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Minami Kawasaki, Jerome Delamare-Deboutteville, Rachel O Bowater, Mark J Walker, Scott Beatson, Nouri L Ben Zakour, Andrew C Barnes
Streptococcus agalactiae (GBS) causes disease in a wide range of animals. The serotype Ib lineage is highly adapted to aquatic hosts, exhibiting substantial genome reduction compared with terrestrial conspecifics. Here we sequence genomes from 40 GBS isolates including 25 from wild fish and captive stingrays in Australia, six local veterinary or human clinical isolates, and nine isolates from farmed tilapia in Honduras and compare with 42 genomes from public databases. Phylogenetic analysis based on non-recombinant core genome SNPs indicated that aquatic serotype Ib isolates from Queensland were distantly related to local veterinary and human clinical isolates...
June 18, 2018: Applied and Environmental Microbiology
Samantha J Prosser, Adrian G Barnett, Yvette D Miller
BACKGROUND: In response to rising rates of medical intervention in birth, there has been increased international interest in promoting normal birth (without induction of labour, epidural/spinal/general anaesthesia, episiotomy, forceps/vacuum, or caesarean section). However, there is limited evidence for how best to achieve increased rates of normal birth. In this study we examined the role of modifiable and non-modifiable factors in experiencing a normal birth using retrospective, self-reported data...
June 18, 2018: BMC Pregnancy and Childbirth
Yingyan Chen, Frances Lin, Andrea Marshall
BACKGROUND: The safety and effectiveness of same day discharge (SDD) following percutaneous coronary intervention are well demonstrated; however, the uptake of this model of care is low. PURPOSE: The aim was to examine the effectiveness of implementing SDD using a process evaluation methodology. METHODS: This study was undertaken in a cardiac services department of a tertiary teaching hospital in southeast Queensland, Australia. It was anticipated before the implementation that 120 patients could be discharged the same day in a 6 months' time period...
June 14, 2018: Journal of Nursing Care Quality
Vincent J Dalbo, Matthew I Hiskens, Masaru Teramoto, Michael I Kingsley, Kaelin C Young, Aaron T Scanlan
We aimed to determine nutritional knowledge and behaviors of normal weight, overweight, and obese residents of Central Queensland, Australia. Data were collected as part of the 2010 Central Queensland Social Survey ( N = 1289). Residents were asked questions assessing nutritional knowledge and behaviors. Statistical analyses were performed to examine differences in nutritional knowledge and behaviors by body mass index (BMI) classification: normal weight, overweight, and obese. Independent of BMI, residents ate fewer than the recommended daily servings of vegetables ( p < 0...
December 11, 2017: Sports
Andrew Swayne, Linda Tjoa, Simon Broadley, Sasha Dionisio, David Gillis, Leslie Jacobson, Mark R Woodhall, Andrew McNabb, Daniel Schweitzer, Ben Tsang, Angela Vincent, Sarosh R Irani, Richard Wong, Patrick Waters, Stefan Blum
INTRODUCTION: Antibodies to glycine receptors (GlyR-Abs) were first defined in progressive encephalopathy with rigidity and myoclonus (PERM), but subsequently identified in other clinical presentations. We aimed to assess the clinical associations of all patients identified with GlyR-Abs in Queensland, Australia between April 2014 to May 2017, and compared these to cases reported in the literature. METHODS: A literature review identified the clinical features of all published GlyR-Ab positive cases through online databases...
June 15, 2018: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
Louisa G Gordon, Thomas M Elliott, Catherine M Olsen, Nirmala Pandeya, David C Whiteman
No abstract text is available yet for this article.
June 18, 2018: Medical Journal of Australia
Caroline Audrey Kerr, Jacquie Rand, John Murray Morton, Ronelle Reid, Mandy Paterson
This retrospective study of cat admissions to RSPCA Queensland shelters describes changes associated with improved outcomes ending in live release in 2016 compared to 2011. There were 13,911 cat admissions in 2011 and 13,220 in 2016, with approximately 50% in both years admitted as strays from the general public or council contracts. In contrast, owner surrenders halved from 30% to 15% of admissions. Percentages of admissions ending in euthanasia decreased from 58% to 15%. Only 5% of cat admissions were reclaimed in each of these years, but the percentage rehomed increased from 34% to 74%, of which 61% of the increase was contributed by in-shelter adoptions and 39% from non-shelter sites, predominately retail partnerships...
June 12, 2018: Animals: An Open Access Journal From MDPI
J Broom, A Broom, E Kirby
BACKGROUND: Antibiotic optimization is an urgent international issue. Regulatory frameworks, including the requirement to have a functioning antimicrobial stewardship (AMS) programme, are now ubiquitous across the hospital sector nationally and internationally. However, healthcare is ultimately delivered in a diverse range of institutional settings and social contexts. There is emerging evidence that implementation of antibiotic optimization strategies may be inappropriate or even counterproductive to attempts to optimize in atypical healthcare settings...
June 8, 2018: Journal of Hospital Infection
Adam K Rose, Larelle Fabbro, Susan Kinnear
Mitigation of cyanobacterial or "blue-green algal" blooms is a challenging task for water managers across Australia. In the present study, a regional drinking water source (located in Central Queensland) was studied to identify the potential risks posed by cyanobacteria. Data were collected from the drinking water source (a lagoon) as well as the drinking water supply infrastructure, at monthly intervals between September 2012 and December 2014. In March 2013 there was an extreme rainfall event where floodwaters infiltrated the water supply without passing through bank filtration...
June 2018: Harmful Algae
Emily J Steel
Reforms to Australia's disability and rehabilitation sectors have espoused the potential of assistive technology as an enabler. As new insurance systems are being developed it is timely to examine the structure of existing systems. This exploratory study examined the policies guiding assistive technology provision in the motor accident insurance sector of one Australian state. METHODS: Policy documents were analyzed iteratively with set of qualitative questions to understand the intent and interpretation of policies guiding assistive technology provision...
June 8, 2018: Assistive Technology: the Official Journal of RESNA
Lauren Kearney, Mary Kynn, Rachel Reed, Lisa Davenport, Jeanine Young, Keppel Schafer
BACKGROUND: In industrialised countries the incidence of postpartum haemorrhage (PPH) is increasing, for which exact etiology is not well understood. Studies have relied upon retrospective data with estimated blood loss as the primary outcome, known to be underestimated by clinicians. This study aimed to explore variables associated with PPH in a cohort of women birthing vaginally in coastal Queensland, Australia, using the gravimetric method to measure blood loss. METHODS: Women were prospectively recruited to participate using an opt-out consent process...
June 7, 2018: BMC Pregnancy and Childbirth
Frank Y K Wong, Celeste Donato, Yi-Mo Deng, Don Teng, Naomi Komadina, Chantal Baas, Joyanta Modak, Mark O'Dea, David W Smith, Paul V Effler, Julie Cooke, Kelly R Davies, Aeron Hurt, Nina Kung, Avram Levy, Richmond Loh, Songhua Shan, Mustaghfira W Shinwari, Vittoria Stevens, Joanne Taylor, David T Williams, James Watson, Debbie Eagles, Sam McCullough, Ian G Barr, Vijaykrishna Dhanasekaran
Global swine populations infected with influenza A viruses pose a persistent pandemic risk. With the exception of a few countries, our understanding of the genetic diversity of swine influenza viruses is limited, hampering control measures and pandemic risk assessment. Here we report the genomic characteristics and evolutionary history of influenza A viruses isolated in Australia during 2012-2016 from two geographically isolated swine populations in the states of Queensland and Western Australia. Phylogenetic analysis with an expansive human and swine influenza virus dataset comprising >40,000 sequences sampled globally, revealed evidence of the pervasive introduction and long-term establishment of gene segments derived from several human influenza viruses of past seasons, including H1N1/1977, H1N1/1995, H3N2/1968, H3N2/2003, and H1N1pdm09, and a genotype that contained gene segments derived from the past three pandemics (1968, re-emerged 1977 and 2009)...
June 6, 2018: Journal of Virology
Katrina J Anderson, Natalie K Bradford, Julia E Clark
Febrile neutropenia requires prompt assessment and antibiotic administration and is the most common reason for unexpected hospital admission in pediatric oncology. Parents are expected to be vigilant and "drop everything" to take their child to their nearest hospital for assessment if fever occurs. Delays in antibiotic administration are associated with poorer outcomes; however, delays are common. Our aim was to understand and describe the lived experience of parents of children with cancer who received treatment for fever with confirmed/suspected neutropenia...
June 1, 2018: Journal of Pediatric Oncology Nursing: Official Journal of the Association of Pediatric Oncology Nurses
Warish Ahmed, Christopher Staley, Thomas Kaiser, Michael J Sadowsky, Sonya Kozak, David Beale, Stuart Simpson
Understanding the microbial quality of recreational waters is critical to effectively managing human health risks. In recent years, the development of new molecular methods has provided scientists with alternatives to the use of culture-based fecal indicator methods for investigating sewage contamination in recreational waters. Before these methods can be formalized into guidelines, however, we must investigate their utility, including strengths and weaknesses in different environmental media. In this study, we investigated the decay of sewage-associated bacterial communities in water and sediment from three recreational areas in Southeast Queensland, Australia...
June 5, 2018: Applied Microbiology and Biotechnology
Malcolm Wilson, Jana Weston, Annette Mullen, Trevor Knight, Graham Simpson
BACKGROUND: Compared with global numbers, Australia has enjoyed relatively good tuberculosis control over the last thirty years with an annual incidence of 5.7 per 100,000 population.1 Thanks to its unique geography and proximity to high-burden countries, such as Papua New Guinea (PNG), Far North Queensland (FNQ) has previously been shown to have higher rates of tuberculosis compared with both the state and national average.2,3 AIMS: Document tuberculosis epidemiology in FNQ with comparison to two previous audits of the region...
June 5, 2018: Internal Medicine Journal
Gillian Ray-Barruel, Marie Cooke, Marion Mitchell, Vineet Chopra, Claire M Rickard
INTRODUCTION: Millions of acute care hospital patients need a peripheral intravenous catheter (PIVC) each year. However, up to half of PIVCs remain in situ when not being used, and 30%-50% of intravenous (IV) catheters develop complications or stop working before treatment is finished, requiring the insertion of a new device. Improved assessment could prompt timely removal of redundant catheters and prevent IV complications. This study aims to validate an evidence-based PIVC assessment and decision-making tool called I-DECIDED and evaluate the effect of implementing this tool into acute hospital clinical practice...
June 4, 2018: BMJ Open
Simon Smith, James D Stewart, Catherine Tacon, Neil Archer, Josh Hanson
Paediatric melioidosis is uncommon in Northern Australia and localised skin and soft tissue infections predominate. This study presents data from Far North Queensland and shows that, in this population, children with melioidosis are commonly bacteraemia and have a high case fatality rate.
December 1, 2017: Communicable Diseases Intelligence Quarterly Report
Marlena C Kaczmarek, Sanmarie Schlebusch, Robert S Ware, Mark G Coulthard, Julie A McEniery, Stephen B Lambert
Severe respiratory infections make up a large proportion of Australian paediatric intensive care unit (ICU) admissions each year. Identification of the causative pathogen is important and informs clinical management. We investigated the use of polymerase chain reaction (PCR) in the ICU-setting using data collated by the Australian and New Zealand Paediatric Intensive Care (ANZPIC) Registry from five ICUs in Queensland, Australia. We describe diagnostic testing use among pertussis and influenza-related paediatric ICU admissions between 01 January 1997 and 31 December 2013...
December 1, 2017: Communicable Diseases Intelligence Quarterly Report
Yevgeni Dudko, Estie Kruger, Marc Tennant
OBJECTIVE: The shortage of dentists in Outer Regional and Remote areas of Australia and long public dental waiting lists have been the subject of media attention over the last decade. A number of state and federal initiatives were introduced over the years to address these problems. This study aims to gauge whether the waiting lists and shortage of dentists in Outer Regional and Remote areas have seen a positive change over the last decade. DESIGN: This evaluation study analysed and compared the number of dentists full-time equivalent per 100 000 population, eligible population and waiting list size (New South Wales and Queensland) at various points in time over the last decade...
June 4, 2018: Australian Journal of Rural Health
Anna Sheraton, Julie Streckfuss, Sandra Grace
The state of women's health during pregnancy and in the post-natal period can have profound and long-term effects on their own health and that of their children. Women are increasingly seeking complementary and alternative therapies during pregnancy. The aim of this study was to explore the experiences of women who received osteopathic treatment during pregnancy. METHOD: This phenomenological study used semi-structured interviews with pregnant patients who were undergoing osteopathic care in northern NSW and south-east Queensland, Australia...
April 2018: Journal of Bodywork and Movement Therapies
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