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"We should be as careful of our words as of our actions"
Marcus Tullius Cicero (106BC - 43BC)


Engaging patients in Choosing Wisely

Choosing Wisely campaigns aim to address the problem of overuse in medical care. Ensuring the benefits of testing and treatment are not overestimated requires a change in both clinician practice and patient knowledge and attitudes. An International Roundtable has developed a new framework for public engagement in Choosing Wisely campaigns. The framework addresses: establishing partnerships; engagement with consumers; accurate information provision; and shared decision making.

Source: BMJ Quality & Safety 2017; online first: 9 June 


Eating for two – weight change in pregnancy

"Goldstein and colleagues report results of a systematic review of the existing literature on gestational weight gain and outcomes, specifically comparing women who gained weight within the 2009 Institute of Medicine (IOM) guidelines with those who gained either more or less weight than recommended by the guidelines. Based on data from 23 studies and involving 1,309,136 women, the authors found that gestational weight gain was below or above guidelines in 23% and 47% of pregnancies, respectively".

Source: JAMA 2017; 317(21): 2207-2225

Further reading:
Health Effects of Overweight and Obesity in 195 Countries over 25 Years
Source: New England Journal of Medicine 2017; online first: 12 June


Prostate cancer – long term costs

Prostate cancer (PCa) is the most commonly diagnosed cancer in Australian men. Evidence from a NSW longitudinal study found that treatment costs for PCa are highest during two phases of disease, the initial diagnosis phase and the metastatic treatment phase. "Total PCa-related costs averaged between $8,454 and $21,388 for primary treatment over a follow-up of 8.5 years and up to $76,758 for patients who underwent systemic treatment for metastatic disease ... Both the initial phase costs and low-risk category costs are driven largely by the rates of radical prostatectomy".

Source: Asia-Pacific Journal of Clinical Oncology 2017; 13: 160-171


Perceived sense of balance in stroke

Postural balance is usually diminished in stroke patients due to increased postural sway, weight asymmetry, decreased muscle strength and reduced sensory input. This study examines 'perceived sense of balance' (PSB) in patients suffering stroke by using a simple non-invasive visual analog scale. The authors recommend using the PSB scale to determine a patient's confidence levels prior to engaging in physical activity and to prevent injuries from falls associated with poor balance.

Source: Topics in Stroke Rehabilitation 2017; online first: 4 May

Further reading
Brain-computer interface for stroke rehabilitation
This systematic review suggests that brain-computer interface (BCI) interventions may be a promising rehabilitation approach for upper limb function in subjects with stroke.
Source: PM & R 2017; online first 13 May


UpToDate Anywhere now available

Austin Health has invested in UpToDate Anywhere which gives you access to evidence-based clinical content when and where you need it. 

To register: visit when you are on site and connected to the Austin Health network.

UpToDate Anywhere registration provides:


What's new from NICE

The UK's National Institute for Health and Care Excellence (NICE) has published the following new (or revised) guidelines and quality standards


Austin Health Research Online - recent submissions

Associations between systemic bone mineral density and early knee cartilage changes in middle-aged adults without clinical knee disease: a prospective cohort study
Teichtahl AJ, Wang Y, Wluka AE, et al. Arthritis Research & Therapy 2017; online first: 18 May

Hemodynamic response after rapid sequence induction with ketamine in out-of-hospital patients at risk of shock as defined by the shock index
Miller M, Kruit N, Heldreich C, et al. Annals of Emergency Medicine 2016; 68(2): 181-188

Commencement of cardioselective beta-blockers during hospitalisation for acute exacerbations of chronic obstructive pulmonary disease
Neef PA, Burrell LM, McDonald CF, et al. Internal Medicine Journal 2017; online first: 13 June

Challenging a misnomer? The role of inflammatory pathways in inflammatory breast cancer
Morrow RJ, Etemadi N, Yeo B, et al. Mediators of Inflammation 2017; online first: 21 May

See more at AHRO, Austin Health Research Online


eBooks Spotlight

Antibiotic resistance / Kateryna Kon and Mahendra Rai - Elsevier, 2016
Discusses up-to-date knowledge about the mechanisms of antibiotic resistance in different types of bacteria and application of this knowledge into developing new treatment strategies. Researchers, students of medical pharmaceutical and biological faculties and clinicians dealing with infections in various locations will find this book most useful.

Callen's ultrasonography in obstetrics and gynecology / edited by Mary E. Norton - 6th ed., Elsevier, 2017
Containing high quality sonographic images, drawings and diagrams, this new edition reflects technological changes that have taken place in obstetric and gynaecological ultrasound.

Physical diagnosis of pain : an atlas of signs and symptoms / Steven D. Waldman - 3rd ed., Elsevier, 2016
A practical guide for clinicians, illustrated with real time videos that can be easily exported into presentations. It provides essential physical examination techniques for pain related conditions and includes  new procedures.


Journals Spotlight

These links provide access to the current table of contents:

Australian & New Zealand Journal of Obstetrics & Gynaecology

The Bone & Joint Journal



Breast Cancer Research and Treatment

Critical Care Medicine



New England Journal of Medicine

Nursing Management

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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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.