Table of contents (Vol 7, No 8)
EDITORIAL

Genomic medicine and the future of physiotherapy
 

Genomic medicine continues to evolve rapidly, with more information being gathered and shared than ever before. Gene sequencing and the provision of genetic information is becoming increasingly affordable, more prevalent in hospitals and clinics, and visible in the public eye. The physiotherapy profession, along with many other medical groups, needs to act now to determine how the future of the profession can adapt to the new wave of personalised, genomic medicine.

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By Jon Cornwall, Peter Osmotherly

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RESEARCH

Potential cost to Western Australia of proposed patient co-payments according to healthcare organisational structure: A preliminary analysis
 

Australia’s federal government has proposed an AUD $7 patient co-payment for a general practice (GP) consultation. The financial impact on states and territories of this proposed co-payment and its effect on patient flows, are not known. The estimates in this study suggest that the proposed co-payment will cause an increase in Western Australian (WA) government health expenditure. 

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By J Alasdair Millar, Robyn C Millar

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Factors associated with non-attendance in a general practice super clinic population in regional Australia: a retrospective cohort study
 

Non-attendance at medical appointments is associated with increased patient morbidity and is a significant drain on health service resources. This study, conducted at a general practice super clinic in Australia, revealed that Indigenous Australians are three times more likely to miss a scheduled medical appointment than non-Indigenous Australians. Further, Aboriginal women may be at the highest risk of missing appointments. The study’s results could have important policy implications.

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By Susan Nancarrow, Joanne Bradbury, Catharine Avila

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REVIEW

Ventilator-associated pneumonia
 

Ventilator-associated pneumonia (VAP) is a type of nosocomial pneumonia, which increases mortality rates among critically ill patients. This review gives an overview of the incidence, pathogenesis, risk factors, aetiology, treatment, and prevention of VAP. Greater awareness of VAP can help to create appropriate infection control measures to curb its occurrence among critically ill patients.

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By Marie Victor Pravin Charles, Arunava Kali, Joshy M Easow, Noyal M Joseph, Murugesan Ravishankar, Srirangaraj Srinivasan, Shailesh Kumar, Sivaraman Umadevi

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CLINICAL AUDIT

A win for the patient: Direct patient notification significantly improves treatment rates of active Helicobacter pylori infection
 

Treatment initiation for active Helicobacter pylori infection in South Auckland, New Zealand has been well below international guidelines. As many as one-third of H. pylori-positive patients receive no treatment. Direct patient notification is a simple and economical strategy that has improved the timely treatment of active H. pylori infection in a representative South Auckland population.

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By Sriharan Selvaratnam, Joey Yeoh, John Hsiang, Alasdair B Patrick

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CASE STUDY

NK/T-cell lymphoma with inverted papilloma: A rare coexistence
 

NK/T-cell lymphoma is a rare tumour, whose coexistence with a benign pathology-like inverted papilloma has rarely been reported. The clinical presentation of this case is unusual because the patient had two different yet co-existing nasopharyngeal pathologies, one benign and the other malignant. This report emphasises the need for awareness about such coexisting pathologies and proper communication between clinicians and pathologists.

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By Asitava Deb Roy, Isha Preet Tuli, Deepti Joshi

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Paraneoplastic polyarthritis in association with metastatic neuroendocrine tumour of the adrenal gland
 

This case report describes paraneoplastic polyarthritis in association with a metastatic neuroendocrine tumour of the adrenal gland, which is an unusual presentation. Paraneoplastic polyarthritis must be considered if the polyarthritis cannot be explained by common aetiologies. The unusual presentation of this case also raises awareness about the atypical presentations of neuroendocrine tumours.

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By Sahana Shetty, Julie Hephzibah, Bidyut Borah, Vishnu Chandrakumar, Deepak Burad, Mazhuvanchary Jacob Paul, Nihal Thomas

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BOOK REVIEW

Principles of general and autonomic pharmacology
 

Principles of general and autonomic pharmacology

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By P Ravi Shankar

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