Volume 206 Issue 10

Are our child protection policies causing more harm to our most vulnerable children?

Peter D Jones

There is a concerning lack of data comparing surgical with non-surgical management of femoroacetabular impingement

Flavia M Cicuttini · Andrew J Teichtahl · Yuanyuan Wang

Australia should learn from overseas experience of reporting clinician outcomes before considering a similar program

Susannah Ahern · Ingrid Hopper · Susan M Evans

Embracing structured international health experiences in mainstream medical education is critical to the development of future doctors

H Patrick McNeil · Paul Wild · Hayley Harris · S Bruce Dowton

A 43-year-old man underwent a computed tomography pulmonary angiography for suspected pulmonary embolism after he presented with an episode of orthopnoea associated with blood-stained expectorate. The only finding was a left atrial mass (Figure, A, arrow). Further history revealed 6 months of progressive postural presyncope, malaise and weight loss of 3 kg. Echocardiography showed a circumscribed 7.0 × 4.5 cm heterogeneous mass, with areas of cystic degeneration (Figure, B, yellow arrows) and frond-like extensions (∼ 3 mm; Figure, B, red arrow), consistent with a myxoma. The mass was attached to the interatrial septum via a small stalk and prolapsed through the mitral valve, causing significant mitral inlet obstruction; the mean gradient was approximately 12 mmHg (Figure, C). The mass was successfully removed (Figure, D). Figure LA = left atrium. LV = left ventricle. RA = right atrium. RV = right ventricle.

David J Russell · Francis A Ponnuthurai

We need clinicians prepared for work in a system of integrated, person-centred, affordable health care

Richard B Murray · Andrew Wilson

The safety of our older citizens can be improved by targeting known risk factors

Catherine Yelland

Further strategies are needed to close evidence–practice gaps

Santhi Chalasani · David P Peiris · Tim Usherwood · Julie Redfern · Bruce C Neal · David R Sullivan · Stephen Colagiuri · Nicholas A Zwar · Qiang Li · Anushka Patel

A national policy framework is needed to reduce the number of premature deaths in nursing homes

Joseph E Ibrahim · Lyndal Bugeja · Melissa Willoughby · Marde Bevan · Chebiwot Kipsaina · Carmel Young · Tony Pham · David L Ranson

Medical education should focus on moving graduates from feeling merely prepared to being well or extremely well prepared

Jenny Barr · Kathryn J Ogden · Kim Rooney · Iain Robertson

The type of sugar, not just the overall sugar content, is important for health

Pia Varsamis · Robyn N Larsen · David W Dunstan · Garry LR Jennings · Neville Owen · Bronwyn A Kingwell

The ongoing threat of new transfusion hazards requires vigilance to protect the safety of the blood supply

Philip Kiely · Erica M Wood · Manoj Gambhir · Allen C Cheng · Zoe K McQuilten · Clive R Seed

n/a

Cate Swannell

n/a

Cate Swannell