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https://www.readbyqxmd.com/read/27903203/prevalence-of-bullying-discrimination-and-sexual-harassment-among-trainees-and-fellows-of-the-college-of-intensive-care-medicine-of-australia-and-new-zealand
#1
Bala Venkatesh, Charlie Corke, Raymond Raper, Mary Pinder, Dianne Stephens, Gavin Joynt, Peter Morley, Rinaldo Bellomo, Rob Bevan, Ross Freebairn, Benoj Varghese, Michael Ashbolt, Felicity Hawker, Stephen Jacobe, Sarah Yong
BACKGROUND: Anecdotal reports about bullying behaviour in intensive care emerged during College of Intensive Care Medicine (CICM) hospital accreditation visits. Bullying, discrimination and sexual harassment (BDSH) in the medical profession, particularly in surgery, were widely reported in the media recently. This prompted the College to formally survey its Fellows and trainees to identify the prevalence of these behaviours in the intensive care workplace. METHODS: An online survey of all trainees (n = 951) and Fellows (n = 970) of the CICM...
December 2016: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/27896894/perspectives-of-resettled-african-refugees-on-accessing-medicines-and-pharmacy-services-in-queensland-australia
#2
Kim Bellamy, Remo Ostini, Nataly Martini, Therese Kairuz
OBJECTIVES: The aim of this study was to explore the barriers to accessing medicines and pharmacy services among refugees in Queensland, Australia, from the perspectives of resettled African refugees. METHODS: A generic qualitative approach was used in this study. Resettled African refugees were recruited via a purposive snowball sampling method. The researcher collected data from different African refugee communities, specifically those from Sudanese, Congolese and Somalian communities...
November 29, 2016: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/27670417/-the-horse-has-bolted-i-suspect-a-qualitative-study-of-clinicians-attitudes-and-perceptions-regarding-palliative-rehabilitation
#3
Fiona Runacres, Heidi Gregory, Anna Ugalde
BACKGROUND: Palliative care patients have numerous rehabilitation needs that increase with disease progression. Palliative rehabilitation practices and perceptions of palliative medicine physicians towards the role of rehabilitation are largely unstudied. AIM: To explore palliative medicine physicians' attitudes and perceptions towards rehabilitation delivered within inpatient palliative care units. DESIGN: Qualitative study utilizing semi-structured interviews...
September 26, 2016: Palliative Medicine
https://www.readbyqxmd.com/read/27669404/use-of-intraosseous-devices-in-trauma-a-survey-of-trauma-practitioners-in-canada-australia-and-new-zealand
#4
Paul T Engels, Mete Erdogan, Sandy L Widder, Michael B Butler, Nelofar Kureshi, Kate Martin, Robert S Green
BACKGROUND: Although used primarily in the pediatric population for decades, the use of intraosseous (IO) devices in the resuscitation of severely injured adult trauma patients has recently become more commonplace. The objective of this study was to determine the experience level, beliefs and attitudes of trauma practitioners in Canada, Australia and New Zealand regarding the use of IO devices in adult trauma patients. METHODS: We administered a web-based survey to all members of 4 national trauma and emergency medicine organizations in Canada, Australia and New Zealand...
October 1, 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/27652107/the-100-most-influential-publications-in-paracetamol-poisoning-treatment-a-bibliometric-analysis-of-human-studies
#5
Sa'ed H Zyoud, W Stephen Waring, Samah W Al-Jabi, Waleed M Sweileh, Rahmat Awang
BACKGROUND: Analysis of the most influential publications within paracetamol poisoning treatment can be helpful in recognizing main and novel treatment issues within the field of toxicology. The current study was performed to recognize and describe the most highly cited articles related to paracetamol poisoning treatment. METHODS: The 100 most highly cited articles in paracetamol poisoning treatment were identified from the Scopus database in November 2015. All eligible articles were read for basic information, including total number of citations, average citations per year, authors' names, journal name, impact factors, document types and countries of authors of publications...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27600557/how-does-the-workload-and-work-activities-of-procedural-gps-compare-to-non-procedural-gps
#6
Deborah J Russell, Matthew R McGrail
OBJECTIVES: To investigate patterns of Australian GP procedural activity and associations with: geographical remoteness and population size hours worked in hospitals and in total; and availability for on-call DESIGN AND PARTICIPANTS: National annual panel survey (Medicine in Australia: Balancing Employment and Life) of Australian GPs, 2011-2013. MAIN OUTCOME MEASURES: Self-reported geographical work location, hours worked in different settings, and on-call availability per usual week, were analysed against GP procedural activity in anaesthetics, obstetrics, surgery or emergency medicine...
September 7, 2016: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/27489407/concepts-in-regenerative-medicine-past-present-and-future-in-articular-cartilage-treatment
#7
REVIEW
Adam W Anz, Asawari Bapat, William D Murrell
Regenerative medicine is emerging with great interest and hope from patients, industry, academia, and medical professionals. Cartilage regeneration, restoration, or repair is one of the prime targets that remains largely unsolved, and many believe that regenerative medicine can possibly deliver solutions that can be widely used to address the current gap(s) in treatment. In the United States, Europe, Australia, and India the regulation of regenerative based treatments has become a big debate. Although the rules and regulations remain unclear, clinicians that are interested should carry-on with the best available guidelines to ensure safety and compliance during delivery in clinical practice to avoid regulatory infraction...
July 2016: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/27476648/the-emergency-medicine-events-register-an-analysis-of-the-first-150-incidents-entered-into-a-novel-online-incident-reporting-registry
#8
Kim Hansen, Timothy Schultz, Carmel Crock, Anita Deakin, William Runciman, Andrew Gosbell
OBJECTIVE: Incident reporting systems are critical to understanding adverse events, in order to create preventative and corrective strategies. There are very few systems dedicated to Emergency Medicine with published results. All EDs in Australia and New Zealand were contacted to encourage the use of an Emergency Medicine - specific online reporting system called the Emergency Medicine Events Register (EMER). METHODS: We conducted an analysis of the first 150 incidents entered into EMER...
October 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27405974/has-the-biobank-bubble-burst-withstanding-the-challenges-for-sustainable-biobanking-in-the-digital-era
#9
REVIEW
Don Chalmers, Dianne Nicol, Jane Kaye, Jessica Bell, Alastair V Campbell, Calvin W L Ho, Kazuto Kato, Jusaku Minari, Chih-Hsing Ho, Colin Mitchell, Fruzsina Molnár-Gábor, Margaret Otlowski, Daniel Thiel, Stephanie M Fullerton, Tess Whitton
Biobanks have been heralded as essential tools for translating biomedical research into practice, driving precision medicine to improve pathways for global healthcare treatment and services. Many nations have established specific governance systems to facilitate research and to address the complex ethical, legal and social challenges that they present, but this has not lead to uniformity across the world. Despite significant progress in responding to the ethical, legal and social implications of biobanking, operational, sustainability and funding challenges continue to emerge...
2016: BMC Medical Ethics
https://www.readbyqxmd.com/read/27383246/medicine-shortages-in-australia-causes-impact-and-management-strategies-in-the-community-setting
#10
Yee Xi Tan, Rebekah J Moles, Betty B Chaar
Background Medicine shortages are an ongoing global problem. The Therapeutic Goods Administration (TGA) dedicated a website for monitoring of medicine shortages in Australia in May 2014, as part of the Medicine Shortage Information Initiative. This study aimed to explore the views of pharmacists regarding medicine shortages in the community setting and the impact of the TGA website in Australia. Setting Community pharmacies in New South Wales, Australia. Method Twenty semi-structured interviews were conducted with community pharmacists...
October 2016: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/27380909/early-childhood-obesity-association-with-healthcare-expenditure-in-australia
#11
Alison Hayes, Anna Chevalier, Mario D'Souza, Louise Baur, Li Ming Wen, Judy Simpson
OBJECTIVE: To determine whether overweight or obesity among children (aged 2 to ≤5 years) is associated with direct healthcare costs, after adjusting for child, household, and socioeconomic characteristics. METHODS: A longitudinal cohort analysis was performed in 350 children aged 2 years assessed over 3 years of follow-up. Child weight status was determined from mean BMI z-scores at 2, 3.5, and 5 years, and healthcare utilization including medicines, nonhospital, hospital, and emergency care was determined by data linkage...
August 2016: Obesity
https://www.readbyqxmd.com/read/27352788/an-economic-evaluation-of-the-costs-of-training-a-medical-scribe-to-work-in-emergency-medicine
#12
Katherine J Walker, Will Dunlop, Danny Liew, Margaret P Staples, Matt Johnson, Michael Ben-Meir, Hamish Gordon Rodda, Ian Turner, David Phillips
OBJECTIVE: To undertake a cost analysis of training medical scribes in an ED. METHODS: This was a pilot, observational, single-centre study at Cabrini ED, Melbourne, Australia, studying the costs of initiating a scribe programme from the perspective of the hospital and Australian Health sector. Recruitment and training occurred between August 2015 and February 2016 and comprised of a prework course (1 month), prework training sessions and clinical training shifts for scribe trainees (2-4 months, one shift per week) who were trained by emergency physicians...
June 28, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27333074/clinical-pathways-for-suicidality-in-emergency-settings-a-public-health-priority
#13
Kay Wilhelm, Viola Korczak, Tad Tietze, Prasuna Reddy
Rates of self-harm in Australia are increasing and constitute a concerning public health issue. Although there are standard treatment pathways for physical complaints, such as headache, abdominal pain and chest pain, in Emergency Medicine, there is no national pathway for self-harm or other psychiatric conditions that present to the emergency department. Herein we outline the difference between clinical practice guidelines and clinical pathways, discuss pathways we have identified on self-harm in Australia and overseas and discuss their applicability to the Australian context and the next steps forward in addressing this public health issue...
June 23, 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/27188227/reasons-doctors-provide-futile-treatment-at-the-end-of-life-a-qualitative-study
#14
Lindy Willmott, Benjamin White, Cindy Gallois, Malcolm Parker, Nicholas Graves, Sarah Winch, Leonie Kaye Callaway, Nicole Shepherd, Eliana Close
OBJECTIVE: Futile treatment, which by definition cannot benefit a patient, is undesirable. This research investigated why doctors believe that treatment that they consider to be futile is sometimes provided at the end of a patient's life. DESIGN: Semistructured in-depth interviews. SETTING: Three large tertiary public hospitals in Brisbane, Australia. PARTICIPANTS: 96 doctors from emergency, intensive care, palliative care, oncology, renal medicine, internal medicine, respiratory medicine, surgery, cardiology, geriatric medicine and medical administration departments...
August 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27171490/the-role-of-medicinal-cannabis-in-clinical-therapy-pharmacists-perspectives
#15
Sami Isaac, Bandana Saini, Betty B Chaar
BACKGROUND: Medicinal cannabis has recently attracted much media attention in Australia and across the world. With the exception of a few countries, cannabinoids remain illegal-known for their adverse effects rather than their medicinal application and therapeutic benefit. However, there is mounting evidence demonstrating the therapeutic benefits of cannabis in alleviating neuropathic pain, improving multiple sclerosis spasticity, reducing chemotherapy induced nausea and vomiting, and many other chronic conditions...
2016: PloS One
https://www.readbyqxmd.com/read/27118663/consumer-perspectives-of-medication-related-problems-following-discharge-from-hospital-in-australia-a-quantitative-study
#16
Daniela Eassey, Lorraine Smith, Ines Krass, Andrew McLAchlan, Jo-Anne Brien
OBJECTIVE: The aim of this study was to investigate the consumer's perspectives and experiences regarding medication related problems (MRPs) following discharge from hospital. DESIGN: A cross-sectional study was conducted using an online 80-question survey. SETTING: Survey participants were recruited through an online market research company. PARTICIPANTS: Five hundred and six participants completed the survey. Participants were included if they were aged 50 years or older, taking 5 or more prescription medicines, had been admitted to hospital with a minimum stay of 24 h, admitted to hospital within the last 4 months and discharged from hospital within the last 1 month...
June 2016: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/27092523/timing-of-administration-for-commonly-prescribed-medicines-in-australia
#17
REVIEW
Gagandeep Kaur, Craig L Phillips, Keith Wong, Andrew J McLachlan, Bandana Saini
Chronotherapy involves the administration of medication in coordination with the body's circadian rhythms to maximise therapeutic effectiveness and minimise/avoid adverse effects. The aim of this study is to investigate the "time of administration" recommendations on chronotherapy for commonly-prescribed medicines in Australia. This study also aimed to explore the quality of information on the timing of administration presented in drug information sources, such as consumer medicine information (CMI) and approved product information (PI)...
2016: Pharmaceutics
https://www.readbyqxmd.com/read/27066776/intellectual-disability-health-content-within-medical-curriculum-an-audit-of-what-our-future-doctors-are-taught
#18
Julian N Trollor, Beth Ruffell, Jane Tracy, Jennifer J Torr, Seeta Durvasula, Teresa Iacono, Claire Eagleson, Nicolas Lennox
BACKGROUND: There is a high burden of unmet health needs for people with intellectual disability. Despite experiencing significantly higher rates of morbidity and mortality compared with the general population, this group faces greater barriers to accessing healthcare. While increasing workplace capacity is one way to reduce this inequitable access, previous research indicates a scarcity of undergraduate teaching in intellectual disability. The aim of the study was to determine the extent and nature of intellectual disability content currently offered within medical degree curricula...
2016: BMC Medical Education
https://www.readbyqxmd.com/read/27062615/quality-in-paediatric-emergency-medicine-measurement-and-reporting
#19
REVIEW
Meredith L Borland, Mike Shepherd
There is a clear demand for quality in the delivery of health care around the world; paediatric emergency medicine is no exception to this movement. It has been identified that gaps exist in the quality of acute care provided to children. Regulatory bodies in Australia and New Zealand are moving to mandate the implementation of quality targets and measures. Within the paediatric emergency department (ED), there is a lack of research into paediatric specific indicators. The existing literature regarding paediatric acute care quality measures has been recently summarised, and expert consensus has now been reported...
February 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27021676/a-challenging-penetrating-trauma-case
#20
Seetal Snoek, Benjamin Butson, Mark Wittenberg
We present the prehospital management of a 23-year-old Australian Aboriginal man with an isolated knife stab wound to the posterior right chest. The lead author attended to the prehospital management of this young man during tenure as a registrar in retrieval medicine for CareFlight Medical Services (CMS) in North Queensland, Australia. The case is noteworthy because it involved a combination of a life-threatening injury with a superimposed iatrogenic injury. The case will be of interest to physicians and clinicians in prehospital medicine as well as those in low-volume emergency departments or facilities in which major trauma may present infrequently...
March 2016: Air Medical Journal
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