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"The quality of life is more important than life itself"
Alexis Carrel


ResearchFest 2016 Library winners

Congratulations to Sabashini Ramchand - winner of the Library's 2016 ResearchFest hamper -  for knowing that Austin Health produces 25-35 research papers per week. Prizes were also won by Karen Borschmann and Rob LoPresti.

If you are engaged in research at Austin Health you can deposit your work in AHRO. Please contact the library if you have any questions.


Coroner’s case reports

The latest Clinical Communique from the Victorian Institute of Forensic Medicine, highlights the importance of recognising physiological signs and changes in a patient, even if a clear diagnosis or disease process is unknown. The three cases discuss the tragic deaths of young children from toxic shock, Kawasaki disease, and rhabdomyolysis related to an LPIN1 gene mutation. Expert commentary by paediatrician Dr Annie Moulden reminds clinicians to focus on key warning signs including: unusual pain; repeat presentations; abnormal vital signs; or family concerns, in order to avoid a catastrophic event.

Source: Clinical Communique 2016; 3(3)


Anticoagulant antidotes in spotlight

The prescription of novel oral anticoagulants (NOACs) for stroke prevention in patients with atrial fibrillation is on the rise in Australia. Dabigatran has been the anticoagulant of choice because it has a reversal agent available for drug-induced bleeding. Other NOACs are also widely used even though they have no specific antidote. A new clinical trial has tested the efficacy of reversal agents for the NOAC rivaroxaban, however authors found the results to be inconclusive, "highlighting the advantage that dabigatran has over other NOACs" states the lead author.

Source: British Journal of Anaesthesia 2016; online first: 13 September

Further reading:
Non omne quod nitet aurum est (all that glitters is not gold ); Similarly not everything new and shiny is better
"As we consider taking up new drugs based on recent evidence, it is important to double check the basis of treatment. There are increasing evidence that we are overestimating the risk of stroke from AF based on popular scoring methods like CHA2DS2-VASc."
Source: BMJ 2016; 355: i5362


Medical tattooing for scars & skin grafts

Dermatography (medical tattooing) is often overlooked as an adjuvant procedure to improve colour mismatch in the head and neck area, and there is little evidence as to its effect on patient satisfaction and quality of life. This study's findings show that dermatography is effectual and improves patients' perception of their scar and skin graft appearance.

Source: JAMA Facial Plastic Surgery 2016; online first: 22 September


Consumer co-creation in health

This briefing paper "provides recommendations for health service providers, hospitals and Primary Health Networks (PHNs) to increase the role of consumers in designing healthcare services."

Source: Deeble Institute Evidence Brief 2016; No. 14


Burnout studies

"Nurses and midwives are among society's most highly valued professionals. But a disturbing national picture is emerging of escalating levels of over-work and burnout. Nurses say their concerns are being ignored by management, amid fear of retribution for speaking out."

Source: The Conversation 2016

Supporting reports for Nurses & Doctors:
What nurses & midwives want: findings from the National Survey on Workplace Climate and Well-being
Nurses and midwives span all segments of health care and are recognised as a highly-skilled workforce positioned on the frontline. There is an increasing concern regarding the ageing of this workforce, with more than 40% now 50yrs or over (AIHW, 2015). The results of this third study present a "workforce that is clearly exhausting its capacity to continue to cope with, and tolerate, working environments in which they do not feel respected or valued" with 32% considering leaving the profession. It concludes that targeted interventions are needed to address the issue of attrition and to maintain the delivery of high quality healthcare.
Source: Australian Consortium for Research on Employment and Work (ACREW) Monash University 2016

Improving well-being at work: a randomized controlled intervention based on selection, optimization and compensation
This stratified randomised controlled intervention engaged 70 nurses at a community hospital in Germany. The aim was to test the hypotheses that selection, optimisation, and compensation (SOC) training would be effective to enhance mental well-being when job control is low. Authors reported some success using the SOC model.
Source: Journal of Occupational Health Psychology 2015; 21(2): 169-181
Full text available for Austin & MHW Heidelberg staff via document delivery

Engaging professionals in organizational governance: the case of doctors and their role in leadership and management of health services
This research project investigated issues of medical engagement in the context of Australian health services. Specifically:
• What are the formal and informal opportunities for doctors to engage in leadership and management?
• What are the intrinsic and extrinsic factors that encourage doctors to engage with these opportunities?
• What are the barriers that stop doctors from engaging in leadership and management roles?
• How might doctors be better supported and developed to engage in leadership and management roles? And
• What does this tell us about the design and management of highly professionalised organisations?
Source: Melbourne School of Government October 2015

Australia's Future Health Workforce - Nurses Overview Report

"Workforce planning is critical to ensure alignment of nursing supply with demand required by the health system, to create a sustainable nursing workforce for Australia".
Source: Department of Health 2014


Did you know?

*New* Nursing Procedures - trial on now!
Designed by nurses for nurses, Lippincott Procedures is an online step-by-step guide to over 1700 procedures and skills across many nursing specialties including: medical-surgical; critical care; obstetric; neonatal intensive care; perioperative; oncology, and more. The procedures are evidence-based and designed to standardise the delivery of nursing care, improve patient outcomes and cultivate clinical excellence.
Each procedure provides a brief overview list, detailed step-by-step instructions, a skills checklist and the opportunity for competency testing. Complex procedures use video clips for further instruction.

Connected to Lippincott Procedures is Lippincott Advisor, a collection of evidence-based content for nurses providing 3800 topic entries covering diseases, diagnostic tests, treatments, signs and symptoms, cultural perspectives, hospital-acquired conditions, drug information, nursing care plans and more. In addition Lippincott Advisor contains 6000 patient teaching handouts and integrated access to nursing and medical books.

These resources are on trial at Austin Health until 30 November - links available from the Library Hub page or Library Website.
We'd love to hear your feedback about this new resource: or x5393


Austin Health Research Online - recent submissions

Hepatocyte glutathione peroxidase-1 deficiency improves hepatic glucose metabolism and decreases steatohepatitis in mice
Merry TL, Tran M, Dodd GT, et al. Diabetologia 2016; online first: 15 September

Morphology of donor and recipient nerves utilised in nerve transfers to restore upper limb function in cervical spinal cord injury
Messina A, Van Zyl N, Weymouth MD, et al. Brain Sciences 2016; 6(4): E42

Urolithiasis treatment in Australia: the age of ureteroscopic intervention
Perera M, Papa NP, Kinnear N, et al. Journal of Endourology 2016: online first: 14 September

Impact of door-to-balloon time on long-term mortality in high- and low-risk patients with ST-elevation myocardial infarction
Yudi MB, Ramchand J, Farouque O, et al. International Journal of Cardiology 2016; 224: 72-78

Investigating white matter fibre density and morphology using fixel-based analysis
Raffelt DA, Tournier JD, Smith RE, et al. NeuroImage 2016; online first: 14 September

See more at AHRO, Austin Health Research Online


eBooks spotlight

Kelley and Firestein's textbook of rheumatology / edited by Gary S. Firestein et al. - 10th ed., Elsevier, 2017.
Provides the scientific and clinical know-how required to offer patients the most effective diagnosis and treatment of rheumatic diseases.

Principles and practice of sleep medicine / edited by Meir Kryger, Thomas Roth - 6th ed., Elsevier, 2017.
Addressing sleep medicine in the elderly, the physiology and genetics of sleep, and occupational sleep medicine, this updated text provides comprehensive information to diagnose and manage sleep disorders.

New books on display
Case files. Internal medicine / Eugene C. Toy, Mark Warner, John Patlan - 5th ed., McGraw Hill Education, 2017.
Based on 60 clinical cases, each file includes an easy to understand discussion, correlated essential concepts, definitions of key terms, clinical pearls, and review questions to reinforce learning.

Tabbner's nursing care : theory and practice / edited by G Koutoukidis, Kate Stainton, Jodie Hughson - 7th ed. Elsevier, 2017.
Emphasising critical thinking and the application of decision-making frameworks, this edition focuses on the delivery of person-centred care.


Journals spotlight

Looking for the latest journal issues?
These links provide access to the current table of contents:

Australian Social Work


Critical Care Medicine

Endocrine Reviews

Health Care Management Science


International Wound Journal

Journal of Heart and Lung Transplantation

Journal of Psychiatry and Mental Health Nursing

Medicine & Science in Sports & Exercise

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.


BrowZine provides instant access to Austin Library journals on your favourite device.
Sign up now & start using BrowZine - all you need is the free app and a Library card! 


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The Austin Health Sciences 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.