4,735 results match your criteria: "University Hospital Geelong; St John of God Hospital Geelong[Affiliation]"

Article Synopsis
  • The scoping review commissioned by ILCOR focused on the treatment and outcomes of obese patients in cardiac arrest, highlighting the growing concern of obesity's impact on health.
  • A total of 36 studies were analyzed, with findings indicating that while adult outcomes varied, obese children generally showed worse survival rates and neurological outcomes compared to their normal-weight peers.
  • The review concluded that though results were inconsistent, there's no immediate need to change standard CPR protocols, but it noted that resuscitation efforts might take longer for obese adults, which could affect resources.
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Barriers and facilitators to mental health care access and engagement for LGBTQA+ people with psychosis: A scoping review.

Psychiatry Res

January 2025

Institute for Mental and Physical Health and Clinical Translation, Deakin University, Geelong, VIC, Australia; School of Health Sciences, University of Manchester, Manchester, United Kingdom.

Article Synopsis
  • - LGBTQA+ individuals are more likely to experience psychosis and face challenges in accessing timely mental health care, leading to an increased risk of negative outcomes.
  • - A scoping review analyzed 37 studies and identified 89 barriers and 63 facilitators related to mental health care for LGBTQA+ people, categorizing them into five key themes: service-related factors, stigma, social networks, personal factors, and psychosis-related factors.
  • - The findings emphasize the importance of understanding intersectionality and suggest that enhancing knowledge and resources in public services could lead to earlier detection and better treatment of psychosis in the LGBTQA+ community.
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Background: This study examined (1) associations between sociodemographic and clinical variables with low muscle mass and radiodensity and their loss relative to treatment commencement in patients with lung cancer; and (2) the magnitude of change in muscle mass and association with treatment outcomes and survival.

Methods: Prospective study in patients planned for curative (chemo)radiotherapy for lung cancer. Low skeletal muscle mass and radiodensity and muscle loss were determined from pre- and post-treatment computed tomography images.

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Rectal 5-aminosalicylic acid induced pancreatitis in a patient with newly diagnosed ulcerative colitis.

Clin J Gastroenterol

November 2024

Department of Gastroenterology, University Hospital Geelong, Barwon Health, 272 Ryrie Street Geelong, Geelong, Victoria, 3220, Australia.

Oral 5-aminosalicylic acid (5-ASA) are well recognised to have the potential to cause drug-induced acute pancreatitis; however, there have only been infrequent case reports of rectal formulations causing acute pancreatitis. We describe a case of rectal Mesalazine (a 5-ASA) induced acute pancreatitis. The patient was commenced on rectal 5-ASA therapy 8 weeks prior to presentation following a diagnosis of Montreal classification E1 Ulcerative Colitis on colonoscopy.

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Using real-time Delphi methods to develop a consensus-based framework to improve nursing assessment in residential aged care.

Australas J Ageing

March 2025

Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, New South Wales, Australia.

Article Synopsis
  • The study aimed to adapt the HIRAID® emergency nursing framework to enhance aged care nurses' ability to recognize and manage changes in residents' health conditions.
  • A real-time Delphi method was used, involving twelve expert healthcare leaders, which resulted in achieving consensus on how to modify the framework after two survey rounds.
  • Key changes focused on improving the assessment techniques and understanding the differences in practice between aged care and acute care nurses, ultimately supporting better education and practice in aged care settings.
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Article Synopsis
  • - The study aimed to investigate parents' experiences with continuous glucose monitoring (CGM) for their young children who have early-stage type 1 diabetes enrolled in the ENDIA study.
  • - A total of nine parents participated in semi-structured phone interviews after a CGM monitoring period, highlighting three key themes: empowerment through information, acceptance of CGM use, and the benefits of involvement in research.
  • - Results showed that parents had a positive experience with their children's use of CGM, feeling supported and less uncertain about managing their child's diabetes with the valuable data provided by the monitoring.
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Factors associated with failure of locking plate fixation in proximal humerus fractures.

Injury

November 2024

School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Rd, Melbourne, 3004, Australia; Health Data Research UK, Swansea University Medical School, Swansea University, Singleton Park, Sketty, Swansea SA2 8PP, United Kingdom.

Background: Locking plate fixation remains the mainstay of surgical fixation of unstable proximal humerus fractures, however rates of failure remain high. The aim of this study was to identify risk factors that could be used to predict the likelihood of fixation failure.

Method: Patients with proximal humerus fractures managed with locking plate fixation between 2010 and 2019 at a Level 1 trauma centre were included.

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Purpose: A lack of representative human disease models has limited the translation of new and more effective treatments in uveal melanoma (UM), the most common primary adult intraocular malignancy. To fill this critical need, we developed and characterized a multicenter biobank of UM patient-derived organoids (PDOs).

Methods: UM patients requiring enucleation from 2019 to 2024 donated tumor tissue for PDO generation.

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Preparing Nurses for CD20-CD3 Bispecific Antibody Treatment in Patients With Non-Hodgkin Lymphoma: A Scoping Review of Adverse Events and Management Strategies From Early Phase and Pivotal Trials.

Cancer Nurs

December 2024

Author Affiliations: Parkville Cancer Clinical Trials Unit, Peter MacCallum Cancer Centre (Mss van der Linde and Robertson, Messrs Minson and Dickinson, and Dr Krishnasamy); Barwon Health, University Hospital Geelong (Ms Knights); Department of Health Services Research, Peter MacCallum Cancer Centre, Parkville (Dr Krishnasamy); and Victorian Comprehensive Cancer Centre Alliance (Dr Krishnasamy); and Sir Peter MacCallum Department of Oncology, University of Melbourne (Dr Krishnasamy), Australia.

Background: Bispecific T-cell engaging antibodies (BsAbs) are novel agents used to treat B-cell non-Hodgkin lymphoma (B-NHL); these agents demonstrate a different toxicity profile compared with standard chemoimmunotherapy.

Objective: To describe common adverse events (AEs) experienced by patients with B-NHL during BsAb treatment.

Methods: MEDLINE, EMCARE, and EMBASE were searched for relevant studies.

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Less than 20% of Australians with type 1 diabetes (T1D) meet recommended glucose targets. Technology use is associated with better glycaemia, with the most advanced being automated insulin delivery (AID) systems, which are now recommended as gold-standard T1D care. Our Australian AID trial shows a wide spectrum of adults with T1D can achieve recommended targets.

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Background: Biopsychosocial changes during adolescence are thought to confer risk for emotion dysregulation, and in particular, anxiety disorders. However, there are substantial gaps in our knowledge about the biological mechanisms underlying anxiety during adolescence, and whether this contributes to the higher prevalence in females. The Puberty and NeuroDevelopment in Adolescents (PANDA) study aims to examine links between biological (sex hormones, cortisol) and social environmental factors and brain function during adolescence, with a focus on key processes (emotion regulation, fear learning) identified as relevant for the development of anxiety disorders.

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Purpose: To explore the prevalence of anhedonia (ANH) in major depressive disorder (MDD) and treatment expectation and satisfaction among patients with MDD and physicians in the Asia-Pacific region.

Methods: This cross-sectional web-based survey was conducted in April-May 2023 among physicians and individuals aged ≥18 years with self-reported physician diagnosis of MDD (9-item Patient Health Questionnaire [PHQ-9] score ≥ 10) further stratified by anhedonia as measured by the Snaith-Hamilton Pleasure Scale (SHAPS): MDD-ANH (SHAPS score > 2) and MDD non-ANH (SHAPS score ≤ 2). The study assessed the prevalence of anhedonia in MDD as well as the perspectives on the treatment of anhedonia in MDD in terms of expectations and satisfaction among patients and physicians.

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Objective: Machine learning (ML) techniques have shown promise for enhancing prediction of clinical outcomes; however, its application to predicting binge eating has been scarcely explored. We applied ML techniques to predict binge eating onset (vs. continued absence) and persistence (vs.

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Article Synopsis
  • Critically ill patients in Australia and New Zealand often don't meet energy and protein targets with oral nutrition, especially compared to those who start enteral or parenteral nutrition in ICU.
  • The study analyzed data from 409 patients across 44 hospitals to compare outcomes, focusing on energy delivery and nutrition assessment during hospital stays.
  • Results showed that patients on oral nutrition had lower energy and protein intake, fewer invasive interventions, and received less nutrition assessment compared to those who switched to enteral or parenteral nutrition.
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Background: Back pain poses a significant global burden, within which individuals with more severe symptoms consume higher healthcare expenses than those with lesser back pain. Whether measures of body composition predict high-intensity back pain and/or high-disability in population-based cohorts is unknown. This study aimed to examine the association between body composition at baseline and their change in the prior 5 years (between 2001-2005 and 2006-2010) and incident high-intensity back pain and/or high-disability in long-term follow-up, 10 years later (2016-2021) in a population-based cohort of men.

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Investigating skeletal fracture patterns in truck occupants involved in fatal motor vehicle incidents.

Int J Legal Med

November 2024

Department of Forensic Medicine, School of Public Health and Preventive Medicine, Monash University, 65 Kavanagh Street, Southbank, VIC, 3006, Australia.

Globally, thousands of truck occupants die annually from motor vehicle incidents. During medico-legal investigations of such incidents, forensic practitioners are required to undertake thorough examinations of the injuries present. Despite this, very few studies assessing skeletal fractures in particular, in deceased truck occupants are currently available in the literature for practitioners.

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Plasma neurofilament light outperforms glial fibrillary acidic protein in differentiating behavioural variant frontotemporal dementia from primary psychiatric disorders.

J Neurol Sci

December 2024

Neuropsychiatry, Royal Melbourne Hospital, 300 Grattan, St Parkville, VIC 3052, Australia; Department of Psychiatry, University of Melbourne, Grattan St Parkville, 3052 Melbourne, VIC, Australia.

Objective: Timely, accurate distinction between behavioural variant frontotemporal dementia (bvFTD) and primary psychiatric disorders (PPD) is a clinical challenge. Blood biomarkers such as neurofilament light chain (NfL) and glial fibrillary acidic protein (GFAP) have shown promise. Prior work has shown NfL helps distinguish FTD from PPD.

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Data-Driven Cutoff Selection for the Patient Health Questionnaire-9 Depression Screening Tool.

JAMA Netw Open

November 2024

Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Québec, Canada.

Article Synopsis
  • The study investigates how using small datasets to select an optimal cutoff score for the Patient Health Questionnaire-9 (PHQ-9) can lead to inaccurate results.
  • Researchers evaluated whether data-driven methods for cutoff selection resulted in scores that were significantly different from the true population optimal score and if these methods produced biased accuracy estimates.
  • Findings showed that many small studies frequently failed to identify the correct optimal cutoff score, particularly in smaller samples, leading to an overestimation of test sensitivity.
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Impaired Muscle Parameters in Individuals With Premature Ovarian Insufficiency: A Pilot Study.

J Endocr Soc

October 2024

Department of Endocrinology, Monash Health, Clayton, Victoria 3168, Australia.

Context: Although bone loss is a recognized consequence of premature ovarian insufficiency (POI), the impact on skeletal muscle health is less well-defined.

Objective: To compare muscle mass and function parameters between women with POI and controls.

Methods: Cross-sectional study from a tertiary health network and community between 2017 and 2023.

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CPR training as a gender and rights-based healthcare issue.

Health Promot Int

December 2024

Faculty of Health Sciences and Medicine, Bond University, 2 Bayberry Lane, Robina, 4226, Queensland, Australia.

It is not understood how cardiopulmonary resuscitation (CPR) training, specifically the representation of sex in CPR manikins, contributes to inequitable outcomes in cardiac arrest survival. The aim of this study was to identify the sex and chest wall secondary sexual characteristics of CPR manikins on the global market. The secondary aim was to identify if manikin manufacturing companies had a publicly available sustainability policy or equivalent, and if these covered products were manufactured.

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One of the key measures to prevent pressure ulcer is to identify the factors that influence them. This study aimed to assess the occurrence of pressure ulcers and their related risk factors in patients admitted to specialized care units. This research is a retrospective cohort study that was conducted in the critical care units of hospitals affiliated to Ardabil University of Medical Sciences.

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Tailored Bioengineering and Nanomedicine Strategies for Sex-Specific Healing of Chronic Wounds.

Br J Dermatol

November 2024

Department of Radiology and Precision Health Program, Michigan State University, East Lansing, Michigan 48824, United States.

Chronic wounds, defined by their prolonged healing process, significantly impair patient quality of life and impose a hefty financial burden on healthcare systems worldwide. Sex/gender-specific mechanisms regulate inflammation and infection, angiogenesis, matrix synthesis, and cell recruitment contribute to cutaneous wound healing, but remain largely understudied. This review is aimed to spotlight the innovative realm of bioengineering and nanomedicine, which is at the helm of revolutionizing complex chronic wound care.

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Article Synopsis
  • This scoping review focused on physical activity and sedentary behavior interventions for individuals with frailty and multiple long-term conditions (MLTCs), including their caregivers.
  • Researchers examined ten databases from 2000 to October 2023, ultimately retaining 155 papers from 144 studies, most of which were randomized controlled trials with participants averaging 73 years old.
  • The findings highlighted that most interventions centered on structured exercise, had a high adherence rate, and yielded positive outcomes, but emphasized the need for more research on habitual activity, caregiver involvement, and a deeper understanding of individual characteristics like MLTCs and ethnicity.
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Article Synopsis
  • The study researched the optimal dose of lurasidone for treating bipolar depression, focusing on efficacy, acceptability, and metabolic/endocrine effects.
  • It reviewed five clinical trials involving 2,032 patients and found that doses between 40-60 mg significantly improved depression, anxiety, and quality of life while experiencing manageable side effects.
  • Results indicated that while higher doses led to increased side effects and weight gain, a 40-60 mg dose was generally the best choice for treatment without major risks of dropout or manic switch.
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