Internal Medicine Journal最新文献_第2页

Evaluating the clinical accuracy of the reporting of hypoglycaemia as a hospital-acquired complication. 评估低血糖作为医院获得性并发症报告的临床准确性。

IF 1.8 4区医学

Internal Medicine Journal Pub Date : 2025-05-30 DOI: 10.1111/imj.70110

Theoni Haralabopoulos, Huong Van Nguyen, Patrice Thomas, Malgorzata M Brzozowska

引用次数: 0

Rapid increase in continuous glucose monitoring use among adults with type 1 diabetes admitted to hospital: a Melbourne multicentre observational study. 在住院的成人1型糖尿病患者中，持续血糖监测的使用迅速增加：一项墨尔本多中心观察性研究

IF 1.8 4区医学

Internal Medicine Journal Pub Date : 2025-05-29 DOI: 10.1111/imj.70095

Ray Wang, Brintha Krishnamoorthi, Ailie Connell, Cherie Chiang, Debra Renouf, Rahul Barmanray, Mervyn Kyi, Spiros Fourlanos

引用次数: 0

Large language model discharge summary preparation using real-world electronic medical record data shows promise. 使用真实世界电子病历数据的大型语言模型出院摘要准备显示出前景。

IF 1.8 4区医学

Internal Medicine Journal Pub Date : 2025-05-28 DOI: 10.1111/imj.70073

Lewis Hains, Oliver Kleinig, Ashwin Murugappa, Samuel Gluck, Jarrod Marks, Toby Gilbert, Stephen Bacchi

引用次数: 0

Acceptability and value of shared medical appointments in a non-general practitioner specialist context. 在非全科医生专科背景下共享医疗预约的可接受性和价值。

IF 1.8 4区医学

Internal Medicine Journal Pub Date : 2025-05-28 DOI: 10.1111/imj.70098

Michael J Axtens, Ryan Wood-Bradley, Kate Kloot, Karen M Dwyer

引用次数: 0

Navigating practical challenges in a patient- and family-centred care model. 在以病人和家庭为中心的护理模式中导航实际挑战。

IF 1.8 4区医学

Internal Medicine Journal Pub Date : 2025-05-28 DOI: 10.1111/imj.70093

Isaac K S Ng, Li Feng Tan, Desmond B Teo, Norshima Nashi

{"title":"Navigating practical challenges in a patient- and family-centred care model.","authors":"Isaac K S Ng, Li Feng Tan, Desmond B Teo, Norshima Nashi","doi":"10.1111/imj.70093","DOIUrl":"https://doi.org/10.1111/imj.70093","url":null,"abstract":"The importance of familial involvement in patient care has been increasingly recognised in recent years, leading to the conceptualisation of a patient- and family-centred care model. In this care model, families are seen as allies in patient care and are actively integrated into various caregiving and decision-making roles. In both inpatient acute and critical care settings as well as outpatient chronic disease management, studies have found that familial involvement can lead to significant benefits in patient care, from stronger psychosocial support in the recovery process, medication compliance and reduced hospital re-admission rates to overall improvement in patient satisfaction and quality of life. Yet, for all its purported benefits, there are unique challenges faced in implementing and navigating a family-integrated model of care, such as upholding patient autonomy and confidentiality in decision-making in order not to compromise the physician-patient fiduciary relationship, handling intra-familial conflicts and navigating practical challenges of familial engagement in hospital care. Therefore, in this article, we aim to describe comprehensively the role of familial integration in patient care and discuss how physicians can pre-empt and manage challenges that may be encountered in the process.","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144158509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sustaining the workforce: a qualitative study exploring voluntary assisted dying supports and self-care. 维持劳动力：一项探索自愿协助死亡支持和自我护理的定性研究。

IF 1.8 4区医学

Internal Medicine Journal Pub Date : 2025-05-28 DOI: 10.1111/imj.70067

Casey M Haining, Lindy Willmott, Ben P White

{"title":"Sustaining the workforce: a qualitative study exploring voluntary assisted dying supports and self-care.","authors":"Casey M Haining, Lindy Willmott, Ben P White","doi":"10.1111/imj.70067","DOIUrl":"https://doi.org/10.1111/imj.70067","url":null,"abstract":"Background: Victoria became the first Australian state to pass voluntary assisted dying (VAD) laws. While the VAD workforce has reportedly found this work rewarding, it has been found to take a toll on the workforce, raising sustainability concerns for the system. Little is known about the self-care practices and support structures available to this workforce to support them in delivering VAD.Aims: This study sought to investigate self-care practices and support structures available to the Victorian VAD clinical workforce.Methods: Semi-structured interviews were carried out with 37 VAD 'regulators' (i.e. people involved in steering and guiding behaviour in relation to VAD) between September 2022 and July 2023 and analysed using reflexive thematic analysis.Results: Four themes were identified following analysis: (i) involvement in VAD is challenging; (ii) existing workforce supports and strategies; (iii) challenges with supporting and sustaining the workforce and attempts to address such challenges; and (iv) new approaches are needed to promote sustainability.Conclusions: There are currently limited support systems and established self-care practices in place to assist the Victorian VAD clinical workforce. Consideration needs to be given to how current structures can be improved and what new strategies can be implemented to support the workforce and protect the system's sustainability.","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144158510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond time as the healer: action in long COVID treatment to improve patient outcomes. 超越时间作为治疗者：在COVID - 19长期治疗中采取行动，改善患者预后。

IF 1.8 4区医学

Internal Medicine Journal Pub Date : 2025-05-28 DOI: 10.1111/imj.70099

Julie Metcalfe, Michelle J L Scoullar, Naomi C A Whyler, Helen Balkin, Emma Tippett

引用次数: 0

Impact of generative artificial intelligence on the professional qualities curriculum and reflection essays during physician training. 生成式人工智能对医师培训专业素质课程及反思论文的影响。

IF 1.8 4区医学

Internal Medicine Journal Pub Date : 2025-05-28 DOI: 10.1111/imj.70087

Louis William Wang

{"title":"Impact of generative artificial intelligence on the professional qualities curriculum and reflection essays during physician training.","authors":"Louis William Wang","doi":"10.1111/imj.70087","DOIUrl":"https://doi.org/10.1111/imj.70087","url":null,"abstract":"The professional development curriculum is a vital component in physician training and is important for helping trainees develop as competent and reflective practitioners. The advent of generative artificial intelligence (AI) will likely have a significant impact on the assessment of the professional qualities curriculum in physician training. The development of professional qualities as well as self-reflection is currently assessed through personal reflection essays. These reflection essays are particularly vulnerable to new developments in generative AI, which are capable of producing high-quality outputs that can pass as trainee-created responses. Generative AI-produced reflection essays are becoming increasingly difficult to detect using AI-detection software. The challenge remains how best to incorporate AI into learning while safeguarding the attainment and assessment of learning goals within the multiple domains of professional development. This article discusses several options for safeguarding the professional qualities curriculum in medical education and vocational training. Discussion-based activities may very well prove to be a suitable potential replacement for the current professional reflection essay.","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144158507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ambulance transport to hospital in patients with a palliative ambulance management plan. 救护车运送病人到医院与缓和救护车管理计划。

IF 1.8 4区医学

Internal Medicine Journal Pub Date : 2025-05-27 DOI: 10.1111/imj.70101

Jessica Luey, Sinead Donnelly

引用次数: 0

Symptomatic hypocalcaemia after administration of denosumab and iron infusion in patients with normal and impaired renal function. 肾功能正常和受损患者给予地诺单抗和铁输注后的症状性低钙血症。

IF 1.8 4区医学

Internal Medicine Journal Pub Date : 2025-05-27 DOI: 10.1111/imj.70091

Lai-Ming Kathleen Pak, Amanda Cox, Leon A Bach

{"title":"Symptomatic hypocalcaemia after administration of denosumab and iron infusion in patients with normal and impaired renal function.","authors":"Lai-Ming Kathleen Pak, Amanda Cox, Leon A Bach","doi":"10.1111/imj.70091","DOIUrl":"https://doi.org/10.1111/imj.70091","url":null,"abstract":"Osteoporosis and iron deficiency anaemia are common coexisting comorbidities in an ageing population. To facilitate timely administration of disease-modifying therapy, denosumab and iron infusions are often given concurrently on the day of discharge from an inpatient admission following fracture. It is becoming increasingly recognised that close administration of both can result in profound hypocalcaemia and/or hypophosphataemia due to disruption of calcium, phosphate and bone remodelling homeostasis. Our case series describes three cases of clinically significant, symptomatic hypocalcaemia in the setting of this potential drug-drug interaction, with symptoms including atraumatic femoral fracture, subacute cognitive decline and non-sustained ventricular tachycardia. While most previous case reports described hypocalcaemia in patients with advanced chronic kidney disease, two out of three of our cases had normal renal function, and one patient developed hypocalcaemia despite having calcium and cholecalciferol supplementation before and after denosumab administration. The optimal safe period between administration of the two medications has not been clearly established; one of our patients developed electrolyte disturbances despite having the medications 10 weeks apart.","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0