Publications by authors named "Hawker P"

Article Synopsis
  • The global prevalence of Autism Spectrum Disorder (ASD) varies, with higher rates often found in culturally diverse populations, but current autism screening tools may not work well across different cultures due to differences in symptom recognition and healthcare attitudes.
  • A systematic review analyzed 51 articles examining various screening tools across 32 countries and many languages, revealing significant variability in the tools' validity, reliability, and accuracy, especially for those developed outside the population they are intended for.
  • The study found a lack of data regarding the acceptability of these screening tools among culturally and linguistically diverse groups, highlighting the need for culturally sensitive assessments in autism diagnosis.
View Article and Find Full Text PDF

Background: Children and families from priority populations experienced significant psychosocial and mental health issues to the COVID-19 pandemic. Yet they also faced significant barriers to service access, particularly families from culturally and linguistically diverse (CALD) backgrounds. With most child and family health nurse clinics ceasing in-person consultations due to the pandemic, many children missed out on health and developmental checks.

View Article and Find Full Text PDF

Background: Brief intervention services provide rapid, mobile and flexible short-term delivery of interventions to resolve mental health crises. These interventions may provide an alternative pathway to the emergency department or in-patient psychiatric services for children and young people (CYP), presenting with an acute mental health condition.

Aims: To synthesise evidence on the effectiveness of brief interventions in improving mental health outcomes for CYP (0-17 years) presenting with an acute mental health condition.

View Article and Find Full Text PDF

Background: Long term intervention services have proven to be effective in improving mental health (MH) outcomes and the quality of life for children and young people (CYP).

Aim: To synthesize evidence on the effectiveness of long-term interventions in improving MH outcomes for CYP, 0-17 years, presenting with MH conditions.

Methods: A systematic search was carried out and the methodological quality of included long term MH intervention studies were assessed.

View Article and Find Full Text PDF

Introduction: Children and adolescents are increasingly prescribed antipsychotic medications off-label in the treatment of behavioural disorders. While antipsychotic medications are effective in managing behavioural issues, they carry a significant risk of adverse events that compromise ongoing physical health. Of particular concern is the negative impact antipsychotic medications have on cardiometabolic health.

View Article and Find Full Text PDF

Biologic agents have now been used in the management of inflammatory bowel disease (IBD) for many years where experience, expertise and confidence in their use has developed over time. In the United Kingdom, there are well established guidelines and recommendations for both single agent biologic treatments, and with combination therapy of a biologic agent with a small molecule agent in maintenance therapy. In recent times, there has been increasing interest and experience using dual biologic therapy (DBT) in IBD, primarily in difficult to treat and refractory cases with high disease burden.

View Article and Find Full Text PDF

Inflammatory bowel disease (IBD) is a chronic debilitating condition, hallmarked by persistent inflammation of the gastrointestinal tract. Despite recent advances in clinical treatments, the aetiology of IBD is unknown, and a large proportion of patients are refractory to pharmacotherapy. Understanding IBD immunopathogenesis is crucial to discern the cause of IBD and optimise treatments.

View Article and Find Full Text PDF

Developmental surveillance and screening is recommended for all children under five years of age, especially for those from at-risk populations such as First Nations children. No review to date has, however, evaluated the use of developmental screening tools with First Nations children. This review aimed to examine and synthesise the literature on developmental screening tools developed for, or used with, First Nations populations children aged five years or younger.

View Article and Find Full Text PDF

The assessment of margin involvement is a fundamental task in breast conserving surgery to prevent recurrences and reoperations. It is usually performed through histology, which makes the process time consuming and can prevent the complete volumetric analysis of large specimens. X-ray phase contrast tomography combines high resolution, sufficient penetration depth and high soft tissue contrast, and can therefore provide a potential solution to this problem.

View Article and Find Full Text PDF

Margins of wide local excisions in breast conserving surgery are tested through histology, which can delay results by days and lead to second operations. Detection of margin involvement intraoperatively would allow the removal of additional tissue during the same intervention. X-ray phase contrast imaging (XPCI) provides soft tissue sensitivity superior to conventional X-rays: we propose its use to detect margin involvement intraoperatively.

View Article and Find Full Text PDF

Purpose: The study aims to evaluate the long-term clinical outcome of immediate loading of implants in the edentulous mandible.

Materials And Methods: Patients were treated at least 1 year prior to evaluation, with four to five implants and an immediate provisional bridge in the edentulous mandible. They were invited for a clinical examination, which included the removal of the bridge, probing, perio-testing, clinical photographs, and a new radiograph to determine the bone level.

View Article and Find Full Text PDF

Aim: Magnetic resonance (MR) enterography is a radiation-free small bowel investigation which identifies luminal and extra-luminal pathology in patients with Crohn's disease. Most studies have validated MR against conventional radiology. We evaluated the results of MR enterography by comparison with findings at elective surgery for patients with Crohn's disease, including complex pathology.

View Article and Find Full Text PDF

Aim: To determine the accuracy of high-resolution magnetic resonance enterography (HR-MRE) against surgical and histopathology standards in Crohn's disease, and to determine quantitative MRE findings that can differentiate minor from advanced bowel inflammation.

Materials And Methods: Forty-nine consecutive patients who underwent 51 surgical procedures underwent standard MRE and HR-MRE prior to surgery. MRE images were assessed for superficial ulcers, deep ulcers, abscesses, fistulae, and strictures.

View Article and Find Full Text PDF

Purpose: To determine the number of bisphosphonate-associated cases of dental implant failure in South Australia.

Materials And Methods: All general and specialist dentists who place dental implants in South Australia were contacted and asked to provide information on the total number of implants placed over the decade to December 2007. Cases of bisphosphonate-associated implant failure were identified.

View Article and Find Full Text PDF

Magnetic resonance (MR) imaging has emerged as an imaging modality that can be used to help diagnose and evaluate Crohn disease of the small and large bowel. MR imaging has high diagnostic accuracy in the detection of Crohn disease, and high-resolution thin-section MR images can demonstrate transmural pathologic changes of Crohn disease from the level of the mucosa to that of the mesentery. High-resolution MR image data also may be used to construct high-quality multiplanar and endoluminal views that may provide additional diagnostic information.

View Article and Find Full Text PDF

The traditional imaging of Crohn's disease has relied on barium and computed tomography (CT) examinations. In recent years magnetic resonance imaging (MRI) has emerged as an imaging method that can be used in the diagnosis and assessment of Crohn's disease. The advantages of MRI include lack of ionizing radiation and its superior tissue contrast resolution.

View Article and Find Full Text PDF

This pilot study reports the 2-year follow-up on hydroxylapatite-coated nonscrew titanium implants (Integral) used for fixation of auricular and orbital prostheses. Fifty-four implants have been inserted in a two-stage procedure for auricular reconstruction in 12 patients and orbital reconstruction in 2 patients. Clinically solid integration has occurred with 51 implants in 13 patients, three implants being lost in previously irradiated bone where soft tissue coverage was never adequate.

View Article and Find Full Text PDF

Trauma to branches of the mandibular nerve may occur during oral surgical procedures and result in varying degrees of altered sensation. Since mandibular implant surgery involves mucoperiosteal flap elevation and bone removal during site preparation, complications involving altered sensation are to be expected. This study replicated a retrospective questionnaire study carried out in Toronto, Canada, and showed that the prevalence of altered sensation in implant patients in Adelaide, Australia (36%) was consistent with that found in Toronto (37%).

View Article and Find Full Text PDF

The use of implants provides a secure, comfortable, and emotionally satisfactory attachment of the patient to the prosthesis. It is anticipated that patients who are willing to undergo placement of implants would have a greater commitment to continued use of their prostheses. Clearly, there is a greater affinity between a patient and his or her prosthesis when the attachment is an intimate one.

View Article and Find Full Text PDF
Peptic ulcer disease.

Practitioner

May 1989

Many of the drugs available for treating peptic ulcer disease have a series of possible overlapping actions on various stages both of acid suppression and mucosal defence, but in certain situations one drug may be better than another. More research is needed to clarify the aetiology of peptic ulcer disease so that treatment can be improved.

View Article and Find Full Text PDF