Issues
Volume 200 Issue 10
In this issue
On the threshold of better futures
Birthdays are a time for celebrating achievements and reflecting on what lies ahead
Christine Gee
Editorials
Budget cuts risk halting Australia's progress in preventing chronic disease
Strategies for preventing chronic disease will be hit by changes in the 2014–15 federal Budget
Andrew Wilson PhD, FRACP, FAFPHM
Acute respiratory infections among Indigenous children
Best-practice care and population health actions now will bring significant benefit in the long-term
Paul J Torzillo MB BS, FRACP, FCICM · Anne B Chang MB BS, PhD, FRACP
Uptake of medicines and prescribing patterns in the palliative care schedule of the Pharmaceutical Benefits Scheme
The palliative care schedule is coming of age as evaluation data become available
David C Currow BMed, MPH, FRACP · Lloyd N Sansom BSc, PhD, FPS
In brief
More emergency department patients "seen on time"
More patients are receiving treatment from a doctor or nurse within an appropriate time for the urgency category
Elizabeth Ingram
Perspectives
Health reform and activity-based funding
Progress is being made towards establishing a nationally consistent approach
Shane Solomon
Is it time for Medi-change?
As Medicare turns 30, it’s time to assess whether it still delivers on its original principles
Vlado Perkovic MB BS, PhD · Fiona Turnbull MB ChB, MPH(Hons), PhD · Andrew Wilson PhD,FRACP, FAFPHM
Should the legal age for alcohol purchase be raised to 21?
The evidence is in and the support is growing
John W Toumbourou PhD · Kypros Kypri PhD · Sandra C Jones MBA, MPH, PhD Professor and · Ian B Hickie MB BS, MD, FRANZCP
The withdrawal of the Liverpool Care Pathway in the United Kingdom: what are the implications for Australia?
The benefits and harms of end-of-life care pathways remain poorly understood
Raymond J Chan RN, PhD, FACN · Joan Webster RN, RM, BA · Jane Phillips RN, PhD · David C Currow BMed, MPH, FRACP
Melbourne takes the world to heart - and vice versa
Highlights from the World Heart Federation’s World Congress of Cardiology in Melbourne
Stephen R Leeder MD, PhD, FRACP
Letters
(Ir)responsible drinking campaigns
“Responsible drinking” campaigns risk promoting alcohol consumption to young people
Simone Pettigrew · Mike Daube · Nicole Biagioni
Liaise with pathologists to refine understanding of the prostate-specific antigen test
Age-adjusted PSA medians may or may not predict prostate cancer screening outcomes
Christopher B Del Mar · R Gordon Wright · Paul P Glasziou
Liaise with pathologists to refine understanding of the prostate-specific antigen test
Age-related medians significantly predict prostate cancer outcomes
Kenneth A Sikaris
Difficult but necessary conversations - the case for advance care planning
GPs are best placed to begin discussions about end-of-life care, and being well prepared is important
Liz Marles
The hidden issues of anticipatory medications in community palliative care
“Just in case” medications should be readily available in the patient’s home
Margaret O’Connor · Susan Gatens · Brian H Le
Removing the interview for medical school selection is associated with gender bias among enrolled students
Looking for evidence that selection based on population demographics produces desirable workforce outcomes
Peter C Arnold
Rural clinical school outcomes: what is success and how long do we wait for it?
There has been an encouraging increase in the number of 2006 graduates in rural practice
William R Adam · Julian R Wright · Geoffrey J McColl
Rural, urban: the real world for medical education
A university program is pioneering urban community-based medical education
Sarah Mahoney
Clinical focus
Prostate cancer survivorship: a review of erectile dysfunction and penile rehabilitation after prostate cancer therapy
Penile rehabilitation strategies are available to improve quality of life for men after prostate cancer therapy
Eric Chung MB BS, FRACS · Michael Gillman MB BS, FRACGP
Research
Geographic variation in prostate cancer survival in New South Wales
Men living outside major cities are still at a disadvantage compared with their urban brothers
Xue Qin Yu PhD, MPH · Qingwei Luo MAppStats, BSc · David P Smith PhD, MPH · Dianne L O’Connell PhD, BMaths(Hons) · Peter D Baade PhD, AStat
Paediatric hospitalisations for lower respiratory tract infections in Mount Isa
Admission rates reveal an increasing health burden that thwarts national aspirations to close the gap
Elisabeth K Janu MB BS · Bhavana I Annabattula MB BS · Saampavi Kumariah MB BS · Marta Zajaczkowska MB BS · John S Whitehall FRACP · Matthew J Edwards MD, FRACP, FACMG · Sanja Lujic BSc(Hons), MStats, MBiostats · Ian B Masters MB BS, FRACP, PhD
High chlamydia positivity rates in Indigenous people attending Australian sexual health services
High, increasing chlamydia rates highlight need for better prevention and screening programs for Indigenous people
Catherine C O’Connor DrPH, FAChSHM, MB BS(Hons) · Hammad Ali MB BS, MPH · Rebecca J Guy BAppSc, MAppEpi, PhD · David J Templeton MB ChB, PhD, FAChSHM · Christopher K Fairley PhD, FRACP, FAChSHM · Marcus Y Chen MB BS, PHD, FAChSHM · Bridget M Dickson · Lewis J Marshall MB BS, FAChSHM, FAFPHM · Andrew E Grulich MB BS, PhD, MScEpid · Margaret E Hellard MB BS, FRACP, PHD · John M Kaldor PhD · Basil Donovan MB BS, MD, FAChSHM · James S Ward BA
Case reports
Acute allergic reaction after intravenous saline injection: an unusual presentation of chlorhexidine allergy
Serious hypersensitivity reactions can occur with very small amounts of exposure to chlorhexidine
Usman Mushtaq MB BS · Aaron Tan MB BS, FRACP · Ju Ann Tan MB BS, MRCP, FRACP · William B Smith MB BS(Hons), FRACP, PhD
Reflections
What would Repin do? The daily grind was not restricted to coffee
In George Repin’s heyday, government listened to him and enjoyed his coffee
John B Best AO, MD BS, PhD, DSc(Hon)
Careers
Finding the right advice
New attention is being paid to how formal mentoring programs can help the mental health and wellbeing of medical students and junior doctors
Annabel McGilvray
Champion of general practice
Dr Linda Mann is a general practitioner with a passion for education, women’s health, genetics and supporting rural communities. She’s a hero to a generation of female GPs
Cate Swannell
New chief for Rural Health Workforce Australia
Greg Mundy has been appointed as the new chief executive officer of Rural Health Workforce Australia (RHWA), the peak body for the national network of state and territory Rural Workforce Agencies. Mr Mundy joins RHWA after three years as CEO of the Council of Ambulance Authorities, the peak body representing providers of public ambulance services in Australia and New Zealand. Before that he was CEO of Aged and Community Services Australia. The chair of RHWA, Ian Taylor, welcomed Mr Mundy’s appointment. “Greg is widely respected for his commitment to health and social care,” Mr Taylor said. “He will be a strong advocate for our agenda to make primary health care more accessible for rural Australians.” Mr Mundy said it was an exciting time to be joining RHWA and the RWA network. “Rural Workforce Agencies have been successfully delivering health workforce initiatives in rural, regional and remote communities for the last 25 years,” he said. “Each year they recruit hundreds of health professionals and provide services to them such as professional development and family support. It’s great to be part of such a positive movement.” In addition to his current responsibilities, Mr Mundy is a board director of the National Rural Health Alliance and a council member of the Australian Healthcare and Hospitals Association. He started work at RHWA on 5 May and is based in Melbourne.
Cate Swannell
Health services for Aboriginal and Torres Strait Islander people: handle with care
Noel Hayman · Ruth Armstrong
Racism, health and constitutional recognition
Tammy M Kimpton FRACGP, BMed
The imperative for investment in Aboriginal and Torres Strait Islander health
Brad Murphy MB BS, FRACGP · Jennifer S Reath MB BS, MMed, FRACGP
Highlights from our archives
Cate Swannell
A fine day to take a stand
Astika Kappagoda
Climate change: health risks mount while Nero fiddles
Anthony J McMichael MB BS, PhD, FTSE
One moment doctor! Have you forgotten hand hygiene?
Gwendolyn L Gilbert MD, FRACP, FRCPA