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https://www.readbyqxmd.com/read/28296177/fibromyalgia-remains-a-significant-burden-in-rheumatoid-arthritis-patients-in-australia
#1
Anthea C Gist, Emma K Guymer, Laura E Eades, Michelle Leech, Geoffrey O Littlejohn
AIM: High rates of fibromyalgia (FM) are reported in rheumatoid arthritis (RA) patients. Advances in RA management have occurred, but information regarding current significance of FM in RA is limited. This investigation estimated the prevalence and health effects of concomitant FM in Australian RA patients. METHODS: Participants were recruited from Australian rheumatology clinics. Subjects were assessed using the 1990 and 2011 American College of Rheumatology (ACR) FM criteria and the polysymptomatic distress score (PDS) was calculated...
March 13, 2017: International Journal of Rheumatic Diseases
https://www.readbyqxmd.com/read/28260280/teaching-rational-prescribing-to-general-practice-registrars-a-guide-for-supervisors
#2
Simon Morgan
BACKGROUND: Pharmaceuticals play an important role in modern day healthcare, and prescribing is a very common activity in Australian general practice. However, there are significant harms associated with medicine use. Vocational training is a critical period in the development of clinical practice patterns for the future general practitioner (GP), including prescribing behaviour. The general practice supervisor, therefore, has a key role to play in educating registrars about rational prescribing...
March 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28258253/quality-of-acute-care-and-long-term-quality-of-life-and-survival-the-australian-stroke-clinical-registry
#3
Dominique A Cadilhac, Nadine E Andrew, Natasha A Lannin, Sandy Middleton, Christopher R Levi, Helen M Dewey, Brenda Grabsch, Steve Faux, Kelvin Hill, Rohan Grimley, Andrew Wong, Arman Sabet, Ernest Butler, Christopher F Bladin, Timothy R Bates, Patrick Groot, Helen Castley, Geoffrey A Donnan, Craig S Anderson
BACKGROUND AND PURPOSE: Uncertainty exists over whether quality improvement strategies translate into better health-related quality of life (HRQoL) and survival after acute stroke. We aimed to determine the association of best practice recommended interventions and outcomes after stroke. METHODS: Data are from the Australian Stroke Clinical Registry during 2010 to 2014. Multivariable regression was used to determine associations between 3 interventions: received acute stroke unit (ASU) care and in various combinations with prescribed antihypertensive medication at discharge, provision of a discharge care plan, and outcomes of survival and HRQoL (EuroQoL 5-dimensional questionnaire visual analogue scale) at 180 days, by stroke type...
March 3, 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/28253467/understanding-30-day-re-admission-after-hospitalisation-of-older-patients-for-diabetes-identifying-those-at-greatest-risk
#4
Gillian E Caughey, Nicole L Pratt, John D Barratt, Sepehr Shakib, Anna R Kemp-Casey, Elizabeth E Roughead
OBJECTIVE: To identify factors that contribute to older Australians admitted to hospital with diabetes being re-hospitalised within 30 days of discharge. DESIGN, SETTING AND PARTICIPANTS: A retrospective cohort study of Department of Veterans' Affairs administrative data for all patients hospitalised for diabetes and discharged alive during the period 1 January - 31 December 2012. MAIN OUTCOME MEASURES: Causes of re-hospitalisation and prevalence of clinical factors associated with re-hospitalisation within 30 days of discharge...
March 6, 2017: Medical Journal of Australia
https://www.readbyqxmd.com/read/28251670/retrospective-audit-of-antimicrobial-prescribing-practices-for-acute-exacerbations-of-chronic-obstructive-pulmonary-diseases-in-a-large-regional-hospital
#5
D J Brownridge, S T R Zaidi
WHAT IS KNOWN AND OBJECTIVE: Chronic obstructive pulmonary disease (COPD) is associated with significant morbidity and mortality, and frequent exacerbations are associated with an increased risk of death, deterioration in lung function and reduced quality of life. Current Australian guidelines developed by the Lung Foundation of Australia (the COPD-X Plan) recommends the use of a short course of corticosteroids and oral antibiotics (amoxycillin or doxycycline) as part of the treatment of an AECOPD; however, it was noted that clinical practice at the study hospital had deviated from these guidelines...
March 1, 2017: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/28249996/gender-inequalities-in-cardiovascular-risk-factor-assessment-and-management-in-primary-healthcare
#6
Karice K Hyun, Julie Redfern, Anushka Patel, David Peiris, David Brieger, David Sullivan, Mark Harris, Tim Usherwood, Stephen MacMahon, Marilyn Lyford, Mark Woodward
OBJECTIVES: To quantify contemporary differences in cardiovascular disease (CVD) risk factor assessment and management between women and men in Australian primary healthcare services. METHODS: Records of routinely attending patients were sampled from 60 Australian primary healthcare services in 2012 for the Treatment of Cardiovascular Risk using Electronic Decision Support study. Multivariable logistic regression models were used to compare the rate of CVD risk factor assessment and recommended medication prescriptions, by gender...
April 2017: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/28249013/societal-perspective-on-access-to-publicly-subsidised-medicines-a-cross-sectional-survey-of-3080-adults-in-australia
#7
Lesley Chim, Glenn Salkeld, Patrick Kelly, Wendy Lipworth, Dyfrig A Hughes, Martin R Stockler
BACKGROUND: Around the world government agencies responsible for the selection and reimbursement of prescribed medicines and other health technologies are considering how best to bring community preferences into their decision making. In particular, community views about the distribution or equity of funding across the population. These official committees and agencies often have access to the best available and latest evidence on clinical effectiveness, safety and cost from large clinical trials and population-based studies...
2017: PloS One
https://www.readbyqxmd.com/read/28246427/australian-prescriber-distribution
#8
Gisela Dean
No abstract text is available yet for this article.
February 2017: Australian Prescriber
https://www.readbyqxmd.com/read/28241215/effectiveness-of-an-internet-delivered-exercise-and-pain-coping-skills-training-intervention-for-persons-with-chronic-knee-pain-a-randomized-trial
#9
Kim L Bennell, Rachel Nelligan, Fiona Dobson, Christine Rini, Francis Keefe, Jessica Kasza, Simon French, Christina Bryant, Andrew Dalwood, J Haxby Abbott, Rana S Hinman
Background: Effective, accessible biopsychosocial treatments are needed to manage chronic knee pain on a population level. Objective: To evaluate the effectiveness of Internet-delivered, physiotherapist-prescribed home exercise and pain-coping skills training (PCST). Design: Pragmatic parallel-group randomized, controlled trial. (Australian New Zealand Clinical Trials Registry: ACTRN12614000243617). Setting: Community (Australia)...
February 21, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28225054/nutritional-adequacy-of-diets-for-adolescents-with-overweight-and-obesity-considerations-for-dietetic-practice
#10
N B Lister, M L Gow, K Chisholm, A Grunseit, S P Garnett, L A Baur
BACKGROUND/OBJECTIVES: Adolescents have unique nutrient requirements due to rapid growth and development. High rates of obesity in adolescents require a variety of diet interventions to achieve weight loss under clinical supervision. The aim of this study is to examine the nutritional adequacy of energy-restricted diets for adolescents. SUBJECTS/METHODS: Three popular diets were modelled for 7 days and assessed by comparing the nutrient profile to the Australian Nutrient Reference Values...
February 22, 2017: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28205064/appropriateness-of-surgical-antibiotic-prophylaxis-for-breast-surgery-procedures
#11
Smeem Jaber, Crystal Rogers, Bruce Sunderland, Richard Parsons, Sarah MacKenzie, Jason Seet, Petra Czarniak
Background Guidelines for the appropriate use of antibiotic prophylaxis are provided in the Therapeutic Guidelines: Antibiotics (eTG) in Australia. Inappropriate use of antibiotics is problematic. Objective To examine adherence with therapeutic guidelines (eTG) in breast surgery and trends in non-adherence dependent on the type of breast surgery performed. Setting Major Western Australian teaching hospital. Method A retrospective cross-sectional study reviewed a random sample of 150 from 1049 eligible medical records of patients who underwent a breast surgical procedure in 2013 or 2014...
February 15, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28190411/hysterectomy-and-incidence-of-depressive-symptoms-in-midlife-women-the-australian-longitudinal-study-on-women-s-health
#12
L Wilson, N Pandeya, J Byles, G Mishra
AIMS: There is limited longitudinal research that has looked at the longer term incidence of depressive symptoms, comparing women with a hysterectomy to women without a hysterectomy. We aimed to investigate the association between hysterectomy status and the 12-year incidence of depressive symptoms in a mid-aged cohort of Australian women, and whether these relationships were modified by use of exogenous hormones. METHODS: We used generalised estimating equation models for binary outcome data to assess the associations of the incidence of depressive symptoms (measured by the 10-item Centre for Epidemiologic Studies Depression Scale) across five surveys over a 12-year period, in women with a hysterectomy with ovarian conservation, or a hysterectomy with bilateral oophorectomy compared with women without a hysterectomy...
February 13, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28188561/patient-specific-prescriber-feedback-can-increase-the-rate-of-osteoporosis-screening-and-treatment-results-from-two-national-interventions
#13
Lisa M Kalisch Ellett, N L Pratt, J K Sluggett, E N Ramsay, M Kerr, V T LeBlanc, J D Barratt, E E Roughead
Osteoporosis interventions targeting older Australians and clinicians were conducted in 2008 and 2011 as part of a national quality improvement program underpinned by behavioural theory and stakeholder engagement. Uptake of bone mineral density (BMD) tests among targeted men and women increased after both interventions and sustained increases in osteoporosis treatment were observed among men targeted in 2008. PURPOSE: Educational interventions incorporating patient-specific prescriber feedback have improved osteoporosis screening and treatment among at-risk patients in clinical trials but have not been evaluated nationally...
December 2017: Archives of Osteoporosis
https://www.readbyqxmd.com/read/28179609/physical-and-environmental-hazards-in-the-prosthetics-and-orthotics-workshop-a-pilot-study
#14
Sarah Anderson, Rwth Stuckey, Diana Poole, Jodi Oakman
Background; Prosthetists and Orthotists (P&O) are exposed to physical hazards within the workshop environment. Concern regarding these exposures has been expressed by P&Os; however, little research has been undertaken. Exposures to noise and volatile organic compounds in amounts larger than statutorily allowed can have adverse short and long term consequences on people's health. OBJECTIVES: To identify and quantify hazardous noise and chemical exposures in a typical P&O workplace. METHODS: Noise and volatile organic compound testing was undertaken in 2011 and 2013...
February 7, 2017: Industrial Health
https://www.readbyqxmd.com/read/28177198/the-tasmanian-atrial-fibrillation-study-transition-to-direct-oral-anticoagulants-2011-2015
#15
Endalkachew Admassie Alamneh, Leanne Chalmers, Luke R Bereznicki
INTRODUCTION: Contemporary Australian data regarding antithrombotic prescribing patterns following approval of direct oral anticoagulants (DOACs) in patients with atrial fibrillation (AF) are limited. AIM: The aim of the present study was to assess antithrombotic prescribing patterns before, during and after the clinical introduction of DOACs. METHODS: Using digital medical records, this retrospective cohort study included all patients with AF as a primary or secondary diagnosis who were admitted to the Royal Hobart Hospital, Tasmania, Australia, between January 2011 and July 2015...
February 8, 2017: Cardiovascular Therapeutics
https://www.readbyqxmd.com/read/28168797/pre-oncall-key-conditions-training-for-first-year-radiology-registrars
#16
Nicholas I Brown, Paul Leschke, Mandy Way, David D Smith, Perry Cleland
INTRODUCTION: The Royal Australian and New Zealand College of Radiology (RANZCR) recognised the importance of experience in on-call and emergency radiology for first-year registrars by introducing 'Key conditions in Year 1 training'. This list of common radiological pathologies can help to focus preparations for new registrars as they prepare for after-hours duties. METHODS: The Royal Brisbane and Women's Hospital (RBWH) implemented a 12-week formal training programme, based on this curriculum, for new registrars prior to commencing after-hours work...
February 7, 2017: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/28167655/improving-community-access-to-terminal-phase-medicines-through-the-implementation-of-a-core-medicines-list-in-south-australian-community-pharmacies
#17
Paul Tait, Chris Horwood, Paul Hakendorf, Timothy To
OBJECTIVES: Difficulties accessing medicines in the terminal phase hamper the ability of patients to die at home. The aim of this study was to identify changes in community access to medicines for managing symptoms in the terminal phase throughout South Australia (SA), following the development of a 'Core Medicines List' (the List) while exploring factors predictive of pharmacies carrying a broad range of useful medicines. METHODS: In 2015, SA community pharmacies were invited to participate in a repeat survey exploring the availability of specific medicines...
February 6, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28164385/learning-to-prescribe-through-co-working-junior-doctors-pharmacists-and-consultants
#18
Christy Noble, Stephen Billett
CONTEXT: Learning to prescribe is challenging for junior doctors. Significant efforts have been made to improve prescribing education, especially in view of the high rates of prescribing errors made by junior doctors. However, considerations of educational options often overlook the fact that learning to prescribe and prescribing practices rely on practice-based interactions with informed practitioners, such as pharmacists and consultants. Pharmacists have long made important contributions to developing prescribing capacities...
February 6, 2017: Medical Education
https://www.readbyqxmd.com/read/28156062/an-observational-study-of-australian-private-practice-physiotherapy-consultations-to-explore-the-prescription-of-self-management-strategies
#19
Kerry Peek, Mariko Carey, Lisa Mackenzie, Robert Sanson-Fisher
OBJECTIVE: The aim of the study was to explore the types of self-management strategies prescribed; the number of strategies and the overall length of time allocated to self-management prescription, by consultation type and by injury location, in physiotherapy consultations. METHODS: A cross-sectional, observational study of 113 physiotherapist-patient consultations was undertaken. Regression analyses were used to determine whether consultation type and injury location were associated with the number of strategies prescribed and the length/fraction of time spent on self-management...
February 3, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28152355/what-risks-do-herbal-products-pose-to-the-australian-community
#20
Roger W Byard, Ian Musgrave, Garth Maker, Michael Bunce
Traditional herbal products are widely used in Australia to treat a broad range of conditions and diseases. It is popularly believed that these products are safer than prescribed drugs. While many may be safe, it is worrying that the specific effects and harmful interactions of a number of their components with prescription medications is not well understood. Some traditional herbal preparations contain heavy metals and toxic chemicals, as well as naturally occurring organic toxins. The effects of these substances can be dire, including acute hepatic and renal failure, exacerbation of pre-existing conditions and diseases, and even death...
February 6, 2017: Medical Journal of Australia
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