"I'm glad I'm not young anymore".

Abstract:

:The author, a physician in late middle age reflects on his own medical career, the aging of those who have taught him and also of those whom he has taught. He describes the sense of ennui and déjà vu. The things that seemed important as a younger doctor seem less important. He has adopted a different paradigm and has come to see that both playfulness and integrity are essential ingredients for health. As a sailor, he more keenly appreciates the struggles our patients and colleagues have with illness and draws an analog between sailing and life.

journal_name

Intern Med J

authors

Allen RK

doi

10.1111/j.1445-5994.2006.01256.x

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

800-2

issue

12

eissn

1444-0903

issn

1445-5994

pii

IMJ1256

journal_volume

36

pub_type

杂志文章
  • Guidelines for the use of antifungal agents in the treatment of invasive Candida and mould infections.

    abstract::ABSTRACT Treatment of invasive fungal infections is increasingly complex. Amphotericin B deoxycholate has long been the mainstay of treatment. However, there has been increasing recognition of both the propensity for nephro-toxicity in haematology, transplant and intensive care patients as well as its adverse impact o...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1444-0903.2004.00541.x

    authors: Slavin MA,Szer J,Grigg AP,Roberts AW,Seymour JF,Sasadeusz J,Thursky K,Chen SC,Morrissey CO,Heath CH,Sorrell T

    更新日期:2004-04-01 00:00:00

  • Twenty-eight day Holter monitoring is poorly tolerated and insensitive for paroxysmal atrial fibrillation detection in cryptogenic stroke.

    abstract::This pilot study in a prospective cohort of 20 cryptogenic stroke patients showed that a significant proportion has paroxysmal atrial fibrillation undetected by 24-h Holter monitoring. However, longer monitoring with 28-day Holter was poorly tolerated and still insufficiently sensitive for paroxysmal atrial fibrillati...

    journal_title:Internal medicine journal

    pub_type: 临床试验,杂志文章

    doi:10.1111/imj.12410

    authors: Tu HT,Spence S,Kalman JM,Davis SM

    更新日期:2014-05-01 00:00:00

  • Bleeding peptic ulcer: characteristics and outcomes in Newcastle, NSW.

    abstract:BACKGROUND:Peptic ulcer disease risk factors have changed, as has the impact of treatment on morbidity and mortality. Recent data on clinical presentation and outcome are sparse in Australia. AIM:To determine the characteristics and outcome of patients presenting with a bleeding peptic ulcer to a tertiary referral cen...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2010.02357.x

    authors: Halland M,Young M,Fitzgerald MN,Inder K,Duggan JM,Duggan A

    更新日期:2011-08-01 00:00:00

  • Trends in practice: attitudes and challenges in the diagnosis, treatment and management of HIV infection in Australia.

    abstract::As life expectancy for people living with human immunodeficiency virus (HIV) (PLWHIV) increases, management models for HIV infection are changing. To understand approaches to practice within this shifting climate and across different medical settings, in 2017 we conducted a baseline survey among the main medical pract...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.15129

    authors: Smith DE,Woolley IJ,Russell DB,Bisshop F,Furner V

    更新日期:2020-12-01 00:00:00

  • Neurological manifestations of cardiac myxoma: a review of the literature and report of cases.

    abstract:BACKGROUND AND AIMS:Cardiac myxoma is a rare but important cause of stroke, which affects young people. More recently the diagnosis has been enhanced by the use of echocardiograms. We aimed to review the neurological presentations, including stroke, of cardiac myxoma in this modern era of diagnosis and management. MET...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1444-0903.2004.00563.x

    authors: Ekinci EI,Donnan GA

    更新日期:2004-05-01 00:00:00

  • Development of a peer-review framework for cancer multidisciplinary meetings.

    abstract:BACKGROUND:There is no mechanism in place for monitoring or quality improvement of cancer multidisciplinary meetings (MDM) in Australia. AIM:To develop a peer-review process for quality improvement of MDM. METHODS:This project involved three phases: (i) development of a draft peer-review framework, supporting documen...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,评审

    doi:10.1111/imj.13374

    authors: Johnson CE,Slavova-Azmanova N,Saunders C

    更新日期:2017-05-01 00:00:00

  • Consensus guidelines for 'rainy day' autologous stem cell harvests in New South Wales.

    abstract::Autologous stem cell transplantation (ASCT) has a well-established role in the treatment of haematological malignancies. Stem cells are commonly collected following salvage chemotherapy although there may be advantages in collecting earlier in the disease course. A 'rainy day' harvest (RDH) refers to the collection of...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2008.01632.x

    authors: Trotman J,Presgrave P,Kwan Y,Tiley C,Estell J,Watson AM,O'Brien TA,Peters D

    更新日期:2008-04-01 00:00:00

  • Seasonality of birth patterns in an Australian cohort of patients with biopsy-confirmed idiopathic inflammatory myopathy.

    abstract::Environmental exposures in the foetal period may predispose to autoimmunity. Aim of this study is to investigate whether seasonality in birth patterns exists in idiopathic inflammatory myopathies (IIM). We used Stata (StataCorp USA, version 13.0) and the user-written routine command 'circsummarise' to assess birth sea...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.13061

    authors: Woodman R,Hakendorf P,Limaye V

    更新日期:2016-05-01 00:00:00

  • Modelling cost-effectiveness of high-dose chemotherapy as treatment for relapsed aggressive non-Hodgkin lymphoma in an Australian setting.

    abstract:BACKGROUND:Since 1995 patients with relapsed aggressive non-Hodgkin lymphoma have been treated with high-dose chemotherapy (HDC) instead of standard dose chemotherapy (SC) because of superior survival shown in the 'Parma study'. As HDC involves hospital admission and intensive supportive care, the cost of HDC would be ...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1445-5994.2008.01795.x

    authors: Prajogo J,Neil A,Duke J,Zhang H,Stokes B,Rowlings P

    更新日期:2009-08-01 00:00:00

  • Newer options in the management of acromegaly.

    abstract::Paradigms for managing acromegaly have undergone major changes in the past two decades. This has been brought about by combining surgical, pharmacological and radiotherapeutic approaches that provide tight biochemical control to reduce mortality to that of the general population. The biochemical targets for treatment ...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-5994.2006.01097.x

    authors: Burt MG,Ho KK

    更新日期:2006-07-01 00:00:00

  • Myocardial perfusion imaging in evaluation of undiagnosed acute chest pain.

    abstract::Myocardial perfusion imaging is a relatively new technique in the emergency department management of acute chest pain. With improved sensitivity and specificity compared to traditional methods of risk stratification, an abnormal scan rapidly identifies individuals with acute perfusion abnormalities and allows the appr...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,评审

    doi:10.1046/j.1445-5994.2001.00118.x

    authors: Knott JC,Better N

    更新日期:2001-12-01 00:00:00

  • Gender, age and ethnic aspects of analgesia in acute abdominal pain: is analgesia even across the groups?

    abstract:BACKGROUND:Numerous studies have shown differences in pain perception between men and women, which may affect pain management strategies. AIM:Our primary aim was to investigate whether there are gender-based differences in pain management in patients admitted to our emergency department with acute, non-specific abdomi...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2010.02255.x

    authors: Banz VM,Christen B,Paul K,Martinolli L,Candinas D,Zimmermann H,Exadaktylos AK

    更新日期:2012-03-01 00:00:00

  • Prospective randomised trial of endobronchial ultrasound-guide sheath versus computed tomography-guided percutaneous core biopsies for peripheral lung lesions.

    abstract:AIM:To determine diagnostic rate, complications and patient tolerability of endobronchial ultrasound-guide sheath (EBUS-GS) and computed tomography (CT)-guided percutaneous core biopsy for peripheral lung lesions. METHODS:Lesions >1 cm diameter on CT were randomised to either EBUS-GS or CT-guided biopsy. Excluded were...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1445-5994.2011.02707.x

    authors: Fielding DI,Chia C,Nguyen P,Bashirzadeh F,Hundloe J,Brown IG,Steinke K

    更新日期:2012-08-01 00:00:00

  • Impact of limited English proficiency on presentation and outcomes of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction.

    abstract::Doctor-patient language discordance has been shown to lead to worse clinical outcomes. In this study of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction at an Australian health service, we demonstrated that limited English proficiency (LEP) is an independent predict...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.13751

    authors: Biswas S,Seman M,Cox N,Neil C,Brennan A,Dinh D,Walton A,Chan W,Lefkovits J,Reid C,Stub D

    更新日期:2018-04-01 00:00:00

  • Seasonal recurrence of food bolus obstruction in eosinophilic esophagitis.

    abstract:BACKGROUND:Eosinophilic esophagitis (EoE) is a newly recognised condition that is apparently increasing in prevalence, and the aetiology is poorly understood. The role of aeroallergens in EoE is controversial, given the success of dietary therapy. Massive aeroallergen exposure leading to food bolus obstruction events (...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,多中心研究

    doi:10.1111/imj.12790

    authors: Philpott HL,Nandurkar S,Thien F,Bloom S,Lin E,Goldberg R,Boyapati R,Finch A,Royce SG,Gibson PR

    更新日期:2015-09-01 00:00:00

  • Beneficial effect of awake prone position in hypoxaemic patients with COVID-19: case reports and literature review.

    abstract::We hereby present two case reports of moderate coronavirus disease patients, suffering from profound hypoxaemia, further deteriorating later on. A schedule pre-planned awake prone position manoeuvres were executed during their hospital stay. Following this, the patients' saturation improved, later to be weaned from ox...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.14926

    authors: Cohen D,Wasserstrum Y,Segev A,Avaky C,Negru L,Turpashvili N,Anani S,Zilber E,Lasman N,Athamna A,Segal O,Shenhav-Saltzman G,Segal G

    更新日期:2020-08-01 00:00:00

  • Decreasing mortality from non-Hodgkin lymphoma in Australia.

    abstract::Based on the number of new cases (incidence), non-Hodgkin lymphoma is an increasingly common cancer in Australia and many developed countries. Until recently, mortality trends have been stable or slightly increasing. However, since the year 2000, mortality has decreased every year by an average of 5.1% per year (95% c...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2008.01809.x

    authors: Coory M,Gill D

    更新日期:2008-12-01 00:00:00

  • Pre-hospital oxygen therapy in acute exacerbations of chronic obstructive pulmonary disease.

    abstract:BACKGROUND:High concentration oxygen is commonly administered during acute exacerbations of chronic obstructive pulmonary disease (AECOPD). The aim of this study was to determine the association between oxygen, severity markers and poor outcomes in AECOPD. METHODS:In an audit of patients with AECOPD arriving by ambula...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2010.02207.x

    authors: Wijesinghe M,Perrin K,Healy B,Hart K,Clay J,Weatherall M,Beasley R

    更新日期:2011-08-01 00:00:00

  • Acute care costs of patients admitted for management of chronic obstructive pulmonary disease exacerbations: contribution of disease severity, infection and chronic heart failure.

    abstract:BACKGROUND:In 2003, chronic obstructive pulmonary disease (COPD) accounted for 46% of the burden of chronic respiratory disease in the Australian community. In the 65-74-year-old age group, COPD was the sixth leading cause of disability for men and the seventh for women. AIMS:To measure the influence of disease severi...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2010.02195.x

    authors: Hutchinson A,Brand C,Irving L,Roberts C,Thompson P,Campbell D

    更新日期:2010-05-01 00:00:00

  • Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions.

    abstract:BACKGROUND:Poor quality prescribing has been identified as one of the leading causes of medication error and adverse drug events. The aim of this study was to improve the quality of written prescriptions in a general hospital by a combination of serial audits and interventions designed to address identified deficiencie...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2007.01518.x

    authors: Gommans J,McIntosh P,Bee S,Allan W

    更新日期:2008-04-01 00:00:00

  • Phase II study of prolonged ambulatory infusion carboplatin and oral etoposide for patients progressing through hormonal therapy for prostate cancer.

    abstract:AIM:To develop a well-tolerated outpatient chemotherapy regimen for hormone-insensitive prostate cancer. METHOD:Forty patients received carboplatin 20 mg/m2 by continuous ambulatory infusion with oral etoposide 50 mg/day for 21 days repeated every 6 weeks. RESULTS:Four patients had a partial response and 16 patients ...

    journal_title:Internal medicine journal

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1445-5994.2005.00864.x

    authors: Olver I,Keefe D,Myers M

    更新日期:2005-07-01 00:00:00

  • High-dose cytarabine (24 g/m2) in combination with idarubicin (HiDAC-3) results in high first-cycle response with limited gastrointestinal toxicity in adult acute myeloid leukaemia.

    abstract:BACKGROUND/AIM:Although induction chemotherapy comprising high-dose cytarabine (HiDAC) in combination with idarubicin and etoposide or 'ICE' for adult acute myeloid leukaemia (AML) produces a complete remission rate of nearly 80%, gastrointestinal toxicity is significant. Omission of etoposide may produce similar clini...

    journal_title:Internal medicine journal

    pub_type: 临床试验,杂志文章,评审

    doi:10.1111/j.1445-5994.2012.02868.x

    authors: Low M,Lee D,Coutsouvelis J,Patil S,Opat S,Walker P,Schwarer A,Salem H,Avery S,Spencer A,Wei A

    更新日期:2013-03-01 00:00:00

  • 'To die with dignity': an update on Palliative Care.

    abstract::Significant developments have occurred in the discipline of palliative care in the modern era. This paper shall explore those developments, challenge some widely held misconceptions about the role and daily practice of the discipline, highlight the growing recognition of the role of palliative care in non-malignant di...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.13520

    authors: Brennan F

    更新日期:2017-08-01 00:00:00

  • Myelodysplastic syndrome in New Zealand and Australia.

    abstract:BACKGROUND:Myelodysplastic syndrome (MDS), a haematological disorder of the elderly, has been formally classified as a neoplastic disease for 10 years. AIMS:Our aim was to collate national cancer registry incidence data to describe the epidemiology of MDS in New Zealand. METHODS:The New Zealand Cancer Registry has no...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2011.02619.x

    authors: Rodger EJ,Morison IM

    更新日期:2012-11-01 00:00:00

  • Tacrolimus-induced thrombotic microangiopathy in orthotopic liver transplant patients: case series of four patients.

    abstract::Thrombotic microangiopathy (TMA) is a potentially fatal complication in solid organ and bone marrow transplant patients, with reported incidence of 0.5-3% and mortality of about 75%. To emphasise the importance of early diagnosis and prompt commencement of therapy results in improved clinical outcomes. A retrospective...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,评审

    doi:10.1111/imj.12048

    authors: Nwaba A,MacQuillan G,Adams LA,Garas G,Delriviere L,Augustson B,DeBoer B,Moody H,Jeffrey GP

    更新日期:2013-03-01 00:00:00

  • Urgent liver transplantation for acute liver failure due to parvovirus B19 infection complicated by primary Epstein-Barr virus and cytomegalovirus infections and aplastic anaemia.

    abstract::An 11-year-old boy presented with hepatic failure secondary to parvovirus B19 infection, requiring urgent liver transplantation. His recovery was complicated by primary Epstein-Barr virus and cytomegalovirus infections. He subsequently developed aplastic anaemia that has been refractory to antithymocyte globulin and c...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2006.01293.x

    authors: So K,Macquillan G,Garas G,Delriviere L,Mitchell A,Speers D,Mews C,Augustson B,de Boer WB,Baker D,Jeffrey GP

    更新日期:2007-03-01 00:00:00

  • Multidisciplinary approach to carotid stenting.

    abstract:BACKGROUND:Stroke neurologists, vascular surgeons, interventional neuroradiologists and interventional cardiologists have embraced carotid angioplasty and stenting (CAS) because of potential advantages over carotid endarterectomy (CEA). At Austin Health, a multidisciplinary neuro-interventional group was formed to stan...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2010.02285.x

    authors: Mak CS,Chambers BR,Clark DJ,Molan M,Brooks M,Roberts N,Fell G,Roberts AK,New G,Donnan GA

    更新日期:2011-11-01 00:00:00

  • Holter monitoring in the diagnosis of stroke mechanism.

    abstract:BACKGROUND:Atrial fibrillation (AF), an important and treatable cause of ischaemic stroke, can occur as a sustained or a paroxysmal arrhythmia. Continuous cardiac rhythm monitoring (Holter monitoring) is often performed in stroke patients to identify paroxysmal AF, which is an indication for warfarin anti-coagulation i...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1444-0903.2004.00589.x

    authors: Shafqat S,Kelly PJ,Furie KL

    更新日期:2004-06-01 00:00:00

  • Characteristics of Queensland physicians and the influence of rural exposure on practice location.

    abstract::The Queensland branch of the Royal Australasian College of Physicians (RACP) commissioned this study to update their workforce profile and examine rural practice. The present investigation aimed to describe characteristics of Queensland physicians and determine the influence of childhood and training locations on curr...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.13156

    authors: Runge CE,MacKenzie A,Loos C,Waller M,Gabbett M,Mills R,Eley D

    更新日期:2016-08-01 00:00:00

  • The obesity-driven rising costs of type 2 diabetes in Australia: projections from the Fremantle Diabetes Study.

    abstract:BACKGROUND:The cost of diabetes is high for both the individual and society. Future health-care planning requires patient-level diabetes-attributable health-care cost data that have not previously been available for Australia. AIM:To determine Australian national direct diabetes-attributable health-care costs for know...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2006.01014.x

    authors: Davis WA,Knuiman MW,Hendrie D,Davis TM

    更新日期:2006-03-01 00:00:00