Health Report

MDMA psychotherapy was approved in Australia three years ago. Who's using it and what do we know about treatment side effects?
Vaccine reminders can help nudge people back on track, but how the message is framed matters.
A new review of screen use and sleep in young people finds no link between the amount of use and sleep quality or duration.
And a different way of looking at mental health outcomes - whether digital tools can help us forecast someone's future needs and provide better, more personalised care.
References:
Within-Person Association Between Daily Screen Use and Sleep in Youth
Acetaminophen (Paracetamol) or Opioid Analgesia Added to Ibuprofen for Children’s Musculoskeletal Injury
Effects of daily multivitamin–multimineral and cocoa extract supplementation on epigenetic aging clocks in the COSMOS randomized clinical trial
Side-effects of MDMA-assisted psychotherapy: a systematic review and meta-analysis
Experiences of Australian clinicians, researchers, and patients with MDMA-assisted psychotherapy for post-traumatic stress disorder: A framework-guided qualitative analysis
The AuTOMATIC trial: a multicentre digitally-automated, Bayesian, adaptive, parallel, factorial randomised controlled trial of SMS reminders for childhood vaccination
The necessity of digital measurement-based care for navigating complexity in youth mental health
Dynamic learning of individual-level suicidal ideation trajectories to enhance mental health care

Are Australian schoolkids eating too much salt? And does it put them at risk of high blood pressure?
A new approach to breast cancer screening based on risk could reduce the number of screens needed for some women.
There's been a lot of hype around brain training to protect against cognitive decline, but the results haven't always measured up. Now a new long-term study has promising results. 
Plus, navigating the diagnosis and treatment of endometriosis -- when can the condition be medically managed and when should you consider surgery?
References:
Impact of cognitive training on claims-based diagnosed dementia over 20 years: evidence from the ACTIVE study
Efficacy and safety of once-daily oral orforglipron compared with oral semaglutide in adults with type 2 diabetes (ACHIEVE-3)
Risk factors for the development of food allergy in infants and children
Sodium, potassium and blood pressure in Australian schoolchildren: exploring differences by sex and weight status — a cross-sectional study
Risk-Based vs Annual Breast Cancer Screening: The WISDOM Randomized Clinical Trial

We know many people are turning to generative AI for health advice, including tips on how to manage stress, anxiety and low mood. 
When is it safe to turn to a chatbot, and when do you need to see a real human being? And what if you can't afford it?
Also, a home review program that aims to get people off drugs they don't need to be on that might be negatively impacting their lives. 
And good news when it comes to Australia's goal to eliminate cervical cancer by 2035. 
References:
Uptake and performance of self-collection offered through primary care to all eligible participants in a national cervical screening programme in Australia: a retrospective cohort study
Extended follow-up of invasive cervical cancer risk after quadrivalent HPV vaccination: nationwide, register based study
Leisure-Time Physical Activity and Cancer Mortality Among Cancer Survivors
Informed use of AI technologies for mental health
AI and mental health in Australia: what needs to happen next - Black Dog Institute
Pharmacists call for medicine review program to be expanded - ABC News
The effect of deprescribing interventions on mortality and health outcomes in older people: An updated systematic review and meta-analysis

A paper has suggested exercise has minimal, short-term effects on osteoarthritis. But experts are warning people with the condition that they shouldn't stop moving. 
Also, school kids are being called on to help in the fight against superbugs. A new study shoots down low-dose aspirin for older people wanting to prevent cancer. 
And we take a look at another form of arthritis: gout. It's under-recognised and under-treated, but what can be done about it, and why is it such a complicated story?
References:
Menopausal hormone therapy and long term mortality: nationwide, register based cohort study
Sixth Australian report on antimicrobial use and resistance in human health (AURA report)
Education and Behaviour Change - The Fleming Initiative's Stance
Intermittent fasting for adults with overweight or obesity
Effectiveness of exercise therapy for osteoarthritis: an overview of systematic reviews and randomised controlled trials
Cancer Incidence and Mortality With Aspirin in Older Adults: Follow-Up of the ASPREE Trial
The effects of daily low-dose aspirin on white matter hyperintensity lesions and retinal vascular calibre in healthy older adults: the ENVIS-ion exploratory neuroimaging substudy of the ASPREE randomised clinical trial 
Treat-to-Target Urate-Lowering Treatment and Cardiovascular Outcomes in Patients With Gout
Arthritis Australia gout resources
Gout Medcast resources

Researchers have pin-pointed the best exercise routines for depression or anxiety symptoms, and they might be equal to medication and talk therapy.
Also, why states and territories are making changes to their maternity care guidance for doctors. 
An update on Alzheimer's disease off the back of important vaccine discoveries. Why the packaging of statins might need an upgrade.
And some clarity on beta blockers after a heart attack. Does everyone need to be taking them?
References:
Valacyclovir Treatment of Early Symptomatic Alzheimer Disease: The VALAD Randomized Clinical Trial
Assessment of adverse effects attributed to statin therapy in product labels: a meta-analysis of double-blind randomised controlled trials
Nutritional deficiencies and muscle loss in adults with type 2 diabetes using GLP-1 receptor agonists: A retrospective observational study
Effect of exercise on depression and anxiety symptoms: systematic umbrella review with meta-meta-analysis
Respectful Maternity and Newborn Care Framework
β blockers after myocardial infarction with mildly reduced ejection fraction: an individual patient data meta-analysis of randomised controlled trials
Beta-Blockers after Myocardial Infarction in Patients without Heart Failure
Beta-Blockers after Myocardial Infarction without Reduced Ejection Fraction