Publications by authors named "Michelle Gray"

Background: The COVID-19 pandemic precipitated a rapid roll-out of virtual health care services to people with intellectual disabilities. Limited evidence is available for clinicians to guide virtual care delivery.

Method: Twenty-three studies were identified through systematic searching of 16 databases.

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  • * Research using BACHD mice and dnSNARE mice showed that reducing SNARE-dependent exocytosis protects against brain cell loss in the striatum but not in the cortex.
  • * The study found changes in amino acid transporter expressions, with significant normalization of GAT3 levels when SNARE-dependent exocytosis was reduced, suggesting a potential therapeutic target in HD.
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Aim: The aim of this pilot study was to explore clinician's experience of transitioning from midwifery clinical practice into university in an academic teaching role within one jurisdiction in Australia.

Background: There is a dire shortage of midwifery academics globally. In Australia the shortage is symbiotic with the persistent deficit in the midwifery clinical workforce, which is the predominant recruitment pool for universities.

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Aim: To identify the barriers and facilitators having an impact on the progression and completion of studies for students who give birth during their midwifery program.

Background: Balancing the demands of pregnancy and new motherhood with the rigorous academic requirements of a tertiary-level midwifery program is challenging for students wishing to progress and complete their studies. Understanding the barriers and facilitators students face when resuming midwifery studies following birth can assist universities in providing educational environments that support students in achieving their midwifery education.

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Background: A growing body of research has examined lifestyle-based interventions for dementia prevention. Specifically, health coaching interventions have been linked to decreased risk of Alzheimer disease (AD) comorbidities, such as diabetes. Despite the association, there is a lack of research examining the efficacy and perception of digital health coaching on reducing AD risk.

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Background: The Family Community-based Assistance Resourcing and Education Program (FCP) is a nurse home visiting program that was introduced in Queensland two decades ago to redress health inequalities for infants from families experiencing specific social stressors. Locally adapted versions of this home visiting program are still in use, but have not been evaluated. This study examined child health nurse perceptions of the adapted FCP in one regional Queensland health service.

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Aim: This study aimed to assess the specific clinical and non-clinical training needs of midwives and determine their preferred approach to enhancing performance.

Background: Pre-eclampsia remains one of the leading causes of maternal deaths in low and middle-income countries. Pre-eclampsia-related deaths may be due to reduced midwifery knowledge and inadequate management.

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  • * An analysis of existing Australian legislation, workforce guidelines, and university policies was conducted to identify any available support for returning to study post-maternity leave, revealing that while maternity leave rights are clear, specific guidance for midwifery students is not.
  • * The conclusion calls for the establishment of clear national guidelines that could better support midwifery students during their transition to motherhood and provide recommendations for when to safely return to studies and clinical placements.
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Problem: Like other low- and middle-income countries, Ghana has high maternal mortality stemming from pre-eclampsia. Ghanaian midwives are frontline service providers of emergency care in obstetric complications and have the greatest potential to maximise pre-eclampsia outcomes. Little is known about the potential barriers and challenges to midwives' capacity to provide quality care in pre-eclampsia in Ghana.

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Aims: To explore and summarise the literature on the concept of 'clinical deterioration' as a nurse-sensitive indicator of quality of care in the out-of-hospital context.

Design: The scoping review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Review and the JBI best practice guidelines for scoping reviews.

Methods: Studies focusing on clinical deterioration, errors of omission, nurse sensitive indicators and the quality of nursing and midwifery care for all categories of registered, enrolled, or licensed practice nurses and midwives in the out-of-hospital context were included regardless of methodology.

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In summer 2011, Tropical storms Lee and Irene caused an estimated 90% decline of the submersed aquatic plant Michx. (Hydrocharitaceae) in the Hudson River of New York (USA). To understand the genetic impact of such large-scale demographic losses, we compared diversity at 10 microsatellite loci in 135 samples collected from five sites just before the storms with 239 shoots collected from nine sites 4 years after.

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Introduction: In low-resource settings, midwives are the first contact for women with preeclampsia and lead the coordination of care. Unfavourable preeclampsia outcomes create a burden for women, families, and the health system. It is therefore important to understand the unique context of midwives' practice and the complex factors that influence the delivery of maternal healthcare.

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Introduction: Nurses in remote primary health care settings work in difficult conditions, in isolated and disadvantaged communities, and often must work beyond their scope to provide advanced assessments and treatments to support the community. Therefore, remote area nurses require support to develop their skills and knowledge to work safely within their full scope of practice. Clinical supervision is widely used in health professions for this purpose; however, models of supervision for nursing have not been implemented or evaluated within remote primary health care settings.

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Morphological characteristics and DNA sequencing were used to identify plerocercoids of a Schistocephalus sp. infecting slimy sculpin (Cottus cognatus) from northern New Brunswick and plerocercoids of Ligula intestinalis infecting blacknose dace (Rhinichthys atratulus) in Fundy National Park (FNP, New Brunswick). To our knowledge, no previous publications documented either cestode from New Brunswick, Canada.

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Prior work, primarily focusing on habitual gait velocity, has demonstrated a cost while walking when coupled with a cognitive task. The cost of dual-task walking is exacerbated with age and complexity of the cognitive or motor task. However, few studies have examined the dual-task cost associated with maximal gait velocity.

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Neurodegenerative diseases are broadly characterized neuropathologically by the degeneration of vulnerable neuronal cell types in a specific brain region. The degeneration of specific cell types has informed on the various phenotypes/clinical presentations in someone suffering from these diseases. Prominent neurodegeneration of specific neurons is seen in polyglutamine expansion diseases including Huntington's disease (HD) and spinocerebellar ataxias (SCA).

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Problem: Limited opportunity exists for new graduates in Australia to be employed in continuity of care midwifery models.

Aim: To explore the perspectives of midwifery mentors supporting new graduate midwives employed in continuity of care models.

Methods: An interpretive, qualitative study was conducted.

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Background: Assessing cognitive constructs affected by Alzheimer disease, such as processing speed (PS), is important to screen for potential disease and allow for early detection. Digital PS assessments have been developed to provide widespread, efficient cognitive testing, but all have been validated only based on the correlation between test scores. Best statistical practices dictate that concurrent validity should be assessed for agreement or equivalence rather than using correlation alone.

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Objective: The aim of this review was to examine the literature to identify what is known about midwives' experiences as academics and their perspectives of transition from clinical practice to university.

Introduction: Literature on health care practitioners, particularly nurses' transition from clinical experts to novice teachers suggests the transition to academia is challenging.Challenges reported by research studies have identified stress, uncertainty, and lack of a supportive and structured transition.

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Article Synopsis
  • Well-developed critical thinking skills are essential for safe, evidence-based, and woman-centered midwifery care, necessitating reliable tools to assess these skills in practice.
  • The study evaluated the Carter Assessment of Critical Thinking in Midwifery (CACTiM) using Rasch analysis with midwifery students and their preceptors from three Australian universities, confirming the tools' reliability and ability to distinguish students' critical thinking abilities.
  • Findings suggest the CACTiM tools are valid and reliable, and they can help midwifery programs enhance curricula by identifying specific areas for student development.
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Several modifiable lifestyle factors have been linked to cognitive ability and the risk of developing Alzheimer's disease and related dementias (ADRD). Health coaching (HC) is an intervention that addresses lifestyle factors associated with cognition. The effectiveness of an HC protocol was evaluated and compared with a health education (HE) intervention, representing the current standard of care, in a sample of 216 adults between the ages of 45 and 75 years who were at-risk for developing ADRD.

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Unlabelled: The river continuum concept (RCC) predicts a downstream shift in the reliance of aquatic consumers from terrestrial to aquatic carbon sources, but this concept has rarely been assessed with longitudinal studies. Similarly, there are no studies addressing how forestry related disturbances to the structure of headwater food webs manifest (accumulate/dissipate) downstream and/or whether forest management alters natural longitudinal trends predicted by the RCC. Using stable isotopes of carbon, nitrogen and hydrogen, we investigated how: 1) autochthony in macroinvertebrates and fish change from small streams to larger downstream sites within a basin with minimal forest management (New Brunswick, Canada); 2) longitudinal trends in autochthony and food web length compare among three basins with different forest management intensity [intensive (harvest and replanting), extensive (harvest only), minimal] to detect potential cumulative/dissipative effects; and 3) forest management intensity and other catchment variables are influencing food web dynamics.

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: The purpose of this study was to examine the reliability and validity of the 30-15 Intermittent Field Test (30-15) with and without a ball. : Twenty-four collegiate female soccer players (19.46 ± 1.

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Background: In Aotearoa New Zealand, Pasifika women have a higher rate of cervical cancer incidence and mortality than European/Other women and a lower screening rate. Despite actions to reduce the barriers, there has been little change in screening coverage for Pasifika women since 2007. Novel strategies are therefore required.

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