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Medical Journal of Australia (MJA)
The Medical Journal of Australia (MJA) is Australia’s leading peer-reviewed general medical journal. It has been delivering ground-breaking research to the medical community since 1914.
To the best of the authors' knowledge, this is the first described case of Japanese encephalitis in a Victorian infant, reflecting a growing epidemic involving spread to new regions of Australia.
The search for a cost‐effective Australian model of comprehensive, coordinated patient‐centred care that improves outcomes continues.
Australia is in the middle of what is being called an unprecedented outbreak of the mosquito borne Japanese encephalitis virus (JEV).
In the Northern Territory, life expectancy increased more rapidly for Indigenous than non-Indigenous people during 1999–2018, but the gap in life expectancy between the two groups remains considerable.
Building resilience to environmental disasters requires transformative action to tackle climate change and health inequities.
Atopic dermatitis is characterised by itch (pruritus), characteristic morphology and distribution, a chronic relapsing course, and high personal and social disease burden.
The Australian and New Zealand living stroke management guidelines provide timely, evidence‐based updates to recommendations.
Asthma is one of the most common chronic diseases in Australia, affecting 11% of the population.
Lung cancer is the second most common cancer globally, accounting for 11.4% of all cancers and it kills more than any other, claiming 18% of all cancer deaths.
COVID‐19 has challenged and tested Australian general practice while reinforcing its centrality and potential.
Cholecystectomy during the index (first) admission of people with mild gallstone pancreatitis is recommended by international guidelines.
Five‐year survival for people with acute leukaemia in South Australia continuously improved during 1980–2016, and socio‐economic status and remoteness did not influence survival.
Both formal and informal conversion practices can be traumatic for LGBTQA+ people who are exposed to them.
Immediate and urgent planning is needed to help disadvantaged and vulnerable communities recover from COVID and Long COVID.
Rheumatic heart disease is emblematic of closing the gap between Indigenous and non-Indigenous Australians.
The rates of acute rheumatic fever and rheumatic heart disease for Aboriginal and Torres Strait Islander people in the Northern Territory are among the highest in the world.
CTE is caused by repetitive brain injuries and concussions, and can have dire consequences such as mental health problems and dementia.
Chronic traumatic encephalopathy (CTE) is a neurodegenerative tauopathy caused by repetitive head injury.
Without the appropriate training and guidelines, the rapid transition to telemedicine risks lowering the quality of diagnostic care during a medical visit.
Many excellent guidelines exist on the logistics of performing a virtual visit, reviewing the use of appropriate technology, the protection of patient privacy, and the suitability of determining appropriate patients for a telehealth visit.
Clinicians, the experts in care delivery, are well placed to drive health system improvements.
Three‐dimensional printing or additive manufacturing has the potential to transform personalised medicine.
Improving patient management is the goal of all physicians and this 5th edition of the American Medical Association’s standard guide is designed to help you achieve that end.
Alcohol offers a mixed legacy to our society, having long been used in a broad range of social, cultural and religious contexts.
Adj A/Prof James Branley and A/Prof Lucy Morgan discuss the early treatment of COVID-19.
Professor Patrick McGorry presents the realities of youth mental health in Australia and what urgent action needs to be taken.
The transition to adulthood is the peak period for the onset of the mental and substance use disorders that have serious impacts on the productive years of adult life.
A national commitment to improved blood pressure control would lead to significant health and economic gains.
Dr Norman Swan is producer and presenter of the ABC's Health Report, and the Coronacast podcast.
Dowry abuse is fundamentally driven by gender inequality and is a lesser known form of family violence in Australia.
Australians are increasingly exposed to and vulnerable to excess heat that is already limiting our way of life.
The fourth annual assessment of Australia’s exposure, vulnerability and response to climate change finds us continuing to lag behind the rest of the world.
When a young person seeks COVID-19 vaccination against parental wishes, should the young person’s request be respected?
Community-based studies in five countries show consistent strong benefits from early rollouts of COVID-19 vaccines.
This MJA podcast explores new living guidelines for the clinical care of children and teenagers with COVID-19.
Older people living with frailty or cognitive impairment and people with advanced life‐limiting illnesses needing palliative care may be at risk of poorer outcomes and more serious illness, associated with multiple underlying clinical conditions.
The NHMRC is responsible for developing guidelines on a wide range of public, clinical and environmental health issues. Since 1987 this has included guidelines on reducing the health risks of alcohol, with the latest revision released in 2020.
The epidemiology and clinical manifestations of severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection are different in children and adolescents compared with adults.
Psoriasis is a chronic inflammatory disease that is commonly encountered in primary care and is associated with significant morbidity that extends beyond the skin manifestations.
Prostate cancer continues to be the most commonly diagnosed cancer, and the second leading cause of cancer death among Australian men.
Sexual dysfunction is a frequent, potentially distressing, adverse effect of antidepressants and a leading cause of medication non-adherence.
Migraine affects over a billion people worldwide in any year and is the second most common cause of years lost due to disability.
Invasive meningococcal disease (IMD) is an uncommon but life‐threatening infection caused by Neisseria meningitidis.
In remote communities across the Northern Territory of Australia, only one in ten Aboriginal children younger than 3 years has healthy ears.
Hepatocellular carcinoma (HCC) is a leading cause of cancer deaths both globally and in Australia.
Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) cause significant morbidity and premature mortality among Australian Aboriginal and Torres Strait Islander peoples.
Paracetamol is a common agent taken in deliberate self‐poisoning and in accidental overdose in adults and children. Paracetamol poisoning is the commonest cause of severe acute liver injury.
Adjuvant endocrine therapy improves oncological outcomes in women with oestrogen receptor-positive early breast cancer, but can accelerate bone loss, which predisposes to increased fracture risk.
Gender‐affirming hormone therapy is effective and, in the short term, relatively safe with appropriate monitoring.
In Australia, mental health conditions arising as a result of work factors are a leading cause of long-term work incapacity and absenteeism.
Mycobacterium ulcerans causes an infectious disease known internationally as Buruli ulcer.
Dermoscopy is a clinical technique that allows for a detailed examination of skin lesions and is more clinically accurate in skin oncology than other diagnostic tools. Extensively used as an educational text, previous editions of this atlas have led to s
A practical guide to improving quality and safety in hospitals. High-quality and safe health care can be difficult to achieve, requiring cultural change, which in turn can only occur through the dedicated, consistent efforts of clinical safety champions.
Professor Bruce Campbell outlines the current state of evidence and practice in Australia and talks about the advances made in stroke medicine in the past decade and breakthroughs that may be on the horizon.
Glaucoma is the leading cause of irreversible blindness worldwide. Approximately 300,000 Australians have glaucoma.
Original research articles, authoritative reviews and societal guidelines published in peer-reviewed journals indexed in the PubMed database from 1970 to February 2016.
Review includes individual journals not accessible via PubMed, and a PubMed search for original and review articles published between 1940 and October 2017.
Narrative review is based on a PubMed review of original and review articles from 1999 to 2017, as well as specialist society publications and relevant guidelines.
The current state of evidence to guide screening and management of developmental dysplasia of the hip.
Review describing the new International League Against Epilepsy classiﬁcation of seizure types and epilepsies, updated to reﬂect the major advances in the understanding of the biology of seizure disorders.
An evidence-based overview of the use of Transcatheter aortic valve implantation (TAVI) in clinical practice.
A summary of the evidence with respect to the treatment of menopause in cancer survivors.
An overview of the most recent scientiﬁc and organisational literature to inform readers about the current state of knowledge on climate change and its relationship to human health.
Review of the epidemiology of HPeV in Australia since 2013 and provides guidance to clinicians on the management of suspected infection.
A clinically focused, evidence-based approach to the medical and surgical management of two of the most common causes of menstrual disturbance.
Epidemiology, pathophysiology and clinical management of CIC (chronic idiopathic constipation) in adults.
An overview of current guidelines regarding NRT use in pregnancy, considering the existing evidence base on safety, efﬁcacy and effectiveness.
Developments in the understanding of the pathology, diagnosis and management of sarcoidosis.
Focus on safe and appropriate diagnosis and management of sport-related concussion in Australia.
Contemporary understanding of adult RA focusing on current therapy, especially biological therapy.
Recent progress in the understanding of the inflammatory pathways involved in AD impacting on treatment of the severe presentations of this condition.
An evidence-based overview of national and international data on the prevalence and risk factors for cardiovascular disease (CVD).
Review of current international guidelines and the recent literature, and recommended approach for Australian practitioners.
Assessment of evidence for the approach to clinical questions regarding management of community-acquired pneumonia (CAP).
Focus on irritable bowel syndrome (IBS) and other functional gastrointestinal disorders (FGIDs).
A practical approach to assess and treat patients with low back pain with a diagnostic triage that classifies patients into three broad categories.
Highlights of the growing demand for the diagnosis and treatment according to the protocols of the “chronic Lyme disease” school of thought.
New evidence-based standards of care established to improve patient survival, reduce the burden of disease for patients and their carers, and enhance quality of life.
An overview of the epidemiology, diagnosis, pathogenesis and management of this disorder, based on a synthesis of relevant evidence from PubMed-listed articles.
A summary of important conditions, in order of urgency of treatment, for non-ophthalmologists who are involved in the management of patients with rheumatic diseases.
An explanation that even minor minimal trauma fractures are associated with increased morbidity and mortality.
Recent advances in the management of familial hypercholesterolaemia, and the implications for both primary and secondary care.
Supportive care that can aid in the management of a range of problems that are experienced after a diagnosis of breast cancer.
An overview of the key advances made in the diagnosis and management of Systemic Lupus Erythematosus.
Examination of the range of problems that may be encountered with preparations containing herbal materials.
A digest of the Australian clinical guidelines for the management of acute coronary syndrome 2016 by the National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand.
Presentation of the MJA article, Relieving the Pressure: new Australian hypertension guideline, MJA 205 (2) 18 July 2016.