Background: Little is known about research priorities in adult palliative care. Identifying research priorities for adult palliative care will help to increase research quality and translation.Objective: The aim was to identify the views of health professionals' research priorities in adult palliative care in order to lead to the development of a palliative care research agenda in Australia.Design: A modified three-round Delphi survey.Setting/Subjects: Palliative care researchers and clinicians in Australia were invited to participate.Results: A total of 25 panellists completed Round 1, 14 completed Round 2, and 13 completed Round 3.Round 1 resulted in 90 research priorities in 13 categories. Round 2 showed consensus agreement on 19/90 research priorities. Round 3 resulted in the top 10 research priorities of the 19 achieving consensus in Round 2. Panellists agreed that research is needed on the transition to palliative care; improving communication about prognosis; increasing access to palliative care for indigenous communities, people who wish to remain at home, and people in aged care; addressing family caregivers' needs; promoting patients' and families' decision-making; improving cross-cultural aspects of palliative care; determining the effects of assisted dying legislation; and improving bereavement care in rural, remote and Aboriginal populations.Conclusions: The expert panellists identified the top 10 research priorities for adult palliative care. These research priorities identified are the most urgent topics requiring attention in order to increase the quality of life of patients requiring palliative care and their family members.

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While long distance dispersal of planktotrophic larvae in marine organisms has traditionally been considered the norm, several recent studies have shown that local retention of larvae and hydrodynamic barriers to dispersal often exist. This study focuses on the question of whether genetically distinct populations within a blue mussel hybrid zone typically exchange larvae or if larvae are often retained within the population of origin. Larvae were tracked to their point of settlement using a genetic marker and analyzed for correlations with differential timing of reproduction and settlement among 3 genetically distinct populations (Mytilus edulis, M. galloprovincialis and hybrid). Correspondence of allele frequencies to local reproduction and settlement suggest that larvae settling within the M. edulis and the hybrid zone populations originated from those locations. On the other hand, larvae settling within the M. galloprovincialis populations often contain significant proportions of immigrants from the hybrid zone. The observed patterns are consistent with previous studies of the local hydrodynamics, suggesting that physical barriers to dispersal often exist and result in retention of larvae. KEY WORDS: Larval dispersal · Retention · Mytilus · Hybrid zone Resale or republication not permitted without written consent of the publisherMar Ecol Prog Ser 351: [151][152][153][154][155][156][157][158][159][160][161] 2007 Cornwall between Start Point and the town of St. Ives (Fig. 1). The hybrid population is a true hybrid swarm with multi-locus genotypes representative of 'pure' individuals of both species as well as F1 and various multi-generational hybrids. Within the hybrid zone, frequencies of M. edulis-specific alleles at diagnostic loci differ among size classes; smaller mussels tend to have higher frequencies of M. edulis-specific alleles than do larger mussels at the same site due to selection favoring M. galloprovincialis-like genotypes. Estimates using adult demography suggest adult mussels within the hybrid zone should produce larvae with M. edulis-specific allele frequencies of approximately 0.71 ± 0.112 (Gilg & Hilbish 2003a). Mytilus edulis populations, where adult populations are fixed for M. edulis-specific alleles at diagnostic loci, occupy sites east of Start Point, whereas predominantly M. galloprovincialis populations, with frequencies of M. galloprovincialis-specific alleles > 0.9 in adult populations, reside north of St. Ives (Hilbish et al. 2002). The distinctions between each population are quite abrupt (< 5 km) which could be due to either disruption of dispersal leading to larval retention within each population, or to post-settlement selection, or both. Previous studies in this region have focused on measuring the movement of dispersing larvae using the genetic differences among the populations and a 2D model of the physical oceanography (Gilg & Hilbish 2003a,b). An observed difference in the timing of larval settlement within each of the populations now allows us to investigate ...

The development and implementation of a new trainee SLPA role using a traineeship approach required a large amount of supervision and training input from the SLPs. However, it was perceived that these efforts were offset by the increased service capacity provided by the introduction of a trainee role and the high levels of satisfaction with the new role.

Background Falls are a common safety incident in people with stroke. Studies report that between 14% and 65% of people with stroke fall at least once during their hospital admission. Risk factors for falls in people with stroke have been reported to include neglect, balance and dependence for activities of daily living. Communication disability has been identified as a risk factor for patient safety incidents in hospital that has not been closely examined as a potential risk factor for falls in people with stroke. Aim To determine the association between communication disability secondary to stroke and falls in people with stroke in hospital. Methods & Procedures Systematic searches of five electronic databases were conducted in June 2019 using the key concepts of ‘falls’ and ‘stroke’ (PROSPERO CRD 42019137199). Included studies provided comparative data of falls in patients with stroke with and without communication disability. The methodological quality of the studies was examined using the Quality Assessment Tool for Studies with Diverse Designs (QATSDD). Both a narrative synthesis and a meta‐analysis were completed. Main Contribution A total of 15 studies met the criteria for inclusion and 11 were included in a meta‐analysis. Three studies found people with communication disability had an increased rate of falls in hospital. However, a meta‐analysis showed no significant association between a non‐specific classification of communication disability and an increased risk of falls. There was some indication from individual studies that higher risk of falls may be associated with severe communication disability, but there were insufficient data reported on the severity of the communication disability to draw robust conclusions. Conclusion & Implications The results of this systematic review suggest that a generic classification of communication disability following stroke is not a risk factor for falls. However, further research that is inclusive of this population and considers severity of communication disability more specifically is required.