A5068404357- Gestational Diabetes Research and Management
- Mobile Health and mHealth Applications
- Diabetes Management and Research
- Pregnancy and preeclampsia studies
- Pharmaceutical industry and healthcare
- Diabetes and associated disorders
- Diversity and Career in Medicine
- Health Services Management and Policy
- Global Health Workforce Issues
- Innovations in Medical Education
- Pituitary Gland Disorders and Treatments
- Dental Education, Practice, Research
- Neuroendocrine Tumor Research Advances
- Bariatric Surgery and Outcomes
- Prenatal Substance Exposure Effects
- Neuroblastoma Research and Treatments
- Sleep and Work-Related Fatigue
- Medical Malpractice and Liability Issues
- Healthcare cost, quality, practices
- Clinical practice guidelines implementation
- Hospital Admissions and Outcomes
- Thyroid Cancer Diagnosis and Treatment
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Healthcare Operations and Scheduling Optimization
- Breastfeeding Practices and Influences
The University of Melbourne
2023-2025
Western Health
2019-2025
Monash University
2010-2024
Monash Health
2019-2024
Advanced Pharma
2022
St Vincent's Hospital
2022
Skin Health Institute
2022
Royal Children's Hospital
2022
Royal Brisbane and Women's Hospital
2010-2017
Oxford University Hospitals NHS Trust
2013-2015
Background: The increase in gestational diabetes mellitus (GDM) is challenging maternity services. We have developed an interactive, smartphone-based, remote blood glucose (BG) monitoring system, GDm-health. Aims: objective was to determine women’s satisfaction with using the GDm-health system and their attitudes toward care. Methods: In a service development program involving 52 pregnant women (September 2012 June 2013), BG monitored from diagnosis until delivery. Following birth, completed...
Background: Gestational diabetes mellitus (GDM) is defined as new onset or recognition of glucose intolerance in pregnancy. Evidence supports tight blood regulation to prevent adverse maternal and fetal outcomes. Finger-prick (BG) testing with frequent clinic review remains the most common method managing The prevalence GDM rising globally, pressuring resource-limited services. Objectives: We have developed an intuitive, interactive, reliable, accurate management system record BG...
Is a policy of mandatory vaccination for health care workers permissible under Australian law? A multipronged strategy education, and financial social incentives has contributed to Australia's historically widespread uptake vaccines. Mandatory vaccination, however, constitutes greater degree government direction than customary policies. It is therefore worthy discussion in the context advent effective vaccines against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes...
ABSTRACT Background In patients with diabetes, antenatal glucocorticoids can induce transient maternal hyperglycaemia for approximately 72 h. This may be associated adverse outcomes, including neonatal hypoglycaemia, prompting recommendations prophylactic increases in insulin by some expert groups; however, there are no validated protocols. A review of our institutional practice empiric dose escalation (Day 1:25%, Day 2–3:40%, 4:20%, 5:10%) determined it was inadequate to prevent...
The COVID-19 pandemic has brought into focus obligations for health services to protect the and safety of their staff, arising from Occupational, Health Safety legislation duty care owed by a service as an employer. workers, nature work, are particularly at-risk population in context COVID-19. This article examines legal standard that healthcare employers owe staff terms reduction risk exposure, both physically psychologically, COVID-19, obligation provide with personal protective equipment,...
• Clinical guidelines are being increasingly produced to improve quality of care, but vulnerable bias. Only 15% on the National Health and Medical Research Council portal from most prolific developers have published conflict interest statements, fewer detail processes used manage conflicts. Comprehensive disclosure conflicts is needed safeguard integrity clinical medical profession. Peak bodies clinicians should seek promote an improvement current poor practice.
Introduction The prevalence of gestational diabetes mellitus (GDM) is rising in the UK. Good glycaemic control improves maternal and neonatal outcomes. Frequent clinical review patients with GDM by healthcare professionals required owing to rapidly changing physiology pregnancy its unpredictable course. Novel technologies that allow home blood glucose (BG) monitoring results transmitted real time a professional have potential deliver good-quality women more conveniently at lower cost patient...
Proposed lower diagnostic thresholds and treatment targets for gestational diabetes have been controversial internationally. Intervention trials the recently revised Australian are currently lacking. While there may be benefits, lowering cause a number of harms including increased risk hypoglycaemia in pregnant women, greater medicolegal health practitioners, heavier economic costs system. Regional remote care providers particular will costs, overwhelmed attempts to implement new targets. An...
Abstract Peptide receptor radionuclide therapy (PRRT) is an increasingly used treatment for unresectable neuroendocrine tumours (NETs) that express somatostatin receptors. Normal pituitary tissue expresses receptors so patients receiving PRRT may be at risk of developing hypopituitarism. The aim was to assess the prevalence clinically significant hypopituitarism a minimum 2 years following radioisotope metastatic NET. This multicentre study (Australia and New Zealand). Sixty‐six with NETs...
Urticaria has a documented association with the prodromal phases of hepatitis A, B and, although still contentious, likely C. Despite there are few actual reported cases urticaria occurring A infection and in all so far preceded diagnosis was acute rather than chronic. We describe case following which persisted beyond 6 weeks therefore by definition Although chronic been to be associated other forms viral hepatitis, best our knowledge this not previously A.
Carcinoid tumours are rare slow growing which arise from primitive neuroendocrine cells. The effect of the pregnant state on carcinoid and vice versa remains unclear, as does optimal management during pregnancy including labour. We report case a 36 year old primigravida woman with large bilateral pulmonary tumours. patient's disease was minimally symptomatic no clinical suspicion syndrome. Under close observation, progressed well patient proceeded to spontaneous vaginal delivery healthy...
Internship selection is becoming more competitive due to substantial increases in numbers of medical graduates. Australian states operate a “priority system” for internship which discriminates against interstate applicants. This discrimination arguably infringes section 117 the Constitution, seeks ensure that all citizens are treated equally and promotes national unity. The priority system should be reformed. It inequitable inconsistent with other aspects training regulation.
An increasing weight of evidence is demonstrating that sleep deprivation and circadian rhythm disruption in doctors are associated with human error harm to both patients doctors. The junior doctor workforce entering the hospital system Australia provides a rare opportunity for workplace roster reforms. There cultural, educational industrial challenges reforming working hours. Any changes should be evidence-based monitored ensure training patient care not compromised.