5,342 results match your criteria: "Monash Medical Centre.[Affiliation]"

Article Synopsis
  • - The study focused on evaluating the complications and usage of peripheral parenteral nutrition (PPN) in adult patients over a five-year period, highlighting its role as a short-term nutrition support alternative to centrally administered PN.
  • - Out of 381 patients analyzed, the most common reasons for PPN were ileus and gastrointestinal obstruction, with patients receiving about 65% of their energy and 58% of protein needs; malnutrition was identified in nearly half of the cohort.
  • - The overall complication rate for PPN was low at 8.7%, primarily involving cannula infiltration, and the study concluded that managed PPN can effectively address short-term nutritional needs while reducing the need for central line insertions.
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How labor induction methods have evolved throughout history, from the Egyptian era to the present day: evolution, effectiveness, and safety.

Am J Obstet Gynecol MFM

October 2024

Department of Obstetrics & Gynecology, Monash University, Monash Medical Centre, Clayton, Victoria, Australia (Patabendige, Rolnik, Li, and Mol); Women's and Newborn, Monash Health, Victoria, Australia (Patabendige, Rolnik, and Mol).

Article Synopsis
  • * Early interventions included natural remedies like castor oil in Egypt and mechanical methods from Hippocratic practices around 2500 years ago, transitioning to pharmacological options in the mid-20th century.
  • * Today's IOL methods focus on key factors like effectiveness, safety, cost, and client satisfaction, with ongoing research and evidence from randomized controlled trials shaping future practices.
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Answering the call: co-designing a global trials network for cerebral palsy.

Lancet Reg Health Eur

September 2024

Department of Orthopedic Surgery, Nemours Children's Health Delaware, Wilmington, USA.

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Background: Recurrent glomerulonephritis (GN) is an important cause of allograft loss after transplantation when GN is the primary cause of kidney failure. Retransplantation after allograft loss from recurrent disease requires careful consideration. We aimed to determine the probability of relisting and the risk of allograft loss after retransplantation in recipients with prior allograft loss from recurrent GN.

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Single-Cell RNA-Sequencing Identifies Bone Marrow-Derived Progenitor Cells as a Main Source of Extracellular Matrix-Producing Cells Across Multiple Organ-Based Fibrotic Diseases.

Int J Biol Sci

October 2024

Departments of Medicine & Therapeutics, Li Ka Shing Institute of Health Sciences, and Lui Che Woo Institute of Innovative Medicine, The Chinese University of Hong Kong, Hong Kong, China.

Fibrosis is characterized by the aberrant deposition of extracellular matrix (ECM) due to dysregulated tissue repair responses, imposing a significant global burden on fibrosis-related diseases. Although alpha-smooth muscle actin (α-SMA/)-expressing myofibroblasts are considered as key player in fibrogenesis, the origin of ECM-producing cells remains controversial. To address this issue, we integrated and analyzed large-scale single-cell transcriptomic datasets from patients with distinct fibrotic diseases involving the heart, lung, liver, or kidney.

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Aim: To describe sources of advice and the recommendations given to parents/guardians prior to attending ED with their child.

Methods: This was a prospective observational study of patients presenting to two EDs of a multi-centre Victorian Health service in June 2016. Data collection involved surveying all parents/guardians attending paediatric ED during a 1-week period by trained research assistants.

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Introduction: Evidence from randomised controlled trials on anti-tumour necrosis factor (TNF) agents in patients with Behçet's syndrome (BS) is low.

Method: We conducted a phase 3, multicentre, prospective, randomised, active-controlled, parallel-group study to evaluate the efficacy and safety of either infliximab (IFX) or adalimumab (ADA) in patients with BS. Adults patients with BS presenting with active mucocutaneous manifestations, occurring while on therapy with either azathioprine or cyclosporine for at least 3 months prior to study entry, were eligible.

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Article Synopsis
  • Understanding bone growth in adolescents with HIV could help improve their skeletal health and decrease fracture risk later in life.
  • The study compared bone mineral density and strength between children with HIV on antiretroviral therapy and those without HIV, revealing that children with HIV generally had lower bone measurements but similar increases over time.
  • Notably, height-for-age scores were found to influence how HIV affected bone growth, impacting females more significantly in terms of bone density and strength changes.
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Neuropsychological outcomes following endovascular clot retrieval and intravenous thrombolysis in ischemic stroke.

J Int Neuropsychol Soc

October 2024

Department of Psychology, Counselling & Therapy, School of Psychology & Public Health, La Trobe University, Melbourne, Australia.

Objectives: Cognitive impairment, anxiety, depression, fatigue, and dependence in instrumental activities of daily living (ADL) are common after stroke; however, little is known about how these outcomes may differ following treatment with endovascular clot retrieval (ECR), intravenous tissue plasminogen activator (t-PA), or conservative management.

Methods: Patients were recruited after acute treatment and invited to participate in an outcome assessment 90-120 days post-stroke. The assessment included a cognitive test battery and several questionnaires.

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Digital versus speculum-based balloon catheter insertion for labor induction: a systematic review and meta-analysis.

Am J Obstet Gynecol MFM

December 2024

Department of Obstetrics and Gynaecology, Monash University, Faculty of Medicine, Nursing and Health Sciences, Monash Medical Centre, 246 Clayton Rd, Clayton, Victoria 3168 Australia (Seo, Davies-Tuck, Warty, Smith, and Palmer); Monash Women's, Monash Health, 246 Clayton Rd, Clayton, Victoria Australia (Palmer).

Article Synopsis
  • The study examines the effectiveness, safety, and acceptability of two methods for cervical preparation prior to labor induction: digital insertion vs. speculum-based insertion of catheter balloons.
  • It utilized various medical databases to find randomized controlled trials that met specific criteria, focusing on viable singleton pregnancies and excluding studies that didn't involve cervical balloons.
  • The results indicated that while digital insertion was generally less painful and had comparable maternal satisfaction, overall outcomes showed no significant difference between the two methods, despite some concerns over study biases.
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Article Synopsis
  • The study investigates the transition from acute kidney injury to chronic kidney disease, emphasizing the challenge in current animal models that require severe injury to initiate renal fibrosis.
  • Researchers developed a new method using a gradient approach to induce ischemia/reperfusion (I/R) injury in mice while keeping kidney function relatively stable.
  • The findings revealed that while short-term kidney damage was apparent, only the lower kidney pole showed persistent damage leading to renal fibrosis, highlighting the model's ability to demonstrate "silent" fibrosis over time.
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Article Synopsis
  • Adrenal vein sampling (AVS) is the preferred method for identifying unilateral subtypes of primary aldosteronism (PA), which can be treated with surgery for a potential cure.
  • The procedure is technically demanding and often performed by specialized interventional radiologists, but variations in protocols can affect its success and patient care.
  • To standardize AVS practices and improve outcomes, an Australian and New Zealand AVS Working Group was formed to create expert consensus recommendations that can be utilized by all healthcare professionals involved in PA management.
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Article Synopsis
  • - Behçet's syndrome (BS) is a rare, chronic inflammatory disorder mostly affecting adults in their 30s and 40s, but young patients can also experience it, requiring ongoing medical attention as they grow.
  • - Transitional care programs are designed to support young patients with chronic conditions like BS, helping them gain independence and self-management skills for their health.
  • - There is a lack of established guidelines on the timing and effectiveness of these transition plans for BS patients, but tailored approaches could enhance care continuity and improve quality of life for young patients.
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Article Synopsis
  • * Researchers analyzed data from 642 allograft failures, finding that various forms of rejection accounted for the majority (47.5%) of cases, with chronic antibody-mediated rejection being the most common cause.
  • * The findings suggest a need for better strategies to manage immune responses and more research on less understood causes of kidney transplant failure, particularly undifferentiated interstitial fibrosis and tubular atrophy.
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Tuberculosis, caused by the () bacteria, is one of the world's deadliest infectious diseases. Despite being the world's oldest pandemic, tuberculosis is very much a challenge of the modern era. In high-incidence settings, all people are at risk, irrespective of whether they have common vulnerabilities to the disease warranting the current WHO recommendations for community-wide tuberculosis active case finding in these settings.

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