Thursday, 28 January 2010
Wednesday, 27 January 2010
The Rudd Government is providing $790,000 over four years for the Rural Education Assistance Program (Rural LEAP), which aims to give rural and remote doctors a break by providing increased locum services.
Speaking on a tour of Mt Isa and Cloncurry in north-west Queensland, Mr Snowdon said Rural LEAP will help give urban GPs the skills and confidence to undertake a rural locum placement.
By Monica Bhide and Jennifer Pinkerton
Although Australians are eating more fruit these days (way to go!), most of us steer towards the old standbys: bananas, apples and oranges. Yes, they're good for you—but you're missing out. Other fruits are packed with a host of antioxidants, vitamins, and minerals that fight disease, keep your digestive system healthy, and help control your cholesterol levels, says Dr Joanna McMillan Price, co-author of Star Foods ($35; ABC Books). In fact, broadening your fruity horizons can measurably improve your health. Nutritionists from Colorado State University in the US asked 106 women to eat eight to 10 daily servings of produce for eight weeks. Half the group chose from 18 varieties, and the others ate the same five over and over. Two weeks later, blood tests showed that the high-variety group had reduced rates of DNA oxidation, possibly making their bodies more resilient towards disease; the other group showed no change. Ready to add some new superstars to your repertoire? We highlight some of the smartest 'exotic' picks based on their health benefits—plus easy recipes for serving them in lieu of your usual staples.
Monday, 25 January 2010
Thursday, 21 January 2010
These Guidelines have been developed by experienced surgical staff routinely coping with the challenges of emergency surgery. The Guidelines define the principles underpinning the redesign of emergency surgery and are to be referenced by Area Health Services when initiating redesign of emergency surgery practices.
Freely available on-line drug and alcohol powerpoint lectures for GPs, students, nurses, and other healthcare workers
1.Cardiac-Resynchronization Therapy for the Prevention of Heart-Failure Events
Moss AJ, Hall WJ, Cannom DS, Klein H, Brown MW, Daubert JP, Estes NAM 3rd, Foster E, Greenberg H, Higgins SL, Pfeffer MA, Solomon SD, Wilber D, Zareba W.
N Engl J Med 361:1329, October 1, 2009
Patients with cardiac disease and reduced left ventricular function are at increased risk for arrhythmia-related sudden death and heart failure. The placement of an implantable cardioverter-defibrillator (ICD) improves survival and reduces the risk of sudden death in appropriately selected patients…
2. Fractional Flow Reserve versus Angiography for Guiding Percutaneous Coronary Intervention Tonino PAL, De Bruyne B, Pijls NHJ, Siebert U, Ikeno F, van `t Veer M, Klauss V, Manoharan G, Engstrom T, Oldroyd KG, Ver Lee PN, MacCarthy PA, Fearon WF
N Engl J Med 360:213, January 15, 2009
The presence of myocardial ischemia is an important risk factor for an adverse clinical outcome. 1 2 3 Revascularization of stenotic coronary lesions that induce ischemia can improve a patient's functional status and outcome. 3 4 5 For stenotic lesions that do not induce ischemia, however, the…
3. Prasugrel compared with clopidogrel in patients undergoing percutaneous coronary intervention for ST-elevation myocardial infarction (TRITON-TIMI 38): double-blind, randomised controlled trial
Gilles Montalescot, Stephen D Wiviott, Eugene Braunwald, Sabina A Murphy, C Michael Gibson, Carolyn H McCabe, Elliott M Antman and for the TRITON-TIMI 38 investigators
Lancet Volume 373, Issue 9665,Pages 723-731
A substudy of TRITON-TIMI 38 confirms the main trial findings that prasugrel is more efficacious but might be less safe than clopidogrel.
4. Extended-Release Niacin or Ezetimibe and Carotid Intima-Media Thickness
Taylor AJ, Villines TC, Stanek EJ, Devine PJ, Griffen L, Miller M, Weissman NJ, Turco M
N Engl J Med 361:2113, November 26, 2009
Treatment with 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitors reduces low-density lipoprotein (LDL) cholesterol levels and results in clinically significant reductions in the relative risk of major cardiovascular events. 1 However, because of the residual cardiovascular risk seen with…
5. A Trial of Darbepoetin Alfa in Type 2 Diabetes and Chronic Kidney Disease
Pfeffer MA, Burdmann EA, Chen CY, Cooper ME, de Zeeuw D, Eckardt KU, Feyzi JM, Ivanovich P, Kewalramani R, Levey AS, Lewis EF, McGill JB, McMurray JJV, Parfrey P, Parving HH, Remuzzi G, Singh AK, Solomon SD, Toto R
N Engl J Med 361:2019, November 19, 2009
Type 2 diabetes mellitus and chronic kidney disease frequently coexist, and each disease independently increases the risk of cardiovascular events and end-stage renal disease. 1 2 Intensive treatment of concomitant conventional risk factors such as hypertension and elevated levels of low-density…
6.A Randomized Trial of Therapies for Type 2 Diabetes and Coronary Artery Disease
N Engl J Med 360:2503, June 11, 2009
…included study-group assignment, stratum, and assigned study group according to stratum interaction were used to determine whether the study-group effect was significantly modified by the intended method of revascularization. In addition, the statistical interactions between the cardiac study groups and the…
7. Pharmacodynamic effect and clinical efficacy of clopidogrel and prasugrel with or without a proton-pump inhibitor: an analysis of two randomised trialsMichelle L O'Donoghue, Eugene Braunwald, Elliott M Antman, Sabina A Murphy, Eric R Bates, Yoseph Rozenman, Alan D Michelson, Raymond W Hautvast, Peter N Ver Lee, Sandra L Close, Lei Shen, Jessica L Mega, Marc S Sabatine, Stephen D Wiviott
The Lancet, Volume 374, Issue 9694, 19 September 2009-25 September 2009, Pages 989-997
An observational analysis of trial data confirms the functional interaction but provides no evidence of adverse clinical effects
8. Coronary Bypass Surgery with or without Surgical Ventricular Reconstruction
Jones RH, Velazquez EJ, Michler RE, Sopko G, Oh JK, O'Connor CM, Hill JA, Menicanti L, Sadowski Z, Desvigne-Nickens P, Rouleau JL, Lee KL
N Engl J Med 360:1705, April 23, 2009
Coronary artery disease is the predominant cause of heart failure, which is a major cause of death and disability throughout the world. Evidence-based medical therapy has been shown to reduce symptoms and increase survival in patients with heart failure and coronary artery disease. 1 In addition,…
9. Effects of Exercise Training on Health Status in Patients With Chronic Heart Failure
HF-ACTION Randomized Controlled Trial
Exercise training conferred modest but statistically significant improvements in self-reported health status compared with usual care without training. Improvements occurred early and persisted over time.
10.Percutaneous Coronary Intervention versus Coronary-Artery Bypass Grafting for Severe Coronary Artery Disease
Serruys PW, Morice MC, Kappetein AP, Colombo A, Holmes DR, Mack MJ, Stahle E, Feldman TE, van den Brand M, Bass EJ, Van Dyck N, Leadley K, Dawkins KD, Mohr FW
N Engl J Med 360:961, March 5, 2009
Coronary-artery bypass grafting (CABG) was introduced in 1968 and rapidly became the standard of care for symptomatic patients with coronary artery disease. 1 Advances in coronary surgery (e.g., off-pump CABG, smaller incisions, enhanced myocardial preservation, use of arterial conduits, and…
Tuesday, 19 January 2010
Aboriginal spirituality: Aboriginal philosophy, the basis of Aboriginal social and emotional wellbeing
This discussion paper importantly defines Aboriginal Spirituality by privileging the voices of Aboriginal people themselves and those of well-respected observers of Aboriginal culture. It demonstrates how those who are well exemplify Spirituality in everyday life and cultural expression. Having commonalities with international Indigenous groups, it is also deeply appreciated by non-Aboriginal people who understand and value the different ontologies (understandings of what it means to be), epistemologies (as ways of knowing) and axiologies (the bases of values and ethics) that Aboriginal philosophy embodies, as potential value to all peoples.
Spirituality includes Indigenous Australian knowledges that have informed ways of being, and thus wellbeing, since before the time of colonisation, ways that have been subsequently demeaned and devalued. Colonial processes have wrought changes to this knowledge base and now Indigenous Australian knowledges stand in a very particular relationship of critical dialogue with those introduced knowledges that have oppressed them. Spirituality is the philosophical basis of a culturally derived and wholistic concept of personhood, what it means to be a person, the nature of relationships to others and to the natural and material world, and thus represents strengths and difficulties facing those who seek to assist Aboriginal Australians to become well.
This discussion paper questions the advisability of approaches that incorporate an Aboriginal perspective or cultural awareness as an overlay to the Western practices of dealing with mental health issues. Western practices have developed out of an entirely different concept of personhood, development of the individual and relationships to the wider world, and further research in this area, particularly incorporating the voices of Aboriginal and Torres Strait Islander people, is critical to ways forward.
The publication's statistics illustrate the gravity of the situation in both developed and developing countries. Poor nutrition, limited access to care, lack of resources crucial to maintaining health and well-being and contamination of natural resources are all contributing factors to the terrible state of indigenous health worldwide.
According to the report:
- Life expectancy of indigenous peoples is up to 20 years lower than their non-indigenous counterparts.
- Indigenous peoples experience disproportionately high levels of maternal and infant mortality,malnutrition, cardiovascular illnesses, HIV/AIDS and other infectious diseases such as malaria and tuberculosis.
- Suicide rates of indigenous peoples, particularly among youth, are considerably higher in many countries, for example, up to 11 times the national average for the Inuit in Canada
Monday, 18 January 2010
Dental health of Australia's teenagers and pre-teen children : the Child Dental Health Survey, 2003-04(AIHW)
Wednesday, 13 January 2010
The 2009 edition is divided into the following three sections: mechanisms,phases and diagnostic; therapeutics and monitoring; and clinical manifestations of HIV disease.
Reposted from NCAHS Library Clippings
Monday, 11 January 2010
There are also numerous Fact Files and Health Topics pages on individual health conditions
Expenditure on health and high care residential aged care for Aboriginal and Torres Strait Islander people amounted to $2,953 million in 2006-07,or 3% of national expenditure on health and high care residential aged care. In 2006-07, the average expenditure per person on health and high care residential aged care was $5,650 for Aboriginal and Torres Strait Islander people. For non-Indigenous people, the average expenditure per person was $4,621. The ratio of Indigenous to non-Indigenous expenditure per person was 1.22. For the Australian Government schemes of Medicare and the Pharmaceutical Benefits Scheme (PBS), total benefits paid per Aboriginal and Torres Strait Islander person were 59% of the amount spent on non-Indigenous people.