Issues
Volume 204 Issue 10
Editorials
Strengthening primary health care to improve Indigenous health outcomes
We need better, more culturally sensitive models for delivering primary care
John Wakerman MTH, FAFPHM, FACRRM · Cindy Shannon BA, MBA, DSocSci
News
Medicines and dementia consumer campaign
Helping people living with a diagnosis of dementia to navigate their medicine and non-medicine choices
Lynn M Weekes
Perspectives
Potential risks and benefits of nanotechnology: perceptions of risk in sunscreens
The available evidence indicates that nanoparticle sunscreens are both effective and safe
Paul FA Wright PhD, BSc(Hons), FIUPAC
Medicinal cannabis in Australia: the missing links
Cultivation of cannabis for medicinal or scientific purposes needs considered management before it is rolled out as a therapeutic good
Jennifer H Martin MB ChB, FRACP, PhD · Yvonne A Bonomo FRACP, PhD, FAChAM
Perspective
Governing the reform of the medical internship
Implementing the recommendations of the Review of Medical Intern Training will be challenging and will require reconsideration of medical training governance
Susannah F Ahern MB BS(Hons), MBA, FRACMA · Peter T Morley FRACP, FANZCA, FCICM · Geoffrey J McColl MEd, PhD, FRACP
Clinical focus
Epidemiology, clinical impacts and current clinical management of Helicobacter pylori infection
An up-to-date summary of the causes, impacts and treatment of a highly prevalent infection worldwide
Hazel Mitchell BSc(Hons), DipEd, PhD · Peter Katelaris MD, FRACP, FRCP
For debate
The Port Arthur massacre and the National Firearms Agreement: 20 years on, what are the lessons?
Clinicians can play a key role in working with legal authorities to monitor and assist regulation of firearm access, especially among high-risk populations
Michael J Dudley AM, MB BS, FRANZCP · Alan Rosen AO, FRANZCP, DPM · Philip A Alpers · Rebecca Peters BA, LLB
Research
A decade of Australian methotrexate dosing errors
Potentially fatal dosing errors continue to occur despite a number of safety initiatives — new strategies are required
Rose Cairns PhD, BPharm(Hons) · Jared A Brown BPharm(Hons), MPH, FSHP · Ann-Maree Lynch BSc(Hons), PhD · Jeff Robinson BPharm, FSHP, GradDipHospPharm · Carol Wylie BPharm, PGDClinPharm · Nicholas A Buckley BMed, FRACP, MD
Short reports
Female representation at Australasian specialty conferences
The gender imbalance among college ASM speakers largely reflects gender representation in the specialty workforce
Lucy J Modra FACEM, MB BS(Hons), GradDipArts(Phil) · Danielle E Austin MB BS(Hons), FCICM, FRACP · Sarah A Yong FCICM, FRACP, MB BS(Hons) · Emily J Chambers BBiomed, MD · Daryl Jones MB BS, PhD, FCICM
Reflections
Leslie Cowlishaw (1877–1943): the “bibliophile from the bush”
From Sydney to London via Gallipoli and back: the productive career of a pioneer Australian medical historian
Milton G Roxanas MB BS, FRANZCP
Margaret Anne Burgess
A remarkable paediatrician who pioneered research into vaccines and vaccine-preventable diseases in Australia
Peter B McIntyre FAFPHM, FRACP, PhD · Jill M Forrest MD BS
Careers
Who’s in charge?
In the United Kingdom, medical interns are known as “the lost tribe”. Here in Australia there are signs that our interns are also falling through the cracks …
Cate Swannell
Around the universities and research institutes
The University of Queensland’s Triple P — Positive Parenting Program has been included in US policy recommendations to reduce the toxic effects of poverty on children’s health. The American Academy of Pediatrics has recommended that evidence-based parenting programs, including Triple P, be integrated into services provided by US medical practices. Professor of Clinical Psychology at UQ’s Parenting and Family Support Centre and Triple P founder, Professor Matt Sanders said parenting skills were part of a mix of influences that can affect a child’s health and development. “These influences include housing, social environment, schools and access to medical care. It’s becoming clearer that powerful environmental influences through the family can alter the expression of genes and as a result children’s behaviour.” A technical report accompanying the policy and published in Pediatrics says physicians can help address the health effects of poverty on children and families by helping parents promote resilience in their young children, “giving them the capacity to adapt to adversity and buffering the effects of stress”. Programs such as Triple P have been shown to promote responsive parenting and address common behavioural and developmental concerns, the report states. https://www.uq.edu.au/news/article/2016/04/us-academy-of-pediatrics-advocates-uq-parenting-program Professor Anthony Maeder has joined Flinders University as the country’s first Chair in Digital Health Systems. Professor Maeder, whose position is supported by the South Australian Government Premier’s Research and Industry Fund, is the brains behind the Western Sydney University’s TeleHealth Research and Innovation Laboratory (THRIL). He plans on taking ‘machine learning’ concepts developed at THRIL to the next level at Flinders by making use of advanced devices to monitor the health of the aged at home, alongside interactive assistive systems including avatars and chat bots. Professor Maeder’s work will form part of a new Flinders Centre for Digital Health Technologies, which is supported by funding from the South Australian Government and from the international technology company, Cisco Systems. He was previously Research Director of the CSIRO eHealth Research Centre in Brisbane from 2004-2008. Before that, he was Head of the School of Engineering at the University of Ballarat and subsequently at Queensland University of Technology’s School of Electrical and Electronic Systems Engineering. http://blogs.flinders.edu.au/flinders-news/2016/05/16/digital-health-chair-plans-new-wave-of-innovation-for-sa/ Professor Shitij Kapur has been announced as Dean of the Faculty of Medicine, Dentistry and Health Sciences and Assistant Vice-Chancellor (Health) at the University of Melbourne. Professor Kapur comes from King’s College, London, where he is currently Executive Dean of the Institute of Psychiatry, Psychology and Neuroscience (IoPPN), Deputy Vice-Principal (Health) and Assistant Principal (Academic Performance). His achievements at Kings include the incorporation of Psychology and Neurosciences to the Institute of Psychiatry, the launch of undergraduate-level education, and a key role in developing the King’s Health Partners’ vision to integrate mental and physical healthcare, education and research. Professor Kapur begins his appointment in October. http://healthsciences.unimelb.edu.au/today/professor-shitij-kapur-appointed-dean-of-medicine,-dentistry-and-health-sciences University of Melbourne researcher and paediatrician Associate Professor Andrew Steer, from the Centre of International Child Health at the Department of Paediatrics, Royal Children’s Hospital and Murdoch Children’s Research Institute, is the recipient of the 2016 Frank Fenner Award by the Australasian Society for Infectious Diseases (ASID) for his outstanding infectious disease research on the throat and skin bacterium Group A Steptococcal, rheumatic heart disease, tropical skin diseases and scabies. He received $5000 and presented the Frank Fenner Oration at ASID’s Annual Scientific Meeting recently. Associate Professor Steer has published over 100 peer-reviewed papers, including articles in the New England Journal of Medicine, Lancet and Lancet Infectious Diseases. He has also received the University of Melbourne Dean’s Prize for Excellence in a PhD thesis in 2010 and the Victorian Premier’s Health and Medical Research Award in 2011. http://medicine.unimelb.edu.au/school-structure/paediatrics/news-and-events/rewarding-infectious-diseases-research Professor Dan Lubman, Turning Point Director and Professor of Addiction Studies and Services at Monash University, has been awarded the Royal Australian and New Zealand College of Psychiatrists (RANZCP) Senior Research Award. Professor Lubman’s research is wide-ranging and includes investigating the impact of alcohol and drug use on brain function, the relationship between substance use and mental disorder, as well as the development of targeted intervention programs within school, primary care, mental health and drug treatment settings. http://monash.edu/news/show/turning-point-director-awarded-top-honour Professor Jamie Rossjohn, from the Biomedicine Discovery Institute, at Monash University’s Faculty of Medicine, Nursing and Health Sciences, has been awarded an Australian Laureate Fellowships from the Australian Research Council. Professor Rossjohn will continue his work in the life sciences with research that will provide a basic understanding of how key immune recognition events enable immunity. He said his project would be supported by the cross-disciplinary approaches within the ARC Centre of Excellence in Advanced Molecular Imaging, key platform technologies at Monash and the Australian Synchrotron. Most recognised for his contributions to understanding the function and dysfunction of the immune system, Professor Rossjohn has provided insight into T-cell biology. He has used structural biology to explain T-cell development and pioneered the understanding of lipid-based immunity by T-cells, recently showing how vitamin B metabolites represent an entirely new and important target for the immune system. http://monash.edu/news/show/researchers-awarded-australian-laureate-fellowships
Cate Swannell
Calendar of conferences in Australia and New Zealand
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
Financial toxicity in clinical care today: a “menu without prices”1
David Currow PhD, FRACP, FAHMS · Sanchia Aranda PhD, MN, BAppSci
Changing eating patterns versus adding nutrients to processed foods
Rosemary A Stanton BSc, GradDipAdmin, PhD(Hon)
News briefs
Cate Swannell
The importance of supportive care for patients with cancer
Ian N Olver MB BS, MD, PhD
To screen for depression or not?
Malcolm J Hopwood MB BS, MD, FRANZCP · Gin Malhi FRCPsych, MD, FRANZCP
How can we ensure that people with lung cancer living in rural and remote areas are treated surgically when appropriate?
Elizabeth Tracey BSc(Hons), MPH, PhD · Brian C McCaughan MB BS, FRACS · Jane M Young MPH, PhD, FAFPHM · Bruce K Armstrong MB BS(Hons), DPhil, FRACP
E-cigarettes should be regulated
Martin McKee MD, DSc · Mike Daube BA(Hons), HonDSci · Simon Chapman PhD, FASSA, HonFFPH
News briefs
Cate Swannell