Issues
Volume 201 Issue 7
In this issue
A stitch (of primary care) in time
Primary care is increasingly recognised for its role in a patient’s health trajectory and in wider community-level health
Astika Kappagoda
Editorials
Hip fracture: the case for a funded national registry
Let’s implement what we know and avoid deaths from hip fracture
Richard I Lindley MD, FRCP(Edin), FRACP
Prevention and early detection in young children: challenges for policy and practice
The Healthy Kids Check is a good idea which needs further review and development
Frank Oberklaid MD, FRACP, DCH
In brief
Honey, I shrunk the kids (but it was probably worth it)
The latest on corticosteroids, bariatric surgery, antifungals and how to stay awake
Steve McDonald · Tari Turner
News
n/a
Perspectives
Mental health reform: increased resources but limited gains
Further improvement will be due to population health efforts
Nicola J Reavley PhD · Anthony F Jorm PhD, DSc
Ethical challenges for doctors working in immigration detention
Asylum seekers are not receiving acceptable standards of medical care. Should doctors boycott the system?
John-Paul Sanggaran MB BS, MHMed, BHSc · Grant M Ferguson BSc(Hons), MB BS · Bridget G Haire PhD, MBioethics
Unrelieved pain: are we making progress? Shared education for general practitioners and specialists is the best way forward
The National Pain Strategy is driving improvements in pain management, but greater impetus is needed
Michael J Cousins MD, DSc, FFPMANZCA · Lesley Brydon BPharm
Letters
Abortion and breast cancer risk for Australian women
Research consistently finds there is no association between abortion and risk of breast cancer
Kelly-Anne Phillips · Fiona J Bruinsma · Roger L Milne
New TGA warning label for use of NSAIDs in fluid-depleted children
The recent TGA warning that NSAIDs can cause harm in fluid-depleted kids should also apply to adults at risk
Ronald P Batagol
Will current health reforms in south and east Asia improve equity?
Dietary changes that follow economic development will increase the risks of non-communicable disease among the poor
Rohan Jayasuriya
Will current health reforms in south and east Asia improve equity?
In reply: Attention to non-communicable diseases is only one part of improving health equity
David B Hipgrave · Krishna P Hort
Inappropriate use of dual energy absorptiometry body composition estimation
DXA body composition estimation is being inappropriately used in weight loss and exercise programs
Nicholas A Pocock · Weiwen Chen
Multiple mini interview performance of repeat applicants to medical school admission
Practice doesn’t necessarily make perfect on multiple mini interview performance
Malathi Raghavan · Bruce D Martin
Time to end the ban on HIV-positive proceduralists and dentists
A lack of demonstrable harms means HIV professionals should be allowed to practise
Sean R Atkinson
Clinical focus
The benefits and harms of deprescribing
Ceasing use of medication is at least as complicated as initiating treatment in older people
Emily Reeve BPharm(Hons), PhD · Sepehr Shakib MB BS(Hons), FRACP, PhD · Ivanka Hendrix BPharm, PhD · Michael S Roberts PhD, DSc, FACP · Michael D Wiese BPharm, MClinPharm, PhD
First do no harm: a real need to deprescribe in older patients
The scale of polypharmacy-related harm is underappreciated
Ian A Scott FRACP, MHA, MEd · Kristen Anderson BPharm · Christopher R Freeman BPharm, PhD, BCACP · Danielle A Stowasser PhD, BPharm, PGDipClinHospPharm
Research
Australia's treatment of refugee and asylum seeker children: the views of Australian paediatricians
Mandatory detention is a form of child abuse and paediatricians strongly disagree with offshore processing
Elizabeth J M Corbett BA, LLB(Hons), GDipLegalP · Hasantha Gunasekera MIPH(Hons), FRACP, PhD · Alanna Maycock MA, BSc, DipHE · David Isaacs MD, FRACP, FRCPCH
Mandatory reports of concerns about the health, performance and conduct of health practitioners
A first step towards understanding how Australia’s notifiable conduct law is working
Marie M Bismark MB ChB, LLB, MBHL · Matthew J Spittal PhD, MBio · Tessa M Plueckhahn BA(Hons), JD · David M Studdert LLB, ScD, MPH
Identified health concerns and changes in management resulting from the Healthy Kids Check in two Queensland practices
The check appears to be making a difference in child health management
Rae Thomas PhD · Jennifer A Doust BM BS, PhD, FRACGP · Kartik Vasan · Bianca Rajapakse · Leanne McGregor PhD · Evan Ackermann MB BS, FRACGP · Christopher B Del Mar MD, FRACGP, FAFPHM
Orthogeriatric services associated with lower 30-day mortality for older patients who undergo surgery for hip fracture
A promising model of collaboration between orthopaedic teams and geriatricians
Justin Zeltzer BCom(Econometrics), LLB · Rebecca J Mitchell MA(Psych), MOHS, PhD · Barbara Toson BStatEc · Ian A Harris MB BS, MMed(ClinEpi), PhD · Laura Ahmad MD, PhD, FRACP · Jacqui Close MD, FRCP, FRACP
Factors predicting uptake of long-acting reversible methods of contraception among women presenting for abortion
This effective form of contraception has less uptake among the more disadvantaged
Philip Goldstone MB BS(Hons) · Yachna H Mehta MB BS · Kevin McGeechan MBiostat, PhD · Katherine Francis BE(Electrical), MB BS · Kirsten I Black MB BS, FRANZCOG, PhD
Occupational impact of internet-delivered cognitive behaviour therapy for depression and anxiety: reanalysis of data from five Australian randomised controlled trials
Online mental health programs have the potential to reduce absenteeism
Anna Mackenzie MPH · Samuel Harvey MRCPsych, FRANZCP, PhD · Louise Mewton BA(Hons), PhD · Gavin Andrews MD, FRANZCP
Case reports
First Australian report of vitamin D-dependent rickets type I
Clinical findings and a homozygous mutation in the CYP27B1 gene demonstrate a rare form of vitamin D deficiency
Nobuaki Ito MD, PhD · Alexia S Peña MD, PhD, FRACP · Shiree Perano MD · Gerald J Atkins PhD · David M Findlay PhD · Jennifer J Couper MB ChB, MD, FRACP
Reflections
How do you keep them down on the farm?
Specialist training in the first two postgraduate years must be made available in both large and small rural hospitals
John B Best AO, MD BS, PhD, DSc(Hon)
The importance of effectively combating HIV/AIDS through tackling the social aspects of the pandemic post-2015.
A Kenyan baby brings understanding of the effect of HIV diagnosis and global health’s responsibility
Heather Kitt BSc, MB BCh BAO
David John Seymour Hill MB BS, FRACP
David Hill was born in Melbourne on 15 July 1944. When he was 9 years old, his family moved to Mt Gambier, South Australia, where his father was a general practitioner and his mother was the first social worker. As a child, David always intended to be a doctor. From the age of 11, David attended boarding school at Prince Alfred College in Adelaide, where he was a prefect. David studied medicine at the University of Adelaide, living at St Mark's College. After graduating in 1969, he was a resident medical officer at the Queen Elizabeth Hospital. He completed a further residency year at the Adelaide Children's Hospital, where he subsequently worked as a paediatric registrar. In 1976, he moved to Dunedin, New Zealand, where he was Senior Paediatric Registrar at Dunedin Hospital and a lecturer with the Department of Paediatrics at the University of Otago. On returning to Adelaide in 1977, he was Senior Visiting Paediatrician at the Adelaide Children's Hospital, Flinders Medical Centre and Regency Park Centre for Young Disabled. Concurrently, he conducted a private practice in North Adelaide. He also worked as a consultant paediatrician in Mt Gambier from 1987 to 1994. From 1995 to 2002, he was Director of Paediatrics at Toowoomba Hospital and a visiting specialist to surrounding clinics and hospitals. He returned to Mt Gambier to practise as a consultant paediatrician as well as being a visiting paediatrician to the Millicent and District Hospital from 2002 to 2008. David had a very active interest in most sports, especially cricket, and was an excellent swimmer — this interest would later be reflected when he served as Honorary Medical Officer to the South Australian Amateur Swimming Association. He was a mascot of Port Adelaide Football Club as a young boy and retained this allegiance for the rest of his life. He was a much-loved paediatrician because of his gentle and knowledgeable approach. David retired in 2008 but his health suffered. However, he never lost his patience and dry humour. David died from metastatic cancer on 3 July 2014, and is survived by June, his wife of over 40 years, and children Amanda, Amy, Angus and Alistair.
Ian Darnton-Hill
Careers
Addicted to making a difference
Despite the high media profile of street drugs, medical marijuana and the ice “epidemic”, addiction medicine is a specialty in desperate need of new recruits with a strong streak of altruism
Cate Swannell
From the Australian Medical Students' Association
AMSA has released a strong statement about renewable energy targets and the health of Australia in the light of the federal government’s decision to end support for renewable energy power stations. Despite a review finding that the current renewable energy targets (RET) scheme was not only effective but capable of delivering a 26% share of electricity to Australians by 2020, the government has opted to end funding. AMSA President, Jessica Dean, says the RET was crucial to promoting a healthier and cleaner Australia. “The use of non-renewable energy, such as coal, has direct impacts on the health and wellbeing of communities and is detrimental to at least three of our National Health Priority Areas: cancer control, cardiovascular health and asthma”, Ms Dean says. “Coal-fired power generation results in air pollution that contributes to the development and exacerbation of lung diseases, ischaemic heart disease and stroke, which are leading causes of death in Australia. “AMSA is also disappointed that the review failed to adequately address the health benefits of the RET, despite a submission made by us.” Furthermore, combustion of fossil fuels also contributes to climate change, which will amplify a broad range of health issues currently faced in Australia. “Climate change is recognised by health professionals as one of the greatest threats to health. To protect Australians from the most severe health risks, our government must take strong action to mitigate climate change”, Ms Dean says. “Whilst the Australian government continues to scale back action on climate change, the World Health Organization is currently holding a conference specifically addressing the health impacts of climate change in Geneva.”
Cate Swannell
Calendar of events
This calendar will be updated each month. If you have an event you would like to add, please include relevant details in an email to cswannell@mja.com.au
Cate Swannell
A bowel cancer screening plan at last
Paul B Grogan · Ian N Olver MB BS, MD, PhD
Feeding a hungry microbiome: large bowel fermentation and human health
David Topping · Michael A Conlon
Doing what's necessary
Stephen Leeder
New psychoactive substances: reducing the harm caused by untested drugs and an unregulated market
Alex D Wodak FRACP, FAChAM, FAFPHM
Research translation and chronic illness
Davina Ghersi