This paper outlines practical tips for inclusive healthcare practice and service delivery, covering diversity aspects intersectionality. A team with wide-ranging lived experiences from a national public health association's diversity, equity, inclusion group compiled the tips, which were reiteratively discussed refined. The final twelve selected broad applicability. chosen are: (a) beware of assumptions stereotypes, (b) replace labels appropriate terminology, (c) use language, (d) ensure...

Abstract Introduction Critical care patients frequently receive blood transfusions. Some reports show an association between aged or stored and increased morbidity mortality, including the development of transfusion-related acute lung injury (TRALI). However, existence conflicting data endorses need for research to either reject this association, confirm it elucidate underlying mechanisms. Methods Twenty-eight sheep were randomised into two groups, receiving saline lipopolysaccharide (LPS)....

Abstract Background Research capacity building (RCB) initiatives have gained steady momentum in health settings across the globe to reduce gap between research evidence and practice policy. RCB strategies are typically multidimensional, comprising several targeted at different levels within organisations. education training is a mainstay strategy individual level yet, for unclear. This review scopes literature on programs nurses allied professionals, delivered evaluated healthcare...

Abstract Objective To: (1) assess whether rural clinical placements influence change in intention to practice rurally for nursing and allied health students, (2) residential origin (metropolitan or rural) university location non‐metropolitan) this change, (3) of professionals practicing after graduation. Design Cross‐sectional survey (2014‐2022) conducted Northern/Northeastern Victoria Grampians region by students completing placements. Survey explored student placement satisfaction,...

Abstract Background and aims The association between fatty liver disease (FLD) cardiovascular (CVD) in an Australian context has yet to be defined. primary aim of this study was investigate the FLD 3-point major adverse events (MACE). Methods This a longitudinal follow-up randomly sampled adult cohort from regional Australia 2001 2003. Baseline covariates included demographic details, anthropometry, health lifestyle data, laboratory tests. Non-alcoholic (NAFLD) metabolic-(dysfunction)...

Women are predicted to be disproportionately impacted by the COVID-19 pandemic due increased carer responsibilities, loss of income, worry about virus and a predominantly female healthcare workforce. Whilst there is emerging evidence that negative mental health impacts associated with may more pronounced for women than men, less attention has focussed on changes behaviours seeking experienced women. Similarly, impact in rural areas not been investigated detail. Our research questions were...

To determine the contextual factors influencing research and capacity building in rural health settings.Qualitative study using semi-structured telephone interviews to collect data regarding professionals' education building. Analysis involved inductive coding Braun Clark's thematic analysis; deductive mapping Consolidated Framework for Implementation Research (CFIR).Victorian services university campuses.Twenty senior managers, academics and/or coordinators. Participants had at least three...

It is unclear how well self-rated oral health (SROH) reflects actual status in the rural Australian population. Therefore, this study aimed to compare clinically assessed and SROH of adults living Australia. The data were from 574 participants who took part Crossroads II cross-sectional study. Three trained calibrated dentists evaluated based on WHO criteria. was with question 'Overall, would you rate your teeth gums?', a score ranging excellent = 5 poor 1. A logistic regression analysis...

About one-third of Australians use the services complementary and alternative medicine (CAM); but debate about role CAM in public healthcare is vociferous. Despite this, mechanisms driving choices are not well understood, especially rural Australia. From 2016 to 2018, 2,679 persons from Goulburn Valley, northern Victoria, were surveyed, 28% (755) whom reporting visiting practitioners. A Generalized Linear Mixed Model was used assess associations between various socio-demographic variables...

ABSTRACT Objective Little is known about the socio‐demographic factors associated with use of allied health services in rural Australia. The objective this study was to determine which were various modes a region Northern Victoria. Methods This secondary analysis Crossroads‐II population study. Generalised linear mixed models constructed. Design Households selected at random through address local government area lists. Data collected by door‐to‐door surveying. Settings northern part Goulburn...

BACKGROUND: The development of the red blood cell (RBC) storage lesion remains incompletely understood. To gain a greater insight into mechanisms involved, proteomics analysis was used to identify proteins that accumulate in supernatants standard nonleukoreduced RBC products (S‐RBCs) and prestorage leukofiltered (LF‐RBCs) during storage. STUDY DESIGN AND METHODS: S‐RBCs LF‐RBCs were collected stored accordance with bank procedures. Supernatant samples at fortnightly intervals until product...

BACKGROUND: The platelet (PLT) storage lesion remains incompletely understood. To gain a greater insight into the PLT lesion, proteomic analysis of supernatant from leukofiltered pooled buffy‐coat concentrates (PCs) was undertaken. STUDY DESIGN AND METHODS: PCs were prepared in additive solution and stored according to standard blood bank procedures. Supernatant samples collected throughout 7 days storage. Maps proteins generated by two‐dimensional (2D) gel electrophoresis mass spectrometry....

Platelets are essential for maintaining vascular integrity. Given the anucleate nature of platelets, definition their proteome is understanding platelet pathophysiology. We describe here a detailed MS-based proteomic analysis membrane/cytoskeletal sub-proteome from purified, normal, non-activated human platelets. In contrast to previous purification strategies, buffy-coat method was utilized in this study isolate and purify minimally activated yielding significantly reduced contaminants...

Background The growing awareness of transfusion‐associated morbidity and mortality necessitates investigations into the underlying mechanisms. Small animals have been dominant transfusion model but associated limitations. This study aimed to develop a comprehensive large animal (ovine) encompassing: blood collection, processing storage, compatibility testing right through post‐transfusion outcomes. Materials methods Two units were collected from each 12 adult male M erino sheep processed 24...

High quality, contemporary data regarding patterns of chronic disease is essential for planning by health services, policy makers and local governments, but surprisingly scarce, including in rural Australia. This dearth occurs despite the recognition that Australians live with high rates ill health, poor behaviours restricted access to services. Crossroads-II set Goulburn Valley, a region Victoria, Australia 100-300 km north metropolitan Melbourne. It primarily an irrigated agricultural...

Objectives To investigate the prevalence of non-alcoholic fatty liver disease (NAFLD) and its risk factors in regional Victoria. Design Prospective cross-sectional observational study (sub-study to CrossRoads II health Shepparton Mooroopna). Setting Four towns (populations, 6300‒49 800) Goulburn Valley Participants Randomly selected from households residential address lists provided by local government organisations for participation study. Main outcome measures Age- sex-adjusted estimates...

Abstract Background and Aim Non‐alcoholic fatty liver disease (NAFLD) is the most prevalent condition globally. The aim of this study was to evaluate change in age‐ sex‐standardized prevalence NAFLD regional Victoria over a 15‐year period explore underlying factors associated with differences time. Methods Repeated comparative cross‐sectional studies four towns Victoria, Australia. Individuals randomly selected from households residential address lists local government organizations...

Abstract Access to healthcare and health seeking behaviours of rural people often hinge on the existing relationships between providers (prospective) users. However, rich micro-level professional-healthcare user unique relational context settings are largely missing from dominant access conceptual frameworks. We argue conceptualisations require revisiting a perspective ensure future policy accounts for nature in contexts. Ethics care is moral theory informed by feminism which rejects liberal...

Background and objectiveRural patients with chronic pain likely experience barriers to optimal management access care.The objectives of this study were estimate the prevalence in a rural setting utilisation specialist clinics investigate factors associated well-managed pain. MethodsA cross-sectional survey (2016-18) involving quantitative text-based data was completed by adults from randomly selected households Goulburn Valley, Victoria. ResultsAmong 2680 respondents, 594 (22%) reported...

In contrast to the well-documented effect of white blood cells on quality red (RBCs), platelets (PLTs) has received little consideration. this study, PLT content and level PLT-derived cytokines in RBCs prepared using different types leukoreduction methods were investigated.Buffy coat-poor five leukofiltered (LF) RBCs, including with a whole (WB) PLT-saving filter, stored according standard bank conditions. was measured Day 1, levels by enzyme-linked immunosorbent assay at nominated...