60 research outputs found

    Characterising Australian memory clinics: current practice and service needs informing national service guidelines

    Full text link
    Background: Memory clinics (MCs) play a key role in accurate and timely diagnoses and treatment of dementia and mild cognitive impairment. However, within Australia, there are little data available on current practices in MCs, which hinder international comparisons for best practice, harmonisation efforts and national coordination. Here, we aimed to characterise current service profiles of Australian MCs. Methods: The ‘Australian Dementia Network Survey of Expert Opinion on Best Practice and the Current Clinical Landscape’ was conducted between August-September 2020 as part of a larger-scale Delphi process deployed to develop national MC guidelines. In this study, we report on the subset of questions pertaining to current practice including wait-times and post-diagnostic care. Results: Responses were received from 100 health professionals representing 60 separate clinics (45 public, 11 private, and 4 university/research clinics). The majority of participants were from clinics in metropolitan areas (79%) and in general were from high socioeconomic areas. While wait-times varied, only 28.3% of clinics were able to offer an appointment within 1-2 weeks for urgent referrals, with significantly more private clinics (58.3%) compared to public clinics (19.5%) being able to do so. Wait-times were less than 8 weeks for 34.5% of non-urgent referrals. Only 20.0 and 30.9% of clinics provided cognitive interventions or post-diagnostic support respectively, with 7.3% offering home-based reablement programs, and only 12.7% offering access to group-based education. Metropolitan clinics utilised neuropsychological assessments for a broader range of cases and were more likely to offer clinical trials and access to research opportunities. Conclusions: In comparison to similar countries with comprehensive government-funded public healthcare systems (i.e., United Kingdom, Ireland and Canada), wait-times for Australian MCs are long, and post-diagnostic support or evidence-based strategies targeting cognition are not common practice. The timely and important results of this study highlight a need for Australian MCs to adopt a more holistic service of multidisciplinary assessment and post-diagnostic support, as well as the need for the number of Australian MCs to be increased to match the rising number of dementia cases

    Correlation of serum levels of T3 and T4 during the dry and postpartum periods with ovarian rebound in primiparous and multiparous cows

    No full text
    The thyroid gland is one of the major endocrine glands which plays an important role in vital balance of the body by secreting two hormones, T3 and T4. Because effects of these two hormones affect the activity of many body organs, in this survey the effects of these two hormones on the return of ovarian activity in Holstein cows were examined. For this purpose, 60 primiparous cows (having one pregnancy) and 60 multiparous (having two or more pregnancies) were considered for this survey. In both groups, the blood samples were taken 10 days before parturition and 10 to 20 days after parturition.  After centrifugation and serum separation, samples were stored at -20 o C. Afterwards in laboratory, T3 and T4 values were measured by using ELISA kit. The results indicate that the values of T3 and T4 in primiparous cows in the prenatal and postpartum period were more than multiparous cows (
    • …
    corecore