7,012 results match your criteria: "Concord Hospital & University of Sydney[Affiliation]"

Introduction: The autoimmune encephalitides (AE) are a heterogeneous group of neurological disorders with significant morbidity and healthcare costs. Despite advancements in understanding their pathophysiology, uncertainties persist regarding long-term prognosis and optimal management. This study aims to address these gaps, focusing on immunotherapeutic strategies, neoplastic associations and functional outcomes.

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Importance: Chronic traumatic encephalopathy (CTE) is a neurodegenerative tauopathy associated with repetitive head impacts (RHIs). Prior research suggests a dose-response association between American football play duration and CTE risk and severity, but this association has not been studied for ice hockey.

Objective: To investigate associations of duration of ice hockey play with CTE diagnosis and severity, functional status, and dementia.

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"It's so complicated": a qualitative study of interpreters' experiences working with speech pathologists to support the provision of aphasia rehabilitation.

Disabil Rehabil

December 2024

School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Bundoora, Australia.

Article Synopsis
  • - The study examines the growing cultural and linguistic diversity in aphasia therapy, highlighting the challenges faced by speech pathologists who often do not share a language with their clients, and the lack of research on the role of interpreters in this context.
  • - Through interviews with eight certified interpreters, the research identifies three main themes: the unique practices required when interpreting for aphasia, the importance of collaboration between speech pathologists and interpreters, and the additional skills needed to handle these situations effectively.
  • - The findings point to the need for systemic changes in health services to ensure that aphasia rehabilitation is culturally responsive and equitable for diverse populations.
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Somatosensory evoked potentials (SSEPs) are electrical potentials that measure various parts of the ascending somatosensory pathways. They are elicited through stimulating mixed nerves, with subsequent orthodromic stimulation of sensory nerves. Despite advances in imaging, SSEPs complement both the clinical examination and peripheral neurophysiological studies when assessing the functional integrity of the sensory pathways, being especially helpful when imaging is inconclusive.

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Peripheral neuropathy (PN) is a significant cause of morbidity associated with Waldenström macroglobulinemia (WM). The phase 3 ASPEN study compared the efficacy and safety of zanubrutinib with ibrutinib in patients with WM. This ad hoc analysis examined treatment outcomes with zanubrutinib or ibrutinib on PN symptoms associated with WM in patients enrolled in ASPEN.

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Article Synopsis
  • - The study evaluated gastroenterologists' awareness and acceptance of histological mucosal assessment as a treatment target in inflammatory bowel disease (IBD) across the Asia-Pacific region, finding limited knowledge despite a general agreement on its importance.
  • - A survey of 221 gastroenterologists showed that factors such as being an IBD specialist and having a doctoral degree correlated with higher knowledge scores, but overall understanding was similar among countries and less robust among Asian respondents compared to Australians.
  • - The findings suggest that while histological assessment can influence treatment decisions, its clinical application is not widely integrated, indicating a need for promoting standardized histological evaluation in IBD management.
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Objective: Characterize the association between Medicare Accountable Care Organizations' (ACOs) behavioral health integration capability and quality and utilization among adults with serious mental illness (SMI).

Background: Controlled research supports the efficacy of integrating physical and mental health care for adults with SMI, yet little is known about the organizations integrating care and associations between integration capability and quality.

Methods: We surveyed Medicare ACOs (2017-2018 National Survey of ACOs, response rate 69%) and linked responses to 2016-2017 fee-for-service Medicare claims for beneficiaries with SMI.

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Delirium is a complex neurocognitive disorder characterized by an acute disturbance in attention, awareness, and perception. It is a dangerous syndrome that is independently associated with higher rates of morbidity and mortality, inpatient complications, and is a predictor of long-term cognitive dysfunction. Although delirium can occur in persons of all ages, the prevalence among and impact on older adults is particularly significant.

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The 8020 Campaign in Japan: A Policy Analysis.

Asia Pac J Public Health

November 2024

Division of Preventive Dentistry, Department of Oral Health Science, Faculty of Dentistry, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.

Article Synopsis
  • Japan launched the 8020 Campaign in 1989 to encourage citizens to maintain at least 20 teeth by age 80 as part of a nationwide oral health initiative.
  • The study used qualitative methods, including literature reviews and Key Informant Interviews, to examine the campaign's content, participants, processes, and broader context.
  • Findings highlighted the campaign's comprehensive approach to promoting oral health across all ages, supported by stable funding, local government initiatives, legal frameworks, and a focus on preventive care.
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Despite the fundamental role of bacterial strain variation in gut microbiota function, the number of unique strains of a species that can stably colonize the human intestine is still unknown for almost all species. Here we determine the strain richness (SR) of common gut species using thousands of sequenced bacterial isolates with paired metagenomes. We show that SR varies across species, is transferable by faecal microbiota transplantation, and is uniquely low in the gut compared with soil and lake environments.

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Emotional Intelligence as a Component of Surgical Coaching: A Scoping Review.

J Surg Educ

January 2025

Discipline of Psychology, Faculty of Health, Southern Cross University, Coffs Harbour, New South Wales, Australia.

Objective: Surgical coaching has become more widespread and involves both technical and nontechnical skills. Emotional Intelligence (EI) is an important nontechnical skill and is associated with leadership skills, increased job satisfaction and superior nontechnical skills. This scoping review aimed to explore the use of EI as a component of surgical coaching.

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Chronic Traumatic Encephalopathy, Family History of Mental Illness, and Aggression in Brain Donors With Repetitive Head Impact Exposure.

Neurology

December 2024

From the Boston University Alzheimer's Disease Research Center and Chronic Traumatic Encephalopathy Center (M.U., E.N., S.D., B.A., N.S., A.S., J.P., J.D.C., D.D., B.D., L.G., B.H., D.K., N.K., R.C.C., V.E.A., R.A.S., T.D.S., Y.T., A.C.M., M.L.A., J.M.), Framingham Heart Study (R.B., A.C.M.), Departments of Pathology and Laboratory Medicine (J.D.C., T.D.S., A.C.M.), Neurology (B.D., B.H., D.K., R.C.C., R.A.S., A.C.M., M.L.A., J.M.), Psychiatry (L.G.), Radiology (L.G.), Ophthalmology (L.G.), and Biomedical Engineering (L.G.), Boston University Chobanian & Avedisian School of Medicine; Departments of Applied Social Sciences (S.W.C., D.R.) and Biomedical Engineering (L.G.), Boston University; Department of Biostatistics (F.T.-Z., Z.B., B.M., J.P., Y.T.), Boston University School of Public Health; Spaulding Rehabilitation Hospital (D.D.), Charlestown; Braintree Rehabilitation Hospital (B.D., D.K.); Department of Rehabilitation and Human Performance (K.D.-O.C.), Brain Injury Research Center, Department of Pathology (J.C.), Department of Artificial Intelligence & Human Health, Nash Family Department of Neuroscience, Ronald M. Loeb Center for Alzheimer's Disease, Friedman Brain Institute, and Neuropathology Brain Bank & Research CoRE, Icahn School of Medicine at Mount Sinai, New York, NY; VA Boston Healthcare System (B.H., N.K., V.E.A., T.D.S., A.C.M.); Department of Neurosurgery (R.C.C.), Emerson Hospital, Concord; and VA Bedford Healthcare System (V.E.A., T.D.S., A.C.M.), MA.

Article Synopsis
  • Chronic traumatic encephalopathy (CTE) is a neurodegenerative disease linked to frequent head injuries, often seen in athletes and military personnel, with a focus on its relationship with aggression and family mental health history.
  • The study analyzed data from deceased male brain donors with CTE, aiming to determine if the presence of CTE affects the relationship between first-degree family history of mental illness (1°FHMI) and aggression, using structured assessments and various demographic controls.
  • Results indicated that 1°FHMI was significantly correlated with aggression scores in individuals with CTE, suggesting that CTE pathology may influence aggression differently than previously understood, while no such association was found in those without CTE.
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To compare post-operative bleeding measures in patients who underwent prostatic artery embolization (PAE) prior to water-jet ablation (aquablation) vs. water-jet ablation alone. A retrospective review identified 145 patients treated with water-jet ablation for benign prostatic hyperplasia from December 2018 to June 2021.

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Introduction: A need for better treatment options for moderate to severe ulcerative colitis (UC) persists because of the efficacy and safety limitations of current therapies. Neutrophil epithelial transmigration is associated with the characteristic colonic mucosal inflammation in and very likely involved with the pathogenesis and clinical symptoms of UC. ADS051 is a small-molecule inhibiting neutrophil migration and activation, which are potentially important therapeutic targets in UC.

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Individuals with neurofibromatosis type 1 and schwannomatosis (NF) often face difficult reproductive choices when family planning; however, their experiences and the barriers and enablers to reproductive decision-making are poorly understood. The purpose of this study was to explore the opinions and experiences of individuals with NF in Australia and inform the development of practice recommendations and resources. Focus groups with adults with NF were conducted using a semi-structured interview schedule developed by the research team.

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Article Synopsis
  • * A panel of six experts in Australia created management recommendations for PsA, which received approval from all members.
  • * The guidelines cover various aspects, including medication options, treatment monitoring, family planning, symptom management, and lifestyle considerations, aiming to help doctors provide better patient care.
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Muscle ultrasound aids diagnosis in amyotrophic lateral sclerosis.

Clin Neurophysiol

November 2024

Brain and Nerve Research Centre, Concord Clinical School, University of Sydney, Concord Hospital, Sydney, NSW, Australia.

Objective: There is a need for improved diagnostic tools in Amyotrophic Lateral Sclerosis (ALS). Our objective was to assess muscle ultrasound as a diagnostic tool in patients with ALS and determine a simplified screening protocol to aid implementation in clinical practice.

Methods: Ultrasound of bulbar and limb muscles was prospectively performed on all patients referred to a single centre with suspected ALS.

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MOGAD: A comprehensive review of clinicoradiological features, therapy and outcomes in 4699 patients globally.

Autoimmun Rev

January 2025

Translational Neuroimmunology Group, Faculty of Medicine and Health, University of Sydney, Kids Neuroscience Centre, Children's Hospital at Westmead, Sydney, Australia; Sydney Medical School and Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, Sydney, Australia; Department of Neurology, Concord Hospital, Sydney, Australia. Electronic address:

Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) is one of the most common antibody-mediated CNS disorders. Optimal diagnostic and prognostic biomarkers remain unclear. Our aim was to clarify these biomarkers and therapeutic outcomes internationally.

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The quality and safety of using generative AI to produce patient-centred discharge instructions.

NPJ Digit Med

November 2024

Sydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

Patient-centred instructions on discharge can improve adherence and outcomes. Using GPT-3.5 to generate patient-centred discharge instructions, we evaluated responses for safety, accuracy and language simplification.

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Article Synopsis
  • Researchers investigated whether ursodeoxycholic acid (UDCA), used for cholestatic liver diseases, could lower the risk of severe COVID-19 outcomes in patients with primary biliary cholangitis (PBC) or primary sclerosing cholangitis (PSC).
  • In a population-based study, data from over 11,000 individuals was analyzed, revealing that UDCA users had a 21% lower risk of hospitalization or death from COVID-19 compared to non-users.
  • The findings warrant further clinical trials to explore UDCA's potential as a preventive treatment for severe COVID-19 outcomes.
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Article Synopsis
  • Chronic urticaria (CU) in the Asia-Pacific region presents significant challenges for patients, highlighting the need for patient-centred care to involve them in health decisions.
  • A survey and discussions with 13 expert dermatologists and allergists identified barriers to implementing these approaches, including patient awareness, healthcare access delays, financial issues, and low adherence to treatment.
  • Experts recommended enhancing patient education, tailoring treatments to individual needs, promoting shared decision-making, and utilizing patient-reported outcome measures to improve CU management.
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Background: It is not known whether bone marrow stem cells when injected intravenously for a bone marrow transplant colonize the human testicular epithelium. No previous studies of sperm genotype after bone marrow transplantation are reported.

Objectives: To differentiate host from donor genotype in spermatozoa of men who have undergone successful bone marrow transplants.

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