Internal medicine journal
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Internal medicine journal · Aug 2019
Effects of empagliflozin treatment on cardiac function and structure in patients with type 2 diabetes: a cardiac magnetic resonance study.
The effects of empagliflozin on cardiac structure and function are not known. ⋯ This is the first CMR study to examine the effects of empagliflozin on cardiac function and structure, showing evidence of reduced end diastolic volume. This is likely to reflect change in plasma volume, and may explain the reduced cardiovascular death and heart failure seen in the EMPA-REG OUTCOME trial.
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Internal medicine journal · Aug 2019
Frailty is associated with reduced prospect of discharge home after in-hospital cardiac arrest.
Frailty is common among acute hospital patients and might adversely affect recovery from inpatient cardiac arrest. ⋯ Frail patients are unlikely to make a good recovery after in-hospital arrest. This should be taken into account when planning care with patients and their families.
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This update restates the legal limits of consent to medical treatment. It reviews the classic statement of law set down by the case of R v Brown, where 'proper medical treatment' was stated to be exempted from the ordinary laws of consent. This position has been recently developed further by the 2018 English case of R v BM where a non-medical body modification artist was convicted for having carried out substantive body modification procedures. This article considers how these developments may affect Australian law, particularly laws pertaining to cosmetic procedures.