912,608 results match your criteria: "Australia; Lyell McEwin Hospital[Affiliation]"

Background: Anxiety disorders and treatment-resistant major depressive disorder (TRD) are often comorbid. Studies suggest ketamine has anxiolytic and antidepressant properties.

Aims: To investigate if subcutaneous racemic ketamine, delivered twice weekly for 4 weeks, reduces anxiety in people with TRD.

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Optimizing inpatient diabetes management with the diabetes dashboard.

JBI Evid Implement

January 2025

Queensland Digital Health Centre, Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia.

Abstract: Inpatient diabetes management presents a complex challenge that is distinct from outpatient management. This is due to acute changes in physiology, medication regimens, and eating patterns associated with hospitalization, alongside the condition's prevalent and variable nature. The conventional systems for managing glycemic control in hospital have been found lacking, with gaps in data integration, decision support, and timely intervention.

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Objective: Our aim is to determine the comparative effectiveness of unimodality organ preservation surgery versus radiotherapy on oncological and functional outcomes in patients with early hypopharyngeal cancer.

Introduction: Early hypopharyngeal cancer is difficult to detect and therefore rarely diagnosed, as patients are often asymptomatic. Radiotherapy is considered the main treatment, although this modality has been compared to the previously used open surgical approach, which may not reflect current surgical options.

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Objective: This scoping review aims to identify and map the use of the Fundamentals of Care Framework in nursing education to provide insights into curriculum development that can benefit educators, health care professionals, and policy makers in educational contexts.

Introduction: The Fundamentals of Care Framework offers a comprehensive approach for conceptualizing and delivering high-quality, person-centered fundamental care. Use of the framework in education is shown to enhance critical thinking, establish a shared language for nursing care, and increase understanding of person-centered care.

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Objective: The objective of this review is to develop a comprehensive collection of information about the current processes for paramedics assessing and referring suspected or confirmed COVID-19 patients in the out-of-hospital environment.

Introduction: Patients with COVID-19 are frequently encountered by paramedics and ambulance service clinicians. Increased demand on ambulance services has resulted in many of these services developing alternative referral pathways to avoid unnecessary conveyance to emergency departments.

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Cardiac return assist blanket (CRAB) safely increases central venous pressure.

J Int Med Res

January 2025

Institute for Health Research, the University of Notre Dame Australia, Department of Research, Sir Charles Gairdner Hospital, Nedlands, Australia.

Objective: The cardiac return assist blanket (CRAB) has been designed to increase central venous pressure (CVP) to manage severe hypotension associated with anaphylaxis. This interventional study aimed to identify the relationship between CRAB pressure and CVP. CRAB pressure was also compared with the change in CVP associated with a straight leg raise (SLR), the Trendelenburg position, and 1 L of compound sodium lactate.

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Objective: The objective of this review will be to synthesize the qualitative evidence on factors that influence direct breastfeeding of preterm infants in neonatal wards and the provision of breastfeeding support.

Introduction: Breastmilk is critical for the health of preterm neonates, and infants who directly feed at the breast are more likely to receive breastmilk exclusively for longer periods. Direct breastfeeding is associated with improved maternal coping and development of maternal identity.

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Study Design: A prospective web-based survey.

Purpose: Although intraoperative neurophysiological monitoring (IONM) is critical in spine surgery, its usage is largely based on the surgeon's discretion, and studies on its usage trends in Asia-Pacific countries are lacking. This study aimed to examine current trends in IONM usage in Asia-Pacific countries.

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The circadian cycle is a fundamental biological rhythm that governs many physiological functions across nearly all living organisms. In the gastrointestinal tract, activities such as gut motility, hormone synthesis, and communication between the gut, central nervous system and microbiome all fluctuate in alignment with the circadian cycle. The enteric nervous system (ENS) is critical for co-ordinating many of these activities, however, how its activity is governed by the circadian cycle remains unknown.

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Objectives: Antibiotic resistance (ABR) constitutes a significant burden to economies in developing countries. In the 'One-Health' concept, ABR in human, animals, and environment is interconnected. The aim of this study was to critically appraise literature on ABR in all three domains in One Health, within the Sri Lankan geographical context.

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Introduction: Phosphoribosyl pyrophosphate synthetase 1 () is an X-linked gene critical for nucleotide metabolism. Pathogenic variants cause three overlapping phenotypes: Arts syndrome (severe neurological disease), Charcot-Marie-Tooth type 5 [CMTX5] (peripheral neuropathy), and non-syndromic sensorineural hearing loss (SNHL). Each may be associated with retinal dystrophy.

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Characterisation of virulence of f. sp. in Australia in the 2023 growing season.

Plant Dis

January 2025

CSIRO, Agriculture and Food, Canberra, Australian Capital Territory, Australia;

Crown rust caused by the basidiomycete fungus f. sp. () results in significant crop losses worldwide.

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The commercial production of passion fruit is geographically limited (California, Florida, and Hawaii), but the development of cold-tolerant varieties could expand it beyond warm-climate states (Stafne et.al. 2023).

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In 2023, Bangladesh experienced its largest and deadliest outbreak of the Dengue virus (DENV), reporting the highest-ever recorded annual cases and deaths. Historically, most of the cases were recorded in the capital city, Dhaka. We aimed to characterize the geographical transmission of DENV in Bangladesh.

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Plain Language Summary Key points about the CANMAT perinatal guidelines are commented on. The process of developing the guidelines was robust and there can be a high level of confidence in their recommendations. An important aspect is that services for women with perinatal mood and anxiety disorders need to put in place so that the range on evidence based treatments can be implemented.

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The role of the health sector in responding to energy hardship: An Australian perspective.

Health Promot J Austr

January 2025

Australian Institute of Primary Care and Ageing, La Trobe University, Bundoora, Victoria, Australia.

Energy hardship is increasingly recognised as a significant determinant of health, with evidence linking it to numerous negative health and wellbeing outcomes. The association between energy hardship and public health raises questions about what roles the health sector can or should play in addressing the issue. While there are limited examples in the literature, the role of health sectors to date has been predominantly as an intermediary connecting eligible individuals to energy hardship interventions, such as financial counselling and household upgrades to improve energy efficiency.

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Background: Parents of children with moderate to profound intellectual disabilities play a crucial role in providing direct care but often demonstrate heightened parental stress and reduced quality of life. This review explores perceived quality of life from the experiences of parents when caring for young and adult children.

Method: A qualitative systematic review following Joanna Briggs Institute meta-aggregation approach has been completed and reported according to PRISMA guidelines.

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Aim: Proteinuria commonly accompanies acute ischaemic stroke (AIS) patients undergoing reperfusion therapies such as intravenous thrombolysis (IVT) and endovascular thrombectomy (EVT). Understanding its influence on outcomes is crucial for prognosis and optimising management strategies. This study aims to elucidate proteinuria's role in mediating outcomes among reperfusion-treated patients.

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Artificial Intelligence to Predict Chronic Kidney Disease Progression to Kidney Failure: A Narrative Review.

Nephrology (Carlton)

January 2025

Faculty of Medicine, Dentistry & Health Sciences Melbourne, The University of Melbourne, Melbourne, Victoria, Australia.

Chronic kidney disease is characterised by the progressive loss of kidney function. However, predicting who will progress to kidney failure is difficult. Artificial Intelligence, including Machine Learning, shows promise in this area.

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Person-Centredness and Paternalism: The Dance With Power.

Musculoskeletal Care

March 2025

School of Sport and Health Sciences, University of Brighton, Brighton, UK.

Objective: The World Health Organization advocates for person-centredness (PC) as essential for quality care, yet its definitions and interpretations vary widely among professionals. Most qualitative research on PC focuses on physiotherapists in countries such as the UK, Australia, and the US, where PC is explicitly emphasised. In contrast, the term PC is absent in French educational standards, and its promotion is lacking in the French healthcare system.

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Background: A lack of social support contributes to women from culturally diverse backgrounds experiencing higher rates of perinatal distress and lower rates of service engagement.

Objective/methods: This participatory action research study aimed to understand what a culturally appropriate social intervention may look like for pregnant women from culturally diverse backgrounds. Field notes and qualitative transcripts were descriptively synthesised.

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Objectives: To evaluate the function of kidneys with renal artery stenosis using multiparametric magnetic resonance imaging, assess the diagnostic efficacy of multiparametric magnetic resonance imaging for single kidney dysfunction.

Materials And Methods: Renal multiparametric magnetic resonance imaging was performed on 62 patients with RAS using the Philips Ingenia CX 3.0 T MRI machine.

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Background: Paediatric sarcomas, including rhabdomyosarcoma, Ewing sarcoma and osteosarcoma, represent a group of malignancies that significantly contribute to cancer-related morbidity and mortality in children and young adults. These cancers share common challenges, including high rates of metastasis, recurrence or treatment resistance, leading to a 5-year survival rate of approximately 20% for patients with advanced disease stages. Despite the critical need, therapeutic advancements have been limited over the past three decades.

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