Issues
Volume 202 Issue 1
When the light begins to fade
How can medicine best assist us when we move beyond the reach of our finest treatments?
Stephen Leeder
Editorials
What influences doctors to work in rural locations?
Student background and clinical education act synergistically
Judith N Hudson BM BS, MSc, PhD · Jennifer A May BMed(Hons), FRACGP, FACRRM
Childhood food allergy and anaphylaxis: an educational priority
Meeting the challenge of increasing allergy rates through improved models of care and education
Raymond J Mullins PhD, FRACP, FRCPA · Richard K S Loh FRACP
News
Can Australia's clinical practice guidelines be trusted?
Most Australian clinical guidelines lack reliance on evidence and transparency about authors and any conflicts of interest
Davina Ghersi · Warwick P Anderson
News
n/a
Perspectives
What can we do to help Australians die the way they want to?
Planning and community-based palliative care can make it possible for more people to die at home
Hal Swerissen BAppSc, BA(Hons), MAppPsych · Stephen J Duckett PhD, DSc, FASSA
Antenatal care for asylum seekers
Despite inherent challenges, high-quality antenatal health care is provided in immigration detention centres
Mark Parrish FRACGP, MHA, FRACMA · Anthony Renshaw MRCS(Ed), MFMLM, MD(Res) · Gregory J Duncombe CSCT(FMP), FRANZCOG, CMFM · Paul J Bretz MB BS, FRANZCOG · William J Milford MB BS(Hon), FRANZCOG
Inappropriate pathology ordering and pathology stewardship
How to ensure evidence-based and efficient use of pathology services
Denis Spelman FRACP, FRCPA, MPH
Letters
Ethical challenges for doctors working in immigration detention
An example of how boycotting the system can achieve result
Robert J Davies MB BS, FRACS
Ethical challenges for doctors working in immigration detention
Steps the government can take to achieve a “robust, independent and transparent monitoring” system
Michael H Levy MB BS, MPH, FAFPHM · Corinne Dobson BA(Hons), BSc · Helen Watchirs BA LLB, MPubLaw, PhD · Emily Howie BA LLB(Hons), LLM
Ethical challenges for doctors working in immigration detention
The case against immigration detention is irrefutable
on behalf of the J'Accuse Coalition and Doctors for Refugees*
Rural emergency departments supplement general practice care
In north-west Tasmania, GP-type ED presentations occurred up to three times as often as in Perth
Penny L Allen BA(Hons), MPH, PhD · Colleen Cheek RN, BSc, MIS · Marielle Ruigrok MB BS, B(Med)Sc, FACEM
Reporting rural workforce outcomes of rural-based postgraduate vocational training
Two key performance outcome indicators for measuring rural workforce contribution
Scott J Kitchener MClinEd, MD, FAFPHM
The importance of surgeons teaching anatomy, especially by whole-body dissection
Surgeons who teach anatomy are a valuable, rare resource, providing an essential clinical context to students
Annette W Burgess PhD, MMEd, MEd · George Ramsey-Stewart MD, FRACS
Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion
Evidence for the need for advanced care planning and end-of-life treatment goals
Michele Levinson MD, FRACP, FCICM · Amber Mills PhD, BA(Hons)
Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion
An increase in admissions suggests a major change in hospital health care delivery
Christopher J O’Callaghan MB BS, FRACP, MD
Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion
Increased admissions reflect the increased severity and complexity of patients’ conditions
Jack Chen MB BS, PhD, MBA(Exec) · Kenneth M Hillman MD, FRCA, FCICM
Renal replacement therapy associated with lithium nephrotoxicity in Australia
The risk has not been overemphasised
J Elisabeth Wells BSc(Hons), PhD
Clinical focus
Chronic suppurative lung disease and bronchiectasis in children and adults in Australia and New Zealand Thoracic Society of Australia and New Zealand guidelines
An updated guideline relevant for all sections of the community
and the extended voting group*
Preventing type 2 diabetes: scaling up to create a prevention system
For decades Australia has led the way in large-scale approaches in key areas of prevention
Greg Johnson BPharm, MBA · Jane E Martin BA(Hons), MPH · Amy Timoshanko BAppSci(Hons), PhD
Research
Comparing non-sterile to sterile gloves for minor surgery: a prospective randomised controlled non-inferiority trial
Rates of wound infection and adverse events were no higher when using non-sterile clean boxed gloves compared with sterile gloves
Clare Heal FRACGP, PhD · Shampavi Sriharan MB BS(Hons), DCH · Petra G Buttner PhD, MSc · Deborah Kimber RN, BN, CDE
Estimating the current and future prevalence of atrial fibrillation in the Australian adult population
A snapshot of an evolving health, social and economic burden
Jocasta Ball BBiomedSci(Hons), PhD · David R Thompson PhD · Chantal F Ski BA(Hons), PhD · Melinda J Carrington PhD, PostgradDip(Psych), BA · Tracey Gerber PhD · Simon Stewart PhD
Availability of highly sensitive troponin assays and acute coronary syndrome care: insights from the SNAPSHOT registry
Fewer in-hospital adverse events with highly sensitive troponin tests, but more non-invasive cardiac investigations
Louise Cullen MB BS, FACEM · John K French MB CHB, PHD, MSc · Tom G Briffa PhD · Julie Redfern BSc, BAppSc, PhD · Christopher J K Hammett BHB, MB ChB, MD · David B Brieger MB BS, PhD, FRACP · William A Parsonage FRACP · Jeffrey Lefkovits MB BS, FRACP, FCSANZ · Chris Ellis BM · Carolyn Astley RN, BN, DrPH · Tegwen Eleanor Howell BEcon, MEcSt · John M Elliott MB ChB, PhD, FRACP · Derek P B Chew FRACP, FCSANZ, FACC
Determinants of rural practice: positive interaction between rural background and rural undergraduate training
A strong positive interaction between rural background and rural clinical school exposure
Srinivas Kondalsamy-Chennakesavan MB BS, MPH, FRSPH · Diann S Eley PhD, MSc, BSc · Geetha Ranmuthugala MB BS, PhD · Alan B Chater MB BS, FACRRM, FRACGP · Maree R Toombs PhD · Deepak Darshan MB BS, MASc, PhD · Geoffrey C Nicholson PhD, FRACP, FRCP
Full medical program fees and medical student career intention
Full fee-paying students are more likely to choose urban locations and higher-income specialties
Richard B Hays PhD, MD, FRACGP · Kathleen R Lockhart MB BS · Edward Teo MB BS, DipHSc (ParamedCare) · Janie Smith EdD, MPHC · David Waynforth PhD
Case reports
Toxic epidermal necrolysis — an investigation to dye for?
A warning about the risks of using contrast media in imaging and cardiac catheterisation
Theresa Ly BSc(Adv), MB BS(Hons), MIPH · Nicholas Stewart MB BS, BSc · Stephen Lee AM, DDM, FACD
Reflections
All about John
Governor John Kitzhaber and the place of doctors in politics
John B Best AO, MD BS, PhD, DSc(Hon)
Roadmap for physician trainees' Everest
Examination medicine. A guide to physician training
Timothy Edward Coughlan
A guide to OSCEs: my findings on examination
Clinical examination: a systematic guide to physical diagnosis
Zachary P O’Brien
Careers
Hitting Big Tobacco’s hip pocket
Like most Australians under 50, Dr Bronwyn King didn’t pay much attention to the details of her superannuation fund. When she had reason to investigate, what she found changed her life dramatically.
Cate Swannell
Indigenous high school students given hands-on fun
Fifty Indigenous high school students were given a hands-on preview of life in health and medicine last month, with a visit to Canberra hosted by the Australian National University’s Rural Medical Society (ANURMS).
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
Economics and health — how does 2015 look?
Stephen Leeder
Cancer control is not beyond us … but could be if we don't invest wisely
David C Currow MPH, PhD, FRACP · Sanchia Aranda PhD, RN, GAICD
Peer review: maintaining trust in research funding decisions
Warwick P Anderson PhD
Fuelling the debate on e-cigarettes
Steve McDonald · Tari Turner
Peste, guerre et idéologie sans frontières
Stephen Leeder
Christmas 2014
Tania Janusic