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Nicotine replacement therapy for smoking cessation during pregnancy.
Authors: Bar-Zeev Y, Lim LL, Bonevski B, Gruppetta M, Gould GS Abstract Nicotine replacement therapy (NRT) is recommended in current Australian clinical guidelines for pregnant women who are unable to quit smoking unassisted. Clinicians report low levels of prescribing NRT during pregnancy, due to safety concerns and low levels of confidence in their ability to prescribe NRT. Animal models show that nicotine is harmful to the fetus, especially for brain and lung development, but human studies have not found any harmful effects on fetal and pregnancy outcomes. Studies of efficacy and effectiveness in the real world ...
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

Regulating e-cigarettes in Australia: implications for tobacco use by young people.
Authors: Wolfenden L, Stockings E, Yoong SL PMID: 29320661 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

News briefs.
Authors: Swannell C PMID: 29320662 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

Investing in men's health in Australia.
Authors: Smith JA, Adams M, Bonson J PMID: 29320663 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

Distributions and what to do when they are non-normal.
Authors: Taylor A PMID: 29320664 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

A guide to improving women's health.
Authors: Sherwood RG PMID: 29320665 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

The value of novel oral anticoagulants in rural Australia.
Authors: Xu K, Chan NC, Eikelboom JW PMID: 29320666 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

Surviving breast cancer.
Authors: Chirgwin JH PMID: 29320667 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

The impact of non-vitamin K antagonist oral anticoagulants (NOACs) on anticoagulation therapy in rural Australia.
Authors: Bellinge JW, Paul JJ, Walsh LS, Garg L, Watts GF, Schultz C Abstract OBJECTIVE: To determine the use of different anticoagulation therapies in rural Western Australia; to establish whether remoteness from health care services affects the choice of anticoagulation therapy; to gather preliminary data on anticoagulation therapy safety and efficacy. DESIGN: Retrospective cohort study of patients hospitalised with a principal diagnosis of atrial fibrillation/flutter (AF) or venous thromboembolism (VTE) during 2014-2015. SETTING: Four hospitals serving two-thirds of the rural population of Western Austra...
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

Comorbidities in Australian women with hormone-dependent breast cancer: a population-based analysis.
CONCLUSION: Comorbid conditions are more likely to develop in women who have been diagnosed with hormone-dependent breast cancer than in women without cancer. Our results further support the need to develop appropriate models of care to manage the multiple chronic disorders of breast cancer survivors. PMID: 29320669 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

Diagnosing COPD and supporting smoking cessation in general practice: evidence-practice gaps.
Authors: Liang J, Abramson MJ, Zwar NA, Russell GM, Holland AE, Bonevski B, Mahal A, Phillips K, Eustace P, Paul E, Wilson S, George J Abstract OBJECTIVES: To review the accuracy of diagnoses of chronic obstructive pulmonary disease (COPD) in primary care in Australia, and to describe smokers' experiences with and preferences for smoking cessation. DESIGN, SETTING AND PARTICIPANTS: Patients were invited to participate if they were at least 40 years old and had visited participating general practice clinics in Melbourne at least twice during the previous 12 months, reported being current or ex-smokers with a smo...
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

Cognitive impairment during pregnancy: a meta-analysis.
CONCLUSIONS: General cognitive functioning, memory, and executive functioning were significantly poorer in pregnant than in control women, particularly during the third trimester. The differences primarily develop during the first trimester, and are consistent with recent findings of long term reductions in brain grey matter volume during pregnancy. The impact of these effects on the quality of life and everyday functioning of pregnant women requires further investigation. PMID: 29320671 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

Position statement: a clinical approach to the management of adult non-neurogenic overactive bladder.
Authors: Chung E, Lee D, Gani J, Gillman M, Maher C, Brennan J, Johns Putra L, Ahmad L, Chan LL Abstract INTRODUCTION: Overactive bladder (OAB) is a highly prevalent medical condition that has an adverse impact on various health-related quality-of-life domains, including a significant psychosocial and financial burden. This position statement, formulated by members of the Urological Society of Australia and New Zealand and the UroGynaecological Society of Australasia, summarises the current recommendations for clinical diagnosis and treatment strategies in patients with non-neurogenic OAB, and guides clinicians in ...
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

Caution with the forthcoming rescheduling of over-the-counter codeine-containing analgesics.
Authors: Schug SA, Dobbin MD, Pilgrim JL PMID: 29320673 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

No smoker left behind: it's time to tackle tobacco in Australian priority populations.
Authors: Puljević C, Kinner SA PMID: 29320674 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

Leaning in to life.
Authors: Swannell C PMID: 29320675 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

Conferences in Australia and New Zealand.
Authors: PMID: 29320676 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - January 11, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

No Jab, No Pay and vaccine refusal in Australia: the jury is out.
Authors: Beard FH, Leask J, McIntyre PB PMID: 29297649 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - January 5, 2018 Category: General Medicine Tags: Med J Aust Source Type: research

Mesothelioma in Australia: a review.
Authors: Musk ABW, de Klerk N, Brims FJ Abstract The incidence of malignant mesothelioma in Australia is among the highest in the world as a result of widespread use of asbestos by industry and in construction throughout the 20th century. The risk of developing malignant mesothelioma after asbestos exposure is dose-related; a transient, low dose exposure confers a correspondingly very low risk of disease. Malignant mesothelioma is a heterogeneous disease, partly explaining the limited role of biomarkers in screening and diagnosis. The prognosis remains poor, and early advice on medico-legal compensation and a colla...
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Occupational lung diseases in Australia.
Authors: Hoy RF, Brims F Abstract Occupational exposures are an important determinant of respiratory health. International estimates note that about 15% of adult-onset asthma, 15% of chronic obstructive pulmonary disease and 10-30% of lung cancer may be attributable to hazardous occupational exposures. One-quarter of working asthmatics either have had their asthma caused by work or adversely affected by workplace conditions. Recently, cases of historical occupational lung diseases have been noted to occur with new exposures, such as cases of silicosis in workers fabricating kitchen benchtops from artificial stone p...
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

The future of health care in Australia.
Authors: King THC PMID: 29129165 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Challenging how tobacco is sold in Australia.
Authors: Freeman B PMID: 29129166 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Legal does not mean unaccountable: suing tobacco companies to recover health care costs.
Authors: MacKenzie R, LeGresley E, Daube M PMID: 29129167 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Spontaneous pneumomediastinum.
Authors: Khoo CS, Ab Rahman SS PMID: 29129168 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Spirometry: key to the diagnosis of respiratory disorders.
Authors: Wheatley JR PMID: 29129169 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Comprehensive guide to the diagnosis and management of occupational lung diseases.
Authors: Musk ABW PMID: 29129170 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Commentaries and clinical tips for assessing respiratory diseases.
Authors: Barnes DJ PMID: 29129171 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Lung health in a changing world.
Authors: Peters MJ, Bourke JE PMID: 29129172 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Youth mental health: building beyond the brand.
Authors: McGorry PD PMID: 29129173 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

High flow or titrated oxygen for obese medical inpatients: a randomised crossover trial.
CONCLUSION: High concentration oxygen therapy increases Ptco2 in morbidly obese patients. Our findings support guidelines that advocate oxygen therapy, if required in patients with morbid obesity, be titrated to achieve a target Spo2 of 88-92%. CLINICAL TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry, ACTRN12610000522011. PMID: 29129174 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Patients with thunderstorm asthma or severe asthma in Melbourne: a comparison.
Authors: Sutherland MF, Portelli EL, Collins AL, Rahman MA, McDonald CF PMID: 29129175 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Composite reliability of workplace-based assessment of international medical graduates.
CONCLUSIONS: Combining data from different WBA assessment instruments achieves acceptable reliability for assessing IMGs, provided that the panel of WBA assessment types are carefully selected and the assessors are calibrated. PMID: 29129176 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

COPD-X Australian and New Zealand guidelines for the diagnosis and management of chronic obstructive pulmonary disease: 2017 update.
Authors: Yang IA, Brown JL, George J, Jenkins S, McDonald CF, McDonald VM, Phillips K, Smith BJ, Zwar NA, Dabscheck E Abstract INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is characterised by persistent respiratory symptoms and chronic airflow limitation, and is associated with exacerbations and comorbidities. Advances in the management of COPD are updated quarterly in the national COPD guidelines, the COPD-X plan, published by Lung Foundation Australia in conjunction with the Thoracic Society of Australia and New Zealand and available at http://copdx.org.au. Main recommendations: Spirometry detects p...
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Cortisone injections for tennis elbow should be an "avoid", rather than a recommended procedure.
Cortisone injections for tennis elbow should be an "avoid", rather than a recommended procedure. Med J Aust. 2017 Nov 20;207(10):453 Authors: Orchard JW, Vicenzino B PMID: 29129178 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Euthanasia and physician-assisted suicide: focus on the data.
Authors: Parker MH PMID: 29129179 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Port Augusta GP on "cloud nine".
Port Augusta GP on "cloud nine". Med J Aust. 2017 Nov 20;207(10):1 Authors: Swannell C PMID: 29129180 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Conferences in Australia and New Zealand.
Authors: PMID: 29129181 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Integrated (one-stop shop) youth health care: best available evidence and future directions.
Authors: Hetrick SE, Bailey AP, Smith KE, Malla A, Mathias S, Singh SP, O'Reilly A, Verma SK, Benoit L, Fleming TM, Moro MR, Rickwood DJ, Duffy J, Eriksen T, Illback R, Fisher CA, McGorry PD Abstract Although mental health problems represent the largest burden of disease in young people, access to mental health care has been poor for this group. Integrated youth health care services have been proposed as an innovative solution. Integrated care joins up physical health, mental health and social care services, ideally in one location, so that a young person receives holistic care in a coordinated way. It can be imple...
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Targeting mental health care attributes by diagnosis and clinical stage: the views of youth mental health clinicians.
CONCLUSION: A combination of clinical stage and disorder information might be an appropriate basis for ensuring that the right attributes of early intervention mental health care are provided to the right young people at the right time. Policy and research priorities include trialling novel services, preferences research among young people, strengthening service responses to subthreshold disorders and promoting high-fidelity collection of clinical stage data in youth mental health settings. PMID: 29129183 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Identifying attributes of care that may improve cost-effectiveness in the youth mental health service system.
CONCLUSION: There is at least suggestive cost-effectiveness evidence for a range of attributes of youth mental health care. Further economic research is needed to substantiate most cost-effectiveness findings and to improve targeting of care among young people. Future economic evaluations should examine costs from both societal and health care perspectives and incorporate evidence regarding young people's preferences. PMID: 29129184 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 15, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Reducing antibiotic prescribing in Australian general practice: time for a national strategy.
Authors: Del Mar CB, Scott AM, Glasziou PP, Hoffmann T, van Driel ML, Beller E, Phillips SM, Dartnell J Abstract In Australia, the antibiotic resistance crisis may be partly alleviated by reducing antibiotic use in general practice, which has relatively high prescribing rates - antibiotics are mostly prescribed for acute respiratory infections, for which they provide only minor benefits. Current surveillance is inadequate for monitoring community antibiotic resistance rates, prescribing rates by indication, and serious complications of acute respiratory infections (which antibiotic use earlier in the infection may ...
Source: Medical Journal of Australia - November 3, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

The kids are OK: it is discrimination not same-sex parents that harms children.
Authors: Knight KW, Stephenson SE, West S, Delatycki MB, Jones CA, Little MH, Patton GC, Sawyer SM, Skinner SR, Telfer MM, Wake M, North KN, Oberklaid F PMID: 29092695 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 3, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

The increasing importance of community-acquired methicillin-resistant < em > Staphylococcus aureus < /em > infections.
The increasing importance of community-acquired methicillin-resistant Staphylococcus aureus infections. Med J Aust. 2017 Nov 06;207(9):388-393 Authors: Agostino JW, Ferguson JK, Eastwood K, Kirk MD Abstract OBJECTIVES: To identify groups at risk of methicillin-resistant Staphylococcus aureus (MRSA) infection, patterns of antimicrobial resistance, and the proportion of patients with MRSA infections but no history of recent hospitalisation. DESIGN, SETTING AND PARTICIPANTS: Case series of 39 231 patients with S. aureus isolates from specimens processed by the Hunter New England Local Health District ...
Source: Medical Journal of Australia - November 3, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

The future of health care in Australia.
Authors: Hunt THG PMID: 29092698 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 3, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Tackling antimicrobial resistance globally.
Authors: Kelly R, Davies SC PMID: 29092699 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 3, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Sinusitis complicated by frontal bone osteomyelitis in a young patient.
Authors: Nastovska R, Lim LL PMID: 29092700 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 3, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

The right to know versus the right to privacy: donor anonymity and the < em > Assisted Reproductive Treatment Amendment Act 2016 < /em > (Vic).
The right to know versus the right to privacy: donor anonymity and the Assisted Reproductive Treatment Amendment Act 2016 (Vic). Med J Aust. 2017 Nov 06;207(9):377-378 Authors: Symons X PMID: 29092701 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 3, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

The changing face of methicillin-resistant < em > Staphylococcus aureus < /em > infections.
The changing face of methicillin-resistant Staphylococcus aureus infections. Med J Aust. 2017 Nov 06;207(9):379-380 Authors: Leanord AT, Coia J PMID: 29092702 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 3, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Trends in meningococcal disease: challenges for vaccine control when disease is rare.
Authors: Pollard AJ, Christensen H PMID: 29092703 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 3, 2017 Category: General Medicine Tags: Med J Aust Source Type: research

Epidemiology of invasive meningococcal B disease in Australia, 1999-2015: priority populations for vaccination.
CONCLUSIONS: Based on disease incidence at its current low endemic levels, priority at risk age/population groups for MenB vaccination include all children between 2 months and 5 years of age, Indigenous children under 10 years of age, and all adolescents aged 15-19 years. Given marked variation in meningococcal disease trends over time, close scrutiny of current epidemiologic data is essential. PMID: 29092704 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - November 3, 2017 Category: General Medicine Tags: Med J Aust Source Type: research