Institution
University of New South Wales
Education•Sydney, New South Wales, Australia•
About: University of New South Wales is a education organization based out in Sydney, New South Wales, Australia. It is known for research contribution in the topics: Population & Poison control. The organization has 51197 authors who have published 153634 publications receiving 4880608 citations. The organization is also known as: UNSW & UNSW Australia.
Papers published on a yearly basis
Papers
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TL;DR: Expelled particles carrying pathogens do not exclusively disperse by airborne or droplet transmission but avail of both methods simultaneously and current dichotomous infection control precautions should be updated to include measures to contain both modes of aerosolised transmission.
536 citations
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TL;DR: There is not sufficient evidence to draw clear conclusions on the effects of IPC interventions across high-income countries, and functional status in stroke patients may be slightly improved by externally facilitated interprofessional activities, while patient-assessed quality of care and continuity of care are uncertain.
Abstract: Background
Poor interprofessional collaboration (IPC) can adversely affect the delivery of health services and patient care. Interventions that address IPC problems have the potential to improve professional practice and healthcare outcomes.
Objectives
To assess the impact of practice-based interventions designed to improve interprofessional collaboration (IPC) amongst health and social care professionals, compared to usual care or to an alternative intervention, on at least one of the following primary outcomes: patient health outcomes, clinical process or efficiency outcomes or secondary outcomes (collaborative behaviour).
Search methods
We searched CENTRAL (2015, issue 11), MEDLINE, CINAHL, ClinicalTrials.gov and WHO International Clinical Trials Registry Platform to November 2015. We handsearched relevant interprofessional journals to November 2015, and reviewed the reference lists of the included studies.
Selection criteria
We included randomised trials of practice-based IPC interventions involving health and social care professionals compared to usual care or to an alternative intervention.
Data collection and analysis
Two review authors independently assessed the eligibility of each potentially relevant study. We extracted data from the included studies and assessed the risk of bias of each study. We were unable to perform a meta-analysis of study outcomes, given the small number of included studies and their heterogeneity in clinical settings, interventions and outcomes. Consequently, we summarised the study data and presented the results in a narrative format to report study methods, outcomes, impact and certainty of the evidence.
Main results
We included nine studies in total (6540 participants); six cluster-randomised trials and three individual randomised trials (1 study randomised clinicians, 1 randomised patients, and 1 randomised clinicians and patients). All studies were conducted in high-income countries (Australia, Belgium, Sweden, UK and USA) across primary, secondary, tertiary and community care settings and had a follow-up of up to 12 months. Eight studies compared an IPC intervention with usual care and evaluated the effects of different practice-based IPC interventions: externally facilitated interprofessional activities (e.g. team action planning; 4 studies), interprofessional rounds (2 studies), interprofessional meetings (1 study), and interprofessional checklists (1 study). One study compared one type of interprofessional meeting with another type of interprofessional meeting. We assessed four studies to be at high risk of attrition bias and an equal number of studies to be at high risk of detection bias.
For studies comparing an IPC intervention with usual care, functional status in stroke patients may be slightly improved by externally facilitated interprofessional activities (1 study, 464 participants, low-certainty evidence). We are uncertain whether patient-assessed quality of care (1 study, 1185 participants), continuity of care (1 study, 464 participants) or collaborative working (4 studies, 1936 participants) are improved by externally facilitated interprofessional activities, as we graded the evidence as very low-certainty for these outcomes. Healthcare professionals' adherence to recommended practices may be slightly improved with externally facilitated interprofessional activities or interprofessional meetings (3 studies, 2576 participants, low certainty evidence). The use of healthcare resources may be slightly improved by externally facilitated interprofessional activities, interprofessional checklists and rounds (4 studies, 1679 participants, low-certainty evidence). None of the included studies reported on patient mortality, morbidity or complication rates.
Compared to multidisciplinary audio conferencing, multidisciplinary video conferencing may reduce the average length of treatment and may reduce the number of multidisciplinary conferences needed per patient and the patient length of stay. There was little or no difference between these interventions in the number of communications between health professionals (1 study, 100 participants; low-certainty evidence).
Authors' conclusions
Given that the certainty of evidence from the included studies was judged to be low to very low, there is not sufficient evidence to draw clear conclusions on the effects of IPC interventions. Neverthess, due to the difficulties health professionals encounter when collaborating in clinical practice, it is encouraging that research on the number of interventions to improve IPC has increased since this review was last updated. While this field is developing, further rigorous, mixed-method studies are required. Future studies should focus on longer acclimatisation periods before evaluating newly implemented IPC interventions, and use longer follow-up to generate a more informed understanding of the effects of IPC on clinical practice.
536 citations
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TL;DR: In this article, the authors provide an overall survey of the key technologies in hydrogen energy storage system, ranging from hydrogen production using both fossil fuels, biomass and electricity generated from renewable power sources, to hydrogen storage in both pressurised gas, liquefied and material-based methods, as well as associated electricity generation technologies using hydrogen.
535 citations
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University of Waikato1, University of New South Wales2, University of Sheffield3, Australian Nuclear Science and Technology Organisation4, University of California, Irvine5, Historic England6, University of Auckland7, University of Oxford8, University of Arizona9, James Cook University10, Queen's University Belfast11, ETH Zurich12
TL;DR: In this article, the Southern Hemisphere curve (SHCal20) is proposed to estimate the mean Southern Hemisphere offset to be 36 ± 27 14C yrs older than the Northern Hemisphere offset, based upon a comparison of Southern Hemisphere tree-ring data compared with contemporaneous Northern Hemisphere data.
Abstract: Early researchers of radiocarbon levels in Southern Hemisphere tree rings identified a variable North-South hemispheric offset, necessitating construction of a separate radiocarbon calibration curve for the South. We present here SHCal20, a revised calibration curve from 0–55,000 cal BP, based upon SHCal13 and fortified by the addition of 14 new tree-ring data sets in the 2140–0, 3520–3453, 3608–3590 and 13,140–11,375 cal BP time intervals. We detail the statistical approaches used for curve construction and present recommendations for the use of the Northern Hemisphere curve (IntCal20), the Southern Hemisphere curve (SHCal20) and suggest where application of an equal mixture of the curves might be more appropriate. Using our Bayesian spline with errors-in-variables methodology, and based upon a comparison of Southern Hemisphere tree-ring data compared with contemporaneous Northern Hemisphere data, we estimate the mean Southern Hemisphere offset to be 36 ± 27 14C yrs older.
535 citations
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TL;DR: In this article, the authors provide an overview of the latest research on both green 5G techniques and energy harvesting for communication, and some technical challenges and potential research topics for realizing sustainable green wireless networks are also identified.
Abstract: The stringent requirements of a 1000x increase in data traffic and 1 ms round-trip latency have made limiting the potentially tremendous ensuing energy consumption one of the most challenging problems for the design of the upcoming 5G networks. To enable sustainable 5G networks, new technologies have been proposed to improve the system energy efficiency, and alternative energy sources are introduced to reduce our dependence on traditional fossil fuels. In particular, various 5G techniques target the reduction of the energy consumption without sacrificing the quality of service. Meanwhile, energy harvesting technologies, which enable communication transceivers to harvest energy from various renewable resources and ambient radio frequency signals for communication, have drawn significant interest from both academia and industry. In this article, we provide an overview of the latest research on both green 5G techniques and energy harvesting for communication. In addition, some technical challenges and potential research topics for realizing sustainable green 5G networks are also identified.
535 citations
Authors
Showing all 51897 results
Name | H-index | Papers | Citations |
---|---|---|---|
Ronald C. Kessler | 274 | 1332 | 328983 |
Nicholas G. Martin | 192 | 1770 | 161952 |
John C. Morris | 183 | 1441 | 168413 |
Richard S. Ellis | 169 | 882 | 136011 |
Ian J. Deary | 166 | 1795 | 114161 |
Nicholas J. Talley | 158 | 1571 | 90197 |
Wolfgang Wagner | 156 | 2342 | 123391 |
Bruce D. Walker | 155 | 779 | 86020 |
Xiang Zhang | 154 | 1733 | 117576 |
Ian Smail | 151 | 895 | 83777 |
Rui Zhang | 151 | 2625 | 107917 |
Marvin Johnson | 149 | 1827 | 119520 |
John R. Hodges | 149 | 812 | 82709 |
Amartya Sen | 149 | 689 | 141907 |
J. Fraser Stoddart | 147 | 1239 | 96083 |