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"Chocolate is medicinal. I just did another study that confirms it."   Michelle M. Pillow


A happy and safe Easter from the Austin Library Team.


From hospitals to health systems

This report presents 5 case studies of acute hospitals working collaboratively with local partners to build integrated models of care. Hospitals in England and Australia are facing challenges from increased demand for health care. Hospital leaders need to adopt shared responsibility for a local system and this necessitates working closely with primary care, community services and social care.

Source: The King's Fund, March 2015


Clinical communiqué: case studies

Clinical Communiqué is a newsletter written by clinicians, using a case-study approach to report on lessons learned from deaths investigated by the Coroners' Court.

The 3 cases presented provide examples where gaps in clinical handover had an effect on the clinical decision(s) made at the time. Some key issues raised include: assumptions made of the wording used in a handover report; the challenges associated with handover between different specialities or between junior and senior staff; and the impact of failing to communicate all relevant information in a critical situation.

Source: Victorian Institute of Forensic Medicine, March 2015: 2(1)


Simulation : a high stakes assessment tool in emergency

Formal tools to assess the crisis resource management skills of trainees already exist but have shown mixed results with evaluation. The author describes criteria for testing and barriers to using simulation when assessing trainees. The article emphasises that new technologies require new metrics and studies  to support testing validity and accuracy.

Source: Emergency medicine Australasia, April 2015: 27(2) 173-175


Singing for respiratory health

The premise that singing is a health promoting activity for people with respiratory conditions of chronic obstructive pulmonary disease (COPD) and asthma is a growing area of interest being investigated by researchers from various disciplines. The authors summarise research on singing in healthy people, then review research findings on the benefits of singing for people with COPD and asthma.

Source: Health Promotion International, online first March 16, 2015


Sugar intake for adults and children

This new World Health Organization (WHO) guideline recommends "reduced intake of free sugars throughout the life course. In both adults and children, the intake of free sugars should be reduced to less than 10% of total energy intake. A further reduction to below 5% of total energy intake would provide additional health benefits."

Source: World Health Organization, 2015


Dark chocolate is best! – evidence to consider

Surprisingly, literature on adverse effects produced by chocolate is scarce when compared with the number of studies touting the benefits of chocolate.

Dark chocolate acutely improves walking autonomy in patients with peripheral artery disease
Authors conclude - In patients with peripheral artery disease (PAD) "dark but not milk chocolate acutely improves walking autonomy with a mechanism possibly related to an oxidative stress‐mediated mechanism involving NOX2 regulation".
Source: Journal of the American Heart Association, 2014

Cocoa extracts reduce oligomerization of amyloid-β: implications for cognitive improvement in alzheimer's disease
Authors findings - "indicate that cocoa extracts have multiple disease-modifying properties in alzheimer's disease and present a promising route of therapeutic and/or preventative initiatives."
Source:  Journal of Alzheimer's disease, 2014

Chocolate consumption and bone density in older women
Authors found "older women who consume chocolate daily had lower bone density and strength. Additional cross-sectional and longitudinal studies are needed to confirm these observations. Confirmation of these findings could have important implications for prevention of osteoporotic fracture"
Source: The American journal of clinical nutrition, 2008

Chocolate / cocoa and human health
Authors warn us of bias in studies on chocolate, and that cohorts are often small.  However current evidence suggests that the beneficial effects of chocolate are attributed mainly to its flavonol content, especially epicatechin. Hence, direct dietary supplementation with flavonol instead of whole chocolate consumption deserves further study.
Source: The Netherlands journal of medicine, 2013


eBooks spotlight

Textbook of gastrointestinal radiology / [edited by] Richard M. Gore, Marc S. Levine.  4th ed. Elsevier Saunders.
Gastrointestinal radiology remains an indispensable source for state-of-the-art guidance on the latest imaging technologies.

Wounds and lacerations: emergency care and closure / Alexander T.Trott. 4th ed, 2012 Elsevier Saunders. 
This medical reference book provides concise guidance on the latest techniques and strategies for treating lacerations, wounds, and burns.


New Books on Display

Emotional blackmail: when the people in your life use fear, obligation and guilt to manipulate you / Susan Forward with Donna Frazier. Harper, 2001

Life care planning and case management: handbook / edited by Roger O Weed and Debra E. Berens. 3rd edition. CRC Press, 2010


Journals spotlight

These links provide access to the the current issue.

American journal of clinical nutrition

American journal of epidemiology

Annals of Thoracic Surgery

Clinical diabetes

Clinical psychology and psychotherapy

Diabetes, obesity & metabolism

Evidence based mental health


Heart, lung & circulation

Joint bone spine

Journal of sleep research

Journal of the American Heart Association

Neonatal network

Looking for the latest journal issues?

All our journal titles with electronic access are available via the A-Z Journal List

(outside the Austin Health network use your Library barcode no. & PIN for access)

If you require an article from a journal that is not on the A-Z Journal List, please use our online document delivery form.

Journals received in print-only format this week

Breastfeeding review, Vol 23, no 1, Mar 2015

Nature, Vol. 519, no. 7541, 5 March 2015


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