THIS STUDY AIMS TO DETERMINE THE EFFECT OF A TRAINED DEDICATED DIETITIAN ON CLINICAL OUTCOMES AMONG LEBANESE HEMODIALYSIS (HD) PATIENTS: and thus demonstrate a viable developing country model. This paper describes the study protocol and baseline data. The study was a multicenter randomized controlled trial with parallel-group design involving 12 HD units: assigned to cluster A (n = 6) or B (n =...

BACKGROUND Timely ventilator liberation is crucial in the pediatric ICU. In many pediatric ICUs, the decision to initiate weaning is driven by the physician, which may lead to delays in ventilator liberation. The objectives of this quality improvement project were to develop and implement a respiratory therapist (RT)-led protocol for screening for spontaneous breathing trial (SBT) readiness, to...

BACKGROUND While medication adherence is essential for the secondary prevention of stroke, it is often sub-optimal, and can be compromised by cognitive impairment. This study aimed to systematically review and meta-analyse the association between cognitive impairment and medication non-adherence in stroke. METHODS A systematic literature search of longitudinal and cross-sectional studies of a...

OBJECTIVES Implementation intervention effects can only be fully realised and understood if they are faithfully delivered. However the evaluation of implementation intervention fidelity is not commonly undertaken. The IMPLEMENT intervention was designed to improve the management of low back pain by general medical practitioners. It consisted of a two-session interactive workshop, including dida...

OBJECTIVE To determine adherence to NHMRC eye examination guidelines for Indigenous and non-Indigenous Australian people with diabetes. DESIGN Cross-sectional survey using multistage, random cluster sampling. SETTING Thirty randomly selected geographic sites in the five mainland Australian states and the Northern Territory, stratified by remoteness. PARTICIPANTS 1738 Indigenous Australian...

Title: Trial to Incentivise Adherence for Diabetes (TRIAD): study protocol for a randomised controlled trial Authors: Marcel Bilger ([email protected]) Mitesh Shah ([email protected]) Ngiap Chuan Tan ([email protected]) Kaye Howard ([email protected]) Hui Yan Xu ([email protected]) Ecosse Lamoureux ([email protected]) Eric Finkelstein...

Background The optimal intravenous device for antibiotic administration children with respiratory disease is uncertain. We assessed the feasibility of a randomized controlled trial comparing midline catheters peripherally inserted central catheters. Methods Prospective, two-arm, in an Australian tertiary, pediatric hospital. Random assignment 110 (<18 years) to receive (i) catheter and (ii) Pri...

BACKGROUND Medications targeting stroke risk factors have shown good efficacy, yet adherence is suboptimal. To improve adherence, its determinants must be understood. To date, no systematic review has mapped identified determinants into the Theoretical Domains Framework (TDF) in order to establish a more complete understanding of medication adherence. PURPOSE The aim of this study was to iden...

OBJECTIVES To describe participants' adherence to multiple components (attendance, energy intake, fat gram, exercise goals, and self-monitoring eating and exercise behaviors) of a standard behavioral treatment program (SBT) for weight loss and how adherence to these components may influence weight loss and biomarkers (triglycerides, low density lipoproteins [LDL], high density lipoprotein, and ...

OBJECTIVES To determine if mandatory adherence to a diagnostic protocol increases the rate of computed tomography pulmonary angiographies (CTPAs) positive for pulmonary embolism (PE)-the so-called diagnostic yield. Further, we aim to identify factors associated with this diagnostic yield. METHODS We included all patients with suspected PE requiring CTPA from 9 January 2014 t0 3 June 2014. The...