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In Depth Articles

How is the Mediterranean Diet Beneficial?

March 10, 2016

 
The Mediterranean diet that is now advocated by health professionals and dietitians for good health has been adapted from eating patterns once common in Southern Greece and Southern Italy in the early 1960s.1  At this time, diet-related diseases such as atherosclerosis and certain cancers and chronic diseases that were affected …

Why Women See Their GP More Than Men

March 01, 2016

Women go to the doctor more often than men, particularly in their reproductive years, between the ages of 15 and 44. This difference is partly due to management of gynaecological and reproductive issues.
Because of the frequency of visits, and the sensitive nature of many of these, it’s important a woman …

Screening for Abdominal Aortic Aneurysms

Screening for abdominal aortic aneurysms is required for patients who are known to have an existing aneurysm.  However, Australian guidelines are not so clear regarding screening of high risk, asymptomatic individuals who have normal clinical examinations. In particular, overseas guidelines (but not Australian ones) are specific about the indications for …

A Review of Laparoscopic Gastric Banding

February 16, 2016

By Dr Vivienne Miller, GP and Fellow, The Royal Australian College of General Practitioners
Despite lack of public funding and financial disincentive, laparoscopic gastric banding surgery continues to rise in Australia as a treatment for morbid obesity and its complications. However, laparoscopic gastric banding has been especially criticised for being a …

Hand Washing Vs Alcohol Sanitisers

February 04, 2016

In recent years, there has been an increase in advertising for antibacterial products. Some companies have promoted alcohol washes and wipes as a substitute for hand washing. What is the evidence that they are as effective and safe? There are two issues here. One is the cleaning of general non-pathogenic …

Weighing Up the Benefits: Are the New Combined Oral Contraceptives Worth the Cost?

In the last several years there has been an influx onto the market of several types of new third generation combined oral contraceptives (COCs). These novel COCs have a slightly different side-effect profile compared to the older COCs (which date back to the 1970s or even earlier). They also can …

The Elephant in the Room: Delayed Ejaculation

 
Delayed ejaculation may be defined as inability to ejaculate when desired, despite with what the man considers to be appropriate sexual stimulation.1 Although it typically accompanies lack of orgasm (but not lack of erection), it should be noted that men may have orgasms without ejaculation. Retrograde ejaculation (semen is pushed …

The Deadly Flea

 

Above is the most celebrated insect illustration – the flea, from Robert Hooke’s Micrographia (1665): a classic of microscopy, it is reproduced in many historical studies.  1665 was the year of the “great plague” in London, but the flea aroused no suspicion then as an agent of bubonic plague spread …