Medicine and Health Sciences Commons^™

The Evidence-Policy Divide: A 'Critical Computational Linguistics' Approach To The Language Of 18 Health Agency Ceos From 9 Countries, Erica Bell, Bastian M. Seidel

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

Background There is an emerging body of literature suggesting that the evidence-practice divide in health policy is complex and multi-factorial but less is known about the processes by which health policy-makers use evidence and their views about the specific features of useful evidence. This study aimed to contribute to understandings of how the most influential health policy-makers view useful evidence, in ways that help explore and question how the evidence-policy divide is understood and what research might be supported to help overcome this divide. Methods A purposeful sample of 18 national and state health agency CEOs from 9 countries was …

Practice Nurses Experiences Of Mentoring Undergraduate Nursing Students In Australian General Practice, Elizabeth J. Halcomb, Kathleen Peters, Susan Mcinnes

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

Internationally, the delivery of health services has shifted from secondary to primary care, necessitating an exponential growth of the nursing workforce and expansion of the nursing role in general practice. This growth, and the subsequent need to develop this workforce, has created a need to expose undergraduate nurses to general practice nursing as a viable career option. Concurrently, universities are struggling to find sufficient clinical places for their undergraduate students to gain clinical experience. It is logical, therefore, to increase the number of undergraduate nursing student placements in general practice. Through qualitative research methods, this paper seeks to explore the …

Will Climate Severity Ever Lead To Climate Action? Implications For Adaptation Policy And Practice, Bastian Seidel, Erica Bell

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

No abstract provided.

Effect Of 6 Weeks' Consumption Of Β-Glucan-Rich Oat Products On Cholesterol Levels In Mildly Hypercholesterolaemic Overweight Adults, Karen E. Charlton, Linda C. Tapsell, Marijka J. Batterham, Jane O'Shea, Rebecca Thorne, Eleanor Beck, Susan M. Tosh

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

Several regulatory bodies have approved a health claim on the cholesterol-lowering effects of oat β-glucan at levels of 3·0 g/d. The present study aimed to test whether 1·5 g/d β-glucan provided as ready-to-eat oat flakes was as effective in lowering cholesterol as 3·0 g/d from oats porridge. A 6-week randomised controlled trial was conducted in eighty-seven mildly hypercholesterolaemic ( ≥ 5 mmol/l and < 7·5 mmol/l) men and women assigned to one of three diet arms (25 % energy (E%) protein; 45 E% carbohydrate; 30 E% fat, at energy requirements for weight maintenance): (1) minimal β-glucan (control); (2) low-dose oat β-glucan (1·5 g β-glucan; oats low – OL) or (3) higher dose oat β-glucan (3·0 g β-glucan; oats high – OH). Changes in total cholesterol and LDL-cholesterol (LDL-C) from baseline were assessed using a linear mixed model and repeated-measures ANOVA, adjusted for weight change. Total cholesterol reduced significantly in all groups ( − 7·8 (sd 13·8) %, − 7·2 (sd 12·4) % and − 5·5 (sd 9·3) % in the OH, OL and control groups), as did LDL-C ( − 8·4 (sd 18·5) %, − 8·5 (sd 18·5) % and − 5·5 (sd 12·4) % in the OH, OL and control groups), but between-group differences were not significant. In responders only (n 60), β-glucan groups had higher reductions in LDL-C ( − 18·3 (sd 11·1) % and − 18·1 (sd 9·2) % in the OH and OL groups) compared with controls ( − 11·7 (sd 7·9) %; P = 0·044). Intakes of oat β-glucan were as effective at doses of 1·5 g/d compared with 3 g/d when provided in different food formats that delivered similar amounts of soluble β-glucan.

Hybrid Nanomembranes For High Power And High Energy Density Supercapacitors And Their Yarn Application, Jae Ah Lee, Min-Kyoon Shin, Seon Jeong Kim, Geoffrey Maxwell Spinks, Gordon G. Wallace, Raquel Ovalle-Robles, Marcio D. Lima, Mikhail E. Kozlov, Ray H. Baughman

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

Ultrathin (thicknessnm) electrically conducting membranes can be used as electrodes for sensors, actuators, optical devices, fuel cells, scaffolds for assembling nanoparticles, and separation of biological macromolecules.1-6 Various approaches have been suggested for the fabrication of free-standing nanomembranes based on organic polymers and/or inorganic materials: spin-casting of films,7 layer-by-layer assembly of polyelectrolyte multilayers,8 cross-linking of self-assembled monolayers,9 and assembly of triblock copolymers.10,11 Loading materials such as gold nanoparticles12 or carbon nanotubes13 make membranes robust and electrically conductive. However, these methods are often time-consuming and have some limitations in terms of achievable electrical and electrochemical membrane performance as well as scale-up. Alternative …

Possible Earthquake Trigger For 6th Century Mass Wasting Deposit At Lake Ohrid (Macedonia/Albania), Bernd Wagner, Alexander Francke, Roberto Sulpizio, Giovanni Zanchetta, K Lindhorst, S Krastel, Hendrik Vogel, Janet Rethemeyer, G Daut, A Grazhdani, B Lushaj, S Trajanovski

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

Lake Ohrid shared by the Republics of Albania and Macedonia is formed by a tectonically active graben within the south Balkans and suggested to be the oldest lake in Europe. Several studies have shown that the lake provides a valuable record of climatic and environmental changes and a distal tephrostratigraphic record of volcanic eruptions from Italy. Fault structures identified in seismic data demonstrate that sediments have also the potential to record tectonic activity in the region. Here, we provide an example of linking seismic and sedimentological information with tectonic activity and historical documents. Historical documents indicate that a major earthquake …

Realist Synthesis: Illustrating The Method For Implementation Research, Joanne Rycroft-Malone, Brendan Mccormack, Alison M. Hutchinson, Kara Decorby, Tracey K. Bucknall, Bridie Kent, Alyce Schultz, Erna Snelgrove-Clarke, Cheryl B. Stetler, Marita Titler, Lars Wallin, Valerie J. Wilson

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

Background: Realist synthesis is an increasingly popular approach to the review and synthesis of evidence, which focuses on understanding the mechanisms by which an intervention works (or not). There are few published examples of realist synthesis. This paper therefore fills a gap by describing, in detail, the process used for a realist review and synthesis to answer the question 'what interventions and strategies are effective in enabling evidence-informed healthcare?' The strengths and challenges of conducting realist review are also considered.

Methods: The realist approach involves identifying underlying causal mechanisms and exploring how they work under what conditions. The …

Appreciation Of A Child's Journey: Implementation Of A Cardiac Action Research Project, Kate Alexa Dengler, Valerie J. Wilson, Sarah Redshaw, Gabrielle Scarfe

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

The aim of this paper is to provide an overview of the phases of the action research process involved in developing, implementing, and evaluating the Heart Beads program. The aim of the project is to enrich the hospital experience of children with cardiac conditions. Heart Beads involves children receiving unique beads specific to each cardiac treatment, procedure or event in recognition of their experiences, and endurance. An action research approach, involving a partnership between clinicians and researchers and emphasising the involvement of patients and their families, was used to guide the Heart Beads program. The project followed the five phases …

Nurse-Led Cancer Care, Moira Stephens

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

In this issue of The Australian Journal of Cancer Nursing we focus on nurse-led cancer care. We have chosen three research studies in different settings, all of which demonstrate the impact of excellent cancer nursing and multidisciplinary care: an intervention enhancing survivorship for long-term survivors of Hodgkin lymphoma; a focus on the position of cancer coordinator-led care in a regional hospital and a project enabling nurse-led screening and interventions using a supportive care resource kit.

Exercise Counselling: When Undergraduate Practice-Based Learning And Community Outreach Combine, Everyone Appears To Be A Winner, Angela Douglas, Jennifer Wilkie, Herbert Groeller

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

Abstract of paper presented at the 5th Exercise & Sports Science Australia Conference 2012.

Can You Get It Online? How To Enhance Professional And Clinical Learning Experiences For Exercise Physiology Students, Angela Douglas, Chris Brewer, Lisa Carrington

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

Abstract of paper presented at the 5th Exercise & Sports Science Australia Conference 2012.