Issues
Volume 204 Issue 9
Editorials
To screen for depression or not?
Screening may be appropriate to reconsider once we can ensure adequate response to any identified potential cases
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?
We have the will to improve cancer services for patients outside major cities but, thus far, not the way
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
They pose many risks for tobacco control and health, and any possible benefits are few and uncertain
Martin McKee MD, DSc · Mike Daube BA(Hons), HonDSci · Simon Chapman PhD, FASSA, HonFFPH
News
Bat super immunity to lethal disease could help protect people
Researchers have uncovered a unique ability in bats which allows them to carry but remain unaffected by lethal diseases
Perspectives
Breaking down the silos of treatment for post-traumatic stress disorder: integrating mind and body
Scalable interventions for PTSD that target mental health and comorbid cardiometabolic health are urgently required
Simon Rosenbaum BSc, PhD · Zachary Steel PhD, MClinPsych
Biological models of mental illness: implications for therapy development
Systems approaches are needed to recognise the complexity of the biological bases of psychiatric disease
Philip M Boyce MB BS, MD, FRANZCP · Michael Berk PhD
Better Access and equitable access to clinical psychology services: what do we need to know?
A more systematic approach to data collection is required to ensure the effectiveness, efficiency and equity of Better Access
Erica Crome PhD, MClinPsych · Andrew J Baillie PhD, MSc
Short reports
Counterfeit drugs: an Australian perspective
Vigilance and clear guidelines for monitoring, regulation and education are needed
Conor C Hensey MB BCh, BAO · Amanda Gwee MB BS, FRACP, DTMH
Benchmarking in Australia using the International Foundations of Medicine Clinical Science Examination
Australian medical schools that have participated in the IFOM CSE have found it useful and informative
Anna T Ryan MB BS, PhD · Deborah A O’Mara BA(Hons), DipEd, PhD · Zarrin S Siddiqui PhD, MCPS(Psychiatry), MB BS · Helena M Ward BSc(Hons), PhD · James D Fraser MB BS, MSpMed, MHE
A campaign to improve the mental health of medical students
Australian medical students are striving to improve the mental health of all tertiary students
Jessica M Dean MB BS(Hons), BMedSci(Hons) · Edward R Scheffer Cliff BMedSci(Hons) · Karen Freilich BMedSci(Hons) · Molly Gilfillan MB BS
Flying under the radar: first hospitalisation with anorexia nervosa at age 54
More people with anorexia nervosa go untreated in the community than are cared for by GPs and community mental health services
Faith Ng MB BS · George Bruxner MB BS, FRANZCP
Clinical focus
The unfulfilled promise of the antidepressant medications
Antidepressants are not as effective as we once believed
Christopher G Davey MB BS(Hons), PhD, FRANZCP · Andrew M Chanen MB BS(Hons), PhD, FRANZCP
For debate
Stepwise expansion of evidence-based care is needed for mental health reform
Have adequate finance and other supports been provided to ensure the success of the government’s mental health reform agenda?
Patrick D McGorry PhD, MD, FRANZCP · Matthew P Hamilton MSc, BBS
Case report
A patient with sarcoidosis and a cryptococcal infection of the skull
n/a
Paul A Rootjes MD · Wouter Rozemeijer MD · Jacob C Dutilh MD
Research
The National Emergency Access Target (NEAT) and the 4-hour rule: time to review the target
Improving NEAT compliance rates can significantly reduce the in-hospital mortality of emergency admissions
Clair Sullivan MB BS(Hons), MD, FRACP · Andrew Staib MB BS, FACEM · Sankalp Khanna PhD · Norm M Good MSc · Justin Boyle PhD, BEng · Rohan Cattell PhD · Liam Heiniger BSc(SciStat)(Hon) · Bronwyn R Griffin BN, PhD, GdipEmerg · Anthony Jr Bell FACEM, MPH, FRACMA · James Lind BS BM, BMedSci, FACEM · Ian A Scott FRACP, MHA, MEd
How are tobacco smokers using e-cigarettes? Patterns of use, reasons for use and places of purchase in New South Wales
Many smokers use e-cigarettes as cessation aids or to minimise smoking-related harm — perhaps unwisely
Sally Dunlop PhD · Claudine Lyons MPS, BA, LLB · Anita Dessaix MPH, MA · David Currow BMed, MPH, PhD
Reflections
A concise and authoritative guide to schizophrenia
Fast facts: schizophrenia. 4th ed. Shôn W Lewis and Robert W Buchanan. Health Press, 2015 (119 pp, $15.00 rrp). ISBN 9781908541604
Scott Henderson AO, FRACP, FRANZCP
Out of the blue
To my patient GP, Grant Blashki, without whose support none of this might have been possible
Henry Shires
Careers
In the genes
Professor Melissa Southey is dedicated to uncovering why some families have such a history of breast cancer, and how to modify their risk
Cate Swannell
Around the universities and research institutes
Professor David Wattchow, surgeon, clinical researcher and philanthropist, has been made a Companion of the University by Flinders University. He is a foundation alumnus of the School of Medicine, and is recognised internationally as an expert in the treatment of complex cancers of the distal colon. His leadership of the Flinders Medical Centre (FMC) Clinician’s Special Purpose Fund has been influential in the donation of more than $2 million for neuroscience and cancer research, while his significant personal donations have supported PhD scholarships and fellowships. These activities have been instrumental in the creation of the Flinders Centre for Innovation in Cancer. A graduate and University Medallist in 1980, Professor Wattchow received his PhD from Flinders in 1989. He gained his surgical fellowship in 1990, joining the FMC staff as a consultant surgeon with academic status at the University. He was made Head of Colorectal Surgery in 1996, and in 2008 received professorial status and became FMC’s Clinical Director of Gastrointestinal Surgery. As well as teaching into the University’s MD course and supervising PhD students, Professor Wattchow is the author of 75 peer reviewed publications and recipient of 32 research grants. http://blogs.flinders.edu.au/flinders-news/category/faculty-of-health-sciences/school-of-medicine Associate Professor of General Practice John Litt is retiring after 30 years at Flinders University. He has also been presented with a Lifetime Achievement Award from The Lung Foundation, which he can add to his 2014 Dean’s Award. In 2015 alone, during his time as deputy chairman of the Royal Australian College of General Practitioners’ Quality Committee, its publications and guidelines generated more than one million website hits. He played a key role, together with another public health physician and South Australian GP, Peter Lake, in raising the uptake of flu vaccinations in South Australia for a major risk group, those over 65 years, from 29% to over 80% over a 10-year period, through the formation of the SA Influenza Advisory Committee. A/Prof Litt has been a member of the SA Department of Health Primary Care Pandemic Planning Steering committee and sat on several committees related to immunisation, including the ATAGI, SA Immunisation Forum, SA Influenza and Pneumococcal Advisory Committee. He says he will remain active on four national and one international Immunisation Advisory Committees. http://blogs.flinders.edu.au/flinders-news/2016/04/20/farewell-john-litt-leaving-the-party-but-not-turning-out-the-lights The University of Sydney has received a $35 million gift from the Susan and Isaac Wakil Foundation, the largest gift ever donated to the University since its foundation in 1850. In 2015 the Wakils gave $10.8 million to Sydney Nursing School to establish 12 annual nursing scholarships, bringing their total University giving to nearly $46 million. The gift will enable construction of the main building within the University of Sydney’s proposed Health Precinct. For the first time multiple health disciplines will come together in a purpose-built facility to translate research into education and clinical services. The Susan Wakil Health Building will co-locate the faculties of Nursing and Midwifery and Health Sciences, with components of Medicine, Pharmacy and Dentistry. It will provide state of the art clinical simulation programs and a multi-service clinic, as well as flexible infrastructure that supports team-based research programs. A professorship will be called “The Susan and Isaac Wakil Professorship of Healthy Ageing”, in recognition of both donors. http://sydney.edu.au/news-opinion/news/2016/04/21/wakil-donation-to-transform-approach-to-health-care-.html The Garvan Institute of Medical Research in Sydney and Israel’s Weizmann Institute of Science are planning to establish a joint centre for research in cellular genomics. The Centre, which will be known as the Garvan-Weizmann Centre for Cellular Genomics, will be housed in The Kinghorn Cancer Centre in Sydney. The Centre will be Australia’s only multidisciplinary facility for cellular genomics — the study of the molecular genetic states of thousands of individual cells. The mission of the Centre will be to help researchers to develop a detailed understanding of how the genomes and gene expression programs of individual cells in the brain, the immune system and other organs change over the course of a lifetime, how cancers, autoimmune diseases, dementia and other conditions develop, and how to design new strategies for prevention and treatment. The Centre’s establishment will be supported by $5 million in NSW Government funding, with matching funds provided by Garvan, with the assistance of Weizmann Australia. http://www.garvan.org.au/news/joint-sydney-research-centre-in-the-works-for-garvan-and-weizmann-institutes The University of Newcastle (UON) has appointed leading endocrinologist Professor Roger Smith, AM, as its next Laureate Professor to reflect his contribution to the understanding of human pregnancy. Professor Smith joins a group of only 10 UON academics to receive the highest academic honour. The Laureate title is reserved to recognise individuals for their world-class academic achievements and research impact on an international scale. Laureate Professor Smith said one of his major discoveries was that the length of human pregnancy was determined by a type of biological clock located in the placenta. He also noted the important work his team has done in the Indigenous community. He is the co-director for the University’s Priority Research Centre for Reproductive Science, director of the University’s Mothers and Babies Research Centre and director of the Department of Endocrinology at John Hunter Hospital. http://www.newcastle.edu.au/newsroom/featured-news/leading-uon-endocrinologist-honoured-with-laureate-professor Monash University’s School of Clinical Sciences’ medical student Ben Cailes will present two abstracts at the Annual Meeting of the European Society for Paediatric Infectious Diseases (ESPID) this month in Brighton, UK. Ben completed his Bachelor of Medical Sciences (Honours) last year at St George’s Hospital University of London, where he analysed UK neonatal unit data to monitor the epidemiology of neonatal infection. One of Ben’s submitted abstracts received a “top score” from ESPID and he will give a 10-minute presentation on the epidemiology of neonatal infections in the UK. Ben and the research team aim to publish their results in a peer-reviewed journal later this year, adding to a review article on this topic Ben published last year in Early Human Development. http://www.med.monash.edu.au/news/2016/monash-medical-student-research-recognised-at-world-meeting.html Professor Dan Lubman, Director of Turning Point and Professor of Addiction Studies at Monash University, has been appointed to a new Victorian Government Mental Health Expert Taskforce, to guide the implementation of Victoria’s new 10-year mental health plan. The taskforce brings together a significant level of experience and expertise, and “reflects the Victorian Government’s ongoing commitment to work with the mental health sector, and people affected by mental illness to achieve better outcomes for all Victorians”. This appointment recognises the significant state and federal work conducted by Prof Lubman and his team at Turning Point. Prof Lubman is also a member of the Victorian Government’s Ice Action Taskforce, which was first convened by Premier Daniel Andrews in 2014. http://www.med.monash.edu.au/news/2016/dan-lubman-vic-gov-mental-health-expert-taskforce.html A world-first research centre exclusively focused on tackling the childhood obesity epidemic has launched at the University of Sydney’s Charles Perkins Centre (CPC). Experts from seven universities across Australia, New Zealand and the UK will join forces through the new Centre of Research Excellence in the Early Prevention of Obesity in Childhood, to be housed at the CPC. The new NHMRC-funded Centre will pursue research into the prevention of obesity in childhood, examining the crucial early years of life to better understand the importance of good nutrition, exercise and the effects of screen time in children aged 0–5 years. The $2.5 million Centre, which is funded until 2020, will bring together specialists from a variety of disciplines including paediatricians, dietitians, health experts, economists and exercise physiologists, bringing a multidisciplinary approach to the complex childhood obesity problem. http://sydney.edu.au/news-opinion/news/2016/04/20/leading-health-experts-join-fight-against-childhood-obesity.html Burnet Institute and the School of Medicine and Health Science (SMHS) at the University of Papua New Guinea have signed a 5-year memorandum of understanding (MOU) to create opportunities for academic collaboration, student and staff exchanges, joint research, project tenders and grant applications. The MOU nominates public health, infectious diseases, women’s and children’s health and health systems as areas providing opportunities for academic collaboration. https://www.burnet.edu.au/news/667_burnet_university_of_png_forge_new_ties CSL has announced the establishment of a new $25 million fellowship program for early stage and translational research in Australia. The CSL Centenary Fellowships will be high-value awards available to outstanding Australian researchers seeking to consolidate their career and undertake medical research in an Australian academic institution. Two 5-year fellowships, each valued at $1.25 million, will be awarded each calendar year, for 10 years. Applications for the first two CSL Centenary Fellowships (to commence 1 January, 2017) will open on 1 June, 2016. https://www.burnet.edu.au/news/665_csl_launches_25m_fellowship_program Professor Rob Medcalf, from the Australian Centre for Blood Diseases at Monash University, has been awarded The International Society for Fibrinolysis and Proteolysis (ISFP) Prize for 2016. Prof Medcalf’s area of expertise is in molecular neurotrauma and haemostasis. The ISFP Prize is awarded bi-annually for outstanding contributions to the field of fibrinolysis, thrombolysis and proteolysis. Prof Medcalf will deliver a honorary plenary lecture at the joint meeting of the ISFP and the Plasminogen Activation Workshop, to be held in Shizuoka, Japan, 17–21 October, 2016. http://ccsmonash.blogspot.com.au/2016/04/congratulations-to-prof-rob-medcalf-for.html Australia’s first robotically assisted hip replacement operation was performed in Brisbane late last month under the leadership of QUT’s Professor of Orthopaedic Research, Ross Crawford. Robot technology for hip operations has been used for some years in the US, but the 19 April operation on a patient at Brisbane’s Holy Spirit Northside Hospital was the first time the technology has been used for a hip replacement operation in Australia. https://www.qut.edu.au/institute-of-health-and-biomedical-innovation/about/news/news?news-id=103549
Cate Swannell
Strengthening primary health care to improve Indigenous health outcomes
John Wakerman MTH, FAFPHM, FACRRM · Cindy Shannon BA, MBA, DSocSci
Medicines and dementia consumer campaign
Lynn M Weekes
News briefs
Cate Swannell
Potential risks and benefits of nanotechnology: perceptions of risk in sunscreens
Paul FA Wright PhD, BSc(Hons), FIUPAC
The changing face of the MJA
Nicholas J Talley MD, PhD, FRACP
The role of neurosurgery in the treatment of chronic pain
Peter J Teddy DPhil, FRACS, FFPMANZCA
Futility and utility
Ian Maddocks MD, FRACP, FAChPM
Improving quality in prostate cancer
Paul S Craft MB BS, FRACP, MPH