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Physician's Assistant Australia

Laura Anne Brooks, Elizabeth Manias, Patricia Nicholson
BACKGROUND: Patients admitted to Australian intensive care units are often critically unwell, and present the challenge of increasing mortality due to an ageing population. Several of these patients have terminal conditions, requiring withdrawal of active treatment and commencement of end-of-life (EOL) care. OBJECTIVES: The aim of the study was to explore the perspectives and experiences of physicians and nurses providing EOL care in the ICU. In particular, perceived barriers, enablers and challenges to providing EOL care were examined...
September 20, 2016: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
R Klein, B K Menon, D Rabi, W Stell, M D Hill
BACKGROUND: An acute medical condition following a previous stroke among those who operate trains, airplanes, and commercial vehicles can result in serious accidents. There are guidelines in place to assist physicians and employers in assessing the risks of returning to work after stroke but the extent and comprehensiveness across nations and among safety-critical occupations are not widely known. METHODS: Medical guidelines currently in place to regulate safety critical occupations including railway engineers, pilots and commercial vehicle drivers were systematically reviewed...
July 13, 2016: International Journal of Stroke: Official Journal of the International Stroke Society
Mohamed Khaldoun Badawy, Dheeshana Sayakkarage, Mehmet Ozmen
BACKGROUND: The large number of diagnostic procedures undertaken in emergency departments (ED) is vital to the early diagnosis and treatment of patients. The use of ionising radiation in diagnosis adds a lifetime attributable risk (LAR) of cancer depending on the region imaged, the frequency of imaging, and dose per exposure. AIMS: This pilot study aims to assess the degree of radiation awareness amongst ED doctors at major metropolitan and regional health services in Australia, in terms of the dose and risks associated with common imaging...
2015: Australasian Medical Journal
Doug Elliott, Rosalind Elliott, Anthony Burrell, Peter Harrigan, Margherita Murgo, Kaye Rolls, David Sibbritt
OBJECTIVES: With disagreements on diagnostic criteria for ventilator-associated pneumonia (VAP) hampering efforts to monitor incidence and implement preventative strategies, the study objectives were to develop a checklist for clinical surveillance of VAP, and conduct an audit in Australian/New Zealand intensive care units (ICUs) using the checklist. SETTING: Online survey software was used for checklist development. The prospective audit using the checklist was conducted in 10 ICUs in Australia and New Zealand...
2015: BMJ Open
Vincent Tse, Jennifer King, Caroline Dowling, Sharon English, Katherine Gray, Richard Millard, Helen O'Connell, Samantha Pillay, Jeffrey Thavaseelan
Due to the myriad of treatment options available and the potential increase in the number of patients afflicted with overactive bladder (OAB) who will require treatment, the Female Urology Special Advisory Group (FUSAG) of the Urological Society of Australia and New Zealand (USANZ), in conjunction with the Urogynaecological Society of Australasia (UGSA), see the need to move forward and set up management guidelines for physicians who may encounter or have a special interest in the treatment of this condition...
January 2016: BJU International
A M J Pokorny, C B Gittins
Interaction between doctors and the pharmaceutical industry is long-standing and ingrained in modern practice. Doctors-in-training are at a vulnerable stage of their careers, both in requiring knowledge and forming lasting relationships. There is evidence that limiting contact between industry and junior doctors has a positive effect on subsequent clinical behaviour. Currently in Australia, there is no limitation on pharmaceutical representatives approaching doctors-in-training, and the majority of education sessions are sponsored by pharmaceutical companies...
October 2015: Internal Medicine Journal
Mahsa Khanlari, Yahya Daneshbod, Hanieh Shaterzadeh Yazdi, Sadegh Shirian, Shahrzad Negahban, Azita Aledavood, Ahmad Oryan, Bijan Khademi, Khosrow Daneshbod, Andrew Field
The diagnostic accuracy of fine needle aspiration cytology (FNAC) of head and neck lesions is relatively high, but cytologic interpretation might be confusing if the sample is lacking typical cytologic features according to labeled site by physician. These errors may have an impact on pathology search engines, healthcare costs or even adverse outcomes. The cytology archive database of multiple institutions in southern Iran and Australia covering the period 2001-2011, were searched using keywords: salivary gland, head, neck, FNAC, and cytology...
September 2015: Cancer Medicine
Adam de Gruchy, Catherine Granger, Alexandra Gorelik
BACKGROUND: Increasing pressure on the emergency department (ED) throughout the world has meant the introduction of innovative ways of working. One such innovation is the advanced practice physical therapist (APP) acting as a primary contact practitioner. There has been little research into the role beyond identifying patient satisfaction with management, cost-effectiveness, and time efficiency. In order to give further support and assist in development of an APP service in the ED, an increased exploration of patient caseload demographics, resource utilization, and management outcomes is needed...
September 2015: Physical Therapy
Margaret Daeschler, Ralph J Verdino, Arthur L Caplan, James N Kirkpatrick
BACKGROUND: Unilateral do-not-resuscitate (DNR) orders (against patient/family wishes) have been ethically justified in cases of medical futility. We investigated whether electrophysiology practitioners believe medical futility justifies unilateral implantable cardioverter defibrillator (ICD) deactivation. METHODS AND RESULTS: Email invitations to take an online survey were sent to 1,894 electrophysiology practitioners. A total of 384 responses were collected (response rate 20...
August 2015: Pacing and Clinical Electrophysiology: PACE
Tobias Freund, Christine Everett, Peter Griffiths, Catherine Hudon, Lucio Naccarella, Miranda Laurant
World-wide, shortages of primary care physicians and an increased demand for services have provided the impetus for delivering team-based primary care. The diversity of the primary care workforce is increasing to include a wider range of health professionals such as nurse practitioners, registered nurses and other clinical staff members. Although this development is observed internationally, skill mix in the primary care team and the speed of progress to deliver team-based care differs across countries. This work aims to provide an overview of education, tasks and remuneration of nurses and other primary care team members in six OECD countries...
March 2015: International Journal of Nursing Studies
Katherine A Benfer, Rachel Jordan, Sasaka Bandaranayake, Christine Finn, Robert S Ware, Roslyn N Boyd
OBJECTIVES: To compare the patterns of motor type and gross motor functional severity in preschool-aged children with cerebral palsy (CP) in Bangladesh and Australia. METHODS: We used comparison of 2 prospective studies. A total of 300 children with CP were aged 18 to 36 months, 219 Australian children (mean age, 26.6 months; 141 males) recruited through tertiary and community services, and 81 clinic-attendees born in Bangladesh (mean age, 27.5 months; 50 males)...
December 2014: Pediatrics
S G Faux, F Kohler, R Mozer, L A Klein, S Courtenay, S K D'Amours, J Chapman, J Estell
OBJECTIVES: To determine the effectiveness of an Early Rehabilitation Intervention (ERI ) versus a Brief Education Intervention (BEI) following road trauma. PRIMARY OBJECTIVE: return to work or usual activities at 12 weeks (for minor/moderate injury) and 24 weeks for major injury. SECONDARY OBJECTIVES: Reduction in pain, anxiety, depression, disability and incidence of Post Traumatic Stress Disorder and improved quality of life. DESIGN: A multi-site single-blinded stratified randomized clinical trial (RCT)...
July 2015: Clinical Rehabilitation
Dion Stub, Stephen Bernard, Vincent Pellegrino, Karen Smith, Tony Walker, Jayne Sheldrake, Lisen Hockings, James Shaw, Stephen J Duffy, Aidan Burrell, Peter Cameron, De Villiers Smit, David M Kaye
INTRODUCTION: Many patients who suffer cardiac arrest do not respond to standard cardiopulmonary resuscitation. There is growing interest in utilizing veno-arterial extracorporeal membrane oxygenation assisted cardiopulmonary resuscitation (E-CPR) in the management of refractory cardiac arrest. We describe our preliminary experiences in establishing an E-CPR program for refractory cardiac arrest in Melbourne, Australia. METHODS: The CHEER trial (mechanical CPR, Hypothermia, ECMO and Early Reperfusion) is a single center, prospective, observational study conducted at The Alfred Hospital...
January 2015: Resuscitation
Baldeep Kaur, Angela Carberry, Nathaniel Hogan, Don Roberton, Justin Beilby
BACKGROUND: Global medical workforce requirements highlight the need for effective workforce planning, with the overall aims being to alleviate doctor shortages and prevent maldistribution. The Medical Schools Outcomes Database and Longitudinal Tracking (MSOD) Project provides a foundation for evaluating outcomes of medical education programs against specified workforce objectives (including rural and areas of workforce needs), assisting in medical workforce planning, and provision of a national research resource...
2014: BMC Medical Education
Steven A Trankle
BACKGROUND: In Australia approximately 70% of all deaths are institutionalised but over 15% of deaths occur in intensive care settings where the ability to provide a "good death" is particularly inhibited. Yet, there is a growing trend for death and dying to be managed in the ICU and physicians are increasingly challenged to meet the new expectations of their specialty. This study examined the unexplored interface between specialised Australian palliative and intensive care and the factors influencing a physician's ability to manage deaths well...
2014: BMC Palliative Care
Peter G Middleton, Angela G Matson, Paul D Robinson, D Jane Holmes-Walker, Tamarah Katz, Shihab Hameed
One of the major complications of Cystic Fibrosis (CF) is CF-Related Diabetes (CFRD), which increases in incidence with age, from 1-2% below the age of 10 years to ∼20% of adolescents and 40-50% of adults. Multiple guidelines have been published over the last few years for the diagnosis and management of CFRD, from the American Diabetes Association (ADA) / US Cystic Fibrosis Foundation, International Society for Pediatric and Adolescent Diabetes (ISPAD) and the Thoracic Society of Australia and New Zealand-Australian Diabetes Society...
September 2014: Paediatric Respiratory Reviews
Richard B Murray, Deborah A OʼKane
No abstract text is available yet for this article.
July 2014: JAAPA: Official Journal of the American Academy of Physician Assistants
Aime Munro, Heidi Pavicic, Yee Leung, Victoria Westoby, Nerida Steel, James Semmens, Peter O'Leary
BACKGROUND: As the gateway to healthcare for Australian women, general practitioners (GPs) are critical to the success of the National Cervical Screening Program (NCSP). Despite an enviable record - halving the incidence and mortality of cervical cancer - in 2010-2011 more than 2.7 million women did not comply with the recommended 2-yearly screening interval. OBJECTIVE: General practice strategies are presented to assist GPs in encouraging all women, in particular, high-risk and vulnerable women, to participate in cervical screening...
May 2014: Australian Family Physician
Edward Strivens, Denise Craig
BACKGROUND: There are over 332 000 Australians living with dementia. On average, families notice symptoms 3 years before a firm diagnosis is made. These symptoms are chronic and typically progressive and terminal. OBJECTIVE: To address some key aspects of providing person-centred care for a patient diagnosed with dementia, including considerations for family and caregivers, from a general practitioner's (GP) perspective. DISCUSSION: GPs play a crucial part in managing the needs of people with dementia and caregivers by providing ongoing support and by facilitating access to evidence-based care...
April 2014: Australian Family Physician
Steven A Trankle
BACKGROUND: In Australian end-of-life care, practicing euthanasia or physician-assisted suicide is illegal. Despite this, death hastening practices are common across medical settings. Practices can be clandestine or overt but in many instances physicians are forced to seek protection behind ambiguous medico-legal imperatives such as the Principle of Double Effect. Moreover, the way they conceptualise and experience such practices is inconsistent. To complement the available statistical data, the purpose of this study was to understand the reasoning behind how and why physicians in Australia will hasten death...
2014: BMC Medical Ethics
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