Journal articles: 'Vietnamese Medical care Victoria'

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Rawson, Helen, and Pranee Liamputtong. "Influence of traditional Vietnamese culture on the utilisation of mainstream health services for sexual health issues by second-generation Vietnamese Australian young women." Sexual Health 6, no. 1 (2009): 75. http://dx.doi.org/10.1071/sh08040.

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Background: The present paper discusses the impact the traditional Vietnamese culture has on the uptake of mainstream health services for sexual health matters by Vietnamese Australian young women. It is part of a wider qualitative study that explored the factors that shaped the sexual behaviour of Vietnamese Australian young women living in Australia. Methods: A Grounded Theory methodology was used, involving in-depth interviews with 15 Vietnamese Australian young women aged 18 to 25 years who reside in Victoria, Australia. Results: The findings demonstrated that the ethnicity of the general practitioner had a clear impact on the women utilising the health service. They perceived that a Vietnamese doctor would hold the traditional view of sex as held by their parents’ generation. They rationalised that due to cultural mores, optimum sexual health care could only be achieved with a non-Vietnamese health professional. Conclusion: It is evident from the present study that cultural influences can impact on the sexual health of young people from culturally diverse backgrounds and in Australia’s multicultural society, provision of sexual health services must acknowledge the specific needs of ethnically diverse young people.

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Kwon, Harry T., Felicia M. Solomon, and Si Nguyen. "Needs Assessment of Barriers to Cervical Cancer Screening in Vietnamese American Health Care Providers." Californian Journal of Health Promotion 4, no. 3 (September 1, 2006): 146–56. http://dx.doi.org/10.32398/cjhp.v4i3.1966.

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Vietnamese women living in the United States have a cervical cancer incidence rate that is five times that of White women. The low rate of cervical cancer screening among this high-risk population contributes to this disparity. In 2004, the National Cancer Institute collaborated with the Vietnamese American Medical Association to conduct a short needs assessment questionnaire (Pap Test Barriers Questionnaire for Health Care Providers) among its members to assess provider views about cervical cancer, barriers to Pap testing among Vietnamese women living in the United States, and types of patient education materials needed to help motivate Vietnamese women to receive a Pap test. Information from the questionnaire was used to inform development of a brochure and identify additional strategies to enhance outreach to Vietnamese women and providers. Almost all of the respondents (95%) thought that Pap tests were “very important” in the early detection of cervical cancer in Vietnamese women. In addition, knowledge about the importance of Pap tests was identified as the most influential factor for Vietnamese women not seeking a Pap test. Print materials that included both English and Vietnamese translations in the same publication were cited as a preferred communication tool. Further, health education through Vietnamese media was recommended as a primary strategy for reaching women with educational messages. Findings from this needs assessment contributes to a larger formative research effort to build NCI’s cervical cancer education program within its Office of Education and Special Initiatives.

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Nguyen, Thuy Linh. "French-Educated Midwives and the Medicalization of Childbirth in Colonial Vietnam." Journal of Vietnamese Studies 5, no. 2 (2010): 133–82. http://dx.doi.org/10.1525/vs.2010.5.2.133.

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This article explores the role of Vietnamese midwives who introduced French practices of childbirth, hygiene, and infant care to Vietnamese women and their progeny. It traces the professional and social life of colonial midwives, highlighting their difficult relationship with French doctors, their contestation of racial and gender discriminations at work, and their medical mission in rural communities, and describes how they reconciled the tension between their modernizing role and their identity as Vietnamese women. Through an investigation of these medical agents' activities, this study suggests that the midwives' commitment to professional duties might embody another way for Vietnamese women to be modern during the colonial period.

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Stephenson, Peter H. "Vietnamese refugees in Victoria, B.C.: An overview of immigrant and refugee health care in a medium-sized Canadian urban centre." Social Science & Medicine 40, no. 12 (June 1995): 1631–42. http://dx.doi.org/10.1016/0277-9536(94)00345-t.

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DEINARD, AMOS S. "Vietnamese Are Not Genetically Short." Pediatrics 76, no. 6 (December 1, 1985): 1024. http://dx.doi.org/10.1542/peds.76.6.1024a.

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To the Editor.— Dr Stickler, in a recent commentary (Pediatrics 1984;74:559), mentions as an example of genetic short stature the child of a Vietnamese refugee. My experience during the past 5 years with the Vietnamese as well as the other Southeast Asian groups (lowland Lao, Hmong, and Cambodian) who have immigrated to the United States since 1979 suggests that their growth may be no different from that of post-World War II Japanese children, ie, with good maternal and postnatal medical care and nutrition, children will grow at levels comparable to American children on whom the growth curves were normed.

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Klein, Harald. "Reforming Primary Care in Victoria: Will Primary Care Partnerships Do the Job?" Australian Journal of Primary Health 8, no. 1 (2002): 23. http://dx.doi.org/10.1071/py02004.

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Spiralling medical costs and escalating demand for health services are putting primary care reform firmly on the agenda for governments around the world. A more coordinated and prevention-oriented approach must be adopted now to avoid a looming crisis in health care. In Victoria, the Primary Care Partnership (PCP) Strategy aims to improve health outcomes and better manage the demand for services by functionally integrating health and community support services. This paper provides an overview of the key factors that have shaped primary care reform in the State of Victoria; the logic of the PCP Strategy; a summary of the results of the strategy after 18 months; and a critical assessment of the key challenges for the strategy in the future. The paper concludes that the strategy has already led to much stronger collaboration between agencies, more integrated service planning and emerging models for service coordination. For these achievements to translate to improved health outcomes, the systems changes being initiated by PCPs need to be translated into the way services are provided in the community. This cannot be achieved by collaboration between service providers alone. It is now time for all relevant parts of government to support PCP objectives and initiatives in the way they plan and fund services.

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GO, VIVIAN F., VU MINH QUAN, CHUNG A, JONATHAN M. ZENILMAN, LAWRENCE H. MOULTON, and DAVID D. CELENTANO. "Barriers to Reproductive Tract Infection (RTI) Care Among Vietnamese Women." Sexually Transmitted Diseases 29, no. 4 (April 2002): 201–6. http://dx.doi.org/10.1097/00007435-200204000-00003.

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Boyle, Malcolm J., M. ClinEpi, Erin C. Smith, and Frank L. Archer. "Trauma Incidents Attended by Emergency Medical Services in Victoria, Australia." Prehospital and Disaster Medicine 23, no. 1 (February 2008): 20–28. http://dx.doi.org/10.1017/s1049023x00005501.

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AbstractIntroduction:International literature describing the profile of trauma patients attended by a statewide emergency medical services (EMS) system is lacking. Most literature is limited to descriptions of trauma responses for a single emergency medical service, or to patients transported to a specific Level-1 trauma hospital. There is no Victorian or Australian literature describing the type of trauma patients transported by a state emergency medical service.Purpose:The purpose of this study was to define a profile of all trauma incidents attended by statewide EMS.Methods:A retrospective cohort study of all patient care records (PCR) for trauma responses attended by Victorian Ambulance Services for 2002 was conducted. Criteria for trauma categories were defined previously, and data were extracted from the PCRs and entered into a secure data repository for descriptive analysis to determine the trauma profile. Ethics committee approval was obtained.Results:There were 53,039 trauma incidents attended by emergency ambulances during the 12-month period. Of these, 1,566 patients were in physiological distress, 11,086 had a significant pattern of injury, and a further 8,931 had an identifiable mechanism of injury. The profile includes minor trauma (n = 9,342), standing falls (n = 20,511), no patient transported (n = 3,687), and deceased patients (n = 459).Conclusions:This is a unique analysis of prehospital trauma. It provides a baseline dataset that may be utilized in future studies of prehospital trauma care. Additionally, this dataset identifies a ten-fold difference in major trauma between the prehospital and the hospital assessments.

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Le, Quang V., Huy L. Trinh, Kim Ngan T. Mai, Manh D. Pham, and Paul A. Glare. "Screening Patients With Cancer Admitted to Hanoi Medical University Hospital for Palliative Care Needs." JCO Global Oncology, no. 6 (September 2020): 1321–27. http://dx.doi.org/10.1200/go.20.00102.

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PURPOSE To evaluate a screening tool for identifying which patients admitted to the oncology ward of a Vietnamese hospital should be referred to specialist palliative care (PC). METHODS We performed a cross-sectional survey of consecutive patients hospitalized in the Department of Oncology and Palliative Care at Hanoi Medical University Hospital between June 2019 and September 2019. We translated a validated 11-item screening tool into Vietnamese and used a total score of ≥ 5 as a positive screen. RESULTS One hundred participants were recruited. Forty-four patients (44%) screened positive. Of these, 37 (84%) had locally advanced or metastatic disease, 31 (70%) had uncontrolled symptoms, and 43 (98%) requested a PC consultation. A score ≥ 5 was significantly more common in patients with stage IV disease versus earlier stage, performance status of Eastern Cooperative Oncology Group (ECOG) 2 versus ECOG 0, and when life-limiting complications of cancer were present. Screening identified four patients overlooked by oncologists as needing referral, and 34% of patients requesting a referral had scores < 5. CONCLUSION This screening tool provided oncologists with easy-to-use criteria for referring patients for PC. At the same time, it relieved the work load for under-resourced PC physicians by screening out requests with low-level need. This tool should be part of routine assessment on admission in all oncology units in Vietnam.

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Samaroo, Bethan. "Assessing Palliative Care Educational Needs of Physicians and Nurses: Results of a Survey." Journal of Palliative Care 12, no. 2 (June 1996): 20–22. http://dx.doi.org/10.1177/082585979601200205.

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The Greater Victoria Hospital Society (GVHS) Palliative Care Committee surveyed medical and nursing staff from four hospitals and The Victoria Hospice Society in February, 1993. The purpose of the survey was to identify physicians’ and nurses’ perceived educational needs related to death and dying. Programs that focus on the dying process; patient pain, symptom, and comfort control; and patient and family support were identified as necessary to meet the educational needs of physicians and nurses in providing quality palliative care. Physicians and nurses identified communication skills as being paramount. Communications concerning ethical issues were highlighted as the most difficult to cope with.

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Rosenthal, Mark A., David M. Ashley, Katharine J. Drummond, Michael Dally, Michael Murphy, Lawrence Cher, Vicky Thursfield, and Graham G. Giles. "Brain stem gliomas: Patterns of Care in Victoria from 1998–2000." Journal of Clinical Neuroscience 15, no. 3 (March 2008): 237–40. http://dx.doi.org/10.1016/j.jocn.2007.04.008.

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Knock, Marion, David Newsome, and Barbara Poole. "The Medical Information Highway: Where is the Access Ramp?" Healthcare Management Forum 8, no. 3 (October 1995): 57–61. http://dx.doi.org/10.1016/s0840-4704(10)60920-9.

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In this article, an analogy is drawn between a health care information system and a freeway transportation system. Unfinished access ramps and disconnected road sections are likened to unlinked computer information systems. It is not until there is “connectivity” between roadways that vehicles can take advantage of the efficiencies of a freeway system or until there are comrehensive, integrated information systems that quality health care can be provided. The Greater Victoria Hospital Society used quality improvement techniques to improve the medical information highway, and theories of change management to encourage physician leaders to “buy into” the information system to produce needed change in the organization and in patient care.

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Anderson, Ian, Harriet Young, Milica Markovic, and Lenore Manderson. "Koori Primary Health Care in Victoria: Developments in Service Planning." Australian Journal of Primary Health 6, no. 4 (2000): 24. http://dx.doi.org/10.1071/py00031.

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The Alma Ata 1978 Declaration on primary health care has conventionally been applied in developing countries, where medically trained personnel and other highly skilled health professionals and medical infrastructure are limited. Although such concepts have salience in relatively resource rich countries such as Australia, it is in Aboriginal and Torres Strait Islander health policy that they have become pivotal. A growing national focus on the development of Aboriginal primary health care capacity followed the release of the National Aboriginal Health Strategy (NAHS) in 1989 (Anderson, 1997). This focus consolidated further, following the evaluation of the National Aboriginal Health Strategy implementation in 1994 which preceded the transfer of administrative responsibility for the Commonwealth Aboriginal health program from the Aboriginal and Torres Strait Islander Commission (ATSIC) to the Commonwealth Health portfolio (DHFS, 1994). Within the strategic framework provided by federal state agreements, the development of primary health care services is a priority. In the current national policy framework domains of policy and strategy development have been identified as key developmental themes.

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Doran, N., and Z. Austin-Crowe. "P-17 Advance care planning in victoria – we have a plan!" BMJ Supportive & Palliative Care 5, Suppl 2 (September 2015): A48.1—A48. http://dx.doi.org/10.1136/bmjspcare-2015-000978.147.

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Nien, L. V., C. Brunton, S. Sulo, H. A. Nguyen, T. N. N. Nguyen, H. K. Tran, D. N. Nguyen, et al. "Malnutrition prevalence and burden among medical and surgical Vietnamese patients: opportunity for comprehensive nutrition care." Clinical Nutrition ESPEN 46 (December 2021): S675. http://dx.doi.org/10.1016/j.clnesp.2021.09.374.

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Nhuong, Do Thi, and Chu Tuan Anh. "Development of Vietnamese Medical Staff in the Period of Accelerated Industrialization and Modernization of the Country and International Integration." Asian Journal of Social Science Studies 5, no. 1 (February 4, 2020): 39. http://dx.doi.org/10.20849/ajsss.v5i1.729.

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Medical staff holds a pivotal role in the Vietnamese health system, and is crucial to the efficiency and quality of health care services in Vietnam. It is their professional and dedicated work that is a permanent basis to guarantee protection of and care for people’s health in the provision of health care services to people in all regions, including remote areas, borders and islands. The continuous growth in the quantity and quality of health workers in Vietnam has affirmed the right leadership of the Communist Party of Vietnam in building this health workforce over the years.

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Haux, R., F. J. Leven, J. R. Moehr, and D. J. Protti. "Health and Medical Informatics Education." Methods of Information in Medicine 33, no. 03 (1994): 246–49. http://dx.doi.org/10.1055/s-0038-1635023.

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Abstract:Health and medical informatics education has meanwhile gained considerable importance for medicine and for health care. Specialized programs in health/medical informatics have therefore been established within the last decades.This special issue of Methods of Information in Medicine contains papers on health and medical informatics education. It is mainly based on selected papers from the 5th Working Conference on Health/Medical Informatics Education of the International Medical Informatics Association (IMIA), which was held in September 1992 at the University of Heidelberg/Technical School Heilbronn, Germany, as part of the 20 years’ celebration of medical informatics education at Heidelberg/Heilbronn. Some papers were presented on the occasion of the 10th anniversary of the health information science program of the School of Health Information Science at the University of Victoria, British Columbia, Canada. Within this issue, programs in health/medical informatics are presented and analyzed: the medical informatics program at the University of Utah, the medical informatics program of the University of Heidelberg/School of Technology Heilbronn, the health information science program at the University of Victoria, the health informatics program at the University of Minnesota, the health informatics management program at the University of Manchester, and the health information management program at the University of Alabama. They all have in common that they are dedicated curricula in health/medical informatics which are university-based, leading to an academic degree in this field. In addition, views and recommendations for health/medical informatics education are presented. Finally, the question is discussed, whether health and medical informatics can be regarded as a separate discipline with the necessity for specialized curricula in this field.In accordance with the aims of IMIA, the intention of this special issue is to promote the further development of health and medical informatics education in order to contribute to high quality health care and medical research.

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Frolova, Elena Vladimirovna. "Healthcare in Vietnam." Spravočnik vrača obŝej praktiki (Journal of Family Medicine), no. 11 (October 29, 2020): 71–75. http://dx.doi.org/10.33920/med-10-2111-09.

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Since childhood, all of us are familiar with the Vietnamese balm "Golden Star", which at one time was used to treat literally everything, from headaches to inflammation at the site of an insect bite. Meanwhile, Vietnamese medicine, which has been forming for centuries, is distinguished by this approach - a minimum of surgical interventions, a maximum use of natural components: plants, mushrooms, extracts of animal origin, as well as the widespread use of acupuncture, moxibustion, various types of massage, manual therapy. In Vietnam, the achievements of traditional medicine are closely intertwined with modern methods, and at the same time, about 30% of cases of medical care are accounted for non-traditional methods of treatment. It should be noted that classes in alternative medicine are included in the compulsory curriculum in medical higher educational institutions.

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Ansari, M. Z., D. Simmon s, W. G. Hart, F. Cicuttin i, N. J. Carson, N. I. A. G. Brand, M. J. Ackland, and D. J. Lang. "Preventable Hospitalisations for Diabetic Complications in Rural and Urban Victoria." Australian Journal of Primary Health 6, no. 4 (2000): 261. http://dx.doi.org/10.1071/py00060.

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The objective of the study was to describe and explain variations in rates of hospital admissions for long-term complications of diabetes mellitus in rural and urban Victoria as an indicator of the adequacy of ambulatory care services. The Victorian Inpatient Minimum Database (VIMD), Health Insurance Commission data for 1998, Medical Labour Force Annual Survey 1998, Socioeconomic Indexes for Areas 1996 (SEIFA) and Accessibility/Remoteness Index of Australia (ARIA) were merged to determine the extent to which hospitalisation for complications of diabetes can be predicted from accessibility and utilisation of general practitioner services. The rural and urban differentials for long-term diabetic complications and their strong relationship with GP services, the degree of remoteness, lack of insurance, and Aboriginality reflect issues related to equity and access, patient and GP education, and inclination to seek care, all of which have implications for planning of primary health services in rural areas. This study describes a model for the analysis of ambulatory care sensitive conditions, and illustrates the important use of routine databases combined with other sources of information in quantifying the impact of factors related to primary care services.

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Ory, Jérôme, Quang Le Minh, Hung Phan Tien, Vinh Vu Hai, Elodie Careno, Tatiana Price, Alexandre Andrieux, et al. "Impact of Infection Control on Prevalence of Surgical Site Infections in a Large Tertiary Care Hospital in Haiphong City." Antibiotics 12, no. 1 (December 23, 2022): 23. http://dx.doi.org/10.3390/antibiotics12010023.

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Few point prevalence surveys (PPS) have been conducted in Vietnam on Surgical Site Infections (SSI) or antimicrobial use in surgery. The objective of this study was to evaluate the PPSs of SSI before and after implementation of antibiotic stewardship programs (ASP) and infection control (IC) in a Vietnamese tertiary care hospital. ASP and IC practices were implemented in operating rooms and the orthopedic department, including antibiotic training, skin preparation, hand hygiene, gloves and sterile instruments, and SSIs risk factors. A PPS of SSIs and antimicrobial use was performed in January 2016 according to methods from the Centers for Disease Control and Prevention, before ASP and IC, and in December 2019. Information recorded included surgical data, antibiotic prophylaxis, microorganisms, and SSI risk factors. Skin preparation compliance assessed preoperative washing and antisepsis. SSI prevalence was 7.8% in 2016 versus 5.4% in 2019 (p = 0.7). The use of prophylactic antibiotics decreased from 2016 to 2019. A third-generation cephalosporin was prescribed more than 48 h after surgery for most patients. Skin preparation compliance increased from 54.4% to 70.5% between assessments. The decreased SSI, although non-statistically significant, warrants continuing this program. Vietnamese hospitals must provide comprehensive IC education to healthcare workers to address the prevention of SSI and establish IC policies.

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O'Meara, Peter, Robert H. Hall, and Roger Strasser. "Developing a funding model for an after-hours primary medical care service in a rural town." Australian Health Review 21, no. 3 (1998): 104. http://dx.doi.org/10.1071/ah980104.

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The study described in this paper aimed to determine a funding model for an after-hoursprimary medical care service in the rural town of Moe, a socioeconomicallydisadvantaged area of Victoria suffering the rigours of industry restructuring andprivatisation. It has 12.5 equivalent full-time general practitioners servicing 21- 966persons.A break-even analysis of the financial viability compared the expected costs ofproviding the service with the anticipated income. A mixed funding model isrecommended. This would incorporate a general practitioner incentive scheme andState Government underwriting of infrastructure and basic non-medical staffing costsduring the business development phase to supplement the income from the HealthInsurance Commission.

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Baecker, Daniel, Do Thi Mai Dung, Hai Pham-The, and Nguyen Hai-Nam. "Comparison of the University Pharmacy Education Programs in Germany and Vietnam." Pharmacy 10, no. 6 (November 2, 2022): 146. http://dx.doi.org/10.3390/pharmacy10060146.

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During the global COVID pandemic, the importance of professionals in the health care sector has been put in a new light, including pharmacists. In this context, the focus is also on how pharmacists are trained in different countries. Through an exchange of pharmacy teaching staff from a German to a Vietnamese university, the pharmacy education programs in both countries were compared. Aspects such as access to studies, structure of studies, and further training opportunities were considered. Differences and similarities emerged. In both countries, students first acquire basic knowledge and then delve deeper into pharmaceutical content in main studies. There is, expectedly, a great overlap in the content of the courses. Overall, the education at Vietnamese universities seems to be more practice-oriented due to a large number of placements. This also allows a specialization, which can be pursued in Germany with self-interest after graduation. There, the preparation for everyday work in the community pharmacy is separated from the university by a mandatory practical year. For the future, efforts are being made in both countries to strengthen the importance of clinical pharmacy in the curriculum. To this end, the Vietnamese are taking their inspiration from abroad in many cases, including Germany.

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Kirk, Martyn D., Joy Gregory, Karin Lalor, Gillian V. Hall, and Niels Becker. "Foodborne and Waterborne Infections in Elderly Community and Long-Term Care Facility Residents, Victoria, Australia." Emerging Infectious Diseases 18, no. 3 (March 2012): 377–84. http://dx.doi.org/10.3201/eid1803.110311.

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Hoare, Connie D., Dickran A. Malatjalian, Bernard W. Badley, Joseph J. Sidorov, and C. Noel Williams. "Acute Fatty Liver of Pregnancy: A Review of Maternal Morbidity in 13 Patients Seen Over 12 Years in Nova Scotia." Canadian Journal of Gastroenterology 8, no. 2 (1994): 81–87. http://dx.doi.org/10.1155/1994/357397.

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OBJECTIVE: To review the maternal and fetal survival in all cases of acute fatty liver of pregnancy seen by the Division of Gastroenterology at Grace Maternity Hospital and the Victoria General Hospital from 1979-91.DESIGN: A retrospective review of the clinical data obtained from the medical charts of 13 patients with a liver biopsy-based histopathological diagnosis of acute fatty liver of pregnancy.SETTING: Grace Maternity Hospital, a tertiary care centre serving d1e Atlantic provinces. Twelve patients were subsequently transferred to Victoria General Hospital for postpartum management in the setting of the medical intensive care unit.MAIN OUTCOME MEASURES: Classically, acute fatty liver of pregnancy is complicated by over 70% maternal and fetal mortality rate. Recent reports have indicated significantly improved maternal and fetal survival because of more awareness, improved management and the identification of milder forms of the disease.RESULTS: In this study of 13 cases of acute fatty liver of pregnancy, maternal survival was 100% and fetal survival was 93%.CONCLUSION: The excellent maternal and fetal survival in this series is attributed co awareness, close collaboration between obstetricians and gastroenterologists, prompt diagnosis and delivery and the management of postpartum patients in an intensive care unit setting.

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Keleher, Helen, Rebecca Round, and Gay Wilson. "Report of the mid-term review of Victoria's Maternity Services Program." Australian Health Review 25, no. 4 (2002): 119. http://dx.doi.org/10.1071/ah020119.

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Substantial State Government funding has been committed in Victoria for the enhancement of maternity services. The funding is intended to improve the quality of care for women and meet consumer expectations for choice and continuity of care in maternity services. This paper reports on a mid-term review (the 'Review') of the Victorian Maternity Services Program, which was conducted by the authors on behalf of the Victorian Department of Human Services. Documentary analysis was conducted for the review, and workshops and key informant interviews were held throughout Victoria with midwives, medical staff and Department of Human Services staff. The Review found that there had been many gains as a result of the Maternity Services Program and identified directions for further development. Issues of change and facilitators of change processes in maternity services are highlighted in this article.

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Borthwick, Aidan, and Peter Higgs. "The Medical Treatment Planning and Decisions Act 2016: what is the role for allied health professionals?" Australian Journal of Primary Health 26, no. 5 (2020): 383. http://dx.doi.org/10.1071/py19212.

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Advance care planning is increasingly common practice in contemporary health care for individuals living with a chronic condition. Currently, limited research has been conducted into how newly adopted legislation in Victoria, Australia, facilitates advance care planning. The purpose of this study was to explore the uptake of the Medical Treatment Planning and Decisions Act 2016 in the primary care setting. The study also aimed to explore barriers that allied health professionals encounter when practicing advance care planning with patients. Four interdisciplinary focus groups and two in-depth interviews with participants were conducted and thematically analysed using an interpretivist inquiry paradigm. Analysis revealed two key themes: promoting client wellbeing and scope of practice. The data suggest that advance care planning by allied health professionals in the primary care setting is limited. Focussing on enhancing clients’ wellbeing was more important than the development of advanced care directives. Attempting to promote the wellbeing of patients may foster hesitation to commence advance care planning in primary care. This study demonstrated that knowledge of the fundamental legislative changes are evident among allied health professionals which provides a foundation for successful development of advance care planning post implementation of the new Act.

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Draper, Brian. "G Vernon Davies: unsung pioneer of old age psychiatry in Victoria." Australasian Psychiatry 30, no. 2 (November 8, 2021): 203–5. http://dx.doi.org/10.1177/10398562211045085.

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Objective: To provide a biography of G Vernon Davies who took up a career in old age psychiatry in 1955 at the age of 67 at Mont Park Hospital in an era when there few psychiatrists working in the field. Conclusion: In the 1950s and 1960s, Vernon Davies worked as an old age psychiatrist and published papers containing sensible practical advice informed by contemporary research and experience, broadly applicable to both primary and secondary care, presented in a compassionate and empathetic manner. His clinical research in old age psychiatry resulted in the first doctoral degree in psychiatry awarded at the University of Melbourne at the age of 79. Before commencing old age psychiatry, he served in the Australian Army Medical Corps as a Regimental Medical Officer and received the Distinguished Service Order. He spent 3 years as a medical missionary in the New Hebrides before settling at Wangaratta where he worked as a physician for over 30 years. He contributed to his local community in a broad range of activities. Vernon Davies is an Australian pioneer of old age psychiatry.

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Newman, D. "Maritime Pre-Hospital Emergency Care Primary Retrieval Team – Operational Considerations." Journal of The Royal Naval Medical Service 98, no. 1 (March 2012): 16–18. http://dx.doi.org/10.1136/jrnms-98-16.

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AbstractThis article examines the non clinical skills and training required for effective maritime pre-hospital emergency care provision within a Role Two Afloat facility, allowing for a Primary Retrieval Team to be deployed in support of boarding operations. The provision of pre-hospital emergency care and sending a retrieval team forward has been trialled in various forms. In 2010 and 2011 a R2A team was deployed aboard RFA FORT VICTORIA. This included a Primary Retrieval Team consisting of an Emergency Nurse Specialist, a Medical Assistant which can be enhanced when required by an Emergency Care or Anaesthetic Consultant. This differs from the land operations support provided by the airborne Medical Emergency Response Team (MERT) as the maritime environment requires a bespoke solution for casualty retrieval as the method of deployment and the type of casualties and their locations may be more varied, requiring greater flexibility of approach.

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Bruggink, Leesa, and John Marshall. "The relationship between health care and nonhealth care norovirus outbreak settings and norovirus genotype in Victoria, Australia, 2002–2005." Journal of Microbiology, Immunology and Infection 44, no. 4 (August 2011): 241–46. http://dx.doi.org/10.1016/j.jmii.2010.08.001.

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Anh, Chu Tuan, and Do Thi Nhuong. "Using the Relationship Between Market Economy and Ethics in Enhancing Medical Ethics to Health Care Staff in Vietnam Nowadays." Asian Journal of Social Science Studies 3, no. 3 (July 23, 2018): 39. http://dx.doi.org/10.20849/ajsss.v3i3.455.

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Over the past 30 years of renovation, the development of the socialist-oriented market economy has built up a team of good ethic and competent medical personnel who have devoted their lives to serving and caring health of people. However, the implementation and improvement of medical ethics in the past years has also been challenging such as harassment, negligence, hidden fees, low quality of examination and treatment, disease, etc., reducing the belief of the people for the noble duty "save life" of the medical staff. Therefore, enhancing medical ethics for health care workers is becoming more and more pressing.This is a problematic situation where in the process of building a modern Vietnamese medicine that meets the requirements of development, must continue to study in order to have a scientific basis to set the direction and solution for further raising medical ethics for this team.

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Cher, Lawrence, Mark A. Rosenthal, Katharine J. Drummond, Michael Dally, Michael Murphy, David Ashley, Vicky Thursfield, and Graham G. Giles. "The use of chemotherapy in patients with gliomas: Patterns of care in Victoria from 1998–2000." Journal of Clinical Neuroscience 15, no. 4 (April 2008): 398–401. http://dx.doi.org/10.1016/j.jocn.2007.04.001.

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Takegata, Mizuki, Chris Smith, Hien Anh Thi Nguyen, Hai Huynh Thi, Trang Nguyen Thi Minh, Louise Tina Day, Toshinori Kitamura, Michiko Toizumi, Duc Anh Dang, and Lay-Myint Yoshida. "Reasons for Increased Caesarean Section Rate in Vietnam: A Qualitative Study among Vietnamese Mothers and Health Care Professionals." Healthcare 8, no. 1 (February 21, 2020): 41. http://dx.doi.org/10.3390/healthcare8010041.

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The Caesarean section rate in urban Vietnam is 43% in 2014, which is more than twice the recommended rate (10%–15%) by the World Health Organization. This qualitative study aims to identify the perceptions of pregnant mothers and health care professionals on the medical and social factors related to the increased Caesarean section rate in Vietnam. A qualitative descriptive study was conducted among pregnant mothers and healthcare professionals at two public hospitals in Nha Trang city. A content analysis was adopted in order to identify social and medical factors. As a result, 29 pregnant women and 19 health care professionals were invited to participate in the qualitative interviews. Private interviews were conducted with 10 women who wished to have a Caesarean section, and the others participated in focus group interviews. The main themes of the social factors were ‘request for Caesarean section,’ ‘mental strain of obstetricians,’ and ‘decision-making process.’ To conclude, this qualitative study suggests that there were unnecessary caesarean sections without a clear medical indication, which were requested by women and family members. Psychological fear occurred among women and family, and doctors were the main determinants for driving the requests for Caesarean section, which implies that education and emotional encouragement is necessary by midwives. In addition, a multi-faced approach including a mandatory reporting system in clinical fields and involving family members in antenatal education is important.

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Ravi, K., TM Maithili, David Mathew Thomas, and Sphoorti P. Pai. "Bacteriological profile and outcome of Ventilator associated pneumonia in Intensive care unit of a tertiary care centre." Asian Journal of Medical Sciences 8, no. 5 (August 31, 2017): 75–79. http://dx.doi.org/10.3126/ajms.v8i5.17630.

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Background: Ventilator associated pneumonia (VAP) complicates the course of 8-28% of patients receiving mechanical ventilation. Appropriate antimicrobial treatment significantly improves the outcome. Hence rapid identification of infected patients and accurate selection of antimicrobials are important clinical goals.Aims and Objectives: The present study was conducted with an aim to know the outcome of VAP and to identify pathogens, compare the bacteriological profile, duration of mechanical ventilation and length of hospitalization.Materials and Methods: Sixty patients who developed VAP during our study period of 2 years were included after meeting inclusion and exclusion criteria. Study was conducted in Victoria hospital and Bowring & Lady Curzon hospitals attached to Bangalore Medical College and Research institute.Results: Majority of patients were in the age group of 21-40 years. The occurrence of late VAP was 70 %. Klebsiella was the most common organism isolated in our study. Mortality was 13.3%. Average duration of intubation was 13.1±6.6days. Duration of hospital stay was 16.2±7.1 days.Conclusion: Our study concluded that occurrence of late VAP was more common than early VAP. Targeted strategies aimed at preventing VAP should be implemented to improve patient outcome and length of hospitalisation. Above all utmost importance must be given to prevent VAP. Asian Journal of Medical Sciences Vol.8(5) 2017 75-79

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Nguyen, Ba Tuan, Toi Lam Phung, Thi Hong Hanh Khuc, Van Anh Thi Nguyen, Christopher Leigh Blizzard, Andrew Palmer, Huu Tu Nguyen, Thang Cong Quyet, and Mark Nelson. "Trauma Care Training in Vietnam: Narrative Scoping Review." JMIR Medical Education 8, no. 1 (January 24, 2022): e34369. http://dx.doi.org/10.2196/34369.

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Background The model of trauma in Vietnam has changed significantly over the last decade and requires reforming medical education to deal with new circumstances. Our aim is to evaluate this transition regarding the new target by analyzing trauma and the medical training system as a whole. Objective This study aimed to establish if medical training in the developing country of Vietnam has adapted to the new disease pattern of road trauma emerging in its economy. Methods A review was performed of Vietnamese medical school, Ministry of Health, and Ministry of Education and Training literature on trauma education. The review process and final review paper were prepared following the guidelines on scoping reviews and using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart. Results The current trauma training at the undergraduate level is minimal and involves less than 5% of the total credit. At the postgraduate level, only the specialties of surgery and anesthesia have a significant and increasing trauma training component ranging from 8% to 22% in the content. Trauma training, which focuses on practical skills, accounts for 31% and 32% of the training time of orientation courses for young doctors in “basic surgery” and “basic anesthesia,” respectively. Other relevant short course trainings, such as continuing medical education, in trauma are available, but they vary in topics, facilitators, participants, and formats. Conclusions Medical training in Vietnam has not adapted to the new emerging disease pattern of road trauma. In the interim, the implementation of short courses, such as basic trauma life support and primary trauma care, can be considered as an appropriate method to compensate for the insufficient competency-related trauma care among health care workers while waiting for the effectiveness of medical training reformation.

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Rizk, Sabrin, Emmanuel Ngui, Teal Benevides, Victoria A. Moerchen, Mary Alunkal Khetani, and Kris Barnekow. "Adequacy of Medical Home Primary Care and Factors Associated With Educational Services Use Among Children and Youth With Autism Spectrum Disorder." American Journal of Occupational Therapy 76, Supplement_1 (July 1, 2022): 7610510157p1. http://dx.doi.org/10.5014/ajot.2022.76s1-po157.

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Abstract Date Presented 04/02/2022 Children and youth with autism spectrum disorder (ASD) use educational services for their complex needs. We analyzed the 2016/2017 National Survey of Children’s Health to examine the association between inadequate medical home primary care (MHPC) and educational service use in children with ASD. Inadequate MHPC was significantly associated with higher odds of educational service use. After adjustment, inadequate MHPC was significantly associated with lower odds of educational service use. Primary Author and Speaker: Sabrin Rizk Contributing Authors: Emmanuel Ngui, Teal Benevides, Victoria A. Moerchen, Mary Alunkal Khetani, Kris Barnekow

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Rumbold, Bruce, and Andrea Grindrod. "OA48 Engaging communities: the impact of a decade of health promoting palliative care policy in victoria." BMJ Supportive & Palliative Care 5, Suppl 1 (April 2015): A15.2—A15. http://dx.doi.org/10.1136/bmjspcare-2015-000906.48.

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Renzaho, Andre. "Re-visioning cultural competence in community health services in Victoria." Australian Health Review 32, no. 2 (2008): 223. http://dx.doi.org/10.1071/ah080223.

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There are few studies exploring the need to develop and manage culturally competent health services for refugees and migrants from diverse backgrounds. Using data from 50 interviews with service providers from 26 agencies, and focus group discussion with nine different ethnic groups, this paper examines how the Victorian state government funding and service agreements negatively impact on the quest to achieve cultural competence. The study found that service providers have adopted ?one approach fits all? models of service delivery. The pressure and competition for resources to address culturally and linguistically diverse communities? needs allows little opportunity for partnership and collaboration between providers, leading to insufficient sharing of information and duplication of services, poor referrals, incomplete assessment of needs, poor compliance with medical treatment, underutilisation of available services and poor continuity of care. This paper outlines a model for cultural consultation and developing needs-led rather than serviceled programs.

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Nguyen, Hoa L., Dat T. Phan, Duc A. Ha, Quang N. Nguyen, and Robert J. Goldberg. "Pre-hospital delay in Vietnamese patients hospitalized with a first acute myocardial infarction: A short report." F1000Research 4 (August 27, 2015): 633. http://dx.doi.org/10.12688/f1000research.6943.1.

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Background Administration of coronary reperfusion therapy to patients with an acute myocardial infarction (AMI) within the proper timeframe is essential in avoiding clinical complications and death. However, the extent of pre-hospital delay is unexplored in Vietnam. This report aims to describe the duration of pre-hospital delay of Hanoi residents hospitalized with a first AMI at the Vietnam National Heart Institute. Methods A total of 103 Hanoi residents hospitalized at the largest tertiary care medical center in the city for first AMI, who have information on prehospital delay was included in this report.Results One third of the study sample was women and mean age was 66 years. The mean and median pre-hospital delay duration were 14.9 hours and 4.8 hours, respectively. The proportion of patients who delayed <6 , 6-<12, and ≥ 12 hours were 45%, 13%, and 42%, respectively.Conclusions Our data shows that a prolonged pre-hospital delay is often observed in patients with a first AMI in Vietnam. In order to confirm these findings, a full-scale investigation of all Hanoi residents hospitalized with first AMI is needed. Increasing public awareness about AMI treatment is vital in encouraging patients to seek medical care timely after experiencing AMI symptoms such that received treatment is most effective.

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Nguyen, Hoa L., Dat T. Phan, Duc A. Ha, Quang N. Nguyen, and Robert J. Goldberg. "Pre-hospital delay in Vietnamese patients hospitalized with a first acute myocardial infarction: A short report." F1000Research 4 (August 1, 2017): 633. http://dx.doi.org/10.12688/f1000research.6943.2.

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Background: Administration of coronary reperfusion therapy to patients with an acute myocardial infarction (AMI) within the proper timeframe is essential in avoiding clinical complications and death. However, the extent of pre-hospital delay is unexplored in Vietnam. This report aims to describe the duration of pre-hospital delay of Hanoi residents hospitalized with a first AMI at the Vietnam National Heart Institute . Methods: A total of 103 Hanoi residents hospitalized at the largest tertiary care medical center in the city for first AMI, who have information on prehospital delay was included in this report.Results: One third of the study sample was women and mean age was 66 years. The mean and median pre-hospital delay duration were 14.9 hours and 4.8 hours, respectively. The proportion of patients who delayed <6 , 6-<12, and ≥ 12 hours were 45%, 13%, and 42%, respectively.Conclusions: Our data shows that a prolonged pre-hospital delay is often observed in patients with a first AMI in Vietnam. In order to confirm these preliminary descriptive findings, a full-scale investigation of all Hanoi residents hospitalized with first AMI is needed. Increasing public awareness about AMI treatment is vital in encouraging patients to seek medical care timely after experiencing AMI symptoms such that received treatment is most effective.

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Nguyen, Hoa L., Dat T. Phan, Duc A. Ha, Quang N. Nguyen, and Robert J. Goldberg. "Pre-hospital delay in Vietnamese patients hospitalized with a first acute myocardial infarction: A short report." F1000Research 4 (January 15, 2018): 633. http://dx.doi.org/10.12688/f1000research.6943.3.

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Background: Administration of coronary reperfusion therapy to patients with an acute myocardial infarction (AMI) within the proper timeframe is essential in avoiding clinical complications and death. However, the extent of pre-hospital delay is unexplored in Vietnam. This report aims to describe the duration of pre-hospital delay of Hanoi residents hospitalized with a first AMI at the Vietnam National Heart Institute . Methods: A total of 103 Hanoi residents hospitalized at the largest tertiary care medical center in the city for first AMI, who have information on prehospital delay was included in this report.Results: One third of the study sample was women and mean age was 66 years. The mean and median pre-hospital delay duration were 14.9 hours and 4.8 hours, respectively. The proportion of patients who delayed <6 , 6-<12, and ≥ 12 hours were 45%, 13%, and 42%, respectively.Conclusions: Our data shows that a prolonged pre-hospital delay is often observed in patients with a first AMI in Vietnam. In order to confirm these preliminary descriptive findings, a full-scale investigation of all Hanoi residents hospitalized with first AMI is needed. Increasing public awareness about AMI treatment is vital in encouraging patients to seek medical care timely after experiencing AMI symptoms such that received treatment is most effective.

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Kaplow, M., S. Charest, N. Mayo, and S. Benaroya. "Managing Patient Length of Stay Better Using an Appropriateness Tool." Healthcare Management Forum 11, no. 2 (July 1998): 13–16. http://dx.doi.org/10.1016/s0840-4704(10)60640-0.

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A multidisciplinary group from two medical floors at the Royal Victoria Hospital chose the Managed Care Appropriateness Program (MCAP) to evaluate the appropriateness of the days of stay for their patients. Of 100 charts of consecutive patients examined by the nurse reviewer (comprising 1,095 patient days), 33 percent of the days were deemed inappropriate. The reasons for each of these inappropriate days were documented, and strategies were implemented to address the issues. The major outcome of the study was a change in the culture of the health professionals to a more positive approach to defining and carrying out efficient patient care.

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Thai, Khoa T. D., Hoang Lan Phuong, Tran Thi Thanh Nga, Phan Trong Giao, Le Quoc Hung, Nguyen Van Nam, Tran Quang Binh, et al. "Clinical, epidemiological and virological features of dengue virus infections in vietnamese patients presenting to primary care facilities with acute undifferentiated fever." Journal of Infection 60, no. 3 (March 2010): 229–37. http://dx.doi.org/10.1016/j.jinf.2010.01.003.

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Mukhida, K., and I. Mendez. "The Contributions of W.D. Stevenson to the Development of Neurosurgery in Atlantic Canada." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 26, no. 3 (November 1999): 217–23. http://dx.doi.org/10.1017/s0317167100000317.

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The establishment of a neurosurgical department in Halifax in January 1948 marked the beginnings of the first dedicated neurosurgical service in Atlantic Canada. The development of neurosurgery in Halifax occurred in a receptive place and time. The Victoria General Hospital, the region’s largest tertiary care centre, and the Dalhousie University Faculty of Medicine were in a period of growth associated with medical specialization and departmentalization, changes inspired in part by the Flexner Report of 1910. Atlantic Canadians during this period were increasingly looking to specialists for their medical care. Although this social environment encouraged the establishment of surgical specialty services, the development of neurosurgery in Halifax, as in other parts of Canada, was closely associated with the efforts of individual neurosurgeons, such as William D. Stevenson. After training with Kenneth G. McKenzie in Toronto, Stevenson was recruited to Halifax and established the first neurosurgical department in Atlantic Canada. From the outset and over his twenty-six years as Department Head at the Victoria General Hospital and Dalhousie University, Stevenson worked to maintain the department’s commitment to clinical practice, medical education, and research. Although Stevenson single-handedly ran the service for several years after its inception, by the time of his retirement in 1974 the neurosurgery department had grown to include five attending staff surgeons who performed over two thousand procedures each year. This paper highlights the importance of Stevenson’s contributions to the development of neurosurgery in Atlantic Canada within the context of the social and medical environment of the region.

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Hong Ha, Do Duc, and LL. D. "The Implementation of Laws and Policies on Children in Vietnam: Facts and Solutions." International Journal of Scientific and Management Research 05, no. 06 (2022): 104–17. http://dx.doi.org/10.37502/ijsmr.2022.5610.

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According to the international and Vietnamese laws and regulations, children are protected their lives. They have the rights for the best living and development conditions such as receiving the best health care, having priority in accessing and using preventive services and medical examination and treatment; being cared for and nurtured for comprehensive development; being educated and studied to develop comprehensively; having equal learning and educational opportunities; developing talents, aptitudes, creativity and inventions; having the right to have fun and entertainment; having equal opportunities to participate in cultural, artistic, physical training, sports and tourism activities appropriate to their age. To contribute to ensuring the full realization of children's rights, in this article, the author would like to clarify Vietnamese issues: (i) The results of the implementation of the laws and policies on children; (ii) Some shortcomings and limitations in the implementation of the laws and policies on children and their causes; (iii) Tasks and solutions for the achievement of the laws and policies on children; (iv) Some recommendations for the implementation of the laws and policies on children

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Thornton, Katherine, Susan Webster, and Meredith Temple-Smith. "Is immunisation for children and young people in statutory care in Victoria 'all too hard'? A qualitative study with health professionals." Australian Journal of Primary Health 25, no. 2 (2019): 131. http://dx.doi.org/10.1071/py18096.

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This formative study aimed to identify health professionals’ perspectives on vaccination issues among children in statutory out-of-home care in Victoria. Eight health professionals, drawn from a purposive Victorian sample known to be proactive in addressing the vaccination needs of children in out-of-home care, took part in semi-structured interviews. Questions addressed participants’ views about roles and responsibilities, barriers and enabling factors affecting vaccination, and ideas about systems improvements. Interview transcripts were analysed thematically. The main themes that emerged were health professionals’ observations about vaccine hesitancy among significant adults in the out-of-home care sector, the paucity of child medical history information available and diffuse responsibility for the provision of legal consent to vaccination. More accurate immunisation status monitoring appears warranted for children in out-of-home care. Unless the collection and maintenance of child medical records improves and vaccination consent processes are streamlined, health professionals will be limited in their capacity to provide efficient vaccination services to these children. Research on vaccine hesitancy among staff and carers in the statutory care sector may be of value. This study supports other Australian research that indicates these children may require more targeted, inter-sectoral immunisation approaches.

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Canaway, Rachel, Khic-Houy Prang, Marie Bismark, David Dunt, and Margaret Kelaher. "Public disclosure of hospital clinicians' performance data: insights from medical directors." Australian Health Review 44, no. 2 (2020): 228. http://dx.doi.org/10.1071/ah18128.

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Objective This study gathered information from public hospital chief medical officers to better understand underlying mechanisms through which public reporting affects institutional behavioural change and decision making towards quality improvement. Methods This qualitative study used thematic analysis of 17 semistructured, in-depth interviews among a peak group of medical directors representing 26 health services in Victoria, Australia. Results The medical directors indicated a high level of in-principle support for public reporting of identifiable, individual clinician-level data. However, they also described varying conceptual understanding of what public reporting of performance data is. Overall, they considered public reporting of individual clinicians’ performance data a means to improve health care quality, increase transparency and inform consumer healthcare decision making. Most identified caveats that would need to be met before such data should be publicly released, in particular the need to resolve issues around data quality and timeliness, context and interpretation and ethics. Acknowledgement of the public’s right to access individual clinician-level data was at odds with some medical directors’ belief that such reporting may diminish trust between clinicians and their employers, thus eroding rather than motivating quality improvement. Conclusions Public reporting of identifiable individual healthcare clinicians’ performance data is an issue that merits robust research and debate given the effects such reporting may have on doctors and on hospital quality and safety. What is known about the topic? The public reporting of individual clinician-level data is a mechanism used in some countries, but not in Australia, for increasing health care transparency and quality. Clinician-level public reporting of doctors’ performance attracts contention and debate in Australia. What does this paper add? This paper informs debate around the public reporting of individual clinician-level performance data. Among a discrete cohort of senior hospital administrators in Victoria, Australia, there was strong in-principle support for such public reporting as a means to improve hospital quality and safety. What are the implications for practitioners? Before public reporting of individual clinician performance data could occur in Australia, resolution of issues would be required relating to legality and ethics, data context and interpretation, data quality and timeliness.

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Karantzas-Savva, Eleni, and Amy Kirwan. "Ethnic community stakeholders as partners in primary and secondary diabetes prevention." Australian Journal of Primary Health 10, no. 3 (2004): 61. http://dx.doi.org/10.1071/py04048.

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Recently renamed ?Listening to Ethnic Communities about Diabetes?, this project was a winner of the 2003 Innovation and Excellence in Primary Health Care Award, Community and Consumer Participation category. The project is also being promoted as a model of best practice in culturally and linguistically diverse (CALD) community engagement. Listening to Ethnic Communities about Diabetes focused on Type 2 diabetes by developing, piloting and evaluating culturally appropriate primary and secondary prevention health promotion strategies with Maltese, Filipino and Vietnamese communities in the municipality of Brimbank, Victoria. One of the critical success factors for the project was that, while the project was grounded in a health promotion framework, the lead agency did not have a great deal of health expertise. Rather, the focus of its expertise was on relationships with ethnic communities. This allowed for a shift in traditional power structures as the communities were given a real voice and decision-making powers. While the health service providers had the clinical and practical knowledge and expertise in diabetes, it was the involvement of the ethno-specific organisations and ethnic community representatives that enabled the project to develop and pilot models of service provision which had relevance and accessibility to the target community. The project also demonstrated the value in utilising a diverse range of strategies that reflect the cultural practices and preferences of the target communities through being developed and tested in partnership with the communities.

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Chien, Hsiu-Chen Chang. "The Effects of Personal Background and Occupational Stress on the QOL of Vietnamese Care Attendants Working at Medical Institutions in Taiwan." American Journal of Nursing Science 2, no. 4 (2013): 40. http://dx.doi.org/10.11648/j.ajns.20130204.11.

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Rose, Louise, Sioban Nelson, Linda Johnston, and Jeffrey J. Presneill. "Decisions Made By Critical Care Nurses During Mechanical Ventilation and Weaning in an Australian Intensive Care Unit." American Journal of Critical Care 16, no. 5 (September 1, 2007): 434–43. http://dx.doi.org/10.4037/ajcc2007.16.5.434.

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Background Responsibilities of critical care nurses for management of mechanical ventilation may differ among countries. Organizational interventions, including weaning protocols, may have a variable impact in settings that differ in nursing autonomy and interdisciplinary collaboration. Objective To characterize the role of Australian critical care nurses in the management of mechanical ventilation. Methods A 3-month, prospective cohort study was performed. All clinical decisions related to mechanical ventilation in a 24-bed, combined medical-surgical adult intensive care unit at the Royal Melbourne Hospital, a university-affiliated teaching hospital in Melbourne, Victoria, Australia, were determined. Results Of 474 patients admitted during the 81-day study period, 319 (67%) received mechanical ventilation. Death occurred in 12.5% (40/319) of patients. Median durations of mechanical ventilation and intensive care stay were 0.9 and 1.9 days, respectively. A total of 3986 ventilation and weaning decisions (defined as any adjustment to ventilator settings, including mode change; rate or pressure support adjustment; and titration of tidal volume, positive end-expiratory pressure, or fraction of inspired oxygen) were made. Of these, 2538 decisions (64%) were made by nurses alone, 693 (17%) by medical staff, and 755 (19%) by nurses and staff in collaboration. Decisions made exclusively by nurses were less common for patients with predominantly respiratory disease or multiple organ dysfunction than for other patients. Conclusions In this unit, critical care nurses have high levels of responsibility for, and autonomy in, the management of mechanical ventilation and weaning. Revalidation of protocols for ventilation practices in other clinical contexts may be needed.

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Rhook, Nadia. "The Balms of White Grief: Indian Doctors, Vulnerability and Pride in Victoria, 1890–1912." Itinerario 42, no. 1 (April 2018): 33–49. http://dx.doi.org/10.1017/s0165115318000062.

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This article uses the 1898 manslaughter trial of two Indian medical practitioners in Victoria, Australia, as a lens to explore the settler colonial politics of medicine. Whereas imperial and colonial historians have long recognised the close and complex interrelationship of medicine and race, the emotional dimensions to care-giving have been under-appreciated – as has the place of the emotions within wider histories of sickness and health. Yet, this case studies shows, grief, vulnerability, catharsis and pride shaped the practice of medicine infin-de-siecleVictoria. In particular, I argue that, like other emotions, grief does racial work.

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Journal articles on the topic 'Vietnamese Medical care Victoria'

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