Preventative Medicine: Healthy Kai Kai & Deadly Exercise
As primary healthcare doctors we have the privilege of educating and promoting good health amongst our patients. We know that preventive medicine is essential in reducing the morbidity and mortality of chronic disease including the most commonly seen here in Torres Strait Islanders: cardiovascular disease, diabetes and chronic kidney disease....
The Pressure Is On: Will Australia Adopt New Hypertension Guidelines?
The Evidence: A randomised trial of intensive versus standard blood-pressure control The Summary: The SPRINT trial was a randomised, controlled trial comparing the safety and efficacy of intensive lowering of systolic blood pressure (SBP) to less than 120mmHg, compared with standard management to less than 140mmHg. The study included...
Iron Deficiency Anaemia
As we improve our preventative health screening practices in Remote Indigenous Health we inevitably encounter incidental abnormalities in routine pathology. Given our limited resources and developing recall systems, what do we do about them? The ABS report that remote indigenous populations are 2-3 times as likely to suffer from...
Incidental Eosinophilia
As we improve our preventative health screening practices in Remote Indigenous Health we inevitably encounter incidental abnormalities in routine pathology. Given our limited resources and developing recall systems, what do we do about them? Over the next few weeks we will address a handful of common queries and a...
Urinary incontinence
Island Docs are generalists. We strive to maintain a breadth of knowledge rather than focus on a particular specialty field. In our efforts to provide high quality patient care, we work hard to keep up to date with the latest evidence and guidelines. We are lucky to receive regular...
CKD goals, what am I doing with this raised PTH?
Phosphate-Binding Agents in Adults With CKD: A Network Meta-analysis of Randomised Trials. Suetonia C. Palmer, PhD, Sharon Gardner, MA, Marcello Tonelli, MD, Dimitris Mavridis, PhD, David W. Johnson, PhD, Jonathan C. Craig, PhD, Richard French, MBChB, Marinella Ruospo, MScMed, Giovanni F.M. Strippoli, PhD’Correspondence information about the author PhD Giovanni...
Lung ultrasound for paediatric pneumonia
Q. Can Lung ultrasound reduce need for CXR in children with suspected pneumonia? Jones BP, Tay ET, Elikashvili I, et al. Feasibility and safety of substituting lung ultrasonography for chest radiography when diagnosing pneumonia in children: a randomized controlled trial. Chest 2016;150(1):131-138. randomized 191 children and adolescents with clinically suspected...