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  1. Article ; Online: Aged care employment and the productivity commission: Fixing the data gaps may be the most useful thing it can do.

    Gibson, Diane

    Australasian journal on ageing

    2022  Volume 41, Issue 4, Page(s) 573–578

    Abstract: Objective: To explore the gaps and anomalies in Australia's national aged care workforce data with a particular focus on casualisation and insecure employment in residential aged care.: Methods: Secondary analysis of data from the National Aged Care ... ...

    Abstract Objective: To explore the gaps and anomalies in Australia's national aged care workforce data with a particular focus on casualisation and insecure employment in residential aged care.
    Methods: Secondary analysis of data from the National Aged Care Workforce Census and Surveys, the Aged Care Workforce Census and the Australian Bureau of Statistics Characteristics of Employment Survey.
    Results: There are significant and disturbing gaps in our knowledge of the aged care workforce deriving from disruptions to the time series as a result of methodological changes, reduced reliability resulting from declining response rates and the historical weighting system. Scope is also a critical factor due to data inadequacies relating to a non-Pay As You Go (non-PAYG) workforce and regarding the use of minimum hours contracts. This reduces our understanding of insecure employment.
    Conclusions: Australia needs better quality and more reliable data on its aged care workforce if the labour shortages confronting the sector are to be better understood and addressed. There is a critical need to determine the optimum strategy to obtain such data, whether by specific research projects of sufficient scale to accurately document the scale and scope of these issues, or in creative strategies to make use of automatically generated data.
    MeSH term(s) Humans ; Aged ; Reproducibility of Results ; Australia ; Employment ; Efficiency ; Workforce
    Language English
    Publishing date 2022-07-08
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1457406-8
    ISSN 1741-6612 ; 0726-4240 ; 1440-6381
    ISSN (online) 1741-6612
    ISSN 0726-4240 ; 1440-6381
    DOI 10.1111/ajag.13113
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Platinum(IV) anticancer agents; are we en route to the holy grail or to a dead end?

    Gibson, Dan

    Journal of inorganic biochemistry

    2021  Volume 217, Page(s) 111353

    Abstract: Pt(IV) complexes are designed as prodrugs that are intended to overcome resistance. Pt(IV) prodrugs are activated inside cancer cells releasing cytotoxic Pt(II) drugs as well as two axial ligands that can be used to confer favorable pharmacological ... ...

    Abstract Pt(IV) complexes are designed as prodrugs that are intended to overcome resistance. Pt(IV) prodrugs are activated inside cancer cells releasing cytotoxic Pt(II) drugs as well as two axial ligands that can be used to confer favorable pharmacological properties to the prodrug. The ligands can be innocent spectators, cancer targeting agents or bioactive moieties. The choice of axial ligands determines the chemical and pharmacological properties of the prodrugs. Over the years, several approaches were employed in attempts to increase the selectivity of the prodrugs to cancer cells and to utilize multi-action prodrugs to overcome resistance. In this review, we critically examine several of these approaches in order to evaluate the validity of some of the working hypotheses that are driving the current research.
    MeSH term(s) Animals ; Antineoplastic Agents/pharmacology ; Antineoplastic Agents/therapeutic use ; Cell Line, Tumor ; Coordination Complexes/pharmacology ; Coordination Complexes/therapeutic use ; DNA Repair/drug effects ; Drug Resistance, Neoplasm/drug effects ; Drug Screening Assays, Antitumor ; Histone Deacetylase Inhibitors/pharmacology ; Humans ; Neoplasms/drug therapy ; Platinum/chemistry ; Prodrugs/pharmacology ; Prodrugs/therapeutic use
    Chemical Substances Antineoplastic Agents ; Coordination Complexes ; Histone Deacetylase Inhibitors ; Prodrugs ; Platinum (49DFR088MY)
    Language English
    Publishing date 2021-01-07
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 162843-4
    ISSN 1873-3344 ; 0162-0134
    ISSN (online) 1873-3344
    ISSN 0162-0134
    DOI 10.1016/j.jinorgbio.2020.111353
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Corrigendum to: Who uses residential aged care now, how has it changed and what does it mean for the future?

    Gibson, Diane

    Australian health review : a publication of the Australian Hospital Association

    2021  Volume 44, Issue 6, Page(s) 983

    Abstract: ... ...

    Abstract Objective
    MeSH term(s) Aging ; Australia ; Caregivers ; Delivery of Health Care ; Emigrants and Immigrants ; Female ; Humans ; Male
    Language English
    Publishing date 2021-06-17
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 639155-2
    ISSN 1449-8944 ; 0159-5709 ; 0156-5788
    ISSN (online) 1449-8944
    ISSN 0159-5709 ; 0156-5788
    DOI 10.1071/AH20040_CO
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Pt(IV) Anticancer Prodrugs - A Tale of Mice and Men.

    Gibson, Dan

    ChemMedChem

    2021  Volume 16, Issue 14, Page(s) 2188–2191

    Abstract: We would like to be able to design Pt(IV) prodrugs that can overcome resistance and minimize side effects. Unlike with the early exploration of Pt(II) anticancer agents where clear structure-activity relationships were defined, even after more than two ... ...

    Abstract We would like to be able to design Pt(IV) prodrugs that can overcome resistance and minimize side effects. Unlike with the early exploration of Pt(II) anticancer agents where clear structure-activity relationships were defined, even after more than two decades of research on Pt(IV) prodrugs, there is no roadmap that can point us to the holy grail. Despite many excellent rational endeavors, we still have not found the "right" two axial ligands to append to the Pt(IV) derivatives of platinum(II) drugs that will "make platinum great again". So far this proved elusive, indicating that the design of Pt(IV) prodrugs is a difficult and frustrating task. Despite our better understanding of the biological processes and availability of advanced technologies, even our sophisticated rational plans often leave us disappointed and frustrated because at the end of the day, we are not able to outsmart the cancer cells or the mice, and just like Rosenberg, we might need to be rescued by serendipity.
    MeSH term(s) Animals ; Antineoplastic Agents/chemical synthesis ; Antineoplastic Agents/chemistry ; Antineoplastic Agents/pharmacology ; Cell Proliferation/drug effects ; Cell Survival/drug effects ; Dose-Response Relationship, Drug ; Humans ; Mice ; Molecular Structure ; Organoplatinum Compounds/chemical synthesis ; Organoplatinum Compounds/chemistry ; Organoplatinum Compounds/pharmacology ; Prodrugs/chemical synthesis ; Prodrugs/chemistry ; Prodrugs/pharmacology ; Structure-Activity Relationship
    Chemical Substances Antineoplastic Agents ; Organoplatinum Compounds ; Prodrugs
    Language English
    Publishing date 2021-04-29
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2218496-X
    ISSN 1860-7187 ; 1860-7179
    ISSN (online) 1860-7187
    ISSN 1860-7179
    DOI 10.1002/cmdc.202100115
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A new conceptual model for anorexia nervosa: A role for connective tissue?

    Gibson, Dennis / Mehler, Philip S

    The International journal of eating disorders

    2024  Volume 57, Issue 3, Page(s) 537–542

    Abstract: The etiology of anorexia nervosa (AN) remains to be fully elucidated, and current theories also fail to account for the direct effect of starvation on the health of the organs and tissues, specifically the connective tissue present in most organs of the ... ...

    Abstract The etiology of anorexia nervosa (AN) remains to be fully elucidated, and current theories also fail to account for the direct effect of starvation on the health of the organs and tissues, specifically the connective tissue present in most organs of the body. Individuals with hereditary disorders of connective tissue manifest with clinical symptoms that overlap with AN, as the abnormal connective tissue also contributes to many of the other extra-articular manifestations of these hereditary disorders. This article hypothesizes that a similar pathophysiology may also contribute to the clinical presentation of AN. Therefore, a better understanding is needed to elucidate: (1) the relationship between abnormal connective tissue and AN, (2) the impact of starvation toward the development of abnormal connective tissue and how this manifests clinically, (3) the etiology of autonomic nervous system changes contributing to the dysautonomia in AN, and (4) how the sensory signals sent from potentially abnormal connective tissue to the central nervous system impact interoception in AN. A conceptual model incorporating abnormal connective tissue is provided. PUBLIC SIGNIFICANCE: The etiology of AN remains poorly understood and current theories fail to account for the direct impact of starvation on the health of the organs and tissues of the body. There is significant clinical overlap between AN and hereditary connective tissue disorders. This paper attempts to provide a new conceptual model for AN in which abnormal connective tissue contributes to the underlying pathogenesis.
    MeSH term(s) Humans ; Anorexia Nervosa ; Connective Tissue
    Language English
    Publishing date 2024-02-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603170-5
    ISSN 1098-108X ; 0276-3478
    ISSN (online) 1098-108X
    ISSN 0276-3478
    DOI 10.1002/eat.24172
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Planning the supply of aged care services: It's time to talk denominators.

    Gibson, Diane

    Australasian journal on ageing

    2020  Volume 39, Issue 4, Page(s) e515–e521

    Abstract: Objectives: This paper explores how changes in demography, service use and the aged care system have implications for the appropriateness of the denominator in the aged care provision ratio.: Methods: Official statistics were analysed to create five ... ...

    Abstract Objectives: This paper explores how changes in demography, service use and the aged care system have implications for the appropriateness of the denominator in the aged care provision ratio.
    Methods: Official statistics were analysed to create five alternative scenarios for residential care planning in a 2000-2027 time series.
    Results: The four age-based denominators and a revised denominator incorporating age- and sex-specific disability rates generated diverse levels of absolute supply. The 75+ denominator produced 1400 fewer beds than the 70+ denominator by 2018, but over 14 000 additional beds by 2027.
    Conclusion: The 70+ based ratio developed almost forty years ago has served its purpose reasonably well. However, changes in the nature of the aged care system, different patterns of use by age and sex, and demographic changes suggest that long-term aged care planning requires careful review in choosing a more robust version of the provision ratio for the future.
    MeSH term(s) Aged ; Delivery of Health Care ; Female ; Forecasting ; Humans ; Male
    Language English
    Publishing date 2020-08-04
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1457406-8
    ISSN 1741-6612 ; 0726-4240 ; 1440-6381
    ISSN (online) 1741-6612
    ISSN 0726-4240 ; 1440-6381
    DOI 10.1111/ajag.12823
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Who uses residential aged care now, how has it changed and what does it mean for the future?

    Gibson, Diane

    Australian health review : a publication of the Australian Hospital Association

    2020  Volume 44, Issue 6, Page(s) 820–828

    Abstract: Objective This paper presents past trends in resident characteristics and usage patterns in residential aged care and explores implications for the future. Methods Time series analyses were undertaken of national aged care administrative datasets and the ...

    Abstract Objective This paper presents past trends in resident characteristics and usage patterns in residential aged care and explores implications for the future. Methods Time series analyses were undertaken of national aged care administrative datasets and the Australian Bureau of Statistics Surveys of Disability, Ageing and Carers. Results Although the number of people in residential care has continued to increase, resident profiles have changed as a result of higher growth rates in the number of men and of people aged 65-74 years and 90 years and over, and a decline in the number of women aged 75-89 years. Relative to population size, usage rates are declining across all age groups, the average length of stay is shortening, and dependency levels appear to be rising. Conclusion Changing trends in residential aged care use, when combined with key trends in the broader population of older Australians, offer useful insights in planning for the future. What is known about the topic? Trends in the changing characteristics of permanent aged care residents and patterns of use of Australian residential aged care have received sparse attention in scholarly journals. Government reports and databases contain useful statistics, but they do not provide a coherent analysis and interpretation of the implications of these trends or situate them in broader population patterns. What does this paper add? The analyses in this paper demonstrate patterns of change and continuity in the use of residential care over the past decade, and locate those changes in the context of broader trends in the ageing population. Together, this provides useful insights into current and likely future trends, as well as a basis for imagining an improved residential aged care system in the future. What are the implications for practitioners? These analyses illustrate how data on aged care services, demographic trends and disease patterns can be used to consider the challenges that have affected our residential aged care system in the past and how that may be addressed in the future.
    MeSH term(s) Aging ; Australia ; Caregivers ; Delivery of Health Care ; Emigrants and Immigrants ; Female ; Humans ; Male
    Language English
    Publishing date 2020-08-20
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 639155-2
    ISSN 1449-8944 ; 0159-5709 ; 0156-5788
    ISSN (online) 1449-8944
    ISSN 0159-5709 ; 0156-5788
    DOI 10.1071/AH20040
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The burden of hypertension, diabetes, and overweight/obesity by sedentary work pattern in Bangladesh: Analysis of Demographic and Health Survey 2017-18.

    Kibria, Gulam Muhammed Al / Hossen, Shakir / Gibson, Dustin

    PLOS global public health

    2024  Volume 4, Issue 2, Page(s) e0002788

    Abstract: Most low- and middle-income countries, including Bangladesh, are currently undergoing epidemiologic and demographic transitions with an increasing burden of hypertension, diabetes, and overweight/obesity. Inadequate physical activity is a risk factor for ...

    Abstract Most low- and middle-income countries, including Bangladesh, are currently undergoing epidemiologic and demographic transitions with an increasing burden of hypertension, diabetes, and overweight/obesity. Inadequate physical activity is a risk factor for these conditions and work-related activities contribute to most of the physical activities in Bangladesh. We investigated the association of the sedentary nature of occupation with hypertension, diabetes, and overweight/obesity in Bangladesh. If a person's systolic/diastolic blood pressure, fasting plasma glucose concentration, and body mass index were ≥130/80 mmHg, ≥7 mmol/l, and ≥23 kg/m2, respectively, they were classified as hypertensive, diabetic, and overweight/obese. The nature of occupation/work was classified into three types: non-sedentary workers (NSW), sedentary workers (SW), and non-workers (NW). After describing the sample according to exposure and outcomes, we performed simple and multivariable logistic regression to investigate the association. Among 10900 participants (60.7% females, mean age: 40.0 years), about 43.2%, 13.2%, and 42.8% were NSW, SW, and NW, respectively. NSW, SW, NW, and overall people, respectively, had 6.7%, 14.5%, 11.7%, and 9.9% prevalence rates for diabetes; 18.0%, 32.9%, 28.3%, and 24.4% prevalence rates for overweight/obesity; and 18.0%, 32.9%, 38.3%, and 28.0% prevalence rate for hypertension. SW had higher odds of diabetes (AOR: 1.44, 95% CI: 1.15-1.81), overweight/obesity (AOR: 1.83, 95% CI: 1.52-2.21), and hypertension (AOR: 1.47, 95% CI: 1.21-1.77) than NSW. NW had higher odds of diabetes (AOR: 1.43, 95% CI: 1.19-1.71) or hypertension (AOR: 1.37, 95% CI: 1.22-1.56) but not higher odds of overweight/obesity (AOR: 1.11, 95% CI: 0.98-1.27) than NSW. We found higher prevalence and odds of the studied conditions among SW than NSW. Workplace physical activity programs may improve the physical activity and health of SW.
    Language English
    Publishing date 2024-02-06
    Publishing country United States
    Document type Journal Article
    ISSN 2767-3375
    ISSN (online) 2767-3375
    DOI 10.1371/journal.pgph.0002788
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Analgesia to acidosis: metabolic acidosis due to chronic acetaminophen (paracetamol) use.

    Goyal, Anmol / Gaskill, John / Osman, Omar / Gibson, Demetra

    BMJ case reports

    2024  Volume 17, Issue 4

    Abstract: This case describes a rare occurrence of high anion gap metabolic acidosis due to chronic acetaminophen (paracetamol) usage, which can be confirmed by measuring 5-oxoproline (pyroglutamate), an organic acid metabolite. As acetaminophen is an extremely ... ...

    Abstract This case describes a rare occurrence of high anion gap metabolic acidosis due to chronic acetaminophen (paracetamol) usage, which can be confirmed by measuring 5-oxoproline (pyroglutamate), an organic acid metabolite. As acetaminophen is an extremely common drug prescribed in both inpatient and outpatient settings, a high degree of clinical suspicion is required to isolate it as the aetiology for metabolic acidosis. Management includes discontinuation of acetaminophen use and at times the supplementation of oral bicarbonate. Metabolic acidosis due to a high anion gap is commonly described by the mnemonic 'MUDPILES' in daily practice. A newer mnemonic, 'GOLD MARK' is proposed to be a more inclusive tool to assist in determining the cause of high anion gap metabolic acidosis, especially with such cases being reported.
    MeSH term(s) Humans ; Acetaminophen/adverse effects ; Acidosis/chemically induced ; Analgesics, Non-Narcotic/adverse effects ; Male ; Female ; Acid-Base Equilibrium/drug effects ; Pyrrolidonecarboxylic Acid
    Chemical Substances Acetaminophen (362O9ITL9D) ; Analgesics, Non-Narcotic ; Pyrrolidonecarboxylic Acid (SZB83O1W42)
    Language English
    Publishing date 2024-04-30
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2023-258396
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Imaging of sleep-disordered breathing in adults.

    Whyte, A / Gibson, D

    Clinical radiology

    2020  Volume 75, Issue 12, Page(s) 960.e1–960.e16

    Abstract: Sleep-disordered breathing (SDB) is a term that includes several chronic conditions in which partial or complete cessation of breathing occurs multiple times throughout the night. Central sleep apnoea (CSA) is uncommon and defined by the episodic ... ...

    Abstract Sleep-disordered breathing (SDB) is a term that includes several chronic conditions in which partial or complete cessation of breathing occurs multiple times throughout the night. Central sleep apnoea (CSA) is uncommon and defined by the episodic cessation of airflow without respiratory effort. Lesions involving the respiratory centre in the brainstem or the origin of the phrenic nerve from the mid-cervical cord are the commonest structural causes of CSA; magnetic resonance imaging (MRI) will demonstrate the lesion and frequently suggest the likely aetiology. In contrast, obstructive sleep apnoea (OSA) is defined as upper airway obstruction despite ongoing respiratory effort. Repetitive episodes of narrowing or closure of the upper airway are the predominant cause leading to snoring and OSA, respectively. OSA affects 33-40% of the adult population and is associated with multiple adverse health consequences, including a significantly increased risk of serious morbidity and mortality. The incidence is increasing proportionally to the worldwide rise in obesity. Imaging, performed primarily without the involvement of radiologists, has been integral to understanding the anatomical basis of SDB and especially OSA. This article will review the pathophysiology, imaging findings, and sequelae of these common conditions. The role of imaging both in suggesting the incidental diagnoses of SDB and in the investigation of these conditions when the diagnosis is suspected or has been established are also discussed.
    MeSH term(s) Adult ; Humans ; Sleep Apnea Syndromes/diagnostic imaging
    Language English
    Publishing date 2020-06-30
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 391227-9
    ISSN 1365-229X ; 0009-9260
    ISSN (online) 1365-229X
    ISSN 0009-9260
    DOI 10.1016/j.crad.2020.05.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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