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CENTRAL ADELAIDE LOCAL HEALTH NETWORK<br />
<strong>NOVEMBER</strong> 2018<br />
A calming beat<br />
for consumers<br />
PAGE<br />
6<br />
Message from the<br />
CEO<br />
Welcome to the November 2018 edition of InCentral<br />
Dear Colleagues,<br />
This is my last editorial for InCentral as I complete<br />
my time with you all as CEO on Friday 23<br />
November.<br />
It is with both great sadness and great excitement<br />
that that I leave you. Sadness in leaving all<br />
the new and old friends that I have made but<br />
excitement for you all as Central moves into<br />
a new era with a new CEO, the soon to be<br />
released Organisational and Recovery Plan, with<br />
the guidance of Raymond Spencer and the new<br />
board members recently announced.<br />
Lesley Dwyer commences on Monday and there<br />
are a number of forums next week that will<br />
enable you to meet Lesley and to hear her vision<br />
for the future of Central. Lesley returns to CALHN<br />
following CEO experiences in Queensland and<br />
the UK and will bring a wealth of knowledge to<br />
the next phase of CALHN.<br />
Reflecting on the last 18 months, I acknowledge<br />
the herculean efforts everyone made in moving<br />
the old Royal Adelaide Hospital (RAH) to the new<br />
RAH. This acknowledgement extends to TQEH,<br />
Hampstead, Glenside and St Margaret’s as well<br />
as our community services in supporting patients<br />
who were displaced prior to and during the<br />
move.<br />
One of the greatest strengths of Central is team<br />
work – when the going gets tough, the tough<br />
get going. However, this team work isn’t always<br />
consistent and we need a greater effort to always<br />
put the patient at the centre of all that we do.<br />
WANT TO SUBMIT A STORY?<br />
Since the successful RAH move, our challenges<br />
have returned to the day to day management<br />
of our systems and processes that enable the<br />
Network to function well and to reduce the level<br />
of patient delays at every step of their journey.<br />
This is indeed a challenge requiring different ways<br />
of working and different responses to patient<br />
care and the needs of our colleagues.<br />
Since the move and the euphoria that the new<br />
hospital created, the Network has not always<br />
been shown in a good light. Whilst some of the<br />
criticism is unjust it must be acknowledged that<br />
our performance is not as it should be across<br />
many of our indicators. In the very near future the<br />
Organisational and Recovery Plan will be released<br />
providing guide posts for us all to understand and<br />
respond to what we need to do to improve.<br />
The task ahead is not necessarily difficult,<br />
but it will require commitment, effective<br />
communication, consistency and above all<br />
accountability for our own actions.<br />
Thank you all for your support during my time as<br />
CEO. I wish you all the best for the future and I<br />
know that in time CALHN will be a leader across<br />
all the domains of patient access, quality of care,<br />
staff engagement and financial outcomes.<br />
I will watch the growth and development of<br />
CALHN with great interest and affection.<br />
JENNY RICHTER<br />
Chief Executive Officer<br />
Central Adelaide Local Health Network<br />
If you would like to submit a story or provide feedback, please contact the<br />
CALHN Communications and Engagement Team.<br />
Submission guidelines:<br />
> > Articles may focus on staff achievements, operational changes, hospital<br />
services, events, training and important updates.<br />
> > If submitting photos with your article, please ensure they are of high<br />
resolution.<br />
> > Include your contact details with your submission.<br />
All articles should be emailed to HealthCALHNCommunications@sa.gov.au.<br />
Please note, we receive a high volume of submissions. It is not always<br />
guaranteed that your submission will be included.<br />
InCentral is a monthly in-house publication focused on Central Adelaide Local<br />
Health Network (CALHN) and is distributed across SA Health’s local health<br />
networks via the SA Health intranet.<br />
Contents<br />
Staff profile: Mary Tarzia<br />
> Page 2<br />
BREATHE EFM Program<br />
> Page 3<br />
Meet Kim and Michael<br />
> Page 4<br />
Youth DBT Program’s success<br />
> Page 5<br />
Calming beat for consumers<br />
> Page 6<br />
Music Strikes a Healing Chord<br />
> Page 7<br />
TQEH Redevlopment update<br />
> Page 8 & 9<br />
A pillar of mental health &<br />
recovery & Iron Infusion<br />
> Page 10<br />
Sharps Safety & RAH<br />
perioperative trials<br />
> Page 11<br />
inCENTRAL ⏐ <strong>NOVEMBER</strong> 2018 ⏐ 1<br />
Mick’s & Christina’’s stories<br />
> Page 12 & 13<br />
Positive Patient Feedback<br />
> Page 14 & 15<br />
Positive patient feedback<br />
> Page 16 & 17<br />
Staff Publication List<br />
> Page 18, 19 & 20<br />
sahealth.sa.gov.au SA Health SA Health
2 ⏐ <strong>NOVEMBER</strong> 2018 ⏐ inCENTRAL<br />
inCENTRAL ⏐ <strong>NOVEMBER</strong> 2018 ⏐ 5<br />
Breast Cancer<br />
REconditioning program<br />
Amidst<br />
THErapy<br />
Breast Cancer patients<br />
‘BREATHE’<br />
through Chemotherapy<br />
Patients’ undergoing chemotherapy treatment for breast cancer at the<br />
Royal Adelaide Hospital (RAH) are being offered complimentary exercise<br />
programs at the onsite gym, EFM, to help improve health and wellbeing.<br />
Helping others after cancer diagnosis<br />
Mary Tarzia’s breast cancer diagnosis in 2004 inspired not only her own personal health<br />
battle, but also her fight for others.<br />
After her diagnosis, Mary - an administration officer for the Medical Oncology department at the Royal Adelaide Hospital (RAH) -<br />
founded the fundraising organisation Faith . Hope . Charity, to raise money for breast cancer research and to support others with<br />
breast cancer.<br />
What started out as a small gathering with family and friends in Mary’s backyard evolved into a black tie ball held at the<br />
InterContinental Hotel. Mary has organised all aspects of the events herself, from the raffles to the event administration and<br />
promotion.<br />
Over 10 years the organisation has helped raise more than $1 million, with funds directed to the RAH, The Hanson Institute for<br />
Breast Cancer and patient cancer amenities and awareness within South Australia.<br />
Items purchased through the organisation’s fundraising include a Real Time PCR Machine, used by the Breast Cancer Research group,<br />
a vein assessment instrument that pinpoints the locations of veins for taking blood in patients, and a tattoo device to help surgeons<br />
with the final stages of breast reconstruction.<br />
A part-time breast care nurse position at the RAH is funded through funds provided by the organisation.<br />
The 2013 purchase of six Paxman Cold Cap machines, which help patients undergoing chemotherapy to potentially reduce hair loss<br />
through a scalp cooling device, is an achievement of which Mary is particularly proud. Mary understands the RAH was the first<br />
public hospital in Australia to use these machines.<br />
Funds have also recently been directed to establishing a BREATHE program, a conditioning program to help breast cancer patients at<br />
the RAH to maintain their physical and mental wellbeing during chemotherapy and radiotherapy.<br />
Doctor Jim Kollias, who is the patron of the Faith.Hope.Charity organisation, said Mary’s “professionalism, generosity and<br />
dedication had enhanced the lives and experiences of thousands of South Australians“.<br />
The new BREATHE Exercise program launched in September 2018 thanks to the generosity of the ‘Faith.<br />
Hope.Charity’, founded by Cancer Services Receptionist, Mary Tarzia.<br />
The new program supports recent research that shows the side effects of chemotherapy are significantly<br />
reduced when complimented with a structured exercise program.<br />
Within the ‘BREATHE’ program, patients are offered three supervised sessions each week in a safe and<br />
friendly environment at no cost. The individual and group sessions include physical, rehabilitative and<br />
flexibility exercises.<br />
EFM Club Manager, Ellen Nobbs, believes fitness compliments medical treatment and<br />
plays a crucial role in improving health and wellbeing.<br />
“Exercise reduces tiredness which is one of the main benefits of the program,” Ellen<br />
says. “Exercise also releases endorphins and helps to improve the patient’s self-esteem.<br />
“We work closely with the treating doctors to give everyone a tailored program<br />
depending on what they need to work on, such as mobility or cardio, and we’re here<br />
to help them the whole time.”<br />
Oncology patient, Sarah Rayner, has been a participant for a<br />
number of weeks and says she looks forward to attending each<br />
session.<br />
“The program has been great for me, I’m very grateful for<br />
the people who have put this together,” she says.<br />
“Exercise gives me energy and helps me sleep better which<br />
has been a great bonus. Knowing that the trainers are able<br />
to help me with my treatment plan, and personal goals, has<br />
given me great confidence.”<br />
Homebased programs are also being provided to patients<br />
from rural or remote areas to allow them to<br />
access the same benefits from the comfort of<br />
their own home.<br />
A desire to help others and experience of the breast cancer journey is what drives Mary’s efforts.<br />
“Wanting to do something and give back to people (is what is driving me). I am so happy to give people choices and options about<br />
what they can have when they are going through breast cancer,” she said.<br />
In 2016 Mary was knighted as a Dame of Grace through the St John Jerusalem Knights of Malta.
4 ⏐ <strong>NOVEMBER</strong> 2018 ⏐ inCENTRAL<br />
inCENTRAL ⏐ <strong>NOVEMBER</strong> 2018 ⏐ 5<br />
Kim, concierge at<br />
the RAH<br />
Meet: Kim<br />
For those who walk through the<br />
doors of the Royal Adelaide Hospital<br />
(RAH), there is a high chance you<br />
are familiar with Kim Klomp, the<br />
friendly concierge based at the<br />
building’s main entrance.<br />
However, security hasn’t always<br />
been Kim’s chosen field of work.<br />
Rewind back to 1979, and Kim was<br />
a keen SANFL footballer, winning<br />
the under 19’s ‘Tomkins medal’, then<br />
moving onto North Adelaide to win<br />
the premiership side in 1987, finally<br />
captaining the 1991 premiership<br />
side.<br />
After working as a Pharmaceutical<br />
Rep and District Sales Manager for<br />
15 years, a friend suggested Kim<br />
attempt a role in security.<br />
It was in 2017 when Kim was<br />
successful in obtaining a full time<br />
security position at the RAH.<br />
“I love taking pride in what I do<br />
and providing a great experience<br />
for everyone I come into contact<br />
with. It feels good when I can make<br />
someone’s day. It is the best job I’ve<br />
ever had,” Kim said.<br />
Meet, Michael<br />
For a total of six years, Michael has been a dedicated<br />
volunteer with The Friends of The Queen Elizabeth<br />
Hospital (TQEH).<br />
Following a stroke, Michael was a patient at TQEH for approximately two<br />
weeks, when he saw an advertisement for The Friends on the television,<br />
seeking people who had suffered from a stroke to speak to patients and<br />
families.<br />
Without hesitation, Michael signed up to help, and soon after he had joined<br />
The Friends team.<br />
“I talked to families and reassured the patients about the journey I went<br />
through. It took a long time to get back on my feet, but I think talking about it<br />
helped a lot of people out,” Michael said.<br />
Originally a carpenter, Michael was used to a career where he worked solo.<br />
However, volunteering has been a pleasant surprise and allowed him to work<br />
in a supportive, group environment.<br />
Michael volunteers as a guide, assisting people in finding their way around<br />
TQEH, which has positively affected his confidence.<br />
“I love helping people. When they come to us and they’re under stress, I try<br />
to put them at ease. I’m naturally a shy person, so being a volunteer has really<br />
brought me out of my shell”.<br />
Michael encourages others to volunteer if they have the opportunity,<br />
particularly after the positive experience he has had with The Friends.<br />
“You just can’t beat it (volunteering). The feeling you get trying to help<br />
somebody who needs you is excellent,” Michael said.<br />
Michael, volunteer at The Friends at TQEH<br />
Youth DBT Group<br />
Program’s success<br />
A Youth Dialectical Behavioural Therapy (DBT) Group Program co-facilitated by Chris<br />
Smith, Youth Clinician, from the Central Adelaide Local Health Network (CALHN)<br />
Mental Health Directorate, has won an Adelaide Primary Health Network (PHN) 2018<br />
Primary Care Award.<br />
The award, which was given for Outstanding Achievement in Access and Equity, resulted from Chris’ collaboration with Lisa<br />
Kosandiak from Headspace, who won a Professional Development sponsorship of $2000, a plaque and a framed certificate<br />
acknowledging the achievement.<br />
After years of working within mental health, Chris identified a long-term gap in services for youths under the age of 18 in<br />
CALHN Mental Health Directorate, ultimately recognising the need for change. He then decided to join Lisa’s steering group for<br />
the program, contributing his experience from working as a youth clinician, as well as his training in DBT.<br />
“There weren’t a lot of services for people under the age of 18. Now there are some services you need to pay for, but no<br />
government provided services in the region,” Chris said.<br />
Vic Renigers, Team Manager of the Port Adelaide Integrated Team, CALHN Mental Health Directorate, instantly recognised the<br />
benefits of Chris participating in the program.<br />
“Hopefully the service will prevent younger people living with very dysfunctional lives. People with borderline personality<br />
disorders find it very hard to maintain relationships and find work. If they can get on top of it though, their trajectory over the<br />
course of their lives will hopefully be functional. We see it very much as a great initiative,” Vic said.<br />
Chris also agrees, saying the program has assisted people’s understanding of the mental health condition.<br />
“When we think about the history and treatment of people with borderline personality disorder, there’s been a lot of stigma<br />
around it. There was a past thought they were not treatable or very difficult to treat. Now we’ve got emerging evidence that it’s<br />
a very treatable condition,” Chris said.<br />
Youths who live with borderline personality disorder often experience impulsivity, depression and high suicide rates, therefore it<br />
is common for these people to present to Emergency Departments, only to return again after being discharged.<br />
“If we nip it in the bud though, the health outcomes will probably be measured in the millions for society,” Vic said.<br />
Chris agreed, adding “not to mention the decrease in suffering for these people. They can suffer for years thinking they are<br />
alone with it or not understanding why they act a certain way”.<br />
Not only has the program lifted the profile of these particular patients, but it has also strengthened the relationship between<br />
CALHN’s Mental Health Directorate and Headspace.<br />
“I think the partnership model has been good. Partnering with people is often about relationships between the services. I think<br />
this really boosted our credibility with this particular service,” Vic said.
6 ⏐ <strong>NOVEMBER</strong> 2018 ⏐ inCENTRAL<br />
inCENTRAL ⏐ <strong>NOVEMBER</strong> 2018 ⏐ 7<br />
From left: Alex Shiller, final<br />
year Master Occupational<br />
Therapy Student, UniSA,<br />
Bortier Okoe from African<br />
Soul and Mark Allcock,<br />
Senior Occupational<br />
Therapist, CALHN<br />
A calming beat for consumers at<br />
Glenside Health Services<br />
As part of a Mental Health Artist in Residence and Occupational Therapy Program,<br />
Ghanaian born musical artist, Bortier Okoe, has been leading weekly African drumming<br />
sessions with consumers at Glenside Health Services to help reduce stress and anxiety, and<br />
complement other treatments for mental health disorders.<br />
Senior Occupational Therapist, Mark Allcock runs the Occupational Therapy Program at Glenside Health Services which,<br />
in addition to the drumming sessions, includes activities which focus on health promotion, life skills, self-management,<br />
leisure and recreation, anxiety management and sensory modulation.<br />
“The music is a great part of our program,” Mark says. “It provides social interaction for consumers, a fun activity where<br />
they can express themselves and it also helps with anxiety and stress management. It gives people a space to be creative<br />
and it can also inspire interest and teach them another form of relaxation.”<br />
Consumer, Marie, said she thoroughly enjoyed herself during the African drumming session. “I like the self-expression<br />
part of it,” she said. “I found that it allowed me to focus and it gave me a chance to relax as well.”<br />
Through his company African Soul, Bortier provides African drumming sessions for groups with all kinds of abilities.<br />
He says through drumming, people can express both positive and negative emotions and communicate their feelings<br />
without using words.<br />
“Drumming is so much more than just hitting a drum,” Bortier smiles. “Drumming changes you. For centuries in Ghana,<br />
the drum has been an integral part of life. It has been used for healing, health and fitness, celebrations and happiness.<br />
The drum is our speaker, it is our voice. I feel satisfied to be here (Glenside Health Services) and see that people are really<br />
enjoying. Without music, we are nobody.”<br />
Music strikes<br />
a healing<br />
chord<br />
About<br />
Doctor Patsy Tan<br />
Doctor Patsy Tan gained<br />
her doctorate from the<br />
United States and has more<br />
than 20 years of clinical<br />
experience in the area of<br />
acute medical settings,<br />
rehabilitation and special<br />
needs.<br />
She pioneered medical music<br />
therapy at the Singapore<br />
General Hospital, and prior<br />
to this worked with pain<br />
patients at the University of<br />
Minnesota Medical Centre,<br />
as well as stroke, traumatic<br />
brain injury, Parkinson’s and<br />
Huntington’s disease patients<br />
in long-term rehabilitation<br />
at the University Good<br />
Samaritan Centre,<br />
Minneapolis, Minnesota.<br />
Patsy began her career as a<br />
performer, studying a double<br />
major in music at university.<br />
A hand injury forced her to<br />
reconsider her pathway,<br />
and after performing at<br />
a nursing home, and<br />
seeing the positive<br />
impact on residents,<br />
she changed<br />
course and<br />
pursued music<br />
therapy as a<br />
career.<br />
A new program at the Royal<br />
Adelaide Hospital is using<br />
music as an instrument<br />
of healing, with patients<br />
creating, listening and<br />
enjoying music while working<br />
towards physical and<br />
psychological goals.<br />
The music therapy program is a Centre for<br />
Creative Health initiative, funded through<br />
the University of Adelaide and The<br />
Hospital Research Foundation.<br />
Doctor Patsy Tan is an American Board<br />
Certified Music Therapist as well as<br />
Australian Registered Music Therapist.<br />
She is also a certified neurologic music<br />
therapist and NICU therapist.<br />
“Music therapy is an established allied<br />
health profession whereby music is used<br />
within a therapeutic relationship to<br />
help patients in their psychological and<br />
physiological needs,” Doctor Tan said.<br />
“It is also often used in co-treatment<br />
sessions with other health professionals,<br />
so if for example a physiotherapist says<br />
a patient needs to walk certain steps per<br />
minute, we would align that with the<br />
beats per minute in the music.<br />
“Music therapy is about supporting<br />
patients. It is motivation towards treatment<br />
during a critical period.<br />
“It is a tool to help patients to cope better<br />
with their conditions.”<br />
Doctor Tan explained that music therapy<br />
was tailored to the needs of the patient, as<br />
well as the health professional.<br />
For example, a stroke patient taking part<br />
might benefit from having an instrument<br />
on the left hand side, to encourage<br />
movement on that side.<br />
The music patients play, or listen to, is<br />
based on what music they like and for<br />
patients in rehabilitation the tempo of<br />
music is based on what the physiotherapist<br />
or occupational therapist prescribes.<br />
Doctor Tan plans to undertake research<br />
at the RAH (subject to ethics committee<br />
approval), looking at whether music<br />
therapy reduces the perception of pain and<br />
anxiety of post-stroke patients.<br />
Michelle Cripps, Director of the Centre<br />
for Creative Health at the Royal Adelaide<br />
Hospital, said: “We are delighted to be<br />
working with Patsy and the Adelaide<br />
University in introducing music therapy to<br />
the RAH and adding music therapy to the<br />
Centre’s Arts in Clinical Care program”.<br />
The therapy program is available to<br />
inpatients only. For more information<br />
please contact Doctor Patsy Tan on<br />
Patsy.Tan@sa.gov.au or 0400461625.<br />
Music is used across CALHN to actively support people as they strive to improve their health, functioning and wellbeing.<br />
The African drumming sessions are part of the Artist in Residence Mental Health Program, a Centre for Creative Health<br />
initiative which is funded by The Hospital Research Foundation.
8 ⏐ <strong>NOVEMBER</strong> 2018 ⏐ inCENTRAL<br />
inCENTRAL ⏐ <strong>NOVEMBER</strong> 2018 ⏐ 9<br />
THE<br />
QUEEN<br />
ELIZABETH<br />
HOSPITAL<br />
Refreshed design work at TQEH Café<br />
to begin<br />
Insights gained from major hospital<br />
redevelopment<br />
Artists’ impression of new look TQEH café<br />
A construction site tour of Calvary Adelaide, South Australia’s largest private hospital, was<br />
on the itinerary for SA Health and Central Adelaide Local Health Network (CALHN) staff on<br />
25 October 2018.<br />
Attendees witnessed the construction progress of this major $345 million hospital. The tour provided useful insights for The Queen<br />
Elizabeth Hospital (TQEH) redevelopment team, Director Engagement and Commissioning Redevelopment, Rachael Kay said.<br />
“It was interesting to hear of their processes taken during design and lessons they learned along the way.”<br />
“This tour has helped us to crystalise our vision and what we want to achieve for TQEH redevelopment,” Rachael said.<br />
The Calvary building has combined acute care and rehabilitation health services from three locations to replace the Calvary Wakefield<br />
Hospital in Wakefield Street, and the Calvary Rehabilitation Hospital at Walkerville and complement the existing services offered by<br />
Calvary North Adelaide Hospital and Calvary Central Districts Hospital at Elizabeth Vale.<br />
TQEH seeks to redevelop the existing site including acute care services along with relocated services from the Hampstead<br />
Rehabilitation Centre.<br />
SA Health, CALHN and Calvary Adelaide will continue to work together as a partnership between public and private hospitals for the<br />
benefit of the community.<br />
Building foundations for better health From left: Tim Packer, Director, Capital Projects Infrastructure, SA Health; Helen Chalmers, CAHLN Chief<br />
Operating Office; Rachael Kay, TQEH Director Engagement and Commissioning Redevelopment; General Manager, Juanita Ielasi , Calvary Adelaide and<br />
Brendan Hewitt, Executive Director infrastructure, SA Health.<br />
A ‘fresh’ new look is in store for the café at The Queen Elizabeth Hospital (TQEH) with<br />
works to commence on 10 December 2018. The café will be rebranded as Fresh+.<br />
The design ‘menu’ will include:<br />
> > New service counter, wall finishes and signage<br />
> > Refreshed seating area including new tables tops, communal tables, hedges and planter boxes<br />
> > New vinyl plank flooring<br />
> > Timber ceiling feature and new lighting throughout<br />
> > Courtyard umbrellas<br />
> > Bench with charging stations for customers to recharge their phones or iPads.<br />
The layout will have increased seating. The small tables will remain, and communal tables will be added. The entire project<br />
completion is anticipated by the end of January 2019.<br />
Food service will be available throughout the duration of the works, and gelato will be added to the menu.<br />
There will be a brief interruption to coffee service after lunchtime on Monday 10 December and Tuesday 11 December, while the<br />
service counter works are being completed. Coffee will be available for purchase in the mornings and lunchtime on these dates.<br />
To improve convenience and efficiency the café recently introduced a new Skip app ordering system which allows customers will be<br />
able to order their coffees on the go without standing in line.<br />
The site will feature wheelchair accessible spaces and counters.<br />
The contractor who will carry out this work is Maxwell Project Services, a local Adelaide based company. Locations of their previous<br />
building work include Lyell McEwin Hospital and Adelaide Airport.
10 ⏐ <strong>NOVEMBER</strong> 2018 ⏐ inCENTRAL<br />
inCENTRAL ⏐ <strong>NOVEMBER</strong> 2018 ⏐ 11<br />
A pillar of mental health recovery<br />
As a passionate<br />
advocate for<br />
peer work in<br />
mental health,<br />
Central Health’s<br />
Matthew Halpin<br />
has become a<br />
recognised leader<br />
in the field.<br />
Matthew, Coordinator<br />
Consumer Engagement<br />
Mental Health, is a<br />
contributor to a landmark<br />
book called Peer Work in<br />
Australia, recently launched<br />
by the Federal Health<br />
Minister Greg Hunt.<br />
Peer work in Australia<br />
recognises the importance<br />
of people living with<br />
mental health, helping<br />
‘peers’ on their recovery<br />
journeys, and was created<br />
by Mind Australia Limited<br />
and Flourish Australia.<br />
Matthew’s contribution<br />
to the book examines peer<br />
work in mental health in<br />
South Australia; how it has<br />
been implemented across<br />
the public health sector,<br />
and partnerships with the<br />
non-government sector.<br />
Matthew said peer work is<br />
individual or group support<br />
provided by someone<br />
who has experienced<br />
mental ill health or cared<br />
for someone with this<br />
experience, providing<br />
practical support, assisting<br />
with knowledge, promoting<br />
positive mental health and<br />
helping consumers and<br />
carers navigate the mental<br />
health system.<br />
Central Health’s Mental<br />
Health Directorate<br />
employs peer workers<br />
(consumer and carers) as<br />
part of its lived experience<br />
workforce, which works<br />
across inpatient units,<br />
Intermediate Care<br />
Centre, the Community<br />
Rehabilitation Centre and<br />
some community services.<br />
“Through peer work,<br />
people with mental illness<br />
are provided with hope<br />
that recovery is possible<br />
and achievable and helps<br />
a person identify their<br />
individual strengths,<br />
develop resilience and<br />
become empowered,”<br />
Matthew said.<br />
“It also helps the person<br />
see what they are<br />
responsible for, how<br />
they can get support and<br />
understand the role of the<br />
treating team.<br />
“It helps people navigate<br />
the services and also<br />
develop practical skills<br />
and support, through the<br />
Matthew Halpin (third from left) at the launch of Peer work in<br />
Australia in September.<br />
lens of someone who has<br />
had similar experiences<br />
and in partnership with<br />
other health professionals<br />
working in mental health.”<br />
Matthew began as a peer<br />
worker at the Glenside<br />
Health Service in 2006,<br />
and has played a key<br />
role in supporting the<br />
development of the peer<br />
worker program across<br />
mental health services in<br />
SA.<br />
Matthew is currently<br />
taking part in the<br />
Australian Mental Health<br />
Leadership Fellowship, the<br />
first program of its kind<br />
in Australia for emerging<br />
mental health leaders<br />
across Australia. Matthew<br />
was selected as one of<br />
40 participants across<br />
Australia.<br />
“I sometimes say ‘it’s easier<br />
to climb a mountain if you<br />
know someone has been<br />
there before you.’ That is<br />
the essence of what peer<br />
work is; people in need of<br />
help can relate with and<br />
learn from peers who have<br />
experienced mental health<br />
recovery,” Matthew said.<br />
Peer work in Australia is<br />
available for purchase from<br />
Booktopia.<br />
Iron infusions at<br />
Sefton Park<br />
Boosting efforts to reduce<br />
unnecessary hospital visits, Central<br />
Health’s Intermediate Care Service<br />
now provides an iron infusion<br />
program for patients.<br />
The iron infusion program is<br />
delivered from Intermediate<br />
Care at Sefton Park, for people<br />
referred by medical professionals.<br />
Iron is delivered intravenously<br />
into the body (via a vein), for<br />
people who have iron deficiency<br />
and can’t take iron in tablet<br />
form or who need extra iron<br />
quickly, such as to avoid a blood<br />
transfusion.<br />
Susan Ziersch, Nurse Consultant,<br />
Intermediate Care, said the<br />
Intermediate Care team identified<br />
iron infusions as a service that<br />
could be delivered out of hospital.<br />
“We’ve been looking at the<br />
best way to assist CALHN and<br />
management with services within<br />
CALHN and looking at what can<br />
be taken off-site (away from) the<br />
acute hospitals,” Susan said.<br />
“Previous work within our roles<br />
at Hospital at Home and our<br />
knowledge of hospital activity,<br />
allowed us to identify iron<br />
infusions as an opportunity, with<br />
benefits to CALHN as well as<br />
clients, in getting treatment in a<br />
different place.”<br />
The first iron infusions offered<br />
through the program occurred in<br />
July. For more information about<br />
the service including referral<br />
criteria, contact Intermediate Care<br />
on 0475 813 345.<br />
Safe Sharps<br />
Awareness month<br />
Throughout Safe Sharps<br />
Awareness Month in October,<br />
staff across Central Health were<br />
reminded about safe practices<br />
concerning handling and<br />
disposing of sharps.<br />
Needle stick and sharp injuries contributed to<br />
594 incidents reported via the Safety Learning<br />
System (SLS) in 2017-18. These injuries can<br />
easily be prevented by completing three steps:<br />
> > Prepare – Organise your workspace with<br />
prevention in mind. Prepare and inform<br />
your patient. Avoid using needles where<br />
safe and effective alternatives are available.<br />
> > Be Aware – Concentrate and perform the<br />
procedure with care. Ensure the area is safe<br />
by keeping exposed sharps in view and<br />
under your control. NEVER recap needles.<br />
> > Dispose with care – Dispose of sharps<br />
immediately at the point of care into an<br />
appropriate sized sharps container. You are<br />
responsible for your own sharps. Ensure<br />
the area is safe after the procedure.<br />
All health care professionals have a duty of<br />
care to safely handle contaminated sharps<br />
objects in order to reduce and mitigate risk for<br />
themselves, their workmates and consumers.<br />
Mishandling of sharps may result in exposure<br />
to harmful and hazardous substances, blood,<br />
bodily fluid, tissues or cells, and carries the risk<br />
of infection from blood borne viruses.<br />
For more information visit the Safe Sharps<br />
Awareness page on the SA Health intranet.<br />
It only takes a moment<br />
to be safe sharps aware<br />
RAH standout in global<br />
perioperative trials<br />
The Royal Adelaide Hospital (RAH) has become one of the<br />
world’s leading patient recruitment sites for clinical trials into<br />
anaesthesia, pain and perioperative medicine.<br />
Thanks to Doctor Thomas Painter and his colleagues in<br />
the Department of Anaesthesia and PARC Clinical Research<br />
(University of Adelaide based research group), the RAH’s<br />
perioperative trial program has seen more than 2000 South<br />
Australians over the past 11 years.<br />
“I am very proud of this contribution as it has substantially<br />
increased the profile of the RAH in perioperative medicine<br />
research,” Doctor Painter said.<br />
“But most importantly it means that the results of this important<br />
and influential research are generalisable to the people of South<br />
Australia who have so willingly agreed to be participants.”<br />
Doctor Painter and his team were recently given a $100,000<br />
grant by The Hospital Research Foundation (THRF) to continue<br />
the trials and recruit patients through the RAH.<br />
“Thanks to the THRF funding, the research coordinators involved<br />
have been able to stay on and have the time to focus their<br />
attention on these important projects,” he said.<br />
“We thank the foundation for their support, enabling us to be in<br />
the position we are now.”<br />
Three perioperative trials are currently underway within<br />
the hospital. More than 240 RAH patients have joined an<br />
8880-patient global study called “PADDI”, looking at the impact<br />
of dexamethasone (a drug commonly used to prevent nausea<br />
and vomiting) on surgical site infection.<br />
Another 59 RAH patients are participating in the “ITACS” trial,<br />
where IV iron is given for treatment of anaemia before cardiac<br />
surgery.<br />
Doctor Painter and his team have also commenced recruiting<br />
patients into the innovative “ROCKET” trial, which will be the<br />
largest acute and chronic pain trial in the world.<br />
“The 5000-patient ROCKET trial focuses on reducing chronic<br />
post-surgical pain with ketamine, one of the only agents to have<br />
shown promise in this area,” Doctor Painter said.
12 ⏐ <strong>NOVEMBER</strong> 2018 ⏐ inCENTRAL<br />
Mick’s story: Multi-D success<br />
November was a time of relief and celebration for one particular Royal Adelaide Hospital<br />
(RAH) patient, fondly known as Mick.<br />
Mick, 80, originally arrived at the<br />
RAH to undergo treatment for several<br />
necrotic toes, which ultimately required<br />
amputation.<br />
However, following a number of<br />
postoperative medical complications,<br />
and spending approximately five days in<br />
ICU, Mick was at the point of palliation<br />
having suffered from a heart attack,<br />
decompensated heart failure and sepsis,<br />
complicated by severe functional decline<br />
and delirium. He was also bedbound.<br />
“The amount of times my family were<br />
called back to say their final goodbyes<br />
was incredible,” Mick said.<br />
It was during this point when General<br />
Medicine, located in 8F, were consulted,<br />
and began caring for Mick using a<br />
Multi-Disciplinary (also known as Multi-D)<br />
approach, involving nursing, physical<br />
and occupational therapy, social work,<br />
rehabilitation, speech pathology, acute<br />
pain management and pharmacy.<br />
Carrie Pavic, Nurse Unit Manager of<br />
8F Wing 1, reflects on the daily Multi-D<br />
huddles regarding Mick’s care.<br />
“From the moment Mick arrived on our<br />
ward, he was acutely unwell and needed<br />
input from everybody. Because of his<br />
situation, we all thought it was pertinent<br />
to have him seen by all of these health<br />
professionals,” Carrie said.<br />
Doctor Patrick Russell, General<br />
Physician, who was heavily involved in<br />
Mick’s care after he transitioned to 8F<br />
Wing 1, never lost faith in trying to find a<br />
solution to Mick’s health issues.<br />
“To me his problems were fixable. I said<br />
‘I think we can give him this and try this<br />
and see how he goes within 24 hours.<br />
Then we’ll go to 48 hours, if he doesn’t<br />
turn around by then, we’ll stop’. But<br />
he continued to make good progress,”<br />
Patrick said.<br />
Both Carrie and Patrick agree on the<br />
importance of the Multi-D approach in<br />
patient care.<br />
“In these huddles, we talk about the<br />
patients and what they need, their plan<br />
in the coming days and our outliers. It’s a<br />
very important part of care,” Carrie said.<br />
“The collaboration was pivotal.<br />
Mick started getting out of bed and<br />
brightening up, his heart failure was<br />
settling, his infection was getting better,<br />
he started eating, his delirium was<br />
settling. There was a lot happening,”<br />
Patrick said.<br />
Patrick also notes the commitment from<br />
staff and willingness to go above and<br />
beyond as being one of the major reasons<br />
for Mick’s recovery.<br />
“There are two types of team players.<br />
If you ever find yourself saying ‘I don’t<br />
get paid for this’, then you know you’re<br />
in the right place and should continue<br />
whatever you’re doing. That’s what<br />
makes a team great and the difference<br />
between average, and truly excellent,”<br />
Patrick said.<br />
“When Mick first got to the ward the<br />
nursing staff expected his prognosis to be<br />
poor, but then when Patrick built up the<br />
enthusiasm and saw more opportunities<br />
for him to get better, we all got on board<br />
and Mick became a constant focus of our<br />
Multi-D team,” Carrie said.<br />
Mick went on to enjoy his very own pizza<br />
party with staff from 8F Wing 1. Seeing<br />
Mick so content “made everyone feel<br />
that they had achieved something,” as<br />
stated by Carrie.<br />
Now on the road to recovery, soon to<br />
complete rehabilitation at Modbury<br />
Hospital, Mick is incredibly grateful for<br />
the treatment he received during his<br />
hospital stay.<br />
“The staff have been fantastic, I couldn’t<br />
have asked for a better team. I just<br />
want to pass on my absolute thanks to<br />
everyone who helped care for me,”<br />
Mick said.<br />
Mick with his<br />
wife and some<br />
of the staff from<br />
8F Wing 1 during<br />
his pizza party.<br />
Christina and her<br />
fiancée, James.<br />
After mistiming a jump and ultimately crashing her motorbike,<br />
Christina, 23, fell unconscious after falling from her bike,<br />
leaving her paralysed from the ribs down.<br />
Following the tragic event, which took place in Bamera in South<br />
Australia’s Riverland region, Christina was taken to the Royal<br />
Adelaide Hospital (RAH) by paramedics.<br />
It was in hospital where Christina discovered she had severed<br />
her spinal cord, broken several vertebrae, lacerated her spleen<br />
and tore several ligaments in her neck.<br />
While the incident took a physical toll on Christina, she was<br />
adamant that the experience would not affect her emotional<br />
wellbeing, maintaining a positive outlook.<br />
“I’ve had so much support from family and friends, so there’s no<br />
reason to be upset. There are a lot of people who have it a lot<br />
worse off than me,” Christina said.<br />
Christina notes that the treatment she received from staff at the<br />
RAH had a major impact on her hospital experience overall, and<br />
ultimately, her recovery.<br />
Christina and her sister, Irene, getting<br />
pampered with a manicure at her bedside.<br />
Christina’s story:<br />
recovering rider<br />
at the RAH<br />
In September 2018, freestyle rider<br />
Christina’s fate changed forever.<br />
“Unfortunately I can’t remember all of their names, but they<br />
(the staff) have all been amazing. Everyone has been fantastic,<br />
very professional and have helped with my personal requests,”<br />
Christina said.<br />
“They really go above and beyond for you”.<br />
inCENTRAL ⏐ <strong>NOVEMBER</strong> 2018 ⏐ 13<br />
During her time as an inpatient, Christina visited the community<br />
courtyard, played music through her computer bedside device<br />
and even had her very own beauty treatments in her room,<br />
including appointments with nail and lash technicians.<br />
As a result, all of these amenities and services helped to make<br />
Christina’s experience incredibly positive.<br />
Moving forward, Christina is focused on supporting others who<br />
have experienced similar injuries to herself.<br />
“A lot of paraplegic people have messaged me and reached out,<br />
and a lot of their cases seem worse than mine. That’s the aim<br />
now, to hopefully help others. I’m lucky I’m in the position that I<br />
can do so. I’m very honoured to help others and make them feel<br />
better,” Christina said.
14 ⏐ <strong>NOVEMBER</strong> 2018 ⏐ inCENTRAL<br />
inCENTRAL ⏐ <strong>NOVEMBER</strong> 2018 ⏐ 15<br />
Positive Patient Feedback<br />
Staff across Central Adelaide Local Health Network (CALHN) continue<br />
to provide a high standard of patient care, which is made clear by<br />
the positive feedback received on a regular basis. If you have received<br />
positive feedback that you would like to share, please contact<br />
HealthCALHNCommunications@sa.gov.au.
16 ⏐ <strong>NOVEMBER</strong> 2018 ⏐ inCENTRAL<br />
inCENTRAL ⏐ <strong>NOVEMBER</strong> 2018 ⏐ 17<br />
Central Health Snaps<br />
Central Health Snaps<br />
Health Minister Stephen Wade and members from the Council of<br />
Australian Governments (COAG) visited the RAH, taking a sneak peak<br />
the AGVs and ROWA pharmacy robot in action. After learning about the<br />
hospital’s Creative Health Arts in Clinical Care program, the group stopped<br />
to visit staff and patients along the way. The tour concluded with a visit to<br />
the Aboriginal and Torres Strait Islander Unit and a walk around the healing<br />
garden where Kerri Reilly, Director Aboriginal Health explained the various<br />
programs offered by the service.<br />
The Centre for Cancer Biology (CCB), in collaboration with The Hospital<br />
Research Foundation, held a special event for the public during National<br />
Science Week in August, exploring ‘The Future of Cancer Research in<br />
Australia’.<br />
The 11th annual Cardiothoracic Morning Tea was held on Friday 2<br />
November in the level 3G courtyard. A patient’s recovery from critical illness<br />
does not simply stop once they leave the intensive care unit. Therefore<br />
more than eleven years ago at the old RAH, the decision was made to<br />
formalise the celebration of cardiothoracic surgical patients’ recovery in in<br />
an annual Cardiothoracic Morning Tea.<br />
National Anaesthesia Day was recognised on Tuesday 16 October. 2018’s<br />
theme was “Anaesthesia isn’t sleep. It’s so much deeper”, challenging the<br />
misconception that having a surgical procedure under general anaesthesia<br />
is “effectively the same as being asleep”.<br />
With live jazz music, over a hundred former patients, their families and<br />
friends celebrated their ongoing recovery with intensive care nurses, ward<br />
staff, intensivists, anaesthetists, surgeons and administrative staff.<br />
National Carers Week (14-20 October) provided an<br />
opportunity to recognise and celebrate unpaid carers and the<br />
work they do to improve the health and wellbeing of their<br />
loved ones.<br />
Throughout the week, ‘Partnering with Carers’ forums were<br />
held at the RAH and TQEH in collaboration with Carers SA.<br />
The forums outlined the important role unpaid carers play in<br />
supporting their loved ones and providing care.<br />
Congratulations to Nathan Ward, Senior Physiotherapist, CF and Lung<br />
Transplant and PhD candidate who won the Junior Investigator award at<br />
the North American Cystic Fibrosis Conference.<br />
For further information about National Carers Week, visit<br />
www.sahealth.sa.gov.au/carers.
18 ⏐ <strong>NOVEMBER</strong> 2018 ⏐ inCENTRAL<br />
inCENTRAL ⏐ <strong>NOVEMBER</strong> 2018 ⏐ 19<br />
Staff publication list<br />
The following is a list of some of the latest Central Adelaide Local Health Network staff publications.<br />
To request an article, or for a full list, please contact your site library:<br />
> > TQEH staff - qehlibrarymail@sa.gov.au > > RAH staff - health.library@sa.gov.au<br />
Huss A; Ihorst G; Timme-Bronsert S;<br />
Hasenburg A; Oehler MK; Klar M<br />
The Memorial Sloan Kettering Cancer Center<br />
Nomogram is More Accurate than the 2009<br />
FIGO Staging System in the Prediction of<br />
Overall Survival in a German Endometrial<br />
Cancer Patient Cohort.<br />
Lumb R; Tata M; Xu X; Joyce A; Marchant<br />
C; Harvey N; Ruhrberg C; Schwarz Q<br />
Neuropilins guide preganglionic sympathetic<br />
axons and chromaffin cell precursors to<br />
establish the adrenal medulla.<br />
Development. 2018 Sep 20.<br />
Parry SM; Chapple LS; Mourtzakis M<br />
Exploring the Potential Effectiveness of<br />
Combining Optimal Nutrition With Electrical<br />
Stimulation to Maintain Muscle Health in<br />
Critical Illness: A Narrative Review. [Review]<br />
Nutrition in Clinical Practice. 2018 Oct 25<br />
Altree TJ; Jersmann H; Nguyen P<br />
Persistent air leak successfully treated with<br />
endobronchial valves and digital drainage<br />
system.<br />
Respirology Case Reports. 6(8):e00368, 2018<br />
Nov.<br />
Arachchi H; Wojcik MH; Weisburd B;<br />
Jacobsen JOB; Valkanas E; Baxter S; Byrne<br />
AB; O’Donnell-Luria AH; Haendel M;<br />
Smedley D; MacArthur DG; Philippakis AA;<br />
Rehm HL<br />
matchbox: An open-source tool for patient<br />
matching via the Matchmaker Exchange<br />
Human Mutation. 2018 Sep 21<br />
Ao J; Horo S; Farmer L; Chan WO; Gilhotra J<br />
PRIMARY LASER PHOTOCOAGULATION FOR<br />
THE TREATMENT OF GIANT RETINAL TEARS.<br />
RETINAL Cases & Brief Reports. 12(4):371-374,<br />
2018 Fall.<br />
Betterman KL; Harvey NL<br />
Histological and Morphological<br />
Characterization of Developing Dermal<br />
Lymphatic Vessels<br />
Methods in Molecular Biology. 1846:19-35,<br />
2018<br />
Campbell JM; Adanichkin N; Kurmis R;<br />
Munn Z<br />
Intensive insulin therapy, insulin sensitisers and<br />
insulin secretagogues for burns: A systematic<br />
review of effectiveness and safety. [Review]<br />
Burns. 44(6):1377-1394, 2018 Sep.<br />
Chandran V; Neo EL; Chinnaratha MA<br />
Rare Presentation of Intraductal Papillary<br />
Neoplasm of the Bile Duct in a Patient With<br />
Ulcerative Colitis<br />
Clinical Gastroenterology & Hepatology.<br />
16(10):A38-A39, 2018 Oct<br />
Collins JW; Dell’Oglio P; Hung AJ; Brook NR<br />
The Importance of Technical and Non-technical<br />
Skills in Robotic Surgery Training<br />
European Urology Focus. 2018 Sep 11<br />
Constantine S; Roach D; Liberali S;<br />
Kiermeier A; Sarkar P; Jannes J; Sambrook<br />
P; Anderson P; Beltrame J<br />
Carotid Artery Calcification on<br />
Orthopantomograms (CACO Study) - Is it<br />
indicative of carotid stenosis? [Review]<br />
Australian Dental Journal. 2018 Sep 14<br />
Cunningham EB; Amin J; Feld JJ; Bruneau<br />
J; Dalgard O; Powis J; Hellard M; Cooper C;<br />
Read P; Conway B; Dunlop AJ; Norton B;<br />
Litwin AH; Hajarizadeh B; Thurnheer MC;<br />
Dillon JF; Weltman M; Curragh DS; Psaltis<br />
AJ; Tan NC; Selva D<br />
Prelacrimal approach for nasolacrimal duct<br />
excision in the management of lacrimal system<br />
tumours.<br />
Orbit. 1-5, 2018 Sep 20.<br />
DG; Gupta A; Hale G; Hashmi SK; Inamoto<br />
Y; Kamble RT; Adekola K; Kindwall-Keller<br />
T; Knight J; Kumar L; Kuwatsuka Y; Law<br />
J; Lazarus HM; LeMaistre C; Olsson RF;<br />
Pulsipher MA; Savani BN; Schultz KR; Saad<br />
AA; Seftel M; Seo S; Shea TC; Steinberg<br />
A; Sullivan K; Szwajcer D; Wirk B; Yared J;<br />
Yong A; Dalal J; Hahn T; Khera N; Bonfim<br />
C; Atsuta Y; Saber W<br />
Country-Level Macroeconomic Indicators<br />
Predict Early Post-Allogeneic Hematopoietic<br />
Cell Transplantation Survival in Acute<br />
Lymphoblastic Leukemia: A CIBMTR Analysis.<br />
Biology of Blood & Marrow Transplantation.<br />
2018 Mar 19.<br />
Wheeler LP; Karran EL; Harvie DS<br />
Low back pain: Can we mitigate the<br />
inadvertent psycho-behavioural harms of spinal<br />
imaging?<br />
Australian Journal Of General Practice.<br />
47(9):614-617, 2018 Sep<br />
Dignam C; Brown M; Thompson CH<br />
Changes in resuscitation and end-of-life<br />
documentation in older patients’ clinical<br />
case notes: A comparison of 2011 and 2017<br />
practice.<br />
Australasian Journal on Ageing. 2018 Sep 21.<br />
Fraser RD; Brooks F; Dalzell K<br />
Degenerative spondylolisthesis: a prospective<br />
cross-sectional cohort study on the role of<br />
weakened anterior abdominal musculature on<br />
causation<br />
European Spine Journal. 2018 Sep 14<br />
Ghaoui R; Sue CM<br />
Movement disorders in mitochondrial disease.<br />
[Review]<br />
Journal of Neurology. 265(5):1230-1240, 2018<br />
May.<br />
Helbig KL; Lauerer RJ; Bahr JC; Souza IA;<br />
Myers CT; Uysal B; Schwarz N; Gandini<br />
MA; Huang S; Keren B; Mignot C; Afenjar<br />
A; Billette de Villemeur T; Heron D; Nava<br />
C; Valence S; Buratti J; Fagerberg CR;<br />
Soerensen KP; Kibaek M; Kamsteeg EJ;<br />
Koolen DA; Gunning B; Schelhaas HJ;<br />
Kruer MC; Fox J; Bakhtiari S; Jarrar R;<br />
Padilla-Lopez S; Lindstrom K; Jin SC; Zeng<br />
X; Bilguvar K; Papavasileiou A; Xin Q; Zhu<br />
C; Boysen K; Vairo F; Lanpher BC; Klee<br />
EW; Tillema JM; Payne ET; Cousin MA;<br />
Kruisselbrink TM; Wick MJ; Baker J; Haan<br />
E; Smith N; Corbett MA; MacLennan AH;<br />
Gecz J; Biskup S; Goldmann E; Rodan LH;<br />
Kichula E; Segal E; Jackson KE; Asamoah<br />
A; Dimmock D; McCarrier J; Botto LD;<br />
Filloux F; Tvrdik T; Cascino GD; Klingerman<br />
S; Neumann C; Wang R; Jacobsen JC;<br />
Nolan MA; Snell RG; Lehnert K; Sadleir<br />
LG; Anderlid BM; Kvarnung M; Guerrini R;<br />
Friez MJ; Lyons MJ; Leonhard J; Kringlen<br />
G; Casas K; El Achkar CM; Smith LA;<br />
Rotenberg A; Poduri A; Sanchis-Juan A;<br />
Carss KJ; Rankin J; Zeman A; Raymond FL;<br />
Blyth M; Kerr B; Ruiz K; Urquhart J; Hughes<br />
I; Banka S; Deciphering Developmental<br />
Disorders Study; Hedrich UBS; Scheffer IE;<br />
Helbig I; Zamponi GW; Lerche H; Mefford<br />
HC; .<br />
De Novo Pathogenic Variants in CACNA1E<br />
Cause Developmental and Epileptic<br />
Encephalopathy with Contractures,<br />
Macrocephaly, and Dyskinesias.<br />
American Journal of Human Genetics. 2018<br />
Oct 10<br />
Hiwase D; Ross D<br />
Success is built on failures: tackling the<br />
challenge of ponatinib failure<br />
Leukemia & Lymphoma. 59(6):1279-1281,<br />
2018 06<br />
Annals of Surgical Oncology. 2018 Sep 20.<br />
Lederer DJ; Bell SC; Branson RD; Chalmers<br />
JD; Marshall R; Maslove DM; Ost DE;<br />
Punjabi NM; Schatz M; Smyth AR; Stewart<br />
PW; Suissa S; Adjei AA; Akdis CA; Azoulay<br />
E; Bakker J; Ballas ZK; Bardin PG; Barreiro<br />
E; Bellomo R; Bernstein JA; Brusasco V;<br />
Buchman TG; Chokroverty S; Collop NA;<br />
Crapo JD; Fitzgerald DA; Hale L; Hart N;<br />
Herth FJ; Iwashyna TJ; Jenkins G; Kolb<br />
M; Marks GB; Mazzone P; Moorman JR;<br />
Murphy TM; Noah TL; Reynolds P; Riemann<br />
D; Russell RE; Sheikh A; Sotgiu G; Swenson<br />
ER; Szczesniak R; Szymusiak R; Teboul JL;<br />
Vincent JL<br />
Control of Confounding and Reporting of<br />
Results in Causal Inference Studies: Guidance<br />
for Authors from Editors of Respiratory, Sleep,<br />
and Critical Care Journals.<br />
Annals of the American Thoracic Society. 2018<br />
Sep 19.<br />
Jurczak W; Ramanathan S; Giri P; Romano<br />
A; Mocikova H; Clancy J; Lechuga M; Casey<br />
M; Boni J; Giza A; Hess G<br />
Comparison of two doses of intravenous<br />
temsirolimus in patients with relapsed/<br />
refractory mantle cell lymphoma<br />
Leukemia & Lymphoma. 59(3):670-678, 2018<br />
03<br />
Lee S; Reid MAR<br />
Superficial acral fibromyxoma: a case report<br />
with radiological review.<br />
Skeletal Radiology. 47(7):1021-1028, 2018 Jul.<br />
Lee E; Le T; Zhu Y; Elakis G; Turner A; Lo<br />
W; Venselaar H; Verrenkamp CA; Snow<br />
N; Mowat D; Kirk EP; Sachdev R; Smith J;<br />
Brown NJ; Wallis M; Barnett C; McKenzie<br />
F; Freckmann ML; Collins F; Chopra M;<br />
Gregersen N; Hayes I; Rajagopalan S; Tan<br />
TY; Stark Z; Savarirayan R; Yeung A; Ades<br />
L; Gattas M; Gibson K; Gabbett M; Amor<br />
DJ; Lattanzi W; Boyd S; Haan E; Gianoutsos<br />
M; Cox TC; Buckley MF; Roscioli T;<br />
A craniosynostosis massively parallel<br />
sequencing panel study in 309 Australian<br />
and New Zealand patients: findings and<br />
recommendations.<br />
Genetics in Medicine. 20(9):1061-1068, 2018<br />
Sep<br />
Malik H; Kangaharan N; Agahari I<br />
Takotsubo Cardiomyopathy Associated With<br />
Work-Place Bullying.<br />
Occupational Medicine (Oxford). 68(1):67-69,<br />
2018 02 16.<br />
McDonald VM; Hiles SA; Godbout K;<br />
Harvey ES; Marks GB; Hew M; Peters<br />
M; Bardin PG; Reynolds PN; Upham<br />
JW; Baraket M; Bhikoo Z; Bowden J;<br />
Brockway B; Chung LP; Cochrane B;<br />
Foxley G; Garrett J; Jayaram L; Jenkins<br />
C; Katelaris C; Katsoulotos G; Koh MS;<br />
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Treatable traits can be identified in a<br />
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Too Fatty, Too Salty, Too Western<br />
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Campeau PM<br />
A new microdeletion syndrome involving<br />
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epilepsy, microcephaly, and developmental<br />
delay<br />
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H; Lau DH; Vohra JK; Morton JB; Semsarian<br />
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Heart. 2018 Sep 21<br />
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A positive move: proton therapy in Australia<br />
Australasian Physical & Engineering Sciences in<br />
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PJ; Tobin AE; Udy AA; Eastwood GM;<br />
Opinions and practices of blood glucose<br />
control in critically ill patients with pre-existing<br />
type 2 diabetes in Australian and New Zealand<br />
intensive care units.<br />
Australian Critical Care. 2018 Oct 19<br />
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The Role of the Extracellular Matrix and Its<br />
Molecular and Cellular Regulators in Cancer<br />
Cell Plasticity. [Review]<br />
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Zacher N; Cole-Sinclair M; Miles Prince H;<br />
Mollee P; Spencer A; Joy Ho P; Harrison SJ;<br />
Lee C; Augustson B; Daly J<br />
Considerations for pre-transfusion<br />
immunohaematology testing in patients<br />
receiving the anti-CD38 monoclonal antibody<br />
daratumumab for the treatment of multiple<br />
myeloma [Review]<br />
Internal Medicine Journal. 48(2):210-220, 2018<br />
02<br />
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Somogyi AA; Borotkanics R; Barratt DT;<br />
Walker M<br />
Persistent postoperative pain after total knee<br />
arthroplasty: a prospective cohort study of<br />
potential risk factors.<br />
British Journal of Anaesthesia. 121(4):804-812,<br />
2018 Oct.<br />
Reeves P; Edmunds K; Levi C; Lin L; Cheng<br />
X; Aviv R; Kleinig T; Butcher K; Zhang J;<br />
Parsons M; Bivard A<br />
Cost-effectiveness of targeted thrombolytic<br />
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20 ⏐ <strong>NOVEMBER</strong> 2018 ⏐ inCENTRAL<br />
Ross MJ; Coates PT<br />
Using CRISPR to inactivate endogenous<br />
retroviruses in pigs: an important step toward<br />
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Kidney International. 93(1):4-6, 2018 01<br />
Sammour T; Chang GJ<br />
Lateral pelvic lymph node dissection and<br />
radiation treatment for rectal cancer: Mutually<br />
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Annals of Gastroenterological Surgery.<br />
2(5):348-350, 2018 Sep.<br />
Sampson BG; Wilson SR; Finnis ME; Hodak<br />
AM; Jones PN; O’Connor SL; Chapman MJ<br />
A Quality Control Study of the Adherence to<br />
Recommended Physiological Targets for the<br />
Management of Brain-Dead Organ Donors in<br />
South Australian Intensive Care Units<br />
Progress in Transplantation.<br />
1526924818800053, 2018 Sep 16<br />
Schubert J; Kruavit A; Mehra S;<br />
Wasgewatta S; Chang AB; Heraganahally S<br />
Prevalence and nature of lung function<br />
abnormalities among indigenous Australians<br />
referred to specialist respiratory outreach clinics<br />
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Ramakrishna R; Watson AM; Auguston B;<br />
Kwok F; Quach H; Warburton P; Rowlings<br />
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Real-world’ Australian experience of<br />
pomalidomide for relapsed and refractory<br />
myeloma<br />
Leukemia & Lymphoma. 59(6):1514-1516,<br />
2018 06<br />
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Siriragavan S; Matthews GV; Dore GJ;<br />
Grebely J; SIMPLIFY study group<br />
Adherence to sofosbuvir and velpatasvir among<br />
people with chronic HCV infection and recent<br />
injection drug use: The SIMPLIFY study<br />
International Journal of Drug Policy. 62:14-23,<br />
2018 Oct 20<br />
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Delacroix S; Montarello JK; Nicholls SJ;<br />
Worthley SG<br />
The Extent of Aortic Atherosclerosis Predicts<br />
the Occurrence, Severity, and Recovery of<br />
Acute Kidney Injury After Transcatheter Aortic<br />
Valve Replacement<br />
Circulation: Cardiovascular Interventions.<br />
11(8):e006367, 2018 Aug<br />
Sia PI; Aujla JS; Chan WO; Simon S<br />
Fingolimod-Associated Retinal Hemorrhages<br />
and Roth Spots.<br />
Retina. 2018 Sep 18.<br />
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Montgomery R; Vanneste B; Khoo V;<br />
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Lourenco R; Sridharan S; Brook NR; Martin<br />
J; Lawrentschuk N; Kron T; Foroudi F<br />
TROG 15.03 phase II clinical trial of Focal<br />
Ablative STereotactic Radiosurgery for Cancers<br />
of the Kidney - FASTRACK II<br />
BMC Cancer. 18(1):1030, 2018 Oct 23<br />
Sivanathan KN; Coates PT<br />
IL-17A-induced mesenchymal stem cells<br />
have promising therapeutic value for clinical<br />
translation<br />
Kidney International. 93(4):771-773, 2018 04<br />
Spencer A; Lentzsch S; Weisel K; Avet-<br />
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Lauri B; Levin MD; Bosi A; Hungria V;<br />
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Sonneveld P; Soong D; Casneuf T; Chiu C;<br />
Amin H; Qi M; Thiyagarajah P; Sasser AK;<br />
Schecter JM; Mateos MV<br />
Daratumumab plus bortezomib and<br />
dexamethasone versus bortezomib and<br />
dexamethasone in relapsed or refractory<br />
multiple myeloma: updated analysis of<br />
CASTOR.<br />
Haematologica. 2018 Sep 20.<br />
Stiles MK; Sanders P; Lau DH<br />
Targeting the Substrate in Ablation of<br />
Persistent Atrial Fibrillation: Recent Lessons and<br />
Future Directions. [Review]<br />
Frontiers in Physiology. 9:1158, 2018<br />
Williams VK<br />
Use of a capillary specimen in the laboratory to<br />
verify a point-of-care international normalized<br />
ratio: Avoidance of a venipuncture in a<br />
pediatric setting<br />
International Journal of Laboratory<br />
Hematology. 2018 Sep 14<br />
Xia W; Barazanchi AWH; MacFater W;<br />
Sammour T; Hill AG<br />
Day case versus inpatient stay for excisional<br />
haemorrhoidectomy.<br />
ANZ Journal of Surgery. 2018 Sep 21.