Rebecca E Ryan

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Practitioners in rural areas face particular challenges in providing psychological services, ranging from disparate rates of mental disorders to unique circumstances in treating special populations. In this article, we discuss the burden of mental disorders in rural areas, current trends in integration of mental health care and primary care, and unique(More)
OBJECTIVE To assess the effects on patients, clinicians, and the healthcare system of interventions before consultations to help patients or their representatives gather information in consultations by question asking. DESIGN Systematic review with meta-analysis. DATA SOURCES Electronic literature searches of seven databases and hand searching of one(More)
BACKGROUND Communicating risk is part of primary prevention of coronary heart disease and stroke, collectively referred to as cardiovascular disease (CVD). In Australia, health organisations have promoted an absolute risk approach, thereby raising the question of suitable standardised formats for risk communication. METHODS Sixteen formats of risk(More)
BACKGROUND Globally, suboptimal prescribing practices and medication errors are common. Guidance to health professionals and consumers alone is not sufficient to optimise behaviours, therefore strategies to promote evidence-based decision making and practice, such as decision support tools or reminders, are important. The literature in this area is growing,(More)
BACKGROUND Childhood vaccination (also described as immunisation) is an important and effective way to reduce childhood illness and death. However, there are many children who do not receive the recommended vaccines because their parents do not know why vaccination is important, do not understand how, where or when to get their children vaccinated, disagree(More)
BACKGROUND Systematic reviews have developed into a powerful method for summarising and synthesising evidence. The rise in systematic reviews creates a methodological opportunity and associated challenges and this is seen in the development of overviews, or reviews of systematic reviews. One of these challenges is how to summarise evidence from systematic(More)
Diesel vehicle idling reduction is an important national environmental and legislative issue. Exposure to diesel exhaust is associated with significant morbidity and mortality, including: • Lung & esophageal cancer • Asthma Body text sized roughly 20 points • Second level for bullets • Cardiovascular disease • Neurotoxicity • Decreased sperm count 1 &(More)
OBJECTIVE  To identify and characterise non-specific immunological effects after routine childhood vaccines against BCG, measles, diphtheria, pertussis, and tetanus. DESIGN  Systematic review of randomised controlled trials, cohort studies, and case-control studies. DATA SOURCES  Embase, PubMed, Cochrane library, and Trip searched between 1947 and(More)
Previous working memory literature has considered the occurrence of an increase in reaction time following an object-switch as evidence supporting a single-item focus of attention. Much literature has also identified interference from other information as the principle cause of forgetting. These hypotheses are here challenged by (1) postulating reaction(More)
We provide National leadership to foster a solid foundation for our fi re and emergency services stakeholders in prevention, preparedness, and response. Preface This report follows extensive research by the U.S. Fire Administration (USFA) of after action reviews from major disasters of the past decade into lessons learned. The disasters studied were(More)