7 results on '"Megan Halliday"'
Search Results
2. Rates of diabetic retinopathy screening in pregnant patients with type 1 and type 2 diabetes in a predominantly Indigenous Central Australian population
- Author
-
Karolina Wicik, Bobak Bahrami, Megan Halliday, Tim Henderson, Tania Roulston, and Katja Ullrich
- Subjects
Male ,Diabetes, Gestational ,Diabetic Retinopathy ,Native Hawaiian or Other Pacific Islander ,Diabetes Mellitus, Type 2 ,Pregnancy ,Australia ,Humans ,Obstetrics and Gynecology ,Female ,General Medicine - Abstract
Pregnancy is a risk factor for the progression of diabetic retinopathy (DR) in women with pre-gestational diabetes. Australian screening guidelines recommend DR screening in the first trimester of pregnancy. The rates of DR screening in pregnant patients with pre-gestational diabetes are unknown in Australia.To determine the rates of DR screening in pregnant women with pre-gestational diabetes at Alice Springs Hospital Diabetes Antenatal Care and Education (DANCE) clinic.Retrospective review of women with pre-gestational diabetes who attended the DANCE clinic between July 2016 and June 2020.There were 146 pregnancies in 144 individual women included in this review. There were 93% (n = 134) who identified as Aboriginal but not Torres Strait Islander. DR screening was performed in 23 (16%) pregnancies, in which DR was present in six (26%) and no retinal abnormality was found in 17 (74%). Of seven (5%) women who had a history of DR, only three had a screen during the pregnancy period. The location of the DR screen included Alice Springs Hospital (17%, n = 4), Alice Springs general practice clinics (35%, n = 8) and remote NT community clinics outside of Alice Springs (39%, n = 9). The trimesters in which women received their DR screens were: trimester 1, 45%, n = 10; trimester 2, 39%, n = 9; trimester 3, 17%, n = 4.The minority of pregnant women who attend the DANCE clinic at Alice Springs Hospital received DR screening in adherence with national guidelines.
- Published
- 2021
3. Management of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Onboard a U.S. Navy Hospital Ship Amid a Global Omicron Surge
- Author
-
Nanda Ramchandar, Tanner Slayden, Jose A Garcia-Rivera, Daniel Crouch, Kia Gallagher, David Harris, Alison Lane, Lawrence Ha, Megan Halliday, Eddy Ruano, Daniel Treiber, Timothy Quast, and Jeffrey Feinberg
- Subjects
Public Health, Environmental and Occupational Health ,General Medicine - Abstract
Introduction We present a real-world experience of a U.S. Navy Hospital Ship deployed amid a global Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) surge and the challenges of navigating policy while maintaining a mission-focused itinerary in an operational environment. Materials and Methods We performed a chart review of SARS-CoV-2 cases from April 18 to September 20, 2022, within a closed population of fully vaccinated adults onboard the USNS Mercy (T-AH 19) during the 5-month 2022 Pacific Partnership mission to Guam, Vietnam, Palau, Philippines, and the Solomon Islands. Results There were 123 total SARS-CoV-2 cases over the course of the mission, constituting 16.6% of the total crew (123/741). No more than 14 service members were actively infected at a given time (1.9%, 14/741). The average number of active cases at any given time was 0.8 (1.9 SD, 0.1% [0.8/741]), and just 14 of these were shipboard secondary cases. No significant operational requirements of the ship were impacted by infection-related manning shortages, there were no hospitalizations, and all infected members experienced full recovery. Conclusions Despite ongoing cases throughout the majority of the mission, a healthy immunized crew experienced no serious cases and minimal impact on operational effectiveness.
- Published
- 2022
4. Pandemics 2020 –COVID 19 Silent Hypoxia and Polysubstance Use: A Unique Case Report
- Author
-
Megan Halliday and Michael D. Owens
- Subjects
African american ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,business.industry ,Supplemental oxygen ,Emergency department ,Hypoxia (medical) ,Polysubstance dependence ,Pandemic ,medicine ,Etiology ,medicine.symptom ,Intensive care medicine ,business - Abstract
The coronavirus (COVID-19) pandemic continues to bring challenges in identification and management of which the “happy hypoxic” or silent hypoxia presentation has been found to present its own unique challenge. A 67-year-old African American COVID-19 positive female presents to the emergency department (ED) with a chief complaint of decreased oral intake and responsiveness, oriented and stable, with oxygen saturations found to drop as low as 47%. The patient was successfully managed with supplemental oxygen and determined to be a “happy hypoxic” with recent polysubstance abuse. Silent hypoxia or the “happy hypoxic” patient is another unique phenomenon associated with the variable presentations of COVID-19. Multiple etiologies and pathophysiologic explanations exist to explain this stable patient whom would otherwise be expected to require aggressive management with a poor prognosis. An alternative diagnosis should be explored for those silent hypoxic patients with symptoms.
- Published
- 2020
5. Atraumatic Splenic Rupture After Weight Lifting in a Patient Presenting With Left Shoulder Pain
- Author
-
Megan Halliday, Jared Ingersoll, and John E Alex
- Subjects
Male ,medicine.medical_specialty ,Abdominal pain ,Weight Lifting ,Mononucleosis ,0211 other engineering and technologies ,Physical examination ,02 engineering and technology ,Palpation ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Shoulder Pain ,medicine ,Humans ,Focused assessment with sonography for trauma ,Infectious Mononucleosis ,030212 general & internal medicine ,021110 strategic, defence & security studies ,medicine.diagnostic_test ,business.industry ,Public Health, Environmental and Occupational Health ,Splenic Rupture ,General Medicine ,Emergency department ,medicine.disease ,medicine.anatomical_structure ,Splenomegaly ,Abdomen ,Radiology ,medicine.symptom ,business ,Range of motion - Abstract
We discuss a 23-year-old active duty male who presented to the emergency department with left shoulder pain after deadlifting heavy weights the day prior. His physical examination revealed a nontender and otherwise unremarkable left shoulder with full range of motion and mild tenderness to palpation in the left upper quadrant of the abdomen. A bedside focused assessment with sonography for trauma (FAST) examination showed free fluid in the abdomen and a computed tomography scan showed a splenic laceration and splenomegaly. He later tested positive for infectious mononucleosis. This is the first case report of atraumatic splenic laceration after heavy weight lifting. This case illustrates the importance of a broad differential and high index of suspicion in the patient with undifferentiated abdominal pain in order to diagnose a potentially fatal disease.
- Published
- 2020
6. Uptake of maternal vaccinations by Indigenous women in Central Australia
- Author
-
Shamendri Thalpawila, Michelle L. Giles, Megan Halliday, Sushena Krishnaswamy, Euan M. Wallace, and Jim Buttery
- Subjects
0301 basic medicine ,Native Hawaiian or Other Pacific Islander ,business.industry ,lcsh:Public aspects of medicine ,Vaccination ,030106 microbiology ,Australia ,Public Health, Environmental and Occupational Health ,MEDLINE ,lcsh:RA1-1270 ,Indigenous ,03 medical and health sciences ,Health services ,0302 clinical medicine ,Environmental health ,Health Services, Indigenous ,Humans ,Medicine ,Female ,Maternal Health Services ,030212 general & internal medicine ,business - Published
- 2018
7. Clinical procedures manual for remote and rural practice: supporting clinical practice in the bush
- Author
-
Sabina Knight, Andrew White, Caitlin Steiner, Chris Del Mar, Christine Connors, Frances Vaughan, Janet Struber, Jo Wright, Kerrie Gell, Nick Williams, George Tripe, Peter McCormack, Rosemary Schmidt, Andrew Lee, Carolyn MacLennan, Gaynor Garstone, Graeme Maguire, Jane Smith, Malcolm Mcdonald, Nathan Ryder, Paul Lawton, Peter May, Rachael Lockley, Rosalie Schultz, Shelley Crowther, Simon Kane, Steve Margolis, Timothy Carey, Ahmed Latif, Alan Cass, Alison Mustapha, Amanda Sanburg, Andrew Bezzina, Andrew Crowhurst, Andrew McCallum, Anne Bromhead, Anne Chang, Anne Davis, Annie Tangey, Anthony Brown, Bart Currie, Belinda Davis, Beth Amega, Bronwyn Silver, Bruce Simmons, Buddhima Lokuge, Phillips, Dr Cameron J., Cherian Sajiv, Dale Edgar, Damien Fagan, Daniel Ewald, Darryl Maybery, David Hockley, Dennis Pashen, Dion Dionysopoulos, Don Boldiston, Elise Beachley, Erik Tikoft, Fiona Wood, Geri Malone, Glenda Gleeson, Gregory Perry, Helen Vaughan, Hugh Taylor, Jason Warnock, Jennifer Alison, Joanna Keily, Joshua Davis, Julia Stewart, Keith Edwards, Lin Davis, Lisa Wallace, Louise Roufeil, Megan Halliday, Lesley Scott, Linda Medlin, Louise Maple-Brown, Lucy Little, Michele Luey, Patrick AhKit, Paul Torzillo, Peter Morris, Pippa Tessmann, Pippa Travers-Mason, Rae-Lin Huang, Ral Antic, Rita Apelt, Robert Parker, Rose Fahy, Rosemary Lee, Sandra Meihubers, Sarah Jackson, Sarah Larkins, Selina Taylor, Sharon Johnson, Rourke, Sharon O., Sheila Kavanagh, Sheryl Alexander, Sridhar Chitturi, Sue Kruske, Sue Orsmond, Sue Roth, Suzanne Connor, Timothy Henderson, Tina Hourigan, Tracy Johns, Warwick Beever, Alison Dawes, Allan Donnelly, Andrew Bisits, Anne Sneddon, Claire Boardman, David Ellwood, Donna Chung, Duncan Reed, Greg McHugh, Hannah Dahlen, Heather Mumme, Helen Land, Jenny May, Jonathon Ball, Judith Gardiner, Kathy Currie, Katie Sullivan, Koen De Decker, Libby Bowell, Lukas Arkapaw, Lyn Byers, Lyndall Young, Brien, Margaret O., Michael Nicholl, Pamela Wood, Peter Markey, Raelene Carroll, Rishi Narasimhan, Shaun Soloman, Shona Sandford, Steve Milanese, Steven Doherty, Susan Gordon, Sue Kildea, Susan Howell, Wendy Bowyer, Zi Li, Adeline Drogemuller, Alanna Watson, Andrew Urquhart, Anna Ralph, Anna Whitehead, Annie Hepner, Anton Drover, Antony Veale, Beverley Hamerton, Breanna Monk, Brycen Brook, Catherine Moody, Charles Douglas, Clare Golding, Colin Watson, Deborah Hales, Denise Sheedy, Diane Griffin, Dy Kelaart, Emslie Lankin, Evonne Thompson, Fabian Schwarz, Fay Clark, Frances Squires, Gayle Woodford, Graham Clegg, Holi Catton, Jacqueline Boyd, Jane Giles, Jeannie Campbell, Jennie McDowall, Jennifer Peters, Jeremy Downes, John Wright, Josephine Appoo, Joy Hussain, Kenneth McNeil, Keppel Schafer, Larissa Meneri, Laura Edwards, Lenaire Keatch, Lesley Woolf, Lynette Flynn, Marcel Campbell, Marjie Middleton, Mark Ramjan, Matthew Steer, Monica Ostigh, Noelene Simmonds, Patricia Woolven, Perry Burstin, Philip Hungerford, Rachael Charles, Rebecca Numina, Ree Dunn, Renita Kantawara, Sally Foxley, Sandra Bell, Sandra McElligott, Sharon Marchant, Stephen Permezel, Suzanne Lenthall, Tanya Gardner, Terrie Ivanhoe, Thea Nungala, Vicki Gordon, Stephanie MacKie-Schneider, Melinda Barlow, Allison Gray, Andrew Lal, Brenda Thornley, Dianne Bell, Erin Emmons, Georgina Brunsdon, Jessica Lopes, Sally Herring, and Sandeep Reddy
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.