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https://www.readbyqxmd.com/read/28107670/pharmaceutical-opioid-use-among-oral-and-intravenous-users-in-australia-a-qualitative-comparative-study
#1
George Dertadian, Jenny Iversen, Thomas C Dixon, Katrina Sotiropoulos, Lisa Maher
BACKGROUND: Between 1992 and 2012 dispensing episodes for pharmaceutical opioids (PO) in Australia increased from 500000 to 7500000. In the US, increases in the prescription of PO have been linked to increases in opioid-related morbidity and mortality and transitions to heroin injection. However, Australian data indicate that morbidity and mortality related to PO are relatively low, particularly when compared to heroin and other drugs. This paper explores the characteristics and patterns of non-medical pharmaceutical opioid (NMPO) use among a sample of young people in Sydney, Australia...
January 17, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28105777/lung-cancer-and-socio-economic-status-inextricably-linked-to-place-of-residence
#2
E J Denton, D Hart, P A Russell, G Wright, M Conron
BACKGROUND: The association between socioeconomic status (SES) and lung cancer is internationally established but in Australia this relationship remains ill defined. AIMS: To examine the association between SES, place of residence and lung cancer outcomes in a large Australian cohort. METHODS: 2369 consecutive lung cancer patients managed by St Vincent's Hospital lung multidisciplinary meeting between 2001-2014 were included. Postcode data stratified participants by Socio-Economic Indexes for Areas, a validated measure of SES, and by geographical location, an important socioeconomic factor in Australia...
January 20, 2017: Internal Medicine Journal
https://www.readbyqxmd.com/read/28092965/a-national-analysis-of-dental-waiting-lists-and-point-in-time-geographic-access-to-subsidised-dental-care-can-geographic-access-be-improved-by-offering-public-dental-care-through-private-dental-clinics
#3
Yevgeni Dudko, Estie Kruger, Marc Tennant
INTRODUCTION: Australia is one of the least densely populated countries in the world, with a population concentrated on or around coastal areas. Up to 33% of the Australian population are likely to have untreated dental decay, while people with inadequate dentition (fewer than 21 teeth) account for up to 34% of Australian adults. Historically, inadequate access to public dental care has resulted in long waiting lists, received much media coverage and been the subject of a new federal and state initiative...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28068147/do-wellness-tourists-get-well-an-observational-study-of-multiple-dimensions-of-health-and-well-being-after-a-week-long-retreat
#4
Marc M Cohen, Fiona Elliott, Liza Oates, Adrian Schembri, Nitin Mantri
BACKGROUND: Wellness retreats use many complementary and alternative therapies within a holistic residential setting, yet few studies have evaluated the effect of retreat experiences on multiple dimensions of health and well-being, and no published studies have reported health outcomes in wellness tourists. OBJECTIVES: To assess the effect of a week-long wellness-retreat experience in wellness tourists. DESIGN: A longitudinal observational study with outcomes assessed upon arrival and departure and 6 weeks after the retreat...
January 9, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28061894/reasons-why-specialist-doctors-undertake-rural-outreach-services-an-australian-cross-sectional-study
#5
Belinda G O'Sullivan, Matthew R McGrail, Johannes U Stoelwinder
BACKGROUND: The purpose of the study is to explore the reasons why specialist doctors travel to provide regular rural outreach services, and whether reasons relate to (1) salaried or private fee-for-service practice and (2) providing rural outreach services in more remote locations. METHODS: A national cross-sectional study of specialist doctors from the Medicine in Australia: Balancing Employment and Life (MABEL) survey in 2014 was implemented. Specialists providing rural outreach services self-reported on a 5-point scale their level of agreement with five reasons for participating...
January 7, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28056975/impact-of-medical-student-origins-on-the-likelihood-of-ultimately-practicing-in-areas-of-low-vs-high-socio-economic-status
#6
Ian B Puddey, Denese E Playford, Annette Mercer
INTRODUCTION: Medical schools are in general over-represented by students from high socio-economic status backgrounds. The University of Western Australia Medical School has been progressively widening the participation of students from a broader spectrum of the community both through expanded selection criteria and quota-based approaches for students of rural, indigenous and other socio-educationally disadvantaged backgrounds. We proposed that medical students entering medical school from such backgrounds would ultimately be more likely to practice in areas of increased socio-economic disadvantage...
January 5, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28056974/an-evaluation-of-the-telehealth-facilitation-of-diabetes-and-cardiovascular-care-in-remote-australian-indigenous-communities-protocol-for-the-telehealth-eye-and-associated-medical-services-network-teamsnet-project-a-pre-post-study-design
#7
Laima Brazionis, Alicia Jenkins, Anthony Keech, Chris Ryan, Sven-Erik Bursell
BACKGROUND: Despite substantial investment in detection, early intervention and evidence-based treatments, current management strategies for diabetes-associated retinopathy and cardiovascular disease are largely based on real-time and face-to-face approaches. There are limited data re telehealth facilitation in type 2 diabetes management. Therefore, we aim to investigate efficacy of telehealth facilitation of diabetes and cardiovascular disease care in high-risk vulnerable Aboriginal and Torres Strait Islanders in remote/very remote Australia...
January 5, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28054955/which-food-security-determinants-predict-adequate-vegetable-consumption-among-rural-western-australian-children
#8
Stephanie L Godrich, Johnny Lo, Christina R Davies, Jill Darby, Amanda Devine
Improving the suboptimal vegetable consumption among the majority of Australian children is imperative in reducing chronic disease risk. The objective of this research was to determine whether there was a relationship between food security determinants (FSD) (i.e., food availability, access, and utilisation dimensions) and adequate vegetable consumption among children living in regional and remote Western Australia (WA). Caregiver-child dyads (n = 256) living in non-metropolitan/rural WA completed cross-sectional surveys that included questions on FSD, demographics and usual vegetable intake...
January 3, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28033729/student-academic-performance-in-rural-clinical-schools-the-impact-of-cohort-size-and-competition
#9
Brendan P Condon, Paul S Worley, John R Condon, David J Prideaux
OBJECTIVES: The Deakin University School of Medicine commenced in 2008 as a rurally focused medical school in south-eastern Australia. This research was designed to examine the effectiveness of the school's adoption of small regional clinical school settings. METHODS: A retrospective cohort study of the first two cohorts of students was employed to assess academic performance at each of five geographically dispersed clinical training sites, with varying student cohort sizes...
December 30, 2016: Medical Teacher
https://www.readbyqxmd.com/read/28029724/the-role-of-the-breast-care-nurse-in-patient-and-family-care
#10
Lauretta Luck, Harrison Ng Chok, Nancy Scott, Lesley Wilkes
AIMS AND OBJECTIVES: This study aims to describe the role of the Breast Care Nurse in caring for patients and families. BACKGROUND: The Breast Care Nurse is an expert clinical nurse who plays a significant role in the care of women/men and their families with breast cancer. The role of these nurses has expanded since the 1990s in Australia. DESIGN: Descriptive study. METHODS: An online survey was sent to Breast Care Nurses using peak body databases (n=100)...
December 28, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28026142/thinking-families-a-study-of-the-characteristics-of%C3%A2-the-workforce-that-delivers-family-focussed-practice
#11
Melinda Goodyear, Darryl Maybery, Andrea Reupert, Rebecca Allchin, Cait Fraser, Sabin Fernbacher, Rose Cuff
Parenting with mental illness is not uncommon and is often associated with a range of challenges for parents, children, and the family unit. Family-focussed practice involves the provision of services to the wider family system, including children. While family-focussed practice is important to consumers and their families, adult mental health practitioners do not routinely discuss parenting or children with their clients, nor work closely with the whole family. In the present study, we aimed to examine the characteristics of practitioners from Australian adult mental health services associated with family-focussed practices...
December 27, 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28004296/orthopedic-surgeons-attitudes-to-osteoporosis-investigation-and-management-after-minimal-trauma-fracture-mtf
#12
Jane Anderson-Wurf, Joe McGirr, Alexa Seal, Catherine Harding
: A study of orthopedic surgeons in rural and regional Southeast Australia to determine attitudes to investigation and management of osteoporosis found they believe follow-up in regard to osteoporosis after MTF is important; responsibility for follow-up diagnosis and management lies with primary health care and current communication systems are poor. PURPOSE/INTRODUCTION: The investigation and treatment of osteoporosis after minimal trauma fracture (MTF) is regarded as sub-optimal...
December 2017: Archives of Osteoporosis
https://www.readbyqxmd.com/read/27981685/rural-and-remote-research-supporting-the-heart-and-soul-of-australia
#13
Fiona Brooke
No abstract text is available yet for this article.
December 2016: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/27979963/developing-online-accreditation-education-resources-for-health-care-services-an-australian-case-study
#14
Amanda Pereira-Salgado, Leanne Boyd, Matthew Johnson
QUALITY PROBLEM OR ISSUE: In 2013, 'National Safety and Quality Health Service Standards' accreditation became mandatory for most health care services in Australia. Developing and maintaining accreditation education is challenging for health care services, particularly those in regional and rural settings. With accreditation imminent, there was a need to support health care services through the process. INITIAL ASSESSMENT: A needs analysis identified limited availability of open access online resources for national accreditation education...
December 15, 2016: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/27951725/health-concerns-associated-with-unconventional-gas-mining-in-rural-australia
#15
Melissa R Haswell, Anna Bethmont
CONTEXT: Many governments globally are investigating the benefits and risks associated with unconventional gas mining for shale, tight and coal seam gas (coalbed methane) to determine whether the industry should proceed in their jurisdiction. Most locations likely to be developed are in rural areas, with potential impact on farmers and small communities. Despite significant health concerns, public health knowledge and growing evidence are often overlooked in decision-making. It is difficult to gain a broad but accurate understanding of the health concerns for rural communities because the evidence has grown very recently and rapidly, is complex and largely based in the USA, where the industry is advanced...
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27931780/the-development-of-a-caseload-midwifery-service-in-rural-australia
#16
Tara Tran, Jo Longman, Jude Kornelsen, Lesley Barclay
PROBLEM: The past two decades have seen progressive decline in the number of rural birthing services across Australia. BACKGROUND: Despite health system pressures on small birthing units to close there have been examples of resistance and survival. AIM: This descriptive study explored the evolution of a rural birthing service in a small town to offer insight into the process of transition which may be helpful to other small healthcare services in rural Australia...
December 5, 2016: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/27927279/coproducing-aboriginal-patient-journey-mapping-tools-for-improved-quality-and-coordination-of-care
#17
Janet Kelly, Judith Dwyer, Tamara Mackean, Kim O'Donnell, Eileen Willis
This paper describes the rationale and process for developing a set of Aboriginal patient journey mapping tools with Aboriginal patients, health professionals, support workers, educators and researchers in the Managing Two Worlds Together project between 2008 and 2015. Aboriginal patients and their families from rural and remote areas, and healthcare providers in urban, rural and remote settings, shared their perceptions of the barriers and enablers to quality care in interviews and focus groups, and individual patient journey case studies were documented...
December 8, 2016: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27919261/caf%C3%A3-a-multicomponent-audit-and-feedback-intervention-to-improve-implementation-of-healthy-food-policy-in-primary-school-canteens-a-randomised-controlled-trial
#18
Sze Lin Yoong, Nicole Nathan, Luke Wolfenden, John Wiggers, Kathryn Reilly, Christopher Oldmeadow, Rebecca Wyse, Rachel Sutherland, Tessa Delaney, Peter Butler, Lisa Janssen, Sarah Preece, Christopher M Williams
BACKGROUND: The implementation of nutrition policies in schools has been recommended as a strategy to improve child dietary intake. Internationally, research suggests that the majority of schools do not implement these policies. In New South Wales (NSW), Australia, the NSW Healthy School Canteen Policy requires that school canteens prohibit the sale of 'red' foods (i.e. foods that are typically nutrient poor and high in energy, such as confectionary and deep-fried foods) and 'banned'drinks (i...
December 5, 2016: International Journal of Behavioral Nutrition and Physical Activity
https://www.readbyqxmd.com/read/27903210/resource-use-governance-and-case-load-of-rapid-response-teams-in-australia-and-new-zealand-in-2014
#19
(no author information available yet)
BACKGROUND: Rapid response teams (RRTs) are a mandatory element of Australian national health care policy. However, the uptake, resourcing, case load and funding of RRTs in Australian and New Zealand hospitals remain unknown. AIM: To assess the clinical activity, funding, staffing and governance of RRTs in Australian and New Zealand hospitals. METHODS: Survey of Australian and New Zealand hospitals as part of a biannual audit of intensive care resources and capacity...
December 2016: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/27903042/prevalence-and-management-of-diabetes-in-residential-aged-care-facilities-in-north-east-victoria-australia
#20
Helen M Haines, Holly Bannon-Murphy, Tim Amos, Robert Krones
BACKGROUND: Managing diabetes in residential aged care facilities (RACFs) presents challenges to general practitioners (GPs) as the incidence of the disease increases. OBJECTIVE: The objective of this article is to describe the prevalence and management of diabetes in RACFs in north-east Victoria. METHODS: The method used for this study was a cross-sectional audit of medical files. RESULTS: Ten RACFs were invited and agreed to participate, giving a sample of 593 residents...
December 2016: Australian Family Physician
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