Austin Health
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Welcome to all our new Interns

"We look for medicine to be an orderly field of knowledge and procedure. But it is not. It is an imperfect science, an enterprise of constantly changing knowledge, uncertain information, fallible individuals, and at the same time lives on the line. There is science in what we do, yes, but also habit, intuition, and sometimes plain old guessing. The gap between what we know and what we aim for persists. And this gap complicates everything we do."
Atul Gawande (surgeon, writer & health researcher)

 

 

Golden staph in public hospitals declining

The number of cases and rates of Staphylococcus aureus bacteraemia (SAB) or 'golden staph' has fallen in Australian public hospitals according to latest AIHW report. "Between 2010-11 and 2014-15 the number of SAB cases reported decreased by 21% from 1,876 to 1,490 cases."

Source: AIHW Dec 2015

Further reading

Combination of vancomycin and β-lactam therapy for methicillin-resistant staphylococcus aureus bacteremia: a pilot multicenter randomized controlled trial
This RCT provides initial evidence that the combination of vancomycin with an antistaphylococcal β-lactam may be useful for the treatment of MRSA bacteremia.

Source: Clinical infectious diseases 2016; 62(2): 173-180

 

Perioperative IV fluid prescribing

Excessive or inadequate intravenous fluid given in the perioperative period can affect outcomes. Although many guidelines exist, there is considerable variation in clinical practice. In this multi-centre audit, the authors identified that "the suboptimal use of intravenous fluid therapy is relatively common and a potential cause of excessive complications."

Source: Perioperative medicine Dec 2015; 4(15)

Intravenous Fluids
 

Advancing nursing research in hospitals

"Integrating nursing research into clinical and operational processes requires knowledge and expertise in research and EBP, as well as strong leadership dedicated to empowering and supporting nurses to reach their full professional potential." This study highlights strategies to encourage nurse engagement in the development of new knowledge and translation of best evidence into practice.

Source: Journal of nursing administration Dec 2015; 45(12): 600-5

 

Precision medicine, EBP & the influence of ‘big data’

A special report on how precision medicine and the availability of large data sets (gathered through new technologies) will challenge the current approach to research practice. It is predicted that in the future "evidence used by providers to make health care decisions will move from systematic reviews to comprehensive biopsychosocial reports" on individual patients.The author identifies significant research projects in the obstetric, gynaecology and neonatal disciplines.

Source: Journal of obstetric, gynaecologic & neonatal nursing Dec 2015; 44(6): 751-757 

Further reading

Personalized medicine: time for one person trials
"Precision medicine requires a different type of clinical trial that focuses on individual, not average responses to therapy" states author Nicholas J. Schork. Current barriers preventing "n-of-1 trials" becoming mainstream include: regulatory agencies; researchers and clinicians being rightfully wary of moving away from classical clinical trials; and pharmaceutical companies, as they focus on high volume drugs likely to be used by thousands or millions of people.

Source: Nature 2015; 520(7549): 609-611

 

Digital revolution – 8 technologies changing health & care

New technology including smart pills, digital therapeutics, and genome sequencing are already changing health care delivery and offer innovative ways to prevent, predict, detect and treat illness. This King's Fund report looks at many of these new technologies and the potential challenges faced by health care professionals.

Source: King's Fund Jan 2016

Further reading

Technology in postgraduate medical education: a dynamic influence on learning?
In this paper the "influence of technology in medical workplace learning is explored by focusing on three uses: m-learning (notably apps), simulation and social media." The authors indicate that unless the challenges raised by the use of technology are addressed, these will impede the benefits new technology offers.

Source: Postgraduate medical journal 2015; 91: 646-650

 

eBooks spotlight

Atlas of pelvic anatomy and gynecologic surgery / Michael S. Baggish & Mickey M. Karram - 4th ed. - Elsevier, 2016.
This comprehensive pictorial resource comprises a multitude of quality photographs and detailed drawings with more than 100 new as well as colourisation of nearly 200 existing illustrations.

Brenner & Rector's the kidney / [edited by] Karl Skorecki et al. - 10th ed. - Elsevier, 2016.
This leading learning resource "covers kidney health and disease from pre-conception, through fetal and infant health, childhood, adulthood, and into old age".

Sabiston & Spencer surgery of the chest / [edited by] Frank W. Sellke, Pedro J. del Nido & Scott J. Swanson - 9th ed. - Elsevier, 2016.
This text provides the latest information on the diagnosis and treatment of disease of the thorax; areas such as "repair of aortic and mitral valvular disease, intervention for congenital heart disease, minimally invasive thoracic and cardiac surgery, surgical treatment of arrhythmias, and endovascular treatment of aortic disease."

New books on display

Handbook of fractures / Kenneth A. Egol, Kenneth J. Koval, Joseph D. Zuckerman - 5th ed. - Wolters Kluwer Health, 2015.
A useful handbook for residents and clinicians seeking fast facts on fracture classification and management.

The dietitian's guide to polycystic ovary syndrome / Angela Grassi - Luca Publishing, 2007.
This text will provide dietetic professionals with the necessary knowledge and training to work with women who have polycystic ovary syndrome.

Apley and Solomons's concise system of orthopaedics and trauma / Louis Solomon, David Warwick, Selvadurai Nayagam - 4th ed. - CRC Press/Taylor & Francis Group, 2014.
An introductory textbook of orthopaedic practice and the principles of fracture management for medical students and trainee surgeons.

Neonatology at a glance / edited by Tom Lissauer [and 3 others] - 3rd ed. - Wiley Blackwell, 2016.
This book provides a concise, illustrated overview of neonatal medicine; sections on respiratory support, perinatal neuroimaging and foetal medicine.

 

Journals spotlight

These links provide access to the current table of contents:

Annals of internal medicine

BMJ supportive and palliative care

Clinical gastroenterology & hepatology

Diabetes, obesity & metabolism

Informatics for health and social care

International journal of clinical pharmacy

JAMA

Medicine & science in sports & exercise

New England journal of medicine

Obstetrics & gynecology

Postgraduate medical journal

Women's health issues

Looking for the latest journal issues?

All our journal titles with electronic access are available via the 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 in the Journal List, please use our online document delivery form.

 

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