Internal medicine journal
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Internal medicine journal · Sep 2019
Case ReportsPseudotumours in haemophilia: non-adherence, under-reporting bleeds or bad luck?
Pseudotumours are a rare, severe complication of haemophilia which can occur in a spectrum of bones and soft tissues. It consists of an encapsulated blood collection, and as the swelling increases causes compression and eventual slow destruction of surrounding structures. Presented here are two cases of patients with haemophilia and pseudotumours, which demonstrate the heterogeneity of presenting symptoms and of treatment options.
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Internal medicine journal · Sep 2019
Protocol for psychosocial screening of adolescents and young adults with chronic illness.
One in five adolescents and young adults (AYA) has a chronic health condition necessitating on-going engagement with healthcare systems. Despite increasing prevalence there remains limited understanding of the burden of illness they experience. Living with a chronic illness can challenge healthy adolescent development, with the unique health and developmental issues affecting AYA requiring different responses from the healthcare system. ⋯ The commonalities and differences between conditions will be examined to facilitate efficiencies of scale for systems and supports. Further iterations including quantifying access to allied health services will facilitate studying the impact of such interventions on treatment adherence and improving psychosocial functioning, quality of life and disease outcomes.
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Internal medicine journal · Sep 2019
Recommendations for current and future countermeasures against sleep disorders and sleep loss to improve road safety in Australia.
The Australian National Road Safety Strategy 2011-2020 framed a 19-point action plan targeting a 30% reduction in road deaths by 2020. In achieving a 9% reduction to date, it is likely to fail this target. ⋯ This article gathers sleep experts to provide recommendations addressing driver education and legislation to assist the response to this public health problem. Developments in drowsiness detection and sleep disorders management are also presented that offer innovative countermeasures that could enhance road safety beyond 2020.
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Expedition medicine in Antarctica requires a broad spectrum of clinical competencies ranging from resuscitation medicine and trauma care to treating minor illness, safety awareness and safety induction. It remains a challenging environment to practise as a single unassisted physician is required to assess, acutely treat (medications, procedures) and complete follow-up consultation.
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Internal medicine journal · Sep 2019
Letter Case ReportsScurvy: a rare cause of arthralgia in a young woman.