Can one on one education sessions with a wound specialist reduce the incidence of hospital acquired pressure injuries? See

To reduce the incidence of hospital acquired pressure injuries (HAPI) by providing education in a novel format using one to one sessions with nurses ae Wound Care Clinical Nurse Consultant (Wound CNC)

Vision, relationships, patience ? and power: A qualitative analysis of how policy agents scale up cross-sectoral policy for nutrition See

Malnutrition in all its forms presents an urgent global health challenge and food systems transformation is a critical component of the necessary policy response. However, cross-sectoral policy engagement between nutrition policy makers and the policy sectors responsible for food systems change has proved challenging. This policy analysis focused on how policy makers act as agents within institutions to advance cross-sectoral policy making on food systems and nutrition, informed by theories o...

Video head impulse test findings in patients with peripheral myelin protein 22 related neuropathies See

Objective: Vestibular impairment may be present in and contribute to imbalance in patients with hereditary neuropathies. We examined the vestibulo-ocular reflex (VOR) characteristics in peripheral myelin protein 22 neuropathies using the video head-impulse test (vHIT). Methods: 23 patients with Charcot-Marie-Tooth disease 1A (CMT1A) and 17 with hereditary neuropathy with liability to pressure palsies (HNPP) were recruited. Three-dimensional vHIT was performed. VOR-gain and latency, refixation...

Web-Based Tool for Australian Family Day Care to Promote Healthy Lifestyles: Randomized Controlled Trial See

Food and physical activity environments in family day care can be improved to better support healthy behaviors. A 6-month two-arm parallel randomized controlled trial evaluated the effectiveness of a web-based tool to promote healthier practices through quality improvement planning among Australian service providers and their educators. Service providers were randomized 1:1 into the intervention group (using the tool for a minimum of 1 month alongside regular quality improvement plan processe...

Visual rehabilitation in subconjunctival MIGS versus trabeculectomy and tube shunt surgery See

Background: To compare recovery of baseline visual acuity and persistent visual loss at 12-months in standalone subconjunctival minimally invasive glaucoma surgery (MIGS) vs trabeculectomy and tube shunt surgery in manifest and suspect glaucoma. Design: Retrospective international multicenter study Methods: Analysis of 974 eyes (Xen, 359; Trab, 455; Tube 160) of 847 subjects that underwent standalone Xen45 gel stent (Xen, 87 % ab-interno), trabeculectomy (Trab) or tube shunt (Tube) surgery wi...

Validity, reliability and responsiveness of digital visual analogue scales for chronic spontaneous urticaria monitoring: A CRUSE® mobile health study See

Background: CRUSE® is an app that allows patients with chronic spontaneous urticaria (CSU) to monitor their daily disease activity through the use of visual analogue scales (VASs). We aimed to determine the concurrent validity, reliability, responsiveness and minimal important difference (MID) of CRUSE® VASs. Methods: We evaluated the properties of three daily VASs: VAS for how much patients were affected by their CSU ("VAS urticaria"), VAS for the impact of urticaria on work/school productiv...

Ultra-Early Hematoma Expansion Is Associated with Ongoing Hematoma Growth and Poor Functional Outcome See

BACKGROUND: There are limited data on ultra-early hematoma growth dynamics and their clinical impact in primary intracerebral hemorrhage (ICH). We aimed to estimate the incidence of hematoma expansion within the hyperacute period of ICH, describe hematoma dynamics over time, investigate the associations between ultra-early hematoma expansion and clinical outcomes after ICH, and assess the effect of tranexamic acid on ultra-early hematoma expansion. METHODS: We performed a preplanned secondary...

Unravelling the complex pathogenesis of hidradenitis suppurativa See

Hidradenitis suppurativa (HS) is a complex inflammatory disease, with rapid advances being made in our understanding of the complex immunological pathogenesis of the condition. New insights into the genomic landscape of HS have identified a number of genes that contribute to the development of HS in a polygenic manner, contributing to inflammatory dysregulation and alterations in epidermal stem cell fate in the follicular unit. These genomic variations can explain unique aspects of the diseas...

Validation of the capnodynamic method to calculate mixed venous oxygen saturation in postoperative cardiac patients See

Background: Cardiac output and mixed venous oxygen saturation are key variables in monitoring adequate oxygen delivery and have typically been measured using pulmonary artery catheterisation. The capnodynamic method measures effective pulmonary blood flow utilising carbon dioxide kinetics in ventilated patients. Combined with breath-by-breath measurements of carbon dioxide elimination, a non-invasive approximation of mixed venous oxygen saturation can be calculated. Methods: This study pri...

Understanding Australian Massage Therapist?s Awareness of and Knowledge to Recognize Domestic and Family Violence: Findings from a Community Survey See

The objective of this study is to inves-tigate massage therapists? knowledge, conf idence, and awareness of domestic and family violence (DFV) in clinical practice. An online questionnaire meth-odology was used to collect data f rom Australian massage therapists who were 18 years or over. The study was open for participation for 6 months. The authors developed the questionnaire based on a previous massage therapy profession questionnaire; it included 64 questions in three sections. Two hundre...

Tumoral Melanosis See

TQGDNet: Coronary artery calcium deposit detection on computed tomography See

Coronary artery disease (CAD) continues to be a leading global cause of cardiovascular related mortality. The scoring of coronary artery calcium (CAC) using computer tomography (CT) images is a diagnostic instrument for evaluating the risk of asymptomatic individuals prone to atherosclerotic cardiovascular disease. State-of-the-art automated CAC scoring methods rely on large annotated datasets to train convolutional neural network (CNN) models. However, these methods do not integrate features...

Tirofiban on First-Pass Recanalization in Acute Stroke Endovascular Thrombectomy: The OPTIMISTIC Randomized Clinical Trial See

Importance: Tirofiban is a nonpeptide antagonist of the glycoprotein IIb/IIIa receptor that inhibits platelet aggregation selectively. Despite widespread use in acute ischemic stroke in conjunction with endovascular treatment, the role of tirofiban is uncertain. Objective: To assess whether intravenous tirofiban initiated before endovascular thrombectomy improves thrombectomy outcomes by achieving first-pass recanalization without intracranial hemorrhagic risk. Design, Setting, and Participan...

The Strategy Use Measure (SUM): A new tool to evaluate the use of compensatory behavioural strategies for cognitive, emotional and behavioural impairments after acquired brain injury See

The Strategy Use Measure (SUM) was developed as a systematic tool to assess cognitive, behavioural and emotional strategy use by clients and carers after acquired brain injury. Comprehensive content development was undertaken across four clinical service sites via expert clinician consultation and consensus, file review of strategies used in clinical practice, and consumer consultation. Statistical analysis was undertaken to evaluate items and assess reliability, validity and factor structure...

The superficial circumflex iliac artery perforator flap in head and neck reconstruction: a retrospective review See

Introduction: The superficial circumflex iliac artery perforator flap is a well-established alternative to traditional fasciocutaneous flaps for reconstructive purposes. It is gaining popularity due to short raise time, flap size, ability to provide concurrent raise and donor site concealment. Here we report our initial experience using the superficial circumflex iliac artery perforator flap to reconstruct a variety of defects in the head and neck region. Methods: Eleven patients underwent su...

Thrombectomy averted stroke: evidence of tissue salvageability after thrombectomy See

Advances in stroke management are increasingly improving patient outcomes. We present two cases which demonstrate how endovascular thrombectomy (EVT) can alter tissue fate in ischaemic stroke. We present two cases of patients who presented with acute stroke symptoms. They both underwent imaging with CT, CT angiography and CT perfusion, which were indicative of acute ischaemic stroke. Both patients subsequently underwent EVT. On follow-up MRI within 5 days of their presentation, there were no ...

The Patient Is Dying of Drug Poisoning?Let's Increase the Dosage! See

The recently completed Select Committee of the NSW Upper House into Birth Trauma has caused consternation amongst colleagues and triggered a controversial response from the NSW Government. It is high time that our college started to fight back. � 2025 Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

The PreGen Research Program: Implementing Prenatal Genomic Testing in Australia?A Commentary See

Prenatal genomic sequencing, which can provide a significantly increased diagnostic rate for fetal structural anomaly (FSA) compared with karyotype and microarray, is not available uniformly across Australia. PreGen, a 5-year translational research program, has identified significant barriers to implementation including access to funding, the availability of genomic testing, access to termination of pregnancy services and the availability of specialist genomic centres. A federal item number f...

The role of triple antithrombotic therapy in patients with atrial fibrillation and coronary stent insertion See

Triple antithrombotic therapy or ?triple therapy? describes the combination of 3 oral antithrombotic medications ? an anticoagulant drug (warfarin, apixaban, rivaroxaban or dabigatran) and 2 antiplatelet drugs (usually aspirin plus clopidogrel). Most commonly, triple therapy is indicated for patients who require both dual antiplatelet therapy following coronary stent insertion for acute coronary syndrome and long-term anticoagulation for atrial fibrillation. Current evidence supports shorter ...