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Christopher Del Mar FRACGP FAFPHM Vivienne O'Connor FRACOG 《The Australian & New Zealand journal of obstetrics & gynaecology》1994,34(1):35-38
Summary: We questioned 229 general practitioners (GPs), 288 women who had recently delivered babies in public hospitals, 26 public hospital doctors, and 33 midwives in South Brisbane. Shared antenatal care was undertaken by 84% of mothers, and recently provided by 88% GPs. Mothers valued having sufficient time with their antenatal clinician, continuity of care, and short waiting and travel times. They preferred a GP to provide antenatal care, and a hospital midwife to deliver them. GPs were interested in providing even more obstetric care - one third in providing intrapartum care - and in gaining continuing education in obstetrics. Hospital doctors and midwives were supportive of women choosing the personnel to deliver them, and of an increased GP and midwife role in public hospital obstetrics, but unenthusiastic about home deliveries. There is widespread support for an increased role for GPs in public obstetrics. 相似文献
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Thomas J. Stewart BBioMedSc MBBS FRACGP Winnie Tong BSc MBBS FRACP FRACPA Margot J. Whitfeld MBBS MPH&TM FACD 《International journal of dermatology》2018,57(11):1275-1282
Psoriasis is estimated to affect around 2–3% of the general population. More than one‐third of Australians report having a significant level of distress in their daily lives. Psychological stress has long been shown to play an important role in the natural history of psoriasis, but the details of this relationship remain to be clearly defined. We performed a systematic review of the literature with the aim of determining whether there is a temporal association between psychological stress as the predictor and onset and/or exacerbation of psoriasis as the outcome measure. Our secondary aim was to establish whether there is a relationship between the degree of psychological stress and clinical severity of psoriasis. Our systematic review demonstrates a probable temporal association between different measures of psychological stress and onset, recurrence, and severity of psoriasis. In the light of this, we suggest clinicians include “stress” as a trigger factor in their psoriasis assessment and consider psychological interventions as adjuncts, particularly in those who identify as “stress‐responders”. 相似文献
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Suzanne Rainsford MBBS FAChPM Roderick D. MacLeod PhD FAChPM Nicholas J. Glasgow MD FAChPM Donna M. Wilson RN PhD Christine B. Phillips MPH FRACGP Robert B. Wiles MBBS FRCGP 《Health & social care in the community》2018,26(3):273-294
The ‘good death’ is one objective of palliative care, with many ‘good death’ viewpoints and research findings reflecting the urban voice. Rural areas are distinct and need special consideration. This scoping review identified and charted current research knowledge on the ‘good’ rural death through the perspectives of rural residents, including rural patients with a life‐limiting illness, to identify evidence and gaps in the literature for future studies. A comprehensive literature search of English language articles (no date filter applied) was conducted in 2016 (2 January to 14 February) using five library databases. Reference lists of included articles, recent issues of eight relevant journals and three grey literature databases were also hand‐searched. Twenty articles (for 17 studies and one systematic review) were identified after a two‐phase screening process by two reviewers, using pre‐determined inclusion criteria. Data from each study were extracted and charted, analysed using a thematic analysis of the included articles' content, and with a quantitative analysis of the scoping review. These papers revealed data collected from rural patients with a life‐limiting illness and family caregivers, rural healthcare providers, the wider rural community, rural community leaders and rural health administrators and policy makers. Rural locations were heterogeneous. Residents from developed and developing countries believe a ‘good death’ is one that is peaceful, free of pain and without suffering; however, this is subjective and priorities are based on personal, cultural, social and religious perspectives. Currently, there is insufficient data to generalise rural residents' perspectives and what it means for them to die well. Given the extreme importance of a ‘good death’, there is a need for further studies to elicit rural patient and family caregiver perspectives. 相似文献
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Medicines can affect thermoregulation and accentuate the risk of dehydration and heat‐related illness during hot weather 下载免费PDF全文
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Evidence‐based occupational therapy for people with dementia and their families: What clinical practice guidelines tell us and implications for practice 下载免费PDF全文
Kate Laver PhD MClinRehab BAppSc Robert Cumming MBBS MPH PhD Suzanne Dyer PhD GradCertPH Meera Agar FRACP FAChPM PhD Kaarin J Anstey BA PhD Elizabeth Beattie PhD MA BA Henry Brodaty MD DSc FRANZCP Tony Broe MRACP MBBS BA Lindy Clemson PhD MAppSc BAppSc Maria Crotty MPH PhD FAFRM Margaret Dietz BA BSW GradCertFamily Therapy Brian Draper MBBS MD FRANZCP Leon Flicker FRACP GradDipEpid PhD Meg Friel MEd BJuris Louise Heuzenroeder BN MBA MPH Susan Koch PhD RN MN Sue Kurrle MBBS PhD DGM Rhonda Nay PhD Dimity Pond MBBS FRACGP PhD Jane Thompson BSc MSc PhD Yvonne Santalucia BEd Craig Whitehead FAFRM FRACP Mark Yates MBBS FRACP 《Australian Occupational Therapy Journal》2017,64(1):3-10
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