Internal medicine journal
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Internal medicine journal · Jul 2018
Ethnicity, socioeconomic status and the severity and course of non-cystic fibrosis bronchiectasis.
This study evaluated whether there are ethnic factors which affect the severity and progression of bronchiectasis in our adult multi-ethnic population in Auckland, New Zealand. ⋯ Patients of Maori and Pacific ethnicity are both overrepresented and have more severe bronchiectasis in this cohort, independent of socioeconomic status. Ethnicity did not predict decline in pulmonary function. Further studies into genetic predisposition to bronchiectasis in Maori or Pacific people may be warranted.
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Internal medicine journal · Jul 2018
Medical Oncology Group of Australia position statement and membership survey on voluntary assisted dying.
The controversial topic of voluntary assisted dying (VAD) is receiving significant attention at state government levels and in the community. Acknowledging potential legalisation of VAD, the Medical Oncology Group of Australia (MOGA) undertook a survey of members to inform the development of a position statement on the subject. All MOGA members were invited to complete an anonymous online survey. ⋯ The MOGA membership expressed a range of views on the topic of VAD. A clear majority-held view to support a MOGA position that either supports or opposes VAD was not established. The position statement that flows from the survey encourages informed debate on this topic and brings into focus important considerations.
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Internal medicine journal · Jul 2018
Perspectives of cancer treatment providers regarding voluntary assisted dying in Victoria.
A survey of cancer treatment providers at our institution exploring their perspectives regarding voluntary assisted dying in Victoria and the imminent legislation showed that while almost all were aware of the Bill (92%), reported knowledge and understanding of it was much less (38%). As many clinicians supported the Bill as opposed it (28%); 44% were uncertain of their stance. Most were unwilling to directly provide voluntary assisted dying; if they did, would refer to palliative care services for ongoing support.
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Internal medicine journal · Jul 2018
Sleep on the ward in intensive care unit survivors: a case series of polysomnography.
Few studies have investigated sleep in patients after intensive care despite the possibility that inadequate sleep might further complicate an acute illness impeding recovery. ⋯ Patients reported poor sleep while in the ICU, and a postoperative admission diagnosis may identify a high-risk subgroup of patients who may derive greater benefit from interventions to improve sleep hygiene.
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Internal medicine journal · Jun 2018
Risk factor management in a contemporary Australian population at increased cardiovascular disease risk.
Effective management of cardiovascular and chronic kidney disease risk factors offers longer, healthier lives and savings in healthcare. ⋯ This population demonstrated substantial potential to reduce cardiovascular and renal morbidity and mortality and healthcare costs through more effective management of modifiable risk factors.