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"I am always doing that which I cannot do, in order that I may learn how to do it."
Pablo Picasso

 

Antidepressants in pregnancy - outcomes in children

Approximately 2-8% of pregnant women use antidepressants during pregnancy and some recent studies have raised concerns about behavioural problems in their children. A large Danish study investigated data across 14 years from 905,383 singletons born to 548,885 mothers. The study authors observed 'increased risks for psychiatric disorders among children of mothers who used antidepressants before and/or during pregnancy, compared with mothers with no record of antidepressant use.'  

Source: BMJ 2017; 358: j3668  

 

Echo WISELY

The Echo WISELY trial (Will Inappropriate Scenarios for Echocardiography Lessen Significantly) examined whether an educational session and recurrent feedback reports to physicians could reduce the number of low-value transthoracic echocardiograms (TTEs) ordered. Results showed physicians in the intervention group ordered a lower proportion of 'rarely appropriate' TTEs.

Source: JACC 2017; 70(9): 1135-1144 

 

Patient-clinician communication : new guideline

The American Society of Clinical Oncology has developed a consensus guideline addressing optimal communication between patient and clinician. In addition to core communication skills, the guideline addresses specific topics including: goals of care and prognosis; treatment selection; end-of-life care; facilitating family involvement in care; and clinician training in communication skills.

Source: Journal of Clinical Oncology 2017; online first: 11 September  

 

Wound outcome reporting

With an ageing population and rising levels of obesity and diabetes, the prevalence of chronic wounds is increasing. Currently there are no approved methods for reporting wound healing. Researchers analysed a large cohort of patient wound outcomes from 626 hospital-based clinics. They propose a standardised outcome reporting method which allows for comparisons across a variety of healthcare settings.

Source: Wound Repair and Regeneration 2017; online first: 28 August  

 

Advance care planning – recent evidence

Communication in heart failure and palliative care
Critical to whole-person care, this review describes several important communication strategies that enhance patient and family support through the inevitable rises and falls of progressive heart failure.
Source: Heart Failure Reviews 2017; 22(5): 535-542

Definition and recommendations for advance care planning: an international consensus supported by the European Association for Palliative Care
Using a consensus process, 109 experts from Europe, North America and Australia developed a definition of advance care planning and recommendations for its application.
Source: Lancet Oncology 2017 Sep;18(9):e543-e551

Discussion and documentation of future care: a before-and-after study examining the impact of an alternative approach to recording treatment decisions on advance care planning in an acute hospital 
The purpose of this study was to determine whether discussion and documentation of decisions about future care was improved following the introduction of the Universal Form of Treatment Options (UFTO), a new approach to recording treatment decisions.
Source: BMJ Supportive & Palliative Care 2017; online first 1 September

 

Research capacity in social work

"Building research capacity amongst social work practitioners is critically important for leaders in the social work profession ... the literature on leadership in health social work is relatively silent regarding research capacity building as a leadership attribute but it is argued in this paper that leadership is crucial. A programme of research capacity building and its outcomes in a health social work department is described, identifying key principles guiding its establishment and tasks undertaken."

Source: Social Work in Health Care 2017; 56(10): 897-913
 

 

Did you know? Free mindfulness resources until 31 October

To further conversation on the increasingly popular practice of mindfulness, Wiley have compiled a research collection and made it freely available online for a short period. The collection covers the impact of mindfulness on behaviour, cognitive function, mental health, physical health and the workplace.

All articles are freely available until 31 October 2017

 

Austin Health Research Online - recent submissions

Age related differences in responsiveness to sildenafil and tamsulosin are due to myogenic smooth muscle tone in the human prostate
Lee SN, Chakrabarty B, Wittmer B, et al. Scientific Reports 2017; 7(1): 10150 

Eosinophil biology in COPD
McDonald CF, New England Journal of Medicine 2017; online first: 11 September

Pharmacodynamics of intravenous frusemide bolus in critically ill patients
Huang A, Luethi N, Mårtensson J, et al. Critical Care and Resuscitation 2017; 19(2): 142-149

Prolonged eyelid closure episodes during sleep deprivation in professional drivers
Alvaro PK, Jackson ML, Swann P, et al. Journal of Clinical Sleep Medicine 2016; 12(8): 1099-1103 

See more at AHRO, Austin Health Research Online

 

eBooks Spotlight

Berry & Kohn’s operating room technique / Nancymarie Phillips – 13th ed. - Elsevier, 2017
This new edition provides an evidence-based approach to practice and covers the intraoperative, pre and postoperative care of surgical patients. 

Murray and Nadel's textbook of respiratory medicine / edited by Robert J. Mason et al. - 6th ed. Elsevier, 2016
This revised and updated edition details the scientific and clinical aspects of respiratory health diseases. The text includes nearly 200 videos and audio files along with new chapters in therapeutic bronchoscopy, PET, interventional radiology and bronchiolitis.

Print books on display

Evidence-based care for breastfeeding mothers : a resource for midwives and allied healthcare professionals / Maria Pollard - 2nd ed. Routledge Taylor & Francis, 2018
Designed for students and practitioners, this evidence-based guide provides clinical scenarios, key fact boxes and covers areas such as public health, special needs of babies and mothers as well as good practice guidelines.

 

Journals Spotlight

These links provide access to the current table of contents:

Advances in Neonatal Care

BMJ

British Journal of Psychiatry

Fetal and Pediatric Pathology

Heart

JAMA Psychiatry

Journal of Medical Ethics

Journal of Pain & Palliative Care Pharmacotherapy

Journal of Wound, Ostomy & Continence Nursing

New England Journal of Medicine

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. & Password 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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