Percutaneous Coronary Intervention Using a Nominal Group Technique
Developing a Same-Day Discharge Clinical Pathway for Patients Undergoing Elective Percutaneous Coronary Intervention Using a Nominal Group Technique Open
Our approach has demonstrated that the developed clinical pathway is not only evidence-based but also considers contextual factors and the needs of consumers. It will assist clinicians in making decisions about SDD in hospitals, thereby en…
View article: Perceived barriers and facilitators to implementing a consensus-based same-day discharge post-percutaneous coronary intervention clinical pathway in Queensland, Australia
Perceived barriers and facilitators to implementing a consensus-based same-day discharge post-percutaneous coronary intervention clinical pathway in Queensland, Australia Open
This study highlights the need for multifaceted approach to implementing SDD. Leaders in public health policy and organisations must consider a range of interconnected influences for effective implementation and sustained adherence.
View article: The Effect of Combination Antioxidant Therapy on Reflexion Index (RI), a Measure of Resistance Vessel and Small to Medium Artery Compliance
The Effect of Combination Antioxidant Therapy on Reflexion Index (RI), a Measure of Resistance Vessel and Small to Medium Artery Compliance Open
Antioxidants reduce arterial stiffness but the effects previously reported are weak. The effect of 2 weeks of therapy with a combination of antioxidants (l-cysteine, thiamine, pyridoxine and ascorbic acid) on reflexion index, a measure of …
View article: Machine-learning versus traditional methods for prediction of all-cause mortality after transcatheter aortic valve implantation: a systematic review and meta-analysis
Machine-learning versus traditional methods for prediction of all-cause mortality after transcatheter aortic valve implantation: a systematic review and meta-analysis Open
Background Accurate mortality prediction following transcatheter aortic valve implantation (TAVI) is essential for mitigating risk, shared decision-making and periprocedural planning. Surgical risk models have demonstrated modest discrimin…
View article: Factors affecting the duration taken to present to the National Institute of Mental Health (NIMH) after an acute episode of schizophrenia
Factors affecting the duration taken to present to the National Institute of Mental Health (NIMH) after an acute episode of schizophrenia Open
Background: Longer duration of untreated/inadequately treated psychosis in schizophrenia is associated with poor long-term prognosis. Study was conducted in a period when country was facing the COVID-19 pandemic affecting many aspects of t…
View article: Elevated cardiac troponin secondary to heterophile antibodies: a case series highlighting an underrecognized differential
Elevated cardiac troponin secondary to heterophile antibodies: a case series highlighting an underrecognized differential Open
Background Heterophile antibody presence confounds troponin assay results, causing falsely elevated troponin levels. This rare phenomenon is an important differential to consider when evaluating patients with suspected acute coronary syndr…
View article: Machine learning approaches for risk prediction after percutaneous coronary intervention: a systematic review and meta-analysis
Machine learning approaches for risk prediction after percutaneous coronary intervention: a systematic review and meta-analysis Open
Aims Accurate prediction of clinical outcomes following percutaneous coronary intervention (PCI) is essential for mitigating risk and peri-procedural planning. Traditional risk models have demonstrated a modest predictive value. Machine le…
View article: Trends and predictors of cardiac rehabilitation referrals and participation in patients undergoing elective percutaneous coronary intervention
Trends and predictors of cardiac rehabilitation referrals and participation in patients undergoing elective percutaneous coronary intervention Open
Background Research evidence shows that greater cardiac rehabilitation (CR) referrals and participation can reduce cardiovascular mortality and morbidity, which leads to social and economic benefits (1). It remains unknown, however, what t…
View article: Prevalence, trends, and outcomes of same-day discharge following elective percutaneous coronary intervention: a retrospective observational cohort study using routinely collected health data
Prevalence, trends, and outcomes of same-day discharge following elective percutaneous coronary intervention: a retrospective observational cohort study using routinely collected health data Open
Aims To identify the prevalence, trends, and outcomes of same-day discharge (SDD) following elective percutaneous coronary intervention (PCI) among six public hospitals in Queensland, Australia. Methods and results A retrospective observat…
View article: A Case of Brucella sacroiliatis with Abcess Formation.
A Case of Brucella sacroiliatis with Abcess Formation. Open
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View article: Reducing heart failure deaths by 25% in 25 years: the ‘25in25’ heart failure summit
Reducing heart failure deaths by 25% in 25 years: the ‘25in25’ heart failure summit Open
Heart failure (HF) is a major cause of morbidity and mortality in older people, and 80% of people with HF are aged over 60 years. HF is the end point for almost all common cardiovascular diseases, as well as many non-cardiovascular disease…
View article: Reduction in Arterial Stiffness Index (SI) in Response to Combination Antioxidant Therapy
Reduction in Arterial Stiffness Index (SI) in Response to Combination Antioxidant Therapy Open
Antioxidants reduce arterial stiffness, but the effects previously reported are weak. A systematic review of the antioxidants vitamin E, vitamin C, vitamin A, and beta-carotenes (the most commonly studied antioxidants) on pulse wave veloci…
View article: Changes Observed in the 6-minute Walk Test in Response to Exercise-based Cardiac Rehabilitation
Changes Observed in the 6-minute Walk Test in Response to Exercise-based Cardiac Rehabilitation Open
Objectives: The six-minute walk test (6MWT) is widely used in exercise based cardiac rehabilitation (EBCR) for assessment of functional capacity. The purpose of this study was to assess the effect of structured exercise in an EBCR program …
View article: Immune checkpoint inhibitor-induced takotsubo syndrome and diabetic ketoacidosis: rare reactions
Immune checkpoint inhibitor-induced takotsubo syndrome and diabetic ketoacidosis: rare reactions Open
Immune checkpoint inhibitors (ICIs) are increasingly used to treat certain malignancies due to their higher efficacy compared with conventional chemotherapy. As familiarity with these agents increases, it is becoming apparent that a signif…
View article: Pericardial effusion: a rare side effect of clozapine
Pericardial effusion: a rare side effect of clozapine Open
A pericardial effusion is a rare but very serious side effect of clozapine. We present a case of a 50-year old female, who developed fever and tachycardia during the initial period of treatment with clozapine. This case highlights the impo…
View article: The Impact of Socio-environmental Barriers on the Process of Engagement in Cardiac Rehabilitation Programs
The Impact of Socio-environmental Barriers on the Process of Engagement in Cardiac Rehabilitation Programs Open
Cardiac rehabilitation (CR) is a multi-disciplinary intervention designed to stabilise, slow, or reverse CVD, restore health following a cardiac event and facilitate the prevention of further events. The Model of Therapeutic Engagement (MT…
View article: Introduction to New Oral Anticoagulants (NOAC’s)
Introduction to New Oral Anticoagulants (NOAC’s) Open
To produce a high quality article for physicians that reviews the current literature pertaining to NOAC's, in particular, their use in clinical practice, known drug interactions and side effect profile. Medline, Cochrane and PubMed databas…
View article: The Process of Patient Engagement in Outpatient Cardiac Rehabilitation Programs
The Process of Patient Engagement in Outpatient Cardiac Rehabilitation Programs Open
The primary aim of this study was to test the causal structure of the model of therapeutic engagement (MTE) for the first time, to examine whether the model assists in understanding the process of patient engagement in cardiac rehabilitati…