Internal medicine journal
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Internal medicine journal · Mar 2018
ReviewDepression and suicide among medical practitioners in Australia.
This review will provide an overview of the prevalence of, and risk factors for, depression and suicide in medical practitioners. It will also discuss the barriers to accessing appropriate care and potential interventions for this population.
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Internal medicine journal · Mar 2018
Burden of atrial fibrillation in Māori and Pacific people in New Zealand: a cohort study.
Atrial fibrillation (AF) is a major risk factor for ischaemic stroke and cardiovascular events. In New Zealand (NZ), Māori (indigenous New Zealanders) and Pacific people experience higher rates of AF compared with non-Māori/non-Pacific people. ⋯ AF screening and stroke thromboprophylaxis in Māori and Pacific people could start below the age of 65 years in NZ.
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Internal medicine journal · Mar 2018
Case ReportsSevere methanol poisoning with neurological sequelae: implications for diagnosis and management.
A 22-year-old woman presented with methanol toxicity manifesting as headache, reduced conscious state and visual change after consuming home-made grappa. She progressed to a coma with fixed mydriasis and severe acidaemia (pH 6.55). ⋯ She survived despite her delayed presentation but developed significant neurological sequelae, including visual impairment. We provide an overview of key elements of diagnosis and recent updates in treatment recommendations.
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Internal medicine journal · Mar 2018
Risk factors associated with hypertensive disorders of pregnancy within an urban indigenous population in south western Sydney.
The prevalence of hypertensive disorders of pregnancy (HDP) in Australia's urban indigenous women is unknown. ⋯ There was a higher rate of HDP in urban indigenous women compared to the national indigenous prevalence. The family history, or individual history of hypertension was the most significant risk factors and BMI was not identified as a risk factor for HDP in this population.
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Internal medicine journal · Mar 2018
Quantifying the hidden healthcare cost of diabetes mellitus in Australian hospital patients.
Diabetes mellitus in hospital inpatients is most commonly present as a comorbidity rather than as the primary diagnosis. In some hospitals, the prevalence of comorbid diabetes mellitus across all inpatients exceeds 30%, which could add to complexity of care and resource utilisation. However, whether and to what extent comorbid diabetes mellitus contributes indirectly to greater hospitalisation costs is ill-defined. ⋯ Comorbid diabetes mellitus adds significantly to hospitalisation duration and costs in medical inpatients. Moreover, diabetes mellitus patients with chronic complications had a greater-still cost and hospitalisation duration compared to those without diabetes mellitus.