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Full-Text Articles in Medicine and Health Sciences
From Qasc To Qascip: Successful Australian Translational Scale-Up And Spread Of A Proven Intervention In Acute Stroke Using A Prospective Pre-Test/Post-Test Study Design, S Middleton, A Lydtin, D Comerford, D Cadilhac, P Mcelduff, S Dale, K Hill, M Longworth, J Ward, N Cheung, C D'Este
From Qasc To Qascip: Successful Australian Translational Scale-Up And Spread Of A Proven Intervention In Acute Stroke Using A Prospective Pre-Test/Post-Test Study Design, S Middleton, A Lydtin, D Comerford, D Cadilhac, P Mcelduff, S Dale, K Hill, M Longworth, J Ward, N Cheung, C D'Este
Health Sciences Papers and Journal Articles
Objectives: To embed an evidence-based intervention to manage FEver, hyperglycaemia (Sugar) and Swallowing (the FeSS protocols) in stroke, previously demonstrated in the Quality in Acute Stroke Care (QASC) trial to decrease 90-day death and dependency, into all stroke services in New South Wales (NSW), Australia’s most populous state.
Design: Pre-test/post-test prospective study.
Setting: 36 NSW stroke services.
Methods: Our clinical translational initiative, the QASC Implementation Project (QASCIP), targeted stroke services to embed 3 nurse-led clinical protocols (the FeSS protocols) into routine practice. Clinical champions attended a 1-day multidisciplinary training workshop and received standardised educational resources and ongoing support. Using the …
Preferred Practice Location At Medical School Commencement Strongly Determines Graduates’ Rural Preferences And Work Locations, Marie S. Herd, Max Bulsara, Michael P. Jones, Donna Mak
Preferred Practice Location At Medical School Commencement Strongly Determines Graduates’ Rural Preferences And Work Locations, Marie S. Herd, Max Bulsara, Michael P. Jones, Donna Mak
Physiotherapy Papers and Journal Articles
Abstract:
Objective: To identify factors influencing whether Australian medical graduates prefer to, or actually, work rurally
Design: Secondary analysis of longitudinal data from the Medical Schools Outcomes Database (MSOD) using univariate and multivariate logistic regression.
Setting: Twenty Australian medical schools.
Participants: Australian or New Zealand citizens and Australian permanent residents who completed MSOD questionnaires between 2006 and 2013.
Main outcome measures: Preferred and actual work locations one (PGY1) and three (PGY3) years post-graduation.
Results: Of 20,784 participants, 4028 completed a PGY1 and/or PGY3 questionnaire. Self-reported preference for rural practice location at medical school commencement was the most consistent independent predictor …
Effect Of Medical Student Preference On Rural Clinical School Experience And Rural Career Intentions, L Walters, A Seal, J Mcgirr, R Stewart, D Dewitt, D Playford
Effect Of Medical Student Preference On Rural Clinical School Experience And Rural Career Intentions, L Walters, A Seal, J Mcgirr, R Stewart, D Dewitt, D Playford
Medical Papers and Journal Articles
Introduction: The key parameter for rural clinical schools (RCSs) is to provide at least 1 year of clinical training in rural areas for 25% of Australian Commonwealth supported medical students with the intent to influence future rural medical workforce outcomes. The objective of this study was to describe the association between a medical student’s selection preference and their RCS experience and rural career intent.
Methods: Medical students completing an RCS placement in 2012 and 2013 were encouraged to complete a survey regarding their experience and future career intent. Data were analysed to compare medical students for whom the RCS was …
Early Life Events And Motor Development: A Longitudinal Study, Tegan Grace
Early Life Events And Motor Development: A Longitudinal Study, Tegan Grace
Theses
Longitudinal studies are important to fully understand the processes of neurological development during gestation and how risk factors present during this time impact motor development outcomes, yet few to date have focused on this critical time period.
The purpose of this study was to identify modifiable risk factors influencing motor development during the prenatal period. Of particular interest was finding out whether these risk factors differed between the sexes.
Participants (N=2900) were from the Western Australian Pregnancy Cohort (Raine) Study. The Raine Study began in May 1989 and women were recruited between 16-20 weeks gestation (m = 18 weeks) from …
Assessing The Feasibility Of A Web-Based Registry For Multiple Orphan Lung Diseases: The Australasian Registry Network For Orphan Lung Disease (Arnold) Experience, K Casamento, A Laverty, M Wilsher, J Twiss, E Gabbay, I Glaspole, A Jaffe
Assessing The Feasibility Of A Web-Based Registry For Multiple Orphan Lung Diseases: The Australasian Registry Network For Orphan Lung Disease (Arnold) Experience, K Casamento, A Laverty, M Wilsher, J Twiss, E Gabbay, I Glaspole, A Jaffe
Medical Papers and Journal Articles
Background: We investigated the feasibility of using an online registry to provide prevalence data for multiple orphan lung diseases in Australia and New Zealand.
Methods: A web-based registry, The Australasian Registry Network of Orphan Lung Diseases (ARNOLD) was developed based on the existing British Paediatric Orphan Lung Disease Registry. All adult and paediatric respiratory physicians who were members of the Thoracic Society of Australia and New Zealand in Australia and New Zealand were sent regular emails between July 2009 and June 2014 requesting information on patients they had seen with any of 30 rare lung diseases. Prevalence rates were calculated …
A Binational Multicenter Pilot Feasibility Randomized Controlled Trial Of Early Goal-Directed Mobilization In The Icu, C Hodgson, M Bailey, R Bellomo, S Berney, H Buhr, L Denehy, B Gabbe, M Harrold, A Higgins, T Iwashyna, R Papworth, R Parke, S Patman, J Presneill, M Saxena, E Skinner, C Tipping, P Young, S Webb
A Binational Multicenter Pilot Feasibility Randomized Controlled Trial Of Early Goal-Directed Mobilization In The Icu, C Hodgson, M Bailey, R Bellomo, S Berney, H Buhr, L Denehy, B Gabbe, M Harrold, A Higgins, T Iwashyna, R Papworth, R Parke, S Patman, J Presneill, M Saxena, E Skinner, C Tipping, P Young, S Webb
Physiotherapy Papers and Journal Articles
Objectives: The primary objective was to determine if the early goal-directed mobilization (EGDM) intervention could be delivered to patients receiving mechanical ventilation with increased maximal levels of activity compared to standard care.
Design: A pilot, randomized controlled trial
Setting: Five intensive care units (ICUs) in Australia and New Zealand
Participants: Fifty critically ill adults, mechanically ventilated for greater than 24 hours.
Intervention: Patients were randomly assigned to either EGDM (intervention) or to standard care (control). EGDM comprised functional rehabilitation treatment conducted at the highest level of activity possible for that patient assessed by the ICU mobility scale …
Doctors' Perspectives On Psa Testing Illuminate Established Differences In Prostate Cancer Screening Rates Between Australia And The Uk: A Qualitative Study, K Pickles, S Carter, L Rychetnik, V Entwistle
Doctors' Perspectives On Psa Testing Illuminate Established Differences In Prostate Cancer Screening Rates Between Australia And The Uk: A Qualitative Study, K Pickles, S Carter, L Rychetnik, V Entwistle
Medical Papers and Journal Articles
Objectives: To examine how general practitioners (GPs) in the UK and GPs in Australia explain their prostate-specific antigen (PSA) testing practices and to illuminate how these explanations are similar and how they are different.
Design: A grounded theory study.
Setting: Primary care practices in Australia and the UK.
Participants: 69 GPs in Australia (n=40) and the UK (n=29). We included GPs of varying ages, sex, clinical experience and patient populations. All GPs interested in participating in the study were included.
Results: GPs’ accounts revealed fundamental differences in whether and how prostate cancer screening occurred in their practice and in the …
Complementary Therapies For Labour And Birth: A Randomized Controlled Trial Of Antenatal Integrative Medicine For Pain Management In Labour, K Levett, C Smith, A Bensoussan, H Dahlen
Complementary Therapies For Labour And Birth: A Randomized Controlled Trial Of Antenatal Integrative Medicine For Pain Management In Labour, K Levett, C Smith, A Bensoussan, H Dahlen
Medical Papers and Journal Articles
Objective: To evaluate the effect of an antenatal integrative medicine education programme in addition to usual care for nulliparous women on intrapartum epidural use.
Design: Open-label, assessor blind, randomized controlled trial.
Setting: 2 public hospitals in Sydney, Australia.
Population: 176 nulliparous women with low-risk pregnancies, attending hospital-based antenatal clinics.
Methods and intervention: The Complementary Therapies for Labour and Birth protocol, based on the She Births and acupressure for labour and birth courses, incorporated 6 evidence-based complementary medicine techniques: acupressure, visualisation and relaxation, breathing, massage, yoga techniques, and facilitated partner support. Randomisation occurred at 24–36 weeks’ gestation, and participants attended a …