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2023

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Articles 1501 - 1530 of 1556

Full-Text Articles in Medicine and Health Sciences

A Case Study On Factors Influencing Retention Of Mental Health Clinicians In A New Hampshire Community Mental Health Center, William E. Keating Jan 2023

A Case Study On Factors Influencing Retention Of Mental Health Clinicians In A New Hampshire Community Mental Health Center, William E. Keating

Antioch University Dissertations & Theses

This study examined the perspectives of master-level clinical mental health providers and members of leadership at a Community Mental Health Center (CMHC) in New Hampshire, to understand clinician and leadership perspectives as to why master-level providers choose to continue working at CMHCs. Most prior research on turnover in such organizations has focused on why so many leave their positions, however this study instead focuses on factors related to the decision to stay at a specific CMHC in an urban area of New Hampshire. A single case study method was utilized to focus on masters-level mental health care providers with additional …


Evaluation Of Wic Online Ordering During The Covid-19 Pandemic: Evidence From An Oklahoma Grocery Store Chain, Qi Zhang, Junzhou Zhang, Kayoung Park, Chuanyi Tang Jan 2023

Evaluation Of Wic Online Ordering During The Covid-19 Pandemic: Evidence From An Oklahoma Grocery Store Chain, Qi Zhang, Junzhou Zhang, Kayoung Park, Chuanyi Tang

Community & Environmental Health Faculty Publications

The COVID-19 pandemic is worsening the disparities in food access in the United States. As consumers have been increasingly using grocery online ordering services to limit their exposure to the COVID-19 virus, participants of federal nutrition assistance programs lack the online benefit redemption option. With the support of the US Department of Agriculture (USDA), retailers are pilot-testing online food benefit ordering in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). By combining the Oklahoma WIC administrative data, the online ordering data from a grocery store chain in Oklahoma, and the COVID-19 data in Oklahoma, this study examines …


Perspective: Organic Food Consumption During Pregnancy And The Potential Effects On Maternal And Offspring Health, Cynthia L. Curl, Annica Balentine Jan 2023

Perspective: Organic Food Consumption During Pregnancy And The Potential Effects On Maternal And Offspring Health, Cynthia L. Curl, Annica Balentine

Public Health and Population Science Faculty Publications and Presentations

Pregnancy represents a critical window for both maternal and child health. Previous studies have shown that the consumption of an organic diet during pregnancy can reduce pesticide exposure compared with the consumption of a conventional diet. It is possible that this could, in turn, improve pregnancy outcomes, because maternal pesticide exposure during pregnancy has been associated with increased risk of pregnancy complications. Organic foods are produced by methods that comply with organic standards, generally restricting the use of agrochemicals, such as synthetic pesticides. In the past few decades, the global demand for organic foods has increased drastically, driven in large …


Simplifying Blood Pressure Measurements In Clinical Settings, Uwe Reischl, Conrad Colby Jan 2023

Simplifying Blood Pressure Measurements In Clinical Settings, Uwe Reischl, Conrad Colby

Public Health and Population Science Faculty Publications and Presentations

Background: Upper arm sphygmomanometry is the most commonly used method to measure blood pressure in adults. However, variations in upper arm circumference and use of different cuff-sizes results in different pressure readings. When using the same cuff size, pressure readings will be higher for larger arm circumferences and lower for smaller arm circumferences. The objective of this study was to identify an adjustment factor that will allow pressure readings obtained for any combination of arm circumference and cuff size to be compared.

Methods: To investigate the relationship between arm circumferences, cuff size and pressure readings, experiments were conducted using laboratory …


Angiopoietin-Like4 Is A Novel Marker Of Covid-19 Severity, Pavan K. Bhatraju, Eric D. Morrell, Ian B. Stanaway, Neha A. Sathe, Avantika Srivastava, Radu Postelnicu, Richard Green, Adair Andrews, Martin Gonzalez, Christopher J. Kratochvil, Vishakha K. Kumar, Tien-Ying Hsiang, Michael Gale, George L. Anesi, David Wyles, M. Jana Broadhurst, David Brett-Major, Vikramjit Mukherjee, Jonathan E. Sevransky, Douglas Landsittel, Chi Hung, William A Altemeier, Sina A. Gharib, Timothy M. Uyeki, J. Perren Cobb, Janice M. Liebler, David R. Crosslin, Gail P. Jarvik, Leopoldo N. Segal, Laura Evans, Carmen Mikacenic, Mark M. Wurfel Jan 2023

Angiopoietin-Like4 Is A Novel Marker Of Covid-19 Severity, Pavan K. Bhatraju, Eric D. Morrell, Ian B. Stanaway, Neha A. Sathe, Avantika Srivastava, Radu Postelnicu, Richard Green, Adair Andrews, Martin Gonzalez, Christopher J. Kratochvil, Vishakha K. Kumar, Tien-Ying Hsiang, Michael Gale, George L. Anesi, David Wyles, M. Jana Broadhurst, David Brett-Major, Vikramjit Mukherjee, Jonathan E. Sevransky, Douglas Landsittel, Chi Hung, William A Altemeier, Sina A. Gharib, Timothy M. Uyeki, J. Perren Cobb, Janice M. Liebler, David R. Crosslin, Gail P. Jarvik, Leopoldo N. Segal, Laura Evans, Carmen Mikacenic, Mark M. Wurfel

Journal Articles: Epidemiology

IMPORTANCE: Vascular dysfunction and capillary leak are common in critically ill COVID-19 patients, but identification of endothelial pathways involved in COVID-19 pathogenesis has been limited. Angiopoietin-like 4 (ANGPTL4) is a protein secreted in response to hypoxic and nutrient-poor conditions that has a variety of biological effects including vascular injury and capillary leak.

OBJECTIVES: To assess the role of ANGPTL4 in COVID-19-related outcomes.

DESIGN SETTING AND PARTICIPANTS: Two hundred twenty-five COVID-19 ICU patients were enrolled from April 2020 to May 2021 in a prospective, multicenter cohort study from three different medical centers, University of Washington, University of Southern California and New …


Adiposity And Sex Influence On Sars-Cov-2 Antibody Response In University Students. An Esfuerso Cross-Sectional Study, Adriana L. Perales-Torres, Lucia M. Perez-Navarro, Esperanza M. Garcia-Oropeza, Alvaro Diaz-Badillo, Yoscelina Estrella Martinez-Lopez, Marisol Rosas-Diaz, Octelina Castillo-Ruiz, Laura Yanneth Ramirez-Quintanilla, Leonel Vela, Beatriz Tapia, Juan Carlos Lopez-Alvarenga Jan 2023

Adiposity And Sex Influence On Sars-Cov-2 Antibody Response In University Students. An Esfuerso Cross-Sectional Study, Adriana L. Perales-Torres, Lucia M. Perez-Navarro, Esperanza M. Garcia-Oropeza, Alvaro Diaz-Badillo, Yoscelina Estrella Martinez-Lopez, Marisol Rosas-Diaz, Octelina Castillo-Ruiz, Laura Yanneth Ramirez-Quintanilla, Leonel Vela, Beatriz Tapia, Juan Carlos Lopez-Alvarenga

School of Medicine Publications and Presentations

Introduction: Prior studies have identified various determinants of differential immune responses to COVID-19. This investigation delves into the Ig-G anti-RBD marker, scrutinizing its potential correlations with sex, vaccine type, body fat percentage, metabolic risk, perceived stress, and previous COVID-19 exposure.

Methods: In this study, data were obtained from 116 participants from the ESFUERSO cohort, who completed questionnaires detailing their COVID-19 experiences and stress levels assessed through the SISCO scale. Quantification of Ig-G anti-RBD concentrations was executed using an ELISA assay developed by UNAM. Multiple regression analysis was adeptly employed to control for covariates, including sex, age, body fat percentage, BMI, …


Examining The Impact Of Teenage Pregnancy And Its Associated Factors On High School Graduation Rates In Ohio, Eshita Garg, Empress James Jan 2023

Examining The Impact Of Teenage Pregnancy And Its Associated Factors On High School Graduation Rates In Ohio, Eshita Garg, Empress James

Scholarship in Medicine - All Papers

Objective: Our objective is to determine the impact of teen pregnancy, and its associated factors (e.g., child poverty, single-parent households, disconnected youth) on high school graduation rates in Ohio. Introduction: Failure to complete high school often results due to a process known as educational disengagement. This process has been studied to include such factors like teenage pregnancy, which is often linked to increased absences and decreased participation in class. While studies indicate that programs should emphasize attendance and engagement, rather than teenage pregnancy prevention, we also examine factors that are commonly associated with teenage pregnancy. Such variables that contribute to …


Social And Environmental Factors Impact On Reading Performance In Illinois In 2020, Gisella Drouet Jan 2023

Social And Environmental Factors Impact On Reading Performance In Illinois In 2020, Gisella Drouet

Scholarship in Medicine - All Papers

Objective: Reading scores, such as average literacy grade level are often used as a variable for academic success. It has been found that third grade students reading at grade level are less likely to drop out of high school. The objective of the project is to investigate average reading performance and its implications on English fluency, high school graduation and various social factors.

Methods : Social factors analyzed in this study were single-parent household, residential segregation and severe housing conditions. Illinois data analyzed was from County Health Rankings website ( https://www.countyhealthrankings.org/app/illinois/2020/measure/outcomes/1/map). This study analyzed the change in 2020 reading performance …


The Effects Of Dental Hygiene Instrument Handles On Muscle Activity Production, Jessica R. Suedbeck, Daniel Russell, Cortney Armitano Lago, Emily A. Ludwig Jan 2023

The Effects Of Dental Hygiene Instrument Handles On Muscle Activity Production, Jessica R. Suedbeck, Daniel Russell, Cortney Armitano Lago, Emily A. Ludwig

Dental Hygiene Faculty Publications

Purpose The objective of this study was to compare the effects of ten commercially available instrument handle designs’ mass and diameter on forearm muscle activity during a simulated periodontal scaling experience.

Methods A convenience sample of 25 registered dental hygienists were recruited for this IRB-approved study. Ten commercially available instruments were categorized into four groups based on their masses and diameters: large diameter/light mass, small diameter/light mass, large diameter/heavy mass, and small diameter/heavy mass. Participants were randomized to four instruments with one from each group. Participants scaled with each instrument in a simulated oral environment while muscle activity was collected …


Health Behaviour Profiles In Young Australian Adults In Relation To Physical And Mental Health: The Raine Study, Cecilie Thøgersen-Ntoumani, Daniel F. Gucciardi, Joanne A. Mcveigh, Therese A. O'Sullivan, Manon Dontje, Emmanuel Stamatakis, Peter R. Eastwood, Leon Straker Jan 2023

Health Behaviour Profiles In Young Australian Adults In Relation To Physical And Mental Health: The Raine Study, Cecilie Thøgersen-Ntoumani, Daniel F. Gucciardi, Joanne A. Mcveigh, Therese A. O'Sullivan, Manon Dontje, Emmanuel Stamatakis, Peter R. Eastwood, Leon Straker

Research outputs 2022 to 2026

Issues Addressed: We aimed to identify latent health behaviour profiles of young adults and examine their associations with physical and mental health outcomes. We also characterised the profiles by socio-demographic characteristics. Methods: Data were collected between 2012 and 2014. Participants (N = 476) were young adults (M age [SD] = 22.1 [.57] years) from Generation 2 of the Raine Study longitudinal cohort. Health behaviours were measured via ActiGraph GT3X waist monitors (physical activity, sedentary behaviour) and questionnaires (diet quality, alcohol, smoking and sleep). Physical and mental health were measured using clinical health assessments, blood biomarkers, and questionnaires. Latent Profile Analysis …


Rethinking Adolescent School Nutrition Education Through A Food Systems Lens, Margaret Miller, Donna Barwood, Amanda Devine, Julie Boston, Sandra Smith, Martin Masek Jan 2023

Rethinking Adolescent School Nutrition Education Through A Food Systems Lens, Margaret Miller, Donna Barwood, Amanda Devine, Julie Boston, Sandra Smith, Martin Masek

Research outputs 2022 to 2026

BACKGROUND: Obesity-driven nutrition education in schools does not appear to result in healthier adolescent food choices. This study explored food systems as an alternative pedagogical approach to engage students in nutrition education. METHODS: After playing a food systems computer game, 250 13- to 16-year-old students in 5 Western Australian secondary schools, participated in group discussions to distinguish learning and interests in food systems. Discussion records were thematically coded using constant comparative analysis. RESULTS: Students reported crop growth, food production and food waste, healthier food choices, and food systems as knowledge outcomes of game play. They requested additional content on food …


Bouncing Back From Covid-19: A Western Australian Community Perspective, Kiira K. Sarasjärvi, Paola Chivers, Ranila Bhoyroo, Jim Codde Jan 2023

Bouncing Back From Covid-19: A Western Australian Community Perspective, Kiira K. Sarasjärvi, Paola Chivers, Ranila Bhoyroo, Jim Codde

Research outputs 2022 to 2026

Introduction: This study explored the behavioral profiles of residing Western Australians during a COVID-19 lockdown period and transitions in behavior post-lockdown. Methods: A total of 313 participants (76% female, age: M = 50.1, SD = 15.7 years) completed behavioral and mental health questionnaire items ~2 months after a 3-month COVID-19 lockdown in October 2020, using a retrospective recall to assess their experience during the lockdown period. Latent transition analysis (LTA) was used to identify behavioral profiles and transitions. Indicators were identified by assessing during–post-lockdown group differences (Kruskal–Wallis, chi-square tests) and profiles described using qualitative open-ended questions. Results: Significant indicators included …


The Effect Of Regular Consumption Of Reformulated Breads On Glycemic Control: A Systematic Review And Meta-Analysis Of Randomized Clinical Trials, Alena M. Schadow, Ingrid Revheim, Ulrike Spielau, Jutta Dierkes, Lukas Schwingshackl, Jan Frank, Jonathan M. Hodgson, André Moreira-Rosário, Chris J. Seal, Anette E. Buyken, Hanne Rosendahl-Riise Jan 2023

The Effect Of Regular Consumption Of Reformulated Breads On Glycemic Control: A Systematic Review And Meta-Analysis Of Randomized Clinical Trials, Alena M. Schadow, Ingrid Revheim, Ulrike Spielau, Jutta Dierkes, Lukas Schwingshackl, Jan Frank, Jonathan M. Hodgson, André Moreira-Rosário, Chris J. Seal, Anette E. Buyken, Hanne Rosendahl-Riise

Research outputs 2022 to 2026

Bread is a major source of grain-derived carbohydrates worldwide. High intakes of refined grains, low in dietary fiber and high in glycemic index, are linked with increased risk for type 2 diabetes mellitus (T2DM) and other chronic diseases. Hence, improvements in the composition of bread could influence population health. This systematic review evaluated the effect of regular consumption of reformulated breads on glycemic control among healthy adults, adults at cardiometabolic risk or with manifest T2DM. A literature search was performed using MEDLINE, Embase, Web of Science and the Cochrane Central Register of Controlled Trials. Eligible studies employed a bread intervention …


‘Male Circumcision’ And ‘Female Genital Mutilation’: Why Parents Choose The Procedures And The Case For Gender Bias In Medical Nomenclature, James L. Nuzzo Jan 2023

‘Male Circumcision’ And ‘Female Genital Mutilation’: Why Parents Choose The Procedures And The Case For Gender Bias In Medical Nomenclature, James L. Nuzzo

Research outputs 2022 to 2026

Cutting of boys’ and girls’ genitalia is a debated human rights topic. Here, the first aim was to summarise why parents choose to have these procedures performed on their children. Results from 22 survey studies on ‘male circumcision’ and 27 studies on ‘female genital mutilation’ revealed that non-medical reasons, such as tradition, are prominent in the decisions for both procedures. The second aim was to describe researchers’ use of medical words (i.e. ‘circumcision’) and non-medical words (i.e. ‘cutting’, ‘mutilation’) when referring to these procedures. Relevant phrases were searched in titles and abstracts of articles indexed in PubMed. Total article count …


Assessing Children To Identify Developmental Coordination Disorder: A Survey Of Occupational Therapists In Australia, Jacqui Hunt, Jill Zwicker, Erin Godecke, Annette Raynor Jan 2023

Assessing Children To Identify Developmental Coordination Disorder: A Survey Of Occupational Therapists In Australia, Jacqui Hunt, Jill Zwicker, Erin Godecke, Annette Raynor

Research outputs 2022 to 2026

Background: Developmental coordination disorder (DCD), a prevalent neurodevelopmental disorder with motor and psychosocial consequences, can significantly impact children's quality of life. In Australia, most children with diagnosed/suspected DCD have received occupational therapy services, more so than any other health service. As such, occupational therapists are key in identification and treatment and require a sound knowledge of diagnostic criteria and the best evidence for practice. This study explored current occupational therapy services for children with DCD. Areas for development are identified to improve the identification of, and subsequent intervention for, children with DCD. Methods: In this cross-sectional study, an online survey …


Ctla4 Mrna Is Downregulated By Mir-155 In Regulatory T Cells, And Reduced Blood Ctla4 Levels Are Associated With Poor Prognosis In Metastatic Melanoma Patients, Prasanna Kumar Vaddi, Douglas Grant Osborne, Andrew Nicklawsky, Nazanin K. Williams, Dinoop Ravindran Menon, Derek Smith, Jonathan Mayer, Anna Reid, Joanne Domenico, Giang Huong Nguyen, William A. Robinson, Melanie Ziman, Dexiang Gao, Zili Zhai, Mayumi Fujita Jan 2023

Ctla4 Mrna Is Downregulated By Mir-155 In Regulatory T Cells, And Reduced Blood Ctla4 Levels Are Associated With Poor Prognosis In Metastatic Melanoma Patients, Prasanna Kumar Vaddi, Douglas Grant Osborne, Andrew Nicklawsky, Nazanin K. Williams, Dinoop Ravindran Menon, Derek Smith, Jonathan Mayer, Anna Reid, Joanne Domenico, Giang Huong Nguyen, William A. Robinson, Melanie Ziman, Dexiang Gao, Zili Zhai, Mayumi Fujita

Research outputs 2022 to 2026

Cytotoxic T lymphocyte-associated antigen-4 (CTLA-4) is an immune checkpoint expressed in regulatory T (Treg) cells and activated T lymphocytes. Despite its potential as a treatment strategy for melanoma, CTLA-4 inhibition has limited efficacy. Using data from The Cancer Genome Atlas (TCGA) melanoma database and another dataset, we found that decreased CTLA4 mRNA was associated with a poorer prognosis in metastatic melanoma. To investigate further, we measured blood CTLA4 mRNA in 273 whole-blood samples from an Australian cohort and found that it was lower in metastatic melanoma than in healthy controls and associated with worse patient survival. We confirmed these findings …


Relationship Between Dietary Intake And Erythrocyte Pufa In Adolescents From A Western Australian Cohort, Fuzhen Wan, Feng Pan, Trevor A. Mori, Therese A. O’Sullivan, Lawrence J. Beilin, Wendy H. Oddy Jan 2023

Relationship Between Dietary Intake And Erythrocyte Pufa In Adolescents From A Western Australian Cohort, Fuzhen Wan, Feng Pan, Trevor A. Mori, Therese A. O’Sullivan, Lawrence J. Beilin, Wendy H. Oddy

Research outputs 2022 to 2026

Background:

Population-based studies show that the intake of omega-3 (n-3) and omega-6 (n-6) polyunsaturated fatty acids (PUFA) are associated with a range of health conditions. Therefore, the reliability of food frequency questionnaires (FFQ) as rapid and easily accessible screening tools for PUFA intake deserve investigation.

Objective:

We aimed to assess the relationship between erythrocyte fatty acids and fatty acid intake collected using the Commonwealth Scientific and Industrial Research Organisation (CSIRO) food frequency questionnaire in an adolescent cohort.

Design:

A cross-sectional study using data from 1155 young adolescents participating in the 14-year follow-up of the Raine Study. Bland–Altman plots were used …


A Novel Skin Cancer Prevention Strategy: Preservice Teachers' Perceptions Of A Sun Safety Intervention And Experiences In Schools, Joseph J. Scott, Robyn S. Johnston, Jill Darby, Sally Blane, Mark Strickland, Bronwen M. Mcnoe Jan 2023

A Novel Skin Cancer Prevention Strategy: Preservice Teachers' Perceptions Of A Sun Safety Intervention And Experiences In Schools, Joseph J. Scott, Robyn S. Johnston, Jill Darby, Sally Blane, Mark Strickland, Bronwen M. Mcnoe

Research outputs 2022 to 2026

Issue addressed:

Teachers play a vital role in developing children's sun protection routines however upskilling preservice teachers (PSTs) while at university has not yet been trialled as a targeted skin cancer prevention strategy. Hence, this study investigated PSTs perceptions and experiences of sun safety following a brief pilot intervention and placement in primary schools in Western Australia.

Methods:

This study used a triangulation mixed methods design. Participants (n = 161) completed a post intervention survey which was analysed quantitatively. A random sub-sample was invited to participate in focus groups (three groups, n = 21) and one-on-one interviews (n = 4). …


The Prevalence Of Adverse Reactions Among Individuals With Three-Dose Covid-19 Vaccination, Yuying Wang, Yujie Zhang, Meng Zhang, Xiaoyu Zhang, Haibin Li, Youxin Wang, Wei Wang, Jianguang Ji, Lijuan Wu, Deqiang Zheng Jan 2023

The Prevalence Of Adverse Reactions Among Individuals With Three-Dose Covid-19 Vaccination, Yuying Wang, Yujie Zhang, Meng Zhang, Xiaoyu Zhang, Haibin Li, Youxin Wang, Wei Wang, Jianguang Ji, Lijuan Wu, Deqiang Zheng

Research outputs 2022 to 2026

Background: Considering the adverse reactions to vaccination against coronavirus disease 2019 (COVID-19), some people, particularly the elderly and those with underlying medical conditions, are hesitant to be vaccinated. This study aimed to explore the prevalence of adverse reactions and provide direct evidence of vaccine safety, mainly for the elderly and people with underlying medical conditions, to receive COVID-19 vaccination. Methods: From 1st March to 30th April 2022, we conducted an online survey of people who had completed three doses of COVID-19 vaccination by convenience sampling. Adverse reaction rates and 95% confidence intervals were calculated. In addition, conditional logistic regression was …


Early Mortality Among Aboriginal And Non-Aboriginal Women Who Had A Preterm Birth In Western Australia: A Population-Based Cohort Study, Helen D. Bailey, Caitlin Gray, Akilew A. Adane, Natalie A. Strobel, Scott W. White, Rhonda Marriott, Gizachew A. Tessema, Carrington C. J. Shepherd, Mary Sharp Jan 2023

Early Mortality Among Aboriginal And Non-Aboriginal Women Who Had A Preterm Birth In Western Australia: A Population-Based Cohort Study, Helen D. Bailey, Caitlin Gray, Akilew A. Adane, Natalie A. Strobel, Scott W. White, Rhonda Marriott, Gizachew A. Tessema, Carrington C. J. Shepherd, Mary Sharp

Research outputs 2022 to 2026

Background: Having a preterm ( < 37 weeks' gestation) birth may increase a woman's risk of early mortality. Aboriginal and Torres Strait Islander (hereafter Aboriginal) women have higher preterm birth and mortality rates compared with other Australian women. Objectives: We investigated whether a history of having a preterm birth was associated with early mortality in women and whether these associations differed by Aboriginal status. Methods: This retrospective cohort study used population-based perinatal records of women who had a singleton birth between 1980 and 2015 in Western Australia linked to Death Registry data until June 2018. The primary and secondary outcomes were all-cause and cause-specific mortality respectively. After stratification by Aboriginal status, rate differences were calculated, and Cox proportional hazard regression was used to estimate adjusted hazard ratios (HR) and 95 % confidence intervals (CI) for all-cause and cause-specific mortality. Results: There were 20,244 Aboriginal mothers (1349 deaths) and 457,357 non-Aboriginal mothers (7646 deaths) with 8.6 million person-years of follow-up. The all-cause mortality rates for Aboriginal mothers who had preterm births and term births were 529.5 and 344.0 (rate difference 185.5, 95 % CI 135.5, 238.5) per 100,000 person-years respectively. Among non-Aboriginal mothers, the corresponding figures were 125.5 and 88.6 (rate difference 37.0, 95 % CI 29.4, 44.9) per 100,000 person-years. The HR for all-cause mortality for Aboriginal and non-Aboriginal mothers associated with preterm birth were 1.48 (95 % CI 1.32, 1.66) and 1.35 (95 % CI 1.26, 1.44), respectively, compared with term birth. Compared with mothers who had term births, mothers of preterm births had higher relative risks of mortality from diabetes, cardiovascular, digestive and external causes. Conclusions: Both Aboriginal and non-Aboriginal women who had a preterm birth had a moderately increased risk of mortality up to 38 years after the birth, reinforcing the importance of primary prevention and ongoing screening.


Spore-Forming Clostridium (Clostridioides) Difficile In Wastewater Treatment Plants In Western Australia, Jessica M. Chisholm, Papanin Putsathit, Thomas V. Riley, Su-Chen Lim Jan 2023

Spore-Forming Clostridium (Clostridioides) Difficile In Wastewater Treatment Plants In Western Australia, Jessica M. Chisholm, Papanin Putsathit, Thomas V. Riley, Su-Chen Lim

Research outputs 2022 to 2026

There is growing evidence that shows Clostridium (Clostridioides) difficile is a pathogen of One Health importance with a complex dissemination pathway involving animals, humans, and the environment. Thus, environmental discharge and agricultural recycling of human and animal waste have been suspected as factors behind the dissemination of Clostridium difficile in the community. Here, the presence of C. difficile in 12 wastewater treatment plants (WWTPs) in Western Australia was investigated. Overall, C. difficile was found in 90.5 % (114/126) of raw sewage influent, 48.1 % (50/104) of treated effluent, 40 % (2/5) of reclaimed irrigation water, 100 % (38/38) of untreated …


Genomic Epidemiology And Transmission Dynamics Of Recurrent Clostridioides Difficile Infection In Western Australia, Daniel R. Knight, Korakrit Imwattana, Deirdre A. Collins, Su-Chen Lim, Stacey Hong, Papanin Putsathit, Thomas V. Riley Jan 2023

Genomic Epidemiology And Transmission Dynamics Of Recurrent Clostridioides Difficile Infection In Western Australia, Daniel R. Knight, Korakrit Imwattana, Deirdre A. Collins, Su-Chen Lim, Stacey Hong, Papanin Putsathit, Thomas V. Riley

Research outputs 2022 to 2026

Recurrent cases of Clostridioides difficile infection (rCDI) remain one of the most common and serious challenges faced in the management of CDI. The accurate distinction between a relapse (caused by infection with the same strain) and reinfection (caused by a new strain) has implications for infection control and prevention, and patient therapy. Here, we used whole-genome sequencing to investigate the epidemiology of 94 C. difficile isolates from 38 patients with rCDI in Western Australia. The C. difficile strain population comprised 13 sequence types (STs) led by ST2 (PCR ribotype (RT) 014, 36.2 %), ST8 (RT002, 19.1 %) and ST34 (RT056, …


Suboptimal Health Status, Covid-19 Psychology, And Cultural Value Impact On Post-Pandemic Outbound Travel, Danni Zheng, Yangyang Jiang, Jun Wen, Ian Phau, Haifeng Hou, Wei Wang Jan 2023

Suboptimal Health Status, Covid-19 Psychology, And Cultural Value Impact On Post-Pandemic Outbound Travel, Danni Zheng, Yangyang Jiang, Jun Wen, Ian Phau, Haifeng Hou, Wei Wang

Research outputs 2022 to 2026

Suboptimal health has become a core public health challenge, especially during the pandemic. This study adopts an interdisciplinary perspective to examine the relationships between suboptimal health status, COVID-19 fear and stress, cultural values, and outbound travel. A theoretical model was evaluated using data from 800 Beijing residents, 439 of whom were in suboptimal health. Four dimensions of suboptimal health (fatigue, mental status, immune system, and cardiovascular system) significantly affected COVID-19 stress and fear. Post-pandemic travel intention was positively related to fatigue symptoms and leisure and life enjoyment but negatively associated with COVID-19 stress. Suggestions for highlighting travellers’ health status and …


European Epidemiological Patterns Of Cannabis- And Substance-Related Congenital Neurological Anomalies: Geospatiotemporal And Causal Inferential Study, Albert Stuart Reece, Gary Kenneth Hulse Jan 2023

European Epidemiological Patterns Of Cannabis- And Substance-Related Congenital Neurological Anomalies: Geospatiotemporal And Causal Inferential Study, Albert Stuart Reece, Gary Kenneth Hulse

Research outputs 2022 to 2026

Introduction: Of the many congenital anomalies (CAs) recently linked with community cannabis exposure, arguably the most concerning are neurological CAs (NCAs). We therefore conducted a detailed study of this in fourteen European nations.

Methods. Congenital anomaly data were from Eurocat. Drug exposure data were from European Monitoring Centre for Drugs and Drug Addiction. Income from World bank.

Results: The Netherlands, Spain, France and Bulgaria reported increasing rates of many NCAs. The NCA rate (NCAR) was: severe microcephaly 2.14 x 1013 higher in nations with increasing daily cannabis use when compared to those without (p = 0.0204, minimum E-value (mEV) = …


Barriers And Enablers Associated With Participation In A Home-Based Pragmatic Exercise Snacking Program In Older Adults Delivered And Monitored By Amazon Alexa: A Qualitative Study, Paul Jansons, Jackson J. Fyfe, Jack Dalla Via, Robin M. Daly, David Scott Jan 2023

Barriers And Enablers Associated With Participation In A Home-Based Pragmatic Exercise Snacking Program In Older Adults Delivered And Monitored By Amazon Alexa: A Qualitative Study, Paul Jansons, Jackson J. Fyfe, Jack Dalla Via, Robin M. Daly, David Scott

Research outputs 2022 to 2026

Background: ‘Exercise snacking’, which is characterised by shorter and more frequent exercise bouts compared with traditional exercise guidelines, may be an acceptable strategy for increasing physical activity and reducing sedentary behaviour in older adults. Aim: The aim of this study was to evaluate the enablers and barriers for older adults associated with participation in a home-based exercise snacking program delivered and monitored using an Amazon Echo Show 5 device (Alexa). Methods: This study used an interpretive description qualitative design to conduct semi-structured interviews following a 12-week pilot study in 15 adults aged 60–89 years with at least one chronic condition. …


The Definition Of A Community Paramedic: An International Consensus, Brendan Shannon, Sasch Baldry, Peter O'Meara, Nicole Foster, Angela Martin, Matthew Cook, Karen Stewart, Alecka Miles Jan 2023

The Definition Of A Community Paramedic: An International Consensus, Brendan Shannon, Sasch Baldry, Peter O'Meara, Nicole Foster, Angela Martin, Matthew Cook, Karen Stewart, Alecka Miles

Research outputs 2022 to 2026

Community paramedicine is a globally evolving model of care where paramedics provide community-based, preventative and primary healthcare services. With increased global interest and adaptation of the community paramedicine model, there is a lack of a clear definition of the role of a community paramedic. This study sought to come to an international consensus on the definition of a community paramedic. A four-phase Delphi methodology was utilised to achieve a global consensus on the definition of a community paramedic. A systematic approach to expert identification was performed and reported in line with the Conducting and REporting of DElphi Studies standard. A …


The Facilitators And Barriers To Exercise In The Noongar Aboriginal Population In Perth, Australia, Tuguy Esgin, Deborah Hersh, Kevin Rowley, Rona Macniven, Alan Crouch, Mark Halaki, Robert Newton Jan 2023

The Facilitators And Barriers To Exercise In The Noongar Aboriginal Population In Perth, Australia, Tuguy Esgin, Deborah Hersh, Kevin Rowley, Rona Macniven, Alan Crouch, Mark Halaki, Robert Newton

Research outputs 2022 to 2026

Indigenous Standpoint Theory forms the epistemological foundation for this study and methodological choices were made within this theoretical framework to ensure culturally responsive research processes that engaged the Indigenous agenda of self-determination and rights. The objectives of this research were to determine: (i) Indigenous perceptions of the facilitators and barriers to exercise; (ii) The potential feasibility and sustainability of an exercise intervention. In this context, Participatory Action Research methods were used to design the data-gathering instrument for the study—a questionnaire, co-designed with the Noongar Aboriginal community of Perth, Western Australia. This self-administered questionnaire, distributed to participants by email, post and …


Editorial: Computational Predictions, Dynamic Tracking, And Evolutionary Analysis Of Antibiotic Resistance Through The Mining Of Microbial Genomes And Metagenomic Data, Volume Ii, Qi Zhao, Jian Li, Alfred Tay, Liang Wang Jan 2023

Editorial: Computational Predictions, Dynamic Tracking, And Evolutionary Analysis Of Antibiotic Resistance Through The Mining Of Microbial Genomes And Metagenomic Data, Volume Ii, Qi Zhao, Jian Li, Alfred Tay, Liang Wang

Research outputs 2022 to 2026

Antibiotic resistance has emerged as a critical global health challenge, posing a significant threat to human and animal health. The rapid development of antibiotic resistance among pathogens has reduced the efficacy of existing treatments, leading to an urgent need for novel therapeutic strategies. One promising avenue of research involves mining microbial genomes and metagenomic data to uncover novel antimicrobial agents and a better understanding of the resistance mechanism.


The Effect Of High-Speed Power Training On Physical Frailty In Older Adults: Effect Of A Visual-Guided Exercise Program In South Korean Rural Areas, Dong H. Yoon, Jin-Soo Kim, Su S. Hwang, Dong W. Lee, Wook Song Jan 2023

The Effect Of High-Speed Power Training On Physical Frailty In Older Adults: Effect Of A Visual-Guided Exercise Program In South Korean Rural Areas, Dong H. Yoon, Jin-Soo Kim, Su S. Hwang, Dong W. Lee, Wook Song

Research outputs 2022 to 2026

Objective. Exercise has been shown to be an effective intervention; the difficulty still lies in providing exercise programs to the older adults in rural areas. Therefore, this study aimed to examine the effects of a 12-week exercise program provided with visual guidelines (prerecorded video) on frailty among older adults in rural areas. Methods. Fifty participants (71.7 ± 4.9 years) from 5 different rural areas were recruited and divided into two groups: the exercise group (EX, n = 24 (male: 8, female: 18)) and the control group (CON, n = 26 (male: 7, female: 17)). With the commencement of the exercise …


Relieving The Gambling Itch Through Alcohol Consumption: The Impact Of Covid-19 Restrictions On Australian Casino Patrons, Tenghao Zhang, Pi-Shen Seet, Janice Redmond, Jalleh Sharafizad Jan 2023

Relieving The Gambling Itch Through Alcohol Consumption: The Impact Of Covid-19 Restrictions On Australian Casino Patrons, Tenghao Zhang, Pi-Shen Seet, Janice Redmond, Jalleh Sharafizad

Research outputs 2022 to 2026

This paper extends our understanding of how casino patrons are affected by COVID-19 restrictions and how they cope by substituting gambling with alcohol consumption. We conducted two studies using a nationwide survey sample collected in Australia during the pandemic lockdown. Study 1 compares the casino patrons with two reference groups (other gambling patrons and non-gambling individuals) and investigates the lockdown restrictions on respondents’ relational strength, and their potential impact on mental health and future prospects. Study 2 applies the stress-response dampening model (SRD) and tests how respondents used alcohol consumption to cope with the lack of access to casinos during …