The Medical journal of Australia
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To compare clinical outcomes between patients with ST-elevation myocardial infarction (STEMI) presenting to a hospital with facilities for primary percutaneous coronary intervention (PCI) and patients transferred from a non-PCI-capable unit, and to determine the success rate of meeting clinical guidelines for management of STEMI. ⋯ Our study demonstrates that transfer for PCI is feasible and safe in selected patients, with outcomes comparable to those of patients presenting to a PCI-capable unit. However, the CSANZ/NHFA targets, predicated by symptom-to-first-door time, are not being met and have not improved over time, which suggests that strategies to improve symptom-to-first-door, first-door-to-balloon and transfer times need to be addressed.
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Recognising that brain and spinal cord injuries result in significant health and economic burdens for the affected individual and the community, the Victorian government committed $63 million towards neurotrauma research beginning in 2005. A survey of Victorian neurotrauma research units conducted in 2008 showed substantial increases in workforce capacity, collaborative activity and research output during the first 3 years of the funding program. Changes in economic and commercial activity, and research translation activity were also observed. The activity and output of the Victorian brain and spinal cord injury research sector increased substantially during a period coinciding with increased funding.
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Evidence is accruing of associations between male reproductive health disorders and chronic diseases such as coronary heart disease and type 2 diabetes. The links between reproductive health and general health are under-recognised by medical practitioners and the general public. Windows of opportunity exist for a more holistic approach to men's health when men present with reproductive health symptoms (such as erectile dysfunction) or the reproductive implications of chronic disease are recognised. Further men's health research is needed in Australia to guide policy, innovative health promotion, and clinical practice.
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To assess women's compliance with different Australian guidelines on alcohol intake during pregnancy and examine factors that might influence compliance. ⋯ The October 2001 change in alcohol guidelines does not appear to have changed behaviour. Risks associated with different levels of alcohol intake during pregnancy need to be clearly established and communicated.