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"Christmas is a time when everybody wants his past forgotten and his present remembered"
Phyllis Diller

 

Allergy to guidelines? BMJ Christmas

Researchers have recently characterised the emerging and surprising conditions associated with resistance to evidence based healthcare. Called "know-do-itis" and "no-do encephalopathy" these conditions commonly occur in clinicians "who base their practice on either their very first or most recent case and who are allergic to the word 'guideline'". Authors suggest a promising new treatment may be through patient and family partnership in healthcare!

Source: BMJ 2017; 359: j5749

Enjoy more BMJ Christmas Edition research including:

  • Santa's little helpers: a novel approach to developing patient information leaflets
  • Non-existent authors
  • In bed with Siri and Google Assistant: a comparison of sexual health advice
  • Wine glass size in England from 1700 to 2017: a measure of our time
 

Fit for surgery?

"Exercise capacity and physical activity are associated with substantial health benefits in general and specifically in the perioperative context". This review examines the use of physical exercise measurements to infer the risk of adverse postoperative outcomes; the application of this information in clinical practice; and the role of exercise interventions in modulating risk. The review focuses on major cancer surgery and the complex interplay between cancer treatments, surgery and exercise interventions.

Source: British Journal of Anaesthesia 2017; 119 (suppl 1): i34-i43 

 

Supported discharge teams - older adults

Research from New Zealand has compared usual discharge planning practices with a Supported Discharge Team (SDT) intervention for hospitalised adults over 65 years. The intervention known as START (Supported Transfer and Accelerated Rehabilitation Team) used healthcare assistants, nurses and allied health staff to deliver a functional rehabilitation program. Study results indicated the SDT approach ensured earlier discharge from hospital; reduced the risk of readmission; and contributed to increased hospital bed capacity.

Source: Age and Ageing 2017; online first: 23 November 

 

DNR Tattoos – a clear end of life message?

A case study is presented of an unconscious man with "Do Not Resuscitate" tattooed across his chest. The authors outline the ethical dilemma and confusion faced by clinicians involved in the patient's treatment. "Despite the well-known difficulties that patients have in making their end-of-life wishes known, this case report neither supports nor opposes the use of tattoos to express end-of-life wishes when the person is incapacitated".

Source: New England Journal of Medicine 2017; 377: 2192-2193  

 

Continuous fetal monitoring

Continuous fetal monitoring (CFM) may more accurately and objectively detect signs of antenatal stillbirth. "This systematic review aimed to explore available evidence on women's experiences of continuous fetal monitoring to investigate its acceptability before clinical implementation and to inform clinical studies". The review authors concluded that CFM is associated with "high levels of participant satisfaction and is preferable to intermittent cardiotocography monitoring".

Source: Acta Obstetricia et Gynecologica Scandinavica 2017; 96 (12): 1404-1413

 

AIHW updates

Recently released reports from the Australian Institute of Health & Welfare:

 

Library hours over Christmas

Over the Christmas season the Library will not be staffed from Thursday 21 December - Monday 1 January inclusive.
The Library team wish everyone a Merry Christmas and a safe and happy New Year.

 

Did you know? New Library search box

Are you looking for a journal, an article, an eBook or a print book?

The Library now has a new search box for our catalogue on our website and Hub page.

Simply choose the radio button for the resource you need, enter your keywords and search our comprehensive catalogue of Library resources.

The new search facility has replaced our previously separate Catalogue and A-Z Journals links.

 

Austin Health Research Online - recent submissions

The threat among us: significance and scale of diabetic chronic kidney disease in Australia
Lecamwasam A, Ekinci EI, MacIsaac RJ, et al. Internal Medicine Journal 2017; 47(12): 1339-1341

Thalamocortical functional connectivity in Lennox-Gastaut syndrome is abnormally enhanced in executive-control and default-mode networks
Warren AEL, Abbott DF, Jackson GD et al. Epilepsia 2017; 58(12): 2085-2097

Brain microbleeds, anticoagulation, and hemorrhage risk: Meta-analysis in stroke patients with AF
Charidimou A, Karayiannis C, Song TJ et al. Neurology 2017; 58(23): 2317-2326

Elucidating the pharmacokinetics/pharmacodynamics of aerosolized colistin against multidrug-resistant acinetobacter baumannii and klebsiella pneumoniae in a mouse lung infection model
Lin YW, Zhou QT, Han ML, et al. Antimicrobial Agents and Chemotherapy 2017; online first: 11 December
Full text available for Austin & MHW Heidelberg staff via document delivery

The direction of the relationship between symptoms of insomnia and psychiatric disorders in adolescents
Alvaro PK, Roberts RM, Harris JK et al. Journal of Affective Disorders 2017; 207: 167-174

See more at AHRO, Austin Health Research Online

 

eBooks Spotlight

Hagberg and Benumof’s airway management / edited by Carin A. Hagberg, Carlos A. Artime and Michael F. Aziz – 4th ed. : Elsevier, 2018
To aid the reader in understanding and retaining complex and detailed information, video recordings accompany this edition to illustrate the use of most of the different airway devices and techniques currently available to the clinician. Also, each chapter includes a summary; up to a dozen bulleted, concise clinical pearls; and selected references.

New books on display

Manual of clinical oncology / edited by Bartosz Chmielowski and Mary Territo – 8th ed. : Wolters Kluwer, 2017.
This new edition features chapters on the biology of cancer, immunotherapy and cancer survivorship, incorporating major achievements in biologics and targeted therapies. The text also includes diagnostic and treatment algorithms. 

Switch : how to change things when change is hard / Chip and Dan Heath – Broadway Books, 2010.
Using a story-driven narrative, the authors show how anyone can successfully make change happen by following a pattern. Switch brings together counterintuitive research in psychology, sociology, and other fields to shed new light on how we can effect transformative change.

 

Journals Spotlight

These links provide access to the current table of contents:

Australian Nursing and Midwifery Journal

BMJ

British Journal of Occupational Therapy

Chest

Clinical Rehabilitation

Clinical Rheumatology

European Respiratory Journal

Evidence-Based Nursing

Journal of Medical Ethics

Pediatrics

Looking for the latest journal issues?
All our journal titles with electronic access are available via the Catalogue
(outside the Austin Health network use your Library barcode no. & password for access to full text)

If you require an article from a journal that is not in the Catalogue, please use our online document delivery form to request an article.

BrowZine

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! 

  • Download the BrowZine app or try out BrowZine Web
  • When installing the app, select "Austin Health" from the library list, and then provide your Library Barcode Number and Password.

    BrowZine
 

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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.