Medicine and Health Sciences Commons^™

Do People With Unilateral Mid-Portion Achilles Tendinopathy Who Participate In Running-Related Physical Activity Exhibit A Meaningful Conditioned Pain Modulation (Cpm) Effect: A Pilot Study, Myles C. Murphy, Ebonie K. Rio, Paola Chivers, James Debenham, Sean I. Docking, Mervyn Travers, William Gibson

Research outputs 2014 to 2021

Objectives: Our primary objective was to report the presence of a conditioned pain modulation (CPM) effect in people with localised mid-portion Achilles tendinopathy and whether changes occur over a 12-week period. Our secondary objectives were to quantify the proportion of participants who present for tendinopathy research with previous interventions or co-morbidities, which may impact the CPM-effect and investigate modulating factors. Design: Prospective, observational cohort pilot study. Method: 215 participants presented for this Achilles tendinopathy research and were screened for inclusion with nine being included. Included participants had the CPM-effect (cold-pressor test) assessed using pressure pain thresholds at the Achilles tendon …

Molecular Characterization Of, And Antimicrobial Resistance In, Clostridioides Difficile From Thailand, 2017–2018, Korakrit Imwattana, Papanin Putsathit, Daniel R. Knight, Pattarachai Kiratisin, Thomas V. Riley

Research outputs 2014 to 2021

Antimicrobial resistance (AMR) plays an important role in the pathogenesis and spread of Clostridioides difficile infection (CDI). Many antimicrobials, such as fluoroquinolones, have been associated with outbreaks of CDI globally. This study characterized AMR among clinical C. difficile strains in Thailand, where antimicrobial use remains inadequately regulated. Stool samples were screened for tcdB and positives were cultured. C. difficile isolates were characterized by toxin profiling and PCR ribotyping. Antimicrobial susceptibility testing was performed by agar incorporation, and whole-genome sequencing and AMR genotyping were performed on a subset of strains. There were 321 C. difficile strains isolated from 326 stool samples. …

Multi-Response Surface Optimisation Of Extrusion Cooking To Increase Soluble Dietary Fibre And Polyphenols In Lupin Seed Coat, Liezhou Zhong, Zhongxiang Fang, Mark L. Wahlqvist, Jonathan M. Hodgson, Stuart K. Johnson

Research outputs 2014 to 2021

The seed coat of the legume lupin which is rich in insoluble dietary fibre is a major by-product in human food applications. Extrusion cooking has been demonstrated to increase desirable soluble dietary fibre in the Australian sweet lupin seed coat. In this study, processing condition of twin-screw extrusion cooking was optimised using a central composite rotatable design to increase soluble dietary fibre in lupin seed coat from 44.17 g/kg up to 113.69 g/kg dry basis. The high levels of polyphenols in the seed coat were retained. The optimal extrusion conditions which achieved maximum levels of soluble dietary fibre, total free …

The Influence Of Mental Fatigue On Sessional Ratings Of Perceived Exertion In Elite Open And Closed Skill Sports Athletes, Joseph O. C. Coyne, Aaron J. Coutts, Robert U. Newton, G. Gregory Haff

Research outputs 2014 to 2021

ABSTRACT: Coyne, JOC, Coutts, AJ, Newton, RU, and Haff, GG. The influence of mental fatigue on sessional ratings of perceived exertion in elite open and closed skill sports athletes. J Strength Cond Res 35(4): 963-969, 2021-The main purpose of this investigation was to examine influence of mental fatigue on sessional ratings of perceived exertion (sRPE) over a training week in elite athletes in open skill (OS, i.e., more unpredictable and externally paced sports) and closed skill (CS, i.e., more predictable and internally paced) sports. Visual analogue scales for mental fatigue, sRPE (CR-10 scale), and training duration were collected from an …

Fitness Testing Parameters For Alpine Ski Racing, James J. Pritchard

Research outputs 2014 to 2021

Alpine ski racing requires high levels of isometric, eccentric, and concentric muscle actions through wide ranges of hip, knee, and ankle mobility. The course duration of ∼ 40 seconds for slalom racing to upward of 2.5 minutes for downhill racing necessitates high levels of anaerobic endurance, aerobic power, and force production to be successful. In addition, due to the highly technical skill aspect of ski racing, neuromuscular coordination is of utmost importance. This review identifies the most effective performance testing methods for alpine ski racing, as well as highlighting their relevance to the physiological parameters of the sport.

Blood Transcriptome Profiling As Potential Biomarkers Of Suboptimal Health Status: Potential Utility Of Novel Biomarkers For Predictive, Preventive, And Personalized Medicine Strategy, Hao Wang, Qiuyue Tian, Jie Zhang, Hongqi Liu, Jinxia Zhang, Weijie Cao, Xiaoyu Zhang, Xingang Li, Lijuan Wu, Manshu Song, Yuanyuan Kong, Wei Wang, Youxin Wang

Research outputs 2014 to 2021

The early identification of Suboptimal Health Status (SHS) creates a window opportunity for the predictive, preventive, and personalized medicine (PPPM) in chronic diseases. Previous studies have observed the alterations in several mRNA levels in SHS individuals. As a promising “omics” technology offering comprehension of genome structure and function at RNA level, transcriptome profiling can provide innovative molecular biomarkers for the predictive identification and targeted prevention of SHS. To explore the potential biomarkers, biological functions, and signalling pathways involved in SHS, an RNA sequencing (RNA-Seq)–based transcriptome analysis was firstly conducted on buffy coat samples collected from 30 participants with SHS and …

Considerations For Multi-Centre Conditioned Pain Modulation (Cpm) Research; An Investigation Of The Inter-Rater Reliability, Level Of Agreement And Confounders For The Achilles Tendon And Triceps Surae, Myles Murphy, William Gibson, Paola Chivers, Sean Docking, Ebonie Rio

Research outputs 2014 to 2021

© The British Pain Society 2020. Objective: This study aimed to investigate the inter-rater reliability of the conditioned pain modulation (CPM) effect. Methods: The reliability between two examiners assessing the CPM effect via pressure pain thresholds and induced using the cold pressor test of 28 healthy volunteers at the mid-portion Achilles tendon (AT) and Triceps Surae musculotendinous junction was performed. Reliability was calculated using intraclass correlation coefficient (ICC). Confounders were assessed using multivariable generalised estimating equations (GEEs). Bias in the level of agreement was assumed if the confidence intervals (CIs) of the mean difference in Bland–Altman plots did not cross …

Covid-19 And Preparing Planetary Health For Future Ecological Crises: Hopes From Glycomics For Vaccine Innovation, Xueqing Wang, Zhaohua Zhong, Wei Wang

Research outputs 2014 to 2021

A key lesson emerging from COVID-19 is that pandemic proofing planetary health against future ecological crises calls for systems science and preventive medicine innovations. With greater proximity of the human and animal natural habitats in the 21st century, it is also noteworthy that zoonotic infections such as COVID-19 that jump from animals to humans are increasingly plausible in the coming decades. In this context, glycomics technologies and the third alphabet of life, the sugar code, offer veritable prospects to move omics systems science from discovery to diverse applications of relevance to global public health and preventive medicine. In this expert …

A Rapidly Aging World In The 21st Century: Hopes From Glycomics And Unraveling The Biomarkers Of Aging With The Sugar Code, Xinwei Yu, Wei Wang

Research outputs 2014 to 2021

A global rise in life expectancy comes with an increased burden of serious life-long health issues and the need for useful real-time measures of the aging processes. Studies have shown the value of biochemical signatures of immunoglobulin G (IgG) N-glycosylation as clinically relevant biomarkers to differentiate healthy from accelerated aging. Most human biological processes rely on glycosylation of proteins to regulate their function, but these events appear sensitive to environmental changes, age, and the presence of disease. Specifically, variations in N-glycosylation of IgG can adversely affect inflammatory pathways underpinning unhealthy aging and chronic disease pathogenesis. This expert review highlights the …

Epilogue: Reflections From International Mentors Of The Quality Improvement Training Programme In India, Karl Lorenz, Sydney Dy, Michelle Denatale, Michael W. Rabow, Odette Spruijt, Karen Anderson, Meera Agar, Jake Mickelsen, Nandini Vallath

Research outputs 2014 to 2021

The article collates the narratives of experiences of the international faculty who mentored the quality improvement teams from India since 2017.

Changes In Exercise And Musculoskeletal Symptoms Of Novice Nurses: A One-Year Follow-Up Study, Judith Dianne Pugh, Lucy Gelder, Kylie Cormack, Anne M. Williams, Diane E. Twigg, Margaret Giles, Anthony J. Blazevich

Research outputs 2014 to 2021

Background

Nursing is a high-risk occupation for work-related musculoskeletal disorders and many nursing students have a history of musculoskeletal symptoms.

Aims

To quantify (1) changes in exercise and musculoskeletal symptoms from pre-registration to 12-month registered nurses, and (2) the best predictor of severity of musculoskeletal symptoms from measures of the five physical fitness components and exercise participation.

Methods

In this longitudinal study, August 2013 to April 2015, 62 (55.9%) of 111 nursing students fitness tested completed questionnaires measuring nursing work history, exercise, and musculoskeletal symptoms at baseline and 12 months post-registration.

Findings

Nurses’ exercise participation declined post-registration and 38.0% were …

Relationships Between Internal Training Load In A Taper With Elite Weightlifting Performance Calculated Using Different Moving Average Methods, Joseph O. C. Coyne, Robert U. Newton, G. Gregory Haff

Research outputs 2014 to 2021

Purpose:

A simple and 2 different exponentially weighted moving average methods were used to investigate the relationships between internal training load and elite weightlifting performance.

Methods:

Training impulse data (sessional ratings of perceived exertion × training duration) were collected from 21 elite weightlifters (age = 26.0 [3.2] y, height = 162.2 [11.3] cm, body mass = 72.2 [23.8] kg, previous 12-mo personal best total 96.3% [2.7%] of world record total) during the 8 weeks prior to the 2016 Olympic Games qualifying competition. The amount of training modified or cancelled due to injury/illness was also collected. The training stress balance (TSB) …

The Ethics Of Patient And Public Involvement Across The Research Process: Towards Partnership With People With Aphasia, Deborah Hersh, Mark Israel, Ciara Shiggins

Research outputs 2014 to 2021

Background:

Conducting Patient and Public Involvement (PPI) in health research is a way of building knowledge that incorporates the experience of service users, adds research impact, and helps avoid wasting resources on findings that have little relevance to people or cannot be implemented. We argue that there is a need to extend ethical considerations currently focused on research participants with aphasia to encompass and guide expectations of involvement in partnerships with people with aphasia across the research lifecycle.

Method:

We use the 2018 revision of the Australian National Statement on Ethical Conduct in Human Research as the framework for this …

Association Of Habitual Intake Of Fruits And Vegetables With Depressive Symptoms: The Ausdiab Study, Simone Radavelli-Bagatini, Reindolf Anokye, Nicola P. Bondonno, Marc Sim, Catherine P. Bondonno, Mandy J. Stanley, Craig Harms, Richard Woodman, Dianna J. Magliano, Jonathan E. Shaw, Robin M. Daly, Jonathan M. Hodgson, Joshua R. Lewis, Lauren C. Blekkenhorst

Research outputs 2014 to 2021

Purpose:

To investigate the relationship of habitual FV intake, different types of FV, and vegetable diversity with depressive symptoms.

Methods:

Australian men and women (n = 4105) aged > 25 years from the Australian Diabetes, Obesity and Lifestyle Study were included. Dietary intake was assessed using a Food Frequency Questionnaire at baseline, 5 and 12 years. Depressive symptoms were assessed using the validated 10-item Centre for Epidemiology Studies Short Depression Scale at 12 years. Multiple logistic regression models were used to investigate the association between the exposures of interest and depressive symptoms using odds ratios (OR) and 95% confidence intervals (CI) …

Extraction And Quantitative Determination Of Bile Acids In Feces, Armaghan Shafaei, Joanna Rees, Claus T. Christophersen, Amanda Devine, David Broadhurst, Mary C. Boyce

Research outputs 2014 to 2021

© 2021 Elsevier B.V. With rapid advances in gut microbiome research, fecal bile acids are increasingly being monitored as potential biomarkers of diet related disease susceptibility. As such, rapid, robust and reliable methods for their analysis are of increasing importance. Herein is described a simple extraction method for the analysis of bile acids in feces suitable for subsequent quantification by liquid chromatography and tandem mass spectrometry. A C18 column separated the analytes with excellent peak shape and retention time repeatability maintained across 800 injections. The intra-day and inter-day precision and accuracy was greater than 80%. Recoveries ranged from 83.58 to …

Implementing Programmatic Assessment Transforms Supervisor Attitudes: An Explanatory Sequential Mixed Methods Study, Janica Jamieson, Margaret Hay, Simone Gibson, Claire Palermo

Research outputs 2014 to 2021

Introduction:

Programmatic assessment (PA) is an increasingly popular approach to competency-based assessment (CBA), yet evaluation evidence is limited. This study aimed to identify and explore supervisor attitudes before and after implementing a novel PA using a sequential explanatory mixed methods design. In phase one, a survey was used to identify supervisor perspectives on work-based placements, PA and CBA. Survey results were then applied to develop focus group questions to further explore supervisor attitudes.

Results:

PA was found to improve supervisor-student relationships by removing high-stakes assessment decisions and creating greater capacity for feedback and teaching, leading to a productive learning environment. …

A Swedish Translation And Validation Of The Mother-To-Infant Bonding Scale, Evalotte Mörelius, Anna Elander, Emmy Saghamre

Research outputs 2014 to 2021

© Author(s) 2020. Aim: This study aimed to test initial validity, reliability, and feasibility of the Mother-to-Infant Bonding Scale in a sample of Swedish mothers. Methods: A translation was performed through 11 steps using a forward–backward bilingual technique. For criterion validity, the Swedish translation of the Mother-to-Infant Bonding Scale (S-MIBS) was compared with the Postpartum Bonding Questionnaire, sub-scale 1 (PBQ1) and 2 (PBQ2) and Edinburgh Postnatal Depression Scale (EPDS) in a sample of 63 Swedish mothers. Internal consistency was calculated with Cronbach’s alpha. For feasibility testing, the mothers were asked to grade their experience of S-MIBS and PBQ on a …

Development Of Nurse Practitioner Metaspecialty Clinical Practice Standards: A National Sequential Mixed Methods Study, Anne Gardner, Christopher Helms, Glenn Gardner, Fiona Coyer, Helen Gosby

Research outputs 2014 to 2021

AIM: To achieve profession-wide consensus on clinical practice standards for six broad Australian nurse practitioner specialty areas (termed metaspecialties). DESIGN: Sequential mixed methods with initial interpretive study (Interpretive Phase) followed by modified three-round Delphi study (Survey Phase). METHODS: Participants from all Australian jurisdictions were recruited. Main eligibility criterion was current endorsement as a nurse practitioner for 12 or more months. Interpretive Phase comprised in-depth interviews of purposeful sample of nurse practitioners to identify clinical care activities and practice processes. Six sets of draft clinical practice standards relevant to six previously identified metaspecialties were developed. Outcome informed Round 1 of Survey …

Weight Loss For Obese Prostate Cancer Patients On Androgen Deprivation Therapy, Rebekah Wilson, Robert Newton, Dennis Taaffe, Nicolas H. Hart, Philippa Lyons-Wall, Daniel A. Galvao

Research outputs 2014 to 2021

PURPOSE: Excess fat mass (FM) contributes to poor prostate cancer (PCa) prognosis and comorbidity. However, FM gain is a common side effect of androgen deprivation therapy (ADT). We examined the efficacy of a 12-wk weight loss intervention to reduce FM and maintain lean mass (LM) in ADT-treated obese PCa patients.

METHODS: Fourteen ADT-treated obese PCa patients (72 ± 9 yr, 39.7% ± 5.4% body fat) were recruited for a self-controlled prospective study, with 11 completing the 6-wk control period, followed by a 12-wk intervention comprising 300 min·wk-1 of exercise including supervised resistance training and home-based aerobic exercise, and dietitian consultations …

A Quantitative Exploration Of The Relationships Between Regular Yoga Practice, Microdosing Psychedelics, Wellbeing And Personality Variables, Stephen Bright, Eyal Gringart, Emily Blatchford, Samantha Bettinson

Research outputs 2014 to 2021

Objective:

The current study aimed to explore whether the subjective effects of microdosing psychedelics are comparable to those of yoga in relation to psychological wellbeing, depression, anxiety and stress. It also explored the relationship between yoga, microdosing and personality.

Method:

The sample comprised 339 participants, yoga (n = 131), microdose (n = 69), microdose and yoga (n = 54) and control (n = 85). All completed measures of personality (M5-50 and Tellegen Absorption Scale), mood (Depression, Anxiety and Stress Scale-21) and wellbeing (Ryff Scales of Psychological Wellbeing).

Results:

The yoga and microdosing groups scored significantly higher on psychological wellbeing and …

The Effects Of Acute Exercise On Bone Turnover Markers In Middle-Aged And Older Adults: A Systematic Review, Cassandra Smith, Alexander Tacey, Jakub Mesinovic, David Scott, Xuzhu Lin, Tara C. Brennan-Speranza, Joshua R. Lewis, Gustavo Duque, Itamar Levinger

Research outputs 2014 to 2021

© 2020 Elsevier Inc. Background: Bone turnover is the cellular machinery responsible for bone integrity and strength and, in the clinical setting, it is assessed using bone turnover markers (BTMs). Acute exercise can induce mechanical stress on bone which is needed for bone remodelling, but to date, there are conflicting results in regards to the effects of varying mechanical stimuli on BTMs. Objectives: This systematic review examines the effects of acute aerobic, resistance and impact exercises on BTMs in middle and older-aged adults and examines whether the responses are determined by the exercise mode, intensity, age and sex. Methods: We …

Relationships Between Different Internal And External Training Load Variables And Elite International Women’S Basketball Performance, Joseph Coyne, Aaron J. Coutts, Robert Newton, Greg Haff

Research outputs 2014 to 2021

Purpose:

To investigate the relationships between internal and external training load (TL) metrics with elite international women’s basketball performance.

Methods:

Sessional ratings of perceived exertion, PlayerLoad^™/minute, and training duration were collected from 13 elite international-level female basketball athletes (age 29.0 [3.7] y, stature 186.0 [9.8] cm, body mass 77.9 [11.6] kg) during the 18 weeks prior to the International Basketball Federation Olympic qualifying event for the 2016 Rio Olympic Games. Training stress balance, differential load, and the training efficiency index were calculated with 3 different smoothing methods. These TL metrics and their change in the last 21 days …

Hearing Threshold Levels Of Australian Coal Mine Workers: A Retrospective Cross-Sectional Study Of 64196 Audiograms, Adelle Liebenberg, Alan M. Brichta, Valerie M. Nie, Sima Ahmadi, Carole L. James

Research outputs 2014 to 2021

Objective

This study examined the hearing threshold levels (HTL) of workers commencing employment in Australian coal mines in the State of New South Wales (NSW). The aim was to establish if some degree of hearing loss was identifiable in the mandatory pre-employment audiograms of workers.

Design

This was an observational, retrospective, repeated cross-sectional study. Study Sample De-identified audiometric records of 64196 employees entering NSW coal mining in three representative five-year periods between 1991–2015 were utilised

Results

Although HTLs were lower (better) in more recent years, the results showed clinically significant hearing loss ( ≥ 25dBHL) for older workers, 45–60 years. …

Changes In Plasma Hydroxyproline And Plasma Cell-Free Dna Concentrations After Higher- Versus Lower-Intensity Eccentric Cycling, Georgios Mavropalias, Leslie Calapre, Michael Morici, Tomoko Koeda, Wayne C. K. Poon, Oliver R. Barley, Elin Gray, Anthony J. Blazevich, Kazunori Nosaka

Research outputs 2014 to 2021

Purpose:

We examined changes in plasma creatine kinase (CK) activity, hydroxyproline and cell-free DNA (cfDNA) concentrations in relation to changes in maximum voluntary isometric contraction (MVIC) torque and delayed-onset muscle soreness (DOMS) following a session of volume-matched higher- (HI) versus lower-intensity (LI) eccentric cycling exercise.

Methods:

Healthy young men performed either 5 × 1-min HI at 20% of peak power output (n = 11) or 5 × 4-min LI eccentric cycling at 5% of peak power output (n = 9). Changes in knee extensor MVIC torque, DOMS, plasma CK activity, and hydroxyproline and cfDNA concentrations before, immediately after, and 24–72 …

Predictors Of Endometrial Carcinoma In Patients With Atypical Endometrial Hyperplasia At A Tertiary Gynaecological Cancer Centre In Western Australia, Vinita Angeline Rajadurai, Paola Chivers, Chloe Ayres, Ganendra Raj Mohan, Colin John Reid Stewart, Yee Chit Leung, King Man Wan, Paul Andrew Cohen

Research outputs 2014 to 2021

Aim:

Our objective was to assess clinical and pathological factors associated with a final diagnosis of endometrial carcinoma in patients with atypical endometrial hyperplasia with a particular emphasis on the grading of atypia.

Materials and methods:

A retrospective review over five years on patients (N = 97) who underwent hysterectomy for a diagnosis of atypical endometrial hyperplasia at a statewide public tertiary gynaecologic oncology centre. Clinical and pathological characteristics were obtained.

Results:

The rate of concurrent endometrial carcinoma was 34% (n = 33) with most being stage 1A endometrioid. A significant group difference was reported for age at diagnosis (t …

Cruciferous Vegetable Intake Is Inversely Associated With Extensive Abdominal Aortic Calcification In Elderly Women: A Cross-Sectional Study, Lauren C. Blekkenhorst, Marc Sim, Simone Radavelli Bagatini, Nicola P. Bondonno, Catherine P. Bondonno, Amanda Devine, John T. Schousboe, Wai H. Lim, Douglas P. Kiel, Richard J. Woodman, Jonathan M. Hodgson, Richard L. Prince, Joshua Lewis

Research outputs 2014 to 2021

We have previously shown higher intake of cruciferous vegetables is inversely associated with carotid artery intima-media thickness. To further test the hypothesis that an increased consumption of cruciferous vegetables is associated with reduced indicators of structural vascular disease in other areas of the vascular tree, we aimed to investigate the cross-sectional association between cruciferous vegetable intake and extensive calcification in the abdominal aorta. Dietary intake was assessed, using a food frequency questionnaire, in 684 older women from the Calcium Intake Fracture Outcome Study. Cruciferous vegetables included cabbage, Brussels sprouts, cauliflower and broccoli. Abdominal aortic calcification (AAC) was scored using the …

Awareness And Knowledge Of Developmental Coordination Disorder: A Survey Of Caregivers, Teachers, Allied Health Professionals And Medical Professionals In Australia, Jacqui Hunt, Jill G. Zwicker, Erin Godecke, Annette Raynor

Research outputs 2014 to 2021

Background:

To allow for accurate and timely diagnosis of developmental coordination disorder (DCD) key stakeholders must be familiar with and be able to identify features of this disorder. No studies to date have investigated the awareness of DCD among key stakeholders in Australia.

Methods:

An online survey was complete by 494 Australian participants: primary caregivers (n = 153), teachers (n = 149), allied health professionals (n = 165) and medical professionals (n = 27).

Results:

DCD and related terms were among the least known childhood disorders. Approximately half of the sample were familiar with the term …

Association Of Genetic Variances In Adrb1 And Ppargc1a With Two-Kilometre Running Time-Trial Performance In Australian Football League Players: A Preliminary Study, Ysabel Jacob, Ryan S. Anderton, Jodie L. Cochrane Wilkie, Brent Rogalski, Simon M. Laws, Anthony Jones, Tania Spiteri, Nicolas H. Hart

Research outputs 2014 to 2021

Abstract: Genetic variants in the angiotensin-converting enzyme (ACE) (rs4343), alpha-actinin-3 (ACTN3) (rs1815739), adrenoceptor-beta-1 (ADRB1) (rs1801253), and peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PPARGC1A) (rs8192678) genes have previously been associated with elite athletic performance. This study assessed the influence of polymorphisms in these candidate genes towards endurance test performance in 46 players from a single Australian Football League (AFL) team. Each player provided saliva buccal swab samples for DNA analysis and genotyping and were required to perform two independent two-kilometre running time-trials, six weeks apart. Linear mixed models were created to account for repeated measures over time and to determine whether …

Beliefs About Illness And Treatment Decision Modelling During Ill-Health In Arabic Families, Diana Arabiat, Lisa Whitehead, Mohammad Al Jabery, Ayman Hamdan-Mansour, Abeer Shaheen, Eman Abu Sabbah

Research outputs 2014 to 2021

Background: The use of self-prescribed antibiotics and other unproven herbal remedies is common in the Arab world. Understanding how family members decide to manage illness is an important priority for health care providers.

Purpose: This paper presents a new model that can be viewed as an extension to the Health Belief Model and help clarifies the cognitive processes families use to manage illness in an Arab family in Jordan. It aims to generate an understanding of family beliefs about the causes of illness and appraisal of how best to manage illness in an Arab family.

Methods: A qualitative approach using …

Cardiovascular Safety Of Antifracture Medications In Patients With Osteoporosis: A Narrative Review Of Evidence From Randomized Studies, Alexander J. Rodríguez, Bo Abrahamsen

Research outputs 2014 to 2021

Osteoporosis and cardiovascular (CV) disease share common risk factors and pathophysiology. Low bone mineral density (BMD) and fractures appear to increase the risk for multiple CV diseases. Equally, prevalent CV disease appears to predispose to bone loss and increase fracture rates. This relationship has naturally provoked the hypothesis that stopping bone loss may result in some CV benefit. Secondary analyses of safety and adverse event data from many randomized controlled trials (RCTs) have attempted to clarify this putative association. Recently, the discontinuation of odanacatib (anti-cathepsin K monoclonal antibody) over stroke concerns and the imbalance in ischemic events in romosozumab-treated (anti-sclerostin …