Publications by authors named "Waugh J"

The insula is an integral component of sensory, motor, limbic, and executive functions, and insular dysfunction is associated with numerous human neuropsychiatric disorders. Insular efferents project widely, but insulo-striate projections are especially numerous. The targets of these insulo-striate projections are organized into tissue compartments, the striosome and matrix.

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  • Junctional ectopic tachycardia (JET) is a dangerous heart rhythm common in children with congenital heart disease, often mistaken for normal rhythms, which delays diagnosis.
  • Researchers developed a new automated tool using convolutional neural networks (CNNs) to better detect JET by analyzing ECG and pressure wave data from 40 patients at Texas Children’s Hospital.
  • The improved detection model showed significant accuracy enhancements, suggesting the potential for bedside alarms that can promptly identify JET, but further testing on a larger group is required.
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In adults, individual differences in procedural learning (PL) are associated with white matter organization within the basal ganglia-cerebellar circuit. However, no research has examined whether this circuitry is related to individual differences in PL during childhood. Here, 28 children (M = 10.

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Striosomes and matrix are two compartments that comprise the striatum, each having its own distinct immunohistochemical properties, function, and connectivity. It is currently not clear whether prodromal or early manifest Parkinson's disease (PD) is associated with any striatal matrix or striosomal abnormality. Recently, a method of striatal parcellation using probabilistic tractography has been described and validated, using the distinct connectivity of these two compartments to identify voxels with striosome- and matrix-like connectivity.

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Despite the important role of motor imagery (MI) in motor development, our understanding of the contribution of white matter fibre properties to MI performance in childhood remains limited. To provide novel insight into the white matter correlates of MI performance, this study examined the association between white matter fibre properties and motor imagery performance in a sample of typically developing children. High angular diffusion weighted imaging data were collected from 22 typically developing children aged 6-14 years (12 female, M= 10.

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  • The study investigates the clinical use of nasal high-flow therapy for infants with bronchiolitis in Australian hospitals, focusing on the choice of initial oxygen therapy and the severity of the disease prior to treatment.
  • Among 235 infants, those receiving high-flow therapy showed more severe respiratory symptoms and a longer hospital stay (0.6 days), with a higher rate of transfers to intensive care compared to those on standard oxygen therapy.
  • The findings suggest that infants with greater disease severity are more likely to be treated with high-flow therapy, leading to more escalated care despite similar severity levels in both treatment groups.
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Introduction: Hypertensive disorders of pregnancy (HDP) affect up to 10% of all pregnancies annually and are associated with an increased risk of maternal and fetal morbidity and mortality. This guideline represents an update of the Society of Obstetric Medicine of Australia and New Zealand (SOMANZ) guidelines for the management of hypertensive disorders of pregnancy 2014 and has been approved by the National Health and Medical Research Council (NHMRC) under section 14A of the National Health and Medical Research Council Act 1992. In approving the guideline recommendations, NHMRC considers that the guideline meets NHMRC's standard for clinical practice guidelines.

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The insula is an integral component of sensory, motor, limbic, and executive functions, and insular dysfunction is associated with numerous human neuropsychiatric disorders. Insular afferents project widely, but insulo-striate projections are especially numerous. The targets of these insulo-striate projections are organized into tissue compartments, the striosome and matrix.

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Pediatric movement disorders (PMD) neurologists care for infants, children, and adolescents with conditions that disrupt typical movement; serving as important subspecialist child neurologists in both academic and private practice settings. In contrast to adult movement disorders neurologists whose "bread and butter" is hypokinetic Parkinson disease, PMD subspecialty practice is often dominated by hyperkinetic movement disorders including tics, dystonia, chorea, tremor, and myoclonus. PMD neurology practice intersects with a variety of subspecialties, including neonatology, developmental pediatrics, rehabilitation medicine, epilepsy, child & adolescent psychiatry, psychology, orthopedics, genetics & metabolism, and neurosurgery.

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Objectives: To assess the performance of an artificial intelligence (AI) algorithm in the Australian mammography screening program which routinely uses two independent readers with arbitration of discordant results.

Methods: A total of 7533 prevalent round mammograms from 2017 were available for analysis. The AI program classified mammograms into deciles on the basis of breast cancer (BC) risk.

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  • Each striatal compartment has unique connections and influences on neighboring structures like the globus pallidus interna (GPi) and thalamic nuclei, with different pathways exhibiting varied connectivity patterns.
  • Research using diffusion tractography in humans revealed significant differences in how striosome and matrix connectivity interact with thalamic nuclei, confirming findings from animal studies.
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Paolo Claudio M. de Gusmao, Jeff L. Waugh Seminars in Pediatric Neurology Volume 25, April 2018, Pages 42-53 Chorea is a symptom of a broad array of genetic, structural, and metabolic disorders.

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Youth who identify as transgender and gender nonconforming (TGNC) are at increased risk of anxiety, depression, bullying, and loss of social and family support. These factors may increase the risk of developing functional neurologic disorder (FND). If the risk of FND is increased in TGNC youth, then identifying which youth are at increased risk, and the particular times when risk is increased, may allow for earlier diagnosis and treatment of FND.

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  • * Research has shown that there is a relationship between variability in leg movement and the severity of leg dystonia in people, and that similar movement issues can be induced in mice through long-term excitation of specific brain cells.
  • * The study highlights that chronic stimulation of striatal cholinergic interneurons leads to these movement issues, supporting the idea that targeting these cells could be a potential approach for developing dystonia treatments, emphasizing the importance of early intervention after a brain injury.
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The objective of this study is to present a technique of localization of difficult-to-locate lesions inside the fissure by deploying a coil with one of its ends left inside the fissure, and also, to evaluate the safety and the efficiency of this localization technique. Ten (10) patients with lesions in the fissure were identified during discussion at the multidisciplinary team meeting (MDT) and were recruited in the study. Attending surgeons verified that the lesions were unable to be located with minimally invasive approaches.

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Intrahepatic cholestasis of pregnancy (ICP) is a pregnancy liver disease, characterised by pruritus and increased total serum bile acids (TSBA), Australian incidence 0.6-0.7%.

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Objective: The purpose of this study was to characterize a metabolic brain network associated with X-linked dystonia-parkinsonism (XDP).

Methods: Thirty right-handed Filipino men with XDP (age = 44.4 ± 8.

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Background: Inflammatory bowel disease is an inflammatory disorder that primarily impacts the gastrointestinal tract, leading to malnutrition and chronic microscopic intestinal blood loss. Uncontrolled systemic inflammation can impact other parts of the body, known as extraintestinal manifestations. Up to 25% of patients with inflammatory bowel disease are reported to have these complications in their skin, joints, bones, eyes, liver, lung, and pancreas (Rogler et al.

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  • The study investigated the brain activity of cervical dystonia (CD) patients during a finger tapping task using fMRI BOLD signals, aimed at understanding any similarities to focal hand dystonia (FHD).
  • Researchers found that CD patients exhibited abnormal, sustained brain signals in the left putamen and left cerebellum both during and after the finger tapping, indicating a potential shared mechanism in motor task execution.
  • The findings suggest that some pathological features of task execution may extend beyond task-specific dystonias, although the effects differ by dystonia type and motor control programs.
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Importance: Nasal high-flow oxygen therapy in infants with bronchiolitis and hypoxia has been shown to reduce the requirement to escalate care. The efficacy of high-flow oxygen therapy in children aged 1 to 4 years with acute hypoxemic respiratory failure without bronchiolitis is unknown.

Objective: To determine the effect of early high-flow oxygen therapy vs standard oxygen therapy in children with acute hypoxemic respiratory failure.

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Background: One-third of U.S. adults are bothered by excessive sweating and 5% suffer from hyperhidrosis, both of which negatively affect quality-of-life (QoL).

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Objectives: To assess the cost-effectiveness of care coordination, compared with standard care, for children with chronic noncomplex medical conditions.

Methods: A total of 81 children aged between 2 and 15 years newly diagnosed with a noncomplex chronic condition were randomized to either care coordination or standard care as part of a multicenter randomized controlled trial. Families receiving care coordination were provided access to an Allied Health Liaison Officer, who facilitated family-centered healthcare access across hospital, education, primary care, and community sectors.

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