http://hdl.handle.net/2440/4006 Tue, 21 May 2013 22:08:13 GMT 2013-05-21T22:08:13Z http://hdl.handle.net/2440/77887 Title: Evaluation of collaborative models of care in the management of patients with depression: protocol and progress Author: Hajiali Afzali, Hossein; Karnon, Jonathan Daniel; Gray, Jodi Patricia; Beilby, Justin John Sat, 31 Dec 2011 13:30:00 GMT http://hdl.handle.net/2440/77887 2011-12-31T13:30:00Z http://hdl.handle.net/2440/77839 Title: Motherhood within elite sport discourse: the case of Keli Lane Author: Cosh, Suzanne Michelle; Crabb, Shona Helen Abstract: Motherhood and participation in elite sport have traditionally been viewed as at odds with each other. However, mothers competing at the pinnacle of sport are becoming more common. Despite such trends, motherhood often remains invisible and taboo within the sphere of elite sport and little research has addressed athletes who are mothers. In order to explore popular accounts of motherhood and elite sport, we examined 326 media reports of the case of Keli Lane, an Australian water polo player who was convicted of murdering her infant in order to pursue her sporting goals. We draw on a social constructionist and critical approach to discursive analysis in order to explore repeated patterns of constructions of athlete identity and motherhood. We argue that within these media accounts, the identities of 'elite athlete' and 'mother' were depicted as mutually exclusive. Morever, the role of the broader context of elite sporting culture and organisations in influencing the combination of motherhood and elite sport participation was rendered invisible within these accounts. The implications for female athletes, especially mothers, are discussed. Sat, 31 Dec 2011 13:30:00 GMT http://hdl.handle.net/2440/77839 2011-12-31T13:30:00Z http://hdl.handle.net/2440/77833 Title: Length of stay in hospital and all-cause readmission following elective total joint replacement in elderly men Author: Mnatzaganian, George; Ryan, Philip; Norman, Paul E.; Davidson, David Charles; Hiller, Janet Esther Abstract: Background: We retrospectively assessed the independent effects of patient and clinical factors on length of stay and all-cause 90-day, one-year, and two-year readmission following elective total joint replacement. We also evaluated the independent association between length of stay and readmission with postoperative five-year mortality. Methods: Longitudinal data from 819 men who had had total joint replacement were integrated with validated hospital morbidity data and mortality records. Length of stay, readmission, and mortality following total joint replacement were each modeled using multivariable proportional hazards regression. Results: Mean age at surgery was 76.3 ± 4.3 years. Median length of stay following total joint replacement decreased by 25% from 12 days in 1997–1998 to nine days in 2005–2007. Age, inhospital complications, total knee replacement, private hospital, and increased body weight were significantly associated with longer stay. A dose-response relationship between weight and length of stay was observed (P = 0.003). Crude 90-day, one-year, and two-year readmission rates were 17.3%, 47.4%, and 65.0%, respectively. Ninety-day readmission was associated with comorbidity, inhospital complications, and treatment in public hospitals. Age, comorbidity, socioeconomic disadvantage, and increased weight significantly increased the risk of one-year and two-year readmission. Patients with a body mass index ≥ 30 kg/m2 were 34% more likely to be readmitted within two years compared with those having a body mass index of 18.5–24.9 kg/m2. All-cause one-year and two-year readmission rates were significantly higher in patients undergoing a total knee replacement than those undergoing a total hip replacement. No independent associations between length of stay and all-cause readmission or mortality were observed. All-cause 90-day and one-year readmission independently increased the risk of long-term postoperative mortality. Conclusion: After adjusting for confounding factors, including age, comorbidity, obesity, and inhospital complications, length of stay was not independently associated with post-discharge readmission or death. We report that the obese, those having total knee replacement, and the socioeconomically disadvantaged are the highest consumers of hospital resources following elective total joint replacement in elderly men. Our findings may assist clinicians in better selection of elderly patients for surgery, and informing them about their individual level of risk. Sat, 31 Dec 2011 13:30:00 GMT http://hdl.handle.net/2440/77833 2011-12-31T13:30:00Z http://hdl.handle.net/2440/77824 Title: A study of the efficiency of cleaning reagents for three antineoplastic agents (5-FU, CP, PT) commonly used in hospitals in South Australia Author: Lee, Su-Gil; Tkaczuk, Michael Nicholas; Jankewicz, Ganyk Jozef; Pisaniello, Dino Luigi Abstract: Occupational exposure to antineoplastic agents can cause acute and chronic health effects from repeated dermal contact with contaminated surfaces in healthcare centres. Although relevant guidelines and standards recommend some specific cleaning reagents, information on the decontamination efficiency of the cleaning reagents is limited. The aim of this study was to examine the efficiency of six cleaning reagents (0.5% w/v sodium hypochloride, 0.03M sodium hydroxide, 70% isopropyl alcohol, 70% ethanol, acentonitrile, distilled water) against three antineoplastic agents (Fluorouracil, Cyclophosphamide and Paclitaxel)commonly used in South Australia. A decomposition test of three antineoplastic agents in each cleaning reagent was undertaken using a HPLC system under ambient temperature conditions at a number of time intervlas (1, 15, 30, 60, 80 minutes). This study found that 70% ethanol and isopropanol did not significantly degrade the three antineoplastic agents. Sodium hypochlorite (0.5% w/v chlorine based bleaching agent) was the most effective cleaning reagent to decontaminate the three antineoplastic agents. Fri, 31 Dec 2010 13:30:00 GMT http://hdl.handle.net/2440/77824 2010-12-31T13:30:00Z