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Driving in hepatic encephalopathy. 肝性脑病驾驶。
IF 1.8 4区 医学
Internal Medicine Journal Pub Date : 2026-09-01 Epub Date: 2026-07-20 DOI: 10.1111/imj.70523
Keith Brick, Rohit Gupta
{"title":"Driving in hepatic encephalopathy.","authors":"Keith Brick, Rohit Gupta","doi":"10.1111/imj.70523","DOIUrl":"10.1111/imj.70523","url":null,"abstract":"<p><p>Hepatic encephalopathy (HE) is a reversible neuropsychiatric complication of cirrhosis associated with cognitive and psychomotor impairment that may compromise driving safety. Deficits in attention, visuospatial ability, reaction time and executive function contribute to impaired on-road performance and increased motor vehicle collision rates. Despite this, there are no standardised Australian guidelines addressing driving in patients with HE, and international guidelines remain heterogenous. This article reviews the impact of overt (OHE) and covert HE on driving performance and outlines a pragmatic, risk-stratified framework. For patients with prior OHE, our approach is a time-limited driving restrictions based risk assessment, with conditional return to driving following sustained clinical stability and adherence to therapy. This framework aims to balance public safety with preservation of patient autonomy and quality of life.</p>","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":" ","pages":"1664-1668"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of socioeconomic status on disability in a longitudinal rheumatoid arthritis cohort. 纵向类风湿关节炎队列中社会经济地位对残疾的影响。
IF 1.8 4区 医学
Internal Medicine Journal Pub Date : 2026-09-01 Epub Date: 2026-07-13 DOI: 10.1111/imj.70504
Oscar Russell, Susan Lester, Jessica Stanhope, Rachel J Black, Marissa Lassere, Claire Barrett, Lyn March, Tom Lynch, Rachelle Buchbinder, Catherine L Hill
{"title":"Impact of socioeconomic status on disability in a longitudinal rheumatoid arthritis cohort.","authors":"Oscar Russell, Susan Lester, Jessica Stanhope, Rachel J Black, Marissa Lassere, Claire Barrett, Lyn March, Tom Lynch, Rachelle Buchbinder, Catherine L Hill","doi":"10.1111/imj.70504","DOIUrl":"10.1111/imj.70504","url":null,"abstract":"<p><p>The impact of socioeconomic status (SES) on health outcomes in Australians living with rheumatoid arthritis (RA) is not known. We aimed to determine whether differences in disability trajectory were present according to individuals' SES using longitudinal data from the Australian Rheumatology Association Database. We found that lower area-level SES was associated with significantly increased Health Assessment Questionnaire - Disability Index scores (indicating greater disability). These results may indicate the presence of a healthcare inequity for those living with RA and lower SES.</p>","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":" ","pages":"1644-1648"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148436577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Race-neutral lung function equations and clinical interpretation in East Asian patients. 东亚患者的种族中性肺功能方程和临床解释。
IF 1.8 4区 医学
Internal Medicine Journal Pub Date : 2026-09-01 Epub Date: 2026-07-20 DOI: 10.1111/imj.70564
Yusen Wu, Zhi Yuan
{"title":"Race-neutral lung function equations and clinical interpretation in East Asian patients.","authors":"Yusen Wu, Zhi Yuan","doi":"10.1111/imj.70564","DOIUrl":"10.1111/imj.70564","url":null,"abstract":"","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":" ","pages":"1672"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The other side of mentorship: who will look after the mentors? 导师的另一面：谁来照顾导师？
IF 1.8 4区 医学
Internal Medicine Journal Pub Date : 2026-09-01 Epub Date: 2026-07-14 DOI: 10.1111/imj.70542
Hongnan Ye
{"title":"The other side of mentorship: who will look after the mentors?","authors":"Hongnan Ye","doi":"10.1111/imj.70542","DOIUrl":"10.1111/imj.70542","url":null,"abstract":"","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":" ","pages":"1669"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148436653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Safeguarding medical empathy and cultivating compassion in contemporary medicine. 维护医学移情，培养当代医学的同情心。
IF 1.8 4区 医学
Internal Medicine Journal Pub Date : 2026-09-01 Epub Date: 2026-07-08 DOI: 10.1111/imj.70484
Wai Chung Tse, Theodore Ajluni, Christian Chene, Deborah Leach, Michelle Leech
{"title":"Safeguarding medical empathy and cultivating compassion in contemporary medicine.","authors":"Wai Chung Tse, Theodore Ajluni, Christian Chene, Deborah Leach, Michelle Leech","doi":"10.1111/imj.70484","DOIUrl":"10.1111/imj.70484","url":null,"abstract":"<p><p>Empathy and compassion are both fundamental to patient-centred care, enhancing satisfaction, adherence and outcomes while improving clinician well-being. However, certain aspects of medical culture may put these emotional qualities at risk. The preclinical-to-clinical transition exposes students to hierarchical structures, time constraints and performance expectations prioritising technical competence over interpersonal skills. Negative role modelling, rushed consultations and inadequate emotional support normalise emotional detachment. The COVID-19 pandemic intensified burnout and moral injury, while societal desensitisation through social media compounds these effects. Although medical humanities programmes show promise, meaningful change requires addressing both curricula and clinical environments through structured reflection, compassion-focused training and recognising empathy fatigue as an occupational hazard, reaffirming medicine's ethical foundations.</p>","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":" ","pages":"1660-1663"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148411610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complexity and comorbidities: critical considerations for methicillin-resistant Staphylococcus aureus bacteraemia outcomes in the Northern Territory. 复杂性和合并症：北领地耐甲氧西林金黄色葡萄球菌菌血症结果的关键考虑因素。
IF 1.8 4区 医学
Internal Medicine Journal Pub Date : 2026-09-01 Epub Date: 2026-07-15 DOI: 10.1111/imj.70556
Nabiah Shakeel
{"title":"Complexity and comorbidities: critical considerations for methicillin-resistant Staphylococcus aureus bacteraemia outcomes in the Northern Territory.","authors":"Nabiah Shakeel","doi":"10.1111/imj.70556","DOIUrl":"10.1111/imj.70556","url":null,"abstract":"","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":" ","pages":"1670-1671"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148446135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Author reply. 作者回复。
IF 1.8 4区 医学
Internal Medicine Journal Pub Date : 2026-09-01 Epub Date: 2026-07-21 DOI: 10.1111/imj.70569
Osnat C Melamed, Polina Kyrychenko, Benjamin K C Wong, Scott Veldhuizen, Nadia Minian, Laurie Zawertailo, Peter Selby
{"title":"Author reply.","authors":"Osnat C Melamed, Polina Kyrychenko, Benjamin K C Wong, Scott Veldhuizen, Nadia Minian, Laurie Zawertailo, Peter Selby","doi":"10.1111/imj.70569","DOIUrl":"10.1111/imj.70569","url":null,"abstract":"","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":" ","pages":"1673"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A new era beckons in asthma: enhanced models of care, disease remission, artificial intelligence and consumer participation. 哮喘的新时代正在向我们招手：强化的护理模式、疾病缓解、人工智能和消费者参与。
IF 1.8 4区 医学
Internal Medicine Journal Pub Date : 2026-09-01 Epub Date: 2026-06-03 DOI: 10.1111/imj.70475
John Politis, Kerry Hancock, Jo A Douglass, Paul Leong, Philip Bardin
{"title":"A new era beckons in asthma: enhanced models of care, disease remission, artificial intelligence and consumer participation.","authors":"John Politis, Kerry Hancock, Jo A Douglass, Paul Leong, Philip Bardin","doi":"10.1111/imj.70475","DOIUrl":"10.1111/imj.70475","url":null,"abstract":"<p><p>The landscape of asthma management is undergoing significant transformation. This change is driven by several factors: deeper understanding of asthma pathophysiology, appreciation of the long-term harm of oral corticosteroids, biological treatments that dramatically improve patient outcomes with asthma remission becoming a realistic goal, and a focus on patient-centred care combined with the use of virtual health and artificial intelligence strategies. This Viewpoint provides a perspective on current dilemmas and then emphasises recent innovations that can provide solutions. If applied judiciously, these advances will enable healthcare professionals to improve outcomes for people with asthma.</p>","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":" ","pages":"1649-1653"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148149772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Methodological considerations in the pre-implementation evaluation of AI-guided surgical antimicrobial prophylaxis. 人工智能指导下外科抗菌预防实施前评估的方法学考虑。
IF 1.8 4区 医学
Internal Medicine Journal Pub Date : 2026-09-01 Epub Date: 2026-07-23 DOI: 10.1111/imj.70573
Areeha Mariam, Humna Minhas
{"title":"Methodological considerations in the pre-implementation evaluation of AI-guided surgical antimicrobial prophylaxis.","authors":"Areeha Mariam, Humna Minhas","doi":"10.1111/imj.70573","DOIUrl":"10.1111/imj.70573","url":null,"abstract":"","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":" ","pages":"1674-1675"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148561880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comment on: National survey of real-world treatment patterns for early- and intermediate-stage hepatocellular carcinoma reveals wide variation across Australian states. 评论：对早期和中期肝细胞癌实际治疗模式的全国调查显示，澳大利亚各州之间存在很大差异。
IF 1.8 4区 医学
Internal Medicine Journal Pub Date : 2026-09-01 Epub Date: 2026-07-21 DOI: 10.1111/imj.70575
Supriya S Desai, Rajesh Prasad Jayaswal, Maajid Mohi Ud Din Malik
{"title":"Comment on: National survey of real-world treatment patterns for early- and intermediate-stage hepatocellular carcinoma reveals wide variation across Australian states.","authors":"Supriya S Desai, Rajesh Prasad Jayaswal, Maajid Mohi Ud Din Malik","doi":"10.1111/imj.70575","DOIUrl":"10.1111/imj.70575","url":null,"abstract":"","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":" ","pages":"1676"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148548970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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