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In Depth Articles

Pre-live vaccine checklist

August 28, 2019

Any doctor who has done the online yellow fever vaccination training module on the ACRRM website will be aware of this resource.
It’s a straight-forward, one-page pdf that presents a set of questions you need to ask the patient to see whether there are any contraindications to them receiving the yellow …

Live longer – eat less meat

Want your best chance for living a long, healthy life? Have a diet that is high in plant protein, say Japanese researchers.
That’s the suggestion following their prospective study of over 70,000 adults, recently published in JAMA Internal Medicine.
According to their findings, a higher intake of plant protein was associated with …

Understanding glomerular filtration rate

Glomerular filtration rate (GFR) is the best single measure of kidney function. A subnormal GFR is an important early indicator of possible chronic kidney disease. However, it also does not identify the cause. It is also not a ‘catch all’, for example, in early diabetes mellitus, GFR will typically be …

Assessing stroke risk – easier than saying “CHA2DS2-VA Score”!

August 21, 2019

General Practitioner Dr Vivienne Miller takes a look at what’s changed in the recently updated CHA2DS2-VASC Score for the determination of stroke risk factors from atrial fibrillation.
The CHA2DS2-VA Score was updated from the CHA2DS2-VASC Score last year to exclude female sex (represented by Sc) in the determination of stroke risk …

Concussion in kids: Insomnia treatment linked to faster recovery

Active kids sustain injuries. It is estimated that every year more than 100,000 Canadian children and adolescents get a concussion while participating in normal childhood activities, like sports and play.
Most kids return to school and activities within about one month of the injury, but sometimes they need specialized concussion treatment …

Subclinical hypothyroidism in pregnancy, is it a real risk?

In the ‘largest analysis to date’, researchers have determined that subclinical hypothyroidism is associated with preterm birth but have stopped short of recommending screening.
It is well-known that overt thyroid disease in pregnancy is linked with preterm birth, as defined as delivery before 37 weeks. But whether milder forms of thyroid …

Sprained ankle physiotherapy

August 14, 2019

It’s that time of year. Cold weather. Footy season. Finals approaching. Muscles pulled. Ankles twisted….
Of course, the elite sportspeople will have their support team to strap, massage, rehabilitate and retrain the injured joint or muscle – coaxing it back to good health. But for your average ill-fated weekend exerciser with …

Less bureaucracy needed to improve aged care

Last week’s hearings at the aged care royal commission in Brisbane looked at regulation in aged care. While rules and regulations are designed to safeguard residents, bureaucratic “red tape” also contributes to the failings in aged care.
The fear among nursing home staff of failing a review visit by an Aged …

Exercise – the underutilised antidepressant

Physical activity not only helps prevent depression, but should be considered an effective therapeutic option for patients who already have the condition, researchers say.
According to a review published recently in Current Sports Medicine Reports, major depressive disorder is an exceedingly common, disabling condition with prevalence estimates ranging from 6% to …

Podcast series for patients with advanced cancer

August 07, 2019

Cancer Council NSW has developed a fantastic new podcast series specifically for patients with advanced cancer.
The series, entitled ‘The Thing About Advanced Cancer’ provides evidence-based information and practical tips for this group of patients who are often hungry for answers and guidance beyond the usual facts and statistics currently available …

So you think you understand pregnancy tests?

Less than 40 years ago pregnancy was typically diagnosed by history and examination alone. While clinical skills always remain useful, there have been major advances in pregnancy testing that have been both clinically and medicolegally important. Like all diagnostic testing, pregnancy tests are not infallible, and it is very helpful …

A carrot a day keeps SCC at bay

Even more reason to eat your vegetables.
Researchers have determined that having a diet rich in vitamin A actually protects you from developing one of the commonest forms of skin cancer, squamous cell carcinoma.
According to their latest analysis of two large, ongoing, long-running population health studies (the Nurses Health Study and …