tag:blogger.com,1999:blog-65502685937602495772024-03-15T02:23:37.709+11:00Monash University School of Public Health and Preventive Medicine Faculty of Medicine, Nursing, and Health ScienceAnonymoushttp://www.blogger.com/profile/12291719289252132867noreply@blogger.comBlogger202125tag:blogger.com,1999:blog-6550268593760249577.post-64181777658868154182013-11-29T10:20:00.001+11:002013-11-29T10:20:06.605+11:00Link found between air pollution and cardiac arrest<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-VXQ3FndzQFI/UpfPe9XERGI/AAAAAAAAAIA/tB_slBFDFWQ/s1600/Lahn+Straney.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-VXQ3FndzQFI/UpfPe9XERGI/AAAAAAAAAIA/tB_slBFDFWQ/s1600/Lahn+Straney.jpg" /></a></div>
There could be a link between levels of air pollution and cardiac arrest, a new study has found.<br /><br />An increase in particulate matter smaller than 2.5 microns (PM2.5) was correlated with a more than 10 per cent increase in the risk of out-of-hospital cardiac arrest, the study showed.<a name='more'></a><br /><br />Sources of an increase in particulate matter include car exhausts and wood burning.<br /><br />However, there could be other contributing factors to these results. <br /><br />“Actually Monday at 9am is the worst, so it can be partly stress-related,” <a href="http://www.med.monash.edu.au/epidemiology/staff/academic/straney.html">Dr Lahn Straney</a> of the DEPM's <a href="http://www.med.monash.edu.au/sphpm/aus-roc/">Aus-ROC</a> told <a href="http://sciencewa.net.au/topics/health-a-medicine/item/2564-pollution-peaks-linked-to-cardiac-arrest.html">Science Network</a>.<br /><br />“If you look at the levels of pollutants, it kind of corresponds with traffic time as well.”<br /><br />Nevertheless, he says that high risk people should try to reduce their exposure to air pollution. <br /><br />“A lot of carbon monoxide comes from traffic pollution and PM2.5 is affected by traffic but also burning of things, so burning wood, bushfires and things like that,” Dr Straney said.<br /><br />“If we think of people that are at high risk, so older people typically, you really don’t want to be building nursing homes, you don’t want to be having hospitals on major roads.”<br /><br />The study, authored by Dr Straney, looked at 8551 cases of out-of-hospital cardiac arrest in the metropolitan area attended by paramedics between 2000 and 2010. It then compared them with hourly air pollution levels recorded at seven monitors.Anonymousnoreply@blogger.com2tag:blogger.com,1999:blog-6550268593760249577.post-37748504903593614602013-11-28T16:24:00.000+11:002013-11-28T16:24:41.274+11:00Bridging the gap between research and practice. Could social media be the missing link?<br />
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<a href="http://4.bp.blogspot.com/-olYg-0yLJNU/UpbRzefgR_I/AAAAAAAAAEY/-M2w_DxOJXg/s1600/dashiell125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-olYg-0yLJNU/UpbRzefgR_I/AAAAAAAAAEY/-M2w_DxOJXg/s1600/dashiell125.jpg" /></a><span style="font-family: Calibri;">The purpose of all clinical research should be to improve outcomes,
yet unless this research is effectively translated into practice by clinicians,
even the largest studies can become useless.</span></div>
<span style="font-family: Calibri;"></span><br />
<span style="font-family: Calibri;"><a name='more'></a><o:p></o:p></span><br />
<br />
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<span style="font-family: Calibri;">Gaps between evidence and practice are becoming more widely
recognised in all areas of medicine, and as a result health research funding
bodies often require grant applicants to provide a plan for the dissemination of
the knowledge. It is currently estimated that published research takes 17 years
before it is put into practice. <o:p></o:p></span></div>
<br />
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<span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span><a href="http://www.med.monash.edu.au/epidemiology/staff/students/ganter.html">Dr Dashiell Gantner</a>
of the<a href="http://www.med.monash.edu.au/epidemiology/"> DEPM</a> believes that social media could represent a much faster way of
translating this research into practice. Dashiell theorises that most changes
in practice and teaching occur during hospital corridor conversations and
bed-side training. The use of social media by researchers has been show to
increase the number of times a paper is cited, and from this Dashiell believes
that it could be used to win the hearts and minds of clinicians, encouraging
the use of new procedures and treatments.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<span style="font-family: Calibri;">Whilst there are benefits, there are still possibilities
that research could be translated without a basis of proper evidence. As such,
care must be taken, and a structured approach to knowledge translation which
involves social media could represent a revolutionary way of bridging the gap
between knowledge and practice. <span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-370781444646427032013-11-28T15:07:00.001+11:002013-11-29T16:17:41.266+11:00Professor Malcolm Sim wins the Dean’s Award for Excellence in External Engagement<b:include data="blog" name="all-head-content">
</b:include><br />
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<a href="http://www.coeh.monash.org/"><span style="color: windowtext; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Arial; text-decoration: none; text-underline: none;">MonCOEH</span></a><span style="color: windowtext; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Arial;">'s Director </span><a href="http://www.med.monash.edu.au/epidemiology/staff/academic/sim.html"><span style="color: windowtext; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Arial; text-decoration: none; text-underline: none;">Prof Malcolm Sim</span></a><span style="color: windowtext; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Arial;"> has been </span><span style="color: #222222; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Arial;">awarded
the Dean’s Award for Excellence in External Engagement for his valuable work
with a variety of national and international organisations These include the
Department of Veterans’ Affairs, the Australasian Fire and Emergency Service
Authorities Council, the Defence Health Foundation and Safe Work Australia.<span style="mso-spacerun: yes;"> </span>He is also on the Australian Institute for
Health and Welfare’s Human Research Ethics Committee.</span>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<a name='more'></a><br />
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<span style="color: #222222; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Arial;">Prof Sim collaborated with the
National Institute for Occupational Health and Poison Control in China to
improve occupational disease diagnosis and surveillance in China.<span style="mso-spacerun: yes;"> </span>He is also on the </span><span lang="EN" style="color: #454545; mso-ansi-language: EN; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 10.0pt; mso-hansi-font-family: Arial;">Editorial
Board of the Cochrane OSH Review Group, based at the Finnish Institute of
Occupational Health and was an </span><span style="mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 10.0pt; mso-hansi-font-family: Arial;">invited member of the International Agency for Research on Cancer (IARC)
Expert Scientific Committee to develop Monograph 102 on radiofrequency
electromagnetic fields.</span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: normal;">
<span style="color: #222222; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Arial;">Prof Sim is also Editor-in-Chief of the leading journal <i>Occupational
and Environmental Medicine, </i>and an Adjunct Professor at the University of Malaya
and at Mahidol University in Bangkok.<span style="mso-spacerun: yes;"> </span>He
was elected to the Board of the International Commission on Occupational Health
(ICOH) in 2012.</span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<a href="https://www.blogger.com/null" name="more"></a><span style="color: #222222; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Arial;">The award
also took into account Prof Sim’s research projects over the past three
years.<span style="mso-spacerun: yes;"> </span>His research primarily
investigates </span>occupational and environmental risk factors for chronic
diseases, such as cancer and respiratory disease, exposure assessment,
occupational disease surveillance, veteran and firefighter health research and
the health effects of environmental exposures to mobile phones.<span style="color: #222222; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Arial;"></span></div>
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Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-36569353689289148432013-11-28T13:03:00.001+11:002013-11-28T13:04:19.793+11:00Dr Sara Holton wins publication prize<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-rapvwK8qFyQ/Upajmk_ym3I/AAAAAAAAAHY/9mfe-IWKUbw/s1600/Holton.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-rapvwK8qFyQ/Upajmk_ym3I/AAAAAAAAAHY/9mfe-IWKUbw/s1600/Holton.jpg" /></a></div>
<div class="MsoNormal">
<a href="http://www.med.monash.edu.au/epidemiology/staff/academic/holton.html">Dr
Sara Holton</a> of the <a href="http://www.med.monash.edu.au/epidemiology/">Department
of Epidemiology and Preventive Medicine</a> has won the 2013 Medicine, Nursing
and Health Sciences Faculty ECR Publication Prize, for public health research.</div>
<a name='more'></a><o:p></o:p><br />
<div class="MsoNormal">
Her paper, titled <i>the childbearing concerns and related
information needs and preferences of women of reproductive age with a chronic,
noncommunicable health condition: a systematic review, </i>looked at women with
chronic diseases who feared their condition could limit their reproductive
choices. It found that there is a shortfall in adequate information on this
topic for women to access, and recommended better tools be developed. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The paper was published in a high-ranked international
women’s health journal, and was reported in the Medical Observer.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<br />
<div class="MsoNormal">
Dr Holton received $1000 to go towards her research and was
given a certificate by Professor Ross Coppel, The Faculty's Senior Deputy Dean / Deputy Dean (Research), as well as being invited to give a presentation on her work. </div>
<div class="MsoNormal">
<o:p></o:p></div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-68761779497678214162013-11-28T12:39:00.000+11:002013-11-28T14:11:33.921+11:00Funding awarded to evaluate the National Stroke Foundation’s awareness campaign <div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-CRinH2eLI-g/Upaep7XJcNI/AAAAAAAAAHI/jwMKunJi8Gg/s1600/Finn+&+Bray.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-CRinH2eLI-g/Upaep7XJcNI/AAAAAAAAAHI/jwMKunJi8Gg/s1600/Finn+&+Bray.jpg" /></a></div>
<div class="MsoNormal">
<span style="line-height: 115%;">Funding has
been awarded to a team led by </span><a href="http://www.med.monash.edu.au/epidemiology/staff/academic/bray.html"><span style="line-height: 115%;">Dr Janet Bray</span></a><span style="line-height: 115%;"> and </span><a href="http://www.med.monash.edu.au/epidemiology/staff/academic/finn.html"><span style="line-height: 115%;">Prof Judith Finn</span></a><span style="line-height: 115%;"> from the </span><span style="line-height: 115%;"><a href="http://www.med.monash.edu.au/epidemiology/staff/academic/finn.html">Department of Epidemiology and
Preventive Medicine</a>'s </span> Australian Resuscitation Outcomes Consortium<strong style="background-color: white; font-family: arial, helvetica, clean, sans-serif; line-height: 17px;"> (</strong><span style="line-height: 115%;"><a href="http://www.med.monash.edu.au/sphpm/aus-roc/">AusROC</a>)</span><span style="line-height: 115%;">,
to evaluate the effectiveness of the </span><a href="http://strokefoundation.com.au/"><span style="line-height: 115%;">National Stroke Foundation</span></a><span style="line-height: 115%;">’s 2014 awareness campaign. </span></div>
<a name='more'></a><o:p></o:p><br />
<div class="MsoNormal">
<span style="line-height: 115%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi;">The campaign aims to
disseminate </span><span lang="EN-US" style="color: #222222; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi;">information on strokes, stroke risk
factors, and how people can reduce their risk of strokes, through a variety of
activities around the country. <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: #222222; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi;"></span> </div>
<div class="MsoNormal">
<span lang="EN-US" style="color: #222222; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi;">Dr Bray and Prof Finn will investigate
the effectiveness of the campaign. </span><span style="color: #222222; line-height: 115%;">They will work in conjunction with
ambulance services, to see if more people are able to recognise that they are
having a stroke when they call for help. Currently, caller recognition of
stroke when calling ambulance services is low.</span><br />
<span style="color: #222222;"></span> </div>
<div class="MsoNormal">
<span style="line-height: 115%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi;">Strokes are caused by a blood
clot or </span><span lang="EN-US" style="color: #222222; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: Helvetica;">hemorrhage
</span><span style="line-height: 115%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi;">in the brain. They can potentially
have permanent effects in a variety of areas, including speech, memory, and
ability to walk. Fast treatment is vital to a patient’s chance of recovery. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="line-height: 115%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi;"></span> </div>
<div class="MsoNormal">
<span style="line-height: 115%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi;">For more information on the
signs of a stroke, go to the National Stroke Foundation’s </span><a href="http://strokefoundation.com.au/what-is-a-stroke/signs-of-stroke/"><span style="line-height: 115%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi;">website</span></a><span style="font-size: 12pt; line-height: 115%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: major-bidi;"> <o:p></o:p></span></div>
Anonymousnoreply@blogger.com1tag:blogger.com,1999:blog-6550268593760249577.post-4988504879564462842013-11-28T11:34:00.001+11:002013-11-28T13:05:00.847+11:00DEPM’s Clinical Registry Unit selected as preferred data registry supplier by ACSQHC<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-y868068nSRI/UpaO60FMOoI/AAAAAAAAAG8/ndJPxgAUtCI/s1600/Sue+Evans.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-y868068nSRI/UpaO60FMOoI/AAAAAAAAAG8/ndJPxgAUtCI/s1600/Sue+Evans.jpg" /></a></div>
<div class="MsoNormal" style="margin: 4.25pt 2.45pt 0.0001pt 0cm;">
The Australian Commission on Safety and Quality in HealthCare has selected DEPM's <a href="http://www.med.monash.edu.au/epidemiology/units-centres/registries/index.html">Clinical Registry Unit</a>, headed by <a href="http://www.med.monash.edu.au/epidemiology/staff/academic/evans.html">Dr Sue Evans</a>, as their preferred supplier for services in health information and data analysis, research and literature review and health information systems and web development.</div>
<a name='more'></a><br />
Quality clinical data registries are being established progressively around the globe. They are widely recognised as a cost effective way to measure and benchmark outcomes of treatment, and provide hospitals and clinicians with feedback about performance in treating a growing number of conditions, which in turn results in improved patient outcomes, reduction in adverse events and cost savings. <br />
<br />
DEPM has played a pivotal role in the establishment, management and analysis of clinical registries in Australia, and houses many clinical quality registries including The Australian Society of Cardiac and Thoracic Surgeons (ASCTS) Database, the Australian Cardiac Procedures Registry, The Bi-National Burns Registry (Bi-NBR), the Breast Device Registry, the Prostate Cancer Registry, the Victorian Lung Cancer Registry and the Victorian State Trauma Registry (VSTORM).<span style="background-color: white; line-height: 104%;"> </span><br />
<div class="separator" style="clear: both; text-align: center;">
<span style="background-color: white; line-height: 104%;"><br /></span></div>
<span style="background-color: white; line-height: 104%;">
<br />
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
</span><span style="line-height: 104%;"><o:p></o:p></span>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-8146990056528434232013-11-27T14:27:00.001+11:002013-11-28T09:32:26.376+11:00Psychotropic medication in pregnancy<!--[if gte mso 9]><xml>
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<a href="http://4.bp.blogspot.com/-yvCentTGc1k/UpVmg7YS5XI/AAAAAAAAAEA/vtptMPjJXfA/s1600/pregnancy+and+pills+125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-yvCentTGc1k/UpVmg7YS5XI/AAAAAAAAAEA/vtptMPjJXfA/s1600/pregnancy+and+pills+125.jpg" /></a>The rate of mental illness in parents of infants is on the
rise, which in turn poses the question, is there an increase in the use of
psychotropic medication in pregnancy, and if so what are the effects on the
infant?<br />
<a name='more'></a><br /></div>
<div class="MsoNormal">
In a letter to the editor of the Medical Journal of
Australia, <a href="http://www.med.monash.edu.au/sphpm/womenshealth/staff/worsley.html">Dr Roisin
Worsley</a> of the <a href="http://www.med.monash.edu.au/sphpm/">SPHPM</a>
brings up the issue of increasing psychotropic medication in pregnancy, and the
lack of information surrounding the potential effects.<br />
</div>
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In an attempt to redress this dearth of knowledge, Dr Roisin
and colleagues have established the National Registry of Antipsychotic
Medication in Pregnancy. From their data they have discovered that pregnant
women are using antipsychotic medication for a wide range of disorders, and
with the use of these drugs extending beyond psychotic disorders, it is
important to understand the potential effects of antipsychotics on pregnancy. </div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-46973228650486691152013-11-27T14:11:00.001+11:002013-11-28T11:03:43.149+11:00Lower back pain: the work of bacteria?<a href="http://1.bp.blogspot.com/-_-Ni6yF6rog/UpViZ8LPU9I/AAAAAAAAAD4/WX5ocSsbNgQ/s1600/bacteria+and+spine125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><br />
<a href="http://1.bp.blogspot.com/-_-Ni6yF6rog/UpViZ8LPU9I/AAAAAAAAAD4/WX5ocSsbNgQ/s1600/bacteria+and+spine125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-_-Ni6yF6rog/UpViZ8LPU9I/AAAAAAAAAD4/WX5ocSsbNgQ/s1600/bacteria+and+spine125.jpg" /></a><span style="font-family: inherit;">In the recent Global Burden of Disease study, lower back
pain was ranked as one of the leading causes of disability in Australasia,
second only to cancer. There has been immense interest and controversy
surrounding the novel study which reported the effectiveness of antibiotic
treatment for patients with low back pain. While some leading international
spine surgeons believe that this work is worthy of a Nobel Prize, two
commentaries in the BMJ have indicated that further research is needed before a
change in medical practice. </span><br />
<span style="font-family: inherit;"><a name='more'></a></span><br />
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<span style="font-family: inherit;">Their methodology was based on a previous study which found
that 84% of individuals with disc herniation were infected with the bacteria
Proprionbacterium acnes (P.acnes). </span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<span style="font-family: inherit;">However, there is conflicting evidence as to whether P.acnes
is the cause of the condition, as previous studies have reported the absence of
the bacteria in people with low back pain, as well as other data showing the
bacteria in people with a variety of spinal conditions.</span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<a href="http://www.med.monash.edu.au/epidemiology/staff/academic/urquhart.html"><span style="color: blue; font-family: inherit;">Donna
Urqhart</span></a><span style="font-family: inherit;"> of the </span><a href="http://www.med.monash.edu.au/epidemiology/about/"><span style="font-family: inherit;">DEPM</span></a><span style="font-family: inherit;"> has been issued a one year grant for $48,500 by the
Faculty of Medicine to shed further light on the issue. Her research will focus
on whether the bacteria are present in the spinal disc and bone, and if so the
pattern of back pain associated with the type of bacteria. </span><br />
<br />
This research could form a crucial part in formulating the future treatment of back pain for sufferers worldwide.</div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-46603522487339499742013-11-27T11:14:00.002+11:002013-11-28T10:59:12.216+11:00NHMRC announces grant for statins therapy trial<br />
<div class="MsoNormal">
<a href="http://2.bp.blogspot.com/-Dx-hCutLiL0/UpKnQEBC39I/AAAAAAAAADQ/z3ixNH-5oOU/s1600/sophia-zoungas125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-Dx-hCutLiL0/UpKnQEBC39I/AAAAAAAAADQ/z3ixNH-5oOU/s1600/sophia-zoungas125.jpg" /></a>Funding grants have just been announced, and <a href="http://www.med.monash.edu.au/epidemiology/staff/academic/zoungas.html">Sophia Zoungas</a> and the team in charge of the STAtins for
Reducing Events in the Elderly (STAREE) trial are on the winners list. The trial
will be the first randomised controlled trial of statin therapy in an apparently
healthy elderly cohort living independently in the community and will be administered through the <a href="http://www.med.monash.edu.au/epidemiology/">SPHPM</a>. Earlier trials
have shown the cardiovascular benefits to younger people with established CVD
or at high risk of CVD no studies thus far have focused on the elderly. <a name='more'></a><br />
</div>
<div class="MsoNormal">
Amongst the issues likely to influence the balance of the
risks and benefits to the elderly are: myopathy, diabetes, cognitive impairment,
cancer and polypharmacy. STAREE will determine the effects of statin therapy
versus placebo on overall survival (all-causes of death) or disability-free survival
(need for permanent residential care) over an average 5-year treatment period
amongst elderly Australians equal to or older than 75. The study will be
conducted in Australian general practice and utilise the resources and
expertise in community-based research generated by the ASPREE study. Given the
demographic transition to an older population and the increasing health care
costs incurred by governments and individuals, this study could possibly
influence health expenditure and change the way that preventative drugs are
evaluated in this age group.</div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-52754201232765119852013-11-27T10:11:00.002+11:002013-11-28T15:36:28.035+11:00Oral health disparities in Sri Lanka<head>
<meta name="oral health disparities in Sri Lanka" content="oral health disparities in Sri Lanka" />
<meta name="description" content="description " />
<link rel="http://4.bp.blogspot.com/-hzFMpNFs5hw/UpLAHCxFWAI/AAAAAAAAADk/U_kyoUKyHMA/s1600/nanayakkara125.jpg" href="http://4.bp.blogspot.com/-hzFMpNFs5hw/UpLAHCxFWAI/AAAAAAAAADk/U_kyoUKyHMA/s1600/nanayakkara125.jpg" />
</head>
<br />
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<a href="http://4.bp.blogspot.com/-hzFMpNFs5hw/UpLAHCxFWAI/AAAAAAAAADk/U_kyoUKyHMA/s1600/nanayakkara125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-hzFMpNFs5hw/UpLAHCxFWAI/AAAAAAAAADk/U_kyoUKyHMA/s1600/nanayakkara125.jpg" /></a>Dental caries and poor oral health have been linked to
socio-economic and ethnic differences among pre-schoolers in Sri-Lanka. <a href="http://www.med.monash.edu.au/epidemiology/staff/academic/nanayakkara.html">Vajira Nanayakkara</a> and colleagues from the<a href="http://www.med.monash.edu.au/epidemiology/"> DEPM</a> has investigated the links between
factors such as parental education levels, ethnicity and socio-economic strata
and dental health in an attempt to identify the most at risk populations.<br />
<a name='more'></a><br /></div>
<div class="MsoNormal">
What Vajira discovered was that compared to fathers who had a
tertiary education, those whose fathers did not study beyond grade 5 had more
dental caries and experienced worse oral health. which is linked to quality of life. Conversely,
lower levels of education among mothers were associated with better dental
health. This was reasoned as being a consequence of unemployment, and the
mothers having more time to supervise the children’s dental habits. <br />
</div>
<div class="MsoNormal">
Tamil children also fared worse of gingivial bleeding and
poor oral health linked quality of life as compared to the Sinhalese group,
with Muslim children also having poor oral health as well. Children of lower
income families also had higher levels of gum bleeding than those from higher
income families. <br />
</div>
<div class="MsoNormal">
From these results the researchers determined that any
future interventions should focus on children of fathers with low educational
levels and minority groups in order to reduce inequalities in oral health in
Sri Lanka.</div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-31489912772020809512013-11-27T10:10:00.002+11:002013-11-28T11:39:41.027+11:00Depression, anxiety and their ties to early dementia or mild cognitive impairment.<br />
<a href="http://1.bp.blogspot.com/-v73Nd5snb_0/Uo1MDH_-joI/AAAAAAAAACw/rdzVJCYCgJI/s1600/regan-125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><br />
<a href="http://1.bp.blogspot.com/-v73Nd5snb_0/Uo1MDH_-joI/AAAAAAAAACw/rdzVJCYCgJI/s1600/regan-125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-v73Nd5snb_0/Uo1MDH_-joI/AAAAAAAAACw/rdzVJCYCgJI/s1600/regan-125.jpg" /></a><span style="font-family: inherit;">Many people diagnosed with early dementia or mild cognitive impairment
(MCI) often suffer from concomitant depression and anxiety disorders. In some
cases these disorders may be related to difficulties adjusting to their diagnosis
and associated cognitive problems. Successful adjustment and alleviation of
depression and anxiety symptoms in these people is of critical importance for
quality of life and may also help prevent, or delay, further cognitive decline.</span><br />
<span style="font-family: inherit;"><a name='more'></a></span><br />
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<a href="http://www.med.monash.edu.au/sphpm/monarc/augm.html"><span style="color: blue; font-family: inherit;">Bridget
Regan</span></a><span style="font-family: inherit;"> of the</span><a href="http://www.med.monash.edu.au/med/sphpm/monarc/augm.html"><span style="font-family: inherit;"> AUGM</span></a><span style="font-family: inherit;"> with the </span><a href="http://www.med.monash.edu.au/med/sphpm/"><span style="font-family: inherit;">SPHPM</span></a><span style="font-family: inherit;"> has reviewed a variety of psychosocial
interventions aimed at stopping or slowing cognitive decline. Of the studies eligible
to be included in the review several studies showed promising results with the
treatment of depression in older adults with early dementia using problem
solving and modified cognitive behaviour therapy (CBT) approaches.</span><br />
<br />
While more research is needed, several studies have demonstrated positive results in the treatment of early demetia using problem solving and modified cognitive behaviour therapy (CBT) approaches. These techniques could represent a novel approach to slowing or stopping the onset of early dementia.</div>
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<span style="font-family: Calibri;"><o:p></o:p></span> </div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-77169333286920764772013-11-20T14:59:00.002+11:002013-11-23T22:10:40.995+11:00Comparing rules-based exposure and case-by-case expert assessment<!--[if gte mso 9]><xml>
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<span style="font-family: inherit; line-height: 115%;">Lifetimes of
chemical exposure can have profound influences on disease development and
progression, but the way in which these exposure levels can be assessed varies. Expert case-by-case assessment is often used, but it is a time
consuming and expensive prospect. The other option is a rule-based exposure
assessment. </span><br />
<br />
<a href="http://www.med.monash.edu.au/epidemiology/staff/academic/glass.html"><span style="font-family: inherit; line-height: 115%;">Deborah Glass of the DEPM</span></a><span style="font-family: inherit; line-height: 115%;"> has compared the efficiency of both
types at assessing occupational exposure to noxious chemicals by using data
from a case-control study of childhood acute lymphoblastic leukaemia in which
parental occupational exposures were originally assigned by expert assessment. </span><br />
<span style="font-family: inherit;"></span><br />
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<span style="line-height: 115%;"><span style="font-family: inherit;"><span style="mso-spacerun: yes;"> </span>Deborah discovered that the rule-based
approach appeared to be an efficient alternative to the expert assessment, and
represented a new way to determine occupational exposures in a community based
study.</span></span></div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-63455432988686726762013-11-20T14:58:00.001+11:002013-11-21T09:34:15.462+11:00Knowledge and decision making in prostate cancer care<!--[if gte mso 9]><xml>
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<a href="http://3.bp.blogspot.com/-QYkmGRjQC2M/Uomg0FdNEDI/AAAAAAAAABc/7jbPb0K0noQ/s1600/draganillic125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-QYkmGRjQC2M/Uomg0FdNEDI/AAAAAAAAABc/7jbPb0K0noQ/s1600/draganillic125.jpg" /></a> <span style="font-family: inherit;">Prostate cancer remains a very common cancer in men, yet
relatively few men understand the implications associated with the diagnosis
and subsequent treatment of prostate cancer. Men newly diagnosed with prostate
cancer often lacked a basic understanding of the disease, with many survivors
confirming their greatest unmet need was reliable knowledge of the disease. </span></div>
<div class="MsoNormal">
<a name='more'></a><br />
<div class="MsoNormal">
<span style="font-family: inherit;">In order to analyse men’s knowledge of the disease </span><a href="http://www.med.monash.edu.au/epidemiology/staff/academic/illic.html"><span style="font-family: inherit;">Dragan
Illic</span></a><span style="font-family: inherit;"> and colleagues from the DEPM conducted focus groups designed to
explore the views of both prostate cancer sufferers and men at risk. Of particular
interest were the ways </span><span style="font-family: inherit;">in which the men approached the different treatments
available, and the ways they gathered information to assist the decision making
process. </span></div>
<div class="MsoNormal">
</div>
<div class="MsoNormal">
<a href="http://www.scopus.com/record/display.url?eid=2-s2.0-84874397545&origin=resultslist&sort=plf-f&src=s&st1=+perspectives+on+knowledge+information+seeking++dragan&sid=24C7A2C0902871924DACFEFFF6245E63.FZg2ODcJC9ArCe8WOZPvA%3a290&sot=q&sdt=b&sl=74&s=TITLE-ABS-KEY-AUTH%28+perspectives+on+knowledge+information+seeking++dragan%29&relpos=0&relpos=0&citeCnt=0&searchTerm=TITLE-ABS-KEY-AUTH%28+perspectives+on+knowledge+information+seeking++dragan%29"><span style="font-family: inherit;">Their
paper</span></a><span style="font-family: inherit;"> highlighted that men adopt a multi-factorial approach to decision
making regarding prostate cancer, including collecting information from the
internet, other survivors and health professionals.</span></div>
<div class="MsoNormal">
</div>
<div class="MsoNormal">
<span style="font-family: inherit;">From this the researchers concluded that a health knowledge
broker could independently assist patients to learn more about the disease, their
treatment options and to assist them in the decision making process.</span></div>
</div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-88472727313567677582013-11-20T14:58:00.000+11:002013-11-21T09:33:36.837+11:00Changing end of life care<br />
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<a href="http://3.bp.blogspot.com/-EcMP4zwtFuE/UovusPdrd7I/AAAAAAAAABw/OrkOVK570sM/s1600/mcneil125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><br /></div>
<a href="http://3.bp.blogspot.com/-EcMP4zwtFuE/UovusPdrd7I/AAAAAAAAABw/OrkOVK570sM/s1600/mcneil125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-EcMP4zwtFuE/UovusPdrd7I/AAAAAAAAABw/OrkOVK570sM/s1600/mcneil125.jpg" /></a><span style="font-family: inherit;">Australians are living longer than ever, and as a
consequence often experience a range of medical complications towards the ends
of their lives. Current practices in end-of-life medical care require major
change to ensure more Australians experience ‘better’ deaths, according to a
panel of medical, ethical and legal experts.<o:p></o:p></span><br />
<span style="font-family: inherit;"></span><br />
<span style="font-family: inherit;"><a name='more'></a></span><br />
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<span style="font-family: inherit;">Following a one-day forum sponsored by the Schools of
Population health at Monash University and The University of Melbourne earlier
in the year, the panel issued a comprehensive discussion paper and blueprint
for change.<o:p></o:p></span></div>
<span style="font-family: inherit;"></span><br />
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<span style="font-family: inherit;">Head of Monash University’s School of Public Health and
Preventive Medicine</span><a href="http://www.med.monash.edu.au/epidemiology/staff/academic/mcneil.html"><span style="color: blue; font-family: inherit;">,
Professor John McNeil</span></a><span style="font-family: inherit;"> said the forum had been organised to address the
changes wrought by an ageing population and rapid technological advancement
that now enables doctors to treat many medical ailments into advanced years.<o:p></o:p></span></div>
<span style="font-family: inherit;"></span><br />
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<span style="font-family: inherit;">“Therapeutic and technical advances have improved and
extended lives of many Australians, but at a cost - a new older generation of
people is living with more complex disease and gradual decline in quality of
life.” Professor McNeil said.<o:p></o:p></span></div>
<span style="font-family: inherit;"></span><br />
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<span style="font-family: inherit;">“This creates new challenges for medical practice in particular;
balancing the imperative to ‘cure’ with the personal, social and financial
burden it can create. End-of-life care implies an awareness of this balance.”<o:p></o:p></span></div>
<span style="font-family: inherit;"></span><br />
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<span style="font-family: inherit;">Australia has seen a large increase in the numbers of people
dying in hospital, with 52% of people dying in hospital, despite the fact that
most would prefer to die at home. In 2011, more than 146,000 people died in
hospital in Australia.<o:p></o:p></span></div>
<span style="font-family: inherit;"></span><br />
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<span style="font-family: inherit;">As these numbers are unlikely to change without intervention,
the panel hoped that through education, change of clinical behaviour, clinical
leadership, practitioner confidence and hospital procedures they would be able
to influence the future direction of end-of-life care.<o:p></o:p></span></div>
<span style="font-family: inherit;"></span><br />
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<span style="font-family: inherit;">“The benefits of improving the system are multiple -
extending to patients and families where there will be improved quality of
life-before-death, medical teams and carers to alleviate psychological, moral
and emotional distress and conflict, and an improved allocation of resources
within the health care system more broadly,” Professor McNeil said<o:p></o:p></span></div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-48129714885322063812013-11-20T14:57:00.004+11:002013-11-21T16:20:46.558+11:00Robert Hall attends the SAGE meetings<br />
<a href="http://4.bp.blogspot.com/-OBDg8O_9gCk/UowT2x1CWlI/AAAAAAAAACA/exPCVAtxvpU/s1600/SAGE125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-OBDg8O_9gCk/UowT2x1CWlI/AAAAAAAAACA/exPCVAtxvpU/s1600/SAGE125.jpg" /></a><a href="http://4.bp.blogspot.com/-OBDg8O_9gCk/UowT2x1CWlI/AAAAAAAAACA/exPCVAtxvpU/s1600/SAGE125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><span style="line-height: 115%;"><span style="font-family: inherit;">In his
capacity as Chair of the Technical Advisory Group on Immunization and Vaccine
Preventable Diseases for the Western Pacific Region of WHO, </span><a href="http://www.med.monash.edu.au/epidemiology/staff/academic/hall.html"><span style="color: blue; font-family: inherit;">Robert
Hall</span></a><span style="font-family: inherit;"> of the DEPM recently attended the Strategic Advisory Group of Experts
on Immunization (SAGE) in Geneva. These meetings are held twice per year and recommend
global health policy to the Director-General of the WHO. <o:p></o:p></span></span><br />
<span style="font-family: inherit;"> </span><br />
<span style="font-family: inherit;"><a name='more'></a></span>In the same capacity, Robert attended the meeting of the Regional Certification Commission for Poliomyelitis Eradication for the Western Pacific Region of WHO in Manila. This group meets every year to discuss whether the region remains polio-free. The last indigenous case was reported in Cambodia in 1997 and the region was certified as polio-free in 2000. Following a discussion of the reports from the 37 countries, the RCC concluded that the region remained free of polio.<br /><br /> Within this conference a range of issues were discussed including: the transition from oral polio vaccine (OPV) to inactivated polio vaccine (IPV), the circulation of wild-type polio in Israel despite IPV and the need to eliminate the remaining endemic areas of polio in Afghanistan, Pakistan and Nigeria. Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-1412872406717178152013-11-20T14:57:00.003+11:002013-11-21T16:41:51.865+11:00ASPREE participant update <a href="http://3.bp.blogspot.com/-KBnj9wL9PBw/UowvwK83j8I/AAAAAAAAACU/WDfNSeEsIug/s1600/MBI+group+shot+125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-KBnj9wL9PBw/UowvwK83j8I/AAAAAAAAACU/WDfNSeEsIug/s1600/MBI+group+shot+125.jpg" /></a><a href="http://3.bp.blogspot.com/-KBnj9wL9PBw/UowvwK83j8I/AAAAAAAAACU/WDfNSeEsIug/s1600/MBI+group+shot+125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><br />
<span style="font-family: inherit;">The 5 year ASPirin in Reducing Events in the Elderly
(ASPREE) study recently held a forum at the Monash Biomedical Imaging
centre to give participants an overview of the trial’s progress, developments
and to give participants an opportunity to ask questions. <o:p></o:p></span><br />
<span style="font-family: inherit;"></span><br />
<span style="font-family: inherit;"><a name='more'></a></span><span style="font-family: inherit;">The event was attended by over 550 participants and guests,
with another information night in Traralgon reaching over 200 guests. </span><br />
<span style="font-family: inherit;"></span><br />
<span style="font-family: inherit;">This is further good news for the ASPREE study, which just reached 15, 000 participants worldwide.</span><br />
<span style="font-family: inherit;"></span><br />
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<span style="font-family: Calibri;"> <o:p></o:p></span></div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-90009417412600874472013-11-20T14:57:00.002+11:002013-11-21T09:32:19.365+11:00Call to rename ‘confusing’ PCOS<br />
<a href="http://2.bp.blogspot.com/-Q8TNtCZ4DYc/Uowy8iQ1LqI/AAAAAAAAACg/q_G_KAzqrC0/s1600/teedehelena125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><br />
<a href="http://2.bp.blogspot.com/-Q8TNtCZ4DYc/Uowy8iQ1LqI/AAAAAAAAACg/q_G_KAzqrC0/s1600/teedehelena125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-Q8TNtCZ4DYc/Uowy8iQ1LqI/AAAAAAAAACg/q_G_KAzqrC0/s1600/teedehelena125.jpg" /></a><span style="font-family: inherit;">Polycystic Ovary Syndrome could be reborn under the new
title “metabolic reproductive syndrome” as part of a new impetus to make the
condition less confusing to both patients and primary care physicians. Experts
believe that the current name is both ambiguous and misleading, and does not reflect
the broader psychological and metabolic impacts of the syndrome. <o:p></o:p></span><br />
<span style="font-family: inherit;"></span><br />
<span style="font-family: inherit;"><a name='more'></a></span><br />
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<span style="font-family: inherit;">Professor </span><a href="http://www.med.monash.edu.au/epidemiology/staff/academic/teede.html"><span style="color: blue; font-family: inherit;">Helena
Teede</span></a><span style="font-family: inherit;"> of the DEPM has published a new study which aims to quantify patients
and physicians understanding of PCOS, its symptoms and causes. The patients and
practitioners involved were quizzed on the symptoms and causes of PCOS to
determine their general understanding. Whilst many patients were able to
recognise the symptoms, 47% of patients incorrectly identified ovarian cysts as
a cause.<o:p></o:p></span></div>
<span style="font-family: inherit;"></span><br />
<div class="MsoNormal" style="margin: 0cm 0cm 10pt;">
<span style="font-family: Calibri;"><span style="font-family: inherit;">Most primary care physicians felt the name was confusing
(74%) and needs changing (81%), however opinions were divided on specific
alternative names.</span> <o:p></o:p></span></div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-24576448010617147582013-11-15T11:49:00.001+11:002013-11-15T12:51:42.042+11:00Travel Report: Dr Janet Bray attends the European Resuscitation Council Conference in Poland <br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjMVqic5-_wFLb2XQm5QKV505JQsoGiSGkBSVaZ3uR33L0_mna1YsjV-drE3GiP7Mz1_KhGJkzV2PA6ET2-botruM3X2OA6hvPulv4T1J5ewXfLNKZ5n5LX_MFfbVy_TNzNyyUK0SX-x8pN/s1600/Dr+Janet+Bray125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjMVqic5-_wFLb2XQm5QKV505JQsoGiSGkBSVaZ3uR33L0_mna1YsjV-drE3GiP7Mz1_KhGJkzV2PA6ET2-botruM3X2OA6hvPulv4T1J5ewXfLNKZ5n5LX_MFfbVy_TNzNyyUK0SX-x8pN/s1600/Dr+Janet+Bray125.jpg" /></a></div>
<span style="font-family: inherit;">Dr Janet Bray, under the SPHPM Travel Grant scheme, attended the European Resuscitation Council Conference (on May 25th and 26th) in Krakow, Poland. Janet also attended an informative pre-conference workshop on post-arrest care and therapeutic hypothermia.</span><a name='more'></a><br />
<span style="font-family: inherit;">At the conference Janet was given the opportunity to present her two submitted abstracts at a lunchtime poster session which generated interesting discussion and considerations for future research. These abstracts are published in the top-ranking international journal 'Resuscitation'. The workshop and conference also provided excellent networking opportunities, which are likely to lead to future collaborations and the opportunity to participate in the International Liaison Committee on Resuscitation’s (ILCOR) evidence review process of resuscitation science which informs national and international resuscitation guidelines.</span>Anonymoushttp://www.blogger.com/profile/12291719289252132867noreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-41770694604219874542013-11-14T15:40:00.002+11:002013-11-14T15:40:28.930+11:00Can nanoparticles cause health problems? <div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-M1fKSwYCmVk/UoRTe4W9RjI/AAAAAAAAAEU/TAaBNRgqY_o/s1600/spirotest+125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-M1fKSwYCmVk/UoRTe4W9RjI/AAAAAAAAAEU/TAaBNRgqY_o/s1600/spirotest+125.jpg" /></a></div>
<div class="MsoNormal">
A new study by a team from the DEPM's <a href="http://www.coeh.monash.org/">MonCOEH </a>unit, aims to uncover the adverse health
effects of exposure to nanoparticles, in particular looking at respiratory
and immunological problems. </div>
<a name='more'></a><o:p></o:p><br />
<div class="MsoNormal">
For this study, the investigators are examining those who specifically work with the particles in research labs, measuring their blood, levels of respiratory inflammation and skinprick testing for allergic responses, over the course of one week.</div>
<div class="MsoNormal">
<br /></div>
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Nanoparticles are tiny particles over a 100 times smaller
than the width of a hair. They can be found in a variety of everyday products,
from cosmetics and sunscreen to mobile phones. <o:p></o:p></div>
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“These nanoparticles are so
small that when you breathe them in they bypass normal systems, and can bury
deep into your lungs,” said the project’s co-ordinator <span lang="EN"><a href="http://www.med.monash.edu.au/epidemiology/staff/academic/mazhar.html">Dr Mahjabeen
Mazhar</a>. </span>“They could then cause inflammation and other problems.”</div>
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<span lang="EN">The study is being run by </span><a href="http://www.med.monash.edu.au/epidemiology/staff/academic/glass.html"><span lang="EN">A/Prof Deberoh
Glass</span></a><span lang="EN">, </span><a href="http://www.med.monash.edu.au/epidemiology/staff/academic/sim.html"><span lang="EN">Prof Malcolm
Sim</span></a><span lang="EN">, </span><a href="http://www.med.monash.edu.au/epidemiology/staff/academic/abramson.html"><span lang="EN">Prof Michael
Abramson</span></a><span lang="EN"> and </span><a href="http://www.med.monash.edu.au/epidemiology/staff/academic/dennekamp.html"><span lang="EN">Dr Martine
Dennekamp</span></a><span lang="EN">. <o:p></o:p></span></div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-34256872269801625902013-11-14T14:16:00.001+11:002013-11-15T12:54:58.619+11:00Prof Anne Abbott recognised at the Centenary Institute Lawrence Creative Prize Ceremony<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
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<a href="http://2.bp.blogspot.com/-9lFFVA5kqpM/UoRIi8e4d9I/AAAAAAAAAEE/N_4mEx8e5Is/s1600/Anne+Abbott+article+125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-9lFFVA5kqpM/UoRIi8e4d9I/AAAAAAAAAEE/N_4mEx8e5Is/s1600/Anne+Abbott+article+125.jpg" /></a></div>
<span style="font-family: inherit;"><br /><br />Adjunct Professor Anne Abbott, from Monash <a href="http://www.med.monash.edu.au/epidemiology/about/">Department of Public Health and Preventive Medicine</a> and <a href="http://www.bakeridi.edu.au/">Baker IDI Heart and Diabetes Institute</a>, has spoken out about the tough climate for scientists working in Australia. </span><br />
<span style="font-family: inherit;"><br /></span><span style="font-family: inherit;">Anne was recognised for her outstanding work in stroke prevention at the </span><a href="http://www.centenary.org.au/" style="font-family: inherit;">Centenary Institute Lawrence Creative Prize</a><span style="font-family: inherit;"> ceremony in Sydney on Wednesday 13th November, receiving $5000 to pursue her research into stroke prevention. </span><br />
<span style="font-family: inherit;"><br /></span><span style="font-family: inherit;">She says that the prize money is invaluable to young researchers, who may receive little support from elsewhere.</span><span style="font-family: inherit;"><br /></span><br />
<a name='more'></a>Anne’s research has shown that lifestyle and medication are more effective, safer and cheaper than surgery or stenting in reducing stroke risk in patients with symptom-free carotid artery disease. “I discovered that publishing my results in 2009 was not enough to change existing health policy or practice,” Anne said. “So I started an international campaign and have had success in initiating improvements in stroke prevention standards around the world.”<br />
<br />
“ I've been working the last 12 months without an income and I've only done that because the funding I have received so far has allowed me to become the world leader in my field of stroke prevention,” she told <a href="http://www.abc.net.au/worldtoday/content/2013/s3889028.htm">ABC’s the World Today</a>. <br />
<br />
“I'm making tremendous gains at the moment. So if I stopped now and because I am a leader, nothing would happen. So this prize money actually does help. Every little bit helps.”<br />
<br />
The prize aims to encourage Australia's best young biomedical researchers to stay and build their careers locally.<br />
<br />
In the current political atmosphere, moving overseas or into a more highly paid job can be a more attractive option for many young scientists.<br />
<br />
In the past two months, the Abbott Government removed the position of science minister from Cabinet, scrapped the Climate Commission, and announced it was slashing hundreds of jobs at the CSIRO.<br />
<br />
Actions such as these have signalled a worrying trend away from supporting the sciences in Australia.</div>
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Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-87502463850303283562013-11-14T12:04:00.000+11:002013-11-14T12:04:30.558+11:00Red bull meets the Australian dietary guidelines<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-WQU7DyQ_z-Q/UoQhizaF2kI/AAAAAAAAADw/MgHz1tmRwuI/s1600/Energy+Drink+125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-WQU7DyQ_z-Q/UoQhizaF2kI/AAAAAAAAADw/MgHz1tmRwuI/s1600/Energy+Drink+125.jpg" /></a></div>
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Dr Genevieve Cowie (DEPM PhD Candidate) has urged caution on the over
reliance on research supported by energy-drink manufacturing companies,
specifically Red Bull. In an article published in BMJ 2013 (<a href="http://www.bmj.com/highwire/filestream/661334/field_highwire_article_pdf/0/bmj.f5345.full.pdf">347:f5345</a>) Genevieve argues that the research into the negative
consequences of mixing energy drinks and alcohol represents an inherent
conflict of interest when sponsored by the companies themselves.</div>
<a name='more'></a><o:p></o:p><br />
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Of the four articles used as the basis for the Australian
dietary guidelines, one was sponsored by Red Bull and another was a new
review. </div>
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<br /></div>
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Two of the three authors of the review received funding from Red
Bull within the past three years, and one of these was a co-author on the
other new (sponsored) paper.<o:p></o:p></div>
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<br /></div>
<br />
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This increase in the reliance on industry sponsored research
is an alarming development for future public health policy development.<o:p></o:p></div>
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<br /></div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-34500762918008119812013-11-14T11:28:00.000+11:002013-11-14T16:26:14.666+11:00Dementia and its impact on comorbidities <div class="MsoNormal">
<head>
<meta property="og:image" content="http://2.bp.blogspot.com/-eEmW55s30pE/UoRAVtalXQI/AAAAAAAAAEE/Fr4aXxowRfM/s1600/joeibrahim125.jpg" />
</head>
<a href="http://2.bp.blogspot.com/-eEmW55s30pE/UoRAVtalXQI/AAAAAAAAAEE/Fr4aXxowRfM/s1600/joeibrahim125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-eEmW55s30pE/UoRAVtalXQI/AAAAAAAAAEE/Fr4aXxowRfM/s1600/joeibrahim125.jpg" /></a>Whilst dementia is an increasingly prevalent condition and
often afflicts patients with multiple comorbidities, there is currently little
training and education to assist medical specialists with the complications
which arise from these diseases.</html></div>
<a name='more'></a><o:p></o:p><br />
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In an attempt to evaluate the varying training and education
opportunities available, <a href="http://www.med.monash.edu.au/epidemiology/staff/academic/ibrahim.html">Professor Joseph Ibrahim</a> of Monash University's <a href="http://www.vifm.org/">Victorian Institute of Forensic Medicine</a> has conducted a systematic
review of the dementia-related education available to medical specialists in
Australia outside the domains of geriatrics, neurology and psychiatry. <o:p></o:p></div>
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Dementia related education was
found to be absent from the training curricula for 14 of the medical
specialties within Australia. Less than 0.10% (1,921 articles) of the more than
two million articles published in the 138 journals assessed were dementia
related.<o:p></o:p></div>
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In his study, Joseph identified
an absence of formal education, training, and peer-reviewed literature for
medical specialists about dementia—particularly around the impact of cognitive
deficits and psychiatric symptoms on management of comorbid disease.<o:p></o:p></div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-36462432239032252202013-11-14T11:22:00.001+11:002013-11-14T16:34:50.430+11:00A new role for the ICU in out-of-hours care<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-suOLtcOYKTo/UoQXgkSNYjI/AAAAAAAAADY/qa18IAPIu2w/s1600/dashiell-125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-suOLtcOYKTo/UoQXgkSNYjI/AAAAAAAAADY/qa18IAPIu2w/s1600/dashiell-125.jpg" /></a></div>
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Overnight medical staffing of acute hospitals is difficult.
Australia and the UK have witnessed an evolution in the blend of resident
personnel at night. Both countries now
have overstretched and failing Out-of-Hours (OOH) systems and there is
widespread anxiety in the UK that the current experience is not a happy one. <o:p></o:p></div>
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The failings have been identified as a lack of qualified ICU
consultants and an oversupply of under supervised junior doctors. </div>
<a name='more'></a><br />
These junior
doctors are expected to prioritise clinical and non-clinical duties effectively
and work co-operatively while managing patients across a range of specialties. This
in turn has led to a reluctance of junior doctors to contact the on call
specialists, resulting in an overly self-reliant culture when it comes to
decision making.<o:p></o:p><br />
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<a href="http://www.med.monash.edu.au/epidemiology/staff/students/ganter.html">Dr
Dashiell Gantner</a>, together with
colleagues at The Alfred discuss the importance of the Alfred Hospital’s unique
solution to this dilemma, that of the Hospital Clinical Lead (HCL) team, in an
editorial just published in The Intensive Care Society (Vol 14; No. 4; pp
284-287).<o:p></o:p></div>
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The HCL is a resident senior trainee, typically a
post-fellowship doctor in intensive care medicine (ICM), often dual certified
with medicine or anaesthesia. ICM specialists are ideally suited to this role;
they are experts in the management of acute medical problems and have ample
experience in resource allocation, time management and decision making. Their
role as a HCL is to act as an initial point of contact, to provide leadership
and strategic direction to the junior doctors, allowing them to focus on their
clinical work.<o:p></o:p></div>
<br />
<div class="MsoNormal">
This new system, while not a possibility for all hospitals,
has the potential to revolutionise the delivery of OOH care. <o:p></o:p></div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-38350317300021524822013-11-14T11:17:00.001+11:002013-11-14T11:17:39.453+11:00 Many GPS are not protected from aggressive patients <div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-uF06_PMXTpQ/UoQWceQpt3I/AAAAAAAAADM/_VI5cawbnSs/s1600/Danny+Hills+125.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-uF06_PMXTpQ/UoQWceQpt3I/AAAAAAAAADM/_VI5cawbnSs/s1600/Danny+Hills+125.jpg" /></a></div>
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Measures to protect staff from patient aggression are
inadequate in many clinics, a <a href="http://www.publish.csiro.au/view/journals/dsp_journal_fulltext.cfm?nid=270&f=AH13149">study</a>
by the <a href="http://www.med.monash.edu.au/srh/">Monash School of Rural
Health</a> and the <a href="http://www.med.monash.edu.au/epidemiology/">Monash
Department of Epidemiology and Preventive Medicine</a> has found. <o:p></o:p></div>
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The study, run by <a href="http://www.med.monash.edu.au/epidemiology/staff/academic/hills.html">MrDanny Hills</a>, <a href="http://www.med.monash.edu.au/epidemiology/staff/academic/joyce.html">A/Prof
Catherine Joyce</a> and <a href="http://www.monash.edu.au/research/people/profiles/profile.html?sid=2934&pid=3324">Emeritus
Prof John Humphreys</a>, included 949 doctors across the country. It aimed
to identify the mechanisms clinics have in place to ensure the safety of health
professionals. </div>
<a name='more'></a><o:p></o:p><br />
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65.7% of participants reported aggression policies and
protocols being in place at their workplace, with 68.2% being aware of incident
reporting systems. Less than a third worked in environments designed to
maximise their safety – for example, through the use of escape routes for
staff. </div>
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<o:p></o:p></div>
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<span lang="EN-GB">“Of
particular concern is that point-prevalence rates for workplace aggression
policies, protocols and/or procedures and incident reporting systems were not
at or close to 100%, especially in public hospitals,” the authors said. <o:p></o:p></span></div>
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<span lang="EN-GB"><br /></span></div>
<br />
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They recommended a zero-tolerance policy on patient
aggression, supported by incident reporting and follow-up systems. Building
security measures, such as alarms and escape routes, along with patient and
public access restrictions, are also advisable. <o:p></o:p></div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-6550268593760249577.post-2960286506872185582013-11-08T15:06:00.000+11:002013-11-12T13:54:33.646+11:00New blood pressure lowering procedure<br />
<div class="separator" style="clear: both; text-align: justify;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEif3fBgW1-x0-wJiOlzE5De-SI41QyHXoo-DyDfj_AuENpNxMRJUOVW1BaXO_2DJfG9WJz_6udUU9XCoXUEvUq9yoRAbvHo0fwfQ7lOUeryAZtF_YEiLF9LgiL_ThexR7SYZf40QJmrGdGy/s1600/119_Henry_Krum_361933.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEif3fBgW1-x0-wJiOlzE5De-SI41QyHXoo-DyDfj_AuENpNxMRJUOVW1BaXO_2DJfG9WJz_6udUU9XCoXUEvUq9yoRAbvHo0fwfQ7lOUeryAZtF_YEiLF9LgiL_ThexR7SYZf40QJmrGdGy/s1600/119_Henry_Krum_361933.jpg" /></a><span style="font-family: inherit;">The final 3 year data from the landmark
</span><a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)62192-3/fulltext#article_upsell"><span style="font-family: inherit;">Symplicity HTN-1 study</span></a><span style="font-family: inherit;"> was published in the <span style="mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Arial; mso-bidi-theme-font: minor-bidi; mso-hansi-theme-font: minor-latin;"><em>Lancet </em>on the 7th of November<em>,</em></span> authored by the head of </span><a href="http://www.ccretherapeutics.org.au/"><span style="font-family: inherit;">CCRETherapeutics</span></a><span style="font-family: inherit;">, </span><a href="http://monash.edu/research/people/profiles/profile.html?sid=1532&pid=2974"><span style="font-family: inherit;">Prof Henry Krum</span></a><span style="font-family: inherit;">.</span></div>
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<span style="font-family: inherit;"> </span></div>
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<span style="font-family: inherit;">Symplicity HTN-1 was the first proof of
principle demonstration of the beneficial blood pressure-lowering effect of a
new technique called percutaneous renal sympathetic denervation. Prof Krum is
Principal Investigator of that global study effort. This is a minimally
invasive approach to damage the nerves that surround the main artery to the
kidneys which provide signals to the kidneys (and brain) to drive blood
pressure up. </span><br />
<span style="font-family: inherit;"><a name='more'></a></span><br />
<span style="font-family: inherit;">The 3 year data shows that reductions in 30 mmHg of systolic
blood pressure (the "top reading") were sustained out to this time
utilising this procedure. There were minimal major short- or long-term safety
issues with the procedure. These initial data together with subsequent research
has established renal denervation as a viable option in the treatment of
patients whose blood pressure remains "resistant" to drug and other standard
treatments.<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/12291719289252132867noreply@blogger.com0