BackgroundIn Australia, the role of surgical aortic valve replacement (SAVR) and transcatheter implantation (TAVI) in patients who are suitable for both procedures remains controversial. In 2022, new Items were added to Medicare Benefits Schedule (MBS) allow at intermediate low risk with appropriate private health insurance undergo TAVI. The Cardiac Society Australia New Zealand supported these changes whereas Australian Thoracic Surgeons opposed them. aim this study was document subsequent...

"Who should get the last ventilator?" was an esoteric ethics question until footage emerged from inside main hospital in Bergamo Northern Italy at start of COVID-19 pandemic.1 While Australia spared horror that reality, need to ration finite health resources is a perennial problem confronts all care systems. Health technology assessment (HTA) formal multidisciplinary process aims "inform decision-making order promote equitable, efficient, and high-quality system".2 This article uses case...

This Perspective begins with a case study that raises two important questions: who is responsible for the existence of non-compliant Medicare billing, and eliminating it? In discussion follows, I argue, first, problem has been created by individual clinicians itself (i.e. organisational structure administers Medicare). Second, more importantly, argue ethical obligation to eliminate extends broadly include both government medical profession.

BackgroundIn Australia, transcatheter aortic valve implantation (TAVI) is only performed in a limited number of specialised metropolitan centres, many which are private hospitals, making it likely that TAVI patients who require readmission will present to another (non-index) hospital. It important understand the impact non-index on patient outcomes and healthcare resource utilisation.MethodWe analysed linked hospital death records for residents New South Wales, aged ≥18 years, had an...

Transcatheter aortic valve implantation (TAVI) did not receive regulatory approval in Australia until 2013, several years after Europe (2007) and America (2011). Consequently, the uptake of TAVI initially lagged behind international best practices. This study was undertaken to provide an update on status activity Australia.

Background. Acute graft dysfunction caused by ischemia-reperfusion injury is recognized as a major source of morbidity and mortality following adult heart transplantation. The aim this study was to determine whether treating the donor recipient with cariporide, an inhibitor sodium-hydrogen exchanger, could reduce injury. Methods. A porcine model brain death, hypothermic ischemic preservation, orthotopic cardiac transplantation used. Allografts in both control group (CON, n=6) treatment (CAR,...

Objective: Paradoxically, it has been reported that after 1.5–4 h of hypothermic ischaemic preservation there is complete recovery contractile function in canine cardiac allografts, as assessed by the preload recruitable stroke work (PRSW) relationship. This raises questions about suitability heart a model for research and PRSW relationship an end-point. The aim present study was to evaluate index left ventricular contractility porcine allografts. Methods: Eighteen orthotopic transplants...

Background. The aim of this study was to determine the efficacy cariporide (a sodium-hydrogen exchanger inhibitor), BMS180448 pharmacologic ischemic preconditioning agent), and combination thereof, as adjuvant therapies for extended cardiac allograft preservation. Methods. A porcine model donor brain death orthotopic heart transplantation used. All hearts were arrested stored 14 hr in an extracellular preservation solution. Control (CON; n=3) did not receive any additional treatment. Treated...

Objective: To determine if the initial rate of troponin I release post-reperfusion reflects effectiveness myocardial protection during cardiac allograft preservation. Methods: A porcine model orthotopic heart transplantation was used. Data from two control groups (CON4 and CON14) treatment (CAR4 CAR14) were analysed. Hearts in CON4 (n=6) CAR4 subjected to 4 h ischaemia while hearts CON14 (n=3) CAR14 14 ischaemia. All arrested stored same extracellular preservation solution. Both donor...

Objective Lifetime Health Cover (LHC) was introduced in mid-2000 to increase participation private health insurance that includes hospital cover (PHI-HC) and improve the risk profile of PHI-HC participants. It initially achieved both objectives, but since 2001 population has aged faster than general population. The aim this study determine if excess ageing pool been due passive age-based adverse selection, an inherent LHC. This potential implications for retention Methods A descriptive...

The advent of transcatheter aortic valve implantation (TAVI) has caused a paradigm shift in the management stenosis away from traditional surgical replacement (SAVR). However, uncertainty remains about long-term (>10 year) durability TAVI valves, especially younger patients. This viewpoint collates life expectancy data Australia and Aotearoa New Zealand to propose sex-specific age-based recommendations for choice SAVR versus their respective general populations among Aboriginal Torres Strait...

To establish visiting patterns and use of resources within an educational world wide web site, to develop strategies for its more effective as a teaching medium.Prospective descriptive study.A site maintained by major Australian metropolitan trauma service.All visitors the over 40 day period.Number visitors, requests pages, transfer files; timing duration visits; first last pages viewed during most often; source referral country origin visitors.There were 2237 visits, mean 5.8 pages/visit...

Endometrial cancer is the most common gynecologic malignancy in United States. Abnormal uterine bleeding presenting symptom for women diagnosed with endometrial cancer. Although genetic factors account a small percentage of cancer, Lynch syndrome have markedly increased risk this disease. patients mutations DNA mismatch repair genes, creating alterations microsatellite regions. Additionally, Cancer Genome Atlas was analyzed and compelling evidence revealed that four categories cancers exist....