David Perkins
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View article: Outcomes of Adopting a Higher Versus Lower Concentration of Hemodialysate Magnesium as a Center-Wide Policy (Dial-Mag): A Clinical Research Protocol of a Pragmatic, Registry-Based, Cluster Randomized Trial
Outcomes of Adopting a Higher Versus Lower Concentration of Hemodialysate Magnesium as a Center-Wide Policy (Dial-Mag): A Clinical Research Protocol of a Pragmatic, Registry-Based, Cluster Randomized Trial Open
Background: In individuals receiving hemodialysis, lower serum magnesium concentrations are associated with a higher risk of death and cardiovascular disease and more discomfort from muscle cramps. Small trials suggest that increasing seru…
View article: Co-creating community wellbeing initiatives: what is the evidence and how do they work?
Co-creating community wellbeing initiatives: what is the evidence and how do they work? Open
Background Addressing wellbeing at the community level, using a public health approach may build wellbeing and protective factors for all. A collaborative, community-owned approach can bring together experience, networks, local knowledge, …
View article: Co-creating community wellbeing initiatives: What is the evidence and how do they work?
Co-creating community wellbeing initiatives: What is the evidence and how do they work? Open
Background Addressing wellbeing at the community level, using a public health approach may build wellbeing and protective factors for all. A collaborative, community-owned approach can bring together experience, networks, local knowledge, …
View article: Improving the mental health of rural Australians: a review
Improving the mental health of rural Australians: a review Open
This report summarises insights from research undertaken to understand how to improve help for rural Australians, in addressing their mental health and wellbeing needs.
View article: Virtual Dementia-Friendly Communities (Verily Connect) Stepped-Wedge Cluster-Randomised Controlled Trial: Improving Dementia Caregiver Wellbeing in Rural Australia
Virtual Dementia-Friendly Communities (Verily Connect) Stepped-Wedge Cluster-Randomised Controlled Trial: Improving Dementia Caregiver Wellbeing in Rural Australia Open
Caring for people living with dementia often leads to social isolation and decreased support for caregivers. This study investigated the effect of a Virtual Dementia-Friendly Rural Communities (Verily Connect) model on social support and d…
View article: Making Connections that Count – a Case Study of the Family Referral Service in Schools Program on the Central Coast, New South Wales, Australia
Making Connections that Count – a Case Study of the Family Referral Service in Schools Program on the Central Coast, New South Wales, Australia Open
Introduction: Adverse childhood experiences (ACEs) are associated with health and social problems in later life, with an early intervention highly desirable for better outcomes.Description: The Family-Referral-Services-In-Schools (FRSIS) i…
View article: Patterns of mental healthcare provision in rural areas: A demonstration study in Australia and Europe
Patterns of mental healthcare provision in rural areas: A demonstration study in Australia and Europe Open
Introduction Mental healthcare systems are primarily designed to urban populations. However, the specific characteristics of rural areas require specific strategies, resource allocation, and indicators which fit their local conditions. Thi…
View article: Quantifying the benefits of remission duration in focal and segmental glomerulosclerosis
Quantifying the benefits of remission duration in focal and segmental glomerulosclerosis Open
Background Although the clinical benefit of obtaining a remission in proteinuria in nephrotic patients with focal segmental glomerulosclerosis (FSGS) is recognized, the long-term value of maintaining it and the impact of relapses on outcom…
View article: Web-Based Technologies to Support Carers of People Living With Dementia: Protocol for a Mixed Methods Stepped-Wedge Cluster Randomized Controlled Trial
Web-Based Technologies to Support Carers of People Living With Dementia: Protocol for a Mixed Methods Stepped-Wedge Cluster Randomized Controlled Trial Open
Background Informal carers play a significant role in supporting people living with dementia; however, carers in rural areas are often isolated, with limited access to support services. Although dementia-friendly communities provide valued…
View article: Men, suicide, and family and interpersonal violence: A mixed methods exploratory study
Men, suicide, and family and interpersonal violence: A mixed methods exploratory study Open
Research has shown a link between gender, violence, and suicide. This relationship is complex, and few empirical studies have explored suicide and family and interpersonal violence perpetrated by men. Drawing on a coronial dataset of suici…
View article: Peter Brown—An appreciation
Peter Brown—An appreciation Open
After 15 years as AJRH Manager for the National Rural Health Alliance (NRHA), Peter Brown has left for new professional challenges. That is a long five-set match by anyone's measure. This piece is to thank Peter for his great service—not j…
View article: Lessons from the development and delivery of a rural suicide prevention program
Lessons from the development and delivery of a rural suicide prevention program Open
Aims Suicide prevention remains a priority in rural and remote Australia, where suicide rates continue to be higher than those in urban communities. This commentary describes the Good SPACE suicide prevention program, and the lessons learn…
View article: Volunteers’ Support of Carers of Rural People Living with Dementia to Use a Custom-Built Application
Volunteers’ Support of Carers of Rural People Living with Dementia to Use a Custom-Built Application Open
There is great potential for human-centred technologies to enhance wellbeing for people living with dementia and their carers. The Virtual Dementia Friendly Rural Communities (Verily Connect) project aimed to increase access to information…
View article: Suicide in rural Australia: A retrospective study of mental health problems, health-seeking and service utilisation
Suicide in rural Australia: A retrospective study of mental health problems, health-seeking and service utilisation Open
Background Suicide rates are higher in rural Australia than in major cities, although the factors contributing to this are not well understood. This study highlights trends in suicide and examines the prevalence of mental health problems a…
View article: Effects of mental health training on capacity, willingness and engagement in peer‐to‐peer support in rural New South Wales
Effects of mental health training on capacity, willingness and engagement in peer‐to‐peer support in rural New South Wales Open
Issue addressed Rural Australians experience significant barriers in accessing mental health services, some of which may be overcome by increasing mental health literacy in rural communities. This paper evaluates Mental Health Support Skil…
View article: Early intervention and integration of access to health and social care for vulnerable families in schools on the Central Coast, New South Wales, Australia
Early intervention and integration of access to health and social care for vulnerable families in schools on the Central Coast, New South Wales, Australia Open
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020…
View article: A Toolkit to develop a Virtual Dementia Friendly Community
A Toolkit to develop a Virtual Dementia Friendly Community Open
The Verily Connect Toolkit is a resource to assist and support Australian communities to join an online community that supports and connects carers of people living with dementia.
View article: Collective Impact Approaches to Promoting Community Health and Wellbeing in a Regional Township: Learnings for Integrated Care
Collective Impact Approaches to Promoting Community Health and Wellbeing in a Regional Township: Learnings for Integrated Care Open
This Perspective Paper explores the challenges of implementing local initiatives guided by the tenets of the Collective Impact (CI) approach. As such, it draws implications of CI for integrated health and social care efforts to improve and…
View article: Drought, Wellbeing and Adaptive Capacity: Why Do Some People Stay Well?
Drought, Wellbeing and Adaptive Capacity: Why Do Some People Stay Well? Open
Drought is a threat to public health. Individual and community adaptive capacity is crucial when responding to the impacts of drought. Gaps remain in the understandings of the relationship between wellbeing and adaptive capacity, and wheth…
View article: What Is Rural Adversity, How Does It Affect Wellbeing and What Are the Implications for Action?
What Is Rural Adversity, How Does It Affect Wellbeing and What Are the Implications for Action? Open
A growing body of literature recognises the profound impact of adversity on mental health outcomes for people living in rural and remote areas. With the cumulative effects of persistent drought, record-breaking bushfires, limited access to…
View article: Escape from nonsense-mediated decay associates with anti-tumor immunogenicity
Escape from nonsense-mediated decay associates with anti-tumor immunogenicity Open
Frameshift insertion/deletions (fs-indels) are an infrequent but highly immunogenic mutation subtype. Although fs-indels are degraded through the nonsense-mediated decay (NMD) pathway, we hypothesise that some fs-indels escape degradation …
View article: Developing a mobile data collection tool to manage a dispersed mental health workforce
Developing a mobile data collection tool to manage a dispersed mental health workforce Open
The early planning investment was worthwhile, the app was successfully adopted by the coordinators and a much improved data collection capability was achieved. Moreover, data capture increased, while errors decreased. Data are more reliabl…
View article: Concerns about climate change among rural residents in Australia
Concerns about climate change among rural residents in Australia Open
Climate change impacts human health and there is growing recognition of the explicit consequences for mental health and wellbeing. Rural communities are recognised as one of the most vulnerable populations to climate change. The majority o…
View article: Impact of the KidneyWise toolkit on chronic kidney disease referral practices in Ontario primary care: a prospective evaluation
Impact of the KidneyWise toolkit on chronic kidney disease referral practices in Ontario primary care: a prospective evaluation Open
Objectives Chronic kidney disease (CKD) is common; therefore, coordination of care between primary care and nephrology is important. Ontario Renal Network’s KidneyWise toolkit was developed to provide guidance on the detection and manageme…