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0000-0002-5116-6559
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University of Technology Sydney
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University of Wollongong
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Publisher: Springer Science and Business Media LLC
Date: 2022
Abstract: Measurements of jet substructure describing the composition of quark- and gluon-initiated jets are presented. Proton-proton (pp) collision data at $$ \\sqrt{s} $$ s = 13 TeV collected with the CMS detector are used, corresponding to an integrated luminosity of 35.9 fb − 1 . Generalized angularities are measured that characterize the jet substructure and distinguish quark- and gluon-initiated jets. These observables are sensitive to the distributions of transverse momenta and angular distances within a jet. The analysis is performed using a data s le of dijet events enriched in gluon-initiated jets, and, for the first time, a Z+jet event s le enriched in quark-initiated jets. The observables are measured in bins of jet transverse momentum, and as a function of the jet radius parameter. Each measurement is repeated applying a “soft drop” grooming procedure that removes soft and large angle radiation from the jet. Using these measurements, the ability of various models to describe jet substructure is assessed, showing a clear need for improvements in Monte Carlo generators.
Publisher: Springer Science and Business Media LLC
Date: 26-04-2022
Abstract: The top quark pair production cross section is measured in proton-proton collisions at a center-of-mass energy of 5.02 TeV. The data were collected in a special LHC low-energy and low-intensity run in 2017, and correspond to an integrated luminosity of 302 pb − 1 . The measurement is performed using events with one electron and one muon of opposite charge, and at least two jets. The measured cross section is 60 . 7 ± 5 . 0 (stat) ± 2 . 8 (syst) ± 1 . 1 (lumi) pb. A combination with the result in the single lepton + jets channel, based on data collected in 2015 at the same center-of-mass energy and corresponding to an integrated luminosity of 27.4 pb − 1 , is then performed. The resulting measured value is 63 . 0 ± 4 . 1 (stat) ± 3 . 0 (syst+lumi) pb, in agreement with the standard model prediction of $$ {66.8}_{-3.1}^{+2.9} $$ 66.8 − 3.1 + 2.9 pb.
Publisher: American Physical Society (APS)
Date: 05-10-2021
Publisher: Mary Ann Liebert Inc
Date: 2018
Abstract: To examine the longitudinal change in Australian women's prevalence of cyclic perimenstrual pain and discomfort and the association between their symptoms and use of complementary and alternative medicine (CAM). Data on endometriosis, premenstrual syndrome (PMS), irregular periods, heavy periods, and severe period pain were collected over a 7-year period from the Australian Longitudinal Study on Women's Health, for women aged 28 to 33 years in 2006, and at 3-year follow-ups. Changes in symptoms and patterns of CAM practitioner and therapy roduct use associated with these symptoms were analyzed using longitudinal regression modeling. Over the 7-year period, prevalence rates of PMS and heavy periods increased, while prevalence rates of endometriosis, irregular periods, and severe period pain remained stable. The most common use of CAM longitudinally associated with the perimenstrual symptoms was use of vitamins/minerals, yoga/meditation, massage therapy, herbal medicine, and aromatherapy. Excluding consultation with a naturopath/herbalist, over the 7-year survey women's use of all other CAM practitioners increased as did their use of vitamin/minerals, yoga/meditation, and Chinese medicines, while aromatherapy use declined. Only the prevalence of PMS and heavy periods increased with aging in this s le of women. While overall use of CAM practitioner and self-prescribed products/therapies increased over time, CAM was chosen by women mainly to treat endometriosis and PMS. The extent to which this use reflects treatment efficacy is uncertain.
Publisher: American Physical Society (APS)
Date: 26-04-2022
Publisher: Springer Science and Business Media LLC
Date: 09-08-2023
Abstract: Measurements of the inclusive and differential fiducial cross sections for the Higgs boson production in the H → ZZ → 4 ℓ ( ℓ = e , μ ) decay channel are presented. The results are obtained from the analysis of proton-proton collision data recorded by the CMS experiment at the CERN LHC at a center-of-mass energy of 13 TeV, corresponding to an integrated luminosity of 138 fb − 1 . The measured inclusive fiducial cross section is 2 . 73 ± 0 . 26 fb, in agreement with the standard model expectation of 2 . 86 ± 0 . 1 fb. Differential cross sections are measured as a function of several kinematic observables sensitive to the Higgs boson production and decay to four leptons. A set of double-differential measurements is also performed, yielding a comprehensive characterization of the four leptons final state. Constraints on the Higgs boson trilinear coupling and on the bottom and charm quark coupling modifiers are derived from its transverse momentum distribution. All results are consistent with theoretical predictions from the standard model.
Publisher: Springer Science and Business Media LLC
Date: 07-2022
Abstract: A search for physics beyond the standard model (SM) in final states with an electron or muon and missing transverse momentum is presented. The analysis uses data from proton-proton collisions at a centre-of-mass energy of 13 TeV, collected with the CMS detector at the LHC in 2016–2018 and corresponding to an integrated luminosity of 138 fb − 1 . No significant deviation from the SM prediction is observed. Model-independent limits are set on the production cross section of W’ bosons decaying into lepton-plus-neutrino final states. Within the framework of the sequential standard model, with the combined results from the electron and muon decay channels a W’ boson with mass less than 5.7 TeV is excluded at 95% confidence level. Results on a SM precision test, the determination of the oblique electroweak W parameter, are presented using LHC data for the first time. These results together with those from the direct W’ resonance search are used to extend existing constraints on composite Higgs scenarios. This is the first experimental exclusion on compositeness parameters using results from LHC data other than Higgs boson measurements.
Publisher: Wiley
Date: 02-07-2020
Publisher: Elsevier BV
Date: 04-2017
DOI: 10.1016/J.PMN.2017.01.003
Abstract: Unrelieved cancer pain has an adverse impact on quality of life. While routine screening and assessment forms the basis of effective cancer pain management, it is often poorly done, thus contributing to the burden of unrelieved cancer pain. The aim of this study was to test the impact of an online, complex, evidence-based educational intervention on cancer nurses' pain assessment capabilities and adherence to cancer pain screening and assessment guidelines. Specialist inpatient cancer nurses in five Australian acute care settings participated in an intervention combining an online spaced learning cancer pain assessment module with audit and feedback of pain assessment practices. Participants' self-perceived pain assessment competencies were measured at three time points. Prospective, consecutive chart audits were undertaken to appraise nurses' adherence with pain screening and assessment guidelines. The differences in documented pre-post pain assessment practices were benchmarked and fed back to all sites post intervention. Data were analyzed using inferential statistics. Participants who completed the intervention (n = 44) increased their pain assessment knowledge, assessment tool knowledge, and confidence undertaking a pain assessment (p < .001). The positive changes in nurses' pain assessment capabilities translated into a significant increasing linear trend in the proportion of documented pain assessments in patients' charts at the three time points (χ
Publisher: Springer Science and Business Media LLC
Date: 11-2021
Abstract: A search is presented for new particles produced at the LHC in proton-proton collisions at $$ \\sqrt{s} $$ s = 13 TeV, using events with energetic jets and large missing transverse momentum. The analysis is based on a data s le corresponding to an integrated luminosity of 101 fb − 1 , collected in 2017–2018 with the CMS detector. Machine learning techniques are used to define separate categories for events with narrow jets from initial-state radiation and events with large-radius jets consistent with a hadronic decay of a W or Z boson. A statistical combination is made with an earlier search based on a data s le of 36 fb − 1 , collected in 2016. No significant excess of events is observed with respect to the standard model background expectation determined from control s les in data. The results are interpreted in terms of limits on the branching fraction of an invisible decay of the Higgs boson, as well as constraints on simplified models of dark matter, on first-generation scalar leptoquarks decaying to quarks and neutrinos, and on models with large extra dimensions. Several of the new limits, specifically for spin-1 dark matter mediators, pseudoscalar mediators, colored mediators, and leptoquarks, are the most restrictive to date.
Publisher: Wiley
Date: 14-09-2007
DOI: 10.1111/J.1365-2648.2007.04417.X
Abstract: This paper is a report of a literature review of experimental evidence describing interventions to manage the older adult in the acute care hospital setting. Older people are increasingly being cared for in a system largely geared towards acute care. This approach is often inadequate to meet the needs of older patients with chronic and complex conditions. In response to these challenges, evidence-based interventions are required to improve health outcomes. The MEDLINE and CINAHL databases and the Internet were searched using the keywords elderly, older, geriatric and aged care. Studies published between 1985 and 2006 were included if they reported, in English, a controlled trial of an intervention designed to improve the management of older adults in the acute care setting. The findings were synthesized using the method of a modified integrative literature review. Only 26 controlled trials met the inclusion criteria. The following elements of interventions appear critical in providing optimal health outcomes for older people admitted to acute care: (1) a team approach to care delivery either directly in a designated unit for older patients or indirectly using gerontological expertise in a consultancy model (2) targeted assessment techniques to prevent complications (3) an increased emphasis on discharge planning and (4) enhanced communication between care providers across the care continuum. A multidisciplinary team approach, using gerontological expertise, in acute care settings is recommended to improve the care of older patients. Care delivery should occur in a specially designed unit, with communication strategies that emphasize discharge planning.
Publisher: Springer Science and Business Media LLC
Date: 26-04-2022
Abstract: A direct search for electroweak production of charginos and neutralinos is presented. Events with three or four leptons, with up to two hadronically decaying τ leptons, or two same-sign light leptons are analyzed. The data s le consists of 137 fb − 1 of proton-proton collisions with a center of mass energy of 13 TeV, recorded with the CMS detector at the LHC. The results are interpreted in terms of several simplified models. These represent a broad range of production and decay scenarios for charginos and neutralinos. A parametric neural network is used to target several of the models with large backgrounds. In addition, results using orthogonal search regions are provided for all the models, simplifying alternative theoretical interpretations of the results. Depending on the model hypotheses, charginos and neutralinos with masses up to values between 300 and 1450 GeV are excluded at 95% confidence level.
Publisher: IOP Publishing
Date: 07-2022
DOI: 10.1088/1748-0221/17/07/P07023
Abstract: A new algorithm is presented to discriminate reconstructed hadronic decays of tau leptons ( τ h ) that originate from genuine tau leptons in the CMS detector against τ h candidates that originate from quark or gluon jets, electrons, or muons. The algorithm inputs information from all reconstructed particles in the vicinity of a τ h candidate and employs a deep neural network with convolutional layers to efficiently process the inputs. This algorithm leads to a significantly improved performance compared with the previously used one. For ex le, the efficiency for a genuine τ h to pass the discriminator against jets increases by 10–30% for a given efficiency for quark and gluon jets. Furthermore, a more efficient τ h reconstruction is introduced that incorporates additional hadronic decay modes. The superior performance of the new algorithm to discriminate against jets, electrons, and muons and the improved τ h reconstruction method are validated with LHC proton-proton collision data at √ s = 13 TeV.
Publisher: Springer Science and Business Media LLC
Date: 28-04-2016
DOI: 10.1038/JHH.2016.20
Abstract: The aim of this study was to estimate the prevalence and incidence of hypertension in women, and describe their self-care and health-seeking behaviours. This research was conducted as part of the Australian Longitudinal Study on Women's Health, a study comprising a nationally representative s le of Australian women in three age groups. The focus of this research is 14 099 women born in 1946-1951, who have been surveyed six times (1996-2010). Student t-tests were used to compare women who did or did not have hypertension by their health-care utilization. Longitudinal analyses were conducted using a Poisson generalized estimating equation model. The incidence of hypertension among this cohort during 1996 to 2010 ranged from 400 to 597 participants per survey, resulting in an increase in prevalence of hypertension from 20.9% in 1996 to 41.3% in 2010. For all survey periods, women with hypertension had a significantly higher average number of visits to doctors and allied health practitioners compared with women without hypertension (P<0.005). The use of complementary medicine (practitioners and self-prescribed treatments) by women with hypertension was significantly lower compared to women without hypertension (P<0.005). Over time, conventional health-care utilization was higher for women with hypertension compared with women without hypertension (adjusted RR=1.18 95% CI: 1.14, 1.22 P<0.0001). Our findings show that women with hypertension are using a range of conventional and complementary and alternative medicine: with hypertensive women using more conventional medicine and less complementary and alternative medicine than non-hypertensive women. As such, health-care providers should communicate with their patients regarding their use of complementary and alternative medicine in their efforts to provide safe, effective and coordinate care.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 2016
Publisher: RCN Publishing Ltd.
Date: 08-04-2015
DOI: 10.7748/NS.29.32.41.E8858
Abstract: Mixed methods research involves the use of qualitative and quantitative data in a single research project. It represents an alternative methodological approach, combining qualitative and quantitative research approaches, which enables nurse researchers to explore complex phenomena in detail. This article provides a practical overview of mixed methods research and its application in nursing, to guide the novice researcher considering a mixed methods research project.
Publisher: Elsevier BV
Date: 08-2021
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 12-2008
DOI: 10.1111/J.1744-1609.2008.00115.X
Abstract: Background Many acute care facilities report endemic methicillin-resistant Staphylococcus aureus (MRSA), while others describe the occurrence of sporadic disease outbreaks. The timely implementation of effective infection control measures is essential to minimise the incidence of MRSA cases and the magnitude of disease outbreaks. Management strategies for the containment and control of MRSA currently vary between facilities and demonstrate varying levels of effectiveness. Objectives This review sought to systematically review the best available research regarding the efficacy of infection control practices in controlling endemic MRSA or MRSA outbreaks in the acute hospital setting. It updates an original review published in 2002. Search strategy A systematic search for relevant published or unpublished English language literature was undertaken using electronic databases, the reference lists of retrieved papers and the Internet. This extended the search of the original review. Databases searched included: Medline, CINAHL, EMBASE, Cochrane Library and Joanna Briggs Institute Evidence Library. Selection criteria All research reports published between 1990 and August 2005 in the English language that focused upon the infection control strategies that were implemented in response to either a nosocomial outbreak of MRSA or endemic MRSA within an acute clinical setting were included. Only studies that reported interventions which were implemented following the collection of baseline data were included. Data collection and analysis Two reviewers assessed each paper against the inclusion criteria and a validated quality scale. Data extraction was undertaken using a purposely designed tool. Given the heterogeneity of the interventions and outcomes measures, statistical comparisons of findings were not possible, therefore, the findings of this review are presented in a narrative format. Results Fourteen papers met the inclusion criteria for this review. Of these, 11 papers achieved a quality score above the threshold and were included in the review. Of the included papers, five describe MRSA outbreaks, while the remaining six describe endemic MRSA. All included studies used either exploratory descriptive or comparative designs. The varying combinations of interventions described in the included studies make it impossible to differentiate the efficacy of in idual or even groups of interventions. The fact that most studies reported positive findings may reflect the bias towards publication of effective interventions. Implications for clinical practice This review provides evidence that the use of multifaceted strategies can reduce nosocomial MRSA transmission in both outbreaks of MRSA and settings where MRSA is endemic. The heterogeneous nature of the topic, combinations of interventions implemented and methodological weaknesses of the studies impairs the ability to aggregate data and develop specific recommendations for practice.
Publisher: American Physical Society (APS)
Date: 10-09-2021
Publisher: American Physical Society (APS)
Date: 09-03-2022
Publisher: American Physical Society (APS)
Date: 20-05-2022
Publisher: American Physical Society (APS)
Date: 17-09-2021
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 2008
DOI: 10.11124/01938924-200806020-00001
Abstract: Many acute care facilities report endemic methicillin-resistant Staphylococcus aureus (MRSA), while others describe the occurrence of sporadic disease outbreaks. The timely implementation of effective infection control measures is essential to minimise the incidence of MRSA cases and the magnitude of disease outbreaks. Management strategies for the containment and control of MRSA currently vary between facilities and demonstrate varying levels of effectiveness. This review sought to systematically review the best available research regarding the efficacy of infection control practices in controlling endemic MRSA or MRSA outbreaks in the acute hospital setting. It updates an original review published in 2002. A systematic search for relevant published or unpublished English language literature was undertaken using electronic databases, the reference lists of retrieved papers and the Internet. This extended the search of the original review. Databases searched included: Medline, CINAHL, EMBASE, Cochrane Library and Joanna Briggs Institute Evidence Library. All research reports published between 1990 and August 2005 in the English language that focused upon the infection control strategies that were implemented in response to either a nosocomial outbreak of MRSA or endemic MRSA within an acute clinical setting were included. Only studies that reported interventions which were implemented following the collection of baseline data were included. Two reviewers assessed each paper against the inclusion criteria and a validated quality scale. Data extraction was undertaken using a purposely designed tool. Given the heterogeneity of the interventions and outcomes measures, statistical comparisons of findings were not possible, therefore, the findings of this review are presented in a narrative format. Fourteen papers met the inclusion criteria for this review. Of these, 11 papers achieved a quality score above the threshold and were included in the review. Of the included papers, five describe MRSA outbreaks, while the remaining six describe endemic MRSA. All included studies used either exploratory descriptive or comparative designs.The varying combinations of interventions described in the included studies make it impossible to differentiate the efficacy of in idual or even groups of interventions. The fact that most studies reported positive findings may reflect the bias towards publication of effective interventions. This review provides evidence that the use of multifaceted strategies can reduce nosocomial MRSA transmission in both outbreaks of MRSA and settings where MRSA is endemic. The heterogeneous nature of the topic, combinations of interventions implemented and methodological weaknesses of the studies impairs the ability to aggregate data and develop specific recommendations for practice.
Publisher: Elsevier BV
Date: 02-2023
Publisher: Springer Science and Business Media LLC
Date: 2022
Abstract: A measurement of inclusive four-jet production in proton-proton collisions at a center-of-mass energy of 13 TeV is presented. The transverse momenta of jets within |η| 4 . 7 are required to exceed 35, 30, 25, and 20 GeV for the first-, second-, third-, and fourth-leading jet, respectively. Differential cross sections are measured as functions of the jet transverse momentum, jet pseudorapidity, and several other observables that describe the angular correlations between the jets. The measured distributions show sensitivity to different aspects of the underlying event, parton shower modeling, and matrix element calculations. In particular, the interplay between angular correlations caused by parton shower and double-parton scattering contributions is shown to be important. The double-parton scattering contribution is extracted by means of a template fit to the data, using distributions for single-parton scattering obtained from Monte Carlo event generators and a double-parton scattering distribution constructed from inclusive single-jet events in data. The effective double-parton scattering cross section is calculated and discussed in view of previous measurements and of its dependence on the models used to describe the single- parton scattering background.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 12-2008
Publisher: Springer Science and Business Media LLC
Date: 02-2022
Abstract: Inclusive and differential cross sections of single top quark production in association with a Z boson are measured in proton-proton collisions at a center-of-mass energy of 13 TeV with a data s le corresponding to an integrated luminosity of 138 fb − 1 recorded by the CMS experiment. Events are selected based on the presence of three leptons, electrons or muons, associated with leptonic Z boson and top quark decays. The measurement yields an inclusive cross section of $$ {87.9}_{-7.3}^{+7.5}{\\left(\\mathrm{stat}\\right)}_{-6.0}^{+7.3}\\left(\\mathrm{syst}\\right) $$ 87.9 − 7.3 + 7.5 stat − 6.0 + 7.3 syst fb for a dilepton invariant mass greater than 30 GeV, in agreement with standard model (SM) calculations and represents the most precise determination to date. The ratio between the cross sections for the top quark and the top antiquark production in association with a Z boson is measured as $$ {2.37}_{-0.42}^{+0.56}{\\left(\\mathrm{stat}\\right)}_{-0.13}^{+0.27}\\left(\\mathrm{syst}\\right) $$ 2.37 − 0.42 + 0.56 stat − 0.13 + 0.27 syst . Differential measurements at parton and particle levels are performed for the first time. Several kinematic observables are considered to study the modeling of the process. Results are compared to theoretical predictions with different assumptions on the source of the initial-state b quark and found to be in agreement, within the uncertainties. Additionally, the spin asymmetry, which is sensitive to the top quark polarization, is determined from the differential distribution of the polarization angle at parton level to be 0 . 54 ± 0 . 16 (stat) ± 0 . 06 (syst), in agreement with SM predictions.
Publisher: Wiley
Date: 04-2019
DOI: 10.1111/JOCN.14848
Publisher: Wiley
Date: 07-06-2016
DOI: 10.1111/AOGS.12921
Abstract: Complementary and alternative medicine (CAM) is used for treating cyclic perimenstrual pain and discomfort. This critical review examines women's reported CAM use, its perceived effectiveness and information relating to women's attitudes, behaviors, motivations and patterns of CAM use in its treatment. An extensive search of the main medical databases EBSCO, CINAHL, Medline, AMED and SCOPUS, as well as additional hand searches, was conducted. Papers included were confined to those that had been peer-reviewed, written in English and that contained original research into CAM use for cyclic perimenstrual pain and discomfort among adult women. CAM, particularly herbal medicine, nutritional supplements and massage, is widely used for a range of cyclic perimenstrual pain and discomfort symptoms. A large number of CAM modalities are adopted, often simultaneously and with little professional oversight. Women's assessment of efficacy of different CAM modalities is positive, though the majority of users are self-prescribing apparently without professional guidance. Although the uptake of CAM for cyclic perimenstrual pain and discomfort is widespread, few empirical data are available regarding which women are using CAM, their motivations for doing so and, importantly, the sources through which women receive information about CAM. This review highlights the extensive use of (often self-prescribed) CAM in a number of countries to alleviate the widespread symptoms of cyclic perimenstrual pain and discomfort. An understanding of all health care use by women with perimenstrual pain and discomfort is vital to help ensure safe, effective and coordinated health care that can lead to optimal patient outcomes.
Publisher: Informa UK Limited
Date: 19-07-2014
Abstract: Abstract Background: For health care professionals, particularly nurses, the need to work productively and efficiently in small groups is a crucial skill required to meet the challenges of the contemporary health-care environment. Small group work is an educational technique that is used extensively in nurse education. The advantage of group work includes facilitation of deep, active and collaborative learning. However, small group work can be problematic and present challenges for students. Many of the challenges occur because group work necessitates the coming together of collections of in iduals, each with their own personalities and sets of experiences. Aim: This study aimed to identify challenges and benefits associated with small group work and to explore options for retaining the positive aspects of group work while reducing or eliminating the aspects the students experienced as negative. Method: Online survey thematic analysis. Results: Over all, students experienced a range of challenges that necessitated the development of problem-solving strategies. However, they were able to elucidate some enjoyable and positive aspects of group work. Implications for teaching and learning are drawn from this study. Conclusion: The ability to work effectively in small groups and teams is essential for all health care workers in the contemporary health environment. Findings of this study highlight the need for educators to explore novel and effective ways in which to engage nurses in group work.
Publisher: Wiley
Date: 10-2014
DOI: 10.1002/CCR3.172
Publisher: SAGE Publications
Date: 12-06-2023
DOI: 10.1177/02692163231180912
Abstract: Understanding patterns of health care use in the last year of life is critical in health services planning. To describe hospital-based service and palliative care use in hospital in the year preceding death for patients who died of heart failure or cardiomyopathy in Queensland from 2008 to 2018 and had at least one hospitalisation in the year preceding death. A retrospective data linkage study was conducted using administrative health data relating to hospitalisations, emergency department visits and deaths. Participants included were those aged ⩾60 years, had a hospitalisation in their last year of life and died of heart failure or cardiomyopathy in Queensland, Australia. Of the 4697 participants, there were 25,583 hospital admissions. Three quarters ( n = 3420, 73%) of participants were aged ⩾80 years and over half died in hospital ( n = 2886, 61%). The median number of hospital admissions in the last year of life was 3 (interquartile range [IQR] 2–5). The care type was recorded as ‘acute’ for 89% ( n = 22,729) of hospital admissions, and few ( n = 853, 3%) hospital admissions had a care type recorded as ‘palliative.’ Of the 4697 participants, 3458 had emergency department visit(s), presenting 10,330 times collectively. In this study, patients who died of heart failure or cardiomyopathy were predominantly aged ⩾80 years and over half died in hospital. These patients experienced repeat acute hospitalisations in the year preceding death. Improving timely access to palliative care services in the outpatient or community setting is needed for patients with heart failure.
Publisher: Elsevier BV
Date: 07-2023
Publisher: Elsevier BV
Date: 09-2007
DOI: 10.1016/J.IJNURSTU.2006.04.017
Abstract: There is a lack of research investigating models of nursing care for older hospitalised patients that address the nursing needs of this group. The objective of this study is to evaluate the efficacy of models of care for acutely older patients tailored to two contexts: an aged care specific ward and a medical ward. This is a repeated measures design. Efficacy of the models was evaluated in terms of: patient and nurses' satisfaction with care provided increased activities of daily living reduced unplanned hospital readmissions and medication knowledge. An aged care specific ward and a medical ward in two Sydney teaching hospitals. There were two groups of patients aged 65 years or older who were admitted to hospital for an acute illness: those admitted prior to model implementation (n=232) and those admitted during model implementation (n=116). Patients with moderate or severe dementia were excluded. The two groups of nurses were the pre-model group (n=90) who were working on the medical and aged care wards for the study prior to model implementation, and the post-model group (n=22), who were the nurses working on the wards during model implementation. Action research was used to develop the models of care in two wards: one for an aged care specific ward and another for a general medical ward where older patients were admitted. The models developed were based on empirical data gathered in an earlier phase of this study. The models were successful in both wards in terms of increasing satisfaction levels in patients and nurses (p<0.001), increasing functional independence as measured by activities of daily living (p<0.01), and increasing medication knowledge (p<0.001). Findings indicate that models of care developed by nurses using an evidence-based action research strategy can enhance both satisfaction and health outcomes in older patients.
Publisher: Springer Science and Business Media LLC
Date: 16-05-2015
DOI: 10.1007/S10741-015-9493-8
Abstract: Frailty is a common geriatric syndrome of increased vulnerability to adverse events. The prevalence of frailty among chronic heart failure (CHF) is high and confers a greater risk of adverse events including falls, hospitalisation and mortality. There have been few studies assessing frailty in CHF. A review of the key databases was conducted from 2004 to 2014 including the key search terms 'frail elderly' and 'heart failure'. The following electronic databases were searched: Medline, Cumulative Index for Nursing and Allied Health and Academic Search Complete, with reference lists being manually searched. Articles were included if frailty was assessed using a valid measuring tool in a population with a confirmed diagnosis of CHF. The search yielded a total of 393 articles with 8 articles being selected for review. The prevalence of frailty among those with CHF was high, ranging from 18 to 54 %. The frailty phenotype and geriatric assessments tools were the most common frailty measures utilised high rates of co-morbidity, hospitalisation and mortality were identified. Frailty is common in CHF and is associated with adverse outcomes.
Publisher: Informa UK Limited
Date: 03-07-2020
Publisher: Elsevier BV
Date: 2017
DOI: 10.1016/J.NEDT.2016.10.002
Abstract: Nurses are required to interpret and apply knowledge so communities will receive care based on best available evidence, as opposed to care that is simply based on tradition or authority. Fostering nursing students' critical appraisal skills will assist in their capacity to engage with, interpret and use best evidence. Journal clubs are frequently used approach to engage learners with research and develop critical appraisal skills. Given new flipped and blended approaches to teaching and learning there is need to rejuvenate how research is utilised and integrated within journal clubs to maximise engagement and translation of evidence. This paper provides a case study of a single site Australian university experience of transitioning a traditional physical journal club, to a social media-facilitated club within a postgraduate health subject to stimulate and facilitate engagement with the chosen manuscripts. This case study is based on our own experiences, supported by literature and includes qualitative comments obtained via student feedback surveys during November 2015. Case study. Social media-facilitated journal clubs offer an efficient way to continue developing critical appraisal skills in nursing students. The integration of a social media-facilitated journal clubs increased student attention, engagement with presented activities and overall student satisfaction within this evidence-based practice subject. Future rigorously-designed, large-scale studies are required to evaluate the impact of online journal clubs on the uptake of evidence-based practice, including those resulting in improved patient outcomes.
Publisher: Elsevier BV
Date: 08-2016
DOI: 10.1016/J.CTIM.2016.05.005
Abstract: To determine the prevalence and characteristics of users of prayer or spiritual healing among Australian women aged 31-36 years. This cross-sectional study was conducted as a part of the Australian Longitudinal Study on Women's Health (ALSWH). The s le used in the current sub-study were participants from the 'young' cohort (1973-78) (n=8180) aged between 31 and 36 years. Use of prayer or spiritual healing Prayer or spiritual healing was used on a regular basis by 20% of women aged between 31 and 36 years in 2009. Women who had symptoms of chronic illnesses (p=0.001), women who had never smoked (p=0.001) and women who used other forms of CAM (p<0.001) were significantly more likely to use prayer or spiritual healing. A significant proportion of women use prayer or spiritual healing on a regular basis. Further research is required to better understand their rationale for using prayer or spiritual healing and its perceived impact on health related outcomes and general well-being.
Publisher: Elsevier BV
Date: 10-2015
DOI: 10.1016/J.CTIM.2015.07.004
Abstract: To examine the association between self-prescribed complementary and alternative medicine use and menopause-related symptoms, stratified by menopausal status. Data were obtained from a cross-sectional survey of a nationally representative s le of 10,011 menopausal women from the Australian Longitudinal Study on Women's Health, conducted in 2010. Multivariable logistic regression models were applied to identify if the use of selected self-prescribed complementary and alternative medicine was significantly associated with a range of menopause-related symptoms. Vitamins/minerals were more likely to be used by natural menopausal women experiencing anxiety (adjusted OR=1.20) and/or stiff ainful joints (adjusted OR=1.16). Yoga/meditation was more likely to be used by women with hysterectomy (adjusted OR=1.76) or natural menopausal women (adjusted OR=1.38) experiencing anxiety. Herbal medicines were more likely to be used by natural menopausal women experiencing anxiety (adjusted OR=1.22), tiredness (adjusted OR=1.20), and/or stiff ainful joints (adjusted OR=1.17), and by women with oophorectomy experiencing tiredness (adjusted OR=1.45). Aromatherapy oils were more likely to be used by natural menopausal women experiencing night sweats (adjusted OR=1.25) and by women with hysterectomy experiencing anxiety (adjusted OR=2.02). Chinese medicines were more likely to be used by women with oophorectomy experiencing stiff ainful joints (adjusted OR=4.06) and/or palpitations (adjusted OR=3.06). Our study will help improve the patient-provider communication regarding complementary and alternative medicine use for menopause, and we conclude that menopausal status should be taken into account by providers for menopause care. The women's experience and motivations of such use warrant further research.
Publisher: Informa UK Limited
Date: 04-05-2017
Publisher: SAGE Publications
Date: 20-12-2022
DOI: 10.1177/10497323221145120
Abstract: The HIVE is an arts-based knowledge translation (ABKT) project that showcases work undertaken across Maridulu Budyari Gumal: the Sydney Partnership for Health, Education, Research and Enterprise (SPHERE). Here, we present two distinct forms of data (reflective and evaluative) to tell the story of The HIVE and outline the project’s achievements and shortcomings. Reflective data are used to describe the process of establishing a creative, cross-disciplinary collaboration, in order to devise and produce The HIVE. Evaluative data are used to assess the impact of The HIVE on audiences. By presenting reflective and evaluative data together, we highlight that impact in ABKT cannot be reduced to an assessment of audience engagement with an ABKT end-product. Although audience impact is vital, in our experience, The HIVE also had a powerful impact on the researchers, health service users, artists and others who worked together to create it. The process of creating The HIVE informed research- and art-practice change, forged interdisciplinary networks, and enabled the growth of new patterns of knowledge sharing and collaboration. The reflective and evaluative data we present attest to different forms of impact resulting from the creation and exhibition of an ABKT project.
Publisher: Elsevier BV
Date: 09-2021
Publisher: Elsevier BV
Date: 07-2010
DOI: 10.1016/J.COLEGN.2010.05.004
Abstract: There is increasing evidence that hospitals are failing to meet the needs of older people. As a consequence acute care needs to be adapted to meet the needs of older people. Although initially developed for chronic conditions the Chronic Care Model (CCM) provides useful strategies for improving continuity and quality of care. METHOD/AIM: This paper describes the elements of the CCM and discusses how a chronic care approach can improve models of care delivery for older persons in the acute care hospital settings. The CCM provides a potentially useful approach to improve health care for older people in the acute care setting. Positive policy environments, interdisciplinary care collaboration, evidence-based practice, an emphasis on self-management strategies and empowered communities are essential elements for driving development of effective models of care. Models of care require a multifaceted collaborative approach for sustainability. Implementing elements of the CCM in developing models of acute care may improve patient outcomes and decrease unnecessary admissions to hospital for older people. This paper provides suggestions for models of care to improve care of the older person in the acute care setting.
Publisher: Wiley
Date: 15-12-2017
DOI: 10.1002/PTR.6001
Abstract: To explore the prevalence with which Australian Western herbalists treat menstrual problems and their related treatment, experiences, perceptions, and interreferral practices with other health practitioners. Members of the Practitioner Research and Collaboration Initiative practice-based research network identifying as Western Herbalists (WHs) completed a specifically developed, online questionnaire. Western Herbalists regularly treat menstrual problems, perceiving high, though differential, levels of effectiveness. For menstrual problems, WHs predominantly prescribe in idualised formulas including core herbs, such as Vitex agnus-castus, and problem-specific herbs. Estimated clients' weekly cost (median = $25.00) and treatment duration (median = 4-6 months) covering this Western herbal medicine treatment appears relatively low. Urban-based women are more likely than those rurally based to have used conventional treatment for their menstrual problems before consulting WHs (p = .001). Only 19% of WHs indicated direct contact by conventional medical practitioners regarding treatment of clients' menstrual problems despite 42% indicating clients' conventional practitioners recommended consultation with WH. Western herbal medicine may be a substantially prevalent, cost-effective treatment option amongst women with menstrual problems. A detailed examination of the behaviour of women with menstrual problems who seek and use Western herbal medicine warrants attention to ensure this healthcare option is safe, effective, and appropriately co-ordinated within women's wider healthcare use.
Publisher: Springer Science and Business Media LLC
Date: 12-02-2020
Publisher: Springer Science and Business Media LLC
Date: 05-2022
DOI: 10.1140/EPJC/S10052-022-10315-Y
Abstract: Using a data s le of $$\\sqrt{s}=13\\,\\text {TeV}$$ s = 13 TeV proton-proton collisions collected by the CMS experiment at the LHC in 2017 and 2018 with an integrated luminosity of $$103\\text {~fb}^{-1}$$ 103 fb - 1 , the $$\\text {B}^{0}_{\\mathrm{s}} \\rightarrow \\uppsi (\\text {2S})\\text {K}_\\mathrm{S}^{0}$$ B s 0 → ψ ( 2S ) K S 0 and $$\\text {B}^{0} \\rightarrow \\uppsi (\\text {2S})\\text {K}_\\mathrm{S}^{0} \\uppi ^+\\uppi ^-$$ B 0 → ψ ( 2S ) K S 0 π + π - decays are observed with significances exceeding 5 standard deviations. The resulting branching fraction ratios, measured for the first time, correspond to $${\\mathcal {B}}(\\text {B}^{0}_{\\mathrm{s}} \\rightarrow \\uppsi (\\text {2S})K_\\mathrm{S}^{0})/{\\mathcal {B}}(\\text {B}^{0}\\rightarrow \\uppsi (\\text {2S})K_\\mathrm{S}^{0}) = (3.33 \\pm 0.69 (\\text {stat})\\, \\pm 0.11\\,(\\text {syst}) \\pm 0.34\\,(f_{\\mathrm{s}}/f_{\\mathrm{d}})) \\times 10^{-2}$$ B ( B s 0 → ψ ( 2S ) K S 0 ) / B ( B 0 → ψ ( 2S ) K S 0 ) = ( 3.33 ± 0.69 ( stat ) ± 0.11 ( syst ) ± 0.34 ( f s / f d ) ) × 10 - 2 and $${\\mathcal {B}}(\\text {B}^{0} \\rightarrow \\uppsi (\\text {2S})\\text {K}_\\mathrm{S}^{0} \\uppi ^{+} \\uppi ^{-})/ {\\mathcal {B}}(\\text {B}^{0} \\rightarrow \\uppsi (\\text {2S})\\text {K}^{0}_{\\mathrm{S}}) = 0.480 \\pm 0.013\\,(\\text {stat}) \\pm 0.032\\,(\\text {syst})$$ B ( B 0 → ψ ( 2S ) K S 0 π + π - ) / B ( B 0 → ψ ( 2S ) K S 0 ) = 0.480 ± 0.013 ( stat ) ± 0.032 ( syst ) , where the last uncertainty in the first ratio is related to the uncertainty in the ratio of production cross sections of $$\\hbox {B}^{0}_{\\mathrm{s}}$$ B s 0 and $$\\hbox {B}^{0}$$ B 0 mesons, $$f_{\\mathrm{s}}/f_{\\mathrm{d}}$$ f s / f d .
Publisher: Springer Science and Business Media LLC
Date: 19-01-2023
DOI: 10.1038/S41567-022-01838-Y
Abstract: Protons consist of three valence quarks, two up-quarks and one down-quark, held together by gluons and a sea of quark-antiquark pairs. Collectively, quarks and gluons are referred to as partons. In a proton-proton collision, typically only one parton of each proton undergoes a hard scattering – referred to as single-parton scattering – leaving the remainder of each proton only slightly disturbed. Here, we report the study of double- and triple-parton scatterings through the simultaneous production of three J/ ψ mesons, which consist of a charm quark-antiquark pair, in proton-proton collisions recorded with the CMS experiment at the Large Hadron Collider. We observed this process – reconstructed through the decays of J/ ψ mesons into pairs of oppositely charged muons – with a statistical significance above five standard deviations. We measured the inclusive fiducial cross-section to be $$27{2}_{-104}^{+141}\\,{{{\\rm{(stat)}}}}\\,\\pm 17\\,{{{\\rm{(syst)}}}}\\,{{{\\rm{fb}}}}\\,$$ 27 2 − 104 + 141 (stat) ± 17 (syst) fb , and compared it to theoretical expectations for triple-J/ ψ meson production in single-, double- and triple-parton scattering scenarios. Assuming factorization of multiple hard-scattering probabilities in terms of single-parton scattering cross-sections, double- and triple-parton scattering are the dominant contributions for the measured process.
Publisher: American Physical Society (APS)
Date: 02-11-2021
Publisher: American Physical Society (APS)
Date: 14-06-2022
Publisher: Informa UK Limited
Date: 02-2014
Publisher: American Physical Society (APS)
Date: 30-11-2021
Publisher: Elsevier BV
Date: 06-2017
Abstract: Low rates of driver licensing have been linked to increased risk of transport-related injury, and reduced access to health services, employment and educational opportunities in the Aboriginal population. This paper reports on how barriers to obtaining a driver licence are being addressed in four Aboriginal communities in New South Wales and South Australia. Qualitative data were collected over a four-month period in 2013. Interviews with Aboriginal and non-Aboriginal stakeholders (n=31) and 11 focus groups with Aboriginal participants (n=46) were analysed thematically using a framework approach. Factors facilitating licensing included: family support, professional lessons, alternative testing and programs that assist with literacy, fines management, financial assistance and access to a supervising driver. Stakeholders recommended raising awareness of existing services and funding community-based service provision to promote access to licensing. Facilitating licence participation requires systemic change and long-term investment to ensure interagency collaboration, service use and sustainability of relevant programs, including job search agencies. Implications for public health: The disadvantage faced by Aboriginal people in driver licensing is a fundamental barrier to participation and a social determinant of health. Understanding the factors that promote licensing is crucial to improving access for under-serviced populations recommendations provide pragmatic solutions to address licensing disadvantage.
Publisher: SAGE Publications
Date: 03-10-2014
Abstract: To determine whether burnout, role ambiguity, or conflict affects Australian hospice volunteers. Hospice volunteers (n = 120) were invited to participate in this pilot survey. Quantitative data were analyzed using descriptive statistics, while the free-text responses were analyzed using thematic content analysis. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Guidelines have been used to report this data. A total of 97 participants completed the survey. The majority were middle-aged women who had been palliative care volunteers for more than 7 years and volunteered 14 hours/week (median). Participants reported low levels of role ambiguity (x = 8.4, standard deviation [SD] ±3.0) and conflict (x = 9.8, SD ±3.4) and described enjoying their volunteering and having no symptoms of burnout (76%). Active hospice volunteers report low levels of role ambiguity, conflict, and burnout. Adopting a range of self-care strategies and working within a structured volunteer program appear to be important protective factors.
Publisher: American Physical Society (APS)
Date: 23-02-2022
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 09-2018
Publisher: Springer Science and Business Media LLC
Date: 03-05-2022
Abstract: Results are presented from a search for physics beyond the standard model in proton-proton collisions at $$ \\sqrt{s} $$ s = 13 TeV in channels with two Higgs bosons, each decaying via the process H → b $$ \\overline{\\mathrm{b}} $$ b ¯ , and large missing transverse momentum. The search uses a data s le corresponding to an integrated luminosity of 137 fb − 1 collected by the CMS experiment at the CERN LHC. The search is motivated by models of supersymmetry that predict the production of neutralinos, the neutral partners of the electroweak gauge and Higgs bosons. The observed event yields in the signal regions are found to be consistent with the standard model background expectations. The results are interpreted using simplified models of supersymmetry. For the electroweak production of nearly mass-degenerate higgsinos, each of whose decay chains yields a neutralino $$ \\left({\\overset{\\sim }{\\upchi}}_1^0\\right) $$ χ ~ 1 0 that in turn decays to a massless goldstino and a Higgs boson, $$ \\left({\\overset{\\sim }{\\upchi}}_1^0\\right) $$ χ ~ 1 0 masses in the range 175 to 1025 GeV are excluded at 95% confidence level. For the strong production of gluino pairs decaying via a slightly lighter $$ \\left({\\overset{\\sim }{\\upchi}}_2^0\\right) $$ χ ~ 2 0 to H and a light $$ \\left({\\overset{\\sim }{\\upchi}}_1^0\\right) $$ χ ~ 1 0 , gluino masses below 2330 GeV are excluded.
Publisher: American Physical Society (APS)
Date: 18-08-2022
Publisher: JMIR Publications Inc.
Date: 18-06-2020
DOI: 10.2196/17299
Abstract: New wearable devices (for ex le, AliveCor or Zio patch) offer promise in detecting arrhythmia and monitoring cardiac health status, among other clinically useful parameters in older adults. However, the clinical utility and usability from the perspectives of clinicians is largely unexplored. This study aimed to explore clinician perspectives on the use of wearable cardiac monitoring technology for older adults. A descriptive qualitative study was conducted using semistructured focus group interviews. Clinicians were recruited through purposive s ling of physicians, nurses, and allied health staff working in 3 tertiary-level hospitals. Verbatim transcripts were analyzed using thematic content analysis to identify themes. Clinicians representing physicians, nurses, and allied health staff working in 3 tertiary-level hospitals completed 4 focus group interviews between May 2019 and July 2019. There were 50 participants (28 men and 22 women), including cardiologists, geriatricians, nurses, and allied health staff. The focus groups generated the following 3 overarching, interrelated themes: (1) the current state of play, understanding the perceived challenges of patient cardiac monitoring in hospitals, (2) priorities in cardiac monitoring, what parameters new technologies should measure, and (3) cardiac monitoring of the future, “the ideal device.” There remain pitfalls related to the design of wearable cardiac technology for older adults that present clinical challenges. These pitfalls and challenges likely negatively impact the uptake of wearable cardiac monitoring in routine clinical care. Partnering with clinicians and patients in the co-design of new wearable cardiac monitoring technologies is critical to optimize the use of these devices and their uptake in clinical care.
Publisher: Elsevier BV
Date: 11-2015
DOI: 10.1016/J.ARCHGER.2015.06.021
Abstract: A major challenge facing our health care systems internationally is managing the needs of increasing numbers of older people in hospital with chronic and complex conditions. A multidisciplinary approach is considered central to tailoring and targeting approaches to gerontological care, although this is often not realised in reality. Comprehensive geriatric assessment (CGA) is seen as gold standard, though they are not readily available in many acute settings, compounded by the requirement for time, coordination of multidisciplinary specialties, and reimbursement issues. This systematic review aimed to identify multidisciplinary team interventions to optimise health outcomes for older people in acute care settings. Systematic review of randomised controlled trials reporting acute care multidisciplinary team based interventions, to improve care outcomes for hospitalised older people. Electronic databases (MEDLINE, CINAHL (EBSCO), Cochrane and PsycINFO) were searched from 1 January 2000 to 1 July 2014 in the English language. Data was extracted by two reviewers and checked by a third reviewer to resolve any conflicts. Seven articles reporting RCTs met the systematic review inclusion criteria. The heterogeneity of study populations, multidisciplinary team interventions and outcome measures necessitated the use of narrative analysis. Three common elements of these studies included: (i) tailored treatment by clinicians with geriatric expertise (ii) a focus on transitional care interventions that enhance discharge planning and (iii) communication an essential ingredient to improving care. The tailoring of treatment, underpinned with clear communication strategies can reduce emergency department re-admission rates, mortality and functional decline of older people. Refining health professionals roles and responsibilities within transition models is an essential component that can improve health outcomes for older people in acute care settings.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 02-08-2022
Abstract: This study explored the educational and self‐management needs of adults living with atrial fibrillation (AF). This is a qualitative study of adults living with AF, clinicians, and expert key stakeholders. Interviews were conducted via a one‐to‐one semistructured videoconference or phone and transcribed verbatim for thematic analysis. A total of 34 participants were recruited and included in analyses (clinicians n=13 experts n=13, patients n=8). Interviews were on average 40 (range 20–70) minutes in duration. Three key themes were identified: (1) “Patient‐centered AF education” (2) “Prioritizing AF education” and (3) “Timing AF education.” The availability of credible information was perceived as highly variable. Information primarily focused on anticoagulation, or procedural information, as opposed to other aspects of management, such as risk factor reduction. Factors to optimize learning, such as multimedia, apps, case studies, or the use of visuals were perceived as important. Continuity of care, including engagement of caregivers, was important to help develop relationships, and facilitate understanding, while concurrently creating opportunities for timely targeted education. Clinicians described acute care as a suboptimal setting to deliver education. Competing interests aligned with the time‐pressured context of acute care were prioritized over patient education. In contrast, patients valued continuity of care. AF education strategies need to pivot from a “one size fits all” approach and modernize to implement a range of approaches. There remain many unmet needs in the provision of quality AF education to support self‐management. Multimodal offerings and the ability to tailor to in idual patient needs are important design considerations for new education programs.
Publisher: Springer Science and Business Media LLC
Date: 11-2021
Abstract: A search for a heavy Higgs boson H decaying into the observed Higgs boson h with a mass of 125 GeV and another Higgs boson h S is presented. The h and h S bosons are required to decay into a pair of tau leptons and a pair of b quarks, respectively. The search uses a s le of proton-proton collisions collected with the CMS detector at a center-of-mass energy of 13 TeV, corresponding to an integrated luminosity of 137 fb −1 . Mass ranges of 240–3000 GeV for m H and 60–2800 GeV for $$ {m}_{{\\mathrm{h}}_{\\mathrm{S}}} $$ m h S are explored in the search. No signal has been observed. Model independent 95% confidence level upper limits on the product of the production cross section and the branching fractions of the signal process are set with a sensitivity ranging from 125 fb (for m H = 240 GeV) to 2 . 7 fb (for m H = 1000 GeV). These limits are compared to maximally allowed products of the production cross section and the branching fractions of the signal process in the next-to-minimal supersymmetric extension of the standard model.
Publisher: Elsevier BV
Date: 06-2022
Publisher: Wiley
Date: 07-05-2018
DOI: 10.1111/AJAG.12540
Abstract: The objectives of this short report are to: (i) explore #Frailty Twitter activity over a six-month period and (ii) provide a snapshot Twitter content analysis of #Frailty usage. A mixed-method study was conducted to explore Twitter data related to frailty. The primary search term was #Frailty. Objective 1: data were collected using Symplur analytics, including variables for total number of tweets, unique tweeters (users) and total number of impressions. Objective 2: a retrospectively conducted snapshot content analysis of 1500 #Frailty tweets was performed using TweetReach Over a six-month period (1 January 2017-31 June 2017), there was a total of 6545 #Frailty tweets, generating 14.8 million impressions across 3986 participants. Of the 1500 tweets (814 retweets 202 replies 484 original tweets), 56% were relevant to clinical frailty. The main contributors ('who') were as follows: the public (29%), researchers (25%), doctors (21%), organisations (18%) and other allied health professionals (7%). Tweet main message intention ('what') was public health/advocacy (41%), social communication (28%), research-based evidence rofessional education (24%), professional opinion/case studies (15%) and general news/events (7%). Twitter is increasingly being used to communicate about frailty. It is important that thought leaders contribute to the conversation. There is potential to leverage Twitter to promote and disseminate frailty-related knowledge and research.
Publisher: Elsevier BV
Date: 08-2021
Publisher: Elsevier BV
Date: 02-2022
Publisher: Oxford University Press (OUP)
Date: 13-01-2023
Abstract: Clinical quality registries can be a transformational tool to improve healthcare delivery. Clinical registries with an incorporated quality emphasis identify evidence-practice gaps, inform quality improvement, and provide foundational research data to examine and improve health-related outcomes. For registries to create an impact it is essential that clinicians and researchers understand historical context, importance, advantages, and key criticisms. This methodological paper highlights the skills and capabilities required to build and maintain a robust clinical quality registry. This includes key measures to ensure data security, quality control, ongoing operational components, and benchmarking of care outcomes.
Publisher: Informa UK Limited
Date: 28-06-2016
DOI: 10.1080/10376178.2016.1216754
Abstract: Despite the decline in vaccine-preventable diseases, immunisation rates remain important. Nurses working in general practice (GPN) are often the first contact for childhood and adult immunisations and so impact vaccine provision. This study sought to describe the current immunisation practices and attitudes of GPN prior to attending the Nurse Immuniser Training Program. Prior to undertaking a Nurse Immuniser Training Program, registered nurses completed a survey describing their demographics, immunisation practice and attitudes to immunisation. Ninety-five GPNs completed the survey. Approximately 98% of participants perceived vaccines to be safe, effective and necessary for child healthcare, while 56.4% of participants reported insufficient knowledge of the childhood immunisation schedule. The majority of participants' practices provided free influenza vaccinations for their general practitioners (GPs) (89.5%) and Practice Nurses (91.6%). However, only half of the participants had been immunised against influenza themselves in the previous three years. It is important for GPNs to be equipped with sufficient knowledge of immunisation to provide appropriate education and opportunistic intervention. However, nurses also need to be aware of their own vaccination status and its impact on their practice.
Publisher: Springer Science and Business Media LLC
Date: 04-2022
DOI: 10.1140/EPJC/S10052-022-10127-0
Abstract: A search for low-mass dilepton resonances in Higgs boson decays is conducted in the four-lepton final state. The decay is assumed to proceed via a pair of beyond the standard model particles, or one such particle and a $${\\mathrm{Z}}$$ Z boson. The search uses proton–proton collision data collected with the CMS detector at the CERN LHC, corresponding to an integrated luminosity of 137 $$\\,\\text {fb}^{-1}$$ fb - 1 , at a center-of-mass energy $$\\sqrt{s} = 13\\,\\text {TeV} $$ s = 13 TeV . No significant deviation from the standard model expectation is observed. Upper limits at 95% confidence level are set on model-independent Higgs boson decay branching fractions. Additionally, limits on dark photon and axion-like particle production, based on two specific models, are reported.
Publisher: Oxford University Press (OUP)
Date: 09-10-2020
Abstract: Co-morbid depression and anxiety symptoms are frequently under-recognised and under-treated in heart disease and this negatively impacts self-management. The purpose of this study was to determine the prevalence, correlates and predictors of depression and anxiety in cardiac rehabilitation programmes, the impact of cardiac rehabilitation on moderate depression, anxiety and stress symptoms, and the relationship between moderate depression, anxiety and stress symptoms and cardiac rehabilitation adherence. This was a retrospective cohort study of 5908 patients entering cardiac rehabilitation programmes from 2006–2017, across two Sydney metropolitan teaching hospitals. Variables included demographics, diagnoses, cardiovascular risk factors, medication use, participation rates, health status (Medical Outcomes Study Short Form-36) and psychological health (Depression Anxiety Stress Scales) subscale scores. Moderate depression, anxiety or stress symptoms were prevalent in 18%, 28% and 13% of adults entering cardiac rehabilitation programmes, respectively. Adults with moderate depression (24% vs 13%), anxiety (32% vs 23%) or stress (18% vs 10%) symptoms were significantly less likely to adhere to cardiac rehabilitation compared with those with normal-mild symptoms ( p 0.001). Anxiety (odds ratio 4.395, 95% confidence interval 3.363–5.744, p 0.001) and stress (odds ratio 4.527, 95% confidence interval 3.315–6.181, p 0.001) were the strongest predictors of depression. Depression (odds ratio 3.167, 95% confidence interval 2.411–4.161) and stress (odds ratio 5.577, 95% confidence interval 4.006–7.765, p 0.001) increased the risk of anxiety on entry by more than three times, above socio-demographic factors, cardiovascular risk factors, diagnoses and quality of life. Monitoring depression and anxiety symptoms on entry and during cardiac rehabilitation can assist to improve adherence and may identify the need for additional psychological health support. Exploring the relevance and use of adjunct psychological support strategies within cardiac rehabilitation programmes is warranted.
Publisher: Wiley
Date: 20-12-2014
DOI: 10.1111/JOCN.12445
Abstract: To review community programmes promoting self-care or self-management for older people with chronic disease in Thailand. Identifying successful elements of culturally appropriate and effective community-based interventions to promote self-care with chronic illness is increasingly important. Integrative review. CINAHL, Medline, Health Source Nursing Academic databases. Integrative review of peer-reviewed articles written between 1946-2012. Articles were included if they described self-care, self-management, chronic disease and community care interventions targeting older people in Thailand. Of the 58 articles retrieved, only 13 articles met the eligibility criteria. Elements of effective interventions included: (1) providing culturally sensitive information, (2) including approaches of shared decision-making and mutual goal setting and (3) flexibility within the intervention to adapt to participant needs. Shared decision-making and mutual goal setting between interventionists and patients improved health behaviours and outcomes. Moreover, the flexibility to adopt the intervention to local characteristics demonstrated positive results. Promoting effective self-care and self-management behaviours is critical to improving outcomes for chronic conditions. The tailoring and targeting of interventions appropriate to in iduals and communities are likely to be most effective in leveraging behaviour change. This review has identified that mutual goal setting improved health behaviours. The flexibility to adopt self-care interventions to community-based settings showed improved patient outcomes.
Publisher: Springer Science and Business Media LLC
Date: 15-06-2022
Abstract: Results are presented from a search for charged-lepton flavor violating (CLFV) interactions in top quark production and decay in pp collisions at a center-of-mass energy of 13 TeV. The events are required to contain one oppositely charged electron-muon pair in the final state, along with at least one jet identified as originating from a bottom quark. The data correspond to an integrated luminosity of 138 fb − 1 , collected by the CMS experiment at the LHC. This analysis includes both the production (q → e μ t) and decay (t → e μ q) modes of the top quark through CLFV interactions, with q referring to a u or c quark. These interactions are parametrized using an effective field theory approach. With no significant excess over the standard model expectation, the results are interpreted in terms of vector-, scalar-, and tensor-like CLFV four-fermion effective interactions. Finally, observed exclusion limits are set at 95% confidence levels on the respective branching fractions of a top quark to an e μ pair and an up (charm) quark of 0 . 13 × 10 − 6 (1 . 31 × 10 − 6 ), 0 . 07 × 10 − 6 (0 . 89 × 10 − 6 ), and 0 . 25 × 10 − 6 (2 . 59 × 10 − 6 ) for vector, scalar, and tensor CLFV interactions, respectively.
Publisher: American Physical Society (APS)
Date: 28-06-2022
Publisher: American Physical Society (APS)
Date: 25-02-2022
Publisher: Informa UK Limited
Date: 08-2014
Publisher: Elsevier BV
Date: 09-2022
Publisher: Elsevier BV
Date: 2022
Publisher: Informa UK Limited
Date: 08-2013
Publisher: Elsevier BV
Date: 2022
DOI: 10.2139/SSRN.4297616
Publisher: Springer Science and Business Media LLC
Date: 18-05-2016
Publisher: Wiley
Date: 12-12-2013
DOI: 10.1111/JOCN.12476
Abstract: To explore the healthcare needs of older Arab migrants, focussing on Arab-Australians and their socio-cultural characteristics. Disparities in accessing healthcare services and addressing healthcare needs are evident among ethnic minorities including Arab migrants, particularly, older people. Racial stereotyping can also affect their ability to use these services. Arabs are a populous and erse group with a long history of global migration. Australia is one of the most multicultural societies in the world, and Arab-Australians constitute an important ethnic minority group. Systematic review. The electronic databases Academic Search Complete (EBSCO), MEDLINE (Ovid), Ageline, ProQuest, CINAHL, PubMed, PsychINFO and Google Scholar were searched from 1990-October 2012. Search terms included health care needs, aged care, ethnic, cultural, linguistics, social, ethnic groups, culturally and linguistically erse, nonEnglish speaking, ageing, elderly, Arabs, Arabic-speaking and Australia. Eight articles reviewing the healthcare issues of Australians from Arabic-speaking background were identified using the search strategy. An additional eight articles were identified through hand searching. Racial stereotyping can alter health-seeking behaviours and healthcare treatment. Increasing the understanding of specific cultural attributes of Arab-Australians will contribute to improving health outcomes. Healthcare providers and policymakers need to adopt more effective ways of communication with Arab-Australians to provide more culturally competent care and achieve better health outcomes.
Publisher: Elsevier BV
Date: 07-2010
DOI: 10.1016/J.COLEGN.2010.04.009
Abstract: The majority of society's deaths occur in a health care environment. Regardless of whether a death occurs in acute care, hospice, residential aged care or community settings, nurses are the health professionals that will spend the largest proportion of time with the patient who has a terminal condition and their families. As few nurses have specialist palliative care qualifications it is essential that nursing education prepares graduates to achieve the core capabilities required for the delivery of best evidenced based palliative care. This reality makes the integration of palliative care content into the undergraduate nursing curricula an important priority. This paper aims to describe how palliative care content has been embedded throughout the three-year University of Notre Dame Australia, Sydney (UNDA) undergraduate nursing degree. The School of Nursing at the University of Notre Dame Australia, Sydney c us is committed to ensuring that students graduate with the capabilities to deliver appropriate care to people with requiring end-of-life care. The establishment of this new School of Nursing coincided with the release of the 'The Palliative Care Curricula for Undergraduates Program' (PCC4U) learning resources. These resources have been integrated into relevant units across the three-year nursing curricula. The nursing curriculum has been design to supports the integration of palliative care knowledge into clinical practice. The Palliative Care Curricula for Undergraduates Program Learning resources offer engaging palliative care case studies and scenarios for academics to utilise. Adopting an iterative approach where palliative care content is spiralled across multiple units provides opportunities for undergraduate nursing students to sequentially build and consolidate their palliative care capabilities. Developing a new curricular provided an ideal opportunity to integrate and embed palliative care content into the undergraduate nursing degree. The next stage of the curriculum development is to explore inter-professional palliative care education opportunities. Evaluating the palliative care capabilities of our nursing graduates is also an important consideration. This paper provides practical suggestions for integrating palliative care education into an undergraduate nursing curriculum.
Publisher: Springer Science and Business Media LLC
Date: 11-2021
Abstract: A measurement of the cross section of the associated production of a single top quark and a W boson in final states with a muon or electron and jets in proton-proton collisions at $$ \\sqrt{s} $$ s = 13 TeV is presented. The data correspond to an integrated luminosity of 36 fb − 1 collected with the CMS detector at the CERN LHC in 2016. A boosted decision tree is used to separate the tW signal from the dominant t $$ \\overline{\\mathrm{t}} $$ t ¯ background, whilst the subleading W+jets and multijet backgrounds are constrained using data-based estimates. This result is the first observation of the tW process in final states containing a muon or electron and jets, with a significance exceeding 5 standard deviations. The cross section is determined to be 89 ± 4 (stat) ± 12 (syst) pb, consistent with the standard model.
Publisher: Wiley
Date: 07-06-2019
DOI: 10.1111/OPN.12248
Abstract: This study sought to assess the effect of a community-based intervention influencing adherence status at baseline, 1, 3 and 6 months, and to evaluate the impact that a community-based intervention and socio-economic factors have on adherence. Although high-quality treatment and modern hypertension clinical practice guidelines have been developed worldwide, the outcomes of patients with hypertension in Thailand are not optimal. Implementing a person-centred and integrated health services model to improve hypertension management, such as a community-based intervention, is challenging for healthcare providers in Thailand. An observational study of a community-based intervention. The study comprised residents in 17 villages in one province of Thailand. A s le of 156 participants was allocated into the intervention and the control groups. Inclusion criteria were people aged 60 years or older diagnosed with hypertension. Exclusion criteria included the latest record of extreme hypertension and having a documented history of cognitive impairment. The intervention group received the 4-week community-based intervention programme. Multiple linear regression was applied to predict the adherence status at each phase. Multiple logistic regression was then implemented to predict influencing factors between the groups. Patients who received the intervention had significantly lower adherence scores (reflecting a higher level of adherence) at 3 and 6 months after intervention by 1.66 and 1.45 times, respectively, when adjusting for other variables. After 6 months, the intervention was associated with a significant improvement in adherence when adjusting for other variables. This study provides evidence to support the use of community-based interventions as an effective adjunct to hospital-based care of hypertension patients in Thailand. Understanding factors between health outcomes and social determinants of health is crucial for informing the development of culturally appropriate interventions.
Publisher: Wiley
Date: 23-08-2018
DOI: 10.1111/AJO.12883
Abstract: Conventional treatments for cyclic perimenstrual pain and discomfort, while numerous and erse, have drawbacks including side effects, interference with women's reproductive function and, importantly, failure to address symptoms. Many women turn to herbal medicine to treat a myriad of menstrual symptoms. Clinical evidence supports the efficacy of Vitex agnus-castus but other medicinal herbs typically used by Western herbalists for treating menstrual symptoms are unsupported by clinical trials. This raises concerns around the efficacy and safety of these herbs. Women's treatment options need to be extended and in idualised, where current conventional strategies fail, requiring appropriate clinical trials of potentially useful herbal medicines.
Publisher: Elsevier BV
Date: 11-2022
Publisher: American Physical Society (APS)
Date: 23-03-2022
Publisher: Informa UK Limited
Date: 10-2014
Publisher: Elsevier BV
Date: 11-2014
DOI: 10.1016/J.MATURITAS.2014.08.002
Abstract: Large population-based studies of complementary and alternative medicine (CAM) and conventional medicine use amongst menopausal women are lacking. This study helps address this gap by analysing data from a nationally representative s le of 10011 Australian women aged 59-64 years. Overall, 39% of menopausal women consulted CAM practitioners, 75% used self-prescribed CAM, 95% consulted general practitioners (GP) and 50% consulted specialists during the previous year, and 12% were current hormone replacement therapy (HRT) users. Our findings suggest that CAM is a significant healthcare option utilized by women to treat menopausal symptoms, and so requires attention from GPs and specialists.
Publisher: Frontiers Media SA
Date: 20-07-2018
Publisher: Elsevier BV
Date: 2022
Publisher: Elsevier BV
Date: 2021
Publisher: Springer Science and Business Media LLC
Date: 05-12-2022
DOI: 10.1140/EPJC/S10052-022-10897-7
Abstract: Measurements of the associated production of a W boson and a charm ( $${\\text {c}}$$ c ) quark in proton–proton collisions at a centre-of-mass energy of 8 $$\\,\\text {TeV}$$ TeV are reported. The analysis uses a data s le corresponding to a total integrated luminosity of 19.7 $$\\,\\text {fb}^{-1}$$ fb - 1 collected by the CMS detector at the LHC. The W bosons are identified through their leptonic decays to an electron or a muon, and a neutrino. Charm quark jets are selected using distinctive signatures of charm hadron decays. The product of the cross section and branching fraction $$\\sigma (\\text {p}\\text {p}\\rightarrow \\text {W}+ {\\text {c}}+ \\text {X}) {\\mathcal {B}}(\\text {W}\\rightarrow \\ell \\upnu )$$ σ ( pp → W + c + X ) B ( W → ℓ ν ) , where $$\\ell = \\text {e}$$ ℓ = e or $$\\upmu $$ μ , and the cross section ratio $$\\sigma (\\text {p}\\text {p}\\rightarrow {{\\text {W}}^{+} + \\bar{{\\text {c}}} + \\text {X}}) / \\sigma (\\text {p}\\text {p}\\rightarrow {{\\text {W}}^{-} + {\\text {c}}+ \\text {X}})$$ σ ( pp → W + + c ¯ + X ) / σ ( pp → W - + c + X ) are measured in a fiducial volume and differentially as functions of the pseudorapidity and of the transverse momentum of the lepton from the W boson decay. The results are compared with theoretical predictions. The impact of these measurements on the determination of the strange quark distribution is assessed.
Publisher: SAGE Publications
Date: 31-03-2014
Abstract: Pain is a complex multidimensional phenomenon moderated by consumer, provider and health system factors. Effective pain management cuts across professional boundaries, with failure to screen and assess contributing to the burden of unrelieved pain. To test the impact of an online pain assessment learning module on specialist palliative care nurses’ pain assessment competencies, and to determine whether this education impacted positively on palliative care patients’ reported pain ratings. A quasi-experimental pain assessment education pilot study utilising ‘Qstream © ’, an online methodology to deliver 11 case-based pain assessment learning scenarios, developed by an interdisciplinary expert panel and delivered to participants’ work emails over a 28-day period in mid-2012. The ‘Self-Perceived Pain Assessment Competencies’ survey and chart audit data, including patient-reported pain intensity ratings, were collected pre-intervention (T1) and post-intervention (T2) and analysed using inferential statistics to determine key outcomes. Nurses working at two Australian inpatient specialist palliative care services in 2012. The results reported conform to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Guidelines. Participants who completed the education intervention ( n = 34) increased their pain assessment knowledge, assessment tool knowledge and confidence to undertake a pain assessment ( p 0.001). Participants were more likely to document pain intensity scores in patients’ medical records than non-participants (95% confidence interval = 7.3%–22.7%, p = 0.021). There was also a significant reduction in the mean patient-reported pain ratings between the admission and audit date at post-test of 1.5 (95% confidence interval = 0.7–2.3) units in pain score. This pilot confers confidence of the education interventions capacity to improve specialist palliative care nurses’ pain assessment practices and to reduce patient-rated pain intensity scores.
Publisher: Informa UK Limited
Date: 12-2014
Publisher: Elsevier BV
Date: 04-2021
Publisher: Informa UK Limited
Date: 25-06-2018
Publisher: Springer Science and Business Media LLC
Date: 10-2021
Abstract: Double-parton scattering is investigated using events with a Z boson and jets. The Z boson is reconstructed using only the dimuon channel. The measurements are performed with proton-proton collision data recorded by the CMS experiment at the LHC at $$ \sqrt{s} $$ s = 13 TeV, corresponding to an integrated luminosity of 35.9 fb − 1 collected in the year 2016. Differential cross sections of Z+ ≥ 1 jet and Z+ ≥ 2 jets are measured with transverse momentum of the jets above 20 GeV and pseudorapidity |η| 2 . 4. Several distributions with sensitivity to double-parton scattering effects are measured as functions of the angle and the transverse momentum imbalance between the Z boson and the jets. The measured distributions are compared with predictions from several event generators with different hadronization models and different parameter settings for multiparton interactions. The measured distributions show a dependence on the hadronization and multiparton interaction simulation parameters, and are important input for future improvements of the simulations.
Publisher: Oxford University Press (OUP)
Date: 26-07-2019
Abstract: The purpose of this systematic review was to (a) examine the effects of interventions delivered by a heart failure professional for mild cognitive impairment and dementia on cognitive function, memory, working memory, instrumental activities of daily living, heart failure knowledge, self-care, quality of life and depression and (b) identify the successful elements of these strategies for heart failure patients with mild cognitive impairment or dementia. During March 2018, an electronic search of databases including CINAHL, MEDLINE, EMBASE and PsycINFO was conducted. All randomised controlled trials, which examined an intervention strategy to help heart failure patients with mild cognitive impairment or dementia cope with self-care, were included. An initial search yielded 1622 citations, six studies were included ( N= 595 participants, mean age 68 years). There were no significant improvements in cognitive function and depression. However, significant improvements were seen in memory ( p=0.015), working memory ( p=0.029) and instrumental activities of daily living ( p=0.006). Nurse led interventions improved the patient’s heart failure knowledge ( p=0.001), self-care ( p .05) and quality of life ( p=0.029). Key elements of these interventions include brain exercises, for ex le, syllable stacks, in idualised assessment and customised education, personalised self-care schedule development, interactive problem-solving training on scenarios and association techniques to prompt self-care activities. Modest evidence for nurse led interventions among heart failure patients with mild cognitive impairment or dementia was identified. These results must be interpreted with caution in light of the limited number of available included studies.
Publisher: Elsevier BV
Date: 12-2021
Publisher: Springer Science and Business Media LLC
Date: 10-2021
Abstract: The cross section for W or Z boson production in association with two photons is measured in proton-proton collisions at a centre-of-mass energy of 13 TeV. The data set corresponds to an integrated luminosity of 137 fb − 1 collected by the CMS experiment at the LHC. The W → ℓν and Z → ℓℓ decay modes (where ℓ = e , μ ) are used to extract the W γγ and Z γγ cross sections in a phase space defined by electron (muon) with transverse momentum larger than 30 GeV and photon transverse momentum larger than 20 GeV. All leptons and photons are required to have absolute pseudorapidity smaller than 2.5. The measured cross sections in this phase space are σ (W γγ ) = $$ {13.6}_{-1.9}^{+1.9}{\\left(\\mathrm{stat}\\right)}_{-4.0}^{+4.0} $$ 13.6 − 1.9 + 1.9 stat − 4.0 + 4.0 (syst) ± 0 . 08 (PDF + scale) fb and σ (Z γγ ) = $$ {5.41}_{-0.55}^{+0.58}{\\left(\\mathrm{stat}\\right)}_{-.070}^{+0.64} $$ 5.41 − 0.55 + 0.58 stat − .070 + 0.64 (syst) ± 0 . 06 (PDF + scale) fb. Limits on anomalous quartic gauge couplings are set in the framework of an effective field theory with dimension-8 operators.
Publisher: Springer Science and Business Media LLC
Date: 03-2022
Abstract: A search for long-lived particles (LLPs) produced in association with a Z boson is presented. The study is performed using data from proton-proton collisions with a center-of-mass energy of 13 TeV recorded by the CMS experiment during 2016–2018, corresponding to an integrated luminosity of 117 fb − 1 . The LLPs are assumed to decay to a pair of standard model quarks that are identified as displaced jets within the CMS tracker system. Triggers and selections based on Z boson decays to electron or muon pairs improve the sensitivity to light LLPs (down to 15 GeV). This search provides sensitivity to beyond the standard model scenarios which predict LLPs produced in association with a Z boson. In particular, the results are interpreted in the context of exotic decays of the Higgs boson to a pair of scalar LLPs (H → SS). The Higgs boson decay branching fraction is constrained to values less than 6% for proper decay lengths of 10–100 mm and for LLP masses between 40 and 55 GeV. In the case of low-mass ( ≈ 15 GeV) scalar particles that subsequently decay to a pair of b quarks, the search is sensitive to branching fractions $$ \\mathcal{B} $$ B (H → SS) 20% for proper decay lengths of 10–50 mm. The use of associated production with a Z boson increases the sensitivity to low-mass LLPs of this analysis with respect to gluon fusion searches. In the case of 15 GeV scalar LLPs, the improvement corresponds to a factor of 2 at a proper decay length of 30 mm.
Publisher: Elsevier BV
Date: 2020
Publisher: BMJ
Date: 06-2015
Publisher: Springer Science and Business Media LLC
Date: 02-05-2012
Abstract: A search for new heavy resonances decaying to a pair of Higgs bosons (HH) in proton-proton collisions at a center-of-mass energy of 13 TeV is presented. Data were collected with the CMS detector at the LHC in 2016–2018, corresponding to an integrated luminosity of 138 fb − 1 . Resonances with a mass between 0.8 and 4.5 TeV are considered using events in which one Higgs boson decays into a bottom quark pair and the other into final states with either one or two charged leptons. Specifically, the single-lepton decay channel $$ \\mathrm{HH}\\to \\mathrm{b}\\overline{\\mathrm{b}}{\\mathrm{WW}}^{\\ast}\\to \\mathrm{b}\\overline{\\mathrm{b}}\\ell v\\mathrm{q}{\\overline{\\mathrm{q}}}^{\\prime } $$ HH → b b ¯ WW ∗ → b b ¯ ℓ v q q ¯ ′ and the dilepton decay channels $$ \\mathrm{HH}\\to \\mathrm{b}\\overline{\\mathrm{b}}{\\mathrm{WW}}^{\\ast}\\to \\mathrm{b}\\overline{\\mathrm{b}}\\ell v\\ell v $$ HH → b b ¯ WW ∗ → b b ¯ ℓ v ℓ v and $$ \\mathrm{HH}\\to \\mathrm{b}\\overline{\\mathrm{b}}\\uptau \\uptau \\to \\mathrm{b}\\overline{\\mathrm{b}}\\ell vv\\ell vv $$ HH → b b ¯ ττ → b b ¯ ℓ vv ℓ vv are examined, where ℓ in the final state corresponds to an electron or muon. The signal is extracted using a two-dimensional maximum likelihood fit of the $$ \\mathrm{H}\\to \\mathrm{b}\\overline{\\mathrm{b}} $$ H → b b ¯ jet mass and HH invariant mass distributions. No significant excess above the standard model expectation is observed in data. Model-independent exclusion limits are placed on the product of the cross section and branching fraction for narrow spin-0 and spin-2 massive bosons decaying to HH. The results are also interpreted in the context of radion and bulk graviton production in models with a warped extra spatial dimension. The results provide the most stringent limits to date for X → HH signatures with final-state leptons and at some masses provide the most sensitive limits of all X → HH searches.
Publisher: Informa UK Limited
Date: 09-07-2014
DOI: 10.3109/13697137.2014.904850
Abstract: To provide the first critical review of traditional Chinese medicine (TCM) use amongst symptomatic menopausal women, drawing upon work examining the perspectives of both TCM users and TCM practitioners. A search was conducted in three English-language databases (MEDLINE, CINAHL and AMED) and three Chinese-language databases (CNKI, VIP and CBM Disc) for 2002-2013 international peer-reviewed articles reporting empirical findings of TCM use in menopause. A total of 25 journal articles reporting 22 studies were identified as meeting the review inclusion criteria. Chinese herbal medicine appears to be the most common therapy amongst symptomatic menopausal women, and vasomotor symptoms and emotional changes are the most frequent symptoms for which TCM is sought. However, evidence regarding the prevalence of TCM use and users' profile in menopause is limited. Existing studies are of varied methodological quality, often reporting low response rate, extensive recall bias and a lack of syndrome differentiation. This review provides insights for practitioners and health policy-makers regarding TCM care to symptomatic menopausal women. More nationally representative studies are required to rigorously examine TCM use for the management of menopausal symptoms. Syndrome differentiation of menopausal women is an area which also warrants further attention.
Publisher: Informa UK Limited
Date: 10-09-2020
Publisher: Elsevier BV
Date: 2018
Publisher: Informa UK Limited
Date: 06-05-2016
DOI: 10.1080/10376178.2016.1175311
Abstract: Globally, heart failure (HF) is one of the major health issues faced by many older people. It causes significant symptom burden that requires ongoing management. This paper reports on a descriptive-observational study undertaken to: (1) describe the prevalence of pain and analgesic prescription usage in hospitalized older HF patients (2) determine the degree to which these patients are provided with a pain self-management strategy prior to discharge and (3) determine if the patients' pain self-management strategy has been detailed in the discharge summary. A total of 122 older HF patients were included in this study. Results indicated that moderate to severe pain (Numeric Rating Scale score ≥4) is experienced by a substantial number of older people hospitalized with HF. There is little documented evidence that older people are provided with adequate analgesic prescriptions and the instructions required to effectively manage their pain on discharge to the community.
Publisher: Oxford University Press (OUP)
Date: 29-11-2022
Abstract: Internationally there is urgency to implement guidelines supporting integration of palliative care into stroke clinical practice. Despite considerable advances in acute stroke management approximately 20% of all acute stroke patients die within the first 30 days. Palliative care is well established in diseases such as cancer or advanced heart failure, but evidence base interventions of high quality are limited in stroke populations. This systematic review aims to identify and evaluate quantitative studies that describe palliative care interventions and end of life care as reported by patient's post-stroke and their families. A systematic review following PRISMA guidelines was conducted in CINAHL, PubMed, Cochrane, Embase, Ovid, Proquest and Scopus from 1990 - April 2021. The National Heart, Lung and Blood Institute (NHLBI) standardised quality rating tools for quality assessment was used. The protocol was registered in PROSPERO. Seven studies were identified and all used descriptive quantitative designs. There were no interventional studies. Results were synthesised narratively according to the elements of palliative care interventions and end of life care: symptom burden and satisfaction, loss of autonomy and end of life and acknowledging uncertainty. This review highlights the limited empirical evidence that describe palliative care interventions and end of life care as reported by patient's post-stroke and their families. Most of the current evidence focuses on the provision of care during the final days and hours of life, or end-of-life care, with little evidence to guide the integration of palliative care into post-stroke clinical care, especially for patients with an uncertain prognosis. Acute stroke is sudden, unexpected and life-changing, and patients and families would benefit from well-designed targeted interventions to determine strategies that address the erse palliative needs of this patient population. PROSPERO CRD42021254536.
Publisher: JMIR Publications Inc.
Date: 04-02-2020
Abstract: n array of wearable cardiac monitoring technologies have become available to consumers in recent years. A primary focus of research has been on the performance, accuracy, specificity and sensitivity of devices, with limited understanding of the barriers and enablers informing acceptance or uptake of these technologies, specifically in older adults his review aimed to explore experiences of older adults and health professionals in relation to using wearable cardiac health monitoring technologies and identify barriers and enablers of acceptance and uptake of these devices. meta-synthesis was undertaken to synthesise qualitative studies. total of seven studies were included. Four interrelated themes emerged: (1) Feelings of trust, safety and confidence (2) Functionality and affordability (3) Risk of stigmatisation and (4) Assurance of device data. his systematic review provides evidence of barriers and enablers in acceptability and uptake of wearable telemonitoring devices based on experiences of older adult, health professionals, and carers. Most significant factors that impact the uptake directly relate to the design aspects of the devices, appropriate and timely feedback, user-friendly technology and issues related to the affordability and cost. Findings highlight the need for end user engagement in the co-design and implementation of such interventions /A
Publisher: Springer Science and Business Media LLC
Date: 16-05-2022
Abstract: A search is presented for single production of a vector-like T quark with charge 2 / 3 e , in the decay channel featuring a top quark and a Z boson, with the top quark decaying hadronically and the Z boson decaying to neutrinos. The search uses data collected by the CMS experiment in proton-proton collisions at a center-of-mass energy of 13 TeV, corresponding to an integrated luminosity of 137 fb − 1 recorded at the CERN LHC in 2016–2018. The search is sensitive to a T quark mass between 0.6 and 1.8 TeV with decay widths ranging from negligibly small up to 30% of the T quark mass. Reconstruction strategies for the top quark are based on the degree of Lorentz boosting of its final state. At 95% confidence level, the upper limit on the product of the cross section and branching fraction for a T quark of small decay width varies between 15 and 602 fb, depending on its mass. For a T quark with decay widths between 10 and 30% of its mass, this upper limit ranges between 16 and 836 fb. For most of the studied range, the results provide the best limits to date. This is the first search for single T quark production based on the full Run 2 data set of the LHC.
Publisher: Elsevier BV
Date: 08-2022
Publisher: Elsevier BV
Date: 2020
Publisher: Informa UK Limited
Date: 06-05-2016
Publisher: RCN Publishing Ltd.
Date: 14-09-2015
Abstract: To describe strategies that can enhance the recruitment of rural-dwelling older people into clinical trials. Recruitment to studies can be time-consuming and challenging. Moreover, there are challenges associated with recruiting older people, particularly those living in rural areas. Nevertheless, an adequate s le size is crucial to the validity of randomised controlled trials (RCTs). The authors draw on the literature and their personal experiences, to present a range of flexible and inclusive strategies that have been successfully used to recruit older people into clinical trials. This paper describes attempts to improve recruitment of rural-dwelling, older Thai people to a clinical trial. To attract potential participants, researchers should consider minimising the burden of their study and maximising its benefits or convenience for participants. Three factors that may influence participation rates are: personal factors of participants, researchers' personal attributes, and protocol factors. In addition, three important strategies contribute to improving recruitment: understanding the culture of the research setting, identifying the 'gatekeepers' in the setting and building trust with stakeholders. Even though the study covered did not recruit a large number of participants, these understandings were crucial and enabled recruitment of a sufficient number of participants in a reasonable timeframe. These strategies may be of use in rural settings and with different communities including urban communities.
Publisher: Springer Science and Business Media LLC
Date: 16-05-2022
Abstract: The production cross section of a top quark pair in association with a photon is measured in proton-proton collisions in the decay channel with two oppositely charged leptons ( e ± μ ∓ , e + e − , or μ + μ − ). The measurement is performed using 138 fb − 1 of proton-proton collision data recorded by the CMS experiment at $$ \\sqrt{s} $$ s = 13 TeV during the 2016–2018 data-taking period of the CERN LHC. A fiducial phase space is defined such that photons radiated by initial-state particles, top quarks, or any of their decay products are included. An inclusive cross section of 175 . 2 ± 2 . 5(stat) ± 6 . 3(syst) fb is measured in a signal region with at least one jet coming from the hadronization of a bottom quark and exactly one photon with transverse momentum above 20 GeV. Differential cross sections are measured as functions of several kinematic observables of the photon, leptons, and jets, and compared to standard model predictions. The measurements are also interpreted in the standard model effective field theory framework, and limits are found on the relevant Wilson coefficients from these results alone and in combination with a previous CMS measurement of the t $$ \\overline{t} $$ t ¯ γ production process using the lepton+jets final state.
Publisher: Informa UK Limited
Date: 06-05-2016
Publisher: Elsevier BV
Date: 2022
Publisher: Elsevier BV
Date: 12-2022
Publisher: Oxford University Press (OUP)
Date: 28-07-2023
DOI: 10.1093/EURJCN/ZVAD064.087
Abstract: Type of funding sources: Public grant(s) – National budget only. Main funding source(s): National Health and Medical Research Council (Australian Government) to determine the feasibility and efficacy of a digital education program for patients living with atrial fibrillation on patient knowledge and AF-related quality of life. a single-arm pilot-feasibility study was conducted. Participants with diagnosed AF were recruited from two metropolitan hospitals in Australia, following index hospitalisation. INFORM-AF was delivered by a QStream digital platform directly to participant’s smartphones over 6 weeks. The intervention consisted of a series of 6 interactive micro-learning case studies, multiple choice questions, instant feedback and learning resources delivered using a standardised spaced algorithm with repetition. Topics addressed AF symptoms, risk factors and complications, lifestyle and medication management and seeking assistance. Outcome measures included AF knowledge (JEKQ), AF quality of life (AFEQT) and system usability (SUS). Surveys were completed at in-hospital baseline and via phone at 6 weeks, 3, 6 and 12 months. 32 participants were enrolled, 2 were lost to follow up and 2 withdrew. 28 were included in the analyses. The mean age was 61 years (32-79 years), with 56% female. There were significant improvements to AF knowledge (62% pre vs 73% post, p& .001) and AF quality of life at 6 weeks (54 pre and 68 post, p = 0.016), system usability was excellent (mean 84). Knowledge improvements were the greatest in the risk factor, symptom recognition, and when to seek assistance domains. INFORM-AF demonstrated good feasibility with significant improvements in AF knowledge and quality of life at 12 months. We plan to evaluate this intervention in a larger clinical trial on outcomes including emergency department visits, hospitalisation and healthcare utilisation.Table 1Figure 1
Publisher: Informa UK Limited
Date: 18-02-2015
DOI: 10.3109/13697137.2014.989828
Abstract: To examine the associations between consultations with complementary and alternative medicine (CAM) practitioners and menopause-related symptoms. A cross-sectional survey of a nationally representative s le of 10 011 women aged 59-64 years from the Australian Longitudinal Study on Women's Health, conducted in 2010. Women, including those with hysterectomy, oophorectomy and natural menopause, were asked about their consultations with a range of CAM practitioners and menopause-related symptoms experienced. Acupuncturists were more likely to be consulted by women with hysterectomy experiencing night sweats (odds ratio, OR = 2.21), but were less likely to be consulted by those experiencing hot flushes (OR = 0.53). Acupuncturists were also more likely to be consulted by women with oophorectomy (OR = 3.11) and natural menopausal women (OR = 1.57) experiencing back pain. Massage therapists were more likely to be consulted by women with oophorectomy experiencing back pain (OR = 1.98), women with hysterectomy experiencing anxiety (OR = 1.52), and natural menopausal women experiencing back pain (OR = 1.54) and/or anxiety (OR = 1.29). Naturopaths/herbalists were more likely to be consulted by women with oophorectomy experiencing leaking urine (OR = 2.08). Chiropractors/osteopaths were more likely to be consulted by women across all menopausal status experiencing back pain (OR = 2.52, 2.31 and 2.25 for women with oophorectomy, hysterectomy and natural menopause, respectively). There are substantial levels of CAM practitioners' consultations amongst menopausal women, with a range of menopause-related symptoms associated with the use of specific CAM practitioner modalities. It is important that health-care providers are mindful of CAM practitioner use in order to ensure safe, effective and coordinated treatment and support for menopausal women in their care.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 28-05-2023
Publisher: Elsevier BV
Date: 2020
Publisher: Oxford University Press (OUP)
Date: 08-2019
Abstract: There is a need to improve cardiovascular nurses’ knowledge and practices related to stroke prevention, atrial fibrillation and anticoagulation therapy. The aim of this study was to evaluate the efficacy of EVICOAG – a novel mHealth, smartphone-based, spaced-learning intervention on nurses’ knowledge of atrial fibrillation and anticoagulation. Nurses employed in four clinical specialties (neuroscience, stroke, rehabilitation, cardiology) across three hospitals were invited to participate. In this quasi-experimental study, 12 case-based atrial fibrillation and anticoagulation learning scenarios (hosted by an mHealth platform) were delivered to participants’ smartphones over a 6-week period (July–December 2016) using a spaced timing algorithm. Electronic surveys to assess awareness and knowledge were administered pre (T1) and post (T2) intervention. From 74 participants recruited to T1, 40 completed T2. There was a 54% mean improvement in knowledge levels post-intervention. The largest improvement was achieved in domains related to medication interaction and stroke and bleeding risk assessment. Post-intervention, those who completed T2 were significantly more likely to use CHA 2 DS 2 -VASc (2.5% vs. 37.5%) and HAS-BLED (2.5% vs. 35%) tools to assess stroke and bleeding risk, respectively ( P .01). The EVICOAG intervention improved nurses’ knowledge of atrial fibrillation and anticoagulation, and influenced their uptake and use of stroke and bleeding risk assessment tools in clinical practice. Future research should focus on whether a similar intervention might improve patient-centred outcomes such as patients’ knowledge of their condition and therapies, medication adherence, time in the therapeutic range and quality of life.
Publisher: Elsevier BV
Date: 12-2018
DOI: 10.1016/J.PMN.2018.07.008
Abstract: Pain is highly prevalent in all health care settings, and frequently poorly managed. Effective pain management is predicated on a continuous cycle of screening, assessing, intervening and evaluating. Identifying gaps in nurses' self-perceived pain assessment competencies is an essential first step in the design of tailored interventions to embed effective pain assessment into routine clinical practice, and improve patient reported pain outcomes. Yet, few validated instruments focus on the competencies required for undertaking a comprehensive pain assessment, with most focusing on clinician's pain management competencies. To examine the validity of the 'Self-Perceived Pain Assessment Knowledge and Confidence' (Self-PAC) Scale. Preliminary instrument validation. Two Australian cancer and palliative care services. 186 cancer and palliative care nurses. The Self-PAC Scale was administered to participants online. Factor Analyses, including Exploratory and Confirmatory, were applied to examine the structural validity, Cronbach's alpha was calculated for internal consistency. Criterion validity was investigated by comparing responses from experienced and non-experienced nurses. Two components resulted with a single factor structure for pain assessment confidence and a two-factor structure for the knowledge of pain assessment. The factor loading for the subscales ranged from 0.653 to 0.969, with large proportions of the variances explained by the factors. Cronbach's alpha of the subscales ranged from 0.87-0.92 and significant difference in responses were found between experienced and non-experienced nurses. Preliminary validation of the Self-PAC Scale suggests that it is a helpful instrument for assessing cancer and palliative care nurse' pain assessment competencies.
Publisher: Elsevier BV
Date: 12-2016
DOI: 10.1016/J.COLEGN.2015.09.007
Abstract: Telemonitoring is an innovative model of care being implemented to address thegrowing burden of chronic and complex disease. This paper explores the perceptions of community dwelling older people withchronic and complex conditions towards a general practice nurse-led telemonitoring interven-tion. A pre-test post-test intervention study was conducted with consumer surveys adminis-tered before and after the intervention. The telemonitoring intervention consisted of a periodof home monitoring during which daily vital signs and symptoms were transmitted to the generalpractice nurse. 21 participants completed both pre and post-test surveys. There was a significant dif-ference between pre and post ratings on the survey item ‘‘the use of telemonitoring equipmentseems difficult to me’’ (p = 0.013), and ‘‘telemonitoring will be a standard way of health caredelivery in the future’’ (p = 0.032). Approximately half of the participants reported that tele-monitoring provided them with a sense of security and peace of mind, assisted them to managetheir health, in addition to improving their confidence in managing their care. Most participants felt more involved and expressed that daily monitoring helped them to understand changes intheir condition. Telemonitoring is acceptable to Australian community dwelling older persons withchronic conditions. Prior experience with computers and technology may not be a meditatingfactor in acceptability. The use of telemonitoring not only provided important physiological infor-mation to health professionals but also has the potential to empower older people by allowingthem to better understand their own health.
Publisher: Springer Science and Business Media LLC
Date: 10-2021
Abstract: A search for electroweak production of supersymmetric (SUSY) particles in final states with one lepton, a Higgs boson decaying to a pair of bottom quarks, and large missing transverse momentum is presented. The search uses data from proton-proton collisions at a center-of-mass energy of 13 TeV collected using the CMS detector at the LHC, corresponding to an integrated luminosity of 137 fb − 1 . The observed yields are consistent with backgrounds expected from the standard model. The results are interpreted in the context of a simplified SUSY model of chargino-neutralino production, with the chargino decaying to a W boson and the lightest SUSY particle (LSP) and the neutralino decaying to a Higgs boson and the LSP. Charginos and neutralinos with masses up to 820 GeV are excluded at 95% confidence level when the LSP mass is small, and LSPs with mass up to 350 GeV are excluded when the masses of the chargino and neutralino are approximately 700 GeV.
Publisher: Springer Science and Business Media LLC
Date: 03-06-2022
Abstract: The first measurement of the CP structure of the Yukawa coupling between the Higgs boson and τ leptons is presented. The measurement is based on data collected in proton-proton collisions at $$ \\sqrt{s} $$ s = 13 TeV by the CMS detector at the LHC, corresponding to an integrated luminosity of 137 fb − 1 . The analysis uses the angular correlation between the decay planes of τ leptons produced in Higgs boson decays. The effective mixing angle between CP -even and CP -odd τ Yukawa couplings is found to be − 1 ± 19°, compared to an expected value of 0 ± 21° at the 68.3% confidence level. The data disfavour the pure CP -odd scenario at 3.0 standard deviations. The results are compatible with predictions for the standard model Higgs boson.
Publisher: Elsevier BV
Date: 08-2023
Publisher: Elsevier BV
Date: 11-2016
DOI: 10.1016/J.CTCP.2016.07.003
Abstract: Emerging evidence suggests that some people living with non-communicable diseases (NCDs) have integrated energy healing into their self-management strategy, however little is known about its efficacy. To identify energy healing interventions that impacted positively on the symptom management outcomes for patients living in the community with various NCDs. A systematic review of energy healing interventions for the management of non-communicable disease related symptoms, conducted between 01 January 2000 and 21 April 2015, published in an English peer-reviewed journal. This review conforms to the PRISMA statement. Twenty seven studies were identified that evaluated various energy healing interventions involving 3159 participants. Thirteen of the energy healing trials generated statistically significant outcomes. Energy healing has demonstrated some improvement in illness symptoms, however high level evidence consistently demonstrating efficacy is lacking. Further more robust trials are required to better understand which elements of energy healing interventions are associated with positive outcomes.
Publisher: Springer Science and Business Media LLC
Date: 14-04-2022
Abstract: A search has been performed for heavy resonances decaying to ZZ or ZW and for axion-like particles (ALPs) mediating nonresonant ZZ or ZH production, in final states with two charged leptons ( ℓ = e , μ) produced by the decay of a Z boson, and two quarks produced by the decay of a Z, W, or Higgs boson H. The analysis is sensitive to resonances with masses in the range 450 to 2000 GeV. Two categories are defined corresponding to the merged or resolved reconstruction of the hadronically decaying boson. The search is based on data collected during 2016–2018 by the CMS experiment at the LHC in proton-proton collisions at a center-of-mass energy of 13 TeV, corresponding to an integrated luminosity of 138 fb − 1 . No significant excess is observed in the data above the standard model background expectation. Upper limits on the production cross section of heavy, narrow spin-2 and spin-1 resonances are derived as functions of the resonance mass, and exclusion limits on the production of bulk graviton particles and W′ bosons are calculated in the framework of the warped extra dimensions and heavy vector triplet models, respectively. In addition, upper limits on the ALP-mediated diboson production cross section and ALP couplings to standard model particles are obtained in the framework of linear and chiral effective field theories. These are the first limits on nonresonant ALP-mediated ZZ and ZH production obtained by the LHC experiments.
Publisher: Hindawi Limited
Date: 25-05-2022
DOI: 10.1111/HSC.13849
Abstract: Preliminary research suggests that meditation may provide benefits in psychological health and well-being in people with cardiovascular disease (CVD). However, little is known about health professionals' perceptions of the barriers and facilitators to integrating meditation into CVD. A descriptive qualitative study design with semi-structured interviews was used to explore the acceptability of integrating meditation into outpatient CVD programs and the organisational factors that may affect its integration. Clinicians were recruited through purposive and snowball s ling. E-mail addresses were obtained from publicly listed profiles of cardiovascular and relevant health organisations. Interview questions included perspectives of organising or delivering meditation within a health setting, format of meditation delivery, organisational or other factors that facilitate or present barriers to integrating meditation into clinical practice, and perceived risks associated with integrating meditation in clinical settings. Verbatim transcripts were thematically analysed using an inductive approach and the Braun and Clarke (2006) method to identify themes within barriers and facilitators to implementation. Eighteen predominately female (61%) senior nursing and medical professionals (61%), as well as health managers (17%), psychologists (11%) and allied health professionals (11%), aged 40-60 years were interviewed between 18 May 2017 and 29 March 2018 in Australia via telephone, or face-to-face at a university or the participants' workplace. Three key themes were identified including: enhancing awareness of meditation within a biomedical model of care, building the evidence for meditation in CVD and finding an organisational fit for meditation in cardiovascular care. Meditation was perceived to sit outside the existing health service structure, which prioritised the delivery of medical care. Health professionals perceived that some physicians did not recognise the potential for meditation to improve cardiovascular outcomes while others acknowledged meditation's positive benefits as a safe, low-cost strategy. The benefits of meditation were perceived as subjective, based on preliminary evidence. Health professionals perceived that aligning meditation with health organisational objectives and integrating meditation into outpatient cardiac rehabilitation and community-based secondary prevention pathways is needed. A fully powered clinical trial is required to strengthen the evidence regarding the role of meditation for psychological health in CVD. Generating clinician engagement and support is necessary to enhance awareness of meditation's use in cardiovascular secondary prevention.
Publisher: American Physical Society (APS)
Date: 26-08-2021
Publisher: Oxford University Press (OUP)
Date: 08-07-2016
Abstract: Anxiety is a serious affective mood disorder that affects many chronic heart failure patients. While there is le evidence that depression increases hospitalisations and mortality in chronic heart failure patients, it is unclear whether this association also exists for anxiety. The purpose of this study was to report on prospective cohort studies investigating anxiety in chronic heart failure patients and its association with hospitalisations and mortality rates. This systematic review aims to improve the current knowledge of anxiety as a potential prognostic predictor in chronic heart failure populations. This systematic review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Studies were identified by accessing electronic databases Embase, Medline, Cumulative Index to Nursing and Allied Health Literature and PsycINFO. Studies were included if they: employed a prospective cohort study design, included chronic heart failure participants with a confirmed clinical diagnosis plus anxiety confirmed by a validated anxiety assessment tool and/or clinical diagnosis and reported longitudinal hospitalisation rates and mortality data in chronic heart failure. Six studies were identified for inclusion. A study investigating hospitalisations and mortality rates found a significant (p<0.05) association solely between hospitalisation and anxiety. Of four studies reporting on hospitalisations alone, only two reported significant associations with anxiety. One study reported rates of mortality alone and identified no significant associations between mortality and anxiety. There was some variation in quality of the studies in regards to their methodology, analysis and reported measures/outcomes, which may have affected the results reported. It is possible that anxiety does predict hospitalisations in chronic heart failure populations, however further research is required to confirm this observation.
Publisher: Dialectical Publishing
Date: 04-2011
Publisher: Wiley
Date: 09-06-2021
DOI: 10.1111/JOCN.15885
Abstract: Older adults living with dementia frequently transition between healthcare settings. Care transitions increase vulnerability and risk of iatrogenic harm. To examine the quality of transitional care arrangements within discharge documentation for older people living with dementia. Secondary analysis of cohort study data. A secondary analysis of the IDEAL Study [ACTRN12612001164886] discharge documents, following the STROBE guidelines. Participants had a confirmed diagnosis of dementia and were discharged from hospital to a nursing home. An audit tool was used to extract the data. This was developed through a synthesis of existing tools and finalised by an expert panel. The analysis assessed the quality of discharge documentation, in the context of transitional care needs, and presented results using descriptive statistics. Functional ability physical health cognition and mental health medications and socio environmental factors were assessed. Sixty participants were included in analyses, and half were male (52%), with a total participant mean age of 83 (SD 8.7) years. There was wide variability in the quality of core discharge information, ranging from excellent (37%), adequate (43%) to poor (20%). A sub‐group of these core discharge documentation elements that detailed the participants transitional care needs were rated as follows: excellent (17%), adequate (46%) and poor (37%). Discharge documentation fails to meet needs of people living with dementia. Improving the quality of discharge documentation for people living with dementia transitioning from hospital to nursing home is critical to provide safe and quality care. There is a need for safe, timely, accurate and comprehensive discharge information to ensure the safety of people living with dementia and prevent adverse harm.
Publisher: American Physical Society (APS)
Date: 09-2023
Publisher: JMIR Publications Inc.
Date: 12-12-2019
Abstract: ew wearable devices (for ex le, AliveCor or Zio patch) offer promise in detecting arrhythmia and monitoring cardiac health status, among other clinically useful parameters in older adults. However, the clinical utility and usability from the perspectives of clinicians is largely unexplored. his study aimed to explore clinician perspectives on the use of wearable cardiac monitoring technology for older adults. descriptive qualitative study was conducted using semistructured focus group interviews. Clinicians were recruited through purposive s ling of physicians, nurses, and allied health staff working in 3 tertiary-level hospitals. Verbatim transcripts were analyzed using thematic content analysis to identify themes. linicians representing physicians, nurses, and allied health staff working in 3 tertiary-level hospitals completed 4 focus group interviews between May 2019 and July 2019. There were 50 participants (28 men and 22 women), including cardiologists, geriatricians, nurses, and allied health staff. The focus groups generated the following 3 overarching, interrelated themes: (1) the current state of play, understanding the perceived challenges of patient cardiac monitoring in hospitals, (2) priorities in cardiac monitoring, what parameters new technologies should measure, and (3) cardiac monitoring of the future, “the ideal device.” here remain pitfalls related to the design of wearable cardiac technology for older adults that present clinical challenges. These pitfalls and challenges likely negatively impact the uptake of wearable cardiac monitoring in routine clinical care. Partnering with clinicians and patients in the co-design of new wearable cardiac monitoring technologies is critical to optimize the use of these devices and their uptake in clinical care.
Publisher: Elsevier BV
Date: 04-2018
DOI: 10.1016/J.NEDT.2018.01.015
Abstract: The nursing profession has a significant evidence to practice gap in an increasingly complex and dynamic health care environment. To evaluate effectiveness of teaching and learning strategies related to a capstone project within a Masters of Nursing program that encourage the development of evidence based practice capabilities. Systematic review that conforms to the PRISMA statement. Master's Nursing programs that include elements of a capstone project within a university setting. MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, ERIC and PsycInfo were used to search for RCT's or quasi experimental studies conducted between 1979 and 9 June 2017, published in a peer reviewed journal in English. Of 1592 studies, no RCT's specifically addressed the development of evidence based practice capabilities within the university teaching environment. Five quasi-experimental studies integrated blended learning, guided design processes, small group work, role play and structured debate into Masters of Nursing research courses. All five studies demonstrated some improvements in evidence based practice skills and/or research knowledge translation, with three out of five studies demonstrating significant improvements. There is a paucity of empirical evidence supporting the best strategies to use in developing evidence based practice skills and/or research knowledge translation skills for Master's Nursing students. As a profession, nursing requires methodologically robust studies that are discipline specific to identify the best approaches for developing evidence-based practice skills and/or research knowledge translation skills within the university teaching environment. Provision of these strategies will enable the nursing profession to integrate the best empirical evidence into nursing practice.
Publisher: Springer Science and Business Media LLC
Date: 13-04-2019
Publisher: American Physical Society (APS)
Date: 19-01-2022
Publisher: American Physical Society (APS)
Date: 21-06-2022
Publisher: Springer Science and Business Media LLC
Date: 03-2022
Abstract: The cross sections for inclusive and Mueller-Navelet dijet production are measured as a function of the rapidity separation between the jets in proton-proton collisions at $$ \sqrt{s} $$ s = 2 . 76 TeV for jets with transverse momentum p T 35 GeV and rapidity | y | 4 . 7. Various dijet production cross section ratios are also measured. A veto on additional jets with p T 20 GeV is introduced to improve the sensitivity to the effects of the Balitsky-Fadin-Kuraev-Lipatov (BFKL) evolution. The measurement is compared with the predictions of various Monte Carlo models based on leading-order and next-to-leading-order calculations including the Dokshitzer-Gribov-Lipatov-Altarelli-Parisi leading-logarithm (LL) parton shower as well as the LL BFKL resummation.
Publisher: American Physical Society (APS)
Date: 13-07-2022
Publisher: Elsevier BV
Date: 2020
Publisher: Elsevier BV
Date: 2022
DOI: 10.1016/J.HLC.2021.08.012
Abstract: In iduals with chronic heart failure experience high symptom burden, reduced quality of life and high health care utilisation. Although there is growing evidence that a palliative approach, provided concurrently with usual treatment improves outcomes, the method of integrating palliative care for in iduals living with chronic heart failure across the care continuum remains elusive. To examine the key elements of integrated palliative care recommended for in iduals living with chronic heart failure across the care continuum. Scoping review. Databases searched were CINAHL, Ovid MEDLINE, Scopus and OpenGrey. Studies written in English and containing key strategic elements specific to chronic heart failure were included. Search terms relating to palliative care and chronic heart failure and the Joanna Briggs Institute methodology for scoping reviews was used. Seventy-nine (79) articles were selected that described key elements to integrate palliative care for in iduals with chronic heart failure. This review identifies four levels of key strategic elements: 1) clinical 2) professional 3) organisational and 4) system-level integration. Implementing strategies across these elements facilitates integrated palliative care for in iduals with chronic heart failure. Inter-sectorial collaborations across systems and the intersection of health and social services are essential to delivering integrated, person-centred palliative care. Further research focussing on patient and family needs at a system-level is needed. Research with strong theoretical underpinnings utilising implementation science methods are required to achieve and sustain complex behaviour change to translate key elements.
Publisher: Oxford University Press (OUP)
Date: 14-04-2021
Publisher: Springer Science and Business Media LLC
Date: 06-10-2023
Publisher: Elsevier BV
Date: 11-2014
DOI: 10.1016/J.NEPR.2014.05.013
Abstract: EVITEACH aimed to increase undergraduate nursing student's engagement with evidence-based practice and enhance their knowledge utilisation and translation capabilities. Building students capabilities to apply evidence in professional practice is a fundamental university role. Undergraduate nursing students need to actively engage with knowledge utilisation and translational skill development to narrow the evidence practice gap in the clinical setting. A two phase mixed methods study was undertaken over a three year period (2008-2010, inclusive) utilizing a Plan-Do-Study-Act (PDSA) approach. Three undergraduate nursing cohorts (N = 188) enrolled in a compulsory knowledge translation and utilisation subject at one Australian university participated. Data collection comprised of subject evaluation data and reflective statements. Preliminary investigations identified priority areas related to subject: materials, resources, teaching and workload. These priority areas became the focus of action for two PDSA cycles. PDSA cycle 1 demonstrated significant improvement of the subject overall (p > 0.05), evaluation of the materials used (p > 0.001) and teaching sub-groups (p > 0.05). PDSA cycle 2 continued to sustain improvement of the subject overall (p > 0.05). Furthermore reflective statements collected during PDSA cycle 2 identified four themes: (1) What engages undergraduate nurses in the learning process (2) The undergraduate nurses learning trajectory (3) Undergraduate nurses' preconceptions of research and evidenced-based practice and (4) Appreciating the importance of research and evidence-based practice to nursing. There is little robust evidence to guide the most effective way to build knowledge utilisation and translational skills. Effectively engaging undergraduate nursing students in knowledge translation and utilisation subjects could have immediate and long term benefits for nursing as a profession and patient outcomes. Developing evidence-based practice capabilities is important in terms of improving patient outcomes, organisational efficiencies and creating satisfying work environments.
Publisher: Oxford University Press (OUP)
Date: 08-2018
Publisher: Springer Science and Business Media LLC
Date: 06-10-2023
Publisher: Elsevier BV
Date: 2019
Publisher: Elsevier BV
Date: 2018
Publisher: American Physical Society (APS)
Date: 31-08-2021
Publisher: Informa UK Limited
Date: 04-03-2021
Publisher: Informa UK Limited
Date: 04-07-2015
Publisher: Elsevier BV
Date: 09-2020
Publisher: American Physical Society (APS)
Date: 10-10-2023
Publisher: American Physical Society (APS)
Date: 28-09-2021
Publisher: Elsevier BV
Date: 06-2022
Publisher: Elsevier BV
Date: 06-2022
Publisher: American Physical Society (APS)
Date: 31-05-2022
Publisher: Springer Science and Business Media LLC
Date: 29-06-2022
Abstract: The first collider search for dark matter arising from a strongly coupled hidden sector is presented and uses a data s le corresponding to 138 fb −1 , collected with the CMS detector at the CERN LHC, at $$ \\sqrt{s} $$ s = 13 TeV. The hidden sector is hypothesized to couple to the standard model (SM) via a heavy leptophobic Z′ mediator produced as a resonance in proton-proton collisions. The mediator decay results in two “semivisible” jets, containing both visible matter and invisible dark matter. The final state therefore includes moderate missing energy aligned with one of the jets, a signature ignored by most dark matter searches. No structure in the dijet transverse mass spectra compatible with the signal is observed. Assuming the Z′ boson has a universal coupling of 0.25 to the SM quarks, an inclusive search, relevant to any model that exhibits this kinematic behavior, excludes mediator masses of 1.5–4.0 TeV at 95% confidence level, depending on the other signal model parameters. To enhance the sensitivity of the search for this particular class of hidden sector models, a boosted decision tree (BDT) is trained using jet substructure variables to distinguish between semivisible jets and SM jets from background processes. When the BDT is employed to identify each jet in the dijet system as semivisible, the mediator mass exclusion increases to 5.1 TeV, for wider ranges of the other signal model parameters. These limits exclude a wide range of strongly coupled hidden sector models for the first time.
Location: New Zealand
No related grants have been discovered for Louise D Hickman.