Category: Chronic Diseases

Researching Remotely

You just can’t miss it. A grass green building with multi-coloured panels representing our frangipanis, sea and sand. The Australian Institute of Tropical Health and Medicines (AITHM) Tropical Research Centre (or as locals like to call it – the colour-colour building) was officially opened last fortnight on Thursday Island....

Rheumatic ❤️ Disease

‡ Yesterday I saw a four-year-old boy with school sores. The day before my colleague saw a 16-year-old girl with a fever and knee pain. Last week our visiting paediatric cardiologist saw an eight-year-old girl with a new cardiac murmur. Last month our clinic health worker saw a 25-year-old male receiving...

The Torres Approach to Hepatitis B

Chronic hepatitis B (CHB) is widespread in the Torres Strait. Over the last few years there has been a focused effort within the medical team to devise a strategy to ensure safe and appropriate diagnosis and management of CHB. Extensive consultation with the local workforce and relevant specialists guided...

Magnesium. What’s in it for ATSI?

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? Hypomagnesemia is a common finding in population screening in the Torres Strait.  Epidemiological studies have...

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...

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...