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Threlfall, Timothy, Neil Kent, Peter Garcia-Webb, Elizabeth Byrnes y Paul Psaila-Savona. "Blood lead levels in children in Perth, Western Australia". Australian Journal of Public Health 17, n.º 4 (12 de febrero de 2010): 379–81. http://dx.doi.org/10.1111/j.1753-6405.1993.tb00172.x.
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Lazenby, V., A. Hinwood y P. Franklin. "Personal Exposure of Children to Formaldehyde in Perth, Western Australia". Epidemiology 17, Suppl (noviembre de 2006): S405—S406. http://dx.doi.org/10.1097/00001648-200611001-01081.
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Zubrick, Stephen, Robert Kosky y Sven Silburn. "Is Suicidal Ideation Associated with Puberty?" Australian & New Zealand Journal of Psychiatry 21, n.º 1 (marzo de 1987): 54–58. http://dx.doi.org/10.3109/00048678709160899.
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Chronological age, rather than puberty, was associated with suicidal ideation in both sexes in a sample of 1, 060 children and adolescents aged nine to fourteen years who were referred to a child psychiatry service in Perth, Western Australia.
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Farah, C. S., D. R. Booth y S. C. Knott. "Dental maturity of children in Perth, Western Australia, and its application in forensic age estimation". Journal of Clinical Forensic Medicine 6, n.º 1 (marzo de 1999): 14–18. http://dx.doi.org/10.1016/s1353-1131(99)90170-0.
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Nicholls, Wendy. "Dental anomalies in children with cleft lip and palate in Western Australia". European Journal of Dentistry 10, n.º 02 (abril de 2016): 254–58. http://dx.doi.org/10.4103/1305-7456.178317.
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ABSTRACT Objective: The purpose of this paper was to describe the prevalence and type of dental anomalies in the primary and permanent dentition in children with a cleft condition at Princess Margaret Hospital in Perth, Western Australia. Materials and Methods: The details of 162 current dental patients extracted from the main dental database through their year of birth for the period 1998–2001 were selected consecutively. Dental records and X-rays were examined by one examiner (WN) and verified by a second examiner (RB) to determine dental development. The mean age of the subjects was 10.8 years with equal numbers of males and females. Subjects were further divided into cleft type; unilateral cleft lip (UCL) and palate, bilateral cleft lip (BCL) and palate, UCL, BCL, and cleft palate. Results: One hundred sixty-two subjects were grouped into 21 categories of anomaly or abnormality. Prevalence rates for the categories were calculated for the overall group and for gender and cleft type. Conclusion: Overall, 94% of patients were found to have at least one dental anomaly, with fifty-six (34%) patients having more than one anomaly or abnormality.
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Margawani, K. Rini, Ian D. Robertson y David J. Hampson. "Isolation of the anaerobic intestinal spirochaete Brachyspira pilosicoli from long-term residents and Indonesian visitors to Perth, Western Australia". Journal of Medical Microbiology 58, n.º 2 (1 de febrero de 2009): 248–52. http://dx.doi.org/10.1099/jmm.0.004770-0.
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Brachyspira pilosicoli is an anaerobic spirochaete that colonizes the large intestine of humans and various species of animals and birds. The spirochaete is an important enteric pathogen of pigs and poultry, but its pathogenic potential in humans is less clear. In the current study, the occurrence of B. pilosicoli in faecal samples from 766 individuals in two different population groups in Perth, Western Australia, was investigated by selective anaerobic culture. Of 586 individuals who were long-term residents of Perth, including children, elderly patients in care and in hospital and individuals with gastrointestinal disease, only one was culture positive. This person had a history of diverticulitis. In comparison, faeces from 17 of 180 (9.4 %) Indonesians who were short- or medium-term visitors to Perth were positive for B. pilosicoli. The culture-positive individuals had been in the city for between 10 days and 4.5 years (median 5 months). Resampling of subsets of the Indonesians indicated that all negative people remained negative and that some positive individuals remained positive after 5 months. Two individuals had pairs of isolates recovered after 4 and 5 months that had the same PFGE types, whilst another individual had isolates with two different PFGE types that were identified 2 months apart. Individuals who were culture-positive were likely to have been either colonized in Indonesia before arriving in Perth or infected in Perth following contact with other culture-positive Indonesians with whom they socialized. Colonization with B. pilosicoli was not significantly associated with clinical signs at the time the individuals were tested, although faeces with wet-clay consistency were 1.5 times more likely (confidence interval 0.55–4.6) than normal faeces to contain B. pilosicoli.
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Lette, Helen, Edouard Tursan d'Espaignet, Linda Slack-Smith, Kerry Hunt y Janine Nannup. "Indigenous Mothers' Aspirations for Their Children in Perth, Western Australia: The Value of Education and Schooling". Australian Journal of Indigenous Education 38, n.º 1 (enero de 2009): 65–73. http://dx.doi.org/10.1375/s1326011100000600.
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AbstractThis project involved the collection of stories about the aspirations, goals and strategies from a sample of mothers of Indigenous children living in Perth, Western Australia. Analysis of the semi-structured interviews indicated that the education of their children was important for many of the mothers. Whilst some of the mothers preferred their children to learn about their Indigenous history, culture and identity, others valued the type of education that emanates from a mainstream-style school system. A major theme was a need for schools to partner with Indigenous parents in the decision-making process to engage the families in a positive education experience.
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Clarke, Catherine L., Lana M. Bell, Peter Gies, Stuart Henderson, Aris Siafarikas y Shelley Gorman. "Season, Terrestrial Ultraviolet Radiation, and Markers of Glucose Metabolism in Children Living in Perth, Western Australia". International Journal of Environmental Research and Public Health 16, n.º 19 (3 de octubre de 2019): 3734. http://dx.doi.org/10.3390/ijerph16193734.
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Seasonality in glucose metabolism has been observed in adult populations; however, little is known of the associations between season and glucose metabolism in children. In this study, we examined whether markers of glucose metabolism (fasting glucose, insulin and HbA1c) varied by season in a paediatric population (6–13 years of age) located in Perth (Western Australia, n = 262) with data categorised by weight. Linear regression was used to analyse the nature of the relationships between mean daily levels of terrestrial ultraviolet radiation (UVR) (prior to the day of the blood test) and measures of glucose metabolism. Fasting blood glucose was significantly lower in autumn compared to spring, for children in combined, normal and obese weight categories. Fasting insulin was significantly lower in autumn and summer compared to winter for individuals of normal weight. HbA1c was significantly higher in summer (compared with winter and spring) in overweight children, which was in the opposite direction to other published findings in adults. In children with obesity, a strong inverse relationship (r = −0.67, p = 0.002) was observed for fasting glucose, and daily terrestrial UVR levels measured in the previous 6 months. Increased safe sun exposure in winter therefore represents a plausible means of reducing fasting blood sugar in children with obesity. However, further studies, using larger paediatric cohorts are required to confirm these relationships.
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Lam, SPL, H. Baros, MJ O’Grady, GE Kendall, LB Messer y LM Slack-Smith. "Patterns of Attendance of Children Under 12 Years at School Dental Service in Western Australia". Open Dentistry Journal 6, n.º 1 (30 de abril de 2012): 69–73. http://dx.doi.org/10.2174/1874210601206010069.
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The aim of this study was to investigate the patterns of attendance at School Dental Service (SDS) and reasons for attendance (treatment or prevention) for children in the Perth Metropolitan Area, in particular investigating the first year of SDS attendance and attendance until the year the child turned 12. The first 150 SDS records located for children from the Western Australian Pregnancy Cohort (Raine) Study were used for this study. Patterns of attendance of children at SDS were described, as were associated factors (enrolment, age and nature of first visit, general nature of visits and number of visits) until the end of the year that the child turned 12.The age of the child at the first SDS visit ranged from 4 years 3 months to 14 years 11 months, with a median of 5 years 1 month. First visits were primarily for an examination (98%). Children had a median of 13 visits until 12 years of age, with 10% having less than five visits and 4% having more than 25 visits.These data provide useful information regarding attendance at the SDS in Western Australia which could provide a basis for oral health promotion programs.
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Jones, B. Max, Alan Ralph y Trevor G. Mazzucchelli. "Remembering Jay S. Birnbrauer". Behaviour Change 34, n.º 4 (diciembre de 2017): 279–85. http://dx.doi.org/10.1017/bec.2018.4.
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Professor Jay Spencer Birnbrauer peacefully passed away on November 1, 2017, aged 83, in Perth, Western Australia. Known to his friends and colleagues in Australia as ‘Birny’, he was a pioneer of applied behaviour analysis on both the Australian and world stage. He contributed to the development of behaviour-analytic technology for children with intellectual and developmental disabilities in the 1960s and played a central part in the formation of the Australian Behaviour Modification Association (known today as the Australian Association for Cognitive and Behaviour Therapy) in the 1970s. He was a purist in the field of applied behaviour analysis (ABA) and was relentless in his efforts to see ABA being provided to children with a developmental disability and their families. Birny's influence in Australia, and particularly Western Australia, was mainly imparted through his role with the Master of Applied Psychology program at Murdoch University. His most widely known piece of work, the Murdoch Early Intervention Program, was an early and important replication of Lovaas's evaluation of early intensive behavioural intervention for children with autism. Birny contributed significantly to our field and to many people's lives. He is remembered often and fondly by his many friends and colleagues.
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Wallman, A. y L. Cook. "RESULTS OF AYRES BASED TREATMENT WITH CEREBRAL PALSIED CHILDREN AT SIR JAMES MITCHELL SPASTIC CENTRE, PERTH, WESTERN AUSTRALIA". Australian Occupational Therapy Journal 23, n.º 2 (27 de agosto de 2010): 58–61. http://dx.doi.org/10.1111/j.1440-1630.1976.tb01044.x.
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Vicary, David, Judy Tennant, Jade Santa Maria y Sarah Wadley. "Children as decision makers". Children Australia 30, n.º 4 (2005): 4–10. http://dx.doi.org/10.1017/s1035077200010853.
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Involving children and young people in planning, decision making and the evaluation of services and programs inevitably raises the eyebrows of adults working in the areas of service delivery, program development and policy formulation. Some adults may question young people’s ability to see the ‘big picture’ and to make decisions, and even their right to be engaged in the first place. In challenging these ideas, the Western Australian Office for Children and Youth established a Children’s Advisory Group (CAG) in 2004 – the first of its kind to be created within the Western Australia Government, and one of the first such groups to be set up in Australia.The current Children’s Advisory Group (CAG) is a diverse group often primary school children aged 9-12 years from the Perth metropolitan area. They are actively involved in all aspects of the Office’s operation. The CAG has been evaluated throughout its inaugural year of operation, both in terms of process and impact, and has been found to have a significant impact upon government policy and practice. This paper will outline the process for the establishment and implementation of a CAG and the evaluation of a CAG on government policy. It will highlight evaluation findings and discuss future directions.
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Farrant, Brad M., Carrington C. J. Shepherd, Carol Michie, Clair Scrine, Michael Wright, Nicole Ilich, Tanya Jones y Glenn Pearson. "Delivering Elder- and Community-Led Aboriginal Early Childhood Development Research: Lessons from the Ngulluk Koolunga Ngulluk Koort Project". Children 6, n.º 10 (1 de octubre de 2019): 106. http://dx.doi.org/10.3390/children6100106.
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Elder- and community-led research processes are increasingly being acknowledged as critical for successful Aboriginal health and wellbeing research. This article provides an overview of the methodologies, methods and progress of the Ngulluk Koolunga Ngulluk Koort (Our Children, Our Heart) project—an Elder- and community-led research and research-translation project focused on the early childhood development of Australian Aboriginal children in an urban context (Perth, Western Australia). We describe the application of a participatory action research methodology that is grounded in Aboriginal worldview(s), from the collaborative development of the original idea to the post-funding processes of co-design and implementation, data collection, analysis, interpretation and translation.
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Brown, Thea y Alan Campbell. "Parents, Children and Family Relationship Centres: What's Working?" Children Australia 38, n.º 4 (diciembre de 2013): 192–97. http://dx.doi.org/10.1017/cha.2013.32.
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This article reports on a study of parents’ and children's responses to the service they received at two Family Relationship Centres (FRCs) in Perth, Western Australia. Family members who had attended either the Mandurah or Joondalup FRCs sponsored by AnglicareWA between 2010 and 2012 were invited to complete a survey that asked them for their views on the services they had received. A total of 74 parents, representing 139 children, completed the survey. Findings indicated significant satisfaction with the two-hour group session that introduces the work of the FRCs, with parents reporting they could remember the main messages from the session. A surprising finding, and one that has not been reported elsewhere, is that parents expressed an unwillingness to invite their own children to participate in the work of the Centres, although the majority of the respondents agreed in principle that children should take part. The implications of this finding are briefly discussed.
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Love, Robert, Mark Walters, Peter Southall, Steve Singer y David Gillett. "Dental Arch Relationship Outcomes in Children with Complete Unilateral Cleft Lip and Palate Treated at Princess Margaret Hospital for Children, Perth, Western Australia". Cleft Palate-Craniofacial Journal 49, n.º 4 (julio de 2012): 456–62. http://dx.doi.org/10.1597/10-111.
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Ainsworth, Frank, Sue Ash y Adele Summers. "Foster care trends in a Western Australian non-government family welfare agency 1991-1999". Children Australia 27, n.º 1 (2002): 38–41. http://dx.doi.org/10.1017/s1035077200004958.
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Wanslea Family Services (WFS), a non-government family welfare agency in Perth, has provided foster care placements for the Western Australian Department of Family and Children's Services for many years. Data about these children and their families is held in a comprehensive electronic database that covers the period 1991-1999. This 9-year data set is unique in Western Australia and may be unique nationally.An analysis of this data indicates no significant variation across the nine year period for age at admission of children to foster care. In contrast, a statistically significant cubic trend was found for length of episode of care indicating that the duration of foster care placements significantly varied across the nine year period. Analyses of gender for both age at admission and length of foster care showed significant differences but only for particular years. In 1995 females were significantly younger than males while in 1998 males were significantly younger than females. Only in 1998 was length of episode of care significant when it was shorter for males than females. Possible explanations for these results are discussed.
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Seivwright, Ami N., Zoe Callis y Paul Flatau. "Food Insecurity and Socioeconomic Disadvantage in Australia". International Journal of Environmental Research and Public Health 17, n.º 2 (15 de enero de 2020): 559. http://dx.doi.org/10.3390/ijerph17020559.
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Research on food insecurity in Australia has typically relied on a single-item measure and finds that approximately 5% of the population experiences food insecurity. This research also finds that demographic characteristics such as household composition and marital status affect levels of food insecurity, independent of income level. The present study examines the prevalence and correlates of food insecurity in a cohort (n = 400) of people experiencing entrenched disadvantage in Perth, Western Australia. Using the US Department of Agriculture Household Food Security Survey Module, we find that food insecurity at the household, adult, and child level is at sharply elevated levels, with 82.8% of the sample reporting household food insecurity, 80.8% and 58.3% experiencing food insecurity among adults and children, respectively. Demographic characteristics do not significantly affect levels of food insecurity, and food insecurity is associated with negative physical and mental health outcomes. Food insecurity is positively correlated with access to food emergency relief services, indicating that these services are being used by those most in need, but do not address the root causes of food insecurity. Policy and practice should focus on increasing stable access to adequate quantities and quality of food and addressing the structural causes of food insecurity.
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Nicholls, W., R. Jennings, Y. Yeung, M. Walters y B. Hewitt. "Antenatal Ultrasound Detection of Cleft in Western Australia from 2003 to 2012: A Follow-Up Study". Cleft Palate-Craniofacial Journal 54, n.º 3 (mayo de 2017): 321–26. http://dx.doi.org/10.1597/15-127.
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Aim To investigate trends in the rate of antenatal detection of cleft lip and palate (CLP) patients referred to the CLP Unit at Princess Margaret Hospital for Children in Perth, Western Australia during the period 2003-2012 and compare data with a previously published report covering the years 1996-2003. Methods This is a single-center, retrospective survey of antenatal transabdominal ultrasound screenings of mothers of infants born between July 1, 2003 and June 30, 2012 that were referred to the CLP Unit at Princess Margaret Hospital. Results Detection rates of oral clefts increased significantly when compared with outcomes reported in the same population between 1996 and 2003 ( P < .05). An overall detection rate of 71.7% (165/230) was achieved for clefts involving lip and palate. Detection of isolated cleft palate (1/99) and microform (0/8) remained elusive. Most detections (76.5%) were achieved at 15 to 20 weeks of gestational age, corresponding with routine anatomical screening. A further 16.8% were detected post-20 weeks of gestation. Scans were performed by specialist obstetricians, and sonography clinics reported a detection rate of 84.6% (55/65), whereas nonspecialist clinics reported a detection rate of only 67.1% (110/164). Conclusion The antenatal detection rates of oral clefts involving the lip have improved to the extent that the majority of mothers are now being referred to a cleft unit in Western Australia prior to the births of their children. As a result of this improvement, antenatal counseling is now a common facet of cleft management.
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Ng-Hublin, J. S. Y., B. Combs, S. Reid y U. Ryan. "Comparison of three cryptosporidiosis outbreaks in Western Australia: 2003, 2007 and 2011". Epidemiology and Infection 146, n.º 11 (5 de julio de 2018): 1413–24. http://dx.doi.org/10.1017/s0950268818001607.
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AbstractCryptosporidium is a protozoan parasite that causes the diarrhoeal disease, cryptosporidiosis. Although many species have been identified, the majority of human disease worldwide is caused by two species; Cryptosporidium parvum and Cryptosporidium hominis. In Australia, data from the National Notifiable Diseases Surveillance System (NNDSS) show that cryptosporidiosis outbreaks occur every few years. To better understand the transmission, trends and nature of cryptosporidiosis outbreaks in Western Australia, epidemiological and genomic data from three cryptosporidiosis outbreaks in 2003, 2007 and 2011 were reviewed. The 2007 outbreak was the largest (n = 607) compared with the outbreaks in 2003 (n = 404) and 2011 (n = 355). All three outbreaks appeared to have occurred predominantly in the urban metropolitan area (Perth), which reported the highest number of case notifications; increases in case notifications were also observed in rural and remote areas. Children aged 0–4 years and non-Aboriginal people comprised the majority of notifications in all outbreaks. However, in the 2003 and 2007 outbreaks, a higher proportion of cases from Aboriginal people was observed in the remote areas. Molecular data were only available for the 2007 (n = 126) and 2011 (n = 42) outbreaks, with C. hominis the main species identified in both outbreaks. Subtyping at the glycoprotein 60 (gp60) locus identified subtype IbA10G2 in 46.3% and 89.5% of C. hominis isolates typed, respectively, in the 2007 and 2011 outbreaks, with the IdA15G1 subtype was identified in 33.3% of C. hominis isolates typed in the 2007 outbreak. The clustering of cases with the IdA15G1 subtype in the remote areas suggests the occurrence of a concurrent outbreak in remote areas during the 2007 outbreak, which primarily affected Aboriginal people. Both the C. hominis IbA10G2 and IdA15G1 subtypes have been implicated in cryptosporidiosis outbreaks worldwide; its occurrence indicates that the mode of transmission in both the 2007 and 2011 outbreaks was anthroponotic. To better understand the epidemiology, sources and transmission of cryptosporidiosis in Australia, genotyping data should routinely be incorporated into national surveillance programmes.
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Itotoh, Benedicta, Ingrid Roche y Catherine Power. "Following Mixed Tree Nut Biscuit Challenge, Are the Nuts Still Included in the Diet?" SN Comprehensive Clinical Medicine 2, n.º 11 (7 de septiembre de 2020): 2208–13. http://dx.doi.org/10.1007/s42399-020-00484-w.
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AbstractWe studied the introduction rate after a negative challenge to mixed tree nut biscuit. This is a retrospective review of patients who underwent and passed mixed tree nut biscuit challenges performed at Princess Margaret Hospital (PMH) between 2016 and 2018. Follow-up phone calls were made to families to ascertain if the tree nuts included in the tree nut biscuit were still included in the child’s diet 1 to 3 years following negative oral food challenge (OFC). A total of 162 children underwent mixed tree nut biscuit challenge between 2016 and 2018 at Princess Margaret Hospital, Perth, Western Australia. A total of 141 (87%) passed mixed tree nut biscuit challenge. Of the 133 children that were contacted (8 children could not be contacted), 104 children still included some or all of the challenge nuts in the child’s diet; with 24 children completely eliminating the challenge nuts (18%), 5 children eliminated some of the challenge nuts (3.5%). We found a high introduction rate (82%); however, some families may require more support to maintain the tree nuts in the child’s diet following a negative OFC.
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Bhuiyan, Mejbah Uddin, Thomas L. Snelling, Rachel West, Jurissa Lang, Tasmina Rahman, Meredith L. Borland, Ruth Thornton et al. "Role of viral and bacterial pathogens in causing pneumonia among Western Australian children: a case–control study protocol". BMJ Open 8, n.º 3 (marzo de 2018): e020646. http://dx.doi.org/10.1136/bmjopen-2017-020646.
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IntroductionPneumonia is the leading cause of childhood morbidity and mortality globally. Introduction of the conjugateHaemophilus influenzaeB and multivalent pneumococcal vaccines in developed countries including Australia has significantly reduced the overall burden of bacterial pneumonia. With the availability of molecular diagnostics, viruses are frequently detected in children with pneumonia either as primary pathogens or predispose to secondary bacterial infection. Many respiratory pathogens that are known to cause pneumonia are also identified in asymptomatic children, so the true contribution of these pathogens to childhood community-acquired pneumonia (CAP) remains unclear. Since the introduction of pneumococcal vaccines, very few comprehensive studies from developed countries have attempted to determine the bacterial and viral aetiology of pneumonia. We aim to determine the contribution of bacteria and viruses to childhood CAP to inform further development of effective diagnosis, treatment and preventive strategies.Methods and analysisWe are conducting a prospective case–control study (PneumoWA) where cases are children with radiologically confirmed pneumonia admitted to Princess Margaret Hospital for Children (PMH) and controls are healthy children identified from PMH outpatient clinics and from local community immunisation clinics. The case–control ratio is 1:1 with 250 children to be recruited in each arm. Nasopharyngeal swabs are collected from both cases and controls to detect the presence of viruses and bacteria by PCR; pathogen load will be assessed by quantitative PCR. The prevalence of pathogens detected in cases and controls will be compared, the OR of detection and population attributable fraction to CAP for each pathogen will be determined; relationships between pathogen load and disease status and severity will be explored.Ethics and disseminationThis study has been approved by the human research ethics committees of PMH, Perth, Australia (PMH HREC REF 2014117EP). Findings will be disseminated at research conferences and in peer-reviewed journals.
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Kosky, Robert, Ian McAlpine, Sven Silburn y John Richmond. "A Survey of Child Psychiatry Outpatients. 1. Clinical and Demographic Characteristics". Australian & New Zealand Journal of Psychiatry 19, n.º 2 (junio de 1985): 158–66. http://dx.doi.org/10.3109/00048678509161313.
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This paper describes clinical and demographic characteristics of 664 children who attended outpatient child psychiatry clinics in Perth, Western Australia, over a one-year period. All social classes were represented; parents were the most common source of referral and typically the child had been assessed or treated for emotional or behavioural problems by other agencies previously. Referrals from the juvenile justice system were uncommon. The accessibility of clinics to the child population was found to have a significant effect on the rate of referral. Only 10% of the sample received conduct disorder diagnoses, whereas 16.5% had mixed disorders of conduct and emotion, and 42% had emotional disorders. Environmental circumstances, particularly recent marital break-up, family discord and recent experience of loss, were contributing factors to the child's clinical presentation in a large proportion of cases.
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Chapman, A. R. y E. L. Litton. "Primary Prevention in the Intensive Care Unit: A Prospective Single-Centre Study of the Risk Factors for Invasive Pneumococcal Disease". Anaesthesia and Intensive Care 45, n.º 4 (julio de 2017): 448–52. http://dx.doi.org/10.1177/0310057x1704500406.
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Invasive pneumococcal disease is a significant health burden in Australia, with immunisation recommended for children and at-risk adults. Health benefits of immunisation are clear, but less effective when immunisation rates are low, as in Western Australia. We hypothesised that patients admitted unplanned to the intensive care unit (ICU) would have high eligibility for pneumococcal immunisation, but low rates of recorded vaccine administration. We performed a prospective observational study of 119 emergency admissions to Royal Perth ICU, a 20-bed mixed ICU at a tertiary teaching hospital in Western Australia. Each admission was screened for vaccine eligibility (age and risk factors as per Australian Technical Advisory Group of Immunisation guidelines), with patients’ health records examined and primary care providers contacted after ICU discharge. Risk factors for invasive pneumococcal disease were common, with 52% of the study population having one or more. Fifty-four of 119 admitted patients (45%) were assessed as eligible for immunisation after ICU discharge. ICU survivors represent a high-risk population for which intervention against modifiable targets, such as invasive pneumococcal disease, may reduce both their chronic health burden and future health expenditure. Future efforts should concentrate on assessing the feasibility of a screening program for modifiable factors in ICU survivors, and the logistics of delivering these interventions in a timely manner during their hospital stay.
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Inoue, Madoka, Hideo Tohira, Teresa Williams, Paul Bailey, Meredith Borland, Nicole McKenzie, Deon Brink y Judith Finn. "Incidence, characteristics and survival outcomes of out-of-hospital cardiac arrest in children and adolescents between 1997 and 2014 in Perth, Western Australia". Emergency Medicine Australasia 29, n.º 1 (23 de agosto de 2016): 69–76. http://dx.doi.org/10.1111/1742-6723.12657.
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Nicholl, Analise y Therese O’Sullivan. "Keep Calm and Carry on: Parental Opinions on Improving Clinical Dietary Trials for Young Children". Nutrients 10, n.º 9 (25 de agosto de 2018): 1166. http://dx.doi.org/10.3390/nu10091166.
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Recruitment can be an issue for paediatric research. We aimed to investigate parental opinions of paediatric clinical assessments, and to combine findings with recent literature to inform the design of a clinical dietary trial. We used convenience sampling to recruit 17 parents of children aged 2–6 years from two community playgroups in Perth, Western Australia. Three focus groups considered proposed child assessments, study design, and potential study enrolment. Qualitative thematic analysis of focus group transcripts used NVivo 11 (QSR, Melbourne, VIC, Australia). Four main parental concerns emerged, presented here with solutions combining parent responses and relevant literature. (1) Parent and child needle fear: a good experience and a good phlebotomist help keep participants calm, and offering additional analysis (e.g., iron status) makes blood tests more worthwhile. (2) Concerns about children’s age, stage, understanding and ability to cope: create a themed adventure to help explain concepts and make procedures fun. (3) Persistent misunderstandings involving study purpose, design, randomization and equipoise: provide clear information via multiple platforms, and check understanding before enrolment. (4) Parental decisions to enrol children focused on time commitment, respectful treatment of their child, confronting tests and altruism: child-centred methodologies can help address concerns and keep participants engaged throughout procedures. Addressing the concerns identified could improve participation in a range of paediatric health interventions.
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Lillee, Alyssa, Aesen Thambiran y Jonathan Laugharne. "Evaluating the mental health of recently arrived refugee adults in Western Australia". Journal of Public Mental Health 14, n.º 2 (15 de junio de 2015): 56–68. http://dx.doi.org/10.1108/jpmh-05-2013-0033.
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Purpose – The purpose of this paper is to measure the levels of psychological distress in adults entering Western Australia (WA) as refugees through the Australian Humanitarian Programme. To determine if the introduction of mental health screening instruments impacts on the level of referrals for further psychological/psychiatric assessment and treatment. Design/methodology/approach – Participants were 300 consecutive consenting refugee adults attending the Humanitarian Entrant Health Service in Perth, WA. This service is government funded for the general health screening of refugees. The Kessler-10 (K10) and the World Health Organisation’s post-traumatic stress disorder (PTSD) screener were the principal outcome measures used. Findings – Refugees had a high rate of current probable PTSD (17.2 per cent) as measured with the PTSD screener and mean K10 scores were significantly higher than general population norms. The K10 showed high accuracy for discriminating those with or without probable PTSD. Being married and having more children increased the risk of probable PTSD. In regard to region of origin, refugees from Western and Southern Asia had significantly higher scores on both screeners followed by those from Africa with those from South-Eastern Asia having the lowest scores. Referral rate for psychiatric/psychological treatment was 18 per cent compared to 4.2 per cent in the year prior to the study. Practical implications – This study demonstrates increased psychological distress including a high rate of probable PTSD in a recently arrived multi-ethnic refugee population and also demonstrates significant variations based on region of origin. In addition, it supports the feasibility of using brief screening instruments to improve identification and referral of refugees with significant psychological distress in the context of a comprehensive general medical review. Originality/value – This was an Australian study conducted in a non-psychiatric setting. The outcomes of this study pertain to refugee mental health assessed in a general health setting. The implications of the study findings are of far reaching relevance, inclusive of primary care doctors and general physicians as well as mental health clinicians. In particular the authors note that the findings of this study are to the authors’ knowledge unique in the refugee mental health literature as the participants are recently arrived refugees from diverse ethnic groups.
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Morgan, Ruth A. "Health, Hearth and Empire: Climate, Race and Reproduction in British India and Western Australia". Environment and History 27, n.º 2 (1 de mayo de 2021): 229–50. http://dx.doi.org/10.3197/096734021x16076828553511.
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In the wake of the Indian Uprising in 1857, British sanitary campaigner and statistician Florence Nightingale renewed her efforts to reform Britain's military forces at home and in India. With the Uprising following so soon after the Crimean War (1854-56), where poor sanitary conditions had also taken an enormous toll, in 1859 Nightingale pressed the British Parliament to establish a Royal Commission on the Sanitary State of the Army in India, which delivered its report in 1863. Western Australia was the only colony to present its case before the Commissioners as an ideal location for a foreign sanatorium, with glowing assessments offered by colonial elites and military physicians. In the meantime, Nightingale had also commenced an investigation into the health of Indigenous children across the British Empire. Nearly 150 schools responded to her survey from Ceylon, Natal, West Africa, Canada and Australia. The latter's returns came from just three schools in Western Australia: New Norcia, Annesfield in Albany and the Sisters of Mercy in Perth, which together yielded the highest death rate of the respondents. Although Nightingale herself saw these inquiries as separate, their juxtaposition invites closer analysis of the ways in which metropolitan elites envisioned particular racial futures for Anglo and indigenous populations of empire, and sought to steer them accordingly. The reports reflect prevailing expectations and anxieties about the social and biological reproduction of white society in the colonies, and the concomitant decline of Indigenous peoples. Read together, these two inquiries reveal the complex ways in which colonial matters of reproduction and dispossession, displacement and replacement, were mutually constituting concerns of empire. In this article I situate the efforts to attract white women and their wombs to the temperate colony of Western Australia from British India in the context of contemporary concerns about Anglo and Aboriginal mortality. In doing so, I reflect on the intersections of gender, race, medicine and environment in the imaginaries of empire in the mid-nineteenth century.
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Ranelli, Sonia, Leon Straker y Anne Smith. "Prevalence of Playing-related Musculoskeletal Symptoms and Disorders in Children Learning Instrumental Music". Medical Problems of Performing Artists 23, n.º 4 (1 de diciembre de 2008): 178–85. http://dx.doi.org/10.21091/mppa.2008.4036.
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Musculoskeletal problems related to playing musical instruments have long been identified with adults, but little is known about their development during childhood. What evidence does exist has not adequately considered risk factors, in particular the effects of gender and age. A cross-sectional questionnaire study gathered data from 731 children enrolled in the instrumental music programs of government primary and secondary schools in Perth, Western Australia. This study, the first in a series investigating risk factors, established the prevalence of playing-related musculoskeletal problems, both symptoms (PRMS) and disorders (PRMD), and the association with gender and age. In this group, 67% of children reported ever experiencing PRMS, with 56% reporting symptoms at least monthly. Females were more likely (odds ratio [OR] 1.5, p = 0.03) to experience symptoms and older children were more likely to have ever experienced symptoms (p < 0.001). Thirty percent reported the experience of a PRMD, being unable to play their instrument as usual. Females (OR 1.5, p = 0.035) and older children (p = 0.001) again were more likely to report the experience of a disorder. For children having reported the experience of a PRMS within the last month, 5% took medication to relieve the problem and 4% visited a health professional to seek advice for the problem.
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Ong, Royston, Samantha Edwards, Denise Howting, Benjamin Kamien, Karen Harrop, Gianina Ravenscroft, Mark Davis et al. "Study protocol of a multicentre cohort pilot study implementing an expanded preconception carrier-screening programme in metropolitan and regional Western Australia". BMJ Open 9, n.º 6 (junio de 2019): e028209. http://dx.doi.org/10.1136/bmjopen-2018-028209.
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IntroductionPreconception carrier screening (PCS) identifies couples at risk of having children with recessive genetic conditions. New technologies have enabled affordable sequencing for multiple disorders simultaneously, including identifying carrier status for many recessive diseases. The aim of the study was to identify the most effective way of delivering PCS in Western Australia (WA) through the public health system.Methods and analysisThis is a multicentre cohort pilot study of 250 couples who have used PCS, conducted at three sites: (1) Genetic Services of Western Australia, (2) a private genetic counselling practice in Perth and (3) participating general practice group practices in the Busselton region of WA. The primary outcome of the pilot study was to evaluate the feasibility of implementing the comprehensive PCS programme in the WA healthcare system. Secondary outcome measures included evaluation of the psychosocial impact of couples, such as reproductive autonomy; identification of areas within the health system that had difficulties in implementing the programme and evaluation of tools developed during the study.Ethics and disseminationApproval was provided by the Women and Newborn Health Service Human Research Ethics Committee (HREC) at King Edward Memorial Hospital for Women (RGS0000000946) and the University of Western Australia (UWA) HREC (RA/4/20/4258). Participants may choose to withdraw at any time. Withdrawal will in no way affect participating couples' medical care. Study couples will be redirected to another participating health professional for consultation or counselling in the event of a health professional withdrawing. All evaluation data will be deidentified and stored in a password-protected database in UWA. In addition, all hard copy data collected will be kept in a locked cabinet within a secure building. All electronic data will be stored in a password-protected, backed-up location in the UWA Institutional Research Data Store. All evaluative results will be published as separate manuscripts, and selected results will be presented at conferences.
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Adam, Helen, Caroline Barratt-Pugh y Yvonne Haig. "Book Collections in Long Day Care: Do they Reflect Racial Diversity?" Australasian Journal of Early Childhood 42, n.º 2 (junio de 2017): 88–96. http://dx.doi.org/10.23965/ajec.42.2.11.
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CHILDREN'S LITERATURE IS IMPORTANT because it nurtures emotional, social, creative and cognitive development, and gives children opportunities to appreciate and respond to diversity. In particular, literature that portrays racial and cultural diversity is a powerful means of promoting understanding of others while affirming individual identity. However, the limited number of studies about the nature and use of literature that reflects diversity in early childhood settings prompted this study, which investigates the nature of book collections in five long day care centres in the metropolitan region of Perth, Western Australia, with a specific focus on the extent to which they reflect racial diversity. Qualitative data was drawn from an audit of the children's book collections (2377 books) across each of the five centres. The findings revealed a lack of representation of racial diversity in those collections and where racial diversity was portrayed, non-dominant cultures were commonly misrepresented through stereotypical images often portraying outdated perspectives.
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Dontje, Manon L., Peter Eastwood y Leon Straker. "Western Australian pregnancy cohort (Raine) Study: Generation 1". BMJ Open 9, n.º 5 (mayo de 2019): e026276. http://dx.doi.org/10.1136/bmjopen-2018-026276.
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PurposeThe purpose of the Raine Study is to improve human health and well-being by studying the life-course of a cohort of Western Australians, based on a life-course conceptual framework that considers interactions between genetics, phenotypes, behaviours, the environment and developmental and social outcomes.ParticipantsBetween May 1989 and November 1991, 2900 pregnant women were enrolled in the Raine Study in Perth, Western Australia. In total, 2730 women gave birth to 2868 children (Generation 2) between August 1989 and April 1992. The mothers and fathers of Generation 2 are referred to as Generation 1 of the Raine Study. In the most recent Generation 1 follow-up, 636 mothers and 462 fathers participated.Findings to dateUntil the 26-year follow-up of Generation 1 the focus of research within the Raine Study was on outcomes in Generation 2, with information on the parents mainly being used to examine its influence on their children’s outcomes. For example, recent findings showed that several characteristics of mothers, such as obesity, early mid-gestational weight gain and socioeconomic status were associated with non-alcoholic fatty liver disease, adiposity and cardiometabolic characteristics in offspring. Other findings showed that parents with back pain were more likely to have offspring who experienced back pain. Also, non-linear and dynamic relationships were found between maternal working hours and offspring overweight or obesity.Future plansThe Raine Study will continue to provide access to its dense longitudinal genetic, phenotypic, behavioural, environmental, developmental and social data to undertake studies with the ultimate goal of improving human health and well-being. Analyses of data from the recent Generation 1 year 26 follow-up are underway.Trial registration numberACTRN12617001599369
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Nicholls, Wendy, Craig Harper, Suzanne Robinson, Martin Persson y Linda Selvey. "Adult-Specific Life Outcomes of Cleft Lip and Palate in a Western Australian Cohort". Cleft Palate-Craniofacial Journal 55, n.º 10 (5 de abril de 2018): 1419–29. http://dx.doi.org/10.1177/1055665618768540.
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Background: People with a cleft of the lip and/or palate (CL/P) differ from their peers due to their facial appearance, hearing and speech difficulties, and the significant time spent attending appointments and recovering from surgical interventions. These differences may impact life outcomes including occupation, income, education, relationships, psychosocial health issues, and lifestyle choices. Methodology: A self-administered questionnaire was posted to 338 former and current patients of the Cleft Lip and Palate Unit of Princess Margaret Hospital (PMH), Perth, Western Australia. Results: Completed questionnaires were returned by 158 former and current patients. In comparison to the Australian Bureau of Statistics, study participants attained equivalent highest education levels, full-time annual income levels, occupational categories, employment rates, and home ownership levels. They did not marry later and demonstrated positive health–related lifestyle behaviors. However independent living was significantly delayed, and the number of romantic relationships, marriages, and children was lower, with separation/divorce rates also being lower. A key finding was that 78% of participants self-reported that they experienced at least 1 psychosocial health issue and more than half experienced anxiety and/or depression. Conclusion: When comparing the sociological outcomes for the study participants, the psychosocial outcomes were the areas of most concern. Further investigation is required to determine the causes for the high self-reported rates of anxiety and/or depression found in this study.
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JACOBY, P., K. GLASS y H. C. MOORE. "Characterizing the risk of respiratory syncytial virus in infants with older siblings: a population-based birth cohort study". Epidemiology and Infection 145, n.º 2 (8 de noviembre de 2016): 266–71. http://dx.doi.org/10.1017/s0950268816002545.
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SUMMARYFrom a population-based birth cohort of 245 249 children born in Western Australia during 1996–2005, we used linkage of laboratory and birth record datasets to obtain data including all respiratory syncytial virus (RSV) detections during infancy from a subcohort of 87 981 singleton children born in the Perth metropolitan area from 2000 to 2004. Using log binomial regression, we found that the risk of infant RSV detection increases with the number of older siblings, with those having ⩾3 older siblings experiencing almost three times the risk (relative risk 2·83, 95% confidence interval 2·46–3·26) of firstborn children. We estimate that 45% of the RSV detections in our subcohort were attributable to infection from an older sibling. The sibling effect was significantly higher for those infants who were younger during the season of peak risk (winter) than those who were older. Although older siblings were present in our cohort, they had very few RSV detections which could be temporally linked to an infant's infection. We conclude that RSV infection in older children leads to less severe symptoms but is nevertheless an important source of infant infection. Our results lend support to a vaccination strategy which includes family members in order to provide maximum protection for newborn babies.
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Tartaglia, Jennifer, Michelle McIntosh, Jonine Jancey, Jane Scott y Andrea Begley. "Exploring Feeding Practices and Food Literacy in Parents with Young Children from Disadvantaged Areas". International Journal of Environmental Research and Public Health 18, n.º 4 (4 de febrero de 2021): 1496. http://dx.doi.org/10.3390/ijerph18041496.
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Early childhood provides an opportunity to optimize growth and development and parents play a fundamental role in forming healthy eating habits in their children. A healthy diet improves quality of life and wellbeing and reduces the risk of chronic disease. The aim of this research was to explore parents’ experiences of feeding 0–5-year-old children and food literacy behaviors. This qualitative study employed a general inductive inquiry approach. Participants were recruited through community-based parenting organizations in disadvantaged areas. Eight focus groups were conducted with 67 parents (92.5% female) living in socially disadvantaged areas within metropolitan Perth of Western Australia. Ten themes emerged from the preliminary analysis and were aligned with domains of relatedness, autonomy, and competence within the self-determination theory. Themes included relatedness (1) feeding is emotional, (2) variations in routine and feeding structures, (3) external influences, autonomy (4) power struggles, (5) it must be quick and easy, (6) lack of strategies for feeding autonomy, competency (7) whatever works, (8) healthy is important but for some unattainable, (9) improvements in food literacy skills, and (10) conflicting information overload. This research informed the development of a food literacy program for parents. Parents faced many challenges when trying to provide healthy food. This research has shown parents would benefit from support to achieve healthy eating practices for their families.
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Bury, Keira, Jonine Jancey y Justine E. Leavy. "Parent Mobile Phone Use in Playgrounds: A Paradox of Convenience". Children 7, n.º 12 (10 de diciembre de 2020): 284. http://dx.doi.org/10.3390/children7120284.
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Creating social and physical environments that promote good health is a key component of a social determinants approach. For the parents of young children, a smartphone offers opportunities for social networking, photography and multi-tasking. Understanding the relationship between supervision, mobile phone use and injury in the playground setting is essential. This research explored parent mobile device use (MDU), parent–child interaction in the playground, parent attitudes and perceptions towards MDU and strategies used to limit MDU in the playground. A mixed-methods approach collected naturalistic observations of parents of children aged 0–5 (n = 85) and intercept interviews (n = 20) at four metropolitan playgrounds in Perth, Western Australia. Most frequently observed MDU was scrolling (75.5%) and telephone calls (13.9%). Increased duration of MDU resulted in a reduction in supervision, parent–child play and increased child injury potential. The camera function offered the most benefits. Strategies to prevent MDU included turning to silent mode, wearing a watch and environmental cues. MDU was found to contribute to reduced supervision of children, which is a risk factor for injury. This is an emerging area of injury prevention indicating a need for broader strategies addressing the complex interplay between the social determinants and the developmental younger years.
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Richards, Michael D., Kate Barnes, Anne-Marie E. Yardley, Kate Hanman, Geoffrey C. Lam y David A. Mackey. "Traumatic hyphaema in children: a retrospective and prospective study of outcomes at an Australian paediatric centre". BMJ Open Ophthalmology 4, n.º 1 (enero de 2019): e000215. http://dx.doi.org/10.1136/bmjophth-2018-000215.
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ObjectiveThis study aims to evaluate the presenting characteristics, management, outcomes and complications for paediatric traumatic hyphaema in Western Australia.Methods and AnalysisA retrospective review of medical records was conducted for consecutive patients ≤16 years of age admitted for traumatic hyphaema to Princess Margaret Hospital for Children (Perth, Australia) between January 2002 and December 2013 (n=82). From this sample, a cohort whose injury occurred ≥5 years prior attended a prospective ocular examination (n=16). Hospital records were reviewed for patient demographics, injury details, management, visual outcomes and complications. The prospective cohort underwent examination for visual and structural outcomes.ResultsMost injuries (72%) resulted from projectile objects. Angle recession was present in 53% and was associated with projectiles (p=0.002). Most eyes (81%) achieved a final visual acuity of 0.3 logarithm of the minimum angle of resolution (logMAR) (20/40) or better. Age ≤5 years and posterior segment injury were significant predictors of final visual acuity poorer than 0.3 logMAR. At ≥5 years post-trauma, injured eyes had greater intraocular pressure (IOP) (p=0.024) and anterior chamber depth (ACD) (p=0.022) compared with sound eyes. IOP asymmetry was associated with angle recession (p=0.008) and ACD asymmetry (p=0.012).ConclusionPoorer visual outcomes are associated with younger age at injury and posterior segment injury. Angle recession and ACD asymmetry are associated with IOP asymmetry 5–12 years after injury.
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Pulker, Claire Elizabeth, Denise Chew Ching Li, Jane Anne Scott y Christina Mary Pollard. "The Impact of Voluntary Policies on Parents’ Ability to Select Healthy Foods in Supermarkets: A Qualitative Study of Australian Parental Views". International Journal of Environmental Research and Public Health 16, n.º 18 (12 de septiembre de 2019): 3377. http://dx.doi.org/10.3390/ijerph16183377.
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Food packaging is used for marketing purposes, providing consumers with information about product attributes at the point-of-sale and thus influencing food choice. The Australian government focuses on voluntary policies to address inappropriate food marketing, including the Health Star Rating nutrition label. This research explored the way marketing via packaging information influences Australian parents’ ability to select healthy foods for their children, and who parents believe should be responsible for helping them. Five 90-min focus groups were conducted by an experienced facilitator in Perth, Western Australia. Four fathers and 33 mothers of children aged 2–8 years participated. Group discussions were audio-recorded and transcribed verbatim and inductive thematic content analysis conducted using NVivo11. Seven themes were derived: (1) pressure of meeting multiple demands; (2) desire to speed up shopping; (3) feeding them well versus keeping them happy; (4) lack of certainty in packaging information; (5) government is trusted and should take charge; (6) food manufacturers’ health messages are not trusted; (7) supermarkets should assist parents to select healthy foods. Food packaging information appears to be contributing to parents’ uncertainty regarding healthy food choices. Supermarkets could respond to parents’ trust in them by implementing structural policies, providing shopping environments that support and encourage healthy food choices.
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Martin, Karen, Alexandra Bremner, Jo Salmon, Michael Rosenberg y Billie Giles-Corti. "Physical, Policy, and Sociocultural Characteristics of the Primary School Environment are Positively Associated With Children’s Physical Activity During Class Time". Journal of Physical Activity and Health 11, n.º 3 (marzo de 2014): 553–63. http://dx.doi.org/10.1123/jpah.2011-0443.
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Background:The objective of this study was to develop a multidomain model to identify key characteristics of the primary school environment associated with children’s physical activity (PA) during class-time.Methods:Accelerometers were used to calculate time spent in moderate-to-vigorous physical activity during class-time (CMVPA) of 408 sixth-grade children (mean ± SD age 11.1 ± 0.43 years) attending 27 metropolitan primary schools in Perth Western Australia. Child and staff self-report instruments and a school physical environment scan administered by the research team were used to collect data about children and the class and school environments. Hierarchical modeling identified key variables associated with CMVPA.Results:The final multilevel model explained 49% of CMVPA. A physically active physical education (PE) coordinator, fitness sessions incorporated into PE sessions and either a trained PE specialist, classroom teacher or nobody coordinating PE in the school, rather than the deputy principal, were associated with higher CMVPA. The amount of grassed area per student and sporting apparatus on grass were also associated with higher CMVPA.Conclusion:These results highlight the relevance of the school’s sociocultural, policy and physical environments in supporting class-based PA. Interventions testing optimization of the school physical, sociocultural and policy environments to support physical activity are warranted.
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Bai, Pulan, Ashleigh Thornton, Leanne Lester, Jasper Schipperijn, Gina Trapp, Bryan Boruff, Michelle Ng, Elizabeth Wenden y Hayley Christian. "Nature Play and Fundamental Movement Skills Training Programs Improve Childcare Educator Supportive Physical Activity Behavior". International Journal of Environmental Research and Public Health 17, n.º 1 (27 de diciembre de 2019): 223. http://dx.doi.org/10.3390/ijerph17010223.
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Background: Physical activity professional development programs for Early Childhood Education and Care (ECEC) educators are a viable strategy for improving preschool children’s physical activity behavior. This pilot intervention evaluated the effectiveness of ‘nature play’ and ‘fundamental movement skills’ (FMS) professional development programs on ECEC educators’ practices on physical activity. Methods: 148 ECEC educators from 20 ECEC centers took part in either the Nature play or FMS professional development programs in Perth, Western Australia. Educators self-reported their physical activity related practices at baseline and three months post-professional development training, using established items. Wilcoxon’s test and adjusted models using Mann–Whitney U tests were run at the individual educator level to examine the change between baseline and post-professional development educator physical activity behavior. Results: Educators’ self-efficacy to engage children to be active significantly increased in both the Nature play and FMS professional development programs (p < 0.05). In the Nature play professional development program, ECEC educators’ perceived time set aside for children to participate in nature-based play increased by 9.2%, and their perceived behavioral control for supporting general and nature-based play activities for preschool children increased by 5% and 10.3%, respectively (p < 0.05). However, these results were no longer significant after adjusting for educator socio-demographics. Conclusion: Both the Nature play and FMS professional development programs were effective in improving educators’ self-efficacy to engage children to be active in Nature play or FMS activities. Larger pragmatic trials are required to confirm the impact of these professional development programs on educator perceived physical activity behavior.
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Bhuiyan, Mejbah Uddin, Thomas L. Snelling, Rachel West, Jurissa Lang, Tasmina Rahman, Caitlyn Granland, Camilla de Gier et al. "The contribution of viruses and bacteria to community-acquired pneumonia in vaccinated children: a case–control study". Thorax 74, n.º 3 (18 de octubre de 2018): 261–69. http://dx.doi.org/10.1136/thoraxjnl-2018-212096.
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IntroductionRespiratory pathogens associated with childhood pneumonia are often detected in the upper respiratory tract of healthy children, making their contribution to pneumonia difficult to determine. We aimed to determine the contribution of common pathogens to pneumonia adjusting for rates of asymptomatic detection to inform future diagnosis, treatment and preventive strategies.MethodsA case–control study was conducted among children <18 years in Perth, Western Australia. Cases were children hospitalised with radiologically confirmed pneumonia; controls were healthy children identified from outpatient and local immunisation clinics. Nasopharyngeal swabs were collected and tested for 14 respiratory viruses and 6 bacterial species by Polymerase chain reaction (PCR). For each pathogen, adjusted odds ratio (aOR; 95% CI) was calculated using multivariate logistic regression and population-attributable fraction (95% CI) for pneumonia was estimated.ResultsFrom May 2015 to October 2017, 230 cases and 230 controls were enrolled. At least one respiratory virus was identified in 57% of cases and 29% of controls (aOR: 4.7; 95% CI: 2.8 to 7.8). At least one bacterial species was detected in 72% of cases and 80% of controls (aOR: 0.7; 95% CI: 0.4 to 1.2). Respiratory syncytial virus (RSV) detection was most strongly associated with pneumonia (aOR: 58.4; 95% CI: 15.6 to 217.5). Mycoplasma pneumoniae was the only bacteria associated with pneumonia (aOR: 14.5; 95% CI: 2.2 to 94.8). We estimated that RSV, human metapneumovirus (HMPV), influenza, adenovirus and Mycoplasma pneumoniae were responsible for 20.2% (95% CI: 14.6 to 25.5), 9.8% (5.6% to 13.7%), 6.2% (2.5% to 9.7%), 4% (1.1% to 7.1%) and 7.2% (3.5% to 10.8%) of hospitalisations for childhood pneumonia, respectively.ConclusionsRespiratory viruses, particularly RSV and HMPV, are major contributors to pneumonia in Australian children.
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Johnston, Robyn, Lydia Hearn, Donna Cross, Laura T. Thomas y Sharon Bell. "Parent voices guide smoking intervention development". Health Education 115, n.º 5 (3 de agosto de 2015): 455–69. http://dx.doi.org/10.1108/he-03-2014-0024.
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Purpose – While parents’ influence on their children’s smoking behaviour is widely recognised, little is known about parents of four to eight year olds’ attitudes and beliefs around smoking cessation and how they communicate with their children about smoking. The purpose of this paper is to explore parents’ perceptions of quitting smoking and their beliefs and actions related to the use of parenting practices to discourage smoking by their children. Design/methodology/approach – Four focus groups and 17 interviews were conducted with parents (n=46) of four to eight year old children in Perth, Western Australia. Findings – Many parents indicated their children strongly influenced their quitting behaviours, however, some resented being made to feel guilty about their smoking because of their children. Parents were divided in their beliefs about the amount of influence they had on their children’s future smoking. Feelings of hypocrisy appear to influence the extent to which parents who smoked talked with their child about smoking. Parents recommended a variety of resource options to support quitting and talking with their child about smoking. Practical implications – Interventions aimed at parents who smoke and have young children should: reinforce parents’ importance as role models; highlight the importance of talking to children about smoking when they are young and provide strategies for maintaining ongoing communication; be supportive and avoid making parents feel guilty; and emphasise that quitting smoking is the best option for their child’s health (and their own), while also providing effective harm minimisation options for parents who have not yet quit. Originality/value – Parents of children of lower primary school age can be highly influential on their children’s later smoking behaviours, thus, effective interventions that address the current beliefs and practices of these parents may be particularly advantageous.
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Miller, Marian y Barbara Hughes. "A Community Partnership with Parents: Investing in the Future". Australian Journal of Primary Health 5, n.º 4 (1999): 28. http://dx.doi.org/10.1071/py99048.
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This article presents the findings of a home based parents support program that focuses on the human environment surrounding children. In collaboration between a health service, a public health unit and a university school of nursing in Perth, Western Australia, a three year (1995-1998) health promotion pilot project has been implemented. The program model is based on the Child Development Program developed in the United Kingdom and Republic of Ireland in the early eighties. This empowerment program is comprehensive, rather than targeting particular issues and focuses on the family's child-rearing environment in holistic terms. Raising the self-esteem of parents is a priority on the grounds that people lacking self-esteem and confidence often struggle to cope with life events and the demands of child rearing. The program, a partnership between community child health nurses and the community, recognises and builds on the skills of experienced mothers. Through semi-structured home visits, these women provide peer support and encouragement for new parents in their fundamental role of parenting. Evaluated through the collection of both qualitative and quantitative data, the outcomes of the pilot project have demonstrated an increase in the self-esteem of mothers, and gains in child development, immunisation, breast-feeding and family nutrition. In addition there is evidence of parents 'looking out for each other' and indications of a strengthening of social cohesion in the local community.
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Durey, A., D. McAullay, B. Gibson y L. M. Slack-Smith. "Oral Health in Young Australian Aboriginal Children". JDR Clinical & Translational Research 2, n.º 1 (27 de septiembre de 2016): 38–47. http://dx.doi.org/10.1177/2380084416667244.
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Despite dedicated government funding, Aboriginal Australians, including children, experience more dental disease than other Australians, despite it being seen as mostly preventable. The ongoing legacy of colonization and discrimination against Aboriginal Australians persists, even in health services. Current neoliberal discourse often holds individuals responsible for the state of their health, rather than the structural factors beyond individual control. While presenting a balanced view of Aboriginal health is important and attests to Indigenous peoples’ resilience when faced with persistent adversity, calling to account those structural factors affecting the ability of Aboriginal people to make favorable oral health choices is also important. A decolonizing approach informed by Indigenous methodologies and whiteness studies guides this article to explore the perceptions and experiences of Aboriginal parents ( N = 52) of young children, mainly mothers, in Perth, Western Australia, as they relate to the oral health. Two researchers, 1 Aboriginal and 1 non-Aboriginal, conducted 9 focus group discussions with 51 Aboriginal participants, as well as 1 interview with the remaining individual, and independently analyzed responses to identify themes underpinning barriers and enablers to oral health. These were compared, discussed, and revised under key themes and interpreted for meanings attributed to participants’ perspectives. Findings indicated that oral health is important yet often compromised by structural factors, including policy and organizational practices that adversely preclude participants from making optimal oral health choices: limited education about prevention, prohibitive cost of services, intensive marketing of sugary products, and discrimination from health providers resulting in reluctance to attend services. Current government intentions center on Aboriginal–non-Aboriginal partnerships, access to flexible services, and health care that is free of racism and proactively seeks and welcomes Aboriginal people. The challenge is whether these good intentions are matched by policies and practices that translate into sustained improvements to oral health for Aboriginal Australians. Knowledge Transfer Statement: Slow progress in reducing persistent oral health disparities between Aboriginal and non-Aboriginal Australians calls for a new approach to this seemingly intractable problem. Findings from our qualitative research identified that structural factors—such as cost of services, little or no education on preventing oral disease, and discrimination by health providers—compromised Aboriginal people’s optimum oral health choices and access to services. The results from this study can be used to recommend changes to policies and practices that promote rather than undermine Aboriginal health and well-being and involve Aboriginal people in decisions about their health care.
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Brennan-Jones, Christopher G., Andrew J. O. Whitehouse, Samuel D. Calder, Cheryl Da Costa, Robert H. Eikelboom, De Wet Swanepoel y Sarra E. Jamieson. "Does Otitis Media Affect Later Language Ability? A Prospective Birth Cohort Study". Journal of Speech, Language, and Hearing Research 63, n.º 7 (17 de julio de 2020): 2441–52. http://dx.doi.org/10.1044/2020_jslhr-19-00005.
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Purpose The aim of the study was to examine whether otitis media (OM) in early childhood has an impact on language development in later childhood. Methods We analyzed data from 1,344 second-generation (Generation 2) participants in the Raine Study, a longitudinal pregnancy cohort established in Perth, Western Australia, between 1989 and 1991. OM was assessed clinically at 6 years of age. Language development was measured using the Peabody Picture Vocabulary Test–Revised (PPVT-R) at 6 and 10 years of age and the Clinical Evaluation of Language Fundamentals–Third Edition at 10 years of age. Logistic regression analysis accounted for a wide range of social and environmental covariates. Results There was no significant relationship between bilateral OM and language ability at 6 years of age (β = −0.56 [−3.78, 2.66], p = .732). However, while scores were within the normal range for the outcome measures at both time points, there was a significant reduction in the rate of receptive vocabulary growth at 10 years of age (PPVT-R) for children with bilateral OM at 6 years of age (β = −3.17 [−6.04, −0.31], p = .030), but not for the combined unilateral or bilateral OM group (β = −1.83 [−4.04, 0.39], p = .106). Conclusions Children with OM detected at 6 years of age in this cohort had average language development scores within the normal range at 6 and 10 years of age. However, there was a small but statistically significant reduction in the rate of receptive vocabulary growth at 10 years of age (on the PPVT-R measure only) in children who had bilateral OM at 6 years of age after adjusting for a range of sociodemographic factors.
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Miteff, Kirstin, Mark Jonathon Walters, Shahriar Raj Zaman, Wendy Nicholls, Steve Singer y David Gillett. "Does the GOSLON yardstick predict the need for orthognathic surgery?" Australasian Journal of Plastic Surgery 1, n.º 1 (30 de enero de 2018): 116–23. http://dx.doi.org/10.34239/ajops.v1i1.61.
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The ability of the GOSLON Yardstick, scored at 9 years of age, to predict the need for orthognathic surgery in a cohort of complete Unilateral Cleft Lip and Palate (UCLP) patients treated in the Cleft Lip and Palate Unit, Princess Margaret Hospital for Children, Perth, Western Australia was assessed. Sixty six consecutively treated UCLP patients with dental models at 9 years of age and details on referral for orthognathic surgery were retrieved from medical and dental records. Cephalometric appraisal at 18 year old patients was also conducted. Twenty four of sixty six patients were referred for orthognathic surgery at growth completion (36%). Referral pattern stratified by GOSLON scores at 9 years of age found that four of four patients (100%), with a GOSLON score of 5 were referred for orthognathic surgery. Eleven of fourteen patients (79%) with a GOSLON 4, four of sixteen patients (25%) with a GOSLON 3 and five of thirty two patients (15%) with a GOSLON 2 were referred. No patient recorded a GOSLON 1 at age 9. Cephalometric appraisals conducted on thirty eight subjects at age 18 significantly discriminated the referral group from the non-referral group. Of the seventeen patients referred for surgery eight fulfilled the objective cephalometric criteria for orthognathic surgery, none of the patients who were not referred for orthognathic surgery fulfilled the objective criteria. The GOSLON Yardstick was found to be a good predictor of the need for orthognathic surgery at growth completion in our unit.
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Bradman, Kate, Katherine Stannage, Sharon O'Brien, Simon Green, Natasha Bear y Meredith Borland. "Randomised controlled trial comparing immobilisation in above-knee plaster of Paris to controlled ankle motion boots in undisplaced paediatric spiral tibial fractures". Emergency Medicine Journal 38, n.º 8 (22 de junio de 2021): 600–606. http://dx.doi.org/10.1136/emermed-2020-210299.
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BackgroundManagement of common childhood spiral tibial fractures, known as toddler’s fractures, has not significantly changed in recent times despite the availability of immobilisation devices known as controlled ankle motion (CAM) boots. We compared standard therapy with these devices on quality-of-life measures.MethodsA prospective randomised controlled trial, comparing immobilisation with an above-knee plaster of Paris cast (AK-POP) with a CAM boot in children aged 1–5 years with proven or suspected toddler’s fractures presenting to a tertiary paediatric ED in Perth, Western Australia, between March 2018 and February 2020. The primary outcome measure was ease of personal care, as assessed by a Care and Comfort Questionnaire (eight questions scored from 0, very easy, to 8, impossible) completed by the caregiver and assessed during three treatment time-points and preintervention and postintervention. Secondary outcome measures included weight-bearing status as well as complications of fracture healing and number of pressure injuries.Results87 patients were randomised (44 CAM boot, median age 2 (IQR 1.5–2.3), 71% male; 43 AK-POP, median age 2 (IQR 1.7–2.8), 80% male), a significant difference in the care and comfort score was demonstrated at all treatment time-points; with the AK-POP group reporting greater personal care needs on assessment on day 2, day 7–10 and 4-week review (all p≤0.001). Weight-bearing status was significantly different at day 7–10 (77.5% CAM vs 53.8% AK-POP, p=0.027). There was no difference in fracture healing or pressure areas between the two treatment groups.ConclusionsImmobilisation of toddler’s fractures in a CAM boot allows faster return to activities of daily living and weight-bearing without any effect on fracture healing.Trial registration numberAustralian New Zealand Clinical Trials Registry (ACTRN12618001311246).
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Penova-Veselinovic, B., P. E. Melton, R. C. Huang, J. L. Yovich, P. Burton, L. A. Wijs y R. J. Hart. "DNA methylation patterns within whole blood of adolescents born from assisted reproductive technology are not different from adolescents born from natural conception". Human Reproduction 36, n.º 7 (23 de abril de 2021): 2035–49. http://dx.doi.org/10.1093/humrep/deab078.
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Abstract STUDY QUESTION Do the epigenome-wide DNA methylation profiles of adolescents born from ART differ from the epigenome of naturally conceived counterparts? SUMMARY ANSWER No significant differences in the DNA methylation profiles of adolescents born from ART [IVF or ICSI] were observed when compared to their naturally conceived, similar aged counterparts. WHAT IS KNOWN ALREADY Short-term and longer-term studies have investigated the general health outcomes of children born from IVF treatment, albeit without common agreement as to the cause and underlying mechanisms of these adverse health findings. Growing evidence suggests that the reported adverse health outcomes in IVF-born offspring might have underlying epigenetic mechanisms. STUDY DESIGN, SIZE, DURATION The Growing Up Healthy Study (GUHS) is a prospective study that recruited 303 adolescents and young adults, conceived through ART, to compare various long-term health outcomes and DNA methylation profiles with similar aged counterparts from Generation 2 from the Raine Study. GUHS assessments were conducted between 2013 and 2017. The effect of ART on DNA methylation levels of 231 adolescents mean age 15.96 ± 1.59 years (52.8% male) was compared to 1188 naturally conceived counterparts, 17.25 ± 0.58 years (50.9% male) from the Raine Study. PARTICIPANTS/MATERIALS, SETTING, METHODS DNA methylation profiles from a subset of 231 adolescents (13–19.9 years) from the GUHS, generated using the Infinium Methylation Epic Bead Chip (EPIC) array were compared to 1188 profiles from the Raine Study previously measured using the Illumina 450K array. We conducted epigenome-wide association approach (EWAS) and tested for an association between the cohorts applying Firth’s bias reduced logistic regression against the outcome of ART versus naturally conceived offspring. Additionally, within the GUHS cohort, we investigated differences in methylation status in fresh versus frozen embryo transfers, cause of infertility as well as IVF versus ICSI conceived offspring. Following the EWAS analysis we investigated nominally significant probes using Gene Set Enrichment Analysis (GSEA) to identify enriched biological pathways. Finally, within GUHS we compared four estimates (Horvath, Hanuum, PhenoAge [Levine], and skin Horvath) of epigenetic age and their correlation with chronological age. MAIN RESULTS AND THE ROLE OF CHANCE Between the two cohorts, we did not identify any DNA methylation probes that reached a Bonferroni corrected P-value < 1.24E−0.7. When comparing IVF versus ICSI conceived adolescents within the GUHS cohort, after adjustment for participant age, sex, maternal smoking, multiple births, and batch effect, three methylation probes (cg15016734, cg26744878 and cg20233073) reached a Bonferroni correction of 6.31E−08. After correcting for cell count heterogeneity, two of the aforementioned probes remained significant and an additional two probes (cg 0331628 and cg 20235051) were identified. A general trend towards hypomethylation in the ICSI offspring was observed. All four measures of epigenetic age were highly correlated with chronological age and showed no evidence of accelerated epigenetic aging within their whole blood. LIMITATIONS, REASONS FOR CAUTION The small sample size coupled with the use of whole blood, where epigenetic differences may occur in other tissue. This was corrected by the utilized statistical method that accounts for imbalanced sample size between groups and adjusting for cell count heterogeneity. Only a small portion of the methylome was analysed and rare individual differences may be missed. WIDER IMPLICATIONS OF THE FINDINGS Our findings provide further reassurance that the effects of the ART manipulations occurring during early embryogenesis, existing in the neonatal period are indeed of a transient nature and do not persist into adolescence. However, we have not excluded that alternative epigenetic mechanisms may be at play. STUDY FUNDING/COMPETING INTEREST(S) This project was supported by NHMRC project Grant no. 1042269 and R.J.H. received funding support from Ferring Pharmaceuticals Pty Ltd. R.J.H. is the Medical Director of Fertility Specialists of Western Australia and a shareholder in Western IVF. He has received educational sponsorship from Merck Sharp & Dohme Corp.- Australia, Merck-Serono Australia Pty Ltd and Ferring Pharmaceuticals Pty Ltd. P.B. is the Scientific Director of Concept Fertility Centre, Subiaco, Western Australia. J.L.Y. is the Medical Director of PIVET Medical Centre, Perth, Western Australia. The remaining authors have no conflicts of interest.
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Michael, Jerrold M. y Madeline A. Michael. "Health Status of the Australian Aboriginal People and the Native Americans —-A Summary Comparison: Presented at the Asia-Pacific Academic Consortium for Public Health's Symposium, “The Health of Children of Indigenous People, ” Perth, Western Australia, Curtin University of Technology, December 14, 1992." Asia Pacific Journal of Public Health 7, n.º 2 (abril de 1994): 132–36. http://dx.doi.org/10.1177/101053959400700210.
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Bhuiyan, Mejbah, Rebecca Pavlos, Sharon O'Brien, Meredith Borland, Sarah Doyle y Christopher Blyth. "1324Clinical Registry for Acute Respiratory Infections in Children in Western Australia". International Journal of Epidemiology 50, Supplement_1 (1 de septiembre de 2021). http://dx.doi.org/10.1093/ije/dyab168.079.
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Abstract Background Acute respiratory infections (ARIs) are the leading cause for emergency presentation and a major driver for antibiotic use in children. In 2020, we established an ARI clinical registry to: evaluate clinical care for ARI to inform clinical guidelines; and as a platform for clinical trials assessing antimicrobial interventions. Methods Any child <16 years presenting to Perth Children’s Hospital Emergency Department (ED) with cough, fever, sore throat and/or difficulty breathing was eligible for enrolment. Using an automated survey sent to parents’ mobile phones, each enrolled child was followed weekly until 28 days or disease recovery (whichever occurred first). Data collected included clinical symptoms, antibiotic prescription, adherence, and duration to return to regular activity (recovery). Results From Feb 2020-April 2021, 448 participants were enrolled (84% <5 years). Fever and cough were the most frequently reported symptoms. Of 448, 274 (61%) ARI cases completed all surveys until recovered. The median recovery length was 9 days (IQR:6-12). The recovery days were longer, although not statistically significant (p > 0.05), in: children who received antibiotics versus those who did not (9.5 days vs. 8); children <5 years versus those over (9 days vs. 7); and children with chronic illnesses versus those without (9 days vs. 8). Conclusions Most children presenting to ED with ARI recover within 10 days. The length of recovery does not vary significantly by age, chronic illnesses, or antibiotic usage. Key messages Registry data provides baseline data to inform clinical trials assessing the role and duration of antibiotics for ARI.
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Trapp, Gina, Paula Hooper, Lukar E. Thornton, Kelly Kennington, Ainslie Sartori, Nicole Wickens y Wesley Billingham. "Exposure to unhealthy food and beverage advertising during the school commute in Australia". Journal of Epidemiology and Community Health, 19 de julio de 2021, jech—2021–217032. http://dx.doi.org/10.1136/jech-2021-217032.
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BackgroundFood marketing exposure has the potential to influence children’s dietary behaviours and health status, however, few studies have identified how ‘obesogenic’ the outdoor food marketing environment is along public transport (bus and/or train) or walking routes that children take to school.MethodsAudits of all outdoor advertisements present along likely train, bus and walking routes to 24 secondary schools (ie, 3 routes per school, 72 routes total) were conducted in Perth, Western Australia (WA). The size, content, type and setting of each advertisement were recorded in accordance with the International Network for Food and Obesity/non-communicable diseases Research, Monitoring and Action Support protocol for monitoring outdoor advertising.ResultsOf the 4016 total advertisements observed, almost half were for food (n=1754, 44%) and of these, 80% (n=1397) advertised discretionary (non-core) foods, and 8% (n=138) advertised healthy (core) foods. On average, commuting to school by train, bus and walking exposed Perth schoolchildren to 37.1, 22 and 4.5 discretionary (non-core) food ads per one-way trip to school, respectively.ConclusionsChildren living in Perth, WA experience a high level of exposure to unhealthy outdoor food advertisements during the school commute. Policies which restrict the placement and content of outdoor advertising, could be a useful strategy in the fight against childhood obesity.