Categories
Original Research Articles

Organisational process and patient factors contributing to hospital outpatient clinic nonattendance

Organisational and patient factors which may lead to hospital clinic non-attendance at two sites were examined to identify opportunities to reduce rates of missed appointments.

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Categories
Case Reports

Oxygen delivery: a case-based approach

This article explains and emphasises the importance of oxygen delivery for medical students to apply to clinical practice through the usage of several common clinical cases. 

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Categories
Case Reports

Continuous positive airway pressure for obstructive sleep apnoea improved oculogyric crises as well as psychotic symptoms in a woman with schizophrenia and developmental disability

Abstract

Introduction: This report highlights the risk factors and complexities of schizophrenia as well as the adverse effects of treatment. Obstructive sleep apnoea (OSA) has a notorious history of under-diagnosis in both the general population as well as those suffering from mental health disorders, particularly schizophrenia. Antipsychotics have life altering side effects contributing both to a decrease in quality of life as well as increasing morbidity and mortality.

Case overview: This case report presents a 61-year-old female with diagnoses of schizophrenia, frontal lobe epilepsy, a developmental disability, oculogyric crises (OGC), and obstructive sleep apnoea.

Discussion overview: Early intervention with continuous positive airway pressure (CPAP) in those suffering from OSA can have dramatic effects decreasing the burden of concurrent disease. This report showcases that treatment of OSA with CPAP increased patient wellbeing, allowing down-titration of risperidone, and thereby ameliorating the drug-induced OGC in this patient. 

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Categories
Feature Articles

Exchange Experiences: Exploring Chinese Healthcare as Australian Medical Students

This feature article explores the similarities and differences in the medical education and health care systems of modern China compared with those of the Western world. It explores how a system interacts with, and adapts to, the political and social structure of its population and the challenges that can arise from this. 

The authors were part of a medical school exchange program to the First Affiliated Hospital, Sun Yat-sen University Guangzhou where they observed the inner workings of the hospital. The authors have drawn their observations from their experiences attending lectures, taking patient histories and observing cases during their rotations through each department of the First Affiliated Hospital. The experience gave the authors insight into how healthcare and education can vary between each country and the factors controlling this. 

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Categories
Review Articles

Experimental pharmacotherapy approaches to prevention of alcohol dependency

Review of the experimental pharmacotherapy approaches available to reduce craving for alcohol, alcohol consumption, and/or relapse drinking as it pertains to alcohol dependency. 

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Articles Guest Articles

Navigating Medicine with a Physical Challenge

Dinesh was the first quadriplegic medical intern in Queensland and the second person to graduate medical school with quadriplegia in Australia. Dinesh earned a Bachelor of Laws (LLB) prior to completing his Doctor of Medicine (MD) at Griffith University. He has completed an Advanced Clerkship in Radiology at Harvard University. Halfway through medical school, he was involved in a catastrophic motor vehicle accident that caused a cervical spinal cord injury. As a result of his injury and experiences, Dinesh has been an advocate for inclusivity in medicine and the general workplace. He is a founding member of Doctors with Disabilities Australia. Dinesh is currently a resident medical officer at the Gold Coast University Hospital. He is a lecturer at the Griffith University and adjunct research fellow at the Menzies Health Institute of Queensland. He has a research interest in spinal cord injury, particularly in novel rehabilitation techniques. Dinesh is the Gold Coast University Hospital’s representative in the Australian Medical Association Queensland’s Council of Doctors in Training. He is a member of the scientific advisory committee of the Perry Cross Spinal Research Foundation, disability advisory council at Griffith University, and the Ambassador Council at the Hopkins Centre. Dinesh was the Gold Coast Hospital and Health Service’s Junior Doctor of the Year in 2018. He was awarded the Medal of the Order of Australia in 2019.

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Categories
Feature Articles

Biopsy of the skin

This article takes the readers through the key theoretical knowledge and practical aspects required to correctly choose a skin biopsy site, method of biopsy and to safely performing a punch skin biopsy. The immediate and long-term complications of skin biopsies are also explored.

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Guest Articles

The competency matrix and the use of reflection and reflective practice to develop your learning and understanding.

Guest Article by A/Prof Stuart Lane

In the most recent edition of AMSJ I discussed the concepts of intellectual humility, growth mindset, and situational awareness, and their roles in the development of a person’s professionalism and professional identity. In this edition of AMSJ I will discuss some theories of reflection and reflective practice, which are required to utilise the concepts previously discussed, and enable the optimal development of your learning and professional development. In doing this I will discuss the competency matrix, which is a learning development theory that is referred to frequently in healthcare learning, especially in the context of simulated learning environments. I will also discuss some of the flaws in the current theory that are preventing the recognition of optimal reflective practice.

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Categories
Book Reviews

Book Review: Clinical Cases in Obstetrics, Gynaecology and Women’s Health by Caroline de Costa, Stephen Robson and Boon Lim

A diverse range of scenarios are represented in this textbook with a particular focus on clinical management. This resource also provides perspective on social determinants that impact women’s health, which need to be considered by health professionals for the provision of holistic patient-centred care

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Categories
Letters

Could drinking tea cure acne?

This letter explores the potential of spearmint tea as a treatment for acne, with one case report, information on spearmint in the media, and how it has been studied scientifically.

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