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"Words are, of course, the most powerful drug used by mankind."
Rudyard Kipling

 

Central venous catheter – complications & risks

Risks associated with central venous catheter insertions is the focus of the latest Clinical Communique from the Victorian Institute of Forensic Medicine. Three cases are presented where complications arose following central venous catheter insertion. "One catheter migrated too far, another catheter went the wrong way, and the last caused damage to its adjacent structures. Each of these are recognised albeit uncommon complications of central venous catheters, yet the cases continue to illustrate the many difficulties in the recognition of catheter misplacement." This edition also includes expert commentary on central venous access by Professor David Story.

Source: Clinical Communique 2016; 3(2)

 

Severe traumatic brain injury in Victoria

This study describes the incidence and causes of hospitalisation for severe traumatic brain injury (TBI) in Victoria over a 9-year period, and is the first in Australia to focus across all age groups. The economic burden of TBI is significant, with estimated annual hospital costs of $184 million in Australia.

Source: Medical Journal of Australia 2016; 204(11): 407

Non-beneficial treatments in hospital at the end of life
This systematic review has confirmed widespread use of NBTs at the EOL in acute hospitals, despite much literature about its negative repercussions for patients, families, healthcare professionals and the health system. While a certain level of NBT is inevitable, its extent, variation and justification need further scrutiny. The authors investigate the variety of NBT definitions and assess the ability to measure them in practice, and the extent of measured 'non-beneficial' hospital treatments at the EOL.

Source: International Journal for Quality in Health Care 2016; online first 27 June

Further reading:

Inquiry into end of life choices
The Victorian Parliament's Legal and Social Issues Committee has tabled its final report on its inquiry into end of life choices. The 49 recommendations have been made after ten months of investigation. "Our recommendations focus on improvements to advance care planning, palliative care and end of life choices through establishment of a new body, End of Life Care Victoria and enactment of a Future Health Act," said Committee Chair Edward O'Donohue.

Source: Parliament of Victoria 2016, June

 

Late-onset neonatal bloodstream infections

"Late-onset neonatal bloodstream infections remain challenges in neonatology. Hand hygiene, line care, and judicious use of indwelling lines are welcome interventions, but might not reduce the incidence of late-onset neonatal bloodstream infections from bacteria originating in the gut."

Source: Seminars in Fetal and Neonatal Medicine 2016; online first 23 June

 

Issues for health and social care – Brexit

The King's Fund looks at the impact of the UK's vote to leave the EU, outlining five issues that will significantly affect patient care in the UK: staffing - shortage of nurses and midwives; access to treatment; regulation with regard to free-trade agreements and medicines authorisations; cross-border cooperation for public health around research and communicable diseases (H1N1, anti-microbial resistance); funding and finance.

Source: The King's Fund 30 June 2016

 

KSR Pain Evidence

Pain management is a complex topic and covers many clinical specialities. The KSR Pain Evidence Database was developed to provide an easy to search resource with usable summary information on all systematic reviews and randomised controlled trials of pain management. Trials are identified using a comprehensive search strategy and then critically appraised using the Risk of Bias Assessment Tool (ROBIS).  An overall summary of the risk of bias and a "bottom line" is provided to inform users if the evidence is reliable. Set up an alert / personal account.

Source: KSR Pain Evidence

 

Transfusion Evidence – trial access

The Transfusion Evidence Library is a database of systematic reviews and RCTs relevant to transfusion medicine. It is fully searchable, updated monthly and aims to be a key resource for medical practitioners, policy makers and researchers. The Cochrane Collaboration has officially endorsed the database, recognizing it as a "unique, evidence-based resource for the transfusion medicine community".

Trial access is available until 31 August 2016 via our Articles & Research Databases webpage (external access will require library barcode/PIN) or the Library Hub page.

 

Austin Health Research Online - recent submissions

Activation of medulla-projecting perifornical neurons modulates the adrenal sympathetic response to hypoglycemia: involvement of orexin type 2 (OX2-R) receptors. Korim WS, Llewellyn-Smith IJ, Verberne AJ, Endocrinology 2016; 157(2): 810-819
Full text available for Austin & MHW Heidelberg staff via document delivery

Insights into the immunological properties of intrinsically disordered malaria proteins using proteome scale predictions. Guy AJ, Irani V, MacRaild CA, PLoS One 2015; 10(10): e0141729

Central nervous system immune reconstitution inflammatory syndrome after ibrutinib therapy for Richter transformation. Chan KL, Lokan J, Tam CS, Leukemia & Lymphoma 2016

Thin section magnetic resonance diffusion-weighted imaging in the detection of acute infratentorial stroke
Entwisle T, Perchyonok Y, Fitt G, Journal of Medical Imaging and Radiation Oncology 2016

See more at AHRO, Austin Health Research Online

 

New books on display

Australia's rural, remote and Indigenous health : a social determinant perspective / Janice Dade Smith - 3rd ed. Elsevier Australia, 2016.
"A practical guide to the delivery of health care in rural and remote Australia. Drawing on personal experiences of rural and remote practitioners, historical accounts, literature analysis and epidemiology, this text examines the economic, social and political forces that shape healthcare in rural and remote Australia."

Understanding mental disorders : your guide to DSM-5 / with a forward by Patrick J. Kennedy - American psychiatric Publishing, 2015.
"Based on DSM-5, the book provides valuable insight on what to expect from an illness and its treatment and will help readers recognise symptoms, know when to seek help, and to get the right care. Featured disorders include depression, schizophrenia, ADHD, autism spectrum disorder, and bipolar disorder, among others."

Print

An introduction to applied cognitive psychology / David Groome - 2nd ed. Routledge, 2016.
"This book offers an accessible review of recent research in the application of cognitive methods, theories, and models. Using real-world scenarios and everyday examples this book offers clear explanations of how the findings of cognitive psychologists have been put to use."

Nursing and midwifery research : methods and appraisal for evidence-based practice / edited by Zevia Schneider et al. - 5th ed. Elsevier, 2016.
"This text has been fully revised and updated to include the latest developments in Australian and New Zealand nursing and midwifery practice. It is an essential guide to developing research skills. Critically appraising research literature and applying research outcomes to practice."

Lecture notes. Urology / Amir Kaisary, Andrew Ballaro and Katharine Pigott - 7th ed. Wiley Blackwell, 2016
"Contains all the essential knowledge for medical students, junior doctors and early-stage trainees involved in urology placements or urological surgery"

An introduction to applied cognitive psychology
 

Journals spotlight

These links provide access to the current table of contents:

Australian Journal of Rural Health

Bipolar Disorders

Brain Injury

Diabetologia

Health Education Research

Journal of Hospital Infection

Journal of Viral Hepatitis

Maternal and Child Health Journal

Muscle & Nerve

Nursing Administration Quarterly

Research in Nursing & Health

Reviews in Endocrine and Metabolic Disorders

Wound Practice & Research

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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