CIAP Newsletter

As a new year begins, many Australians will make New Years' Resolutions relating to living healthier, such as losing weight, quitting smoking, reducing alcohol intake, and increasing exercise and physical activity. These activities may also assist in the prevention of the development of chronic diseases.

The NSW Office of Preventative Health facilitates the translation of preventative health research into policy and practice. Their summary of findings published in August 2016, The benefits of prevention, provides a clear and concise overview of the potential impacts of lifestyle changes on disease prevention. The Office also operates the Get Healthy Information & Coaching Service and the Get Healthy at Work initiative, which provide tools, templates and resources to develop action plans and implement healthy changes at home or in the workplace. Support is provided online and by telephone.

The resources available to NSW Health clinicians through the Clinical Information Access Portal (CIAP) also provide information and support to clinicians providing care to patients wishing to make healthy changes and prevent diseases.

Natural Medicines is a useful resource that provides evidence-based information about complementary and alternative medicine including dietary supplements and integrative therapies. Selecting ‘Databases’ and then ‘Health & Wellness’ from the top menu on the Natural Medicines homepage provides an alphabetical list of general health topics to select. Each topic includes a background summary, levels of safety and effectiveness and the method of administration of application. A variety of different diets are included, such as anti-inflammatory, gluten-free, high fibre, low Glycaemic Index (GI), paleo, and Dietary Approaches to Stop Hypertension (DASH). Other health and wellness topics include endurance training, ergonomics, hydrotherapy, massage, physical therapy and work-life balance. Printable patient handouts are included for each topic.

If you are interested in prevention and screening for particular conditions, you might like to view BMJ Best Practice. Browse conditions through the ‘Show Conditions’ section or search in the main search box for a particular condition to view, and look for the ‘Prevention’ section listed at the top of the topic. Harrisons Principles of Internal Medicine also provides comprehensive information about prevention and control of a range of conditions. Browse through the contents page or search ‘prevention’ to view. The DSM-5 includes preventative strategies and guidelines specifically related to mental health topics. Search ‘prevention’ to view.

You might wish to monitor health indicators such as Body Mass Index (BMI), Body Surface Area (BSA) and kilojoule or calorie intake. A range of clinical calculators can be found through ‘Tools’ from CIAP’s left menu. MedCalc 3000 provides a comprehensive range of clinical calculators, formulas and decision trees, including BMI, BSA, Normal Range for Body Weight, Standard Drink Equivalents and Total Daily Energy Requirements.

To learn more about the range of resources available through CIAP, visit the Learning Centre for a range of workshops, user guides, elearning modules and video tutorials.

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CIAP Update

2016 CIAP Education Program

CIAP has an exciting program of events planned for 2016, which are now available for registration.

New CIAP Essentials full-day workshops will be offered in both metropolitan and regional locations and specialty workshops for Emergency and Critical Care, Paediatrics, Mental Health and Evidence-Based Practice will also be available for NSW Health clinicians.

Our Live Online Training sessions will include sessions on Medications, Nursing & Midwifery resources, and Allied Health resources and a selection will now be offered at more times, including evening sessions. The CIAP team will continue to visit facilities across NSW to provide short face to face training sessions.

CIAP workshops and Live Online Training sessions are statewide offerings, available for all staff to attend and are offered at no cost to participants. A feature of the new 2016 program is the ability to register for CIAP Workshops and Live Online Training sessions through HETI Online.

Visit the Learning Centre to view all of CIAP's education opportunities.

Medicine and Science in Sport and Exercise

Article in Focus

Affective Responses to Repeated Sessions of High-Intensity Interval Training

Medicine & Science in Sports & Exercise 47(12):2604-2611, December 2016

This study quantified the subjective affective responses to short-term high-intensity interval training (HIT) in comparison with moderate intensity continuous training (MIT). The authors concluded that short-term HIT and MIT are equally effective in improving aerobic fitness, but HIT increases experience of negative emotions and exertion in sedentary middle-age men. This may limit the adherence to this time-effective training mode, even though displeasure lessens over time and suggests similar mental adaptations to both MIT and HIT.

To view this and other articles from the Medicine & Science in Sports & Exercise journal, search for the journal title from the green ‘Full Journal List’ button from ‘Journals’ in CIAP's left menu.

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Gems on CIAP

Poisons, Toxicology and Wilderness

The NSW Poisons Information Centre provides poisons information to the public and advice to health professionals on the management of poisoned patients. It contains a section on prevention by selecting ‘Prevention’ from the top menu.

The NSW Poisons Information Centre recommends clinicians utilise the Therapeutic Guidelines (eTG Complete) for comprehensive guidelines on the management of toxins and poisons. Select ‘Toxicology and Wilderness’ from eTG's homepage to view all sections. The ‘Individual drugs and other chemicals’ chapter provides a list of chemicals to select from, each including a risk assessment, clinical assessment, treatment and observation guidelines. The list of individual drugs and other chemicals includes alcohol, barbituates, essentials oils, herbicides, and stimulant drugs.

Other chapters include snake bite, spider bite and marine envenoming, as well as a variety of wilderness medicine topics such as electrical injury, heat-related illness and near drowning. Tables and figures are included along with links to relevant Cochrane reviews where available.

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