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Full-Text Articles in Social and Behavioral Sciences

Approach To Multiple Pulmonary Nodules: A Case Report And Review Of Literature, Farshid Niknam, Jiezhong Chen, Sarbar Napaki, Morteza Aghmesheh Jan 2011

Approach To Multiple Pulmonary Nodules: A Case Report And Review Of Literature, Farshid Niknam, Jiezhong Chen, Sarbar Napaki, Morteza Aghmesheh

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

Chest X-ray and CT examinations often find pulmonary nodules that could be malignant or benign. A case is presented and discussed here in order to improve diagnosis and management of pulmonary nodules. A 62-year-old lady was found to have multiple pulmonary nodules by X-ray when she complained of a cough and fever. This was confirmed by a CT scan. Fine needle aspiration (FNA) of one of the lung lesions reported scant atypical epithelial cells that stained positive for TTF-1 and cytokeratin 7, but negative for cytokeratin 20. Thus, it was suspicious for large cell carcinoma. A videothoracoscopic lung biopsy and ...


The Association Between Birth Weight And Current Weight Status In Australian Children And Adolescents, Jimmy Chun Yu Louie, Peter Petocz, Jennie Brand-Miller Jan 2011

The Association Between Birth Weight And Current Weight Status In Australian Children And Adolescents, Jimmy Chun Yu Louie, Peter Petocz, Jennie Brand-Miller

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

Abstract presented at the Thirty-Fifth Annual Scientific Meeting Joint Annual Scientific Meeting of the Nutrition Society of New Zealand and the Nutrition Society of Australia Queenstown, New Zealand, 29 November - 2 December 2011


Scrubs, House, Grey's Anatomy: Are Medical Students Learning Bad Habits?, Roslyn Weaver, Ian Wilson Jan 2011

Scrubs, House, Grey's Anatomy: Are Medical Students Learning Bad Habits?, Roslyn Weaver, Ian Wilson

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

Television loves particular careers: detectives, lawyers, forensic experts and, perhaps most of all, doctors. Popular long-running shows such as House and Grey's Anatomy join a long list of medical programs that have created a fictional world of medicine over the past sixty years.


'The Worst Fire Season Ever' … Until Next Year, Ross Bradstock Jan 2011

'The Worst Fire Season Ever' … Until Next Year, Ross Bradstock

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

Bushfires are part of the Australian landscape and the psyche of its human inhabitants. This is particularly true as months of hot, dry weather approach. Recent warnings have predicted a dire summer ahead with the potential for major fires across the continent. So will this year's fire season be particularly bad? What are the different types of bushfire activity found across our continent? And how can these bushfire types help us predict how climate change will affect future fire seasons?


Burn Bush, Reduce Emissions: Evaluating Costs And Benefits Of Prescribed Burning, Mathias Boer, Ross Bradstock Jan 2011

Burn Bush, Reduce Emissions: Evaluating Costs And Benefits Of Prescribed Burning, Mathias Boer, Ross Bradstock

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

Bushfires are, together with cyclones and flooding, among the most important natural hazards affecting Australian communities. They also make a significant contribution to Australia's greenhouse gas emissions. Australia has bushfires because of our inherently flammable vegetation types, the recurrence of severe droughts, and a high incidence of hot, dry weather conditions. Management agencies cannot control climate and weather. Consequently, fire hazard reduction focuses primarily on reducing bushland fuel.


Overexpression Of Glyoxalase-I Reduces Hyperglycemiainduced Levels Of Advanced Glycation End Products And Oxidative Stress In Diabetic Rats, Olaf Brouwers, Petra Niessen, Isabel Ferreira, Toshio Miyata, Peter Scheffer, Tom Teerlink, Patrick Schrauwen, Michael Brownlee, Coen D. Stehouwer, Casper Schalkwijk Jan 2011

Overexpression Of Glyoxalase-I Reduces Hyperglycemiainduced Levels Of Advanced Glycation End Products And Oxidative Stress In Diabetic Rats, Olaf Brouwers, Petra Niessen, Isabel Ferreira, Toshio Miyata, Peter Scheffer, Tom Teerlink, Patrick Schrauwen, Michael Brownlee, Coen D. Stehouwer, Casper Schalkwijk

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

The reactive advanced glycation end product (AGE) precursor methylglyoxal (MGO) and MGO-derived AGEs are associated with diabetic vascular complications and also with an increase in oxidative stress. Glyoxalase-I (GLO-I) transgenic rats were used to explore whether overexpression of this MGO detoxifying enzyme reduces levels of AGEs and oxidative stress in a rat model of diabetes. Rats were made diabetic with streptozotocin, and after 12 weeks, plasma and multiple tissues were isolated for analysis of AGEs, carbonyl stress, and oxidative stress. GLO-I activity was significantly elevated in multiple tissues of all transge nic rats compared with wild-type (WT) littermates. Streptozotocin treatment ...


Efficacy And Safety Of A Modular Multi-Modal Exercise Program In Prostate Cancer Patients With Bone Metastases: A Randomized Controlled Trial, Daniel A. Galvao, Dennis R. Taaffe, Prue Cormie, Nigel Spry, Suzanne K. Chambers, Carolyn Peddle-Mcintyre, Michael K. Baker, James W. Denham, David Joseph, Geoff Groom, Robert U. Newton Jan 2011

Efficacy And Safety Of A Modular Multi-Modal Exercise Program In Prostate Cancer Patients With Bone Metastases: A Randomized Controlled Trial, Daniel A. Galvao, Dennis R. Taaffe, Prue Cormie, Nigel Spry, Suzanne K. Chambers, Carolyn Peddle-Mcintyre, Michael K. Baker, James W. Denham, David Joseph, Geoff Groom, Robert U. Newton

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

Background The presence of bone metastases has excluded participation of prostate cancer patients in exercise intervention studies to date and is also a relative contraindication to supervised exercise in the community setting because of concerns of fragility fracture. However, this group of patients often have developed significant muscle atrophy and functional impairments from prior and continuing androgen deprivation that is exacerbated by subsequent and more intensive interventions such as chemotherapy. The aim of this study is to determine the efficacy and safety of a modular multi-modal exercise program in prostate cancer patients with bone metastases. Methods/Design Multi-site randomized controlled ...


An Exploration Of Person-Centredness In Practice, Tanya Mccance, Brendan Mccormack, Jan Dewing Jan 2011

An Exploration Of Person-Centredness In Practice, Tanya Mccance, Brendan Mccormack, Jan Dewing

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

'Person-centredness' is a term that is becoming increasingly familiar within health and social care at a global level; it is being used to describe a standard of care that ensures the patient/client is at the centre of care delivery. In this article we explore the relevance of person-centredness in the context of nursing, taking account of the ongoing critical debate and dialogue regarding developments in this field. Person-centredness is recognised as a multidimensional concept. The complexity of the concept contributes to the challenge of articulating its shared meaning and describing how it can be applied in practice. The aim ...


Developing Person-Centred Care: Addressing Contextual Challenges Through Practice Development, Brendan Mccormack, Jan Dewing, Tanya Mccance Jan 2011

Developing Person-Centred Care: Addressing Contextual Challenges Through Practice Development, Brendan Mccormack, Jan Dewing, Tanya Mccance

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

Developing person-centred care is not a one-time event; rather it requires a sustained commitment from organisations to the ongoing facilitation of developments, a commitment both in clinical teams and across organizations. Contextual factors pose the greatest challenge to person-centredness and the development of cultures that can sustain person-centred care. We will begin with a general comment on 'context' and its meaning before exploring three particular factors that influence the practice context, namely, workplace culture, learning culture, and the physical environment. Next we explore a particular approach to developing person-centred care through emancipatory practice development. We highlight the importance of facilitation ...


Estimation Of Plant Functional Biochemical Traits Of Subalpine And Alpine Grasslands From Airborne Images Of High Spatial And Spectral Resolution, Lucie Homolova, Zbynek Malenovky, Michael E. Schaepman, Jan G. P. W Clevers Jan 2011

Estimation Of Plant Functional Biochemical Traits Of Subalpine And Alpine Grasslands From Airborne Images Of High Spatial And Spectral Resolution, Lucie Homolova, Zbynek Malenovky, Michael E. Schaepman, Jan G. P. W Clevers

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

Abstract of presentation at the 9th Swiss Geoscience Meeting, Zurich 2011, 11-13 November, ETH Hauptgebaude & Department of Earth Sciences, ETH Zurich.


Influence Of Gap Fraction On Coniferous Needle Optical Properties Measurements, Lucia Yanez-Rausell, Zbynek Malenovky, Michael E. Schaepman Jan 2011

Influence Of Gap Fraction On Coniferous Needle Optical Properties Measurements, Lucia Yanez-Rausell, Zbynek Malenovky, Michael E. Schaepman

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

Abstract of presentation at the 9th Swiss Geoscience Meeting, Zurich 2011, 11-13 November, ETH Hauptgebaude & Department of Earth Sciences, ETH Zurich.


Changing Perspectives In Australian Archaeology, Part Viii. Burins, Bones And Base Camps: A Re-Analysis Of Aire Shelter 2, Glenaire, Southern Victoria, Richard L. Fullagar Jan 2011

Changing Perspectives In Australian Archaeology, Part Viii. Burins, Bones And Base Camps: A Re-Analysis Of Aire Shelter 2, Glenaire, Southern Victoria, Richard L. Fullagar

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

Archaeological studies often conclude that some sites are neatly identifiable as base camps, stopovers or tool specific locales. Task reconstruction and interpretation of on-site activities affect our understanding of mobility patterns and subsistence and our ability to distinguish reconfigured land-use and population change. A re-analysis of Aire Shelter 2 is presented here to consider the potential of usewear and residue studies for evaluating site function, in the context of coastal wetlands in southwestern Victoria. Traces of use were found on 242 stone artefacts. Identified tools include finely retouched flint scrapers and snapped flakes with burin edges associated with graving bone ...


Archaeological Investigations At Olympic Dam In Arid Northeast South Australia, Philip Hughes, Peter Hiscock, Marjorie Sullivan, Ben Marwick Jan 2011

Archaeological Investigations At Olympic Dam In Arid Northeast South Australia, Philip Hughes, Peter Hiscock, Marjorie Sullivan, Ben Marwick

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

This is an outline of a large ongoing research-oriented salvage program that has evolved from past archaeological impact assessment studies at Olympic Dam in arid northeast South Australia.


Extracting Storm-Surge Data From Coastal Dunes For Improved Assessment Of Flood Risk, Alastair C. Cunningham, Marcel A. J Bakker, Sytze Van Heteren, Bert Van Der Valk, Ad J. F Van Der Spek, Dennis R. Schaart, Jakob Wallinga Jan 2011

Extracting Storm-Surge Data From Coastal Dunes For Improved Assessment Of Flood Risk, Alastair C. Cunningham, Marcel A. J Bakker, Sytze Van Heteren, Bert Van Der Valk, Ad J. F Van Der Spek, Dennis R. Schaart, Jakob Wallinga

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

Future changes in climate and sea level are likely to increase the threat from storm surges in many coastal regions. Mitigation of this threat requires an understanding of storm surge magnitude and frequency, and the relationship of these variables to climate parameters. This understanding is currently limited by the brevity of instrumental records, which rarely predate the twentieth century. However, evidence of former storm surges can be recorded in coastal dunes, because the dune topography may trap high-magnitude deposits at elevated locations. Here we combine a range of techniques to extract storm-surge data from coastal dune sediment. The sediment is ...


Commentary On Farbstein, R. "Technologies Of Art", Katherine Szabo Jan 2011

Commentary On Farbstein, R. "Technologies Of Art", Katherine Szabo

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

Chaîne opératoire, as both an analytical approach and a sociotechnical perspective, has had a presence in material culture literature for some considerable time. However despite the longevity of the concept, its full potential for the comparative study of material culture production and consumption has not really been realized within archaeology. Here, Farbstein explores this area through looking at the production of mobiliary art in a range of raw materials at Pavlovian Upper Paleolithic sites.


Longevity, Lipids And C. Elegans, Anthony J. Hulbert Jan 2011

Longevity, Lipids And C. Elegans, Anthony J. Hulbert

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

Scientific investigation of mechanisms that determine lifespan can be divided into three general approaches. The first approach (the comparative method) began over a century ago comparing species differing greatly in maximum longevity and implicated a role for the speed of metabolism in determining the length of life [1]. The second approach commenced after the 1930s investigated the mechanisms whereby “calorierestriction” extended lifespan [2]. The third approach gained popularity in the 1990s and centred on genetic mutations that significantly extend longevity [3]. There has been little overlap between these three approaches. The paper by Shmookler Reis et al. in this issue ...


What Happens When We Have Data?, Andrew Alexis Miller Jan 2011

What Happens When We Have Data?, Andrew Alexis Miller

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

The current issue of the Journal of Radiation Oncology provides a report [1] that highlights the potential role of routine clinical data in Radiation Oncology and how to make better use of it. While routine data is not only important to Radiation Oncology but all other areas of medicine also, in Radiation Oncology we have the luxury of two environmental factors. Firstly, we have relatively few software products which are increasingly being driven to the goal of interoperability by the IHE-RO initiative started by Dr Prabhakhar Triperenini in the USA[2]. Secondly, there are some well defined standards now implemented ...


Where Does India End And Eurasia Begin?, Lloyd T. White, Talat Ahmad, Gordon S. Lister, Trevor R. Ireland Jan 2011

Where Does India End And Eurasia Begin?, Lloyd T. White, Talat Ahmad, Gordon S. Lister, Trevor R. Ireland

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

The Indus Suture Zone is defined as the plate boundary between India and Eurasia. Here we document geochronological data that suggest that Indian rocks outcrop to the north of this suture zone. The inherited age spectrum of zircons from mylonitic gneiss collected in the southern part of the Karakorum Batholith is similar to those obtained from the Himalayan Terrane, the Pamir and is apparently Gondwanan in its affinity. These data are taken to indicate that the Karakorum Terrane was once a component of Gondwana, or at least derived from the erosion of Gondwanan material. Several continental ribbons (including the Karakorum ...


Predictors Of Accuracy Of Diagnosis Of Chronic Obstructive Pulmonary Disease In General Practice, Nicholas Zwar, Guy B. Marks, Oshana Hermiz, Sandy Middleton, Elizabeth J. Comino, Iqbal Hasan, Sanjyot Vagholkar, Stephen F. Wilson Jan 2011

Predictors Of Accuracy Of Diagnosis Of Chronic Obstructive Pulmonary Disease In General Practice, Nicholas Zwar, Guy B. Marks, Oshana Hermiz, Sandy Middleton, Elizabeth J. Comino, Iqbal Hasan, Sanjyot Vagholkar, Stephen F. Wilson

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

Objectives: To compare the clinical diagnosis of chronic obstructive pulmonary disease (COPD) with results of post-bronchodilator spirometry in general practice, and examine practitioner, practice and patient characteristics associated with agreement between clinical and spirometric diagnoses. Design, setting and participants: General practitioners from practices in Sydney identified eligible patients aged 40-80 years seen in the past year and prescribed respiratory medications whom they regarded as having COPD. Between November 2006 and April 2008, we collected information on the GPs and their practices, and demographic information, smoking status, comorbidities, respiratory medicines use, vaccination status, quality of life and spirometry results for participating ...


How Generalisable Are Results Of Studies Conducted In Practicebased Research Networks? A Cross-Sectional Study Of General Practitioner Demographics In Two New South Wales Networks, Parker Magin, Melanie Marshall, Susan Goode, Georgina Cotter, C Dimity Pond, Nicholas Zwar Jan 2011

How Generalisable Are Results Of Studies Conducted In Practicebased Research Networks? A Cross-Sectional Study Of General Practitioner Demographics In Two New South Wales Networks, Parker Magin, Melanie Marshall, Susan Goode, Georgina Cotter, C Dimity Pond, Nicholas Zwar

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

Objective: To compare the demographics of general practitioners in two practice-based research networks (PBRNs) and to explore the generalisability of research findings from these PBRNs. Design, setting and participants: Cross-sectional questionnaire-based study of two geographically-based PBRNs - Hunter New England Central Coast Network of Research General Practices (NRGP) and Primary Healthcare Research Network-General Practice (PHReNet-GP) - during August-September 2010. All 183 GP members of both PBRNs were invited to participate; of these, 140 (77%) participated. Main outcome measures: GPs' demographics, use of languages other than English in consultations, and previous participation in research. Practices' use of practice nurses. Socioeconomic status and rurality ...


Feasibility And Effectiveness Of Nurse-Delivered Smoking Cessationcounselling Combined With Nicotine Replacement In Australiangeneral Practicedar_2, Nicholas Zwar, Robyn Richmond, Gail Forlonge, Iqbal Hasan Jan 2011

Feasibility And Effectiveness Of Nurse-Delivered Smoking Cessationcounselling Combined With Nicotine Replacement In Australiangeneral Practicedar_2, Nicholas Zwar, Robyn Richmond, Gail Forlonge, Iqbal Hasan

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

Introduction and Aims. Practice nurses (PN) are an alternative workforce for cessation support in primary care, but their role and effectiveness is underdeveloped and underresearched. This study evaluated a model of smoking cessation intervention in Australian general practice based on PNs. Smokers were identified by their general practitioner (GP) and referred to the PN for cessation support over four counselling visits and offered free nicotine patches. Design and Methods. Pre- and post-study using mixed quantitative and qualitative methods. Cessation outcomes were collected by patient self-report at 6months. Semistructured interviews were conducted with PNs and GPs to provide qualitative data on ...


Human Flourishing Through Body, Creative Imagination And Reflection, Angie Titchen, Brendan Mccormack, Valerie J. Wilson, Annette Solman Jan 2011

Human Flourishing Through Body, Creative Imagination And Reflection, Angie Titchen, Brendan Mccormack, Valerie J. Wilson, Annette Solman

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

Background: A new methodological framework for human flourishing as the ends and means of transformational action research and practice development has recently been published. Located in the critical creativity paradigmatic synthesis, the framework is one of the outcomes of our shared journey as practice development facilitators and researchers.

Aims and objectives: The aim of this paper is to show how methodological development can be an outcome of practice development. The first objective is to show, through an exemplar story, how our human flourishing was achieved through learning experientially about the new framework at a retreat in the Australian Grampian Mountains ...


Exploring The Utility Of A 'Praxis' Evaluation Framework In Capturing Transformation: A Tool For All Seasons?, Sally Hardy, Valerie J. Wilson, Bob Brown Jan 2011

Exploring The Utility Of A 'Praxis' Evaluation Framework In Capturing Transformation: A Tool For All Seasons?, Sally Hardy, Valerie J. Wilson, Bob Brown

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

An evaluation approach, developed for the purpose of capturing greater understanding of transformational change in healthcare contexts, is presented. PRAXIS evaluation is an innovative framework that aims to capture the dynamic subtleties of individual, team and organisational transformation within the complexity of contemporary healthcare contexts. The PRAXIS evaluation framework offers a collaborative process for evaluating healthcare practice change and takes into consideration the influences of workplace culture. An ultimate intention is to further inform new knowledge creation and its subsequent transfer into critically informed, considered, practical action; i.e. praxis. The intention is to provide examples of using the PRAXIS ...


Evaluation Of A Practice Development Programme: The Emergence Of The Teamwork, Learning And Change Model, Valerie J. Wilson Jan 2011

Evaluation Of A Practice Development Programme: The Emergence Of The Teamwork, Learning And Change Model, Valerie J. Wilson

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

Aim: The purpose of this paper is to present a model developed from the evaluation outcomes of a practice development programme in a special care nursery.

Background: A family-centred philosophy of care, where parents are viewed as integral partners in their care of their child, is central to paediatric nursing practice. Whilst nurses understand and subscribe to the notion of family-centred care they seem unable to achieve the principles in practice. It was thought that the implementation of a practice development programme with a focus on family-centred care might enable staff in the special care nursery to overcome barriers to ...


The Camamu Basin Offshore Environmental Monitoring Through Remote Sensing, Rafael Cabral Carvalho, Augusto M. Netto, Carlos A. Lentini Jan 2011

The Camamu Basin Offshore Environmental Monitoring Through Remote Sensing, Rafael Cabral Carvalho, Augusto M. Netto, Carlos A. Lentini

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

In this paper, multispectral remote sensing data from MODIS-Aqua were used to caracterize the Camamu offshore basin and to monitor 6 production wells located in the Manati field, eastern Brazil, showing their great potential for environmental monitoring for the oil drilling and gas industries. Results were based on the interpretation of SST, Chlorophyll-a and K490 derived from the Aqua satellite passes on march 4th and july 12th, as well as, monthly time series for each of these geophysical parameters. SST values show an opposite behaviour when compared to Chlorophyll-a and K490, with the last two parameters changing one order of ...


Sea Surface Temperature And Chlorophyll-A Spatial-Temporal Variation Using Modis-Aqua In The Todos Os Santos Bay, Bahia, Brazil, Rafael Cabral Carvalho, Carlos A. Lentini Jan 2011

Sea Surface Temperature And Chlorophyll-A Spatial-Temporal Variation Using Modis-Aqua In The Todos Os Santos Bay, Bahia, Brazil, Rafael Cabral Carvalho, Carlos A. Lentini

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

In this study, the importance of MODIS sensor multispectral imagery on monitoring coastal and oceanic areas as well as marine ecosystems is demonstrated. As an example, the Todos os Santos Bay (TSB), BA, Brazil, was selected. Four 250m Sea Surface Temperature and Chlorophyll-a satellite-derived images were processed to characterize the TSB in 2009, as well as monthly time-series from July 2002 to January 2010 and monthly maps of 2009 off the coast of Bahia. These results were compared to the Brazilian Water Agency (ANA) discharge data and tidal data. They showed the importance of the latter in physical forcing compared ...


Annual Influenza Vaccination: Coverage And Attitudes Of Primary Care Staff In Australia, Kirsten Ward, Holly Seale, Nicholas Zwar, Julie Leask, C Raina Macintyre Jan 2011

Annual Influenza Vaccination: Coverage And Attitudes Of Primary Care Staff In Australia, Kirsten Ward, Holly Seale, Nicholas Zwar, Julie Leask, C Raina Macintyre

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

Background Annual influenza vaccination is recommended for all Australian health care workers (HCWs) including those working in primary health care. There is limited published data on coverage, workplace provision, attitudes and personal barriers to influenza vaccination amongst primary health care staff. The aim of this study was to contribute to the limited literature base in this important area by investigating these issues in the primary health care setting in New South Wales (NSW), Australia. Methods A postal survey was sent to general practitioners (GPs) and practice nurses (PNs) from inner city, semi-urban and rural areas of NSW, Australia. There were ...


Strategic Approaches To The Development Of Australia's Future Primary Care Workforce, Mark Fort Harris, Nicholas Arnold Zwar, Christine Walker, Sabina M. Knight Jan 2011

Strategic Approaches To The Development Of Australia's Future Primary Care Workforce, Mark Fort Harris, Nicholas Arnold Zwar, Christine Walker, Sabina M. Knight

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

Shortages in, and maldistribution of, the primary health care workforce will continue to limit access to health care. The current health reform proposals and policies recognise workforce development as a priority, but only partially address the barriers to improvement. In particular, there will need to be more systematic development of interdisciplinary education within primary health care services, and funding to support this.


Study Protocol: The Despatch Study: Delivering Stroke Prevention For Patients With Atrial Fibrillation - A Cluster Randomised Controlled Trial In Primary Healthcare, Melina Gattellari, Dominic Y. Leung, Obioha Ukoumunne, Nicholas Zwar, Jeremy Grimshaw, John M. Worthington Jan 2011

Study Protocol: The Despatch Study: Delivering Stroke Prevention For Patients With Atrial Fibrillation - A Cluster Randomised Controlled Trial In Primary Healthcare, Melina Gattellari, Dominic Y. Leung, Obioha Ukoumunne, Nicholas Zwar, Jeremy Grimshaw, John M. Worthington

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

Background: Compelling evidence shows that appropriate use of anticoagulation in patients with nonvalvular atrial fibrillation reduces the risk of ischaemic stroke by 67% and all-cause mortality by 26%. Despite this evidence, anticoagulation is substantially underused, resulting in avoidable fatal and disabling strokes.Methods: DESPATCH is a cluster randomised controlled trial with concealed allocation and blinded outcome assessment designed to evaluate a multifaceted and tailored implementation strategy for improving the uptake of anticoagulation in primary care. We have recruited general practices in South Western Sydney, Australia, and randomly allocated practices to receive the DESPATCH intervention or evidence-based guidelines (control). The intervention ...


Evaluating The Impact Of Emotional Intelligence: Can Emotional Intelligence Influence Job Satisfaction?, Dominique Parrish Jan 2011

Evaluating The Impact Of Emotional Intelligence: Can Emotional Intelligence Influence Job Satisfaction?, Dominique Parrish

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

No abstract provided.