The role of general practice in cancer care

By Kok-Ho Ho | Volume 6, Issue 1 2015

The incidence of cancer has risen in Australia and globally over the past few decades. Fortunately, advances in medicine have enabled cancer patients to live longer. We now have the means to provide better healthcare and support for this group of ‘survivors’. However, this situation also poses unique challenges to the healthcare system as resources […]  Read More →

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Ki-67: a review of utility in breast cancer

By Krishnan Parthasarathi | Volume 6, Issue 1 2015

Ki-67 is a protein found in proliferating cells that is identifiable by immunohistochemistry (IHC).   Its prognostic and predictive value in breast cancer has been an area of avid research in recent literature and is increasingly shown to be of value.   Identifying the presence of Ki-67 protein is now an accepted technique to differentiate hormone receptor […]  Read More →

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Managing complicated malaria in pregnancy: beating the odds

By Prasadi Adikari | Volume 6, Issue 1 2015

Malaria, especially falciparum malaria, has the potential to cause multi-organ failure and is a major cause of morbidity and mortality in pregnant women. It is defined by the World Health Organisation (WHO)  as  the  presence  of  asexual  parasitaemia  and  one  or more of the following manifestations: cerebral oedema; severe anaemia; renal failure; pulmonary oedema; adult […]  Read More →

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Making the cut: a look at female genital mutilation

By Dr. Nilanthy Vigneswaran | Volume 6, Issue 1 2015

Female Genital Mutilation (FGM) is a procedure of historical, cultural and religious derivation that continues its practice worldwide, involving partial or total removal of the external female genitalia.   The stand of many international bodies, including the United Nations, is that it epitomises a violation of the human rights of girls and women. Australian state and […]  Read More →

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Trust me, I’m wearing my lanyard

By Elzerie de Jager | Volume 6, Issue 1 2015

The medical student’s first lanyard represents much more than a device which holds clinical identification cards – it symbolises their very identity, first as medical students and eventually as medical practitioners. The lanyard allows access to hospitals and a ready way to discern who’s who in a fast paced environment. It is the magic ticket […]  Read More →

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The blind spot on Australia’s PBS: review of anti-VEGF therapy for neovascular age-related macular degeneration

By Maheesha Ridmee Seneviratne | Volume 6, Issue 1 2015

Case scenario A 72 year old male with a two-day history of sudden blurred vision in his left eye was referred to an ophthalmologist at a regional Australian setting. On best corrected visual acuity (BCVA) testing his left eye had reduced vision (6/12-1) with metamorphopsia. Fundoscopy showed an area of swelling around the left macula […]  Read More →

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Personal reflection: how much do we really know?

By Dr. Edward Teo | Volume 6, Issue 1 2015

“Hurry up with that blood pressure and pulse,” blurts the ED registrar. “And make sure to do it on both arms this time.” Before I can ask him what’s going on, he’s teleported to the next bed. Great. I’m alone again. But I don’t blame him; it’s a Saturday night, and a volunteer medical student […]  Read More →

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Adequacy of anticoagulation according to CHADS2 criteria in patients with atrial fibrillation in general practice – a retrospective cohort study

By Dr. Skye Macleod | Volume 6, Issue 1 2015

Background: Atrial fibrillation (AF) is a common arrhythmia associated with an increased risk of stroke.  Strategies to reduce stroke incidence involve identification of at-risk patients using scoring systems such as the CHADS2  score (Congestive Heart Failure, Hypertension, Age ≥75 years, Diabetes or Stroke) to guide pharmacological prophylaxis. Aim: The aim of this research project was […]  Read More →

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General practitioner awareness of pharmacogenomic testing and drug metabolism activity status amongst the Black-African population in the Greater Western Sydney region

By Yashutosh Joshi, Abhishek Karavadra, Maiyoori Jeyaprakash | Volume 6, Issue 1 2015

Background:  Individuals  of  black-African  background  have  a high variability in drug metabolising enzyme polymorphisms. Consequently, unless these patients are tested for these polymorphisms, it becomes difficult to predict which patients may have a sub-therapeutic response to medications (such as anti- depressants) or experience an adverse drug reaction. Given the increasing population of black-Africans in... 

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Health literacy and patient comprehension in the pre-anaesthetics consultation

By Dr. Michael J.M. Russell, Dr. Judy Mullan, Dr. Timothy Billington | Volume 6, Issue 1 2015

Background: The concept of health literacy and patient comprehension is important, especially in the area of patient consent for surgical procedures. This extends to the pre- admissions anaesthetic consultation where poor patient health literacy can have an impact on the patient’s comprehension of risks. Objectives: This exploratory study aims to investigate the level of health […]  Read More →

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