Breast tomosynthesis: a fine balance between benefits and harms in breast cancer screening.
Authors: Brennan ME PMID: 31595509 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - October 10, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Aeromedical services in Australia: a vision shared.
Authors: Aitken P PMID: 31595511 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - October 10, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

The prevalence of sexually transmissible infections in transgender people.
Authors: Safer JD PMID: 31595513 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - October 10, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Extending the criteria for acceptable organ donors: balancing the risks.
Authors: Kotecha S, Williams TJ PMID: 31595515 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - October 10, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Impending challenges of the burden of end-stage kidney disease in Australia.
Authors: Lim WH, Johnson DW, McDonald SP, Hawley C, Clayton PA, Jose MD, Wong G Abstract Sex and age-specific incidence rates of patients with treated end-stage kidney disease (ESKD) in Australia are comparable to those in European countries, but substantially lower compared with those in the United States, Canada and many Asian countries. The incidence rates of treated ESKD in Australia increase with advancing age; however, the incidence of ESKD is likely to be underestimated because a proportion of patients with ESKD (about 50%) remain untreated. Late referral to nephrologists has reduced over the past decade, te...
Source: Medical Journal of Australia - October 10, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

The predicted impact and cost-effectiveness of systematic testing of people with incident colorectal cancer for Lynch syndrome.
CONCLUSIONS: Universal tumour testing strategies for guiding germline genetic testing of people with incident CRC for LS in Australia are likely to be cost-effective compared with no testing. Universal germline gene panel testing would not currently be cost-effective. PMID: 31595523 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - October 10, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Project Synergy: co-designing technology-enabled solutions for Australian mental health services reform.
Authors: Hickie IB, Davenport TA, Burns JM, Milton AC, Ospina-Pinillos L, Whittle L, Ricci CS, McLoughlin LT, Mendoza J, Cross SP, Piper SE, Iorfino F, LaMonica HM Abstract Project Synergy aims to test the potential of new and emerging technologies to enhance the quality of mental health care provided by traditional face-to-face services. Specifically, it seeks to ensure that consumers get the right care, first time (delivery of effective mental health care early in the course of illness). Using co-design with affected individuals, Project Synergy has built, implemented and evaluated an online platform to assist th...
Source: Medical Journal of Australia - October 7, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

The "uberisation" of mental health care: a welcome global phenomenon?
The "uberisation" of mental health care: a welcome global phenomenon? Med J Aust. 2019 Oct;211(7):315-316 Authors: Hickie IB PMID: 31587293 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - October 7, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

No regrets in intensive career.
Authors: Swannell C PMID: 31587294 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - October 7, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

A structured approach to acid-base interpretation.
Authors: Farley KJ, Licari E PMID: 31587295 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - October 7, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Calendar of conferences in Australia and New Zealand.
Authors: Swannell C PMID: 31587296 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - October 7, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

News briefs.
Authors: Swannell C PMID: 31587297 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - October 7, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Phage therapy for severe bacterial infections: a narrative review.
Authors: Petrovic Fabijan A, Khalid A, Maddocks S, Ho J, Gilbey T, Sandaradura I, Lin RC, Ben Zakour N, Venturini C, Bowring B, Iredell JR Abstract Bacteriophage (phage) therapy is re-emerging a century after it began. Activity against antibiotic-resistant pathogens and a lack of serious side effects make phage therapy an attractive treatment option in refractory bacterial infections. Phages are highly specific for their bacterial targets, but the relationship between in vitro activity and in vivo efficacy remains to be rigorously evaluated. Pharmacokinetic and pharmacodynamic principles of phage therapy are genera...
Source: Medical Journal of Australia - October 7, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Baby boomers and booze: we should be worried about how older Australians are drinking.
Authors: Roche AM, Kostadinov V PMID: 31559632 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 29, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Including ethnic and cultural diversity in dementia research.
Authors: Low LF, Barcenilla-Wong AL, Brijnath B PMID: 31559640 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 29, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Baby boomers and booze: we should be worried about how older Australians are drinking.
Authors: Roselli T PMID: 31559650 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 29, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

The evolving role of intensive care within health care and society.
Authors: Warrillow S, Raper R PMID: 31544249 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 24, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Chilaiditi sign.
Authors: Gray P PMID: 31544251 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 24, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Peripatetic pathway to public health.
Authors: Swannell C PMID: 31522472 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 17, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Device closure for patent foramen ovale in patients with cryptogenic stroke: a paradigm in evidence.
Authors: Ha FJ, Adams H, Palmer S PMID: 31523821 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 17, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Equity for Indigenous Australians in intensive care.
Authors: Secombe PJ, Brown A, Bailey MJ, Pilcher D PMID: 31523822 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 17, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Outcomes for frail very old patients in the ICU are remarkably good.
Authors: Mudge AM PMID: 31523828 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 17, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Towards gender balance in the Australian intensive care medicine workforce.
Authors: Modra LJ, Yong SA PMID: 31502249 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 12, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

International travel by Australians for overseas transplantation.
Authors: Smith G, Gujari D, Russell O, Palmer L, Toews M, Wong G, Lim W, McDonald S, Clayton P, Martin D, Coates PT PMID: 31502265 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 12, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

What is an intensive care specialist?
Authors: Orford NR PMID: 31502266 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 12, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Evolution not revolution: the future of the randomised controlled trial in intensive care research.
Authors: Peake S, Delaney A, French CJ PMID: 31502278 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 12, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Difficulties in knowing which critical care trial data warrant change in practice.
Authors: Reddi B, Finnis M, Peake S PMID: 31495917 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 10, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

An unusual case of minor burns.
Authors: Vlad I PMID: 31495918 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 10, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Residual risk of infection with blood-borne viruses in potential organ donors at increased risk of infection: systematic review and meta-analysis.
CONCLUSIONS: Absolute risks of window period viral infections are low in people from Australian groups at increased risk but with negative viral test results. Accepting organ donations by people at increased risk of infection but with negative viral test results could be considered as a strategy for expanding the donor pool. REGISTRATION: International Prospective Register of Systematic Reviews (PROSPERO), CRD42017069820. PMID: 31489635 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 7, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Frailty in very old critically ill patients in Australia and New Zealand: a population-based cohort study.
CONCLUSIONS: Many very old critically ill patients in Australia and New Zealand are frail, and frailty is associated with considerably poorer health outcomes. Routine screening of older ICU patients for frailty could improve outcome prediction and inform intensive care and community health care planning. PMID: 31489652 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - September 7, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Socio-economic disadvantage and cardiovascular risk factors in young Aboriginal and Torres Strait Islander Australians.
Authors: Thurber KA, Bell KJ PMID: 31468526 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 31, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Sexually transmissible infections among transgender men and women attending Australian sexual health clinics.
CONCLUSIONS: The epidemiology of STIs in transgender people attending Australian sexual health clinics differs from that of cisgender patients. Gender details must be captured by health data systems to facilitate appropriate delivery of sexual health care. PMID: 31468530 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 31, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

First reported case of extensively drug-resistant typhoid in Australia.
Authors: Howard-Jones A, Kesson AM, Outhred AC, Britton PN PMID: 31441053 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 24, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Intensive lipid-lowering therapy in the 12 months after an acute coronary syndrome in Australia: an observational analysis.
Authors: Brieger DB, Weaver J, Kritharides L PMID: 31441055 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 24, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

5-Fluorouracil-induced acute coronary syndrome.
Authors: Das SK, Das AK, William M PMID: 31441056 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 24, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Intensive lipid-lowering therapy in the 12 months after an acute coronary syndrome in Australia: an observational analysis.
Authors: Dimmitt SB, Martin JH PMID: 31441063 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 24, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Risks and realities of single vial antivenom recommendations for envenoming by Australian elapid snakes.
Authors: Weinstein SA, Mirtschin PJ, White J PMID: 31441065 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 24, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Preventing RhD haemolytic disease of the fetus and newborn: where to next?
Authors: Isbister JP, Thomson A PMID: 31441066 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 24, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Intravenous or oral iron for treating iron deficiency anaemia during pregnancy: systematic review and meta-analysis.
CONCLUSIONS: There is no strong evidence that first-line therapy with intravenous iron is superior to oral administration for treating IDA in pregnant women. The few identified differences in outcomes were small in magnitude and from studies at high risk of bias. REGISTRATION: International Prospective Register of Systematic Reviews (PROSPERO), CRD42019120652. PMID: 31441077 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 24, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Public health and economic perspectives on acute rheumatic fever and rheumatic heart disease.
Authors: Cannon J, Bessarab DC, Wyber R, Katzenellenbogen JM PMID: 31429491 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 21, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Diagnosing melanoma: the method matters.
Authors: Rtshiladze MA, Stretch JR, Scolyer RA, Guitera P PMID: 31414490 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 17, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Advancing women in medical leadership.
Authors: Teede HJ PMID: 31401810 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 13, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Regulatory and other responses to the pharmaceutical opioid problem.
Authors: Campbell G, Larance B, Lintzeris N PMID: 31389014 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 8, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Disseminated histoplasmosis in a patient with Crohn's disease on dual immunosuppression.
Authors: MacIsaac MB, Fehily SR, Muhi S, Yang L, McKelvie PA, Jeremiah CJ, Demediuk B PMID: 31389018 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 8, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Regulatory and other responses to the pharmaceutical opioid problem.
Authors: Polasek T, Caramins M, Suthers G PMID: 31389024 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 8, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Paracetamol poisoning-related hospital admissions and deaths in Australia, 2004-2017.
CONCLUSIONS: The frequency of paracetamol overdose-related hospital admissions has increased in Australia since 2004, and the rise is associated with greater numbers of liver injury diagnoses. Overdose size and the proportion of overdoses involving modified release paracetamol have each also increased. PMID: 31389025 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 8, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Machine learning in clinical practice: prospects and pitfalls.
Authors: Scott IA, Cook D, Coiera EW, Richards B PMID: 31389031 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 8, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Calendar of conferences in Australia and New Zealand.
Authors: Swannell C PMID: 31378005 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - August 6, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

The management of diverticulitis: a review of the guidelines.
Authors: You H, Sweeny A, Cooper ML, Von Papen M, Innes J Abstract Radiological evidence of inflammation, using computed tomography (CT), is needed to diagnose the first occurrence of diverticulitis. CT is also warranted when the severity of symptoms suggests that perforation or abscesses have occurred. Diverticulitis is classified as complicated or uncomplicated based on CT scan, severity of symptoms and patient history; this classification is used to direct management. Outpatient treatment is recommended in afebrile, clinically stable patients with uncomplicated diverticulitis. For patients with uncomplicated div...
Source: Medical Journal of Australia - July 29, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Adolescent immunisation in young people with disabilities in Australia.
Authors: O'Neill J, Newall F, Antolovich G, Lima S, Danchin MH PMID: 31342525 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - July 27, 2019 Category: General Medicine Tags: Med J Aust Source Type: research