Publications by authors named "N O Fowler"

Best practice in violent extremist risk assessment and management recommends adopting a Structured Professional Judgement (SPJ) approach. The SPJ approach identifies relevant, evidence-based risk and protective factors and requires experts to articulate hypotheses about a) what the person might do (risk of what), and b) how they've come to engage in the concerning behaviour (and why) (Logan 2021) to inform who, needs to do what, and when. Whilst the field continues to move towards adopting an SPJ approach, there remains a gap between what is known empirically and what is needed in practice.

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Background: Decisions about driving cessation can be stressful for older adults. We tested effects of a driving decision aid (DDA) on psychosocial outcomes among older drivers during two-year follow-up.

Methods: Multisite randomized controlled trial of licensed drivers ages ≥70 with at least one diagnosis associated with increased likelihood of driving cessation, without significant cognitive impairment.

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Article Synopsis
  • The study investigates how internal factors, particularly attitudes towards mobility, affect changes in transportation behavior among older drivers (70+) transitioning away from driving.
  • It found that older individuals with a high readiness to adapt to mobility changes are significantly more likely to use alternative forms of transportation over time.
  • However, personality traits had no impact on driving behavior or the use of alternative transportation, suggesting that attitudes play a crucial role in coping with reduced driving.
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Background: Clinical trial success hinges on efficient participant recruitment and retention. However, slow accrual and attrition frequently hinder progress. To address these challenges, a novel dashboard tool with control charts has been developed to provide investigators on the multi-site study of Delirium and Neuropsychological Recovery among Emergency General Surgery Survivors (DANE study) with timely information to improve trial recruitment.

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Microvascular free tissue transfer in head and neck surgery has evolved through technological advancements, focusing on enhancing surgical outcomes and reducing complications. The strategic process involves preoperative planning for perforator mapping, intraoperative devices for microvascular anastomoses and patient positioning, and innovative postoperative monitoring techniques ensuring flap viability. This workflow has led to a high flap success rate, although revision surgery can still be necessary.

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