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1. Men at risk of gonococcal urethritis: a case-control study in a Darwin sexual health clinic

Author

Winnie Chen, Suzanne Connor, and Manoji Gunathilake

Subjects
Urethritis, Men, Neisseria gonorrhoeae, Chlamydia trachomatis, Ceftriaxone, Antimicrobial resistance, Infectious and parasitic diseases, RC109-216
Abstract

Abstract Background Male urethritis is primary sexually transmitted. Northern Territory (NT) has the highest rates of gonococcal infection in Australia and local guidelines recommend empiric treatment with azithromycin and ceftriaxone for all men presenting with urethritis. As gonococcal drug resistance is a growing concern, this study aims to improve empiric use of ceftriaxone through examining local patterns of male urethritis, comparing cases of gonococcal urethritis (GU) to controls with non-gonococcal urethritis (NGU). Methods A retrospective study was undertaken of all men with symptomatic urethritis presenting to Darwin sexual health clinic from July 2015 to July 2016 and aetiology of urethritis in this population was described. Demographic, risk profile, and clinical features of GU cases were compared to NGU controls. Results Among n = 145 men, the most common organisms identified were Chlamydia trachomatis (23.4%, SE 3.5%) and Neisseria gonorrhoeae (17.2%, SE 3.1%). The main predictors of GU were any abnormalities on genital examination (aOR 10.4, 95% CI 2.1 to 50.8) and a history of urethral discharge (aOR 5.7, 95% CI 1.4 to 22.6). Aboriginal patients (aOR 3.0, 95% CI 0.9 to 9.6) and those over 30 years of age (aOR 1.4, 95% CI 0.3 to 7.0) were more likely to have GU in the unadjusted analysis, but not in the adjusted model. Conclusion This is the first study looking at patterns of male urethritis in urban NT and the results support a move towards adopting national guidelines to use ceftriaxone for empiric management of syndromic urethritis only in high-risk patients. In addition to traditional demographic risk factors, clinical features remain an important component of risk stratification.

Published
2019
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2. Using mangroves to stabilize coastal historic sites: deployment success versus natural recruitment

Author

Paul Sacks, Melinda Donnelly, Suzanne Connor, Michelle Shaffer, and Linda J. Walters

Subjects
0106 biological sciences, Oyster, geography, geography.geographical_feature_category, 010504 meteorology & atmospheric sciences, biology, Ecology, 010604 marine biology & hydrobiology, Sediment, Estuary, Aquatic Science, Spartina alterniflora, biology.organism_classification, 01 natural sciences, Substrate (marine biology), Propagule, biology.animal, Environmental science, Mangrove, Rhizophora mangle, 0105 earth and related environmental sciences
Abstract

Native Americans created shell middens along estuarine shorelines, and these archeologically significant sites are now threatened by erosion and sea level rise. We worked with Canaveral National Seashore to apply living shoreline techniques to protect middens using stabilized oyster shell, Spartina alterniflora, and Rhizophora mangle. Deployed mangroves were successful in terms of survival, growth, and reproduction, but natural recruitment following stabilization was minimal. After evaluating natural mangrove recruitment at stabilized and neighboring shorelines, we found propagule and seedling counts were significantly lower at stabilized shorelines. Third, we experimentally tested effects of varying sediment grain sizes on R. mangle. Overall, survival and growth were high in all treatments, suggesting that seedlings were not inhibited by the presence of large oyster shell fragments. Combined, this suggests that the retention and transition of the R. mangle propagule into a seedling is being limited in the field. Large shell potentially acts as a barrier for initial anchoring in the sediment or increasing likelihood of dislodgement during movement by boat or wind wakes. The human-altered substrate at shell middens may prevent natural recovery of vegetated shorelines, highlighting the need for on-going management for long-term protection of these archeological sites.

Published
2017

4. 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

5. CARPA Standard Treatment Manual

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, Jeff Brownscombe, Malcolm Mcdonald, Nathan Ryder, Paul Burgess, Paul Lawton, Peter May, Shelley Crowther, Rosalie Schultz, Steve Margolis, Carey, Timothy A., Ahmed Latif, Alan Cass, Alan Ruben, Alison Dawes, Alison Mustapha, Amanda Sanburg, Andrew Bezzina, Andrew Crowhurst, Andrew McCallum, Anne Bromhead, Anne Chang, Anne Davis, Annie Tangey, Annie Villeseche, Anthony Brown, Balan Iyngkaran, Bart Currie, Belinda Davis, Beth Amega, Robert Batey, Bronwyn Silver, Bruce Simmons, Buddhima Lokuge, Phillips, Dr Cameron J., Cherian Sajiv, Clare MacVicar, Dale Edgar, Damien Fagan, Daniel Ewald, Darryl Maybery, David Hockley, Dennis Pashen, Dion Dionysopoulos, Donald Boldiston, Elise Beachley, Erik Tikoft, Fiona Wood, Gavin Wheaton, Geri Malone, Gregory Perry, Helen Vaughan, Hugh Taylor, Jason Warnock, Jennifer Delima, Jennifer Alison, Joanna Keily, Joshua Davis, Julia Stewart, Kathy Currie, Keith Edwards, Lesley Scott, Lin Davis, Linda Medlin, Louise Maple-Brown, Louise Roufeil, Marcus Ilton, Margot Webster, Melissa Cumming, Monique Stone, Annette Flaherty, Patrick AhKit, Paul Torzillo, Peter Morris, Pippa Tessmann, Pippa Travers-Mason, Rae-Lin Huang, Ral Antic, Renee Gwee, Robert Parker, Rose Fahy, Rosemary Lee, Sandra Meihubers, Sarah Jackson, Sarah Larkins, Selina Taylor, Sharon Johnson, Rourke, Sharon O., Sheila Kavanagh, Sridhar Chitturi, Stephen Brady, Sue Kruske, Sue Orsmond, Suzanne Connor, Tina Hourigan, Timothy Henderson, Vivienne Hobson, Warwick Beever, Alan Clough, Andrew Frukacz, Andrew Wilkinson, Antony Veale, Bernadette Rogerson, Chris Johnstone, Christine Quigley, Digby Green, Donna Chung, Duncan Reed, Gary Sinclair, Heather Ferguson, Helen Land, Ian Norton, Jenni Judd, Jenny May, John Whitehall, Jonathon Ball, Julian White, Karen Coss, Karen Edmond, Kimberly Poole, Koen De Decker, Laurencia Grant, Lewis Marshall, Libby Bowell, Lucy Comerford, Lyn Byers, Marianne Cummins, Matthew Wright, Maureen Mitchell, Rosalind Webby, Rosemary Wanganeen, Rowena Ivers, Sally Edmonds, Sheree Cairney, Stephen Gourley, Steve Milanese, Steven Doherty, Susan Gordon, Susan Jacups, Teem-Wing Yip, Treasure McGuire, Victoria Krause, Adeline Drogemuller, Alanna Watson, Alexander Hope, Alexander Gallus, Alice Gilbert, Andrew Urquhart, Anna Whitehead, Anne Patton, Annie Hepner, Anton Drover, Bhavini Patel, Catherine Marshall, Catherine Moody, Charles Douglas, Colin Watson, Dana Dabrowska, David Thomas, Debbie Moon, Deb Spurgeon, Deborah Hales, Emslie Lankin, Evonne Thompson, Fabian Schwarz, Fay Clark, Frances Squires, Gayle Woodford, Graham Clegg, Holi Catton, Jacqueline Boyd, Jan Bowman, Jane Giles, Jane Whitehead, Jayasree Subi, Jeanette Smith, Jeannie Campbell, Jennie McDowall, Jeremy Downes, Jill Pettigrew, John Wright, Josephine Appoo, Joy Hussain, Judi Arthur, Julie Hughes, Kara Milne, Karrina Demasi, Kenneth McNeil, Kerrie Simpson, Lachlan Lock, Laura Edwards, Lea Davidson, Leila Kennett, Lesley Woolf, Louise Dennis, Lynette Flynn, Lynnette Laker, Marea Fittock, Marjie Middleton, Mark Ramjan, Mark Russell, Matthew Steer, Michele Luey, Monica Ostigh, Nat McLean, Nazlin Remtulla, Neale Cohen, Nicholas Antic, Noelene Simmonds, Patricia Woolven, Philip Hungerford, Philip McMahon, Philippa Thomas, Rachael Charles, Ree Dunn, Richard Hosking, Rodney Roulstone, Roslyn Dart, Ruth Soorley, Sharon Marchant, Sharon Weymouth, Shelley Parker, Shirley Bailey, Simon Slota-Kan, Sophie Higgins, Susan Willis, Tanya Gardner, Terrie Ivanhoe, Vanessa Johnston, Stephanie MacKie-Schneider, Melinda Barlow, Allison Gray, Andrew Lal, Brenda Thornley, Dianne Bell, Erin Emmons, Georgina Brunsdon, Jessica Lopes, Sally Herring, and Sandeep Reddy

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