- Chronic Obstructive Pulmonary Disease (COPD) Research
- Respiratory Support and Mechanisms
- Asthma and respiratory diseases
- Cardiovascular and exercise physiology
- Frailty in Older Adults
- Nutrition and Health in Aging
- Respiratory and Cough-Related Research
- Emergency and Acute Care Studies
- Diagnosis and Treatment of Venous Diseases
- Delphi Technique in Research
- Sports injuries and prevention
- Cardiac Health and Mental Health
- Pulmonary Hypertension Research and Treatments
- Nursing Diagnosis and Documentation
- Airway Management and Intubation Techniques
- Family and Patient Care in Intensive Care Units
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Chronic Disease Management Strategies
- Cancer survivorship and care
- Intensive Care Unit Cognitive Disorders
- Cystic Fibrosis Research Advances
- Health, psychology, and well-being
- Innovations in Medical Education
- Childhood Cancer Survivors' Quality of Life
- Climate Change and Health Impacts
Monash University
2016-2025
Monash Health
2015-2023
John Hunter Hospital
2022
University of South Australia
2022
Maastricht University
2021
KU Leuven
2015-2020
Hudson Institute of Medical Research
2020
Monash Medical Centre
2019-2020
Institute for Breathing and Sleep
2013-2018
Physiotherapy New Zealand
2009-2017
ABSTRACT Background and objective The aim of the Pulmonary Rehabilitation Guidelines (Guidelines) is to provide evidence‐based recommendations for practice pulmonary rehabilitation ( PR ) specific Australian New Zealand healthcare contexts. Methods Guideline methodology adhered Appraisal Research Evaluation AGREE II criteria. Nine key questions were constructed in accordance with PICO (Population, Intervention, Comparator, Outcome) format reviewed by a COPD consumer group appropriateness....
Frailty is a complex, multidimensional syndrome characterised by loss of physiological reserves that increases person's susceptibility to adverse health outcomes. Most knowledge regarding frailty originates from geriatric medicine; however, awareness its importance as treatable trait for people with chronic respiratory disease (including asthma, COPD and interstitial lung disease) emerging. A clearer understanding impact in prerequisite optimise clinical management the future. This unmet...
Exacerbations of COPD (ECOPD) have a major impact on patients and healthcare systems across the world. Precise estimates global burden ECOPD mortality hospital readmission are needed to inform policy makers aid preventive strategies mitigate this burden. The aims present study were explore in-hospital mortality, post-discharge rates after ECOPD-related hospitalisation using an individual patient data meta-analysis (IPDMA) design.
Current evidence highlights that language discordant clinical encounters seriously compromise patient quality of care and health outcomes. We aimed to characterise patterns interpreter service use in medical inpatient wards explore clinician experience discordance. Participants included students, residents, attending physicians, nursing allied professionals working General Internal Medicine across two tertiary referral hospitals servicing a large Australian area. This study involved...
Pulmonary rehabilitation (PR) enhances exercise tolerance in patients with COPD; however, improvements physical activity (PA) are not guaranteed. This study explored the relationship between baseline and changes PA after PR.Patient data from prospective clinical trials PR settings of Athens Leuven (2008-2016) were analyzed. Validated monitors worn for 1 week before a 12-week program. The proportion who improved levels ≥1,000 steps/day ("PA responders") was compared those initial 6-minute...
The impact of rehabilitation-induced changes in 6-minute walk distance (6MWD) on the survival patients with chronic obstructive pulmonary disease (COPD) has not been fully elucidated. This study sought to determine association baseline 6MWD and its after rehabilitation (PR) 5-year COPD. Patients who were referred a 12-week outpatient PR program followed up for 5 years postcompletion, status was verified. Survival analyzed according four groups based upon initial (6MWDi) (Δ6MWD) (Group 1:...
Section:ChooseTop of pageAbstract <<OverviewIntroductionMethodologyEffects Rehabilitation...Experiences Rehabilita...Identification and Assess...The Role Validated Fra...Considerations When Selec...Implications Frailty o...Implications o...Frailty in the Context of...Future ResearchConclusionsReferences
Long-term or residential services are designed to support older people who experience challenges their physical and mental health. These play an important role in the health well-being of adults more susceptible problems such as malnutrition. Estimates significance malnutrition require up-to-date prevalence data inform government strategies regulation, but these not currently available Australia. The aim this study was collect on a large sample living aged care facilities A secondary examine...
<h3>Background</h3> Positive expiratory pressure (PEP) is a technique used to enhance sputum clearance during acute exacerbations of chronic obstructive pulmonary disease (AECOPD). The impact PEP therapy on clinically important outcomes not clear. This study sought determine the effect symptoms, quality life and future in patients with AECOPD. <h3>Methods</h3> 90 inpatients (58 men; mean age 68.6 years, FEV<sub>1</sub> 40.8% predicted) AECOPD expectoration were randomised receive usual care...
Skeletal muscle quadriceps low-frequency fatigue (LFF) during exercise promotes improvements in capacity with training. In healthy subjects, eccentric work induced by downhill walking (DW) generates higher muscular stress, whilst metabolic cost is lower compared to level (LW). We investigated LFF and of DW patients chronic obstructive pulmonary disease. Ten participants (67 ± 7 years, FEV 1 51 15% predicted) performed DW, carrying a load (DWL) 10% body weight via vest LW, random order....
The development of contractile muscle fatigue (CMF) affects training responses in patients with chronic obstructive pulmonary disease (COPD). Downhill walking induces CMF lower dyspnoea and than level walking. This study compared the effect rehabilitation (PR) comprising downhill (DT) to PR (conventional (CT)) COPD. In this randomised controlled trial, 35 (62±8 years; forced expiratory volume 1 s (FEV ) 50±17% predicted) were DT or CT. Exercise tolerance (6-minute walk test distance (6MWD);...
Airway resistance (RAW) and specific airway conductance (sGAW) are measures that reflect the patency of airways. Little is known variability these between different lung diseases. This study investigated contribution RAW sGAW to a diagnosis obstructive airways disease their role in differentiating asthma from COPD. 976 subjects admitted for first time pulmonary practice Belgium were included. Clinical diagnoses based on complete function tests supported by investigations physicians'...