ORCID Profile
0000-0003-4709-3841
Current Organisations
Flinders University
,
University of South Australia
,
The University of Adelaide Faculty of the Professions
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Publisher: Unknown
Date: 2016
Publisher: PeerJ
Date: 16-03-2020
DOI: 10.7717/PEERJ.8633
Abstract: Atlantia is described as a new genus pertaining to the family Dendrophylliidae (Anthozoa, Scleractinia) based on specimens from Cape Verde, eastern Atlantic. This taxon was first recognized as Enallopsammia micranthus and later described as a new species, Tubastraea caboverdiana , which then changed the status of the genus Tubastraea as native to the Atlantic Ocean. Here, based on morphological and molecular analyses, we compare fresh material of T. caboverdiana to other dendrophylliid genera and describe it as a new genus named Atlantia in order to better accommodate this species. Evolutionary reconstruction based on two mitochondrial and one nuclear marker for 67 dendrophylliids and one poritid species recovered A. caboverdiana as an isolated clade not related to Tubastraea and more closely related to Dendrophyllia cornigera and Leptopsammia pruvoti . Atlantia differs from Tubastraea by having a phaceloid to dendroid growth form with new corallites budding at an acute angle from the theca of a parent corallite. The genus also has normally arranged septa (not Portualès Plan), poorly developed columella, and a shallow-water distribution all supporting the classification as a new genus. Our results corroborate the monophyly of the genus Tubastraea and reiterate the Atlantic non-indigenous status for the genus. In the light of the results presented herein, we recommend an extensive review of shallow-water dendrophylliids from the Eastern Atlantic.
Publisher: Wiley
Date: 03-05-2022
DOI: 10.1111/AJAG.13080
Abstract: We explored the perspectives of professionals working in health and aged care services in South Australia about factors that influenced successful transitions from hospital to home or residential aged care home for older people. We examined successful and recommended strategies that could support safe transitions following hospital discharge and reduce avoidable hospital admissions in South Australia. Nineteen professionals from acute, post‐acute, primary, community and aged care settings in South Australia participated in semi‐structured interviews. Qualitative content analysis was conducted. Participants reported that navigating service provision could be difficult, compounded by different funding arrangements for hospitals, community, primary care and aged care services. Some participants felt that there was an over‐reliance on the hospital sector, leaving primary care and community‐based services under‐utilised to support hospital transitions. The importance of good communication between services and sectors was highlighted. Participants described different categories of services that supported safe transitions by supporting older people immediately post‐discharge services that provided support to stay at home in the weeks and months following discharge and services that helped the person receive health care at locations other than hospitals or emergency departments when they were unwell. Participants noted that successful programs were not always maintained. Division of responsibility of aged and health‐care services between state and national governance contributes to fragmentation of care in South Australia. Careful planning of transitions and coordination of services across sectors is required to ensure older people are supported in the months following discharge from hospital to reduce avoidable rehospitalisations.
Publisher: Springer Science and Business Media LLC
Date: 07-04-2021
DOI: 10.1186/S43058-021-00141-W
Abstract: Repeated admission to hospital can be stressful for older people and their families and puts additional pressure on the health care system. While there is some evidence about strategies to better integrate care, improve older patients’ experiences at transitions of care, and reduce preventable hospital readmissions, implementing these strategies at scale is challenging. This program of research comprises multiple, complementary research activities with an overall goal of improving the care for older people after discharge from hospital. The program leverages existing large datasets and an established collaborative network of clinicians, consumers, academics, and aged care providers. The program of research will take place in South Australia focusing on people aged 65 and over. Three inter-linked research activities will be the following: (1) analyse existing registry data to profile in iduals at high risk of emergency department encounters and hospital admissions (2) evaluate the cost-effectiveness of existing ‘out-of-hospital’ programs provided within the state and (3) implement a state-wide quality improvement collaborative to tackle key interventions likely to improve older people’s care at points of transitions. The research is underpinned by an integrated approach to knowledge translation, actively engaging a broad range of stakeholders to optimise the relevance and sustainability of the changes that are introduced. This project highlights the uniqueness and potential value of bringing together key stakeholders and using a multi-faceted approach (risk profiling evaluation framework implementation and evaluation) for improving health services. The program aims to develop a practical and scalable solution to a challenging health service problem for frail older people and service providers.
Publisher: Cambridge University Press (CUP)
Date: 15-07-2020
DOI: 10.1017/S1368980020001354
Abstract: To examine the association between consumption of western foods purchased and consumed away from home and measures of nutrition quality: average daily caloric intake and macronutrient (carbohydrates, fat and protein) shares, for urban consumers in Vietnam, a country undergoing economic transition. Cross-sectional observational data were collected using household surveys and 24-h food diaries. Outcome variables were in idual average daily caloric intake and shares of calories from macronutrients: carbohydrates, fat and protein. The key explanatory variable was in idual daily share of calories from western food purchased and consumed away from home. Ordinary least squares and multivariate regression analyses were used to examine the association between the outcome variables: caloric intake and macronutrient shares and the share of calories from western food consumed away from home. Hanoi and Ho Chi Minh City in Vietnam. In total, 1685 households and 4997 in iduals, including adults (aged $$ \\ge $$ 18 years), adolescents (aged 10–17 years) and children (aged 0–9 years). The share of calories from western food away from home was significantly associated with higher caloric intake among male and female adults ( P 0·01), adolescents ( P 0·01) and male children ( P 0·10) and was associated with higher shares of fat for male and female adults ( P 0·01), adolescents ( P 0·01) and male children ( P 0·01). Policymakers must be conscious of the numerous factors associated with poor nutrition quality, especially in younger Vietnamese in iduals. Relevant interventions targeting at risk groups are required if nutrition improvement is a long-term goal.
Publisher: Wiley
Date: 21-05-2019
Publisher: Informa UK Limited
Date: 05-03-2019
Publisher: BMJ
Date: 03-2022
DOI: 10.1136/BMJOQ-2021-001774
Abstract: Hospital use increases with age. Older people and their families have reported poor experiences of care at the time of discharge home from hospital. As part of a larger project, we established and evaluated a quality improvement collaborative to address hospital to home transitions for older people. We convened an expert panel of 34 stakeholders to identify modifiable issues in the hospital-home transition period. We established a collaborative involving health professionals across a range of agencies working to common goals. Teams were supported by a network manager, three learning sessions and quality improvement methodology to address their identified area for improvement. We used mixed methods to evaluate whether the establishment of the quality improvement collaborative built networks, built capacity in the health professionals and improved the quality of care for older people. Evaluation methods included interviews, surveys, network mapping and case studies. Nine teams (n=41 participants) formed the collaborative and attended all meetings. Mapping showed an increase in networks between participants and organisations at the conclusion of the collaborative. Interview data showed that building relationships across services was one of the most important parts of the collaborative. Survey results revealed that most (77%) believed their quality improvement skills had developed through participation. Advice and regular meetings to progress project work were considered important in ensuring teams stayed focused. In terms of improving the quality of care, some participants indicated that they achieved the stated aims of their project better than expected (21%), most (41%) felt they achieved their aim as expected, 26% got close to their aim and the rest did not know the outcome (13%). Establishing a quality improvement collaborative was a positive activity in terms of building a network across organisations and progressing quality improvement projects which aimed to achieve the same overall goal.
Location: Australia
No related grants have been discovered for Jesmin Rupa.