Cervical screening in Indigenous populations: Revisiting possibilities for selfcollection technique

By Diane Quach | Volume 6, Issue 2 2015

Detection and triage of cervical cancer has undergone commendable advances since the introduction of the Papanicolaou (Pap) smear, Human Papilloma Virus (HPV) detection, and recent implementation of the HPV vaccine. Many Australian females have benefited from these public health advances, however as with many other health trends in Australia, the Indigenous population appears to be […]  Read More →

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The magic number: The case for a 21-year-old minimum drinking age in Australia

By Martin Seneviratne | Volume 6, Issue 2 2015

The United States is unique among Western countries in setting the minimum legal drinking age at 21 years. The choice of 21 was largely driven by a powerful road-safety lobby group in the 1980s; however a wealth of clinical and epidemiological evidence has subsequently emerged in its favour. A highly-publicised article in the Medical Journal […]  Read More →

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Clinical implications of the sex and gender differences associated with substance use disorders

By Arunima Jain | Volume 6, Issue 2 2015

Substance use disorders are exceedingly complex management issues which result in significant medical and social consequences. Epidemiological studies in the United States and Australia show that more men than women are affected by substance use disorders. However, there is evidence to suggest that women have distinctly different and potentially more hazardous patterns of substance use. These include: a greater... 

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The gender imbalance in ADHD

By Mugdha Bokil | Volume 6, Issue 2 2015

The gender imbalance in ADHD Attention-deficit/hyperactivity disorder (ADHD) is a highly prevalent neuropsychiatric condition placing a considerable burden of disease on our population. ADHD primarily manifests in childhood with symptoms of inattention, hyperactivity and/or impulsivity that affect normal function. [1] Though ADHD affects both children and adults, current literature has focused greatly on the disorder... 

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Vocal cord dysfunction: A co-existent or alternative diagnosis in refractory asthma?

By Dr. Glenn Yong | Volume 6, Issue 2 2015

Asthma is a common condition. Numerous studies have consistently demonstrated that refractory asthma, while constituting under 10% of all asthma patients, consumes a disproportionate amount of healthcare costs. It is therefore imperative for clinicians to be aware of common mimics of asthma that can present with similar symptoms leading to inaccurate assessment of asthma. One […]  Read More →

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Saving behaviour cleans hands: A reflection on the behavioural psychology of hand hygiene

By Raelene Aw-Yong | Volume 6, Issue 2 2015

Introduction Since the time of Semmelweis, it has long been realised that hands are the commonest vehicles for the spread of hospital-acquired infections (HAI). If all transmission opportunities, as defined by the World Health Organisation (WHO), were met with proper hand hygiene, the current incidence of HAIs could reduce by more than half. [1-3] Unfortunately, […]  Read More →

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So you want to be a haematologist?

By Aditya Tedjaseputra | Volume 6, Issue 2 2015

Introduction Discussion surrounding specialties of preference is commonplace in medical school, across all levels of training. Some are attracted to the breadth of care afforded in general practice, the in-depth expertise of organ systems in physician specialties, or the hands-on experience with human anatomy in surgery. A few of us however, appreciate the opportunity to […]  Read More →

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Medical humanities and narrative medicine

By Stephanie Chapple | Volume 6, Issue 2 2015

Medicine is both an art and a science. While modern medical training teaches the scientific and technical aspects of medicine well, the humane aspects of medical education remain relatively neglected at university level in Australia. “Medical humanities” and “narrative medicine” have been proposed as solutions to correct this imbalance. The inter-disciplinary field of “medical humanities” brings the... 

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Medical futility: The struggle to define an ancient concept in a modern clinical context

By Kobi Haworth | Volume 6, Issue 2 2015

At face value the word futility is deceptively simple, inviting synonyms such as useless, pointless, and ineffective. [1] The concept is not new, with Hippocrates espousing the importance of avoiding futile treatment measures over two thousand years ago: “Refuse to treat those who are over-mastered by their disease, realising that in such cases medicine is […]  Read More →

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Epidural analgesia during labour: Friend or foe? A reflection on medicine, midwives and Miranda Kerr

By Casey de Rooy | Volume 6, Issue 2 2015

Choosing a method of pain relief for childbirth is an extremely personal, and often well-considered, decision. For many women, childbirth is the most painful experience they will ever encounter. It is no surprise that a number of pharmacological and non-pharmacological methods have been developed to help manage this painful and sometimes traumatic experience. In Western […]  Read More →

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