Surgery (Austin & Northern Health) - Theses

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    A study to identify risk factors in the aetiology and cause of traumatic spinal cord paralysis
    Toscano, Giuseppe ( 1986)
    This thesis is primarily concerned with determining: I. Primary and Secondary risk factors in traumatic spinal cord paralysis. (a) PRIMARY RISK FACTORS are those factors which predispose an individual to develop traumatic spinal cord paralysis. (b) SECONDARY RISK FACTORS are those factors which determine prognosis from time of injury to the time the patient is admitted to the emergency room of the Spinal Injuries Unit. II. Developing a preventive programme based on the elucidated Primary and Secondary risk factors. All patients who sustained significant spinal cord injuries in Victoria or within 25 kilometres of the Victorian border who were admitted to the Victorian Spinal Injuries Unit, Austin Hospital during the study period (1st March 1983 to 28th December 1984) were included in the study.
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    Clinical application of evidence-based surgery: the role of audits in surgical practice
    Chiang, David Ting-Wei ( 2008)
    Evidence-Based Medicine (EBM) is the integration of clinical practice with research evidence. The development aims to respond to the limitations of traditional expert recommendations as a guide to clinical practice. It has become a paradigm shift in the way clinicians learn and practice medicine [1-3]. Audit has been recognized as a form of EBM. Although the basic form has been practiced by some great surgeons since last century, often surgical practice has been based on ‘the tradition‘. The universal acceptance and practice of audits in surgery is only recent [4-6]. The aim of the project was to conduct audits for current surgical practice, and observe whether the evidence influence its practice. To achieve the aim, the thesis consisted of six studies, which were designed to investigate three aspects of surgical practice, including quality care assurance, cost-effectiveness of healthcare resources in surgical practice, and validation of a new surgical technique.