Kragelundmann4612

Earlier initiation of NAI prophylaxis, improved resident coverage where appropriate and other practice changes are recommended for the management of influenza outbreaks in RACFs.Objectives and importance Influenza vaccination in pregnancy has been funded under the Australian National Immunisation Program since 2010, yet uptake is suboptimal. We evaluated the 2016 New South Wales (NSW) Health influenza vaccination in pregnancy public information campaign. STUDY TYPE Mixed methods. METHODS We searched Factiva, ProQuest Global Newsstream and Google News for news articles relevant to the 2016 campaign. We reviewed information provided by NSW Health about NSW Health-initiated social media activity relevant to the campaign, and also assessed engagement with campaign messages using publicly available information. Between September and October 2016, we surveyed pregnant women at the antenatal clinic of a large tertiary hospital in Sydney to estimate influenza vaccine uptake during pregnancy, identify key information sources, and understand knowledge and attitudes regarding influenza vaccination. RESULTS Thirty-one news articles were published in traditional media between April and August 201igher than previous NSW estimates, but still suboptimal. Further efforts are required to understand and address provider and patient attitudes and concerns about influenza vaccination in pregnancy, especially regarding effectiveness and safety. Our findings and recommendations should be of interest to healthcare providers and public health agencies Australia-wide, to inform campaigns and programs to improve uptake of antenatal influenza vaccination.OBJECTIVES Previous Australian research has shown that following the 21% increase in patient copayments for medications on the Pharmaceutical Benefits Scheme (PBS) in 2005, the use of lipid-lowering therapy declined by 5%. This study aimed to determine the demographic and clinical characteristics of individuals who continued, reduced or ceased their use of statin medication in 2005. STUDY TYPE Retrospective observational study using routinely collected administrative data. METHOD We used pharmaceutical claims, hospital separations and mortality records from 2000 to 2005 for the Western Australian population. The cohort comprised stable users of statin medication in 2004. Based on changes in statin use between 2004 and 2005, we identified individuals who 1) continued using statins; 2) reduced their use by ≥20%; or 3) ceased therapy for at least the first 6 months in 2005. Multivariate logistic regression models were used to determine whether the demographic and clinical characteristics of the three groups diffed to an increase in the medication copayment. Individuals with general beneficiary status, and younger and healthier people were at particular risk of cessation or reduction in statin use in 2005.OBJECTIVE Multilingual patient education materials (PEMs) in Australia are normally prepared initially in English (source text) and then translated into other languages. The aim of this study was to evaluate whether the source texts for publicly available multilingual diabetes PEMs in Australia were written at the reading level recommended by health literacy guidelines (eighth-grade reading level). STUDY TYPE Nonexperimental descriptive study. METHODS All publicly accessible multilingual fact sheets on diabetes self-management from the Diabetes Australia and National Diabetes Services Scheme websites were collected. Readability was analysed using five different readability indices Flesch Kincaid Grade Level (FKGL), Gunning Fog Score (GFS), Coleman Liau Index (CLI), Simplified Measure of Gobbledygook Index (SMOG) and Automated Readability Index (ARI). The average number of syllables per word and the average number of words per sentence were also calculated. RESULTS The average reading grade level of included PEMs was above Grade 10 (mean 10.4; standard deviation [SD] 0.9). The average number of syllables per word was 1.5 (SD 0.1), and the average number of words per sentence was 17 (SD 0.9). CONCLUSIONS English-language source texts for national multilingual diabetes PEMs examined in this study were written at a readability level significantly higher than that recommended in health literacy guidelines. This was likely due to the use of polysyllabic words and complex medical terms, which are especially problematic when they are not defined. Improving readability of English-language source texts may help to ensure that the translated PEMs are more readable and accessible to their target readers. In conjunction with addressing other features that can make written materials easier to understand, this may help to better support diabetes self-management.Recent reports highlight an inconsistent provision of palliative and end-of-life (palliative) care across Australia, particularly in regional, rural and remote areas. click here Palliative care improves quality of life and the experience of dying, and all people should have equitable access to quality needs-based care as they approach and reach the end of their lives. A palliative approach to care is crucial in rural and remote Australia where there is a reliance for such care on generalist providers amid the challenges of a limited workforce, poorer access, and vast geography. This article describes the development and implementation of the Far West NSW Palliative and End-of-Life Model of Care, a systematic solution that could drive improvement in the provision of a quality palliative approach to care and support from any clinician in a timely manner, for patients, their families and carers anywhere.The controlled transport of water through nanoscale devices is an important requirement in the design and development of various nanofluidic systems. Molecular dynamics simulations are performed to investigate the phonon coupling induced thermophoretic transport of water through a carbon nanotube (CNT). Phonon coupling is believed to have a significant role in the transport of heat at the liquid-solid interface. The thermally induced vibrational modes of water-filled and empty CNTs are examined at various thermal gradients. The spatial asymmetry along the length of a CNT due to the imposed thermal gradient contributes to the diffusion enhancement of water confined in the CNT, but does not have a strong correlation with the applied thermal gradient. Analysis shows that the vibrational modes present in the center-of-mass oscillations of CNTs do not play any significant role in the development of the thermophoretic force on water. The low-frequency phonon vibrational modes of CNTs are suppressed due to the phonon coupling between water and the CNT.