OBJECTIVES: To design and test a brief, efficient dementia‐screening instrument for use by general practitioners (GPs). DESIGN: The General Practitioner Assessment of Cognition (GPCOG) consists cognitive items historical questions asked an informant. validity the measure was assessed comparison with criterion standard diagnoses dementia derived from Diagnostic Statistical Manual Mental Disorders (Fourth Edition). SETTING: Primary care doctors' offices. PARTICIPANTS: Sixty‐seven GPs...

Objective: To explore patterns of internet use by young people in Australia and assess the usefulness online resources for mental health problems, exploring functionality that may be relevant development services. Design participants: Cross-sectional survey a nationally representative sample (2000 randomly selected participants aged 12–25 years), via telephone interview, conducted January–March 2008. Main outcome measures: Patterns including type use, social networking, sources information...

To describe the theory, elements and practice of a successful caregiver training programme; report 8-year outcome.Prospective, randomized control trial longitudinal follow-up over approximately 8 years.Psychiatry unit, general teaching hospital, Sydney, Australia.96 persons less than 80 years old with mild to moderate dementia their cohabiting caregivers.All patients received 10-day structured memory retraining activity programme. Caregivers in immediate wait-list groups structured,...

BACKGROUNDDiagnosis of endometriosis currently requires a laparoscopy and this need probably contributes to the considerable average delay in diagnosis. We have reported presence nerve fibres functional layer endometrium women with endometriosis, which could be used as diagnostic test. Our aim was assess efficacy fibre detection endometrial biopsy for making diagnosis double-blind comparison expert laparoscopy.

ABSTRACT Background: There is good evidence of the positive effects person-centered care (PCC) on agitation in dementia. We hypothesized that a environment (PCE) would achieve similar outcomes by focusing environmental stimuli, and there be enhanced combining PCC PCE. Methods: 38 Australian residential aged homes with scope for improvement both PCE were stratified, then randomized to one four intervention groups: (1) PCC; (2) PCE; (3) +PCE; (4) no intervention. People dementia, over 60 years...

Introduction: Many strategies have been implemented to address the shortage of medical practitioners in rural areas. One such strategy, Rural Clinical School Program supporting 18 clinical schools (RCSs), represents a substantial financial investment by Australian Government. This is first collaborative RCS study summarising work outcomes multiple RCSs. The aim this was combine data from all RCSs' 2011 graduating classes determine association between location practice 2017 and (i) extended...

Importance Rib fractures secondary to blunt thoracic trauma typically result in severe pain that is notoriously difficult manage. The serratus anterior plane block (SAPB) a regional anesthesia technique provides analgesia most of the hemithorax; however, SAPB has limited evidence for analgesic benefits rib fractures. Objective To determine whether addition an protocolized care bundles increases likelihood early favorable outcomes and reduces opioid requirements patients with Design, Setting,...

With a rapidly ageing population and increasing life expectancy, programs directed at improving the mental health quality of (QOL) older persons are extremely important. This issue may be particularly relevant in aged-care residential sector, where very high rates depression poor QOL evident. study aims to investigate fixed modifiable risk factors psychological distress cohort Australians aged 60 over living community settings.The examined relationship between demographic, lifestyle outcome...

AIM:To compare the prevalence of Functional gas trointestinal disorders (FGIDs) using ROME Ⅲ and Ⅱ to describe predictors FGIDs among eating disorder (ED) patients. METHODS:Two similar cohorts female ED inpatients, aged 1750 years, with no organic gastrointestinal or systemic disorders, completed either (n = 100) 160) questionnaire on admission for treatment.The two were compared continuous demographic variables (e.g. , age, BMI) Student's t tests, categorical diagnosis) χ 2 tests.The...

There is a paucity of data on the in vivo efficacy antibiotics for lethal Vibrio species. Analyses long-term surveillance datasets may provide insights into use to decrease mortality.The United States Centers Disease Control and Prevention (CDC) Cholera Other Illness Surveillance (COVIS) dataset from 1990 2010, with 8056 records, was analysed ascertain trends mortality.Two-thirds patients (5243) were prescribed - quinolones (56.1 %), cephalosporins (24.1 tetracyclines (23.5 penicillins (15.4...

Objectives: To determine whether recruitment of rural students and uptake extended placements are associated with students' expressed intentions to undertake internships acceptance after finishing medical school, compare any associations. Design, setting participants: Longitudinal study three successive cohorts (commencing 2005, 2006, 2007) in the Sydney Medical Program (SMP), University Sydney, New South Wales, using responses self-administered questionnaires upon entry exit from School...

Background Palliative care planning for nursing home residents with advanced dementia is often suboptimal. This study compared effects of facilitated case conferencing (FCC) usual (UC) on end-of-life care. Methods A two arm parallel cluster randomised controlled trial was conducted. The sample included people from 20 Australian homes and their families professional caregivers. In each intervention (n = 10), Care Planning Coordinators (PCPCs) family conferences trained staff in person-centred...

Rural mental health outcomes have been persistently poorer than those in larger cities suggesting that the prevailing investments to improve matters are not working. Mental researchers and service providers from New South Wales, Victoria, Western Australia Australian Capital Territory met Orange October 2018 explore issues pertaining rural well-being. The group recognised acknowledged residents experience a series of interconnected geographical, demographic, social, economic environmental...

To examine associations between extended medical graduates' rural clinical school (RCS) experience and geographic origins with practising in communities five eight years after graduation.Cohort study of 2011 domestic graduates from ten Australian schools or regional schools.Practice location types graduation (2019/2020) as recorded by the Health Practitioner Regulation Agency, classified metropolitan according to 2015 Modified Monash Model; changes practice type postgraduate 5 (2016/2017) 8...

Background. Lifetime rates of depression reported in epidemiological surveys are generally only twice the 12 month rates. Either people forget symptoms or many who have a depressive episode remain depressed for years. Both may be true. There is need to examine long-term clinical validity interviews that used make lifetime diagnoses. Methods. Forty-five patients were part follow-up study interviewed 25 years after index episode. The diagnoses from original, fully structured compared with...

Objective. To determine difficulties experienced by carers of younger people with dementia. Design. Cross-sectional self-report questionnaire survey. Participants. 102 eligible persons less than 65 years age dementia, recruited through support groups and clinicians' referrals. Main outcome measures. Problems diagnostic process; professionals/services consulted; psychological, physical, occupational financial impact illness on children; use satisfaction services. results. Diagnostic problems...

After 12 years of national mental health reform, major service gaps and poor experiences care are common. The community reports little progress in implementing its key priorities, such as expanded early-intervention programs, comanagement people with problems related alcohol or substance misuse, widening the spectrum acute settings. We propose new targets for reducing social economic costs health; these include increased access to effective care, reduced suicide rates improved return full...

Objective: There is a lack of measurements with predictive validity that are specific for quality life (QOL) in patients eating disorders. Method: A total 306 disorder treated as inpatients completed the Quality Life Eating Disorders (QOL ED): 109 at both admission and discharge from hospital, 65 after 12months. Patients also well-validated measures disorders, psychological dysfunction general physical mental QOL. QOL ED consists 20 self-report questions provide scores domains behaviour,...

The prevalence of sexually transmissible infections (STIs) is increasing among older Australian women, partly due to re-partnering after divorce or death a spouse. Older women may be less likely use condoms with new sexual partners, exposing themselves STIs. An online survey compared characteristics internet dating aged 40 and above 18 39 year olds, determined the factors associated protective safer sex attitudes.An email directed who had logged onto service 'RSVP' in previous 6 months...

Influenza is a global infectious disease with large burden of illness and high healthcare costs. Those who experience greater include younger older people, pregnant women. Although there are known age sex susceptibilities, little about how the interaction may affect population's vulnerability to infection different subtypes influenza virus.Laboratory-confirmed cases notified between 1 January 2009 31 December 2015 obtained from Australian Government National Notifiable Diseases Surveillance...