Falls are the most common cause of injury admissions of elderly people to Victorian hospitals.Hospital deaths of injured elderly Victorians in aged care are largely due to falls, a study shows.
Falls accounted for more than 80 per cent of hospital deaths following an injury-related admission, according to a report by Monash University’s Victorian Injury Surveillance Unit.
The report calls for special attention to ensure the risk of falls is minimised and the impact of falls is reduced as much as possible.
A total of 188 residents in the state’s aged care facilities died in hospital during an injury-related hospital admission, during 2014/15 to 2016/17.
Fractures to the hip and thigh region accounted for the largest proportion of deaths.
After falls, choking or suffocation was the second leading cause of death.
In general, falls were the most common cause of injury admissions.
The report authors said the data showed the vulnerability of the elderly in care, especially considering two thirds of deaths were in the 85-94 age group.
The study looked at unintentional injury hospital admissions in Victorians aged 65 years and over living in residential aged-are facilities on a permanent or respite basis.
It called for state and federal funded investigations into injury among older people receiving care in their home, given the trend for older people to remain at home with paid or informal care.
However, while there is greater tendency for older people to live at home for longer, the number of people in residential aged care, and therefore the number of hospital admissions, is also likely to continue growing, it said.
Plastic straws may be banned for use in England in a year’s time after consultations are completed.The UK government is pushing to have plastic straws, stirrers and cotton buds banned throughout England in a bid to help protect the world’s oceans and wildlife.
Environment Secretary Michael Gove has launched a consultation into how to ban the items with the ban looking at being enacted between October 2019 and October 2020.
The consultation process, which applies to England only, will consider exemptions to make sure people who need plastics to deal with medical conditions or accessibility issues are not affected.
Under the plan, pharmacies would still be able to sell plastic straws and restaurants, pubs and bars would stock them for use on request only.
It is estimated that 4.7 billion plastic straws, 316 million plastic stirrers and 1.8 billion plastic-stemmed cotton buds are used each year in England.
Gove said the ban would be a boost to efforts to “turn the tide on plastic pollution”.
“Our precious oceans and the wildlife within need urgent protection from the devastation throw-away plastic items can cause,” he said.
“In England we are taking world-leading action with our ban on microbeads, and thanks to the public’s support have taken over 15 billion plastic bags out of circulation with our 5p charge.
“I commend retailers, bars and restaurants that have already committed to removing plastic straws and stirrers. But we recognise we need to do more.”
Greenpeace UK’s political adviser Sam Chetan Welsh commended ministers for doing “the sensible thing”, but urged big companies to do more by cutting down on plastic packaging.
He said: “Our society’s addiction to throwaway plastic is fuelling a global environmental crisis that must be tackled.
Kate Nicholls, chief executive of UKHospitality, welcomed the consultation, saying many restaurants and hotels have already begun taking action to cut down on plastics.
Prosecutor Chris Winneke says Zainab Abdirahman-Khalif aligned herself with the ideology of IS.An Adelaide woman is yet to decide if she will give evidence during the sentencing process after being found guilty of membership of the Islamic State terror group.
In South Australia’s first terrorism trial, Zainab Abdirahman-Khalif was found guilty by a Supreme Court jury in September of being a member of IS.
During the 23-year-old’s trial, prosecutor Chris Winneke QC said Abdirahman-Khalif had “wholly embraced the concepts and aligned herself with the ideology of the terror group.
The court was told on Monday that a psychologist had completed interviews with the woman and that report would be available within a week or so.
Defence counsel Bill Boucaut said it was important for the court had an understanding of the “family dynamics” ahead of sentencing his client.
Justice David Peek said the question of whether Abdirahman-Khalif gave evidence during sentencing submissions was a question entirely for her and her legal team.
He described the matter before him as a “difficult case” and said it was important for the court to “tread carefully” in terms of how it proceeded.
Justice Peek ordered the court and the DPP be provided with the psychological report by November 2 and listed a directions hearing on November 12.
He also set a tentative date for sentencing submissions of December 4.
During Abdirahman-Khalif’s trial, the court heard she was stopped by police at Adelaide Airport after she tried to board a plane to Istanbul in July 2016.
Carrying only hand luggage and less than $200 in cash, she told officers she intended to work for an aid organisation and expected her living expenses and the cost of a flight home would be covered.
She was later released, but arrested at the Port Adelaide TAFE SA campus in May 2017, following a year-long investigation.
In evidence, a counter-terrorism police officer said 127 video files of “investigative relevance” were found on her phone, and the jury was played a compilation of violent scenes.
The court also heard she had been in communication with three young women and knew about their deadly terror attack on a police station in Kenya before it occurred.
In his closing statements, Mr Winneke said as well as embracing the concepts and ideology of IS, Abdirahman-Khalif had gone a step further.
“She set off to go to Turkey, to engage with terrorists in the view of lending her support to Islamic State,” he said
“In doing so, she became a member of Islamic State.”
Japanese author Haruki Murakami says his books find their own endings as he just goes with the flow.Haruki Murakami says he enjoys writing novels because he doesn’t know how they’ll end.
The Japanese author behind global bestsellers like his latest “Killing Commendatore” has told Tokyo FM that when he’s writing his books he just lets ideas pop up as he writes and goes with the flow allowing the story to take shape.
“It’s no fun writing a story if I already know how it’s going to end,” Murakami said on Sunday.
“Because the very person who is writing doesn’t know what happens, I think readers would also share the anticipation and enjoy the thrill while reading.”
“Murakami Radio” is a pre-recorded 55-minute show broadcast only in Japan – his second this year on Tokyo FM after his first in August was a big hit.
Music serves as important motifs in his stories. An avid listener and collector of music, he has also written books on the topic.
During Sunday’s show, Murakami played a selection of cover versions from jazz and pop. He opened the show paying tribute to Aretha Franklin, playing her version of Frank Sinatra’s “My Way,” which he only played partially in his earlier show, a week before the American singer died.
Murakami said he is a “cover maniac” as he likes to listen to the tunes covered in different styles and interpretations.
Murakami, 69, began writing while running a jazz bar in Tokyo after graduating from university. His first novel, “Hear the Wind Sing,” came out in 1979, and the 1987 romantic novel “Norwegian Wood” was his first best-seller, establishing him as a young literary star. Recent best-sellers include “1Q84” and “Colorless Tsukuru Tazaki and His Years of Pilgrimage.”
A perennial contender for the Nobel literature prize, Murakami got a break from the attention this year when there was no award given in the category due to a committee scandal.
Murakami appeared earlier this month at a talk event hosted by the New Yorker magazine in New York, marking the US debut of his latest novel. Murakami told the New Yorker in August that his original inspiration for the latest novel came from the 18th century ghost story. He said he also wants to write something of an homage to “The Great Gatsby.”
A driver accused of killing six people during a rampage through Melbourne’s Bourke Street believes God will exonerate him of guilt before a comet strikes earth, the Supreme Court has been told.
James “Dimitrious” Gargasoulas on Monday faced day one of a hearing before a jury to determine if he is fit to stand trial on six counts of murder and 28 counts of attempted murder over the January 2017 incident.
Both the defence and prosecution agree Gargasoulas has schizophrenia and suffers delusions, but disagree whether he is fit to stand trial.
Defence barrister Theo Alexander argued Gargasoulas was unable to meet three criteria required of an accused person facing trial, including his ability to enter a plea, understand the substantial effect of evidence or instruct his lawyer.
But crown prosecutor Kerri Judd QC argued Gargasoulas was “not consumed by his delusional beliefs”.
She said he was making a bid to instead be held at Thomas Embling psychiatric hospital, with a possible future release.
The court was told Gargasoulas had treatment-resistant paranoid schizophrenia with “Messianic delusions”, and acknowledged he had ploughed through pedestrians last year but believed “God made him do it”.
Forensic psychiatrist Lester Walton told court Gargasoulas was on his sixth antipsychotic medication and was in the early stages of treatment with a “last resort”, potentially life-threatening drug.
Dr Walton said he believed Gargasoulas was unable to enter a plea due to his delusions, believing “he was acting under divine instruction” when he allegedly drove through pedestrians.
“‘My mission is to reinstate God’s law, which will redeem myself,'” he quoted from Gargasoulas.
“I will become king before the end of this court case.
“If I don’t reinstate God’s law, we are all going to die.”
Dr Walton said Gargasoulas could not “meaningfully enter a plea”, regarding that as “irrelevant” to his mission.
“He wants to be recognised as the king. This will happen, apparently, during the course of the trial once a comet arrives,” he said.
He added Gargasoulas believed that he needed to “have his day in court” to persuade everyone of his world view, “or we will all perish”.
Dr Walton, who spent about four hours assessing Gargasoulas in custody, said he didn’t believe he was mentally ill, but was a compliant patient.
Several experts are expected to testify during the fitness hearing, including forensic psychiatrist Andrew Carroll and forensic psychologist Michael Daffern, a prosecution witness, who will argue that Gargasoulas is in fact fit for trial.
The hearing continues.