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https://www.readbyqxmd.com/read/27881092/the-relationship-between-in-hospital-location-and-outcomes-of-care-in-patients-diagnosed-with-dementia-and-or-delirium-diagnoses-analysis-of-patient-journey
#1
Lua Perimal-Lewis, Clare Bradley, Paul H Hakendorf, Craig Whitehead, Louise Heuzenroeder, Maria Crotty
BACKGROUND: The discrepancy between the number of admissions and the allocation of hospital beds means that many patients admitted to hospital can be placed in units or wards other than that which specialise in the patient's primary health issue (home-ward). These patients are called 'outlier' patients. Risk factors and health system outcomes of hospital care for 'outlier' patients diagnosed with dementia and/or delirium are unknown. Therefore, the aim of this research was to examine patient journeys of people with dementia and/or delirium diagnoses, to identify risk factors for 'inlier' or 'outlier' status and patient or health system outcomes (consequences) of this status...
November 24, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27773117/comparing-expected-ratios-of-diagnostic-categories-of-thyroid-fine-needle-aspirates-at-flinders-medical-centre-fmc-using-old-reporting-systems-versus-the-new-rcpa-recommended-australasian-system
#2
https://www.readbyqxmd.com/read/27734613/pregnancy-screening-prior-to-chemotherapy-administration
#3
L Hu, G Kichenadasse, H Martin, A Roy, S Sukumaran, S Vatandoust, B Koczwara, C S Karapetis
A retrospective case notes review was performed to determine compliance with screening for undetected pregnancy prior to commencement of chemotherapy at Flinders Medical Centre. All female patients aged 18-55 who commenced chemotherapy between January and December 2014 were included. During the first 12 months, for women identified as having childbearing potential, pre-chemotherapy pregnancy screening was performed only in 40% of patients under 40 years and in 20.5% of the entire age range.
October 2016: Internal Medicine Journal
https://www.readbyqxmd.com/read/27695727/urban-general-practice-and-medical-education-academic-outcomes-from-a-unique-urban-longitudinal-integrated-community-based-program
#4
Sarah Mahoney, Paul Worley, Helen Parry, Sally Clarke
BACKGROUND: In 2009, Flinders University established an urban, community-based, longitudinal integrated program providing medical students extended placements that offered continuities of patient care, clinical supervision and peer group. OBJECTIVE: The aim of this research was to analyse academic outcomes of the new placement program. METHODS: The results of all students undertaking Year 3 exams from 2011 to 2014 were collected and analysed...
October 2016: Australian Family Physician
https://www.readbyqxmd.com/read/27605523/emergency-psychiatry-a-product-of-circumstance-or-a-growing-sub-speciality-field
#5
Paul Cammell
OBJECTIVES: This article reviews recent trends in the provision of psychiatric services to the emergency departments of tertiary hospitals in Australia, involving the establishment of specialised in-reach or liaison services as well as various forms of short stay unit attached to emergency departments. The Emergency Psychiatry Service at Flinders Medical Centre, South Australia, is described as a case example. Its specialised models of assessment and clinical care are described, highlighting how these are differentiated from more traditional models in inpatient, community and general hospital consultation-liaison psychiatry...
September 6, 2016: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/27450570/predicting-success-in-medical-school-a-longitudinal-study-of-common-australian-student-selection-tools
#6
Ruth M Sladek, Malcolm J Bond, Linda K Frost, Kirsty N Prior
BACKGROUND: Medical student selection and assessment share an underlying high stakes context with the need for valid and reliable tools. This study examined the predictive validity of three tools commonly used in Australia: previous academic performance (Grade Point Average (GPA)), cognitive aptitude (a national admissions test), and non-academic qualities of prospective medical students (interview). METHODS: A four year retrospective cohort study was conducted at Flinders University Australia involving 382 graduate entry medical students first enrolled between 2006 and 2009...
2016: BMC Medical Education
https://www.readbyqxmd.com/read/27389059/goserelin-toxicities-and-preferences-for-ovarian-suppression-method-in-pre-menopausal-women-with-breast-cancer
#7
Amy Hsin-Chieh Hsieh, Ganessan Kichenadasse, Sina Vatandoust, Amitesh Roy, Shawgi Sukumaran, Christos S Karapetis, Helen Martin, Li Chia Chong, Bogda Koczwara
BACKGROUND: Goserelin, a form of medical ovarian suppression (MOS), is an effective treatment for premenopausal women with breast cancer (PMBC). Meta-analysis data showed that similar efficacy is achieved with MOS and non-pharmacological ovarian suppression (NPOS) - oophorectomy or ovarian irradiation. Acceptance rate of NPOS remains low. AIMS: This study explored the reported toxicities of PMBC women and their preferred ovarian suppression method whilst on goserelin...
July 8, 2016: Internal Medicine Journal
https://www.readbyqxmd.com/read/27367510/genetic-association-at-the-9p21-glaucoma-locus-contributes-to-sex-bias-in-normal-tension-glaucoma
#8
Soo Khai Ng, Kathryn P Burdon, Jude T Fitzgerald, Tiger Zhou, Rhys Fogarty, Emmanuelle Souzeau, John Landers, Richard A Mills, Robert J Casson, Bronwyn Ridge, Stuart L Graham, Alex W Hewitt, David A Mackey, Paul R Healey, Jie Jin Wang, Paul Mitchell, Stuart MacGregor, Jamie E Craig
PURPOSE: Many genome-wide association studies have identified common single nucleotide polymorphisms (SNPs) at the 9p21 glaucoma locus (CDKN2B/CDKN2B-AS1) to be significantly associated with primary open-angle glaucoma (POAG), with association being stronger in normal tension glaucoma (NTG) and advanced glaucoma. We aimed to determine whether any observed differences in genetic association at the 9p21 locus are influenced by sex. METHODS: Sex was assessed as a risk factor for POAG for 2241 glaucoma participants from the Australian and New Zealand Registry of Advanced Glaucoma, the Glaucoma Inheritance Study in Tasmania, and the Flinders Medical Centre...
June 1, 2016: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/27341418/clinical-conundrums-how-safe-is-exercise-in-patients-with-asthma-and-is-high-flow-nasal-oxygen-useful-in-respiratory-failure
#9
Reynolds Gaw, Carissa Yap, Sarah M Newhouse, Vinod Aiyappan
No abstract text is available yet for this article.
September 1, 2016: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/27248161/global-sharing-local-innovation-four-schools-four-countries-one-curriculum
#10
Luís Castelo-Branco, Paul Finucane, Pedro Marvão, Peter McCrorie, José Ponte, Paul Worley
BACKGROUND: Many internal and external obstacles, must be overcome when establishing a new medical school, or when radically revising an existing medical curriculum. AIMS: Twenty-five years after the Flinders University curriculum was introduced as the first graduate-entry medical programme (GEMP) in Australia, we aim at describing how it has been adopted and adapted by several other schools, in Australia and in Europe (UK, Ireland, and Portugal). METHOD/RESULTS: This paper reports on the experience of four schools establishing a new medical school or new curriculum at different times and in different settings...
June 1, 2016: Medical Teacher
https://www.readbyqxmd.com/read/27239650/relationship-of-side-dominance-and-ultrasonographic-measurements-of-pronator-quadratus-muscle-along-with-handgrip-and-pinch-strength
#11
Nusret Ok, Kadir Agladioglu, Harun R Gungor, Ali Kitis, Semih Akkaya, Nuran Sabir Akkoyunlu, Fahir Demirkan
AIMS: We ascertained effects of hand dominance in both right and left-handed volunteers on the thickness and cross sectional area (CSA) of pronator quadratus (PQ) muscle as measured by the axial and sagittal views of ultrasound imaging. Secondly, we also aimed to document the extent of the relationship between the PQ measurements and handgrip. MATERIALS AND METHODS: Healthy adults from the volunteer medical staff were included in the study. Handedness was assessed via The Flinders Handedness survey...
June 2016: Medical Ultrasonography
https://www.readbyqxmd.com/read/26774829/depression-screening-after-cardiac-surgery-a-six-month-longitudinal-follow-up-for-cardiac-events-hospital-readmissions-quality-of-life-and-mental-health
#12
Phillip J Tully, Harald Baumeister, Jayme S Bennetts, Greg D Rice, Robert A Baker
OBJECTIVES: To report the 6-month longitudinal outcomes of routine depression screening in cardiac patients. METHODS: Routine depression screening consisted of the Patient Health Questionnaire (PHQ) administered 30-days after cardiac surgery at the Flinders Medical Centre, South Australia. Complete data was obtained on 481 patients who were subdivided into three groups; depressed-cardiac control determined by current anti-depressant use or history of depression in medical records (n=90), depression screen-positives (PHQ≥10, n=46) and depression screen-negatives (PHQ≤9, n=345)...
March 1, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/26687286/comparing-surgical-experience-with-performance-on-a-sinus-surgery-simulator
#13
Laura E Diment, Greg S Ruthenbeck, Nuwan Dharmawardana, A Simon Carney, Charmaine M Woods, Eng H Ooi, Karen J Reynolds
BACKGROUND: This study evaluates whether surgical experience influences technical competence using the Flinders sinus surgery simulator, a virtual environment designed to teach nasal endoscopic surgical skills. METHODS: Ten experienced sinus surgeons (five consultants and five registrars) and 14 novices (seven resident medical officers and seven interns/medical students) completed three simulation tasks using haptic controllers. Task 1 required navigation of the sinuses and identification of six anatomical landmarks, Task 2 required removal of unhealthy tissue while preserving healthy tissue and Task 3 entailed backbiting within pre-set lines on the uncinate process and microdebriding tissue between the cuts...
December 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/26140527/ibopamine-challenge-testing-differentiates-glaucoma-suspect-stable-glaucoma-and-progressive-glaucoma-cases
#14
John Landers, Katja Ullrich, Jamie E Craig
BACKGROUND: An ibopamine challenge is a novel technique for assessing glaucoma using ibopamine, a topical drug which temporarily increases aqueous production. We aimed to determine whether change in intraocular pressure (IOP) and/or optic cup volume (OCV) during the test differentiated between glaucoma patients at different stages of disease; namely, glaucoma suspects (GS), glaucoma patients who are stable (SG) and glaucoma patients who have demonstrated rapid progression (PG). DESIGN: Non-randomized clinical trial evaluating a diagnostic test...
December 2015: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/26017354/putting-communities-in-the-driver-s-seat-the-realities-of-community-engaged-medical-education
#15
Roger Strasser, Paul Worley, Fortunato Cristobal, David C Marsh, Sue Berry, Sarah Strasser, Rachel Ellaway
"Community" has featured in the discourse about medical education for over half a century. This discourse has explored relationships between medical education programs and communities in community-oriented medical education and community-based medical education and, in recent years, has extended to community-engaged medical education (CEME). This Perspective explores the developing focus on "community" in medical education, describes CEME as a concept, and presents examples of CEME in action at Flinders University School of Medicine (Australia), the Northern Ontario School of Medicine (Canada), and Ateneo de Zamboanga University School of Medicine (Philippines)...
November 2015: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/25962652/telephone-based-low-intensity-therapy-after-crisis-presentations-to-the-emergency-department-is-associated-with-improved-outcomes
#16
Niranjan Bidargaddi, Tarun Bastiampillai, Stephen Allison, Gabrielle M Jones, Gareth Furber, Malcolm Battersby, David Richards
INTRODUCTION: In Australia there is an overwhelming need to provide effective treatment to patients presenting to the Emergency Department (ED) in mental health crisis. We adapted Improving Access to Psychological Therapies service model (IAPT) from the National Health Service (NHS) method for the large scale delivery of psychological therapies throughout the United Kingdom to an Australian ED setting. This telephone-based low intensity therapy was provided to people presenting in crisis to the EDs with combinations of anxiety, depression, substance use, and suicidal thinking...
October 2015: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/25847048/initiat-e-d-impact-of-timing-of-initiation-of-antibiotic-therapy-on-mortality-of-patients-presenting-to-an-emergency-department-with-sepsis
#17
Alice Wisdom, Vaughn Eaton, David Gordon, Santhosh Daniel, Richard Woodman, Cameron Phillips
OBJECTIVES: To analyse the association between time from triage to administration of initial antibiotics and mortality in all patients presenting with sepsis to a tertiary hospital ED. METHODS: A retrospective review of patients presenting to the ED with sepsis from January to December 2012 was conducted at Flinders Medical Centre, South Australia. Outcome measures were: time elapsed from triage to administration of initial antibiotic therapy and in-hospital mortality...
June 2015: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/25838555/defragmenting-paediatric-anorexia-nervosa-the-flinders-medical-centre-paediatric-eating-disorder-program
#18
Shuichi Suetani, Sau Man Yiu, Michael Batterham
OBJECTIVE: To describe the establishment and the main characteristics of the Flinders Medical Centre Paediatric Eating Disorder Program. CONCLUSION: While the programme is still in its infancy, it is hoped that our model of care can provide a sustainable, long term contribution to the management of paediatric eating disorders.
June 2015: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/25513806/whiteboards-and-discharge-traffic-lights-visual-management-in-acute-care
#19
Lauri O'Brien, Jane Bassham, Melissa Lewis
Flinders Medical Centre was experiencing issues with timely discharge and knowing the potential discharges and in-patient bed capacity for the next day. This case study describes the application of 'visual management' theory to discharge processes. The solutions developed were 'patient journey boards' and 'discharge traffic lights'. The implementation of these visual management systems has enabled the hospital to improve its discharge processes.
April 2015: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/25469828/glp-1-receptor-agonists-have-a-sustained-stimulatory-effect-on-corticosterone-release-after-chronic-treatment
#20
Maarja Krass, Annika Volke, Kertu Rünkorg, Gregers Wegener, Sten Lund, Anders Abildgaard, Eero Vasar, Vallo Volke
OBJECTIVE: Glucagon-like peptide 1 (GLP-1) receptor agonists are a new group of antidiabetic medications quickly gaining popularity. We aimed to examine behavioural and neuroendocrine changes following chronic treatment with GLP-1 receptor agonists in animal models. METHODS: The effects of chronic treatment with GLP-1 receptor agonists were determined on behavioural parameters [anxiety level in the light-dark compartment test, the motor activity in automated activity cages, immobility in the forced swimming test (FST)] and on corticosterone release in mice...
February 2015: Acta Neuropsychiatrica
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