Issues
Volume 202 Issue 8
Assuring quality in an age of rapid technological advance
Can today’s quest for innovation and efficiency in health care learn from the development of the laparoscope?
Stephen Leeder
Editorials
New surgical technology: do we know what we are doing?
How can we best protect patients while making progress?
Guy J Maddern MD, PhD, FRACS
Pancreatic cancer: gradual rise, increasing relevance
Pancreatic cancer is likely to become one of the leading causes of cancer death in Australia
Freddy Sitas MSc(Med), MSc(Epidemiol), DPhil · Rachel E Neale BA(Hons), PhD · Marianne F Weber BA(Hons), PhD · Qingwei Luo BSc, MAppStats
News
Smartphone app a lifesaver for patients after myocardial infarction
Patients using a home-based cardiac rehabilitation program delivered via a smartphone app are more likely to complete it
Mohanraj K Karunanithi · Marlien Varnfield · Darren L Walters
Perspectives
Cataract surgical blitzes: an Australian anachronism
Surgical blitzes may achieve short-term gains, but they inhibit the development of sustainable local services
Hugh R Taylor AC, MD, FRANZCO · Tim R M Henderson MB ChB, FRCOphth, FRANZCO · Richard T Le Mesurier MA, FRCS, FRCOphth
Can magnetic resonance imaging solve the prostate cancer conundrum?
Australian research advances technique that may make prostate cancer screening less invasive and more accurate
Jeremy P Grummet MB BS, MS, FRACS · Richard O’Sullivan BSc, MB BS, FRANZCR
Sceptics undermine effective dietary and heart health advice
Conclusions based on recent meta-analyses need to be viewed with caution
A Stewart Truswell MD, DSc, FRCP
Reappraising community treatment orders — can there be consensus?
Community treatment orders have become standard practice without serious consideration of the underlying research base
Steve Kisely MD, PhD, FRANZCP · Richard O’Reilly MB, FRCPC
Letters
Copayments and the evidence-base paradox
Even small fees affect poor people's access to health services
Joel Lexchin MD
Copayments and the evidence-base paradox
In reply: The findings of the Canadian experiment cannot be extrapolated to the Australian copayment debate
Michael Keane BM BS, FANZCA
Consent, capacity and the right to say no
The pitfalls in assessing patients’ decision-making capacity
Peter D Bastian MB BS, MPH, FRACP · Adeleen Eng MB BS · Linley A Denson MPsych, PhD · Lynn Ward PhD
Let children cry
Psychological and behavioural interventions that focus on building coping skills, resilience and a healthy lifestyle are important
Patrick D McGorry MD, PhD, FRANZCP · Debra J Rickwood BA(Hons), PhD, FAPS · Ian B Hickie MD, FRANZCP, FASSA
Let children cry
In reply: Evidence is needed that medical intervention does more good than harm for less than severe impairment
Jon N Jureidini MB BS, PhD, FRANZCP
Point-of-care testing for coeliac disease antibodies — what is the evidence?
A position statement from Coeliac Australia’s Medical Advisory Committee scrutinises the technology used in currently available kits
Evan D Newnham Jason A Tye-Din on behalf of the Coeliac Australia Medical Advisory Committee
Cytomegalovirus disease in immunocompetent adults
This topic has garnered increased recognition in the eye care community
Enis D Kocak MB BS, BBiomedSci · Justin C Sherwin MB BS(Hons), BMedSc(Hons), MPhil · Anthony J Hall MD, FRANZCO, FRACS
Clinical focus
Acute pancreatitis: update on management
New guidelines change some aspects of the management of pancreatitis
Maryam Nesvaderani MB BS, BSc(Hons) · Guy D Eslick DrPH, PhD, FACE · Michael R Cox MB BS, MS, FRACS
For debate
Hospitals should be exemplars of healthy workplaces
Hospitals must become healthy workplaces in every sense and extend their role to focus on health and wellness, not just illness
Lesley M Russell BSc(Hons), BA, PhD · Matthew H R Anstey MB BS, MPH, FCICM · Susan Wells MB ChB, MPH, PhD
Research
Cost and outcomes of assessing patients with chest pain in an Australian emergency department
Assessment is lengthy, costly and consumes significant resources
Louise Cullen MB BS, FACEM · Jaimi Greenslade PhD · Katharina Merollini MSocEconomics, PhD · Nicholas Graves PhD · Christopher J K Hammett BHB, MB ChB, MD · Tracey Hawkins BHealthSc(nursing) · Martin P Than FRCS(Ed), FFAEM · Anthony F T Brown FRCP, FACEM, FRCEM · Christopher B Huang MB BS · Seyed E Panahi BMedSc, BSc(Hons) · Emily Dalton BSc, BN · William A Parsonage DM, MRCP, FRACP
Priorities for professionalism: what do surgeons think?
The current emphasis is on individual skills rather than responding to community needs
David J Hillis · Michael W Gorton AM, FRACS(Hon), FANZCA(Hon) · Bruce H Barraclough AO, FRACS, FACS · David Beckett PhD, FACEL, FPESA
A prospective cohort study of trends in self-poisoning, Newcastle, Australia, 1987–2012: plus ça change, plus c’est la même chose
A massive increase in antidepressant prescriptions has had little impact on rates of self-harm or antidepressant poisoning
Nicholas A Buckley BMed, FRACP, MD · Ian M Whyte MB BS(Hons), FRACP, FACMT · Andrew H Dawson MB BS, FRCP, FRACP · Geoffrey K Isbister BSc, FACEM, MD
Case reports
Pancreatic adenocarcinoma presenting as first-onset diabetic ketoacidosis
Diabetic ketoacidosis in patients with type 2 diabetes can indicate primary pancreatic disease
George Zhong MB BS(Hons), BSc(Hons) · Rosalba Cross FCICM, MB BS, BSc(Hons)
Severe carbon monoxide poisoning from waterpipe smoking: a public health concern
Carbon monoxide poisoning is a genuine risk for waterpipe users
Louis W Wang MB BS, MM, FRACP · Emily YJ He MB BS, MPH, FRACP · Debasish Ghosh MB BS · Richard O Day AM, MD, FRACP · Graham RD Jones MB BS, DPhil, FRCPA · Rajesh N Subbiah MB BS, PhD, FRACP · Cameron J Holloway DPhil, FRACP, FCSANZ
Listeriosis cluster in Sydney linked to hospital food
Rapid identification of listeriosis source prevented further infections
Zeina Najjar BSc(Med) BMed BSurg, MPH, FAFPHM · Leena Gupta MB BS, MPH, FAFPHM · Vitali Sintchenko MB BS, FRCPA, PhD · Craig Shadbolt BSc(Hons), PhD · Qinning Wang PhD · Narinder Bansal PhD
Reflections
The whole 9 years
Ian Olver considers his time at Cancer Council Australia and suggests embracing cancer treatment, prevention and research provides a comprehensive cancer control experience
Ian N Olver MB BS, MD, PhD
The politician: a public health problem?
A triad of risk factors jeopardises the health of the nation
John B Best AO, MD BS, PhD, DSc(Hon)
Careers
Jewel in the crown
Talk to ophthalmologists and three themes emerge very quickly — the influence of Fred Hollows; the beauty of the eye and the preciousness of sight; and an intriguing mix of medical and surgical work
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
Global advocacy for controlling the tobacco industry
Robert Beaglehole DSc · Ruth Bonita MPH, PhD, ONZM
Rural and remote health: a progress report
John Wakerman MTH, FAFPHM, FACRRM
Proton pump inhibitors: too much of a good thing?
Lynn M Weekes
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