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Research

Mental health Research 3 February 2014 Free

headspace — Australia’s innovation in youth mental health: who are the clients and why are they presenting?

Objectives: To provide the first national profile of the characteristics of young people (aged 12–25 years) accessing headspace centre services — the Australian Government’s innovation in youth mental health service delivery — and investigate whether headspace is providing early service access for adolescents and young adults with emerging mental health problems.Design and participants: Census of all young people accessing a headspace centre across the ...

Debra J Rickwood BA(Hons), PhD, FAPS · Nic R Telford BSS, MSS · Alexandra G Parker BA(Hons), MClinPsych, PhD · Chris J Tanti BA, BSW, AMP · Patrick D McGorry MD, PhD, FRANZCP

Carrying weapons and intent to harm among Victorian secondary school students in 1999 and 2009

Objective: To examine comparable survey data across 10 years to assess whether rates of self-reported weapon carrying and intent to harm others have increased as suggested in reported trends in violent offences.Design, setting and participants: Population-based surveys administered to Victorian secondary school students in 1999 (8984 students) and 2009 (10 273 students) attending government, Catholic and independent schools.Main outcome measures: Student self-reports of carrying a ...

Sheryl A Hemphill BBSc(Hons), PhD · Michelle A Tollit BPsych(Hons), MEdPsych · Helena Romaniuk BSc, MSc, PhD · Joanne Williams BSc(Hons), MAppEpid, PhD · John W Toumbourou MA, PhD · Lyndal Bond PhD · George C Patton MD, MB BS, FRANZCP

Mental health Research 16 December 2013 Free

Four centuries of suicide in opera

Western opera is, perhaps not surprisingly, rife with suicidal deeds and thoughts

Saxby A Pridmore MB BS, MD, FRANZCP · Stephane Auchincloss MB BS, MRCP, FRANZCP · Nerissa L Soh BMedSc, MNutrDiet, PhD · Garry J Walter MB BS, PhD, FRANZCP

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Cancer Research 18 November 2013 Free

Lung cancer in Victoria: are we making progress?

There is room for improvement in the management of patients with lung cancer, which remains the leading cause of death from cancer in this country. Tissue diagnosis, active treatment for all patients, postsurgical adjuvant chemotherapy and case discussion at multidisciplinary meetings would all help, as would screening those at high risk to detect cancers earlier.

Paul L R Mitchell MB ChB, FRACP, MD · Vicky J Thursfield BSc, GradDipAppStat · David L Ball MD, FRANZCR · Gary E Richardson MB BS, FRACP · Louis B Irving MB BS, FRACP, FRACGP · Yvonne Torn-Broers BA(Hons) · Graham G Giles BSc, Msc, PhD · Gavin M Wright MB BS, FRACS

Genetics Research 18 November 2013 Free

Preventing breast and ovarian cancers in high-risk BRCA1 and BRCA2 mutation carriers

The use of risk-reducing surgery and medications by women who carry mutations known to predispose them to cancers of the breast, ovary, fallopian tubes and peritoneum is not as common as might be expected; this means that the full potential of genetic testing is not being realised.

Ian M Collins MB, MSc, FRACP · Roger L Milne BSW, MSc, PhD · Prue C Weideman GradDipHealthPromEd · Sue-Anne McLachlan MB BS, MSc, FRACP · Michael L Friedlander PhD, FRACP · Kathleen Cuningham Foundation Consortium for Research into Familial Breast Cancer Kathleen Cuningham Foundation Consortium for Research into Familial Breast Cancer · John L Hopper PhD · Kelly-Anne Phillips MB BS(Hons), MD, FRACP

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Pharmacology Research 18 November 2013 Free

Low awareness of adverse drug reaction reporting systems: a consumer survey

Although consumers have been able to directly report possible adverse drug reactions to the Therapeutic Goods Administration since 1964, most such reports still come from health professionals and pharmaceutical companies. It seems that lack of awareness of the reporting mechanisms is a major limiting factor for consumers, and promotion and education of reporting systems are required.

Jane Robertson BPharm, MMedSc, PhD · David A Newby BPharm, GradDipEpi, PhD

Chiropractic Observation and Analysis Study (COAST): providing an understanding of current chiropractic practice

A cross-sectional study using the BEACH (Bettering the Evaluation and Care of Health) methods for general practice assessed the clinical practices of chiropractors in Victoria and found that they manage a range of conditions, mostly musculoskeletal-related. This study’s results can be used by stakeholders of the chiropractic profession in workforce development, education and health care policy.

Simon D French PhD, MPH, BAppSc(Chiro) · Melanie J Charity MSc, BSc · Kirsty Forsdike BA(Hons), PgDipLaw, PgDipLegalPractice · Jane M Gunn PhD, FRACGP, MB BS · Barbara I Polus BAppSc(Chiro), MSc, PhD · Bruce F Walker DC, MPH, DrPH · Patty Chondros BSc(Hons), MSc, PhD · Helena C Britt BA, PhD

Antimicrobial stewardship in Victorian hospitals: a statewide survey to identify current gaps

Public regional and private hospitals need more antimicrobial stewardship support, particularly in the areas of policy development, antimicrobial approval systems, prescription review and auditing.

Rodney S James BMedSci, BMed, FRCPA · Kylie A McIntosh BPharm(Hons), PhD · Susan B Luu BPharm, MPH · Menino O Cotta BPharm · Caroline Marshall MB BS, FRACP, PhD · Karin A Thursky MB BS, FRACP, MD · Kirsty L Buising MB BS, FRACP, MD

13 10422

The sources of pharmaceuticals for problematic users of benzodiazepines and prescription opioids

This study shows that different approaches may be required to reduce unsanctioned use of different pharmaceuticals due to differences in how drugs are sourced. The data also highlight that plans to monitor only Schedule 8 benzodiazepines and prescription opioids may have limited effects on prescription opioid users who use non-prescribed sources and may represent a lost opportunity for reducing unsanctioned benzodiazepine use.

Suzanne Nielsen BPharm, BPharmSc(Hons), PhD · Raimondo Bruno PhD · Louisa Degenhardt BA(Hons), MClinPsych, PhD · Mark A Stoove PhD, BAAppSci(Hons) · Jane A Fischer BA, MSPD · Susan J Carruthers MPH, PhD · Nicholas Lintzeris MB BS, FAChAM, PhD

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Statistics Research 4 November 2013 Free

Psychological distress and streamlined BreastScreen follow-up assessment versus standard assessment

Women attending streamlined StepDown clinics did not experience significantly different levels of psychological burden than women attending the standard assessment clinic. However, those who felt uneasy about returning to screening were less likely to do so, irrespective of their baseline likelihood of attending screening or assessment clinic type.

Kerry A Sherman PhD · Caleb J Winch BPsych(Hons) · Natacha Borecky MB BS, Doctor of Radiology (Belgium) · John Boyages MB BS(Hons), FRANZCR, PhD

Australia is continuing to make progress against cancer, but the regional and remote disadvantage remains

A comparison of mortality rates in regional and remote areas with those in metropolitan areas from 2001 to 2010 found 8878 excess cancer deaths; no improvement in age-standardised mortality ratios (SMRs) in men, and an increase in SMRs in women; and a slower decrease in the age-standardised cancer death rate in regional and remote areas, compared with metropolitan areas.

Michael D Coory MB BS, PhD, FAFPHM · Tsun Ho BE(Hons), PhD · Susan J Jordan MB BS, PhD

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Nature and outcomes of the increased incidence of colorectal malignancy after liver transplantation in Australasia

Objectives: To examine whether incidence of colorectal malignancy is increased in Australasian liver transplant recipients compared with the general population of Australia, and to assess the characteristics and outcomes of colorectal malignancy in this patient group.Design, setting and patients: Data on patients who underwent orthotopic liver transplantation (OLTx) and had a diagnosis of de-novo colorectal malignancy after transplantation during the period ...

Deborah J Verran MB ChB, FRACS · Marie H Mulhearn BAppSc (Nursing), GradDipHPEd · Pamela J Dilworth RN · Glenda A Balderson BSc · Stephen Munn MB ChB, FRACs · John W Chen MB BS, FRACS, PhD · Michael A Fink MB BS, FRACS · Michael D Crawford MB BS, FRACS, MMed · Geoffrey W McCaughan MB BS, PhD, FRACP

Human papillomavirus vaccine coverage among female Australian adolescents: success of the school-based approach

Objective: To describe quadrivalent human papillomavirus (HPV) vaccination coverage achieved in the HPV vaccination catch-up program for girls aged 12–17 years.Design: Analysis of data from the Australian National HPV Vaccination Program Register.Participants: Girls aged 12–17 years as at 30 June 2007.Main outcome measures: HPV vaccine coverage by dose (1, 2 and 3), age and state of residence, using Australian Bureau of ...

Julia M L Brotherton BMed(Hons), MPH(Hons), FAFPHM · Sharron L Murray RN, RM, GradDipChildHealth · Madeline A Hall MPH · Lynne K Andrewartha BHSc(Nur) · Carolyn A Banks · Dennis Meijer BA, MHL · Helen C Pitcher · Megan M Scully BSc(Nsg), DPH, MHA · Luda Molchanoff BN

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