Publications by authors named "Paul E"

Objective: To describe the six-month functional outcomes of patients who received extracorporeal cardiopulmonary resuscitation (ECPR) following in-hospital cardiac arrest (IHCA) in Australia.

Design: Secondary analysis of EXCEL registry data.

Setting: EXCEL is a high-quality, prospective, binational registry including adult patients who receive extracorporeal membrane oxygenation (ECMO) in Australia and New Zealand.

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Background: Nutrition interventions commenced in ICU and continued through to hospital discharge have not been definitively tested in critical care to date. To commence a program of research, we aimed to determine if a tailored nutrition intervention delivered for the duration of hospitalisation delivers more energy than usual care to patients initially admitted to the Intensive Care Unit (ICU).

Methods: A multicentre, unblinded, parallel-group, phase II trial was conducted in twenty-two hospitals in Australia and New Zealand.

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Aim: This randomized controlled trial aimed to evaluate the impact of different incision types (oblique, vertical, and horizontal) for hamstring graft harvest on sensory disturbances and functional outcomes after anterior cruciate ligament (ACL) reconstruction.

Methods: A total of 118 patients were randomized into three groups: oblique incision (n = 40), vertical incision (n = 40), and horizontal incision (n = 38). Sensory deficits were assessed using Von Frey Filaments at three weeks, three months, and six months postoperatively.

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Current assays fail to address breast cancer's complex biology and accurately predict treatment response. On a retrospective cohort of 1082 female breast tissues, we develop and validate mFISHseq, which integrates multiplexed RNA fluorescent in situ hybridization with RNA-sequencing, guided by laser capture microdissection. This technique ensures tumor purity, unbiased whole transcriptome profiling, and explicitly quantifies intratumoral heterogeneity.

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Introduction: The aim of this study was to investigate the efficacy of limiting increases in theatre ambient temperature to 27°C to prevent intraoperative patient hypothermia.

Methods: This single-centre, comparative cohort clinical study investigated the management of theatre ambient temperatures involving patients with ≥ 20 % TBSA burn injuries at Victorian Adult Burns Service (Melbourne, Australia). Data from the intervention group (August 2021 - February 2023, theatre ambient temperature increase limited to 27°C) was compared with a historical cohort (August 2019 - August 2021).

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Background: Indirect calorimetry is recommended for directing energy provision in the intensive care unit (ICU). However, limited reports exist of measured energy expenditure according to the phases of critical illness in large cohorts of patients during ICU admission. This study aimed to analyze measured energy expenditure overall in adult patients who were critically ill and across the different phases of critical illness.

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Background: Emergency medicine remains as the front line of healthcare, providing acute care to a diverse population during urgent and critical moments. Our objective was to systematically quantify the prevalence of data sharing statements (DSS) in high-impact emergency medicine journals and assess their implementation by contacting corresponding authors who indicated data available upon request.

Methods: We conducted a cross-sectional analysis to identify the prevalence and content of data sharing statements in clinical studies published in high impact emergency medicine journals between 2018 and 2023, followed by a hierarchical logistic regression analysis to identify variables impacting the incorporation of data sharing statements into emergency medicine studies.

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Background: In South Kivu (Eastern Democratic Republic of the Congo [DRC]), health districts (HDs) affected by chronic armed conflicts are devising coping mechanisms to continue offering healthcare services to the population. Nonetheless, this alone does not suffice to make them fully resilient to such conflicts. This study aims to explore the characteristics of these HDs' resilience.

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Phages EarickHC, Figueroism, FinalFrontier, SBlackberry, Skylord, and Slay were isolated from soil samples collected around Southern California using the host All six phages are lytic and have a siphoviral morphology. Genomes are 39,843 to 52,992 bp in length and contain 58 to 91 protein coding genes.

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We theoretically investigate the ability to design optical filters from a single material and a single layer of randomly dispersed resonant dielectric particles, defining a random metasurface. Using a Bayesian and generalized Mie inverse-design approach, we design particle radii distributions that give rise to longpass, shortpass, bandpass, and bandstop spectral bands in the infrared. The optical response is shown to be directly related to electric and magnetic multipole scattering of the constituent particles and their near field coupling.

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In a municipal wastewater treatment plant, the thermal treatment of sludge can be an efficient way of increasing the final sludge cake dryness and boosting anaerobic digestion performances. However, such treatments generate refractory compounds which, once returned to headworks, can affect the quality compliance of effluent discharges, particularly concerning organic nitrogen. This study explores the effects of thermal hydrolysis (TH) and hydrothermal carbonization (HTC) of municipal sludge on the refractory organic compound production.

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Purpose: It is uncertain if quality and barriers of sleep differs based on the location of a patient in the hospital. Our aim was to compare the patient reported sleep quality (QoS) in non-mechanically ventilated patients in ICU and wards, and identify the barriers of sleep in ICU and in wards.

Methods: The survey assessed the QoS at three stages including the day immediately prior to hospital admission, after their last night spent in the ICU prior to discharge, and the first night in wards.

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This study investigates the quorum quenching (QQ) activity of an endophytic bacterium, sp. EBS9, isolated from the native medicinal plant of Rajasthan, and its biocontrol potential against the soft rot pathogen subsp. ().

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This chapter explores the innovative application of machine learning techniques to understand and predict the stability of protein substructures. Accurately identifying stable substructures within proteins necessitates incorporating the local context, crucial for elucidating the roles of supersecondary structures. This approach emphasizes the importance of contextual information in understanding the stability and functionality of protein regions, thereby providing a more comprehensive view of protein mechanics and interactions.

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Aims: Humanitarian migrants are at increased risk of post-traumatic stress disorder (PTSD) and elevated psychological distress. However, men and women often report varying degrees of stress and experience different challenges during migration. While studies have explored PTSD, psychological distress, gender, and resettlement stressors, they have not explored the interplay between these factors.

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Article Synopsis
  • * A study involving 81 COPD patients evaluated the effectiveness of pharmacist-led home medicines review (HMR) aimed at improving treatable traits (TTs) over 6 and 12 months.
  • * Results showed significant improvements in health-related quality of life, anxiety, depression, smoking status, and medication adherence, indicating that pharmacist involvement can enhance COPD management in primary care settings.
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Article Synopsis
  • The study investigates nutrition support for critically ill children after they leave the pediatric intensive care unit (PICU), focusing on their recovery phase and identifying current nutrition practices.
  • Data was collected from children admitted to nine PICUs over two weeks, looking at their nutrition intake from the first full day in the ward and at various intervals up to 28 days post-admission.
  • Results show that a significant number of children were not meeting their estimated energy and protein needs, despite receiving nutritional support like enteral nutrition (EN) and parenteral nutrition (PN) during their recovery.
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Despite efforts to enhance public investment in Senegal's health sector, the equitable distribution of benefits between socioeconomic groups remains largely unexplored. To address this gap, our study examines the progressive (or regressive) nature of public health expenditure. Utilizing data from the latest survey on household living conditions (2018-2019) in conjunction with administrative data on health expenditure from the same period (provided by the Ministry of Health of Senegal), we performed a benefit incidence analysis.

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Herein, we report the synthesis, characterization, supramolecular gelation and multiple applications of 6-aminocoumarin-derived Schiff bases 1 and 2. Both Schiff bases underwent gelation in DMF-HO (2 : 1, v/v), DMSO-HO (2 : 1, v/v) and dioxane-HO (2 : 1, v/v) involving weak forces. Furthermore, the gels were stable and exhibited good viscoelastic properties.

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Circadian rhythms influence various physiological and behavioral processes such as sleep-wake cycles, hormone secretion, and metabolism. In , an important set of circadian output neurons are called pars intercerebralis (PI) neurons, which receive input from specific clock neurons called DN1. These DN1 neurons can further be subdivided into functionally and anatomically distinctive anterior (DN1a) and posterior (DN1p) clusters.

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Unlabelled: Effective and safe foraging requires animals to behave according to the expectations they have about the rewards, threats, and costs in their environment. Since these factors are thought to be reflected in the animals' affective states, we can use foraging behavior as a window into those states. In this study, rats completed a foraging task in which they had repeatedly to decide whether to continue to harvest a food source despite increasing time costs, or to forgo food to switch to a different food source.

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