Michael P Lowe

Michael P Lowe
Northern Territory Department of Health

B. Med, FRACP, Grad Dip Clin Epid.

About

43
Publications
7,519
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1,148
Citations
Citations since 2017
8 Research Items
304 Citations
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Introduction
Skills and Expertise

Publications

Publications (43)
Article
Background The Northern Territory (NT) of Australia is currently experiencing a syphilis epidemic. Neurosyphilis is commonly considered in the differential diagnosis for patients presenting with neurologic conditions such as dementia and stroke in the NT. Aims To explore the local epidemiologic, diagnostic and treatment complexities of neurosyphil...
Article
Full-text available
Background Aboriginal and/or Torres Strait Islander people experience dementia at a rate three to five times higher than the general Australian population. Aboriginal Community Controlled Health Services (ACCHSs) have a critical role to play in recognising symptoms of cognitive impairment, facilitating timely diagnosis of dementia, and managing the...
Article
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Background Neurosyphilis (NS) presents with a variety of clinical syndromes that can be attributed to other aetiologies due to difficulties in its diagnosis. We reviewed all cases of NS from the “Top End” of the Australian Northern Territory over a ten-year period to assess incidence, clinical and laboratory manifestations. Methods Patient data (2...
Article
Background A high prevalence of dementia among Aboriginal and Torres Strait Islanders has been reported but knowledge of underlying causes and associations remains limited. Objective To identify the prevalence of factors that may be associated with the categories of Major neurocognitive disorders (Major NCDs) in Aboriginal people living in residen...
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CONTEXT: The Northern Territory (NT) is characterised by major health inequalities. A high proportion of the population is Indigenous, with poor socioeconomic conditions and a high burden of disease. The small NT population - 1% of the total Australian population - is dispersed over one-sixth of Australia's land mass. Given this very low population...
Chapter
While people across all cultures agree about the value of respecting elderly people, levels of elder abuse in most communities are high.
Article
Objective The aim of the present study was to describe the elderly population of the Northern Territory (NT), explore the challenges of delivering aged care services to this population and implications for the acute care sector.Methods Data gathered from a variety of sources were used to describe the demographic and health profile of elderly Territ...
Article
Research is crucial to advancing knowledge about dementia, yet the burden of the disease currently outpaces research activity. Research often excludes people with dementia and other cognitive impairments because researchers and ethics committees are concerned about issues related to capacity, consent, and substitute decision-making. In Australia, p...
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To estimate the prevalence and incidence of dementia in Northern Territory Indigenous and non-Indigenous populations. Four data sources were used to identify clients with a diagnosis of dementia, from 1 January 2008 to 31 December 2011. The data sources included hospital admissions, aged care services, primary care and death registration. A capture...
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The Northern Territory (NT) of Australia is a unique setting for training medical students. This learning environment is characterised by Aboriginal health and an emphasis on rural and remote primary care practice. For over a decade the NT Clinical School (NTCS) of Flinders University has been teaching undergraduate medical students in the NT. Comm...
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To investigate the effect of duration of clinical training placements in the Northern Territory on rate of return of medical students for an internship in the NT. Retrospective analysis of medical school and hospital data on all medical students who completed a placement with the Northern Territory Clinical School (NTCS) between 1998 and 2007. Logi...
Article
Patients may participate in teaching in many ways, in different settings and with different degrees of expert supervision. The majority of patients are generally very willing to participate in teaching. At times, however, patients may decline to see students because they are too sick, wish to maintain their privacy, prefer to have more expert care,...
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To provide data on the career trajectories of medical students from rural and remote workforce programs at Flinders University (the Parallel Rural Community Curriculum [PRCC] and the Northern Territory Clinical School [NTCS]), comparing them with students at the urban Flinders Medical Centre (FMC). Retrospective postal survey of all 150 graduates w...
Article
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The Northern Territory Clinical School (NTCS), a teaching site of the Flinders University School of Medicine, was established in Darwin, Northern Territory (NT; 1997) in response to a need for regional clinical training. An enrolment quota of NT resident, Aboriginal and Torres Strait Islander students was implemented to encourage the recruitment of...
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All doctors require skills to critically appraise medical research. Critical appraisal is important but limited by its focus on the internal logic of research publications. A broader knowledge of the context in which studies are generated is sometimes necessary to understand their conclusions and their implications for clinical practice.
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Individual values sometimes lead patients to make lifestyle choices that have negative effects on their health. Doctors tend to feel responsible for delivering best-practice health outcomes to such patients, but also feel inclined to respect their patients' values. The adoption of a harm reduction model may provide a strategy for delivering the bes...
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When mortality from melioidosis fell sharply after multiple changes in management at an Australian hospital, doctors wanted to identify whether a new drug was responsible. But designing a trial that was ethically acceptable proved impossible.
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Refusal of organ donation is common, and becoming more frequent. In Australia refusal by families occurred in 56% of cases in 1995 in New South Wales, and had risen to 82% in 1999, becoming the most important determinant of the country's very low organ donation rate (8.9/million in 1999). Leading causes of refusal, identified in many studies, inclu...
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Questions surrounding the assessment of medical school applicants' morality are difficult but they are nevertheless important for medical schools to consider. It is probably inappropriate to attempt to assess medical school applicants' ethical knowledge, moral reasoning, or beliefs about ethical issues as these all may be developed during the proce...
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The aim of this article is to examine the role of two geriatric rehabilitation units in a large rural area, and compare them with published data about rehabilitation units in urban settings. We look at the inputs to the units and the measurable outputs, including length of stay, discharge disposition of patients and changes in patient activities of...
Article
To investigate knowledge about and attitudes to cardiopulmonary resuscitation (CPR), and to determine whether written information about CPR alters knowledge and choices made. Questionnaire-based survey before and immediately after provision of written information describing CPR and its risks and benefits. All health professionals (803) and competen...
Article
To examine the opinions of patients and healthcare professionals regarding the process of making decisions about cardiopulmonary resuscitation (CPR). A cross-sectional survey of 511 healthcare professionals (doctors, nurses and allied health professionals) (64% response rate) and 152 patients (58% response rate) at the John Hunter Hospital, Newcast...
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Evidence based medicine is founded upon an ideal—that decisions about the care of individual patients should involve the “conscientious, explicit and judicious use of current best evidence.”1 Several publications are dedicated to evidence based medicine, and, at an international level, the Cochrane Collaboration has been formed to gather, analyse,...
Article
We report the first documented case of the use of peripheral blood stem cell autografting in the treatment of a Jehovah's Witness with acute myeloblastic leukemia. This case illustrates the complex ethical and clinical issues that arise in the treatment of such patients.
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Full-text available
Recent literature has highlighted issues of racial discrimination in medicine. In order to explore the sometimes subtle influence of racial determinants in decisions about resource allocation, we present the case of a 53-year-old Australian Aboriginal woman with end-stage renal failure. The epidemiology of renal failure in the Australian Aboriginal...
Article
We describe the epidemiologic aspects of dialysis withdrawal, the role of patient autonomy and of medical beneficence in the decision to discontinue dialysis, and the conditions under which limits may be placed on patient autonomy. A case is presented that provides insight into the issues involved in making such decisions and that should provoke fu...
Article
Bloodletting has been practised in most cultures for the past two millennia. Originally widely applied, it is now only indicated for a small number of specific medical conditions. Bloodletting declined in the 19th century at a time of revolution in medical thought, and examining its decline illustrates the forces that have shaped modern medicine.

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