86 Works

Workforce innovation: Embracing emerging technologies

Justin Beilby
Background: In a rapidly evolving digital world, it is crucial that general practice embraces the potential of artificial intelligence (AI) and virtual reality (VR) in a real and proactive manner.
Objective: Using examples of AI and VR, the article outlines some of the benefits and challenges we face in integrating these digital tools into daily clinical practice and our training programs.
Discussion: It is clear that AI and VR digital innovations will continue to grow...

Free and dipeptide forms of L-glutamine supplementation attenuate parameters of oxidative stress and nonalcoholic fatty liver disease (NAFLD), and improve glucose metabolism in insulin resistant Ob/Ob mice

Jaqueline Santos Moreira Leite, Hilton Takahashi, Layanne Cabral Da C De Araujo, José Donato Junior, Ângelo Rafael Carpinelli & Vinicius Fernandes Cruzat
Introduction: The availability of the body’s most abundant amino acid, glutamine is compromised in obesity-associated diabetes. This may impair glucose metabolism by increasing hepatic insulin resistance, oxidative stress and the development of nonalcoholic fatty liver disease (NAFLD).
Objective: Evaluate the effects of free and dipeptide (DIP, L-alanyl-L-glutamine) forms of L-glutamine on glucose metabolism, biomarkers of oxidative stress and NAFLD in insulin resistant Ob/Ob mice.
Methods: C57/BL6 adult male mice were distributed into five groups: WT and Ob/Ob...

Retro style: Class, gender and design in the home

Sarah Baker
Retro interiors have come to the fore in recent years as a highly desirable and valuable branch of interior design. The emergence of a need for decorative objects and vintage furniture has resurrected retro style and placed it firmly as a key trend of contemporary design.

Retro Style: Class, Gender and Design in the Home is the first book to explore the modern position of retro by asking important questions around the emergence of the...

Application of an electronic Frailty Index in Australian primary care: data quality and feasibility assessment

Rachel Ambagtsheer, Justin Beilby, Julia Dabravolskaj, Marjan Abbasi, Mandy Archibald & Elsa Dent
Background
The primary care setting is the ideal location for identifying the condition of frailty in older adults.
Aims
The aim of this pragmatic study was twofold: (1) to identify data items to extract the data required for an electronic Frailty Index (eFI) from electronic health records (EHRs); and (2) test the ability of an eFI to accurately and feasibly identify frailty in older adults.
Methods
In a rural South Australian primary care clinic, we derived an eFI from routinely...

Improving Health Care Accessibility for Older Adults with Frailty: the Role of Geographical Information Systems [Letter]

Elsa Dent & Deborah Van Gaans
Letter to the Editor.

Dent, E. & van Gaans, D. Aging Clinical and Experimental Research (2018) 30: 1257.

Welcome to the Bubble: Experiences of liminality and communitas among summer camp counsellors

Mandi Baker
Summer camps provide a special time and space for youth growth and transformation. This growth is possible, in part, due to the physical and social isolation that contribute to the liminality of traditional residential camps. Camps act as a sort of ‘bubble’ in which alternative realities, norms and identities emerge. For many campers and camp counsellors, the community and personal relationships that develop at camp produce feelings of acceptance and belonging. Positive camp experiences do...

Bettering the Evaluation and Care of Health (BEACH): A unique role in the evolution of Australian general practice

Justin Beilby
Understanding what we do every day as general practitioners (GPs) through a detailed and measureable approach has been, and will continue to be, crucial to strengthening our profession. I have been working with general practice information and available data sources for over 20 years and have always appreciated the ongoing role of Bettering the Evaluation and Care of Health (BEACH) as one of my principal sources of validation. Preparing applications for many research grants, justifying...

Effect of Health Literacy on Quality of Life amongst Patients with Ischaemic Heart Disease in Australian General Practice

David Alejandro González-Chica, Zandile Mnisi, Jodie Avery, Katherine Duszynski, Jenny Doust, Philip Tideman, Andrew Murphy, Jacquii Burgess, Justin Beilby & Nigel Stocks
AbstractBackgroundAppropriate understanding of health information by patients with cardiovascular disease (CVD) is fundamental for better management of risk factors and improved morbidity, which can also benefit their quality of life.ObjectivesTo assess the relationship between health literacy and health-related quality of life (HRQoL) in patients with ischaemic heart disease (IHD), and to investigate the role of sociodemographic and clinical variables as possible confounders.MethodsCross-sectional study of patients with IHD recruited from a stratified sample of general practices...

The Ethos Framework : Generating Contextually Linked Dynamic Quests

Jacob Dodunski & Imran Khaliq
In today’s video game market there are hundreds of massively multiplayer online games, many of which boast dynamic content the content that responds to player’s actions and changes accordingly in runtime. Such content is not truly dynamic and is usually attributed to events on a timer. This presents a major flaw as it heavily affects the re-playability of a game. In this paper we examine four major frameworks: the TRUE STORY, Context Aware Petri Net,...

Exploring Representations of Interactive Space

Jordan Browne
Space has been conceived in many different ways by as many different disciplines. Lefebvre and Harvey suggest conceptions of space as approaches to understanding human interactions within our world. These same conceptions can be employed in a discussion of interactive space and how it is experienced and engaged with. Additionally, the very nature of interactivity facilitates other ideas that can be used to understand its landscape such as recursive space and the notion of how...

What factors are important for deprescribing in Australian long-term care facilities? Perspectives of residents and health professionals

Justin Paul Turner, Melinda Stanners, Susan Edwards, Sepehr Shakib & J. Simon Bell
Objectives Polypharmacy and multimorbidity are common in long-term care facilities (LTCFs). Reducing polypharmacy may reduce adverse events and maintain quality of life. Deprescribing refers to reducing medications after consideration of therapeutic goals, benefits and risks, and medical ethics. The objective was to use nominal group technique (NGT) to generate then rank factors that general medical practitioners (GPs), nurses, pharmacists and residents or their representatives perceive are most important when deciding whether or not to deprescribe...

A new border pedagogy to foster intercultural competence to meet the global challenges of the future

Louise Townsin & Christopher S Walsh
The Millennium Project, an international participatory think tank that uses futures research to systematically explore, create and test both possible and desirable futures in order to improve decisions in the present, presents unprecedented challenges for Australian education. Their publication, 2015-16 State of the Future, outlines 15 global challenges that represent an unparalleled invitation for educators to think creatively and imaginatively to design experiences whereby students successfully engage in ‘border crossing’ (Giroux, 1992). The act of...

Producing educational films that activate the emotions known to support learning

Stephen Hall
Vocational educators often use a variety of online educational films to engage learners in an attempt to reduce boredom - a precursor to student attrition (Cuseo, 2012). While there are numerous educational films available on sites such as YouTube and Vimeo, production values vary greatly. Importantly for educators and filmmakers, new questions need to be asked about educational films: do they activate those emotions known or believed to support learning? Do filmmakers understand whether using...

Management of Musculoskeletal Conditions in Rural South Australia: A Randomised Controlled Trial

Elsa Dent, Elizabeth Hoon, Jonathan Karnon, Alison Kitson, Joanne Dollard, Jonathan Newbury, Gillian Harvey, Tiffany Gill & Justin Beilby
With age, the prevalence of musculoskeletal conditions increases markedly. This rural-based study determined the benefits of two approaches for managing musculoskeletal conditions: a multiple-component 'Self-management Plus' intervention, and usual care. The intervention combined self-management education with physical activity and health professional support. 6-month outcomes included: Clinical Global Impression-Improvement Scale (CGI-IS) and Quality of Life (QoL). A total of 145 people were recruited; mean (SD) age was 66.1 (11.1) and 63.3 (10.9) years for intervention and...

Jamming as a design approach. Power of jamming for creative iteration

Tece Bayrak
Game jams are constrained game creation events that have been rapidly growing over the last decade. With the space and restriction acknowledging the iterative design process, the sweet urgency and playfully creative nature of game jams enable a concert across several disciplines with the participation of various people in the creation of impressive designs and artefacts. Considering the productivity of these events, the approach of jamming can be a powerful design model for both research...

A nurse-led model of care within an emergency department reduces representation rates for frail aged care residents

Sophie Shrapnel, Elsa Dent & Caroline Nicholson
Background: Hospital Emergency Departments (EDs) experience high presentation rates from older adults residing in Aged Care Facilities (ACFs), yet very few intervention studies have addressed the care needs of this population group. We designed and implemented a nurse-led model of care for older adults from ACFs, and determined its impact on patient outcomes. Methods: This 12-month pre–post intervention study was conducted during 2013–2014, with follow-up during 2015–2016. Participants included all older adults presenting from ACFs...

Glutamine and Skeletal Muscle

Vinicius Fernandes Cruzat
Among the 20 amino acids in the genetic code, glutamine is the most abundant and versatile amino acid in the human body. Quantitatively, the main tissue for glutamine synthesis, storage, and release is the skeletal muscle. Through the intertissue metabolic flux, skeletal muscles constantly release glutamine and feed cells of the immune system, liver, and kidneys. Glutamine can donate nitrogen atoms to the synthesis of purines and pyrimidines, has antioxidant and antiinflammatory properties, and also...

Frailty index from routine laboratory measurements correlates with leukocyte telomere length [Letter to the Editor]

Elsa Dent, Emiel Hoogendijk & Max Moldovan
Letter to the editor. Geriatrics and Gerontology International. 2018 Apr;18(4):654-655

Should we screen for frailty in primary care settings? A fresh perspective on the frailty evidence base: A narrative review

Rachel Ambagtsheer, Justin Beilby, Renuka Visvanathan, Elsa Dent, Solomon Yu & Annette Braunack-Mayer
With older adults living longer, health service providers have increasingly turned their attention towards frailty and its significant consequences for health and well-being. Consequently, frailty screening has gained momentum as a possible health policy answer to the question of what can be done to prevent frailty's onset and progression. However, who should be screened for frailty, where and when remains a subject of extensive debate. The purpose of this narrative review is to explore the...

Identification of service improvement opportunities in an Australian community transition care program

Katherine Schultz, Leanne Carroll, Kristin Mainey & Elsa Dent
BackgroundTransition care programs (TCPs) are designed to optimise functional recovery and independence in older adults post-hospitalisation. These programs are under high demand, and understanding inefficiencies in patient flow are a key step towards service improvement.AimsTo identify service improvement opportunities in an Australian community TCP service.MethodsAn in-depth retrospective study of 113 community TCP clients.ResultsTCP occupancy was high (94%) and client functional level improved across the program. Inefficiencies experienced included: admission delays to the program; low completion...

Socioeconomic position and malnutrition among older adults: Results from the FRADEA study

Emiel Hoogendijk, T. Flores Ruano, M. Martínez-Reig, M. López-Utiel, S. Lozoya-Moreno, Elsa Dent & P. Abizanda
ObjectivesLow socioeconomic position (SEP) is related to many health-related conditions in older adults. However, there is a lack of knowledge on the association between SEP and malnutrition, a condition with serious consequences for older people in terms of quality of life and adverse health events. In the current study, we investigated socioeconomic inequalities in malnutrition and sub-domains of malnutrition in a sample of Spanish older adults.DesignCross-sectional population-based study.SettingUrban area of Albacete, Spain. Participants: 836 participants...

Prevalence of childhood lead poisoning and respiratory disease associated with lead smelter emissions

Mark Taylor, Cynthia Isley & John Glover
Background The city of Port Pirie in South Australia has been a world leading centre for lead and zinc smelting and processing since 1889 that continues to cause contamination of its environment and resident population. This study quantifies the effect of lead and SO2 emissions from Nyrstar Port Pirie Pty Ltd's smelter on blood lead and respiratory health outcomes, respectively, and establishes what air quality values are required to better protect human health. Method Blood...

Medical Student Experiences of a Smartphone-Delivered Drug Information Resource

Jean-Pierre Calabretto, Josephine Thomas, Simone Rossi & Justin Beilby
Purpose: Investigate the suitability of mobile devices to deliver drug information content to 4th, 5th and 6th year medical students, searching for opportunities to improve drug information access or content to best support medication-related decision-making. Method: Participants undertook a baseline online survey prior to gaining access to the mobile drug information resource, and a second survey towards the end of the project. A small group of students were interviewed mid-way through the project. Question themes...

Frailty and health service use in rural South Australia

Elsa Dent, Elizabeth Hoon, Jonathan Karnon, Jonathan Newbury, Alison Kitson & Justin Beilby
Abstract Background Frailty is a common geriatric condition, well known to contribute to morbidity and mortality. What is not yet well articulated in the literature is the health service use of frail older people in rural areas. This study investigated the impact of frailty on health service use in rural South Australia. Methods This secondary cross-sectional analysis included people aged ≥65 years from the LINKIN health census in Port Lincoln. Frailty was classified using a...

Malnutrition Screening and Assessment in Hospitalised Older People

Elsa Dent, Emiel Hoogendijk, Renuka Visvanathan & Olivia Wright
Malnutrition (undernutrition) remains one of the most serious health problems for older people worldwide. Many factors contribute to malnutrition in older people, including: loss of appetite, polypharmacy, dementia, frailty, poor dentition, swallowing difficulties, social isolation, and poverty. Malnutrition is common in the hospital setting, yet often remains undetected by medical staff. The objective of this review is to compare the validity and reliability of Nutritional Screening Tools (NSTs) for older adults in the hospital setting....

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