A5083895133- Palliative Care and End-of-Life Issues
- Neuroscience and Music Perception
- Grief, Bereavement, and Mental Health
- Renal cell carcinoma treatment
- Childhood Cancer Survivors' Quality of Life
- Renal and related cancers
- Hearing Loss and Rehabilitation
- Geriatric Care and Nursing Homes
- Music and Audio Processing
- Patient Dignity and Privacy
- Family Support in Illness
- Criminal Justice and Corrections Analysis
- Renal and Vascular Pathologies
- Pharmacological Effects and Toxicity Studies
- Chronic Kidney Disease and Diabetes
- Neonatal and fetal brain pathology
- Epilepsy research and treatment
- Healthcare Decision-Making and Restraints
- Patient-Provider Communication in Healthcare
- Music Technology and Sound Studies
- Forensic Toxicology and Drug Analysis
- Ethics in medical practice
- Medical Research and Treatments
- Hearing, Cochlea, Tinnitus, Genetics
- Tracheal and airway disorders
The University of Melbourne
2012-2023
St Vincent's Hospital
2018-2023
Austin Health
2015-2020
Translational Research Institute
2020
Christ University
2019
Cancer Council Victoria
2017
Australian Psychological Society
2013
University of California, Davis
2008
Up to half of patients assessed for suspected new-onset epileptic seizures report previous undiagnosed events. This suggests that delay timely and expert assessment is a major issue. Very little known about the degree or nature events, impacting on our understanding epilepsy. In this study we aimed examine events occur before presentation, as well extent risk factors assessment.Included in retrospective were 220 diagnosed at First Seizure Clinic (Austin Health, Australia) between 2003 2006...
To date, no consensus exists in the literature as to theories of consonance and dissonance. Experimental data collected over last century have raised questions about dominant that are based on frequency relationships between harmonics music chords. This study provides experimental evidence strongly challenges these suggests a new theory dissonance pitch perception recognition. Experiment 1 shows does not increase with increasing numbers chords predicted by Helmholtz's (1863/1954) roughness...
Objectives To determine whether the use of nephron‐sparing surgery ( NSS ) for treatment stage 1 renal cell carcinoma RCC changed between 2009 and end 2013 in Australia. Patients Methods All adult cases diagnosed 2009, 2012 were identified through population‐based Victorian Cancer Registry. For each patient, trained data‐abstractors attended treating hospitals or clinician rooms to extract tumour data medical record review. Multivariable logistic regression analyses carried out examine...
Significance Statement Patients undergoing surgical management of kidney tumors are at increased risk developing CKD. However, it is often difficult to identify patients higher clinically significant CKD before surgery, and there a lack validated tools assist clinicians in this process. The authors developed simple scoring system that accurately reproducibly stratifies after nephrectomy on the basis readily available parameters. This provides an evidence-based quantitative tool for balance...
Healthcare professionals have limited formal end-of-life care training despite the large proportion of hospital deaths. A retrospective review 201 acute deaths revealed 166 (82.6%) had documentation to suggest patient was dying but this performed late with a median time between and death 0.84 days. Furthermore, 132 (66%) patients received an intervention in final 48 h life. This highlights need improve recognition management hospitals.
New-onset chronic kidney disease (CKD) following surgical management of tumors is common. This study evaluated risk factors for new-onset CKD after nephrectomy T1a renal cell carcinoma (RCC) in an Australian population-based cohort.There were 551 RCC patients from the states Queensland and Victoria included this study. The primary outcome was (eGFR <60 mL/min per 1.73 m2 ) secondary moderate-severe (<45 ). Multivariable logistic regression used to evaluate associations between patient, tumor...
Abstract Objective ‘First seizure’ clinics (FSCs) aim to achieve early expert assessment for individuals with possible new‐onset epilepsy. These also have substantial potential research into epilepsy evolution, outcomes, and costs. However, a paucity of FSCs details has implications interpretation utilization this research. Methods We reviewed investigation findings over 11 years (2000‐2010) from two established independent at Austin Health (AH) Royal Melbourne Hospital (RMH), Australia....
Objectives Voluntary assisted dying (VAD) legislation has now been passed in all Australian states. Although VAD operating many settings worldwide for a considerable time, the specific costs associated with seem unclear. The aim of this study was therefore to outline common resource implications VAD. Methods A rapid literature review and grey search were undertaken. Results We found paucity empirically informed detail regarding actual required implement Hence, we tabulated list potential...
Absolute pitch (AP) is a form of sound recognition in which musical note names are associated with discrete categories. The accuracy matching by non-AP musicians for chords has recently been shown to depend on stimulus familiarity, pointing role spectral mechanisms the early stages processing. Here we show that AP was also dependent their familiarity chord stimulus. This suggests abilities both and concurrently presented pitches initial chord. dual mechanism model perception previously...
Although musical skills clearly improve with training, pitch processing has generally been believed to be biologically determined by the behavior of brain stem neural mechanisms. Two main classes models have emerged over last 50 years. Harmonic template used explain cross-channel integration frequency information, and waveform periodicity discrimination that is much finer than resolution auditory nerve. It proposed harmonic templates are learnt from repeated exposure voice, so it may also...
Background Subitizing involves recognition mechanisms that allow effortless enumeration of up to four visual objects, however despite ample resolution experimental data suggest only one pitch can be reliably enumerated. This may due the grouping tones according harmonic relationships by prior fine processing. Poorer frequency auditory information available lead unrelated being grouped, resulting in underestimation number. Methods, Results and Conclusion We tested whether is better for chords...
Abstract Objective: To determine if there is a difference in infection rates between Aboriginal and non-Aboriginal children, following tympanostomy ventilation tube placement, the Northern Territory, Australia. Materials methods: A cohort of 213 patients aged zero to 10 years who had undergone placement at Royal Darwin Hospital 1996 2004 were identified. Patients divided into or groups, from their medical record. Factors such as age, sex, dwelling (remote urban) season compared for each...
To describe the use of partial nephrectomy (PN) for patients with stage T1a renal cell carcinoma (RCC) by age group (<65 and ≥65 years) in two Australian states.All adults diagnosed RCC 2012 2013 were identified through population-based cancer registries states Queensland Victoria. For each patient, research assistants extracted tumour treatment data from medical records. Percentages treated PN determined groups. Multivariable logistic regression analyses examined factors associated PN....
Background Providing optimal palliative and end-of-life care for people in prison with advanced progressive disease is a growing challenge. This study aimed to examine hospital utilisation who are hospitalised during the final 3 months of life compare disease-matched non-incarcerated patient cohort. Methods A retrospective cohort died between 2009 2019 an Australian public that provides tertiary-level healthcare 18% Australia’s population. Demographic, clinical service use data were...
Objective High-quality end-of-life care involves addressing patients' physical, psychosocial, cultural and spiritual needs. Although the measurement of quality associated with dying death is an important component health care, there a lack evidence-based, systematic processes to examine patients in hospital settings. Our purpose was develop appraisal framework (QualDeath) for reviewing advanced cancer. The objectives were to: (1) explore evidence regarding existing tools related care; (2)...
AbstractOutpatient palliative care clinics are a new and developing area of service delivery that can respond to increasing demand facilitate earlier contact in the illness trajectory. Work is needed standardise criteria for referral outpatient services clarify which patients likely benefit most from this mode support. This study aimed describe demographic, clinical symptom profile, survival referred newly established hospital-based integrated program. Comparisons were made between initially...
Background: COVID-19 has led to implementation of wide-ranging social restriction measures with consequent impact on health care utilisation in many domains. There is little published data the experience palliative services catering a population low case numbers COVID-19. Aim: This study aimed consider inpatient context community transmission, and cases hospital. Design: A retrospective service evaluation examining differences number admissions, diagnoses, deaths time from admission death,...
Objectives This study describes the model of care provided by an integrated respiratory and palliative service for patients with advanced lung disease, assesses potential impact on acute hospital utilisation cost. Methods implemented specialist at a single tertiary teaching in Melbourne, Victoria, Australia. The disease-orientated care, alongside symptom management advance planning, comprised both outpatient clinic (OPC) home visit (HV) capacity those barriers to accessing OPC. Acute cost...