Medicine and Health Sciences Commons^™

Tuberculous Colitis, Firas G. Madbak Md, Dale A. Dangleben Md, Facs

Department of Surgery

No abstract provided.

Risk Factors Affecting Outcomes In Patients Undergoing Hypothermic Circulatory Arrest During Aortic Surgeries, Bree Ann Young, James K. Wu Md, Martin E. Matsumura Md, Timothy S. Misselbeck, Sanjay M. Mehta Md, Theodore G. Phillips Md, Michael F. Szwerc Md, Gary W. Szydlowski Md, Raymond L. Singer Md

Department of Surgery

No abstract provided.

Treatment Of Acute Aortic Dissection At A Community Hospital: A 10 Year Review Of Outcomes., Timothy S. Misselbeck, Stephen Deturk, Matthew Wilson, Theodore Phillips Md, Michael Szwerc Md, Sanjay Mehta Md, Gary Szydlowski Md, Raymond Singer Md, James Wu Md

Department of Surgery

No abstract provided.

Dermoscopy: An Evidence-Based Approach For The Early Detection Of Melanoma, Angela Armstrong

UNF Graduate Theses and Dissertations

The purpose of this project was to evaluate the effectiveness of a practice-based dermoscopy training program for dermatology healthcare providers in order to improve their technique of performing clinical skin exams for the early detection of melanomas.

The overall incidence of melanoma continues to rise. More than 75% of all skin cancer deaths are from melanoma. Advanced melanoma spreads to lymph nodes and internal organs and can result in death. One American dies from melanoma almost every hour (American Cancer Society [ACS], 2009). Early diagnosis and excision are essential to reduce morbidity and to improve patient survival.

This one-group before-and-after …

Individuals With Chronic Low Back Pain Have Greater Difficulty In Engaging In Positive Lifestyle Behaviours Than Those Without Back Pain: An Assessment Of Health Literacy, Andrew Briggs, Joanne Jordan, Peter O'Sullivan, Rachelle Buchbinder, Angus Burnett, Richard Osborne, Leon Straker

Research outputs 2011

Background: Despite the large volume of research dedicated to understanding chronic low back pain (CLBP), patient outcomes remain modest while healthcare costs continue to rise, creating a major public health burden. Health literacy - the ability to seek, understand and utilise health information - has been identified as an important factor in the course of other chronic conditions and may be important in the aetiology of CLBP. Many of the currently available health literacy measurement tools are limited since they measure narrow aspects of health literacy. The Health Literacy Measurement Scale (HeLMS) was developed recently to measure broader elements of …

Association Of Plasma Aß Peptides With Blood Pressure In The Elderly, Jean-Charles Lambert, Jean Dallongeville, Kathryn Ellis, Susanna Schraen-Maschke, James Lui, Simon Laws, Julie Dumont, Florence Richard, Dominique Cottel, Claudine Berr, David Ames, Colin Masters, Christopher Rowe, Cassandra Szoeke, Christophe Tzourio, Jean-Francois Dartigues, Luc Buee, Ralph Martins, Philippe Amouyel

Research outputs 2011

Background Aß peptides are often considered as catabolic by-products of the amyloid ß protein precursor (APP), with unknown physiological functions. However, several biological properties have been tentatively attributed to these peptides, including a role in vasomotion. We assess whether plasma Aß peptide levels might be associated with systolic and diastolic blood pressure values (SBP and DBP, respectively). Methodology/Principal Findings Plasma Aß1-40 and Aß1-42 levels were measured using an xMAP-based assay in 1,972 individuals (none of whom were taking antihypertensive drugs) from 3 independent studies: the French population-based 3C and MONA-LISA (Lille) studies (n = 627 and n = 769, respectively) …

Evaluation Of A Resistance Training Program For Adults With Or At Risk Of Developing Diabetes: An Effectiveness Study In A Community Setting, Karl Minges, Glen Cormick, Edna Unglik, David Dunstan

Research outputs 2011

Background: To examine the effects of a community-based resistance training program (Lift for Life (R)) on waist circumference and functional measures in adults with or at risk of developing type 2 diabetes. Methods: Lift for Life is a research-to-practice initiative designed to disseminate an evidence-based resistance training program for adults with or at risk of developing type 2 diabetes to existing health and fitness facilities in the Australian community. A retrospective assessment was undertaken on 86 participants who had accessed the program within 4 active providers in Melbourne, Australia. The primary goal of this longitudinal study was to assess the …

A Randomized Controlled Trial Of Whole Body Vibration Exposure On Markers Of Bone Turn-Over In Postmenopausal Women, Sarah Turner, Margaret Torode, Mike Climstein, Geraldine Naughton, David Greene, Michael Baker, Maria Fiatarone Singh

Research outputs 2011

Purpose. To examine the effects of two doses of low-frequency (12 Hz), low-magnitude (0.3 g), whole body vibration on markers of bone formation and resorption in postmenopausal women. Methods. Women were recruited and randomized into a sham vibration control group, one time per week vibration group (1×/week), or three times per week vibration group (3×/week). Vibration exposure consisted of 20 minutes of intermittent vibration for the 1×/week and 3×/week groups, and sham vibration (<0.1 g) for the control group for eight weeks. Double-blinded primary outcome measures were urine markers of bone resorption: N-telopeptide X normalised to creatinine (NTx/Cr) and bone formation: bone-specific alkaline phosphatase (ALP). Results. Forty-six women (59.8 ± 6.2 years, median 7.3 years since menopause) were enrolled. NTx/Cr was significantly reduced (34.6%) in the 3×/wk vibration group but not in the 1×/wk vibration group compared with sham control (P<.01) group. No effect of time or group allocation was observed on the bone formation marker ALP (P=.27). Conclusion. We have shown for the first time that low-frequency, low-magnitude vibration 3×/week for eight weeks in postmenopausal women results in a significant reduction in NTx/Cr, a marker of bone resorption, when compared with sham vibration exposure.

Family Systems And Mental Health Issues: A Resilience Approach, Lynne Cohen, Catherine Ferguson, Craig Harms, Julie Ann Pooley, Stuart Tomlinson

Research outputs 2011

In many cases the consumers of mental health information and support are the families of mental health sufferers. The aim of the project was to understand resilience in people who live with or support a family member with a diagnosed or undiagnosed mental illness. Participants were 15 carers (one male, 14 female). Semi-structured interviews were transcribed and analysed using content analysis. Eight recurring themes emerged which indicated the challenges the carers faced and provided indications of the positive and negative personal, family and social factors that impacted on their lives. These themes were 'Getting to CLAN WA', 'Accessing help including …

In Search Of Wellness: Allied Health Professionals' Understandings Of Wellness In Childhood Disability Services, Lauren Breen, Helen Wildy, Sherry Saggers, Jeannine Millsteed, P Raghavendra

Research outputs 2011

Purpose. Wellness approaches are not routine in childhood disability services, despite theoretical and empirical support and an increasing demand for them from health consumers and disability activists. We aimed to investigate how health professionals define or understand wellness and its practice in the context of childhood disability. Method. A qualitative, interpretive approach was taken. Semi-structured interviews were conducted with 23 health professionals (allied health therapists and managers) providing early intervention and ongoing therapy within four Australian childhood health and disability services. Years of experience providing services to children with disabilities and their families ranged from 6 months to 30 years …

The Effectiveness Of Back Belts In Reducing The Incidence, Duration And Cost Of Low Back Pain Claims Associated With Manual Handling Injury In A Retail Hardware Chain, Nick Merdith, Jacques Oosthuizen, Milos Nedved

Research outputs 2011

The objective of this intervention study was to examine the effect of the mandatory introduction of back belts on the incidence, days lost and cost of occupational low back injuries resulting from manual handling in a retail hardware chain in Western Australia. The pre-intervention period extended for 21 months and included 2,265,933 work hours or 647 full-time equivalent positions, while the intervention period was 32 months for 4,411,352 hours worked or 827 full-time equivalent positions. Workers’ compensation claims for all occupational injuries occurring during the study period were analysed. During the intervention period there was a 14% reduction in the …

Associatioin Of Plasma Aβ Peptides With Blood Pressure In The Elderly, Jean-Charles Lambert, Jean Dallongeville, Kathryn A. Ellis, Susanna Schraen-Maschke, James Lui, Simon Laws, Julie Dumont, Florence Richard, Dominque Cottel, Claudine Berr, David Ames, Colin L. Masters, Christopher C. Rowe, Cassandra Szoeke, Christophe Tzourio, Jean-Francois Dartigues, Luc Buee, Ralph Martins, Philippe Amouyel

Research outputs 2011

Background Aß peptides are often considered as catabolic by-products of the amyloid ß protein precursor (APP), with unknown physiological functions. However, several biological properties have been tentatively attributed to these peptides, including a role in vasomotion. We assess whether plasma Aß peptide levels might be associated with systolic and diastolic blood pressure values (SBP and DBP, respectively). Methodology/Principal Findings Plasma Aß1-40 and Aß1-42 levels were measured using an xMAP-based assay in 1,972 individuals (none of whom were taking antihypertensive drugs) from 3 independent studies: the French population-based 3C and MONA-LISA (Lille) studies (n = 627 and n = 769, respectively) …

A Practical Approach To Assess Depression Risk And To Guide Risk Reduction Strategies In Later Life, Osvaldo Almeida, Helman Alfonso, Jane Pirkis, Ngaire Kerse, Moira Sim, Leon Flicker, John Snowdon, Brian Draper, Gerard Byrne, Robert Goldney, Nicola Lautenschlager, Nigel Stocks, Marcia Scazufca, Martijn Huisman, Ricardo Araya, Jon Pfaff

Research outputs 2011

Background: Many factors have been associated with the onset and maintenance of depressive symptoms in later life, although this knowledge is yet to be translated into significant health gains for the population. This study gathered information about common modifiable and non-modifiable risk factors for depression with the aim of developing a practical probabilistic model of depression that can be used to guide risk reduction strategies. Methods: A cross-sectional study was undertaken of 20,677 community-dwelling Australians aged 60 years or over in contact with their general practitioner during the preceding 12 months. Prevalent depression (minor or major) according to the Patient …

Construction Induction Training: How Effective For The Housing And Civil Construction Industries In Wa?, Susanne Bahn, Llandis Barratt-Pugh

Research outputs 2011

Introducing practices to reduce the number of work-related injuries in the construction industry is a continual challenge, specifically in WA where the industry is adapting to the additional pressures of a second development boom this century. In 2006, Worksafe WA responded by introducing mandatory certification in safety awareness training for all employees, before they could begin work on a construction site. This paper reviews the impact of this training on the housing and civil sectors of the industry. It presents both the perceptions of the stakeholders from their survey responses and from the analyses the lost time injury/disease statistics. These …

A 'Once In A Generation Opportunity'? Narratives About The Potential Impact Of Ohs Harmonisation On Smaller Firms In Australia, Rowena Barrett, Susanne Bahn, Susan Mayson

Research outputs 2011

Regulatory reform will see the introduction of harmonised Occupational Health and Safety laws across Australia. Here we consider the potential impact of this on smaller firms as the first step in assessing how they may adapt to this regulatory change. We use textual data consisting of recent media and blogs that highlight key stakeholders’ perceptions of the purpose and outcomes of harmonisation on smaller firms. The narratives perpetuate the negative discourse of regulation, not only for smaller firms, but for other key stakeholders. Critical analysis of stakeholders’ views of the effects of harmonisation articulates constraints and possibilities of regulatory change …

Introducing Mandatory Training Systems? Investigating The Implementation Of Compulsory Pre-Site Construction Training, Llandis Barratt-Pugh, Susanne Bahn

Research outputs 2011

There can be no more effective learning than that achieved by training systems to reduce death and injury. In such cases the imposition of a mandatory course would appear justifiable, especially where there is a history of unfortunate incidents and current rapid workforce growth. Installing learning as an imperative within a vibrant industry requires considerable negotiation between stakeholders to turn evidence into policy, industry intent, regulatory curriculum and subsequent workplace practice. This paper reflects back and reviews the introduction of such training within the construction industry in Western Australia as it adapts to the additional pressures of the development boom. …

Spatio-Temporal Modelling Of Malaria Incidence For Evaluation Of Public Health Policy Interventions In Ghana, West Africa, Simon K. Appiah, Ute Mueller, James Cross

Research outputs 2011

Malaria is a major challenge to both the public health and the socio-economic development of Ghana. Major factors which account for this situation include poor environmental conditions and the lack of prevention services. In spite of the numerous intervention measures, the disease continues to be the most prevalent health problem in the country. The risk assessment reports for Ghana were based on household surveys which provide inadequate data for accurate analysis of incidence cases. This poses a serious threat to planning and management for the health care delivery system in Ghana. Malaria transmission varies with geographical location and time (or …

School-Based Strategies To Address Cyber Bullying, Donna Cross, Helen Monks, Marilyn Campbell, Barbara Spears, Phillips Slee

Research outputs 2011

Bullying and victimisation among school-age children are recognised as a major public health problem. In its 2009 report on the Australian Covert Bullying Prevalence Study (ACBPS), the Child Health Promotion Research Centre of Edith Cowan University reported that just over one quarter (27 per cent) of school students aged 8 to 14 years were bullied and 9 per cent bullied others on a frequent basis – every few weeks or more often (Cross et al, 2009).

Evaluation Of The Neurodegenerative Conditions Coordinated Care Program (Ncccp) In Western Australia: Barriers To Better Service Provision, Susanne T. Bahn, Margaret J. Giles

Research outputs 2011

This paper details a 2009–2010 evaluation of the Neurodegenerative Conditions Coordinated Care Program (NCCCP) commissioned by the Disability Services Commission (DSC) in Western Australia (WA). The program, run by the Multiple Sclerosis Society of WA (Inc.) provides in-home care and supports and respite for people who are under the age of sixty-five and diagnosed with a rapidly degenerative neurological condition. In 2009, the identified barriers to the better provision of services included: shortage of quality out-of-home respite providers, and convoluted paperwork requirements to qualify for the program. Some service providers were unaware of the program and so were not referring …

The Implementation Of Electronic Health Records: A Two Country Comparison, Helen Cripps, Craig Standing, Vesna Prijatelj

Research outputs 2011

The adoption of electronic health records has been significantly slower in Australia than many European countries. This paper compares the implementation process in Australia with Slovenia, looking at the benefits, drawbacks and success factors of ehealth implementation. The authors use case studies collected in each country to discuss issues around ehealth implementation. Though Slovenia has progressed much further down the road of ehealth the commonality of the experiences between both cases was striking.

National Safe Schools Framework: Policy And Practice To Reduce Bullying In Australian Schools, Donna Cross, Melanie Epstein, Lydia Hearn, Phillip Slee, Therese Shaw, Helen Monks

Research outputs 2011

In 2003 Australia was one of the first countries to develop an integrated national policy, called the National Safe Schools Framework (NSSF), for the prevention and management of violence, bullying, and other aggressive behaviors. The effectiveness of this framework has not yet been formally evaluated. Cross-sectional data collected in 2007 from 7,418 students aged 9 to 14 years old and 453 teachers from 106 representative Australian schools were analyzed to determine teachers’ perceptions about the extent of implementation of the NSSF, teachers’ capacity to address student bullying, and students’ reports of bullying in their school, 4 years following the framework’s …

Socioeconomic, Demographic And Legal Influences On Consanguinity And Kinship In Northern Coastal Sweden 1780-1899, I Egerbladh, Alan H. Bittles

Research outputs 2011

Most studies on consanguinity have been conducted on contemporary populations and have focused on the prevalence and types of preferred intra-familial marriage. With its comprehensive birth, marriage and deaths records dating back to the late 17th century, and the legal bar on first cousin marriage removed in the mid-19th century, Sweden offers unique opportunities to examine the factors that determine by whom, where and why consanguineous marriages were contracted. The present study covers the period 1780-1899 and presents a detailed portrait of cousin and sibling exchange marriages in the Skellefteå region of northern coastal Sweden. The combined prevalence of first, …

Circadian Rhythms In Exercise Performance: Implications For Hormonal And Muscular Adaptation, Weipeng Teo, Michael Newton, Michael Mcguigan

Research outputs 2011

Almost all physiological and biochemical processes within the human body follow a circadian rhythm (CR). In humans, the suprachiasmatic nucleus regulates sleep-wake cycle and other daily biorhythms in line with solar time. Due to such daily physiological fluctuations, several investigations on neuromuscular performance have reported a distinct CR during exercise. Generally, peak performances have been found to occur in the early evening, at approximately the peak of core body temperature. The increase in core body temperature has been found to increase energy metabolism, improve muscle compliance and facilitate actin-myosin crossbridging. In addition, steroidal hormones such as testosterone (T) and cortisol …

Psychological And Social Consequences Among Mothers Suffering From Perinatal Loss: Perspective From A Low Income Country, Kaniz Gausia, Allisyn C. Moran, Mohammed Ali, David Ryder, Colleen Fisher, Marge Koblinsky

Research outputs 2011

Background: In developed countries, perinatal death is known to cause major emotional and social effects on mothers. However, little is known about these effects in low income countries which bear the brunt of perinatal mortality burden. This paper reports the impact of perinatal death on psychological status and social consequences among mothers in a rural area of Bangladesh.

Methods: A total of 476 women including 122 women with perinatal deaths were assessed with the Edinburgh Postnatal Depression Scale (EPDS-B) at 6 weeks and 6 months postpartum, and followed up for negative social consequences at 6 months postpartum. Trained female interviewers …

Challenges In Implementing Wellness Approaches In Childhood Disability Services: Views From The Field, Lauren Breen, Helen Wildy, Sherry Saggers

Research outputs 2011

3.a5i4us76a0bX5i l0(i0otyn,l iDnev) elopment and Education Despite increasing demand for wellness approaches from disability advocates and consumer groups, they are not implemented routinely in childhood disability services. Interviews were conducted with 23 allied health therapists and managers working within four Australian childhood disability services. They described attempts to embed wellness approaches into their policies and practices. The participants were challenged by professional and pragmatic issues arising from moving towards wellness approaches. The professional challenges concerned changing professional identity and working collaboratively with therapists from different disciplines. In addition, they were challenged by pragmatic issues of balancing quality of care with …

Collaborating With Consumer And Community Representatives In Health And Medical Research In Australia: Results From An Evaluation, J Payne, H D'Antoine, Kathryn France, A Mckenzie, Nadine Henley, A Bartu, E Elliott, C Bower

Research outputs 2011

Objective To collaborate with consumer and community representatives in the Alcohol and Pregnancy Project from 2006-2008 http://www.ichr.uwa.edu.au/alcoholandpregnancy webcite and evaluate researchers' and consumer and community representatives' perceptions of the process, context and impact of consumer and community participation in the project. Methods We formed two reference groups and sought consumer and community representatives' perspectives on all aspects of the project over a three year period. We developed an evaluation framework and asked consumer and community representatives and researchers to complete a self-administered questionnaire at the end of the project. Results Fifteen researchers (93.8%) and seven (53.8%) consumer and community representatives …

Pax Genes During Neural Development And Their Potential Role In Neuroregeneration, Jennifer A. Thompson, Melanie Ziman

Research outputs 2011

Pax genes encode a family of transcription factors that have long been recognised as obligate contributors to embryonic development of the CNS, with evidence obtained from various animal models illustrating phylogenetically conserved functions. Within the CNS, Pax genes play substantial roles in cellular and regional specification, proliferation, progenitor cell maintenance, anti-apoptosis and neural differentiation. This comprehensive review details the critical functions of those Pax genes involved in pre- and post-natal CNS development, provides possible molecular mechanisms by which Pax genes contribute to proliferation and differentiation of neuronal cells, and explains observed changes in Pax gene expression in response to neurotrauma …

Researchers' Experience With Project Management In Health And Medical Research: Results From A Post-Project Review, Janet M. Payne, Kathryn E. France, Nadine Henley, Heather A. D'Antoine, Anne E. Bartu, Elizabeth J. Elliott, Carol Bower

Research outputs 2011

Project management is widely used to deliver projects on time, within budget and of defined quality. However, there is little published information describing its use in managing health and medical research projects. We used project management in the Alcohol and Pregnancy Project (2006-2008) and in this paper report researchers' opinions on project management and whether it made a difference to the project. A national interdisciplinary group of 20 researchers, one of whom was the project manager, formed the Steering Committee for the project. We used project management to ensure project outputs and outcomes were achieved and all aspects of the …

Efficacy And Safety Of A Modular Multi-Modal Exercise Program In Prostate Cancer Patients With Bone Metastases: A Randomized Controlled Trial, Daniel Galvao, Dennis R. Taaffe, Prue Cormie, Nigel Spry, Susan K. Chambers, Carolyn Peddle-Mcintyre, Michael Baker, James Denham, David Joseph, Geoff Groom, Robert Newton

Research outputs 2011

Background: The presence of bone metastases has excluded participation of prostate cancer patients in exercise intervention studies to date and is also a relative contraindication to supervised exercise in the community setting because of concerns of fragility fracture. However, this group of patients often have developed significant muscle atrophy and functional impairments from prior and continuing androgen deprivation that is exacerbated by subsequent and more intensive interventions such as chemotherapy. The aim of this study is to determine the efficacy and safety of a modular multi-modal exercise program in prostate cancer patients with bone metastases. Methods/Design: Multi-site randomized controlled trial …

The Effect Of Cluster Loading On Force, Velocity, And Power During Ballistic Jump Squat Training, Keir Hansen, John Cronin, Michael Newton

Research outputs 2011

Purpose: The purpose of this study was to investigate the effect of set structure, in terms of repetition work:rest ratios on force, velocity, and power during jump squat training. Methods: Twenty professional and semiprofessional rugby players performed training sessions comprising four sets of 6 repetitions of a jump squat using four different set configurations. The first involved a traditional configuration (TR) of 4 × 6 repetitions with 3 min of rest between sets, the second (C1) 4 × 6 × singles (1 repetition) with 12 s of rest between repetitions, the third (C2) 4 × 3 × doubles (2 repetitions) …