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Brett Williams, Paul A Jennings, Chris Fielder, Amanda Ghirardello Department of Community Emergency Health and Paramedic Practice, Faculty of Medicine, Nursing and Health Sciences, Monash University – Peninsula Campus, Frankston, VIC, Australia Background: Knowledge translation involves the dissemination and application of scientific research findings into clinical practice. In the health care arena, uptake of evidence-based assessment and intervention strategies is aimed at reducing inefficiencies and ultimately improving patient outcomes. However, numerous studies have purported gaps in knowledge translation in the health care professions. The objective of this study was to classify the traits of undergraduate paramedic students from Monash Univeristy, Australia, using the practice style inventory (PSI). Methods: A cross-sectional study of students across all undergraduate years from Emergency Health and Emergency Health/Nursing was completed. Student knowledge translation levels were measured using the 17-item paper-based PSI. Results: A total of 266 students participated in the study, of which 68.4% were females. The majority of participants were

The Milky Way provides an ideal laboratory to test our understanding of galaxy evolution, owing to our ability to observe our Galaxy over fine scales. However, connecting the Galaxy to the wider galaxy population remains difficult, due to the challenges posed by our internal perspective and to the different observational techniques employed. Here, we present a sample of galaxies identified as Milky Way analogues on the basis of their stellar masses and bulge-to-total ratios, observed as part of the Mapping Nearby Galaxies at Apache Point Observatory survey. We analyse the galaxies in terms of their stellar kinematics and populations as well as their ionized gas contents. We find our sample to contain generally young stellar populations in their outskirts. However, we find a wide range of stellar ages in their central regions, and we detect central active galactic nucleus-like or composite-like activity in roughly half of the sample galaxies, with the other half consisting of galaxies with central star-forming emission or emission consistent with old stars. We measure gradients in gas metallicity and stellar metallicity that are generally flatter in physical units than those measured for the Milky Way; however, we find far better agreement with the Milky Way when scaling gradients by galaxies' disc scale lengths. From this, we argue much of the discrepancy in metallicity gradients to be due to the relative compactness of the Milky Way, with differences in observing perspective also likely to be a factor. [ABSTRACT FROM AUTHOR]

Several rare diseases are regularly identified during the prenatal and perinatal periods, including dysmelia. How these are communicated to parents has a marked emotional impact, but minimal research has investigated this. The purpose of this study was to explore parent experiences and preferences when their baby was diagnosed with dysmelia. Mothers and fathers were interviewed. Data were analyzed using thematic analysis. The overriding emotion parents experienced was shock, but the extent of this was influenced by several factors including their previous experience of disability. Four key needs of parents were identified, including the need for signposting to peer support organizations, for information, for sensitive communication, and for a plan regarding their child's care. Parents wanted immediate information provision and signposting to peer support, and for discussions regarding possible causes of the dysmelia or termination (in the case of prenatal identification) to be delayed until they had processed the news.

Introduction: The last decade has seen rapid advancement in Australasian paramedic education, clinical practice, and research. Coupled with the movements towards national registration in Australia and New Zealand, these advancements contribute to the paramedic discipline gaining recognition as a health profession., Aim: The aim of this paper was to explore paramedic students' views on paramedic professionalism in Australia and New Zealand., Methods: Using a convenience sample of paramedic students from Whitireia New Zealand, Charles Sturt University and Monash University, attitudes towards paramedic professionalism were measured using the Professionalism at Work Questionnaire. The 77 item questionnaire uses a combination of binary and unipolar Likert scales (1 = Strongly disagree/5 = Strongly agree; Never = 1/Always = 5)., Results: There were 479 students who participated in the study from Charles Sturt University n = 272 (56.8%), Monash University n = 145 (30.3%) and Whitireia New Zealand n = 62 (12.9%). A number of items produced statistically significant differences P < 0.05 between universities, year levels and course type. These included: 'Allow my liking or dislike for patients to affect the way I approach them' and 'Discuss a bad job with family or friends outside work as a way of coping'., Conclusions: These results suggest that paramedic students are strong advocates of paramedic professionalism and support the need for regulation. Data also suggest that the next generation of paramedics can be the agents of change for the paramedic discipline as it attempts to achieve full professional status., (Copyright © 2014 Elsevier Ltd. All rights reserved.)

Introduction: In the healthcare context empathy is the cognitive ability to understand a patient's perspectives and experiences and to convey that understanding back to the patient. Some medical conditions are frequently stigmatised or otherwise detrimentally stereotyped with patients often describing healthcare practitioners as intolerant, prejudiced and discriminatory., Objectives: The purpose of this study was to find how a group of paramedic students and nursing/paramedic double-degree students regard these types of patients and to note any changes that may occur as those students continued through their education., Methods: The 11-questions, 6-point Likert scale version of the Medical Condition Regard Scale was used in this prospective cross-sectional longitudinal study. This study included paramedic students enrolled in first, second, third and fourth year of an undergraduate paramedic or paramedic/nursing program from Monash University., Results: A total of 554 students participated. Statistically significant differences were found between double-degree and single-degree students (p<0.0001), year of course (p<0.0001) and gender (p=0.02) for patients presenting with substance abuse. Similar results were found for patients with intellectual disability and attempted suicide. No statistically significant results were found for acute mental illness., Conclusions: This study has demonstrated significant differences in empathy between paramedic and nursing/paramedic double-degree students in regard to patients with these complex medical conditions. Paramedic/nursing students generally showed a positive change in empathy towards these complex patients by their third year of study; however, they also showed some alarming drops in empathy between second and third year., (Copyright © 2014 Elsevier Ltd. All rights reserved.)