Issues
Volume 204 Issue 2
Editorials
Not just loading and age: the dynamics of osteoarthritis, obesity and inflammation
Body fat is not an inert structure
Flavia M Cicuttini MSc, FRACP, PhD · Anita E Wluka MB BS, FRACP, PhD
Asbestos exposure: challenges for Australian clinicians
The unique properties of asbestos that still make it valuable for industry make it extremely hazardous to health
Arthur W (Bill) Musk MD, FRACP, FAFOEM · Nicholas H de Klerk PhD · Anna K Nowak MB BS, FRACP, PhD
News
Malaria detection using breath biomarkers
A new highly sensitive rapid diagnostic test
Amalia Z Berna · James S McCarthy · Stephen C Trowell
Research news
Using a multidisciplinary approach to combat the burden of asbestos-related disease
An update from the Asbestos Diseases Research Institute
Nico van Zandwijk MD, PhD, FRACP · Matthew Soeberg MPH, PhD · Glen Reid BSc, MSc(Hons), PhD
Perspectives
Developing competence in biostatistics and research methodology during medical specialty training
Do we equip junior specialists with the skills to conduct research throughout their careers?
Sandra L Turner MB BS(Hons), FRANZCR · Tim Shaw BSc(Hons), PhD
Short reports
A broad perspective on anatomy education: celebrating teaching diversity and innovations
Collaboration between scientists and clinicians is essential
Paul G McMenamin MSc, PhD, DSc · Norman Eizenberg MB BS · Anthony Buzzard FRCS, FRACS, FACS · Quentin Fogg BSc(Hons), PhD, FRCPS · Michelle Lazarus PhD
A multidisciplinary renal genetics clinic improves patient diagnosis
Genetics and genomics in everyday clinical practice
Andrew Mallett MB BS, MMed, FRACP · Lindsay F Fowles BSc, MSc, PhD · Julie McGaughran MD, FRCP, FRACP · Helen Healy MB BS, FRACP, PhD · Chirag Patel BSc, MD, FRACP
How severe was the 2015 influenza season in Australia?
The answer depends on how much and which data one consults
James E Fielding MAppEpid, PhD · Annette K Regan MPH, MInfDis · Craig B Dalton BMed, MMSc · Monique B-N Chilver BSc(MolBiol), GDPH · Sheena G Sullivan MPH, PhD
Clinical focus
Management of pregnancy in women with rheumatoid arthritis
Start prepregnancy counselling early and discontinue teratogenic medications
Gene-Siew Ngian MB BS, FRACP, PhD · Andrew M Briggs BSc(PT)Hons, PhD · Ilana N Ackerman PhD, BPhysio(Hons) · Sharon Van Doornum MB BS, MD, FRACP
Ten years of publicly funded biological disease-modifying antirheumatic drugs in Australia
Ten years of data on eligibility to initiate and continue on bDMARDs remains un-utilised
Ashley M Hopkins BPharm(Hons) · Susanna M Proudman MB BS(Hons), FRACP · Agnes I Vitry PhD, MEcManageHealthSyst, BPharm · Michael J Sorich PhD, GradDipMedStat, BPharm(Hons) · Leslie G Cleland MB BS, MD, FRACP · Michael D Wiese BPharm, MClinPharm, PhD
For debate
Inappropriate care in medicine
Non-clinicians have based their claims of inappropriate care in hyperbaric medicine on flawed methods
Susannah Sherlock BSc, MB BS, FANZCA
Vertebroplasty is not a do-not-do treatment
Vertebroplasty has been controversial but remains clinically useful and new evidence awaits publication
William A Clark MB BS, FRANZCR, EBIR
Acting on potentially inappropriate care
Measuring inappropriate care should rely on available evidence, with anomalous practices evaluated by clinical panels
Stephen J Duckett DSc, FASSA, FAHMS · Peter Breadon MPA, MPP, BA · Danielle Romanes BA(Hons), GradDipAppEc
Research
SEPSIS KILLS: early intervention saves lives
Early administration of antibiotics and aggressive fluid resuscitation improves outcomes for patients
Anthony R Burrell MB BS, FANZCA, FCICM · Mary-Louise McLaws DipTropPubHlth, MPH, PhD · Mary Fullick RN, BHlthSci(Nurs) · Rosemary B Sullivan RN, BHlthSci(Admin), MBus(HRM) · Doungkamol Sindhusake PhD, MPH, MA
A survey of Sydney general practitioners’ management of patients with chronic hepatitis B
If GPs are to play a role in managing this disease, they need specialist support
Zeina Najjar BSc(Med)/BMed/BSurg, MPH, FAFPHM · Leena Gupta MB BS, MPH, FAFPHM · Janice Pritchard-Jones RN, MPH · Simone I Strasser MB BS, MD, FRACP · Miriam T Levy MB BS, PhD · Siaw-Teng Liaw PhD, FRACGP, FACMI · Benjamin C Cowie MB BS, PhD, FRACP
Timeliness of lung cancer care in Victoria: a retrospective cohort study
Interventions that improve timeliness and appropriateness of care have produced impressive results
Sue M Evans PhD, MClinEpi · Arul Earnest PhD, MSc, BSocSc(Hons) · Wendy Bower PhD, BAppSc(Physio), PgDEpiBiost · Meera Senthuren BSc(Hons) · Peta McLaughlin BApplSci · Rob Stirling BSc(Hons), MB BCh(Hons), FRACP
Influenza vaccine effectiveness in general practice and in hospital patients in Victoria, 2011–2013
Influenza vaccination is an important intervention for protecting vulnerable patients
Heath A Kelly BSc, MB BS, MPH · Courtney Lane BSc, MPH, MPhil(AppEpi) · Allen C Cheng FRACP, MPH, PhD
Case reports
Repeat exposure to active tuberculosis and risk of re-infection
Re-infection with TB is possible even after preventive TB treatment
Claudia C Dobler MD, PhD, FRACP · Roujan Chidiac BN · Jonathan P Williamson BSc(Med) FRACP, PhD · Peter J Jelfs BSc
A case of bilateral endogenous bacterial endophthalmitis from Streptococcus pneumoniae bacteraemia
Early ophthalmology involvement and intravitreal antibiotic injections are essential
Jeewaka E Mohotti MB BS(Hons) · Shuang Q Chan MB BS, BMedSc · Fumitaka Nonaka MB BS
Severe ulcerative herpes zoster
A 78-year-old man presented to a regional emergency department with a severe progressive rash
Andrew DK Nguyen BSc, MB BS · Gabriela Strey MD, FRACP
Ethics and law
Conclaves and concurrent expert evidence: a positive development in Australian legal practice?
A new approach affects medical practitioners who give expert evidence
Bill Madden BA LLB(Hons), FAAL · Tina Cockburn LLM, LLB(Hons), BCom
Careers
Better, all round
Dr Kean-Seng Lim was always going to study medicine, but deciding what kind of doctor he wanted to be came down to how he felt about himself as a person
Cate Swannell
Around the universities
The University of Queensland and The Prince Charles Hospital in Brisbane will lead a new centre dedicated to the early detection of lung cancer thanks to $1 million in funding from the Australian Cancer Research Foundation (ACRF). The ACRF Centre for Lung Cancer Early Detection would focus on the discovery and development of innovative methods for early stage detection of lung cancer. The Centre will concentrate on three major innovative research streams: innovations in diagnostic imaging using Low Dose Computed Tomography (LDCT) screening and computer-aided diagnosis (CAD); investigating unique molecular profiles and biomarkers of lung cancer; and advanced innovations in bronchoscopy techniques. The Centre will be based at The Prince Charles with major collaborations across key Australian and international sites. Due to the clinical focus of the research, the team will be able to translate findings directly into daily clinical practice. http://health.uq.edu.au/article/2015/12/1-million-earlier-detection-of-lung-cancer Two groups of University of Western Australia researchers have successfully secured more than $2.5 million funding from the National Health and Medical Research Council (NHMRC). Professor Susan Prescott, of the School of Paediatrics and Child Health, received $1.68 million to conduct a clinical trial investigating whether increased dietary fibre in pregnancy favourably influences metabolism and immune function, and can prevent allergies in children. Renowned burns specialist Professor Fiona Wood, of the Burn Injury Research Unit in the School of Surgery, was awarded a development grant of $873,305 to develop the first drug to remove scars which will hopefully be taken to clinical trials. Researchers have discovered a compound that targets collagen in the skin, preventing it from becoming too densely packed so that it remains more like normal skin. http://www.meddent.uwa.edu.au/__data/assets/pdf_file/0012/2832798/MeDeFacts-Dec-2015.pdf The University of Melbourne has announced the formation of the Primary Care Diabetes Society of Australia (PCDSA). The not-for-profit society has been established to support primary health care professionals to deliver high quality, clinically effective care, in order to improve the lives of people living with diabetes. Department of General Practice Associate Professor Mark Kennedy said most of the one million people in Australia with diabetes receive most of their treatment in primary care, yet there is no primary care-based multidisciplinary society to support those health care practitioners. “Education will be a key role of the society. We are establishing a quarterly online journal, online continuing professional development and will hold the first annual conference in Melbourne on April 30 next year.” http://newsroom.melbourne.edu/news/new-diabetes-society-be-voice-primary-care-professionals Researchers at the University of New South Wales Centre for Healthy Brain Ageing (CHeBA) have been awarded a $40 000 Goldstar Award for research into the structure and function of apolipoproteins that affect brain ageing. CHeBA Co-Director Professor Perminder Sachdev will lead the research team, which includes other prominent CHeBA researchers: Dr Anne Poljak, Leader of the Proteomics Group; Dr Nady Braidy, Co-Leader of the Molecular Biology & Stem Cells Group; Dr Julia Muenchhoff, post-doctoral researcher; and statistician Dr John Crawford. Prof Sachdev said the potential for novel findings of this research is abundant, and it promises to yield new insights into normal ageing, pathological brain ageing including mild cognitive impairment, and longevity. http://med.unsw.edu.au/news/gold-star-cheba%E2%80%99s-apolipoprotein-research Bond University will offer a dedicated Indigenous Medical Scholarship, covering all tuition fees through the full 4-year, 8-month medical program for the successful applicant. Over the past 3 years, BU has invested more than $2.5 million in improving tertiary education outcomes for Indigenous students through outreach programs, scholarships, bursaries and a network of on-campus support. BU’s enrolment of Aboriginal and Torres Strait Islander students has more than doubled, and their degree completion rate is well above the national average. Applications close on 4 February. The yearly intake for Bond medical students is in May. https://bond.edu.au/news/47425/bond-launches-new-indigenous-medical-scholarship Two Monash University researchers have won the RACV Sir Edmund Herring Memorial Scholarships for their studies aimed at preventing road trauma and improving the quality of care delivered to road trauma victims. Dr Rene Stolwyk from Monash’s School of Psychological Sciences received the scholarship for his work in utilising simulator technology to enhance driver rehabilitation following traumatic brain injury. The other winner was Damien Dambrosi, a lecturer in Monash University’s Department of Community Health and Paramedic Practice, for his work looking at the potential efficacy and safety of ketamine as an analgesic by all Victorian MICA paramedics. http://www.med.monash.edu.au/news/2015/monash-researchers-win-scholarships-for-research-into-tackling-road-toll.html UNSW alumnus and current Rural Clinical School Associate Professor Kelvin Kong has been named as a 2016 Australia Day ambassador. Prof Kong was one of the first Indigenous doctors to graduate from UNSW after entering medicine through UNSW’s Indigenous Entry into Medicine scheme. He is an ear surgeon, and a partner in the Newcastle-based Hunter ENT (ear, nose and throat), and often conducts Indigenous health clinics in remote places such as Broome, WA. http://med.unsw.edu.au/news/aboriginal-surgeon-and-rcs-academic-kelvin-kong-speak-port-stephens-australia-day-event UNSW graduate Dr Amanda Cohn has been awarded the Foundation Year Graduates Medal, presented to the graduating medical student who most excels in the areas of leadership and fellowship across the academic and non-academic realm. Dr Cohn completed her medical degree at Rural Clinical School’s Albury campus, and intends to stay on in the area to continue her medical training, and maybe do some teaching at the campus. http://med.unsw.edu.au/news/new-rcs-grad-wins-university-medal
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
News briefs
Cate Swannell
Therapeutic advances and risk factor management: our best chance to tackle dementia?
Terence WH Chong MB BS, MP, FRANZCP · Samantha M Loi MB BS, FRANZCP, GradCertPOA · Nicola T Lautenschlager MD, FRANZCP · David Ames BA, MD, FRCPsych
Ebola and the WHO: a journey from toothless tiger to global dragon?
Sanjaya N Senanayake FRACP, MAppEpid, MB BS(Hons)
Lung cancer screening in Australia: progress or procrastination?
Fraser Brims MD, MRCP, FRACP · Annette McWilliams MB BS, FRACP, FRCPC · Kwun Fong MB BS, PhD, FRACP
News briefs
Cate Swannell
Transforming Cochrane
Steve McDonald · Tari Turner
Improving health literacy in refugee populations
Elisha Riggs BAppSc(Hons), PhD · Jane Yelland BAppSc, PhD · Philippa Duell-Piening BOccTher, BErgonomics, MIntCommunityDev · Stephanie J Brown BA(Hons), PhD