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Medical Journal of Australia articles

Clarifying the type of support needed by people with a psychiatric disability must be a priority One major focus of Australia’s national mental health strategy has been to increase access to treatment for those with common mental disorders, particularly anxiety and depressive disorders. Despite…

The known The rising cost of mental disorders has been interpreted as indicating that the prevalence of mental health problems is increasing.  The new The prevalence of probable common mental disorders in Australia was fairly stable between 2001 and 2014. Over this same period, however, the number of working age individuals receiving disability support pensions for psychiatric conditions increased by about 50%.  The implications While the costs and level of disability associated…

We need clinicians prepared for work in a system of integrated, person-centred, affordable health care Over the past 15 years or so, Australia has embarked upon what some might describe as a “courageous” solution for guaranteeing our medical workforce. Following a perceived shortage of doctors…

A 43-year-old man underwent a computed tomography pulmonary angiography for suspected pulmonary embolism after he presented with an episode of orthopnoea associated with blood-stained expectorate. The only finding was a left atrial mass (Figure, A, arrow). Further history revealed 6 months of progressive postural presyncope, malaise and weight loss of 3 kg. Echocardiography showed a circumscribed 7.0 × 4.5 cm heterogeneous mass, with areas of cystic degeneration (Figure, B, yellow arrows)…

Embracing structured international health experiences in mainstream medical education is critical to the development of future doctors Globalisation has dramatically changed and continues to change the way the world works. Societies, businesses and individuals are increasingly adapting to a world with…

Australia should learn from overseas experience of reporting clinician outcomes before considering a similar program Clinical registries systematically collect clinically relevant data regarding specific diseases or health events using standard procedures and definitions across multiple institutions.…

There is a concerning lack of data comparing surgical with non-surgical management of femoroacetabular impingement Femoroacetabular impingement (FAI) is a common cause of groin pain in physically active young adults, accompanied by limited hip movements. It occurs when bony anatomical abnormalities…

Antiretroviral therapy gives patients with HIV infection 10 more years Life expectancy of 20-year-old patients starting treatment for HIV has increased by about a decade in the European Union and North America since the introduction of antiretroviral therapy in the mid-1990s, according to research published in The Lancet HIV. The authors, from the University of Bristol, proposed that their findings could reduce stigmatisation and help people with HIV infection gain employment and obtain medical…

The ongoing threat of new transfusion hazards requires vigilance to protect the safety of the blood supply. In Australia, the estimated transfusion transmission residual risks (RRs) for the major transfusion-relevant viruses — hepatitis B virus, human immunodeficiency virus, hepatitis C virus…

Despite recommendations by the World Health Organization and the National Health and Medical Research Council to limit the drinking of sugar-sweetened beverages (SSBs), Australians are particularly high consumers of such products.1 In the report of the Australian Health Survey, 39% of males and 29%…