Congratulations to MNCLHD Staff on article publication

Writing for publication is no easy feat. Library staff acknowledge the hard work and commitment shown by staff toward increasing the body the knowledge available in various fields of expertise. The following articles were published by Mid North Coast Local Health District staff members (highlighted).

Ball, R., K. Duncanson, L. Ashton, A. Bailey, T. L. Burrows, G. Whiteford, M. Henström, R. Gerathy, A. Walton, J. Wehlow and C. E. Collins (2022). "Engaging New Parents in the Development of a Peer Nutrition Education Model Using Participatory Action Research." International Journal of Environmental Research and Public Health 19(1): 102.

Bramble, M., A. Wong, V. Carroll, D. Schwebel and R. Rossiter (2021). "Using an economic evaluation approach to support specialist nursing services for people with Parkinson's in a regional community." Journal of Advanced Nursing 77(12): 4722-4732.

Blennerhassett, R., J. H. Moses, N. Coulits, A. Horne, J. Simpson, J. Marshall, L. Weston and J. Moore (2021). "Recurrent secondary graft failure likely due to a DRB4 donor-specific antibody in a patient with aplastic anemia and DRB4 null allele." Bone Marrow Transplantation 56(10): 2603-2605.

Carroll, V., R. Rossiter and D. Blanchard (2021). "Non-motor symptoms of Parkinson's disease." Australian Journal Of General Practice 50(11): 812-817.

Dower, K., A. Ford, M. Sandford, A. Doherty, S. Greenham, L. Kerin, P. Dwyer, C. Hansen, J. Westhuyzen and T. Shakespeare (2021). "Retrospective evaluation of planning margins for patients undergoing radical radiation therapy treatment for bladder cancer using volumetric modulated arc therapy and cone beam computed tomography." Journal of Medical Radiation Sciences 68(4): 371-378.

Dunn, H. P., S. Marks, K. Z. Teo, S. M. Dunn, P. R. Healey and A. J. White (2021). "eFOCUS 2: A randomised crossover trial of smartphone fundoscopy and direct ophthalmoscopy aiming to improve optic disc interpretation by medical students with e-learning support." Clinical & Experimental Ophthalmology 49(7): 704-713.

Garga, S., M. T. Thomas, A. Bhatia, A. Sullivan, F. John-Leader and S. W. Pit (2021). "Motivations, dating app relationships, unintended consequences and change in sexual behaviour in dating app users at an Australian music festival." Harm Reduction Journal 18(1): 49.

Gibberd, A. J., J. Tyler, K. Falster, D. B. Preen, M. Hanly, M. J. Clarke, B. J. McNamara, S. J. Eades and K. J. Scurrah (2021). "Pregnancy and birth characteristics of Aboriginal twins in two Australian states: a data linkage study." BMC Pregnancy & Childbirth 21(1): 448.

Louie, E., K. C. Morley, V. Giannopoulos, G. Uribe, K. Wood, C. Marel, K. L. Mills, M. Teesson, M. Edwards, S. Childs, D. Rogers, A. Dunlop, A. Baillie and P. S. Haber (2021). "Implementation of a Multi-Modal Training Program for the Management of Comorbid Mental Disorders in Drug and Alcohol Settings: Pathways to Comorbidity Care (PCC)." Journal of Dual Diagnosis 17(4): 304-312.

Nitchingham, A., A. Milne, B. Toson, B. Tuch, M. Agar, J. Close and G. Caplan (2021). "Intranasal insulin for treatment of delirium in older hospitalised patients: study protocol for a randomised controlled trial." BMJ Open 11(10): e050765.

Rashid, P., M. Ronald and K. Kong (2021). "Cultural safety and racism." ANZ Journal of Surgery 91(12): 2829-2832.

Travers, A., A. Jalali, S. Begbie, C. Semira, S. Kosmider, S. Ananda, R. Wong, M. Lee, J. Shapiro, M. Burge, D. Yip, J. Torres, B. Ma, L. Nott, A. Dean, J. Tie, A. Khattak, S. Lim, H. L. Wong and P. Gibbs (2021). "Real-World Treatment and Outcomes of Metastatic Colorectal Cancer Patients With a Poor or Very Poor Performance Status." Clinical Colorectal Cancer 20(1): e21-e34.

Toby, J., T. Eade, G. Hruby, A. Kneebone, N. Aherne, C. Brown, L. Guo, M. Hoffmann and T. P. Shakespeare (2021). "Assessing ISUP prostate cancer grade groups in patients treated with definitive dose escalated external beam radiation." Radiotherapy & Oncology 162: 91-97.

Urquhart, L., K. Fisher, K. Duncanson, K. Roberts, S. Munro, C. Gibbs and L. Brown (2021). "First Nation Peoples' nutrition and exercise group programmes: transforming success through the lifeworld." International Journal of Qualitative Studies on Health and Well-being 16(1): 1990197.

Zhang, N. and H. Ward (2021). "Safety and efficacy of external cephalic version after a previous caesarean delivery: A systematic review." Australian & New Zealand Journal of Obstetrics & Gynaecology 61(5): 650-657.

MNCLHD Staff Publications Database – Maintained & updated by PMBH Health Services Library.

If you have published recently and your article has been missed please contact the MNCLHD Library. 

ACSQHC Update - Precautions for aged care homes

The Australian Commission on Safety and Quality in Health Care has developed a number of resources to assist healthcare organisations, facilities and clinicians including PPE use for aged care staff caring for residents with or suspected of having COVID-19. The Australian Government Infection Control Expert

Group provides guidance regarding use of particulate respirators (e.g. P2/N95) and other personal protective equipment (PPE) in circumstances where the risk of transmission of COVID-19 is assessed as high.

This recently updated poster includes easy to follow instructions for aged care workers on how to put on and remove PPE (including gowns, P2/N95 respirators, protective eyewear and gloves) when they are caring for residents with suspected or confirmed COVID-19. It also includes instructions on how to fit check P2/N95 respirators.

Source: https://www.safetyandquality.gov.au/

Note the section highlighted in red 

Important -To protect yourself and your family and friends, when your shift finishes, change into clean clothes at work if possible and put your work clothes in a plastic bag. Go straight home, shower immediately and wash all of your work clothes, and the clothes you wore home.

Other COVID-19 resources are available including visitor restrictions posters, and general information to break the chain of COVID-19 transmission. FAQs for clinicians and consumers on elective surgery as well as the latest information on mask wearing in multiple languages.

NSW Health Report - Vaccination among COVID-19 cases in the NSW Delta outbreak

 The NSW Health in focus report, Vaccination among COVID-19 cases in the NSW Delta outbreak Reporting period: 16 June to 7 October 2021  describes the vaccination status of locally acquired cases of COVID-19 with reported onset of infection with the dates mentioned.

Of 61,800 COVID-19 cases, the vast majority were unvaccinated; 6.1% of cases had two doses of vaccine, 9.2% had one dose, 63.1% reported having no vaccine. The proportion of those who were vaccinated increased with the age of the patients. This could be a reflection of the way that the role out was conducted in that the older people were eligible earlier.

8,660 cases were hospitalised, 1,015 admitted to ICU and 412 died with COVID-19. Of these, 493 of the hospitalised, 30 of those admitted to ICU and 47 of those who died had received two doses of vaccine. Of the 47 cases who died with COVID-19 having received two doses of vaccine, their average age was 82 years; 29 (61.7%) were residents of aged care facilities and the other 18 had significant comorbidities. Of the 30 admitted to ICU, 26 (86.7%) had significant co-morbidities and 4 had no reported comorbid conditions. 

Source: Vaccination among COVID-19 cases in the NSW Delta outbreak Reporting period: 16 June to 7 October 2021 health.nsw.gov.au

In the peak fortnight of the outbreak (25 August to 7 September), the COVID-19 case rate among 2-dose vaccinated people was 49.5 per 100,000 while in unvaccinated people it was 561 per 100,000, a more than 10 times more. The rates of COVID-19 ICU admissions or deaths peaked in the fortnight 8 September to 21 September at 0.9 per 100,000 in 2-dose vaccinated people compared to 15.6 per 100,000 in unvaccinated people, a more than 16-fold difference.

The effect of the vaccine proved greatest against serious disease, but vaccination also protected against infection. Protection seemed greater in younger compared to older people. In the fortnight 8-21 September, the rates of infection in the 2-dose vaccinated population compared to the unvaccinated population was 21 versus 488 per 100,000 in those aged 12-19 years and 61 versus 193 per 100,000 in those aged 80+ years. 

Throughout the NSW outbreak, across all ages, people who have received 2 doses of vaccine have significantly lower rates of COVID-19 and severe COVID-19 than unvaccinated people. But, vaccination does not completely protect people from infection and the other recommended public health measures should continue to be followed. 

These facts might help clinicians convince those who are still unsure to get vaccinated. Download the full report using the link above.

Mental Health Literacy Development

The Health literacy development program, developed with the Mental Health Commission of New South Wales, offers digital resources to help organisations improve mental health literacy responsiveness.

Mental health literacy responsiveness is the provision of services, programs, information and support in ways that promote equal access and engagement for all members of the community. Mental health literacy responsive organisations and services are those that meet the many and varied mental health literacy strengths, needs and preferences of all people; and support individuals with lived experience, their families and kinship groups, and wider communities to make decisions regarding their health and wellbeing. 

Source: blog.f1000.com

The resources are available to any health and social care organisation that is providing services to members of the community, including.

• Primary Health Networks
• Community manage organisations
• Local Health Districts
• Other care workers, health administrators, academics and community members

The resources are designed to be used together or individually as part of educational programs or by services as part of quality improvement activities. They are inter-related so you can select and match resources depending on your needs.

Go through each tab and explore. I don't find the site at all intuitive nor do the tab / section names really explain what they are. There are some moving video stories and well as downloadable resources and fact sheets. Special mention goes to the "Let's learn from research" section. These stories can be used to generate ideas for quality improvement activities.

The "Take actions to respond to communities" section shows 11 action areas, while the "Resources for action" section provides the tools you need to get the action started. Resources include complete toolkits for training and refreshers for staff involved at every stage of a person's journey; facilitator guides to run workshops complete with training videos and slides.

Check out these resources today!

  

Reliable Dermatology Information, Images and More - Free!

Are you a clinician looking for reliable information and images to help you make informed, evidence-based decisions on how to treat skin conditions without expense?

DermNet NZ : All about the skin, is what you are looking for.

DermNet NZ is supported by and contributed to by New Zealand dermatologists on behalf of the New Zealand Dermatological Society Incorporated. 

The images section might be just what you are looking for to include in an educational presentation or as an example to show a patient. The images are free. They have a small watermark on them that does not spoil the image as you can see in the example below, and you can purchase a watermark free copy if you wish.

There is a A-Z topics section that is easy to navigate. The topics and some useful patient information is printable.

Under the "More" tab there is a quizz section that is recommended for family physicians and dermatologists in training. Questions are presented as cases and solutions are provided.

The site does include adds but that would be expected on a free site.

CPD Reading Materials

Did you know that you can accumulate CPD hours by reading articles related to your field of expertise?

NSW Health employees can search CiAP for the following articles or request them from the library.

Source: BMJ

Subacute small bowel obstruction or chronic large bowel obstruction, by Marc Winslet, Kevin Barraclough and Gregory Campbell Hewson. BMJ 21-28 August 2021, pp 241-243. 

This is one of a series of occasional articles highlighting conditions that may be missed at first presentation.

Long covid - mechanisms, risk factors, and management, by Harry Crook, Sanara Raza, Joeph Nowell, Megan Young and Paul Edison. BMJ 21-28 August 2021, pp 244-247.

This article is a summary of a State of the Art Review that discusses the epidemiology, risk factors, and long term impact of symptoms of long covid, and the evidence about how to manage it.

Does depression screening in primary care improve mental health outcomes? by Brett D. Thombs, Sarah Markham, Danielle B. Rice and Roy C. Ziegelstein. BMJ 7-14 August 2021, pp 199-201.

This is one of a series of occasional articles the highlights areas of practice where management lacks convincing supporting evidence.

Ward based management of behavioural and psychological symptoms of dementia, by Jenny Nguyen, Ina Ko, Santiago Martinez-Sosa and Ruth Mizogichi. BMJ 7-14 August 2021, pp 202-206.

Each of these articles is worth .5 CPD hours. You can create an account with BMJ Practice if you wish to to record your points that way and download certificates. It's free to all NSW Health employees. Alternatively keep your own records. Happy reading!

Health Services Library Newsletter - Oct / Nov 2021

Contact the Library for information regarding services available for Hasting Macleay Network staff.

Should health and care staff have to have a covid vaccine?

Mandatory COVID-19 vaccination has been approved by law makers in the United Kingdom, Italy France and Greece, and now also in NSW Australia. Medical exemptions are available. In NSW anyone who works in health care and social assistance must have their first dose of vaccine by September 30. 

 Credit: abc.net.au

A recent article in the BMJ 2021;374:n1903 presents a debate on this complicated issue. The 'Yes' argument by Michael Parker, professor of bioethics and the 'No' argument by Helen Bedford, professor of children's health, state their positions. There is an interesting 'Patient Commentary' on page 184 for a quick insight into a patient's perspective entitled Protect patients, with staff exemptions only for medical reasons.

NSW Health staff can read this via CiAP. Use your single sign on information. Problems? Contact your librarian through the Library website.

COVID-19 Resources

COVID-19 Resources

The Commission has developed and provided a range of resources to give advice on how to reduce the risk of Coronavirus (COVID-19) exposure and infection. These resources are freely available for Australian health service organisations, healthcare professionals and consumers.

The Commission supports all healthcare professionals in continuing to provide safe, high-quality care during the pandemic, with advice on infection prevention and control, risk assessment and management, managing medications and caring for people with cognitive impairment.

On the resources page find helpful information graphics, guidelines, fact sheets and brochures.

 

Mask wearing and headaches

Personal protective equipment (PPE) has become a fact of life for anyone working in health care in Australia, even those without much patient contact.

I've been asked about whether wearing a simple surgical mask can cause headaches. The answer is yes it can! The first step is make sure you are wearing an appropriately sized mask for your body size and face shape. See your manager if none of the masks supplied works for you. You may just need help with correctly fitting the masks or perhaps an alternative option can be ordered.

Combining masks with protective eyewear or a shield puts further pressure on your head and can alter your posture and putting extra pressure on soft tissue.

Tips are to make sure to take adequate breaks. Headaches are associated with wearing PPE longer than four hours at a time. Breaks are essential to preventing headaches as the mask is a physical barrier to drinking. In previous times you might have had a drink bottle handy to take sips between patients, but with the inconvenience of glove, mask and perhaps eyewear removal you just soldier on. On the other hand if you normally drink coffee, tea or caffeinated fizzy drink throughout your day, you might be drinking less because you have a mask on, which could lead to painful withdrawal headaches.

Keep your drink bottle or coffee cup in your work area as a visual reminder that you need to take a break for a drink or set a timer on your smart watch if you have one. While on your break stretch your head and neck, maybe wash your face and apply moisturiser before resuming work.

Take care people!

PRISMA 2020

If you are undertaking an systematic review you need to be aware of the updated guidelines. The Preferred Reporting Items for Systematic reviews and Meta-Analyses ( PRISMA) statement, published in 2009 has been updated. The PRISMA 202 replaces the 2009 statement and includes new reporting guidance that reflects advances in methods to identify, select, appraise, and synthesise studies. An article published in the British Medical Journal (BMJ), presents the updated 27 item checklist detailing the reporting recommendations for each item, the PRISMA 2020 abstract checklist, and the revised flow diagrams for original and updated reviews.

The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

BMJ 2021; 372 doi: https://doi.org/10.1136/bmj.n71 (Published 29 March 2021)

                                                                                Source: norecopa.no

The PRISMA 2020 statement is also available via Open Access in PLOS Medicine and various other journals. 

Prisma 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews  BMJ 2021;372:n160. doi: 10.1136/bmj.n160 

Links to the checklist in PDF or word format can be obtained from the PRISMA website The flow diagram ready for you to use is available in word format.

If MNCLHD employees need any help accessing this information contact the Library.

AIHW Photo Competition - People's Choice Award

The Australian Institute of Health and Welfare photo competition has closed BUT the People's Choice Award is open for voting.

A $500 prize is available to the entry that is judged to be the most popular by the public.

Vote here.

Image below is one of the photos that can be voted for.

Image title: In Nancy’s Hands

Location: Cook, ACT

Suicide prevention and mental health receive $2.3 billion of funding in 2021 Australian budget

Three months of follow-up care for people discharged from hospital after a suicide attempt will be funded with $156.8 million from the federal government.

It is one of several new or expanded programs that have been promised in the budget, with $2.3 billion committed to mental health and suicide prevention over the next four years.

The budget spending on mental health has a focus on suicide prevention, but that is only one piece of the puzzle when it comes to Australia's mental health spending. The government will expand the headspace program, which focuses on youth mental health, with $278.6 million in funding going to expanding the program.

People impacted by recent bushfires will also receive specific mental health spending, with $4 million set aside to provide up to 10 free trauma and distress counselling sessions to them.

Extra support will also be funded for people with eating disorders and their families, with $26.9 million committed to establish a National Eating Disorder Research Centre and improve services.

Read the full article here on ABC News.

For more information see the following trusted websites:

Australian Government Department of Health - Budget 2021-2022

Research Australia - Budget update

                                                           Photo by Matthew Ball on Unsplash

New Australian and New Zealand Guideline for Mild to Moderate Head Injuries in Children

 An Original Research article published in Emergency Medicine Australasia Volume 33 issue 2 April 2021, by Franz E. Babl, Emma Tavender, Dustin W. Ballard et al.

Abstract

Objective: Children frequently present with head injuries to acute care settings. Although international paediatric clinical practice guidelines for head injuries exist, they do not address all considerations related to triage, imaging, observation versus admission, transfer, discharge and follow-up of mild to moderate head injuries relevant to the Australian and New Zealand context. The Paediatric Research in Emergency Departments International Collaborative (PREDICT) set out to develop an evidence-based, locally applicable, practical clinical guideline for the care of children with mild to moderate head injuries presenting to acute care settings.

Source: pexels.com

A multidisciplinary Guideline Working Group (GWG) developed 33 questions in the three key areas of triage, imaging and discharge. The results of their search and review of existing guidelines and discovered new evidence resulted in 71 recommendations relevant to the Australian and New Zealand setting. The guideline is presented as three documents; a detailed Full Guideline, a Guideline Summary and a Clinical Algorithm.

This article is available to all NSW Health employees via CiAP or by contacting your Library service. MNCLHD employees can go to the document request page.

For parents, concerning features to watch out for go to the Sydney Children’s Hospitals Network page – Head Injuries in Children. If in doubt go to emergency or see your GP. Never feel that your concern for your head injured child is wasting anyone’s time.