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https://www.readbyqxmd.com/read/28816031/do-you-see-what-i-see-a-mother-s-plea
#1
Kees Nydam, Rebecca Soole
There is sometimes dissonance between the medical services that the general public expects an ED to provide and the acute critical care that emergency clinicians hope to provide. One explanation for this is that the ED is both a territory and a meeting place for a cornucopia of clinicians, some of whom are not ED clinicians themselves. Roles are sometimes ambiguous and location-specific. Recently, one Queensland mother believed that her son's suicide could have been prevented had emergency staff been better educated...
August 16, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28814994/home-quick-occupational-therapy-home-visits-using-mhealth-to-facilitate-discharge-from-acute-admission-back-to-the-community
#2
Jacqueline Nix, Tracy Comans
This article reports upon an initiative to improve the timeliness of occupational therapy home visits for discharge planning by implementing technology solutions while maintaining patient safety. A community hospital in Queensland, Australia, hosted a process evaluation that examined which aspects of home visiting could be replaced or augmented by alternative technologies. Strategies were trialled, implemented and assessed using the number of home visits completed and the time from referral to completion as outcomes...
2017: International Journal of Telerehabilitation
https://www.readbyqxmd.com/read/28812578/throw-caution-to-the-wind-is-refeeding-syndrome-really-a-cause-of-death-in-acute-care
#3
K L Matthews, S M Capra, M A Palmer
BACKGROUND/OBJECTIVES: Refeeding syndrome (RFS), a life-threatening medical condition, is commonly associated with acute or chronic starvation. While the prevalence of patients at risk of RFS in hospital reportedly ranges from 0 to 80%, the prevalence and types of patients who die as a result of RFS is unknown. We aimed to measure the prevalence rate and examine the case histories of patients who passed away with RFS listed as a cause of death. SUBJECTS/METHODS: Patients were eligible for inclusion provided their death occurred within a Queensland hospital...
August 16, 2017: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28807668/evidence-that-blood-flukes-trematoda-aporocotylidae-of-chondrichthyans-infect-bivalves-as-intermediate-hosts-indications-of-an-ancient-diversification-of-the-schistosomatoidea
#4
Thomas H Cribb, Rowan C Chick, Wayne O'Connor, Stephan O'Connor, Daniel Johnson, Kim B Sewell, Scott C Cutmore
Blood flukes (Aporocotylidae) of actinopterygians (bony fishes), have been shown to infect freshwater gastropods and marine polychaetes as intermediate hosts. However, no life cycle is known for any aporocotylid of chondrichthyans (cartilaginous fishes) and no adult aporocotylid has been linked to a cercaria infecting a bivalve. Here we report two novel infections that fill these gaps. Cercariae consistent with the family Aporocotylidae were found developing in sporocysts in the gonad of the surf pipi, Donax deltoides Lamarck, 1818 (Bivalvia: Donacidae), from Stockton Beach, central New South Wales, Australia...
August 11, 2017: International Journal for Parasitology
https://www.readbyqxmd.com/read/28802951/smoke-on-the-water-oral-fluid-analysis-at-sea
#5
Andrew Griffiths, Richard Leonars, Lenore Hadley, Mark Stephenson, Richard Teale
This study outlines the operational challenges and findings of an illicit drug oral fluid testing program carried out on the skippers (those in charge) of water vessels in Queensland, Australia. Between 2010 and 2016, 953 tests of skippers were conducted on water (waterside) for three proscribed illicit drugs; delta-9-tetrahydrocannabinol (THC), methylamphetamine (MA) and 3,4-methylendioxymethylamphetamine (MDMA). 126 (13%) of the skippers tested returned an on-site positive during waterside testing, 125 were confirmed positive for one or more illicit drug by subsequent laboratory analysis, whilst one skipper did not provide an oral fluid sample for confirmatory analysis...
July 31, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28802911/childhood-maltreatment-and-high-dietary-fat-intake-behaviors-in-adulthood-a-birth-cohort-study
#6
Amanuel Alemu Abajobir, Steve Kisely, Gail Williams, Lane Strathearn, Jake Moses Najman
Childhood maltreatment has been associated with a wide range of chronic medical conditions including obesity, other metabolic events and eating disorders. However, little is known about the association between childhood maltreatment and high dietary fat intake. This study addresses the extent to which co-occurring and specific forms of substantiated childhood maltreatment are associated with self-reported high dietary fat intake in adulthood and whether there is a gender-childhood maltreatment interaction in predicting this association...
August 10, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28801412/health-practitioners-perceptions-of-adopting-clinical-prediction-rules-in-the-management-of-musculoskeletal-pain-a-qualitative-study-in-australia
#7
Joan Kelly, Michele Sterling, Trudy Rebbeck, Aila Nica Bandong, Andrew Leaver, Martin Mackey, Carrie Ritchie
OBJECTIVES: To investigate health practitioners' understanding and practice behaviours with regards to clinical prediction rules (CPRs) and explore their perceptions of adopting a new whiplash CPR. DESIGN: Qualitative study using six semistructured focus groups. SETTING: Primary and secondary care in New South Wales and Queensland, Australia. PARTICIPANTS: Physiotherapists (n=19), chiropractors (n=6) and osteopaths (n=3) were purposively sampled to include health practitioners who provide routine treatment to people with whiplash-associated disorders...
August 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28797038/plant-diversity-and-structure-describe-the-presence-of-a-new-threatened-australian-marsupial-within-its-highly-restricted-post-fire-habitat
#8
Eugene D Mason, Jennifer Firn, Harry B Hines, Andrew M Baker
Management of critical habitat for threatened species with small ranges requires location-specific, fine-scale survey data. The silver-headed antechinus (Antechinus argentus) is known from only two isolated, fire-prone locations. At least one of these populations, at Kroombit Tops National Park in central-eastern Queensland, Australia, possesses a very small range. Here, we present detailed vegetation species diversity and structure data from three sites comprising the known habitat of A. argentus at Kroombit Tops and relate it to capture data obtained over two years...
2017: PloS One
https://www.readbyqxmd.com/read/28794497/the-trophic-role-of-a-large-marine-predator-the-tiger-shark-galeocerdo-cuvier
#9
Luciana C Ferreira, Michele Thums, Michael R Heithaus, Adam Barnett, Kátya G Abrantes, Bonnie J Holmes, Lara M Zamora, Ashley J Frisch, Julian G Pepperell, Derek Burkholder, Jeremy Vaudo, Robert Nowicki, Jessica Meeuwig, Mark G Meekan
Tiger sharks were sampled off the western (Ningaloo Reef, Shark Bay) and eastern (the Great Barrier Reef; GBR, Queensland and New South Wales; NSW) coastlines of Australia. Multiple tissues were collected from each shark to investigate the effects of location, size and sex of sharks on δ(13)C and δ(15)N stable isotopes among these locations. Isotopic composition of sharks sampled in reef and seagrass habitats (Shark Bay, GBR) reflected seagrass-based food-webs, whereas at Ningaloo Reef analysis revealed a dietary transition between pelagic and seagrass food-webs...
August 9, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28792958/can-remote-infrared-cameras-be-used-to-differentiate-small-sympatric-mammal-species-a-case-study-of-the-black-tailed-dusky-antechinus-antechinus-arktos-and-co-occurring-small-mammals-in-southeast-queensland-australia
#10
Emma L Gray, Todd E Dennis, Andrew M Baker
The black-tailed dusky antechinus (Antechinus arktos) is an endangered, small carnivorous marsupial endemic to Australia, which occurs at low population density along with abundant sympatric populations of other small mammals: Antechinus stuartii, Rattus fuscipes and Melomys cervinipes. Using A. arktos as a model species, we aimed to evaluate the effectiveness of infrared digital camera traps for detecting and differentiating small mammals and to comment on the broad applicability of this methodology. We also sought to understand how the detection probabilities of our target species varied over time and characterize their activity patterns...
2017: PloS One
https://www.readbyqxmd.com/read/28790056/alcoholic-versus-aqueous-chlorhexidine-for-skin-antisepsis-the-avalanche-trial
#11
RANDOMIZED CONTROLLED TRIAL
Daniel Charles, Clare F Heal, Meth Delpachitra, Michael Wohlfahrt, Debbie Kimber, Julie Sullivan, Sheldon Browning, Sabine Saednia, Alexandra Hardy, Jennifer Banks, Petra Buttner
BACKGROUND: Preoperative skin antisepsis is routine practice. We compared alcoholic chlorhexidine with aqueous chlorhexidine for skin antisepsis to prevent surgical site infection after minor skin excisions in general practice. METHODS: We conducted this prospective, multicentre, randomized controlled trial in 4 private general practices in North Queensland, Australia, from October 2015 to August 2016. Consecutive adult patients presenting for minor skin excisions were randomly assigned to undergo preoperative skin antisepsis with 0...
August 8, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/28790038/participate-cp-a-protocol-of-a-randomised-waitlist-controlled-trial-of-a-motivational-and-behaviour-change-therapy-intervention-to-increase-physical-activity-through-meaningful-participation-in-children-with-cerebral-palsy
#12
Sarah Elizabeth Reedman, Roslyn N Boyd, Catherine Elliott, Leanne Sakzewski
INTRODUCTION: Children with cerebral palsy (CP) participate in leisure-time physical activities (PA) less often, with less intensity and reduced diversity than their typically developing peers. Participation in leisure-time physical activities may be an important source of habitual physical activity (HPA) for children with CP, who as a group have lower levels of HPA and increased sedentary time compared with their typically developing peers. The proposed study aims to compare the efficacy of a participation focused therapy (ParticiPAte CP) to usual care in a pragmatic, randomised waitlist controlled trial...
August 7, 2017: BMJ Open
https://www.readbyqxmd.com/read/28780550/improving-discharge-care-the-potential-of-a-new-organisational-intervention-to-improve-discharge-after-hospitalisation-for-acute-stroke-a-controlled-before-after-pilot-study
#13
Dominique A Cadilhac, Nadine E Andrew, Enna Stroil Salama, Kelvin Hill, Sandy Middleton, Eleanor Horton, Ian Meade, Sarah Kuhle, Mark R Nelson, Rohan Grimley
OBJECTIVE: Provision of a discharge care plan and prevention therapies is often suboptimal. Our objective was to design and pilot test an interdisciplinary, organisational intervention to improve discharge care using stroke as the case study using a mixed-methods, controlled before-after observational study design. SETTING: Acute care public hospitals in Queensland, Australia (n=15). The 15 hospitals were ranked against a benchmark based on a composite outcome of three discharge care processes...
August 4, 2017: BMJ Open
https://www.readbyqxmd.com/read/28780395/use-of-a-robotic-seal-as-a-therapeutic-tool-to-improve-dementia-symptoms-a-cluster-randomized-controlled-trial
#14
Wendy Moyle, Cindy J Jones, Jenny E Murfield, Lukman Thalib, Elizabeth R A Beattie, David K H Shum, Siobhan T O'Dwyer, M Cindy Mervin, Brian M Draper
OBJECTIVES: To test the effects of individual, nonfacilitated sessions with PARO (version 9), when compared against a look-alike plush toy and usual care, on the emotional and behavioral symptoms of dementia for people living in long-term care facilities. DESIGN: Parallel, 3-group, cluster-randomized controlled trial conducted between June 14, 2014, and May 16, 2015. SETTING: Twenty-eight long-term care facilities operated by 20 care organizations located in South-East Queensland, Australia...
August 2, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28777900/incidence-of-middle-ear-barotrauma-in-staged-versus-linear-chamber-compression-during-hyperbaric-oxygen-therapy-a-double-blinded-randomized-controlled-trial
#15
Andrew W A Ng, Reinhold Muller, John Orton
CONTEXT: Middle ear barotrauma (MEB) is common during chamber compression in hyperbaric oxygen therapy. However, little evidence exists on an optimal compression protocol to minimize the incidence and severity of MEB. OBJECTIVE: To compare the incidence of MEB during hyperbaric oxygen therapy using two different chamber compression protocols. DESIGN: Double-blinded, randomized controlled trial. SETTING: Hyperbaric Medicine Unit, The Townsville Hospital, Queensland, Australia, September 2012 to December 2014...
March 2017: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/28777763/training-therapists-to-perform-pre-employment-functional-assessments-a%C3%A2-telerehabilitation-approach
#16
Zoë Cotton, Trevor Russell, Venerina Johnston, Jennifer Legge
BACKGROUND: Pre-Employment Functional Assessments (PEFA) are increasingly used in an attempt to obtain objective information on a potential employee's functional capabilities. In rural and remote communities, there is typically reduced access to qualified therapists to perform these assessments, in part attributable to the time and costs associated with travelling to training courses. One potential method of providing the relevant training to conduct PEFAs is through the use of technologies such as videoconferencing or internet-based modules...
August 1, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/28771857/reduced-employment-and-financial-hardship-among-middle-aged-individuals-with-colorectal-cancer
#17
Louisa G Gordon, Vanessa L Beesley, Gabor Mihala, Bogda Koczwara, Brigid M Lynch
Financial hardship may affect up to 30% of cancer survivors, however, little research has addressed the effect of employment change on financial hardship. This study compared the self-reported financial hardship of middle-aged (45-64 years) colorectal cancer survivors (n = 187) at 6 and 12 months following diagnosis with that of a matched general population group (n = 355). Colorectal cancer survivors were recruited through the Queensland Cancer Registry, Australia; data from the Household Income and Labour Dynamics in Australia (HILDA) Survey were used for the general population group...
August 3, 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/28771635/the-impact-of-environmental-factors-on-marine-turtle-stranding-rates
#18
Jaylene Flint, Mark Flint, Colin J Limpus, Paul C Mills
Globally, tropical and subtropical regions have experienced an increased frequency and intensity in extreme weather events, ranging from severe drought to protracted rain depressions and cyclones, these coincided with an increased number of marine turtles subsequently reported stranded. This study investigated the relationship between environmental variables and marine turtle stranding. The environmental variables examined in this study, in descending order of importance, were freshwater discharge, monthly mean maximum and minimum air temperatures, monthly average daily diurnal air temperature difference and rainfall for the latitudinal hotspots (-27°, -25°, -23°, -19°) along the Queensland coast as well as for major embayments within these blocks...
2017: PloS One
https://www.readbyqxmd.com/read/28770371/a-re-evaluation-of-diversity-of-the-aporocotylidae-odhner-1912-in-siganus-fuscescens-houttuyn-perciformes-siganidae-and-associated-species
#19
Xena Brooks, Thomas H Cribb, Russell Q-Y Yong, Scott C Cutmore
The aporocotylid fauna of the mottled spinefoot, Siganus fuscescens (Houttuyn), from Moreton Bay, Queensland, Australia, was characterised using a combined morphological and molecular approach. Four aporocotylid species were identified, three belonging to the genus Ankistromeces Nolan & Cribb, 2006 and one to Cardicola Short, 1953. Specimens of Cardicola matched an undescribed species from the same host and locality; this species is described as Cardicola mogilae n. sp. Phylogenetic analyses of ITS2 and 28S data showed that C...
August 2, 2017: Systematic Parasitology
https://www.readbyqxmd.com/read/28769695/the-collection-of-bathynellacea-specimens-of-mncn-csic-madrid-microscope-slices-and-dna-extract
#20
Ana I Camacho, Beatriz A Dorda, Begoña Sánchez Chillón, Isabel Rey
This is the first published database of a Bathynellacea Chappuis, 1915 collection of slices and DNA extracts. It includes all data of bathynellaceans (Crustacea: Syncarida) collected in the last 48 years (1968 to 2016) on the Iberian Peninsula and Balearic Islands, studied since 1984. It also includes specimens studied across many countries of Europe (Portugal, Romania, France, Italy, Slovenia, Bulgaria, and England), as well as some specimens obtained from samples of North America (Montana, Washington, Alaska and Texas), South America (Brazil, Chile and Argentina), Asia (China, Thailand, Vietnam, Mongolia and India), Africa (Morocco and Chad) and Australia (New South Wales -NSW- and Queensland)...
2017: ZooKeys
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