Internal medicine journal
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Internal medicine journal · Jul 2022
Rhabdomyolysis-associated acute kidney injury: clinical characteristics and intensive care unit transfer analysis.
Information on rhabdomyolysis-associated acute kidney injury (AKI) in the emergency department or general ward is limited. ⋯ Rhabdomyolysis-associated AKI was common in the emergency department or general ward and led to more severe outcomes. It was also associated with an increased risk of ICU transfer.
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Internal medicine journal · Jul 2022
Comparison of clinical manifestation among Australian Indigenous and non- Indigenous patients presenting with pleural effusion.
There is sparse evidence in the literature in relation to the nature and causes of pleural effusion among Australian Indigenous population. ⋯ There are significant differences in the way pleural effusion manifests among Australian Indigenous patients. Understanding these differences might facilitate approaches to management and to implementation of strategies to reduce morbidity and mortality in this population.
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Internal medicine journal · Jul 2022
Observational StudyTelehealth in outpatient delivery of palliative care: a prospective survey evaluation by patients and clinicians.
In Australia during the COVID-19 pandemic new funding models were introduced to support telehealth consultations, resulting in their widescale adoption in palliative care service delivery. Clarity around the clinical circumstances and patient populations that might be most appropriate for telehealth models was required. ⋯ Telehealth has high utility in palliative care practice. A future hybrid model of care comprising both face-to-face and telehealth consultations seems favoured by patients and physicians but must be accompanied by targeted support for specific patient groups to ensure equitable healthcare access. Further evaluation of telehealth during a time of fewer public health emergency measures and lower community anxiety is required to fully understand its ongoing role.
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Internal medicine journal · Jul 2022
Caustic ingestions over 10 years in Victoria, Australia: High rates in migrants and women.
Caustic ingestion is relatively common in developing countries and can result in life-threatening sequelae. There is limited understanding of the epidemiology and incidence in Australia. ⋯ Caustic ingestion remains a significant cause of morbidity and health expenditure in Victoria, particularly among vulnerable groups such as recent female migrants from areas in Africa and India. The high frequency of events seen in migrant populations highlights the significant need for awareness of risks in these groups for the development of possible prevention strategies that are required.
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Internal medicine journal · Jul 2022
Aggregation of autoimmunity in extended families of people with autoimmune Addison's disease.
Autoimmunity accounts for 90% of cases of primary adrenal insufficiency (Addison disease (AD)). Affected people present a significant co-occurrence of autoimmune conditions; hence, clustering of autoimmunity is also predicted among their relatives. ⋯ Considerable prevalence of autoimmune conditions in relatives of people with AD confirms substantial risk of autoimmunity, especially in females and relatives of patients affected by multiplex autoimmunity. Our data corroborate the recommendation of active screening for autoimmune disorders, particularly thyroid disease, among AD family members.