Volume 4, Issue 2 | 2013 A M Australian Medical S J Student Journal Melioidosis in the Torres Strait Islands Letter What comes next after #interncrisis? Review A systematic review evaluating non-invasive techniques to diagnose genetic disorders in a human fetus and the ethical implications of their use Feature Reproductive healthcare in Latin America www.amsj.org Discover the opportunities in general practice. General practice offers the opportunity to subspecialise and undertake procedural work and academic training. The Australian General Practice Training program is your pathway to becoming a GP. For more info on the AGPT program go to gpet.com.au or follow @AGPT_GPTraining Design and layout © 2013, Australian Medical Student Journal Australian Medical Student Journal, 330 Anzac Parade, UNSW Sydney, 2052 [email protected] www.amsj.org Content © 2013, The Authors ISSN (Print): 1837-171X ISSN (Online): 1837-1728 Printed and bound in Australia by Ligare Book Printers. The Australian Medical Student Journal is an independent not-for-profit student organisation. Responsibility for article content rests with the respective authors. Any views contained within articles are those of the authors and do not necessarily reflect the views of the Australian Medical Student Journal. A M S J Australian Medical Student Journal Volume 4, Issue 2 | 2013 Contents A M S J Australian Medical Student Journal Volume 4 Issue 2: Editor’s A M Foong Yi Chao 4 Welcome S J A M International medical electives: time for a rethink? Foong Yi Chao 5 S J National Leadership Development Seminar: developing the health Manda Kaled, Linh 7 care leaders of the future 7 Nguyen Dr. Michael Bonning, Dr. What comes next after #interncrisis? 8 William Milford 9 End-of-life issues in the emergency department 17 Clinton Ellis 10 Lessons learned from internship Dr. Michael Miu Virginia Boon, Dr. Jill Carr, 11 The role of viruses in carcinogenesis 4 Associate Professor Sonja Klebe A systematic review evaluating non-invasive techniques to diagnose 12 Matthew Irwin 16 genetic disorders in a human fetus and the ethical implications of their use Is plasmapheresis the optimal treatment option for acute pancreatitis 19 Mohammad Rehmanjan 19 secondary to hypertriglyceridemia? A systematic review Examining the pathological nature of Hepatitis C and current drug 6 Dimitra Jaimie Aslanidis 23 therapies used in an Australian general practice context Oncolytic Virotherapy: The avant-garde approach to oncological Kok-Ho Ho 29 treatment via infectious agents 16 33 Sugammadex – the solution to our relaxant problems? 7 Henry Badgery Factors that influence Australian medical graduates to become 6 Karan Singh 37 General Practitioners 40 The impact of the nuclear crisis on global health Dr. Helen Caldicott Professor John Mattick Genomic medicine 43 AO A new paradigm for assessment of learning outcomes among Australian Professor David Wilkinson 45 medical students: in the best interest of all medical students? A case of solid pericardial metastases causing constrictive Joyce Ng, Ruwan 7 48 pericarditis in a patient with non small cell lung cancer Wijayaratna Acute viral bronchiolitis in the setting of extensive family history of 7 Glenn Yong 52 asthma 55 Adult Onset Still’s Disease – a diagnostic dilemma 3 Suyi Ooi Mobile segment of the hamulus causing dynamic compression of Sheldon Moniz, Tarryn 18 59 the motor ulnar nerve branch in the hand Sohn Dr. Kathrin Rac, Dr. Melioidosis in the Torres Strait Islands: an 11 year audit 2001-2012 62 Michael McLaughlin Sara de Menezes, Assoc Social phobia in children – risk and resilience factors 6 66 Professor Alasdair Vance ii Australian Medical Student Journal Volume 4, Issue 2 | 2013 Chocolate, Cheese and Dr Chan: Interning at the World Health Laksmi Sakura Hashimoto- 12 Organization Headquarters, Geneva Govindasamy 70 Patient Specific Total Knee Arthroplasties: A technological 14 David Kerr solution to the ageing population 73 The role of the food industry in tackling Australia’s obesity Samantha Bobba epidemic 12 76 Improving medication adherence amongst Aboriginal and Torres 7 Surabhi Kumble Strait Islander peoples 79 Dr. Jasan Dannaway, Evidence based practice; keep it simple stupid Dr. Casey Maddren, Dr. 83 Kumara Mendis Probiotics: A New Recommendation with Proton Pump 15 Colby Oitment Inhibitors? 87 Reproductive Healthcare in Latin America: Perspectives from a Dr. Catherine McHugh Guatemalan Elective 89 See no evil, hear no evil, speak no evil: Tanzania’s struggles with 8 Michael Weightman the HIV epidemic 92 Oral Health - An important target for public policy? 7 Luke Mclean 94 The B Positive Program as a model to reduce hepatitis B health 16 Gloria Fong disparities in high-risk communities in Australia 96 Dr. Randal Moldrich, Dr. Approaching autism 5 Catherine Marraffa 99 6 15 5 2 11 10 18 19 14 13 8 16 12 20 4 1 9 3 7 17 1. Australian National University 8. University of Adelaide 15. University of Queensland 2. Bond University 9. University of Melbourne 16. University of Sydney 3. Deakin University 10. University of Newcastle 17. University of Tasmania 4. Flinders University 11. University of New England 18. University of Western Australia 5. Griffith University 12. University of New South Wales 19. University of Western Sydney 6. James Cook University 13. University of Notre Dame (Fremantle) 20. University of Wollongong 7. Monash University 14. University of Notre Dame (Sydney) Australian Medical Student Journal iii Welcome A M S J Australian Medical Student Journal Volume 4 Issue 2: Editor’s Welcome Foong Yi Chao Editor-In-Chief, AMSJ elcome to Volume 4, Issue 2 of the the use of viruses as oncological treatment, a WAustralian Medical Student Journal. report on an internship at the World Health Coming into our eighth issue, we are proud Organisation, and a case report on dynamic to announce that the journal continues to compression of the motor ulnar nerve branch be a showcase of the outstanding quality of in the hand caused by a mobile segment of medical research done by students across the hamulus. Australia. We have continued to focus on the issues relevant to local medical students We have been fortunate to receive articles whilst maintaining a stringent peer review from respected Australians in this issue of the system. However, we feel that this is an AMSJ, namely Dr Helen Caldicott, Professor opportune time to expand our horizons, John Mattick and Professor David Wilkinson. and we’re pleased to announce that from Dr Helen Caldicott is a prominent Australian the next issue onwards we will be trialing physician and a leading anti-nuclear activist, online publication of suitable international who presents her opinions on the impact submissions. These are exciting times for the of the recent Fukushima nuclear crisis on global health. Professor John Mattick is the maintaining full time medical studies. A AMSJ and we look forward to what the future sincere thank you to all of our staff. I’d brings for the journal executive director of the Garvan Institute and a internationally recognised leader in also like to take this opportunity to thank The number of submissions have continued the field of genetics, and his article provides the previous Editor-in-Chief, Dr Michael to grow with each issue, with a number of us with timely and well-placed advice on Thompson, for his invaluable guidance and high quality submissions. Highlights include the rise of genomic medicine. Last but not support, whilst wishing the incoming Editor- in-Chief, Saion Chatterjee, the best of luck a unique 11 year audit of melioidosis in the least, Professor David Wilkinson has a wealth with the following issue. We’re also indebted Torres Strait Islands and a timely letter on the of experience in medical education, and to our peer reviewers, most of whom are full- high profile #interncrisis campaign. Given the is currently the Deputy Vice Chancellor at time professionals who took time out of their rising importance of melioidosis as a cause Macquarie University. We believe that his busy schedules to review our articles. We’re of infective disease in Northern Territories article on medical student assessment will be pleased to be able to acknowledge them in and Far North Queensland, the article of great interest and relevance to Australian this issue, and look forward to working with provides us with vital statistics regarding the medical students. situation in the Torres Strait Islands. Of note, them in future issues. Last but not least, the authors conclude that the incidence As a medical student journal, we are reliant we’d also like to thank our authors for their of melioidosis is one of the highest in on the voluntary work of our student staff. outstanding contributions, which provide the Australia and internationally. Other notable This issue is a culmination of many months basis for the continued success of our journal. submissions include an original research of hard work by staff members all across We hope you enjoy this issue of the AMSJ, article on social phobia in children, reviews Australia, who have managed to put together and look forward to your feedback and future on the role of viruses in carcinogenesis and a high quality, peer-reviewed journal whilst contributions. Thank you to AMSJ Peer Reviewers Associate Professor David Baines Mr Bernard Lim Dr Ian Hoffman Dr Craig Sims Associate Professor Matthew Edwards Dr Kristine Egberts Dr Justin Skowno Associate Professor Allen Cheng Dr Anna Peeters Dr Tracy Putoczki Professor Meg E. Morris Ms Kelly