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4. The embedded research model: an answer to the research and evaluation needs of community service organizations?

Author

Bianca E. Kavanagh, Vincent L. Versace, and Kevin P. Mc Namara

Subjects
Quality improvement, Health services, Community services, Australia, Research capacity building, Public aspects of medicine, RA1-1270
Abstract

Abstract There is an increasing need to provide evidence of outcomes within the community services sector. However, funding challenges, workforce pressures, and the complex social contexts in which community service organizations operate limit their potential for organizational capacity building. This has flow on effects on the ability to conduct impactful and strategic research. The embedded research model (i.e., when a researcher is embedded into a “host” organisation) may aid in building research and evaluation capacity. This may be particularly useful for the purposes of routine outcome monitoring and continuous quality improvement, which may in turn lead to opportunities for local research and evaluation through the embedded research model. Previous research on the embedded research model across various settings has suggested a number of lessons for implementation. However, to date, nil research has focused on community service organizations. Additional considerations need to be made within this context due to resource limitations, ethical issues, and diverse reporting requirements. Such considerations include the need to take a ‘slow science’ approach to research and evaluation outputs, consideration of the organisation’s readiness for change, and the need to report activities in a transparent, thorough, and consistent manner. The endorsement of embedded research in community service organisations may aid in providing evidence of outcomes for clients, and simultaneously, increase the ability for policymakers to evidence-informed decisions on how to improve outcomes for the local population.

Published
2024
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6. Identifying health and healthcare priorities in rural areas: A concept mapping study informed by consumers, health professionals and researchers

Author

Anna Wong Shee, Alex Donaldson, Renee P. Clapham, John C. Aitken, Jaithri Ananthapavan, Anna Ugalde, Vincent L. Versace, and Kevin Mc Namara

Subjects
Access, Healthcare, Health priorities, Health service, Priority-setting, Public values, Public aspects of medicine, RA1-1270
Abstract

Abstract Background It is vital that health service delivery and health interventions address patients’ needs or preferences, are relevant for practice and can be implemented. Involving those who will use or deliver healthcare in priority-setting can lead to health service delivery and research that is more meaningful and impactful. This is particularly crucial in rural communities, where limited resources and disparities in healthcare and health outcomes are often more pronounced. The aim of this study was to determine the health and healthcare priorities in rural communities using a region-wide community engagement approach. Methods This multi-methods study was conducted in five rural communities in the Grampians region, Western Victoria, Australia. It involved six concept mapping steps: (1) preparation, (2) generation (brainstorming statements and identifying rating criteria), (3) structuring statements (sorting and rating statements), (4) representation of statements, (5) interpretation of the concept map and (6) utilization. Community forums, surveys and stakeholder consultations with community members and health professionals were used in Step 2. An innovative online group concept mapping platform, involving consumers, health professionals and researchers was used in Step 3. Results Overall, 117 community members and 70 health professionals identified 400 health and healthcare issues. Six stakeholder consultation sessions (with 16 community members and 16 health professionals) identified three key values for prioritizing health issues: equal access for equal need, effectiveness and impact (number of people affected). Actionable priorities for healthcare delivery were largely related to access issues, such as the challenges navigating the healthcare system, particularly for people with mental health issues; the lack of sufficient general practitioners and other health providers; the high travel costs; and poor internet coverage often impacting technology-based interventions for people in rural areas. Conclusions This study identified actionable health and healthcare priorities from the perspective of healthcare service users and providers in rural communities in Western Victoria. Issues related to access, such as the inequities in healthcare costs, the perceived lack of quality and availability of services, particularly in mental health and disability, were identified as priorities. These insights can guide future research, policy-making and resource allocation efforts to improve healthcare access, quality and equity in rural communities.

Published
2024
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7. An effective approach to tackling complex health policy challenges. Using a clinical microsystems approach and rethinking codesign

Author

M. Duggan, J. A. Dunbar, M. A. Morgan, K. P. Mc Namara, M. P. de Courten, and R. V. Calder

Subjects
health policy, clinical microsystem, mental health, physical health, integrated healthcare, healthcare disparities, Public aspects of medicine, RA1-1270
Abstract

That people with serious mental illness have poor physical health and face a significant life expectancy gap compared with the general population is well known. Despite considerable policy focus in some countries, the gap in life expectancy remains. Tackling complex and persistent health problems such as this requires a systems-based approach, recognising the complexity of interacting components and their effects on the problem and on each other and applying collaborative analysis, design and implementation by those with knowledge of and expertise in the problem and the context. This paper describes the methods used to develop the Australian Being Equally Well National Policy Roadmap for better physical health care and longer lives for people with severe mental illness. Whilst recognising that high rates of physical health comorbidities are caused by many factors including lifestyle, access to high-quality healthcare and medication side effects, the work was focused on what could be done within Australian primary care to improve the physical health of this cohort. A Clinical Microsystem Approach was applied to synthesise clinical evidence with professional and lived experience, and an innovative policy development process was established, creating trust across all system levels. Participants with different kinds of knowledge and experience worked in discrete groups according to their professional or expert role whilst also being supported to participate in an intensive cross-collaboration. The potential value of this methodology for tackling other complex problems in health policy is discussed.

Published
2024
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8. Answering the call: co-designing a global trials network for cerebral palsy

Author

Iona Novak, Michael Fahey, Bernard Dan, Simon Craig, Alexandra Griffin, Paul Gross, Mikkel Damgaard Justiniano, Annabel Webb, Maria Mc Namara, Jens Bo Nielsen, Thomas Snelling, Anina Ritterband-Rosenbaum, M. Wade Shrader, Lars Adde, Catherine Arnaud, Marina Brandao, Sylvain Brochard, Annemieke Buizer, Charlie Fairhurst, Darcy Fehlings, Kathleen Friel, Andrea Guzzetta, Ann-Christin Eliasson, Christina Høi-Hansen, Reidun Birgitta Jahnsen, Mette Johansen, Angelina Kakooza Mwesige, Marjolijn Ketelaar, Karin Lind, Egmar Longo, Bente Maimann, Ronit Mesterman, Jenna Mitchell, Elegast Monbaliu, Catherine Morgan, Christopher J. Newman, Els Ortibus, Gija Rackauskaite, Solveig Sigurdardottir, and Tom Snelling

Subjects
Public aspects of medicine, RA1-1270
Published
2024
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9. Models and approaches for building knowledge translation capacity and capability in health services: a scoping review

Author

Olivia King, Emma West, Laura Alston, Hannah Beks, Michele Callisaya, Catherine E. Huggins, Margaret Murray, Kevin Mc Namara, Michael Pang, Warren Payne, Anna Peeters, Mia Pithie, Alesha M. Sayner, and Anna Wong Shee

Subjects
Capacity building, Knowledge translation, Implementation, Healthcare, Scoping review, Medicine (General), R5-920
Abstract

Abstract Background Building healthcare service and health professionals’ capacity and capability to rapidly translate research evidence into health practice is critical to the effectiveness and sustainability of healthcare systems. This review scoped the literature describing programmes to build knowledge translation capacity and capability in health professionals and healthcare services, and the evidence supporting these. Methods This scoping review was undertaken using the Joanna Briggs Institute scoping review methodology. Four research databases (Ovid MEDLINE, CINAHL, Embase, and PsycInfo) were searched using a pre-determined strategy. Eligible studies described a programme implemented in healthcare settings to build health professional or healthcare service knowledge translation capacity and capability. Abstracts and full texts considered for inclusion were screened by two researchers. Data from included papers were extracted using a bespoke tool informed by the scoping review questions. Results Database searches yielded 10,509 unique citations, of which 136 full texts were reviewed. Thirty-four papers were included, with three additional papers identified on citation searching, resulting in 37 papers describing 34 knowledge translation capability building programmes. Programmes were often multifaceted, comprising a combination of two or more strategies including education, dedicated implementation support roles, strategic research-practice partnerships and collaborations, co-designed knowledge translation capability building programmes, and dedicated funding for knowledge translation. Many programmes utilised experiential and collaborative learning, and targeted either individual, team, organisational, or system levels of impact. Twenty-seven programmes were evaluated formally using one or more data collection methods. Outcomes measured varied significantly and included participant self-reported outcomes, perceived barriers and enablers of knowledge translation, milestone achievement and behaviour change. All papers reported that programme objectives were achieved to varying degrees. Conclusions Knowledge translation capacity and capability building programmes in healthcare settings are multifaceted, often include education to facilitate experiential and collaborative learning, and target individual, team, organisational, or supra-organisational levels of impact. Although measured differently across the programmes, the outcomes were positive. The sustainability of programmes and outcomes may be undermined by the lack of long-term funding and inconsistent evaluation. Future research is required to develop evidence-informed frameworks to guide methods and outcome measures for short-, medium- and longer-term programme evaluation at the different structural levels.

Published
2024
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12. Cloud technology and capsule endoscopy: A single-center users’ experience of remote online video analysis and reporting

Author

Conor Costigan, Caroline Walker, Jim O'Connell, Emmanuel Omallao, Thilagaraj Manoharan, Niamh Eagle, Yvonne Bailey, Fintan O'Hara, and Deirdre Mc Namara

Subjects
Endoscopy Small Bowel, Capsule endoscopy, Training, Quality and logistical aspects, Image and data processing, documentatiton, Diseases of the digestive system. Gastroenterology, RC799-869
Published
2024
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15. The application of spatial measures to analyse health service accessibility in Australia: a systematic review and recommendations for future practice

Author

Sarah M. Wood, Laura Alston, Hannah Beks, Kevin Mc Namara, Neil T. Coffee, Robyn A. Clark, Anna Wong Shee, and Vincent L. Versace

Subjects
Health service, Access, Spatial access, Geography, Spatial analysis, GIS, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Australia's inequitable distribution of health services is well documented. Spatial access relates to the geographic limitations affecting the availability and accessibility of healthcare practitioners and services. Issues associated with spatial access are often influenced by Australia's vast landmass, challenging environments, uneven population concentration, and sparsely distributed populations in rural and remote areas. Measuring access contributes to a broader understanding of the performance of health systems, particularly in rural/remote areas. This systematic review synthesises the evidence identifying what spatial measures and geographic classifications are used and how they are applied in the Australian peer-reviewed literature. Methods A systematic search of peer-reviewed literature published between 2002 and 2022 was undertaken using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology. Search terms were derived from three major topics, including: [1] Australian population; [2] spatial analysis of health service accessibility; and [3] objective physical access measures. Results Database searches retrieved 1,381 unique records. Records were screened for eligibility, resulting in 82 articles for inclusion. Most articles analysed access to primary health services (n = 50; 61%), followed by specialist care (n = 17; 21%), hospital services (n = 12; 15%), and health promotion and prevention (n = 3; 4%). The geographic scope of the 82 articles included national (n = 33; 40%), state (n = 27; 33%), metropolitan (n = 18; 22%), and specified regional / rural /remote area (n = 4; 5%). Most articles used distance-based physical access measures, including travel time (n = 30; 37%) and travel distance along a road network (n = 21; 26%), and Euclidean distance (n = 24; 29%). Conclusion This review is the first comprehensive systematic review to synthesise the evidence on how spatial measures have been applied to measure health service accessibility in the Australian context over the past two decades. Objective and transparent access measures that are fit for purpose are imperative to address persistent health inequities and inform equitable resource distribution and evidence-based policymaking.

Published
2023
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16. A novel, multidomain, primary care nurse-led and mHealth-assisted intervention for dementia risk reduction in middle-aged adults (HAPPI MIND): study protocol for a cluster randomised controlled trial

Author

Amanda J Cross, Christine Walker, Kaarin J Anstey, Kevin Mc Namara, Vincent Versace, Parker Magin, Billie Bonevski, Amanda L Baker, Elizabeth Manias, J Simon Bell, Marlien Varnfield, Stephanie A Ward, Dennis Thomas, Johnson George, Rohan A Elliott, Rajiv Jayasena, Kali Godbee, Ajay Mahal, Sharleen L O'Reilly, Gopisankar Mohanannair Geethadevi, Cik Y Lee, Denise van den Bosch, Mary Tullipan, and Catherine Ferreira

Subjects
Medicine
Abstract

Introduction Middle-aged multidomain risk reduction interventions targeting modifiable risk factors for dementia may delay or prevent a third of dementia cases in later life. We describe the protocol of a cluster randomised controlled trial (cRCT), HAPPI MIND (Holistic Approach in Primary care for PreventIng Memory Impairment aNd Dementia). HAPPI MIND will evaluate the efficacy of a multidomain, nurse-led, mHealth supported intervention for assessing dementia risk and reducing associated risk factors in middle-aged adults in the Australian primary care setting.Methods and analysis General practice clinics (n≥26) across Victoria and New South Wales, Australia, will be recruited and randomised. Practice nurses will be trained to implement the HAPPI MIND intervention or a brief intervention. Patients of participating practices aged 45–65 years with ≥2 potential dementia risk factors will be identified and recruited (approximately 15 patients/clinic). Brief intervention participants receive a personalised report outlining their risk factors for dementia based on Australian National University Alzheimer’s Disease Risk Index (ANU-ADRI) scores, education booklet and referral to their general practitioner as appropriate. HAPPI MIND participants receive the brief intervention as well as six individualised dementia risk reduction sessions with a nurse trained in motivational interviewing and principles of behaviour change, a personalised risk reduction action plan and access to the purpose-built HAPPI MIND smartphone app for risk factor self-management. Follow-up data collection will occur at 12, 24 and 36 months. Primary outcome is ANU-ADRI score change at 12 months from baseline. Secondary outcomes include change in cognition, quality of life and individual risk factors of dementia.Ethics and dissemination Project approved by Monash University Human Research Ethics Committee (ID: 28273). Results will be disseminated in peer-reviewed journals and at healthcare conferences. If effective in reducing dementia risk, the HAPPI MIND intervention could be integrated into primary care, scaled up nationally and sustained over time.Trial registration number ACTRN12621001168842.

Published
2023
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17. A qualitative system model to describe the causes and drivers of frequent potentially avoidable presentations to the emergency department

Author

Mary Malakellis, Anna Wong Shee, Margaret Murray, Laura Alston, Vincent L. Versace, Steven Allender, and Kevin Mc Namara

Subjects
Science (General), Q1-390, Social sciences (General), H1-99
Abstract

Frequent potentially avoidable presentations to Emergency Departments (EDs) represent a complex problem, driven by multiple interdependent and interacting factors that change over time and influence one another. We sought to describe and map the drivers of frequent potentially avoidable presentations to a regional ED, servicing regional and rural areas, and identify possible solutions from the perspectives of key stakeholders. This study used a qualitative, community-based systems dynamics approach utilising Group Model Building (GMB). Data were collected from two 3-h online workshops embedded with small-group discussions and conducted with stakeholder groups operating within a regional health system. Stakeholders were guided through a series of participatory tasks to develop a causal loop diagram (CLD) using Systems Thinking in Community Knowledge Exchange software (n=29, workshop one), identify potential action points and generate a prioritised action list to intervene in the system (n=21, workshop two). Data were collected through note taking, real-time system mapping, and recording the workshops. Each action was considered against the Public Health 12 framework describing twelve leverage points to intervene in a system. A CLD illustrating the complex and interrelated factors that drive frequent potentially avoidable ED presentations was developed and classified into four categories: (1) access to services; (2) coordination; (3) patient needs; and (4) knowledge and skills. Nine action areas were identified, with many relating to care and service coordination. Most actions aligned with lower-level system impact actions. This study provides an in-depth understanding of influencing factors and potential solutions for frequent potentially avoidable ED presentations across a regional health system. The CLD demonstrates frequent potentially avoidable ED presentations are a complex problem and identified that a prevention response should engage with system- and individual-level solutions. Further work is needed to prioritise actions to support the implementation of higher-level system impacts.

Published
2023
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20. Design and implementation characteristics of research training for rural health professionals: a qualitative descriptive study

Author

Claire Quilliam, Anna Wong Shee, Denise Corboy, Kristen Glenister, Olivia King, Kevin Mc Namara, Laura Alston, Drew Aras, Alison Beauchamp, and Carol McKinstry

Subjects
Rural population, Health occupations, Rural health services, Research, Capacity building, Education, Special aspects of education, LC8-6691, Medicine
Abstract

Abstract Background Research capacity and capability of rural health professionals is essential to the delivery of evidence-based care and for informing strategies to address rural health inequities. Effective implementation of research education and training is fundamental to building rural health professional research capacity and capability. A lack of overarching guidance to inform the delivery of research education and training in rural health services can contribute to gaps in capacity-building approaches. The aim of this study was to identify characteristics of the design and implementation of current research training for rural health professionals in Victoria, Australia, to inform a future model for rural health professional research capacity and capability building. Methods A qualitative descriptive study was undertaken. Key informants, with extensive knowledge of research education and training in rural health services in Victoria, were invited to participate in semi-structured telephone interviews via snowballing recruitment methods. Interview transcripts were analysed inductively, with themes and codes mapped to the domains of the Consolidated Framework for Implementation Research. Results Of the 40 key informants approached, 20 agreed to participate including 11 regional health service managers, five rural health academics and four university managers. Participants suggested that research training varied in quality and relevance to rural health professionals. Training costs and lack of tailoring to the rural context were key barriers, whereas experiential learning and flexible modes of delivery enabled training uptake. Health service and government policies, structures, and processes both enabled or stifled implementation opportunities, with rural health professional networks from different regions offering capacity for research training development, and government departmental structures hampering training coordination. Tension between research activities and clinical practice, and health professional knowledge and beliefs, shaped the delivery of training programs. Strategically planned and evaluated research training programs and education via co-design with rural health professionals and use of research champions were strongly recommended by participants. Conclusions To optimise research training for rural health professionals and increase the quality and quantity of relevant rural health research, a systematically planned, implemented, and resourced region-wide research training model is required.

Published
2023
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21. Patient-Centered Care Experiences of First-Generation, South Asian Migrants with Chronic Diseases Living in High-Income, Western Countries: Systematic Review

Author

Vakil K, Desse TA, Manias E, Alzubaidi H, Rasmussen B, Holton S, and Mc Namara KP

Subjects
"patient-centered care”, “patient participation”, “migrant”, “chronic disease”, “health services”, “sociological factors”, “systematic review”, Medicine (General), R5-920
Abstract

Krishna Vakil,1 Tigestu Alemu Desse,2 Elizabeth Manias,2,3 Hamzah Alzubaidi,1,4 Bodil Rasmussen,5– 8 Sara Holton,5,6 Kevin P Mc Namara1 1Deakin Rural Health, School of Medicine, Deakin University, Warrnambool, Victoria, Australia; 2School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Faculty of Health, Deakin University, Melbourne, Victoria, Australia; 3School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia; 4College of Pharmacy, University of Sharjah, Sharjah, United Arab Emirates; 5School of Nursing and Midwifery, Centre for Quality and Patient Safety Research – Western Health Partnership, Institute for Health Transformation Deakin University, Geelong, Victoria, Australia; 6The Centre for Quality and Patient Safety Research in the Institute of Health Transformation -Western Health Partnership, Western Health, Melbourne, Victoria, Australia; 7Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; 8Faculty of Health Sciences, University of Southern Denmark and Steno Diabetes Center, Odense M, DenmarkCorrespondence: Krishna Vakil, Deakin Rural Health, Building D Level 2, Deakin University, Princes Hwy (PO Box 423), Warrnambool, Victoria, 3280, Australia, Tel +61 422 365 879, Email kvakil@deakin.edu.auBackground: First-generation migrants from South Asia account for a considerable proportion of the immigrant populations in high-income, western countries and are at a high risk of developing complex, chronic diseases such as cardiovascular disease and diabetes. Yet, previous systematic reviews have not synthesized information about the healthcare needs and preferences of such migrants and the best ways for health services to provide them with appropriate, culturally sensitive, patient-centered care. The aim of this study is to systematically review the international evidence about first-generation, South Asian migrants’ healthcare experiences from the patients’ perspectives.Methods: Five databases were searched for qualitative, quantitative, and mixed methods studies published between January 1990 and April 2020. Fourteen thousand, six hundred and forty-four papers were retrieved and screened using pre-determined eligibility criteria. Sixty-one papers were included in this narrative synthesis. Relevant qualitative findings from the included papers were thematically analyzed, and quantitative findings were summarized.Results: Five themes emerged from findings: 1) Healthcare services engaged; 2) the language barrier; 3) experiences and perceptions of healthcare advice; 4) the doctor–patient relationship; and 5) the role of patients’ families in supporting access and delivery of healthcare.Conclusion: The findings indicate that communication barriers reduce the cultural and linguistic appropriateness of healthcare. Potential solutions include employing healthcare staff from the same cultural background, training healthcare professionals in cultural competence, and proactively including first-generation, South Asian migrants in decision-making about their healthcare. Future research should explore South Asian migrants’ experiences of multimorbidity management, continuity of care, interdisciplinary collaboration, the formation of treatment plans and goals as little to no data were available about these issues.Keywords: patient-centered care, patient participation, migrant, chronic disease, health services, sociological factors, systematic review

Published
2023

22. Evaluating the timing of insecticide application to manage barley yellow dwarf virus and yield in winter barley

Author

L.E. Walsh, S. Lacey, D. Doyle, M.T. Gaffney, and L. Mc Namara

Subjects
barley yellow dwarf virus (bydv), sulfoxaflor, threshold, transform, yield, Agriculture (General), S1-972, Nutrition. Foods and food supply, TX341-641
Abstract

Barley yellow dwarf virus (BYDV) is an important viral disease of grain crops worldwide and a major cause of yield loss. The risk periods for BYDV infection coincide with milder temperature that prolongs aphid flight and facilitates viral transmission through primary and secondary aphid movement in the crop. Secondary aphid movement is associated with greater BYDV spread in winter cereals. A critical component of BYDV management is therefore delaying sowing of winter cereals and correctly timing insecticide application to maximise crop protection. Previous research in Ireland considered insecticide timing in early (September) and late (October onwards) sown cereals. Early research did not consider action thresholds around temperature, aphid flight and risk of secondary spread. This research set out to understand the optimal timing of insecticide application in October sown winter barley to reduce BYDV infection and yield impact. A critical temperature of 3°C was used as a threshold for aphid development that leads to movement and BYDV spread, and insecticide treatments were applied to the crop at predictable intervals in relation to temperature. Results show that BYDV symptoms and yield are affected by spray time, location and year, although only significant with regard to the reduction of BYDV symptoms. For both BYDV symptoms and yield, there was a significant difference between untreated (control) plots and “early” and “late” applications of insecticide, again more notable for BYDV symptoms than yield. This work indicates the value of optimising a single insecticide spray for control of October sown cereals and supports decision-making in the management of cereal crops.

Published
2022
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23. Implementation of telehealth primary health care services in a rural Aboriginal Community-Controlled Health Organisation during the COVID-19 pandemic: a mixed-methods study

Author

Hannah Beks, Fiona Mitchell, James Charles, Anna Wong Shee, Kevin Mc Namara, and Vincent Versace

Subjects
Aboriginal Community Controlled Health Organisation, Australia, rural health services, telehealth., Special situations and conditions, RC952-1245, Public aspects of medicine, RA1-1270
Abstract

Introduction: Globally, primary care organisations responded rapidly to COVID-19 physical distancing requirements through the adoption of telehealth to maintain the delivery of health care to communities. In Australia, temporary Medicare Benefits Schedule (MBS) telehealth items were introduced in March 2020 to enable the provision of telehealth services in the primary care setting. These changes included funding for two modes of telehealth delivery: videoconferencing and telephone consultations. As primary care organisations, Aboriginal Community Controlled Health Organisations (ACCHOs) rapidly adopted telehealth consultations to maintain the delivery of primary care services to Aboriginal and Torres Strait Islander clients. The aim of the present study was to evaluate the implementation (specifically the uptake, acceptability and requirements for delivery) of telehealth primary healthcare services for Aboriginal and/or Torres Strait Islander peoples by a rural ACCHO during COVID-19. Methods: A single-site convergent-parallel mixed-methods study was undertaken in the context of an ongoing research partnership established between a rural ACCHO and a university department of rural health. De-identified health service data from March 2020 to March 2021 was extracted, including MBS telehealth consultations and client demographics (eg age, gender and postcode). Variables were analysed using descriptive statistics to examine the uptake of telehealth by Aboriginal and Torres Strait Islander clients. A geographical analysis of postcode data was also undertaken. Semi-structured interviews were undertaken concurrently with a purposive sample of health service personnel (including health professionals) involved in the implementation or delivery of telehealth, and Aboriginal and/or Torres Strait Islander clients who had accessed telehealth, to explore the acceptability of telehealth and requirements for delivery. Thematic analysis using an inductive approach was undertaken. The analyses of quantitative and qualitative findings were merged to identify key concepts pertaining to the uptake, acceptability and requirements for telehealth delivery. Results: During the first year of implementation, 435 telehealth primary healthcare consultations were delivered to Aboriginal and/or Torres Strait Islander clients. Seven health personnel and six Aboriginal and/or Torres Strait Islander clients participated in interviews. Merged findings from an analysis of quantitative and qualitative data were grouped under three concepts: uptake of telehealth consultations by Aboriginal and Torres Strait Islander clients, maintaining the delivery of ACCHO services during COVID-19, and implications for sustaining telehealth in an ACCHO. Findings identified that telehealth maintained the delivery of ACCHO services to Aboriginal and/or Torres Strait Islander clients across the lifespan during COVID-19, despite a preference for face-to-face consultations. A greater uptake of telephone consultations compared to videoconferencing was identified. Barriers to the utilisation of videoconferencing were largely technology related, highlighting the need for additional support for clients. Conclusion: Telehealth was a useful addition to face-to-face consultations when used in the appropriate context such as the administration of long-term medication prescriptions by a GP. Engaging the ACCHO sector in the policy discourse around telehealth is imperative for identifying requirements for ongoing implementation.

Published
2023
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25. El arte del retrato

Author

Rafael Mc Namara

Subjects
Philosophy (General), B1-5802
Published
2023

30. Cien años no es nada

Author

Rafael Mc Namara

Subjects
Philosophy (General), B1-5802
Published
2023

32. Acariciando lo áspero

Author

Rafael Mc Namara and Julián Ferreyra

Subjects
Philosophy (General), B1-5802
Published
2023

34. Use of General Practitioner Telehealth Services During the COVID-19 Pandemic in Regional Victoria, Australia: Retrospective Analysis

Author

Feby Savira, Liliana Orellana, Martin Hensher, Lan Gao, Andrew Sanigorski, Kevin Mc Namara, Vincent L Versace, John Szakiel, Jamie Swann, Elizabeth Manias, and Anna Peeters

Subjects
Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270
Abstract

BackgroundIn March 2020, the Australian Government expanded general practitioner (GP) telehealth services in response to the COVID-19 pandemic. ObjectiveThis study sought to assess use patterns of GP telehealth services in response to changing circumstances (before and during the COVID-19 pandemic and with or without a lockdown) in regional Victoria, Australia. MethodsWe conducted a secondary analysis of monthly Medicare claims data from July 2019 to June 2021 from 140 regional GP practices in Western Victoria. The longitudinal patterns of proportion of GP telehealth consultations stratified by type of consultation (ie, videoconference vs telephone) and by geographical, consumer, and consultation characteristics were analyzed. ResultsTelehealth comprised 25.8% (522,932/2,025,615) of GP consultations over the 2-year period. After the introduction of the Australian telehealth expansion policy in March 2020, there was a rapid uptake in GP telehealth services (including telephone and video services), from 0% before COVID-19 to 15% (11,854/80,922) of all consultations in March 2020, peaking at 55% (50,828/92,139) in August 2020. Thereafter, the use of telehealth declined steadily to 31% (23,941/77,344) in January 2021 and tapered off to 28% (29,263/103,798) in June 2021. Telephone services and shorter consultations were the most dominant form, and those aged 15-64 years had higher telehealth use rates than younger or older age groups. The proportion of video consultations was higher during periods with government-imposed lockdowns and higher in the most socioeconomically advantaged areas compared to less socioeconomically advantaged areas. ConclusionsOur findings support the continuation of telehealth use in rural and regional Australia post pandemic. Future policy must identify mechanisms to reduce existing equity gaps in video consultations and consider patient- and system-level implications of the dominant use of short telephone consultations.

Published
2023
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35. Effectiveness of postural interventions in cerebral palsy: umbrella systematic review.

Author

Toohey, Monica, Blatch-Williams, Remy, Budini, Kristian, Ferreira, Astrid, Griffin, Alexandra, Hines, Ashleigh, Jackman, Michelle, Lind, Karin, Massey, Jill, Mc Namara, Maria, Mitchell, Jenna, Morgan, Catherine, Norfolk, Esther, Paton, Madison CB., Polyblank, Daniel, Reedman, Sarah, and Novak, Iona

Subjects
CEREBRAL palsy treatment, EXERCISE physiology, PUBLIC health surveillance, THERAPEUTICS, DESCRIPTIVE statistics, SYSTEMATIC reviews, HIP joint, BODY movement, POSTURAL balance
Abstract

Cerebral palsy is a disorder of posture and movement. Multiple postural management interventions exist to prevent complications and improve outcomes. In this short review we followed a systematic approach to appraise the quality of evidence supporting each intervention and assessed the effectiveness across the International Classification of Functioning, Disability and Health (ICF) outcomes. Evidence-based recommendations are essential for assisting clinicians in selecting and implementing interventions aligned with the individual's goals. This review aims to summarize and evaluate the evidence supporting postural interventions for CP published after Gough's review in 2009. Additionally, it aims to provide clinical bottom lines according to GMFCS or MACS levels. We conducted our search for systematic reviews or population register studies evaluating postural management interventions in people with cerebral palsy using an umbrella systematic review design. We assessed the quality of evidence for each intervention and made recommendations using GRADE (Grading of Recommendation, Assessment, Development, and Evaluation) and the Evidence Alert Traffic Light approaches. From a total of 955 citations identified 33 unique studies met our inclusion criteria. The 33 studies included 41 interventions, measuring 22,835 participants, across 207 RCTs and 1 population register study. Of the 41 interventions, 14 were postural control interventions to improve movement; 11 were tone management interventions to improve movement or prevent deformity; 2 were postural management interventions to support upright posture; and 14 were postural management interventions to prevent deformity. Several postural control interventions are effective for improving movement, and several postural management interventions may prevent deformity, with hip surveillance having the best evidence. [ABSTRACT FROM AUTHOR]

Published
2024
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36. Hospital pharmacists’ experiences of participating in a partnered pharmacist medication charting credentialing program: a qualitative study

Author

Hannah Beks, Kevin Mc Namara, Elizabeth Manias, Andrew Dalton, Erica Tong, and Michael Dooley

Subjects
Pharmacy, Health services Research, Medication therapy management, Patient care management, Patient safety, Multi-disciplinary, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Medication-related errors are one of the most frequently reported incidents in hospitals. With the aim of reducing the medication error rate, a Partnered Pharmacist Medication Charting (PPMC) model was trialled in seven Australian hospitals from 2016 to 2017. Participating pharmacists completed a credentialing program to equip them with skills to participate in the trial as a medication-charting pharmacist. Skills included obtaining a comprehensive medication history to chart pre-admission medications in collaboration with an admitting medical officer. The program involved both theoretical and practical components to assess the competency of pharmacists. Methods A qualitative evaluation of the multi-site PPMC implementation trial was undertaken. Pharmacists and key informants involved in the trial participated in an interview or focus group session to share their experiences and attitudes regarding the PPMC credentialing program. An interview schedule was used to guide sessions. Transcripts were analysed using a pragmatic inductive-deductive thematic approach. Results A total of 125 participants were involved in interviews or focus groups during early and late implementation data collection periods. Three themes pertaining to the PPMC credentialing program were identified: (1) credentialing as an upskilling opportunity, (2) identifying the essential components of credentialing, and (3) implementing and sustaining the PPMC credentialing program. Conclusions The PPMC credentialing program provided pharmacists with an opportunity to expand their scope of practice and consolidate clinical knowledge. Local adaptations to the PPMC credentialing program enabled pharmacists to meet the varying needs and capacities of hospitals, including the policies and procedures of different clinical settings. These findings highlight key issues to consider when implementation a credentialing program for pharmacists in the hospital setting.

Published
2021
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37. Combination of the W boson polarization measurements in top quark decays using ATLAS and CMS data at s $$ \sqrt{s} $$ = 8 TeV

Author

The ATLAS collaboration, G. Aad, B. Abbott, D. C. Abbott, A. Abed Abud, K. Abeling, D. K. Abhayasinghe, S. H. Abidi, O. S. Abou Zeid, N. L. Abraham, H. Abramowicz, H. Abreu, Y. Abulaiti, B. S. Acharya, B. Achkar, L. Adam, C. Adam Bourdarios, L. Adamczyk, L. Adamek, J. Adelman, M. Adersberger, A. Adiguzel, S. Adorni, T. Adye, A. A. Affolder, Y. Afik, C. Agapopoulou, M. N. Agaras, A. Aggarwal, C. Agheorghiesei, J. A. Aguilar-Saavedra, A. Ahmad, F. Ahmadov, W. S. Ahmed, X. Ai, G. Aielli, S. Akatsuka, T. P. A. Åkesson, E. Akilli, A. V. Akimov, K. AlKhoury, G. L. Alberghi, J. Albert, M. J. Alconada Verzini, S. Alderweireldt, M. Aleksa, I. N. Aleksandrov, C. Alexa, T. Alexopoulos, A. Alfonsi, F. Alfonsi, M. Alhroob, B. Ali, S. Ali, M. Aliev, G. Alimonti, C. Allaire, B. M. M. Allbrooke, B. W. Allen, P.P. Allport, A. Aloisio, F. Alonso, C. Alpigiani, A. A. Alshehri, E. Alunno Camelia, M. Alvarez Estevez, M. G. Alviggi, Y. Amaral Coutinho, A. Ambler, L. Ambroz, C. Amelung, D. Amidei, S. P. Amor Dos Santos, S. Amoroso, C. S. Amrouche, F. An, C. Anastopoulos, N. Andari, T. Andeen, C. F. Anders, J. K. Anders, S. Y. Andrean, A. Andreazza, V. Andrei, C. R. Anelli, S. Angelidakis, A. Angerami, A. V. Anisenkov, A. Annovi, C. Antel, M. T. Anthony, E. Antipov, M. Antonelli, D. J. A. Antrim, F. Anulli, M. Aoki, J. A. Aparisi Pozo, M. A. Aparo, L. Aperio Bella, V. Araujo Ferraz, R. Araujo Pereira, C. Arcangeletti, A. T. H. Arce, F. A. Arduh, J-F. Arguin, S. Argyropoulos, J.-H. Arling, A. J. Armbruster, A. Armstrong, O. Arnaez, H. Arnold, Z. P. Arrubarrena Tame, G. Artoni, S. Artz, S. Asai, T. Asawatavonvanich, N. Asbah, E. M. Asimakopoulou, L. Asquith, J. Assahsah, K. Assamagan, R. Astalos, R. J. Atkin, M. Atkinson, N. B. Atlay, H. Atmani, K. Augsten, G. Avolio, M. K. Ayoub, G. Azuelos, H. Bachacou, K. Bachas, M. Backes, F. Backman, P. Bagnaia, M. Bahmani, H. Bahrasemani, A. J. Bailey, V. R. Bailey, J. T. Baines, C. Bakalis, O. K. Baker, P. J. Bakker, D. Bakshi Gupta, S. 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Vargas Hernandez, A. Buccilli, S. I. Cooper, S. V. Gleyzer, C. Henderson, P. Rumerio, C. West, A. Albert, D. Arcaro, Z. Demiragli, D. Gastler, C. Richardson, J. Rohlf, D. Sperka, D. Spitzbart, I. Suarez, L. Sulak, D. Zou, G. Benelli, B. Burkle, X. Coubez, D. Cutts, Y. t. Duh, M. Hadley, U. Heintz, J. M. Hogan, K. H. M. Kwok, E. Laird, G. Landsberg, K. T. Lau, M. Narain, S. Sagir, R. Syarif, E. Usai, W. Y. Wong, D. Yu, W. Zhang, R. Band, C. Brainerd, R. Breedon, M. Calderon De La Barca Sanchez, M. Chertok, J. Conway, R. Conway, P. T. Cox, R. Erbacher, C. Flores, G. Funk, F. Jensen, W. Ko, O. Kukral, R. Lander, M. Mulhearn, D. Pellett, J. Pilot, M. Shi, D. Taylor, K. Tos, M. Tripathi, F. Zhang, M. Bachtis, C. Bravo, R. Cousins, A. Dasgupta, A. Florent, J. Hauser, M. Ignatenko, N. Mccoll, W. A. Nash, S. Regnard, D. Saltzberg, C. Schnaible, B. Stone, V. Valuev, K. Burt, R. Clare, J. W. Gary, S. M. A. Ghiasi Shirazi, G. Hanson, G. Karapostoli, O. R. Long, N. Manganelli, M. Olmedo Negrete, M. I. Paneva, W. Si, S. Wimpenny, B. R. Yates, J. G. Branson, S. Cittolin, S. Cooperstein, N. Deelen, M. Derdzinski, J. Duarte, R. Gerosa, D. Gilbert, B. Hashemi, D. Klein, V. Krutelyov, J. Letts, M. Masciovecchio, S. May, S. Padhi, M. Pieri, V. Sharma, M. Tadel, F. Würthwein, A. Yagil, G. Zevi Della Porta, N. Amin, R. Bhandari, C. Campagnari, M. Citron, V. Dutta, J. Incandela, B. Marsh, H. Mei, A. Ovcharova, H. Qu, J. Richman, U. Sarica, D. Stuart, S. Wang, D. Anderson, A. Bornheim, O. Cerri, I. Dutta, J. M. Lawhorn, N. Lu, J. Mao, H. B. Newman, T. Q. Nguyen, J. Pata, M. Spiropulu, J. R. Vlimant, S. Xie, R. Y. Zhu, J. Alison, M. B. Andrews, T. Ferguson, T. Mudholkar, M. Paulini, M. Sun, I. Vorobiev, M. Weinberg, J. P. Cumalat, W. T. Ford, E. MacDonald, T. Mulholland, R. Patel, A. Perloff, K. Stenson, K. A. Ulmer, S. R. Wagner, J. Alexander, Y. Cheng, J. Chu, A. Datta, A. Frankenthal, K. Mcdermott, J. R. Patterson, D. Quach, A. Ryd, S. M. Tan, Z. Tao, J. Thom, P. Wittich, M. Zientek, S. Abdullin, M. Albrow, M. Alyari, G. Apollinari, A. Apresyan, A. Apyan, L. A. T. Bauerdick, A. Beretvas, D. Berry, J. Berryhill, P. C. Bhat, K. Burkett, J. N. Butler, A. Canepa, G. B. Cerati, H. W. K. Cheung, F. Chlebana, M. Cremonesi, V. D. Elvira, J. Freeman, Z. Gecse, E. Gottschalk, L. Gray, D. Green, S. Grünendahl, O. Gutsche, J. Hanlon, R. M. Harris, S. Hasegawa, R. Heller, J. Hirschauer, B. Jayatilaka, S. Jindariani, M. Johnson, U. Joshi, T. Klijnsma, B. Klima, M. J. Kortelainen, B. Kreis, S. Lammel, J. Lewis, D. Lincoln, R. Lipton, T. Liu, J. Lykken, K. Maeshima, J. M. Marraffino, D. Mason, P. McBride, P. Merkel, S. Mrenna, S. Nahn, V. O’Dell, V. Papadimitriou, K. Pedro, C. Pena, F. Ravera, A. Reinsvold Hall, L. Ristori, B. Schneider, E. Sexton-Kennedy, N. Smith, A. Soha, W. J. Spalding, L. Spiegel, S. Stoynev, J. Strait, L. Taylor, S. Tkaczyk, N. V. Tran, L. Uplegger, E. W. Vaandering, R. Vidal, M. Wang, H. A. Weber, A. Woodard, D. Acosta, P. Avery, D. Bourilkov, L. Cadamuro, V. Cherepanov, F. Errico, R. D. Field, D. Guerrero, B. M. Joshi, M. Kim, J. Konigsberg, A. Korytov, K. H. Lo, K. Matchev, N. Menendez, G. Mitselmakher, D. Rosenzweig, K. Shi, X. Zuo, Y. R. Joshi, T. Adams, A. Askew, S. Hagopian, V. Hagopian, K. F. Johnson, R. Khurana, T. Kolberg, G. Martinez, T. Perry, H. Prosper, C. Schiber, R. Yohay, M. M. Baarmand, M. Hohlmann, D. Noonan, M. Rahmani, M. Saunders, F. Yumiceva, M. R. Adams, L. Apanasevich, R. R. Betts, R. Cavanaugh, S. Dittmer, O. Evdokimov, C. E. Gerber, D. A. Hangal, D. J. Hofman, V. Kumar, C. Mills, G. Oh, T. Roy, M. B. Tonjes, N. Varelas, J. Viinikainen, X. Wang, Z. Wu, M. Alhusseini, B. Bilki, K. Dilsiz, S. Durgut, R. P. Gandrajula, M. Haytmyradov, V. Khristenko, O. K. Köseyan, J.-P. Merlo, A. Mestvirishvili, A. Moeller, J. Nachtman, H. Ogul, Y. Onel, F. Ozok, A. Penzo, C. Snyder, E. Tiras, J. Wetzel, K. Yi, B. Blumenfeld, A. Cocoros, N. Eminizer, A. V. Gritsan, W. T. Hung, S. Kyriacou, P. Maksimovic, C. Mantilla, J. Roskes, M. Swartz, T. Á. Vámi, C. Baldenegro Barrera, P. Baringer, A. Bean, S. Boren, A. Bylinkin, T. Isidori, S. Khalil, J. King, G. Krintiras, A. Kropivnitskaya, C. Lindsey, D. Majumder, W. Mcbrayer, N. Minafra, M. Murray, C. Rogan, C. Royon, S. Sanders, E. Schmitz, J. D. Tapia Takaki, J. Williams, G. Wilson, S. Duric, A. Ivanov, K. Kaadze, D. Kim, Y. Maravin, D. R. Mendis, T. Mitchell, A. Modak, A. Mohammadi, F. Rebassoo, D. Wright, A. Baden, O. Baron, A. Belloni, S. C. Eno, Y. Feng, N. J. Hadley, S. Jabeen, G. Y. Jeng, R. G. Kellogg, A. C. Mignerey, S. Nabili, M. Seidel, A. Skuja, S. C. Tonwar, L. Wang, K. Wong, D. Abercrombie, B. Allen, S. Brandt, W. Busza, I. A. Cali, M. D’Alfonso, G. Gomez Ceballos, M. Goncharov, P. Harris, D. Hsu, M. Hu, M. Klute, D. Kovalskyi, Y.-J. Lee, P. D. Luckey, B. Maier, A. C. Marini, C. Mcginn, C. Mironov, S. Narayanan, X. Niu, C. Paus, D. Rankin, C. Roland, G. Roland, Z. Shi, G. S. F. Stephans, K. Sumorok, K. Tatar, D. Velicanu, T. W. Wang, B. Wyslouch, R. M. Chatterjee, A. Evans, S. Guts, P. Hansen, J. Hiltbrand, Sh. Jain, Y. Kubota, Z. Lesko, J. Mans, M. Revering, R. Rusack, R. Saradhy, N. Schroeder, N. Strobbe, M. A. Wadud, J. G. Acosta, S. Oliveros, K. Bloom, D. R. Claes, C. Fangmeier, L. Finco, F. Golf, R. Kamalieddin, I. Kravchenko, J. E. Siado, G. R. Snow, B. Stieger, W. Tabb, G. Agarwal, C. Harrington, I. Iashvili, A. Kharchilava, C. McLean, D. Nguyen, A. Parker, J. Pekkanen, S. Rappoccio, B. Roozbahani, G. Alverson, E. Barberis, C. Freer, Y. Haddad, A. Hortiangtham, G. Madigan, B. Marzocchi, D. M. Morse, V. Nguyen, T. Orimoto, L. Skinnari, A. Tishelman-Charny, T. Wamorkar, B. Wang, A. Wisecarver, D. Wood, J. Bueghly, G. Fedi, A. Gilbert, T. Gunter, K. A. Hahn, N. Odell, M. H. Schmitt, K. Sung, M. Velasco, R. Bucci, N. Dev, R. Goldouzian, M. Hildreth, K. Hurtado Anampa, C. Jessop, D. J. Karmgard, K. Lannon, W. Li, N. Loukas, N. Marinelli, I. Mcalister, F. Meng, Y. Musienko, R. Ruchti, P. Siddireddy, G. Smith, S. Taroni, M. Wayne, A. Wightman, M. Wolf, J. Alimena, B. Bylsma, B. Cardwell, L. S. Durkin, B. Francis, C. Hill, W. Ji, A. Lefeld, T. Y. Ling, B. L. Winer, G. Dezoort, P. Elmer, J. Hardenbrook, N. Haubrich, S. Higginbotham, A. Kalogeropoulos, S. Kwan, D. Lange, M. T. Lucchini, J. Luo, D. Marlow, K. Mei, I. Ojalvo, J. Olsen, C. Palmer, P. Piroué, D. Stickland, C. Tully, S. Norberg, A. Barker, V. E. Barnes, R. Chawla, S. Das, L. Gutay, M. Jones, A. W. Jung, B. Mahakud, D. H. Miller, G. Negro, N. Neumeister, C. C. Peng, S. Piperov, H. Qiu, J. F. Schulte, N. Trevisani, R. Xiao, W. Xie, T. Cheng, J. Dolen, N. Parashar, A. Baty, U. Behrens, S. Dildick, K. M. Ecklund, S. Freed, F. J. M. Geurts, M. Kilpatrick, Arun Kumar, B. P. Padley, R. Redjimi, J. Roberts, J. Rorie, W. Shi, A. G. Stahl Leiton, Z. Tu, A. Zhang, A. Bodek, P. de Barbaro, R. Demina, J. L. Dulemba, C. Fallon, T. Ferbel, M. Galanti, A. Garcia-Bellido, O. Hindrichs, A. Khukhunaishvili, E. Ranken, R. Taus, B. Chiarito, J. P. Chou, A. Gandrakota, Y. Gershtein, E. Halkiadakis, A. Hart, M. Heindl, E. Hughes, S. Kaplan, I. Laflotte, A. Lath, R. Montalvo, K. Nash, M. Osherson, S. Salur, S. Schnetzer, S. Somalwar, R. Stone, S. Thomas, H. Acharya, A. G. Delannoy, S. Spanier, O. Bouhali, M. Dalchenko, M. De Mattia, A. Delgado, R. Eusebi, J. Gilmore, T. Huang, T. Kamon, S. Luo, S. Malhotra, D. Marley, R. Mueller, D. Overton, L. Perniè, D. Rathjens, A. Safonov, N. Akchurin, J. Damgov, F. De Guio, V. Hegde, S. Kunori, K. Lamichhane, T. Mengke, S. Muthumuni, T. Peltola, S. Undleeb, I. Volobouev, A. Whitbeck, S. Greene, A. Gurrola, R. Janjam, W. Johns, C. Maguire, A. Melo, H. Ni, K. Padeken, F. Romeo, P. Sheldon, S. Tuo, J. Velkovska, M. Verweij, M. W. Arenton, P. Barria, B. Cox, G. Cummings, J. Hakala, R. Hirosky, M. Joyce, A. Ledovskoy, C. Neu, B. Tannenwald, E. Wolfe, F. Xia, R. Harr, P. E. Karchin, N. Poudyal, J. Sturdy, P. Thapa, K. Black, T. Bose, J. Buchanan, C. Caillol, D. Carlsmith, S. Dasu, I. De Bruyn, L. Dodd, C. Galloni, H. He, M. Herndon, A. Hervé, U. Hussain, A. Lanaro, A. Loeliger, R. Loveless, J. Madhusudanan Sreekala, A. Mallampalli, D. Pinna, T. Ruggles, A. Savin, W. H. Smith, D. Teague, and S. Trembath-reichert

Subjects
Hadron-Hadron scattering (experiments), Top physics, Nuclear and particle physics. Atomic energy. Radioactivity, QC770-798
Abstract

Abstract The combination of measurements of the W boson polarization in top quark decays performed by the ATLAS and CMS collaborations is presented. The measurements are based on proton-proton collision data produced at the LHC at a centre-of-mass energy of 8 TeV, and corresponding to an integrated luminosity of about 20 fb −1 for each experiment. The measurements used events containing one lepton and having different jet multiplicities in the final state. The results are quoted as fractions of W bosons with longitudinal (F 0), left-handed (F L), or right-handed (F R) polarizations. The resulting combined measurements of the polarization fractions are F 0 = 0.693 ± 0.014 and F L = 0.315 ± 0.011. The fraction F R is calculated from the unitarity constraint to be F R = −0.008 ± 0.007. These results are in agreement with the standard model predictions at next-to-next-to-leading order in perturbative quantum chromodynamics and represent an improvement in precision of 25 (29)% for F 0 (F L) with respect to the most precise single measurement. A limit on anomalous right-handed vector (V R), and left- and right-handed tensor (g L , g R) tWb couplings is set while fixing all others to their standard model values. The allowed regions are [−0.11, 0.16] for V R, [−0.08, 0.05] for g L, and [−0.04, 0.02] for g R, at 95% confidence level. Limits on the corresponding Wilson coefficients are also derived.

Published
2020
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38. Rehabilitation Evidence-Based Decision-Making: The READ Model

Author

Iona Novak, Anna te Velde, Ashleigh Hines, Emma Stanton, Maria Mc Namara, Madison C. B. Paton, Megan Finch-Edmondson, and Catherine Morgan

Subjects
evidence-based, decision-making, READ model, rehabilitation, goal-setting, Other systems of medicine, RZ201-999, Medical technology, R855-855.5
Abstract

Evidence-based practice is the foundation of rehabilitation for maximizing client outcomes. However, an unacceptably high number of ineffective or outdated interventions are still implemented, leading to sub-optimal outcomes for clients. This paper proposes the Rehabilitation Evidence bAsed Decision-Making (READ) Model, a decision-making algorithm for evidence-based decision-making in rehabilitation settings. The READ Model outlines a step-by-step layered process for healthcare professionals to collaboratively set goals, and to select appropriate interventions. The READ Model acknowledges the important multi-layered contributions of client's preferences and values, family supports available, and external environmental factors such as funding, availability of services and access. Healthcare professionals can apply the READ Model to choose interventions that are evidence-based, with an appropriate mode, dose, and with regular review, in order to achieve client's goals. Two case studies are used to demonstrate application of the READ Model: cerebral palsy and autism spectrum disorder. The READ Model applies the four central principles of evidence-based practice and can be applied across multiple rehabilitation settings.

Published
2021
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39. Cardiovascular disease as a leading cause of death: how are pharmacists getting involved?

Author

Mc Namara K, Alzubaidi H, and Jackson JK

Subjects
Community pharmacy services: cardiovascular disease, cardiovascular risk factors, preventative health, disease screening, Pharmacy and materia medica, RS1-441
Abstract

Kevin Mc Namara,1–3 Hamzah Alzubaidi,4 John Keith Jackson3 1School of Medicine, Deakin University, Geelong, VIC, Australia; 2Deakin Health Economics, Centre for Population Health, Deakin University, Geelong, VIC, Australia; 3Centre for Medicine Use & Safety, Faculty of Pharmacy & Pharmaceutical Sciences, Monash University, Melbourne, VIC, Australia; 4Institute for Medical Research and College of Pharmacy, University of Sharjah, Sharjah, Sharjah, United Arab Emirates Abstract: Cardiovascular diseases (CVDs) are a leading cause of death globally. This article explores the evidence surrounding community pharmacist interventions to reduce cardiovascular events and related mortality and to improve the management of CVD risk factors. We summarize a range of systematic reviews and leading randomized controlled trials and provide critical appraisal. Major observations are that very few trials directly measure clinical outcomes, potentially owing to a range of challenges in this regard. By contrast, there is an extensive, high-quality evidence to suggest that improvements can be achieved for key CVD risk factors such as hypertension, dyslipidemia, tobacco use, and elevated hemoglobin A1c. The heterogeneity of interventions tested and considerable variation of the context under which implementation occurred suggest that caution is warranted in the interpretation of meta-analyses. It is highly important to generate evidence for pharmacist interventions in developing countries where a majority of the global CVD burden will be experienced in the near future. A growing capacity for clinical registry trials and data linkage might allow future research to collect clinical outcomes data more often. Keywords: health services, chronic disease management, cardiovascular risk factors, preventative health, disease screening

Published
2019

40. Evaluation of clinical quality improvement interventions: feasibility of an integrated approach

Author

Sandeep Reddy, Kevin Mc Namara, Mary Malakellis, Tim Denton, Cathy McDonald, Jane Opie, Andrew Sanigorski, and Vincent Versace

Subjects
Cardiovascular disease, Primary care, Quality improvement intervention, Evaluation, Integrated model of evaluation, Medicine (General), R5-920
Abstract

Abstract Background Cardiovascular diseases (CVD) are the largest cause of death and disability in Australia. Australian national guidelines for the primary prevention of CVD recommend that all adults without CVD and aged 45 years or more are screened for their absolute risk of CVD every 2 years. Despite the compelling evidence to address CVD risk, treatment gaps remain and evidence suggests that much of the shortcomings are attributed to the performance of primary care practices. To address this issue, a quality improvement initiative is being implemented in a large urban multidisciplinary primary care practice in the South West region of Victoria, Australia. The key outcome of this intervention will be to increase the use and acceptability of CVD risk assessment guidelines. To ensure the intervention is tracking toward its objectives, a robust monitoring and evaluation framework was established. Method/design A novel framework that assimilates key traditional and theory-driven evaluation practices was developed to assess the impact of the intervention. The framework approach is termed the integrated model of evaluation (IMoE). Researchers and stakeholders convened several times to discuss and develop the evaluation protocol and align it with the quality intervention. The main objective here is to explore the feasibility of an integrated approach to evaluating clinical quality improvement interventions. The sub-objectives are to test the alignment of the IMoE to clinical quality improvement projects and its ability to derive findings to the satisfaction of stakeholders. The design and establishment of the evaluation approach is discussed in further detail in this article. Discussion The novel feature of the IMoE is its emphasis on tracking ‘change’ in practices that lead to quality improvement. This emphasis suits the quality improvement theme of this initiative as identification of change elements and explanation behind change is necessary to sustain and promote quality improvement. The other principle behind development of this model, which emphasises practicality in implementation, is to ensure stakeholders gain greatest value from the commissioning of program evaluation. By incorporating practical components and leaving out esoteric concepts, this approach ensures evaluation can be undertaken in realistic timeframes. Ethics approval The quality improvement intervention and evaluation framework received approval from the Deakin University Human Research Ethics Committee (Approval Number: 2017-313).

Published
2019
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42. Un campo trascendental animado: idea e intensidad en la ontología de Gilles Deleuze

Author

Rafael E. Mc Namara

Subjects
campo trascendental, expresión, idea, intensidad, Philosophy (General), B1-5802
Abstract

El campo trascendental es presentado en Différence et répétition a partir de los conceptos de Idea e intensidad. Mucho se ha especulado en torno de estos conceptos, pero la relación entre ambos es aún objeto de controversia. En este artículo intentaremos echar luz sobre ese vínculo. Primero, mostraremos que la intensidad es ontológicamente actual, y no virtual o intermediaria como algunas lecturas sugieren. En este punto, la lectura de la obra de 1968 se complementa con Le pli. Leibniz et le Baroque, para mostrar que el carácter actual de la intensidad se mantiene en la obra tardía de Deleuze. En segundo lugar, indagaremos en la relación de lo intensivo con los tres caracteres de la Idea y con la dramatización que comanda la actualización. En tercer lugar, abordaremos la relación entre Idea e intensidad a partir del problema de la expresión. Esto deriva, por último, en una articulación compleja del orden de constitución entre esos dos ámbitos. En este último punto resulta clave la lectura conjunta de Différence et répétition y Logique du sens.

Published
2020
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43. Combination of the W boson polarization measurements in top quark decays using ATLAS and CMS data at s = 8 TeV

Author

Aad, G., Abbott, B., Abbott, D. C., Abed Abud, A., Abeling, K., Abhayasinghe, D. K., Abidi, S. H., Abou Zeid, O. S., Abraham, N. L., Abramowicz, H., Abreu, H., Abulaiti, Y., Acharya, B. S., Achkar, B., Adam, L., Adam Bourdarios, C., Adamczyk, L., Adamek, L., Adelman, J., Adersberger, M., Adiguzel, A., Adorni, S., Adye, T., Affolder, A. A., Afik, Y., Agapopoulou, C., Agaras, M. N., Aggarwal, A., Agheorghiesei, C., Aguilar-Saavedra, J. A., Ahmad, A., Ahmadov, F., Ahmed, W. S., Ai, X., Aielli, G., Akatsuka, S., Åkesson, T. P. A., Akilli, E., Akimov, A. V., AlKhoury, K., Alberghi, G. L., Albert, J., Alconada Verzini, M. J., Alderweireldt, S., Aleksa, M., Aleksandrov, I. N., Alexa, C., Alexopoulos, T., Alfonsi, A., Alfonsi, F., Alhroob, M., Ali, B., Ali, S., Aliev, M., Alimonti, G., Allaire, C., Allbrooke, B. M. M., Allen, B. W., Allport, P.P., Aloisio, A., Alonso, F., Alpigiani, C., Alshehri, A. A., Alunno Camelia, E., Alvarez Estevez, M., Alviggi, M. G., Amaral Coutinho, Y., Ambler, A., Ambroz, L., Amelung, C., Amidei, D., Amor Dos Santos, S. P., Amoroso, S., Amrouche, C. S., An, F., Anastopoulos, C., Andari, N., Andeen, T., Anders, C. F., Anders, J. K., Andrean, S. Y., Andreazza, A., Andrei, V., Anelli, C. R., Angelidakis, S., Angerami, A., Anisenkov, A. V., Annovi, A., Antel, C., Anthony, M. T., Antipov, E., Antonelli, M., Antrim, D. J. A., Anulli, F., Aoki, M., Aparisi Pozo, J. A., Aparo, M. A., Aperio Bella, L., Araujo Ferraz, V., Araujo Pereira, R., Arcangeletti, C., Arce, A. T. H., Arduh, F. A., Arguin, J-F., Argyropoulos, S., Arling, J.-H., Armbruster, A. J., Armstrong, A., Arnaez, O., Arnold, H., Arrubarrena Tame, Z. P., Artoni, G., Artz, S., Asai, S., Asawatavonvanich, T., Asbah, N., Asimakopoulou, E. M., Asquith, L., Assahsah, J., Assamagan, K., Astalos, R., Atkin, R. J., Atkinson, M., Atlay, N. B., Atmani, H., Augsten, K., Avolio, G., Ayoub, M. K., Azuelos, G., Bachacou, H., Bachas, K., Backes, M., Backman, F., Bagnaia, P., Bahmani, M., Bahrasemani, H., Bailey, A. J., Bailey, V. R., Baines, J. T., Bakalis, C., Baker, O. K., Bakker, P. J., Bakshi Gupta, D., Balaji, S., Baldin, E. M., Balek, P., Balli, F., Balunas, W. K., Balz, J., Banas, E., Bandieramonte, M., Bandyopadhyay, A., Banerjee, Sw., Barak, L., Barbe, W. M., Barberio, E. L., Barberis, D., Barbero, M., Barbour, G., Barillari, T., Barisits, M-S., Barkeloo, J., Barklow, T., Barnea, R., Barnett, B. M., Barnett, R. M., Barnovska-Blenessy, Z., Baroncelli, A., Barone, G., Barr, A. J., Barranco Navarro, L., Barreiro, F., Barreiro Guimarãesda Costa, J., Barron, U., Barsov, S., Bartels, F., Bartoldus, R., Bartolini, G., Barton, A. E., Bartos, P., Basalaev, A., Basan, A., Bassalat, A., Basso, M. J., Bates, R. L., Batlamous, S., Batley, J. R., Batool, B., Battaglia, M., Bauce, M., Bauer, F., Bauer, K. T., Bawa, H. S., Beacham, J. B., Beau, T., Beauchemin, P. H., Becherer, F., Bechtle, P., Beck, H. C., Beck, H. P., Becker, K., Becot, C., Beddall, A., Beddall, A. J., Bednyakov, V. A., Bedognetti, M., Bee, C. P., Beermann, T. A., Begalli, M., Begel, M., Behera, A., Behr, J. K., Beisiegel, F., Bell, A. S., Bella, G., Bellagamba, L., Bellerive, A., Bellos, P., Beloborodov, K., Belotskiy, K., Belyaev, N. L., Benchekroun, D., Benekos, N., Benhammou, Y., Benjamin, D. P., Benoit, M., Bensinger, J. R., Bentvelsen, S., Beresford, L., Beretta, M., Berge, D., Bergeaas Kuutmann, E., Berger, N., Bergmann, B., Bergsten, L. J., Beringer, J., Berlendis, S., Bernardi, G., Bernius, C., Bernlochner, F. U., Berry, T., Berta, P., Bertella, C., Bertram, I. A., Bessidskaia Bylund, O., Besson, N., Bethani, A., Bethke, S., Betti, A., Bevan, A. J., Beyer, J., Bhattacharya, D. S., Bhattarai, P., Bi, R., Bianchi, R. M., Biebel, O., Biedermann, D., Bielski, R., Bierwagen, K., Biesuz, N. V., Biglietti, M., Billoud, T. R. V., Bindi, M., Bingul, A., Bini, C., Biondi, S., Birman, M., Bisanz, T., Biswal, J. P., Biswas, D., Bitadze, A., Bittrich, C., Bjørke, K., Blazek, T., Bloch, I., Blocker, C., Blue, A., Blumenschein, U., Bobbink, G. J., Bobrovnikov, V. S., Bocchetta, S. S., Bocci, A., Boerner, D., Bogavac, D., Bogdanchikov, A. G., Bohm, C., Boisvert, V., Bokan, P., Bold, T., Bolz, A. E., Bomben, M., Bona, M., Bonilla, J. S., Boonekamp, M., Booth, C. D., Borecka-Bielska, H. M., Borgna, L. S., Borisov, A., Borissov, G., Bortfeldt, J., Bortoletto, D., Boscherini, D., Bosman, M., BossioSola, J. D., Bouaouda, K., Boudreau, J., Bouhova-Thacker, E. V., Boumediene, D., Boutle, S. K., Boveia, A., Boyd, J., Boye, D., Boyko, I. R., Bozson, A. J., Bracinik, J., Brahimi, N., Brandt, G., Brandt, O., Braren, F., Brau, B., Brau, J. E., Breaden Madden, W. D., Brendlinger, K., Brenner, L., Brenner, R., Bressler, S., Brickwedde, B., Briglin, D. 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Published
2020
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44. Adopting an Active Learning Approach to Teaching in a Research-Intensive Higher Education Context Transformed Staff Teaching Attitudes and Behaviours

Author

White, Paul J., Larson, Ian, Styles, Kim, Yuriev, Elizabeth, Evans, Darrell R., Rangachari, P. K., Short, Jennifer L., Exintaris, Betty, Malone, Daniel T., Davie, Briana, Eise, Nicole, Mc Namara, Kevin, and Naidu, Somaiya

Abstract

The conventional lecture has significant limitations in the higher education context, often leading to a passive learning experience for students. This paper reports a process of transforming teaching and learning with active learning strategies in a research-intensive educational context across a faculty of 45 academic staff and more than 1,000 students. A phased approach was used, involving nine staff in a pilot phase during which a common vision and principles were developed. In short, our approach was to mandate a move away from didactic lectures to classes that involved students interacting with content, with each other and with instructors in order to attain domain-specific learning outcomes and generic skills. After refinement, an implementation phase commenced within all first-year subjects, involving 12 staff including three from the pilot group. The staff use of active learning methods in classes increased by sixfold and sevenfold in the pilot and implementation phases, respectively. An analysis of implementation phase exam questions indicated that staff increased their use of questions addressing higher order cognitive skills by 51%. Results of a staff survey indicated that this change in practice was caused by the involvement of staff in the active learning approach. Fifty-six percent of staff respondents indicated that they had maintained constructive alignment as they introduced active learning. After the pilot, only three out of nine staff agreed that they understood what makes for an effective active learning exercise. This rose to seven out of nine staff at the completion of the implementation phase. The development of a common approach with explicit vision and principles and the evaluation and refinement of active learning were effective elements of our transformational change management strategy. Future efforts will focus on ensuring that all staff have the time, skills and pedagogical understanding required to embed constructively aligned active learning within the approach.

Published
2016
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48. Community Pharmacists' Preferences for Continuing Education Delivery in Australia

Author

Mc Namara, Kevin P., Duncan, Gregory J., McDowell, Jenny, and Marriott, Jennifer L.

Abstract

Introduction: New technologies such as the Internet offer an increasing number of options for the delivery of continuing education (CE) to community pharmacists. Many of these options are being utilized to overcome access- and cost-related problems. This paper identifies learning preferences of Australian community pharmacists for CE and identifies issues with the integration of these into contemporary models of CE delivery. Methods: Four focus group teleconferences were conducted with practicing community pharmacists (n = 15) using a semistructured format and asking generally about their CE and continuing professional development (CPD) experiences. Results: Pharmacists reported preferences for CE that were very closely aligned to the principles of adult learning. There was a strong preference for interactive and multidisciplinary CE. Engaging in CPD was seen as valuable in promoting reflective learning. Discussion: These results suggest that pharmacists have a strong preference for CE that is based on adult learning principles. Professional organizations should take note of this and ensure that new CE formats do not compromise the ability of pharmacists to engage in interactive, multidisciplinary, and problem-based CE. Equally, the role of attendance-based CE in maintaining peer networks should not be overlooked. (Contains 2 tables.)

Published
2009
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