Internal medicine journal
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Internal medicine journal · Dec 2016
Patient characteristics, interventions and outcomes of 1151 rapid response team activations in a tertiary hospital: a prospective study.
The characteristics of mature contemporary rapid response systems are unclear. ⋯ Relatively few RRT activations are associated with acute resuscitation plans, and most interventions during RRT responses are low level. The high rate of post-RRT deaths and transfers to higher-level care units calls for the prospective identification of such patients in targeting appropriate care.
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Internal medicine journal · Dec 2016
Letter Case ReportsKimura disease in a Maori man with nephrotic syndrome.
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Internal medicine journal · Nov 2016
Utility of surgical lung biopsy in critically ill patients with diffuse pulmonary infiltrates: a retrospective review.
There are conflicting reports regarding the role of surgical lung biopsies in patients who present to the intensive care unit (ICU) with unexplained respiratory failure and diffuse pulmonary infiltrates on imaging. ⋯ In this series, DAD was the most frequent pathology. The biopsy result was associated with a change in management in a majority of the subjects, most frequently an escalation of prior empiric therapy. Mortality was high.
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Internal medicine journal · Nov 2016
ReviewManagement of diabetes in Indigenous communities: lessons from the Australian Aboriginal population.
Type 2 diabetes mellitus and other chronic cardio-metabolic conditions are significant contributors to the large disparities in life expectancy between Indigenous and non-Indigenous Australians. Type 2 diabetes is more prevalent from a young age among Indigenous Australians and is often preceded by a cluster of risk factors, including central obesity, dyslipidaemia, albuminuria and socio-economic disadvantage. ⋯ Key strategies to address these challenges include working in partnership with patients, communities and primary healthcare services (PHC, Aboriginal community controlled and government services) and working in a multidisciplinary team. Population prevention measures are required within and beyond the health system, commencing as early as possible in the life course.