Internal medicine journal
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Internal medicine journal · Feb 2022
Examining barriers to timely waitlisting for kidney transplantation for Indigenous Australians in Central Australia.
Indigenous Australians are disproportionately affected by end stage kidney disease. Despite this, they face significant delays being assessed and waitlisted for kidney transplant. ⋯ Indigenous Australian patients face significant delays accessing the kidney transplant waitlist. Cardiac assessment and systems issues are prominent sources of delay and efforts to address these areas may help to improve equity of access to kidney transplantation.
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Internal medicine journal · Jan 2022
Low rates of venous thromboembolism in hospitalised COVID-19 patients: an Australian experience.
Venous thromboembolic (VTE) complications appear common in hospitalised COVID-19 patients, particularly among critically ill patients in intensive care units. However, there is significant heterogeneity in the reported use of thromboprophylaxis. ⋯ Low rates of VTE were identified in hospitalised COVID-19 patients using a risk-adapted thromboprophylaxis protocol.
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Internal medicine journal · Jan 2022
Back to the future: lethal respiratory pandemics in New Guinea.
Lethal respiratory epidemics have torn through Papua New Guinea (PNG) since records began in the 19th century. Such historical epidemics were likely caused by influenza but often exacerbated by secondary bacterial pneumonias. ⋯ This pre-independence crisis was met by a major deployment of the Australian Defence Force personnel and aircraft. Currently, vaccination efforts aided by the Australian Government are trying to cope with the COVID-19 crisis.
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Internal medicine journal · Jan 2022
ReviewUpdate on echocardiography: do we still need a stethoscope?
The focus of this article is to review point-of-care ultrasound (POCUS) of the chest as an adjunct to use of the stethoscope and physical examination. We consider selected evidence supporting POCUS for evaluation of acute dyspnoea and focussed cardiac assessment, explore current and the future directions in POCUS for the generalist physician and review some historical notes on auscultation of the chest and parallels to the evolution of POCUS.