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The proportion of Australians aged over 65 years is increasing. Although screening and treatment for alcohol and drug issues has traditionally focused on those aged less than 65 years, there is growing evidence of alcohol and drug related harm among older people.

In September 2008, the Federal Minister for Health and Ageing, Nicola Roxon, announced plans to change delivery of primary health care in Australia. Ms Roxon suggested that general practitioners should ‘relinquish some of the work that could be safely done by other health professionals’.1 The New...

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One of the tensions in medicine is between a preventive and reactive approach to disease. On the one hand, we know that attaining that elusive goal, the healthy lifestyle – free of stress and vices, rich in fruit, vegetables and exercise – can prevent many diseases, and we actively encourage our...

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CaseA man, aged 59 years, with a 30‑year history of genotype 1 hepatitis C, mild cirrhosis and a past history of asthma requiring combination therapy, presented to his general practitioner (GP) complaining of insomnia, fatigue and muscle weakness, which caused him to fall when climbing stairs...

Case 1Shane, 13 years of age and previously well, is an enthusiastic athlete who plays a number of competitive team sports for his school. Last year he won player of the year in hockey, although rugby is his preferred sport. While on the field earlier today in a rugby game with a neighbouring...

Obesity is a serious, chronic, relapsing disease of energy regulation with strong genetic and early-life environmental determinants.1,2 For the majority of patients, following an exemplary diet and exercise recommendations provide only modest weight loss that is difficult to sustain.3 Similarly...

Male patients were three times more likely than female patients, and patients aged ≥45 years were seven times more likely than younger patients to have cardiomyopathy managed (Figure 1). The most common other problems managed with cardiomyopathy were diabetes, atrial fibrillation and hypertension...

Men accounted for 53% of the 1325 patients at encounters for sprain and strain. Sprain/strain was managed for 1.7% of men, which was significantly more than for women (1.2%). As would be expected, the highest proportion of patients having a sprain or strain managed were those aged 15–24 years (2...