Publications by authors named "K R Neal"
The persisting life-expectancy 'gap' between First Nations and non-First Nations Australians is fundamentally driven by the social determinants of health. These include income and social protection, access to adequate housing and food security, among others. These factors are particularly prominent in Central Australia.
View Article and Find Full Text PDFFirst reported case of multiple endocrine neoplasia type 1 in an Australian Aboriginal.
Endocrinol Diabetes Metab Case Rep
July 2024
Article Synopsis
- - The case study discusses a 48-year-old Aboriginal Australian woman diagnosed with Multiple Endocrine Neoplasia type 1 (MEN1), who faced significant health issues including hypercalcaemia, following a history of parathyroid surgery and several severe medical conditions, indicating the complexity of her case.
- - Genetic testing revealed a rare variant in the MEN1 gene, but cultural and logistical challenges hindered effective genetic counseling for her family, highlighting gaps in healthcare support for remote Aboriginal communities.
- - The case underscores the critical need for improved genetic counseling approaches and timely recognition of rare diseases in remote areas, as late diagnoses can lead to severe health consequences, as seen in her unfortunate passing in 2021.
Background: Longitudinal studies highlight the importance of early intervention and timely device fitting for language development in children with congenital or early acquired hearing loss. Due to the variability in hearing loss, comorbidities, family circumstances, and service access, individualised monitoring of listening development is essential to inform decision-making. The Functional Listening Index-Paediatric (FLI-P), a 64-item hierarchical checklist of listening skills, has been validated for children with hearing loss aged 0-6 years.
View Article and Find Full Text PDFPurpose: To determine the accuracy of screw placement using fluoroscopy and anatomic landmarks during vertebral body tethering (VBT) surgery.
Methods: Ten patients with 73 VBT screws were converted to posterior spinal fusion (PSF) after continued curve progression. The positions of each VBT screw were analyzed using intraoperative computed tomography (CT) scans performed for image guidance during VBT.
Purpose: To define the risk of curve progression of idiopathic scoliosis (IS) to 35°, 40°, 45°, and 50° based on current curve magnitude and Sanders stage for boys and girls, using a large cohort of patients and encounters, to improve granularity and allow more accurate estimations to guide treatment.
Methods: Retrospective analysis of a prospectively collected scoliosis database. Generalized estimation equation logistic regression models estimated probabilities of curve progression to 35°, 40°, 45°, and 50° based on starting curve size and Sanders stage.