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Full-Text Articles in Social and Behavioral Sciences
The Older Patient, The Doctor And The Trainee: Patients' Attitudes And Implications For Models Of Care, Andrew Bonney, Sandra Jones, Donald Iverson
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 …
Poor Nutritional Status Of Older Subacute Patients Predicts Clinical Outcomes And Mortality At 18 Months Of Follow-Up, K Charlton, C Nichols, S Bowden, Marianna Milosavljevic, K Lambert, L Barone, M Mason, M Batterham
Poor Nutritional Status Of Older Subacute Patients Predicts Clinical Outcomes And Mortality At 18 Months Of Follow-Up, K Charlton, C Nichols, S Bowden, Marianna Milosavljevic, K Lambert, L Barone, M Mason, M Batterham
Karen E. Charlton
Background/Objectives: Older malnourished patients experience increased surgical complications and greater morbidity compared with their well-nourished counterparts. This study aimed to assess whether nutritional status at hospital admission predicted clinical outcomes at 18 months follow-up. Subjects/Methods: A retrospective analysis of N=2076 patient admissions (65+ years) from two subacute hospitals, New South Wales, Australia. Analysis of outcomes at 18 months, according to nutritional status at index admission, was performed in a subsample of n=476. Nutritional status was determined within 72 h of admission using the Mini Nutritional Assessment (MNA). Outcomes, obtained from electronic patient records, included hospital readmission rate, total Length of …
G-Protein-Coupled Receptor Kinase 4 Polymorphisms Predict Blood Pressure Response To Dietary Modification In Black Patients With Mild-To-Moderate Hypertension, B Rayner, R Ramesar, K Steyn, N Levitt, C Lombard, K Charlton
G-Protein-Coupled Receptor Kinase 4 Polymorphisms Predict Blood Pressure Response To Dietary Modification In Black Patients With Mild-To-Moderate Hypertension, B Rayner, R Ramesar, K Steyn, N Levitt, C Lombard, K Charlton
Karen E. Charlton
No abstract provided.
Older Rehabilitation Patients Are At High Risk Of Malnutrition: Evidence From A Large Australian Database, Karen Charlton, Clare Nichols, Steven Bowden, Kelly Lambert, Lilliana Barone, Michelle Mason, Marianna Milosavljevic
Older Rehabilitation Patients Are At High Risk Of Malnutrition: Evidence From A Large Australian Database, Karen Charlton, Clare Nichols, Steven Bowden, Kelly Lambert, Lilliana Barone, Michelle Mason, Marianna Milosavljevic
Karen E. Charlton
No abstract provided.
Neck Muscle Fatigue And Postural Control In Patients With Whiplash Injury, Paul Stapley, Maria Beretta, Elena Toffola, Marco Schieppati
Neck Muscle Fatigue And Postural Control In Patients With Whiplash Injury, Paul Stapley, Maria Beretta, Elena Toffola, Marco Schieppati
Dr Paul J Stapley
Objectives: To examine if patients with whiplash injury show identifiable increases in neck muscle fatigability and associated increase in postural body sway after contractions of dorsal neck muscles, and if physiotherapy treatment reduces these effects. Methods: Sway was measured during stance in 13 patients before and after 5 min of isometric dorsal neck muscle contractions and after recovery, pre- and post-physiotherapy, using a force platform. Amplitude and median frequency of neck muscle EMG were calculated during the contracting period. After each stance trial, patients gave a subjective score of sway. Results: Pre-treatment, seven patients showed EMG signs of fatigue (increases …