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Medical Education - Research Publications
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ItemThe role of medical students in humanitarian responses to armed conflictYoo, JWS ; Barmanray, RD (Elsevier, 2024-01-03)The Russia–Ukraine and Israel–Palestine armed conflicts have been widely covered by the media in 2023. However, on a global scale, humanity is no stranger to violence with many countries currently experiencing armed conflict, terrorism, political unrest, or ethnic violence. 1 There is great demand for medical professional expertise to assist with these humanitarian crises. Compounding the pre-conflict medical workforce shortages often present, conflict can often displace health-care workers internally and across borders, interrupts medical education, and causes disproportionate loss of life among working-age individuals who could form future health workforces. 2 , 3 One potential approach to addressing this shortage lies in unlocking the latent potential of medical students, which in our opinion are a predominantly young, energetic, and altruistic group with developing medical expertise, uniquely placed to assist in this context.
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ItemThe Synergism of Virtual and In-Person Inpatient Diabetes ConsultationsWang, R ; Barmanray, R ; Kyi, M ; Fourlanos, S (SAGE Publications, 2023)
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ItemChanging risk with diabetes and hyperglycaemia in the evolving COVID-19 pandemicBarmanray, RD ; Kyi, M ; Buising, K ; Rushakoff, RJ ; Fourlanos, S (WILEY, 2023-07)
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ItemNo Preview Available165-OR: Early Electronic Consultation Reduces Glucose and Health Care–Associated Infection in Hospital—The STOIC-D Surgery Randomised Controlled TrialBarmanray, R ; Kyi, M ; Colman, P ; Rowan, L ; Collins, L ; Donaldson, L ; Montalto, S ; Sun, E ; Le, M ; Worth, L ; Fourlanos, S (American Diabetes Association, 2023)Aims: To assess the effect of early intervention with electronic-based proactive specialist diabetes care in surgical inpatients on glycaemia and clinical outcomes. Methods: The Specialist Treatment of Inpatients: Caring for Diabetes (STOIC-D) Surgery randomised controlled trial (RCT) recruited consecutive adults admitted to surgical units of the Royal Melbourne Hospital (Australia) in 2021 with diabetes or blood glucose ≥200 mg/dL and length of stay (LOS) ≥24 hours. Intervention arm patients received remote proactive consultation by the inpatient diabetes service (IDS) in the electronic medical record (Epic®) within 24 hours of admission and, if escalation criteria were met, received a bedside consultation. Patients receiving standard care were reviewed by the IDS at the bedside only following referral. Insulin and non-insulin agents were used to target glucose 90-180 mg/dL. Outcomes included glucometrics, healthcare-associated infection (HAI), and mortality. Registration: ACTRN12620001303932. Results: 1,383 admissions met inclusion criteria; 689 received the intervention. The primary outcome of mean patient-day mean glucose was lower in the active (158.4 mg/dL, standard deviation [SD] 48.6) vs. control arm (162.0 mg/dL, SD 46.8, p<0.001). HAI (most commonly pneumonia) was lower in the active vs. control arm (11% vs. 16%, p=0.02). Mortality (2.4% vs. 4.2%, p=0.08) and LOS (10.7 vs. 10.0 days, p=0.26) were no different. The number needed to treat for HAI prevention was 22. Hypoglycaemia <72 mg/dL was not increased (1.0% active vs. 0.9% control, p=0.23). The IDS performed a bedside consultation in 333 (49%) of the active vs. 93 (14%) of the control arm. Conclusion: The STOIC-D Surgery trial is the largest RCT of a diabetes model-of-care intervention in non-critical care. Early, electronic-based specialist diabetes intervention significantly reduced patient-day mean glucose and HAIs in a surgical population.
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ItemNo Preview AvailableCOVID-19 and hyperglycaemia: a bidirectional relationshipGong, J ; Barmanray, R (Tangello Group on behalf of Diabetes Australia, 2023)
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ItemNo Preview AvailableIn-hospital hyperglycaemia but not diabetes mellitus alone is associated with increased in-hospital mortality in community-acquired pneumonia (CAP): a systematic review and meta-analysisBarmanray, R ; Cheuk, N ; Fourlanos, S ; Greenberg, P ; Colman, P ; Worth, L (University of Melbourne, 2022)
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ItemNo Preview AvailablePregnancy planning in a woman with diabetes secondary to familial partial lipodystrophy due to a rare PPAR gamma gene variantGong, J ; Barmanray, R ; Nankervis, A ; Price, S ; Trainer, A ; Conn, J (International Association of the Diabetes and Pregnancy Study Groups, 2022)
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ItemNo Preview AvailableDiabetes Digital Phenotyping to Improve Documentation of Diabetes in Hospital InpatientsBarmanray, R ; Fazio, T ; Sharma, A ; Grundy, L ; KITT-THOMPSON, T ; Coote, A ; Bode, G ; PLUMB, S (Australian Diabetes Society, 2022)
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ItemNo Preview AvailableThe Specialist Treatment of Inpatients: Caring for Diabetes (STOIC-D) Surgery Randomised Controlled Trial – Proactive Electronic-based Care Reduces Glucose and Healthcare-Associated InfectionsBarmanray, R ; Kyi, M ; Colman, P ; Rowan, L ; Raviskanthan, M ; Collins, L ; Donaldson, L ; Tsan, J ; Sun, E ; Le, M ; Worth, L ; Fourlanos, S (Australian Diabetes Society, 2022)
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ItemNo Preview AvailableThe Diabetes IN hospital – Glucose and Outcomes in the COVID-19 pandemic (DINGO COVID-19) study: the 2020 Melbourne hospital experience prior to vaccination programs and the delta variantBarmanray, R ; Gong, J ; Kyi, M ; Kevat, D ; Islam, M ; Galligan, A ; Manos, G ; Perera, N ; Adams, N ; Nursing, A ; Warren, A ; Hamblin, P ; MacIsaac, R ; Ekinci, E ; Krishnamurthy, B ; Nair, I ; Karunajeewa, H ; Buising, K ; Visvanathan, K ; Kay, T ; Fourlanos, S (Australian Diabetes Society, 2022)