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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 />

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Recommended Physiological Targets for the<br />

Management of Brain-Dead Organ Donors in<br />

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The Extent of Aortic Atherosclerosis Predicts<br />

the Occurrence, Severity, and Recovery of<br />

Acute Kidney Injury After Transcatheter Aortic<br />

Valve Replacement<br />

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Ablative STereotactic Radiosurgery for Cancers<br />

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BMC Cancer. 18(1):1030, 2018 Oct 23<br />

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IL-17A-induced mesenchymal stem cells<br />

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dexamethasone versus bortezomib and<br />

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multiple myeloma: updated analysis of<br />

CASTOR.<br />

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Targeting the Substrate in Ablation of<br />

Persistent Atrial Fibrillation: Recent Lessons and<br />

Future Directions. [Review]<br />

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Williams VK<br />

Use of a capillary specimen in the laboratory to<br />

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pediatric setting<br />

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