456 results on '"Cheek J."'
Search Results
2. A-110 Analytical Performance Evaluation of Diazo Bilirubin Assays on the Atellica CH Analyzer
- Author
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Robinson, C, primary, Sinopoli, A, additional, Blagovcanin, D, additional, Rhea McManus, J, additional, and Cheek, J, additional
- Published
- 2023
- Full Text
- View/download PDF
3. SHORT REPORT: Added value of a household-level study during an outbreak investigation of Salmonella serotype Saintpaul infections, New Mexico 2008
- Author
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BOORE, A. L., JUNGK, J., RUSSO, E. T., REDD, J. T., ANGULO, F. J., WILLIAMS, I. T., CHEEK, J. E., and GOULD, L. H.
- Published
- 2013
4. Estimating the prevalence of active Helicobacter pylori infection in a rural community with global positioning system technology-assisted sampling
- Author
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MELIUS, E. J., DAVIS, S. I., REDD, J. T., LEWIN, M., HERLIHY, R., HENDERSON, A., SOBEL, J., GOLD, B., and CHEEK, J. E.
- Published
- 2013
- Full Text
- View/download PDF
5. The 40th anniversary of the Falklands War: a dialogue
- Author
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Benwell MC, Betts M, Cheek J, Pennell C, Pinkerton A, Wilks N
- Published
- 2022
- Full Text
- View/download PDF
6. Avoiding death: the ultimate challenge in the provision of contemporary healthcare?
- Author
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Cheek, J and Price, K
- Published
- 2007
7. Improving the retirement village to residential aged care transition
- Author
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Cheek, J, Byers, L, Ballantyne, A, and Quan, J
- Published
- 2006
8. Effectiveness and accessibility of virtual Cognitive Behavioural Therapy Skills Group medical visits during COVID-19.
- Author
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Maheshwari, O., Burrell, E., Tomori, C., Phillip, A., Eadie, H., Kotler, M., and Cheek, J.
- Subjects
BEHAVIOR therapy ,COGNITIVE therapy ,HEALTH equity ,GROUPOIDS ,MENTAL health - Abstract
Background: The COVID-19 pandemic amplified the need for community mental health supports--particularly for people with pre-existing health inequities--and social distancing mandates made in-person mental health groups inaccessible. The pandemic forced the Cognitive Behavioural Therapy Skills Group program to rapidly transition from in-person to virtual group delivery for the first time. Methods: From March to December 2020, patients with mild to moderate mental health conditions were referred to the virtual groups. Participants completed online self-report measures (Patient Health Questionnaire-8 and Generalized Anxiety Disorder-7) prior to the first session and after the final session and provided measures of satisfaction and confidence with the skills learned using a 5-point Likert scale. Before and after program results were compared using paired t tests and Cohen's d. A theme analysis of the qualitative data was conducted. Results: In 2020, the virtual program served 1773 participants through 170 groups. High levels of satisfaction with the virtual platform (4.6/5.0) and helpfulness of the program during the pandemic (4.7/5.0) were noted, and the no-attendance rate was 4.7%. Forty-three percent of participants who had previously completed in-person groups preferred the online modality. Conclusions: Virtual groups had equivalent effectiveness, safety, and attendance as prior in-person groups but improved accessibility, equity, and acceptability. Balancing competing values of accessibility, group cohesion, and confidentiality pose ongoing challenges. With the success of the online modality, there is increased accessibility to smaller communities and opportunities for collaboration with care providers across BC. [ABSTRACT FROM AUTHOR]
- Published
- 2022
9. Providing residential care to older Australians: issues for registered nurses
- Author
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Jones, J, Cheek, J, and Ballantyne, A
- Published
- 2002
10. Coping with crisis: how Australian families search for and select an aged care facility for a family member upon discharge from an acute care setting
- Author
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Cheek, J and Ballantyne, A
- Published
- 2001
11. Corrigendum to “Mitochondrial and cytosolic thiol redox state are not detectably altered in isolated human NADH:ubiquinone oxidoreductase deficiency” [Biochim. Biophys. Acta. 2007;1772(9):1041–1051. PMID: 17600689]
- Author
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Verkaart, S., Koopman, W.J., Cheek, J., van Emst-de Vries, S.E., van den Heuvel, L.W., Smeitink, J.A., and Willems, P.H.
- Published
- 2021
- Full Text
- View/download PDF
12. Health risk analysis and sociomedical technologies of the self: private health insurance gets into health promotion.
- Author
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Cheek, J. and Willis, E.
- Published
- 1998
13. Proposed SLR Optical Bench Required to Track Debris Using 1550 nm Lasers
- Author
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Shappirio, M, Coyle, D. B, McGarry, J. F, Bufton, J, Cheek, J. W, Clarke, G, Hull, S. M, Skillman, D. R, Stysley, P. R, Sun, X, Young, R. P, and Zagwodzki, T
- Subjects
Optics - Abstract
A previous study has indicated that by using approx.1550 nm wavelengths a laser ranging system can track debris objects in an "eye safe" manner, while increasing the expected return rate by a factor of approx. 2/unit area of the telescope. In this presentation we develop the optical bench required to use approx.1550nm lasers, and integration with a 532nm system. We will use the optical bench configuration for NGSLR as the baseline, and indicate a possible injection point for the 1550 nm laser. The presentation will include what elements may need to be changed for transmitting the required power on the approx.1550nm wavelength, supporting the alignment of the laser to the telescope, and possible concerns for the telescope optics.
- Published
- 2015
14. Community use of paracetamol and ibuprofen in children with fever
- Author
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Kloeden, B, Tham, D, Oakley, E, Cheek, J, Kloeden, B, Tham, D, Oakley, E, and Cheek, J
- Abstract
OBJECTIVE: To establish, in children aged from 3 months to less than 13 years with a febrile illness, caregiver medication usage patterns and drivers. Secondary objectives assessed caregiver knowledge and concern about fever. METHODOLOGY: This was a prospective, observational study of a convenience sample of 147 children presenting to a tertiary Paediatric Emergency Department, where the caregivers reported a concern of fever within the preceding 48 h. A paper-based survey was completed by the caregivers, and the results analysed both qualitatively and quantitatively. RESULTS: Caregivers of 92.4% had administered medication for fever in the 48 h prior to presentation. Dual therapy of paracetamol and ibuprofen was used by 45.8%, with paracetamol used more frequently as monotherapy (35.4%). Almost one-third of caregivers woke their child to administer medication. Just over one-third of respondents stated that a temperature of less than 38.0°C is a fever. The majority of caregivers (67.6%) said that fever is bad for their child, with 97.9% being concerned by fever. Almost half the children (46.8%) were given medication purely to treat the degree of the temperature. General practitioners were reported as the strongest influence on medication decision (60%). CONCLUSIONS: This study provides insight into current knowledge and practices of parents regarding fever and its treatment. The results of this study may be used to direct future interventions to educate caregivers on this topic.
- Published
- 2021
15. A CASE STUDY OF UNDERGRADUATE CURRICULAR REFORM IN A COLLEGE OF AGRICULTURE
- Author
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Comer, D. A., Cheek, J. G., and Connor, L. J.
- Published
- 1996
16. Added value of a household-level study during an outbreak investigation of Salmonella serotype Saintpaul infections, New Mexico 2008
- Author
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BOORE, A. L., JUNGK, J., RUSSO, E. T., REDD, J. T., ANGULO, F. J., WILLIAMS, I. T., CHEEK, J. E., and GOULD, L. H.
- Published
- 2013
17. Adjuncts to Mechanical Ventilation in ARDS
- Author
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Lynch, James E., Cheek, J. Mark, Chan, Edward Y., and Zwischenberger, Joseph B.
- Published
- 2006
- Full Text
- View/download PDF
18. APPLICABILITY OF THE CATCH, CHALICE, AND PECARN PAEDIATRIC HEAD INJURY CLINICAL DECISION RULES: PILOT DATA FROM A SINGLE AUSTRALIAN CENTRE: 143
- Author
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Lyttle, M. D., Cheek, J. A., Blackburn, C., Oakley, E., and Babl, F. E.
- Published
- 2012
19. Stereotactic breast biopsy as an alternative to open excisional biopsy
- Author
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Cross, Michael J., Evans, W. Phil, Peters, George N., Cheek, J. Harold, Jones, Ronald C., and Krakos, Patricia
- Published
- 1995
- Full Text
- View/download PDF
20. An Outbreak of Rocky Mountain Spotted Fever Associated with a Novel Tick Vector, Rhipicephalus sanguineus, in Arizona, 2004: Preliminary Report
- Author
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DEMMA, LINDA J., EREMEEVA, M., NICHOLSON, W. L., TRAEGER, M., BLAU, D., PADDOCK, C., LEVIN, M., DASCH, G., CHEEK, J., SWERDLOW, D., and MCQUISTON, J.
- Published
- 2006
21. Clinical recognition and management of depression in node negative breast cancer patients treated with tamoxifen
- Author
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Cathcart, Cynthia K., Jones, Stephen E., Pumroy, C. Sue, Peters, George N., Knox, Sally M., and Cheek, J. Harold
- Published
- 1993
- Full Text
- View/download PDF
22. Sub-50 nm gate length SOI transistor development for high performance microprocessors
- Author
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Horstmann, M., Greenlaw, D., Feudel, Th., Wei, A., Frohberg, K., Burbach, G., Gerhardt, M., Lenski, M., Stephan, R., Wieczorek, K., Schaller, M., Hohage, J., Ruelke, H., Klais, J., Huebler, P., Luning, S., Bentum, R. van, Grasshoff, G., Schwan, C., Cheek, J., Buller, J., Krishnan, S., Raab, M., and Kepler, N.
- Published
- 2004
- Full Text
- View/download PDF
23. Clinically important sport-related traumatic brain injuries in children
- Author
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Eapen, N, Davis, GA, Borland, ML, Phillips, N, Oakley, E, Hearps, S, Kochar, A, Dalton, S, Cheek, J, Furyk, Jeremy, Lyttle, MD, Bressan, S, Crowe, L, Dalziel, S, Tavender, E, Babl, FE, Eapen, N, Davis, GA, Borland, ML, Phillips, N, Oakley, E, Hearps, S, Kochar, A, Dalton, S, Cheek, J, Furyk, Jeremy, Lyttle, MD, Bressan, S, Crowe, L, Dalziel, S, Tavender, E, and Babl, FE
- Published
- 2019
24. NASA’s Satellite Laser Ranging Systems for the 21(st) Century
- Author
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McGarry, J. F., Hoffman, E. D., Degnan, J. J., Cheek, J. W., Clarke, C. B., Diegel, I. F., Donovan, H. L., Horvath, J. E., Marzouk, M., Nelson, A. R., Patterson, D. S., Ricklefs, R. L., Shappirio, M. D., Wetzel, S. L., and Zagwodzki, T. W.
- Subjects
Article - Abstract
For over 40 years, NASA's global network of satellite laser ranging (SLR) stations has provided a significant percentage of the global orbital data used to define the International Terrestrial Reference Frame (ITRF). The current NASA legacy network is reaching its end-of-life and a new generation of systems must be ready to take its place. Scientific demands of sub-millimeter precision ranging and the ever-increasing number of tracking targets give aggressive performance requirements to this new generation of systems. Using lessons learned from the legacy systems and the successful development of a prototype station, a new network of SLR stations, called the Space Geodesy Satellite Laser Ranging (SGSLR) systems, is being developed. These will be the state-of-the-art SLR component of NASA's Space Geodesy Project (SGP). Each of SGSLR's nine subsystems has been designed to produce a robust, kilohertz laser ranging system with 24/7 operational capability and with minimal human intervention. SGSLR's data must support the aggressive goals of the Global Geodetic Observing System (GGOS), which are 1 millimeter (mm) position accuracy and 0.1 mm per year stability of the ITRF. This paper will describe the major requirements and accompanying design of the new SGSLR systems, how the systems will be tested, and the expected system performance.
- Published
- 2018
25. Nursing competencies: Ground work in aged and extended care
- Author
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Ballantyne, A., Cheek, J., O'Brien, B., and Pincombe, J.
- Published
- 1998
26. Evaluation of neoadjuvant chemotherapeutic response of locally advanced breast cancer by magnetic resonance imaging
- Author
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Abraham, Dana C., Jones, Ronald C., Jones, Stephen E., Cheek, J. Harold, Peters, George N., Knox, Sally M., Grant, Michael D., Hampe, David W., Savino, Daniel A., and Harms, Steven E.
- Subjects
Breast cancer -- Adjuvant treatment ,Magnetic resonance imaging ,Mammography -- Evaluation ,Health - Published
- 1996
27. Clinically important traumatic brain injuries in children's sports: A prospective PREDICT cohort study.
- Author
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Dalton S., Borland M.L., Phillips N., Kochar A., Gilhotra Y., Cheek J., Eapen N., Babl F.E., Hearps S., Bressan S., Dalton S., Borland M.L., Phillips N., Kochar A., Gilhotra Y., Cheek J., Eapen N., Babl F.E., Hearps S., and Bressan S.
- Abstract
Background: Sports-related head injuries (HIs) are frequent in children. There are few large-scale assessments correlating type of sport and severity of injury in Emergency Department (EDs) presentations. Objective(s): To describe the outcomes of sports-related HIs in a large cohort of patients presenting to EDs in Australia and New Zealand. Method(s): Planned secondary analysis of a prospective observational study of children who presented with a sports-related HIs at 10 Australian/New Zealand paediatric EDs. We assessed epidemiology, clinical characteristics, and outcome of clinically important traumatic brain injury (ciTBI) (death, neurosurgery, intubation > 24 h and admission >2 d with abnormal CT). Relative risk (RR) for ciTBI was calculated for individual sports. Result(s): Of 9,199 patients with HIs aged 5 to <18 years, 3,177 (34.5%) had sports related HIs. 2482 (78.0%) were male. 524 (16.5%) underwent neuroimaging, 64 (2.0%) had traumatic brain injury on CT and 45 (1.4%) ciTBI. Sports categories were high speed (1088, 34.3%), contact (1032, 32.5%), ball sports (495, 15.6%), club/bat (239, 7.5%), water (230, 7.2%), dance related (63, 2.0%) and racket sports (30, 0.9%) with ciTBI in 36 (3.3%) high speed, 6 (2.5%) club/bat and 3 (0.3%) contact sports and none in other sports. For individual sports RRs for ciTBI were horse riding 5.9 (2.5-14.1), bike riding 4.4 (2.6-7.7), skateboarding 3.8 (1.7-8.5), hockey 2.1 (0.5-8.9), football 0.3 (0.0-2.4), rugby 0.23 (0.0-1.7). Conclusion(s): Paediatric sports-related HIs frequently present to EDs. However, ciTBIs are rare with higher rates in horse riding, bike riding and skateboarding.
- Published
- 2018
28. New horizons in the diagnosis and treatment of breast cancer using magnetic resonance imaging
- Author
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Cross, Michael J., Harms, Steven E., Cheek, J. Harold, Peters, George N., and Jones, Ronald C.
- Subjects
Breast cancer -- Diagnosis ,Magnetic resonance imaging ,Health - Abstract
A new nuclear magnetic resonance imaging (MRI) technique, Rotating Delivery of Excitation Off-resonance (RODEO), has been developed to assist surgeons in the diagnosis and treatment of breast cancer. A nonrandomized, prospective study of 100 patients with a high suspicion of breast cancer was conducted; these patients were examined by RODEO and conventional breast imaging, including mammography. Forty-one breasts were removed by mastectomy; each pathologic specimen was examined by sectional analysis. This study was undertaken to determine the extent that RODEO can aid in detecting breast tumors (including multicentric disease ) and in evaluating candidates for conservative breast surgery. RODEO detected 85 pathologically confirmed lesions, 64 of which proved to be malignant. RODEO had a sensitivity of 95%, compared with a sensitivity of 58% for conventional iimaging. More study is needed to determine distinguishing MRI characteristics that are suspicious for malignancy. RODEO may be used clinically to assess multicentricity and response to chemotherapy.
- Published
- 1993
29. International Variability in Gastrointestinal Decontamination With Acute Poisonings
- Author
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Mintegi S., Dalziel S.R., Azkunaga B., Prego J., Arana-Arri E., Acedo Y., Martinez-Indart L., Benito J., Kuppermann N., Waisman Y., Osmond M., Johnson D., Chamberlain J., Macias C.G., Kharbanda A., Babl F.E., Sutter M., Cohen D., Lloyd J., Duffy E., Mahajan P., Wang G.S., Bradin S.A., Ramirez J., Stephenson S., Carison A., Craig S., Graudins A., Cheek J., Bonish M., Van De Voorde P., Idrissi S.H., Petrovska A., Mercier J.C., Morin L., Cheron G., Szabo E., Nagy R., Bognar Z., Simon G., Balla G., Juhasz E., Martin C., Koshy R., Mc Namara R., Waisman Y.H., Amir L., Da Dalt L., Moretti C., Norbedo S., Salvatore R., Debbia C., Arrighini A., Botarelli P., Pisani M., Ponticiello E., Tipo E., Moll H., Bilhota X., Garrido A., Gata L., MacAo P., Lima S.C., Araujo E Sa G., Almeida S., Gafencu M., Babeu A., Moldovan D., Mitrofan D.M., Yanez F.J.H., Andres A.G.A., Del Campo Munoz T., Mendivil R., Olomi I.B., Fabrega I Sabate J., Orive I.I., Roca A., Fernandez R., Lope A.J., Canduela V., Mesa S., Bel C.G.-V., Millan A.B., Herrero L., Calleja C.C., Molina J.C., Herrero M.A.G., Canduela C., Gutierrez P.B., Velasco R., Sanchez L.M., Mengual L.M., Suarez J.R., Salmon N., Bernal J.A.M., Avila J.L., Lopez P.V., May E., Olmo J.C., Corominas V.L., Garcia M.T., Ruperez E.C., Saez A.P., Ron M.S., Puyo P.V., Mesa J., Pociello N., Mercado M.G., Seiler M., Gasser C.R.-B., Pittet A., Gervaix A., Manzano S., Saz E.U., Yurtseven A., Anil M., Oguz S., Tekin D., Kurt F., Ryan M., Hoyle A., Lyttle M.D., Potter S., Babakhanlou R., Cagnasia S., Berzel H., Cargnel E., Gordillo E., Gait N., Mendez M.M., Haas A.I., Quevedo M.G., Varela M.M.P., Regnando M., Rino P.B., Cerino V.T., Tobares H., Bruno F., Godoy L., Pavlicich V., Casella W., Larraz G.A.G., Ferreira M.I., Pedemonti A., Antunez E., Dall'Orso P., Mas M., Torello P., Parodi V., Pandolfo S., Gariglio L.G., Arreseigor E., Gugliemone H., Yemini L., Qureshi N., Fayyaz J., and Ege Üniversitesi
- Subjects
Male ,Internationality ,Cross-sectional study ,medicine.medical_treatment ,0302 clinical medicine ,Risk Factors ,Medicine ,Prospective Studies ,Child ,Prospective cohort study ,health care economics and organizations ,Decontamination ,Emergency Service ,ddc:618 ,Poisoning ,ComputingMilieux_MANAGEMENTOFCOMPUTINGANDINFORMATIONSYSTEMS ,Decontamination/methods ,Charcoal ,Child, Preschool ,Female ,InformationSystems_MISCELLANEOUS ,Emergency Service, Hospital ,Poisoning/therapy ,Cross-Cultural Comparison ,medicine.medical_specialty ,Adolescent ,education ,Gastrointestinal decontamination ,Hospital ,03 medical and health sciences ,Ipecac ,030225 pediatrics ,Humans ,Quality of care ,Preschool ,Intensive care medicine ,Gastric Lavage ,business.industry ,ComputerSystemsOrganization_COMPUTER-COMMUNICATIONNETWORKS ,Infant, Newborn ,Infant ,Charcoal/administration & dosage ,030208 emergency & critical care medicine ,Newborn ,Gastric lavage ,Confidence interval ,Ipecac/administration & dosage ,Cross-Sectional Studies ,ComputingMethodologies_PATTERNRECOGNITION ,Activated charcoal ,Multicenter study ,Pediatrics, Perinatology and Child Health ,Emergency medicine ,business - Abstract
PubMed ID: 28771410, BACKGROUND AND OBJECTIVES: Identifying international differences in the management of acute pediatric poisonings may help improve the quality of care. The objective of this study was to assess the international variation and appropriateness of gastrointestinal decontamination (GID) procedures performed in children and adolescents who present with acute poisonings to emergency departments. METHODS: This was an international, multicenter, cross-sectional prospective study including children
- Published
- 2017
30. Tumor hormone receptor status and recurrences in premenopausal patients with node-negative breast carcinoma
- Author
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Tsangaris, Theodore N., Knox, Sally M., and Cheek, J. Harold
- Subjects
Hormone receptors -- Physiological aspects ,Breast cancer -- Prognosis ,Health - Published
- 1992
31. Breast cancer in women under 35 years of age
- Author
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Schmidt, R. Thomas, Tsangaris, Theodore N., and Cheek, J. Harold
- Subjects
Breast cancer -- Prognosis ,Breast cancer -- Demographic aspects ,Young women -- Diseases ,Health - Abstract
A review was undertaken of 226 patients with primary breast carcinoma who were 35 years of age, or younger, from 1960 to 1987. Comparisions to other studies of young and older women were made for clinical, pathologic, and survival characteristics. Young patients with breast cancer share many of the same disease characteristics of tumor type, location, size, and nodal involvement as their older counterparts. Five- and 10-year survival rates were comparable for patients with stage I or stage II disease and negative axillary lymph nodes. However, patients with stage II disease and positive nodes apper to have a decreased survival compared with older patients., The incidence of breast cancer is highest among women between the ages of 45 and 55. Younger women usually account for a small portion of breast cancer patients. There is disagreement regarding the influence of patient age on prognosis. A report is presented of 25 years of experience in treating breast cancer in who were women 35 and younger. Between 1960 and 1987, 226 women under the age of 35 were treated for breast cancer. The average age was 31.3 years; 23 percent of patients had a family history of breast cancer (9 percent of related family cases involved a mother or a sister). Thirteen percent (27 patients) were pregnant or had delivered a baby within the previous 12 months. There were 65 patients with stage I disease (least advanced, on a scale of I to IV), 113 with stage II, and 28 with Stage III or IV disease. No spread to the lymph nodes was found in 60 percent of the patients. Follow-up was available for 206 subjects for an average of time span of seven years. The results for this group of young women were compared with other reported studies of other young women and older women with breast cancer. Comparisons were made on clinical and pathological characteristics and survival. The types of tumor, location, size, and involvement of lymph nodes were similar for the older and younger age groups. In both age groups, survival for those with stage I or stage II disease without lymph node involvement was similar at 5 and at 10 years. However, younger women with stage II disease that had spread to the lymph nodes had poorer survival than their older counterparts. (Consumer Summary produced by Reliance Medical Information, Inc.)
- Published
- 1991
32. NASA's satellite laser ranging systems for the twenty-first century.
- Author
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McGarry, J. F., Hoffman, E. D., Degnan, J. J., Cheek, J. W., Clarke, C. B., Diegel, I. F., Donovan, H. L., Horvath, J. E., Marzouk, M., Nelson, A. R., Patterson, D. S., Ricklefs, R. L., Shappirio, M. D., Wetzel, S. L., and Zagwodzki, T. W.
- Subjects
LASER ranging ,TWENTY-first century ,SATELLITE geodesy ,LEGACY systems ,SYSTEMS development ,ELECTRIC vehicle charging stations - Abstract
For over 40 years, NASA's global network of satellite laser ranging (SLR) stations has provided a significant percentage of the global orbital data used to define the International Terrestrial Reference Frame (ITRF). The current NASA legacy network is reaching its end-of-life and a new generation of systems must be ready to take its place. Scientific demands of sub-millimeter precision ranging and the ever-increasing number of tracking targets give aggressive performance requirements to this new generation of systems. Using lessons learned from the legacy systems and the successful development of a prototype station, a new network of SLR stations, called the Space Geodesy Satellite Laser Ranging (SGSLR) systems, is being developed. These will be the state-of-the-art SLR component of NASA's Space Geodesy Project. Each of SGSLR's nine subsystems has been designed to produce a robust, kilohertz laser ranging system with 24/7 operational capability and with minimal human intervention. SGSLR's data must support the aggressive goals of the Global Geodetic Observing System, which are 1 millimeter (mm) position accuracy and 0.1 mm per year stability of the ITRF. This paper will describe the major requirements and accompanying design of the new SGSLR systems, how the systems will be tested, and the expected system performance. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
33. NASA’s satellite laser ranging systems for the twenty-first century
- Author
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McGarry, J. F., primary, Hoffman, E. D., additional, Degnan, J. J., additional, Cheek, J. W., additional, Clarke, C. B., additional, Diegel, I. F., additional, Donovan, H. L., additional, Horvath, J. E., additional, Marzouk, M., additional, Nelson, A. R., additional, Patterson, D. S., additional, Ricklefs, R. L., additional, Shappirio, M. D., additional, Wetzel, S. L., additional, and Zagwodzki, T. W., additional
- Published
- 2018
- Full Text
- View/download PDF
34. International variability in gastrointestinal decontamination with acute poisonings.
- Author
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Moretti C., Ponticiello E., Tipo E., Pisani M., Millan A.B., Herrero L., Calleja C.C., Molina J.C., Herrero M.A.G., Canduela C., Gutierrez P.B., Velasco R., Sanchez L.M., Mengual L.M., Suarez J.R., Salmon N., Bernal J.A.M., Avila J.L., Lopez P.V., May E., Olmo J.C., Corominas V.L., Garcia M.T., Ruperez E.C., Saez A.P., Ron M.S., Puyo P.V., Mesa J., Pociello N., Mercado M.G., Seiler M., Gasser C.R.-B., Pittet A., Gervaix A., Manzano S., Saz E.U., Yurtseven A., Anil M., Oguz S., Tekin D., Kurt F., Ryan M., Hoyle A., Lyttle M.D., Potter S., Babakhanlou R., Cagnasia S., Berzel H., Cargnel E., Gordillo E., Gait N., Mendez M.M., Haas A.I., Quevedo M.G., Varela M.M.P., Regnando M., Rino P.B., Cerino V.T., Tobares H., Bruno F., Godoy L., Pavlicich V., Casella W., Larraz G.A.G., Ferreira M.I., Pedemonti A., Antunez E., Dall'Orso P., Mas M., Torello P., Parodi V., Pandolfo S., Gariglio L.G., Arreseigor E., Gugliemone H., Yemini L., Qureshi N., Fayyaz J., Mintegi S., Dalziel S.R., Azkunaga B., Prego J., Arana-Arri E., Acedo Y., Martinez-Indart L., Benito J., Kuppermann N., Waisman Y., Osmond M., Johnson D., Chamberlain J., Macias C.G., Kharbanda A., Babl F.E., Sutter M., Cohen D., Lloyd J., Duffy E., Mahajan P., Wang G.S., Bradin S.A., Ramirez J., Stephenson S., Carison A., Craig S., Graudins A., Cheek J., Bonish M., Van De Voorde P., Idrissi S.H., Petrovska A., Mercier J.C., Morin L., Cheron G., Szabo E., Nagy R., Bognar Z., Simon G., Balla G., Juhasz E., Martin C., Koshy R., Mc Namara R., Waisman Y.H., Amir L., Da Dalt L., Norbedo S., Salvatore R., Debbia C., Arrighini A., Botarelli P., Moll H., Bilhota X., Garrido A., Gata L., MacAo P., Lima S.C., Araujo E Sa G., Almeida S., Gafencu M., Babeu A., Moldovan D., Mitrofan D.M., Yanez F.J.H., Andres A.G.A., Del Campo Munoz T., Mendivil R., Olomi I.B., Fabrega I Sabate J., Orive I.I., Roca A., Fernandez R., Lope A.J., Canduela V., Mesa S., Bel C.G.-V., Moretti C., Ponticiello E., Tipo E., Pisani M., Millan A.B., Herrero L., Calleja C.C., Molina J.C., Herrero M.A.G., Canduela C., Gutierrez P.B., Velasco R., Sanchez L.M., Mengual L.M., Suarez J.R., Salmon N., Bernal J.A.M., Avila J.L., Lopez P.V., May E., Olmo J.C., Corominas V.L., Garcia M.T., Ruperez E.C., Saez A.P., Ron M.S., Puyo P.V., Mesa J., Pociello N., Mercado M.G., Seiler M., Gasser C.R.-B., Pittet A., Gervaix A., Manzano S., Saz E.U., Yurtseven A., Anil M., Oguz S., Tekin D., Kurt F., Ryan M., Hoyle A., Lyttle M.D., Potter S., Babakhanlou R., Cagnasia S., Berzel H., Cargnel E., Gordillo E., Gait N., Mendez M.M., Haas A.I., Quevedo M.G., Varela M.M.P., Regnando M., Rino P.B., Cerino V.T., Tobares H., Bruno F., Godoy L., Pavlicich V., Casella W., Larraz G.A.G., Ferreira M.I., Pedemonti A., Antunez E., Dall'Orso P., Mas M., Torello P., Parodi V., Pandolfo S., Gariglio L.G., Arreseigor E., Gugliemone H., Yemini L., Qureshi N., Fayyaz J., Mintegi S., Dalziel S.R., Azkunaga B., Prego J., Arana-Arri E., Acedo Y., Martinez-Indart L., Benito J., Kuppermann N., Waisman Y., Osmond M., Johnson D., Chamberlain J., Macias C.G., Kharbanda A., Babl F.E., Sutter M., Cohen D., Lloyd J., Duffy E., Mahajan P., Wang G.S., Bradin S.A., Ramirez J., Stephenson S., Carison A., Craig S., Graudins A., Cheek J., Bonish M., Van De Voorde P., Idrissi S.H., Petrovska A., Mercier J.C., Morin L., Cheron G., Szabo E., Nagy R., Bognar Z., Simon G., Balla G., Juhasz E., Martin C., Koshy R., Mc Namara R., Waisman Y.H., Amir L., Da Dalt L., Norbedo S., Salvatore R., Debbia C., Arrighini A., Botarelli P., Moll H., Bilhota X., Garrido A., Gata L., MacAo P., Lima S.C., Araujo E Sa G., Almeida S., Gafencu M., Babeu A., Moldovan D., Mitrofan D.M., Yanez F.J.H., Andres A.G.A., Del Campo Munoz T., Mendivil R., Olomi I.B., Fabrega I Sabate J., Orive I.I., Roca A., Fernandez R., Lope A.J., Canduela V., Mesa S., and Bel C.G.-V.
- Abstract
BACKGROUND AND OBJECTIVES: Identifying international differences in the management of acute pediatric poisonings may help improve the quality of care. The objective of this study was to assess the international variation and appropriateness of gastrointestinal decontamination (GID) procedures performed in children and adolescents who present with acute poisonings to emergency departments. METHOD(S): This was an international, multicenter, cross-sectional prospective study including children <18 years with poisoning exposures presenting to 105 emergency departments in 20 countries from 8 global regions belonging to the Pediatric Emergency Research Networks. Data collection started between January and September 2013 and continued for 1 year. The appropriateness of GID procedures performed was analyzed using the American Academy of Clinical Toxicology and the European Association of Poisons Centres and Clinical Toxicologists' recommendations. Multivariate logistic regression was performed to identify independent risk factors for performing GID procedures. RESULT(S): We included 1688 patients, 338 of whom (20.0%, 95% confidence interval 18.1%-22.0%) underwent the following GID procedures: activated charcoal (166, 49.1%), activated charcoal and gastric lavage (122, 36.1%), gastric lavage (47, 13.9%), and ipecac (3, 0.9%). In 155 (45.8%, 40.5%-51.2%), the GID procedure was considered appropriate, with significant differences between regions. Independent risk factors for GID procedures included age, toxin category, mechanism of poisoning, absence of symptoms, and the region where the intoxication occurred (P < .001). CONCLUSION(S): Globally, there are substantial differences in the use and appropriateness of GID procedures in the management of pediatric poisonings. International best practices need to be better implemented.Copyright © 2017 by the American Academy of Pediatrics.
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- 2017
35. Paediatric abusive head trauma in the emergency department: A multicentre prospective cohort study.
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Crowe L., Pfeiffer H., Hearps S., Anderson V., Borland M., Phillips N., Babl F., Kochar A., Dalton S., Cheek J., Gilhotra Y., Furyk J., Neutze J., Dalziel S., Lyttle M., Bressan S., Donath S., Molesworth C., Baylis A., Oakley E., Crowe L., Pfeiffer H., Hearps S., Anderson V., Borland M., Phillips N., Babl F., Kochar A., Dalton S., Cheek J., Gilhotra Y., Furyk J., Neutze J., Dalziel S., Lyttle M., Bressan S., Donath S., Molesworth C., Baylis A., and Oakley E.
- Abstract
Background: Abusive head trauma (AHT) is associated with high morbidity and mortality. It may be difficult to detect in the emergency department (ED). Objective(s): To determine how cases of suspected AHT differ from non-abusive head injuries in the ED setting. Method(s): Planned secondary analysis of prospective multicentre cohort study of children aged <18 years across 10 centres in Australia and New Zealand with head injuries. We identified cases of suspected AHT when ED clinicians identified such suspicion on a clinical report form or based on research assistant assigned epidemiology codes. We compared suspected AHT cases and non-AHT cases using risk ratios with 95% confidence intervals (CIs). We assessed the rate of clinically important traumatic brain injuries [ciTBI: death; neurosurgery; intubation >1 day, admission >2 days with abnormal computed tomography (CT) scan]. Result(s): AHT was suspected in 103 of 20 137 (0.5%) headinjured children. Mean age was 2.4 years (SD 4.0). GCS was <12 in 9 (8.7%). 12 (11.7%) presented with seizures. 71 (68.9%) underwent CT head scan, of which 49 (69.0%) were abnormal. 80 (77.7%) children were admitted. Neurosurgery was performed in 3, and 2 children died. 23 (22.3%) had ciTBI. RRs (95% CI) for AHT vs. non AHT were: LOC 1.4 (0.7-2.7), vomiting 1.6 (1.2-2.2), scalp haematoma 2.3 (2.0-2.6), GCS <12 8.5 (4.5-16.0), abnormal neuroimaging 16.4 (13.2-20.4), neurosurgery 7.4 (2.4-22.9), mortality 29.9 (6.8-130.9) and ciTBI 17.4 (6.8-25.5). Conclusion(s): In the ED, clinical presentation in children with suspected AHT differs from non-AHT cases. Suspected cases of AHT are at increased risk of abnormal CT scans, ciTBI and death.
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- 2017
36. Paediatric intentional head injuries in the emergency department: A multicentre prospective cohort study.
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Bressan S., Lyttle M., Donath S., Babl F., Crowe L., Oakley E., Baylis A., Molesworth C., Pfeiffer H., Hearps S., Anderson V., Borland M., Phillips N., Kochar A., Dalton S., Cheek J., Gilhotra Y., Furyk J., Neutze J., Dalziel S., Bressan S., Lyttle M., Donath S., Babl F., Crowe L., Oakley E., Baylis A., Molesworth C., Pfeiffer H., Hearps S., Anderson V., Borland M., Phillips N., Kochar A., Dalton S., Cheek J., Gilhotra Y., Furyk J., Neutze J., and Dalziel S.
- Abstract
Background: While the majority of head injuries in children are non-intentional, there is limited information on intentional injuries outside abusive head trauma. Objective(s): To investigate intentional head injuries in terms of demographics, epidemiology and severity. Method(s): Planned secondary analysis of prospective multicentre cohort study of children aged <18 years across 10 centres in Australia and New Zealand. Victorian state epidemiology codes (intent, activity, place, mechanism) were used to prospectively code the injuries. Data were descriptively analysed. Result(s): Intentional injuries were found in 441 of 20 137 (2.2%) head-injured children. Injuries were caused by peers (166, 37.6%), by caregiver (103, 23.4%), by sibling (47, 10.7%), due to attack by stranger (35, 7.9%), attack by person with unknown relation to patient (19, 4.3%), intentional self-harm (7, 1.6%), other cause or undetermined (64, 28.2%). Children were <2 years old in 75.7% injuries caused by caregivers and 8.3% in other causes. Overall, 71.0% of victims were male. Admission rates varied from 77.7% for assault by caregiver, 37.1% attack by stranger, 22.3% by peer and 8.5% by sibling. Peer assaults were related to sports in 69 cases (41.6%), with highest frequency in contact sports, rugby (40.6) and Australian football (26.1%). Conclusion(s): Intentional head injuries are infrequent in children. The most frequent cause is peer assault, often during sports, and injuries caused by caregivers.
- Published
- 2017
37. NOTES ON PUBLIC COLLECTIONS
- Author
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WALSH, T. J., COOPER, ROLAND E., STENNING, L., and CHEEK, J.
- Published
- 1947
38. Abstract S4-05: Expression of the DEK oncogene promotes M2 polarization and iron recycling in tumor associated macrophages
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Privette Vinnedge, LM, primary, Pease, NA, additional, and Cheek, J, additional
- Published
- 2017
- Full Text
- View/download PDF
39. Self-management training in cognitive-behavioral therapy skills: A project to address unmet mental health needs in Victoria, BC.
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Cheek, J., Burrell, E., and Tomori, C.
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MENTAL health services , *COGNITIVE therapy , *MENTAL health , *CLIENT satisfaction , *SOCIAL adjustment - Abstract
Background: The total cost of mental health disorders to Canada’s economy is estimated to be more than $50 billion annually. Although evidence supports the use of cognitive-behavioral therapy for depression and anxiety disorders, access to therapy is limited. This is especially the case in the Vancouver Island community of Victoria, where depression and anxiety are prevalent but treatment is difficult to obtain. In 2015 the Cognitive Behavioural Therapy (CBT) Skills Group program was initiated to provide early, destigmatizing, equitable, and timely intervention on a large scale and to enhance collaborative care between psychiatrists and family physicians. Funding was provided by the Shared Care Committee with contributions from the Victoria Division of Family Practice and Island Health. Family physicians were trained by psychiatrists to facilitate the CBT-based training to be delivered in 90-minute group medical visits over 8 consecutive weeks. A referral centre was established and participants were asked to sign up online to join a skills group of 15 members. Methods: Four psychometric scales were used to measure participant depression symptoms, anxiety symptoms, and functional disability: the Patient Health Questionnaire-8 (PHQ-8), the Generalized Anxiety Disorder-7 (GAD-7) scale, the Work and Social Adjustment Scale (WSAS), and the Sheehan Disability Scale (SDS). Participants used these scales to provide preintervention and postintervention self-reports. As well, participants rated the impact of the program and provided qualitative feedback. All participant responses were converted into non-nominal data and analyzed by an external agency (Reichert and Associates). A wait-time analysis was also conducted partway through the project period. Results: From September 2015 to April 2018, a total of 2352 participants registered in 149 CBT skills groups. The majority of participants were female (1820) and their average age was 46 years. More than half of participants attended most sessions. Self-reports were collected from 874 of 1403 participants attending six or more of the eight sessions for a response rate of 62%. Mean symptom scores on psychometric scales for anxiety, depression, and functional disability indicated improvement, with many participants demonstrating a shift from moderate to mild levels of symptom severity (n = 802). The average participant satisfaction rating for the program on a 5-point Likert scale was 4.66. The wait-time analysis showed that approximately three-quarters of participants referred had entered a group within 3 months of referral (628 of 832), and approximately one-quarter entered a group within 1 month of referral (204 of 832). Conclusions: The self-report data analyzed during the project suggest participants in the CBT Skills Group program experienced a reduction in symptoms of depression and anxiety. However, these results must be interpreted cautiously because data were not collected for research purposes but for program quality improvement. A particular challenge encountered during the project was the lack of resources to individually screen and prepare each patient. Consequently, patients who were not a good fit for group CBT delivery (e.g., patients with personality disorder or active trauma symptoms) were occasionally referred. While it may seem costly to use family physicians to facilitate CBT skills groups, the cost of usual care wherein family physicians provide four 20-minute individual appointments ($209.80) was comparable to the per-person cost of the intervention ($197.52), where patients receive 12 hours of physician-led group time, making the skills groups a cost-effective and equitable way to deliver early intervention services. Current limitations in mental health care also make physicians the only viable service providers. Furthermore, having family physicians deliver mental health services may reduce stigma by showing that mental health affects general health and is valued as a vital part of primary care. [ABSTRACT FROM AUTHOR]
- Published
- 2019
40. An open letter to The BMJ editors on qualitative research
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Greenhalgh, T., Annandale, E., Ashcroft, R., Barlow, J., Black, N., Bleakley, A., Boaden, R., Braithwaite, J., Britten, N., Carnevale, F., Checkland, K., Cheek, J., Clark, A., Cohn, S., Coulehan, J., Crabtree, B., Cummins, S., Davidoff, F., Davies, H., Dingwall, R., Dixon-Woods, M., Elwyn, G., Engebretsen, E., Ferlie, E., Fulop, N., Gabbay, J., Gagnon, M.P., Galasinski, D., Garside, R., Gilson, L., Griffiths, P., Hawe, P., Helderman, J.K., Hodges, B., Hunter, D., Kearney, M., Kitzinger, C., Kitzinger, J., Kuper, A., Kushner, S., May, A.L., Légaré, F., Lingard, L., Locock, L., Maben, J., Macdonald, M.E., Mair, F., Mannion, R., Marshall, M., May, C., Mays, N., McKee, L., Miraldo, M., Morgan, D., Morse, J., Nettleton, S., Oliver, S., Pearce, W., Pluye, P., Pope, C., Robert, G., Roberts, C., Rodella, S., Rycroft-Malone, J., Sandelowski, M., Shekelle, P., Stevenson, F., Straus, S., Swinglehurst, D., Thorne, S., Tomson, G., Westert, G.P., Wilkinson, S., Williams, B., Young, T., Ziebland, S., Greenhalgh, T., Annandale, E., Ashcroft, R., Barlow, J., Black, N., Bleakley, A., Boaden, R., Braithwaite, J., Britten, N., Carnevale, F., Checkland, K., Cheek, J., Clark, A., Cohn, S., Coulehan, J., Crabtree, B., Cummins, S., Davidoff, F., Davies, H., Dingwall, R., Dixon-Woods, M., Elwyn, G., Engebretsen, E., Ferlie, E., Fulop, N., Gabbay, J., Gagnon, M.P., Galasinski, D., Garside, R., Gilson, L., Griffiths, P., Hawe, P., Helderman, J.K., Hodges, B., Hunter, D., Kearney, M., Kitzinger, C., Kitzinger, J., Kuper, A., Kushner, S., May, A.L., Légaré, F., Lingard, L., Locock, L., Maben, J., Macdonald, M.E., Mair, F., Mannion, R., Marshall, M., May, C., Mays, N., McKee, L., Miraldo, M., Morgan, D., Morse, J., Nettleton, S., Oliver, S., Pearce, W., Pluye, P., Pope, C., Robert, G., Roberts, C., Rodella, S., Rycroft-Malone, J., Sandelowski, M., Shekelle, P., Stevenson, F., Straus, S., Swinglehurst, D., Thorne, S., Tomson, G., Westert, G.P., Wilkinson, S., Williams, B., Young, T., and Ziebland, S.
- Abstract
Contains fulltext : 165909.pdf (publisher's version ) (Open Access)
- Published
- 2016
41. Nasogastric Hydration in Infants with Bronchiolitis Less Than 2 Months of Age.
- Author
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Babl F.E., Oakley E., Bata S., Rengasamy S., Krieser D., Cheek J., Jachno K., Babl F.E., Oakley E., Bata S., Rengasamy S., Krieser D., Cheek J., and Jachno K.
- Abstract
Objectives To determine whether nasogastric hydration can be used in infants less than 2 months of age with bronchiolitis, and characterize the adverse events profile of these infants compared with infants given intravenous (IV) fluid hydration. Study design A descriptive retrospective cohort study of children with bronchiolitis under 2 months of age admitted for hydration at 3 centers over 3 bronchiolitis seasons was done. We determined type of hydration (nasogastric vs IV fluid hydration) and adverse events, intensive care unit admission, and respiratory support. Results Of 491 infants under 2 months of age admitted with bronchiolitis, 211 (43%) received nonoral hydration: 146 (69%) via nasogastric hydration and 65 (31%) via IV fluid hydration. Adverse events occurred in 27.4% (nasogastric hydration) and 23.1% (IV fluid hydration), difference of 4.3%; 95%CI (-8.2 to 16.9), P=.51. The majority of adverse events were desaturations (21.9% nasogastric hydration vs 21.5% IV fluid hydration, difference 0.4%; [-11.7 to 12.4], P=.95). There were no pulmonary aspirations in either group. Apneas and bradycardias were similar in each group. IV fluid hydration use was positively associated with intensive care unit admission (38.5% IV fluid hydration vs 19.9% nasogastric hydration; difference 18.6%, [5.1-32.1], P=.004); and use of ventilation support (27.7% IV fluid hydration vs 15.1% nasogastric hydration; difference 12.6 [0.3-23], P=.03). Fewer infants changed from nasogastric hydration to IV fluid hydration than from IV fluid hydration to nasogastric hydration (12.3% vs 47.7%; difference -35.4% [-49 to -22], P<.001). Conclusions Nasogastric hydration can be used in the majority of young infants admitted with bronchiolitis. Nasogastric hydration and IV fluid hydration had similar rates of complications.Copyright © 2016 Elsevier Inc.
- Published
- 2016
42. Why do children present to emergency departments? A prospective observational pilot study.
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Braitberg G., Cheek J., Braitberg G., and Cheek J.
- Abstract
Background: While there has been discussion in the literature about the number of "general practice" (GP) type patients presenting to emergency departments (EDs) little has been reported in the paediatric emergency medicine literature. It has been estimated that up to 50% of paediatric presentations in Victoria fall within this patient type. Some paediatric emergency departments are currently experiencing levels of access block previously seen only in adult departments. It is important to understand the reasons why parents/guardians present their children to EDs rather than see their GP and, equally as important, to determine why GPs refer children to the ED. Aim(s): The primary aim of this study is to describe the expectations of parents and doctors (ED doctors and referring GPs) regarding the type of care provided in a tertiary paediatric ED. A secondary aim is to identify factors associated with ED attendances to determine whether any processes can be implemented to improve the "appropriateness" of ED presentations in this population. Method(s): The setting is a large tertiary referral ED. Qualitative and demographic data will be collected by survey and EDIS. The survey will identify the views of parent/guardian, treating ED Doctor and referring GP (if relevant) for each paediatric presentation over a two-week period (projected 1000 attendances). Outcome(s): Descriptive statistics for survey results will be presented. A comprehensive adult and paediatric literature review on these presentation types will be undertaken.
- Published
- 2015
43. Urine clean catch-time to stop the flow?.
- Author
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Cheek J., Craig S., Teo S., Cheek J., Craig S., and Teo S.
- Abstract
Background: Urinary tract infection (UTI) is a common bacterial infection among young children who are febrile. The prevalence of UTI in febrile children under 2 years of age is 3.3%-7%1. It is a challenge for healthcare providers to make a diagnosis of UTI in these children as presenting symptoms and signs are non-specific, hence the need for reliable urine microscopy and culture2. There is a high contamination rate for urine collected via the clean catch method, with a contamination rate ranging from 14.7%-26%3. Objective(s): This study aims to standardise the collection method by administering a handout on technique for clean catch urine collection and to potentially decrease the contamination rate. Method(s): We conducted a single-centre prospective cohort interventional study in a tertiary Emergency Department (ED). All children below the age of 24 months who presented from April 2013-June 2014 requiring a urine sample to be obtained to test for infection were included. The intervention was provision of a pre-made urine collection pack (urine specimen jar, cleaning wipes, an underpad and a standardised information). The primary outcome measure was the difference in proportion of urine contamination in samples obtained via a clean catch pre and post intervention. Result(s): The total number of urine specimens included in the pre-intervention group was 288 and the post-intervention group was 333. Contamination rates were 14.9% in the pre-intervention group and 11.4% in the post-intervention group. There was no statistically significant reduction in contamination (p-value 0.19). The contamination rates appeared to be associated with gender, with (pooled) female contamination rates being 16.4% (44/269) and male contamination rates being 10.5% (37/352). Contamination rates in males and females were not improved by the intervention. Most specimens of urine were collected via the clean catch method (CCU) (81.2%) during the study period. This was followed by in-out cat
- Published
- 2015
44. Management and referral of paediatric fractures by ED staff: Room for improvement.
- Author
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Craig S., Gill R., Cheek J., West A., Littlejohn E., Craig S., Gill R., Cheek J., West A., and Littlejohn E.
- Abstract
Background: Limb fractures in children are a common presenting problem to emergency departments (EDs).1 Many of these are referred to fracture clinic, some unnecessarily.2-4 State-wide paediatric fracture guidelines were introduced to Victoria in October 2012, with the aim of optimising management of these conditions. Objective(s): To describe the management and referral of paediatric limb fractures presenting to our health service, and to assess outcome of fracture clinic referral. Method(s): Structured retrospective chart review of all patients aged between 0 and 18 years presenting to the 3 EDs of a single Victorian health service during a two month period. Patients were included if they had an ED discharge diagnosis of limb fracture. Data collection included x-ray findings, ED management, consultation and admission by the orthopaedic unit, referral to fracture clinic, and outcome of initial fracture clinic referral. Result(s): 489 presentations were due to limb injuries coded as fracture by emergency department staff. Of these, x-rays were available for 458 patients. 67 (14.6%) of patients did not have a fracture on formal radiology report, while the remaining 391 had a confirmed fracture. Most patients were managed by ED staff without orthopaedic consultation (Table 1), while less than a third of patients required orthopaedic consultation or admission. 31 upper limb fractures were manipulated in the ED. Of these, 4 were subsequently admitted to hospital for further treatment, while another 7 required re-manipulation after review in fracture clinic. 85 children were admitted to hospital for orthopaedic management. Of these 65 (76%) were for upper limb fractures. 288 children were referred to fracture clinic. 21 did not attend for follow-up. Of those 267 seen in fracture clinic, 22 did not have a fracture, and another 30 were discharged from the clinic on the first visit. Another 183 were booked for another review (37% of these had a change to their plaster), whi
- Published
- 2015
45. Lignocaine/phenylephrine nasal spray vs. placebo for the pain and distress of nasogastric tube insertion in children: A study protocol for a randomized controlled trial
- Author
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Craig, S., Seith, R., Cheek, J., West, A., Wilson, K., Egerton-Warburton, Diana, Craig, S., Seith, R., Cheek, J., West, A., Wilson, K., and Egerton-Warburton, Diana
- Abstract
Background: Patients and clinicians consistently rate insertion of a nasogastric tube (NGT) as one of the most painful and distressing emergency department procedures. Despite this, surveys of emergency clinicians suggest that provision of adequate procedural analgesia is often inconsistent and suboptimal. While many studies have demonstrated the effectiveness of various interventions to reduce pain and distress in adults, there have been few studies in the pediatric population. There are currently no studies comparing the effectiveness of a local anesthetic nasal spray for the prevention of the pain and distress associated with NGT insertion in children. This study aims to compare the analgesic efficacy of a proprietary preparation of lignocaine/phenylephrine nasal spray and placebo for this indication. Methods/Design: This is a prospective, randomized, controlled, double-blind superiority trial of 100 children aged 6 months to 5 years weighing at least 6 kg in whom a nasogastric tube is planned to be inserted. These children will be randomized to either intranasal lignocaine/phenylephrine or placebo. Pain severity is the primary outcome measure and will be measured utilizing the Face, Legs, Arms, Cry and Consolability (FLACC) pain severity rating scale. An independent staff member not involved in inserting the NGT and the child's parents or carer will also record pain and distress on a visual analog scale (VAS). FLACC scores and VAS scores will be presented as median and interquartile range (IQR). Non-normally distributed scores will be compared using a Wilcoxon rank-sum test. Categorical data will be analyzed using Fisher's exact test. Adverse events will be described as type and incidence. Discussion: Previous studies on NGT insertion have not focused on the pediatric population. This study aims to establish the effectiveness of a simple intranasal spray of lignocaine/phenylephrine in children undergoing NGT insertion. A positive result of this study would provi
- Published
- 2015
46. Dangers of eating vegetables: Contralateral perfusion deficit with an inhaled foreign body
- Author
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Cheek, J., Egerton-Warburton, Diana, Cheek, J., and Egerton-Warburton, Diana
- Published
- 2014
47. Outbreak of Salmonella serotype Saintpaul infections associated with multiple raw produce items--United States, 2008
- Author
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Jungk, J., Baumbach, J., Landen, M., Gaul, L.K., Alaniz, L., Dang, T., Miller, E.A., Weiss, J., Hedican, E., Smith, K., Grant, F., Beauregard, T., Bergmire-Sweat, D., Griffin, D., Engel, J., Cosgrove, S., Gossack, S., Roanhorse, A., Shorty, H., Cheek, J., Redd, J., and Vigil, I.
- Subjects
Salmonella food poisoning -- Case studies ,Salmonella food poisoning -- Statistics - Abstract
On May 22, 2008, the New Mexico Department of Health (NMDOH) notified CDC about four persons infected with Salmonella Saintpaul strains that were indistinguishable from each other by pulsed-field gel [...]
- Published
- 2008
48. Surveillance for early detection of disease outbreaks at an outdoor mass gathering--Virginia, 2005
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Coletta, M., Dewey, L., White-Russell, M., Powell, T., Toney, D., Cheek, J., Wong, D., Young, P., Melius, E., and Sandhu, S.
- Subjects
Epidemics -- Diagnosis ,Epidemics -- Complications and side effects ,Epidemics -- Health aspects ,Surveillance equipment -- Usage ,Young adults -- Diseases - Abstract
Implementing public health surveillance at mass gatherings might help detect outbreaks or possible acts of biologic terrorism and enable prompt public health intervention. In July 2005, a daily syndromic sentinel [...]
- Published
- 2006
49. Tickborne relapsing fever outbreak after a family gathering--New Mexico, August 2002
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Ettestad, PJ, Voorhees, RE, Sewell, CM, Bonnell, M, Iralu, J, Cheek, J, Secord, KJ, Mosier, D, Enscore, RE, Schriefer, ME, Marshall, S, Groves, RJ, and Smelser, CB
- Subjects
Tick-borne diseases -- Case studies - Abstract
On August 2, 2002, the New Mexico Department of Health (NMDOH) and the Indian Health Service (IHS) were notified of a tickborne relapsing fever (TBRF) outbreak after a 1-day family [...]
- Published
- 2003
50. Mitochondrial and cytosolic thiol redox state are not detectably altered in isolated human NADH:ubiquinone oxidoreductase deficiency.
- Author
-
Verkaart, S.A.J., Koopman, W.J.H., Cheek, J., Emst-de Vries, S.E. van, Heuvel, L.P.W.J. van den, Smeitink, J., Willems, P.H.G.M., Verkaart, S.A.J., Koopman, W.J.H., Cheek, J., Emst-de Vries, S.E. van, Heuvel, L.P.W.J. van den, Smeitink, J., and Willems, P.H.G.M.
- Abstract
Contains fulltext : 52541.pdf (publisher's version ) (Closed access), Isolated complex I deficiency is the most common enzymatic defect of the oxidative phosphorylation (OXPHOS) system, causing a wide range of clinical phenotypes. We reported before that the rates at which reactive oxygen species (ROS)-sensitive dyes are converted into their fluorescent oxidation products are markedly increased in cultured skin fibroblasts of patients with nuclear-inherited isolated complex I deficiency. Using video-imaging microscopy we show here that these cells also display a marked increase in NAD(P)H autofluorescence. Linear regression analysis revealed a negative correlation with the residual complex I activity and a positive correlation with the oxidation rates of the ROS-sensitive dyes 5-(and-6)-chloromethyl-2',7'-dichlorodihydrofluorescein and hydroethidine for a cohort of 10 patient cell lines. On the other hand, video-imaging microscopy of cells expressing reduction-oxidation sensitive GFP1 in either the mitochondrial matrix or cytosol showed the absence of any detectable change in thiol redox state. In agreement with this result, neither the glutathione nor the glutathione disulfide content differed significantly between patient and healthy fibroblasts. Finally, video-rate confocal microscopy of cells loaded with C11-BODIPY(581/591) demonstrated that the extent of lipid peroxidation, which is regarded as a measure of oxidative damage, was not altered in patient fibroblasts. Our results indicate that fibroblasts of patients with isolated complex I deficiency maintain their thiol redox state despite marked increases in ROS production.
- Published
- 2007
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