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A case of upper limb necrotising fasciitis
Julia Fattore and Shruti Krishnan Background Necrotising fasciitis (NF) is a rapidly progressive, life threatening soft tissue skin infection that primarily involves the extremities, abdomen or perineum. NF generally occurs when trauma to an area compromises skin integrity, allowing the entry of harmful microorganisms....
Research
Metabolic and Bariatric Outcomes of Elderly Patients after Laparoscopic Sleeve Gastrectomy
Ramandeep Kaur Background The growing popularity of laparoscopic sleeve gastrectomy (LSG) has shown safe and efficacious results in bariatric populations, but it’s safety and effectiveness in the elderly is uncertain.  Methods A retrospective review will be performed of all patients aged >60 years who...
Research
Aortic stenosis (AS) with coronary artery disease (CAD): Is surgical or percutaneous management the correct approach
James Carroll Background There is a paucity of literature comparing how patients with surgical management of concurrent AS and CAD compare to patients who are managed with percutaneous TAVI and PCI.   Aim To determine if TAVI and PCI has comparable outcomes to SAVR...
Research
Valve-in-valve (VIV) transcatheter aortic valve implantation (TAVI) for failing aortic valve prostheses: an Australian interventional experience
James Carroll Background Transcatheter aortic valves have become an excellent alternative to failing bioprosthetic surgical valves, avoiding the increased risk of re-entry sternotomy.  Aim This study aims to retrospectively analyse outcomes of VIV TAVI replacements in a single Australian centre. Methods All patients who...
Research
Preventing Osteoporosis in residential and aged care communities: a toolkit for aged care staff

Himasha Nanayakkara Abstract Osteoporosis is a silent disease and presents with no symptoms before causing minimal trauma fractures resulting in prolonged hospital stays and increased mortality. There are many misconceptions around Osteoporosis and many older adults have limited knowledge surrounding the condition. The aim...
Research
Systematic review comparing immediate release Nifedipine and Labetalol for the urgent treatment of pre-eclampsia with severe hypertension

T. Bemand, C. Mok, M. Lennon Background Pre-eclampsia is a disease of abnormal placentation with definitive treatment requiring delivery of the placenta. However in the absence of maternal or foetal indications for delivery, expectant management to promote foetal maturity may be pursued. Options for...
Research
Dobutamine-Induced Eosinophilic Myocarditis in Heart Failure Patient Requiring Urgent Left Ventricular Assist Device Implantation (LVAD): A Case Report

Durre Shahwar Introduction Dobutamine is a relatively unrecognised cause of eosinophilic myocarditis (ESM) which can be an especially significant cause for acute decompensation in heart-failure patients who already have a poor cardiac reserve. Case Anecdote 76 year old woman with end-stage dilated cardiomyopathy was...
Research
Exploring the association between private health insurance and coronary artery disease burden in regional Australia using computed tomography coronary angiography

T. Bemand, H. Kempton, J. Suttie Background Private health insurance globally may be associated with a lower risk of overall mortality. However the relationship between burden of cardiovascular disease and health insurance in regional Australia is currently unclear. Method A prospective longitudinal study of...
Research
Opioid prescribing practices in postoperative hip/knee joint replacements in a rural setting

C. De La Rosa Orjuela, C. Mok, A. Bhadelia, C. Mumme, I. Lemech Background Over-prescription of opioids have triggered an opioid crisis in developed countries. In 2017 the US Department of Health and Human Services declared opioid misuse and opioid-related overdoses a public health...
Research
Headache in Patients with Sella Disease: Clinicomorphological Predictors of Secondary Headache and the Outcome of Endoscopic Transphenoidal Surgery

Maria Joseph, MBBS/MD1; Raquel Alvarado, PhD1; Ann McCormack, FRACP, MBBS, PhD2,3; Benjamin Jonker, FRACS, MBBS4,5,6; Mark Winder, FRACS, MBBS4; Richard J. Harvey, FRACS, MD, PhD1,7 1. Rhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia 2. Department...
Research
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Latest Articles

April, 2025
Preliminary Analysis of Telehealth vs. In-Person Preoperative Consultations and Their Impact on Immediate Bariatric Surgery Outcomes
Swazi Sharma1, Dr Alexa Seal1, Dr Katherine Smith2, Simeon Moore1, Peter Sheeran 1 1. University of Dame Australia (Rural Clinical School – Wagga Wagga) 2. Murrumbidgee Local Health District...
April, 2025
Training and Sustaining Rural Anaesthetists: Insights from a 12-Month Audit of Paediatric General Anaesthetics in Wagga Wagga
Billy Poulden, Dr Judy Killen Introduction: Access to high quality paediatric general anaesthesia (GA) is fundamental to the provision of surgical services in rural areas. Paediatric anaesthesia is a...
April, 2025
Diabetic Foot Disease – A Public Health Issue for Australia
Authors: Peter Sheeran1, Prof. James Charles2, Gerarda Henneken3, Brett MacCue41. JMO, Wagga Wagga Base Hospital MHLD, 2. Director, First Peoples Health Unit, Pro Vice Chancellor (Health), Griffith University, 3....
April, 2025
An Audit of Essential Difficult Airway Trolley Equipment in Selected Regional NSW Hospitals
Patrick Lay, Stuart Lawrie, and Anthony Gray Introduction: In 2021, the Australian and New Zealand College of Anaesthetists (ANZCA) updated its Guideline on Equipment to Manage Difficult Airways1 to...
April, 2025
The Rise of new age technologies in laparoscopic training models: a systematic review
Christopher Katsinas Background Minimally invasive surgery (MIS) has many benefits, such as: reduced post-operative pain, improved aesthetic outcomes and shorter length-of-stay. The challenge of laparoscopic surgery is the high...
April, 2025
Substance Use and Perceptions of Safety: Insights from a National Indigenous Youth Cohort
Heidi Starr Background: Young people who smoke or drink alcohol are often viewed as making a conscious choice, with little recognition of the role that feelings of safety—or the...