3,305 research outputs found
'Doing the hard yards': Carer and provider focus group perspectives of accessing Aboriginal childhood disability services
Background: Despite a high prevalence of disability, Aboriginal Australians access disability services in Australia less than non-Aboriginal Australians with a disability. The needs of Aboriginal children with disability are particularly poorly understood. They can endure long delays in treatment which can impact adversely on development. This study sought to ascertain the factors involved in accessing services and support for Aboriginal children with a disability. Methods. Using the focus group method, two community forums, one for health and service providers and one for carers of Aboriginal children with a disability, were held at an Aboriginal Community Controlled Health Service (ACCHS) in the Sydney, metropolitan area of New South Wales, Australia. Framework analysis was applied to qualitative data to elucidate key issues relevant to the dimensions of access framework. Independent coding consistency checks were performed and consensus of analysis verified by the entire research team, several of whom represented the local Aboriginal community. Results: Seventeen health and social service providers representing local area government and non-government-funded health and social service organisations and five carers participated in two separate forums between September and October 2011. Lack of awareness of services and inadequate availability were prominent concerns in both groups despite geographic proximity to a major metropolitan area with significant health infrastructure. Carers noted racism, insufficient or non-existent services, and the need for an enhanced role of ACCHSs and AHWs in disability support services. Providers highlighted logistical barriers and cultural and historical issues that impacted on the effectiveness of mainstream services for Aboriginal people. Conclusions: Despite dedicated disability services in an urban community, geographic proximity does not mitigate lack of awareness and availability of support. This paper has enumerated a number of considerations to address provision of disability services in an urban Australian Aboriginal community including building expertise and specialist capacity within Aboriginal Health Worker positions and services. Increasing awareness of services, facilitating linkages and referrals, eliminating complexities to accessing support, and working with families and Aboriginal community organisations within a framework of resilience and empowerment to ensure a relevant and acceptable model are necessary steps to improving support and care for Aboriginal children with a disability. © 2013 DiGiacomo et al.; licensee BioMed Central Ltd
The negatively charged nitrogen-vacancy centre in diamond: the electronic solution
The negatively charged nitrogen-vacancy centre is a unique defect in diamond
that possesses properties highly suited to many applications, including quantum
information processing, quantum metrology, and biolabelling. Although the
unique properties of the centre have been extensively documented and utilised,
a detailed understanding of the physics of the centre has not yet been
achieved. Indeed there persists a number of points of contention regarding the
electronic structure of the centre, such as the ordering of the dark
intermediate singlet states. Without a sound model of the centre's electronic
structure, the understanding of the system's unique dynamical properties can
not effectively progress. In this work, the molecular model of the defect
centre is fully developed to provide a self consistent model of the complete
electronic structure of the centre. The application of the model to describe
the effects of electric, magnetic and strain interactions, as well as the
variation of the centre's fine structure with temperature, provides an
invaluable tool to those studying the centre and a means to design future
empirical and ab initio studies of this important defect.Comment: 24 pages, 6 figures, 10 table
Applications of artificial intelligence to improve patient flow on mental health inpatient units - Narrative literature review
Background: Despite a growing body of research into both Artificial intelligence and mental health inpatient flow issues, few studies adequately combine the two. This review summarises findings in the fields of AI in psychiatry and patient flow from the past 5 years, finds links and identifies gaps for future research. Methods: The OVID database was used to access Embase and Medline. Top journals such as JAMA, Nature and The Lancet were screened for other relevant studies. Selection bias was limited by strict inclusion and exclusion criteria. Research: 3,675 papers were identified in March 2020, of which a limited number focused on AI for mental health unit patient flow. After initial screening, 323 were selected and 83 were subsequently analysed. The literature review revealed a wide range of applications with three main themes: diagnosis (33%), prognosis (39%) and treatment (28%). The main themes that emerged from AI in patient flow studies were: readmissions (41%), resource allocation (44%) and limitations (91%). The review extrapolates those solutions and suggests how they could potentially improve patient flow on mental health units, along with challenges and limitations they could face. Conclusion: Research widely addresses potential uses of AI in mental health, with some focused on its applicability in psychiatric inpatients units, however research rarely discusses improvements in patient flow. Studies investigated various uses of AI to improve patient flow across specialities. This review highlights a gap in research and the unique research opportunity it presents
Alvimopan for the Management of Postoperative Ileus After Bowel Resection: Characterization of Clinical Benefit by Pooled Responder Analysis
BACKGROUND: A pooled post hoc responder analysis was performed to assess the clinical benefit of alvimopan, a peripherally acting mu-opioid receptor (PAM-OR) antagonist, for the management of postoperative ileus after bowel resection.
METHODS: Adult patients who underwent laparotomy for bowel resection scheduled for opioid-based intravenous patient-controlled analgesia received oral alvimopan or placebo preoperatively and twice daily postoperatively until hospital discharge or for 7 postoperative days. The proportion of responders and numbers needed to treat (NNT) were examined on postoperative days (POD) 3-8 for GI-2 recovery (first bowel movement, toleration of solid food) and hospital discharge order (DCO) written.
RESULTS: Alvimopan significantly increased the proportion of patients with GI-2 recovery and DCO written by each POD (P \u3c 0.001 for all). More patients who received alvimopan achieved GI-2 recovery on or before POD 5 (alvimopan, 80%; placebo, 66%) and DCO written before POD 7 (alvimopan, 87%; placebo, 72%), with corresponding NNTs equal to 7.
CONCLUSIONS: On each POD analyzed, alvimopan significantly increased the proportion of patients who achieved GI-2 recovery and DCO written versus placebo and was associated with relatively low NNTs. The results of these analyses provide additional characterization and support for the overall clinical benefit of alvimopan in patients undergoing bowel resection
The Identification of Infrared Synchrotron Radiation from Cassiopeia A
We report the discovery of polarized flux at 2.2 micron from the bright shell
of the approximately 320 year old supernova remnant Cas A. The fractional
polarizations are comparable at 6 cm and 2.2 micron, and the polarization
angles are similar, demonstrating that synchrotron radiation from the same
relativistic plasma is being observed at these widely separated wavebands. The
relativistic electrons radiating at 2.2 micron have an energy of ~ 150 GeV,
(gamma ~ 3e5), assuming an ~500 microGauss magnetic field. The total intensity
at 2.2 micron lies close to the power law extrapolation from radio frequencies,
showing that relativistic particle acceleration is likely an ongoing process;
the infrared emitting electrons were accelerated no longer than ~80 years ago.
There is a small but significant concave curvature to the spectrum, as expected
if the accelerating shocks have been modified by the back pressure of the
cosmic rays; given calibration uncertainties, this conclusion must be
considered tentative at present. The 2.2 micron polarization angles and the
emission-line filaments observed by HST are both offset from the local radial
direction by 10 - 20 degrees, providing evidence that the magnetic fields in
Cas A are generated by Rayleigh-Taylor instabilities in the decelerating
ejecta.Comment: 11 pages, 3 figures, accepted for publication Ap
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