Hospital admissions following presentations to emergency departments for a fracture in older people
- Authors: Boufous, Soufiane , Finch, Caroline , Close, Jacqueline , Day, Lesley , Lord, Stephen
- Date: 2007
- Type: Text , Journal article
- Relation: Injury Prevention Vol. 13, no. 3 (2007), p. 211-214
- Full Text: false
- Reviewed:
- Description: The aim of this paper is to estimate the proportion of older people who are hospitalised following a presentation to an emergency department for hip, pelvic and wrist fractures. The findings indicate that hospitalisation data do not accurately reflect the incidence of low-trauma fractures, particularly wrist and pelvic fractures, in older people.
- Description: C1
- Description: 2003005768
Social geography and rural mental health research
- Authors: Boyd, Candice , Parr, H
- Date: 2008
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 8, no. (2008), p. 1-5
- Full Text:
- Reviewed:
- Description: C1
Safety in the Victorian thoroughbred horseracing industry
- Authors: Cowley, Stephen , Bowman, Bindi , Lawrance, Michael
- Date: 2007
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 23, no. 5 (2007), p. 421-431
- Full Text:
- Reviewed:
- Description: Employees in the Victorian thoroughbred horseracing industry who work closely with horses are exposed to a significant risk of traumatic injury. Although jockeys are the main focus of attention in this industry sector and in the literature, a large number of injuries are sustained by track riders and stable attendants. Exploratory research into the nature of the injury problem was undertaken and it was found that there is a culture in the Victorian thoroughbred horseracing sector that leads to a greater focus on horses and their performance rather than on the health, safety and wellbeing of employees. Workers are exposed to a significant risk of injury as a result of shortcomings with regard to OHS management, the work environment, equipment, rules and procedures, and training and education. There appears to be little understanding of the mutual responsibilities at shared workplaces and a low level of responsiveness by those in a position to control hazards at training tracks and racetracks.
- Description: C1
Falls from plasterers' work platforms in Australia
- Authors: Cowley, Stephen , Leggett, Susan
- Date: 2010
- Type: Text , Journal article
- Relation: Journal of Health, Safety and Environment Vol. 26, no. 3 (2010), p. 259-268
- Full Text: false
- Reviewed:
- Description: Plasterers are over-represented in falls-related injury data. When accessing work at height, it is common for plasterers to use stilts, trestles, scaffolds and ladders (as well as other conveniently available items) as work platforms. To determine the prevalence of injuries sustained through the use of work platforms, a review of workers compensation claims recorded between 31 July 2002 and 30 September 2007 in New South Wales and Victoria was undertaken. During this period, 283 workers compensation claims (costing A$ 19.3m) were recorded. The greatest number of falls was from ladders, followed by scaffolds and trestles. Sixty-one claims (costing A$1.5m) were made for injuries sustained while alighting (stepping off) platforms. Very few injury reports implicated stilts. It is possible that this is associated with the veracity of the data within the claims databases or an under-reporting phenomenon. The findings have implications for policy formulation and demonstrate the need for empirical research that is not dependent on injury data.
Reducing the energy cost of dragging sheep during sheep shearing
- Authors: Payne, Warren , Culvenor, John , Lawrance, Michael , Harvey, Jack , Cowley, Stephen , Stuart, David , Williams, Robyn
- Date: 2002
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 18, no. 2 (2002), p. 173-179
- Full Text: false
- Reviewed:
- Description: The task of dragging sheep into position for shearing has been reported by shearers as the most physically demanding and one of the highest injury risk aspects of shearing, particularly with regard to back injury. This study aimed to identify which of the currently used drag paths induced the lowest energy consumption and risk of injury. The drag path with the lowest work economy (oxygen cost per sheep dragged per minute) and highest injury risk is used by left-handed shearers who are shearing from a workstation which is designed for right-handed shearers. Importantly, there were no significant differences in the work economy of the two drag paths which were used most frequently and which involved the lowest injury risk. These data have been used in advocating the adoption of simple shearing shed design solutions to assist in the control of injury risk and energy expenditure in the wool industry.
- Description: 2003000247
Ballarat health consortium : A case study of influential factors in the development and maintenance of a health partnership
- Authors: McDonald, John , Murphy, Angela , Payne, Warren
- Date: 2001
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 7, no. 2 (2001), p. 75-82
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- Reviewed:
- Description: Intersectoral partnerships in health have a central role in current policy and programs. Partnerships are seen to be an effective strategy for maximising health outcomes. However, theoretical models of health partnerships are underdeveloped. Moreover, the research literature contains inconsistent findings about their effectiveness, and there has been very little evaluative research on health partnerships in this country. This paper reports on a case study of an intersectoral consortium using a health promotion approach to cardiovascular disease. A model of partnership formation and development is presented. From this, a research strategy was devised and carried out. Results indicate that the health consortium was formed inresponse to a critical health issue, and as a separate legal entity without recurrent funding, it has been sustained through the commitment of individual members. Project funding has, in large part, dictated its operations. The case study reveals the strengths, vulnnerabilities and achievements of this consortium over five years. To produce sustainable health outcomes, the researchers conclude, partnerships require strategic management to capitalise on individual endeavours, organisational alignments, and government or funder priorities. Ideological zeal for intersectoral health partnerships must be balanced by rigorous evaluation; together with more sophisticated indicators for measuring success in partnerships in health promotion. Theoretical development of models of health partnerships will also contribute to their enhanced effectiveness.
- Description: 2003004325
Examination of triage nurse text narratives to identify sports injury cases in emergency department presentations
- Authors: Mitchell, Rebecca , Finch, Caroline , Boufous, Soufiane , Browne, Gary
- Date: 2009
- Type: Text , Journal article
- Relation: International Journal of Injury Control and Safety Promotion Vol. 16, no. 3 (2009), p. 153-157
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text: false
- Reviewed:
- Description: Narrative text can be a useful means of identifying injury in routine data collections. An analysis of data from a near real-time emergency department surveillance system (NREDSS) in New South Wales (NSW, Australia) was conducted to determine if sports injuries can be identified from routine narrative text recorded in emergency departments. Around one-third of all emergency department (ED) presentations during 1 September 2003 to 15 February 2007 were identified as injury-related. Narrative text searching of triage nursing assessments using keywords identified between 282 (i.e. football) and 26,944 (i.e. play) potential sports injury presentations depending on the selected sports-related keyword used. Routine narrative text descriptions from triage nurse assessments show promise for the identification of sports injury presentations to EDs. Further work is required regarding in-depth assessment of case detection capabilities and the likelihood of improving the quality of narrative text recorded. © 2009 Taylor & Francis.
- Description: 2003008202
Statistical modelling for falls count data
- Authors: Ullah, Shahid , Finch, Caroline , Day, Lesley
- Date: 2010
- Type: Text , Journal article
- Relation: Accident Analysis and Prevention Vol. 42, no. 2 (2010), p. 384-392
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text:
- Reviewed:
- Description: Falls and their injury outcomes have count distributions that are highly skewed toward the right with clumping at zero, posing analytical challenges. Different modelling approaches have been used in the published literature to describe falls count distributions, often without consideration of the underlying statistical and modelling assumptions. This paper compares the use of modified Poisson and negative binomial (NB) models as alternatives to Poisson (P) regression, for the analysis of fall outcome counts. Four different count-based regression models (P, NB, zero-inflated Poisson (ZIP), zero-inflated negative binomial (ZINB)) were each individually fitted to four separate fall count datasets from Australia, New Zealand and United States. The finite mixtures of P and NB regression models were also compared to the standard NB model. Both analytical (F, Vuong and bootstrap tests) and graphical approaches were used to select and compare models. Simulation studies assessed the size and power of each model fit. This study confirms that falls count distributions are over-dispersed, but not dispersed due to excess zero counts or heterogeneous population. Accordingly, the P model generally provided the poorest fit to all datasets. The fit improved significantly with NB and both zero-inflated models. The fit was also improved with the NB model, compared to finite mixtures of both P and NB regression models. Although there was little difference in fit between NB and ZINB models, in the interests of parsimony it is recommended that future studies involving modelling of falls count data routinely use the NB models in preference to the P or ZINB or finite mixture distribution. The fact that these conclusions apply across four separate datasets from four different samples of older people participating in studies of different methodology, adds strength to this general guiding principle. © 2009 Elsevier Ltd. All rights reserved.
The impact of environmental, vehicle and driver characteristics on injury severity in older drivers hospitalized as a result of a traffic crash
- Authors: Boufous, Soufiane , Finch, Caroline , Hayen, Andrew , Williamson, Ann
- Date: 2008
- Type: Text , Journal article
- Relation: Journal of Safety Research Vol. 39, no. 1 (2008), p. 65-72
- Full Text:
- Reviewed:
- Description: Introduction: Compared to younger age groups, older people are more likely to be seriously injured or to die as a result of a traffic crash. Method: The aim of the study is to examine the impact of environmental, vehicle, crash, and driver characteristics on injury severity in older drivers involved in traffic crashes by using recently linked police crash records and hospitalization data from New South Wales, Australia. The severity of injury resulting from traffic crashes was measured using the International Classification of Diseases, 10th revision (ICD-10) Injury Severity Score (ICISS). Results: Multivariate analysis identified rurality, presence of complex intersections, road speed limit, driver error, speeding, and seat belt use as independent predictors of injury severity in older people. The type of intersection configuration explained over half of the observed variations in injury severity. Impact on Industry: Environmental modification such as intersection treatments might contribute to a decrease in the severity of injury in older people involved in road crashes.
- Description: 2003006544
Modelling the population-level impact of tai-chi on falls and fall-related injury among community-dwelling older people
- Authors: Day, Lesley , Finch, Caroline , Harrison, James , Hoareau, Effie , Segal, Leonie , Ullah, Shahid
- Date: 2010
- Type: Text , Journal article
- Relation: Injury Prevention Vol. 16, no. 5 (2010), p. 321-326
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text: false
- Reviewed:
- Description: Objective: To model the population level impact of tai-chi on future rates of falls and fall-related injury in older people as a tool for policy development. Design: An epidemiological and economic model for estimating population-level effectiveness of tai-chi. Setting: Australia, 2009. Patients or subjects: Australian community-dwelling population aged 70+ years, ambulatory and without debilitating conditions or profound visual defects. Intervention: Group-based tai-chi, for 1 h twice weekly for 26 weeks, assuming no sustained effect beyond the intervention period. Main outcome measure: Total falls and fall-related hospitalisation prevented in 2009. Results: Population-wide tai-chi delivery would prevent an estimated 5440 falls and 109 fall-related hospitalisations, resulting in a 0.18% reduction in the fall related hospital admission rate for community-dwelling older people. The gross costs per fall and per fall-related hospital admission prevented were $ A4414 ((sic)3013) and $A220 712 ((sic)150 684), respectively. A total investment of $A24.01 million ((sic)16.39 million), equivalent to 4.2% of the cost of fall-related episodes of hospital care in 2003/4, would be required to provide tai-chi for 31 998 people and achieve this effect. Conclusions: Substantial investment in, and high population uptake of, tai-chi would be required to have a large effect on falls and fall-related hospitalisation rates. Although not accounted for in this study, investment in tai-chi is likely to be associated with additional significant health benefits beyond falls prevention. This approach could be applied to other interventions to assist selection of the most cost effective falls-prevention portfolio for Australia and other countries.
How comparable are road traffic crash cases in hospital admissions data and police records? An examination of data linkage rates
- Authors: Lujic, Sanja , Finch, Caroline , Boufous, Soufiane , Hayen, Andrew , Dunsmuir, William
- Date: 2008
- Type: Text , Journal article
- Relation: Australian And New Zealand Journal Of Public Health Vol. 32, no. 1 (2008), p. 28-33
- Relation: Open Access
- Full Text: false
- Reviewed:
- Description: OBJECTIVES: An assessment of linked data was used to investigate the scope and the extent to which hospitalisations data and police crash records represent road crashes in New South Wales (NSW). METHODS: Hospital separation records for the period 1 July 2000 to 30 June 2001, inclusive, were linked to police crash casualty records for the same period using probabilistic record linkage techniques. Multivariable logistic regression techniques were used to identify factors independently associated with the probability of record linkage. RESULTS: Of 17,552 road transport-related hospital records, 45.1% matched to police crash casualty records. When the analysis was restricted to road traffic crashes, 69.2% of the 9,178 records had a matching police crash casualty record. Multivariable analysis found the most significant factors contributing to the likelihood of linkage to be road user type, payment status and principal diagnosis of injury variables. Motor vehicle controllers, cases entitled to financial compensation and cases with a principal diagnosis of injury were significantly more likely to be linked than all other cases. CONCLUSIONS: The findings indicate that researchers and policy makers should be cautious when examining traffic crashes based on a separate analysis of the hospitalisations data and police crash records. This is particularly true for crashes involving pedestrians, cyclists and motorcyclists, and those resulting in less severe injuries. IMPLICATIONS: The findings have implications for use of both police crash records and hospital records in informing the development of strategies designed to prevent road trauma in the community.
- Description: 2003006566
The limits of prevention - Sports injuries as an example
- Authors: Mahler, Per , Donaldson, Alex
- Date: 2010
- Type: Text , Journal article
- Relation: International Journal of Injury Control and Safety Promotion Vol. 17, no. 1 (2010), p. 69-72
- Full Text: false
- Reviewed:
OHS professionals: Technicians or strategic advisors?
- Authors: Pryor, Pam , Sawyer, Neroli
- Date: 2010
- Type: Text , Journal article
- Relation: Journal of Health, Safety and Environment Vol. 26, no. 1 (2010), p. 7-20
- Full Text: false
- Reviewed:
- Description: This article arose from a concern that OHS professionals are not strategically influential with senior managers, and that this lack of influence may be limiting workplace health and safety improvements and, in turn, hindering the progress of the national OHS improvement strategy. The article analyses data from an Australian survey into the communication patterns and activities of OHS professionals in an attempt to clarify whether their activities are likely to have a strategic influence on senior managers. While there may be a number of interpretations of the data, the results indicate that the focus of the activities of OHS professionals is mainly task-oriented. Less often, the focus of their activities is operational (such as developing the OHS management system), while a few of their activities may be considered as strategic. The Australian survey was part of a broader international study and a comparison of the results with those from other countries revealed that the limited focus on strategic activities is not unique to Australia.
The interrelations between sexual orientation, sense of belonging and dysphoria among Australian women
- Authors: McLaren, Suzanne
- Date: 2006
- Type: Text , Journal article
- Relation: Women and Health Vol. 43, no. 3 (2006), p. 123-137
- Full Text:
- Reviewed:
- Description: This research examined whether sense of belonging in the community and sexual orientation were associated with dysphoria among women. Australian female heterosexuals (n = 202) and lesbians (n = 184) completed the Sense of Belonging Instrument and the Depression, Anxiety, Stress Scales. Results indicated that lesbians experienced a decreased sense of belonging and more dysphoria compared with heterosexual women. Subsequent analyses indicated that sense of belonging to the community mediated the relation between sexual orientation and dysphoria. In addition, sexual orientation moderated the relation between sense of belonging and dysphoria. It appears that the enhancement of lesbians' sense of belonging in the community would be associated with a reduction in dysphoria. Copyright © by The Haworth Press, Inc. All rights reserved.
- Description: C1
- Description: 2003001983
What works for therapists conducting family meetings : Treatment integrity in family-focused grief therapy during palliative care and bereavement
- Authors: Chan, Eunice , O'Neill, Imogen , McKenzie, Maria , Love, Anthony , Kissane, David
- Date: 2004
- Type: Text , Journal article
- Relation: Journal of Pain and Symptom Management Vol. 27, no. 6 (2004), p. 502-512
- Full Text: false
- Reviewed:
- Description: The purpose of this study was to evaluate the treatment integrity of Family-focused Grief Therapy (FFGT), a preventive intervention designed for families at high risk of poor functioning during palliative care and bereavement. From the 81 families participating in a randomized controlled trial (53 assigned to therapy), 28 were randomly selected for this study of treatment fidelity using the ITGT integrity measure. A total of 109 family sessions were appraised. This represented a review of 62 % of treated families, 38 % of total therapy sessions, and 87% of the 15 participating therapists. Weighted mean percentage occurences therapist behaviors permitted trends in therapy application to be observed. Inter-rater reliability using the FFGT integrity measure was satisfactory, with 88 % overall agreement. Eighty-six percent of therapists adhered faithfully to core elements of the model. Therapist competence was evidenced by a strong therapeutic alliance (94 %), affirmation of family strengths in over 90%, and focus on agreed themes in 76 % of sessions. Therapists averaged 10 grief-related questions per session, 7 on communication-related issues during assessment, 7 on conflict late in therapy, and 4 on cohesiveness across the course of therapy. Consistent application of FFGT, with attention to its low-key themes of family communication, cohesiveness, conflict resolution, and shared grief has been demonstrated. The model is generalizable when applied by family therapists. (C) 2004 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.
OHS professionals : Are personal and professional characteristics linked to strategic influence?
- Authors: Pryor, Pam
- Date: 2010
- Type: Text , Journal article
- Relation: Journal of Health, Safety and Environment Vol. 26, no. 1 (2010), p. 21-23
- Full Text: false
- Reviewed:
- Description: Analysis of the data collected from a survey into what OHS professionals do in practice indicated that they are not strategically influential with senior managers and that this lack of influence may be limiting workplace health and safety improvements. This article revisits the survey data to investigate the potential links between the personal (gender) and professional (education and experience) characteristics of OHS professionals, the industry and the size and geographical location of the organisation in which they work, and their involvement in strategic activities. The analysis indicates that the profile of OHS professionals who are strategically influential includes the following: they are male; they have worked in OHS for six to 10 years; and they are employed by large organisations, particularly in the mining and construction industries. The data regarding the role of education were contradictory to expectations and other reports. While this analysis has provided a profile of OHS professionals in Australia, it has added little to our understanding of the interactions and dynamics of factors that might impact on the strategic influence of OHS professionals.
Increasing the adoption of OHS risk controls in small business : Can social marketing help to achieve change?
- Authors: Cowley, Stephen , Else, Dennis , LaMontagne, A.
- Date: 2004
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety Australia and New Zealand Vol. 20, no. 1 (2004), p. 69-77
- Full Text:
- Reviewed:
- Description: 2003000708
Arsenic contamination in Bangladesh groundwater : A major environmental and social disaster
- Authors: Alam, M. G. M. , Allinson, Graeme , Stagnitti, Frank , Tanaka, A. , Westbrooke, Martin
- Date: 2002
- Type: Text , Journal article
- Relation: International Journal of Environmental Health Research Vol. 12, no. 3 (2002), p. 236-253
- Full Text: false
- Reviewed:
- Description: In attempting to eliminate disease caused by drinking polluted surface water, millions of shallow surface wells were drilled into the Ganges delta alluvium in Bangladesh. The latest statistics indicate that 80% of Bangladesh and an estimated 40 million people are at risk of arsenic poisoning-related diseases because the ground water in these wells is contaminated with arsenic. The clinical manifestations of arsenic poisoning are myriad, and the correct diagnosis depends largely on awareness of the problem. Patients with melanosis, leuco-melanosis, keratosis, hyperkeratosis, dorsum, non-petting edema, gangrene and skin cancer have been identified. The present article reviews the current arsenic contamination of ground water, hydrological systems, groundwater potential and utilization and environmental pollution in Bangladesh. This paper concludes by clarifying the main actions required to ensure the sustainable development of water resources in Bangladesh.
- Description: 2003000124
Population-level estimates of child restraint practices among children aged 0-12 years in NSW, Australia
- Authors: Brown, Julie , Hatfield, Julie , Du, Wei , Finch, Caroline , Bilston, Lynne
- Date: 2010
- Type: Text , Journal article
- Relation: Accident Analysis and Prevention Vol. 42, no. 6 (2010), p. 2144-2148
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text:
- Reviewed:
- Description: This cross-sectional study provides population-referenced data on the restraints used and the extent of incorrect restraint use, among child vehicle passengers aged 0-12 years in NSW, Australia. A multistage stratified cluster sampling plan was used to randomly select vehicles from baby/child health clinics, pre-schools/day care centres, and primary schools across NSW to undergo detailed inspection of restraints used by child occupants within those vehicles. Overall, there were very high restraint usage rates (>99% of sampled children) but fewer than one quarter of children were using the correct size-appropriate restraints. Incorrect use (51.4%) was as common as inappropriate use (51.2%). Incorrect use was highest among users of dedicated child restraint systems (OR 16.0, 95% CI 6.9-36.0), and was more likely among those using size-appropriate restraints than those using inappropriate restraints (OR 1.8 95% CI 1.1-3.2); and among convertible restraints than those designed for a single mode of use (OR 1.5 95% CI 1.2-1.7). As incorrect use substantially reduces the protection from injury that is offered by child restraints, it is important that future strategies to reduce casualties among child occupants target both inappropriate and incorrect use. © 2010 Elsevier Ltd. All rights reserved.
Impact of health and safety representative training on concepts of accident causation and prevention
- Authors: Culvenor, John , Cowley, Stephen , Harvey, Jack
- Date: 2003
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 19, no. 3 (2003), p. 279-292
- Full Text:
- Reviewed:
- Description: In South Australia, health and safety representatives (HSRs) may undertake three levels of training, commencing at basic level, then progressing through advanced level to continuing level. A survey of 1,200 HSRs in SA was conducted to assess their beliefs about accident causation and accident prevention. In regard to accident causation, the survey found that HSRs showed a tendency to favour behavioural causation over workplace environment or systems-type causation. In regard to accident prevention, HSRs at all levels of training had a preference for low-order controls. However, there appears to be some shift in thinking by the time HSRs have completed all levels of training (that is, to the continuing training level), though the thinking of most remains distinctly safe-worker in orientation.
- Description: C1
- Description: 2003003020