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CONTEXT Decades of randomized controlled trials have produced separate evidence-based treatments for depression, anxiety, and conduct problems in youth, but these treatments are not often used in clinical practice, and they produce mixed results in trials with the comorbid, complex youths seen in practice. An integrative, modular redesign may help. (More)
BACKGROUND This paper presents the findings of three multisite evaluations of Experience-Based Co-design (EBCD) programmes conducted in Emergency Departments (EDs) and associated departments in seven public hospitals in New South Wales, Australia. METHOD Data for the evaluations were derived from: EBCD documentation provided by the participating sites;(More)
AIM To report the evolution of pattern scanning laser (Pascal) photocoagulation burns in the treatment of diabetic retinopathy, using Fourier-domain optical coherence tomography (FD-OCT) and fundus autofluorescence (AF), and to evaluate these characteristics with clinically visible alterations in outer retina (OR) and retinal pigment epithelium (RPE). (More)
OBJECTIVES To compare in vivo burn morphologic features and healing responses of Pascal 20- and 100-millisecond panretinal photocoagulation (PRP) burns in proliferative diabetic retinopathy. DESIGN Prospective randomized controlled trial with 24 eyes assigned to either 20- or 100-millisecond Pascal PRP. Fundus autofluorescence and Fourier domain optical(More)
With the death of Robert Machemer, ophthalmology has lost one of its brightest stars. The invention of the ophthalmoscope by Helmholtz in 1851 and the introduction of the head-mounted indirect ophthalmoscope by Schepens nearly 100 years later were seminal events in the recognition and treatment of retinal disease. Before 1970, however, the treatment of(More)
PURPOSE To image the cortical vitreous, determine the prevalence of the bursa premacularis and space of Martegiani, and measure the dimensions of the bursa using the new 1050-nm swept-source deep range imaging optical coherence tomography (DRI OCT-1 Atlantis). DESIGN Retrospective cross-sectional study. METHODS One hundred and nineteen consecutive(More)
The achievement and measurement of improvements and innovations is not often an overt practice in the design and delivery of government services other than in health services. There is a need for specific mechanisms proven to increase the rate and scale of improvements and innovations in organisations, communities, regions and industries. This paper(More)
An increasing body of research demonstrates that homelessness is an independent risk factor for morbidity and premature death. This paper compares the frequency of diagnoses between 2003 and 2009 in the computerised records of a specialist practice for homeless people. The changing morbidity trends revealed offer a basis for comparison with other services(More)
Aims To evaluate pain responses following Pascal 20 ms multi-spot and 100 ms single-spot panretinal photocoagulation (PRP). Methods Single-centre randomised clinical trial. 40 eyes of 24 patients with treatment-naive proliferative diabetic retinopathy randomised to 20 and 100 ms PRP under topical 0.4% oxybuprocaine. A masked grader used a pain questionnaire(More)