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https://www.readbyqxmd.com/read/29783962/predictors-of-weight-stigma-experienced-by-middle-older-aged-general-practice-patients-with-obesity-in-disadvantaged-areas-of-australia-a-cross-sectional-study
#1
Catherine Spooner, Upali W Jayasinghe, Nighat Faruqi, Nigel Stocks, Mark F Harris
BACKGROUND: Rates of obesity have increased globally and weight stigma is commonly experienced by people with obesity. Feeling stigmatised because of one's weight can be a barrier to healthy eating, physical activity and to seeking help for weight management. The aim of this study was to identify predictors of perceived weight among middle-older aged patients with obesity attending general practices in socioeconomically disadvantaged urban areas of Australia. METHODS: As part of a randomised clinical trial in Australia, telephone interviews were conducted with 120 patients from 17 general practices in socioeconomically disadvantaged of Sydney and Adelaide...
May 21, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29779298/how-common-is-multiple-general-practice-attendance-in-australia
#2
Michael Wright, Jane Hall, Kees van Gool, Marion Haas
BACKGROUND AND OBJECTIVES: Australians can seek general practice care from multiple general practitioners (GPs) in multiple locations. This provides high levels of patient choice but may reduce continuity of care. The aim of this study was to estimate the prevalence of attendance at multiple general practices in Australia, and identify patient characteristics associated with multiple practice attendances. METHOD: A cross-sectional survey of 2477 Australian adults was conducted online in July 2013...
May 2018: Australian journal of general practice
https://www.readbyqxmd.com/read/29761047/a-survey-of-the-views-and-capabilities-of-community-pharmacists-in-western-australia-regarding-the-rescheduling-of-selected-oral-antibiotics-in-a-framework-of-pharmacist-prescribing
#3
Fatima Sinkala, Richard Parsons, Bruce Sunderland, Kreshnik Hoti, Petra Czarniak
Background: Antibiotic misuse in the community contributes to antimicrobial resistance. One way to address this may be by better utilizing community pharmacists' skills in antibiotic prescribing. The aims of this study were to examine the level of support for "down-scheduling" selected antibiotics and to evaluate factors determining the appropriateness of community pharmacist prescribing for a limited range of infections, including their decision to refer to a doctor. Methods: Self-administered questionnaires, including graded case vignette scenarios simulating real practice, were sent to Western Australian community pharmacists...
2018: PeerJ
https://www.readbyqxmd.com/read/29756277/delays-to-diagnosis-and-treatment-of-lung-cancer-in-australia-health-care-professional-perceptions-of-actual-versus-acceptable-timeframes
#4
Ashanya Malalasekera, Haryana M Dhillon, Prunella L Blinman, Steven C Kao, Janette L Vardy
OBJECTIVE: We examined Australian Health Care Professionals' (HCP) perceptions of timeliness of pathways to diagnosis and treatment for people with lung cancer, compared against timeframe guidelines. METHODS: A 21-item survey of HCPs evaluating patient waiting times to diagnosis and treatment of lung cancer was distributed via two Australian conferences, a national Multi-Disciplinary Team directory and email. Main outcome measures were HCP estimates of actual and acceptable waiting times in their practice, and factors contributing to perceived delays...
May 14, 2018: Internal Medicine Journal
https://www.readbyqxmd.com/read/29754592/general-practitioners-views-on-the-influence-of-cost-on-the-prescribing-of-asthma-preventer-medicines-a-qualitative-study
#5
Jacqueline Tudball, Helen K Reddel, Tracey-Lea Laba, Stephen Jan, Anthony Flynn, Michele Goldman, Kirsty Lembke, Elizabeth Roughead, Guy B Marks, Nick Zwar
Objective Out-of-pocket costs strongly affect patient adherence with medicines. For asthma, guidelines recommend that most patients should be prescribed regular low-dose inhaled corticosteroids (ICS) alone, but in Australia most are prescribed combination ICS-long-acting β2-agonists (LABA), which cost more to patients and government. The present qualitative study among general practitioners (GPs) explored the acceptability, and likely effect on prescribing, of lower patient copayments for ICS alone. Methods Semistructured telephone interviews were conducted with 15 GPs from the greater Sydney area; the interviews were transcribed and thematically analysed...
May 14, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29746723/postincident-support-for-healthcare-workers-experiencing-occupational-violence-and-aggression
#6
Tracey Shea, Brian Cooper, Helen De Cieri, Cathy Sheehan, Ross Donohue, Sarah Lindsay
PURPOSE: To investigate the relative contributions of workplace type, occupational violence and aggression (OVA) strategies and interventions along with perceptions of the occupational health and safety (OHS) environment on the likelihood of receiving postincident support following the experience of OVA. DESIGN: We used a cross-sectional study design with an online survey to collect data from employees in nursing and midwifery in Victoria, Australia. METHODS: Survey data collected from 3,072 members of the Australian Nursing and Midwifery Federation (Victorian branch) were analyzed using logistic regression...
May 10, 2018: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/29740959/preparedness-for-treating-victims-of-terrorist-attacks-in-australia-learning-from-recent-military-experience
#7
Jeffrey V Rosenfeld, Biswadev Mitra, De Villiers Smit, Mark C Fitzgerald, Benjamin Butson, Michael Stephenson, Michael C Reade
The Australian health system is generally well prepared for mass casualty events. Fortunately, there have been very few terrorist attacks and these have involved low numbers of casualties compared with events overseas. Nevertheless, Australian health professionals need to be prepared to treat mass casualties with blast and ballistic trauma. The US military and its allies including Australia have had extensive experience with mass casualty management in the Middle East and Afghanistan wars for more than a decade...
May 9, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29735002/an-overview-of-the-general-practice-nurse-workforce-in-australia-2012-15
#8
Troy Heywood, Caroline Laurence
Several surveys of the general practice nurse (GPN) workforce have been undertaken in Australia over the last decade, but they have limitations, which mean that the workforce is not well-understood. The aim of this study is to describe the profile of the GPN workforce using the dataset available through the Australia Health Practitioner Registration Agency and to explore how it differs from the non-GPN nursing workforce, and if this workforce is changing over time. Data from labour force surveys conducted from 2012 to 2015 were used...
May 8, 2018: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29723802/integrating-smoking-cessation-care-into-routine-service-delivery-in-a-medically-supervised-injecting-facility-an-acceptability-study
#9
Eliza Skelton, Flora Tzelepis, Anthony Shakeshaft, Ashleigh Guillaumier, William Wood, Marianne Jauncey, Allison M Salmon, Sam McCrabb, Kerrin Palazzi, Billie Bonevski
BACKGROUND: Among people who inject drugs (PWIDs) the prevalence of tobacco smoking exceeds 80%; making smoking cessation intervention a priority for this population. This study aims to examine staff and client perspectives from a supervised injecting facility regarding: i) whether an organizational change intervention increased rates of smoking cessation care delivery (pre- to post-intervention); and ii) acceptability of the intervention. METHODS: A pre-and-post intervention pilot study in a supervised injecting facility was conducted in Sydney, Australia between July 2014-December 2015...
April 5, 2018: Addictive Behaviors
https://www.readbyqxmd.com/read/29723313/a-five-year-retrospective-assay-of-implant-treatments-and-complications-in-private-practice-restorative-treatment-profiles-of-long-span-implant-supported-fixed-and-removable-dental-prostheses
#10
Vahed Parzham, Roy B Judge, Denise Bailey
PURPOSE: To describe the restorative treatment profiles of long-span (> three units), implant-supported dental prostheses (LIDPs) prescribed in 27 private practices in the state of Victoria, Australia, during the period from January 1, 2005, to December 31, 2009. The restorative treatment profiles of these prostheses refer to the framework/veneering materials, number of prosthetic units/supporting implants, location in the oral cavity, retention methods, and cantilever designs. LIDPs refer to implant-supported prostheses of fixed or removable design; namely, fixed partial dentures (IFPDs), fixed complete dentures (IFCDs), removable partial dentures (IRPDs), and complete overdentures (IODs)...
May 2018: International Journal of Prosthodontics
https://www.readbyqxmd.com/read/29720013/general-practitioners-experiences-of-asthma-management-in-culturally-and-linguistically-diverse-populations
#11
Reem Alzaye, Betty Bouad Chaar, Iman A Basheti, Bandana Saini
OBJECTIVE:  The purpose of this study was to explore General Practitioners' experiences and perspectives about asthma management of culturally and linguistically diverse (CALD) people with asthma, particularly with reference to Arabic speaking patients with low English proficiency (LEP). METHODS:  Semi-structured interviews guided by an interview protocol were conducted with general practitioners who deal with CALD patients with asthma. Participants were recruited from medical practices in Melbourne, Australia...
May 3, 2018: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/29712561/systematic-review-of-interventions-to-increase-the-provision-of-care-for-chronic-disease-risk-behaviours-in-mental-health-settings-review-protocol
#12
Caitlin Fehily, Kate Bartlem, John Wiggers, Luke Wolfenden, Timothy Regan, Julia Dray, Jacqueline Bailey, Jenny Bowman
BACKGROUND: People with a mental illness experience a higher morbidity and mortality from chronic diseases relative to the general population. A higher prevalence of risk behaviours, including tobacco smoking, poor nutrition, harmful alcohol consumption and physical inactivity, is a substantial contributor to this health inequity. Clinical practice guidelines recommend that mental health services routinely provide care to their clients to address these risk behaviours. Such care may include the following elements: ask, assess, advise, assist and arrange (the '5As'), which has been demonstrated to be effective in reducing risk behaviours...
April 30, 2018: Systematic Reviews
https://www.readbyqxmd.com/read/29708483/sexual-behaviour-hpv-status-and-p16-ink4a-expression-in-oropharyngeal-and-oral-cavity-squamous-cell-carcinomas-a-case-case-comparison-study
#13
Sarah Emmett, Samuel Boros, David C Whiteman, Sandro V Porceddu, Benedict J Panizza, Annika Antonsson
A significant proportion of mucosal squamous cell carcinomas of the head and neck (HNSCC; particularly of the oropharynx) are directly attributable to the human papillomavirus (HPV). The increase in the incidence of HPV-related tumours has been postulated to be due to changing sexual practices in the community. We analysed 136 formalin-fixed paraffin-embedded squamous cell carcinomas from the oral cavity (n=40) and oropharynx (n=96) recruited from the Princess Alexandra Hospital (Brisbane, Australia). Samples were analysed for the presence of HPV DNA using a combination of mucosal HPV general primer GP+ PCR and sequencing; p16INK4a expression was assessed by immunohistochemistry...
April 30, 2018: Journal of General Virology
https://www.readbyqxmd.com/read/29699369/early-detection-of-breast-cancer-and-barrier-to-screening-programmes-amongst-thai-migrant-women-in-australia-a-qualitative-study
#14
Dusanee Suwankhong, Pranee Liamputtong
Background: Breast cancer screening programme is seen as the best practice to detect breast cancer early. However, there are circumstances that can prevent immigrant women from attending screening programmes. Little is known about Thai migrants and the barriers to their seeking breast cancer screening when living in a new homeland. This paper aimed to discuss the barriers to attending screening services among Thai migrant women living in Australia. Methods: This study adopted qualitative approach. Semi-structured in-depth interviewing and drawing methods were employed as data collection technique with 25 Thai migrant women who had not experienced breast cancer and were living in Metropolitan Melbourne, Australia...
April 27, 2018: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/29691161/experiences-and-perspectives-of-dietary-management-among-patients-on-hemodialysis-an-interview-study
#15
Jessica Stevenson, Allison Tong, Talia Gutman, Katrina L Campbell, Jonathan C Craig, Mark A Brown, Vincent W Lee
OBJECTIVES: Diet and fluid management can reduce mortality, serious comorbidities, and debilitating symptoms in patients on hemodialysis, but restrictions may also be a major burden, and nonadherence remains high. We aimed to describe the perspectives and experiences of patients on hemodialysis regarding their dietary management to understand both facilitators and barriers to adherence and to identify strategies to improve care. DESIGN AND METHODS: Semi-structured interviews were conducted with 35 people on maintenance hemodialysis from six dialysis units in New South Wales, Australia...
April 21, 2018: Journal of Renal Nutrition
https://www.readbyqxmd.com/read/29678030/medical-system-choice-information-that-affects-the-selection-of-healthcare-provider-in-australia
#16
Tony Sahama, Andrew Stranieri, Kerryn Butler-Henderson, Isaac Golden
Many complementary and alternative medical practices (CAM) are readily assessable in Australia alongside Allopathic practitioners. Although CAM practices are prevalent, little is known about how patients seek and use information when deciding which system to consult. We report some preliminary findings of a longitudinal study, designed to solicit factors that influence the Australian public when selecting from diverse medical systems. Fifty-four general public participants, willing to provide their confidential and anonymous opinion were included...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29675653/medical-student-exposure-to-cancer-patients-whilst-on-clinical-placement-a-retrospective-analyses-of-clinical-log-books
#17
Darren L Starmer
In Australia, one in two men and one in three women will be diagnosed with cancer by the age of 85. Several studies have demonstrated a decline in the number of medical graduates having examined cancer patients during their training. The aim of this study was to evaluate the exposure of medical students to cancer patients during clinical placements. Eighty-eight logbooks (response rate = 24.75%) containing 9430 patients were analysed. A total of 829 patients (8.79%) had a diagnosis of cancer. Most cancer patients were seen on surgical placements, whilst general practice placements returned the lowest numbers...
April 19, 2018: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29661749/a-website-supporting-sensitive-religious-and-cultural-advance-care-planning-acptalk-formative-and-summative-evaluation
#18
Amanda Pereira-Salgado, Patrick Mader, Clare O'Callaghan, Leanne Boyd
BACKGROUND: Advance care planning (ACP) promotes conversations about future health care needs, enacted if a person is incapable of making decisions at end-of-life that may be communicated through written documentation such as advance care directives. To meet the needs of multicultural and multifaith populations in Australia, an advance care planning website, ACPTalk, was funded to support health professionals in conducting conversations within diverse religious and cultural populations...
April 16, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29661247/informing-implementation-of-quality-improvement-in-australian-primary-care
#19
Charlotte Hespe, Lucie Rychetnik, David Peiris, Mark Harris
BACKGROUND: Quality Improvement (QI) initiatives in primary care are effective at improving uptake of evidence based guidelines, but are difficult to implement and sustain. In Australia meso-level health organisations such as Primary health care Organisations (PHCO) offer new opportunities to implement area-wide QI programs. This study sought to identify enablers and barriers to implementation of an existing Australian QI program and to identify strategic directions that PHCOs can use in the ongoing development of QI in this environment...
April 16, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29629183/differences-in-the-occurrence-and-characteristics-of-injuries-between-full-time-and-part-time-dancers
#20
Amy Jo Vassallo, Evangelos Pappas, Emmanuel Stamatakis, Claire E Hiller
Background: Professional dancers are at significant risk of injury due to the physical demands of their career. Despite their high numbers, the experience of injury in freelance or part-time dancers is not well understood. Therefore, the aim of this study was to examine the occurrence and characteristics of injury in part-time compared with full-time Australian professional dancers. Methods: Data were collected using a cross-sectional survey distributed to employees of small and large dance companies and freelance dancers in Australia...
2018: BMJ Open Sport & Exercise Medicine
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