Internal medicine journal
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Internal medicine journal · Jun 2022
Psychological flexibility is associated with less diabetes distress and lower glycated haemoglobin in adults with type 1 diabetes.
Diabetes distress, self-efficacy and health literacy are associated with diabetes self-management and health outcomes. Measures of coping styles and their impact on diabetes self-management and diabetes-related distress might add value in identifying those at risk of poorer health outcomes. Current evidence of associations between psychological flexibility/inflexibility and diabetes-related health outcomes is limited. ⋯ Greater psychological flexibility was associated with less diabetes distress and lower HbA1c. The psychological flexibility construct might inform alternative interventional approaches aiming to improve well-being and glycaemic control.
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Internal medicine journal · Jun 2022
Revisiting an ancient legend: Influence of the lunar cycle on occurrence of first-ever unprovoked seizures.
The mythical effect of the lunar cycle on seizures has been debated over time. Previously healthy individuals presenting with first-ever seizures in whom investigations are negative often invoke questions about potential reasons including a full moon. ⋯ First unprovoked seizures are not influenced by the lunar cycle. Patients pondering the cause of their first-ever unprovoked seizure can be reassured that the full moon was not responsible.
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Internal medicine journal · Jun 2022
Epidemiology and Microbiology of Severe Community-Acquired Pneumonia in Central Australia: A Retrospective Study.
Severe community-acquired pneumonia (SCAP) has high mortality and morbidity. ⋯ A high incidence of SCAP was observed in Central Australia, disproportionately affecting the indigenous population. Prevention strategies are imperative, as well as early identification of SCAP and appropriate empiric antibiotic regimens.
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Internal medicine journal · Jun 2022
Timely goals of care documentation in frail patients in the COVID era: A retrospective multi-site study.
Older frail patients are more likely to have timely goals of care (GOC) documentation than non-frail patients. ⋯ Timely GOC documentation occurred less frequently in frail patients during the COVID-19 pandemic than in the pre-COVID-19 era.
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Internal medicine journal · Jun 2022
Case ReportsUnusual presentations of central nervous system myeloid sarcoma.
Myeloid sarcoma (MS), also termed 'chloroma' or 'granulocytic sarcoma', is a tumour mass consisting of myeloid blasts occurring at an anatomical site other than the bone marrow. MS occurs in up to 8% of patients with acute myeloid leukaemia. ⋯ We present a case series of patients that presented to a tertiary hospital with MS affecting the central nervous system over a 4-month period. These three cases demonstrate the vast spectrum of clinical presentations of MS and, furthermore, show rare examples of intramedullary spinal cord involvement and disseminated intraparenchymal brain disease.