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Biomedical subjects

Hedley Peach

Publications and source records attributed to Hedley Peach.

4 recordsLinked to original sources

Australia's Vietnam veterans--a review.

BACKGROUND: Vietnam veterans' war experiences have adversely affected their own mental health and that of one in 3 partners and one in 4-6 of their dependents, many of whom are reluctant to seek help. OBJECTIVE: This article reviews the health problems suffered by families of Australia's Vietnam veterans and discusses what the future might hold for these families, what the implications might be for families of veterans of more recent conflicts, and how general practitioners and divisions of general practice might help. DISCUSSION: Mental illness of veterans' dependents may increase their risk of cardiovascular and other physical diseases, and their children's risk of psychological problems. Caring for veterans as they age may further strain the mental health of one in 3-4 partners and jeopardise their role as grandparents. General practitioners can help by paying attention to the mental health of veterans and their dependents, working with the families, providing education and support, assessing the need for individual or family counselling, encouraging veterans' dependents to use universal or Department of Veterans' Affairs services, and building dependent's and grandchildren's resilience.

Australia↗

Should Australia's hospitals be reviewing the use of research in patient care by nurses, managers and allied health professionals?--A systematic review of recent evidence.

Recently published studies were systematically reviewed to determine whether use of research in clinical practice by nurses, managers and allied health professionals in hospitals is currently sub-optimal, the factors influencing this and possible remedial strategies. The better studies confirmed that use of appropriate research is currently sub-optimal. The nature of the research and access to it is partly responsible for this. However, adoption of research findings is also currently hindered by factors inherent in hospitals and by the skills and attitudes of potential users of the research. Numerous remedial strategies have been suggested and hospitals could take responsibility for implementing many of them. However, most have yet to be evaluated. Studies into the use of research findings by nurses, managers and allied health professionals in Australian hospitals and trials of remedial strategies are recommended.

Allied Health Personnel↗

Reading systematic reviews.

BACKGROUND: While systematic reviews should be of assistance in decision making, currently many reviews are unreliable, poorly reported or not clinically useful. It is therefore important that they are read critically. OBJECTIVES: The objective is to provide a logical way to appraise systematic reviews. Particular objectives are to demonstrate how to use a validated general guide for appraising systematic reviews; amend the guide so that it can be used to appraise systematic reviews of controlled trials, prognostic studies and studies evaluating diagnostic tests; choose between discordant reviews and assess the usefulness of good systematic reviews. DISCUSSION: Guidelines for undertaking and reporting systematic reviews should eventually improve their quality and usefulness. In the meantime, reviews must be appraised critically, particularly those outside the Cochrane Library.

Data Interpretation, Statistical↗