ORCID Profile
0000-0003-2039-4345
Current Organisations
Universität Bern
,
Universitat Bern
,
Charles Sturt University - Bathurst Campus
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Publisher: Informa UK Limited
Date: 22-05-2020
Publisher: Public Library of Science (PLoS)
Date: 28-09-2017
Publisher: Elsevier BV
Date: 2018
DOI: 10.1016/J.JDIACOMP.2017.09.008
Abstract: To review the epidemiology and the clinical evidence regarding achieving blood pressure (BP) and blood glucose control in patients with chronic kidney disease (CKD) and diabetes mellitus (DM), with emphasis on adherence and barriers within the context of Australian clinical guidelines. This article then considers Australian services aimed at BP, DM, and CKD, guideline adherence and control. Evidence from PubMed-listed articles published between 1994 and 2016 is considered, including original research, focusing on randomised controlled trials and prospective studies, review articles, meta- analyses, expert and professional bodies' guidelines as well as our experience. There have been no Australian studies that consider adherence to BP control in DM and CKD patients. This is a major limitation in preventing DM and renal disease progression. It is possible that Australian clinicians are not adhering to DM, hypertension (HT), and glucose recommendations, thus resulting in reduced patient outcomes. It is hoped that future studies ascertain the extent to which the required BP and glucose control in patients is achieved, and the potential barriers to adherence. The significance of this is immense since the impact of failure to control blood glucose levels and BP leads to renal damage.
Publisher: Scientific Research Publishing, Inc.
Date: 2020
Publisher: Informa UK Limited
Date: 03-09-2018
DOI: 10.1080/15412555.2018.1487390
Abstract: There is considerable research regarding the adaption to functional decline associated with advanced (Stage IV) Chronic Obstructive Pulmonary Disease (COPD). This research has, however, primarily focused on physical and interventional strategies to manage disease progression and symptom burden, as opposed to the psychosocial strategies. To address this paucity, the current research explored the psychosocial strategies people with Stage IV COPD use to maintain quality of life towards the end of life. Eleven older people with Stage IV COPD living in regional Australia were interviewed to explore their experiences of ageing with COPD. The research used a theory-led analysis, informed by a Gadamerian hermeneutic phenomenological methodology, to examine participant data in relation to selection, optimisation and compensation theory (SOC). The participant stories reflected the use of selective strategies, from which a hierarchy of priority tasks emerged. Participants optimised their capacity to perform high priority tasks using a range of pragmatic and instinctive responses to ongoing change, which became more and more conscious and deliberate over time. Additionally, compensatory strategies more traditionally associated with COPD management were used to reduce the impact of symptoms. It is through the participant descriptions and perception of optimisation and compensation strategies and how they were implemented that the wider theme of 'mind over matter' emerged. The use of these strategies to adapt physically and psychosocially to COPD shows how the participants demonstrated resilience and used 'successful ageing' strategies to cope with ongoing functional decline.
Publisher: Wiley
Date: 09-09-2020
DOI: 10.1002/HPM.3054
Publisher: Informa UK Limited
Date: 02-01-2023
Publisher: Informa UK Limited
Date: 27-12-2020
Publisher: Elsevier BV
Date: 2012
Publisher: Springer Science and Business Media LLC
Date: 27-07-2022
DOI: 10.1186/S12884-022-04934-2
Abstract: Over the years, governments and stakeholders have implemented various policies rogrammes to improve maternal health outcomes in low-middle-income countries. In Ghana, Community Health Officers were trained as midwives to increase access to skilled maternal healthcare. The government subsequently banned traditional birth attendants from providing direct maternal healthcare in 2000. Despite these, there is an unprecedented utilisation of TBAs’ services, including herbal uterotonics. This has attempted to defeat stakeholders’ c aigns to improve maternal health outcomes. Thus, we explored and highlighted herbal uterotonic consumption in pregnancy and birth and the implications on maternal and newborn health outcomes in North-Western Ghana. This was an exploratory qualitative study that investigated traditional birth attendants ( n = 17) and healthcare providers' ( n = 26) perspectives on the intake of herbal uterotonics in pregnancy and childbirth in rural Ghana, using in-depth interviews. A combination of convenience, purposive and snowball s ling procedures were employed in selecting participants. Findings were captured in two domains: (1) perceived rationale for herbal uterotonic intake, and (2) potential adverse impacts of herbal uterotonic intake in pregnancy and labour, and nine topics: (i) confidence in unskilled attendance at birth, (ii) cost and a shortage of essential medicines, (iii) herbal uterotonics as a remedy for obstetric problems, (iv) herbal uterotonics facilitate birth, (v) attraction of home birth for cultural reasons, (vi) affordability of herbal uterotonics, (vii) unintended consequences and adverse outcomes, (viii) risks using herbal uterotonics to manage fertility and (ix) risks using herbal uterotonics to facilitate home birth . The findings have suggested that the intake of non-conventional herbal uterotonic is widespread in the study area, although the constituents of the herb are unknown. However, complex and multiple factors of healthcare cost, desire for homebirth, unawareness of the negative effects of such substances, perceived way of addressing obstetric problems and cultural undertones, among others, accounted for herbal uterotonics consumption. We also encourage research into the constituents of ‘mansugo’ and the potential benefits and adverse effects. We recommend qualitative studies involving previous users of this herbal uterotonic to inform policy and healthcare provision.
Publisher: Springer Science and Business Media LLC
Date: 23-07-2019
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 02-0055
Publisher: Medip Academy
Date: 27-04-2021
DOI: 10.18203/2394-6040.IJCMPH20211789
Abstract: Green leafy vegetables (GLVs) play an important role in human nutrition. In sub-Saharan African countries, GLVs are a vital source of essential micronutrients, and their consumption has long been a part of the cultural heritage of African households. In Nigeria, GLVs are either cooked as a stew or consumed raw and used as a main or a supporting dish. These GLVs have great nutritional and medicinal value. It is hypothesized that providing knowledge about the botanical description, nutritional and medicinal benefits to consumers could improve consumption, but much of existing knowledge is poorly documented and inaccessible. This paper aims to address this gap by collating information on some consumed in Delta State, Nigeria: African jointfir (Gnetum africanum, locally known as Ukazi), jute mallow, (Corchorus olitorius, locally known as Malafiya), and cassava (Manihot esculenta, Crantz), giant yellow mulberry (Myrianthus arboreus), okra (Abelmoschus esculentus), clove (Syzygium aromaticum) and bush buck, (Gongronema latifolium, locally known as Utazi) leaves.
Publisher: Springer International Publishing
Date: 2021
Publisher: Wiley
Date: 21-11-2006
DOI: 10.1111/J.1440-1584.2006.00827.X
Abstract: Documentation and evaluation of patient outcomes in a pilot study into the role of rural community pharmacists in the management of depression. Parallel groups design with a control and intervention group. Thirty-two community pharmacies in rural and remote New South Wales, Australia. One hundred and six patient participants, mean age of 46 years, predominantly female, not currently employed, recruited by participating pharmacists. Intervention pharmacists were given video-conference training on the nature and management of depression by a psychiatrist, psychologist and general practitioner and asked to dispense medication with extra advice and support. Control pharmacists were asked to provide usual care. Adherence by self-report, K10, Drug Attitude Index. The results indicated that adherence to medications was high in both groups (95% versus 96%) and that both groups had improved significantly in wellbeing (a reduction K10 score of 4 (control) versus 4.7 (intervention)). No significant change was found in attitude to drug treatment once baseline scores were controlled for. Because both groups improved in wellbeing it is not possible to claim that the training provided to the intervention pharmacists was responsible for the success. However, the improvements gained in such a short time (two months) suggest that the involvement of pharmacists has had a beneficial rather than negative effect. Further research into the most appropriate ways in which to integrate the skills of pharmacists into a model of mental health care delivery in rural communities is recommended.
Publisher: Elsevier BV
Date: 12-2017
DOI: 10.1016/J.DSX.2017.07.034
Abstract: To determine if the Cardiac rehabilitation (CR) program had positive effects on the patient medically as well as effects on pathological risk factors, functional capacity, and mental health and the extent to which targets for blood pressure (BP) control in patients with hypertension (HT) and diabetes mellitus (DM) are achieved. CR participant data was collected from 1st June 2014 until 31st December 2015 (19 months), which included: demographics, medical history, social history, medications, lipid profiles and anthropometric measurements. Additional data was collected on The Patient Health Questionnaire (PHQ-9) factors, and on the participants 6min walk test (6MWT). Study participants were eligible to participate in the study if they attended 10 or more CR program sessions out of 12 at the Calvary Public Hospital Canberra. Seventy nine (79) participants participated in the study. Significant reductions in BP (n=79) (p=<0.05), blood LDL cholesterol levels (n=26) (p=<0.05), and improvements in participants PHQ-9 scores (n=79) (p=<0.001), and their 6MWT (n=78) (p=<0.001) were noted. Participants were also able to better manage their medication (p=<0.05). Importantly, results indicated that significant improvements (p=<0.05) were made in DM patients (n=18) diastolic BP, physical ability and depression and anxiety. A CR program can reduce risk factors associated with CVD, and improves mental health and physical fitness of participants. Indicated that the CR program reduces DM patient risk factors through improved physical fitness and reductions in depression and anxiety, leading to reduced risk of future cardiovascular and renal disease.
Publisher: Wiley
Date: 24-09-2009
Publisher: Public Library of Science (PLoS)
Date: 30-08-2017
Publisher: Elsevier BV
Date: 04-2018
DOI: 10.1016/J.PUHE.2018.01.014
Abstract: Maternal and neonatal healthcare outcomes in Sub-Saharan Africa (SSA) remain poor despite decades of different health service delivery interventions and stakeholder investments. Qualitative studies have attributed these results, at least in part, to sociocultural beliefs and practices. Thus there is a need to understand, from an overarching perspective, how these sociocultural beliefs affect maternal and neonatal health (MNH) outcomes. A qualitative meta-synthesis of primary studies on cultural beliefs and practices associated with maternal and neonatal health care was carried out, incorporating research conducted in any country within SSA, using data from men, women and health professionals gathered through focus group discussions, structured and semistructured interviews. A systematic search was carried out on seven electronic databases, Scopus, Ovid Medline, PubMed, CINAHL Plus, Humanities and Social Sciences (Informit), EMBASE and Web of Science, and on Google Scholar, using both manual and electronic methods, between 1st January 1990 and 1st January 2017. The terms 'cultural beliefs' 'cultural beliefs AND maternal health' 'cultural beliefs OR maternal health' 'traditional practices' and 'maternal health' were used in the search. Key components of cultural beliefs and practices associated with adverse health outcomes on pregnancy, labour and the postnatal period were identified in five overarching factors: (a) pregnancy secrecy (b) labour complications attributed to infidelity (c) mothers' autonomy and reproductive services (d) marital status, trust in traditional medicines and traditional birth attendants and (e) intergenerational beliefs attached to the 'ordeal' of giving birth. Cultural beliefs and practices related to maternal and neonatal health care are intergenerational. Therefore, intensive community-specific education strategies to facilitate behaviour changes are required for improved MNH outcomes. Adopting practical approaches such as involving husbands artners and communities in antenatal care services in a health facility and community settings can enhance improved MNH outcomes.
Publisher: Wiley
Date: 09-2004
Publisher: AMPCo
Date: 12-2020
DOI: 10.5694/MJA2.50881
Publisher: Medip Academy
Date: 2016
Publisher: Center for Open Science
Date: 27-09-2019
Abstract: The Åland Islands will use Internet Voting for the first time for expatriate voters at the next Parliamentary Elections, to be held in October 2019. This electoral modernization is a response to the need detected to introduce changes in order to better integrate expatriate voters and the younger generations into the electoral system, and represents a first step towards fully introducing i-Voting in future elections. This working paper provides a frame-work for the Ålandic electoral system for further analysis of the costs involved to introduce new voting channels following the CoDE Project methodology.
Publisher: Springer International Publishing
Date: 2018
Publisher: Informa UK Limited
Date: 28-02-2020
Publisher: Elsevier BV
Date: 05-2018
DOI: 10.1016/J.DSX.2017.12.007
Abstract: To determine the extent to which targets for blood pressure (BP) (<140.90 mmHg) and random blood glucose level (BGL) (<7.7 mmol/L) control in patients with chronic kidney disease (CKD) are achieved and the extent clinical inertia affects BP and glucose control in CKD and diabetes mellitus (DM). Data was collected from the 1st January 2015 until 31st December 2015 on key patient pathology, admission reason, final discharge diagnosis, and information concerning clinical guideline adherence. Eighty-seven (n = 87) CKD patients were included. The average hospital BP for all CKD patients was 134.3/73.4 mmHg, adhering to recommendations of <140/90 mmHg. The average CKD patient pre-admission BP was 134.8/72.2 mmHg compared to the discharge BP of 129.8/72.2 mmHg. At admission, 63.3% and 93.1% of patients adhered to systolic and diastolic BP recommendations, which significantly (p = 7.0% >53 mmol/mol). There were 21 cases of clinical inertia, affecting 18 out of 87 patients (20.7%), with significant adverse hospital discharge differences (p = <.05) between clinical inertia and non- clinical inertia patient systolic BP (144.2 vs. 132.8 mmHg), deranged BGL (66.7% vs. 35.3%), and reduction in kidney function (83.3% vs. 30.9%). Adherence appears to be related to inpatient clinical inertia and outpatient patient health literacy and empowerment.
Publisher: Elsevier BV
Date: 10-2018
Publisher: Scientific Research Publishing, Inc.
Date: 2020
Publisher: Informa UK Limited
Date: 24-02-2020
Publisher: Oxford University Press (OUP)
Date: 04-2008
Abstract: This study aimed to develop, implement and evaluate an integrated service provided by pharmacists to consumers based on the results of a risk-assessment survey carried out by the pharmacist and testing of bone mineral density (BMD) by a radiographer. It also investigated whether measurement of BMD in the pharmacy increased the effectiveness of the service and pharmacist referral in terms of adherence to advice and uptake of referral compared with the same service offered without BMD testing. Community pharmacists in urban and rural settings in New South Wales, Australia, delivered the service. The adherence to advice or referral given by 12 community pharmacists during 2003 to 217 participants about the prevention of osteoporosis following screening with either a BMD test plus risk-assessment questionnaire or a risk-assessment questionnaire only was compared. No significant between-group differences in adherence to advice or referral were found. However, participants valued the BMD service significantly more highly than the non-BMD service as measured by satisfaction scores. Consumers were interested in receiving information about osteoporosis and their own risk of it and even greater interest in BMD testing in the pharmacy. There was no difference in uptake of referral or advice following either questionnaire only or questionnaire plus BMD testing. Low uptake of referral and advice overall by those deemed to be at high risk is of concern. Far greater education and encouragement for consumers to follow through is required.
Publisher: SAGE Publications
Date: 17-11-2017
Publisher: Wiley
Date: 24-09-2009
DOI: 10.1111/J.1440-1584.2009.01084.X
Abstract: This paper explores pharmacist perceptions of a pilot study assessing the impact of specialist training on depression for rural community pharmacists on their understanding of treatment and psychological well-being of patients. Mixed method survey. Rural community pharmacies. Thirty-two rural based community pharmacists. Recruited pharmacists were allocated to either the 'control' or 'intervention' group. Intervention pharmacists were given training in depression and asked to dispense medication with extra advice and support, while control pharmacists provided usual care. Understanding of depression, current involvement in patients with depression, changes in practice. All pharmacists were more likely to initiate conversation, discuss medication and its side effects, point out the importance of remaining on the medication, provide ongoing follow-up and encourage patients to talk with their GPs and pharmacists by the end of the project. Intervention pharmacists were more likely than the control pharmacists to initiate conversation on dispensing a repeat prescription and to discuss extended support. Response to the project by pharmacists was generally very positive. It is recommended that a longitudinal study based on this project be undertaken which involves pharmacists, GPs and other mental health professionals and trials a holistic approach to mental health care.
Location: Russian Federation
Location: Russian Federation
Location: United Kingdom of Great Britain and Northern Ireland
Location: No location found
No related grants have been discovered for Judith Crockett.