Bibliographies: 'Chinese Medical care New South Wales Sydney'

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Bateman, R. M. "Critical Care Retrieval Revisited." Journal of The Royal Naval Medical Service 91, no. 3 (December 2005): 167–69. http://dx.doi.org/10.1136/jrnms-91-167.

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AbstractIn 2000, the Journal of the Royal Naval Medical Service published an account of critical care retrieval experience written by Adrian Mellor and based on his time spent with CareFlight in Sydney, Australia. Having recently completed a term with the same organisation. I wanted to reiterate the usefulness of such an attachment.The purpose of this article is therefore to compare my experiences with those of Surgeon Commander Mellor and to provide an update on the work involved in critical care retrieval within New South Wales.

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Tyner, Sophie E., Louise Hennessy, Lisa J. Coombs, and Jan Fizzell. "Analysis of Presentations to On-site Medical Units During World Youth Day 2008." Prehospital and Disaster Medicine 27, no. 6 (October 2, 2012): 595–600. http://dx.doi.org/10.1017/s1049023x12001240.

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AbstractWorld Youth Day 2008 was held in Sydney, Australia in July 2008. New South Wales (NSW) Health, the government health provider in Australia's most populous state, worked with partner agencies to provide medical services via on-site medical units at key event venues.A post-event review of medical records from the on-site medical units indicated 465 patient presentations, comprised largely of infectious respiratory symptoms and general health concerns of a primary care nature. Providing on-site health services is considered an important risk-mitigation action for many mass gatherings, especially those that generate a substantial temporary population of participants and take place over a number of days.TynerSE,HennessyL,CoombsLJ,FizzellJ.Analysis of presentations to on-site medical units during World Youth Day 2008.Prehosp Disaster Med.2012;27(6):1-6.

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Hui, Yat Man Louise, Julie Stevenson, and Gisselle Gallego. "Transnational parent–child separation and reunion during early childhood in Chinese migrant families: An Australian snapshot." Australian Journal of Child and Family Health Nursing 16, no. 1 (July 2019): 16–23. http://dx.doi.org/10.33235/ajcfhn.16.1.16-23.

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Limited international research exists on reasons for transnational child care, or developmental consequences of separations and reunions on young Chinese children. This descriptive study portrays a sample of children from Chinese migrant families residing in western Sydney, New South Wales, Australia, whose parents temporarily relinquished their care to grandparents in China. Data were collected via retrospective health record audits. The majority of parents were first-time parents and the majority of children were first-borns sent back to China during infancy. The average duration of transnational parent–child separation was 20 months. Results showed that male child subjects who experienced multiple transnational separations and reunions were more vulnerable to problems associated with disrupted attachment. This study links parental decision for transnational child care and feelings of disempowerment in their parenting role with patriarchal family values and expectations, and their own adverse early experiences. This study may assist child and family health (CFH) professionals identify, understand and help Chinese parents who may be considering transnational child care to avoid or ameliorate adverse consequences, or alternatively, to support parents following reunion to establish or re-establish attachment relationships with their child, and parent well to optimise their child’s development. Study findings increase the evidence base on reasons for transnational child care, and the complex range of developmental and psychological problems children and parents in this study faced following reunion.

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Girgis, Seham, Armita Adily, Maria-Jose Velasco, Nicholas A. Zwar, Bin B. Jalaludin, and Jeanette E. Ward. "Feasibility, acceptability and impact of a telephone support service initiated in primary medical care to help Arabic smokers quit." Australian Journal of Primary Health 17, no. 3 (2011): 274. http://dx.doi.org/10.1071/py10066.

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Evidence-based tobacco control in ethnic minorities is compromised by the near absence of rigorous testing of interventions in either prevention or cessation. This randomised controlled trial was designed to evaluate the feasibility, acceptability and impact of a culturally specific cessation intervention delivered in the context of primary medical care in the most culturally diverse region of New South Wales. Adult Arabic smokers were recruited from practices of 29 general practitioners (GPs) in south-west Sydney and randomly allocated to usual care (n = 194) or referred to six sessions of smoking cessation telephone support delivered by bilingual psychologists (n = 213). Although 62.2% of participants indicated that telephone support would benefit Arabic smokers, there were no significant differences at 6 or 12 months between intervention and control groups in point prevalence abstinence rates (11.7% vs 12.9%, P = 0.83; 8.4% vs 11.3%, P = 0.68, respectively) or the mean shift in stage-of-change towards intention to quit. As participants and GPs found telephone support acceptable, we also discuss redesign and the unfulfilled obligation to expand the evidence base in tobacco control from which the ethnic majority already benefits.

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Ford, Belinda, Lisa Keay, Blake Angell, Stephanie Hyams, Paul Mitchell, Gerald Liew, and Andrew White. "Quality and targeting of new referrals for ocular complications of diabetes from primary care to a public hospital ophthalmology service in Western Sydney, Australia." Australian Journal of Primary Health 26, no. 4 (2020): 293. http://dx.doi.org/10.1071/py20084.

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Patients with diabetes require regular examination for eye disease, usually in primary care settings. Guidelines recommend patients with at least moderate non-proliferative diabetic retinopathy (NPDR) be referred to an ophthalmologist for treatment; however, poorly targeted referrals lead to access blocks. The quality of new referrals associated with diabetes to a public ophthalmology service in Sydney, New South Wales, Australia, were assessed for referral completeness and targeting. A cross-sectional audit of medical records for new patients referred to Westmead Hospital Eye Clinic in 2016 was completed. Completeness of medical and ophthalmic information in referrals and subsequent patient diagnosis and management in 2016–17 was recorded. Sub-analyses were conducted by primary care referrer type (GP or optometrist). In total, 151 new retinopathy referrals were received; 12% were sent directly to a treatment clinic. Information was incomplete for diabetes status (>60%), medical (>50%) and ophthalmic indicators (>70%), including visual acuity (>60%). GP referrals better recorded medical, and optometrists (37%) ophthalmic information, but information was still largely incomplete. Imaging was rarely included (retinal photos <1%; optical coherence tomography <3%). Median appointment wait-time was 124 days; 21% of patients received treatment (laser or anti-vascular endothelial growth factor) at this or the following encounter. Targeting referrals for ocular complication of diabetes to public hospitals needs improvement. Education, feedback and collaborative care mechanisms should be considered to improve screening and referral in primary care.

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Panesar, Narinder, Iveta Valachova, Robert Schmidtman, and Daniel Kam Yin Chan. "Staff awareness of the application of Mental Health and Guardianship Legislation in the care of hospitalised older persons." Australasian Psychiatry 26, no. 5 (February 26, 2018): 469–73. http://dx.doi.org/10.1177/1039856218758545.

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Objective: The study aimed to survey hospital staff knowledge of the application of the Mental Health Act 2007 (NSW) (MHA) and the Guardianship Act 1987 (NSW) (GA) in the care and treatment of older persons in a teaching hospital in Sydney. Method Over a two-month period in 2017, a survey questionnaire was distributed to staff involved in older persons’ care across the hospital. Results: The majority of the hospital staff demonstrated basic theoretical knowledge of both the GA (76%) and of the MHA (84.5%). Fewer (64.5%) appeared to understand the practical application of the MHA in the hypothetical clinical situations. An even lower proportion of staff appeared to understand the application of the GA either to obtain consent for medical treatment or to appoint a guardian through the Guardianship Division of the NSW Civil and Administrative Tribunal (NCAT). Conclusion: Although clinical staff of the hospital displayed fair knowledge and awareness about the application of the MHA and the GA to inpatient care of older adults, further education is necessary, particularly about the application of the GA. The authors suggest similar findings may occur at other New South Wales hospitals, which may raise concern and need for education.

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Trees, Janelle, Trish Levett, Kyla Wynn, and Rowena Ivers. "Ngununggula: The story of a cancer care team for aboriginal people." International Journal of Whole Person Care 9, no. 1 (January 17, 2022): 50–51. http://dx.doi.org/10.26443/ijwpc.v9i1.342.

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In Dharawal Country in regional New South Wales, a small and powerful team provides cancer prevention, screening, support and care for Australian Aboriginal people, their families and communities. In keeping with Aboriginal practices and values, their uniquely holistic approach encompasses everything from food security and finding childcare, to support at diagnosis, surgical, radiation or chemo treatment, through to holding funerals, facilitating yarning groups, and Ceremony for survivors of cancer and their carers. The team created a manual for Aboriginal Health Workers, and other staff of Aboriginal Community Controlled Health Services, together with training webinars, and modules. The program is also designed for Aboriginal Liaison Officers and Palliative Care Workers who work in hospitals. The book and the training modules are called Ngununggula. The name, from the Gundungurra language, means working and walking together. “We’ll make ourselves available to anyone that wants to tread this path because we know all the pitfalls. We’ve learned them. We’ve tripped and had to climb out of them again. Anyone that wants the shortcuts—more learning, less pain—here they are. We want to share and help. I want the message to get out all over the place. I want to share the resources, to support anyone else who wants to run programs or build a team like we do.” Kyla Wynn, Counsellor/Co-ordinator Cancer Care Team, Illawarra Aboriginal Medical Service. Partners include: Aboriginal Health and Medical Research Council, Illawarra Aboriginal Medical Service, University of Sydney, University of Wollongong, Menzies School of Health Research.

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Chopra, Shiv, Rhys Gordon Van der Rijt, Quan Ngo, Frederick K. Clarke, James Peter Southwell-Keely, Kristy Robledo, and Elias Moisidis. "comparison of maxillofacial trauma before and after implementation of lockout laws in Sydney." Australasian Journal of Plastic Surgery 1, no. 1 (March 1, 2018): 113–19. http://dx.doi.org/10.34239/ajops.v1n1.26.

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Background: Lockout reforms were introduced in February 2014 by the New South Wales government in an attempt to curb alcohol-related violence in Sydney, following a number of fatalities. Changes include 1.30 a.m. venue lockouts and the 3 a.m. cessation of alcohol service. This study aims to assess the results of these reforms through analysis of departmental treatment data. All maxillofacial fractures that required operative management at St Vincent’s Hospital, Sydney, over a two-year period pre and post reforms were analysed.Methods: Medical information, from multiple sources, of patients that required operative management for maxillofacial fractures over a 2-year period (2012-2014) were compared to those between (2014-2016). Data collected included age, gender, demographics, mechanism of injury, pattern of injury, treatment required, association with alcohol, time and place of injury, and long-term complications.Results: 145 maxillofacial fractures were operatively treated prior to the reforms compared to only 58 (p<0.001) post. Reported incidents occurring in the city significantly fell from 54 to 15 (p<0.001), with no change in peripheral locations. The operated cases associated with alcohol dropped post reforms (102/145 (70%) vs 33/58 (57%). The number of assaults related to ‘king hits’ significantly reduced from 30 (33%) to just 5 (19.2%).Conclusion: This study demonstrates a clear correlation with the reduction in maxillofacial trauma, alcohol and violence in a localised region of Sydney since the arrival of the lockout reforms. As such, it can provide guidance to other regions in Australia into the effects of such laws and its repercussions on patient care and service.

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Chopra, Shiv, Rhys Gordon Van der Rijt, Quan Ngo, Frederick K. Clarke, James Peter Southwell-Keely, Kristy Robledo, and Elias Moisidis. "A comparison of maxillofacial trauma before and after implementation of lockout laws in Sydney." Australasian Journal of Plastic Surgery 1, no. 1 (January 20, 2018): 64–70. http://dx.doi.org/10.34239/ajops.v1i1.26.

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Background: Lockout reforms were introduced in February 2014 by the New South Wales government in an attempt to curb alcohol-related violence in Sydney, following a number of fatalities. Changes include 1.30 a.m. venue lockouts and the 3 a.m. cessation of alcohol service. This study aims to assess the results of these reforms through analysis of departmental treatment data. All maxillofacial fractures that required operative management at St Vincent’s Hospital, Sydney, over a two-year period pre and post reforms were analysed.Methods: Medical information, from multiple sources, of patients that required operative management for maxillofacial fractures over a 2-year period (2012-2014) were compared to those between (2014-2016). Data collected included age, gender, demographics, mechanism of injury, pattern of injury, treatment required, association with alcohol, time and place of injury, and long-term complications.Results: 145 maxillofacial fractures were operatively treated prior to the reforms compared to only 58 (p<0.001) post. Reported incidents occurring in the city significantly fell from 54 to 15 (p<0.001), with no change in peripheral locations. The operated cases associated with alcohol dropped post reforms (102/145 (70%) vs 33/58 (57%). The number of assaults related to ‘king hits’ significantly reduced from 30 (33%) to just 5 (19.2%).Conclusion: This study demonstrates a clear correlation with the reduction in maxillofacial trauma, alcohol and violence in a localised region of Sydney since the arrival of the lockout reforms. As such, it can provide guidance to other regions in Australia into the effects of such laws and its repercussions on patient care and service.

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Bhaskar, Sonu, Peter Thomas, Qi Cheng, Nik Clement, Alan McDougall, Suzanne Hodgkinson, and Dennis Cordato. "Trends in acute stroke presentations to an emergency department: implications for specific communities in accessing acute stroke care services." Postgraduate Medical Journal 95, no. 1123 (May 2019): 258–64. http://dx.doi.org/10.1136/postgradmedj-2019-136413.

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Background and purposeSouth Western Sydney comprises of a culturally and linguistically diverse (CALD) and lower socioeconomic status population group within the state of New South Wales. Geographic location and sociodemographic factors play important roles in access to healthcare and may be crucial in the success of time-critical acute stroke intervention. The aim of this study was to examine the trends in the delayed presentation to emergency department (ED) and identify factors associated with prehospital delay for an acute stroke/transient ischaemic attack (TIA) at a comprehensive stroke centre.MethodsPatient health-related data were extracted for stroke/TIA discharges for the period 2009–2017. Electronic medical record data were used to determine sociodemographic characteristics and prehospital factors, and their associations with delayed presentation≥4.5 hours from stroke onset were studied.ResultsDuring the 9-year period, population-adjusted stroke/TIA discharge rates increased from 540 to 676 per 100 000. A significant reduction in the proportion of patients presenting to ED<4.5 hours (56% in 2009 versus 46% in 2017, p<0.001) was observed. Younger patients aged 55–64 and 65–74 years, those belonging to Polynesia, South Asia and Mainland Southeast Asia, and those not using state ambulance as the mode of arrival to the hospital were at increased risk of prehospital delay.ConclusionsComprehensive reappraisal of educational programmes for early stroke recognition is required in our region due to delayed ED presentations of younger and specific CALD communities of stroke/TIA patients.

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Academic literature on the topic 'Chinese Medical care New South Wales Sydney'

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Journal articles on the topic "Chinese Medical care New South Wales Sydney"