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2. An introduction to the 10th Anniversary collection of RACI and AAS Award papers.
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Wentrup, Curt
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SURFACE plasmon resonance , *BAYES' theorem , *ELECTRON paramagnetic resonance , *SCIENCE awards , *MAGNETIC resonance , *COORDINATION polymers - Abstract
The article introduces the 10th Anniversary collection of RACI and Academy of Science Award papers, highlighting the work of various researchers in the field of chemistry. The papers cover a range of topics including the synthesis of coordination polymers, isolation of new compounds from marine organisms, and the use of novel motifs in medicinal chemistry. The research presented in the collection showcases innovative approaches and potential applications in diverse fields such as drug delivery, catalysis, and materials science. [Extracted from the article]
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- 2024
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3. Improving floral nectar storage on filter paper for sugar recovery.
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Amato, Bianca, Petit, Sophie, and Schumann, Russell
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Nectar analysis has been used to understand pollination systems, but nectar storage methods have rarely been considered as potential sources of inaccuracy in the recovery of data. Prompt nectar sugar analysis is not always possible and storage methods can affect results. We aimed to develop an effective method to store nectar on filter paper. Nectars from two subspecies of Eremophila maculata (Scrophulariaceae) and Strelitzia reginae (Strelitziaceae) were spotted on filter papers. Nectars were redissolved and assayed by high-performance liquid chromatography to determine the masses of sugars recovered from the papers from Day 0 to Day 30. We evaluated the effects of the method of elution, paper type and size, and storage treatments on sugar recovery. Liquid nectars were also stored in the refrigerator. Sugars were best eluted from filter papers in 15 mL of water and agitated for 1 min. Nectar sugars stored on small papers tended to be recovered more successfully than those stored on larger papers (significantly for glucose). Paper performed better than nylon for glucose. Desiccant had a marginal positive effect on nectar sugar recovery, and filter paper performed better than did refrigeration of liquid nectar for storage. If highly accurate measurements are needed, nectars should be eluted with large volumes of water from small filter papers stored with desiccant within a few days of collection. Floral nectar is a primary driver of pollination. Storage of nectar between collection and analysis can greatly affect sugar characteristics. We aimed to develop an effective method to store nectar on filter paper. Nectar is best eluted with large volumes of water from small filter papers stored with desiccant. Nectar storage methods have rarely been considered as sources of inaccuracy; however, we have demonstrated that prompt analysis is necessary for the most reliable results. [ABSTRACT FROM AUTHOR]
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- 2021
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4. Comparison of the quality of documentation between electronic and paper medical records in orthopaedic trauma patients.
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Witkowski, Chris, Kimmel, Lara, Edwards, Elton, and Cosic, Filip
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ANALYSIS of variance , *PATIENTS , *RETROSPECTIVE studies , *DOCUMENTATION , *T-test (Statistics) , *EMERGENCY medical services , *MEDICAL records , *DESCRIPTIVE statistics , *ORTHOPEDICS , *ELECTRONIC health records , *LOGISTIC regression analysis , *DATA analysis software - Abstract
Objective: The medical record is critical for documentation and communication between healthcare professionals. This study compared the completeness of orthopaedic documentation between the electronic medical record (EMR) and paper medical record (PMR). Methods: A review was undertaken of 400 medical records (200 EMR, 200 PMR) of patients with operatively managed traumatic lower limb injury. The operative report, discharge summary and first and second out-patient reviews were evaluated using criteria designed by a senior orthopaedic surgeon and senior physiotherapist. The criteria included information deemed critical to the post-operative care of the patient in the first 6 weeks post-surgery. Results: In all cases, an operative report was completed by a senior surgeon. Notable findings included inferior documentation of patient weight-bearing status on the operative report in the EMR than PMR group (P = 0.018). There was a significant improvement in the completion of discharge summaries in the EMR compared with PMR cohort (100% vs 82.5% respectively; P < 0.001). In the PMR group, 70.0% of discharge summaries were completed and adequately documented, compared with 91.5% of those in the EMR group (P < 0.001). At out-patient review, there was an improvement in documentation of weight-bearing instructions in the EMR compared with PMR group (81.1% vs 76.2% respectively; P = 0.032). Conclusion: The EMR is associated with an improvement in the standard of orthopaedic medical record documentation, but deficiencies remain in key components of the medical record. What is known about the topic?: Medical records are an essential tool in modern medical practice and have significant implications for patient care and management, communication and medicolegal issues. Despite the importance of comprehensive documentation, numerous examples of poor documentation continue to be demonstrated. Recently, significant changes to the medical record in Australia have been implemented with the conversion of some hospitals to an EMR and the implementation of the My Health Record. What does this paper add?: Standards of patient care should be monitored continuously and deficiencies identified in order to implement measures for improvement and to close the quality loop. This study has highlighted that although there has been improvement in medical record keeping with the implementation of an EMR, the standard of orthopaedic medical record keeping continues to be below what is expected, and several key areas of documentation require improvement. What are the implications for practitioners?: The implications of these findings for practitioners are to highlight current deficiencies in documentation and promote change in current practice to improve the quality of medical record documentation among medical staff. Although the EMR has improved documentation, there remain areas for further improvement, and hospital administrators will find these observations useful in implementing ongoing change. [ABSTRACT FROM AUTHOR]
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- 2022
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5. Comparison of the quality of documentation between electronic and paper medical records in orthopaedic trauma patients
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Elton R Edwards, Filip Cosic, Chris Witkowski, and Lara A Kimmel
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medicine.medical_specialty ,business.industry ,Health Policy ,Medical record ,media_common.quotation_subject ,Australia ,MEDLINE ,Documentation ,medicine.disease ,Hospitals ,Cohort ,Orthopedic surgery ,Operative report ,Electronic Health Records ,Humans ,Medicine ,Quality (business) ,Medical emergency ,Electronics ,business ,Orthopaedic trauma ,media_common - Abstract
Objective The medical record is critical for documentation and communication between healthcare professionals. This study compared the completeness of orthopaedic documentation between the electronic medical record (EMR) and paper medical record (PMR). Methods A review was undertaken of 400 medical records (200 EMR, 200 PMR) of patients with operatively managed traumatic lower limb injury. The operative report, discharge summary and first and second out-patient reviews were evaluated using criteria designed by a senior orthopaedic surgeon and senior physiotherapist. The criteria included information deemed critical to the post-operative care of the patient in the first 6 weeks post-surgery. Results In all cases, an operative report was completed by a senior surgeon. Notable findings included inferior documentation of patient weight-bearing status on the operative report in the EMR than PMR group (P = 0.018). There was a significant improvement in the completion of discharge summaries in the EMR compared with PMR cohort (100% vs 82.5% respectively; P
- Published
- 2021
6. Comparison of the quality of documentation between electronic and paper medical records in orthopaedic trauma patients
- Author
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Witkowski, Chris, primary, Kimmel, Lara, additional, Edwards, Elton, additional, and Cosic, Filip, additional
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- 2021
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7. Development of methods to overcome physiological seed dormancy of temperate annual pasture legumes to assist speed breeding.
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Peck, David M., Humphries, Alan W., and Ballard, Ross A.
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CLOVER ,SEED dormancy ,LEGUMES ,GERMINATION ,PASTURES ,FILTER paper ,MEDICAGO ,BENZYLAMINOPURINE - Abstract
Context and aims: Freshly harvested seeds of temperate annual pasture legume species have physiological dormancy (PD), which delays the growth of the next generation and is thus an impediment to speed breeding. The aim of this study was to develop a method or methods of PD breaking that can achieve high germination (≥90%) within 5 days of picking freshly harvested seed. Methods: In a series of experiments, PD breaking methods by themselves and in combination were tested on burr medic (Medicago polymorpha). The most promising methods were then tested on other annual medic species (Medicago spp.), subterranean clover (Trifolium subterraneum), and alternative species from six genera. Key results: The successful PD breaking method involved drying pods overnight at 45°C, extracting and scarifying seed, placing seed on filter paper in a Petri dish along with non-dormant seed, imbibing seed with 4 μM benzylaminopurine, sealing the Petri dish, and incubating in the dark at 15°C. Highly dormant genotypes required the additional treatment of removing the testa. Conclusions: We have developed an effective way of breaking seed PD in the 11 pasture legumes species from the seven genera tested. The rapid breaking of seed PD will assist speed breeding of annual pasture legumes, making it less laborious and time-bound than currently used methods. Implications: The PD breaking methods are expected to assist basic science studies of annual pasture legume species and may be applicable to other species and genera. Freshly harvested seeds of temperate annual pasture legume species have physiological dormancy (PD), which delays the growth of the next generation and is thus an impediment to speed breeding. We report on the development of PD breaking methods that rapidly overcome PD of freshly harvested seed. The rapid breaking of PD assists the speed breeding of annual pasture legumes by making it less laborious and time-bound than previous methods. [ABSTRACT FROM AUTHOR]
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- 2023
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8. PAPER PLANT POTS.
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TU, CHENXIN
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- 2023
9. Questionable evidence and argumentation regarding alleged misuse of Medicare.
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Looi, Jeffrey C. L., Allison, Stephen, Bastiampillai, Tarun, Maguire, Paul A., and Robson, Stephen J.
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MEDICARE laws ,HEALTH insurance reimbursement laws ,FRAUD prevention ,MEDICAL care use ,HEALTH insurance ,MEDICARE ,PROFESSIONS ,LEGAL compliance ,ECONOMICS - Abstract
What is known about this topic? We discuss a recently published paper that alleges clinicians are causal agents of non-compliant billing of Medicare. What does this paper add? The paper's arguments are partially supported by unreferenced assertions, potential logical fallacies, inaccurate reporting of referenced material and unsubstantiated rhetoric. What are the implications for practitioners? Due to the lack of substantive evidence, it cannot be concluded that clinicians are the causal agents of non-compliant billing of Medicare. [ABSTRACT FROM AUTHOR]
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- 2024
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10. The contributions of Rupert Best to the modern concept of the nature of viruses.
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Geering, Andrew D. W.
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TOBACCO mosaic virus ,PLANT viruses ,SOIL scientists ,PLANT diseases ,VIRAL replication - Abstract
Rupert Jethro Best (1903–91), working alone at the Waite Agricultural Research Institute in Adelaide between 1934 and 1937, was among the first to purify tobacco mosaic virus (TMV) and to propose that it was a complex macromolecule containing protein and another reactive group that was responsible for infectivity of the virus. However, his research was completely overshadowed by that of Wendell Stanley and the duo of Frederick Bawden and Norman (aka Bill) Pirie, working in the United States of America and Great Britain, respectively, to the point where Best is not even mentioned in modern histories of TMV. Many factors have contributed to this lack of recognition for Best. Professor James Prescott, a soil scientist and Best's supervisor at the Waite Institute, failed to appreciate the significance of his research, leading to critical delays in publication that prevented him from claiming precedence for purifying TMV. When Best's research was eventually published, it was in Australian journals that were not broadly distributed, resulting in minimal international exposure for his research. The plant virology community within which he worked in Australia was very small and entirely focused on plant disease control, and not concerned with fundamental questions about the composition of viruses. Communication with similarly interested scientists in the Northern Hemisphere was hindered by the great distances involved. In this paper, pioneering research done by Best on TMV is reviewed, and placed in context with that undertaken by Stanley and by Bawden and Pirie, who are best remembered for purifying TMV and characterising its physicochemical properties. Rupert Jethro Best, working alone in Adelaide at the Waite Agricultural Research Institute, was among the first to purify tobacco mosaic virus and to provide evidence that it was a heterogeneous macromolecule, composed mainly of protein but also small prosthetic groups with the properties of a weak acid, wherein lay the activity of the virus. This paper describes the contributions of Rupert Best to early theories on the material nature and mode of reproduction of viruses. Photographer unknown, State Library of South Australia. [ABSTRACT FROM AUTHOR]
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- 2024
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11. An introduction to the collection 'Environmental flows in northern Murray–Darling Basin: what we know about the science and management after a decade of practice'.
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Southwell, M. R., Frazier, P. F., Peat, M., Banks, S. A., Shrubb, J. B., Kermode, T. C., Thurtell, L. A., Bowen, S., and Prior, A. E.
- Abstract
This paper is the foreword to a collection on monitoring and research outcomes related to water management in the northern Murray–Darling Basin (MDB), Australia. It provides background on the northern MDB, along with a summary of papers presented in the collection. This article belongs to the collection Environmental flows in northern Murray–Darling Basin: what we know about the science and management after a decade of practice. [ABSTRACT FROM AUTHOR]
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- 2024
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12. Time spent feeding as an early indicator of metritis in postpartum dairy cows: systematic review and meta-analysis.
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Cocco, R., Canozzi, M. E. A., Vieira, A. C., and Fischer, V.
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Context. Feeding behaviour is an important tool for the early detection of diseases in dairy cows. Aims. The aim of this study was to evaluate whether the variation in time spent feeding in the prepartum and postpartum periods may be used to detect the occurrence of metritis and subclinical ketosis (SCK) before the onset of the clinical symptoms at the postpartum. Methods. The research was conducted in four electronic databases, including Scopus, Science Direct, Pubmed, and Web of Science. The inclusion criteria for citations were original research, evaluation of daily time spent feeding in dairy cows, and use of this indicator for early identification of metritis and/or SCK in dairy cows in the prepartum and postpartum periods. A random-effect meta-analysis (MA) was conducted for metritis with the time spent feeding means of control (healthy) and treated (sick) groups measured in the prepartum and postpartum periods. The analysis was conducted with the values of daily time spent feeding before and after calving in both groups. Key results. In total, 26 trials from six papers, involving 1037 dairy cows, were included in the statistical analysis. No data were obtained for SCK to conduct a MA, while for metritis, 16 trials from six papers (prepartum) and 10 trials from three papers (postpartum) were considered. The heterogeneity between studies on metritis was moderate (I² = 57.5%) in the prepartum period and low (I² = 10.0%) in the postpartum period. The mean difference feeding time for healthy and unhealthy animals was greater during postpartum (21.14 min/day, P < 0.001) than during prepartum (16.36 min/day, P < 0.001). Meta-regression analysis showed that number of daily milkings, sample size, and the place of running trial significantly influenced the time spent feeding by cows. Conclusion. On the basis of available and suitable scientific literature, time spent feeding is reduced at the prepartum and postpartum periods in dairy cows further affected by metritis. Implications. This study evidenced that feeding time might be incorporated into health-monitoring protocols for early detection of metritis in dairy cows. [ABSTRACT FROM AUTHOR]
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- 2023
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13. IX International Conference on Forest Fire Research and 17th International Wildland Fire Safety Summit: special issue introduction (Part 4).
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Flannigan, Mike, Viegas, Domingos Xavier, and Ribeiro, Luís Mário
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WILDFIRES ,FOREST fires ,FIRE prevention ,CONFERENCES & conventions ,DECISION support systems ,WILDFIRE prevention ,FOREST fire management - Abstract
The 9th International Conference on Forest Fire Research, organised by the Forest Fire Research Center of the Association for Developmental of Industrial Aerodynamics every 4 years since 1990, was held in November 2022 in Coimbra, Portugal. The conference was held in conjunction with the 17th International Wildland Fire Safety Summit, sponsored by the International Association of Wildland Fire. The number and quality of the submissions for this joint event was very high, and the authors were encouraged to submit a full paper to a special issue of the International Journal of Wildland Fire (IJWF). Given the large number of submissions, the Journal decided to publish the special issue in four parts. Part 1 was published in January 2023, with eight papers, Part 2 in March 2023, with 10 papers and Part 3 in June 2023 with 15 papers. This fourth part presents 10 original papers, in three areas: Decision Support Systems and Tools (3), Risk Assessment & Reduction (3) and the Wildland Urban Interface (4). All the papers in this special issue are published Open Access. Part 4 of the special issue that resulted from the 9th International Conference on Forest Fire Research includes 10 papers on various aspects of wildland fire research. Parts 1, 2 and 3 were published in January, March and June 2023 respectively. All papers in the special issue are published Open Access. [ABSTRACT FROM AUTHOR]
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- 2023
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14. Mahseer conservation in Asia: trends and insights from scientometric analysis.
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Iskandar, Nur Syuhada, Md Noor, Noorashikin, Che Cob, Zaidi, Das, Simon Kumar, and Kasihmuddin, Sonia
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Context: Mahseer fish, listed as Data Deficient with a decreasing population trend in The IUCN Red List of Threatened Species 2018, is regarded as a valuable organism. Aims: This study aims to evaluate the current state of mahseer research in Asia through scientometric analysis. Methods: We utilised the Web of Science (WOS) database, initiated in 1970, which began collecting scientific articles on mahseer research in Asia in 1978. Key results: Analysis of data from 1976 to 2024 showed a progressive trend in scientific publications on mahseer, with a notable increase in the number of papers published. Notably, from one publication in 1978, the number rose to 22 papers in 2021, constituting 10.63% of total scientific publications in this domain. The analysis identified 559 authors from 200 affiliations actively participating in mahseer research in Asia, accumulating 3661 citations. Cluster analysis showed eight co-citation clusters of research. Conclusions: Mahseer research in Asia shows significant potential to emerge as an important field of study in future scientific-research endeavours. Implications: Understanding the current state and trends of mahseer research is crucial for conservation efforts and sustainable management of this species in Asia. Mahseer fish, listed as Data Deficient with a decreasing population trend in The IUCN Red List, is valuable. Scientometric studies evaluate research efficacy. This study assessed mahseer research in Asia by using scientometric analysis. Analysis from Web of Science database showed a slight upward trend. Scientific publications on mahseer exhibited a significant increase. Research in Asia has potential for future scientific endeavours. The findings highlighted the importance of understanding research trends to inform conservation efforts for mahseer species in Asia. This article belongs to the collection Ecological Monitoring and Assessment of Freshwater Ecosystems: new trends and future challenges. [ABSTRACT FROM AUTHOR]
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- 2024
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15. A DISAPPEARING MAGIC TRICK.
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SHAW, DAVID
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- 2024
16. Forest fire progress monitoring using dual-polarisation Synthetic Aperture Radar (SAR) images combined with multi-scale segmentation and unsupervised classification.
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Shama, Age, Zhang, Rui, Wang, Ting, Liu, Anmengyun, Bao, Xin, Lv, Jichao, Zhang, Yuchun, and Liu, Guoxiang
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SYNTHETIC aperture radar ,FOREST fires ,WILDFIRE prevention ,FOREST fire prevention & control ,REMOTE sensing ,FOREST monitoring ,CLOUDINESS - Abstract
Background: The cloud-penetrating and fog-penetrating capability of Synthetic Aperture Radar (SAR) give it the potential for application in forest fire progress monitoring; however, the low extraction accuracy and significant salt-and-pepper noise in SAR remote sensing mapping of the burned area are problems. Aims: This paper provides a method for accurately extracting the burned area based on fully exploiting the changes in multiple different dimensional feature parameters of dual-polarised SAR images before and after a fire. Methods: This paper describes forest fire progress monitoring using dual-polarisation SAR images combined with multi-scale segmentation and unsupervised classification. We first constructed polarisation feature and texture feature datasets using multi-scene Sentinel-1 images. A multi-scale segmentation algorithm was then used to generate objects to suppress the salt-and-pepper noise, followed by an unsupervised classification method to extract the burned area. Key results: The accuracy of burned area extraction in this paper is 91.67%, an improvement of 33.70% compared to the pixel-based classification results. Conclusions: Compared with the pixel-based method, our method effectively suppresses the salt-and-pepper noise and improves the SAR burned area extraction accuracy. Implications: The fire monitoring method using SAR images provides a reference for extracting the burned area under continuous cloud or smoke cover. This paper describes a method to monitor forest fire progress using dual-polarisation Synthetic Aperture Radar (SAR) images combined with multi-scale segmentation and unsupervised classification. We aimed to take full advantage of the many different dimensions of feature parameter changes caused by forest fires, relying on time-series dual-polarised SAR imagery to achieve burned area extraction and forest fire progress monitoring. [ABSTRACT FROM AUTHOR]
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- 2024
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17. E-prescription: views and acceptance of general practitioners and pharmacists in Greater Sydney.
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Lau, Phyllis, Tran, Minh Thuan, Kim, Ricky Yong, Alrefae, Alsayed Hashem, Ryu, Sangwoo, and Teh, Jim Chyuan
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MEDICAL quality control ,ATTITUDES of medical personnel ,RESEARCH methodology ,DIGITAL health ,INTERVIEWING ,QUALITATIVE research ,MEDICAL prescriptions ,THEMATIC analysis ,STAY-at-home orders ,PATIENT care ,COVID-19 pandemic ,TELEMEDICINE - Abstract
Background: Electronic prescription (e-prescription) was introduced in 2020 in Australia during the COVID-19 pandemic. This research aimed to explore general practitioners (GPs) and community pharmacists' experience with, and facilitators and barriers to, the use of e-prescription. Methods: This qualitative study used semi-structured interviews with GPs and pharmacists in Greater Sydney to explore their experience with e-prescription. Thematic analysis used descriptive and mixed inductive and deductive approaches. The Technology Acceptance Model (TAM) was used to further interpret and organise the themes. Results: Eleven GPs and nine pharmacists were interviewed. Thirteen themes were elicited, seven of which were categorised as benefits (facilitators) and six were challenges (barriers). Four facilitator themes (convenience for healthcare providers (HCPs) and patients, addressing issues with paper prescriptions, contactless nature reducing access barriers during COVID-19 lockdown, and enabling patients to manage multiple prescriptions) were mapped to the TAM construct of 'perceived usefulness'; and one facilitator (an easier process) and two barrier themes (lack of information during implementation, and technological issues) were mapped to the TAM construct of 'perceived ease of use'. Themes that fell outside these constructs were separately categorised: four barrier themes (reluctance of some patients and HCPs to change, patient expectations of 'instant prescription' and lost opportunities for best-practice care, HCPs' perceptions of inadequate governmental governance, and ongoing costs) were 'other issues with e-prescription', and two facilitator themes (providing training on the use of e-prescription for HCPs and patients, and making e-prescription more streamlined) were 'suggestions to improve'. Conclusion: There are many facilitators and barriers to the use of e-prescription. Our findings may inform the future promotion of e-prescription post-COVID-19 pandemic. Further research should focus on consumers' perspectives of e-prescription. It is inevitable that electronic prescriptions will one day supersede paper prescriptions, but there is resistance to their implementation at the practitioner and patient levels. This paper explored GPs and pharmacists' experience and views, and found that while e-prescription improves the quality of patient care, there are several challenges to its effective use. Findings may inform the future promotion of e-prescription, particularly post-COVID-19 pandemic, and guide future research in exploring consumer perspectives. [ABSTRACT FROM AUTHOR]
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- 2024
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18. MESSAGING WITH SCENTS.
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TU, CHENXIN
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- 2023
19. Corrigendum to: Monitoring tropical freshwater fish with underwater videography and deep learning.
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Jansen, Andrew, van Bodegraven, Steve, Esparon, Andrew, Gadhiraju, Varma, Walker, Samantha, Buccella, Constanza, Bock, Kris, Loewensteiner, David, Mooney, Thomas J., Harford, Andrew J., Bartolo, Renee E., and Humphrey, Chris L.
- Abstract
This document is a corrigendum that corrects an error in a previously published paper titled "Monitoring tropical freshwater fish with underwater videography and deep learning." The authors apologize for the mistake, which involves the incorrect color of the bounding box and species name for Ambassis macleayi in Figure 7e. The correct color should have been yellow instead of green. The authors provide a corrected version of the figure and apologize for any confusion caused. [Extracted from the article]
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- 2024
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20. Common leaf spot of lucerne and the dawn of mycology and plant pathology in Australia.
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Ryley, Malcolm J.
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LEAF spots ,PLANT diseases ,MYCOLOGY ,FUNGI classification ,AUSTRALIANS ,MYCOSPHAERELLA ,SUBURBS - Abstract
As the number of livestock increased in the years following English colonisation of Australia in 1788, the need for nutritious fodder, including lucerne (Medicago sativa), grew. One of the first diseases found on lucerne was a leaf spot which was collected in 1879 by George Bancroft, a physician and naturalist, in a suburb of Brisbane. The Queensland Government Botanist Frederick Manson Bailey sent a specimen to the prominent English mycologists Miles Joseph Berkeley and Christopher Edmund Broome who in 1883 formally described and named the fungus Sphaerella destructiva. That fungus is now known as Pseudopeziza medicaginis , the causal agent of common leaf spot of lucerne. It was one of over 300 fungi that were included in a 1880 paper co-written by the Reverend Julian Tenison-Woods and Frederick Bailey. At that time almost all of these fungi which had been collected in Australia were identified by overseas mycologists, particularly Berkeley and Broome. It can be argued that their 1880 paper was the first significant one published in Australia which focussed on fungi. Just a decade or so later Australian scientists, in particular Daniel McAlpine, were describing new fungal taxa on their own. Among the fungi recorded in a paper published in the 1880 Proceedings of the Linnaean Society of New South Wales was Sphaerella destructiva , now Pseudopeziza medicaginis , the cause of common leaf spot of lucerne. The paper, co-authored by the naturalist Reverend Julian Tenison-Woods and the Queensland Government Botanist Frederick Manson Bailey was the first known comprehensive list of Australian fungi published by Australian residents. It is a milestone in the evolution of mycology and plant pathology studies in Australia. Photograph by H. H. Baily. [ABSTRACT FROM AUTHOR]
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- 2024
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21. Private health insurance incentives and passive adverse selection: is Lifetime Health Cover responsible for the excess ageing of Australia's hospital cover risk pool?
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Ryan, Jonathon Bruce
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INSURANCE ,HEALTH insurance reimbursement ,VALUE-based healthcare ,HEALTH policy ,PRIVATE sector ,HOSPITALS ,AGE distribution ,DESCRIPTIVE statistics ,AGING ,RESEARCH methodology ,MEDICAL care costs - Abstract
Objective: Lifetime Health Cover (LHC) was introduced in mid-2000 to increase participation in private health insurance that includes hospital cover (PHI-HC) and improve the risk profile of PHI-HC participants. It initially achieved both objectives, but since 2001 the PHI-HC population has aged faster than the general population. The aim of this study was to determine if the excess ageing of the PHI-HC risk pool has been due to passive age-based adverse selection, an inherent risk of LHC. This study has potential implications for the retention of LHC. Methods: A descriptive population-level analysis of publicly available administrative datasets was performed. Data relating to PHI-HC were obtained from the Australian Prudential Regulatory Authority. National population data were obtained from the Australian Bureau of Statistics. Trends in demography, PHI-HC participation rates and LHC loading payments were analysed. Results: By 2021, age-based adverse selection had returned to the pre-LHC level. Based on the available data, this was due to passive age-based adverse selection not active age-based adverse selection. Specifically, it reflected the combination of an avoidable unintended consequence of the introduction of LHC (the over-representation, in 2001, of individuals aged 45–59) and one of LHC's intended effects (incentivisation of insured individuals to retain PHI-HC). Conclusions: This study supports the retention of LHC. Nonetheless, it highlights the risk of passive age-based adverse selection created by incentivising insured individuals to retain PHI-HC in the presence of distortions in the age distribution of the PHI-HC risk pool. Early targeted interventions are required when such distortions arise. What is known about the topic? Since the introduction of Lifetime Health Cover (LHC) in mid-2000, the participation rate for private health insurance that includes hospital cover (PHI-HC) has remained relatively stable, but the PHI-HC population has aged faster than the general population. What does this paper add? This paper makes a novel distinction between 'active' and 'passive' age-based adverse selection to explain LHC's role in the excess ageing of the PHI-HC risk pool. What are the implications for practitioners? Governments need to be vigilant for the emergence of distortions in the age distribution of the PHI-HC risk pool and respond with targeted interventions to normalise the age distribution, or risk problematic passive age-based adverse selection. [ABSTRACT FROM AUTHOR]
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- 2024
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22. Looking back at five decades of embryo technology in practice.
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Hasler, John F.
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EMBRYO transfer ,LAMINAR flow ,TECHNOLOGY transfer ,SPERMATOZOA ,CATTLE ,POLYMERASE chain reaction ,EMBRYOS - Abstract
This paper covers developments from International Embryo Technology Society (IETS) meetings over the past 50 years. The IETS was officially 'born' at a meeting in Denver, Colorado on Sunday 26 May 1974. There have been 51 IETS meetings (the first was in May 1974), and the first conference at which papers were presented was in 1975. The name of the IETS was changed from International Embryo Transfer Society to International Embryo Technology Society in 2016. The annual IETS conferences are held once a year in January. Embryo technology advanced from the laborious and slow techniques of surgical recovery and transfer of bovine embryos to non-surgical recovery and transfer in many species. Cryopreservation of embryos was initially a slow process that met with only moderate technical success before the development of technology that resulted in high embryo survival rates. The polymerase chain reaction was used to determine the sex of embryos following laminar flow cytology, which came into use to separate X- and Y-bearing spermatozoa. IVF has grown to become widely used, and several factors make it more useful than superovulation and embryo recovery/transfer. Perhaps the most important tool of all was the system that allowed the genetic 'mapping' of the genomic sequence of Bos taurus cattle. Charting key DNA differences by scientists, 'haplotypes' are now used routinely to identify animals with desirable traits of economic importance, discover new genetic disorders, and track carrier status of genotyped animals. Future technology is discussed. This paper deals with the 50-year history of embryo transfer technology. It covers the formation of the International Embryo Technology Society, a group of scientists and veterinarians who study or work in the field of embryos and the animals that produce them. These embryos can be frozen, moved from animal to animal, maintained outside the female, and modified by a number of procedures. Photograph by Jenson. [ABSTRACT FROM AUTHOR]
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- 2024
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23. Transition metal element doping to optimize the photochromic properties of WO3.
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Xuhui Jin and Aihua Yao
- Abstract
This research prepared a photochromic material of WO
3 doped with Mo or Cu through a solvothermal method. The material exhibits selective absorption of UV light in the 200-350-nm range. The crystal structure of WO3 remained unchanged after doping, but the bandgap was reduced, thereby increasing its coloration rate. The doping of Mo or Cu brought different new features to WO3 : Mo-doping imparted a purple hue upon UV irradiation, whereas Cu-doping accelerated the bleaching of WO3 due to its multi-valent state. WO3 -0.1Mo and WO3 -0.1Cu were preferentially selected through a practical photochromic process and bandgap calculations, and further used to prepare photochromic ink. This ink is suitable for the preparation of writing and photochromic rewriting paper and retains good photochromic properties even after 50 uses. [ABSTRACT FROM AUTHOR]- Published
- 2024
- Full Text
- View/download PDF
24. IX International Conference on Forest Fire Research and 17th International Wildland Fire Safety Summit: introduction to special issue (Part 2).
- Author
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Almeida, Miguel, Viegas, Domingos Xavier, and Ribeiro, Luís Mário
- Subjects
WILDFIRES ,FOREST fires ,FIRE prevention ,WILDFIRE prevention ,CONFERENCES & conventions ,FIRE management - Abstract
The ninth International Conference on Forest Fire Research, together with the 17th International Wildland Fire Safety Summit was held in November 2022. This joint conference brought together several hundred presentations in the field of wildfire research. This special issue of the International Journal of Wildland Fire includes several papers describing work presented at the conference. Due to the large number and variety of papers submitted, the special issue is being published in several parts. Part 1 of the special issue was published, in January 2023, with a set of eight papers. This Foreword to Part 2 of the special issue introduces 10 new papers on various topics that include: modelling of ignition probability, fire behaviour modelling, wildfire hazard mapping, fire management policies, imagery and mapping, and wildland–urban interface. All papers in the special issue are published Open Access. Part 2 of the Special Issue that resulted from the 9th International Conference on Forest Fire Research includes papers on various aspects of wildland fire research. Part 1 was published in January 2023. All papers in the Special Issue are published Open Access. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
25. IX International Conference on Forest Fire Research and 17th International Wildland Fire Safety Summit: introduction to special issue (Part 3).
- Author
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Ribeiro, Luís Mário, Viegas, Domingos Xavier, and Almeida, Miguel
- Subjects
WILDFIRES ,FOREST fires ,FIRE prevention ,WILDFIRE prevention ,CONFERENCES & conventions ,DECISION support systems - Abstract
The ninth International Conference on Forest Fire Research, organised by the Forest Fire Research Center of the Association for Developmental of Industrial Aerodynamics every 4 years since 1990, was held in November 2022 in Coimbra, Portugal. The conference was held in conjunction with the 17th International Wildland Fire Safety Summit, sponsored by the International Association of Wildland Fire. The number and quality of the submissions for this joint event was very high, and the authors were encouraged to submit a full paper to a special issue of the International Journal of Wildland Fire (IJWF). Given the large number of submissions, the Journal decided to publish the special issue in several parts. Part 1 was published in January 2023, with eight papers, and Part 2 in March 2023, with 10 papers. This third part presents 15 original papers in five topical areas: decision support systems and tools (3), risk reduction (2), risk assessment (3), wildland urban interface (3) and wildfire management and safety (4). All the papers in this special issue are published Open Access. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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- View/download PDF
26. A new analytical procedure to replace the outdated Weende proximal feed ingredient analysis paradigm is long overdue.
- Author
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Pesti, Gene M.
- Abstract
Context: Proximate analysis is also called the Weende method. It has been the standard used for describing the chemical composition of feed ingredients for the past 150+ years. Understanding of the chemical composition of feeds has changed greatly in that time. Most of the current terms used for proximate analyses are unclear and misleading: (1) Crude protein , nitrogen × 6.25 describes true protein plus any other nitrogen-containing compounds including nucleotides and even phospholipids. (2) Crude fibre represents approximately half of the true fibre in most ingredients, but only approximately one-seventh of the fibre in important ingredients like soybean meal. (3) Ether Extract represents the neutral lipids in ingredients but little of the polar lipids like the lecithins. (4) The Nitrogen-free Extract is not an extract at all. It is supposed to represent starch in feed, but it contains large proportions of pectin, hemicellulose and even some cellulose. It reflects the error in Crude Fibre. Inadequacies of the Weende system have been known for a very long time. Animal producers desire to embrace modern technology and adapt more precise feeding techniques. Aims: This paper explains how 19th century chemistry relates to 21st century understandings of feed composition and proposes an updated method of feed ingredient analysis. Methods: A new method of describing feed composition based on 13 modern chemical categories was conceived and called the 'Armidale Method', to distinguish it from the Weende method. The new feed chemical category method was used to compile a preliminary database based on: moisture, sugars, oligosaccharides, starch, pectin, hemicellulose, cellulose, lignin, ash, neutral lipids, polar lipids, true protein, and nonprotein nitrogenous compounds. Key results: Composition values for 26 ingredients compiled from three sources averaged 1032.0 ± 49.5 g/kg, comparable to the theoretical 1000 g/kg. Conclusions: The Armidale Method of analyses could be the starting point for discussions of new standardised procedures for ingredient trade and feed formulation. Implications: It is time for producers, in conjunction with nutritionists and analytical chemists, to explore the best ways to represent the composition of feed ingredients for feeding value and trade. Since the 19th century, when little was known about chemical composition of feeds, gross feed analysis for trade and estimating energetic contributions has been based on the Weende method (moisture, crude protein, crude fibre, ether extract, ash and nitrogen-free extract). A new, Armidale Method, is proposed here. It consists of 13 chemical categories based on modern knowledge of feed chemistry (moisture, true protein, nonprotein nitrogenous compounds, neutral and polar lipids, sugars, oligosaccharides, starch, pectin, lignin, hemicellulose, cellulose, and ash). This paper belongs to Animal Science Reflections and Collection: Recent Advances in Animal Nutrition - Australia 2025. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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27. How much soil do cattle ingest? A review.
- Author
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McConnachie, Sue, Clayton, Edward, Arundell, Lis, Dominiak, Bernie C., and Brock, Pip
- Abstract
Beef and dairy cattle commonly ingest soil when consuming forage-based diets in paddock feeding situations. However, the extent of this soil intake is poorly understood in the Australian environment and under Australian grazing systems. Therefore, the aim of the current literature review was to examine soil ingestion in cattle and the factors that affect ingestion. We found 11 studies containing soil-ingestion data, based in England, France, New Zealand and USA but none from Australia. A wide range in soil ingestion rates was reported and intake varied considerably with season, forage-pasture type, pasture-on-offer, stocking rate and grazing conditions. Generally, soil ingestion was lower in beef cattle than in dairy cattle. We considered the differences in reported levels, variables around those differences, and reliability of methodology used, and compared results with existing international guidelines. For Australian applications, we deduced and recommended that 0.5 kg/head.day is used until field-based research is conducted in Australia which might provide a more specific value for Australian conditions. Our review will inform future livestock management, particularly on contaminated agricultural land. In Australia, there is a poor understanding of how much soil cattle ingest while grazing. We conducted a literature review and found 11 papers to inform our views, but there were no published papers from Australia. Ingestion levels varied among countries, and between dairy and beef enterprises. We estimated that cattle ingest about 0.5 kg/head.day; however, this varies according to circumstance. Research is required in Australian environment to better inform managers. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
28. Australian medical practitioners: trends in demographics and regions of work 2013–2022.
- Author
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Cortie, Colin H., Garne, David, Parker-Newlyn, Lyndal, Ivers, Rowena G., Mullan, Judy, Mansfield, Kylie J., and Bonney, Andrew
- Subjects
PSYCHOLOGICAL resilience ,PSYCHOLOGICAL burnout ,RURAL health ,SEX distribution ,RETROSPECTIVE studies ,DESCRIPTIVE statistics ,AGE distribution ,MEDICAL records ,ACQUISITION of data ,PHYSICIANS ,DATA analysis software ,DEMOGRAPHY ,LABOR supply - Abstract
Objective: This study aimed to examine changes in the demographics and regions of work of Australian doctors over a period of 9 years. Methods: A retrospective study of Australian Health Practitioner Regulation Agency (AHPRA) registration data was performed. Data were sourced from the Health Workforce Dataset Online Data Tool which was derived from annual registration data from AHPRA for 2013–2022. The demographic factors analysed were gender, age, and origin of qualification. Regions of work were defined using the Modified Monash (MM) model. Results: The number of registered doctors increased from 82,408 in 2013 to 111,908 in 2022 but mean hours worked per week decreased from 41 to 39 leading up to 2020. Trends in age and origin of qualification remained stable, but the proportion of female workers increased from 38.5% in 2013 to 44.5% in 2022. While female hours per week (~37) were consistent from 2013 to 2020, male hours per week decreased from 43 to 41. The number of registrations and total full-time equivalent (FTE) outcomes increased consistently in metropolitan (MM1) and rural (MM2–5) regions but did not increase for remote and very remote (MM6–7) regions. Conclusion: The Australian medical workforce both grew and changed between 2013 and 2022. An overall decrease in mean hours worked appears to be driven by a decline in hours worked by male workers and the increased proportion of female workers. While increased gender parity and a decrease in hours worked per week were positive outcomes, a lack of growth in the medical workforce was noted in remote and very remote regions of Australia. What is known about the topic? Changes in the medical workforce over time are likely to impact health service delivery. What does this paper add? This paper examined changes in the gender, age, origin of qualification, and the region of work of Australia's medical workforce from 2013 to 2022. What are the implications for practitioners? An increase in gender parity and a decrease in the mean hours worked suggests improvements in workforce participation and sustainability, but lack of growth in medical workforce was noted in remote and very remote regions of Australia. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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29. Clinical care ratios for allied health practitioners: an update and implications for workforce planning.
- Author
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Hearn, Cherie, Ross, Julie-Anne, Govier, Adam, and Semciw, Adam Ivan
- Subjects
CLINICAL medicine ,MEDICAL personnel ,RESEARCH funding ,KEY performance indicators (Management) ,BENCHMARKING (Management) ,QUESTIONNAIRES ,PATIENT care ,STRATEGIC planning ,HOSPITALS ,PROFESSIONAL identity ,DESCRIPTIVE statistics ,ALLIED health personnel ,WORKING hours ,HEALTH planning ,ATTITUDES of medical personnel ,ANALYSIS of variance ,CONFIDENCE intervals ,EMPLOYMENT ,EMPLOYEES' workload - Abstract
Objective: Clinical care ratios are used to quantify and benchmark the activity of allied health professionals. This study aims to review previous recommendations and identify what variables may influence them. Method: Data was collected from the core allied health professions (audiology, nutrition and dietetics, occupational therapy, physiotherapy, podiatry, prosthetics and orthotics, psychology, social work and speech pathology) across eight Australian hospitals. Data for 113 staff who were casual or from smaller professions (audiology, podiatry, prosthetics and orthotics and psychology) were excluded due to insufficient numbers for analysis. The remaining data were analysed according to profession, seniority (tiers 1, 2 and 3) and employment status (permanent versus casual staff). A two-way ANOVA was performed to assess the association of clinical care ratios with tier, profession, employment status and gender. Results: Data from 1246 staff from the five larger professions at participating hospitals were analysed. There were no interactions between profession and gender (P = 0.185) or employment status (P = 0.412). The relationship between clinical care ratio and profession was modified by tier (interaction term, P = 0.014), meaning that differences in clinical care ratios between professions depended on the tier. Conclusion: This research has confirmed that clinical care ratios are a useful tool in workload management and determining staffing levels for allied health professionals. The recommendations from this research provide a starting point that can be finessed with reference to profession, model of care, workforce structure, governance and training requirements. This will lead to increased staff wellbeing and improved patient outcomes. What is known about this topic? Clinical care ratios are a useful tool to quantify, monitor and compare workloads of allied health professionals. What does this paper add? This paper confirms that clinical care ratios are a useful workforce planning tool and that when developing roles and models of care, clinical care ratios need to be incorporated into staffing requests and considered as part of workload management tools. What are the implications for practitioners? Clinical care ratios enable the quantification and benchmarking of direct and clinical support activity components of a workload and can be used when planning new services and reviewing current services. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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30. The current state of sustainable healthcare in Australia.
- Author
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Verlis, Krista, Haddock, Rebecca, and Barratt, Alexandra
- Subjects
GREENHOUSE gases prevention ,PUBLIC hospitals ,COMMUNITY health services ,ECOLOGICAL impact ,CONSERVATION of natural resources ,PROPRIETARY hospitals ,VALUE-based healthcare ,CLIMATE change ,PROFESSIONAL associations ,SUSTAINABILITY ,ENERGY conservation ,SYSTEMATIC reviews ,HEALTH care industry - Abstract
Objective: To provide the first document map of sustainability and decarbonisation actions across the Australian healthcare sector, as reported in publicly available documents online, and to identify gaps in actions. Methods: Healthcare providers were identified across all state and territories. Structured Google searches between August and December 2022 were followed by document searches. Updates were undertaken, most recently in December 2023. Targeted documents included position statements, strategies, and reports. Key points from these documents pertaining to sustainability and/or decarbonisation were extracted and descriptively analysed. Results: A total of 294 documents were included, mostly focused on power generation, transport, building design, and circular procurement/waste pathways. In contrast, relatively few plans for decarbonisation of clinical care were identified (n = 42). National and two state governments (New South Wales, Western Australia) have established healthcare sustainability and decarbonisation units, and two further states have publicly committed to doing so (Queensland, Tasmania). However, these documents generally reported separate, siloed actions. While attempts were made to make this review comprehensive, some documents may have been missed or are only available inside an organisation, and new actions will continue to emerge. Conclusion: Broad sustainability plans have been developed by many healthcare providers; however, to achieve net zero, decarbonising of clinical practices is also needed, and this is where the least action is currently occurring. To decarbonise clinical care, the sector needs to come together in a more coordinated way. What is known about the topic? Little is known about what actions are occurring to make healthcare more sustainable and to reduce the carbon footprint of healthcare in Australia. What does this paper add? This paper provides a snapshot of publicly available documents from healthcare providers and professional organisations as they relate to healthcare sustainability and helps reveal the gaps and siloed nature of current actions. What are the implications for practitioners? This paper can help jurisdictions identify gaps or areas for improvement and may aid in targeted and coordinated interventions, especially as they relate to decarbonised clinical care. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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- View/download PDF
31. The development of a cognitive screening protocol for Aboriginal and/or Torres Strait Islander peoples: the Guddi Way screen.
- Author
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McIntyre, Michelle, Cullen, Jennifer, Turner, Caoilfionn, Bohanna, India, Lakhini, Ali, and Rixon, Kylie
- Subjects
INDIGENOUS peoples ,BRAIN injuries ,COGNITION disorders ,TORRES Strait Islanders ,LAYPERSONS - Abstract
Background: Many Aboriginal and/or Torres Strait Islander peoples are exposed to risk factors for cognitive impairment. However, culturally appropriate methods for identifying potential cognitive impairment are lacking. This paper reports on the development of a screen and interview protocol designed to flag possible cognitive impairments and psychosocial disability in Aboriginal and/or Torres Strait Islander adults over the age of 16 years. Methods: The Guddi Way screen includes items relating to cognition and mental functions across multiple cognitive domains. The screen is straightforward, brief, and able to be administered by non-clinicians with training. Results: Early results suggest the Guddi Way screen is reliable and culturally acceptable, and correctly flags cognitive dysfunction among Aboriginal and/or Torres Strait Islander adults. Conclusions: The screen shows promise as a culturally appropriate and culturally developed method to identify the possibility of cognitive impairments and psychosocial disability in Aboriginal and/or Torres Strait Islander adults. A flag on the Guddi Way screen indicates the need for referral to an experienced neuropsychologist or neuropsychiatrist for further assessment and can also assist in guiding support services. Despite the high risk of cognitive impairment in Aboriginal and/or Torres Strait Islander peoples, culturally sensitive and culturally appropriate methods for identifying cognitive problems are lacking. This paper reports on the development of the Guddi Way screen, which was designed to bridge this gap, and provide an appropriate cognitive screen and interview protocol that can be administered by laypersons with training. This is an important development for human services organisations who support Aboriginal and/or Torres Strait Islander clients. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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32. Panmixia and local endemism: a revision of the Eubranchus rupium species complex with a description of new species.
- Author
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Grishina, Darya Y., Schepetov, Dimitry M., Antokhina, Tatiana I., Malaquias, Manuel António E., Valdés, Ángel, and Ekimova, Irina A.
- Subjects
VICARIANCE ,TIME perception ,SCANNING electron microscopy ,NUDIBRANCHIA ,PHYLOGENY - Abstract
Species of the genus Eubranchus Forbes, 1838 (Mollusca: Gastropoda: Nudibranchia) are common faunistic elements of boreal benthic ecosystems, associated with hydroid communities. Recent studies have suggested that the widely distributed trans-Arctic E. rupium (Møller, 1842) constitutes a complex of at least three candidate species, but the detailed taxonomy of the complex remains unresolved. The purpose of the present paper is to conduct an integrative taxonomic study including molecular genetic methods (a phylogenetic analysis using COI , 16S rRNA and histone H3 with application of species delimitation methods) and morphological study (light and scanning electron microscopy) of E. rupium and closely related species. The specific aims of this study were to establish the species boundaries, morphological variability, and the phylogeographic structure within this group. The phylogeographic analysis included a TCS -based network analysis, an analysis of molecular variance (AMOVA), divergence time estimations, and ancestral area reconstructions. We demonstrate that specimens initially identified as E. rupium included three distinctive species: the nominal E. rupium with an amphiboreal range, the new species Eubranchus novik sp. nov. from the Sea of Japan, for which a taxonomic description is provided in this paper, and Eubranchus sp. from the northern Kuril Islands, which requires the collection and study of additional material for formal description. Our results confirm the amphiboreal distribution of E. rupium , as no geographic structure was found across Pacific, Arctic and Atlantic populations, and the results of the AMOVA analysis showed no differences between groups of samples from different geographic regions. The divergence of the ' Eubrancus rupium species complex' is estimated from the late Miocene or the Miocene–Pliocene boundary to the late Pliocene. It is hypothesised that the most probable ancestral region for the Eubranchus rupium species complex is the north-western Pacific, and the subsequent speciation likely occurred due to dispersal followed by allopatric speciation. ZooBank: Species of the genus Eubranchus Forbes, 1838 are common in boreal benthic ecosystems. Recent studies suggest the trans-Arctic Eubranchus rupium (Møller, 1842) is a species complex. This paper conducts an integrative taxonomic study of Eubranchus rupium and related species, confirming its amphiboreal distribution. The divergence of the species complex is estimated from the late Miocene or the Miocene–Pliocene boundary to the late Pliocene with the north-western Pacific as the probable ancestral region, followed by dispersal and allopatric speciation. (Image credit: Darya Grishina.) [ABSTRACT FROM AUTHOR]
- Published
- 2024
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33. An In-Home Withdrawal Service for individuals with low-to-moderate substance dependence: implementation and program evaluation.
- Author
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Mussared, James, Oni, Helen Tosin, Gregory, Taylah Jacinta, Fernandes, Andrew, Mazzacano, Anna, Kadarusman, Debby, and Fraser, Sarah
- Subjects
PREVENTION of drug addiction ,SELF-evaluation ,HEALTH services accessibility ,HUMAN services programs ,MENTAL health ,HEALTH status indicators ,SUBSTANCE abuse treatment ,EVALUATION of human services programs ,MEDICAL care ,DESCRIPTIVE statistics ,SURVEYS ,PATIENT-centered care ,EXPERIENCE ,THEMATIC analysis ,ATTITUDES of medical personnel ,RESEARCH methodology ,MEDICAL records ,QUALITY of life ,COMMUNICATION ,TREATMENT programs ,HOME rehabilitation ,PATIENTS' attitudes - Abstract
Background: Sonder's In-Home Withdrawal Service (IHWS) has been providing a unique home-based, multidisciplinary, wraparound withdrawal option for people with low-to-moderate levels of substance dependence since September 2019. This paper provides an evaluation of the service's overall impact on reducing substance use among clients through the delivery of this innovative service model. The evaluation explores the acceptability and feasibility of the service via client, stakeholder, and staff perspectives. Methods: A mixed-method design was used to evaluate the IHWS. Descriptive analysis of quantitative data was conducted using clinical assessments from client records and online feedback surveys. Qualitative data from client, staff, and stakeholder feedback surveys were analysed thematically. Results: Overall, 1166 referrals were received over the lifespan of the service, and a data set of 96 clients was included in the analysis. Self-reported measures showed that most clients decreased their substance use (89%), improved their psychological health status (75%), improved their physical health (65%), improved their quality of life (69%), and improved their understanding and ability to manage their alcohol and other drugs (AOD) use (84%). Client feedback suggests the service is providing a unique option for AOD withdrawal. Stakeholders commend the service's home-based setting, multidisciplinary and person-centred approach to care, and recommended expansion of the service to increase access for clients and reduce demand on inpatient settings. Conclusions: The IHWS is having a significant impact in reducing substance use and highlights the need for increased access to holistic approaches to withdrawal. This includes pre- and post-withdrawal support and the inclusion of multidisciplinary teams, and engaging lived experience practitioners. A focus on funding primary-based services is required to meet the rising costs of tertiary-based care and to better meet the needs of consumers. Individuals with low-to-moderate levels of substance dependence require targeted services to safely manage their withdrawal. This paper evaluates a holistic approach to withdrawal that broadens the common medicalised approach through pre- and post-withdrawal stages of care and support from a multidisciplinary team including lived experience practitioners. The service reduces levels of substance use while also improving overall quality of life, demonstrating the need for more withdrawal services to consider the inclusion of holistic approaches to substance dependence support. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
34. Leveraging existing data to improve antimicrobial resistance-related mortality estimates for Australia.
- Author
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Wozniak, Teresa M., Nguyen, Anthony, Good, Norm, and Coombs, Geoffrey W.
- Subjects
MORTALITY prevention ,MORTALITY risk factors ,MORTALITY ,RISK assessment ,DRUG resistance in microorganisms ,GLOBAL burden of disease - Abstract
Antimicrobial resistance (AMR) is a global pandemic, however, estimating its burden is a complex process. As a result, many countries rely on global estimates to infer burden within their own setting. With a growing number of recent publications quantifying AMR burden in Australia, and an expansion of surveillance programs, enumerating AMR mortality for Australia is feasible. We aimed to leverage existing published data to assess methodological factors contributing to the considerable variation in AMR-related mortality and provide two reliable estimates of AMR mortality in Australia. This is a necessary step towards generating meaningful measures of AMR burden in Australia. What is known about the topic? Antimicrobial resistance is a significant global health threat, but estimating the burden of disease is complicated by data challenges. What does this paper add? This paper highlights progress in estimating the number of people dying from antimicrobial resistance in Australia and highlights the importance of rigorous antimicrobial resistance mortality estimates in Australia to assess burden of disease. What are the implications for practitioners? Practitioners should use only rigorous estimates of burden of disease to inform actions on reducing the threat of antimicrobial resistance. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
35. Supporting rehabilitation practice for COVID-19 recovery: a descriptive qualitative analysis of allied health perspectives.
- Author
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Van Laake, Tanis and Hitch, Danielle
- Subjects
ALLIED health education ,MEDICAL care use ,AUSTRALIANS ,QUALITATIVE research ,FOCUS groups ,INTERVIEWING ,DESCRIPTIVE statistics ,JUDGMENT sampling ,ALLIED health personnel ,THEMATIC analysis ,RESEARCH methodology ,NEEDS assessment ,SOCIAL support ,COVID-19 - Abstract
Objective: The study aimed to explore the perspective of healthcare workers on the resources they need to provide quality rehabilitation for people recovering from coronavirus disease 2019 (COVID-19) infection. Methods: A descriptive qualitative approach using reflexive thematic analysis was employed. Focus groups and interviews were performed with nine healthcare workers (one intensive care unit physiotherapist, one respiratory therapist and seven occupational therapists) with experience treating patients recovering from COVID-19 infection within hospital and in the community. Verbatim transcripts were coded and analysed for themes. Results: Healthcare workers perceive an urgent need for resources about recovery from COVID-19 infection to support quality care. They particularly want detailed guidance about potential trajectories of recovery, and what should be expected over time for people with long COVID. Many observed that this group of patients had higher oxygen requirement and experienced slower recovery than others with serious respiratory conditions. Supports for quality care do exist but were not perceived as sufficient by participants. They want any new resources developed to be accessible, quick to access and targeted to specific healthcare worker roles and services settings. Participants identified several barriers to accessing practice supports, including the time poor nature of health care and financial costs to both patients and healthcare workers. Conclusion: Healthcare workers perceive an urgent need for the development of resources to support quality rehabilitation for people recovering from COVID-19 infection, to support best outcomes for this group of patients. Any resources developed must consider identified barriers to their access and use to maximise their impact. What is known about the topic? Workforce development needs related to the management of people recovering from coronavirus disease 2019 (COVID-19) are relatively unknown, due to the novelty of the virus and sustained pressure on the healthcare system due to the pandemic. What does this paper add? The paper identifies resource gaps and potential improvements from the clinician perspective. It also emphasises the urgent need for tailored, multidisciplinary resources and workforce capacity building. What are the implications for practitioners? Access to accessible updated resources and continuing professional development is critical for allied health clinicians in the evolving field of COVID-19 rehabilitation. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
36. Application of the Australian Bureau of Statistics Socio-Economic Indexes for Areas in cardiovascular disease research: a scoping review identifying implications for research.
- Author
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Beks, Hannah, Walsh, Sandra M., Wood, Sarah, Clayden, Suzanne, Alston, Laura, Coffee, Neil T., and Versace, Vincent L.
- Subjects
MEDICAL information storage & retrieval systems ,CARDIOVASCULAR diseases ,CINAHL database ,SYSTEMATIC reviews ,MEDLINE ,MEDICAL research ,LITERATURE reviews ,MEDICAL records ,ACQUISITION of data ,QUALITY assurance ,SOCIAL classes ,PSYCHOLOGY information storage & retrieval systems - Abstract
Objective: To scope how the Australian Bureau of Statistics Socio-Economic Indexes for Areas (SEIFA) has been applied to measure socio-economic status (SES) in peer-reviewed cardiovascular disease (CVD) research. Methods: The Joanna Briggs Institute's scoping review methodology was used. Results: The search retrieved 2788 unique citations, and 49 studies were included. Studies were heterogeneous in their approach to analysis using SEIFA. Not all studies provided information as to what version was used and how SEIFA was applied in analysis. Spatial unit of analysis varied between studies, with participant postcode most frequently applied. Study quality varied. Conclusions: The use of SEIFA in Australian CVD peer-reviewed research is widespread, with variations in the application of SEIFA to measure SES as an exposure. There is a need to improve the reporting of how SEIFA is applied in the methods sections of research papers for greater transparency and to ensure accurate interpretation of CVD research. What is known about the topic? A socio-economic status (SES) gradient is well established for cardiovascular disease (CVD). Research has generally applied two approaches to classifying SES: at an individual level using income, education or occupation data, and at an area level using a range of existing socio-economic information, including the Australian Bureau of Statistics (ABS) Socio-Economic Indexes for Areas (SEIFA). What does this paper add? This review examined how SEIFA has been applied to measure SES in Australian peer-reviewed CVD research and to identify any variations in research practice. What are the implications for practitioners? It is recommended that researchers provide a clear explanation in the methods section of research papers as to which SEIFA version and index was applied, how it was applied, at what spatial unit, and whether the spatial unit was an ABS or non-ABS unit. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
37. Meet the Editors.
- Author
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Ong, Jason J., Estcourt, Claudia, Tucker, Joseph D., Golden, Matthew R., Hocking, Jane S., and Fairley, Christopher K.
- Subjects
PUBLISHING - Published
- 2022
- Full Text
- View/download PDF
38. Marked variations in medical provider and out-of-pocket costs for radical prostatectomy procedures in Australia.
- Author
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Walsan, Ramya, Mitchell, Rebecca J., Braithwaite, Jeffrey, Westbrook, Johanna, Hibbert, Peter, Mumford, Virginia, and Harrison, Reema
- Subjects
HEALTH services accessibility ,SURGICAL robots ,USER charges ,HUMAN services programs ,RESEARCH funding ,RADICAL prostatectomy ,HEALTH policy ,RETROSPECTIVE studies ,DESCRIPTIVE statistics ,STATE governments ,LONGITUDINAL method ,MEDICAL records ,ACQUISITION of data ,HEALTH equity ,CONFIDENCE intervals ,MEDICAL care costs ,GOVERNMENT regulation ,OPERATING rooms ,ECONOMICS - Abstract
Objectives: Unwarranted clinical variations in radical prostatectomy (RP) procedures are frequently reported, yet less attention is given to the variations in associated costs. This issue can further widen disparities in access to care and provoke questions about the overall value of the procedure. The present paper aimed to delve into the disparities in hospital, medical provider and out-of-pocket costs for RP procedures in Australia, discussing plausible causes and potential policy opportunities. Methods: A retrospective cohort study using Medibank Private claims data for RP procedures conducted in Australian hospitals between 1 January 2015 and 31 December 2020 was undertaken. Results: Considerable variations in both medical provider and out-of-pocket costs were observed across the country, with variations evident between different states or territories. Particularly striking were the discrepancies in the costs charged by medical providers, with a notable contrast between the 10th and 90th percentiles revealing a substantial difference of A$9925. Hospitals in Australia exhibited relatively comparable charges for RP procedures. Conclusions: Initiatives such as enhancing transparency regarding individual medical provider costs and implementing fee regulations with healthcare providers may be useful in curbing the variations in RP procedure costs. What is known about the topic? Unwarranted clinical variations in radical prostatectomy procedures are well documented in the literature; however, variations in cost are less widely reported. What does this paper add? This paper aims to highlight the cost variations in radical prostatectomy procedures in Australia, discussing their plausible causes, implications and proposing potential policy opportunities. What are the implications for practitioners? Excessive fees imposed by medical providers may contribute to inequalities in healthcare access. Enhancing transparency of individual medical provider costs and implementing fee regulations may be useful in controlling unwarranted variations in procedure costs. This article belongs to the Special Issue: Value-based Healthcare. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
39. Taking a value based commissioning approach to non-clinical and clinical support services.
- Author
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Kinsman, Trinette, Reid, Samantha, and Arnott, Hayley
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DIGITAL technology ,PUBLIC hospitals ,DIAGNOSTIC imaging ,MEDICAL care ,VALUE-based healthcare ,PATIENT care ,FOOD service ,EVALUATION of medical care ,ORTHOPEDICS ,SOCIAL support ,WOUND care ,PATIENT participation - Abstract
Value based healthcare beyond the clinical domain is the focus of this case study. We share NSW Health's experiences in achieving value through a focus on outcomes in non-clinical and clinical support services using examples that demonstrate key aspects across the commissioning cycle. These include: the importance of stakeholder engagement in the planning phase to later success; the critical role of non-clinical services in patient experience; the opportunity to facilitate value by introducing new approaches in business areas such as procurement; and the role of clinical supports such as digital enablement to facilitate outcome-focussed clinical models. Applying a value lens to non-clinical services can increase the potential benefits to patients, clinicians and the system. What is known about the topic? Value based healthcare is a way of making transparent and equitable decisions about resource allocation to deliver better outcomes for individuals, health services and the system. What does this paper add? This paper reflects on the opportunity to deliver value based healthcare beyond clinical models of care, including in non-clinical and clinical support services, using a commissioning approach. What are the implications for practitioners? The learnings shared through the case studies presented can be applied by practitioners to their own projects to support value based approaches across all aspects of health care. This article belongs to the Special Issue: Value-based Healthcare. [ABSTRACT FROM AUTHOR]
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- 2024
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40. An integrative review of missed nursing care and the general practice nurse.
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Willis, Eileen, Verrall, Claire, McInnes, Susan, and Pate, Elyce
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OCCUPATIONAL roles ,CINAHL database ,MEDICAL quality control ,NURSING ,SYSTEMATIC reviews ,COMMUNICATION barriers ,MEDICAL office nursing ,MEDICATION errors ,MEDICAL errors ,FAMILY nurses ,PRIMARY health care ,NURSE-patient relationships ,NURSES ,DESCRIPTIVE statistics ,ROLE conflict ,PERSONNEL management - Abstract
Background: The phenomenon of missed care has received increasing interest over the past decade. Previous studies have used a missed care framework to identify missed nursing tasks, although these have primarily been within the acute care environment. The aim of this research was to identify missed care specific to the role of the general practice nurse. Methods: An integrative review method was adopted, using The Mixed Methods Appraisal Tool to assist in a methodological appraisal of both experimental, theoretical, and qualitative studies. Thematic analysis was then used to analyse and present a narrative synthesis of the data. Data sources: CINAHL, SCOPUS, Web of Science and Google Scholar databases were searched between 2011 and 2022 for empirical research that reported missed care and the general practice nurse. Results: Of the 787 papers identified, 10 papers met the inclusion criteria. Three themes identified missed care in relation to primary healthcare nurses: under-staffing and resourcing, communication difficulties, and role confusion. Conclusion: Isolating missed care by general practice nurses was challenging because much of the research failed to separate out general practice nurses from community and primary health care nurses. This challenge was exacerbated by disparity in the way that a general practice nurse is defined and presented in the various databases. While some themes such as those related to communication and understaffing and resourcing demonstrate some parallels with the acute sector, more research is required to identify missed care specific to the general practice nurse. Identifying missed nursing care is an important avenue to achieving improvements in patient care. Predominantly undertaken in the acute sector, there is a need to expand missed care research to the primary healthcare sector. We conducted an integrative review to determine missed care and the general practice nurse. Some commonalities between the primary health and acute sectors were identified such as issues with communication and resource availability. Recent calls for general practice nurses to work to the top of their scope involve a more nuanced understanding of the role, and what is being missed. [ABSTRACT FROM AUTHOR]
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- 2024
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41. Futile treatment -- when is enough, enough?
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Beran, Roy G. and Devereux, J. A.
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FUTILE medical care laws ,DECISION making in clinical medicine ,TERMINATION of treatment ,FUTILE medical care - Abstract
Objective. This paper examines two aspects of treatment decision making: withdrawal of treatment decisions made by a patient; and decisions to not proceed with treatment by a health professional. The paper aims to provide an overview of the law relating to the provision of treatment, then highlight the uncertainty as to the meaning of and costs associated with futile treatment. Methods. The paper reviews the current legal and medical literature on futile treatment. Results. Continuing treatment which is futile is not in the patient's best interests. Futility may be understood in both quantitative and qualitative terms. Recent legal cases have expanded the definition of futility to focus not on the nature of the treatment itself, but also on the health of the patient to whom treatment is provided. Conclusions. As Australia's population ages, there is likely to be an increased focus on the allocation of scarce health resources. This will, inevitably, place constraints on the number and variety of treatments offered to patients. The level of constraint will be felt acutely where a proposed treatment offers little clinical efficacy. It is time to try to understand and agree on a workable definition of futility. [ABSTRACT FROM AUTHOR]
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- 2024
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42. A DISPOSABLE PAPER BATTERY THAT RUNS ON WATER.
- Abstract
The article reports that team of Swiss researchers has made a disposable battery out of paper, which is printed with a couple of anode and cathode inks that perform the function of the battery.
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- 2022
43. Big talk, little action: the enduring narrative of primary care reform.
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Jackson AM, Claire
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HEALTH insurance reimbursement ,PRIMARY health care ,MEDICARE ,FEE for service (Medical fees) ,WAGES ,HEALTH care reform ,ENDOWMENT of research ,INTEGRATED health care delivery ,LABOR supply - Abstract
What is known about the topic ? Governments acknowledge that current health arrangements are unsustainable, and a better resourced, integrated, and connected primary care system is central to the future. What does this paper add ? This paper calls out the most significant barriers to implementing the required national reform and poses potential solutions in addressing them. What are the implications for practitioners ? Without action, we will see increased system cost, and decreased service access and quality for Australian communities. [ABSTRACT FROM AUTHOR]
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- 2024
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44. ADSS 2022 special edition.
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Pembleton, Keith and Barber, David
- Abstract
This document is a special edition of Animal Production Science that features a selection of papers presented at the 2022 Australasian Dairy Science Symposium (ADSS). The symposium, held in Queensland, focused on pastoral dairy systems and addressed challenges such as climate change, competition from plant-based alternatives, and resource efficiency. The special issue covers various topics including dairy cattle welfare, heat stress on dairy production, grazing dairy cows, artificial breeding strategies, and greenhouse gas emissions from dairy systems. The ADSS expresses gratitude to the authors, reviewers, and sponsors for their contributions and support. [Extracted from the article]
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- 2024
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45. Wattle gall—the quintessential Australian plant disease.
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Ryley, Malcolm J.
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PLANT diseases ,CLADISTIC analysis ,BRITISH colonies ,RUST fungi ,BIOLOGICAL pest control agents ,INTRODUCED species - Abstract
Acacia (the wattles) is the largest genus of plants in Australia and its species occupy almost every habitat in the country. Hard galls on the branches, phyllodes and flower parts of wattle trees were noticed from the very early days of British colonisation, but their causes were unknown. Some insects were believed to be involved, but they were not the only cause of wattle galls. In 1889, the Italian mycologist Pier Andrea Saccardo described the rust fungus Uromyces tepperianus from the galls on Acacia salicina , and later, the Victorian government vegetable pathologist, Daniel McAlpine transferred the species tepperianus to his new genus Uromycladium which also included six new species. A total of 28 valid species of Uromycladium , most endemic to Australia, are currently described. Several species of Uromycladium were somehow introduced into South Africa and countries in southeast Asia where they cause significant losses in Acacia plantations, while others are used as biocontrol agents for invasive Acacia species. Short biographies of two of the early collectors of rust galls, the South Australian naturalist and later entomologist Johann Gottlieb Otto Tepper and the Victorian plant pathologist Charles Clifton Brittlebank are also presented. The wattles (Acacia species) are an ancient and iconic Australian genus of trees and shrubs which form part of the identity of the nation. Galls were a common feature on wattle trees, initially being attributed to the activity of some insects, but later a genus of rust fungi, Uromycladium , was found to also cause galls. The lives of two of the early collectors of wattle rust galls, Otto Tepper and Charles Brittlebank, are also illuminated in this paper. Photograph by Alastair McTaggart. [ABSTRACT FROM AUTHOR]
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- 2024
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46. Henry Tryon—the true discoverer of the potato brown rot pathogen, Ralstonia solanacearum.
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Ryley, Malcolm J.
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RALSTONIA solanacearum ,BROWN rot ,PHYTOPATHOGENIC microorganisms ,POTATOES ,BACILLUS (Bacteria) - Abstract
Within a few years of the establishment of the convict settlement at Sydney Cove, the potato became one of the staple crops of the population due to its relatively high yield and the prior experience of the convicts and free settlers with growing the crop. In 1894, Henry Tryon described a new disease in southern Queensland that caused rapid wilting of plants, a ring of slightly translucent tissue just below the surface of affected tubers, oozing of a thick, white fluid from the 'eyes', and ultimately rotting of the tubers. It soon became known as 'Tryon's disease'. He found that a microbe (bacterium) was always associated with affected tubers and stems, provided a very brief description of the bacterial cells and named the microbe Bacillus vascularum solani. A few years later the American scientist Erwin Frink Smith wrote a paper on a new disease (brown rot) of solanaceous plants including the potato and tomato, in which he called the causal agent Pseudomonas solanacearum , now known as Ralstonia solanacearum. Smith dismissed Tryon's prior claim to the discovery of the disease with some of his comments being personal and scathing. Tryon had the last word, however, cloaking his response in restrained and somewhat convoluted tones. In 1894, the Queensland government entomologist, and later vegetable pathologist, Henry Tryon (1856–1943) discovered a new disease that caused potato tubers to become rotted and putrid. He consistently found bacterial cells in a thick mucilaginous gum in the vascular tissues of wilted stems and infected tubers, and gave it the name Bacillus vascularum solani. The American bacteriologist Erwin Frink Smith would not accept Tryon's discovery, instead naming the causal agent Pseudomonas solanacearum. That bacterium, now called Ralstonia solanacearum is a significant plant pathogen worldwide. Photograph by an unknown person. [ABSTRACT FROM AUTHOR]
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- 2024
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47. The distributed strategy for asynchronous observations in data-driven wildland fire spread prediction.
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Zha, Mengxia, Wang, Zheng, Ji, Jie, and Zhu, Jiping
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WILDFIRES ,KALMAN filtering ,FIRE management ,FORECASTING ,RESOURCE allocation ,SIMULATION methods & models - Abstract
Background: Asynchronous observations refer to observations that are obtained at multiple moments. The observation moments of fire fronts may differ throughout an entire wildfire area. Asynchronous observations include historical data, which hinders the effectiveness of data assimilation due to the lack of timely updates on changing fire fronts. Aims: This paper proposed a distributed strategy combined with the Ensemble Transform Kalman filter (ETKF-distributed) for asynchronous observations. It can assimilate fire fronts immediately at any location by using new matching schemes between prediction and observation. Methods: The ETKF-distributed undergoes testing using a wildland fire generated based on real terrain, vegetation, and historical weather data from the local area. In addition, the ETKF and ETKF-centralised proposed in our previous work were employed as comparisons. Observing System Simulation Experiments were conducted to generate asynchronous observation fire fronts. Key results: The benefit of immediate assimilation enables the new method to maintain high accuracy predictions. Conclusions: The allocation of observation resources can be focused in regions with high rates of speed when employing ETKF-distributed. Implications: The ETKF-distributed has high efficiency and adaptability, making it highly promising for implementation in wildfire prediction. Observation composed of data from multiple moments is asynchronous observation, which will bring errors when performing data assimilation. This paper proposes a distributed strategy combined with the Ensemble Transform Kalman filter for asynchronous observation. It could conduct the analysis step immediately by a new matching scheme between prediction and observation. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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48. Wildland fire evacuations in Canada from 1980 to 2021.
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Christianson, Amy Cardinal, Johnston, Lynn M., Oliver, Jacqueline A., Watson, David, Young, David, MacDonald, Heather, Little, John, Macnab, Bruce, and Gonzalez Bautista, Noemie
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WILDFIRES ,CIVILIAN evacuation ,EMERGENCY management ,CANADIANS ,FIRE victims ,INDIGENOUS peoples - Abstract
Background: Every year, people in Canada are evacuated due to wildland fires to avoid death, injury, and illness from fire and smoke events. Aims: In this paper, we provide an overview of evacuations recorded in the Canadian Wildland Fire Evacuation Database between 1980 and 2021. Methods: Our analysis covers evacuations in Canada from 1980 to 2021. We provide summary statistics including number of evacuations and evacuees, evacuation duration, seasonality, evacuation causes, community types, structure losses, and fatalities. We also investigate temporal and spatial patterns. Key results: Between 1980 and 2021, there were 1393 wildland fire evacuation events with 576,747 people evacuated. During this period, there was an overall increase in frequency of evacuations, number of evacuees, and duration of events. Structure loss occurred during 194 evacuation events, with 4105 homes burned. We estimate wildland fire evacuations cost at least CAD3.7 billion (excluding structural losses), jumping to CAD4.6 billion if we include productivity losses. Indigenous peoples are disproportionately impacted in wildfire evacuations compared to the general Canadian population. Conclusions: Wildland fire evacuations continue to occur across Canada and are increasing. Implications: The findings from this study give us a better understanding of the characteristics of wildland fire evacuations, which can help guide emergency management. This paper summarises data on wildland fire evacuations in Canada between 1980 and 2021. There were 1393 wildland fire evacuation events with 576,747 people evacuated, costing approximately CAD4.6 billion CDN including productivity losses. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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49. Understanding factors that influence goal setting in rehabilitation for paediatric acquired brain injury: a qualitative study using the Theoretical Domains Framework.
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Knight, Sarah, Rodda, Jill, Tavender, Emma, Anderson, Vicki, Lannin, Natasha A., and Scheinberg, Adam
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BRAIN injuries ,COGNITIVE rehabilitation ,PEDIATRICS ,FAMILIES ,CHILDREN - Abstract
Background: While goal setting with children and their families is considered best practice during rehabilitation following acquired brain injury, its successful implementation in an interdisciplinary team is not straightforward. This paper describes the application of a theoretical framework to understand factors influencing goal setting with children and their families in a large interdisciplinary rehabilitation team. Methods: A semi-structured focus group was conducted with rehabilitation clinicians and those with lived experience of paediatric acquired brain injury (ABI). The 90-min focus group was audio-recorded and transcribed verbatim. Data were thematically coded and mapped against the Theoretical Domains Framework (TDF) to understand influencing factors, which were then linked to the Capability, Opportunity, Motivation – Behaviour (COM-B) model. Results: A total of 11 participants (nine paediatric rehabilitation clinicians, one parent and one young person with lived experience of paediatric ABI) participated in the focus group. Factors influencing collaborative goal setting mapped to the COM-B and six domains of the TDF: Capabilities (Skills, Knowledge, Beliefs about capabilities, and Behavioural regulation), Opportunities (Environmental context and resources), and Motivation (Social/professional role and identity). Results suggest that a multifaceted intervention is needed to enhance rehabilitation clinicians' and families' skills and knowledge of goal setting, restructure the goal communication processes, and clarify the roles clinicians play in goal setting within the interdisciplinary team. Conclusion: The use of the TDF and COM-B enabled a systematic approach to understanding the factors influencing goal setting for children with acquired brain injury in a large interdisciplinary rehabilitation team, and develop a targeted, multifaceted intervention for clinical use. These represent important considerations for the improvement of collaborative goal setting in paediatric rehabilitation services to ensure that best practice approaches to goal setting are implemented effectively in clinical practice. While goal setting with children and their families is considered best practice during rehabilitation following acquired brain injury, its successful implementation in an interdisciplinary team is not straightforward. This paper describes the application of a theoretical framework to understand factors influencing goal setting with children and their families in a large interdisciplinary rehabilitation team. This article belongs to the Collection Clinical Implementation to Optimise Outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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- View/download PDF
50. A pilot model of care to achieve next-day discharge in patients undergoing hip and knee arthroplasty in an Australian public hospital setting.
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Delahunt, Marisa, McGaw, Rebekah, and Hardidge, Andrew
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PUBLIC hospitals ,PATIENT compliance ,MEDICAL protocols ,HUMAN services programs ,PILOT projects ,DISCHARGE planning ,TREATMENT effectiveness ,RETROSPECTIVE studies ,DESCRIPTIVE statistics ,ENHANCED recovery after surgery protocol ,LONGITUDINAL method ,TOTAL knee replacement ,CONVALESCENCE ,LENGTH of stay in hospitals ,QUALITY assurance ,MEDICAL screening ,DATA analysis software ,PERIOPERATIVE care ,PATIENTS' attitudes - Abstract
Objectives: Internationally, hip or knee arthroplasty (TJA) with a 1-day hospital length of stay (LOS) is common and demonstrates improved patient and health service outcomes. This study aimed to develop and pilot an enhanced recovery program (ERP) for patients undergoing TJA to achieve a next-day discharge in an Australian public hospital setting. Methods: A project lead and six perioperative clinical craft group leads developed an ERP protocol based on enhanced recovery after surgery (ERAS) principles. Strict patient eligibility criteria were developed. Quality improvement methodology was used to implement the ERP. A patient navigator was put in place as a single contact point for patients. Results: A total of 825 patients were screened for the ERP and 47 patients completed the protocol. The mean ± standard deviation (s.d.) of the LOS was 34.7 (± 7.2) h with 41 patients (87%) achieving next-day discharge, the remaining six (13%) discharged on Day 2. Compliance with ERAS was high (96%) with mobilisation within 12 h occurring on 87% of occasions. There were no adverse events. Patient experience was positive. Conclusion: Next-day discharge was achieved with a selected cohort of patients with no adverse events and positive patient experience, using a multidisciplinary approach and an improvement framework. Broadening inclusion criteria will make ERP available to more patients. What is known about the topic? Next-day discharge following hip or knee arthroplasty in Australian public hospital settings is uncommon and little has been published reflecting enhanced recovery principles in this local context. What does this paper add? This paper describes the development and piloting of an enhanced recovery program using a novel approach to achieve next-day discharge following hip and knee replacement. What are the implications for practitioners? Other health services may leverage this approach to design and implement an enhanced recovery program to reduce hospital length of stay and improve patient and health service outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
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