Articles

Read the latest articles relevant to your clinical practice, including exclusive insights from Healthed surveys and polls.

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A/Prof Joachim Sturmberg

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 Care Quality and Safety Commission surveyor has been known to shift the focus from care for residents to meeting paper trail requirements.

Dr Linda Calabresi

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 18% across different countries worldwide.

Dr Linda Calabresi

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 for their condition.

A/Prof Ken Sikaris

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 for clinicians to understand their strengths and weaknesses.

Dr Linda Calabresi

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.

Dr Linda Calabresi

Did you know that melanoma is the most common malignancy in pregnancy? It accounts for one third of pregnancy-associated malignancies in Australia. Terrifying stuff isn’t it? Fortunately, melanoma occurring in a pregnant woman remains a very rare occurrence. But no one wants to be the doctor that misses it, especially as we all know picking it up early can, quite literally, be the difference between life and death. The really tricky part is that pregnancy does add an extra dimension to detecting and managing melanoma. For a start melanocytic naevi darken during pregnancy in one in ten women.

Prof Deborah Bateson

Fertility awareness apps are being championed as a new approach to contraception. In reality, while the technology may be new, women have been predicting the fertile days in their menstrual cycles to prevent pregnancy for a very long time. But the growth of the “femtech” industry, alongside a seemingly growing wave of younger women looking to move away from hormonal methods of contraception, has led to a renewed interest.

Christine Griebsch

Recently reported cases of the often fatal bacterial infection leptospirosis in dogs in Sydney have raised the issue of animal diseases that also affect humans. This zoonotic disease is spread by rats and other rodents. However, this latest cluster in dogs has not been accompanied by human cases in the Sydney area so far; dog cases aren’t always accompanied by human cases nearby.

Dr Linda Calabresi

If you work in a truly general general practice you will no doubt be familiar with this scenario. The patient on a NOAC who is going for a dental procedure, cataract operation or arthroscopy. Do they need to stop their NOAC? And if so, when and for how long? Often there are more than a couple of opinions out there, with a lot of different considerations to take into account.

Dr Linda Calabresi

The World Health Organisation (WHO) has developed an app that is sure to prove valuable to health professionals who manage sexual and reproductive health as part of their clinical practice. The ‘Medical eligibility criteria for contraceptive use’ app will help clinicians recommend safe, effective and acceptable contraception methods for women with medical conditions or particular characteristics that require individual consideration.

Vasu Appanna

Bacteria are at the centre of all life forms on planet earth and are the essential building blocks that make living organisms the way they are. Both the mitochondrion — found in most organisms, which generates energy in the cell — and the chloroplast — the solar energy-harvester located in plants — can be traced to their bacterial ancestors. These specialized microbes laid the foundation for the biodiversity we live amongst.

Prof Sharona Hoffman

A career as a physician has traditionally been considered to be among the best vocations that talented students can pursue. That may no longer be the case. All too many doctors report that they are unhappy, frustrated and even prepared to leave the profession. That should worry all of us. The physician burnout crisis is likely to affect our quality of care and our access to health care providers.