Issues
Volume 203 Issue 5
Editorials
Cancer nanomedicine: challenges and opportunities
Despite ongoing progress in basic and preclinical cancer nanomedicine research, arguably the single most important challenge is clinical translation
Zdenka Kuncic FAIP, PhD, BSc(Hons)
News
Five reasons to not prescribe opioids
Non-pharmacological strategies are an essential part of pain management
Lynn M Weekes
Perspectives
Challenges of chronic kidney disease prevention
The growing global health burden of chronic kidney disease is best tackled through effective prevention
Titi Chen MB BS · David C Harris MD, BS, FRACP
Letters
What can we do to help Australians die the way they want to?
Aboriginal people are particularly vulnerable to not dying where they would wish
Jaclyn Yoong MB BS(Hons), FRACP, FAChPM
The need to upskill rural general practitioners in mental health care
There is room for improvement in mental health training opportunities for GPs in rural areas
Malcolm P Forbes MB BS · David B King MB BS, FRACGP, MPH
The need to upskill rural general practitioners in mental health care
Every day, psychiatrists work closely with GPs
Malcolm J Hopwood FRANZCP, MPM, MD
Letter
Threats and abuse: the price public health campaigners pay
Those of us who spend our time working in public health need a thick skin
Rosemary Stanton PhD(Hon), BSc, APD
Clinical focus
Summary statement: new guidelines for the management of paracetamol poisoning in Australia and New Zealand
Recommendations for the treatment of paracetamol poisoning have been updated
Angela L Chiew BSc(Med), MB BS, FACEM · John S Fountain MB ChB, MEntr · Andis Graudins MB BS, PhD, FACEM · Geoffrey K Isbister BSc, MD, FACEM · David Reith FRACP, PhD · Nicholas A Buckley BMed, FRACP, MD
Research
Medicare Local–Local Health Network partnerships in South Australia: lessons for Primary Health Networks
Partnerships between South Australian Medicare Locals and Local Health Networks offer lessons for the new Primary Health Networks
Sara Javanparast PhD, GradDipHumanNutr, MD · Fran Baum PhD · Elsa Barton BS, MChild · Toby Freeman PhD, BPsych(Hons) · Angela Lawless DrPH, GradDipPHC, BAppSc · Jeffrey Fuller PhD, MSc(PHC), BN · Richard L Reed MD, MPH, FRACGP · Michael R Kidd AM, MD, FRACGP
Suboptimal medication-related quality of care preceding hospitalisation of older patients
Clinical indicators have been widely adopted as a measure of health system performance and quality of care provided to patients
Gillian E Caughey BSc(Hons), PhD · Lisa M Kalisch Ellett BPharm, PhD · Stan Goldstein MB BS, MHA · Elizabeth E Roughead BPharm, MAppSci, PhD
Rheumatic heart disease in Indigenous children in northern Australia: differences in prevalence and the challenges of screening
The prevalence of rheumatic heart disease in remote Indigenous children is significant, much of it undetected
Kathryn V Roberts MB BS, FRACP MPHTM · Graeme P Maguire MB BS, FRACP, PhD · Alex Brown BMed, MPH, PhD · David N Atkinson MB BS, MPH · Bo Remenyi MB BS, FRACP · Gavin Wheaton MB BS, FRACP, FCSANZ · Marcus Ilton MB BS, FRACP · Jonathan Carapetis MB BS, PhD, FAAHMS
Case reports
Photobacterium damselae and Vibrio harveyi hand infection from marine exposure
Improving clinical outcomes through prompt and early targeted use of antibiotics
Ayesha Akram MB BS · Robert P Stevens MB BS, FRACP, FRCPA · Pamela Konecny MD, DTM
Steroid-induced cardiomyopathy
Anabolic steroid use and misuse is an important issue in the bodybuilding community
Hui-Chen Han MB BS, BMedSci · Omar Farouque MB BS(Hons), PhD, FRACP · David L Hare DPM, FRACP, FCSANZ
Short reports
Tattoo-associated mycobacterial infections: an emerging public health issue
Mycobacterial infection is an important consideration in patients with widespread papular eruption in recent tattoos
John W Frew MB BS(Hons), MMed(Clin Epi) · Roland TD Nguyen MB BS, MMedSc, FACD
Warfarin or excipient allergy: a clinical dilemma resolved
Excipient allergy should be considered in patients with a reaction to warfarin
Mitchell J Gooch MB BS · Ngozichukwuka L Okiwelu MRCSEd, FWACS, FRCSEd(CTh) · Timothy Law MB BS, GradDip(ClinUltrasound) · Andrew P McLean-Tooke FRCP, FRCPath, FRCPA · Pragnesh Joshi MS, MCh, FRACS
Ciclesonide-induced bronchospasm: an important but preventable side effect
Newer asthma preventer medication can cause bronchospasm
Payal H Mandaliya MD, MB BS, DCh · Brendan Kennedy BSc · Peter van Asperen MD, FRACP, FThorSoc · Paul D Robinson MRCPCH, FRACP, PhD
Reflections
Can a medical researcher have too many publications?
It is not plausible that a researcher could author 50 or more publications a year and still adhere to the NHMRC authorship criteria
Anthony F Jorm PhD, DSc
You are not Robinson Crusoe
A huge undertaking, but is it about improving outcomes or cutting costs?
John B Best AO, MD BS, PhD, DSc(Hon)
Dealing with death
Death rules: how death shapes life on earth and what it means for us
Robin H Mortimer FRACP, FACP, FRCP
Careers
Family violence
Rosie Batty has turned her attention to the medical profession's role on the front line of the battle against family violence. The Australian of the Year wants us to listen and learn
Cate Swannell
Around the universities
Flinders University researcher Robyn Flook was named the Unsung Hero of South Australian Science at the state launch of National Science Week. Ms Flook has managed the South Australian Brain Bank since its inception in 1993. She is now battling cancer which has spread to her own brain. She began working at Flinders in Professor Bill Blessing’s Neurology Laboratory within the departments of Medicine and Human Physiology at Flinders in May 1989. In spite of her own challenges, Ms Flook said that she had much more to do and that there was still too much to learn at the SA Brain Bank for her to give up now. http://blogs.flinders.edu.au/flinders-news/2015/08/07/flinders-inspirational-unsung-hero-recognised/ Dr Janet Bray, a Monash University emergency care expert, has been recognised as Young Researcher of the Year by the Bethlehem Griffiths Research Foundation for her drive to improve outcomes for cardiovascular patients. The award also included a $5000 grant towards research-related travel. Dr Bray is a Senior Research Fellow within the Pre-hospital, Emergency and Trauma Unit of the Monash School of Public Health and Preventive Medicine. She was selected for her work in improving the outcomes for stroke and heart attack patients. For her doctoral thesis exploring factors related to prehospital delay in stroke, Dr Bray was awarded a National Heart Foundation Scholarship and received the Alfred Deakin Medal for Best Doctoral Thesis. She currently serves on a number of state and national committees and working groups, society conference committees and grant review boards. http://www.med.monash.edu.au/news/2015/dr-janet-bray-crowned-young-researcher-of-year.html The University of Melbourne’s Dr Peter De Cruz has been awarded the 2015 Victorian Premier’s Award for Health and Medical Research at a ceremony at Government House. Dr Cruz’s award recognises his research on optimising Crohn’s disease management and research into the cause of disease recurrence. Other medical researchers commended in this year’s awards include the University of Melbourne’s Dr Daniel Pellicci and Dr Lucille Rankin and Mr James Rickard from the Walter and Eliza Hall Institute of Medical Research. The awards, now in their 21st year, celebrate the outstanding achievements of Victoria’s early-career health and medical researchers. http://newsroom.melbourne.edu/news/university-melbourne-early-career-researchers-honoured-victorian-premier%E2%80%99s-awards A multi-institute research team led by Laureate Professor Rob Sanson-Fisher from the University of Newcastle has been awarded $3.38 million in federal funding to improve dementia care and outcomes. The project titled “Australian Community of Practice in Research in Dementia” (ACcORD) will bring together an experienced multidisciplinary team over the next 5 years to improve the health and quality of life for people with dementia and their carers, according to Professor Sanson-Fisher, a behavioural health scientist. ACcORD will explore barriers to service delivery, evaluate the current legal impediments and look at implementing new measures for consistently assessing unmet needs. Clinicians, biostatisticians, health economists, legal experts and consumer representatives will take part, some of whom have previously worked outside the field. http://www.newcastle.edu.au/newsroom/featured-news/$3.3m-grant-to-improve-dementia-care-and-quality-of-life New South Wales’s top honour for cancer research has been awarded to University of Newcastle researcher, Professor John Forbes AM, a pioneer in breast cancer research. Professor Forbes, founder of the Newcastle-based Australian and New Zealand Breast Cancer Trials Group (ANZBCTG), received the 2015 Premier’s Award for Outstanding Cancer Research. The breakthrough research revealed that tamoxifen could prevent half of new breast cancers and significantly reduce the rates of secondary cancer and the development of tumours in the other breast. Among his many career highlights, Professor Forbes chaired the Australian and New Zealand arm of the International Breast Cancer Intervention Study (IBIS I) clinical trial, which established that tamoxifen could be used for more than just successfully treating breast cancer — it could also be used in prevention of the disease. http://www.newcastle.edu.au/newsroom/featured-news/top-research-honour University of New South Wales researchers received close to $13 million from the National Health and Medical Research Council for dementia research. UNSW Scientia Professor Henry Brodaty, Co-Director of the Centre for Healthy Brain Ageing, will receive $6.5 million to conduct the largest dementia clinical trial in the world for people aged 55–75 years. The Maintain Your Brain trial, will recruit 18 000 people to test whether an internet coaching tool can reduce the risk of dementia. Half of the trial participants will be given information on managing dementia risk factors, while the rest will get extra support through online tools connecting them with medical specialists and tailored health interventions. UNSW Professor of Neuroscience Glenda Halliday has received $6.5 million to improve diagnostic detection of non-Alzheimer disease forms of dementia, which are commonly underrecognised or misdiagnosed. The research will focus on new detection methods and pilot novel treatments for frontotemporal dementia and dementia with Lewy bodies. http://med.unsw.edu.au/news/unsw-researchers-receive-13-million-help-fight-dementia Two medical professionals are among six winners of the University of Queensland’s 2015 Alumni Awards. Professor Peter Donnelly, Director of the Wellcome Trust Centre for Human Genetics, and a Professor of Statistical Science at the University of Oxford, and Dr James Morton, AM, Medical Director of Haematology-Oncology Clinics of Australasia and Chairman and founder of the AEIOU Foundation, a non-profit organisation for children with autism, were presented with the Vice-Chancellor’s Alumni Excellence Awards. https://www.uq.edu.au/news/article/2015/08/community-and-business-leaders-celebrated-uq-alumni-awards?utm_source=Newsletter&utm_medium=Email&utm_content=Nov2013&utm_campaign=Newsletter
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 ALM = active learning module ASM = annual scientific meeting CPD = continuing professional development CT = computed tomography ECHO/echo = echocardiography EMAC = effective management of anaesthetic crises MRI = magnetic resonance imaging OSCE = objective structured clinical examination SAT SET = supervisors and trainers for surgical education and training X = conferences in Australia September 8-11 World CDx Boston 2015, Boston, USA 8-12 15th Interim Meeting of the World Federation of Neurosurgical Societies, Rome, Italy 9-10 NFMRI Medical Research Innovation Conference, Sydney, NSW X 9-11 2015 RACMA Conference — Inequality and Healthcare: recognising the healthcare costs of inequality, Auckland, NZ X 9-11 International congress on addiction science, Tehran, Iran 10-11 11th Annual Australian Diseases Management Conference — Count me in: partnerships in chronic care, Brisbane QLD X 10-11 3rd International Oncology Conference, Abu Dhabi, UAE 10-11 4th Annual International Medical Conference — More awareness of chronic pelvic pain in women, Cairo, Egypt 10-12 International Society for Vascular Surgery 2015 Congress, Athens, Greece 10-12 The Viral Hepatitis Congress 2015, Frankfurt, Germany 10-12 2nd International Symposium on Clinical and Basic Investigation in Glioblastoma, Toledo, Spain 11-12 Innovation in Medicine and Healthcare 2015, Kyoto, Japan 13-16 International Society for Hemodialysis Congress 2015, Kuala Lumpur, Malaysia 14Improving Physical Health for People with Mental Health Conditions, London, UK 14-15 2nd International Congress for Joint Reconstruction Southeast Asia, Georgetown, Malaysia 15-16 18th International Conference of Functional Food Center, 6th International Symposium of Functional and Medical Foods for Chronic Diseases, Boston, MA, USA 16-17 4th Annual Cancer Vaccines Conference, London, UK 16-19 Australian Indigenous Doctors Association annual conference — Collaborate, communicate and celebrate, Adelaide, SA X 17-20 22nd World Congress on Controversies in Obstetrics, Gynaecology and Infertility, Budapest, Hungary 17-20 iMed Conference 2015, Lisbon, Portugal 17-21 30th International Papillomavirus Conference, Lisbon, Portugal 21-23 RACGP Conference GP15, Melbourne, VIC X 22-24 6th World Bispecific Antibody Summit, Boston, USA 23-25 2015 Australasian Schizophrenia Research Conference, Melbourne, VIC X 24-26 3rd International Students’ Association of Robotic Urologic Surgery Conference, Cluj-Napoca, Romania 27-30 17th Annual International Meeting of the Institute of Human Virology, Baltimore, MD, USA 28-30 World Congress on Interventional Therapies for Type 2 Diabetes and DSS II, London, UK 29 Sep-2 Oct11th Australasian Conference on Vibrational Spectroscopy and 5th Asian Spectroscopy Conference, Sydney, NSW X 30 Sep-2 OctNeurosurgical Society of Australasia Annual Scientific Meeting, Auckland, New Zealand X 30 Sep-3 OctInternational Congress of Innate Immunity, Marbella, Spain October 1-3 Regional Congress of the World Federation for Mental Health, Singapore 1-5 Asia Pacific Rim International Counselling and Psychotherapy Conference, Perth, WA X 2-3 Singapore Health and Biomedical Congress 2015, Singapore 2-4 Inaugural Scientific Conference of the Asia Association of Medical Laboratory Scientists 2015, Yogyakarta, Indonesia 4-8 43rd Annual Meeting of the International Society for Pediatric Neurosurgery, Izmir, Turkey 4-9 21st FIGO World Congress of Gynaecology Obstetrics, Vancouver, Canada 5-6 16th International Conference on Alzheimer’s Drug Discovery, Jersey City, USA 5-7 Interprofessional Health, Education and Practice Conference, Melbourne, VIC X 5-8 15th International Nutrition and Diagnostics Conference, Prague, Czech Republic 5-9 18th International Conference on Medical Imaging Computing and Computer Assisted Intervention, Munich, Germany 6-8 15th International Conference on Progress in Vaccination Against Cancer, Tübingen, Germany 6-9 45th Annual Meeting of the International Continence Society, Montreal, Canada 8-9 Medical Deans Annual Conference 2015, Hobart, TAS X 8-10 6th International Symposium on Microsurgical Anatomy, Istanbul, Turkey 8-10 20th World Congress on Advances in Oncology and 18th International Symposium on Molecular Medicine, Athens, Greece 8-11 47th Congress of the International Society of Paediatric Oncology, Cape Town, South Africa 9-11 Australasian Military Medicine Association Conference 2015, Hobart, TAS X 9-12 7th Trends in Medical Mycology, Lisbon, Portugal 9-13 Abu Dhabi Ambulatory Healthcare International Congress 2015, Abu Dhabi, UAE 11-13 11th International Congress on Coronary Artery Disease, Florence, Italy 11-14 The Brain Conferences: The Neurobiology of Sleep and Circadian Rhythm, Copenhagen, Denmark 11-15 Australian Orthopaedic Association 75th Annual Scientific Meeting, Brisbane, QLD X 12-16 South Africa Meeting on Translational Cancer Research, Cape Town, South Africa 13-14 5th Annual Next Generation Sequencing Asia Congress, Singapore, Singapore 13-16 2015 International Psychogeriatrics Association International Congress, Berlin, Germany 14-16 International Congress of the International Neuropsychiatric Association, Jerusalem, Israel 14-16 5th EAI International Conference on Wireless Mobile Communication and Healthcare (MobiHealth), London, UK 14-17 International Conference on e-Health Networking, Application and Services, Boston, USA 15-16 ART World Congress Symposium on Safe and Efficient IVF, New York, USA 15-17 International Symposium on Obstetric Anaesthesia: Effect on Mother and Newborn, Budapest, Hungary 16-19 RANZCOG ASM, Perth, WA X 17-18 2nd USIM International Conference on Medicine and Health, Kuala Lumpur, Malaysia 18-23 15th International Thyroid Congress, Orlando, USA 19-20 World Anti-Microbial Resistance Congress USA 2015, Washington DC, USA 19-22 10th Asia/Oceania Congress of Gerontology and Geriatrics 2015, Chiangmai, Thailand 19-22 6th World Antibody Drug Conjugate Summit 2015, San Diego, USA 19-25 Medicres 5th World Congress on “Good Medical Research”, New York, USA 21-22 26th World Congress on Videourology, Izmir, Turkey 21-23 International Conference on Healthcare Informatics, Richardson, USA 21-23 World Conference on Regenerative Medicine, Leipzig, Germany 21-24 6th International Conference on Nutrition and Physical Activity 2015, Taipei City, Taiwan 21-24 8th International Congress of Arthroscopy and Sports Medicine, Cartagena de Indias, Colombia 22-24 3rd International Congress on Controversies in Stem Cell Transplantation and Cellular Therapies, Berlin, Germany 22-25 World Organization of Family Doctors Europe region conference, Istanbul, Turkey 24-27 2015 International Meeting of the European Society of Gynaecological Oncology, Nice, France 24-27 2nd International Conference of Traditional and Complementary Medicine on Health, Taipei, Taiwan 26-27 Safe and Secure Hospitals Conference, Melbourne, VIC X 26-27 Future of Health Policy Reform Forum, Sydney, NSW X 28-29 3rd International Systems Biomedicine Symposium “Big Data in Health Care – Challenges, Innovations and Implementation”, Munsbach, Luxembourg 28-30 ACHS/ACHSM Joint Asia-Pacific Congress 2015: Health leadership: odds-on favourite, Melbourne, VIC X 31 Oct-4 Nov 47th ASM Royal Australian and New Zealand College of Ophthalmologists, Wellington, NZ X 31 Oct-5 Nov 22nd World Congress of Neurology, Santiago, Chile
Cate Swannell
Paramedics and scope of practice
Gerard J FitzGerald MD, FACEM, FRACMA
Special collection on Indigenous health
Davina Ghersi PhD, MPH · Samantha Faulkner BA
News briefs
Cate Swannell
Financing options to sustain Medicare: are we committed to universalism?
Tracey-Lea Laba PhD, BPharm(Hons), BSc(AppChem)(Hons) · Beverley M Essue MPH, PhD · Stephen Jan PhD, MEc, BEc
It is not appropriate to dismiss inappropriate care
Joseph E Ibrahim PhD, FAFPHM, FRACP
Not so innocent bystanders
Joanna M Flynn MB BS, MPH, FRACGP
Sight-saving science: specialist eye care using satellite technology
Yogesan Kanagasingam
News briefs
Cate Swannell