Internal medicine journal
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Internal medicine journal · Nov 2021
Fixed-dose three-factor prothrombin complex concentrates is safe and effective in warfarin reversal.
Reversal of warfarin with prothrombin complex concentrates (PCC) is required in cases of significant bleeding or need for urgent surgery. A weight-based regimen is commonly, but a fixed-dose approach is also feasible with clinically equivalent outcomes. The purpose of this audit is to review the clinical and laboratory outcomes of patients treated in our centre where fixed-dose PCC is used for warfarin reversal. ⋯ Our results support the use of fixed-dose PCC for warfarin reversal in a day-to-day clinical practice in a hospital setting.
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Internal medicine journal · Nov 2021
ReviewIdiopathic granulomatous mastitis: case series and clinical review.
Idiopathic granulomatous mastitis is a chronic inflammatory breast disorder that typically affects young, parous women, often following lactation. Patients present with tender, erythematous breast lesions with histological evidence of non-caseating granulomata and an inflammatory cell infiltrate. ⋯ We present an extensive case series of patients collaboratively managed by subspecialty physicians and surgeons at a single centre in Sydney, Australia. The accompanying review expands on features of this condition and supports the utility of a multidisciplinary approach.
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Internal medicine journal · Nov 2021
"Iatrogenic Medication Errors reported to the Victorian Poisons Information Centre".
Iatrogenic medication errors are a cause of medical morbidity and mortality. They result in significant cost to the Australian healthcare system each year. There is limited Australian evidence describing the iatrogenic errors occurring within the hospital system. ⋯ Iatrogenic errors are occurring in the Victorian health care system. These errors can result in serious morbidity. Identification of causative factors and investment in preventative strategies will likely reduce associated morbidity and healthcare costs.
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Spirituality is a fundamental dimension of our human nature that impacts on medical care and yet is relatively neglected by medical education courses in Australia. ⋯ This review has determined the core content, aims and objectives to guide construction of spirituality curricula in Australian medical education.
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Internal medicine journal · Nov 2021
Screening for Diabetic Retinopathy and Reduced Vision among Indigenous Australians in Top End Primary Care Health Services: a TEAMSnet Sub-study.
Diabetic retinopathy (DR) prevalence is higher in Indigenous Australians than in other Australians and is a major cause of vision loss. Consequently, timely screening and treatment is paramount, and annual eye screening is recommended for Indigenous Australians. ⋯ A high prevalence of DR, CSMO and impaired vision was noted in Indigenous Australians with diabetes. Screening in primary care is feasible, but more effective screening methods are needed.