Internal medicine journal
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Internal medicine journal · Jul 2021
Utility of "back-up" arterio-venous fistulae in patients on peritoneal dialysis and use of haemodialysis catheters.
Patients undergoing peritoneal dialysis may require unanticipated transfer to haemodialysis. Back up fistula are often created in selected patients. These may help reduce the infective burden of haemodialysis (HD) catheter. ⋯ Patients undergoing PD frequently require urgent unanticipated transfer to HD and back-up AVF can be successfully utilised in this setting in the majority of cases, which in turn can reduce the infective burden of HD catheter exposure.
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Internal medicine journal · Jul 2021
Prevalence and sites of pain in remote-living older Aboriginal Australians, and associations with depressive symptoms and disability.
Pain is a growing public health problem associated with significant health and functional implications. Limited data exist for Aboriginal Australians. ⋯ High levels of pain were reported, although the prevalence of persistent pain was comparable to the general population. Identifying risk factors, improving pain recognition and assessment and evaluating culturally tailored management approaches should be a priority.
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Indigenous Australians are at increased risk of developing dementia - Alzheimer disease and mixed dementia diagnoses are the most common. While prion diseases have been reported in Indigenous peoples of Papua New Guinea and the United States, the occurrence and phenotype of prion disease in Indigenous Australians is hitherto unreported. ⋯ CJD occurs in Indigenous Australians with clinical phenotype and occurrence rates similar to non-Indigenous Australians. These findings contrast with a previous report where the incidence rate of CJD in a non-Australian indigenous population was reported to be decreased.