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PMID:28464812
Autor:Murgatroyd D; Harris IA; Chen JS; Adie S; Mittal R; Cameron ID
Endereço:John Walsh Centre for Rehabilitation Research, The University of Sydney, Kolling Institute, Sydney, NSW, Australia. dmur0062@uni.sydney.edu.au.
Título:Predictors of seeking financial compensation following motor vehicle trauma: inception cohort with moderate to severe musculoskeletal injuries.
Fonte:BMC Musculoskelet Disord; 18(1):177, 2017 05 02.
ISSN:1471-2474
País de publicação:England
Idioma:eng
Resumo:BACKGROUND: Compensation related factors have been repeatedly associated with poor recovery following orthopaedic trauma. There is limited research into the factors associated with seeking financial compensation. Further understanding of these factors could facilitate injury recovery by purposeful compensation scheme design. The aim of this study was to investigate the predictors of seeking financial compensation, namely making a claim and seeking legal representation, following motor vehicle related orthopaedic trauma. The study was conducted in New South Wales (NSW), Australia, in motor vehicle crash and workers' compensation schemes. METHODS: Participants were patients admitted with upper or lower extremity factures following a motor vehicle crash to two trauma hospitals. Data were collected at baseline within two weeks of injury. Participants were followed up at six months. Analysis involved: descriptive statistics for baseline characteristics; comparison of compensable and non-compensable participants with Analysis of Variance (ANOVA) and chi-squared tests; and logistic regression for predictor models. RESULTS: The cohort consisted of 452 participants with a mean age 40 years; 75% male; 74% working pre-injury; 30% in excellent pre-injury health; 56% sustained serious injuries with an Injury Severity Score (ISS) 9-15; 61% had a low-middle range household income; and 35% self-reported at fault in the crash. There was no significant difference in pre-injury/baseline health between compensable and non-compensable participants. Follow up data was available for 301 (67%) participants. The significant predictor of claiming compensation in the adjusted analysis was higher body mass index (BMI) (overweight Odds Ratio [OR] 3.05, 95% Confidence Interval [CI] 1.63-5.68; obese OR 1.63, 95% CI 0.83-3.20). Participants less likely to claim were: involved in a motorcycle crash (OR 0.47, 95% CI 0.28-0.82); socioeconomically less disadvantaged (OR 0.37, 95% CI 0.17-0.82) or least disadvantaged (OR 0.39, 95% CI 0.17-0.90); at risk for short term harm (injury) due to alcohol consumption (OR 0.56, 95% CI 0.32-0.97); and with fair-poor pre-injury health (OR 0.30, 95% CI 0.09-0.94). The predictors for seeking legal representation were speaking a language other than English at home (OR 2.80, 95% CI 1.2-6.52) and lower household income (OR 3.63, 95% CI 1.22-10.72). Participants less likely to seek legal representation were least socioeconomically disadvantaged (OR 0.15, 95% CI 0.04-0.50). CONCLUSIONS: Seeking financial compensation was associated with a higher pre-injury BMI rather than injury-related factors. Seeking legal representation was solely related to socio-economic factors.
Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T


  2 / 11176 MEDLINE  
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PMID:29192613
Autor:Prendergast GP; Staff M
Endereço:Northern Sydney Public Health Unit, Hornsby, NSW, Australia.
Título:A Health-Based Metric for Evaluating the Effectiveness of Noise Barrier Mitigation Associated With Transport Infrastructure Noise.
Fonte:Noise Health; 19(87):51-57, 2017 Mar-Apr.
ISSN:1463-1741
País de publicação:India
Idioma:eng
Resumo:INTRODUCTION: This study examines the use of the number of night-time sleep disturbances as a health-based metric to assess the cost effectiveness of rail noise mitigation strategies for situations, wherein high-intensity noises dominate such as freight train pass-bys and wheel squeal. MATERIALS AND METHODS: Twenty residential properties adjacent to the existing and proposed rail tracks in a noise catchment area of the Epping to Thornleigh Third Track project were used as a case study. Awakening probabilities were calculated for individual's awakening 1, 3 and 5 times a night when subjected to 10 independent freight train pass-by noise events using internal maximum sound pressure levels (LAFmax). RESULTS: Awakenings were predicted using a random intercept multivariate logistic regression model. With source mitigation in place, the majority of the residents were still predicted to be awoken at least once per night (median 88.0%), although substantial reductions in the median probabilities of awakening three and five times per night from 50.9 to 29.4% and 9.2 to 2.7%, respectively, were predicted. This resulted in a cost-effective estimate of 7.6-8.8 less people being awoken at least three times per night per A$1 million spent on noise barriers. CONCLUSION: The study demonstrates that an easily understood metric can be readily used to assist making decisions related to noise mitigation for large-scale transport projects.
Tipo de publicação: JOURNAL ARTICLE


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PMID:28065123
Autor:O'Connor D; Larkin P; Williams AM
Endereço:a Faculty of Education and Social Work , The University of Sydney , Sydney , Australia.
Título:Observations of youth football training: How do coaches structure training sessions for player development?
Fonte:J Sports Sci; 36(1):39-47, 2018 Jan.
ISSN:1466-447X
País de publicação:England
Idioma:eng
Resumo:We used systematic observation tools to explore the structure (i.e., activity and inactivity) and sequencing (i.e., the types of activities used) of football coaching sessions in Australia following the implementation of a new National Curriculum. Youth soccer coaches (n = 34), coaching within the Skill Acquisition (U11-U13 n = 19) and Game Training (U14-U17 n = 15) phases of the Football Federation Australia National Curriculum participated. Participants were filmed during a regular coaching session, with systematic observation of the session undertaken to provide a detailed analysis of the practice activities and coach behaviours. Findings indicated a session comprised of Playing Form activities (40.9%), Training Form activities (22.3%), inactivity (31%), and transitions between activities (5.8%). Coaches prescribed more Training Form activities (e.g., individual (5.4%) and drills (15.1%)) early in the session and progressed to Playing Form activities (i.e., small-sided games (15.3%) then larger games (24.8%)) later in the session. Most inactivity reflected the players listening to the coach - either in a team huddle (9.9%) or frozen on the spot during an activity (16.5%). In addition, coaches generally spent over 3 min communicating to players prior to explaining and introducing an activity regardless of when in the session the activity was scheduled.
Tipo de publicação: JOURNAL ARTICLE


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PMID:29251847
Autor:Gellatly D
Título:COMMUNITY OUTREACH SERVICE TAKES FLIGHT.
Fonte:Aust Nurs Midwifery J; 24(6):14, 2016 12.
ISSN:2202-7114
País de publicação:Australia
Idioma:eng
Resumo:Heading out into the community to provide healthcare for older people in their homes keeps Clinical Nurse Consultant (CNC) Diane Gellatly on her toes.
Tipo de publicação: JOURNAL ARTICLE


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PMID:29251463
Autor:McMinn B; Booth A; Grist E; O'Brien A
Título:FALLS AND FALL INJURY IN MENTAL HEALTH INPATIENT UNITS FOR OLDER PEOPLE.
Fonte:Aust Nurs Midwifery J; 24(5):26-9, 2016 11.
ISSN:2202-7114
País de publicação:Australia
Idioma:eng
Resumo:Older people in Mental Health Inpatient Units for Older People (MHUOP) are a serious 'at risk' group, both for falling and osteoporotic injury post fall (Stubbs, 2010), as well as prolonged length of stay (Greene et al. 2001).
Tipo de publicação: JOURNAL ARTICLE; REVIEW


  6 / 11176 MEDLINE  
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PMID:29240393
Autor:Kemp L; Bruce T; Byrne F
Título:PARENTING EFFECTIVELY DESPITE: THE MATERNAL EARLY CHILDHOOD SUSTAINED. HOME-VISITING PROGRAM.
Fonte:Aust Nurs Midwifery J; 24(2):43, 2016 08.
ISSN:2202-7114
País de publicação:Australia
Idioma:eng
Resumo:Nurse led home visiting programs as an intervention to invest in children's health and wellbeing is considered a useful and effective way to deliver a health and parenting service (US Department of Health and Human Services, 2014).
Tipo de publicação: JOURNAL ARTICLE


  7 / 11176 MEDLINE  
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PMID:29240386
Autor:Stephen C
Título:EVALUATION OF A NURSE-LED HYPERTENSION MANAGEMENT INTERVENTION IN AUSTRALIAN GENERAL PRACTICE: THE IMPRESS INTERVENTION.
Fonte:Aust Nurs Midwifery J; 24(2):36, 2016 08.
ISSN:2202-7114
País de publicação:Australia
Idioma:eng
Resumo:Hypertension is currently the most frequently seen condition in Australian general practice (Britt et al. 2015). Of the 4.6 million Australians living with hypertension, many struggle to keep their blood pressure under control and are at increased risk of renal failure, cardiovascular disease and premature death (Australian Institute of Health and Welfare, 2015; Cadilhac et al. 2012). The General Practice Nurse (GPN) has a significant role to play in supporting self-management and lifestyle risk factor reduction.
Tipo de publicação: JOURNAL ARTICLE; MULTICENTER STUDY


  8 / 11176 MEDLINE  
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PMID:29240372
Autor:Cummins D; Anderson-Noorgard K; Foley L; Nurmeiyati J; Komusanac I
Título:DEVELOPING A CULTURE OF RESEARCH IN COMMUNITY NURSING.
Fonte:Aust Nurs Midwifery J; 24(2):24-6, 2016 08.
ISSN:2202-7114
País de publicação:Australia
Idioma:eng
Resumo:In today's demanding clinical environments it is challenging for nurses to undertake research, Barriers include time, limited self-belief and confidence, commitment, limited knowledge of the research process, and lack of administrative support. Yet nurses are curious and many have ideas to improve clinical care and patient outcomes. This paper discusses how a community nursing service, Sydney District Nursing, has developed a congenial and collegial process to improve the culture of nursing research, and to support its nurses to undertake research and develop quality improvement projects.
Tipo de publicação: JOURNAL ARTICLE


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PMID:28455146
Autor:Busch K; Chandra R; Buckenham T; Kiat H
Endereço:Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia. Electronic address: kathryn.busch@macquarievascular.com.au.
Título:Detection of Anomalous Cervical Internal Carotid Artery Branches by Colour Duplex Ultrasound.
Fonte:Eur J Vasc Endovasc Surg; 53(6):776-782, 2017 Jun.
ISSN:1532-2165
País de publicação:England
Idioma:eng
Resumo:OBJECTIVES: Conventional anatomical descriptions of the cervical internal carotid artery (ICA) report that no branches arise from this segment. However reports of ICA branches exist. The study aim was to determine the prevalence of anomalous branches of the ICA using colour duplex ultrasound (CDU). METHODS: Four hundred consecutive patients (800 carotid vessels) referred to a tertiary hospital vascular laboratory for investigation of carotid disease were included. A clear differentiation of a low resistive ICA and a high resistive external carotid artery (ECA) waveform was required. CDU was performed on a Philips IU22 ultrasound system with a 9-3 MHz linear array transducer employing a standard carotid imaging protocol. The origin of each ICA branch was identified using B-mode and CDU. Anatomical orientation of ICA branches and distance from bifurcation was recorded and spectral CDU analysis was performed. RESULTS: Twenty ICA branches, tracking cephaladly, were detected in 16 patients (4%), or 2.5% (20/800) vessels. The median age was 73 years; 50% were female and 50% male. All patients demonstrated a single branch [unilateral anomaly (n = 12 patients), bilateral anomaly (n = 4) patients]. Eighty-five percent arose from the posterior wall of the ICA. The median distance from ICA bifurcation was 4 mm (range 0-18 mm). ICA branch diameters ranged from 1.2 mm to 2.4 mm (median 1.4 mm, mean 1.6 mm). Eighty percent of ICA branches had less than 50% stenosis. Spectral analysis revealed high resistive waveforms in all branches. CONCLUSIONS: Branches from the ICA exist and can be characterised with CDU. Prevalence in a tertiary hospital referral cohort is 4%. Given their potential clinical implications, standard carotid imaging protocols should consider routine assessment and reporting of ICA branches.
Tipo de publicação: JOURNAL ARTICLE


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PMID:29244876
Autor:Jahan S; Strezov V
Endereço:Department of Environmental Sciences, Faculty of Science and Engineering, Macquarie University NSW, Sydney, Australia.
Título:Water quality assessment of Australian ports using water quality evaluation indices.
Fonte:PLoS One; 12(12):e0189284, 2017.
ISSN:1932-6203
País de publicação:United States
Idioma:eng
Resumo:Australian ports serve diverse and extensive activities, such as shipping, tourism and fisheries, which may all impact the quality of port water. In this work water quality monitoring at different ports using a range of water quality evaluation indices was applied to assess the port water quality. Seawater samples at 30 stations in the year 2016-2017 from six ports in NSW, Australia, namely Port Jackson, Botany, Kembla, Newcastle, Yamba and Eden, were investigated to determine the physicochemical and biological variables that affect the port water quality. The large datasets obtained were designed to determine the Water Quality Index, Heavy metal Evaluation Index, Contamination Index and newly developed Environmental Water Quality Index. The study revealed medium water quality index and high and medium heavy metal evaluation index at three of the study ports and high contamination index in almost all study ports. Low level dissolved oxygen and higher level of total dissolved solids, turbidity, fecal coliforms, copper, iron, lead, zinc, manganese, cadmium and cobalt are mainly responsible for the poor water qualities of the port areas. Good water quality at the background samples indicated that various port activities are the likely cause for poor water quality inside the port area.
Tipo de publicação: JOURNAL ARTICLE
Nome de substância:0 (Metals, Heavy); 0 (Water Pollutants, Chemical); S88TT14065 (Oxygen)



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