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"Ambition is the path to success. Persistence is the vehicle you arrive in"
Bill Bradley

 

Clinician burnout

With research indicating an increase in burnout among clinicians, this ‘call to action' paper highlights the urgent need for directives aimed at curbing this significant issue. Burnout is a syndrome involving one or more of emotional exhaustion, depersonalization and diminished sense of personal accomplishment. Authors recommend providing proactive mental health treatment and support; improving the efficiency of electronic health record standards and usability; and appointing executive-level chief wellness officers.

Source: A crisis in health care: a call to action on physician burnout 2019; 17 January

 

Artificial intelligence in health

Research is growing regarding how to apply machine learning techniques to complex problems so that computers can make predictions from patient data. Artificial intelligence (AI) in health "has demonstrated some impressive results, but its clinical value has not yet been realised" as there are concerns about patient safety, ethics and medico-legal issues. This paper summarises expected trends in machine learning; raises quality control questions about AI technologies; and addresses future research needs.

Source: BMJ Quality & Safety 2019; online first: 12 January

 

Doing things for no reason

The Journal of Hospital Medicine has started a series of articles on "Things we do for no reason" to encourage clinicians to consider whether patients still require daily lab tests, overnight vital sign monitoring, pulse oximetry, or dietary restrictions etc.   

BMJ opinion piece | Articles from Journal of Hospital Medicine available for Austin & MHW Heidelberg staff via document delivery

Other Choosing Wisely resources:

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What do patients really want?

Capturing qualitative data from four St Vincent's Health Australia hospitals, this study investigated patient expectations and satisfaction. The study found that patients with positive experiences cited factors such as kindness and responsiveness of hospital staff. Also important was good communication between staff members, between patients and staff, as well as the ability to raise complaints without fear of repercussions.

Source: BMC Health Services Research 2019; 19: 38

 

Polypill for multimorbidity

For individuals experiencing multiple diseases, health care that only targets particular disease clusters can be ineffective or incomplete; costs can be up to 2.5 times higher. "Optimal care for people with multimorbidity requires a person-centred approach that considers goals and preferences, improves quality of life and coordinates care across services". This paper discusses how the concept of the ‘Healthy Living Polypill' can be part of a model for integrated care for multimorbidity.

Source: Progress in Cardiovascular Diseases 2019; online first 3 January

Further reading
Preventing bad and expensive things from happening by taking the healthy living polypill: everyone needs this medicine
Source: Mayo Clinic Proceedings 2017; 92(4): 483-487

 

Caesarean - maternal request

In 2015, caesarean deliveries comprised 32% of all births in the United States, with the incidence of caesarean delivery on maternal request estimated to be 2.5%. This guidance recommends the latter should not be performed before a gestational age of 39 weeks; patients should be informed of the increasing risks associated with each subsequent caesarean.

Source: Obstetrics & Gynecology 2019; 133(1): e73-e77

 

Searchers be aware – MEDLINE update

On 28 January, there will be a reload of Ovid MEDLINE to allow for new Medical Subject Headings (MeSH) to be applied and new search filters.
Some examples of the 402 new MeSH Headings include:

  • Neoplasm terms: nasopharyngeal carcinoma; adenocarcinoma of lung
  • Data terms: big data; data aggregation; deep learning
  • Drug combination terms: lidocaine, prilocaine drug combination; 
  • Dietary protein terms: nut proteins; fruit proteins; shellfish proteins
  • Behaviour terms: cyberbullying; respect; road rage
  • Person terms: ex-smokers

New search filters available from the "additional limits" button in Ovid MEDLINE can narrow your searches to: adverse effects; children; elderly; humans (by removing animal records); and pregnancy.
See your friendly Austin Librarians for any assistance with using these filters when searching.

 

Austin Health Research Online - recent submissions

Current therapies and novel approaches for biliary diseases.
Rajapaksha I G, Angus P W, Herath C B et al. World Journal of Gastrointestinal Pathophysiology 2019; 10(1): 1-10

Structural insights into BCL2 pro-survival protein interactions with the key autophagy regulator BECN1 following phosphorylation by STK4/MST1
Lee E F, Smith N A, Soares da Costa T P, et al. Autophagy 2019; online first: 4 January
Full text available for Austin & MHW Heidelberg staff via document delivery

A review of prostate-specific membrane antigen (PSMA) positron emission tomography (PET) in renal cell carcinoma (RCC)
Ahn T, Roberts M J, Abduljabar A, et al. Molecular Imaging and Biology 2019; online first: 7 January

The effect of tyrosine kinase inhibitor interruption and interferon use on pregnancy outcomes and long-term disease control in chronic myeloid leukemia
Lasica M, Willcox A, Burbury K, et al. Leukemia & Lymphoma 2019; online first: 11 January

Carotid artery stenting: current state of evidence and future directions
Lamanna A, Maingard J, Barras C, et al. Acta Neurologica Scandinavica 2019; online first: 4 January

See more at AHRO, Austin Health Research Online

 

eBooks Spotlight

A nurse's survival guide to acute medical emergencies / Richard Harrison and Linda Daly - 3rd ed., Elsevier 2019
A guide to effective prioritisation, efficient allocation of work, and core competencies in caring for critically ill patients. Includes chapters on cardiology, gastroenterology, and deliberate self-harm. Updated to emphasise the use of the most current guidelines.

Rang & Dale's pharmacology / James M Ritter et al - 9th ed., Elsevier 2020
This book provides an insight into the mechanisms of drugs at a cellular and molecular level, with chapters focusing on different biological systems and how their functions are affected by drugs. Other chapters discuss the treatment of medical conditions and the effects of drugs commonly prescribed for these issues.

New books on display

Growing up Aboriginal in Australia / Anita Heiss et al - Black Inc 2018
With contributions from 51 First Nations people from all over Australia, this anthology of personal stories aims to build empathy, challenge stereotypes and examine the ongoing effects of colonisation. Contributors range from elders to young people, and include Terri Janke, Adam Goodes and Miranda Tapsell. Important reading for anyone living in Australia.

Australian medicines handbook / Pharmaceutical Society of Australia 2019
The latest edition of this comprehensive guide to prescription medications, supporting both students and practitioners.

 

Journals spotlight

Each bulletin we highlight a selection of journals from our collection
Links provide access to the current table of contents:

American Journal of Health-System Pharmacy

Artificial Intelligence in Medicine

The Clinical Respiratory Journal

International Journal of Eating Disorders

JAMA

Journal of Emergency Nursing

Journal of Healthcare Risk Management

Medical Journal of Australia

NEJM

The Obstetrician & Gynaecologist

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Use an app provided by your Library to receive alerts. Follow your favourite journals in BrowZine or set up topic alerts in Read by QxMD

 

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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.