Medicine and Health Sciences Commons^™

The Change Program: Comparing An Interactive Versus Standardized Obesity Intervention On Students' Self-Esteem, Functional Health Status And Self-Efficacy For Performing Physical Activity And Nutrition Behaviours, Erin Pearson, Jennifer Irwin, Don Morrow

Donald Morrow

No abstract provided.

Health Care Practitioners’ Perceptions Of Motivational Interviewing Training For Facilitating Behavior Change Among Patients, Erin Wiley, Jennifer Irwin, Don Morrow

Donald Morrow

No abstract provided.

Commentary By Williams, Kristine Williams

Kristine N. Williams

No abstract provided.

Enhancing Communication With Older Adults: Overcoming Elderspeak, Kristine Williams, S Kemper, M Hummert

Kristine N. Williams

No abstract provided.

Elderspeak: Impact On Geriatric Care, Kristine Williams

Kristine N. Williams

No abstract provided.

A Book Review Of De Bot And Makoni, Language And Aging In Multilingual Contexts, Kristine Williams

Kristine N. Williams

No abstract provided.

Gerontological Nursing, Kristine Williams

Kristine N. Williams

No abstract provided.

Reasoning Exercises In Assisted Living (Real) Pilot Study, Kristine Williams

Kristine N. Williams

No abstract provided.

A Case Study Of Resistiveness To Care And Elderspeak, Jacqueline Cunningham, Kristine Williams

Kristine N. Williams

Resistiveness to care (RTC) by persons with dementia significantly adds to subjective and objective burden for caregivers and may be triggered by environmental factors, including communication. This case study evaluated behavioral responses of a nursing home resident with dementia to nursing staff use of elderspeak communication (infantilizing speech). Four videotaped staff-resident interactions that were previously recorded were coded for staff elderspeak communication and resident RTC. Total elderspeak scores (M = 29.5, SD = 25.74) and RTC scores (M = 8.75, SD = 13.79) were correlated r = 0.93, p = .03. This preliminary single-subject observational study suggests a …

Exploring Interventions To Reduce Cognitive Decline In Aging, Kristine Williams

Kristine N. Williams

No abstract provided.

Elderspeak In Institutional Care Of Older Adults, Kristine Williams

Kristine N. Williams

No abstract provided.

Measuring The Person-Centeredness Of Caregivers Working With Nursing Home Residents With Dementia, Kristine Williams

Kristine N. Williams

No abstract provided.

Calming Music And Hand Massage With Agitated Elderly, Ruth Remington

Ruth Remington

Agitated behavior is a widespread problem that adversely affects the health of nursing home residents and increases the cost of their care. Agitated nursing home residents are more likely to be physically or chemically restrained, to fall and to have a lower quality of life. Current strategies to reduce agitated behavior tend to be costly. ^ This dissertation research examined a relatively inexpensive intervention to reduce the agitated behavior of cognitively impaired nursing home residents. The specific aim was to compare the effect of calming music or hand massage or a combination of calming music and hand massage on the …

Persistence Of Episomal Hiv-1 Infection Intermediates In Patients On Highly Active Anti-Retroviral Therapy, Mark Sharkey, Ian Teo, Thomas Greenough, Natalia Sharova, Katherine Luzuriaga, John Sullivan, R. Bucy, Leondios Kostrikis, Ashley Haase, Claire Veryard, Raul Davaro, Sarah Cheeseman, Jennifer Daly, Carol Bova, Richard Ellison, Brian Mady, Kwan Lai, Graeme Moyle, Mark Nelson, Brian Gazzard, Sunil Shaunak, Mario Stevenson

Associate Professor Mark Nelson

Treatment of HIV-1-infected individuals with a combination of anti-retroviral agents results in sustained suppression of HIV-1 replication, as evidenced by a reduction in plasma viral RNA to levels below the limit of detection of available assays. However, even in patients whose plasma viral RNA levels have been suppressed to below detectable levels for up to 30 months, replication-competent virus can routinely be recovered from patient peripheral blood mononuclear cells and from semen. A reservoir of latently infected cells established early in infection may be involved in the maintenance of viral persistence despite highly active anti-retroviral therapy. However, whether virus replication …

Trajectories Of Depression And Their Relationship With Health Status And Social Service Use., Hern Chiu, Chu Chen, Judy Mullan, David Atherton Griffiths, I. Kreis

Professor David Griffiths

This longitudinal study was conducted between 1994 and 2004 in a cohort of Southern Taiwan community-living elderly residents. The study aims to explore the trajectories of depression and how these patterns differed between respondents who survived and those who died during data collection phases; this study also investigated how health status change and health/social service use predicted the different trajectories of depression. Eight hundred and ten participants had completed all six waves of the survey or were followed-up at each wave until death in the prospective study in Kaohsiung City. Depressive symptoms were evaluated by the Short Psychiatric Evaluation Schedule …

Change Trajectories Of Chronic Disease, Disability And Depression Of A Chinese Elderly Population: Autoregressive Growth Curve Modelling, Herng-Chia Chiu, Chun-Min Chen, Judy Mullan, David Griffiths, Tzuo-Yun Lan, Irene Kreis, Min-Shyan Huang

Professor David Griffiths

No abstract provided.

Geant4 Physics Processes For Microdosimetry Simulation: Design Foundation And Implementation Of The First Set Of Models, S. Chauvie, Z. Francis, S. Guatelli, S. Incerti, B. Mascialino, P. Moretto, P. Nieminen, Maria Pia

Susanna Guatelli

New physical processes specific for microdosimetry simulation are under development in the Geant4 Low Energy Electromagnetic package. The first set of models implemented for this purpose cover the interactions of electrons, protons and light ions in liquid water; they address a physics domain relevant to the simulation of radiation effects in biological systems, where water represents an important component. The design developed for effectively handling particle interactions down to a low energy scale and the physics models implemented in the first public release of the software are described.

Educating Capable Doctors - A Portfolio Approach. Linking Learning And Assessment, Elizabeth Farmer, Joachim Sturmberg

Elizabeth Farmer

Background: Teachers want students to focus on their learning to become capable doctors; yet, students primarily want to focus on passing their exams. How much of this paradox is explained by learning and assessment being seen as two different entities rather than as the continuum of one and the same process? How may the two areas be more closely and effectively linked? Aim: This article describes and illustrates a conceptual framework for an approach termed capability-based portfolio assessment. Results and conclusions: Thinking about capability, i.e. the ability to perform in the real world, is needed for a contemporary curriculum and …

Medical Students On Long-Term Placements: A Financial Help Or Hindrance To Preceptors?, Judith Hudson, Kathryn Weston, Elizabeth Farmer

Elizabeth Farmer

Background: Medical student education is perceived as negatively impacting on clinical productivity and income. The current research aimed to test Worley and Kitto’s hypothetical model (2001) , which suggests for community-based longitudinal placements there is a ‘turning point’ after which time the student is beneficial to the practice. Our study triangulated quantitative income and expenditure data with preceptor perspectives derived from qualitative data. Summary of work: Preceptors provided gross practice income/expenditure. Preceptor interview data preand post- the year-long placement was analysed by two researchers who concurred on emergent themes. Summary of results: The percentage change on previous-year-average-daily-practice-income lent some support …

Able - Assessment Based Learning, Elizabeth Farmer, D O'Halloran, Joachim Sturmberg

Elizabeth Farmer

No abstract provided.

Why Do Rural Gps Engage In Longitudinal Integrated Community-Based Clerkships At A Time Of Workforce Shortage?, Elizabeth Farmer, Judith Hudson, Kathryn Weston

Elizabeth Farmer

Background: In keeping with its mission to produce doctors for rural and regional Australia, the University of Wollongong Graduate School of Medicine has established an innovative model of clinical education. This involves a 12-month integrated community-based clerkship where students live, learn and work in a regional or rural community. Summary of work: Before the first student cohort started their clerkship, we interviewed 28 general practitioners to determine why they engaged as clerkship supervisors at a time of workforce shortage. Independent researchers conducted semi-structured interviews. Responses were transcribed for thematic analysis. Summary of results: The new model motivated supervisors to engage …

A Model Of Clinical Problem-Based Learning For Clinical Attachments In Medicine, Elizabeth Farmer, P Mccrorie, Sandra Holmes, Derek Macallan, Andrew Kent

Elizabeth Farmer

CONTEXT Problem-based learning (PBL) has been widely adopted in medical curricula for early-years training, but its use during clinical attachments has not been extensively explored.OBJECTIVES This study aimed to develop and evaluate a new model, 'clinical problem-based learning' (CPBL), to promote learning skills, attitudes and knowledge during clinical attachments.METHODS The CPBL model takes the principles of PBL and applies them to learning during clinical attachments. Real patient encounters are guided by a list of broadly defined case types to ensure curriculum coverage. By discussing history taking and examination in the context of differential diagnosis and problem listing, students generate learning …

Assessing General Practice Knowledge Base: The Applied Clinical Knowledge Test , Elizabeth Farmer, Joachim Sturmberg

Elizabeth Farmer

No abstract provided.

Is Amyloid Making Your Milk Go Sour?, David Thorn, Heath Ecroyd, Teresa Treweek, John Carver

Heath Ecroyd

No abstract provided.

Video-Recorded Usability Testing Of A Web-Based Self-Administered Dietary Assessment, Yasmine Probst, David Steel, Linda Tapsell

Professor David Steel

No abstract provided.

Premature Infant Oral Motor Intervention (Piomi): Translating Interventional Research Into Interdisciplinary Practice, Brenda Lessen

Brenda S. Lessen

Translating interventional research into practice requires a multifaceted approach. Rogers’ (2003) diffusion of innovations (DOL) model provides a framework within which to implement a new intervention into practice. The model asserts that the adoption of an innovation is influenced by the nature of the innovation and the manner in which it is communicated to users in a social system. The Premature Infant Oral Motor Intervention (PIOMI) was developed by a nurse researcher with expertise in neonatal science, in collaboration with an expert in oral motor therapy. The safety and efficacy of the new intervention was tested (Lessen, 2011), followed by …

Reliability Of The Premature Infant Oral Motor Intervention (Piomi), Brenda Lessen, Clare Morello

Brenda S. Lessen

Problem/Literature Review: Recent multidisciplinary research continues to examine various types of oral motor therapy in preterm infants but none have formally tested the reliability of specific oral motor interventions. The premature infant oral motor intervention (PIOMI) is a five minute, pre-feeding intervention developed to improve feeding skills. As further research is planned, the reliability of the intervention needed to be tested. The purpose of this study was to determine the interobserver, interuser, and test-retest reliability of the PIOMI, as well as determining if the specific training program developed was sufficient enough to reach high reliabilities.

Methodology: The study was conducted …

The Effectiveness Of Social Resource Intervention To Promote Adherence To Hiv Medication In A Multidisciplinary Care Setting In Kenya., Thomas Kamau, Valerie Olsom, Genevieve Zipp, Maryann Clark

Thomas Matenjwa Kamau, Ph.D. MBA, MPA

dherence to HIV medication has a dramatic impact on morbidity, mortality and health in people living with HIV. Recent studies have demonstrated good adherence to HIV medication among people in sub-Saharan Africa, but few have investigated factors influencing adherence. The goal of this study was to evaluate the effectiveness of social intervention strategies to enhance adherence to HIV medication. A cross-sectional design study was used to obtain data through self-administered questionnaires from 354 individuals who were prescribed HIV medication at nine satellite centres under the auspice of the Nazareth Hospital in Kenya. Binomial logistics were used to test the relationships …

Establishing A Low-Fidelity Simulated Hospital Setting: Upgrading Nursing Skills Lab (Poster), Margaret Fink

Margaret Fink

Establishing A Low-Fidelity Simulated Hospital Setting: Upgrading Nursing Skills Lab (Poster), Margaret Fink

Margaret Fink