3,196 results match your criteria: "and Illawarra Health & Medical Research Institute[Affiliation]"

The telehealth surge: Speech-language pathology mode of service delivery and consumer characteristics during COVID-19.

Int J Speech Lang Pathol

September 2024

Illawarra Shoalhaven Local Health District, Wollongong, Australia.

Purpose: To examine the characteristics of speech-language pathology (SLP) consumers prior to and during the COVID-19 pandemic, with respect to the mode of service delivery within a local health district in New South Wales, Australia, to inform future health service planning.

Method: Observational study examining SLP occasions of service data pre-COVID-19 (2019-2019;  = 6413) and during the COVID-19 pandemic (2020-2021;  = 6908). Spatial mapping and multilevel models were used to examine associations between sociodemographic characteristics, telehealth utilisation, and videoconferencing.

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Establishing enablers and barriers to implementing the HIRAID® emergency nursing framework in rural emergency departments.

Australas Emerg Care

December 2024

The University of Sydney, Camperdown, NSW Australia. Faculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Australia; University of Technology Sydney, 15 Broadway, Ultimo, NSW, Australia; Northern Sydney Local Health District, Reserve Rd, St Leonards, NSW, Australia.

Background: Rural Australia has large geographic distances between emergency departments with variability of services and medical support. Emergency nurses must be appropriately skilled to assess and manage unpredictable and diverse presentations. HIRAID® is an evidence-based framework to support emergency nurses in assessment and care delivery.

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Unlabelled: Person-centred care is an international healthcare priority. Strategies are needed to support nurses and midwives to understand the meaning of person-centredness and support them to embed this philosophy into practice. Clinical supervision has been proposed as a strategy to support this but requires more evidence.

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Background: Insulin degludec/insulin aspart (IDegAsp) is a fixed-ratio co-formulation of insulin degludec and insulin aspart for the treatment of people with diabetes and suboptimal glycaemic control. Few real-world studies of IDegAsp treatment have been conducted. Here, we report results from the Australian cohort of the global ARISE study of real-world IDegAsp use.

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Background: Addressing Patient Reported Outcomes (PROs) is essential for patient-centred care, shared decision making and improved health outcomes. Value-based health care systems in New South Wales (NSW) have a growing focus on collecting and using PROs that matter most to patients to improve their healthcare outcomes. Developing oral health patient reported outcomes measures (OH-PROM) is a first step towards value-based oral health care.

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Article Synopsis
  • * A study in an Australian hospital interviewed 43 healthcare workers to find out what makes their jobs tough, and they identified two big problems: too many demands and team-related obstacles.
  • * The research suggests that taking better care of healthcare workers and improving their work environment is really important to help them do their jobs better and keep them happy.
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Article Synopsis
  • The study aimed to evaluate how much the prostatic urethral lift (PUL) procedure affects multiparametric MRI (mp-MRI) imaging, particularly focusing on the size and location of any artifacts created, which could hinder prostate cancer diagnosis.* -
  • Ten patients underwent PUL, and MRI scans were taken before and after the procedure to measure the artifact size caused by the urethral implant, finding a maximum diameter of around 7.7 mm and identifying that these artifacts were primarily localized to the posterior transition zone of the prostate.* -
  • The results indicated that while PUL does create artifacts in imaging, these occur in an area with a low incidence of prostate cancer, suggesting that the potential interference with cancer detection
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Nutrition and physical activity practices in family day care: A cross-sectional survey of Australian family day care educators.

Health Promot J Austr

August 2024

School of Health and Society, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, Australia.

Issue Addressed: Munch & Move is a New South Wales (NSW) Ministry of Health program offering family day care (FDC) educators training to support children's healthy behaviours. This study examined educators' nutrition, physical activity and screen time practices and relationships between Munch & Move training and professional development (PD) on these practices.

Methods: NSW FDC educators (n = 186) completed an online survey from July 2020-June 2021.

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Article Synopsis
  • Colorectal cancers (CRCs) linked to biallelic germline variants show specific mutational signatures (SBS18+SBS36 and SBS30) that could also be present in adenomas, which are precursors to CRCs.
  • A study sequenced DNA from adenomas and CRCs in biallelic cases and compared them with sporadic cases to investigate these signatures.
  • Results indicated that adenomas in biallelic cases had similar mutational signature proportions as their corresponding CRCs, suggesting testing adenomas could enhance the detection of biallelic cases and improve variant classification for better CRC prevention strategies.
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Micro RNA Dysregulation in Keratinocyte Carcinomas: Clinical Evidence, Functional Impact, and Future Directions.

Int J Mol Sci

August 2024

Molecular Horizons, School of Chemistry and Molecular Bioscience, University of Wollongong, Wollongong, NSW 2500, Australia.

The keratinocyte carcinomas, basal cell carcinoma (BCC), and cutaneous squamous cell carcinoma (cSCC), are the most common cancers in humans. Recently, an increasing body of literature has investigated the role of miRNAs in keratinocyte carcinoma pathogenesis, progression and their use as therapeutic agents and targets, or biomarkers. However, there is very little consistency in the literature regarding the identity of and/or role of individual miRNAs in cSCC (and to a lesser extent BCC) biology.

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Brain and heart activity during interactions with pet dogs: A portable electroencephalogram and heart rate variability study.

Int J Psychophysiol

October 2024

Graduate School of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, Australia; Illawarra Health and Medical Research Institute, University of Wollongong, 2522, Australia. Electronic address:

Dog ownership has been linked to numerous benefits to human health and wellbeing. However, due to the lack of previous research on changes to brain activity during interactions with pet dogs, the underlying psychophysiological mechanisms are still unclear. The aim of the present study was to examine changes in heart rate (HR), heart rate variability (HRV), and electroencephalogram (EEG) power during interactions between dog owners and their pet dog.

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Utilizing cell membranes from diverse cell types for biointerfacing has demonstrated significant advantages in enhancing colloidal stability and incorporating biological properties, tailored specifically for various biomedical applications. However, the structures of these materials, particularly emulsions interfaced with red blood cell (RBC) or platelet (PLT) membranes, remain an underexplored area. This study systematically employs small- and ultra-small-angle neutron scattering (SANS and USANS) with contrast variation to investigate the structure of emulsions containing perfluorohexane within RBC (RBC/PFH) and PLT membranes (PLT/PFH).

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Three-dimensional (3D) tissue models have gained recognition for their improved ability to mimic the native cell microenvironment compared to traditional two-dimensional models. This progress has been driven by advances in tissue-engineering technologies such as 3D bioprinting, a promising method for fabricating biomimetic living tissues. While bioprinting has succeeded in generating various tissues to date, creating neural tissue models remains challenging.

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Successful and sustained implementation of a behaviour-change informed strategy for emergency nurses: a multicentre implementation evaluation.

Implement Sci

July 2024

Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, RC Mills Building, University of Sydney, Camperdown, NSW, 2006, Australia.

Article Synopsis
  • Implementing changes in emergency departments is hard because of many factors like staff changes and unpredictable workloads.
  • A new strategy called HIRAID was introduced to improve emergency nursing care and make it safer and of higher quality.
  • The strategy was tested with over 1,300 nurses in 29 hospitals, and most nurses completed their training successfully, showing that the new approach worked well.
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Appendicectomy pathway: Insights from electronic medical records of a local health district in Australia.

Surgery

October 2024

School of Computing and Information Technology, Faculty of Engineering and Information Sciences, University of Wollongong, Wollongong, New South Wales, Australia. Electronic address:

Background: This study aims to identify the common pathways of appendicectomy, the most common emergency surgery in Australia's public hospitals and any variations within a regional public health district in New South Wales, Australia.

Methods: We analyzed the electronic medical records of 3,943 patients who underwent appendicectomy between January 2014 and July 2020 at 2 hospitals in the Illawarra Shoalhaven Local Health District, New South Wales, Australia, using the PM approach for surgical pathway identification and subsequent statistical analyses.

Results: Among 3,943 patients, 3,606 (91.

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Parsing the effect of co-culture with brain organoids on Diffuse Intrinsic Pontine Glioma (DIPG) using quantitative proteomics.

Int J Biochem Cell Biol

September 2024

Children's Cancer Research Unit, Kids Research, The Children's Hospital at Westmead, Westmead, Australia; The University of Sydney, Discipline of Child and Adolescent Health, The Children's Hospital at Westmead, Westmead, Australia. Electronic address:

Diffuse Intrinsic Pontine Gliomas (DIPGs) are deadly brain cancers in children for which there is no effective treatment. This can partly be attributed to preclinical models that lack essential elements of the in vivo tissue environment, resulting in treatments that appear promising preclinically, but fail to result in effective cures. Recently developed co-culture models combining stem cell-derived brain organoids with brain cancer cells provide tissue dimensionality and a human-relevant tissue-like microenvironment.

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Purpose: Antipsychotic-induced prolactin elevation may impede protective effects of estrogens in women with schizophrenia-spectrum disorders (SSD). Our study sought to confirm whether the use of prolactin-raising antipsychotics is associated with lower estrogen levels, and to investigate how estrogen and prolactin levels relate to symptom severity and cognition in premenopausal women with SSD.

Methods: This cross-sectional study included 79 premenopausal women, divided in three groups of women with SSD treated with prolactin-sparing antipsychotics (n = 21) or prolactin-raising antipsychotics (n = 27), and age-matched women without SSD (n = 31).

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Objectives: To estimate the long term cost savings, return on investment, and gain in quality-adjusted life years (QALYs) that could be achieved by a national anterior cruciate ligament (ACL) injury prevention program for amateur football (soccer) players in Australia.

Study Design: Markov model decision analysis.

Setting, Participants: Two hypothetical scenarios including all amateur football players in Australia (340 253 players): no intervention, and a national ACL injury prevention program.

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The utility of website-based quality improvement tools for health professionals: a systematic review.

Int J Qual Health Care

July 2024

Early Start, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW 2522, Australia.

As technology continues to advance, it is important to understand how website-based tools can support quality improvement. Website-based tools refer to resources such as toolkits that users can access and use autonomously through a dedicated website. This review examined how website-based tools can support healthcare professionals with quality improvement, including the optimal processes used to develop tools and the elements of an effective tool.

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Repressor element-1 silencing transcription factor (REST) is a transcriptional repressor involved in neurodevelopment and neuroprotection. REST forms a complex with the REST corepressors, CoREST1, CoREST2, or CoREST3 (encoded by , , and , respectively). Emerging evidence suggests that the CoREST family can target unique genes independently of REST, in various neural and glial cell types during different developmental stages.

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Factors affecting dietary progression post cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC).

Clin Nutr ESPEN

October 2024

School of Medicine, Smart Foods Centre, Illawarra Health and Medical Research Institute, University of Wollongong, Building 32, Northfields Ave, Keiraville, NSW, 2500, Australia.

Article Synopsis
  • The study investigates how patients recovering from cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) progress with their diets postoperatively and the factors influencing this progression.* -
  • Out of 42 patients, those with fast dietary progression (FDP) started a full fluid diet within 7 days, while the slow dietary progression (SDP) group took longer and faced more complications, such as prolonged ileus and longer hospital stays.* -
  • The findings suggest that addressing the dietary progression speed and implementing timely nutritional strategies, such as parenteral nutrition, could improve recovery outcomes for patients with peritoneal carcinomatosis.*
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Background: The emergency resuscitation nurse is a challenging and specialised role at the forefront of critical care practice in the emergency department. Despite their extensive specialist knowledge and skill requirements, in Australia there is no state-wide or nationally agreed approach to how to best provide training that meets a set of fixed objectives and requisite skills for resuscitation nurses. Due to an ageing nursing population and increasing workforce attrition, an efficacious accelerated pathway to acquire specialist resuscitation nursing knowledge, is necessary.

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Background: We aimed to summarize survival data from RCTs in patients with GO adenocarcinoma; estimate and explain worst-, typical-, and best-case-scenarios of survival time; and determine if simple multiples of median overall survival (mOS) could estimate these percentiles.

Methods: We systematically searched RCTs of systemic therapies for GO adenocarcinoma published 2000-2022. The following key percentiles were extracted from overall survival curves: 90th (worst-case), 75th (lower-typical), 25th (upper-typical), and 10th (best-case).

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Pancreatic ductal adenocarcinoma (PDAC) is characterized by increasing fibrosis, which can enhance tumor progression and spread. Here, we undertook an unbiased temporal assessment of the matrisome of the highly metastatic KPC (, , ) and poorly metastatic KPC (, , ) genetically engineered mouse models of pancreatic cancer using mass spectrometry proteomics. Our assessment at early-, mid-, and late-stage disease reveals an increased abundance of nidogen-2 (NID2) in the KPC model compared to KPC, with further validation showing that NID2 is primarily expressed by cancer-associated fibroblasts (CAFs).

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Article Synopsis
  • The study examines the effects of timing for esophagogastroduodenoscopy (EGD) in adults with food bolus impaction, comparing results to European Society of Gastrointestinal Endoscopy (ESGE) guidelines.
  • A total of 248 patients were reviewed, revealing complication rates of 31.6% for minor issues, 6.9% for tears, and 0.8% for perforations, with no significant links between delays in EGD and adverse outcomes.
  • The findings suggest that age and the severity of complications are better predictors of hospital stay than the timing of EGD following ingestion or presentation.
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