February is Ovarian Cancer Awareness Month

Every year over 1,510 women in Australia will be diagnosed with ovarian cancer.

In the last 30 years, other cancers have been able to find fabulous improvements in awareness, funding and survival rates. The same hope is held for women with ovarian cancer. Some progress has been made but there is still a long way to go.

For the position of ovarian cancer and it's sufferers to improve, major changes are needed in awareness, treatment and funding. It's Ovarian Cancer's time to be in the spotlight. Ovarian Cancer Australia are asking ALL Australians to stand with them and take action.

                                                           Source: https://ovariancancer.net.au/

Find information on the Ovarian Cancer Australia website on the signs and symptoms as well as risk factors for ovarian cancer. 

Find out how you can get involved by giving, helping to fundraise, volunteering an more here. If you need help find that out too.

Start investigating today to spread the word.

Novel Coronavirus - Information and Answers

Coronaviruses are a large family of viruses that are found world wide in humans and animals. These viruses cause illnesses ranging from the common cold to more severe disease such as Sever Acute Respiratory Syndrome (SARS).

A Novel Coronavirus (CoV) is a new strain of coronavirus that has not been previously identified in humans.

                                                                   Credit: Getty Images/iStockphoto

• What is known and unknown about this virus?
• What you need to do if you have been exposed to a person who has been confirmed as having the virus?
• Do you need to take any action following a recent return from China?
• How can you best look after yourself, your family and your community?
  
  To find these answers and much more go to the NSW Government Ministry of Health website
  Novel coronavirus - Frequently asked questions also provided is a basic Chinese version for those that require it. Read about the history of CoV since it was identified in China in late 2019 here.

More information is available from the World Health Organization and information and resources for health professionals from NSW Health is available here.

MNCLHD Staff Publications

Congratulations to the highlighted MNCLHD staff on their recent publications. Please contact the Library if you would like to read any of these publications.

New Staff Publications December 2019 -January 2020

Ball, R., R. Vaschak, A. Bailey, G. Whiteford, T. L. Burrows, K. Duncanson and C. E. Collins (2019). "Study Protocol of the Parents in Child Nutrition Informing Community (PICNIC) Peer Education Cohort Study to Improve Child Feeding and Dietary Intake of Children Aged Six Months to Three Years Old." Children (Basel) 7(1).

Davis, I. D., A. J. Martin, M. R. Stockler, S. Begbie, K. N. Chi, S. Chowdhury, X. Coskinas, M. Frydenberg, W. E. Hague, L. G. Horvath, A. M. Joshua, N. J. Lawrence, G. Marx, J. McCaffrey, R. McDermott, M. McJannett, S. A. North, F. Parnis, W. Parulekar, D. W. Pook, M. N. Reaume, S. K. Sandhu, A. Tan, T. H. Tan, A. Thomson, E. Tu, F. Vera-Badillo, S. G. Williams, S. Yip, A. Y. Zhang, R. R. Zielinski, C. J. Sweeney, E. T. Investigators, A. the, U. New Zealand and G. Prostate Cancer Trials (2019). "Enzalutamide with Standard First-Line Therapy in Metastatic Prostate Cancer." New England Journal of Medicine 381(2): 121-131.

Dwyer, M., G. Peterson, S. Gall, L. Kinsman, K. Francis, K. Ford, H. Castley, A. Kitsos, T. Hilliard and J. English (2019). "Regional differences in access to acute ischaemic stroke care and patient outcomes." Intern Med J.

Dwyer, M., S. Rehman, T. Ottavi, J. Stankovich, S. Gall, G. Peterson, K. Ford and L. Kinsman (2019). "Urban-rural differences in the care and outcomes of acute stroke patients: Systematic review." Journal of the Neurological Sciences 397: 63-74.

Hallenstein, L. and C. Sorensen (2019). "The ins and outs of a regional cancer genetics service; Review of referral handling and triage processes." Twin Research and Human Genetics 22 (5): 392.

Mersiades, A. J., A. Tognela, P. S. Haber, M. Stockler, N. Lintzeris, J. Simes, I. McGregor, I. Olver, D. J. Allsop, C. Gedye, A. C. Kirby, R. L. Morton, P. Fox, S. Clarke, K. Briscoe, M. Aghmesheh, N. Wong, A. Walsh, C. Hahn and P. Grimison (2018). "Oral cannabinoid-rich THC/CBD cannabis extract for secondary prevention of chemotherapy-induced nausea and vomiting: a study protocol for a pilot and definitive randomised double-blind placebo-controlled trial (CannabisCINV)." BMJ Open 8(9): e020745.

Mesman, J., K. Walsh, L. Kinsman, K. Ford and D. Bywaters (2019). "Blending Video-Reflexive Ethnography With Solution-Focused Approach: A Strengths-Based Approach to Practice Improvement in Health Care." International Journal of Qualitative Methods 18: 1609406919875277.

Moloney, G., M. Sutherland, M. Norton, A. Bowling and I. Walker (2019). "Increasing registrations on the Australian Organ Donor Register." Medical Journal of Australia 210(3): 143-143.e141.

Sutherland, R., A. Brown, N. Nathan, L. Janssen, R. Reynolds, A. Walton, N. Hudson, A. Chooi, S. Yoong, J. Wiggers, A. Bailey, N. Evans, K. Gillham, C. Oldmeadow, A. Searles, P. Reeves, C. Rissel, M. Davies, K. Reilly, B. Cohen, T. McCallum and L. Wolfenden (2019). "Protocol for an effectiveness- implementation hybrid trial to assess the effectiveness and cost-effectiveness of an m-health intervention to decrease the consumption of discretionary foods packed in school lunchboxes: the 'SWAP IT' trial." BMC Public Health 19(1): 1510.

Valiukas, S., M. Pickering, T. Hall, N. Seneviratne, A. Aitken, F. John-Leader and S. W. Pit (2019). "Sexting and Mental Health Among Young Australians Attending a Musical Festival: A Cross Sext-ional Study." Cyberpsychology, behavior and social networking 22(8): 521-528.

Wong, P. K. K. and P. Hanrahan (2018). "Management of vaccination in rheumatic disease." Best Practice & Research in Clinical Rheumatology 32(6): 720-734.

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

Article Alert : Patient-focused Information on Emergency Department Discharge

Awareness of diagnosis and follow up care after discharge from the emergency department
Leamy K, Thompson J, Mitra B
Australasian Emergency Care. 2019;22(4):221-226.

This Australian study looked at whether providing emergency department (ED) patients with more detailed information – a simplified discharge card – increased their understanding. It is standard for patients to receive a discharge summary after an ED visit, but the authors of this paper sought to see if a simplified discharge information card could improve patients’ awareness of their discharge diagnosis and follow-up requirements.

This was a prospective pre-post design interventional study with 112 patients in the pre-intervention group and 117 in the post-intervention group. The authors concluded that the patient-focused communication, in the form of a discharge information card, improved the patients' awareness of discharge diagnoses and follow-up requirements.

MNCLHD employees can find this article in full text on CIAP or request it from the Library.

Bushfires and your health - Reliable advice and evidence based information

Bushfires can severely affect your health, physically and mentally. Read below for some accurate and reliable information regarding bushfires and your health. 

• "Bushfires have always been a part of the Australian ecology, but now that ecology is changing." Doctors for the environment Australia provide information sheets that detail the impact of the current bushfire crisis in Australia on our health and how to reduce the risks.

Find the information sheets here.

• The Australian Medical Association is warning of "new health threats for people affected by the escalating bushfire crisis."

Read the AMA recommendations here.

• "NSW Health is assisting residents and their families affected by the bushfire emergency to look after their physical and mental health."

Read about the services available here.

And for more health information for the NSW bushfires here.

• The Heart Foundation warns that "bushfire smoke contains harmful gases such as carbon monoxide, and very small particles that can penetrate deep into the lungs."

Read their advice here.

• Unicef Australia offers advice on "how to talk to your children about Australia's bushfire emergency."

Read their recommendations here.

• Climate and Health Alliance advocates an evidence based factsheet developed by the Centre for Air Pollution which outlines what the "health impacts are to bushfire smoke, which groups are most vulnerable and what we can do to minimise exposure."

Read the factsheet here. 

                                                           Image by Daniel Zuflucht/pixabay.com

New CiAP JMO Specialty Guide for NSW Health

CIAP has created a new Specialty Guide to assist junior doctors through the trials and tribulations of those first few years on the job.

The JMO Guide will act as a quick access portal to some favourite sites like UpToDate and MEDLINE . It will also link to a variety of other useful resources like well-being links such as Fitness Passport and JMO Health.

Check out the complete guide here

Future heart and stroke risk predicted by the touch of a button

Pinpointing your future risk of heart attack or stroke with a simple bone scan may soon be a reality, as researchers broach a new frontier for medical research.

The National Health and Medical Research Council will provide $467,980 to fund a three-year collaborative project led by a team of Edith Cowan University (ECU) researchers.

The team will investigate how machine learning can automate the task of identifying and quantifying an individual’s blood vessel disease from a routine scan, years before symptoms arise.


Read the full article here.

Six C’s to effective nurse leadership

The ANMJ describe the six C's for the most effective nurse leadership: communication; confidence; creating cohesion; courage; conflict resolution; and commitment to excellence.

Nursing requires competent, confident leadership. No matter where you are in your career, you should be reflecting on your existing leadership skills and identifying areas where you can improve.

Read the full article here for more information.

                                                                       Picture source: ANMJ

Library Christmas Hours

CHHC

The CHHC Library will close for the Christmas break on Friday 20th of December at 3:30pm. Normal  staffing will resume on  Monday 6th of January 2020 at 9:00am.

PMBH

The PMBH Library will close for the Christmas break on Friday 20th of December at 3:00pm. The Library Assistant will be  available on Wednesday January 8th and normal staffing will resume on  Monday 13th  January 2020 at 8:30am.

World AIDS Day December 1

It's World AIDS Day on December 1.

This day is held each year to raise awareness around the world and within the community about HIV and AIDS. It's a day for communities to show their support for those living with HIV and to remember those who have died of AIDS related conditions or other illnesses associated with HIV.

The theme for Australia's World AIDS Day is Every Journey Counts. The aim is to encourage Australians to learn more about HIV, to reduce transmission by promoting prevention strategies, and to ensure that people living with HIV have the opportunities to participate fully in life among the community, free from stigma and discrimination.

As a caring community and individually, there is a lot we can do in relation to HIV. Working along side people with HIV, we can help others to understand how HIV is transmitted. We can support people to access testing, treatment and care. Commencing treatment at the early stages of HIV results in better outcomes and reduces the likelihood of onward transmission.
The Glasshouse in Port Macquarie will be lit up red on the eastern corner and ground mezzanine levels for the lead up to World Aids Day (WAD), and the Big Banana will glow red and bring awareness of WAD. Go to the WAD website to find more information, resources or an event near you.

Healthcare Environments that Care for Doctors Increase Care for Patients

A recent report from the General Medical Council in the UK states that a working environment that supports clinicians is conducive to their well-being and this in turn flows on to that of their patients.

The main points that come out of the report are that people need:

Autonomy and control - they need to have control over their work lives, and to act consistently with their work and life values. Recommendations cover voice, influence and fairness, working conditions, schedules and rotas.
    

Belonging – clinicians need to be connected to, cared for, and caring of others around us in the workplace and to feel valued, respected and supported. Recommendations cover teamwork, culture and leadership.

Competence – doctors need to experience effectiveness and deliver valued outcomes, such as high-quality care. Recommendations cover workload, training, learning and development, and management and supervision.

A full version of the report can be found here.

In Australia the AMA acknowledges that "doctors need to be well to provide health care to their patients and community, and to experience medicine as a rewarding and satisfying career". Resources to help can be found on the AMA website. 

                                                                                                      Source: https://ama.com.au/

While Australia boast one of the best health care systems in the world junior doctors need help as a myriad of reports such as those found in the Sydney Morning Herald have revealed. It seems that there are many junior doctors that are receiving sub-standard care from the institutions that employ and train them. 

The article points out the comparison with pilots when and interviewed doctor recalled being on a plane that had been taxi-ing for over an hour. The pilot announced that the flight would be delayed as as he had exceeded his on-duty hours, and that a back-up pilot would need to be called in. It was explained that that would never happen in a hospital. If we won't let a pilot fly a plane why do we let doctors make important decisions for their patients having worked for 14 to 18 hours? Many trainees worry that they will make errors because they were overtired.

No student of medicine goes into the field of medicine thinking it is going to be easy. The job is expected to be hard, but the conditions do not need to make it harder. The JMO Wellbeing & Support Forum in 2017 identified key themes for improvement at the LHD level including; improved rostering; increased staff numbers; ensuring overtime is claimed; review of work conditions, including limiting hours; more staff specialists, less VMOs; more senior clinicians on the floor; improved maternity leave policies; flexible working such as job share; improved IT systems. The forum summary can be found here. LHDs need to keep working on the recommendations  to ensure the well-being of Australian doctors to improve the health of the communities that they are working in.

It is time for a new wire BBQ brush?

A recent article coauthored by Mid North Coast Local Health District staff member Rafael Gaszynski, reports an unusual case of an injury from a barbecue wire bristle. 

Gaszynski, R. and K. J. Zhu (2018). "Summer danger: penetrating pancreatic injury from barbecue wire bristle." ANZ Journal of Surgery 88(12): 1354-1355.

The patient presented to emergency 4 times over a 7 day period, he had no significant history but had eaten fish about 7 days earlier. When reviewed he was found to be dehydrated, lethargic and had deranged liver function tests. No abnormalities were found using ultrasound and x-ray. A CT scan was conducted on admission due to persistent pain. A foreign object was found in the duodenum extending into the adjacent pancreatic neck. A surgical consult was sought and the patient was taken for a gastroscopy.

A black needle like foreign object was found and removed. It measured 20mm by 1mm and was consistent with a barbecue wire brush bristle.

A US study found that about 1700 people visited emergency rooms each year due to swallowing bristles! This however, is the first report of pancreatic injury from a barbecue wire bristle.

Ewww - Source: Grillmax.com

With summer fast approaching and the Aussie Barbie in frequent use it is an optimal time to highlight the dangers of BBQ wire brushes which clinicians and the public should be aware of. Patients with persistent abdominal symptoms post barbecue consumption should have a CT scan if at first basic imaging is non-diagnostic.

Basically the problem is that bristles can break off your brush and get into the food you're cooking. Look after your wire barbie brushes people! Don't let it get old and disgusting like the one above! Get a new one every year. It's better to pay for a new one now than pay later... Check your barbie before you cook to ensure that there are no foreign objects on the cooking surface. Maybe go to the barbecue shop and seek alternative options to try?

Thanks for the awesome article Rafael - anyone wanting to read the full article?
MNCLHD employees can request here.

Have a great summer and happy barbecuing!

Antibiotic Awareness Week! BE PART OF THE SOLUTION

Antibiotic resistance presents one of the biggest threats to global health and development today – and the threat is growing. This week antibiotics awareness week is launched with the overarching theme “Antibiotics Handle with Care”, from 18 to 24 November. The week aims to increase awareness of global antibiotic resistance and to encourage best practices among the general public, health care workers and policy-makers to stem its further emergence and spread.

Antibiotic resistance is caused by the misuse and overuse of antibiotics, as well as poor infection prevention and control. Action can be taken at all levels of society to reduce the impact and limit the spread of resistance. Health workers have a the vital role to play in defending the power of antibiotics. WHO/Europe has interviewed health care workers from across Europe about their experiences with antibiotic resistance and how they are trying to help stop the spread. 

The key message that Health care workers can share with their patients is that antibiotics are a precious resource that could be lost. Let them know that antibiotic resistance is happening now and its a worldwide problem that can affect both human and animal health. Pass on an understanding of how it happens, that smart bacteria develop defenses that stop antibiotics from working effectively, that misuse of antibiotics contributes to this, so antibiotics should not be prescribed and taken for conditions that do not call for antibiotic use. Whenever antibiotics are used they should be used with care.

Find more resources and information at the Australian Commission on Safety and Quality in Health Care website.

Drivers influencing antibiotic over-prescribing by GPs

This qualitative literature review explores the drivers influencing antibiotic over-prescribing by GPs in primary care and makes recommendations to reduce unnecessary prescribing, by Joanna Rose, Michelle Crosbie and Anthony Stewart.

Perspect Public Health. 2019 Oct 21:1757913919879183. doi: 10.1177/1757913919879183.
A qualitative literature review exploring the drivers influencing antibiotic over-prescribing by GPs in primary care and recommendations to reduce unnecessary prescribing.
Rose J, Crosbie M, Stewart A.

This is a qualitative literature review which aims to assess and analyse the published literature to discover the hidden reasons for antibiotic over-prescribing by general practitioners (GPs). It explores their views and opinions, and seeks to determine how antibiotic prescribing can be improved removing unnecessary prescribing, that will in turn reduce the threat to public health from antibiotic resistance. The article tries to invoke new was of thinking in this area while adding to the existing knowledge base relevant to GPs’ antibiotic prescribing behaviour.

Three main themes were identified through this literature review.
1. GP attitudes and or feelings.
Basically GPs want to maintain a good relationship with their patients. This means the patient needs to be satisfied with the service they receive from their GP, what could be more satisfying than walking out of the consult room with your anti-biotic script in hand because you "know" it will fix you? Along with this is the thought that anti-microbial resistance pertains more to hospitals and not general dispensing. Along with a GPs general fear of diagnostic uncertainty, risk avoidance and like fears the path is set for the prescription pad to come out.

2. External factors -time pressures and financial incentives.
Here it is basically the quick fix. If the GP writes the script they can get through more patients quickly. Convincing a patient that they do not need antibiotics will take time.

3. Patient Factors.
Pressure from patients who expect to be given antibiotics can be a challenge. Patients who are not educated to understand what antibiotics are for and what they are use for are difficult to refuse so they are just given antibiotics. The don't understand virus versus bacteria...

The findings of this paper show the need for regular GP update training to emphasise the importance of antibiotic resistance and the need to change behaviour to reduce unnecessary prescribing. Improved guidelines, providing consistency could offer GPs more power to refrain from prescribing, having the support of professional regulations. As well as many ideas to promote public awareness around antibiotics and their use via social media campaigns and triage systems  to relieve the pressure from GPs. To read the full article contact your Librarian. MNCLHD staff can request this article through the Library website.

MNCLHD Staff Publications September - November 2019

The Librarian at HMCN collects and compiles MNCLHD staff publications citations so that we can celebrate the successes of staff undertaking research.

Congratulations to the staff highlighted on their recent articles!

Corben, P. and J. Leask (2018). "Vaccination hesitancy in the antenatal period: a cross-sectional survey." BMC Public Health 18(1): 566.

Crocker, B. C. S., S. W. Pit, V. Hansen, F. John-Leader and M. L. Wright (2019). "A positive approach to adolescent sexual health promotion: a qualitative evaluation of key stakeholder perceptions of the Australian Positive Adolescent Sexual Health (PASH) Conference." BMC Public Health 19(1): 681.

Davis, I. D., A. J. Martin, M. R. Stockler, S. Begbie, K. N. Chi, S. Chowdhury, X. Coskinas, M. Frydenberg, W. E. Hague, L. G. Horvath, A. M. Joshua, N. J. Lawrence, G. Marx, J. McCaffrey, R. McDermott, M. McJannett, S. A. North, F. Parnis, W. Parulekar, D. W. Pook, M. N. Reaume, S. K. Sandhu, A. Tan, T. H. Tan, A. Thomson, E. Tu, F. Vera-Badillo, S. G. Williams, S. Yip, A. Y. Zhang, R. R. Zielinski, C. J. Sweeney, E. T. Investigators, A. the, U. New Zealand and G. Prostate Cancer Trials (2019). "Enzalutamide with Standard First-Line Therapy in Metastatic Prostate Cancer." New England Journal of Medicine 381(2): 121-131.

Gaszynski, R. and K. J. Zhu (2018). "Summer danger: penetrating pancreatic injury from barbecue wire bristle." ANZ Journal of Surgery 88(12): 1354-1355.

Huttner, I. G., L. W. Wang, C. F. Santiago, C. Horvat, R. Johnson, D. Cheng, M. von Frieling-Salewsky, K. Hillcoat, T. J. Bemand, G. Trivedi, F. Braet, D. Hesselson, K. Alford, C. S. Hayward, J. G. Seidman, C. E. Seidman, M. P. Feneley, W. A. Linke and D. Fatkin (2018). "A-Band Titin Truncation in Zebrafish Causes Dilated Cardiomyopathy and Hemodynamic Stress Intolerance." Circulation. Genomic and Precision Medicine 11(8): e002135.

Imran, A., R. Calopedos, D. Habashy and P. Rashid (2018). "Acknowledging and addressing surgeon burnout." ANZ Journal of Surgery 88(11): 1100-1101.

Katelaris, A. L., K. Glasgow, K. Lawrence, P. Corben, A. Zheng, S. Sumithra, J. Turahui, J. Terry, D. van den Berg, D. Hennessy, S. Kane, S. B. Craig, E. Heading, M. A. Burns, H. L. Corner, V. Sheppeard and J. McAnulty (2019). "Investigation and response to an outbreak of leptospirosis among raspberry workers in Australia, 2018." Zoonoses Public Health.

Kozlowski, D., M. Hutchinson, J. Hurley and G. Browne (2018). "Increasing nurses' emotional intelligence with a brief intervention." Applied Nursing Research 41: 59-61.

Law, C., R. McGuire, M. J. Ferson, S. Reid, C. Gately, J. Stephenson, S. Campbell-Lloyd, S. Gabriel, T. Housen, V. Sheppeard, P. Corben and D. N. Durrheim (2019). "Children overdue for immunisation: a question of coverage or reporting? An audit of the Australian Immunisation Register." Aust N Z J Public Health 43(3): 214-220.

Lawal, A. K., G. Groot, D. Goodridge, S. Scott and L. Kinsman (2019). "Development of a program theory for clinical pathways in hospitals: Protocol for a realist review." Systematic Reviews 8 (1) (no pagination)(136).

Lieng, H., A. J. Hayden, D. R. H. Christie, B. J. Davis, T. N. Eade, L. Emmett, T. Holt, G. Hruby, D. Pryor, T. P. Shakespeare, M. Sidhom, M. Skala, K. Wiltshire, J. Yaxley and A. Kneebone (2018). "Radiotherapy for recurrent prostate cancer: 2018 Recommendations of the Australian and New Zealand Radiation Oncology Genito-Urinary group." Radiotherapy & Oncology 129(2): 377-386.

Malalasekera, A., P. L. Blinman, H. M. Dhillon, N. A. Stefanic, P. Grimison, A. Jain, M. D'Souza, S. C. Kao and J. L. Vardy (2018). "Times to Diagnosis and Treatment of Lung Cancer in New South Wales, Australia: A Multicenter, Medicare Data Linkage Study." Journal of oncology practice/American Society of Clinical Oncology 14(10): e621-e630.

Rashid, P., D. Habashy and R. Calopedos (2018). "Trainees at risk: the need for support and compassion." ANZ Journal of Surgery 88(11): 1106-1107.

Simpson, G., V. Mitsch, M. Doyle, M. Forman, D. Young, V. Solomon, M. MacPherson, L. Gillett and B. Strettles (2018). "Investigating the Model of Community-Based Case Management in the New South Wales Brain Injury Rehabilitation Program: A Prospective Multicenter Study." Journal of Head Trauma Rehabilitation 33(6): E38-E48.

Staff, M., A. Nyinawingeri, K. Denniss, A. Ingleton, J. Jelfs and P. Corben (2019). "Pertussis Morbidity in Children 12-59 Months of Age: A NSW Public Health Network Study." Pediatr Infect Dis J 38(6): 553-558.

Sutherland, R., E. Campbell, N. Nathan, L. Wolfenden, D. R. Lubans, P. J. Morgan, K. Gillham, C. Oldmeadow, A. Searles, P. Reeves, M. Williams, N. Evans, A. Bailey, R. Morrison, M. McLaughlin and J. Wiggers (2019). "A cluster randomised trial of an intervention to increase the implementation of physical activity practices in secondary schools: study protocol for scaling up the Physical Activity 4 Everyone (PA4E1) program." BMC Public Health 19(1): 883.

Wong, P. K. K., H. Bagga, C. Barrett, G. Chong, P. Hanrahan, T. Kodali, M. Marabani, H. M. Prince, J. Riordan, P. Swarbrick, R. White and L. Young (2018). "A Practical Approach to the Use of Conventional Synthetic, Biologic and Targeted Synthetic Disease Modifying Anti-Rheumatic Drugs for the Treatment of Inflammatory Arthritis in Patients with a History of Malignancy." Current Rheumatology Reports 20(10): 64.

Young, K. G., K. Duncanson and T. Burrows (2018). "Influence of grandparents on the dietary intake of their 2-12-year-old grandchildren: A systematic review." Nutrition & Dietetics 75(3): 291-306.

Zecchin, R., D. Candelaria, C. Ferry, L. A. Ladak, D. McIvor, K. Wilcox, A. Bennett, S. Bowen, B. Carr, S. Randall and R. Gallagher (2019). "Development of Quality Indicators for Cardiac Rehabilitation in Australia: A Modified Delphi Method and Pilot Test." Heart, Lung and Circulation 28(11): 1622-1630.

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