A5024277814- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Clinical practice guidelines implementation
- Healthcare Systems and Practices
- Dementia and Cognitive Impairment Research
- Cerebrovascular and Carotid Artery Diseases
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Medication Adherence and Compliance
- Blood Pressure and Hypertension Studies
- Dermatology and Skin Diseases
- Telemedicine and Telehealth Implementation
- Venous Thromboembolism Diagnosis and Management
- Cardiac Health and Mental Health
- Health disparities and outcomes
- Pharmaceutical Practices and Patient Outcomes
- Dermatological diseases and infestations
- Contact Dermatitis and Allergies
- Data Quality and Management
- Intracerebral and Subarachnoid Hemorrhage Research
- Artificial Intelligence in Healthcare
- Antiplatelet Therapy and Cardiovascular Diseases
- Health Promotion and Cardiovascular Prevention
- Emergency and Acute Care Studies
- Interpreting and Communication in Healthcare
Monash University
2016-2025
Florey Institute of Neuroscience and Mental Health
2016-2025
The University of Melbourne
2013-2025
Monash Health
2016-2025
Monash Medical Centre
2013-2024
La Trobe University
2016-2024
Australian Regenerative Medicine Institute
2019-2024
Victorian Heart Hospital
2024
Mental Health Australia
2018-2023
Hudson Institute of Medical Research
2019-2022
The very rapid worldwide increase in mobile phone use the last decade has generated considerable interest possible health effects of exposure to radio frequency (RF) fields. A multinational case-control study, INTERPHONE, was set-up investigate whether increases risk cancer and, more specifically, RF fields emitted by phones are carcinogenic. study focused on tumours arising tissues most exposed from phones: glioma, meningioma, acoustic neurinoma and parotid gland tumours. In addition a...
The prevalence, severity and disability related to facial acne (comprising on the head neck) was assessed in a randomized sample of 2491 students (aged 4-18 years) from schools throughout State Victoria Australia. Students were diagnosed clinically by dermatologist or dermatology registrar. overall prevalence (including 4-7 year olds) 36.1% (95% confidence intervals, CI 24.7-47.5), ranging 27.7% 20.6-34.8) 10-12 olds 93.3% 89.6-96.9) 16-18 olds. It less prevalent among boys aged years than...
Background Limited data exist on the long-term needs of community-dwelling stroke survivors. We aimed to describe factors associated with extent which were met in Australian survivors stroke. Method Multifaceted strategies used obtain a national sample. Adults 12+ months poststroke and living community participated. Needs assessed over domains health, everyday living, work, leisure, social support, finances. Multivariable negative-binomial logistic regression used. Results Seven hundred...
The benefits of chronic disease self-management programs for stroke survivors are uncertain because individuals with severe impairments have been excluded from previous research. We undertook a phase II randomized controlled trial to determine whether program designed (SSMP; 8 weeks) was safe and feasible compared standard care (control) or generic (generic; 6 weeks).Stroke were recruited 7 South Australian hospitals via letter indirectly (eg, newspapers). Eligible participants at 1:1:1...
Background and Purpose: Conditions associated with frailty are common in people experiencing stroke may explain differences outcomes. We assessed associations between a published, generic risk score, derived from administrative data, patient outcomes following stroke/transient ischemic attack; its accuracy for predicting mortality compared other measures of clinical status using coded data. Methods: Patient-level data the Australian Stroke Clinical Registry (2009–2013) were linked hospital...
Although viral warts are common, their exact frequency in the community is often underestimated and not well recorded. A random sample of 2491 students from schools throughout State Victoria, Australia were examined by dermatologists dermatology registrars to record prevalence plantar plane warts. The overall adjusted for age sex Victorian school children was 22% (95% confidence interval (CI) 20.1–20.7) varying 12% CI 9.4–15.7) 4–6 year olds 24% 18.3–30.4) 16–18 olds. Common most frequent...
Although seborrhoeic keratoses (SKs) appear to be very common, there are few studies reporting details of age-specific prevalence, distribution or possible cause. We report on the frequency, nature and SKs in 100 Australian adults age groups 15-25, 26-50, 51-75 those aged more than 75 years. There was an increase prevalence from 12% 15-25 year olds 100% 50 The median number lesions with them also increased six per person 69 no difference numbers lesions/person between males females. exposed...
Understanding the factors that contribute to early readmission after discharge following stroke is limited. We aimed describe associated with 28-day hospitalization for stroke.Factors were classified from medical record standardized audits of 50 100 consecutively admitted patients 35 Australian hospitals during multiple time periods (2000-2010). Factors compared between readmitted and not (n=43) grouped using 5 categories: patient characteristics (n=16; eg, age), clinical processes care...
Background and Purpose: Although a target of 80% medication adherence is commonly cited, it unclear whether greater improves survival after stroke or transient ischemic attack (TIA). We investigated associations between during the first year postdischarge, mortality up to 3 years, provide evidence-based targets for adherence. Methods: Retrospective cohort study 1-year survivors first-ever TIA, aged ≥18 from Australian Stroke Clinical Registry (July 2010–June 2014) linked with nationwide...
Background and Purpose— The quality of hospital care for stroke varies, particularly in rural areas. In 2007, funding to improve became available as part the Rural Stroke Project (RSP) New South Wales (Australia). RSP included employment clinical coordinators establish units or pathways protocols, more staff. We aimed describe effectiveness improving patient outcomes. Methods— A historical control cohort design was used. Clinical practice outcomes at 8 hospitals were compared using 2 medical...
Objectives: Hospital data used to assess regional variability in disease management and outcomes, including mortality, lack information on severity. We describe variance between hospitals 30-day risk-adjusted mortality rates (RAMRs) for stroke, comparing models that include or exclude stroke severity as a covariate. Design: Cohort design linking Australian Stroke Clinical Registry with national death registrations. Multivariable using recommended statistical methods calculating RAMRs...
Australia has among the highest prevalence of Crohn disease and ulcerative colitis in world. Management chronic gastrointestinal disorders results significant societal costs standard care is inconsistent across Australia.To audit quality received by patients admitted for inflammatory bowel (IBD) against national IBD standards.A retrospective cross-sectional survey clinical was undertaken assessing organisational resources, processes outcome measures. This study conducted Australian hospitals...
Stroke telemedicine is widely used to treat patients with acute stroke in Europe and North America but seldom Australia. The Victorian Telemedicine (VST) programme aims enhance care regional Australia.Twelve-month pilot prospective, historical-controlled, implementation cohort study. Emergency Department (ED) at a large hospital Victoria. Patients ≥ 18 years of age arriving < 4.5 h the ED possible diagnosis stroke. consultation by Melbourne-based specialist. thrombolysis rate, timelines for...
Background and Purpose- Readmissions after stroke are common appear to be associated with comorbidities or disability-related characteristics. In this study, we aimed determine the patient health-system level factors all-cause unplanned hospital readmission within 90 days acute transient ischemic attack (TIA) in Australia. Methods- We used person-level linkages between data from Australian Stroke Clinical Registry (2009-2013), admissions national death registrations 4 states. Time first...
Introduction People with aphasia following stroke experience disproportionally poor outcomes, yet there is no comprehensive approach to measuring the quality of services. The Meaningful Evaluation Aphasia SeRvicES (MEASuRES) minimum dataset was developed in partnership people lived aphasia, clinicians and researchers address this gap. It comprises sociodemographic characteristics, indicators, treatment descriptors outcome measurement instruments. We present a protocol pilot MEASuRES clinical...