Physician don't heal thyself: a descriptive study of impaired older doctors

2007 ◽  
Vol 19 (5) ◽  
pp. 974-984 ◽  
Author(s):  
C. Peisah ◽  
K. Wilhelm
Keyword(s):  
New South ◽  
Poor Performance ◽  
Work Patterns ◽  
South Wales ◽  
Age Related ◽  
Psychiatric Conditions ◽  
The Subject ◽  
Sense Of Obligation ◽  
Medical Morbidity ◽  
Aging Medical

Background: The growing and welcome interest in the issues leading to distress and impairment in younger doctors has not been mirrored by a focus on the similar issues in older doctors which is surprising given the aging medical workforce.Objectives: To improve understanding of impairment in older doctors and to facilitate the planning of primary prevention strategies.Method: Consecutive case records of notifications to the Impaired Registrants Program of the New South Wales Medical Board, Australia, of doctors over 60 years from January 2000 to January 2006 (N = 41) were examined. Details of demographics, type of practice, nature of referral, medical morbidity, cognitive examination, psychiatric diagnosis and outcome of assessment were recorded.Results: Impaired older doctors suffered cognitive impairment (54%), substance abuse (29%) and depression (22%) and 17% had two comorbid psychiatric conditions. Twelve percent had frank dementia. Two work patterns – the “workhorse” and the “dabbler” – were observed, as was a culture of postponed retirement due to a sense of obligation and working “until you drop.” Impaired older doctors were found to have higher chronic illness burden compared with community norms. Almost half were the subject of patient complaints or of poor performance within ten years of presentation.Conclusion: To our knowledge there has been no other comprehensive examination of patterns of impairment in older doctors. Older doctors are prone to suffer “the four Ds”: dementia, drugs, drink and depression. We need to encourage mature doctors to adapt to age-related changes and illness and validate their right to timely and appropriate retirement.

Drysdale, Russell (1912–1981)

2018 ◽  
Author(s):  
Anne Gray
Keyword(s):  
World War Ii ◽  
Indigenous People ◽  
Subject Matter ◽  
New South ◽  
New South Wales ◽  
World War ◽  
Railway Stations ◽  
South Wales ◽  
The Subject ◽  
The 1960S

Russell Drysdale was an Australian artist who created an original vision of the Australian landscape from the 1940s to the 1960s, portraying the emptiness and loneliness of the Australian outback and country townships in his paintings, drawings, and photographs. During World War II, he depicted everyday subjects, including groups of servicemen waiting at railway stations. He traveled numerous times to the interior of Australia, including a trip to record the drought devastation in South Western New South Wales in 1944, where he created images that convey the environmental degradation of the landscape. In 1947, he explored the Bathurst region with Donald Friend where he discovered Sofala and Hill End, an area that served as the subject matter for his art for a number of years. Drysdale painted many images of deserted country towns as well as brooding landscapes peopled with stockmen and station hands. In his paintings of Aborigines, Drysdale expressed a deep concern for the Indigenous people, often placing them within his paintings in a manner that conveys a sense of dispossession. His work was singled out by Kenneth Clark in 1949 as being among the most original in Australian art, and his exhibition at the Leicester Galleries, London, in 1950 convinced British critics that Australian artists had an original vision.

scholarly journals XIV. On fossil remains of Echidna Ramsayi (Ow.). Part II

1887 ◽  
Vol 42 (251-257) ◽  
pp. 390-390
Keyword(s):  
New South ◽  
New South Wales ◽  
Extinct Species ◽  
Fossil Remains ◽  
South Wales ◽  
The Subject

Since the transmission of the evidence of the large extinct species of Echidna ,the subject of the paper (‘Phil. Trans.,’ 1884, p. 273, Plate 14), the discoverer of the specimen, Ed. P. Ramsay, Esq., F. L. S., has prosecuted his researches in the “Wellington bone and breccia caves, New South Wales,” and has added to the mutilated subject of that paper an entire humerus, a large portion of the skull, the atlas vertebra, a tibia, and fragmentary evidences of other parts of the same skeleton—adding to the knowledge of a former existence in Australia of Echidna Ramsayi .

scholarly journals Evidence of a large extinct monotreme ( Echidna Ramsayi , Ow.) from the Wellington Breccia Cave, New South Wales

1883 ◽  
Vol 36 (228-231) ◽  
pp. 4-4
Keyword(s):  
New South ◽  
New South Wales ◽  
New Guinea ◽  
Australian Species ◽  
South Wales ◽  
The Subject ◽  
Formed Part

In this communication the author gives a description of a fossil humerus from the breccia cave of Wellington Valley, which repeats the characters of that bone in the existing monotrematous genus Echidna more closely than those of the same bone in any other known kind of mammal. The fossil, however, greatly exceeds in size that of the existing Australian species, Echidna hystrix , Cuv. The existence of, at least, two other kinds lately discovered living in New Guinea has been made known in memoirs by Professor Gervais and Mr. E. P. Ramsay, E .L .S.; these occupy, in respect of size, the interval between them and the Australian Ech. hystrix , but the subject of the present paper makes known the largest Monotreme hitherto discovered. Figures of the fossil in question, and of the corresponding bone of the smaller existing Australian kind, accompany the text. The fossil formed part of the series of remains obtained from the cave above cited, and was with them submitted to the author, who proposes to indicate the present acquisition by the name Echidna Ramsayi .

NSW—Strategic release of exploration areas

2017 ◽  
Vol 57 (2) ◽  
pp. 418
Author(s):  
Diane Crosdale
Keyword(s):  
Community Engagement ◽  
Selection Process ◽  
New South ◽  
Social Data ◽  
Gas Industry ◽  
Demand And Supply ◽  
Advisory Body ◽  
South Wales ◽  
Independent Review ◽  
The Subject

In November 2014 the New South Wales (NSW) Government set out a series of actions to pause, reset and restart a sustainable gas industry for NSW. NSW gas demand and supply reinforce the need for the development of a gas industry. Under this reset, gas exploration areas will be released through the Strategic Release Framework process. The Framework is an independent and transparent process. Utilising geological, economic, environmental and social data including the outcomes of community engagement, areas considered suitable for exploration will be nominated for release. The Framework recognises that there are competing uses for land, and seeks to balance these interests. The Advisory Body, being the independent review body, will conduct these assessments. All release areas will be the subject of a competitive selection process.

Prevalence of Psychoses on Reception to Male Prisons in New South Wales

2005 ◽  
Vol 39 (6) ◽  
pp. 453-459 ◽  
Author(s):  
Olav Nielssen ◽  
Shavtay Misrachi
Keyword(s):  
Clinical Assessment ◽  
New South ◽  
New South Wales ◽  
Poor Performance ◽  
Composite International Diagnostic Interview ◽  
Diagnostic Interview ◽  
Psychotic Illness ◽  
South Wales ◽  
Screening Questions ◽  
Available Information

Objective: To estimate the prevalence of psychotic illnesses among men received to prisons in New South Wales. The study also sought to estimate the sensitivity and specificity of the psychosis screener in the Composite International Diagnostic Interview (CIDI-Auto). Method: The study was part of a larger study on psychiatric disorder in men received to New South Wales prisons. Using a structured questionnaire, the CIDI-Auto (modified), which included screening questions for psychotic illness, the prisoners who gave positive responses to the screening questions for psychosis as well as any subjects considered by the experienced clinicians performing the CIDI-Auto interviews to show features of a psychotic illness, were referred to the researchers for a clinical assessment. The clinical assessment included a review of all available information. Results: Of the prisoners, 5.1% were thought to have definite psychotic illness and 1.9% to have possible psychotic illness. The psychosis screener was found to be neither sensitive nor specific. Conclusions: The rate of psychotic illness among people remanded to New South Wales prisons is between 10 and 14 times the rate found in a similar study in the wider community. The poor performance of the psychosis screener suggests that screening for psychotic illness on reception to prisons should be performed by clinically trained staff.

II. Description of fossil remains of two species of a Megalanian genus ( Meiolania , Ow.), from Lord Howe’s Island

1886 ◽  
Vol 40 (242-245) ◽  
pp. 315-316 ◽  
Keyword(s):  
Natural History ◽  
New South ◽  
New South Wales ◽  
British Museum ◽  
Fossil Remains ◽  
South Wales ◽  
Differential Characters ◽  
The Subject ◽  
Scientific Survey

In a scientific survey by the Department of Mines, New South Wales, of Lord Howe’s Island, fossil remains were obtained which were transmitted to the British Museum of Natural History, and were confided to the author for determination and description. These fossils, referable to the extinct family of horned Saurians described in former volumes of the “Philosophical Transactions" under the generic name Megalania , form the subject of the present paper. They represent species smaller in size than Megalania prisca , Ow., and with other differential characters on which an allied genus Meiolania is founded.

scholarly journals XI. Description of the anatomy of the Ornithorhynchus Hystrix

1802 ◽  
Vol 92 ◽  
pp. 348-364 ◽  
Keyword(s):  
New South ◽  
New South Wales ◽  
South Wales ◽  
One Step ◽  
The Subject

At the time I had the honour of laying before this learned Society, an anatomical description of the Ornithorhynchus paradoxus, (see page 67,) I did not attempt to point out any quadrupeds as being nearly allied to it, there being none at that time within my knowledge; but the discovery of another of the same tribe, which is the subject of the present Paper, enables me to trace one step further, in the gradation between that extraordinary animal and the more perfect quadruped. The subject from which the following description was taken, was sent from New South Wales, preserved in spirit. It is a male, and had arrived nearly at its full growth, as the epiphyses were completely united to the bodies of the bones, which is not the case in growing animals.

scholarly journals A survey of the meat goat industry in Queensland and New South Wales. 2. Herd management, reproductive performance and animal health

2016 ◽  
Vol 56 (9) ◽  
pp. 1533 ◽  
Author(s):  
D. M. Nogueira ◽  
B. Gummow ◽  
C. P. Gardiner ◽  
J. Cavalieri ◽  
L. A. Fitzpatrick ◽  
...  
Keyword(s):  
Reproductive Performance ◽  
New South ◽  
Animal Health ◽  
New South Wales ◽  
Poor Performance ◽  
Gastrointestinal Parasites ◽  
Herd Management ◽  
High Rainfall ◽  
South Wales ◽  
Boer Goats

An interview-based questionnaire survey was conducted on 31 goat properties in New South Wales and Queensland in 2013. This study has gathered information on goat herd management, reproductive performance and animal health, and has identified constraints that may limit goat productivity. Producers from high-rainfall regions reported having full blood Boer goats for stud breeding. In contrast, producers from pastoral regions had rangeland goats and Boer-cross goats. Overall, 87% of the producers identified a natural breeding season in goats and 61% separated kids from their mothers at weaning. The weaning age varied between 3.0 and 6.0 months. A total of 52% of producers castrated male kids. Only 10% of producers used ultrasound to conduct pregnancy diagnosis on their goats. The reported pregnancy rate was 60% for the pastoral regions and 94% for the high-rainfall regions. The average prolificacy was 1.4 kids/doe and the kidding interval was 12 months. Overall, 68% of producers fed their goat herd with supplements, with the exception that most producers from western New South Wales and south-western Queensland did not use supplements. Producers considered gastrointestinal parasites (61%) and body lice (48%) as the main diseases associated with their goat herds, although only 52% mentioned drenching the animals with anthelmintics. In general, properties in the pastoral regions showed low pregnancy and kidding rates, early age at first mating, high mortality rates, poor performance of Boer bucks and lower weights and weight gain compared with properties in the high-rainfall regions. The survey has highlighted areas that require further study to validate the observations of producers, for instance, factors that may be limiting the fertility of Boer goats in rangeland environments, the incidence of diseases, the use of Kidplan and management activities to improve goat productivity.

Changing the Rules on Bail: An Analysis of Recent Legislative Reforms in Three Australian Jurisdictions

2020 ◽  
Vol 43 (2) ◽  
Author(s):  
Lachlan Auld ◽  
Julia Quilter
Keyword(s):  
Justice System ◽  
New South ◽  
High Volume ◽  
Fundamental Rights ◽  
Law Reform ◽  
Systematic Analysis ◽  
Policy Tool ◽  
South Wales ◽  
The Subject ◽  
Legislative Reforms

Bail decisions are a high-volume and hugely consequential component of the Australian criminal justice system, and yet, laws governing access to bail have rarely been the subject of systematic analysis. This article sheds new light on how bail laws have changed and what this reveals about how and why governments employ the criminal law as a public policy tool. Working with a dataset of 71 statutes enacted in New South Wales, Queensland and Victoria during the 10-year period between 2009 and 2018, we employ a combination of quantitative and qualitative analysis to illuminate key features and patterns. Our main findings are that bail law remains an active site of statutory reform, and that the object of mitigating harm- risk routinely takes priority over the fundamental rights of the accused. As a consequence, the strong trajectory of contemporary bail law reform has been to restrict rather than expand access to bail.

Seeds of Myth: Exotic Disease Theory and Deconstructing the Australian Narrative of Indigenous Depopulation

2009 ◽  
Vol 38 (S1) ◽  
pp. 17-24
Author(s):  
Greg Blyton
Keyword(s):  
Nineteenth Century ◽  
Indigenous People ◽  
Indigenous Population ◽  
New South ◽  
Population Decline ◽  
Early Years ◽  
Medical Evidence ◽  
South Wales ◽  
Widespread Belief ◽  
The Subject

AbstractThe theory that the rapid depopulation of Indigenous people post-colonisation was largely caused by European introduced or exotic disease to which Indigenous people had no immunity resonates through most narratives of the early years of colonisation. The question of whether this narrative is based on sound medical evidence or is better placed in the realm of myth is the subject of this paper. Here I contend, that introduced disease is little more than a convenient explanation of the rapid depopulation of Indigenous people in south eastern New South Wales during the nineteenth century, and one that allows the illusion of colonial ethnography to perpetuate a widespread belief that introduced diseases and immunity were the unfortunate, but unavoidable cause of most Indigenous population decline. But what is the evidence that these disease theories found in Australian history are anything more than Eurocentric constructions? An Indigenous approach to the topic, as undertaken in this paper, raises questions that are as yet without answers and which challenge conventional theoretical explanations.

Sign in / Sign up

Export Citation Format

Share Document