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Full-Text Articles in Medicine and Health Sciences

Gold 2023 Update: Implications For Clinical Practice, Diana R. Tamondong-Lachica, Neil Skolnik, John R. Hurst, Nathaniel Marchetti, Adrian Paul J. Rabe, Maria Montes De Oca, Bartolome R. Celli May 2023

Gold 2023 Update: Implications For Clinical Practice, Diana R. Tamondong-Lachica, Neil Skolnik, John R. Hurst, Nathaniel Marchetti, Adrian Paul J. Rabe, Maria Montes De Oca, Bartolome R. Celli

Abington Jefferson Health Papers

In 2022, over 3 million people died of chronic obstructive pulmonary disease (COPD) and the global burden of the disease is expected to increase over the coming decades. Recommendations for the treatment and management of patients with COPD are published by the Global Initiative for Chronic Obstructive Lung Disease, and updated annually with scientific evidence-based recommendations. The 2023 updates, published in November 2022, contain key changes to recommendations for diagnosis and treatment of COPD that are anticipated to have a significant impact on clinical practice for patients with COPD. Updates to how COPD is defined and diagnosed, including the expansion …


Disseminated Intravascular Coagulation (Dic), Kahl Knapke Jul 2021

Disseminated Intravascular Coagulation (Dic), Kahl Knapke

Nursing Student Class Projects (Formerly MSN)

Disseminated intravascular coagulation (DIC) is a rare medical emergency that can have profound and potentially life-threatening conditions. DIC has a hypercoagulability phase that simultaneously leads to a hypocoagulability phase due to depletion of clotting factors. DIC is secondary complication stemming from an underlying condition. Trauma, malignancy, severe infection, reaction to a transfusion, obstetric complications, etc. are a few conditions that are commonly linked to DIC. The primary method of treatment is early identification and resolving the underlying medical condition. The management of DIC requires nursing and medical staff with keen knowledge and understanding of precursor signs of DIC and the …


Disseminated Intravascular Coagulation, Kahl Knapke Jul 2021

Disseminated Intravascular Coagulation, Kahl Knapke

Nursing Student Class Projects (Formerly MSN)

Disseminated intravascular coagulation (DIC) is a rare medical emergency that can have profound and potentially life-threatening conditions. DIC has a hypercoagulability phase that simultaneously leads to a hypocoagulability phase due to depletion of clotting factors. DIC is a secondary complication stemming from an underlying condition. Trauma, malignancy, severe infection, reaction to a transfusion, obstetric complications, etc. are a few conditions that are commonly linked to DIC. The primary method of treatment is early identification and resolving the underlying medical condition. The management of DIC requires nursing and medical staff with keen knowledge and understanding of precursor signs of DIC and …


The Pathophysiology Of Acute Respiratory Distress Syndrome (Ards), Alyscia Defrancisco Jul 2020

The Pathophysiology Of Acute Respiratory Distress Syndrome (Ards), Alyscia Defrancisco

Nursing Student Class Projects (Formerly MSN)

Acute Respiratory Distress Syndrome (ARDS) is fatal when not recognized early, nursing care can have a positive impact on patient outcomes. ARDS is a disease of the lung caused by an acute lung injury. ARDS accounts for 10-15% of ICU admission and is underrecognized. Key nursing consideration are essential to help identify and treat ARDS.


Gestational Infections And Obesity: Implications For Intellectual Disability Risk, Maggie S. J. Mccarter Feb 2020

Gestational Infections And Obesity: Implications For Intellectual Disability Risk, Maggie S. J. Mccarter

Theses and Dissertations

Maternal body weight, measured as Body Mass Index (BMI) and infection during pregnancy are established risk factors of multiple adverse birth outcomes that are also associated with intellectual disability (ID) in children, but little is known of the interaction of these two factors. This retrospective cohort study sought to explore whether BMI is an effect modifier in the association between maternal infection during pregnancy and ID of the child, and to make comparisons between categories of gestational infection. The study sample (n= 124,047 after exclusion) was derived from Medicaid administrative data. After preliminary analysis of interaction, stratified logistic regression analysis …


Multiple Myeloma, Anne Doup Jul 2018

Multiple Myeloma, Anne Doup

Nursing Student Class Projects (Formerly MSN)

No abstract provided.


Caps: Implications For Collaboration Between Teachers And Speech-Language Therapists Working In Schools, Anna-Marie Wium, Brenda Louw Apr 2018

Caps: Implications For Collaboration Between Teachers And Speech-Language Therapists Working In Schools, Anna-Marie Wium, Brenda Louw

Brenda Louw

This critical review addresses the implications of the Curriculum and Assessment Plan Statement (CAPS) for collaboration between teachers and speech-language therapists (SLTs) in schools. A historical perspective on changes in the roles and responsibilities of SLTs is provided, reflecting a shift from supporting the child to supporting the teacher. Based on the role of SLTs and audiologists in schools, an innovative approach to the support of teachers is conceptualized. The curriculum content and methods support learners who experience challenges and barriers to learning in main stream classrooms. The implementation of the curriculum necessitates close collaboration between teachers and SLTs in …


Nigerian Hospital-Based Interprofessional Collaborative Patterns And Organizational Implications, Osaeloka Christiandolus Ekwueme Jan 2018

Nigerian Hospital-Based Interprofessional Collaborative Patterns And Organizational Implications, Osaeloka Christiandolus Ekwueme

Walden Dissertations and Doctoral Studies

Interprofessional collaboration is recognized as the innovative, evidence-based strategy that strengthens health systems and improves performance and health outcomes. While resource-rich countries have benefited much from the implementation of this initiative, literature is scarce regarding sub-Sahara Africa. This quantitative cross-sectional descriptive study described the extent of interprofessional collaborative practice at the tertiary care level in Nigeria and its implications on patient health outcomes, professionals' performance, satisfaction, and healthy practice environment. The relational coordination theory (RCT) provided the conceptual framework for the study. Key research questions were on the association between the extents of interprofessional practice and each of the outcome …


Malignant Hyperthermia, Garrett Erickson Jul 2017

Malignant Hyperthermia, Garrett Erickson

Nursing Student Class Projects (Formerly MSN)

Malignant hyperthermia is known as a pharmacogenetic disorder which manifests itself in the skeletal muscle (Heytens, Forget, Scholtès, & Veyckemans, 2015). When a susceptible patient, who carries the autosomal dominant trait, is exposed to volatile anesthetics and/or the neuromuscular blocker succinylcholine, a detrimental response can occur. This response is a hypermetabolic state with hypercapnia, hemodynamic instability, rigidity, hyperthermia, and signs of rhabdomyolysis (Heytens et al., 2015). MH is a rare condition with incidences between 1/5,000 and 1/50,000 (Nagelhout and Plaus, 2014, p. 829), and often occurs during the induction of anesthesia but can also occur intraoperatively or one hour post …


A Small Cohort Omega-3 Pufa Supplement Study: Implications Of Stratifying According To Lipid Membrane Incorporation In Cardiac Surgical Patients, Wendy T. K Ip, Chanchal Chandramouli, Julian A. Smith, Peter L. Mclennan, Salvatore Pepe, Lea M. D Delbridge Jan 2017

A Small Cohort Omega-3 Pufa Supplement Study: Implications Of Stratifying According To Lipid Membrane Incorporation In Cardiac Surgical Patients, Wendy T. K Ip, Chanchal Chandramouli, Julian A. Smith, Peter L. Mclennan, Salvatore Pepe, Lea M. D Delbridge

Faculty of Science, Medicine and Health - Papers: part A

Background: Epidemiological studies and randomised clinical trials (RCTs) report disparate findings in relation to omega-3 polyunsaturated fatty acids (n-3 PUFA) benefit for cardiac patients. With RCTs interpretation is potentially confounded by background n-3 PUFA intake. The goal of this pilot, small cohort, pre-surgical supplementation study was to evaluate post-operative atrial fibrillation (AF) and cardiac molecular expression profiles employing two data analysis approaches - by treatment randomisation and by stratification using measured n-3 PUFA. Methods: Patients (n=20) received 3g/day of fish or placebo oil (FO vs PO) in a double blind randomised protocol prior to elective coronary artery graft and valve …


Environmental Relationships And Predator-Prey Interactions Within The Snapper-Grouper Complex In The Southeastern U.S. Atlantic – Implications For Fisheries Management, Dawn M. Glasgow Jan 2017

Environmental Relationships And Predator-Prey Interactions Within The Snapper-Grouper Complex In The Southeastern U.S. Atlantic – Implications For Fisheries Management, Dawn M. Glasgow

Theses and Dissertations

Stock assessments indicate many valuable fish species are declining, or are considered overfished and/or are undergoing overfishing. Fisheries scientists and managers in the southeastern U.S. typically have utilized a single-species approach, and relied on catch per unit effort data derived from fishery-independent surveys to determine indices of abundance for economically important reef fish. However, catchability for these surveys vary for many reasons including environmental and predator-prey relationships. This research was developed to elucidate environmental influences on reef fish assemblages and distribution of reef-associated marine predators, and examine predator-prey dynamics that may influence relative abundance of large predators based on chevron …


Surgical Plume And Its Implications: A Review Of The Risk And Barriers To A Safe Work Place, E. Tan, K. Russell Jan 2017

Surgical Plume And Its Implications: A Review Of The Risk And Barriers To A Safe Work Place, E. Tan, K. Russell

Nursing Papers and Journal Articles

Every year thousands of health care professionals worldwide are exposed to surgical smoke. There is evidence that this smoke consists of toxic gases, pathogens and particulate matter that is a hazard for patients and the perioperative team. Past research indicates that perioperative staff inconsistently comply with smoke evacuation recommendations. The aim of this study was to identify, review and discuss the issues related to surgical plume and its implications for patients and perioperative staff. The findings of this review relate to: surgical smoke content, its risks to the health of the perioperative staff, preventative measures, infection control measures, compliance with …


Lupus Nephritis: A Synopsis Of Pathophysiology And Implications For Advanced Nursing Practice, Nicole G. Warren Jan 2016

Lupus Nephritis: A Synopsis Of Pathophysiology And Implications For Advanced Nursing Practice, Nicole G. Warren

Nursing Student Class Projects (Formerly MSN)

Systemic Lupus Erythematosus (SLE) can be described as a chronic, complex, autoimmune disorder (McCance & Huether, 2014). Disproportionately affecting women, and those of Afro-Cuban, Hispanic, Asian, and American Indian descent, SLE has a prevalence of 2.0 to 7.6 cases per 100,000 persons in the United States. Characterized by chaotic autoantibody production, complement alterations, and formation of immune complexes, SLE has the potential to generate devastating damage to multiple organ systems. Formed from the binding of autoantibodies and self-antigens, immune complexes often result in renal damage, a significant complication of the disease. Through careful analysis and synopsis of literature, the writer …


Identifying Metabolic Syndrome In A Clinical Cohort: Implications For Prevention Of Chronic Disease, Allison Martin, Elizabeth Neale, Marijka Batterham, Linda C. Tapsell Jan 2016

Identifying Metabolic Syndrome In A Clinical Cohort: Implications For Prevention Of Chronic Disease, Allison Martin, Elizabeth Neale, Marijka Batterham, Linda C. Tapsell

Faculty of Science, Medicine and Health - Papers: part A

In the clinical setting, calculating cardiovascular disease (CVD) risk is commonplace but the utility of the harmonised equation for metabolic syndrome (MetS) (Alberti et al., 2009) is less well established. The aims of this study were to apply this equation to an overweight clinical cohort to identify risk factors for being metabolically unhealthy and explore associations with chronic disease. Baseline data were analysed from a lifestyle intervention trial of Illawarra residents recruited in 2014/2015. Participants were aged 25–54 years with a BMI 25–40 kg/m2. Data included MetS, CVD risk, insulin sensitivity, weight, body fat, diet, peripheral artery disease (PAD), physical …


Aligning And Synchronization Of Mis5 Proxy Records From Lake Ohrid (Fyrom) With Independently Dated Mediterranean Archives: Implications For Deep Core Chronology, Giovanni Zanchetta, Eleonora Regattieri, Biagio Giaccio, Bernd Wagner, Roberto Sulpizio, Alexander Francke, Hendrik Vogel, Laura Sadori, Alessia Masi, Gaia Sinopoli Jan 2016

Aligning And Synchronization Of Mis5 Proxy Records From Lake Ohrid (Fyrom) With Independently Dated Mediterranean Archives: Implications For Deep Core Chronology, Giovanni Zanchetta, Eleonora Regattieri, Biagio Giaccio, Bernd Wagner, Roberto Sulpizio, Alexander Francke, Hendrik Vogel, Laura Sadori, Alessia Masi, Gaia Sinopoli

Faculty of Science, Medicine and Health - Papers: part A

The DEEP site sediment sequence obtained during the ICDP SCOPSCO project at Lake Ohrid was dated using tephrostratigraphic information, cyclostratigraphy, and orbital tuning through the marine isotope stages (MIS) 15-1. Although this approach is suitable for the generation of a general chronological framework of the long succession, it is insufficient to resolve more detailed palaeoclimatological questions, such as leads and lags of climate events between marine and terrestrial records or between different regions. Here, we demonstrate how the use of different tie points can affect cyclostratigraphy and orbital tuning for the period between ca. 140 and 70 ka and how …


Comparative Mt Genomics Of The Tipuloidea (Diptera: Nematocera: Tipulomorpha) And Its Implications For The Phylogeny Of The Tipulomorpha, Xiao Zhang, Zehui Kang, Meng Mao, Xuankun Li, Stephen L. Cameron, Herman De Jong, Mengqing Wang, Ding Yang Jan 2016

Comparative Mt Genomics Of The Tipuloidea (Diptera: Nematocera: Tipulomorpha) And Its Implications For The Phylogeny Of The Tipulomorpha, Xiao Zhang, Zehui Kang, Meng Mao, Xuankun Li, Stephen L. Cameron, Herman De Jong, Mengqing Wang, Ding Yang

Faculty of Science, Medicine and Health - Papers: part A

A traditionally controversial taxon, the Tipulomorpha has been frequently discussed with respect to both its familial composition and relationships with other Nematocera. The interpretation of internal relationships within the Tipuloidea, which include the Tipulidae sensu stricto, Cylindrotomidae, Pediciidae and Limoniidae, is also problematic. We sequenced the first complete mitochondrial (mt) genome of Symplecta hybrida (Meigen, 1804), which belongs to the subfamily Chioneinae of family Limoniidae, and another five nearly complete mt genomes from the Tipuloidea. We did a comparative analysis of these mt genomics and used them, along with some other representatives of the Nematocera to construct phylogenetic trees. Trees …


Scholarship Reconsidered: Implications For Reward And Recognition Of Academic Staff In Schools Of Nursing And Beyond, Kylie Smith, Patrick Crookes, Fabienne Else, Ellie Crookes Oct 2015

Scholarship Reconsidered: Implications For Reward And Recognition Of Academic Staff In Schools Of Nursing And Beyond, Kylie Smith, Patrick Crookes, Fabienne Else, Ellie Crookes

Ellie Crookes

Aims This paper discusses the issues facing the nursing academic workforce and the development of a project at the University of Wollongong in Australia which attempts to address this problem. Background The project draws on Boyers work around scholarship reconsidered to enable new ways of thinking about the nature of research and how the work of a diversifying workforce can be recognized and rewarded within institutions. Methods We conducted a series of interviews with senior university staff to identify key issues around academic promotion processes. Feedback from these interviews, along with extensive internal and external consultation and benchmarking, will be …


Parallel Processes In Clinical Supervision: Implications For Coaching Menthal Health Practitioners, Trevor P. Crowe, Lindsay G. Oades, Frank P. Deane, Joseph Ciarrochi, Virginia C. Willliams Jul 2015

Parallel Processes In Clinical Supervision: Implications For Coaching Menthal Health Practitioners, Trevor P. Crowe, Lindsay G. Oades, Frank P. Deane, Joseph Ciarrochi, Virginia C. Willliams

joseph Ciarrochi

No abstract provided.


Caps: Implications For Collaboration Between Teachers And Speech-Language Therapists Working In Schools, Anna-Marie Wium, Brenda Louw Jan 2015

Caps: Implications For Collaboration Between Teachers And Speech-Language Therapists Working In Schools, Anna-Marie Wium, Brenda Louw

ETSU Faculty Works

This critical review addresses the implications of the Curriculum and Assessment Plan Statement (CAPS) for collaboration between teachers and speech-language therapists (SLTs) in schools. A historical perspective on changes in the roles and responsibilities of SLTs is provided, reflecting a shift from supporting the child to supporting the teacher. Based on the role of SLTs and audiologists in schools, an innovative approach to the support of teachers is conceptualized. The curriculum content and methods support learners who experience challenges and barriers to learning in main stream classrooms. The implementation of the curriculum necessitates close collaboration between teachers and SLTs in …


Trace Elements And Metal Pollution In Aerosols At An Alpine Site, New Zealand: Sources, Concentrations And Implications, Samuel K. Marx, Karen S. Lavin, Kimberly J. Hageman, Balz S. Kamber, Tadhg O'Loingsigh, Grant H. Mctainsh Aug 2014

Trace Elements And Metal Pollution In Aerosols At An Alpine Site, New Zealand: Sources, Concentrations And Implications, Samuel K. Marx, Karen S. Lavin, Kimberly J. Hageman, Balz S. Kamber, Tadhg O'Loingsigh, Grant H. Mctainsh

Samuel K Marx

Atmospheric aerosol samples were collected at a remote site in New Zealand's Southern Alps. Collected samples were found to be a mixture of New Zealand and Australian sourced sediment, using their trace element signatures. Aerosol concentrations and the relative contribution of different sources was found to be a function of specific air-mass trajectories influencing the study site, dust entrainment rates in source areas and rainfall. Results show that Australian dust is a major source of particulate matter in New Zealand, particularly in remote alpine locations; however, locally derived dust is also important. Metal pollutants, including Pb, Cu and Sn, were …


Practice-Based Learning: Opportunities And Implications For Stem Education, Glen P. Mays May 2014

Practice-Based Learning: Opportunities And Implications For Stem Education, Glen P. Mays

Health Management and Policy Presentations

This presentation examines how practice-based research strategies have been used to produce new knowledge and stimulate learning about how to improve the organization, financing, and delivery of public health services. I consider how practice-based research strategies can be adapted to advance knowledge and practice related to science, technology, engineering and mathematics (STEM) education and application.


Health Reform Implementation: Update And Implications For Kentucky, Glen P. Mays Apr 2014

Health Reform Implementation: Update And Implications For Kentucky, Glen P. Mays

Health Management and Policy Presentations

This talk reviews the progress of health reform implementation in Kentucky with a focus on opportunities for aligning systems for medical care, public health, and social support delivery to improve population health.


Reappraisal Of Uranium-Series Isotope Data In Kamchatka Lavas: Implications For Continental Arc Magma Genesis, Anthony Dosseto, Simon Turner Jan 2014

Reappraisal Of Uranium-Series Isotope Data In Kamchatka Lavas: Implications For Continental Arc Magma Genesis, Anthony Dosseto, Simon Turner

Faculty of Science, Medicine and Health - Papers: part A

Uranium-series isotopes can be used to determine constraints on the timescale of slab dehydration and melt production at subduction zones. However, interpretations of U–Th–Ra data suggest very different timescales of slab dehydration. Here, we present new U–Th–Ra data from Kamchatka along with a number of alternative models for production of radioactive disequilibrium. Variations in (226Ra/230Th) and (231Pa/235U) activity ratios are best explained by crystal fractionation with host rock assimilation for a duration of less than c. 6000 years. The association of the largest 226Ra excesses with high Sr/Th in the most primitive lavas suggests that Ra–Th fractionation is controlled by …


Cross Sectional Survey Of Human-Bat Interaction In Australia: Public Health Implications, Beverley J. Paterson, Michelle T. Butler, Keith Eastwood, Patrick M. Cashman, Alison Jones, David N. Durrheim Jan 2014

Cross Sectional Survey Of Human-Bat Interaction In Australia: Public Health Implications, Beverley J. Paterson, Michelle T. Butler, Keith Eastwood, Patrick M. Cashman, Alison Jones, David N. Durrheim

Faculty of Science, Medicine and Health - Papers: part A

Background Flying foxes (megachiroptera) and insectivorous microbats (microchiroptera) are the known reservoirs for a range of recently emerged, highly pathogenic viruses. In Australia there is public health concern relating to bats' role as reservoirs of Australian Bat Lyssavirus (ABLV), which has clinical features identical to classical rabies. Three deaths from ABLV have occurred in Australia. A survey was conducted to determine the frequency of bat exposures amongst adults in Australia's most populous state, New South Wales; explore reasons for handling bats; examine reported practices upon encountering injured or trapped bats or experiencing bat bites or scratches; and investigate knowledge of …


Trace Elements And Metal Pollution In Aerosols At An Alpine Site, New Zealand: Sources, Concentrations And Implications, Samuel K. Marx, Karen S. Lavin, Kimberly J. Hageman, Balz S. Kamber, Tadhg O'Loingsigh, Grant H. Mctainsh Jan 2014

Trace Elements And Metal Pollution In Aerosols At An Alpine Site, New Zealand: Sources, Concentrations And Implications, Samuel K. Marx, Karen S. Lavin, Kimberly J. Hageman, Balz S. Kamber, Tadhg O'Loingsigh, Grant H. Mctainsh

Faculty of Science, Medicine and Health - Papers: part A

Atmospheric aerosol samples were collected at a remote site in New Zealand's Southern Alps. Collected samples were found to be a mixture of New Zealand and Australian sourced sediment, using their trace element signatures. Aerosol concentrations and the relative contribution of different sources was found to be a function of specific air-mass trajectories influencing the study site, dust entrainment rates in source areas and rainfall. Results show that Australian dust is a major source of particulate matter in New Zealand, particularly in remote alpine locations; however, locally derived dust is also important. Metal pollutants, including Pb, Cu and Sn, were …


Novel Implications Of Lingo-1 And Its Signaling Partners In Schizophrenia, F Fernandez-Enright, J L. Andrews, K A. Newell, C Pantelis, Xu-Feng Huang Jan 2014

Novel Implications Of Lingo-1 And Its Signaling Partners In Schizophrenia, F Fernandez-Enright, J L. Andrews, K A. Newell, C Pantelis, Xu-Feng Huang

Illawarra Health and Medical Research Institute

Myelination and neurite outgrowth both occur during brain development, and their disturbance has been previously been implicated in the pathophysiology of schizophrenia. Leucine-rich repeat and immunoglobulin domain-containing protein (Lingo-1) is a potent negative regulator of axonal myelination and neurite extension. As co-factors of Lingo-1 signaling (Nogo receptor (NgR), With No Lysine (K) (WNK1) and Myelin transcription factor 1 (Myt1)) have been implicated in the genetics of schizophrenia, we explored for the first time the role of Lingo-1 signaling pathways in this disorder. Lingo-1 protein, together with its co-receptor and co-factor proteins NgR, tumor necrosis factor (TNF) receptor orphan Y (TROY), …


Casualisation Of The Teaching Workforce: Implications For Nursing Education, Elizabeth J. Halcomb, Sharon Andrew, Kath Peters, Yenna Salamonson, Debra Jackson Jul 2013

Casualisation Of The Teaching Workforce: Implications For Nursing Education, Elizabeth J. Halcomb, Sharon Andrew, Kath Peters, Yenna Salamonson, Debra Jackson

Elizabeth Jane Halcomb Professor

Internationally, nursing faculty shortages have been reported and there is a potential for them to worsen into the next decade as existing faculty age. To, in part, address this issue, across disciplines there is clearly an international trend towards the increasing casualisation of the higher education workforce. Despite the potential impact of this two-tiered workforce structure, there has been limited examination of the discipline specific issues related to the employment of a growing number of sessional nursing staff. This paper provides a critical review of the literature related to the employment of sessional teachers in higher education. The paper advances …


Bra-Breast Forces Generated In Women With Large Breasts While Standing And During Treadmill Running: Implications For Sports Bra Design, Deirdre Mcghee, Julie Steele, William Zealey, George Takacs Jul 2013

Bra-Breast Forces Generated In Women With Large Breasts While Standing And During Treadmill Running: Implications For Sports Bra Design, Deirdre Mcghee, Julie Steele, William Zealey, George Takacs

George Takacs

This study aimed to determine the bra–breast forces generated in women with large breasts while these women wore different levels of breast support during both upright standing and treadmill running. The mean bilateral vertical component of the bra–breast force in standing was 11.7 ± 4.6 N, whereas during treadmill running the mean unilateral bra–breast force was 8.7 ± 6.4 N and 14.7 ± 10.3 N in the high and low support conditions, respectively. Furthermore, breast mass was significantly correlated with vertical breast displacement (R2 = 0.62) in the high support condition. The wide range of breast masses of women with …


The Older Patient, The Doctor And The Trainee: Patients' Attitudes And Implications For Models Of Care, Andrew Bonney, Sandra Jones, Donald Iverson Jun 2013

The Older Patient, The Doctor And The Trainee: Patients' Attitudes And Implications For Models Of Care, Andrew Bonney, Sandra Jones, Donald Iverson

Sandra Jones

Aims & rationale/Objectives Population ageing poses major challenges for health systems. Additionally, training future general practitioners in the management of older and chronically ill patients is potentially hampered by the reluctance of these patients to consult trainees for chronic care. This paper reports a cross-sectional study investigating the attitudes of older patients to trainees, to inform strategies to improve older patient-trainee interaction. Methods The survey instrument was distributed to 1900 patients aged 60 and over from 38 training practices from five Australian states using a stratified, randomised cluster sampling process. Generalised estimating equation models were used for analysis. Principal findings …


Dietary Consequences Of Recommending Reduced-Fat Dairy Products In The Weight-Loss Context: A Secondary Analysis With Practical Implications For Registered Dietitians, Deborah Nolan-Clark, Elizabeth Mathers, Yasmine Probst, Karen Charlton, Marijka Batterham, Linda Tapsell Apr 2013

Dietary Consequences Of Recommending Reduced-Fat Dairy Products In The Weight-Loss Context: A Secondary Analysis With Practical Implications For Registered Dietitians, Deborah Nolan-Clark, Elizabeth Mathers, Yasmine Probst, Karen Charlton, Marijka Batterham, Linda Tapsell

Karen E. Charlton

Replacing full-fat dairy products with reduced-fat varieties is a dietetic strategy for reducing energy intake while maintaining nutritional adequacy. This study aimed to explore the dietary outcomes of this recommendation in the context of weight loss. This study involved a secondary analysis of diet-history data for 86 adults (23 males and 63 females; body mass index=31.1±3.4) who had completed 3 months of a weight-loss trial in 2009, including advice to consume reduced-fat dairy products. Dairy food intake was categorized using the Australian 1995 National Nutrition Survey food hierarchy. Paired t tests and Wilcoxon signed rank tests determined dairy product consumption …