"Here Comes the Junkies," Opioid Replacement Therapy in Rural Australia.

Background: Opioid replacement therapy (ORT) offers a harm minimization approach and is the mainstay treatment option for opioid dependence in Australia. Recovery is known to be complicated because of service access, cost, workforce availability, privacy, stigma, and discrimination. Rural living is considered to magnify each complication of recovery, yet little is understood about how opioid dependence recovery is experienced in rural Australia.

Comparing Internet-Based Cognitive Behavioral Therapy With Standard Care for Women With Fear of Birth: Randomized Controlled Trial.

Background: Although many pregnant women report fear related to the approaching birth, no consensus exists on how fear of birth should be handled in clinical care.

Objective: This randomized controlled trial aimed to compare the efficacy of a guided internet-based self-help program based on cognitive behavioral therapy (guided ICBT) with standard care on the levels of fear of birth in a sample of pregnant women reporting fear of birth.

Methods: This nonblinded, multicenter randomized controlled trial with a parallel design was conducted at three study centers (hospitals) in Sweden.

Prevalence and management of diabetes in residential aged care facilities in north-east Victoria, Australia.

Background: Managing diabetes in residential aged care facilities (RACFs) presents challenges to general practitioners (GPs) as the incidence of the disease increases.

Objective: The objective of this article is to describe the prevalence and management of diabetes in RACFs in north-east Victoria.

Methods: The method used for this study was a cross-sectional audit of medical files.

Continuity of midwifery care for rural women through caseload group practice: Delivering for almost 20 years.

Objective: To describe the clinical outcomes and sustainability factors of a long-standing midwifery led caseload model of rural maternity care.

Design: Retrospective clinical audit from 1998 to 2011 and autoethnographic narrative of the midwifery program told by the longest serving midwives under three key themes relating to sustainable practice.

Setting: Regional Health Service with annual birth rate of 500.

The role of women's attitudinal profiles in satisfaction with the quality of their antenatal and intrapartum care.

Objective: To compare perceptions of antenatal and intrapartum care in women categorized into three profiles based on attitudes and fear.

Design: Prospective longitudinal cohort study using self-report questionnaires. Profiles were constructed from responses to the Birth Attitudes Profile Scale and the Fear of Birth Scale at pregnancy weeks 18 to 20.

The influence of women's fear, attitudes and beliefs of childbirth on mode and experience of birth.

Background: Women's fears and attitudes to childbirth may influence the maternity care they receive and the outcomes of birth. This study aimed to develop profiles of women according to their attitudes regarding birth and their levels of childbirth related fear. The association of these profiles with mode and outcomes of birth was explored.

Thrombolysis for acute ST elevation myocardial infarction: a pilot study comparing results from GP led small rural health emergency departments with results from a physician led sub-regional emergency department.

Introduction: Urgent angiogram is best treatment for patients presenting with ST elevation myocardial infarction (STEMI) in the first 90 min after contacting medical help. For Australian residents of inner and outer regional areas and remote or very remote areas, quick access to angiograms is not available. Numerous approaches have been developed to maximize reperfusion but delays due to systematic and patient factors persist.