Issues
Volume 202 Issue 6
Editorials
Screening tests for gonorrhoea should first do no harm
False-positive diagnosis causes important harms
Katy Bell MB ChB, MMed(ClinEpi), PhD · Kirsten J McCaffery PhD, BSc(Hons) · Les Irwig MB BCh, PhD
New and emerging treatments for Parkinson disease
The main aim is to maintain quality of life throughout the illness
Victor S C Fung MB BS, PhD, FRACP
News
Survey identifies key dementia research priorities
Diagnosis, prevention and intervention to reduce risk
John McCallum
Perspectives
Countdown for health to the post-2015 UN Sustainable Development Goals
UN member states face tough decisions for health in crafting sustainable development agenda
Claire E Brolan MA, LLB(Hons), BA · Peter S Hill MB BS, FAFPHM, PhD
With talk of Medicare reform, let's not neglect vertical equity
Equal treatment for equal need is not enough — positive discrimination for disadvantaged groups is also required
Kim M Dalziel BHealthSc(Hons), MHealthEcon, PhD · Jeffrey R Richardson PhD
Targets and abuse: the price public health campaigners pay
Attempts to discredit public health advocates are increasing
Mike Daube AO, BA(Hons), DSci(Hons)
Letters
The health of “emerging adults” in Australia: freedom, risk and rites of passage
Addressing a critical period with thoughtful research and imagination
Murray G Williams
Identified health concerns and changes in management resulting from the Healthy Kids Check in two Queensland practices
A more comprehensive evaluation of outcomes is needed
Karyn E Alexander MB ChB, MPH · Bianca Brijnath PhD, BA(Hons) · Danielle Mazza MD, FRACGP, DRANZCOG
Identified health concerns and changes in management resulting from the Healthy Kids Check in two Queensland practices
Long-term follow-up is essential
Rae Thomas PhD · Christopher B Del Mar MD, FRACGP, FAFPHM
The importance of molecular testing to confirm measles, mumps and rubella in immunised individuals
PCR diagnoses more cases of measles and mumps in vaccinated people than serological testing
David J Speers FRACP, FRCPA, FACTM · Gary K Dowse MSc, DTMH, FAFPHM
Pharmacological management of low milk supply with domperidone: separating fact from fiction
Restricting off-label use of this drug is not in the interests of breastfeeding women and their babies
Luke E Grzeskowiak PhD, BPharm(Hons), GradCertClinEpid · Lisa H Amir MB BS, MMed, PhD
Clinical focus
The imperative to prevent diabetes complications: a broadening spectrum and an increasing burden despite improved outcomes
Optimism gives way to concern
Stephen M Twigg MB BS(Hons), PhD, FRACP · Jencia Wong MB ChB, PhD, FRACP
For debate
Costs to Australian taxpayers of pharmaceutical monopolies and proposals to extend them in the Trans-Pacific Partnership Agreement
Expansion of intellectual property rights will further increase the cost of medicines in Australia
Deborah H Gleeson PhD, MPH, GradDipHealthProm · Hazel Moir PhD, EMA, BA(Hons) · Ruth Lopert BMed, MMedSci, FAFPHM
Odds, risks and appropriate diagnosis of gestational diabetes
Complete local agreement on criteria for diagnosing gestational diabetes mellitus is unlikely
H David McIntyre MD, FRACP · Alan R Dyer PhD · Boyd E Metzger MD
Odds, risks and appropriate diagnosis of gestational diabetes: comment
We have a wealth of data and an opportunity to develop a more accurate risk model
Michael C d’Emden MB BS, PhD, FRACP
Research
The cost of freezing general practice
General practice researchers measure the minimum likely effect of not indexing Medicare schedule fees
Christopher Harrison BPsy(Hons), MSocHealth · Clare Bayram BAppSc(HIM)(Hons), PhD · Graeme C Miller MB BS, PhD, FRACGP · Helena C Britt BA, PhD
Mapping the diagnosis of autism spectrum disorders in children aged under 7 years in Australia, 2010–2012
Children with autism spectrum disorders may not be diagnosed as early as possible and desirable
Catherine A Bent BPsySc(Hons) · Cheryl Dissanayake PhD · Josephine Barbaro PhD
Gonorrhoea notifications and nucleic acid amplification testing in a very low-prevalence Australian female population
An insufficiently specific test may be leading to false-positive diagnoses of gonorrhoea
Eric P F Chow PhD, MPH, MApplSc · Glenda Fehler MSc, FMLT · Tim R H Read PhD, MB BS, FAChSHM · Sepehr N Tabrizi PhD · Jane S Hocking PhD, MPH, MHlthSc · Ian Denham MB BS, FRACP, FAChSHM · Catriona S Bradshaw MB BS(Hons), FACSHP, PhD · Marcus Y Chen MB BS, PhD, FAChSHM · Christopher K Fairley PhD, FAFPHM, FACSHP
Reduced breast milk feeding subsequent to cosmetic breast augmentation surgery
A reduced rate of breastfeeding after breast augmentation highlights a need for support
Christine L Roberts MB BS, FAFPHM, DrPH · Amanda J Ampt DipAppSc, MHIM, PostGradDipClinEp · Charles S Algert MPH · Mark S Sywak MB BS, MMedSc(ClinEpi), FRACS · Jian Sheng C Chen MStats, MPH, PhD
Case reports
An unusual case of implantable cardioverter-defibrillator inhibition
Electromagnetic interference is becoming a more frequent hazard
Michael Wong MB BS, GradDip(CardiacEP), FRACP · Christina Lim PhD · Ka-Lun Lee PhD, MPhil, BEng · Benoît Gouhier MEng · Paul B Sparks MB BS, PhD, FRACP
Intravenous OxyContin-associated thrombotic microangiopathy treated successfully without plasma exchange
Conservative management avoids the morbidity and costs associated with plasma exchange
Courtney Tate MB BS, PhD, BSc(Hons) · Peter Mollee MMedSc, FRACP, FRCPA
An unusual neurological complication from a garden-variety organism: post-melioidosis parkinsonism
The first reported incident and successful treatment of acute parkinsonism following melioidosis
Choon Seong Ng MB BS · Shahrul Azmin MB ChB, MMed · Zhe Kang Law MD, MRCP · Ramesh Sahathevan MD, MMed, PhD · Wan Nur Nafisah Wan Yahya MB BCh, BAO, MMed · Rabani Remli MB ChB, MIntMed · Petrick Periyasamy MD, MMed · Norlinah Mohd Ibrahim MB BCh, BAO, MRCP · Hui Jan Tan MMed, MRCP
An incidentaloma not to be missed
Suspected ascites turns out to be an enormous cystic mass
Michael Braude BBiomedSci, MSc, MB BS · Peter Choong MB BS, MD, FRACS
Ethics and law
Disclosing genetic information to at-risk relatives: new Australian privacy principles, but uniformity still elusive
The need for a uniform system across Australia
Margaret F A Otlowski LLB(Hons), PhD
Is research ethics regulation really killing people?
Not substantially, but we have strong obligations to reduce delays and increase efficiency
David Hunter PhD
Reflections
Commercial in confidence: public health without confidence
Implementing public health measures becomes a complex struggle when commercial interests are paramount
John B Best AO, MD BS, PhD, DSc(Hon)
Study of the small structure possessing great power (title of a David Smith sculpture)
The body knows how to mourn
Leslie Ullman
Corrections
Better access to mental health care and the failure of the Medicare principle of universality
n/a
Graham N Meadows MD, MPhil, FRANZCP · Joanne C Enticott PhD · Brett Inder BEc(Hons) · Grant M Russell PhD, MFM, FRACGP · Roger Gurr DPM, MRCPsych, FRANZCP
Survival of Indigenous Australians receiving renal replacement therapy: closing the gap?
n/a
Paul D Lawton MB BS, FRACP · Joan Cunningham ScD, ALM, AB · Nicholas A Gray MB BS, FRACP · Mark D Chatfield MSc, MA · Peter D Baade BAppSc(Hons), MMedSc, PhD · Karumathil Murali FRACP · Matthew D Jose FRACP, PhD, FASN
Careers
Learning from history
Two women with chronic health problems stemming from historical events give medical educators feedback about their health care experiences
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
ANZAC after 100 years
Brendan J Nelson BM BS
100 years of military health experience
Robyn M Walker AM, MB BS, FRACMA · Michael C Reade DPhil, FANZCA, FCICM
The journey from moral inferiority to post-traumatic stress disorder
Alexander C McFarlane AO, MD, FRANZCP · David Forbes PhD, FAPS
Big problems in search of small gains
Steve McDonald · Tari Turner
The world we live in
Stephen Leeder
The global challenges of infectious diseases
David F M Looke FRACP, FRCPA, MMedSci(ClinEpidemiol) · Thomas Gottlieb MB BS, FRACP, FRCPA · Cheryl A Jones MB BS(Hons), PhD, FRACP
Global inequality in kidney care
David C Harris MD, BS, FRACP
Changes to the format of the MJA
Stephen Leeder