ORCID Profile
0000-0002-8104-8019
Current Organisations
Austin Health
,
Victoria University
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Publisher: Elsevier BV
Date: 12-2020
Publisher: Elsevier BV
Date: 09-2021
DOI: 10.1016/J.AUEC.2021.12.002
Abstract: Emergency department staff awareness, access and implementation of advance care directives and goals of care documents and the related patient consent processes are important but not well understood. A cross-sectional survey using purposive s ling was undertaken at a tertiary hospital's Emergency Department from 15th March to 26th April 2021. Participants were recruited through online platforms. Pre-validated questionnaires were distributed by email or as QR codes on bulletin boards. Data collected included staff: demographics, knowledge, access and implementation of advance care directives and goals of care documentation. One hundred thirty-four (28%) of 476 targeted participants responded with nursing forming largest group. Results showed that previous attendance of advance care planning education was low at 20%. Familiarity with advance care directive documentations was only 19% while with goals of care document was average. 61 (48%) respondents reported ease of accessing electronic documents and 21 (19%) reported feeling very comfortable discussing and setting goals of care with patients (p = <0.01). Staff awareness of advance care directive was poor, while awareness of goals of care was average. There was no association between advance care directives awareness and staff age group, gender, length of: - professional practice, practice at the study site.
Publisher: American Association for the Advancement of Science (AAAS)
Date: 05-2015
Abstract: Humans are accelerating the extinction rates of species in both terrestrial and marine environments. However, species extinctions have occurred across time for a variety of other reasons. Finnegan et al. looked at the extinction rates across marine genera (groups of species) over the past 23 million years to determine intrinsic extinction rates and what traits or regions correspond to the highest rates. Combining patterns of intrinsic extinction with regions of high anthropogenic threat revealed taxa and areas, particularly in the tropics, where the risk of extinction will be especially high. Science , this issue p. 567
Publisher: Sciedu Press
Date: 22-01-2013
DOI: 10.5430/JNEP.V3N8P67
Publisher: Informa UK Limited
Date: 29-06-2023
Publisher: Research Square Platform LLC
Date: 14-11-2022
DOI: 10.21203/RS.3.RS-2207841/V1
Abstract: Background A Medical Treatment Decision Maker (MTDM) is appointed to make medical treatment decision on behalf of a person who cannot make such decisions for themselves, provided they are reasonably available and willing to make such decisions. In the Emergency Department (ED), the clinicians’ ability to contact MTDMs is an essential for patient care, particularly in time-critical situations or when end of life discussion is necessary. Our primary objective was to review the verification process and assess the accuracy of MTDM contact numbers in the Health Information System (HIS) at our institution. Methods Quantitative method with retrospective observational study design with phone interview transcript was used. Data was imported from Microsoft Office Excel Spreadsheet to SPSS™ for analysis and statistical significance indicated by a two-sided P value 0.05 and Confidence Interval (CI) range. Results Of the one hundred and sixty-nine patients selected, seventy six percent had a MTDM listed selected of whom 59% were available for follow up. The process of registering and validating a person as a MTDM in the HIS was found to be compliant with legal requirements. There was no reported, observed or known existing contact update alert process in the HIS after a period of patient record inactivity. Patient advancing age had statistically significant association with the number of call attempts made to reach the listed MTDM (P = 0.043 CI, -3.541 to -0.057) and the MTDM’s consent to participate (p = 0.023). Patient gender had statistically significant association with successfully contacting the listed MTDM (p = 0.036 CI, 0.012 to 0.355) and the number of call attempts made to reach the listed MTDM (P = 0.039 CI, 0.006 to 0.218). Conclusion Identification and listing of MTDMs for elderly patients need to improve, as the study found only 76% had MTDMs listed. In our s le only 59% responded to a contact call, a concerning result when considering the possible time critical nature of such a call. Four participants declined to consent as a call originating from a hospital extension is displayed as “No Caller ID” on smart phones. Concern about cybersecurity or data breaches, may impact on the ability to maintain accurate MTDM details
Publisher: IGI Global
Date: 2015
DOI: 10.4018/978-1-4666-8702-8.CH008
Abstract: Globally, the provision of clean and safe drinking water to most populations has been an elusive development goal though some of us take the availability of this vital resource for granted. Millennium Development Goals (MDG) target 7.C is the target, which addresses sustainability and access to water, among other developmental goals. As the preceding targets appear elusive, Kenya is now refocussing on Vision 2030. It is important to identify reasons for this to avoid a repetition during the next fifteen years. In order to discover the factors h ering these achievements, all possible contributing factors need to be investigated and the focus of this chapter is the Kenya national legislation and policies. Based on the findings, we recommend a reassessment of policies on groundwater management, reconsideration of ideal universal goals and political commitment by state and organisational accountability to identify better strategies for achieving internationally identified standards and goals.
Publisher: Elsevier BV
Date: 02-2023
Publisher: IGI Global
Date: 2017
DOI: 10.4018/978-1-5225-3427-3.CH015
Abstract: Globally, the provision of clean and safe drinking water to most populations has been an elusive development goal though some of us take the availability of this vital resource for granted. Millennium Development Goals (MDG) target 7.C is the target, which addresses sustainability and access to water, among other developmental goals. As the preceding targets appear elusive, Kenya is now refocussing on Vision 2030. It is important to identify reasons for this to avoid a repetition during the next fifteen years. In order to discover the factors h ering these achievements, all possible contributing factors need to be investigated and the focus of this chapter is the Kenya national legislation and policies. Based on the findings, we recommend a reassessment of policies on groundwater management, reconsideration of ideal universal goals and political commitment by state and organisational accountability to identify better strategies for achieving internationally identified standards and goals.
Publisher: Sciedu Press
Date: 21-10-2013
DOI: 10.5430/WJSS.V1N1P48
Publisher: Wiley
Date: 18-07-2015
DOI: 10.1111/GCB.12963
Abstract: Perhaps the most pressing issue in predicting biotic responses to present and future global change is understanding how environmental factors shape the relationship between ecological traits and extinction risk. The fossil record provides millions of years of insight into how extinction selectivity (i.e., differential extinction risk) is shaped by interactions between ecological traits and environmental conditions. Numerous paleontological studies have examined trait-based extinction selectivity however, the extent to which these patterns are shaped by environmental conditions is poorly understood due to a lack of quantitative synthesis across studies. We conducted a meta-analysis of published studies on fossil marine bivalves and gastropods that span 458 million years to uncover how global environmental and geochemical changes covary with trait-based extinction selectivity. We focused on geographic range size and life habit (i.e., infaunal vs. epifaunal), two of the most important and commonly examined predictors of extinction selectivity. We used geochemical proxies related to global climate, as well as indicators of ocean acidification, to infer average global environmental conditions. Life-habit selectivity is weakly dependent on environmental conditions, with infaunal species relatively buffered from extinction during warmer climate states. In contrast, the odds of taxa with broad geographic ranges surviving an extinction (>2500 km for genera, >500 km for species) are on average three times greater than narrow-ranging taxa (estimate of odds ratio: 2.8, 95% confidence interval = 2.3-3.5), regardless of the prevailing global environmental conditions. The environmental independence of geographic range size extinction selectivity emphasizes the critical role of geographic range size in setting conservation priorities.
No related grants have been discovered for Abdi D Osman.