Dealing with futile treatment: A medical student’s perspective

By Michael Li | Volume 3, Issue 2 2012

A 76 year old man with metastatic liver cancer lies feebly in his hospital bed surrounded by family. He’s in cardiac and respiratory failure. Attached to him are multiple lines, cannulas and monitors. There are more machines present than people. Despite this, his breathing is laboured, he’s gaunt, and he is clearly suffering. In a [...]  Read More →

Download PDF | Read the full article online

Health care to meet the future needs of New South Wales

By Jillian Skinner | Volume 3, Issue 2 2012

When thinking about innovation and ways to transform how health care is delivered to the patients of today and tomorrow, the importance and growing potential of e-Health springs to mind. In Opposition and now as Minister for Health and Minister for Medical Research I am absolutely convinced of the enormous gains to be made using [...]  Read More →

Download PDF | Read the full article online

Blood culture negative endocarditis – a suggested diagnostic approach

By Sadid Khan | Volume 3, Issue 2 2012

This case report describes a previously healthy male patient with a subacute presentation of severe constitutional symptoms, progressing to acute pulmonary oedema, and a subsequent diagnosis of blood culture negative endocarditis with severe aortic regurgitation. Blood culture negative endocarditis represents an epidemiologically varying subset of endocarditis patients, as well as a unique diagnostic dilemma. The [...]  Read More →

Download PDF | Read the full article online

Metastatic melanoma: a series of novel therapeutic approaches

By Jazlyn Read | Volume 3, Issue 2 2012

The following report documents the case of a 63 year old male with metastatic melanoma following a primary cutaneous lesion. Investigation into the molecular basis of melanoma has identified crucial regulators in melanoma cell proliferation and survival, leading to the inception of targeted treatment and a shift toward personalised cancer therapy. Recently, the human monoclonal [...]  Read More →

Download PDF | Read the full article online

An unusual case of bowel perforation in a 9 month old infant

By Mathew Jacob & Ollapallil Jacob | Volume 3, Issue 2 2012

In Australia, between 2009 and 2010 almost 290 000 cases of suspected child abuse and neglect were reported to Australian state and territory authorities. Child maltreatment may present insidiously, not allowing signs of the maltreatment to be elicited until after a culmination of events. Ms. LW, a 9-month- old Indigenous female, presented to the Alice [...]  Read More →

Download PDF | Read the full article online

Dengue fever in a rural hospital: Issues concerning transmission

By Ross Smith | Volume 3, Issue 2 2012

Introduction: Dengue is either endemic or epidemic in almost every country located in the tropics. Within northern Australia, dengue occurs in epidemics; however, the Aedes aegypti vector is widespread in the area and thus there is a threat that dengue may become endemic in future years. Case presentation: An 18 year old male was admitted [...]  Read More →

Download PDF | Read the full article online

Treatment of persistent diabetic macular oedema – intravitreal bevacizumab versus laser photocoagulation: A critical appraisal of BOLT Study for an evidence based medicine clinical practice guideline

By Pavani Kurra | Volume 3, Issue 2 2012

Laser photocoagulation has remained the standard of treatment for diabetic macular oedema (DME) for the past three decades. However, it has been shown to be unbeneficial in chronic diffuse DME. Intravitreal bevacizumab (ivB) has been proposed as an alternate and effective treatment of DME. This review evaluates the evidence behind comparing bevacizumab to laser photocoagulation [...]  Read More →

Download PDF | Read the full article online

Seasonal influenza vaccination in antenatal women: Views of health care workers and barriers in the delivery of the vaccine

By Surabhi Khosla | Volume 3, Issue 2 2012

Background: Pregnant women are at an increased risk of developing influenza. The National Health and Medical Research Council recommends seasonal influenza vaccination for all pregnant women who will be in their second or third trimester during the influenza season. The aim of this review is to explore the views of health care workers regarding seasonal [...]  Read More →

Download PDF | Read the full article online

Spontaneous regression of cancer: A therapeutic role for pyrogenic infections?

By Kok-Ho Ho | Volume 3, Issue 2 2012

Spontaneous regression of cancer is a phenomenon that is not well understood. While the mechanisms are unclear, it has been hypothesised that infections, fever and cancer are linked. Studies have shown that infections and fever may be involved in tumour regression and are associated with improved clinical outcomes. This article will examine the history, evidence [...]  Read More →

Download PDF | Read the full article online

The therapeutic potentials of cannabis in the treatment of neuropathic pain and issues surrounding its dependence

By Stephanie Sargent | Volume 3, Issue 2 2012

Cannabis is a promising therapeutic agent, which may be particularly beneficial in providing adequate analgesia to patients with neuropathic pain intractable to typical pharmacotherapy. Cannabinoids are the lipid-soluble compounds that mediate the analgesic effects associated with cannabis by interacting with the endogenous cannabinoid receptors CB1 and CB2, which are distributed along neurons associated with pain [...]  Read More →

Download PDF | Read the full article online

Subscription

You can subscribe by e-mail to receive each issue when it's published.

ADVERTISEMENT

Find us on Facebook!

ISSN (Print): 1837-171X
ISSN (Online): 1837-1728
ABN: 51967802511