76
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Gnanenthiran S, Hyun K, D'Souza M, French J, Rankin J, MacIsaac A, Juergens C, Horsfall M, Chew D, Brieger D. Use of Oral Anticoagulation Combined with Single Versus Dual Antiplatelet Therapy in Acute Coronary Syndrome Patients: An Australian Pooled Registry Analysis. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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77
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Gibbs O, Hee L, Hopkins A, Lo S, Juergens C, French J, Mussap C. Predictive Accuracy of GRACE and TIMI Risk Scores: A Single-Centre Observational Study of In-Hospital Mortality in PCI Treated STEMI Patients. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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78
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Khan E, Brieger D, Amerena J, Atherton J, Farshid A, Ilton M, Juergens C, Kangaharan N, Rajaratnam R, Sweeney A, Walters D, Chow C. Gender Differences in Hospital Management of ST-Elevation Myocardial Infarction Patients. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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79
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Azim S, Juergens C, Hines J, McLaws ML. Introducing automated hand hygiene surveillance to an Australian hospital: Mirroring the HOW2 Benchmark Study. Am J Infect Control 2016; 44:772-6. [PMID: 27040569 DOI: 10.1016/j.ajic.2016.02.012] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2015] [Revised: 01/27/2016] [Accepted: 02/01/2016] [Indexed: 10/22/2022]
Abstract
BACKGROUND Human auditing and collating hand hygiene compliance data take hundreds of hours. We report on 24/7 overt observations to establish adjusted average daily hand hygiene opportunities (HHOs) used as the denominator in an automated surveillance that reports daily compliance rates. METHODS Overt 24/7 automated surveillance collected HHOs in medical and surgical wards. Accredited auditors observed health care workers' interaction between patient and patient zones to collect the total number of HHOs, indications, and compliance and noncompliance. Automated surveillance captured compliance (ie, events) via low power radio connected to alcohol-based handrub (ABHR) dispensers. Events were divided by HHOs, adjusted for daily patient-to-nurse ratio, to establish daily rates. RESULTS Human auditors collected 21,450 HHOs during 24/7 with 1,532 average unadjusted HHOs per day. This was 4.4 times larger than the minimum ward sample required for accreditation. The average adjusted HHOs for ABHR alone on the medical ward was 63 HHOs per patient day and 40 HHOs per patient day on the surgical ward. From July 1, 2014-July 31, 2015 the automated surveillance system collected 889,968 events. CONCLUSIONS Automated surveillance collects 4 times the amount of data on each ward per day than a human auditor usually collects for a quarterly compliance report.
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Azim S, Juergens C, McLaws ML. An average hand hygiene day for nurses and physicians: The burden is not equal. Am J Infect Control 2016; 44:777-81. [PMID: 27040570 DOI: 10.1016/j.ajic.2016.02.006] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2015] [Revised: 02/03/2016] [Accepted: 02/05/2016] [Indexed: 01/10/2023]
Abstract
BACKGROUND To understand whether the burden of hand hygiene contributes to poor compliance we measured the daily number of hand hygiene opportunities (HHOs) by shift for nurses and physicians in 2 wards in a 850-bed university teaching hospital. METHODS On each ward 4 trained auditors collected the number of HHOs and compliance events for 24 hours over 7 days. Twenty-one thousand four hundred fifty HHOs were collected from a medical and a surgical ward. The proportion of alcohol-based handrub used daily, the burden of hand hygiene, and compliance rates were calculated separately for nurses and physicians. RESULTS The average indication for alcohol-based handrub cleansing represented 68% of all HHOs. Nurses had an average burden of 55 HHOs per 24 hours or 27 HHOs per shift, 3 times higher than the burden for physicians, who had 16 HHOs per 24 hours or 8 HHOs per shift. Overt observations of the weekly compliance identified nurses had 1.5 times higher compliance than physicians: 76% and 52% (P < .01), respectively. CONCLUSIONS Nurses have 3 times more HHOs than physicians, yet nurses have 1.5 times higher compliance than physicians. Hand hygiene compliance in physicians cannot be explained by burden of HHOs.
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81
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Chan T, Dabin B, Hyun K, Ranasinghe I, Neubeck L, Aliprandi-Costa B, Lefkovits J, Devlin G, Juergens C, Chew DP, Brieger D, Freedman SB. Falling cholesterol trend at acute coronary syndrome presentation is strongly related to statin use for secondary prevention. Int J Cardiol 2016; 212:192-7. [DOI: 10.1016/j.ijcard.2016.03.038] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/10/2015] [Revised: 02/27/2016] [Accepted: 03/13/2016] [Indexed: 10/22/2022]
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82
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Kienast B, Kowald B, Seide K, Aljudaibi M, Faschingbauer M, Juergens C, Gille J. An electronically instrumented internal fixator for the assessment of bone healing. Bone Joint Res 2016; 5:191-7. [PMID: 27226357 PMCID: PMC4921051 DOI: 10.1302/2046-3758.55.2000611] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2015] [Accepted: 03/17/2016] [Indexed: 11/21/2022] Open
Abstract
Objectives The monitoring of fracture healing is a complex process. Typically, successive radiographs are performed and an emerging calcification of the fracture area is evaluated. The aim of this study was to investigate whether different bone healing patterns can be distinguished using a telemetric instrumented femoral internal plate fixator. Materials and Methods An electronic telemetric system was developed to assess bone healing mechanically. The system consists of a telemetry module which is applied to an internal locking plate fixator, an external reader device, a sensor for measuring externally applied load and a laptop computer with processing software. By correlation between externally applied load and load measured in the implant, the elasticity of the osteosynthesis is calculated. The elasticity decreases with ongoing consolidation of a fracture or nonunion and is an appropriate parameter for the course of bone healing. At our centre, clinical application has been performed in 56 patients suffering nonunion or fracture of the femur. Results A total of 39 cases of clinical application were reviewed for this study. In total, four different types of healing curves were observed: fast healing; slow healing; plateau followed by healing; and non-healing. Conclusion The electronically instrumented internal fixator proved to be valuable for the assessment of bone healing in difficult healing situations. Cost-effective manufacturing is possible because the used electronic components are derived from large-scale production. The incorporation of microelectronics into orthopaedic implants will be an important innovation in future clinical care. Cite this article: B. Kienast, B. Kowald, K. Seide, M. Aljudaibi, M. Faschingbauer, C. Juergens, J. Gille. An electronically instrumented internal fixator for the assessment of bone healing. Bone Joint Res 2016;5:191–197. DOI: 10.1302/2046-3758.55.2000611.
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Kremeike K, Juergens C, Alz H, Reinhardt D. Patients' Adherence in the Maintenance Therapy of Children and Adolescents with Acute Lymphoblastic Leukemia. KLINISCHE PADIATRIE 2015; 227:329-34. [PMID: 26457956 DOI: 10.1055/s-0035-1559788] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Acute lymphoblastic leukemia (ALL) is the most common form of paediatric cancer. Maintenance therapy as last treatment phase includes oral chemotherapy with methotrexate (MTX) and mercaptopurine (6-MP), self- or parent-administered at home, given for about 1 ½ years, and qualified as decisive for an optimum therapy outcome. The aim of our study was to analyze factors influencing the adherence of patients with ALL undergoing maintenance therapy and their families. METHODS A multi-method study was undertaken between 11/2011 and 10/2014 with patients surveyed by the Hannover Medical School outpatient clinic, including a questionnaire survey and qualitative interviews with parents as well as blood samples of the patients. RESULTS 33 questionnaires, 27 interviews and blood samples of 26 patients could be analyzed. Only one third of the blood samples showed concentrations of the 6-MP active metabolite within the therapeutic reference range. Parents named the clinical doctor as their main advisor on medication intake. 36% (12/33) of the participants stated that medication intake has not always occurred the way medication was prescribed. Drug formulation and drug intake information could be identified as determinants of adherence. Parents' problems to obtain information are partly caused by different study results concerning the correct timing of the drug intake and drug interactions with milk products. CONCLUSION Parents' information on drug therapy should be more consistent and the pharmaceutical formulations have to be adapted to patients' needs to improve adherence and thereby the chance of long-term remission.
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84
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Zhou E, Hopkins A, Lo S, Juergens C. An article on intravascular ultrasound-guided treatment for angiographically equivocal unprotected left main coronary artery disease: an Australian experience. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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85
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Hee L, Chen A, Mussap C, Nguyen T, Juergens C, Dimitri H, French J, Richards D, Thomas L. Is global longitudinal strain better than left ventricular ejection fraction for predicting infarct scar size? Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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86
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Xiong J, Nguyen T, Hee L, Premawardhana U, Rajaratnam R, Juergens C, French J, Richards D, Thomas L, Dimitri H. The effect of OSA on post infarction left ventricular function and scar size. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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87
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Hee L, Terluk A, Thomas L, Hopkins A, Juergens C, French J, Mussap C. Outcomes of drug eluting balloons in coronary revascularisation. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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88
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Zhou E, Lo S, Mussap C, Burgess S, Juergens C. An article on coronary stent deployment by oversizing versus high pressure dilatation: a randomised intravascular ultrasound controlled study. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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89
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Holmes L, Gupta R, Rajendran S, Luu J, French J, Juergens C. The impact of three different glycoprotein platelet receptor IIb/IIIa antagonists on glycoprotein IIb/IIIa platelet receptor inhibition and clinical endpoints in patients with acute coronary syndromes. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.136] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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90
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Xu J, Leung D, Mussap C, Rajaratnam R, Naguib Badie T, Hopkins A, French J, Juergens C, Lo S. Current indications and outcomes of intra-aortic balloon counterpulsation: The Liverpool Hospital experience. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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91
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Naguib Badie T, Xu J, Taylor D, Kachwalla H, Thomas L, Rajaratnum R, Lo S, Juergens C, Leung D. Physician-led conscious sedation for external direct current cardioversion for atrial arrhythmia. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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92
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Holmes L, Nguyen T, Richards D, Hee L, Otton J, Moses D, Thomas L, Juergens C. Electrocardiographic measurement of infarct size correlates with cardiac magnetic resonance imaging in reperfused first-time STEMI patients. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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93
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Hee L, Chen A, Mussap C, Nguyen T, Juergens C, Dimitri H, French J, Richards D, Thomas L. Differential recovery of myocardial systolic global strain after STEMI. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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94
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Burgess S, Hee L, Shugman I, Lo S, Nguyen P, Taylor D, Rajaratnam R, Mussap C, Thomas L, Leung D, Hopkins A, Juergens C, French J. PW138 Outcomes in diabetic patients with ST elevation Myocardial Infarction after PCI. Glob Heart 2014. [DOI: 10.1016/j.gheart.2014.03.2262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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95
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Phan J, Nguyen T, Hogan J, Moses D, Rajaratnam R, Juergens C, French J, Dimitri H, Thomas L, Richards D. PM143 Peak high sensitivity Troponin T predicts adverse cardiac magnetic resonance imaging markers in ST elevation myocardial infarction. Glob Heart 2014. [DOI: 10.1016/j.gheart.2014.03.1536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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96
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Hogan J, Nguyen T, Phan J, Moses D, Dimitri H, Rajaratnam R, Juergens C, French J, Richards D, Thomas L. PT403 Early changes in left ventricular function post STEMI predicts adverse diastolic function. Glob Heart 2014. [DOI: 10.1016/j.gheart.2014.03.2120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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97
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Idris H, Shugman I, Saad Y, Lo S, Hopkins A, Hee L, Thomas L, Mussap C, Juergens C, French JK. Has the frequency of peri-procedural myocardial infarction reduced using third universal definition? Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht308.p1249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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98
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Anastasius M, Lau JK, Hyun K, Patel A, Rankin J, Walters D, Juergens C, Costa B, Brieger D. The predictors of discharge without clopidogrel following admission with acute coronary syndrome in australia - the concordance registry. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht307.p236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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99
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Hee L, Kumar M, Thomas L, Juergens C, Lo S, Hopkins A, French J, Mussap C. ‘Target-lesion’ SYNTAX Score (tSS) Correlates with Radiation Dose During Percutaneous Coronary Intervention. Heart Lung Circ 2013. [DOI: 10.1016/j.hlc.2013.05.368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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100
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Mallard T, Tsang K, Assad J, Lo S, Juergens C, French J. Heparin is the Anticoagulant of Choice for a Busy Cardiology Unit? Heart Lung Circ 2013. [DOI: 10.1016/j.hlc.2013.05.515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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