Internal medicine journal
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Internal medicine journal · Feb 2022
Optimal management of blood glucose, blood pressure and atrial fibrillation to reduce the risk of heart failure with preserved ejection fraction.
Type 2 diabetes mellitus (T2DM), hypertension and atrial fibrillation (AF) are risk factors for heart failure with preserved ejection fraction (HFpEF). ⋯ This study demonstrated that, besides intensive BP control, conservative BG control and rhythm control of AF were crucial factors to delay the progression of HFpEF among patients with T2DM, hypertension and AF.
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Internal medicine journal · Feb 2022
Regional Victoria physician subspecialty training and workforce: the current state of play.
This report outlines the advantages and barriers to working and training in regional Victoria with an aim to provide future researchers with data points to address the maldistribution of medical specialists in regional Australia. Some of the advantages are positive job satisfaction, collegiality and good work-life balance, while increased workload and insufficient number of specialists were reported as disadvantages.
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The ideal model of care in general medicine remains elusive, perhaps because of interhospital heterogeneity in patient population and resource allocation to both general medicine and the medical subspecialties. We explain why successful interventions at one site are not easily applied in another and recommend a nationally coordinated examination of the best general medicine departments' methods of clinical practice improvement.