Abstract Introduction Significant physical sequelae exist for some survivors of a critical illness. There are, however, few studies that have examined specific interventions to improve their recovery, and none tested home-based rehabilitation program incorporating trainer visits participants' homes. This study was designed test the effect an individualised eight-week on recovery. Methods A multi-centre randomised controlled trial design used. Adult intensive care patients (length stay at...

Purpose Positron emission tomography (PET) is a costly new technology with potential to improve preoperative evaluation for patients non–small-cell lung cancer (NSCLC). There increasing pressure PET be included in standard diagnostic work-up before decisions about surgical management of NSCLC. The resource implications its widespread use staging NSCLC are significant. Methods A randomized controlled trial was conducted investigate the impact on clinical and outcomes stage I-II primary...

Although surgery for early-stage non-small-cell lung cancer (NSCLC) is known to have a substantial impact on health-related quality of life (HRQOL), there are few published studies about HRQOL in the longer term. This article examines and survival 2 years after surgery.Patients with clinical stage I or II NSCLC (n = 173) completed questionnaires before surgery, at discharge, 1 month then every 4 months years. was measured generic questionnaire (European Organisation Research Treatment Cancer...

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...

Abstract Applications of stated preference discrete choice modelling (SPDCM) in health economics have been used to estimate consumer willingness pay and broaden the range consequences considered economic evaluation. This paper demonstrates how SPDCM can be predict participation rates, using case varicella (chickenpox) vaccination. Varicella vaccination may cost effective compared other public programs, but this conclusion is sensitive proportion target population immunised. A experiment was...

Informal carers represent a substantial proportion of the population in many countries and health is an important factor their capacity to continue care-giving. This study investigated impact care-giving on mental physical informal carers, taking account contextual factors, including family work. We examined changes from before commenced 2 4 years after, using longitudinal data Household Income Labour Dynamics Australia survey. The sample comprised 424 propensity score-matched non-carers....

Objectives The Victorian Healthy Homes Program investigated the impact of thermal home upgrades on energy and health outcomes in vulnerable, older individuals over winter Victoria, Australia. Design A staggered parallel-group randomised control trial design 984 (764 per protocol (PP)) vulnerable households 1313 (1015 PP) individuals. intervention group received their upgrade prior to recruitment, after recruitment. Setting Western Melbourne (metropolitan) Goulburn Valley (regional)...

The COmprehensive Score for Financial Toxicity (COST) measure developed in the United States measures financial impact resulting from cancer and its treatment. This paper reports on an Australian cross-cultural validation of COST measure. Participant eligibility criteria included individuals aged ≥ 18, undergoing or completed primary treatment cancer. Immediate family members patients were also eligible Phase 1. Face content validity assessed through concurrent interviews a brief survey...

This paper reports a descriptive study of the costs and quality life (QoL) outcome treatments for early stage breast cancer in cohort Australian women, one year after initial surgical treatment. Mastectomy without reconstruction is compared to conserving surgery radiotherapy (breast conservation). Of 397 women eligible study, costing data were collected 81% 73%. The cost differences between treatment groups mainly accounted by adjuvant therapies, more expensive being radiotherapy. When...

The provision of home-based palliative care requires a substantial unpaid contribution from family and friends (i.e. informal care). present cross-sectional descriptive study, conducted between September 2003 April 2004, describes this the impact it has on those providing care. participants were 82 carers patients registered with two community services in Sydney, Australia (40% eligible carers). Carers interviewed to assess recipient's needs, provided by carer health status (using 36-Item...

Background and objective: Long‐term adherence to inhaled corticosteroids is poor despite the crucial role of preventer medications in achieving good asthma outcomes. This study was undertaken explore patient preferences relation their current corticosteroid medication, a hypothetical or no medication. Methods: A discrete choice experiment conducted 57 adults with mild–moderate airway hyper‐responsiveness, who were using ≤500 µg/day (beclomethasone equivalent). In experiment, subjects...

The Six-Minute Walk Test (6MWT) is widely used as an outcome measure in exercise rehabilitation. However, the repeatability of 6MWT performed at home survivors a critical illness has not been evaluated.The purpose this study was to evaluate, illness: (1) home, (2) effect on estimates change functional capacity if only one follow-up assessments, and (3) relationship between physical functioning (PF) score 36-Item Short-Form Health Survey questionnaire (SF-36) 6MWT.Repeated measures SF-36 were...

The cost-effectiveness of a Fractured Hip Management Programme (FHMP) was evaluated by considering available measures patient outcome and comparing the cost programme with value resources freed reductions in length hospital stay. FHMP adopted multidisciplinary team approach to care for elderly patients hip fracture. aims were reduce delays before surgery; provide specialist geriatric medical supervision; improve early post-operative mobility; plan discharge rehabilitation patient's normal...

Hydrolysis of whey protein concentrate (WPC) with Alcalase 2.4 L, a Bacillus licheniformis proteinase preparation, induces gelation. The aggregation behavior WPC hydrolysates generated and Prolyve 1000, that did not induce gelation, were studied by turbidity particle size analysis. With the use synthetic peptide substrates, it was shown contains glutamyl endopeptidase (GE) activity present in Prolyve. Comparison Alcalase, Prolyve, combinations GE isolated from showed responsible for observed...

AbstractThis article investigates the preferences of student and newly graduated nurses for pecuniary nonpecuniary aspects nursing jobs. It is first study applying methods based on discrete choice experiments to a developed country workforce. also focus transition through university training into work. This particularly important as junior have lowest retention levels in profession. We sample 526 individuals from programmes two Australian universities. Flexible models combining...

A general relationship has been derived between the extension of, and load applied to, a specimen of non-uniform cross-sectional area. The behaviour uniform specimens compared analytically for power law stress strain, is shown to differ significantly when was truncated cone or area varied according Gaussian frequency distribution. extensions under typical, keratin fibres have determined by numerical integration illustrate method which may be used any distribution stress-strain relationship....

To identify factors affecting bulk-billing by general practitioners in Australia. A community-based survey was administered to Australians aged 16 years or older July 2013 via an online panel. Survey questions focused on patient characteristics, visit practice characteristics. Factors associated with GP bulk-billing. 2477 respondents completed the survey, of whom 2064 (83.33%) reported that they went for their most recent bulk billed some all patients. Overall, 1763 (71.17%) billed. Taking...