Locally acquired extended-spectrum β-lactamase Shigella infection.
Locally acquired extended-spectrum β-lactamase Shigella infection. Med J Aust. 2019 Jun 17;: Authors: Yeoh HL, Hall V, Williamson DA, Gardiner BJ PMID: 31206167 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 18, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Everyone agrees transgender children require more science.
Authors: Pang KC, Pace CC, Tollit MA, Telfer MM PMID: 31206176 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 18, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Improving the delivery of primary care for older people.
Authors: Pond CD, Regan C PMID: 31206179 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 18, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Screening for sleep apnoea: achieving both sensitivity and specificity.
Authors: Hillman DR PMID: 31206184 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 18, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Calendar of conferences in Australia and New Zealand.
Authors: Swannell C PMID: 31206713 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 18, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Adding kindness at handover to improve our collegiality: the K-ISBAR tool.
Authors: Brewster DJ, Waxman BP PMID: 31187877 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 14, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Adding kindness at handover to improve our collegiality: the K-ISBAR tool.
Authors: Goh SL PMID: 31187879 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 14, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Metformin: time to review its role and safety in chronic kidney disease.
Authors: Tanner C, Wang G, Liu N, Andrikopoulos S, Zajac JD, Ekinci EI Abstract ■Metformin is recommended as first-line therapy for type 2 diabetes because of its safety, low cost and potential cardiovascular benefits. ■The use of metformin was previously restricted in people with chronic kidney disease (CKD) - a condition that commonly coexists with diabetes - due to concerns over drug accumulation and metformin-associated lactic acidosis. ■There are limited data from observational studies and small randomised controlled trials to suggest that metformin, independent of its antihyperglycaemic effects, may be ...
Source: Medical Journal of Australia - June 14, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Medical students as interpreters in health care situations: " … it's a grey area".
CONCLUSION: Medical students frequently acted as interpreters during their clinical training. Most did not feel appropriately qualified to interpret in clinical situations, and some felt pressured to do so, but many found the experience positive. Our study highlights the lack of clear guidelines regarding medical student interpreters in Australian health care settings. PMID: 31187901 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 14, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Potentially suboptimal prescribing of medicines for older Aboriginal Australians in remote areas.
CONCLUSIONS: Potentially suboptimal prescribing affected more than half the participating older Aboriginal Australians from the Kimberley. If generalisable to other remote Indigenous Australians, the prevalence of polypharmacy, potentially inappropriate prescribing, and under-prescribing of indicated medicines is problematic, and suggests that older Indigenous people in remote areas are at risk of medicine-related harm. PMID: 31187902 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 14, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Ending preventable stillbirths among migrant and refugee populations.
Authors: Yelland J, Riggs E, Szwarc J, Brown SJ PMID: 31177546 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 11, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Depression in Indigenous Australians: Getting it right.
Authors: Balaratnasingam S, Janca A PMID: 31168796 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 8, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Routine cervical screening by primary HPV testing: early findings in the renewed National Cervical Screening Program.
CONCLUSIONS: High grade cytologic abnormalities were more common in women positive for HPV16/18, supporting their higher risk classification. Colposcopy referral rates were higher than during primary cytology-based testing, as predicted by clinical trial and modelling data. The prevalence of HPV was much higher in non-screening than in primary screening samples. Our findings indicate the renewed program is performing as expected during the initial HPV screening round. PMID: 31168828 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 8, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

High rates of vaccination of Aboriginal and Torres Strait Islander Australians: an underappreciated success?
Authors: Beard FH, Clark KK PMID: 31168852 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 8, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Re-framing the Indigenous kidney health workforce.
Authors: Hughes JT, Lowah G, Kelly J PMID: 31172528 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 8, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Cultural respect in general practice: a cluster randomised controlled trial.
Authors: Liaw ST, Wade V PMID: 31148165 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 1, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Cultural respect in general practice: a cluster randomised controlled trial.
Authors: Hickey S, West R PMID: 31148167 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 1, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Abdominal pain in the emergency department: the importance of history taking for common clinical presentations.
Authors: Holland DJ, Holland MJ PMID: 31148168 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 1, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Australia is responding to the complex challenge of overdiagnosis.
Authors: Mendelson G PMID: 31148169 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 1, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Australia is responding to the complex challenge of overdiagnosis.
Authors: Molodysky E PMID: 31148171 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - June 1, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Propylthiouracil-induced vasculitis in carbimazole-refractory Graves disease.
Authors: Lam B, Yuile A, Fernando SL PMID: 31124148 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 29, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Australia is responding to the complex challenge of overdiagnosis.
Authors: Moynihan R, Barratt AL, Glasziou PP PMID: 31119741 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 25, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Royal Commission into Aged Care Quality and Safety: the key clinical issues.
Authors: Ibrahim JE PMID: 31104324 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 21, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Hepatitis B management during immunosuppression for haematological and solid organ malignancies: an Australian consensus statement.
Authors: Doyle J, Raggatt M, Slavin M, McLachlan SA, Strasser SI, Sasadeusz JJ, Howell J, Hajkowicz K, Nandurkar H, Johnston A, Bak N, Thompson AJ Abstract INTRODUCTION: Individuals with chronic hepatitis B virus (HBV) infection or past exposure to HBV infection have a substantial risk of reactivation during immunosuppressive cancer therapy. HBV reactivation can lead to liver failure, cancer treatment interruption or death. Clinical concordance with screening and treatment guidelines is inconsistent in practice, and existing international guidelines are not specific to the Australian context. We developed an Austra...
Source: Medical Journal of Australia - May 21, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

News briefs.
Authors: Swannell C PMID: 31104338 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 21, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Calendar of conferences in Australia and New Zealand.
Authors: Swannell C PMID: 31104339 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 21, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

The GALS screen: the rapid rheumatological exam.
Authors: Dacre J PMID: 31104340 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 21, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Doctors flee Syrian civil war.
Authors: Swannell C PMID: 31104341 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 21, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Call for a national sore throat guideline.
Authors: Tarca AJ, Hand RM, Wyber R PMID: 31074087 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 12, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Surface antigen negative hepatitis B infection: the importance of screening before B cell-depleting therapy.
Authors: Mudaliar S, Liu K, Strasser SI PMID: 31069802 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 11, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

A perfect storm: fear of litigation for end of life care.
Authors: Mitchell GK, Willmott L, White BP, Piper D, Currow DC, Yates PM PMID: 31069804 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 11, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Improving recruitment for clinical trials: the human touch.
Authors: Jhund PS PMID: 31069806 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 11, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Evaluating patients presenting to the emergency department after syncope: validation of the Canadian Syncope Risk Score.
Authors: Chan J, Hunter J, Morel D, Ballard E, Brain D, Yan A, Hocking J Abstract BACKGROUND: Syncope is a common problem but can have any of a broad range of underlying causes. Initial evaluation of the patient in the emergency department often does not identify a specific cause, and the cornerstone of management is reliable risk stratification with clinical decision rules. OBJECTIVES: The primary objective is to validate the utility and safety of the Canadian Syncope Risk Score (CSRS) as a clinical decision rule when assessing patients who present with syncope to Australian emergency departments. Our secondar...
Source: Medical Journal of Australia - May 9, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Respiratory syncytial virus-associated hospitalisations in Australia, 2006-2015.
CONCLUSIONS: Prevention strategies targeting infants, such as maternal or early infant vaccination, would probably have the greatest impact in reducing RSV disease rates. Further characterisation of RSV disease epidemiology, particularly in older adults and Indigenous Australians, is needed to inform health care strategies. PMID: 31066061 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 9, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Dancing a way to self-care.
Authors: Swannell C PMID: 31055851 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 6, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Advances in stroke medicine.
Authors: Campbell BC Abstract In recent years, reperfusion therapies such as intravenous thrombolysis and endovascular thrombectomy for ischaemic stroke have dramatically reduced disability and revolutionised stroke management. Thrombolysis with alteplase is effective when administered to patients with potentially disabling stroke, who are not at high risk of bleeding, within 4.5 hours of the time the patient was last known to be well. Emerging evidence suggests that other thrombolytics such as tenecteplase may be even more effective. Treatment may be possible beyond 4.5 hours in patients selected using brain imagi...
Source: Medical Journal of Australia - May 6, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

News briefs.
Authors: Swannell C PMID: 31055853 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 6, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Traumatic spinal cord injury in Victoria, 2007-2016.
Authors: Beck B, Cameron PA, Braaf S, Nunn A, Fitzgerald MC, Judson RT, Teague WJ, Lennox A, Middleton JW, Harrison JE, Gabbe BJ Abstract OBJECTIVE: To investigate trends in the incidence and causes of traumatic spinal cord injury (TSCI) in Victoria over a 10-year period. DESIGN, SETTING, PARTICIPANTS: Retrospective cohort study: analysis of Victorian State Trauma Registry (VSTR) data for people who sustained TSCIs during 2007-2016. MAIN OUTCOMES AND MEASURES: Temporal trends in population-based incidence rates of TSCI (injury to the spinal cord with an Abbreviated Injury Scale [AIS] score of 4 or more). ...
Source: Medical Journal of Australia - May 6, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Erratum.
Authors: PMID: 31055855 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 6, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Calendar of conferences in Australia and New Zealand.
Authors: Swannell C PMID: 31055856 [PubMed - in process] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 6, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Detecting sleep apnoea syndrome in primary care with screening questionnaires and the Epworth sleepiness scale.
CONCLUSIONS: For people likely to trigger OSA assessment in primary care, the STOP-Bang, BQ, and OSA-50 questionnaires, combined with the ESS, can be used to rule in, but not to rule out clinically relevant OSA. Combined use of the STOP-Bang with different cut-off scores and the ESS facilitates a flexible balance between sensitivity and specificity. PMID: 31049990 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 3, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

The value of peer mentoring for the psychosocial wellbeing of junior doctors: a randomised controlled study.
Authors: Goh SL PMID: 31037727 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 2, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

The value of peer mentoring for the psychosocial wellbeing of junior doctors: a randomised controlled study.
Authors: Chanchlani S, Ong JS PMID: 31037732 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 2, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

A rare red eye: cavernous sinus dural arteriovenous fistula masquerading as conjunctivitis and sinusitis.
Authors: Campbell S, Hack E, Philip B PMID: 31032934 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 1, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Interpreting the "league tables of death": advance Australia backwards?
Interpreting the "league tables of death": advance Australia backwards? Med J Aust. 2019 Apr 29;: Authors: Bauman AE PMID: 31032958 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 1, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Pre-conception care: an important yet underutilised preventive care strategy.
Authors: Shand A, Palasanthiran P, Rawlinson WD PMID: 31032962 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 1, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Pre-conception care: an important yet underutilised preventive care strategy.
Authors: Bateson DJ, Black KI PMID: 31032965 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - May 1, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Direct-acting oral anticoagulants: a bridge to nowhere.
Authors: Sheppard MA, Levy R, Patanwala AE PMID: 31025707 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - April 28, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Slower increase in life expectancy in Australia than in other high income countries: the contributions of age and cause of death.
CONCLUSIONS: Recent declines in mortality in Australia have been relatively modest. Together with the high prevalence of obesity and the limited scope for further increasing life expectancy by reducing the prevalence of smoking, this suggests that future life expectancy increases will be smaller than in other high income countries. Improved control of health risk factors will be required if further substantial life expectancy increases in Australia are to be achieved. PMID: 31025719 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - April 28, 2019 Category: General Medicine Tags: Med J Aust Source Type: research

Gluten in "gluten-free" manufactured foods in Australia: a cross-sectional study.
Gluten in "gluten-free" manufactured foods in Australia: a cross-sectional study. Med J Aust. 2019 Apr 25;: Authors: Forbes GM PMID: 31020995 [PubMed - as supplied by publisher] (Source: Medical Journal of Australia)
Source: Medical Journal of Australia - April 26, 2019 Category: General Medicine Tags: Med J Aust Source Type: research