March 20, 2019
The Royal Commission into Aged Care has unleashed a spate of claims of system failure within the residential aged care sector.
Now, as the commission shifts its focus to care in the community, we’re also seeing claims of failure within the home care packages program.
This scheme aims to support older people …
To ablate, or not to ablate? That is the question.
That’s what international researchers were investigating in two studies just published in The Journal of the American Medical Association.
And the answer? As so often happens in medicine, the answer is: it depends.
Looking at the two studies, patients with symptomatic atrial fibrillation …
March 13, 2019
Got a patient with multiple sun spots on their head that need treatment?
Well it looks like the old, tried and true 5FU cream is still the way to go, according to a randomised trial just published in the New England Journal of Medicine.
Among more than 600 randomly assigned patients, Dutch …
With several hundred cases diagnosed each year, Australia has one of the highest rates of Q fever worldwide.
Q fever is a bacterial infection which spreads from animals; mainly cattle, sheep and goats. It can present in different ways, but often causes severe flu-like symptoms.
Importantly, the bacteria that cause Q fever …
March 06, 2019
Cutaneous disorders are among the most common conditions presented to primary care doctors. Many are easily identifiable and may be dealt with effectively without the need for cutaneous biopsy. Nevertheless, in many instances the diagnosis is not obvious on clinical grounds. The rash may display atypical features or may not …
So here’s the exception that proves the rule.
Urinary tract infections need immediate treatment with antibiotics to avoid an increased risk of sepsis and death.
That’s the quite definitive conclusion from a large retrospective study involving GP data from the UK recently published in the BMJ.
After analysing the records of over 150,000 …
February 27, 2019
Western Australian health authorities recently issued warnings about Murray Valley encephalitis, a serious disease that can spread by the bite of an infected mosquito and cause inflammation of the brain.
Thankfully, no human cases have been reported this wet season. The virus that causes the disease was detected in chickens in …
Australian GPs are confident and competent at managing kids with bedwetting issues, new research confirms.
But they are less sure what to do with children with daytime wetting or when childhood enuresis persists into adulthood, according to the study findings recently published in the Australian Journal of General Practice.
As you may …
February 20, 2019
The devastating Townsville floods have receded but the clean up is being complicated by the appearance of a serious bacterial infection known as melioidosis. One person has died from melioidosis and nine others have been diagnosed with the disease over the past week.
The bacteria that causes the disease, Burkholderia pseudomallei, …
Despite the incidence of cerebral palsy decreasing, it is still Australia’s most common cause of physical disability in childhood, experts say.
And with the condition affecting over two in every 1000 live births, it is more than likely a GP will be caring for these patients in their clinical practice.
The authors …
February 12, 2019
Abortion is a common experience for Australian women. Around one in six have had an abortion by their mid-30s, according our new research published today in the Australia New Zealand Journal of Public Health.
Narratives about abortion often stigmatise women who have had one or seek access to one. But our …
Chronic rhinosinusitis is a misery-generating condition – literally.
According to a large study just published in The Journal of the American Medical Association, having chronic rhinosinusitis significantly increases your risk of depression and anxiety. And if you also have nasal polyps the risk is higher still.
The Korean study was admittedly observational …