Publications by authors named "Paul Ryan"

Background: Baseball pitching injuries can be related to fatigue. Changes in grip and pinch strength over the course of professional baseball games are unknown.

Hypothesis: Grip and pinch strength will decrease as the number of innings pitched increases; injured pitchers will have a lower grip strength than uninjured pitchers.

View Article and Find Full Text PDF

The prevalence of diabetes mellitus among children, youth, and young adults is increasing, yet limited information is known about the characteristics and management of these groups with Type 1 (T1D) and Type 2 (T2D) diabetes in primary care. The aim of the study is to explore the characteristics of people with T1D and T2D aged < 25 years across the Auckland and Waikato regions of New Zealand. : Sociodemographic and clinical data were collected from electronic primary care records (February 2021-July 2022) of four primary healthcare organisations, with medication data sourced from the National Pharmaceutical dataset.

View Article and Find Full Text PDF

The Colorado Potato Beetle, Leptinotarsa decemlineata Say, is the principal defoliator of potato crops globally. It is well known for its propensity to rapidly develop resistance. Thus, new control options which are resilient to the pest's resistance capabilities are a critical need.

View Article and Find Full Text PDF

The psychological burden of type 1 diabetes (T1D) can negatively impact health outcomes. This study evaluates the prevalence of low mood (WHO-5), disordered eating (DEPS-R), diabetes distress (PAID) and fear of hypoglycaemia (HFS-II), in a sample of 250 New Zealand adults (8.4% Māori/91.

View Article and Find Full Text PDF

Background: Race- and ethnicity-based differences in treatment access and outcomes have been reported in the orthopaedic sports medicine literature. However, the rate at which race and ethnicity are reported and incorporated into the statistical analysis of sports medicine studies remains unclear.

Purpose: To determine the rate at which race and ethnicity are reported and analyzed in athlete-specific sports medicine literature.

View Article and Find Full Text PDF

Water-solid interfaces pervade the natural environment and modern technology. On some surfaces, water-water interactions induce the formation of partially dissociated interfacial layers; understanding why is important to model processes in catalysis or mineralogy. The complexity of the partially dissociated structures often makes it difficult to probe them quantitatively.

View Article and Find Full Text PDF

Purpose: The purpose of this study was to validate the clinical accuracy of the lift-off screw (LOS) technique for volar tilt correction (VTC) in patients undergoing corrective osteotomy for dorsally angulated distal radius fracture malunions.

Methods: We conducted a retrospective review of 23 patients with dorsally angulated distal radius fracture malunions treated with corrective osteotomy using the LOS technique. The LOS equation L = [tan(T) ∗ L + C]/[cos(⍬)] and standardized intraoperative fluoroscopic images were used to determine and compare the calculated and clinical VTC and final volar tilt.

View Article and Find Full Text PDF

Background: Automated insulin delivery is the treatment of choice in adults with type 1 diabetes. Data are needed on the efficacy and safety of automated insulin delivery for children and youth with diabetes and elevated glycated hemoglobin levels.

Methods: In this multicenter, open-label randomized controlled trial, we assigned patients with type 1 diabetes in a 1:1 ratio either to use an automated insulin delivery system (MiniMed 780G) or to receive usual diabetes care of multiple daily injections or non--automated pump therapy (control).

View Article and Find Full Text PDF

Aim: To explore the views of general practitioners (GPs) and nurses on type 2 diabetes (T2D) management, including the use of recently funded T2D medications in New Zealand (NZ) and their perceived barriers to providing optimal care.

Background: T2D is a significant health concern in NZ, particularly among Māori and Pacific adults. Characterised by prolonged hyperglycaemia, T2D is generally a progressive condition requiring long-term care.

View Article and Find Full Text PDF

Bacterial synthetic multicellular systems are promising platforms for engineered living materials (ELMs) for medical, biosynthesis, environmental, and smart materials applications. Recent advancements in genetically encoded adhesion toolkits have enabled precise manipulation of cell-cell adhesion and the design and patterning of self-assembled multicellular materials. However, in contrast to gene regulation in synthetic biology, the characterization and control of synthetic adhesins remains limited.

View Article and Find Full Text PDF

Background: Since various social determinants of health (SDOH) have the potential to impact the utilization and postoperative outcomes of rotator cuff repair (RCR), a review of the literature is warranted. Therefore, the purpose of this systematic review was to evaluate the effects of SDOH on RCR utilization and postoperative outcomes in order to recognize external factors that may influence patients' access to RCR and optimal clinical outcomes.

Methods: Search terms related to RCR, utilization, outcomes, and SDOH were used to identify studies that reported associations between any SDOH (as defined by the World Health Organization) and RCR utilization, access, cost, or postoperative outcomes.

View Article and Find Full Text PDF
Article Synopsis
  • Professional pitchers often experience anterior shoulder pain, which may relate to a smaller coracohumeral distance (CHD) and disorganization of the subscapularis tendon, particularly in their dominant arm.
  • The study hypothesized that pitcher's dominant arm would show these adaptations compared to the nondominant arm and that humeral retroversion (HR) would relate to both CHD and tendon organization.
  • Results indicated that the dominant arm had a significantly narrower CHD, more scapular protraction, and greater tendon disorganization than the nondominant arm, with HR influencing these factors.
View Article and Find Full Text PDF
Article Synopsis
  • The study reviews surgical treatment outcomes for osteochondritis dissecans (OCD) of the knee, focusing on return to sports (RTS) rates and postoperative results in both skeletally mature and immature patients.
  • A systematic analysis of six studies revealed a wide range of RTS rates, with Osteochondral Autograft Transfer System (OATS) procedures achieving the highest success and microfracture showing the lowest.
  • The findings suggest that while OATS has a 100% RTS rate, both open and arthroscopic techniques provided satisfactory outcomes in skeletally immature patients, although arthroscopic fixation correlated with higher revision surgery rates.
View Article and Find Full Text PDF

This systematic review and meta-analysis compare the incidences of complications, reoperations and hardware removal between anterior and dorsal plating after corrective osteotomy for dorsally angulated distal radial malunions. A total of 403 patients were included; 253 patients underwent anterior corrective osteotomy and 150 underwent dorsal corrective osteotomy. Mean follow-up was 30 months.

View Article and Find Full Text PDF

Introduction: Hyaluronic acid (HA) injections are a common nonsurgical treatment of knee osteoarthritis (OA). Patient expectations and psychological stress are believed to affect outcomes after orthopaedic procedures.

Methods: This was a prospective cohort study seeking to identify factors predictive of greater patient-reported outcomes after HA injections, particularly expectations and psychological stress.

View Article and Find Full Text PDF
Article Synopsis
  • Injuries in professional baseball players are common, with an unclear link between grip strength and injury risk in pitchers.
  • The study aimed to assess whether grip strength affected the likelihood of shoulder or elbow injuries in pitchers, hypothesizing that weaker grip strength would correlate with higher injury incidence.
  • Findings revealed no significant differences in grip strength between injured and non-injured pitchers, suggesting grip strength is not a risk factor for these injuries during the season.
View Article and Find Full Text PDF
Article Synopsis
  • - This study aimed to compare the healing time and clinical outcomes between arthroscopic-assisted and open non-vascularized bone grafting for scaphoid delayed union and nonunion.
  • - It analyzed data from 26 studies with 822 patients, finding that arthroscopic methods may lead to quicker healing, reducing average recovery time by about 7.8 weeks, but there was no significant difference in union rates or pain relief between the two techniques.
  • - Conclusions suggest that while quicker healing might be expected with arthroscopic procedures, further research is needed to firmly establish their benefits regarding overall pain relief and functional improvements.
View Article and Find Full Text PDF
Article Synopsis
  • The study aims to evaluate how diabetes treatment satisfaction varies by ethnicity among individuals with type 2 diabetes who have poor glycaemic control, highlighting a gap in current data about patient satisfaction in this context.
  • A total of 346 participants took part in an 8-month clinical trial, completing the Diabetes Treatment Satisfaction Questionnaire (DTSQ) to assess their treatment satisfaction, which was found to be high overall.
  • The results indicated that treatment satisfaction was especially high among Pacific peoples and older individuals, even though many participants had insufficient glucose-lowering therapy and suboptimal glycaemic control.
View Article and Find Full Text PDF

Understanding insect dispersal helps us predict the spread of insect pests and their natural enemies. Dispersal can be studied by marking, releasing, and recapturing insects, known as mark-release-recapture (MRR). MRR techniques should be convenient, economical, and persistent.

View Article and Find Full Text PDF

The azalea lace bug (ALB), Stephanitis pyrioides (Scott) (Hemiptera: Tingidae), is a pest of azaleas and rhododendrons. The application of silicon (Si) to plants has been shown to accumulate in other plants and enhance defense to other plant pests. We evaluated whether Si applications decreased ALB infestation on rhododendron leaves and increased Si accumulation in leaves.

View Article and Find Full Text PDF
Article Synopsis
  • Distal radius fractures are common, and this study examines how the timing of surgery (early vs. delayed) affects health care use, patient income, and recovery outcomes for patients who underwent surgery with volar locking plates.
  • The study included 106 patients over a period from 2009 to 2019, revealing that delayed surgery led to more clinic visits and therapy sessions, as well as reduced wrist mobility at the first follow-up, although this discrepancy disappeared later.
  • Higher-income patients were less likely to experience delays in surgery, indicating that access to care may be a significant factor for lower-income individuals seeking treatment.
View Article and Find Full Text PDF

Aim: We investigated if continuous glucose monitoring (CGM) in children with type 1 diabetes (T1D) within 12 months of being diagnosed modifies the development of glycaemic outcome inequity on the basis of either ethnicity or socio-economic status (SES).

Method: De-identified clinical and SES data from the KIWIDIAB data network were collected 12 months after diagnosis in children under 15 years diagnosed with T1D between 1 October 2020 and 1 October 2021.

Results: There were 206 children with new onset T1D: CGM use was 56.

View Article and Find Full Text PDF

Purpose: Advanced hybrid closed loop (AHCL) systems have the potential to improve glycemia and reduce burden for people with type 1 diabetes (T1D). Children and youth, who are at particular risk for out-of-target glycemia, may have the most to gain from AHCL. However, no randomized controlled trial (RCT) specifically targeting this age group with very high HbA has previously been attempted.

View Article and Find Full Text PDF

Aims: To explore the lived experiences of initiating real-time continuous glucose monitoring (rt-CGM) use in individuals with type 2 diabetes using insulin.

Methods: Twelve semi-structured interviews were conducted amongst individuals with type 2 diabetes taking insulin who were enrolled in the 2GO-CGM randomised controlled trial and had completed 3 months of rtCGM. Interviews were transcribed verbatim and analysed to identify common themes regarding their experiences.

View Article and Find Full Text PDF

Background: Mental and emotional health can affect outcomes after orthopaedic surgery, and patient resilience has been found to be significantly related to postoperative functional outcomes.

Purpose: To evaluate the relationship between preoperative patient resilience and 2-year postoperative patient-reported outcomes after rotator cuff repair (RCR). It was hypothesized that patients with low preoperative resilience will have worse patient-reported outcomes at 2 years after RCR versus those with high resilience.

View Article and Find Full Text PDF

A PHP Error was encountered

Severity: Notice

Message: fwrite(): Write of 34 bytes failed with errno=28 No space left on device

Filename: drivers/Session_files_driver.php

Line Number: 272

Backtrace:

A PHP Error was encountered

Severity: Warning

Message: session_write_close(): Failed to write session data using user defined save handler. (session.save_path: /var/lib/php/sessions)

Filename: Unknown

Line Number: 0

Backtrace: