A5054674679- Respiratory viral infections research
- Congenital Diaphragmatic Hernia Studies
- Appendicitis Diagnosis and Management
- Neonatal Respiratory Health Research
- Diverticular Disease and Complications
- Cardiovascular Function and Risk Factors
- Ultrasound in Clinical Applications
- Intestinal Malrotation and Obstruction Disorders
- Pneumonia and Respiratory Infections
- Eosinophilic Esophagitis
- Porphyrin Metabolism and Disorders
- Emergency and Acute Care Studies
- Neonatal Health and Biochemistry
- Tracheal and airway disorders
- Cardiovascular Effects of Exercise
- Methemoglobinemia and Tumor Lysis Syndrome
- Hernia repair and management
- Cardiac Imaging and Diagnostics
- Intimate Partner and Family Violence
- Viral Infections and Vectors
- Radiation Dose and Imaging
- Esophageal and GI Pathology
- Dermatological and COVID-19 studies
- Foreign Body Medical Cases
- Streptococcal Infections and Treatments
Princess Margaret Hospital for Children
2018-2025
The University of Western Australia
2023-2025
Perth Children's Hospital
2018-2025
Johns Hopkins University
2023-2024
Government of Western Australia Department of Health
2023
Armadale Health Service
2023
Tokai University Hospital
2023
UNSW Sydney
2022
Following a relative absence in winter 2020, large resurgence of respiratory syncytial virus (RSV) detections occurred during the 2020/2021 summer Western Australia. This seasonal shift was linked to SARS-CoV-2 public health measures. We examine epidemiology and RSV testing respiratory-coded admissions, compare clinical phenotype RSV-positive admissions between 2019 2020.At single tertiary paediatric centre, International Classification Diseases, 10th edition Australian Modification-coded...
Background: Viral infections are associated with significant morbidity and mortality in neonates. The COVID-19 pandemic led to changes viral epidemiology Western Australia. impact on patients neonatal intensive care is uncertain. Methods: A retrospective cohort study of all infants admitted King Edward Memorial Hospital Perth Children’s Neonatal Intensive Care Units laboratory-confirmed between January 2016 June 2021 was performed. Demographic, clinical, polymerase chain reaction virus type,...
Abstract Objective The objective was to investigate the feasibility of prospectively validating multiple clinical prediction scores (CPSs) for pediatric appendicitis in an Australian emergency department (ED). Methods A literature search conducted identify potential CPSs and a single‐center prospective observational study performed between November 2022 May 2023 evaluate performance identified CPSs. Children 5–15 years presenting with acute right‐sided or generalized abdominal pain clinician...
Introduction Studies examining acute respiratory infections (ARIs) in emergency department (EDs), particularly rural and remote areas, are rare. This study aimed to examine the burden of ARIs among Aboriginal non-Aboriginal children presenting Western Australian (WA) EDs from 2002 2012. Method Using a retrospective population-based cohort linking ED records birth perinatal records, we examined presentation rates for metropolitan, 469 589 births. We used diagnosis information categorise...
Undifferentiated abdominal pain is a common pediatric presentation to the emergency department (ED).The objective of this study was describe prevalence clinically significant pathology (CSAP) including appendicitis, patterns imaging and tests, management outcomes children with in ED.A prospective multicenter observational cohort pilot under age 16 years presenting 4 Australian EDs performed for 1-month period at each site. The primary outcome CSAP appendicitis. Age, sex, length stay, surgery...
Respiratory syncytial virus (RSV) reinfection in children is poorly understood. We examined the incidence, characteristics, and outcomes of hospital-attended RSV reinfections <16 years Western Australia between 2012 2022. Individuals with repeat detections ≥56 days apart were identified using laboratory data. The incidence first five life was estimated total birth population from to 2017. Clinical data on a subset episodes obtained two metropolitan pediatric centers. A 466 identified....
Objective Esophageal foreign body impaction (EFBI) is a common presentation in pediatric emergency medicine. Interventions (medical or endoscopic) are often required because of the severity symptoms and risk complications. Use medical disimpaction (MD) such as glucagon injections effervescent agents (eg, carbonated beverages) has been well described adults; however, there limited data literature. Eosinophilic esophagitis (EoE) relatively “new” clinicopathological entity that may present with...
Abstract Objective Abdominal pain is a common paediatric presentation to the ED. Accurate diagnosis of acute appendicitis challenging, with best‐performing clinical scoring systems having sensitivities between 72% and 100%. The aim this study assess diagnostic accuracy clinician gestalt according seniority in diagnosing Methods This prospective multi‐centre observational clinician's prediction children under age 16 years presenting four EDs abdominal over 1 month period at each site....
Background Left atrial (LA) mechanics are strongly linked with left ventricular (LV) filling. The LA diastasis strain slope (LADSS), which spans between the passive and active emptying phases, may be a key indicator of LA–LV interplay during diastole. Aim This study aimed to investigate interdependencies in post-ST elevation myocardial infarction (STEMI), particular focus on LADSS. Materials methods Patients post-anterior STEMI who received primary percutaneous coronary intervention...
Methaemoglobinaemia (MetHb) is a functional anaemia that can be life-threatening in severe cases. MetHb adults and older children usually results from exposure to toxins ingestion or skin exposure, whereas infants under six months old occurs due well water, metabolic acidosis diarrhoea, or, rare cases, secondary cow’s milk protein allergy (CMPA). In this case report, young infant presented acutely with shock profuse diarrhoea requiring intravenous fluids methylene blue was subsequently...
<sec> <title>BACKGROUND</title> Abdominal pain is a common reason for children to attend the Emergency Department (ED) with acute appendicitis being most surgical cause. Various clinical prediction scores (CPSs) have been developed assist in determining risk of appendicitis; however, CPSs inadequately validated and haphazardly adopted Australia New Zealand (ANZ) EDs. </sec> <title>OBJECTIVE</title> This study aims compare validate various diagnosing paediatric presenting ANZ...
We compared the epidemiology, severity and management of hospitalized respiratory syncytial virus (n = 305) human metapneumovirus 39) bronchiolitis in a setting with high testing (95% admissions tested). Respiratory virus-positive infants were younger tended to require more hydration support longer hospital stays metapneumovirus-positive infants. requirements similar between groups despite significant age differences.
Intimate partner violence (IPV) is an important public health issue with negative effects at individual and societal levels. In northern Uganda, IPV prevalence high but literature on it limited. Northern Uganda has a long history of socio-economic political upheavals, which are recognized risk factors for IPV. We compare among rural urban women in Uganda. This was cross-sectional survey 856 Ugandan women, 409 living areas, 447 working marketplace. Data were analyzed using logistic...