Issues
Volume 204 Issue 6
News
Ethical issues with xenotransplantation clinical trials
Draft guidance on the ethical review and conduct of xenotransplantation trials
Ian N Olver
Editorials
Resistance sans frontières: containing antimicrobial resistance nationally and globally
Coordinated action on several fronts is required
John Turnidge MB BS, FRACP, FRCPA · Chris Baggoley FACEM, BMBS, BVSc · Mark Schipp BSc, BVMS · Robyn Martin BVMS, PhD
Improving health outcomes for linguistically diverse patients
Cardiovascular health for all in Australia requires language-sensitive health systems
Christine B Phillips MB BS, MPH, FRACGP
Perspectives
Affordable access to innovative cancer medicines — don’t forget the prices
In addition to providing earlier access to more drugs, we need reform in how new cancer drugs are priced
Narcyz Ghinea BSc(Hons) · Wendy Lipworth MB BS, MSc, PhD
Closing the million patient gap of uncontrolled asthma
Australia needs new strategies for better asthma management
Tunn Ren Tay MB BS, MRCP · Michael J Abramson MB BS, PhD, FAFPHM · Mark Hew PhD, MScEBHC, FRACP
Alcohol and tax — time for real reform
Alcohol tax reform would reduce harm and costs — and could fund major prevention and treatment programs
Mike Daube BA(Hons), HonDSci · Julia Stafford BPsych(Hons)
Time to raise the minimum purchasing age for tobacco in Australia
Increasing the minimum purchasing age may be the most straightforward way towards a tobacco-free generation
Roger S Magnusson BA LLB(Hons), PhD, GradDipManagingDevelopment
Australia’s health: being accountable for prevention
Stronger policy and a comprehensive approach to prevention is a good investment
A Rob Moodie MB BS, MPH · Penny Tolhurst BA(Hons), MPA · Jane E Martin BA(Hons), MPH
Clinical focus
Antenatal haemoglobinopathy screening in Australia
Australia needs a nationally coordinated antenatal screening program for haemoglobinopathies
Yi Ling Tan MB BS(Hons) · Giselle Kidson-Gerber MB BS(Hons), FRACP, FRCPA
For debate
Serious adverse event reporting in investigator-initiated clinical trials
Reporting requirements must be consistent and relevant
Sophie Wallace BHSc(Nursing), GradCertInfectionControl, MPH · Paul S Myles MPH, MD, FANZCA · Nikolajs Zeps BSc, PhD · John R Zalcberg OAM, PhD, FRACP
Primary Health Networks and Aboriginal and Torres Strait Islander health
Ten ways that Primary Health Networks can help to close the gap
Sophia Couzos FAFPHM, FACRRM, FRACGP · Dea Delaney-Thiele PGDipHlthMgt, MPH · Priscilla Page BASc
Research
Cord blood vitamin D and the risk of acute lower respiratory infection in Indigenous infants in the Northern Territory
Supplementation during the third trimester of pregnancy may prevent vitamin D insufficiency in infants and subsequent acute respiratory infections
Michael J Binks PhD, BSc, BHSc · Heidi C Smith-Vaughan PhD · Robyn Marsh PhD · Anne B Chang MB BD, FRACP, PhD · Ross M Andrews PhD, MPH, MAppEpid
English as a second language and outcomes of patients presenting with acute coronary syndromes: results from the CONCORDANCE registry
Hospitals should offer multilingual opportunities for patients of different backgrounds
Craig P Juergens MB BS, DMedSc, FRACP · Bilyana Dabin PhD · John K French BMedSc, MB ChB, PhD · Leonard Kritharides MB BS, PhD, FRACP · Karice Hyun BSc, MAppStat · Jens Kilian MB BS, PhD, FRACP · Derek PB Chew MB BS, MPH, FRACP · David Brieger MB BS, PhD, FRACP
Increase in late diagnosed developmental dysplasia of the hip in South Australia: risk factors, proposed solutions
Increased awareness, education, and avoidance of inappropriate lower limb swaddling are necessary to reduce its incidence
Kathrin Studer MD · Nicole Williams BMedSc(Hons), BMed, FRACS · Georgia Antoniou BSc(Hons) · Catherine Gibson PhD · Heather Scott BMgmt · Wendy K Scheil MAE, FRACGP, FAFPHM · Bruce K Foster MB BS, MD, FRACS · Peter J Cundy MB BS, FRACS
Case reports
Pitfalls of open-access sleep medicine: a case of missed congenital central hypoventilation syndrome
Collaboration between GPs and sleep physicians is necessary to ensure that complex sleep disorders are not missed
Claire M Ellender BSc, MB BS, FRACP · Craig A Hukins MB BS, FRACP
Reflections
A moving account of resilience and love
Bleed: surviving cerebral catastrophe: a tale of the mind, love and modern medicine
Marion G Carey MB BS(Hons), MPH, FAFPHM
Careers
Homecoming
Dr Paul Carter moved to the country and regained his sense of self, sense of community and sense of belonging. Along the way he also rediscovered his love of medicine
Cate Swannell
Around the universities and research institutes
Three leading Queensland breast cancer researchers have joined forces to lead a $6.5 million National Health and Medical Research Council-funded program to investigate who is most susceptible to breast cancer, the role that genes play in tumour development and behaviour, and why some types of breast cancer spread from the breast to other parts of the body. Professor Sunil Lakhani, who has appointments at the University of Queensland and Pathology Queensland, will be in partnership with Professors Georgia Chenevix-Trench and Kum Kum Khanna from QIMR Berghofer. “Our team is strengthened by new and established collaborations with many local, national and international researchers with varied expertise — they will assist us to resolve some of the key questions in our research,” Professor Lakhani said. “We will also have access to samples from the Brisbane Breast Bank, a facility that collects fresh tissue donated by patients having breast surgery at the Royal Brisbane and Women’s Hospital; and the Herston Imaging Research Facility for hi-tech medical imaging technologies not available anywhere else in Australia.” https://www.uq.edu.au/news/article/2016/03/research-heavyweights-join-forces-combat-breast-cancer A Queensland researcher’s goal of using smartwatches to combat the effects of multiple sclerosis (MS) will see her fly to the US on an MS Research Australia grant. Dr Hannah Gullo of the University of Queensland School of Health and Rehabilitation Sciences has received an $8000 Ian Ballard Travel Award. She will spend 4 weeks at the Kessler Foundation in New Jersey, which is renowned for rehabilitation research in MS, spinal cord injury, brain injury and stroke. Dr Gullo plans to use the trip to the US in November to analyse preliminary data from her pilot study MINDfit for MS. https://www.uq.edu.au/news/article/2016/03/combatting-multiple-sclerosis-smartwatches James Cook University has opened a new clinical teaching facility in Longreach in regional Queensland, designed to bring top quality training and telehealth services to the outback. The facility on Longreach hospital campus is a collaboration between JCU’s Mount Isa Centre for Rural and Remote Health (MICRRH) and the Central West Hospital and Health Service. MICRRH’s director, Professor Sabina Knight, said the building has been fitted with state of the art technology to enable audiovisual teleconferencing and remote training. Central West Health has donated both the relocated building and its site. The new facility is operational only 9 months after receiving a $90 000 grant from the Commonwealth. The new building complements JCU’s ten-bed student accommodation already on the Longreach Hospital campus. https://www.jcu.edu.au/news/releases/2016/march/jcu-enhances-health-services-in-longreach James Cook University’s Professor Peter Leggat, AM, deputy dean of the College of Public Health, Medical and Veterinary Sciences, Division of Tropical Health and Medicine, has been selected as a Fulbright Ambassador, a new flagship initiative by the Australian American Fulbright Commission, which awards prestigious Fulbright Scholarships for study in the US. “Fulbright Ambassadors will contribute to enhancing and promoting the Fulbright Scholarship Program, and help to strengthen cultural and academic exchange between Australia and the US,” he said. Professor Leggat is the only Fulbright Ambassador selected based in Queensland and his initial term will run for two years over 2016–2017. Prof Leggat is a former Fulbright Scholar. https://www.jcu.edu.au/news/releases/2016/march/jcu-professor-honoured-as-a-fulbright-ambassador A team of leading healthcare researchers has been awarded a $9 578 895 program grant from the NHMRC to help reduce unnecessary testing and treatment, and increase the wise and appropriate use of healthcare, particularly in the areas of musculoskeletal diseases, cardiovascular disease and cancer. The four chief investigators who will lead the study, entitled Using healthcare wisely: Reducing inappropriate use of tests and treatments, are Professor Paul Glasziou from Bond University, Professor Rachelle Buchbinder from Monash University and Cabrini Institute, Professor Chris Maher from the George Institute for Global Health and Professor Kirsten McCaffery from the University of Sydney. The NHMRC grant will fund a series of national research projects across all states, led by the four chief investigators, which will be staggered over a 5-year period from January 2017. The team will partner with relevant organisations engaged in diagnostic and screening policy making to translate and disseminate its findings. https://bond.edu.au/news/47662/researchers-receive-95m-nhmrc-grant-combat-unnecessary-testing-and-treatment Bond University hosted an Australian-first symposium on improving the quality of medical and health research literature last month, in-line with the launch of the Australasian EQUATOR Centre. The symposium brought together some of Australia’s leading academics in the field to discuss strategies for ensuring research reporting meets the benchmarks of transparency, accuracy, reproducibility and useability, in a bid to reduce ‘research waste’. The international EQUATOR (Enhancing the QUality And Transparency Of Health Research) Centre initiative was founded in the United Kingdom in 2006, with Australasia becoming the fourth centre worldwide, joining existing branches in Canada and France. The Australasian Centre is headed by Professor Paul Glasziou and Associate Professor Elaine Beller, both of Bond University’s Centre for Research in Evidence-Based Practice (CREBP). Professor Glasziou said the new centre aimed to improve medical reporting in Australasia and Asia, with the aim of establishing collaborating centres in Asia in the next few years. https://bond.edu.au/news/47620/new-equator-centre-launches-symposium-bond An $84 million Translational Research Facility has opened at the Monash Health Translation Precinct (MHTP) in Melbourne. Bringing together the expertise of Monash University, the Hudson Institute of Medical Research, and Monash Health, the MHTP encourages patient-centred research and the sharing of knowledge and learning between researchers. The five-level building houses extensive medical and scientific research laboratories, cutting-edge technological units, as well as clinical trial facilities to bring the latest research directly to patients. Research focuses on six clinical streams: cancer; cardiovascular; diabetes, obesity, men’s health and endocrinology; infectious and inflammatory diseases; neuroscience and psychiatry; and women’s, children’s and reproductive medicine. http://www.med.monash.edu.au/news/2016/new-84million-dollar-translational-research-facility.html
Cate Swannell
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
Zika preparedness in Australia
Chris Baggoley FACEM, BM BS, BVSc · Katrina Knope BSc, MPH · Anna Colwell MB BS(Hon), FRACGP, MPH · Jenny Firman MB BS, FRACGP
The ASID test
Cheryl A Jones MB BS(Hon), PhD, FRACP · Joshua S Davis MB BS, DTM · David FM Looke FRACP, FRCPA, MMedSci(ClinEpid)
A warning against heart disease complacency in 2016
Garry Jennings
News briefs
Cate Swannell
Self-sampling HPV testing versus mainstream cervical screening and HPV testing
Annabelle Farnsworth MB BS(Hons), FRCPA, FIAC
Integrative medicine: more than the promotion of unproven treatments?
Edzard Ernst MD, PhD, FRCP