Medicine and Health Sciences Commons^™

Exercise-Related Transient Abdominal Pain, Darren Morton, Robin Callister

Darren Morton

Exercise-related transient abdominal pain (ETAP), commonly referred to as “stitch”, is an ailment well known in many sporting activities. It is especially prevalent in activities that involve repetitive torso movement with the torso in an extended position, such as running and horse riding. Approximately 70% of runners report experiencing the pain in the past year and in a single running event approximately one in five participants can be expected to suffer the condition. ETAP is a well-localized pain that is most common in the lateral aspects of the mid abdomen along the costal border, although it may occur in any …

Profiling Work Health And Safety Incidents And Injuries In Australian Army Personnel: An Investigation Of Injuries And Other Incidents Suffered By Army Reserve Personnel, Rob Marc Orr, Rodney Pope, Ben Schram, Dylan Macdonald, Wayne Hing

Ben Schram

The Army reserve soldier is an integral part of overall Army capability and functioning. Although only becoming full-time when participating in training exercises or when called on for operations, these personnel are generally expected to perform at a level commensurate with full-time soldiers of the same rank and trade. Due to their transitions between civilian and military employments, they are typically exposed to less chronic military physical conditioning than their full-time counterparts. This reduced chronic conditioning, but requirement to perform the same tasks at the same level as full-time soldiers, may leave the reserve soldier at a higher risk of …

Profiling Work Health And Safety Incidents And Injuries In Australian Army Personnel: An Investigation Of Injuries And Other Incidents Suffered By Army Reserve Personnel, Rob Marc Orr, Rodney Pope, Ben Schram, Dylan Macdonald, Wayne Hing

Wayne Hing

The Army reserve soldier is an integral part of overall Army capability and functioning. Although only becoming full-time when participating in training exercises or when called on for operations, these personnel are generally expected to perform at a level commensurate with full-time soldiers of the same rank and trade. Due to their transitions between civilian and military employments, they are typically exposed to less chronic military physical conditioning than their full-time counterparts. This reduced chronic conditioning, but requirement to perform the same tasks at the same level as full-time soldiers, may leave the reserve soldier at a higher risk of …

Training For Tactical Operations In Tropical Environments: Challenges, Risks, & Strategies For Risk Management, Rodney Pope, Rob Orr, Anthony Walker, Shane D. Irving, Ralph P. Jones, Richard J. Gorey, Scott D. Gayton, Joseph Knapik

Rob Marc Orr

Tactical operators, encompassing military, law enforcement, fire and other emergency personnel, can be found in all climatic zones. These tactical operators may be deployed at short notice to tropical environments, often with limited time to acclimatise if based in more temperate zones. They are then expected to undertake arduous tactical tasks, often repeatedly and for extended periods in the tropical area. These demands combine with harsh environments, personal protective equipment (PPE), tactical loads, threats to life, and responsibility for the safety and survival of others to place immense physical and mental stresses on tactical operators. Managing the resulting risks is …

A Functional Movement Screen Profile Of An Australian State Police Force: A Retrospective Cohort Study, Robin Marc Orr, Rodney Pope, Michael Stierli, Ben Hinton

Rodney P Pope

Background Police officers are required to perform dynamic movements in unpredictable environments, the results of which can lead to injury. Early identification of poor movement patterns of a police population, and potential sub groups within this population, may provide opportunities to treat and minimise injury risks. The aim of this study was to profile the functional movement capabilities of an Australian state police force and potential sub groups through a retrospective cohort study. Methods Retrospective data from an Australian State Police Force were provided for analysis (♂ n = 1155, mean (±SD) age = 31.34 ± 8.41 years: ♀ n …

A Functional Movement Screen Profile Of An Australian State Police Force: A Retrospective Cohort Study, Robin Marc Orr, Rodney Pope, Michael Stierli, Ben Hinton

Rob Marc Orr

Background Police officers are required to perform dynamic movements in unpredictable environments, the results of which can lead to injury. Early identification of poor movement patterns of a police population, and potential sub groups within this population, may provide opportunities to treat and minimise injury risks. The aim of this study was to profile the functional movement capabilities of an Australian state police force and potential sub groups through a retrospective cohort study. Methods Retrospective data from an Australian State Police Force were provided for analysis (♂ n = 1155, mean (±SD) age = 31.34 ± 8.41 years: ♀ n …

Australian Army Recruit Training: Course Length And Recruit Injury Rates, Georgina Dawson, Ryan Broad, Rob Orr

Rob Marc Orr

Access abstract in the Conference Abstract E-book, page 115

Leg Power As An Indicator For Risk Of Injury Or Illness In Police Recruits, Rob Orr, Rodney Pope, Samantha Peterson, Michael Stierli, Ben Hinton

Rob Marc Orr

Access abstract in the Conference Abstract E-book, page 123

Lung Flute Improves Symptoms And Health Status In Copd With Chronic Bronchitis: A 26 Week Randomized Controlled Trial, Sanjay Sethi, Jingjing Yin, Pamela K. Anderson

Jingjing Yin

Background: Chronic obstructive pulmonary disease (COPD) is characterized by mucus hypersecretion that contributes to disease related morbidity and is associated with increased mortality. The Lung Flute® is a new respiratory device that produces a low frequency acoustic wave with moderately vigorous exhalation to increase mucus clearance. We hypothesized that the Lung Flute, used on a twice daily basis will provide clinical benefit to patients with COPD with chronic bronchitis.

Methods: We performed a 26 week randomized, non-intervention controlled, single center, open label trial in 69 patients with COPD and Chronic Bronchitis. The primary endpoint was change in respiratory …

A Tool To Assess The Signs And Symptoms Of Catheter-Associated Urinary Tract Infection: Development And Reliability, Thomas Blodgett, Sue Gardner, Nicole Blodgett, Lisa Peterson, Melissa Pietraszak

Thomas Blodgett

The purpose of this pilot study was to determine the inter-rater reliability of four clinical manifestations of catheter-associated urinary tract infections (CAUTI) among hospitalized adults with short-term indwelling urinary catheters using a tool developed for this purpose: the CAUTI Assessment Profile (CAP). Study participants included 30 non-pregnant English-speaking adults, recruited from 2 community hospitals. Three nurses assessed each participant for fever, suprapubic tenderness, flank tenderness, and delirium using standardized techniques. Based on the generalized kappa statistic and 95% confidence intervals, there was evidence of strong inter-rater reliability for fever (kappa = 1.00, 0.793 – 1.207), suprapubic tenderness (kappa = 0.39, …

Elite Female Tae Kwon Do Athletes Have Faster Reaction Time And Longer Movement Time Than Males During A Striking Kick, Ulysses Fernandes Ervilha, Valmar Fernandes Da Silva, Rubens Correa Araújo, Luis Mochizuki, Joseph Hamill

Joseph Hamill

Background & Study Aim: An important aspect of ap bal ap dolio tchagui kick in tae kwon do is that it is usually performed in reaction to a signal or event. That is, given a specific stimulus (i.e. the movement of the opponent), the tae kwon do athlete must react as quickly and accurately as possible to the stimulus. Reacting to a stimulus requires preparation and it is essential to determine this preparation of an elite athlete to perform a task. Therefore, to investigate this movement a reaction time paradigm is appropriate wherein the athlete accomplishes the kick in response …

Social Networks Enabled Coordination Model For Cost Management Of Patient Hospital Admissions, Shahadat Uddin, Liaquat Hossain

Shahadat Uddin

In this study, we introduce a social networks enabled coordination model for exploring the effect of network position of “patient,” “physician,” and “hospital” actors in a patient-centered care network that evolves during patient hospitalization period on the total cost of coordination. An actor is a node, which represents an entity such as individual and organization in a social network. In our analysis of actor networks and coordination in the healthcare literature, we identified that there is significant gap where a number of promising hospital coordination model have been developed (e.g., Guided Care Model, Chronic Care Model) for the current healthcare …

Using N-Of-1 Trials To Improve Patient Management And Save Costs, Paul A. Scuffham, Jane Nikles, Geoffrey K. Mitchell, Michael J. Yelland, Norma Vine, Christopher J. Poulos, Peter I. Pillans, Guy Bashford, Chris Del Mar, Philip J. Schluter, Paul Glasziou

Paul Glasziou

Background: N-of-1 trials test treatment effectiveness within an individual patient. Objective: To assess (i) the impact of three different N-of-1 trials on both clinical and economic outcomes over 12 months and (ii) whether the use of N-of-1 trials to target patients' access to high-cost drugs might be cost-effective in Australia. Design: Descriptive study of management change, persistence, and costs summarizing three N-of-1 trials. Participants: Volunteer patients with osteoarthritis, chronic neuropathic pain or ADHD whose optimal choice of treatment was uncertain. Interventions: Double-blind cyclical alternative medications for the three conditions. Measures: Detailed resource use, treatment and health outcomes (response) data collected …

Care And Outcomes In Patients With Ischemic Stroke With And Without Preexisting Dementia, Gustavo Saposnik

Gustavo Saposnik

No abstract provided.

Do People With Aphasia Want Written Information? A Verbal Survey Exploring Preferences For When And How To Provide Stroke And Aphasia Information, Tanya Rose, Linda Worrall, Louise Hickson, Tammy Hoffmann

Tammy Hoffmann

Purpose: Written health information can be better comprehended by people with aphasia if it is provided in an aphasiafriendly format. However, before pursuing research in the area of text-formatting for people with aphasia, it must be determined whether people with aphasia consider it helpful to receive health information in the written media. This study, therefore, aimed to determine the following: whether people with aphasia consider it important to receive written stroke and aphasia information; when people with aphasia prefer to receive this information; and what their preferences are for health information media.

Method: Surveys were administered in a face-to-face interview …

Self Diagnosis, Clare Goyder, Ann Mcpherson, Paul Glasziou

Paul Glasziou

Extract:
Some conditions can be diagnosed correctly by the patient, but self diagnosis should always undergo challenge and refinement by the general practitioner.

Evaluation Of The Effect Of Patient Education On Rates Of Falls In Older Hospital Patients: Description Of A Randomised Controlled Trial, Anne-Marie Hill, Keith Hill, Sandra Brauer, David Oliver, Tammy Hoffmann, Christopher Beer, Steven Mcphail, Terry P. Haines

Tammy Hoffmann

Background: Accidental falls by older patients in hospital are one of the most commonly reported adverse events. Falls after discharge are also common. These falls have enormous physical, psychological and social consequences for older patients, including serious physical injury and reduced quality of life, and are also a source of substantial cost to health systems worldwide. There have been a limited number of randomised controlled trials, mainly using multifactorial interventions, aiming to prevent older people falling whilst inpatients. Trials to date have produced conflicting results and recent meta-analyses highlight that there is still insufficient evidence to clearly identify which interventions …

What Education Do Stroke Patients Receive In Australian Hospitals?, Tammy Hoffmann, Tammy Cochrane

Tammy Hoffmann

Objective: This study evaluated the educational practices of staff working in acute stroke wards in Australian hospitals, including the coordination and methods of patient education provision, postdischarge education and support services available, and the education and support services that health professionals would like to provide.

Methods: Health professionals who worked in acute stroke wards in Australian hospitals were surveyed about the stroke education practices of staff in their ward. Thirty-four hospitals returned a completed questionnaire via email or fax.

Results: Verbal communication and written materials were the most frequently used methods of information provision. Twenty-three (67.6%) wards developed their own …

The Impact Of Space And Time On Interprofessional Teamwork In Canadian Primary Health Care Settings: Implications For Health Care Reform, Ivy Oandasan, Lesley Gotlib Conn, Lorelei Lingard, Allia Karim, Difat Jakubovicz, Cynthia Whitehead, Karen-Lee Miller, Natalie Kennie, Scott Reeves

Lorelei Lingard

Aim: This paper explores the impact of space and time on interprofessional teamwork in three primary health care centres and the implications for Canadian and other primary health care reform.

Background: Primary health care reform in Canada has emphasized the creation of interprofessional teams for the delivery of collaborative patient-centred care. This involves the expansion and transformation of existing primary health care centres into interprofessional family health teams (FHT) promising to provide patients better access, more comprehensive care, and improved utilization of individual health professionals. Benefits for providers include improved workplace satisfaction and organizational efficiencies. Currently, there is little evidence …

Age Disparities In Stroke Quality Of Care And Delivery Of Health Services., Gustavo Saposnik

Gustavo Saposnik

No abstract provided.

Do All Age Groups Benefit From Organized Inpatient Stroke Care?, Gustavo Saposnik

Gustavo Saposnik

No abstract provided.

Interventions For Stroke Rehabilitation: Analysis Of The Research Contained In The Otseeker Evidence Database, Tammy Hoffmann, Sally Bennett, Kryss Mckenna, Julie Green-Hill, Annie Mccluskey, Leigh Tooth

Tammy Hoffmann

Purpose: To analyse the stroke content in OTseeker in terms of the quantity of the research evidence, the quality of the randomised controlled trials (RCTs), and the types of interventions and outcome measures used.

Method: A survey of stroke-related content in the OTseeker database was conducted in 2007. The year of publication and intervention categories used in each stroke-related RCT and systematic review (SR) were recorded. The internal validity of RCTs using the PEDro scale (partitioned) and the outcome measures used were also recorded.

Results: Of the 4,369 articles indexed on OTseeker, 452 (10.3%) related to stroke were conducted between …

Central Northern Adelaide Health Service Annual Report 2007-2008, The Queen Elizabeth Hospital

The Queen Elizabeth Hospital

The Central Northern Adelaide Health Service is the largest of South Australia’s health regions, employing more than 16,000 staff* across around 200 separate health units and services* (*figures as at December 2008). The region brings together four major acute hospitals (Royal Adelaide, Lyell McEwin, The Queen Elizabeth and Modbury Hospitals), along with the Hampstead and St Margaret’s Rehabilitation Hospitals and a significant number of mental health and primary health care services. The region also delivers two major, state-wide health services – BreastScreen SA and the SA Dental Service – and has an annual operating budget in excess of $1.5 billion.

Escalating Levels Of Access To In-Hospital Care And Stroke Mortality., Gustavo Saposnik

Gustavo Saposnik

No abstract provided.