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Articoli di riviste sul tema "Dementia Patients Care South Australia Adelaide"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 29 gennaio 2023

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1

Paterson, Tom, Christopher Seiboth, Barbara Magin, Rajan Nagesh, Cyndy Lloyd, and Helena Williams. "An initiative in primary care psychiatry in South Australia." Australasian Psychiatry 10, no. 3 (September 2002): 259–64. http://dx.doi.org/10.1177/103985620201000313.

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Objective: To describe a joint mental health project involving the Adelaide Northern Division of General Practice (ANDGP) and the North West Adelaide Mental Health Service (NWAMHS). Conclusions: This project has been developed to explore alternative strategies to facilitate the identification and management of patients with mental illness in the primary care setting. The project has also endeavoured to explore alternative types of psychiatrist/general practitioner interactions other than the conventional ‘general practitioner referred psychiatrist consultation’. The development of adequate and

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Smith, Judy. "The changing face of community and district nursing." Australian Health Review 25, no. 3 (2002): 131. http://dx.doi.org/10.1071/ah020131.

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The Royal District Nursing Service (RDNS) of South Australia provides home- and community-based nursing care to people residing in the Adelaide Metropolitan area. The service is funded predominantly by the Home and Community Care Program. It provides community nursing services in the areas of wound management, palliative care, HIV/AIDS care, continence management, disability care, mental health and dementia care, and diabetes management. In 2000-2001, the service made 439,700 visits to people's homes or saw them in a nurse-led nursing centre. In addition, the nursing staff had 84,000 contacts

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Yadav, Lalit, Tiffany K. Gill, Anita Taylor, Unyime Jasper, Jen De Young, Renuka Visvanathan, and Mellick J. Chehade. "Cocreation of a digital patient health hub to enhance education and person-centred integrated care post hip fracture: a mixed-methods study protocol." BMJ Open 9, no. 12 (December 2019): e033128. http://dx.doi.org/10.1136/bmjopen-2019-033128.

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IntroductionOlder people with hip fractures often require long-term care and a crucial aspect is the provision of quality health information to patients and their carers to support continuity of care. If patients are well informed about their health condition and caring needs, particularly posthospital discharge into the community setting, this may support recovery and improve quality of life. As internet and mobile access reach every household, it is possible to deliver a new model of service using a digital education platform as a personal health hub where both patients and their providers o

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Greaves, Danielle, Peter J. Psaltis, Amit Lampit, Daniel H. J. Davis, Ashleigh E. Smith, Alice Bourke, Michael G. Worthington, Michael J. Valenzuela, and Hannah A. D. Keage. "Computerised cognitive training to improve cognition including delirium following coronary artery bypass grafting surgery: protocol for a blinded randomised controlled trial." BMJ Open 10, no. 2 (February 2020): e034551. http://dx.doi.org/10.1136/bmjopen-2019-034551.

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IntroductionCoronary artery bypass grafting (CABG) surgery is known to improve vascular function and cardiac-related mortality rates; however, it is associated with high rates of postoperative cognitive decline and delirium. Previous attempts to prevent post-CABG cognitive decline using pharmacological and surgical approaches have been largely unsuccessful. Cognitive prehabilitation and rehabilitation are a viable yet untested option for CABG patients. We aim to investigate the effects of preoperative cognitive training on delirium incidence, and preoperative and postoperative cognitive traini

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Boord, Monique S., Daniel H. J. Davis, Peter J. Psaltis, Scott W. Coussens, Daniel Feuerriegel, Marta I. Garrido, Alice Bourke, and Hannah A. D. Keage. "DelIrium VULnerability in GEriatrics (DIVULGE) study: a protocol for a prospective observational study of electroencephalogram associations with incident postoperative delirium." BMJ Neurology Open 3, no. 2 (December 2021): e000199. http://dx.doi.org/10.1136/bmjno-2021-000199.

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IntroductionDelirium is a neurocognitive disorder common in older adults in acute care settings. Those who develop delirium are at an increased risk of dementia, cognitive decline and death. Electroencephalography (EEG) during delirium in older adults is characterised by slowing and reduced functional connectivity, but markers of vulnerability are poorly described. We aim to identify EEG spectral power and event-related potential (ERP) markers of incident delirium in older adults to understand neural mechanisms of delirium vulnerability. Characterising delirium vulnerability will provide subst

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Wilson, Annabelle, Tamara Mackean, Liz Withall, Eileen Willis, Odette Pearson, Colleen Hayes, Kim O'Donnell, et al. "Protocols for an Aboriginal-led, Multi-methods Study of the Role of Aboriginal and Torres Strait Islander Health Workers, Practitioners and Liaison Officers in Quality Acute Health Care." Journal of the Australian Indigenous HealthInfoNet 3, no. 1 (2022): 1–13. http://dx.doi.org/10.14221/aihjournal.v3n1.2.

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Objectives Aboriginal and Torres Strait Islander Health Workers/Practitioners and Liaison Officers play an important, often critical role providing advocacy and cultural and emotional support for Aboriginal and Torres Strait Islander patients. The main goals of this research are to explore i) how Aboriginal and Torres Strait Islander Health Workers/Practitioners and Liaison Officers are integrated in the routine delivery of care for Aboriginal and Torres Strait Islander peoples in hospital, and ii) how the role of Aboriginal and Torres Strait Islander Health Workers/Practitioners and Liaison O

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Horwood, C. M., P. Hakendorf, and C. H. Thompson. "Comparison of specialist and generalist care." Australian Health Review 42, no. 5 (2018): 579. http://dx.doi.org/10.1071/ah17197.

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Objective The choice of whether to admit under a specialist or a generalist unit is often made with neither clear rationale nor understanding of its consequences. The present study compared the characteristics and outcomes of patients admitted with community-acquired pneumonia to either a general medicine or respiratory unit. Methods This study was a retrospective cross-sectional study using data from public hospitals in Adelaide, South Australia. Over 5 years there were 9775 overnight, unplanned appropriate adult admissions. Patient length of hospital stay, in-patient mortality rate and 30-da

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Shin, Hee-Young, Svetla Gadzhanova, Elizabeth E. Roughead, Michael B. Ward, and Lisa G. Pont. "The use of antipsychotics among people treated with medications for dementia in residential aged care facilities." International Psychogeriatrics 28, no. 6 (January 18, 2016): 977–82. http://dx.doi.org/10.1017/s1041610215002434.

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ABSTRACTBackground:Antipsychotic agents have limited efficacy for Behavioral and Psychological Symptoms of Dementia (BPSD) and there are concerns about their safety. Despite this, they are frequently used for the management of BPSD. This study aimed to assess the use of antipsychotics among people on anti-dementia medicines in Australian residential aged care facilities.Methods:Data were obtained from an individual patient unit dose packaging database covering 40 residential aged care facilities in New South Wales, Australia. Residents supplied an anti-dementia medicine between July 2008 and J

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Powell, Kathryn, Nigel Stocks, and Caroline Laurence. "A new venture in interdisciplinary student learning in a co-located health service." Australian Health Review 40, no. 2 (2016): 205. http://dx.doi.org/10.1071/ah14241.

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Learning about interdisciplinary health approaches is important for students of health professions. Yet, interdisciplinary learning programs are sparse within primary health clinics. Larger health care complexes, such as superclinics in Australia, offer interdisciplinary learning opportunities for health, but also pose difficulties. This case study describes the introduction of an interdisciplinary student learning program in Adelaide, South Australia, over a 1-year period. The objectives of the program were for students to: (1) understand the range of patient needs in primary healthcare (PHC)

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Harvey, Peter W., John Petkov, Inge Kowanko, Yvonne Helps, and Malcolm Battersby. "Chronic condition management and self-management in Aboriginal communities in South Australia: outcomes of a longitudinal study." Australian Health Review 37, no. 2 (2013): 246. http://dx.doi.org/10.1071/ah12165.

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Objectives. This paper describes the longitudinal component of a larger mixed methods study into the processes and outcomes of chronic condition management and self-management strategies implemented in three Aboriginal communities in South Australia. The study was designed to document the connection between the application of structured systems of care for Aboriginal people and their longer-term health status. Methods. The study concentrated on three diverse Aboriginal communities in South Australia; the Port Lincoln Aboriginal Health Service, the Riverland community, and Nunkuwarrin Yunti Abo

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Oberai, Tarandeep, Maggie Killington, Kate Laver, Maria Crotty, and Ruurd Jaarsma. "“Just another piece of paperwork”: perceptions of clinicians on delirium screening following hip fracture repair elicited in focus groups." International Psychogeriatrics 31, no. 06 (October 15, 2018): 877–84. http://dx.doi.org/10.1017/s1041610218001369.

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ABSTRACTBackground:Delirium is a complex clinical syndrome characterized by disturbed consciousness, cognitive function, or perception and associated with serious adverse outcomes such as death, dementia, and the need for long-term care. However, recognition and management of delirium is poorly prioritized even though it is the most frequent complication among patients undergoing surgery following hip fracture. The aim of this study was to understand clinicians’ from orthopedic speciality perceptions in relation to recognition, diagnosis, and management of delirium.Methods:This was a qualitati

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Dwyer, Judith, Eileen Willis, and Janet Kelly. "Hospitals caring for rural Aboriginal patients: holding response and denial." Australian Health Review 38, no. 5 (2014): 546. http://dx.doi.org/10.1071/ah14060.

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Objective To investigate how policy requiring cultural respect and attention to health equity is implemented in the care of rural and remote Aboriginal people in city hospitals. Methods Interviews with 26 staff in public hospitals in Adelaide, South Australia, were analysed (using a framework based on cultural competence) to identify their perceptions of the enabling strategies and systemic barriers against the implementation of official policy in the care of rural Aboriginal patients. Results The major underlying barriers were lack of knowledge and skills among staff generally, and the persis

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Ambagtsheer, Rachel C., Renuka Visvanathan, Elsa Dent, Solomon Yu, Timothy J. Schultz, and Justin Beilby. "Commonly Used Screening Instruments to Identify Frailty Among Community-Dwelling Older People in a General Practice (Primary Care) Setting: A Study of Diagnostic Test Accuracy." Journals of Gerontology: Series A 75, no. 6 (November 5, 2019): 1134–42. http://dx.doi.org/10.1093/gerona/glz260.

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Abstract Background Rapid frailty screening remains problematic in primary care. The diagnostic test accuracy (DTA) of several screening instruments has not been sufficiently established. We evaluated the DTA of several screening instruments against two reference standards: Fried’s Frailty Phenotype [FP] and the Adelaide Frailty Index [AFI]), a self-reported questionnaire. Methods DTA study within three general practices in South Australia. We randomly recruited 243 general practice patients aged 75+ years. Eligible participants were 75+ years, proficient in English and community-dwelling. We

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Doerr, Christine R., Stephen E. Graves, Graham E. Mercer, and Richard H. Osborne. "Implementation of a quality care management system for patients with arthritis of the hip and knee." Australian Health Review 37, no. 1 (2013): 88. http://dx.doi.org/10.1071/ah11107.

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The Orthopaedic Unit of the Repatriation General Hospital (RGH) in Adelaide, South Australia has implemented a quality care management system for patients with arthritis of the hip and knee. The system not only optimises conservative management but ensures that joint replacement surgery is undertaken in an appropriate and timely manner. This new service model addresses identified barriers to service access and provides a comprehensive, coordinated strategy for patient management. Over 4 years the model has reduced waiting times for initial outpatient assessment from 8 to 3 months and surgery f

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Beard, Matthew, Joseph F. Orlando, and Saravana Kumar. "Overcoming the tyranny of distance: An audit of process and outcomes from a pilot telehealth spinal assessment clinic." Journal of Telemedicine and Telecare 23, no. 8 (August 17, 2016): 733–39. http://dx.doi.org/10.1177/1357633x16664851.

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Introduction There is consistent evidence to indicate people living in rural and remote regions have limited access to healthcare and poorer health outcomes. One way to address this inequity is through innovative models of care such as telehealth. The aim of this pilot trial was to determine the feasibility, appropriateness and access to a telehealth clinic. In this pilot trial, the telehealth clinic outcomes are compared with the outreach clinic. Both models of care are commonly utilised means of providing healthcare to meet the needs of people living in rural and remote regions. Methods A pr

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Chapman-Goetz, Jessica, Nerida Packham, Genevieve Gabb, Cassandra Potts, Kitty Yu, Adaire Prosser, Elizabeth Hotham, and Vijayaprakash Suppiah. "Acceptability and feasibility of the NPS MedicineWise mobile phone application in supporting medication adherence in patients with chronic heart failure: Protocol for a pilot study." PLOS ONE 17, no. 2 (February 4, 2022): e0263284. http://dx.doi.org/10.1371/journal.pone.0263284.

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Introduction Heart failure (HF) is an increasing global concern. Despite evidence-based pharmacotherapy, morbidity and mortality remain high in HF. Medication non-adherence is a crucial factor in optimising clinical outcomes. A growing number of smartphone applications (apps) assist management. While evidence support their use to promote treatment adherence, apps alone may not be the solution. The objective of this pilot study is to assess the acceptability and feasibility of a tiered intervention added to the NPS MedicineWise dose reminder app (MedicineWise app) in supporting medication adher

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Gesesew, Hailay, Paul Ward, Jonathan Karnon, Richard Woodman, and Lillian Mwanri. "Peer-led HIV care and the UNAIDS 90-90-90 treatment targets in Tigrai, Ethiopia: a cluster randomised trial and economic evaluation of teach-test-link-trace model (TTLT) trial protocol." BMJ Open 11, no. 6 (June 2021): e043943. http://dx.doi.org/10.1136/bmjopen-2020-043943.

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IntroductionThis study will evaluate the acceptability and effectiveness of a new intervention programme called teach-test-link-trace (TTLT) model in Tigrai, Ethiopia, where peer educators counsel about HIV (teach), perform house-to-house HIV testing (test) through pinprick HIV testing (H2H) or OraQuick HIV self-testing (HIVST), link HIV-positive patients to HIV care (link) and trace lost patients house-to-house (trace).Methods and analysisThe four-arm cluster randomised trial will be conducted in five phases: Phase 1 will assess the acceptability of the TTLT model using a cross-sectional surv

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Fok, Patrick T., David Teubner, Jeremy Purdell-Lewis, and Andrew Pearce. "Predictors of Prehospital On-Scene Time in an Australian Emergency Retrieval Service." Prehospital and Disaster Medicine 34, no. 03 (June 2019): 317–21. http://dx.doi.org/10.1017/s1049023x19004394.

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AbstractIntroduction:Prehospital physicians balance the need to stabilize patients prior to transport, minimizing the delay to transport patients to the appropriate level of care. Literature has focused on which interventions should be performed in the prehospital environment, with airway management, specifically prehospital intubation (PHI), being a commonly discussed topic. However, few studies have sought additional factors which influence scene time or quantify the impact of mission characteristics or therapeutic interventions on scene time.Hypothesis/Problem:The goal of this study was to

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Lautenschlager, Nicola T., and David Ames. "International Psychogeriatricspaper of the year 2014: a new tradition and the first candidate for a 2024 paper of the decade?" International Psychogeriatrics 27, no. 4 (March 2, 2015): 527–28. http://dx.doi.org/10.1017/s1041610215000095.

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In 2014, the International Psychogeriatric Association (IPA) celebrated the fact that IPA's flagship scientific journalInternational Psychogeriatrics(IPG) has matured, attaining 25 years of existence since its foundation in 1989. The IPG editorial team introduced several new features in the 2014 issues to celebrate this significant quarter century milestone. One of them was the new “paper of the month” category. Following an internal selection process amongst the editorial team, who ranked available accepted papers focusing on their scientific quality and clinical relevance each month, one pap

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Jamalulhak, Amir Izzat, Cherrie Galletly, and Nick Ford. "Improving services for those who serve: A private practice initiative to improve psychiatric care for first responder and military patients." Australasian Psychiatry, December 1, 2021, 103985622110578. http://dx.doi.org/10.1177/10398562211057873.

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Objectives Professional isolation and limited opportunities for multidisciplinary collaborations are well-recognised challenges for psychiatrists in private practice. This narrative paper describes the development of a private practice group to assist first responders (FRs) and military patients located in Adelaide, South Australia. The aims included both peer review, and interdisciplinary communication and collaboration. Relevant personnel in the ambulance, police and fire services, military and veterans’ groups, and the compensation system, participated in monthly meetings. Lack of timely ac

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Cappetta, Kara, Luise Lago, Jan Potter, and Lyn Phillipson. "Under-coding of dementia and other conditions indicates scope for improved patient management: A longitudinal retrospective study of dementia patients in Australia." Health Information Management Journal, January 23, 2020, 183335831989792. http://dx.doi.org/10.1177/1833358319897928.

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Background: Under-coding of dementia during hospitalisation results in an inability to identify all patients with dementia using hospital administrative data. Clinical coding can be viewed as a proxy for management; therefore, under-coding indicates dementia was not considered in the patient’s management. While under-coding of dementia is well established, there is sparse evidence on whether dementia is coded in subsequent hospitalisations among patients with a known diagnosis. Objective: (a) To describe patterns of dementia coding over 5 years after a first-coded (i.e. index) admission for de

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Arakawa Martins, B., H. Barrie, J. Dollard, N. Mahajan, and R. Visvanathan. "OLDER ADULTS’ PERCEPTIONS OF THE BUILT ENVIRONMENT AND ASSOCIATIONS WITH FRAILTY: A FEASIBILITY AND ACCEPTABILITY STUDY." Journal of Frailty & Aging, 2018, 1–4. http://dx.doi.org/10.14283/jfa.2018.23.

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It is essential to evaluate frail older adults understanding and execution of survey tools to improve data quality and accurate representation in research. The study tested the feasibility and acceptability of a survey that assesses various measures of functional status in frail older people. The study evaluated: 1) recruitment rate; 2) time to complete questionnaires and difficulties encountered; and 3) acceptability by participants. Validated tools including: FRAIL Scale, EuroQoL 5D-5L, Charlson’s Comorbidities Index, Baecke’s Physical Activity Questionnaire, Life-Space Assessment, Katz and

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Duncanson, Emily, Anna Chur-Hansen, and Shilpanjali Jesudason. "Patient perspectives of coping with automated peritoneal dialysis." Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis, September 9, 2021, 089686082110434. http://dx.doi.org/10.1177/08968608211043411.

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Background: Patients receiving peritoneal dialysis (PD) experience poor quality of life, depression, anxiety and lifestyle changes. Insights into how patients adjust to and cope with PD from a psychological perspective will aid care. Methods: Participants were recruited purposively through the Central Northern Adelaide Renal and Transplantation Service in South Australia. Ten patients receiving automated PD (APD) (5 females and 5 males) aged 31 to 77 years (M = 59.3) participated in a semi-structured interview. Interview transcripts were analysed thematically through inductive and deductive me

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Oberai, Tarandeep, Kate Laver, Richard Woodman, Maria Crotty, Gino Kerkhoffs, and Ruurd Jaarsma. "Does implementation of a tailored intervention increase adherence to a National Safety and Quality Standard? A study to improve delirium care." International Journal for Quality in Health Care 33, no. 1 (January 1, 2021). http://dx.doi.org/10.1093/intqhc/mzab006.

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Abstract Background Delirium is commonly detected in older people after hip fracture. Delirium is considered to be a multifactorial disorder that is often seen post-operatively (incidence ranging from 35% to 65%). Hospitals in Australia are required to meet eight standards including the comprehensive care standard to be able to maintain their accreditation. The standard includes actions related to falls, pressure injuries, nutrition, mental health, cognitive impairment and end-of-life care. Delirium prevention was identified as an area for improvement in our Orthopaedic unit in a Level 1 Unive

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Ben chmo, Marcelle, Lisa Matricciani, Saravana Kumar, and Kristin Graham. "“I was trying to look after myself, but I really wasn’t”: Understanding patient’s perspectives on risk factors for lower extremity amputations." Journal of Foot and Ankle Research 15, no. 1 (December 12, 2022). http://dx.doi.org/10.1186/s13047-022-00589-6.

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Abstract Background Lower extremity amputations (LEAs) as a result of type 2 diabetes mellitus (T2DM) cause considerable morbidity, mortality, and burden on the healthcare system. LEAs are thought to be preventable, yet the rate of LEAs, particularly in Australia, has risen despite the availability of preventative healthcare services. Understanding patient’s perspectives of risk factors for LEAs may provide valuable insight into why many LEAs occur each year. Objective The aim of this study was to explore patient’s perspectives of risk factors for LEAs as a result of T2DM. Methods A qualitativ

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Reed, C., M. Happich, J. Raskin, A. Tockhorn-Heidenreich, and M. Belger. "UTILIZATION OF OBSERVATIONAL DATA AS A PROXY COHORT FOR COMPARISON PURPOSES WITH OPEN-LABEL STUDY RESULTS: AN EXAMPLE FROM ALZHEIMER’S DISEASE." Journal Of Prevention of Alzheimer's Disease, 2019, 1–10. http://dx.doi.org/10.14283/jpad.2019.4.

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Background: Randomized placebo-controlled trials in the development of disease-modifying treatments for Alzheimer’s disease are typically of short duration (12–18 months), and health economic modeling requires extrapolation of treatment effects beyond the trial period. OBJECTIVES: To investigate whether observational data can be used to extrapolate data from open-label trials, we compared outcomes (cognition, function, behavior) over 36 months for patients with mild Alzheimer’s disease dementia in the GERAS observational study (proxy for placebo control) with those of the mild Alzheimer’s dise

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Thwaites, Simon, Dominic Thewlis, Kelly Hall, and Mark Rickman. "Investigating and defining outcomes of suprapatellar versus infrapatellar intramedullary nailing of tibial shaft fractures: a protocol for a pilot randomised controlled trial." Pilot and Feasibility Studies 8, no. 1 (May 26, 2022). http://dx.doi.org/10.1186/s40814-022-01057-5.

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Abstract Background Anterior knee pain is often reported following intramedullary nailing of tibial shaft fractures. The aetiology remains unclear, but the surgical approach may play an important role. To date, no biomechanically validated method exists to assess patient outcomes specific to anterior knee pain in this cohort. The central aims of this study are to (1) evaluate the feasibility of a full-scale randomised controlled trial (RCT) investigating the influence of surgical approach on intramedullary nailing of tibial shaft fractures (suprapatellar versus infrapatellar nailing), (2) expl

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