Medicine and Health Sciences Commons^™

Until You're In The Chair And Executing Your Role, You Don't Know: A Qualitative Study Of The Needs And Perspectives Of People With Stroke-Related Communication Disabilities When Returning To Vocational Activity, Lucette Lanyon, Ciara Shiggins, Caroline Baker, Serena Alves Stein, Sophie O'Keefe, Emma J. Schneider, Erin Godecke, Kathryn Radford, Natasha A. Lannin

Research outputs 2022 to 2026

Background: People with communication disability after stroke experience low rates of return to vocational roles. Vocational rehabilitation is recommended; however, there are no clear guidelines informing vocational rehabilitation for people with communication disability. Understanding the needs and experiences of this population is critical to improving vocational stroke rehabilitation outcomes. Aims: This study aimed to: (1) investigate the experience of vocational rehabilitation for people with communication disability after stroke, (2) identify gaps and, (3) provide preliminary recommendations for tailored service delivery. Methods: Seven participants with an identified communication impairment following stroke were recruited from a larger clinical trial of early vocational …

Associations Between Flavonoid Intake And Subclinical Atherosclerosis: The Mesa, Nicola P. Bondonno, Benjamin H. Parmenter, Kevin Murray, Catherine P. Bondonno, Lauren C. Blekkenhorst, Alexis C. Wood, Wendy S. Post, Matthew Allison, Michael H. Criqui, Joshua R. Lewis, Jonathan M. Hodgson

Research outputs 2022 to 2026

Background: Flavonoids may play a role in mitigating atherosclerotic cardiovascular diseases, with evidence suggesting effects may differ between vascular beds. Studies examining associations with subclinical markers of atherosclerosis between subpopulations with different underlying risks of atherosclerosis are lacking. METHODS: Among 5599 participants from the MESA (Multi-Ethnic Study of Atherosclerosis), associations between dietary flavonoid intakes (estimated from a food frequency questionnaire) and subclinical measures of atherosclerosis (ankle-brachial index, carotid plaques and intima-media thickness, and coronary artery calcification) were examined using repeated measures models. Exposures and outcomes were measured at exam 1 (2000-2002) and exam 5 (2010-2011). Stratified analyses and interaction terms …

Physical And Psychological Factors Related To Injury, Illness And Tactical Performance In Law Enforcement Recruits: A Systematic Review, Myles Murphy, Nicole Merrick, Gill Cowen, Vanessa Sutton, Garth Allen, Nicolas H. Hart, Andrea B. Mosler

Research outputs 2022 to 2026

Objective: There are inconsistent reports of factors relating to injury, illness and tactical performance in law enforcement recruits. Our objectives were to: (1) report physical and psychological risk factors and protective factors for injury and illness and (2) report physical and psychological risk factors and protective factors for tactical performance success. Design: Systematic epidemiological review.

Methods: Searches of six databases were conducted on 13 December 2022. We included cohorts that assessed physical and psychological factors for injury, illness and tactical performance success. Study quality was assessed using the Joanna Briggs Institute Quality Assessment Checklist for Prevalence Studies and certainty assessed …

White Lies And Safety Nets: The Perceptions Of Nurses On The Use Of Early Warning Systems And The Development Of Higher-Order Thinking Skills, Deb Massey, Tracy Flenady, Amy Louise Byrne, Justine Connor, Danielle Le Lagadec

Research outputs 2022 to 2026

Background: Algorithmic tools such as early warning systems (EWSs) have been embedded into clinical practice globally to facilitate the early recognition of patient deterioration and to guide the escalation of care. Concerns have been raised that the mandated use of these EWS tools may impact the development of nurses' higher-order thinking. However, the relationship between EWS tools and the development of higher-order thinking is poorly understood.

Objectives: This paper provides the qualitative results of a larger study that sought to explore the impact of EWS tools on the development of nurses' higher-order thinking. The objective of this component of the …

Change In Sprint Cycling Torque Is Not Associated With Change In Isometric Force Following Six Weeks Of Sprint Cycling And Resistance Training In Strength-Trained Novice Cyclists, Shannon Connolly, Peter Peeling, Martyn J. Binnie, Paul S.R. Goods, Wouter P. Timmerman, Toni Haddad, Chris R. Abbiss

Research outputs 2022 to 2026

Strong relationships exist between sprint cycling torque and isometric mid-thigh pull (IMTP) force production at one timepoint; however, the relationships between the changes in these measures following a training period are not well understood. Accordingly, this study examined the relationships in the changes of sprint cycling torque and IMTP force following six-weeks of sprint cycling and resistance training performed by strength-trained novice cyclists (n = 14). Cycling power, cadence, torque and IMTP force (Peak force [PF]/torque, average and peak rate of force/torque development [RFD/RTD], and RFD/RTD from 0 to 100 ms and 0–200 ms) were assessed before and after training. …

Longitudinal Associations Between Exercise And Biomarkers In Autosomal Dominant Alzheimer's Disease, Kelsey R. Sewell, James D. Doecke, Chengjie Xiong, Tammie Benzinger, Colin L. Masters, Christoph Laske, Mathias Jucker, Francisco Lopera, Brian A. Gordon, Jorge Llibre-Guerra, Johannes Levin, Edward D. Huey, Jason Hassenstab, Peter R. Schofield, Gregory S. Day, Nick C. Fox, Jasmeer Chhatwal, Laura Ibanez, Jee Hoon Roh, Richard Perrin, Jae Hong Lee, Ralph N. Martins, Stephanie Rainey-Smith, Samantha L. Gardener, Hamid R. Sohrabi, Belinda Brown

Research outputs 2022 to 2026

INTRODUCTION: We investigated longitudinal associations between self-reported exercise and Alzheimer's disease (AD)-related biomarkers in individuals with autosomal dominant AD (ADAD) mutations. METHODS: Participants were 308 ADAD mutation carriers aged 39.7 ± 10.8 years from the Dominantly Inherited Alzheimer's Network. Weekly exercise volume was measured via questionnaire and associations with brain volume (magnetic resonance imaging), cerebrospinal fluid biomarkers, and brain amyloid beta (Aβ) measured by positron emission tomography were investigated. RESULTS: Greater volume of weekly exercise at baseline was associated with slower accumulation of brain Aβ at preclinical disease stages β = –0.16 [–0.23 to –0.08], and a slower decline in …

Nurses’ Attitude Toward Trauma-Informed Care In Critical Care Units: A Cross-Sectional Study, Hashem Alkotaifan, Raghad H. Abdelkader, Mohammad N. Alshloul, Shaher H. Hamaeh, Mohammed S. Albashtawy, Nazzal M. Alshloul, Doha M. Alshloul

Research outputs 2022 to 2026

Objective: Trauma-informed care (TIC) is an innovative concept that recognizes the lasting impact of psychological trauma. Critical care nurses’ attitude toward TIC plays an essential role in assessing, monitoring, and addressing trauma experienced by patients. This study aimed to describe critical care nurses’ attitudes toward TIC in critical care units at Jordanian military hospitals. Methods: This descriptive-analytical cross-sectional study was performed on 315 critical care nurses at seven military hospitals (two from the north, three from the center, and two from the south) in 2022. The data collection tool was the Attitudes Related to Trauma-Informed Care-35 (ARTIC-35) scale. Multi-stage sampling …

Optimizing Resistance Training For Sprint And Endurance Athletes: Balancing Positive And Negative Adaptations, Bas Van Hooren, Per Aagaard, Anthony J. Blazevich

Research outputs 2022 to 2026

Resistance training (RT) triggers diverse morphological and physiological adaptations that are broadly considered beneficial for performance enhancement as well as injury risk reduction. Some athletes and coaches therefore engage in, or prescribe, substantial amounts of RT under the assumption that continued increments in maximal strength capacity and/or muscle mass will lead to improved sports performance. In contrast, others employ minimal or no RT under the assumption that RT may impair endurance or sprint performances. However, the morphological and physiological adaptations by which RT might impair physical performance, the likelihood of these being evoked, and the training program specifications that might …

Re-Living Trauma Near Death: An Integrative Review Using Grounded Theory Narrative Analysis, Nikki Johnston, Michael Chapman, Jo Gibson, Catherine Paterson, Murray Turner, Karen Strickland, Wai Man Liu, Christine Phillips, Kasia Bail

Research outputs 2022 to 2026

Background: Symptoms of emotional and physical stress near death may be related to previous experiences of trauma. Objective: To investigate current evidence regarding the following: (1) Is previous trauma identified in people who are dying, and if so, how? (2) How is previous trauma associated with the experience of death/dying in people with or without cognitive impairment? and (3) What palliative care interventions are available to people with previous trauma at the end of life? Design: This integrative review was conducted per Whittemore and Knafl’s guidelines, which involves a stepped approach, specifically (1) problem identification, (2) literature search, (3) data …

The European Association For Predictive, Preventive And Personalized Medicine (Epma) World Congress 2024: Pioneering The Intersection Of Tourism And Health Science, Fangli Hu, Jun Wen

Research outputs 2022 to 2026

No abstract provided.

The Gender Pay Gap In The Australian Nursing Workforce: A Retrospective Observational Study, Gemma Doleman, Christine Duffield, Ian W. Li

Research outputs 2022 to 2026

Aim: To explore the gender pay gap among the Australian nursing workforce and identify reasons for such a gap. Background: Gender discrimination exists in nursing, with men having a higher rate of pay and a faster rate of career progression, irrespective of experience and qualifications. In addition, men are shown to have a greater representation in leadership roles compared to the proportion of men in the profession. Methods: The study uses a retrospective, observational survey design of graduate nurses from all Australian universities. Findings: The gender wage gap was around 4% at six months after graduation, increasing to 13% at …

Specific Vegetable Types Are Associated With Lower Long-Term Risk For Late-Life Dementia: The Perth Longitudinal Study Of Aging Women, Negar Ghasemifard, Simone Radavelli-Bagatini, Simon M. Laws, Helen Macpherson, Emma Stevenson, Jonathan M. Hodgson, Richard L. Prince, Joshua R. Lewis, Marc Sim

Research outputs 2022 to 2026

This study examined the relationship between total vegetable intake, including specific vegetable types with long-term late-life dementia (LLD) risk in older Australian women. 1206 community-dwelling older women aged ≥70 years were included. Consumption of total vegetable intake and vegetable types (yellow/orange/red [YOR], cruciferous, allium, green leafy vegetables [GLV], and legumes) were estimated using a validated food frequency questionnaire at baseline (1998). LLD was considered any form of dementia occurring after 80 years of age. LLD events (comprising hospitalisation and/or death) were obtained from linked health records. Associations were examined using restricted cubic splines within multivariable-adjusted (including APOE4 genotype) Cox proportional …

Cardiovascular Workforce Sustainability Sector Consultation: Recommendations From An Australian Stakeholder Summit, Celine F. Santiago, Lauren C. Blekkenhorst, Meng Ping Hsu, Katrina M. Mirabito Colafella, Anna C. Calkin, Stephen J. Nicholls, Kerry C. Doyle, Jamie I. Vandenberg, Emma E. Thomas, Niamh Chapman

Research outputs 2022 to 2026

In 2023, a joint National Cardiovascular Workforce Sustainability Summit was convened by the Australian Cardiovascular Alliance (ACvA), the Cardiac Society of Australia and New Zealand, and the National Heart Foundation of Australia, to facilitate a national conversation towards developing a workforce sustainability strategy within the cardiovascular research sector. This initiative stemmed from a previous study conducted by the ACvA which revealed that almost 70% of early and mid-career cardiovascular researchers surveyed had contemplated leaving the sector. Summit attendees reported sector-wide challenges to career progression and retention across three key themes: 1) well-being and career satisfaction, 2) learning and development, and …

Editorial: Dietary Nitrate: Friend Or Foe, Liezhou Zhong, Nicola P. Bondonno, Mario Siervo, Catherine P. Bondonno

Research outputs 2022 to 2026

No abstract provided.

Summary Of Epidemiology, Prevention And Management Of Blood-Borne Viruses Experienced By Aboriginal And Torres Strait Islander Peoples, Australian Indigenous Healthinfonet

Research outputs 2022 to 2026

This Summary is based on the Review of epidemiology, prevention and management of blood-borne viruses experienced by Aboriginal and Torres Strait Islander peoples (2024).

It aims to provide a synthesis of key information on blood-borne viruses (BBVs) experienced by Aboriginal and Torres Strait Islander peoples in Australia, focusing primarily on hepatitis B virus, hepatitis C virus, and human immunodeficiency virus.

It covers: the historical, social and cultural context of Aboriginal and Torres Strait Islander peoples and BBVs the extent of BBVs, including incidence, prevalence, health service utilisation, hospitalisation, mortality, and burden of disease prevention and management of BBVs relevant programs, …

Midwest Food Community: Snapshot Report, Isabelle Chiera, Jess Doe, Amanda Devine, Melissa Stoneham, Stephanie L. Godrich

Research outputs 2022 to 2026

Food security refers to the adequate physical, social, and economic access to healthy food at all times. The Midwest Food Community project aimed to identify, map, evaluate and strengthen food security initiatives across the region, to support food security action. This report outlines the findings from the Midwest Food Community project, detailing the different types of food security initiatives operating within the region. It provides a summary of how Midwest initiatives are contributing to food security systems change, and how they are working in partnership to deliver their food security initiatives. Based on these findings, region-based recommendations are provided to …

Great Southern Food Community: Snapshot Report, Isabelle Chiera, Jess Doe, Amanda Devine, Melissa Stoneham, Stephanie L. Godrich

Research outputs 2022 to 2026

Food security refers to the adequate physical, social, and economic access to healthy food at all times. The Great Southern Food Community project aimed to identify, map, evaluate and strengthen food security initiatives across the region, to support food security action. This report outlines the findings from the Great Southern Food Community project, detailing the different types of food security initiatives operating within the region. It provides a summary of how Great Southern initiatives are contributing to food security systems change, and how they are working in partnership to deliver their food security initiatives. Based on these findings, region-based recommendations …

Kimberley Food Community: Snapshot Report, Isabelle Chiera, Jess Doe, Amanda Devine, Melissa Stoneham, Stephanie L. Godrich

Research outputs 2022 to 2026

Food security refers to the adequate physical, social, and economic access to healthy food at all times. The Kimberley Food Community project aimed to identify, map, evaluate and strengthen food security initiatives across the region, to support food security action. This report outlines the findings from the Kimberley Food Community project, detailing the different types of food security initiatives operating within the region. It provides a summary of how Kimberley initiatives are contributing to food security systems change, and how they are working in partnership to deliver their food security initiatives. Based on these findings, region-based recommendations are provided to …

Goldfields Food Community: Snapshot Report, Isabelle Chiera, Jess Doe, Amanda Devine, Melissa Stoneham, Stephanie L. Godrich

Research outputs 2022 to 2026

Food security refers to the adequate physical, social, and economic access to healthy food at all times. The Goldfields Food Community project aimed to identify, map, evaluate and strengthen food security initiatives across the region, to support food security action. This report outlines the findings from the Goldfields Food Community project, detailing the different types of food security initiatives operating within the region. It provides a summary of how Goldfields initiatives are contributing to food security systems change, and how they are working in partnership to deliver their food security initiatives. Based on these findings, region-based recommendations are provided to …

Effects Of Resveratrol Supplementation On Delayed Onset Muscle Soreness And Muscle Recovery: A Systematic Review, Nurdiana Zainol Abidin, Cheong Hwa Ooi, Kazunori Nosaka, Vishanth Rathakrishnan, Siok Yee Chan, Noor Khairiah A. Karim

Research outputs 2022 to 2026

Delayed onset muscle soreness (DOMS) and impaired muscle recovery significantly affect athletes and recreational exercisers, influencing their performance and training consistency. Resveratrol, a natural polyphenol known for its anti-inflammatory and antioxidant properties, is thought to mitigate these effects, yet its effectiveness remains to be fully verified. This systematic review evaluates the impact of RES supplementation on muscle recovery in adults by examining its influence on DOMS, oxidative stress, and inflammation, along with its interactions with other supplements. Three electronic databases and one registry were searched in October 2023. A total of 10 studies met the inclusion criteria, encompassing a combined …

Introduction Of The ‘Blue Card’ Concussion Policy To Semi-Elite Australian Football: Medical Staff Experiences And Perceptions, Jacob Raymond Msando, Gill Cowen, Sarah A. Harris, Troy Kirkham, Myles C. Murphy

Research outputs 2022 to 2026

Background The Western Australian Football League (WAFL) introduced a new umpire driven ‘blue-card rule’ for concussion, but its benefit to the sports medicine team is unknown. Purpose To determine the experiences and perceptions of medical staff within the 2022-2023 Men’s and Women’s WAFL competitions following the introduction of the ‘blue-card rule’. Study Design Cross-sectional study. Method An online survey was delivered through Qualtrics to all WAFL medical staff (doctors, physiotherapists, head trainers). The survey contained four sections (demographics, concussion knowledge, concussion exposure and blue-card perceptions) with closed and multiple-answer questions. Standard methods for reporting descriptive data were applied, including mean …

Learning From 50 Years Of Aboriginal Alcohol Programs: A Summary, Australian Indigenous Healthinfonet

Research outputs 2022 to 2026

This publication is a summary of key messages from the book, Learning from 50 years of Aboriginal alcohol programs: beating the grog in Australia by Peter d’Abbs and Nicole Hewlett.

The book provides a comprehensive overview of the many actions taken over the last 50 years to prevent and reduce alcohol harms among Aboriginal people with a focus on actions led by Aboriginal communities. This summary of the book was developed by the HealthInfoNet Alcohol and other Drugs Knowledge Centre in collaboration with the authors, and aims to provide an accessible synthesis of the information and lessons learned as …

Airway Epithelium Respiratory Illnesses And Allergy (Aerial) Birth Cohort: Study Protocol, Elizabeth Kicic-Starcevich, David G. Hancock, Thomas Iosifidis, Patricia Agudelo-Romero, Jose A. Caparros-Martin, Yuliya V. Karpievitch, Desiree Silva, Lidija Turkovic, Peter N. Le Souef, Anthony Bosco, David J. Martino, Anthony Kicic, Susan L. Prescott, Stephen M. Stick

Research outputs 2022 to 2026

Introduction: Recurrent wheezing disorders including asthma are complex and heterogeneous diseases that affect up to 30% of all children, contributing to a major burden on children, their families, and global healthcare systems. It is now recognized that a dysfunctional airway epithelium plays a central role in the pathogenesis of recurrent wheeze, although the underlying mechanisms are still not fully understood. This prospective birth cohort aims to bridge this knowledge gap by investigating the influence of intrinsic epithelial dysfunction on the risk for developing respiratory disorders and the modulation of this risk by maternal morbidities, in utero exposures, and respiratory exposures …

An Athlete's Perspective: Comparing Talent Development Environments For Boys And Girls In Western Australia Youth Soccer, Mikayla J. Lyons, Jenny A. Conlon, Sophia Nimphius, Brad S. Keller, Christopher Joyce

Research outputs 2022 to 2026

This study aimed to compare the perceptions of boys and girls regarding their gender-specific talent development environments (TDEs) in state-level youth soccer. Seventy-one players (girls, n = 35; boys, n = 36) aged 11–18 years completed the Talent Development Environment Questionnaire (TDEQ-5), Sports Motivation Scale (SMS-6), Coach-Athlete Relationship Questionnaire (CART-Q), and Self-Efficacy and Outcome Expectancies (SEOE) of strength training questionnaire. Mann–Whitney U tests and Hedges’s g effect sizes were used to identify group differences. Boys scored higher for TDEQ-5 subdimensions: long-term development focus, alignment of expectations, and holistic quality preparation. For the CART-Q, boys perceived greater coach commitment, whilst girls …

Ecology Of Emergency Care In Lower-Tier Healthcare Providers In Ghana: An Empirical Data-Driven Bayesian Network Analytical Approach, Ebenezer Afrifa-Yamoah, Victor F. Nunfam, Bernard A. Kwanin, Kwasi Frimpong

Research outputs 2022 to 2026

The healthcare landscape in Ghana is primarily composed of lower-tier providers, which serve as the initial point of contact for most medical emergencies. This study aimed to assess the emergency care preparedness and readiness of primary healthcare providers using a robust evaluation approach. A multicentre retrospective cross-sectional study was conducted on 460 healthcare facilities using the standardised Health Facilities Emergency Preparedness Assessment Tool (HeFEPAT). Data were analysed via Bayesian Belief network. Emergency preparedness was associated with facility location, type, ownership, and in-charge personnel. Over 70% of facilities lacked specialised emergency/critical care personnel. Although 65% of in-charges reported protocol knowledge, only …

Editorial - Emerging Talents In Alloimmunity And Transplantation: 2022, Guido Moll, Wai H. Lim, Olaf Penack

Research outputs 2022 to 2026

In modern transplant and biomedicine, a proper understanding of both allo- and auto-immune processes is of key importance to minimize acute and chronic graft failure and consecutive rejection/pathology through both cellular and humoral effector mechanisms . . .

How Do Professional Connections And Relationships Impact Midwives’ Well-Being And Career Sustainability? A Grounded Theory Study Protocol, Lynnelle Moran, Sara Bayes, Kim Foster

Research outputs 2022 to 2026

Significant attrition and projected workforce shortages within the midwifery profession are global issues. Extensive research has identified that high levels of workplace adversity, chronic stress, and increasing rates of vicarious trauma and moral injury experienced by midwives, underpin this situation. Researchers have explored midwives’ intention to stay in the midwifery workforce and identified ways to support students’ transition to professional practice. Supportive collegial relationships have been reported to be protective for new and early career midwives’ well-being and resilience. However, there is a gap in knowledge and understanding of the impact and significance of professional connections and relationships for midwives …

Nutrients And Polyphenols-Rich Sorghum Bicolor Genotypes As Complementary Therapy For Alzheimer’S Disease, Rasheed A. Abdulraheem, Ralph N. Martins, Prashant Bharadwaj, Zhaoyu Li, Ranil Coorey, Stuart Johnson, W. M. A. D. Binosha Fernando

Research outputs 2022 to 2026

Alzheimer’s disease (AD) is a progressive neurodegenerative disorder and most common cause of dementia among older people. The main pathological hallmarks of AD are formation of insoluble amyloid beta senile plaques and paired helical filaments of neurofibrillary tangles. AD features gradual memory decline, mild to severe cognitive impairment, eventually total dependence of patients on caregivers. Currently available drugs have not been able to modify AD pathology. This has drawn increasing attention to plant food materials with high nutritional and bioactive constituents as potential complementary therapy for AD. Sorghum bicolor is a widely available cost-effective source of proteins, fats, crude fibres, …

Parent Implementation Of A Treatment For Late Talkers Based On Cross-Situational Statistical Learning Principles: Treatment Fidelity And Acceptability, Suzanne J. Meldrum, Jennifer Fisk, Jennifer Stopher, Emily F. Hunt

Research outputs 2022 to 2026

Purpose:

Early intervention based on principles of cross-situational statistical learning (CSSL) for late-talking children has shown promise. This study explored whether parents could be trained to deliver this intervention protocol with fidelity and if they found the intervention to be acceptable.

Method:

Mothers of four English-speaking children aged 18–30 months who scored < 10th centile for expressive vocabulary were recruited to an 8-week group training program. Parents were taught principles of CSSL and asked to perform 16 home treatment sessions (30 minutes each) in total, providing auditory bombardment of target words in full sentences at high dose number and syntactic variability, using a range of physical exemplars. Home diaries and two videotaped sessions measured treatment fidelity. Pre- and post-treatment questionnaires measured acceptability. Result: One parent discontinued the study after the second group training session. Three parents completed 15/16 group training sessions and reported completing 87% of home sessions. Two parents demonstrated implementing the intervention as per the target dose number by the first fidelity session (Weeks 2/3), and the third parent was very close to meeting target dose number by the second fidelity session (Weeks 7/8).

Conclusion:

Parents can be trained to deliver an intervention based on cross-situational statistical learning principles.

Parents’ Experiences Of Their Child’S Best Interests During A Hospital Stay In Australia, Angela A. Quaye, Mandie Foster, Lisa Whitehead, Inger K. Hallström

Research outputs 2022 to 2026

Determining the child’s best interests in a hospital setting will ideally involve the combined views of children, parents, and healthcare professionals. However, few studies have explored parents’ experiences of their child’s best interests when they engage with the healthcare system. Therefore, this study aimed to explore parents’ experiences of their child’s best interests during hospitalisation. A descriptive qualitative inductive design using face-to-face parent–child combined interviews, analysed by latent content analysis, was used. Sixteen parents recruited from a tertiary hospital in Western Australia were interviewed. Collaboration, development of trustworthy relationships, and effective communication were essential in shaping parents’ experiences of their …