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Faculty of Science, Medicine and Health - Papers: part A

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Full-Text Articles in Social and Behavioral Sciences

Cross-Sectional Study Of Area-Level Disadvantage And Glycaemic-Related Risk In Community Health Service Users In The Southern.Iml Research (Simlr) Cohort, Roger Cross, Andrew D. Bonney, Darren J. Mayne, Kathryn M. Weston Jan 2019

Cross-Sectional Study Of Area-Level Disadvantage And Glycaemic-Related Risk In Community Health Service Users In The Southern.Iml Research (Simlr) Cohort, Roger Cross, Andrew D. Bonney, Darren J. Mayne, Kathryn M. Weston

Faculty of Science, Medicine and Health - Papers: part A

Objectives. The aim of the present study was to determine the association between area-level socioeconomic disadvantage and glycaemic-related risk in health service users in the Illawarra-Shoalhaven region of New South Wales, Australia. Methods. HbA1c values recorded between 2010 and 2012 for non-pregnant individuals aged 18 years were extracted from the Southern.IML Research (SIMLR) database. Individuals were assigned quintiles of the Socioeconomic Indices for Australia (SEIFA) Index of Relative Socioeconomic Disadvantage (IRSD) according to their Statistical Area 1 of residence. Glycaemic risk categories were defined as HbA1c 5.0-5.99% (lowest risk), 6.0-7.49% (intermediate risk) and 7.5% (highest risk). Logistic regression models were …


A Small Cohort Omega-3 Pufa Supplement Study: Implications Of Stratifying According To Lipid Membrane Incorporation In Cardiac Surgical Patients, Wendy T. K Ip, Chanchal Chandramouli, Julian A. Smith, Peter L. Mclennan, Salvatore Pepe, Lea M. D Delbridge Jan 2017

A Small Cohort Omega-3 Pufa Supplement Study: Implications Of Stratifying According To Lipid Membrane Incorporation In Cardiac Surgical Patients, Wendy T. K Ip, Chanchal Chandramouli, Julian A. Smith, Peter L. Mclennan, Salvatore Pepe, Lea M. D Delbridge

Faculty of Science, Medicine and Health - Papers: part A

Background: Epidemiological studies and randomised clinical trials (RCTs) report disparate findings in relation to omega-3 polyunsaturated fatty acids (n-3 PUFA) benefit for cardiac patients. With RCTs interpretation is potentially confounded by background n-3 PUFA intake. The goal of this pilot, small cohort, pre-surgical supplementation study was to evaluate post-operative atrial fibrillation (AF) and cardiac molecular expression profiles employing two data analysis approaches - by treatment randomisation and by stratification using measured n-3 PUFA. Methods: Patients (n=20) received 3g/day of fish or placebo oil (FO vs PO) in a double blind randomised protocol prior to elective coronary artery graft and valve …


Recognition And Management Of Posterior Myocardial Infarction: A Retrospective Cohort Study, Leigh D. White, Joshua Wall, Thomas M. Melhuish, Ruan Vlok, Astin Lee Jan 2017

Recognition And Management Of Posterior Myocardial Infarction: A Retrospective Cohort Study, Leigh D. White, Joshua Wall, Thomas M. Melhuish, Ruan Vlok, Astin Lee

Faculty of Science, Medicine and Health - Papers: part A

Characteristic electrocardiogram (ECG) features of posterior myocardial infarction (PMI) do not include typical ST-segment elevation and, therefore, carries the risk of delayed diagnosis and management. The aim of this study was to investigate how well PMIs are recognised and whether a lack of recognition translates to a larger infarction. This was a retrospective cohort study of patients sourced from a cardiac catheterisation database. Based on ECG analysis, patients included in this study included those meeting PMI criteria and those meeting ST-elevation myocardial infarction (STEMI) criteria as the control group. Door-to-balloon times were used as an outcome measure for differences in …


Identifying Metabolic Syndrome In A Clinical Cohort: Implications For Prevention Of Chronic Disease, Allison Martin, Elizabeth Neale, Marijka Batterham, Linda C. Tapsell Jan 2016

Identifying Metabolic Syndrome In A Clinical Cohort: Implications For Prevention Of Chronic Disease, Allison Martin, Elizabeth Neale, Marijka Batterham, Linda C. Tapsell

Faculty of Science, Medicine and Health - Papers: part A

In the clinical setting, calculating cardiovascular disease (CVD) risk is commonplace but the utility of the harmonised equation for metabolic syndrome (MetS) (Alberti et al., 2009) is less well established. The aims of this study were to apply this equation to an overweight clinical cohort to identify risk factors for being metabolically unhealthy and explore associations with chronic disease. Baseline data were analysed from a lifestyle intervention trial of Illawarra residents recruited in 2014/2015. Participants were aged 25–54 years with a BMI 25–40 kg/m2. Data included MetS, CVD risk, insulin sensitivity, weight, body fat, diet, peripheral artery disease (PAD), physical …


Leveraging Ongoing Research To Evaluate The Health Impacts Of South Africa's Salt Reduction Strategy: A Prospective Nested Cohort Within The Who-Sage Multicountry, Longitudinal Study, Karen E. Charlton, Lisa J. Ware, Elias Menyanu, Richard Berko Biritwum, Nirmala Naidoo, Chine Pieterse, Savathree (Lorna) Madurai, Jeannine Baumgartner, George A. Asare, Elizabeth Thiele, Aletta E. Schutte, Paul Kowal Jan 2016

Leveraging Ongoing Research To Evaluate The Health Impacts Of South Africa's Salt Reduction Strategy: A Prospective Nested Cohort Within The Who-Sage Multicountry, Longitudinal Study, Karen E. Charlton, Lisa J. Ware, Elias Menyanu, Richard Berko Biritwum, Nirmala Naidoo, Chine Pieterse, Savathree (Lorna) Madurai, Jeannine Baumgartner, George A. Asare, Elizabeth Thiele, Aletta E. Schutte, Paul Kowal

Faculty of Science, Medicine and Health - Papers: part A

Introduction: Attempting to curb the rising epidemic of hypertension, South Africa implemented legislation in June 2016 mandating maximum sodium levels in a range of manufactured foods that contribute significantly to population salt intake. This natural experiment, comparing two African countries with and without salt legislation, will provide timely information on the impact of legislative approaches addressing the food supply to improve blood pressure in African populations. This article outlines the design of this ongoing prospective nested cohort study. Methods and analysis: Baseline sodium intake was assessed in a nested cohort of the WHO Study on global AGEing and adult health …


Dairy Consumption And The Risk Of 15-Year Cardiovascular Disease Mortality In A Cohort Of Older Australians, Jimmy Chun Yu Louie, Victoria M. Flood, George Burlutsky, Anna M. Rangan, Timothy P. Gill, Paul Mitchell Jan 2013

Dairy Consumption And The Risk Of 15-Year Cardiovascular Disease Mortality In A Cohort Of Older Australians, Jimmy Chun Yu Louie, Victoria M. Flood, George Burlutsky, Anna M. Rangan, Timothy P. Gill, Paul Mitchell

Faculty of Science, Medicine and Health - Papers: part A

The effects of habitual dairy consumption and the risk of 15-year cardiovascular disease (CVD) mortality in a cohort of older Australians were investigated. Participants (n = 2900) completed a validated 145-item semi-quantitative food frequency questionnaire. Cox proportional hazards regression models were used to investigate associations between tertiles of the dairy consumption, including low/reduced fat dairy, whole fat dairy and their ratio (ratioLF/WF), and risk of mortality from coronary heart disease (CHD), stroke or combined CVD. There were 548 recorded cases of CVD mortality in this cohort. For total dairy intake, a reduction in risk of CVD was only seen in …


Rural Placements Are Effective For Teaching Medicine In Australia: Evaluation Of A Cohort Of Students Studying In Rural Placements, H H. Birden, I Wilson Jan 2012

Rural Placements Are Effective For Teaching Medicine In Australia: Evaluation Of A Cohort Of Students Studying In Rural Placements, H H. Birden, I Wilson

Faculty of Science, Medicine and Health - Papers: part A

Introduction: Medical education in Australia is increasingly delivered through longitudinal placements in general practice and other community settings. Early meaningful exposure to patients has been shown to improve the transition from medical student to junior doctor. This study examines the experience of the first year cohort of the University of Western Sydney (UWS) Medical School long-term rural placement students. Results have been placed in the context of other published results for rural training schemes, comparing and contrasting the present results to those of others. Methods: Students undertaking a rural placement in their final year of the UWS medical program (n=21) …