29 results match your criteria: "University of Sydney Clinical School[Affiliation]"

Article Synopsis
  • A systematic review was conducted to examine patient-centred handover in healthcare, highlighting the importance of including patients or carers in the process.
  • The study analyzed 30 peer-reviewed articles, predominantly focused on nursing-led bedside handover, showing benefits like increased patient satisfaction and engagement, but also noted challenges such as cognitive load and compliance issues.
  • While patient-centred handover appears beneficial, potential advantages may be overshadowed by barriers and varying outcomes, particularly with limited studies on physician-led handovers involving patients.
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Article Synopsis
  • - Bilothorax is a rare but serious condition where bile accumulates in the pleural space, often linked to injuries in the biliary system or diaphragm.
  • - A 70-year-old female with liver cirrhosis developed a pleural effusion after undergoing ERCP and biliary stenting, which persisted for 2 months without noticeable symptoms.
  • - The patient underwent thoracentesis, revealing 435 mL of bilious fluid, confirming bilothorax, underscoring the need to consider this condition in similar patients.
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A 28-year-old man aspirated a tooth into his right lower lobe bronchus following a high-speed motor vehicle accident. Initial retrieval attempts failed with a flexible bronchoscope, but a cryoprobe successfully dislodged and retrieved the tooth. Cryoprobe should be considered for bronchoscopic foreign body removal when conventional methods are unsuccessful.

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Blunted sweating does not alter the rise in core temperature in people with multiple sclerosis exercising in the heat.

Am J Physiol Regul Integr Comp Physiol

March 2021

Thermal Ergonomics Laboratory, Faculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.

The purpose of this study is to determine whether thermoregulatory capacity is altered by multiple sclerosis (MS) during exercise in the heat. Sixteen MS participants (EDSS: 2.9 ± 0.

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Food choices made by primary carers (mothers/ grandmothers) in West Java, Indonesia.

Appetite

November 2018

Discipline of Child & Adolescent Health, The Children's Hospital at Westmead (University of Sydney Clinical School), Locked Bag 4001, Westmead, NSW, 2145, Australia; Sydney School of Public Health, Edward Ford Building (A27), Fisher Rd, The University of Sydney, NSW, 2006, Australia.

Background: Indonesian children currently face a decreasing prevalence of underweight and an increasing prevalence of overweight. For children aged 0-12 years, mothers/grandmothers hold the primary role in feeding practices. This study specifically aimed to explore mothers'/grandmothers' decision-making around food choices in West Java, Indonesia.

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Background And Objectives: The double burden of malnutrition (DBM) - a combination of undernutrition and overnutrition - is a problem faced by many countries. This study aimed to comprehensively review the DBM in ASEAN (Association of South East Asian Nations) countries, including levels (population [including country, city, or any community], household, or individual), types (the type of undernutrition and overweight), and prevalence.

Methods And Study Design: Data were sourced from four electronic databases, Medline via OvidSP, Scopus, Global Health via OvidSP and Web of Science, from January 1990 until May 2017.

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Health-related quality of life in adolescents and the retinal microvascular structure.

Sci Rep

February 2018

Centre for Vision Research, Department of Ophthalmology and Westmead Institute for Medical Research, University of Sydney, Sydney, NSW, Australia.

We aimed to investigate whether health-related quality of life (HRQoL) is associated with retinal vascular caliber, an indicator of subclinical cardiovascular disease risk. 1600 students aged between 11-19 years (821 girls and 779 boys) were examined during 2009-2011. Retinal vessel caliber was measured from digital retinal images.

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Background: The prevalence of childhood overweight has increased in the past two decades in Indonesia. Even though prevalence is escalating, there is a lack of qualitative evidence to assist in the design and implementation of strategies to tackle this issue. This study aimed to explore the view of primary carers (mothers and grandmothers) from different socio-economic-status groups, on childhood overweight in the Greater Bandung Area, Indonesia.

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Overweight and obesity in Indonesia: prevalence and risk factors-a literature review.

Public Health

June 2017

Discipline of Child & Adolescent Health, The Children's Hospital at Westmead, University of Sydney Clinical School, Sydney, Australia; Sydney School of Public Health, The University of Sydney, Sydney, Australia.

Objectives: Overweight/obesity is a problem faced by both high- and low- and middle-income countries. This review aimed to report published data on the prevalence of overweight and obesity in Indonesian children, adolescents, and adults, along with the associated risk factors.

Study Design: Literature review.

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The dilemma of diagnostic testing for Prader-Willi syndrome.

Transl Pediatr

January 2017

Children's Hospital at Westmead, Sydney Genome Diagnostics (Cytogenetics), Children's Hospital Network, PO Box 4001, Westmead, Australia.

Although Prader-Willi syndrome (PWS) is a well-described clinical dysmorphic syndrome, DNA testing is required for a definitive diagnosis. A definitive diagnosis can be made in approximately 99% of cases using DNA testing; there are a number of DNA tests that can be used for this purpose, although there is no set standard algorithm of testing. The dilemma arises because of the complex genetic mechanisms at the basis of PWS, which need to be elucidated.

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Objectives: To determine whether stunted young children are at greater risk of (1) overweight/obesity or thinness, and (2) high blood pressure (HBP) in adolescence.

Methods: A secondary data analysis using the Indonesian Family Life Survey waves 1 (1993) to 4 (2007). We generated a 14-year follow-up cohort (1993-2007) and two 7-year cohorts (1993-2000 and 2000-2007) of children aged 2.

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Background: Recent data suggest that laparoscopic appendicectomy (LA) in pregnancy is associated with higher rates of foetal loss when compared to open appendicectomy (OA). However, the influence of gestational age and maternal age, both recognized risk factors for foetal loss, was not assessed.

Method: This was a multicentre retrospective review of all pregnant patients who underwent appendicectomy for suspected appendicitis from 2000 to 2012 across seven hospitals in Australia.

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Objectives: There are few reported data on the relationship between dairy food consumption and health-related quality of life (QOL). In this cohort study, we aimed to assess the association between dairy food intake and QOL scores during adolescence.

Methods: Of the 1216 participants who were followed up over 5 years (i.

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Objective: The double burden of malnutrition affects many low and middle-income countries. This study aimed to: a) determine temporal trends in the prevalence of underweight, stunting, and at risk of overweight/ overweight or obesity in Indonesian children aged 2.0-4.

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Objective: The persistence of undernutrition, along with overweight and obesity, constitute the double burden of malnutrition. The present study aimed to: (i) describe the prevalence and trends of concurrent stunting and overweight in Indonesian children; (ii) identify potentially associated risk factors; and (iii) determine whether stunted children are at greater risk of overweight compared with those of healthy height.

Design: A secondary data analysis of children aged 2·0-4·9 years in four cross-sectional studies of the Indonesian Family Life Survey.

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A randomised controlled trial of a code-word enuresis alarm.

Arch Dis Child

April 2016

Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, New South Wales, Australia Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.

Objective: To compare a novel code-word alarm with a commercially available wireless alarm for treating enuresis.

Setting: A tertiary paediatric centre.

Patients: Children aged 6-18 with at least 3 wet nights per week in the previous 6 months referred by doctors.

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Childhood interstitial lung disease: A systematic review.

Pediatr Pulmonol

December 2015

Department of Respiratory Medicine, Sydney Children's Hospital, Randwick NSW 2031, Australia.

Objectives: Childhood interstitial lung disease (chILD) is a group of rare chronic and complex disorders of variable pathology. There has been no systematic review of published chILD research. This study aimed to describe chILD classification systems, epidemiology, morbidity, treatments, outcomes, and the impact of chILD on families and the burden on health services.

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Dairy food consumption, blood pressure and retinal microcirculation in adolescents.

Nutr Metab Cardiovasc Dis

November 2014

Centre for Vision Research, Department of Ophthalmology and Westmead Millennium Institute, University of Sydney, Australia.

Background And Aims: The relationship between dairy food consumption and dietary calcium intake, and vascular risk factors during adolescence remains unclear. We aimed to prospectively assess whether dairy food consumption (milk, cheese, yoghurt) is associated with blood pressure (BP) and retinal microvascular signs among adolescents.

Methods And Results: As many as 2353 and 1216 participants aged 12 and 17, respectively, were examined.

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Parental history of hypertension and dietary intakes in early adolescent offspring: a population-based study.

J Hum Hypertens

December 2014

Centre for Vision Research, Westmead Millennium Institute, Department of Ophthalmology, University of Sydney, Sydney, New South Wales, Australia.

We investigated the cross-sectional association between parental history of hypertension and dietary intakes among early adolescent schoolchildren. A total of 1845 participants aged 12 years had complete data on diet and parental medical history, and thus they were included in the final analyses. Dietary data were assessed from validated semi-quantitative food-frequency questionnaires.

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Transition to adult care in adolescent obesity: a systematic review and why it is a neglected topic.

Int J Obes (Lond)

April 2014

1] Academic Department of Adolescent Medicine, The Sydney Children's Hospital at Westmead, Westmead, New South Wales, Australia [2] Discipline of Paediatrics and Child Health, University of Sydney, Sydney, New South Wales, Australia.

Transition in pediatric health care involves the purposeful, planned movement of patients from pediatric to adult services. Following the significant increases in long-term survival of chronic childhood diseases in the 1980s, transition has taken on an increasing importance in the management of these chronic diseases. In Australia, there is a conspicuous lack of programs/guidelines for transitioning adolescents with obesity.

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This paper reports the final 24-month outcomes of a randomized controlled trial evaluating the effect of additional therapeutic contact (ATC) as an adjunct to a community-based weight-management program for overweight and obese 13-16-year-olds. ATC involved telephone coaching or short-message-service and/or email communication once per fortnight. Adolescents were randomized to receive the Loozit group program-a two-phase behavioral lifestyle intervention with (n=73), or without (n=78), ATC in Phase 2.

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Objectives: To assess the outcomes of the Loozit adolescent weight management intervention and to evaluate the effect of additional therapeutic contact 12 months into the program.

Design: A 24-month, 2-arm randomized controlled trial. Results at 12 months are presented.

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Recruitment challenges and recommendations for adolescent obesity trials.

J Paediatr Child Health

January 2012

University of Sydney Clinical School, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.

Aim: To report our experiences with recruiting overweight and obese 13- to 16-year-olds for the Loozit® weight management randomised control trial (RCT) and to identify effective strategies for recruiting adolescents from the community to a treatment trial.

Methods: The Loozit RCT is a two-arm, community-based, lifestyle intervention that aims to evaluate the effect of additional therapeutic contact provided via telephone coaching and electronic communications as an adjunct to the Loozit group programme. Strategic areas that were targeted to recruit adolescents included media, schools, health professionals and community organisations.

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The study aims to describe clinical recommendations (i) on the role of parents in both pre-adolescent and adolescent overweight and obesity treatment; (ii) to health professionals on how to involve parents in paediatric overweight and obesity treatment and (iii) to identify deficiencies in the associated literature. A systematic literature review was conducted in March 2010 to identify clinical practice guidelines, position or consensus statements on clinical management of paediatric overweight or obesity, developed by a national or international health professional association or government agency, and endorsed for current use. Relevant clinical recommendations in these documents were identified via a screen for the words 'parent', 'family' and synonyms.

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