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Objective: The rapid increase in e-mobility globally, including in Australia, has seen a concurrent increase in e-mobility-related injuries. Monitoring and understanding the patterns of injuries is essential to preserving community safety and making responsive and effective policy decisions regarding their safe use., Methods: This study reports on the first phase of the E-MODES study, a proactive injury surveillance initiative to examine the incidence and nature of injuries, their circumstances, contributing factors, and treatment, presenting to three hospital emergency departments (EDs) in Brisbane, the first Australian city to trial shared e-scooters., Results: During the 31-month study period, there were 1048 ED presentations related to e-mobility, the vast majority (90.8%) involving e-scooters, with males accounting for 64.3% of cases, the most common age group being 25-34 years, and weekends being the most common period of the week for presentations. The most common injury was fractures (37%), and the upper extremities and head/face were the most commonly injured body regions., Conclusion: Contributing risk factors of alcohol use, not wearing a helmet, and speeding, were prevalent, though poorly recorded and only alcohol use proportions varied by age and gender, with males being more likely than females to have alcohol use reported. Recommendations to support e-mobility-related injury surveillance and safety outcomes include improved data standardisation and sharing., Competing Interests: Declaration of Competing Interest The authors confirm they have no conflicts of interest to declare., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

Background: Occupational stress and burnout in emergency departments (ED) are prominent issues requiring effective solutions. In other health settings use of a smartphone mindfulness app have been shown to be a cost-effective strategy for stress management., Aim: To understand ED staff's experiences of practicing mindfulness using a smartphone app., Method: A qualitative study was undertaken with 24 ED staff at two Australian EDs who had used a mindfulness app for 4 weeks. Semi-structured, one-to-one interviews were conducted between late 2019 and early 2020. Interviews were audio recorded and transcribed. Descriptive description was utilised in content analysis., Results: Four main themes were identified: individuality in use of the app, perceived benefits and impacts on life, perceived barriers and enablers to use. Participants reported that mindfulness practice had numerous benefits including better stress and anxiety management, as well as improved general wellbeing. The main barriers to mindfulness practice were poor time management for mindfulness and lack of motivation. Reported enablers included a strong desire for promoting wellbeing and the ability to embed practice into existing routine., Conclusion: Practicing mindfulness with a smartphone app is a useful strategy to promote ED staff wellness and manage stress. Healthcare organisations should consider the implementation of a mindfulness app for staff., (Copyright © 2021 Elsevier Ltd. All rights reserved.)

Background: Early detection of occupational violence (OV) risk factors could facilitate timely and appropriate management of patients in the emergency department. For this purpose, an OV risk assessment could be useful and best initiated at triage., Aims: To understand the need for and determine potential utility and desirable components of an OV risk assessment tool; and to determine specific challenges to its implementation if appropriate., Methods: A participatory action research was conducted. Data were collected through focus groups and semi-structured interviews. Thematic analysis was done inductively and collaboratively using Braun and Clarke's technique., Findings: Six themes were identified from triage nurses (N = 15) pertaining to: i) OV risk assessment; ii) communication of OV risk; iii) clinical implications of risk assessment; iv) tool attributes; v) future implementation challenges; vi) unintended consequences., Conclusion: The development of an OV risk assessment tool is supported, but with very specific attributes. Findings herein also have implications on the implementation and evaluation of this tool in emergency settings., (Copyright © 2020 Elsevier Ltd. All rights reserved.)

Objective: To examine national ladder-related fall injury patterns and trends, and compare the changes over time in occupational and non-occupational falls across age groups., Methods: Analysis of national hospital morbidity data to examine trends over time and differences between groups., Results: There were 41,092 hospitalised falls from ladders in Australia over the ten year period from July 2002 to June 2012, rising from 3,374 hospitalisations in 2002/03 to 4,945 hospitalisations in 2011/12. The age standardised rate of ladder-related fall hospitalisations rose significantly for males, and a higher increase was evident in people aged over 60 years. Occupational falls accounted for 20% of hospitalisations, and the hospitalisation rate for both occupational and non-occupational falls increased significantly over the ten year period., Conclusions: With almost 5,000 hospital admissions per year in recent years and a significant rise in the rate of hospitalisations over the past decade, this paper highlights the importance of focusing injury prevention efforts to reduce the growing number of ladder-related falls., Implications: This study demonstrates the significant burden that ladder-related falls are continuing to have on the community, both in the occupational and domestic setting., (© 2016 Public Health Association of Australia.)

Background: Trauma nursing rounds (TNR) are a unique type of bedside teaching round that facilitate discussion of individual trauma patient's condition and care, and provide a novel and innovative approach to nursing education in an informal setting. This study introduced TNR to the emergency department in an Australian metropolitan hospital., Methods: Registered nurses, assistants-in-nursing, and nursing students participated in seven TNR over a 12-week period. The primary care nurse presented the trauma case utilising a modified handover tool. This was followed by discussion of the patient's condition and management among all those present including the patient. A participant questionnaire provided feedback from the nurses about TNR perceived benefits. A representative sample of participants was subsequently interviewed., Results: Fifty-three participants attended the rounds, 47 responded to the questionnaire, and nine were interviewed. Participants were universally positive about the TNR structure and its potential impact on clinical practice. Interviewees indicated that TNR have the potential to enhance collegiality, and allow the patients and their families to be involved and informed in their care., Conclusions: The introduction of TNR was successful. TNR provide the potential to improve assessment and care of trauma patients, promote collaborative learning, and promote patients' understanding and involvement in their care., (Copyright © 2014 College of Emergency Nursing Australasia Ltd. Published by Elsevier Ltd. All rights reserved.)

Two separate experiments were carried out to find the effect of infection with low and high doses of Theileria parva sporozoites on the cyclical status of Boran/Friesian cross heifers. In each experiment, ten heifers were infected and another four heifers acted as controls. Routine monitoring of estrous behavior, determination of serum progesterone concentrations and palpation of the ovaries per rectum were used to assess the cyclical status of each animal. Two and eight animals died in the T . parva low (TpL) and high (TpH) dose experiments, respectively. Five of eight recovered animals in the TpL group cycled regularly postinfection, while three others had extended periods of ovarian dysfunction postinfection. Both infected and recovered animals in the TpH-group similarly had extended periods of ovarian dysfunction postinfection. All controls in both experiments cycled regularly throughout the study period. Differences in cyclical status were not related to the febrile response, parasitological or hematological differences. The animals that continued to cycle throughout lost the least amount of weight. Animals that stopped cycling lost between 16 and 29% of their initial body weights postinfection. In conclusion, this study confirmed previous anecdotal evidence that theileriosis has an adverse effect on reproduction. Results of this study suggested that this was as an indirect result of weight loss associated with infection and not directly attributed to pathology of target organs.

Thirty-three baboons were maintained throughout their peri-ovulatory period in group enclosures with fertile males. They received treatment on days 14-19 of presumed pregnancy with either twice daily injection of 50 micrograms of an LHRH agonist or of 2 mg of an LHRH antagonist. Three pregnancies from 14 cycles were maintained in each of the treatment groups as compared to 5 of 14 in controls. Four abortions were noted but as 1 occurred in a control group the response could not be attributed to treatment. The agonist had no apparent effect on urinary progestins in nonpregnant animals but both analogs did cause a transient decline in pregnant animals. Results indicated that LHRH analogs are not suitable agents for early pregnancy termination under the present treatment regimen.