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"Without continual growth and progress, such words as improvement, achievement, and success have no meaning"
Benjamin Franklin


Drugs that may cause or exacerbate heart failure

"Heart failure is a common, costly, and debilitating syndrome that is associated with a highly complex drug regimen, a large number of comorbidities, and a large and often disparate number of healthcare providers. All of these factors conspire to increase the risk of heart failure exacerbation by direct myocardial toxicity, drug-drug interactions, or both." This scientific statement from the American Heart Association is designed to serve as a "comprehensive and accessible source of drugs that may cause or exacerbate heart failure to assist healthcare providers in improving the quality of care for these patients."

Source: Circulation 2016; 134(5) online first: 2 August


Real-time risk prediction on the wards: a feasibility study

Failure to detect clinical deterioration in the hospital is common and associated with poor patient outcomes and increased healthcare costs. The objective of this study was to evaluate the feasibility and accuracy of real-time risk stratification using the electronic Cardiac Arrest Risk Triage score, an electronic health record-based early warning score. Authors concluded using the Electronic Cardiac Arrest Risk Triage score identified significantly more cardiac arrests and ICU transfers than standard Rapid Response Team activation and did so many hours in advance.

Source: Critical Care Medicine 2016; 44(8): 1468-1473


Impact of public reporting on clinical outcomes

Public release of quality and clinical performance of healthcare providers is becoming increasingly mainstream among healthcare systems worldwide. This systematic review & meta-analysis research supports the idea that the action of public reporting is stimulating health care providers to improve healthcare quality.

Source: BMC Health Services Research 2016; 16(1): 1-14


Maternal antibiotics & breastfeeding

"The objective of this review is to describe maternal factors such as feeding practices and antibiotic use that may influence the infant gut microbiome and risk for obesity. The complex components in human milk have many nutritional benefits to the infant; however, the microbiome in human milk may be an important factor to help regulate the infant's weight. We discuss maternal antibiotics and the effects on breast milk as critical exposures that alter the infant's gut microbiome and influence the risk of pediatric obesity."

Source: Seminars in Fetal and Neonatal Medicine 2016; online first: 15 July


Micronutrient-related diseases & obesity

Human nutrition science is failing to stem the rise of obesity and associated cardiometabolic disease (OACD). This failure has triggered debate on the problems and limitations of the field and what change is needed to address the issue of growing obesity. Authors review and discuss a modelling approach from nutritional ecology, ‘nutritional geometry' to demonstrate how this can help to provide new direction and management of OACD.

Source: Annual Review of Nutrition 2016; 36: 603-26


AIHW Spotlight

The Australian Institute of Health and Welfare has released the following tools and reports that are relevant to Austin Health and Mercy Hospital for Women.

Non-admitted patient care 2014-15: Australian hospital statistics
Non-admitted patient care provided in public hospitals includes care provided in outpatient clinics at which patients consult specialist medical practitioners, or have diagnostic or other procedures, or are provided with allied health or specialist nursing care. This report summarises this type of hospital care for 2014-15.
Read the report: Non-admitted patient care 2014-15: Australian hospital statistics
Summary report: Australian hospitals 2014-15 at a glance

Indigenous health check (MBS 715) data tool 5th release
This tool shows numbers and usage rates of the annual Indigenous-specific health check (item 715 on the Medicare Benefits Schedule) at various geographic areas. This update adds national and jurisdiction data up to December 2015.
Download the tool: Indigenous health check (MBS 715) data tool

National Bowel Cancer Screening Program: monitoring report 2016
This report found that for those screened in 2014, 7% had a positive result warranting further assessment. One in 32 participants who underwent a follow-up diagnostic assessment were diagnosed with a confirmed or suspected cancer.
Read the report: National Bowel Cancer Screening Program: monitoring report 2016

Skin cancer in Australia
This report provides an overview of skin cancer in Australia, risk factors, and key summary measures, including incidence, hospitalisations, survival and mortality. It shows that while the age-standardised incidence rate has risen for most age groups, for Australians aged less than 40, the incidence rate for melanoma of the skin has declined.
Read the report: Skin cancer in Australia


Austin Health Research Online - recent submissions

Fanconi anemia in 55 year-old identical twins first presenting as fatal post-chemotherapy pancytopenia.
Stevens H, Chua CC, Wallis M, Hew S, Grigg A, American Journal of Hematology 2016; online first: July 18

Guideline of guidelines: follow-up after nephrectomy for renal cell carcinoma
Williamson TJ, Pearson JR, Ischia JJ, Bolton DM, Lawrentschuk N. BJU International 2016; 117(4): 555-562

Night-to-night repeatability of supine-related obstructive sleep apnea
Joosten SA, O'Donoghue FJ, Rochford PD, Barnes M, Hamza K, Churchward T, Berger PJ, Hamilton GS. Annals of the American Thoracic Society 2014; 11(5): 761-769

MRI rectal cancer in Australia and New Zealand: An audit from the PETACC-6 trial

Gormly KL, Coscia C, Wells T, Tebbutt NC, Harvey JA, Wilson K, Schmoll HJ, Price TJ. Journal of Medical Imaging and Radiation Oncology 2016; online first: 11 July

Mortality in mild cognitive impairment: A longitudinal study in memory clinics
Connors MH, Ames D, Boundy K, Clarnette R, Kurrle S, Mander AG, Ward J, Woodward M, Brodaty H. Journal of Alzheimer's Disease 2016; online first: 27 July
Full text available for Austin & MHW Heidelberg staff via document delivery

See more at AHRO, Austin Health Research Online


eBooks spotlight

Brocklehurst's textbook of geriatric medicine and gerontology / [edited by] Howard Fillit, Kenneth Rockwood, John Young - 8th ed. Elsevier, 2017.
This book has an emphasis on frailty throughout and addresses the complex medical and social issues that affect care essential for meeting complex needs of the elderly.

Cardiac catheterization handbook / [edited by] Morton J. Kern, Paul Sorajja, Michael J. Lim - 6th ed. Elsevier, 2016.
"A guide to the techniques used in the care of patients undergoing cardiac catheterization. The book gives step-by step coverage of what to expect , what to avoid and what can go wrong."

New books on display

Advanced nursing research : from theory to practice / Ruth Tappen - 2nd ed. Jones & Bartlett, 2016.
"A feature of this text is its reality-based approach to the actual conduct of research. The text also reflects current practice and current thinking about research and integrates qualitative and quantitative methods including emerging mixed methods."

Community health and wellness : primary health care in practice / Anne McMurray, Jill Clendon - 5th ed. - Elsevier, 2015.
This book "challenges students and health professionals to become more aware of the primary health care environments in which they work in order to gain an understanding of what is socially determining the health of the individuals, families and communities within their care."


Journals spotlight

These links provide access to the current table of contents:

Circulation: Cardiovascular Quality and Outcomes

Critical Reviews in Oncology and Hematology

Healthcare: The Journal of Delivery Science and Innovation

Intensive Care Medicine

Journal of Infusion Nursing

Journal of Perinatal & Neonatal Nursing

Journal of Science and Medicine in Sport

Knee Surgery, Sports Traumatology, Arthroscopy

Supportive Care in Cancer

Transplant International

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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The Austin Health Science Library accepts no liability for the information or advice provided by external links. Links are provided on the basis that readers make their own decisions about the accuracy, currency and reliability of the information contained therein. Any opinions expressed are not necessarily those of Austin Health.