Urinary tract infection (UTI) as the most common healthcare-associated accounts for up to 36% of all infections. Catheter-associated urinary (CAUTI) 80% these. In many instances indwelling catheter (IDC) insertions may be unjustified or inappropriate, creating potentially avoidable and significant patient distress, embarrassment, discomfort, pain activity restrictions, together with substantial care burden, costs hospitalisation. Multifaceted interventions combining best practice guidelines...

Evidence-based standardised diabetes care is difficult to achieve in the community due resource limitations, and lack of equitable access specialist leads poor clinical outcomes. This study reports a quality improvement program health across large district challenged with significant rural remote geography limited workforce. An integrated model was implemented, linking teams primary through capacity enhancing case-conferencing general practice supported by comprehensive performance feedback...

Abstract Background Ischaemic strokes lead to significant morbidity and mortality within the Australian Indigenous population, with known variances in management of between indigenous non‐indigenous populations. Aims To compare investigations patients presenting a New South Wales rural referral hospital an ischaemic stroke national standards across inpatient outpatient settings. Methods Historical cohort study 43 167 admitted Tamworth Rural Referral Hospital cerebrovascular accident. Results...

To ascertain the improvements in length of stay and discharge rates following opening an acute medical unit (AMU).Retrospective cohort study all patients admitted under general medicine from June-November 2008. Main outcome measures were hospital emergency department (ED).The time spent for those to AMU was significantly shorter than directly a ward (6.83h v. 9.40h, P<0.0001). A trend towards continued after opened compared with same period previous year (5.15 days (2.49, 11.57 CI) 5.66...

Sleep-disordered breathing (SDB) is common in patients with kidney disease; but often underdiagnosed as it infrequently assessed clinical practice. The objective of this study was to assess the risk factors SDB haemodialysis patients, and identify useful assessment tools detect population.We used nocturnal oximetry, Epworth Sleepiness Scale (ESS) STOPBANG questionnaire screen for patients. Presence defined by Oxygen desaturation index (ODI≥5/h), further confirmed apnoea-hypopnea (AHI) from...

&lt;b&gt;&lt;i&gt;Background:&lt;/i&gt;&lt;/b&gt; Sleep apnoea is prevalent in dialysis patients. Previous studies identified excessive inflammation ­patients with sleep apnoea. Online haemodiafiltration ­(OL-HDF) may reduce systematic through better clearance of middle molecules. We aimed to determine the feasibility OL-HDF management. &lt;b&gt;&lt;i&gt;Methods:&lt;/i&gt;&lt;/b&gt; Eligible patients were screened for risk by nocturnal oximetry followed a diagnostic study assess...

Positional obstructive sleep apnoea (OSA) is commonly defined as AHI of ≥5 events/h with a >3 fold increase in supine vs. non-supine AHI. There are major differences upper airway anatomy and physiology changes body position. Therefore the optimal treatment approach for OSA may be quite different compared to OSA. PAP requirements likely less people Thus, compliance positive pressure (PAP) therapy higher auto (APAP) versus fixed due lower delivery non-supine. 20 patients positional (AHI>15...

A shear-wave (S-wave) splitting analysis has been carried out on multioffset, shallow VSP data from the Gordonstone coal prospect in Bowen Basin, Australia. In comparison to previous petroleum-scale investigations, is complicated by short time window available for analysis, and interference preceding compressional-wave (P-wave) energy.A simple preprocessing scheme incorporates highcut filtering, as well a two-stage coordinate orientation procedure, designed enhance shear wavefield subsequent...

Overnight oximetry may be a useful tool to screen for sleep disordered breathing but, although reasonably specific, is not very sensitive. It cannot reliably distinguish central from obstructive apnoea. The continuous wavelet transform an advanced mathematical analysis technique that yields high resolution time-frequency spectrogram able give more information regarding the finer details of oximetry. aim this study determine differences in transform, between and apnea. A retrospective data...

Abstract Introduction There is some evidence suggesting that patients with hypersomnia have delayed circadian timing, which could explain, at least in part, the excessive sleepiness and impaired daytime performance experienced by these individuals. This study investigated effects of bright light treatment on improving alertness idiopathic hypersomnia. Methods Participants were scheduled to two in-laboratory sessions (baseline treatment) consisting overnight sleep monitoring (polysomnography)...

Abstract Introduction Daytime sleepiness is typically assessed in clinical settings with the Multiple Sleep Latency Test (MSLT) and Maintenance of Wakefulness (MWT). However, these tests do not necessarily assess daytime functioning. This study aimed to correlation between a 10-min Psychomotor Vigilance (PVT), as measure functioning, excessive measured MSLT or MWT. Methods Patients attending sleep clinic for assessments underwent overnight polysomnography (PSG) completed Epworth Sleepiness...

Abstract Compumedics recording software (Grael V2) for polysomnography (PSG) calculates SpO2 values using a 3-heartbeat long averaging window. This is derived from the ECG and thus introduces variability in time that dependent on heart rate. Little known about effect this has common oximetry metrics used PSG interpretation. study explorer interchangeability of Grael V2 inbuilt 3-beat algorithm with short window 2 - 4 seconds Masimo Radical 7 pulse oximeter during PSG. data were collected...

The ability of a number processing techniques to accommodate complex near-surface velocity field resulting from highly irregular water bottom has been evaluated on seismic data the Timor Sea. Conventional is not appropriate where such large lateral variations exist. One approach effectively remove influence by replacing layer with higher material and recomputing travel times. can then proceed more successfully. replacement statics technique simple but efficient method for computing...