2023 |
Mansfield E, Cameron EC, Boyes AW, Carey ML, Nair B, Hall AE, Sanson-Fisher RW, 'Prevalence and type of unmet needs experienced by carers of people living with dementia', AGING & MENTAL HEALTH, 27 904-910 (2023) [C1]
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Nova |
2023 |
Berghout M, Waller A, Lachapelle N, Noble N, Nair B, Sanson-Fisher R, 'Preferred type, timing and format of dementia information: A cross-sectional survey of carers of people living with dementia', Australasian Journal on Ageing, (2023) [C1]
Objectives: To clarify the unmet information needs of carers of people living with dementia, including the stage of their care journey at which topics become relevant, and the pre... [more]
Objectives: To clarify the unmet information needs of carers of people living with dementia, including the stage of their care journey at which topics become relevant, and the preferred format and mode of delivery of information. Methods: A cross-sectional survey of carers of people living with dementia was conducted between April 2022 and October 2022. Carers were recruited through public and private geriatric hospital and community clinics, aged care providers, an online research register and community dementia services. Consenting carers completed a survey assessing sociodemographic characteristics, preferred type and timing of information about dementia, accessing services, changes in behaviour/personality, changes in physical/emotional health, managing own health/well-being and preferred information format and mode of delivery. Results: A total of 163 carers returned a survey (20% response rate). Most carers (75¿98%) reported wanting information across a range of topics. Carers preferred general dementia information at diagnosis, information about accessing services at or within the first year of diagnosis, and information on managing symptoms as they emerged. Carers were most interested in receiving information in-person face-to-face (60% very interested), written information (51% very interested) or via face-to-face group information sessions (42% very interested). Conclusions: Carers of people living with dementia expressed a desire for information on a wide range of topics, which changed as the dementia of the person they cared for progressed. Information needs to be made available in a variety of formats to cater for differing ways in which it is consumed.
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2023 |
Healey SJR, Fakes K, Nair BR, 'Inequitable treatment as perceived by international medical graduates (IMGs): a scoping review.', BMJ Open, 13 e071992 (2023) [C1]
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Nova |
2022 |
Mansfield E, Cameron E, Carey M, Boyes A, Nair B, Hall A, Sanson-Fisher R, 'Prevalence and Type of Unmet Needs Experienced by People Living with Dementia', Journal of Alzheimer's Disease, 87 833-842 (2022) [C1]
Background: Accurately identifying the unmet needs of community-dwelling people with dementia allows targeted support to be provided to assist these individuals to stay at home. O... [more]
Background: Accurately identifying the unmet needs of community-dwelling people with dementia allows targeted support to be provided to assist these individuals to stay at home. Objective: We developed a self-report instrument to identify the unmet needs of community-dwelling people with dementia and used this to explore the prevalence and type of unmet needs present in this population. Methods: This was a cross-sectional survey of people with dementia living in the community in Australia. Participants were recruited from geriatric clinics, respite centers, aged care providers, and carers attending support groups. Eligible people with dementia were provided with a study information pack and survey which included the self-report Unmet Needs Instrument for Dementia (UNI-D), sociodemographic characteristics and survey acceptability. Results: The UNI-D contained 26 items across 5 domains and demonstrated acceptable internal consistency, face and construct validity, and acceptability. Ninety-five eligible participants completed the survey (response rate 35%) with 85% identifying at least one unmet need (median = 4; IQR = 1-9). The items most frequently endorsed included needing more help with remembering things (64%), finding possible treatments for dementia (44%), understanding who to contact regarding a problem or concern related to dementia (36%), and to see friends and family more often (33%). Conclusion: The UNI-D is a promising tool to identify the self-reported needs of people with dementia. The development and rigorous testing of interventions targeting unmet needs related to health and wellbeing, dementia support, and meaningful activities appears warranted.
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Nova |
2022 |
Nair BR, Gilligan C, Jolly B, 'Measuring the Impact of a Faculty Development Program on Clinical Educators.', Advances in medical education and practice, 13 129-136 (2022) [C1]
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Nova |
2022 |
Mansfield E, Bryant J, Nair BR, Zucca A, Pulle RC, Sanson-Fisher R, 'Optimising diagnosis and post-diagnostic support for people living with dementia: geriatricians' views.', BMC Geriatr, 22 143 (2022) [C1]
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Nova |
2022 |
Zucca AC, Carey M, Sanson-Fisher RW, Rhee J, Nair BKR, Oldmeadow C, et al., 'Effect of a financial incentive on responses by Australian general practitioners to a postal survey: a randomised controlled trial', MEDICAL JOURNAL OF AUSTRALIA, 216 585-586 (2022)
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2022 |
Nair B, Moonen-van Loon JW, 'Programmatic assessment What are we waiting for?', Archives of Medicine and Health Sciences, 10 154-154 (2022)
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2022 |
Cai M, Voutnis D, Nair B, 'Immunoglobulin G4-related ophthalmic disease and aortitis', Archives of Medicine and Health Sciences, 10 78-78 (2022)
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2021 |
Dolja-Gore X, Byles JE, Tavener MA, Chojenta CL, Majeed T, Nair BR, Mishra GD, 'Estimating the effect of health assessments on mortality, physical functioning and health care utilisation for women aged 75 years and older', PLoS ONE, 16 (2021) [C1]
Health assessments have potential to improve health of older people. This study compares long-term health care utilisation, physical functioning, and mortality for women aged 75 y... [more]
Health assessments have potential to improve health of older people. This study compares long-term health care utilisation, physical functioning, and mortality for women aged 75 years or over who have had a health assessment and those who have not. Prospective data on health service use, physical functioning, and deaths among a large cohort of women born 1921¿26 were analysed. Propensity score matching was used to produce comparable groups of women according to whether they had a health assessment or not. The study population included 6128 (67.3%) women who had an assessment, and 2971 (32.7%) women who had no assessment. Propensity matching produced 2101 pairs. Women who had an assessment had more use of other health services, longer survival, and were more likely to survive with high physical functioning compared to women with no assessment. Among women who had good baseline physcial functioning scores, women who had an assessment had significantly lower odds of poor outcomes at 1000 days follow-up compared to women who had no assessment (OR: 0.67, 95%CI: 0.52, 0.85). This large observational study shows the real-world potential for assessments to improve health outcomes for older women. However, they also increased health service use. This increased healthcare is likely to be an important mechanism in improving the women¿s health outcomes.
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Nova |
2021 |
Nair BR, Parvathy M, 'Demographics and performance of candidates in the examinations of the Australian Medical Council, 1978 2019', Medical Journal of Australia, 215 46-46.e1 (2021)
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2021 |
Gupta SK, Rutherford N, Dolja-Gore X, Watson T, Nair BR, 'Regional changes with global brain hypometabolism indicates a physiological triage phenomenon and can explain shared pathophysiological events in Alzheimer's & small vessel diseases and delirium.', American journal of nuclear medicine and molecular imaging, 11 492-506 (2021) [C1]
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2021 |
Nair B, Moonen-van Loon JMW, Parvathy M, van der Vleuten CPM, 'Composite Reliability of Workplace Based Assessment of International Medical Graduates.', MedEdPublish (2016), 10 104 (2021)
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2021 |
Khaing K, Nair BR, 'Melatonin for delirium prevention in hospitalized patients: A systematic review and meta-analysis', Journal of Psychiatric Research, 133 181-190 (2021) [C1]
Background and aims: Melatonin, a pineal gland hormone is reported to have a protective effect against delirium. This systematic review and meta-analysis explores the effect of me... [more]
Background and aims: Melatonin, a pineal gland hormone is reported to have a protective effect against delirium. This systematic review and meta-analysis explores the effect of melatonin and melatonin receptor agonist, ramelteon on delirium prevention in adult hospitalized patients. Methods: Randomized Controlled trials of melatonin/ramelteon published up to May 7, 2020 were identified from MEDLINE, PREMEDLINE, Embase, PsycINFO, the Cochrane Central Register of Controlled trials, PubMed, and Google Scholar. The primary outcome was delirium incidence. The secondary outcomes were sleep quality, sedation score, sedatives requirement, delirium duration, length of hospital stay, length of Intensive Care Unit (ICU) stay, mortality and adverse events. A meta-analysis with a random-effects models was performed. Estimates were presented as Risk Ratio (RR) or Mean Differences (MD) with 95% Confidence Interval (CI). Findings: Fourteen studies with 1712 participants were included. Melatonin/ramelteon significantly reduced delirium incidence (RR 0·61, 95% CI 0·42¿0·89, p 0·009) with risk reduction of 49% in surgical patients and 34% in ICU patients. Non-significant reduction was found in medical patients. Melatonin/ramelteon were associated with improvement in sleep quality, increased sedation score and lower sedatives consumption. However, they did not reduce delirium duration, length of hospital stay, length of ICU stay and mortality. Hallucinations, nightmares and gastrointestinal disorders were prevalent in melatonin group. Interpretation: Melatonin/ramelteon are associated with reduction in delirium incidence in hospitalized patients. However, this effect seems confined to surgical and ICU patients. The optimum dosage and formulation of melatonin, and treatment duration remain uncleared and open to further studies with larger sample sizes.
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Nova |
2021 |
Gupta SK, Rutherford N, Dolja-Gore X, Watson T, Nair BR, 'Regional changes with global brain hypometabolism indicates a physiological triage phenomenon and can explain shared pathophysiological events in Alzheimer's & small vessel diseases and delirium.', American journal of nuclear medicine and molecular imaging, 11 492-506 (2021) [C1]
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Nova |
2021 |
Abbas SS, Majeed T, Weaver N, Nair BR, Forder PM, Byles JE, 'Utility estimations of health states of older Australian women with atrial fibrillation using SF-6D', Quality of Life Research, 30 1457-1466 (2021) [C1]
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Nova |
2021 |
Abbas SS, Majeed T, Nair BR, Forder PM, Weaver N, Byles JE, 'Patterns of Medications for Atrial Fibrillation Among Older Women: Results From the Australian Longitudinal Study on Women's Health', JOURNAL OF CARDIOVASCULAR PHARMACOLOGY AND THERAPEUTICS, 26 59-66 (2021) [C1]
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Nova |
2021 |
Parvathy MS, Parab A, Nair BKR, Matheson C, Ingham K, Gunning L, 'Longitudinal outcome of programmatic assessment of international medical graduates', Advances in Medical Education and Practice, 12 1095-1100 (2021) [C1]
Introduction: Australia depends on international medical graduates (IMGs) to meet workforce shortages. The current standard assessment for IMGs is by clinical examination in obser... [more]
Introduction: Australia depends on international medical graduates (IMGs) to meet workforce shortages. The current standard assessment for IMGs is by clinical examination in observed structured clinical encounter (OSCE) format lasting 200 minutes. There are con-cerns about adequateness of this assessment as it does not test the qualities required to practice in a new country. We introduced a programmatic performance-based assessment for IMGs to prepare them to meet these challenges. The workplace-based assessment (WBA) program involves six-month longitudinal programmatic assessments comprising of 12 mini-clinical evaluation exercises (Mini-CEX), five case-based discussions (CBD), two in-training assessments (ITAs) and two sets of multisource feedback (MSF) assessments. We assessed 254 IMGs since 2010. We conducted a survey to evaluate the satisfaction with the program and the outcomes of these doctors. Methods: We surveyed 254 candidates from 2010 to 2020. The survey used ¿SelectSurvey¿ tool with 12 questions and free-text comments. All candidates were sent the survey link to their last registered mobile phone using ¿Telstra Instant Messaging Service¿. We analysed the data using Microsoft ¿Excel¿. Results: We received 153 (60%) responses. Amongst them, 141 (92%) candidates did not require further supervised practice for general registration and 129 (84%) candidates hold general/specialist registration. The candidates found the program useful and felt well sup-ported. They appreciated real patient encounters. The feedback with positive critiquing was helpful in improving their clinical practice. The negative themes were program costs and frustration with the length of the program. Conclusion: Upon completion of the WBA program and obtaining the AMC certificate, most of the doctors were able to gain general registration. Seventy-eight (50%) candidates chose to continue their careers within the local area with 124 (80%) of them within the state. Our survey shows a comprehensive assessment program with immediate constructive feedback produces competent doctors to fill the medical workforce shortages.
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Nova |
2021 |
Carey M, Zucca A, Rhee J, Sanson-Fisher R, Norton G, Oldmeadow C, et al., 'Essential components of health assessment for older people in primary care: a cross-sectional survey of Australian general practitioners', Australian and New Zealand Journal of Public Health, 45 506-511 (2021) [C1]
Objective: To examine general practitioners¿ views about how health assessments for older people should be conducted. Methods: General practitioners were randomly sampled from a n... [more]
Objective: To examine general practitioners¿ views about how health assessments for older people should be conducted. Methods: General practitioners were randomly sampled from a national database of medical practitioners and invited to complete a survey. Survey items explored general practitioners¿ views about essential components of a 75+ Health Assessment and who should assess each component, consultation time, use of standardised templates and tools, and home visits. Results: Overall, 185 (19.2%) general practitioners participated. Of 61 items presented, 24 were rated ¿essential¿ by =70% of practitioners, with an average estimated consultation time of 65 minutes. Of the 24 essential items, it was perceived that 21 could be assessed by either a general practitioner or clinic nurse. Most practitioners indicated a standardised template (86%) and standardised tools for complex issues (79%) should be used, and home visits conducted (75%). Conclusions: General practitioners agreed on 24 items as essential for every health assessment, with assessments estimated to take more than one hour. Implications for public health: Increases to remuneration for prolonged assessments or mechanisms for improving efficiency and quality of assessments are needed. Acceptable mechanisms may include standardised patient-reported tools, standardised templates and the use of non-medical staff to assist with assessments.
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Nova |
2020 |
Waller A, Sanson-Fisher R, Nair BR, Evans T, 'Preferences for End-of-Life Care and Decision Making Among Older and Seriously Ill Inpatients: A Cross-Sectional Study', Journal of Pain and Symptom Management, 59 187-196 (2020) [C1]
Context: Older and seriously ill Australians are often admitted to hospital in the last year of their life. The extent to which these individuals have considered important aspects... [more]
Context: Older and seriously ill Australians are often admitted to hospital in the last year of their life. The extent to which these individuals have considered important aspects of end-of-life (EOL) care, including location in which care is provided, goals of care, and involvement of others in decision making, is unclear. Objectives: To determine, in a sample of older and seriously ill Australian inpatients, preferences regarding location in which they receive EOL care and reasons for their choice; who is involved in EOL decisions; disclosure of life expectancy; goals of care; and voluntary-assisted dying. Methods: Cross-sectional face-to-face survey interviews conducted with 186 (80% consent) inpatients in a tertiary referral center aged 80 years and older; or aged 55 years and older with progressive chronic disease(s); or with physician-estimated life expectancy of less than 12 months. Results: Home care was preferred (69%), given the perceived availability of family/friends, familiarity of environment, and likelihood of having wishes respected. If unable to make decisions themselves, inpatients wanted family to decide care alone (31%) or with a doctor (49%). Of those who had not discussed life expectancy, 23% wished to. Most (76%) preferred care that maintained quality of life and relieved symptoms. There was some agreement for being sedated at the EOL (63%) and able to access medication to end life (43%). Conclusion: Most inpatients would prefer EOL care that maintains quality and relieves suffering compared with life extension and to receive this care at home. Family involvement in resolution and documentation of EOL decisions should be prioritized.
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Nova |
2020 |
Abbas SS, Majeed T, Nair BR, Forder P, Weaver N, Byles J, 'Burden of atrial fibrillation and stroke risk among octagenarian and nonagenarian women in Australia', Annals of Epidemiology, 44 31-37.e2 (2020) [C1]
Purpose: To determine the prevalence and incidence of atrial fibrillation (AF) among older Australian women from 2000 to 2015, determine factors associated with AF, and to calcula... [more]
Purpose: To determine the prevalence and incidence of atrial fibrillation (AF) among older Australian women from 2000 to 2015, determine factors associated with AF, and to calculate risk of stroke at the time of AF diagnosis. Methods: This is a retrospective analysis of 6671 women of the 1921¿1926 birth cohort of the Australian Longitudinal Study on Women's Health, linked to data from hospital admissions to identify AF and National Death Index to determine date of death. Yearly prevalence and incidence proportions of AF, and stroke risk using CHA2DS2-VA scheme, were calculated. Factors associated with AF were assessed using logistic regression. Results: From 2000 to 2015, a total of 1827 women with AF were identified. AF prevalence increased every year as women aged from 2.71% (95% CI 1.62%¿3.80%) in 2000 among women aged 74¿79 years to 24.83% (95% CI = 23.23%¿26.44%) in 2015 among women aged 89¿94 years. The incidence proportion remained constant (between 3% and 5%) throughout the study period. Sedentary lifestyle (OR = 1.24, 95% CI = 1.04¿1.49), hypertension (OR = 1.24, 95% CI = 1.09¿1.42), arthritis (OR = 1.24, 95% CI = 1.09¿1.41), heart attack (OR = 1.62, 95% CI = 1.18¿2.24), and angina (OR = 1.39, 95% CI = 1.14¿1.70) were independently associated with AF. Mean CHA2DS2-VA score for women with AF was 3.43 (SD ± 1.23). Conclusions: The prevalence of AF reported in Australian women is among the highest compared to previous estimations from other countries and regions. According to the findings, about one in four women over the age of 90 years had AF. These women were also at high risk of stroke. This has significant public health implications especially with changing demographics of increase in the aging population. Further research is required on understanding how women with AF are treated in Australia and their health outcomes.
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Nova |
2020 |
Narayanan V, Nair BR, 'The value of bedside teaching in undergraduate medical education: a literature review', MedEdPublish, 9 (2020) [C1]
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Nova |
2019 |
Nair B, 'Potentially inappropriate medications prescribed for older persons: A study from two teaching hospitals in Southern India', Journal of Family and Community Medicine, 26 187-192 (2019) [C1]
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Nova |
2019 |
Waller A, Sanson-Fisher R, Nair BR, Evans T, 'Are older and seriously ill inpatients planning ahead for future medical care?', BMC Geriatrics, 19 (2019) [C1]
Background: Despite the perceived ethical, personal and health service benefits of advance care planning (ACP), the extent to which older and seriously ill Australian inpatients h... [more]
Background: Despite the perceived ethical, personal and health service benefits of advance care planning (ACP), the extent to which older and seriously ill Australian inpatients have considered future health decisions remains uncertain. This study aimed to determine in a sample of older and seriously ill inpatients, the proportion who had: 1) engaged in four advance care planning (ACP) activities; 2) not engaged in ACP activities but wanted to; and 3) reasons why they had not engaged. Methods: Cross-sectional face-to-face standardised interview survey with inpatients in a tertiary referral centre who were either: aged 80+ years; aged 55+ years with progressive chronic disease(s); or judged by treating clinicians as having a life expectancy of less than 12 months. Patients indicated whether they had engaged in four ACP activities: (1) appointed medical substitute-decision-maker(s), (2) recorded end-of-life wishes in an advance directive or care plan; and talked about their end-of-life wishes with their: (3) support persons and/or (4) doctors. Patients who had not engaged in activities were asked whether they wished this to occur and reasons why. Results: One hundred eighty-six inpatients consented to the study (80% of approached). Of these, 9% (n = 16) had engaged in four ACP activities; 27% (n = 50) had not engaged in any. Half (n = 94, 52%) had appointed a medical substitute-decision-maker, 27% (n = 50) had recorded wishes in an advance directive or care plan, 51% (n = 90) had talked about their end-of-life wishes with support persons and 27% (n = 48) had talked with their doctor. Patients who wanted to, but had not, engaged in the four ACP activities were unaware they could record wishes or appoint decision-makers, or indicated providers had not initiated conversations. Conclusion: Relatively few inpatients had engaged in all four ACP activities. More inpatients had discussed end of life issues with family and appointed substitute decision makers, than completed written documents or talked with doctors. Community education and a more active role for community and hospital-based providers in supporting patients and families to collaboratively resolve end-of-life decisions may increase the probability wishes are known and followed.
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Nova |
2019 |
Browne W, Nair BKR, 'The timed up and go test', Medical Journal of Australia, 210 (2019)
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2019 |
Majeed T, Tavener M, Dolja-Gore X, Nair B, Chojenta C, Byles J, 'Patterns of geriatric health assessment use among community dwelling older Australian women over a 14-year period', Journal of Health Services Research and Policy, 24 100-107 (2019) [C1]
Objective: To assess which older Australian women had Medicare subsidized health assessments between 1999 and 2013. Methods: This study used prospective, longitudinal survey data ... [more]
Objective: To assess which older Australian women had Medicare subsidized health assessments between 1999 and 2013. Methods: This study used prospective, longitudinal survey data from the 1921 to 1926 birth cohort of Australian Longitudinal Study on Women¿s Health (ALSWH) linked with Medicare Australia data on health services use. Over 11,000 Australian women were included in the study. Latent class analysis was used to identify assessment patterns over time, accounting for death, and based on three categories (¿no assessment¿; ¿assessment; ¿deceased¿) for each year between 1999 and 2013. Further analysis explored the impact of health and sociodemographic characteristics on class membership. Results: Of the women included in the latent class analysis, 37% never had any assessment and the remainder had had at least one assessment. After a steady uptake from 1999 to 2003, there was decline in uptake from 2003 onwards. A six-class model with sufficient homogeneity and reliable estimation was selected to represent assessment patterns and mortality risk, labelled as: ¿high mortality¿ rate with little chance for assessment (12.4%), ¿intermediate mortality, low assessment¿ (14.1%), ¿later mortality/low assessment¿ (13.1%), ¿later mortality, high assessment¿ (7.0%), ¿low mortality, low assessment¿ (31.8%), ¿low mortality, high assessment¿ (21.6%). Older women with certain conditions (such as diabetes, depression, heart disease) were more likely to be in the low assessment groups, and women with difficulty managing on income were more likely to be in low assessment groups. Conclusion: Distinct assessment and mortality patterns were seen, with many women not having assessment, in particular those who had certain health conditions, were taking 3+ medications, had difficulty in managing on income, needed help or were in respite care, and had caring responsibilities. The findings point to a need to promote these assessments among older women, and to reduce financial barriers, even within the context of a heavily subsidized health care system.
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Nova |
2019 |
Nair B, 'Potentially inappropriate medications prescribed for older persons: A study from two teaching hospitals in Southern India', Journal of Family and Community Medicine, 26 187-192 (2019) [C1]
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2018 |
Nair BR, Shelley B, 'Preventing Neurophobia : Remodeling Neurology Education for 21st-Century Medical Students through Effective Pedagogical Strategies for Neurophilia ', Annals of Indian Academy of Neurology, 21 9-18 (2018) [C1]
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2018 |
Lynagh M, Horton G, Nair BK, Walker M, Kelly B, Powis D, 'Student selection for medicine: Still a Thorny issue', Archives of Medicine and Health Sciences, 6 (2018) [C1]
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Nova |
2018 |
Chojenta C, Byles J, Nair BK, 'Rehabilitation and convalescent hospital stay in New South Wales: An analysis of 3,979 women aged 75+', Australian and New Zealand Journal of Public Health, 42 195-199 (2018) [C1]
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Nova |
2017 |
Waller A, Dodd N, Tattersall MHN, Nair B, Sanson-Fisher R, 'Improving hospital-based end of life care processes and outcomes: a systematic review of research output, quality and effectiveness', BMC PALLIATIVE CARE, 16 (2017) [C1]
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Nova |
2017 |
Elder A, Nair BKR, 'The jugular veins: gateway to the heart', MEDICAL JOURNAL OF AUSTRALIA, 206 230-U60 (2017)
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2017 |
Dolja-Gore X, Tavener M, Majeed T, Nair BR, Byles JE, 'Uptake, prevalence and predictors of first-time use for the 75+ Health Assessment Scheme.', Australian Journal of Primary Health, 476-481 (2017) [C1]
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Nova |
2017 |
Miles CA, Lee AC, Foggett KA, Nair B, 'Reinventing medical teaching and learning for the 21st century: Blended and flipped strategies', Archives of Medicine & Health Sciences, 5 97-102 (2017) [C1]
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Nova |
2017 |
Elder AT, McManus IC, Patrick A, Nair K, Vaughan L, Dacre J, 'The value of the physical examination in clinical practice: An international survey', Clinical Medicine, Journal of the Royal College of Physicians of London, 17 490-498 (2017)
A structured online survey was used to establish the views of 2,684 practising clinicians of all ages in multiple countries about the value of the physical examination in the cont... [more]
A structured online survey was used to establish the views of 2,684 practising clinicians of all ages in multiple countries about the value of the physical examination in the contemporary practice of internal medicine. 70% felt that physical examination was ¿almost always valuable¿ in acute general medical referrals. 66% of trainees felt that they were never observed by a consultant when undertaking physical examination and 31% that consultants never demonstrated their use of the physical examination to them. Auscultation for pulmonary wheezes and crackles were the two signs most likely to be rated as frequently used and useful, with the character of the jugular venous waveform most likely to be rated as infrequently used and not useful. Physicians in contemporary hospital general medical practice continue to value the contribution of the physical examination to assessment of outpatients and inpatients, but, in the opinion of trainees, teaching and demonstration could be improved.
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2017 |
Byles J, Dolja Gore X, Nair K, Tavener M, Chojenta C, Mishra G, 'UPTAKE AND EFFECTIVENESS OF PREVENTIVE HEALTH ASSESSMENTS: A STUDY OF 11,726 OLDER AUSTRALIAN WOMEN', Innovation in Aging, 1 1287-1287 (2017)
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2017 |
Nair BKR, Moonen-van Loon JM, Parvathy M, Jolly BC, van der Vleuten CP, 'Composite reliability of workplace-based assessment of international medical graduates.', The Medical journal of Australia, 207 (2017) [C1]
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Nova |
2016 |
Gunathilake R, Oldmeadow C, McEvoy M, Inder KJ, Schofield PW, Nair BR, Attia J, 'The Association Between Obesity and Cognitive Function in Older Persons: How Much Is Mediated by Inflammation, Fasting Plasma Glucose, and Hypertriglyceridemia?', J Gerontol A Biol Sci Med Sci, 71 1603-1608 (2016) [C1]
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Nova |
2016 |
Bore MR, Kelly B, Nair B, 'Potential predictors of psychological distress and well-being in medical students: a cross sectional pilot study', Advances in Medical Education and Practice, 7 125-135 (2016) [C1]
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Nova |
2016 |
Johnson CE, Keating JL, Boud DJ, Dalton M, Kiegaldie D, Hay M, et al., 'Identifying educator behaviours for high quality verbal feedback in health professions education: Literature review and expert refinement', BMC Medical Education, 16 (2016) [C1]
Background: Health professions education is characterised by work-based learning and relies on effective verbal feedback. However the literature reports problems in feedback pract... [more]
Background: Health professions education is characterised by work-based learning and relies on effective verbal feedback. However the literature reports problems in feedback practice, including lack of both learner engagement and explicit strategies for improving performance. It is not clear what constitutes high quality, learner-centred feedback or how educators can promote it. We hoped to enhance feedback in clinical practice by distinguishing the elements of an educator's role in feedback considered to influence learner outcomes, then develop descriptions of observable educator behaviours that exemplify them. Methods: An extensive literature review was conducted to identify i) information substantiating specific components of an educator's role in feedback asserted to have an important influence on learner outcomes and ii) verbal feedback instruments in health professions education, that may describe important educator activities in effective feedback. This information was used to construct a list of elements thought to be important in effective feedback. Based on these elements, descriptions of observable educator behaviours that represent effective feedback were developed and refined during three rounds of a Delphi process and a face-to-face meeting with experts across the health professions and education. Results: The review identified more than 170 relevant articles (involving health professions, education, psychology and business literature) and ten verbal feedback instruments in health professions education (plus modified versions). Eighteen distinct elements of an educator's role in effective feedback were delineated. Twenty five descriptions of educator behaviours that align with the elements were ratified by the expert panel. Conclusions: This research clarifies the distinct elements of an educator's role in feedback considered to enhance learner outcomes. The corresponding set of observable educator behaviours aim to describe how an educator could engage, motivate and enable a learner to improve. This creates the foundation for developing a method to systematically evaluate the impact of verbal feedback on learner performance.
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Nova |
2016 |
Nair BKR, O'Connor S, 'Clinical examination: evidence and eminence', MEDICAL JOURNAL OF AUSTRALIA, 205 13-13 (2016)
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2016 |
Elder A, Nair BKR, 'The jugular veins: gateway to the heart', MEDICAL JOURNAL OF AUSTRALIA, 205 204-205 (2016)
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2016 |
Nair BKR, Moonen-van Loon JMW, Parvathy MS, van der Veuten CPM, 'Composite reliability of workplace-based assessment for international medical graduates(Retracted article. See vol. 206, pg. 29, 2017)', MEDICAL JOURNAL OF AUSTRALIA, 205 212-216 (2016)
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2016 |
Nair BKR, Chen CY, Browne W, McKay D, 'Central retinal venous pulsations', MEDICAL JOURNAL OF AUSTRALIA, 205 299-299 (2016)
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2016 |
Nair B, Mansfield E, Waller A, 'A race against time: The dementia epidemic', Archives of Medicine and Health Sciences, 4 127-134 (2016) [C1]
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Nova |
2015 |
Nair BKR, Parvathy MS, Wilson A, Smith J, Murphy B, 'Workplace-based assessment; learner and assessor perspectives.', Advances in medical education and practice, 6 317-321 (2015) [C1]
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Nova |
2014 |
Nair BKR, Searles AM, Ling RI, Wein J, Ingham K, 'Workplace-based assessment for international medical graduates: At what cost?', Medical Journal of Australia, 200 41-44 (2014) [C1]
Objective: To estimate the cost of resources required to deliver a program to assess international medical graduates (IMGs) in Newcastle, Australia, known as the Workplace Based A... [more]
Objective: To estimate the cost of resources required to deliver a program to assess international medical graduates (IMGs) in Newcastle, Australia, known as the Workplace Based Assessment (WBA) Program. Design and setting: A costing study to identify and evaluate the resources required and the overheads of delivering the program for a cohort of 15 IMGs, based on costs in 2012. Main outcome measures: Labour-related costs. Results: The total cost in 2012 for delivering the program to a typical cohort of 15 candidates was $243 384. This equated to an average of $16226 per IMG. After allowing for the fees paid by IMGs, the WBA Program had a deficit of $153384, or $10226 per candidate, which represents the contribution made by the health system. Conclusion: The cost per candidate to the health system of this intensive WBA program for IMGs is small.
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Nova |
2014 |
Wass S, Webster PJ, Nair BR, 'Investigation of acute confusion in the elderly', Medicine Today, 15 39-47 (2014) [C1]
In this series, we present authoritative advice on the investigation of a common clinical problem, especially commissioned for family doctors and written by members of the Royal A... [more]
In this series, we present authoritative advice on the investigation of a common clinical problem, especially commissioned for family doctors and written by members of the Royal Australasian College of Physicians.
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Nova |
2014 |
Nair B, Parsons K, 'Performance-based assessment: Innovation in medical education', Archives of Medicine and Health Sciences, 2 123-123 (2014)
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2013 |
Walsh B, Slater S, Nair B, Attia J, 'The relationship between the apolipoprotein E e4 allele and hippocampal MRI volume in community dwelling individuals with mild Alzheimer's disease', Degenerative Neurological and Neuromuscular Disease, 3 11-14 (2013) [C1]
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Nova |
2013 |
Regal P, Nair B, Hetherington E, 'Apolipoprotein E e4 is superior to apolipoprotein E e2 in predicting cognitive scores over 30 months', Clinical Interventions in Aging, 8 1461-1465 (2013)
Background: The purpose of this study was to compare apolipoprotein E e4 (Apo E e4) and apolipoprotein E e2 (Apo E e2) as predictors of cognitive and functional trajectories over ... [more]
Background: The purpose of this study was to compare apolipoprotein E e4 (Apo E e4) and apolipoprotein E e2 (Apo E e2) as predictors of cognitive and functional trajectories over 30 months. Methods: This prospective cohort study included 287 community-dwelling memory clinic patients with dementia, mild cognitive impairment, or no cognitive impairment. The Addenbrooke Cognitive Assessment, Mini-Mental State Examination, Montreal Cognitive Assessment, Delirium Index, and Nottingham Instrumental Activities of Daily Living tests were administered to each subject. Results: One hundred and nine subjects (40%) carried Apo E e4 and 48 (16.7%) carried Apo E e2. One hundred and nine e4-positive subjects differed significantly from 178 e4-negative subjects in 19/52 comparisons (36.5%), whereas 46 Apo E e2-positive subjects had 0/52 significant differences from 239 e2-negative subjects (P < 0.0001). The variables most affected by e4 were the Delirium Index and Mini-Mental State Examination. Instrumental Activities of Daily Living score and residence were unrelated to Apo E e4 or e2. Conclusion: Apo E e4 positivity predicted four cognitive scores measured every 6 months over 30 months. Apo E e2 scores predicted none of 52 comparisons. © 2013 Regal et al.
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2013 |
Pit SW, Schurink J, Nair BR, Byles J, Heller RF, 'Use of the Short-Form-36 Health Sun to Assess Quality of Life Among Australian Elderly (vol 15, pg 132, 1996)', AUSTRALASIAN JOURNAL ON AGEING, 32 255-255 (2013)
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2013 |
Gunaruwan P, Napthali K, Nair K, 'Unusual presentation of a common problem', BMJ Case Reports, (2013)
We report on an elderly lady with a large hiatus hernia presenting with presyncope and syncope associated with large meals. Though left atrial filling and mitral inflow was unimpa... [more]
We report on an elderly lady with a large hiatus hernia presenting with presyncope and syncope associated with large meals. Though left atrial filling and mitral inflow was unimpaired, this case is interesting since the symptoms resolved with adjustment to meal size. Copyright 2013 BMJ Publishing Group. All rights reserved.
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2012 |
Nair BR, Hensley MJ, Parvathy MSD, Lloyd DM, Murphy B, Ingham K, et al., 'A systematic approach to workplace-based assessment for international medical graduates', Medical Journal of Australia, 196 399-402 (2012) [C1]
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Nova |
2012 |
Nair BR, Parvathy MSD, 'Setting up international medical graduates to succeed', Medical Journal of Australia, 197 428-429 (2012) [C3]
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2012 |
Suthers BG, Pickles RW, Boyle MJ, Nair BR, Cook J, Attia JR, 'The effect of context on performance of an acute medical unit: Experience from an Australian tertiary hospital', Australian Health Review, 36 320-324 (2012) [C1]
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Nova |
2011 |
Nair BR, Heim C, Krishnan C, D'Este CA, Marley J, Attia JR, 'The effect of Baroque music on behavioural disturbances in patients with dementia', Australasian Journal on Ageing, 30 11-15 (2011) [C1]
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Nova |
2010 |
Wilkinson TJ, D'Orsogna LJ, Nair BR, Judd SJ, Frampton CM, 'The reliability of long and short cases undertaken as practice for a summative examination', INTERNAL MEDICINE JOURNAL, 40 581-586 (2010) [C1]
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2009 |
Nair BR, 'Switched on', MEDICAL JOURNAL OF AUSTRALIA, 191 695-695 (2009) [C3]
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2008 |
Nair BR, Alexander HG, McGrath BP, Parvathy MS, Kilsby EC, Wenzel J, et al., 'The mini clinical evaluation exercise (mini-CEX) for assessing clinical performance of international medical graduates', Medical Journal of Australia, 189 159-161 (2008) [C1]
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Nova |
2008 |
Nair BR, Browne W, 'Chronic disease management: Seizing the moment in medical education', Pharmaceutical Medicine, 22 351-354 (2008) [C1]
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Nova |
2008 |
Wass S, Webster PJ, Nair BR, 'Delirium in the elderly: A review', Oman Medical Journal, 23 150-157 (2008)
Delirium is a common disorder, often under diagnosed and mismanaged. It is becoming more prevalent, because of the ageing population. In this clinical review, we summarise the def... [more]
Delirium is a common disorder, often under diagnosed and mismanaged. It is becoming more prevalent, because of the ageing population. In this clinical review, we summarise the definition, diagnosis and management of delirium.
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2008 |
Nair BR, 'Flying and medicine: mutual lessons', MEDICAL JOURNAL OF AUSTRALIA, 189 676-676 (2008) [C3]
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2008 |
Outram S, Nair BR, 'Peer physical examination: Time to revisit?', Medical Journal of Australia, 189 274-276 (2008) [C1]
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Nova |
2008 |
Nair BR, 'Flying and medicine: Mutual lessons', Medical Journal of Australia, 189 676 (2008) [C3] |
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Nova |
2007 |
Nair BR, Browne WL, Chua L-E, D'Este C, O'Dea I, Agho K, 'Validating an Australian version of the Time and Change Test: A screening test for cognitive impairment', AUSTRALASIAN JOURNAL ON AGEING, 26 87-90 (2007)
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2007 |
Byles JE, Parkinson L, Nair BR, Watson JF, Valentine ME, 'Determining priorities for research in ageing: A community survey', Australasian Journal on Ageing, 26 71-76 (2007) [C1]
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2007 |
Khoshdel A, Carney SL, Nair BR, Gillies AH, 'Better management of cardiovascular diseases by pulse wave velocity: Combining clinical practice with clinical research using evidence-based medicine', Clinical Medicine and Research, 5 45-52 (2007) [C1]
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2007 |
White JH, Pollack M, Nair BR, D'Este C, 'Trends in post-stroke functional independence over a 5-year period: A pilot study', INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION, 14 404-407 (2007)
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2007 |
Browne WL, Nair BR, 'The hyponatremic hypertensive syndrome in renal artery stenosis: An infrequent cause of hyponatremia', Journal of Postgraduate Medicine, 53 41-43 (2007) [C3]
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2005 |
Nair BR, 'Good tidings of great joy via email', Medical Journal of Australia, 183 674 (2005)
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2004 |
Nair BR, Flynn B, McDonnell M, 'Pet owners and risk factors in cardiovascular disease (multiple letters)', Medical Journal of Australia, 180 144 (2004)
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2004 |
Attia JR, Nair BR, Mears SR, Hitchcock K, 'Patient-oxygen dissociation curves: surveying the spectrum of oxygen-delivery methods', MJA, 181 677-678 (2004) [C1]
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2004 |
Attia JR, Nair BR, Sibbritt DW, Ewald BD, Paget NS, Wellard RF, et al., 'Generating pre-test probabilities: a neglected area in clinical decision making', Medical Journal of Australia, 180 449-454 (2004) [C1]
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2004 |
Byles JE, Tavener MA, O'Connell RL, Nair BR, Higginbotham HN, Jackson CL, et al., 'Randomised controlled trial of health assessments for older Australian veterans and war widows', Medical Journal of Australia, 181 186-190 (2004) [C1]
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Nova |
2003 |
Heim C, Nair BR, Mowbray D, Tavender J, 'Effects of ambient baroque music on patients with dementia', Australian Journal of Ageing, 22 211-212 (2003) [C1]
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2003 |
Byles JE, Heinze R, Nair BR, Parkinson L, 'Medication use among older Australian veterans & war widows', Internal Medicine Journal, 33 388-391 (2003) [C3]
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2003 |
Byles JE, Mishra GD, Harris MA, Nair BR, 'The problems of sleep for older women: changes in health outcomes', Age and Ageing, 32 154-163 (2003) [C1]
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2003 |
Nair BR, Hardie I, 'Change: Imposed and desired in health-professional education: 30th Annual Scientific Meeting of the Australian and New Zealand Association for Medical Education, Sydney, 5-8 July 2002', Medical Journal of Australia, 178 152-153 (2003)
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2003 |
Nair BR, Attia JR, Bowe SJ, Mears SR, Hitchcock K, 'Interns are from Venus, consultants are from Mars: differential perception among clinicians', Medical Journal of Australia, 179 659-661 (2003) [C1]
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2003 |
Nair BR, Finucane PM, 'Reforming medical education to enhance the management of chronic disease', Medical Journal of Australia, 179 257-259 (2003) [C1]
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2003 |
Attia JR, 'On abandoning ties and avoiding nose rings: Medical humour has implications for evidence based medicine', BMJ (Compact Edition), 327 345a (2003) [C3]
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2003 |
Attia J, Nair K, Price JM, Jacobs A, 'On abandoning ties and avoiding nose rings [7]', British Medical Journal, 327 345 (2003)
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2002 |
Nair BR, Attia JR, Mears S, Hitchcock K, 'Evidence-based physicians' dressing: a crossover trial', Medical Journal of Australia, 177(2) 681-682 (2002) [C1]
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2002 |
Levi CR, Magin PJ, Nair BR, 'Primary stroke prevention: refining the "high risk" approach', The Medical Journal of Australia, 176 303-304 (2002) [C3]
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2002 |
Finucane P, Nair BR, 'Is there a problem with the problems in problem-based learning?', Medical Education, 36 279-281 (2002) [C1]
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2002 |
Byles JE, Tavener MA, Fitzgerald PE, Nair BR, Higginbotham HN, Jackson C, et al., 'A checklist for comprehensive health assessment for the over 70's', Australasian Journal on Ageing, 21 14-20 (2002) [C1]
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2002 |
Nair BR, 'Evidence based medicine for older people: available, accessible, acceptable, adaptable?', Australasian Journal on Ageing, 21(2) 58-60 (2002) [C3]
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2002 |
Byles JE, Tavener MA, Fitzgerald PEB, Nair BR, Higginbotham N, Jackson CL, et al., 'A checklist for comprehensive health assessment for the-over 70's', Australasian Journal on Ageing, 21 14-20 (2002)
Objectives: To describe the development and performance of an instrument for health assessment of older Australian veterans and war widows, including: (a) the underlying dimension... [more]
Objectives: To describe the development and performance of an instrument for health assessment of older Australian veterans and war widows, including: (a) the underlying dimensions of the assessment instrument, (6) problems identified and (c) associations with health related quality of life. Method: Participants were randomly selected veterans and war widows aged 70 years and over, livingindependently in 10 regions of NSW and QLD. The intervention consisted of a series of preventive care home visit health assessments by health professionals using a specially developed I 13-item screening checklist, together with targeted health education materials, telephone follow-up and computer generated reports to the veteran's local medical officer. Main outcome measures were underlying facets of the checklist, and associations with self reported quality of life. Results: 904 home visit assessments were conducted using the checklist. Problems identified included having no recent hearing check, poor rate of vaccination against pneumonia and tetanus vaccination, and problems with feet. Exploratory factor analysis of the checklist reported four main factors, explaining 31 YO of the variance. Three out of four checklist scales were significantly associated with both physical and mental component scores of the SF- 36 quality of life measure. Conclusions: The preventive care checklist proved easy to administer, acceptable to participants, and contained valid items for use with an older veteran population.
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2001 |
Nair BK, 'Commentary - Accessing residential care from an acute hospital: Can we be more efficient?', Journal of Quality in Clinical Practice, 21 13 (2001)
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2001 |
Nair BR, Heller R, Sales M, 'Impact of Written Materials from Opinion Leaders on Continuing Medical Education of Family Doctors', Focus on Health Professional Education: A Multi-Disciplinary Journal, 3 59-65 (2001) [C3] |
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2001 |
Carney SL, Nair K, Sales M, Walsh J, 'Pharmaceutical industry-sponsered meetings: good value or just a free meal?', Internal Medicine Journal, 31 488-491 (2001) [C1]
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2000 |
Nair BR, O'Dea I, Lim L, Thakkinstian A, 'Prevalence of Geriatric 'Syndromes' in a Tertiary Hospital', Australasian Journal on Ageing, 19 No 2 81-84 (2000) [C1]
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2000 |
Nair BR, Byles JE, Tavener MA, Heinze R, 'Immunisation rates in older veterans and war widows', Australasian Journal on Ageing, 19 136-138 (2000) [C1]
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2000 |
Smith P, Karlson N, Nair BR, 'Quality use of Allopurinol in the elderly', The Journal of Quality in Clinical Practice, 20 42-43 (2000) [C1]
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2000 |
Nair BR, Perkins J, Sanson-Fisher R, 'Multidisciplinary learning: a unit in Newcastle, Australia', Focus on Health Professional Education:A Multi-Disciplinary Journal, 2, No 2. 53-58 (2000) [C1] |
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2000 |
Nair BR, Treloar C, Harris G, 'Do we need a new word for patients?', Australian & New Zealand Journal of Medicine, 30 716-717 (2000) [C1]
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2000 |
Nair B, Kerridge I, Dobson AJ, McPhee J, Saul P, 'Advance care planning in residential care', Australian and New Zealand journal of medicine, 30 339-343 (2000) [C1]
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1999 |
Rowland CH, Woodford PA, De Lisle-Hammond J, Nair B, 'Heparin-induced thrombocytopenia - Thrombosis syndrome and bilateral adrenal haemorrhage after prophylactic heparin use', Australian and New Zealand Journal of Medicine, 29 741-742 (1999)
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1999 |
Nair BR, Finucane P, 'Undergraduate teaching in geriatric medicine: The Australian experience', ANZAME Bulletin, 26(1) 6-8 (1999) [C1] |
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1999 |
Nair BR, 'Older people and medications: what is the right prescription', Australian Prescriber, 22 130-131 (1999) [C1]
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1999 |
Nair B, Dobson A, O'Dea I, Hogben K, D'Este K, Page J, 'Further validation of "timed up and go" in stroke patients', AUSTRALASIAN JOURNAL ON AGEING, 18 98-99 (1999)
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1998 |
Joshua F, Nair B, 'Cephalic tetanus', Australian and New Zealand Journal of Medicine, 28 672 (1998)
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1998 |
Nair B, Karlson N, 'Heparin-induced skin lesions', Australian and New Zealand Journal of Medicine, 28 59 (1998)
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1998 |
Nair BR, 'Patient, client or customer?', MEDICAL JOURNAL OF AUSTRALIA, 169 593-593 (1998)
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1998 |
Nair BR, Coughlan JL, Hensley MJ, 'Impediments to bed-side teaching.', Medical Education, 32 159-162 (1998) [C1]
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1997 |
Silberberg J, Crooks R, Fryer J, Wlodarczyk J, Nair B, Finucane P, et al., 'Fasting and post-methionine homocyst(e)ine levels in a healthy Australian population', AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE, 27 35-39 (1997)
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1997 |
Silberberg J, Crooks R, Fryer J, Wlodarczyk J, Nair B, Guo XW, et al., 'Gender differences and other determinants of the rise in plasma homocysteine after L-methionine loading', ATHEROSCLEROSIS, 133 105-110 (1997)
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1997 |
Nair BR, Gondocz T, Parboosingh JT, 'Continuing medical education: The professional's responsibility', MEDICAL JOURNAL OF AUSTRALIA, 167 263-264 (1997)
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1997 |
Nair BR, Coughlan JL, Hensley MJ, 'Student and patient perspectives on bedside teaching', MEDICAL EDUCATION, 31 341-346 (1997)
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1996 |
Pit SW, Schurink J, Nair BR, Byles J, Heller RF, 'Use of the short-form-36 health survey to assess quality of life among Australian elderly', AUSTRALIAN JOURNAL ON AGEING, 15 132-135 (1996)
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1996 |
Harris M, Byles J, Higginbotham N, Nair BR, 'Preventive programs for older people: How effective are they?', AUSTRALASIAN JOURNAL ON AGEING, 15 148-153 (1996)
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1996 |
Nair B, Hughes J, Basta M, Hardy D, Crooks R, Finucane P, et al., 'Cardiovascular findings in self-reported healthy elderly - The Elite Seniors Study', AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE, 26 363-367 (1996)
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1996 |
Nair B, Leitch J, Black A, 'Erythropoietin treatment for postural hypotension from autonomic dysfunction', Australian and New Zealand Journal of Medicine, 26 859-860 (1996)
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1995 |
GIBSON PG, NAIR BR, DAVIES C, SAUNDERS NA, 'DEVELOPMENT AND IMPLEMENTATION OF AN INNOVATIVE INTERN TRAINING-PROGRAM', MEDICAL EDUCATION, 29 220-224 (1995)
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1995 |
NAIR BR, BASTA M, HUGHES J, SILBERBERG J, FLETCHER PJ, FINUCANE PM, 'ECHOCARDIOGRAPHIC FINDINGS IN THE HEALTHY ELDERLY', JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 43 SA24-SA24 (1995) |
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1995 |
NAIR BR, BASTA M, 'ATRIAL SEPTAL ANEURYSM AND CEREBROVASCULAR ACCIDENTS', JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 43 SA66-SA66 (1995) |
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1995 |
Nair BR, Hensley MJ, Pickles RW, Fowler J, 'Morning report: Essential part of tra patient care in internal medicine', AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE, 25 740-740 (1995)
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1995 |
Kerridge LH, Nair K, Whyte I, Tonkin A, 'Seizures associated with the use of midazolam', AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE, 25 743-744 (1995)
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1994 |
Healy M, O'Moore R, Keane EM, Coakley D, Walsh JB, Tully M, et al., 'Irish Gerontological Society - Proceedings of annual scientific and general meeting held October 1993', Irish Journal of Medical Science, 163 464-474 (1994)
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1994 |
Nair B, 'A case of dementia.', Australian family physician, 23 2005-2006 (1994)
Recognition of cognitive impairment in the elderly is an important part of medical care. This will lead to the proper diagnosis and optimum treatment. Families seldom realise that... [more]
Recognition of cognitive impairment in the elderly is an important part of medical care. This will lead to the proper diagnosis and optimum treatment. Families seldom realise that the patient has dementia. Even with a high index of suspicion, the diagnosis can often be missed. The correct tool for making the diagnosis is also controversial.
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1994 |
Nair BK, Finucane P, 'Incorporating peer review into routine clinical work: A practical example', Journal of Quality in Clinical Practice, 14 3-7 (1994)
We describe a simple quality assurance (QA) exercise that compared the practices of two physicians providing geriatric consultations at a University teaching hospital. Two hundred... [more]
We describe a simple quality assurance (QA) exercise that compared the practices of two physicians providing geriatric consultations at a University teaching hospital. Two hundred consecutive referrals were randomly allocated to either physician. Although the patients referred had similar characteristics, their problems were managed differently. This led to an evaluation of work practices and identification of problems to which solutions were found. As the study was incorporated into routine clinical work, its cost in terms of resources and manpower was minimal. Such simple practical QA exercises should be used more extensively to enhance the practice of medicine.
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1992 |
Nair BR, 'Overseas training and doctors in developing countries [15]', Lancet, 339 1360 (1992)
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1991 |
Nair BR, 'Foreign medical graduates', Medical Journal of Australia, 154 222 (1991)
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1990 |
Rolfe I, Nair B, 'Complications associated with the insertion of narrow-bore feeding-tubes', Medical Journal of Australia, 152 108 (1990)
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1990 |
Nair BR, Gelfius I, 'The Palatal Training Appliance. Case reports', Australian Dental Journal, 35 416-418 (1990)
Swallowing difficulties are very common in patients who have suffered cerebrovascular accidents. An inexpensive and simple device called the Palatal Training Appliance was tried s... [more]
Swallowing difficulties are very common in patients who have suffered cerebrovascular accidents. An inexpensive and simple device called the Palatal Training Appliance was tried successfully in four patients. This appliance could be beneficial for more patients and is under-utilized at present. 1990 Australian Dental Association
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1988 |
Nair BR, 'Swallowing disorder in a patient with a cerebrovascular accident.', The Medical journal of Australia, 148 157-159 (1988)
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1988 |
Nair BR, 'Congenital disease in geriatric patients.', The Medical journal of Australia, 149 50 (1988)
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1988 |
NAIR BR, CHETTY MP, DEVERIDGE SF, 'ASPERGILLUS-TERREUS INFECTION IN A PATIENT WITH CHRONIC LYMPHOCYTIC-LEUKEMIA AND POLYCYTHEMIA RUBRA VERA', MEDICAL JOURNAL OF AUSTRALIA, 148 481-482 (1988)
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