A snapshot of rehabilitation referrals in rural New South Wales

2010 ◽  
Vol 34 (2) ◽  
pp. 204
Author(s):  
Julie Pryor

The aim of this paper is to describe patterns of referral to inpatient rehabilitation in rural NSW. Archival records of referrals to one rural speciality medical rehabilitation service during 2004 and 2005 were analysed using descriptive statistics displayed using tables and graphs. Seventy-six referrers referred 922 patients for inpatient rehabilitation. Almost two-thirds (63.6%) came from the local acute hospital. Most referrals (80.4%) were considered appropriate for inpatient rehabilitation. Almost three-quarters (72.5%) of the patients referred were admitted. The demand for inpatient rehabilitation is high in rural NSW, suggesting that many healthcare providers view rehabilitation as a valuable service. Furthermore, this study suggests the important contribution that inpatient rehabilitation makes to the utilisation of acute care beds, but does not confirm it. What is known about the topic?Internationally and nationally there is a growing appreciation of the contribution that clinical rehabilitation services make to quality of life for people with a range of conditions, but little is known about referrals patterns to inpatient rehabilitation in rural NSW. What does the paper add?This paper provides the first focussed study of referrals to inpatient rehabilitation in rural NSW. It reports the number of patients referred, the number of referrers, the appropriateness of those referrals and their outcomes. What are the implications for practitioners?Rehabilitation services are important, widely and largely appropriately used; and that further work is needed to assess whether additional services are required to meet this demand.

2019 ◽  
Vol 47 (7) ◽  
pp. 1-11
Author(s):  
Victoria A. Farrow ◽  
Anthony Ahrens ◽  
Kathleen C. Gunthert ◽  
Jay Schulkin

We assessed neuroticism, perceived stress, and work-related factors among obstetrician-gynecologists (ob-gyns), and examined the relationships between these variables. Surveys were sent to 500 physician members of the American College of Obstetricians and Gynecologists and we received 287 (57.4%) completed responses. Analyses included descriptive statistics and linear regressions. Ob-gyns reported high levels of perceived stress. After controlling for neuroticism, variables that significantly predicted stress levels included average hours worked, perception of working too many hours, colleague support for work–home balance, isolation due to gender/cultural differences, and perception of workplace control. Because these work-related factors are linked to stress even when controlling for neuroticism, administrators and physicians may consider whether any of these factors are modifiable to mitigate physician stress. This in turn may affect physicians' own health and the quality of care patients receive.


1988 ◽  
Vol 28 (6) ◽  
pp. 801 ◽  
Author(s):  
RBH Wills ◽  
S Sirivatanapa ◽  
Sirivatanapa Somjate

Postharvest vacuum infiltration of calcium into mature but unripe Hass and Fuerte avocados obtained from 80 growers in the 3 major growing districts in Australia over 2 seasons delayed the time to ripen compared with untreated fruit; but the magnitude of the response varied. Hass fruit from 66% of growers in the Murray Valley showed a significant delay in ripening and the average increase in fruit from all growers was 45% over that of untreated fruit. The response of Fuerte fruit was similar between districts, with an average delay in ripening time of about 30% and with fruit from 60% of growers having a significant increase. Hass fruit from North Queensland and northern New South Wales gave the lowest average delay in ripening of about 10% and an increased delay was significant for fruit from 25% of growers. The quality of ripe Hass fruit was not affected by calcium infiltration, whereas a slight decrease in the quality of Fuerte fruit was observed.


2021 ◽  
Vol 19 (1) ◽  
pp. 13-22
Author(s):  
Mahta Alsadat Aarabi ◽  
◽  
Kianoush Abdi ◽  
Mohammad Saeed Khanjani ◽  
◽  
...  

Objectives: One of the most essential needs of children with Autism Spectrum Disorder (ASD) is using rehabilitation services. However, these services are associated with numerous challenges. The present study aimed to identify the perceptions of the parents of children with ASD and rehabilitation service providers about the challenges of using rehabilitation services in Iran. Methods: This was a qualitative study. In total, 27 participants were selected from the parents of children with ASD and rehabilitation service providers to these children, based on purposive sampling method; we considered maximum variation and sampling continued until data saturation. The necessary data were collected by semi-structured and in-depth interviews. The interviews lasted from July to December 2020 and MAXQDA was used for data analysis. Results: The challenges of children with ASD in accessing and using rehabilitation services were identified and categorized into 6 main classes, as follows: the lack of a systematic support system; the lack of commitment to observing professional ethics; neglecting the structure and policy of rehabilitation; the lack of comprehensive ASD diagnostic and rehabilitation protocols; inadequate knowledge and attitude, and the lack of feasible access to services. Discussion: Policymakers, service providers, and managers must be aware of the challenges of rehabilitation services for ASD; subsequently, they are expected to pay special attention to this issue. This study provided evidence for the above-mentioned groups for accessing and using rehabilitation services among ASD. Besides, the obtained data could help to improve the services they receive and their living conditions; ultimately, they help improve their quality of life.


2020 ◽  
Vol 47 (1) ◽  
pp. 43-62
Author(s):  
Vendula Belackova

With proliferating efforts to regulate the quality of cannabis on legalized markets, and recent discussions about drug quality assessment by darknet buyers, it seems timely to explore definitions of the quality of cannabis among consumers. An inductive analysis of in-depth interviews with people who had used cannabis in the past 12 months was conducted, which focused on the respondents’ subjective definitions and assessments of the quality of cannabis. The data are drawn from convenience samples in four localities (Florida [United States], Czechia, Spain, and New South Wales [Australia]) where cannabis was illegal or decriminalized. The findings suggest that the respondents across all four localities used a range of visual and sensory indicators to assess the quality of cannabis. For many respondents, these were independent indicators of the quality of cannabis suggesting that cannabis was not merely an “experience” good. For others, visual and sensory assessments were used as indirect indicators of quality in that they represented the effect of the cannabis. The desired effect was more complex than simple potency (strength) and several respondents preferred mild and not-sedating cannabis. Across the four localities, the respondents also included “proxy” indicators of the safety of cannabis in their definitions of quality. In other words, high-quality cannabis was defined as not causing excessive intoxication or physical harm. Altogether, cannabis was a specific “credence” good when its quality was seen as a result of cultivation techniques, production location, or producers’ (profit) motivations - depending on the locality. These findings suggest that cannabis policies that regulate the cultivation process can be relevant to people who use cannabis. Given that consumers take the safety of cannabis into consideration when assessing its quality, their involvement in the development of quality standards is warranted. Consumer-led self-regulation should also be considered in policies that seek to regulate cannabis supply.


1991 ◽  
Vol 31 (3) ◽  
pp. 407 ◽  
Author(s):  
VQ Nguyen ◽  
WJ Ashcroft ◽  
KH Jones ◽  
WB McGlasson

Four new F1 hybrids which incorporate the ripening inhibitor (rin) tomato mutation were compared with standard commercial tomato cultivars, including Flora-Dade, for the fresh market in New South Wales and Victoria. The rin gene, in the heterozygous condition, delayed the start of ripening by a few days, increased the interval between breaker and full ripe from 5 to 7 days compared with commercial cultivars, and increased the storage life of ripe fruits from 28 to 40 days at 20�C. There were no significant differences between the level of red colour developed by the rin hybrids and reference tomatoes; however, the rin hybrid fruits took 4 days longer to reach full red colour. The fruits of rin hybrid were as firm as the reference tomatoes when picked at breaker and stored at 20�C for 6 days. However, rin hybrid fruits were significantly (P<0.05) firmer than those of reference tomatoes when harvested at a full ripe stage. Of the 4 rin hybrids tested, HRAS 87-70, which showed the most promise, was released in February 1990 as 'Red Centre'.


1985 ◽  
Vol 25 (4) ◽  
pp. 758 ◽  
Author(s):  
DG Hall ◽  
EC Wolfe ◽  
BR Cullis

Pasture production, ewe and lamb growth, ewe wool production and diet quality were studied on lucerne-subterranean clover pastures at Wagga Wagga, New South Wales. Lucerne was sown at rates of 0.75 to 3.0 kg/ha, and the pastures were rotationally grazed with Border Leicester x Merino ewes at 9.6 or 12.7 sheep/ha, the ewes lambing in August- September. Lucerne density declined by 45% over the 3 years on all treatments. The clover cultivar sown, Woogenellup, had low persistence, particularly at 12.7 sheep/ha. The density of lucerne had little effect on annual wool and lamb production, although the ewes grew faster on the denser lucerne in summer and the sparser lucerne in winter. At 12- 7 sheep/ha, there was an extra 19% total lamb weight by the end of November and an extra 22% of finer wool (1 �m) annually, but the fleeces had a higher proportion of wool tenderness. The major limitations of the lucerne-subterranean clover pastures to sheep production were the low quality of the diet in early summer, and low pasture production in late winter. In early summer the lucerne was rapidly consumed, leaving only moderate quality clover and grass residues, which limited lamb growth, while in winter pregnancy toxaemia occurred, fleeces were tender and wool growth was low, particularly during a drought in 1976.


1992 ◽  
Vol 14 (2) ◽  
pp. 214 ◽  
Author(s):  
RL Pressey

Information on the features to be protected in a system of conservation reserves is an obvious requirement. The quality of the data base will primarily determine the effectiveness of conservation planning in protecting the full range of natural features in a region. However, the way in which data are used to make decisions on the locations of protected areas is also critical. Rigorous procedures for reserve selection can make the difference between achieving reservation goals or not. Research on reserve selection in New South Wales over recent years has concerned both data bases and procedures for guiding decisions. Reserve planning in many regions is based largely on some form of land classification like vegetation types or land systems. There are good reasons for using such land classes to guide the selection of reserves and to judge their representativeness. Nevertheless, they can have considerable limitations as a basis for protecting all the species in a region. These limitations are reviewed with references to more detailed discussions of particular issues. The paper also reviews a variety of procedures for selecting reserves which have been tested and applied in New South Wales. Some of the recent procedures are conceptually simple but very useful in identifying the requirements of reservation goals and demonstrating the options available to planners for representing particular features. Three principles are proposed which should underpin any attempt at systematic conservation planning.


1989 ◽  
Vol 17 (4) ◽  
pp. 11-20 ◽  
Author(s):  
Bob Hill

Central Schools in New South Wales administratively combine primary and secondary schools on a single site. They are normally located in small, relatively isolated, rural communities. In the Western Region of the NSW Department of Education there are 19 Central Schools varying in size from 88 to 557 students. At the time of this study eight of the Central Schools catered for students from kindergarten to Year 12, the remaining eleven catered for kindergarten to Year 10.In 1987/88 Mitchell CAE, in collaboration with the Department of Education in the Western Region, undertook a major research study into the perceptions of Central Schools held by those most closely involved (Sinclair 1988). Prior to the study much of the knowledge of how Central Schools were perceived was anecdotal and impressionistic. This study aimed at gathering comparative data from all Western Region Central Schools about how those who taught, studied, or sent their children there perceived the quality of education provided by Central Schools.


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