Michael Tam

Dr Michael Tam is a clinical academic Specialist General Practitioner, combining the provision of family medicine, research, health services development, and governance. Michael’s clinical interest is in the whole-person primary care of people living with mental illness. He is actively involved in mental health policy, strategy, and governance, with local, state, and national bodies. Michael’s research is in integrated care and preventive care in general practice. He has expertise in both qualitative and quantitative research methods.

Most commented posts

  1. Incidence and progression of thyroid dysfunction in elderly — 2 comments
  2. Glucosamine and/or chondroitin for osteoarthritis — 2 comments
  3. N95 respirators vs surgical masks to prevent transmission of respiratory tract infections to staff in primary care — 1 comments
  4. Zinc for the common cold — 1 comments
  5. Daily aspirin on long-term risk of death due to cancer — 1 comments

Author's posts

Diagnostic x-ray and ultrasound and childhood cancer

Rajaraman P, et al. Early life exposure to diagnostic radiation and ultrasound scans and risk of childhood cancer… BMJ 2011; 342: d472
The excess risk of childhood cancer from diagnostic imaging in utero and early infancy remains unclear.

Permanent link to this article: https://evidencebasedmedicine.com.au/?p=1295

Cannabis use and earlier onset of psychosis

Large M, et al. Cannabis use and earlier onset of psychosis. Arch Gen Psychiatry 2011: published online 7 February 2011
Cannabis may be causally related to psychotic illness but the evidence remains unclear.

Permanent link to this article: https://evidencebasedmedicine.com.au/?p=1280

Change in publication schedule

It is with some regret that Morsels of Evidence will reduce its publication schedule to once weekly on Wednesdays. Unfortunately, the staff and contributors have other obligations that prevent them dedicating the necessary time for more frequent publication.

Permanent link to this article: https://evidencebasedmedicine.com.au/?p=1417

Osteoporosis in older men: the CHAMP study

Bleicher K, et al. Prevalence and treatment of osteoporosis in older Australian men: findings from the CHAMP study. MJA 2010;193:387-391
Osteoporosis is very common in men aged over 70 years and probably under-recognised and undertreated; 25% of participants had osteoporosis.

Permanent link to this article: https://evidencebasedmedicine.com.au/?p=228

Blood pressure measurement; conventional vs automated

Myers MG, et al. Conventional versus automated measurement of blood pressure in primary care patients with systolic hypertension: randomised parallel design controlled trial. BMJ 2011; 342: d286
Automated BP measurement is significantly closer to waking ambulatory BP than conventional manual measurement.

Permanent link to this article: https://evidencebasedmedicine.com.au/?p=1229

Conventional CPR vs chest compression only

Ogawa T, et al. Outcomes of chest compression only CPR versus conventional CPR conducted by lay people… BMJ 2011; 342: c7106
Conventional CPR may be associated with better rates of survival than chest compression only CPR when conducted by lay people in out of hospital arrests.

Permanent link to this article: https://evidencebasedmedicine.com.au/?p=1116

Escitalopram for hot flushes in menopausal women

Freeman EW, et al. Efficacy of escitalopram for hot flashes in healthy menopausal women: a randomized controlled trial. JAMA. 2001; 305(3): 267-74
Escitalopram is probably associated with a mild improvement in the frequency and severity of hot flushes in peri-menopausal women.

Permanent link to this article: https://evidencebasedmedicine.com.au/?p=1075

Cardiovascular safety of NSAIDs

Trelle S, et al. Cardiovascular safety of non-steroidal anti-inflammatory drugs: network meta-analysis. BMJ 2011; 342:c7086
Non-steroidal anti-inflammatory drugs (NSAIDs) appear to be associated with increased cardiovascular risks.

Permanent link to this article: https://evidencebasedmedicine.com.au/?p=1173

B-vitamins and omega-3 fatty acids on vascular disease

Galan P, et al. Effects of B vitamins and omega 3 fatty acids on cardiovascular diseases: a RCT. BMJ 2010; 341:c6273
B-vitamin and low dose omega-3 fatty acid supplements are not associated with better vascular outcomes in people with ischaemic heart disease and stroke.

Permanent link to this article: https://evidencebasedmedicine.com.au/?p=993

Incidence and progression of thyroid dysfunction in elderly

Gopinath B, et al. Five-year incidence and progression of thyroid dysfunction in an older population. Internal Medicine Journal 2010;40(9):642–649
The rate of progression from subclinical to overt hypothyroidism in older people is about 1 in 6 over five years.

Permanent link to this article: https://evidencebasedmedicine.com.au/?p=182

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