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[PMID]:28987403
[Au] Autor:Abraham J; Dowling K; Florentine S
[Ad] Endereço:School of Applied and Biomedical Sciences, Faculty of Science and Technology, Federation University Australia, Mount Helen Campus, VIC 3350, Australia. Electronic address: j.abraham@federation.edu.au.
[Ti] Título:Effects of prescribed fire and post-fire rainfall on mercury mobilization and subsequent contamination assessment in a legacy mine site in Victoria, Australia.
[So] Source:Chemosphere;190:144-153, 2018 Jan.
[Is] ISSN:1879-1298
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Prescribed fire conducted in fire-prone areas is a cost-effective choice for forest management, but it also affects many of the physicochemical and bio-geological properties of the forest soil, in a similar manner to wild fires. The aim of this study is to investigate the nature of the mercury mobilization after a prescribed fire and the subsequent temporal changes in concentration. A prescribed fire was conducted in a legacy mine site in Central Victoria, Australia, in late August 2015 and soil sample collection and analyses were carried out two days before and two days after the fire, followed by collection at the end of each season and after an intense rainfall event in September 2016. Results revealed the occurrence of mercury volatilization (8.3-97%) during the fire, and the mercury concentration displayed a significant difference (p < 0.05) before and immediately after the fire. Integrated assessment with number of pollution indices has shown that the study site is extremely contaminated with mercury during all the sampling events, and this poses a serious ecological risk due to the health impacts of mercury on human and ecosystems. In times of climate fluctuation with concomitant increase in forest fire (including prescribed fire), and subsequent precipitation and runoff, the potential for an increased amount of mercury being mobilized is of heighted significance. Therefore, it is recommended that prescribed fire should be cautiously considered as a forest management strategy in any mercury affected landscapes.
[Mh] Termos MeSH primário: Fogo
Mercúrio/análise
Mineração
Chuvas
Poluentes do Solo/análise
[Mh] Termos MeSH secundário: Ecossistema
Poluição Ambiental/análise
Poluição Ambiental/prevenção & controle
Seres Humanos
Solo/química
Vitória
Volatilização
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Soil); 0 (Soil Pollutants); FXS1BY2PGL (Mercury)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171009
[St] Status:MEDLINE


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[PMID]:28460631
[Au] Autor:Yu D; Chen T; Cai Y; Zhao Z; Simmons D
[Ad] Endereço:Department of Nephrology, The First Affiliated Hospital, Zhengzhou University, Zhengzhou, 450052, China.
[Ti] Título:Association between pulmonary function and renal function: findings from China and Australia.
[So] Source:BMC Nephrol;18(1):143, 2017 May 01.
[Is] ISSN:1471-2369
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The relationship between obstructive lung function and impaired renal function is unclear. This study investigated the dose-response relationship between obstructive lung function and impaired renal function. METHODS: Two independent cross-sectional studies with representative sampling were applied. 1454 adults from rural Victoria, Australia (1298 with normal renal function, 156 with impaired renal function) and 5824 adults from Nanjing, China (4313 with normal renal function, 1511 with impaired renal function). Pulmonary function measurements included forced expiratory volume in one second (FEV1) and forced vital capacity (FVC). Estimated glomerular filtration rate (eGFR), and impaired renal function marked by eGFR <60 mL/min/1.73m were used as outcome. RESULTS: eGFR increased linearly with FEV1 in Chinese participants and with FVC in Australians. A non-linear relationship with peaked eGFR was found for FEV1 at 2.65 L among Australians and for FVC at 2.78 L among Chinese participants, respectively. A non-linear relationship with peaked eGFR was found for the predicted percentage value of forced expiratory volume in 1 s (PFEV1) at 81-82% and for the predicted percentage value of forced vital capacity (PFVC) at 83-84% among both Chinese and Australian participants, respectively. The non-linear dose-response relationships between lung capacity measurements (both for FEV1 and FVC) and risk of impaired renal function were consistently identified in both Chinese and Australian participants. An increased risk of impaired renal function was found below 3.05 L both for FEV1 and FVC, respectively. The non-linear relationship between PFEV and PVC and the risk of impaired renal function were consistently identified in both Chinese and Australian participants. An increased risk of impaired renal function was found below 76-77% for PFEV1 and 79-80% for PFVC, respectively. CONCLUSIONS: In both Australian and Chinese populations, the risk of impaired renal function increased both with FEV1 and FVC below 3.05 L, with PFEV1 below 76-77% or with PFVC below 79-80%, respectively. Obstructive lung function was associated with increased risk of reduced renal function. The screen for impaired renal function in patients with obstructive lung disease might be useful to ensure there was no impaired renal function before the commencement of potentially nephrotoxic medication where indicated (eg diuretics).
[Mh] Termos MeSH primário: Nefropatias/diagnóstico
Nefropatias/epidemiologia
Testes de Função Renal/estatística & dados numéricos
Pneumopatias Obstrutivas/diagnóstico
Pneumopatias Obstrutivas/epidemiologia
Testes de Função Respiratória/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
China/epidemiologia
Comorbidade
Feminino
Seres Humanos
Incidência
Masculino
Meia-Idade
Reprodutibilidade dos Testes
Fatores de Risco
Sensibilidade e Especificidade
Vitória/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1186/s12882-017-0565-y


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[PMID]:29390463
[Au] Autor:Ng KK; Rozen G; Stewart T; Agresta F; Polyakov A
[Ad] Endereço:Melbourne Medical School, University of Melbourne.
[Ti] Título:A double-blinded, randomized, placebo-controlled trial assessing the effects of nifedipine on embryo transfer: Study protocol.
[So] Source:Medicine (Baltimore);96(51):e9194, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Implantation failure is the main factor affecting the success rate of in vitro fertilization (IVF) procedures. Studies have reported that uterine contractions (UCs) at the time of embryo transfer (ET) were inversely related to implantation and pregnancy rate, hence reducing the success of IVF treatment. Various pharmacological agents, with the exception of calcium channel blocker (CCB), have been investigated to reduce UC. In this regard, we are presenting a proposal for a double-blind randomized placebo-controlled trial. The trial aims to determine whether nifedipine, a CCB with potent smooth muscle relaxing activity and an excellent safety profile, can improve the outcome of ET. METHODS AND ANALYSES: We will recruit 100 infertile women into one of 2 groups: placebo (n = 50) and nifedipine 20 mg (n = 50). Study participants will be admitted 30 minutes prior to ET and given either tablet after their baseline vital signs have been recorded. They will then undergo ET and be observed for adverse events for another 30 minutes post-ET. The primary outcome will be implantation rate and clinical pregnancy rate. Secondary outcomes include adverse events, miscarriage and pregnancy, and neonatal outcomes. Resulting data will then be analyzed using t test, Chi-square test, and multivariate test to compare outcomes between the 2 groups for any statistical significance. This protocol has been designed in accordance with the SPIRIT 2013 Guidelines.
[Mh] Termos MeSH primário: Transferência Embrionária
Fertilização In Vitro/efeitos dos fármacos
Infertilidade Feminina/tratamento farmacológico
Nifedipino/administração & dosagem
Resultado da Gravidez
Taxa de Gravidez
[Mh] Termos MeSH secundário: Distribuição de Qui-Quadrado
Método Duplo-Cego
Feminino
Seres Humanos
Idade Materna
Análise Multivariada
Nifedipino/efeitos adversos
Gravidez
Medição de Risco
Tocolíticos/administração & dosagem
Tocolíticos/efeitos adversos
Vitória
[Pt] Tipo de publicação:CLINICAL TRIAL, PHASE I; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Tocolytic Agents); I9ZF7L6G2L (Nifedipine)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009194


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[PMID]:29254361
[Au] Autor:Manning V; Dowling NA; Lee S; Rodda S; Garfield JBB; Volberg R; Kulkarni J; Lubman DI
[Ad] Endereço:1 Turning Point, Eastern Health , Melbourne, VIC, Australia.
[Ti] Título:Problem gambling and substance use in patients attending community mental health services.
[So] Source:J Behav Addict;6(4):678-688, 2017 Dec 01.
[Is] ISSN:2063-5303
[Cp] País de publicação:Hungary
[La] Idioma:eng
[Ab] Resumo:Background and aims Relatively little is known about co-occurring gambling problems and their overlap with other addictive behaviors among individuals attending mental health services. We aimed to determine rates of gambling and substance use problems in patients accessing mental health services in Victoria, Australia. Methods A total of 837 adult patients were surveyed about their gambling and administered standardized screening tools for problem gambling and harmful tobacco, alcohol, and drug use. Prevalence of gambling problems was estimated and regression models used to determine predictors of problem gambling. Results The gambling participation rate was 41.6% [95% CI = 38.2-44.9]. The Problem Gambling Severity Index identified 19.7% [CI = 17.0-22.4] as "non-problem gamblers," 7.2% [CI = 5.4-8.9] as "low-risk" gamblers, 8.4% [CI = 6.5-10.2] as "moderate-risk" gamblers, and 6.3% [CI = 4.7-8.0] as "problem gamblers." One-fifth (21.9%) of the sample and 52.6% of all gamblers were identified as either low-risk, moderate-risk, or problem gamblers (PGs). Patients classified as problem and moderate-risk gamblers had significantly elevated rates of nicotine and illicit drug dependence (p < .001) according to short screening tools. Current diagnosis of drug use (OR = 4.31 [CI = 1.98-9.37]), borderline personality (OR = 2.59 [CI = 1.13-5.94]), bipolar affective (OR = 2.01 [CI = 1.07-3.80]), and psychotic (OR = 1.83 [CI = 1.03-3.25]) disorders were significant predictors of problem gambling. Discussion and conclusions Patients were less likely to gamble, but eight times as likely to be classified as PG, relative to Victoria's adult general population. Elevated rates of harmful substance use among moderate-risk and PG suggest overlapping vulnerability to addictive behaviors. These findings suggest mental health services should embed routine screening into clinical practice, and train clinicians in the management of problem gambling.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/epidemiologia
Transtorno Bipolar/epidemiologia
Serviços Comunitários de Saúde Mental
Transtorno Depressivo Maior/epidemiologia
Jogo de Azar/epidemiologia
Transtornos Psicóticos/epidemiologia
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Austrália/epidemiologia
Comorbidade
Feminino
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Prevalência
Vitória/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180130
[Lr] Data última revisão:
180130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE
[do] DOI:10.1556/2006.6.2017.077


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[PMID]:29100120
[Au] Autor:Abraham J; Dowling K; Florentine S
[Ad] Endereço:School of Applied and Biomedical Sciences, Faculty of Science and Technology, Federation University Australia, Mount Helen Campus, VIC, 3353, Australia. Electronic address: J.abraham@federation.edu.au.
[Ti] Título:Assessment of potentially toxic metal contamination in the soils of a legacy mine site in Central Victoria, Australia.
[So] Source:Chemosphere;192:122-132, 2018 Feb.
[Is] ISSN:1879-1298
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The environmental impact of toxic metal contamination from legacy mining activities, many of which had operated and were closed prior to the enforcement of robust environmental legislation, is of growing concern to modern society. We have carried out analysis of As and potentially toxic metals (Cd, Co, Cr, Cu, Hg, Mn, Ni, Pb, and Zn) in the surface soil of a legacy gold mining site in Maldon, Victoria, Australia, to reveal the status of the current metal concentration. The results revealed the median concentrations of metals from highest to lowest, in the order: Mn > Zn > As > Cr > Cu > Pb > Ni > Co > Hg > Cd. The status of site was assessed directly by comparing the metal concentrations in the study area with known Australian and Victorian average top soil levels and the health investigation levels set by the National Environmental Protection Measures (NEPM) and the Department of Environment and Conservation (DEC) of the State of Western Australia. Although, median concentrations of As, Hg, Pb, Cu and Zn exceeded the average Australian and Victorian top soil concentrations, only As and Hg exceeded the ecological investigation levels (EIL) set by DEC and thus these metals are considered as risk to the human and aquatic ecosystems health due to their increase in concentration and toxicity. In an environment of climate fluctuation with increased storm events and forest fires may mobilize these toxic metals contaminants, pose a real threat to the environment and the community.
[Mh] Termos MeSH primário: Metais Pesados/análise
Poluentes do Solo/análise
[Mh] Termos MeSH secundário: Ecossistema
Monitoramento Ambiental
Seres Humanos
Metais Pesados/toxicidade
Mineração
Solo/química
Poluentes do Solo/toxicidade
Vitória
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Metals, Heavy); 0 (Soil); 0 (Soil Pollutants)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171104
[St] Status:MEDLINE


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[PMID]:28468641
[Au] Autor:Dale KD; Tay EL; Trauer JM; Trevan PG; Denholm JT
[Ad] Endereço:Victorian Tuberculosis Program, The Peter Doherty Institute for Infection and Immunity, Victoria, Australia. katie.dale@mh.org.au.
[Ti] Título:Comparing tuberculosis management under public and private healthcare providers: Victoria, Australia, 2002-2015.
[So] Source:BMC Infect Dis;17(1):324, 2017 05 03.
[Is] ISSN:1471-2334
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Private healthcare providers are important to tuberculosis (TB) management globally, although internationally there are reports of suboptimal management and disparities in treatment commencement in the private sector. We compared the management of TB patients receiving private versus public healthcare in Victoria, an industrialised setting with low tuberculosis (TB) incidence. METHODS: Retrospective cohort study: 2002-2015. Private healthcare provision was included as an independent variable in several multivariate logistic and Cox proportional hazard regression models that assessed a range of outcome variables, encompassing treatment commencement delays, management and treatment outcomes. RESULTS: Of 5106 patients, 275 (5.4%) exclusively saw private providers, and 4714 (92.32%) public. Private care was associated with a shorter delay to presentation (HR 1.36, p = 0.065, 95% CI 1.02-2.00). Private patients were less likely to have genotypic testing (OR 0.66, p = 0.009, 95% CI 0.48-0.90), those with pulmonary involvement were less likely to have a sputum smear (OR 0.52, p = 0.011, 95% CI 0.31-0.86) and provided samples were less likely to be positive (OR 0.54, p = 0.070, 95% CI 0.27-1.05). Private patients with extrapulmonary TB were less likely to have a smear sample (OR 0.7, 95% CI 0.48-0.90, p = 0.009) and radiological abnormalities (OR 0.71, p = 0.070, 95% CI 0.27-1.05). Treatment commencement delays from presentation were comparable for cases with pulmonary involvement and extrapulmonary TB, although public extrapulmonary TB patients received radiological examinations slightly earlier than private patients (HR 0.79, p = 0.043, 95% CI 0.63-0.99) and public patients with pulmonary involvement from high burden settings commenced treatment following an abnormal CXR more promptly than their private counterparts (HR 0.41, p = 0.011, 95% CI 0.21-0.81). Private patients were more likely to receive <4 first-line medications (OR 2.17, p = 0.001, 95% CI 1.36-3.46), but treatment outcomes were comparable between sectors. CONCLUSIONS: The differences we identified are likely to reflect differing case-mix as well as clinician practice. Sputum smear status was an important covariable in our analysis; with its addition we found no significant disparity in the health-system delay to treatment commencement between sectors. Our study highlights the importance of TB programs engaging with private providers, enabling comprehensive data collection that is necessary for thorough and true comparison of TB management and optimisation of care.
[Mh] Termos MeSH primário: Setor Privado/estatística & dados numéricos
Setor Público/estatística & dados numéricos
Tuberculose/tratamento farmacológico
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Pessoal de Saúde
Seres Humanos
Estimativa de Kaplan-Meier
Masculino
Meia-Idade
Quartos de Pacientes
Modelos de Riscos Proporcionais
Estudos Retrospectivos
Escarro/microbiologia
Tuberculose/epidemiologia
Tuberculose/mortalidade
Tuberculose Pulmonar/tratamento farmacológico
Tuberculose Pulmonar/mortalidade
Vitória
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1708
[Cu] Atualização por classe:180120
[Lr] Data última revisão:
180120
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1186/s12879-017-2421-x


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[PMID]:29261236
[Au] Autor:Marlow C
[Ti] Título:COMMUNICATION IS KEY.
[So] Source:Aust Nurs Midwifery J;24(8):26, 2017 Mar.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Nursing is a career with an ever changing landscape of opportunities and difficulties. We work hard to stay at the forefront of modern medicine and healthcare practice.
[Mh] Termos MeSH primário: Comunicação
Recursos Humanos de Enfermagem no Hospital
Serviço Hospitalar de Radiologia
[Mh] Termos MeSH secundário: Distinções e Prêmios
Feminino
Seres Humanos
Relações Interprofissionais
Desenvolvimento de Programas
Avaliação de Programas e Projetos de Saúde
Vitória
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171221
[St] Status:MEDLINE


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[PMID]:29257633
[Au] Autor:Davies G
[Ti] Título:THE VICTORIAN NEW HEALTH COMPLAINTS ACT 2016 -- WHAT ARE THE CHANGES?
[So] Source:Aust Nurs Midwifery J;24(7):29, 2017 02.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:The Health Complaints Act 2016 (Vic) commenced on 1 February 2017, bringing into operation a new office of the Health Complaints Commissioner (HCC). This article outlines the changes nurses and midwives are likely to see under the new Act.
[Mh] Termos MeSH primário: Satisfação do Paciente/legislação & jurisprudência
[Mh] Termos MeSH secundário: Órgãos Governamentais
Seres Humanos
Segurança do Paciente/legislação & jurisprudência
Vitória
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE


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[PMID]:29244459
[Au] Autor:Bonnamy J; Walker L
[Ti] Título:HEALTH HISTORY TAKING WITH VOLUNTEER PATIENTS.
[So] Source:Aust Nurs Midwifery J;24(3):31, 2016 09.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Monash University aims to produce dynamic graduate nurses and midwives recognized for their excellent, innovative practice and positive impact on people's lives.
[Mh] Termos MeSH primário: Anamnese
Avaliação em Enfermagem
Estudantes de Enfermagem
Voluntários
[Mh] Termos MeSH secundário: Seres Humanos
Vitória
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171216
[St] Status:MEDLINE


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[PMID]:29240391
[Au] Autor:Chung C; Cooper S; Kinsman L; Evans L; Cahill A
[Ti] Título:RESEARCH: PATIENT DETERIORATION -- PATIENT SAFETY.
[So] Source:Aust Nurs Midwifery J;24(2):41, 2016 08.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Inadequate management of deteriorating patients is of international concern. In order to tackle this issue there has been an increasing effort to upskill nursing and medical staff (Australian Commission on Safety and Quality in Healthcare, 2012).
[Mh] Termos MeSH primário: Competência Clínica
Educação Continuada em Enfermagem
Avaliação em Enfermagem
Segurança do Paciente
[Mh] Termos MeSH secundário: Progressão da Doença
Fidelidade a Diretrizes
Seres Humanos
Vitória
Sinais Vitais
[Pt] Tipo de publicação:RESEARCH SUPPORT, NON-U.S. GOV'T; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE



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