Survey of Australian father\u27s attitudes towards infant vaccination: Findings from the Australian Father\u27s Study

Objective: To investigate the attitudes of expectant Australian fathers towards vaccination, and to identify factors which may influence these attitudes. Methods: A cross-sectional survey study of 407 Australian men with expectant partners, mean age 30.4 (SD 6.7). Self reported attitude, level of knowledge and information resources accessed regarding pregnancy related issues. Participant demographics collected included: Age, number of children, relationship status, level of education, employment information and smoking status. Results: Majority (89%) of participants had a positive attitude towards infant vaccination, 9% felt neutral and 2% had negative attitudes. Positive attitudes towards vaccination were associated with lower self-reported knowledge of pregnancy issues but a higher likelihood of discussing pregnancy issues with health care providers rather than sourcing information from the internet (both p\u3c0.001). Conclusion: A majority of Australian expectant fathers have a positive attitude towards infant vaccination. Fathers with negative attitudes to vaccination self-reported higher levels of knowledge. They were more likely to obtain information from the Internet instead of healthcare staff. Implication for public health: Including fathers in health discussion with knowledgeable health care providers may result in increased vaccine uptake

Australian Fathers\u27 Study: What influences paternal engagement with antenatal care?

This mixed-methods study explores factors associated with and levels of engagement of fathers in antenatal care. One hundred expectant fathers were recruited from antenatal clinics and community settings in Western Australia. They completed validated questionnaires. Eighty-three percent of expectant fathers reported a lack of engagement with antenatal care. Factors significantly associated with lack of engagement in multivariate analysis were working more than 40 hours a week and lack of adequate consultation by antenatal care staff. In qualitative analysis, 6 themes emerged in association with a lack of engagement. They were role in decision making, time pressures, the observer effect, lack of knowledge, barriers to attendance, and feeling unprepared or anxious. Care providers should involve fathers in consultations to improve paternal engagement

Domestic violence is a leading risk factor in default from colposcopy services

Aim: Domestic violence is common in women and is associated with poorer healthcare outcomes. However, no causal pathway has been identified to explain this observation. We have followed a cohort of women to determine whether poorer outcomes can be explained by high rates of default and lost to follow up. Methods: A prospective cohort study was performed. Institutional ethics approval was obtained. Participants were consecutive patients attending colposcopy clinics at a major metropolitan hospital in Australia. Following ascertainment of domestic violence status, appointment outcomes for colposcopy services were tracked for a three-year period. Multivariate analysis was undertaken to determine demographic factors associated with default from care and loss to follow up. Results: Of 581 women approached, consent was obtained from 574 women (99%). Domestic violence status was obtained from 566 women, of whom 187 (33%) had a recent history of exposure. Women exposed to violence were more likely to default from colposcopy once (26.2% vs 7.4%; p\u3c0.0001), twice (11.2% vs 3.2%, p=0.0001), or thrice (10.7% vs 2.4%, p\u3c0.0001). They were more likely to be lost to follow up (8.0% vs 1.1%, P\u3c0.0001). In multivariate analysis exposure to domestic violence remained significantly associated with default and loss to follow up. Conclusion: Domestic violence is a risk factor for default from attendance and lost to follow up at colposcopy services. This may explain the mechanism behind adverse healthcare outcomes seen. Screening and targeted appointment intervention programs may improve clinical compliance

Dormancy and life span of saffron thistle seeds

RESEARCH in the Geraldton area has indicated that seeds of the saffron thistle (Carthamus lanatus) spread their germination over some seven years but most germinate in the first two years. Factors influencing the rate of germination and the survival of seeds are the depth of burial and the presence of termites in the soil

Employment may protect fathers in the setting of maternal teenage pregnancy from anxiety and depression: Findings from the Australian Father\u27s Study

Objective: There is limited research on fathers in the setting of maternal teenage pregnancy. Most studies report data from regions of social disadvantage and low education. We report on the levels of anxiety, depression and quality of life of fathers in the setting of maternal teenage pregnancy in an area where the unemployment rate is low. Methods: Observational study of 50 fathers in the setting of maternal teenage pregnancy and 100 fathers whose partners were not teenagers (control), living within the same metropolitan healthcare region with high employment rates. Fathers were enrolled within the larger Australian Father’s Study and were recruited from antenatal clinics and community settings. Researchers administered the Hospital Anxiety and Depression Scale, Satisfaction with Life Scale and demographic questionnaires. Results: Fathers in the setting of maternal teenage pregnancy were significantly younger than control fathers (p\u3c0.05). After adjusting for demographic variables, fathers in the setting of maternal teenage pregnancy did not have levels of anxiety, depression or quality of life that were significantly different to control fathers. Conclusion: Fathers in the setting of maternal teenage pregnancy, when engaged in further education or employment have levels of anxiety, depression and quality of life comparable to control fathers

Time course changes in psychological symptomatology in women with gynaecological cancers

The aim of this study was to explore the wider psychological symptomatology experienced by women with a new diagnosis of a gynaecological cancer at the point of diagnosis and 6 weeks later

Effectiveness of a service learning model with Allied Health Assistant students in aged care

This mixed methods audit explores the impact of a student learning activity involving service learning. As part of a vocational course in the Academy of Health Sciences at the West Coast Institute, Allied Health Assistant (AHA) students participated in a service learning program focused on work-based learning in residential aged care. Students delivered a therapy program for residents at the facility. Students completed validated evaluation questionnaires on conclusion of study. Of 121 students completing the audit, 91% thought the experience challenged their way of thinking. Only 2% disagreed with this concept. A majority of students (93%) reported the experience interesting and engaging and a similar percentage (93%) reported that they felt better prepared to enter the workforce. The major themes in qualitative analysis related to the positive learning experience, increased confidence for future working career, improved knowledge and practice of aged care, and improved resident and student quality of life

Skeletal muscle disorders of glycogenolysis and glycolysis

Skeletal muscle disorders of glycogenolysis and glycolysis account for most of the conditions collectively termed glycogen storage diseases (GSDs). These disorders are rare (incidence 1 in 20,000–43,000 live births), and are caused by autosomal or X-linked recessive mutations that result in a specific enzyme deficiency, leading to the inability to utilize muscle glycogen as an energy substrate. McArdle disease (GSD V) is the most common of these disorders, and is caused by mutations in the gene encoding muscle glycogen phosphorylase. Symptoms of McArdle disease and most other related GSDs include exercise intolerance, muscle contracture, acute rhabdomyolysis, and risk of acute renal failure. Older patients may exhibit muscle wasting and weakness involving the paraspinal muscles and shoulder girdle. For patients with these conditions, engaging with exercise is likely to be beneficial. Diagnosis is frequently delayed owing to the rarity of the conditions and lack of access to appropriate investigations. A few randomized clinical trials have been conducted, some focusing on dietary modification, although the quality of the evidence is low and no specific recommendations can yet be made. The development of EUROMAC, an international registry for these disorders, should improve our knowledge of their natural histories and provide a platform for future clinical trials

Phenotype and genotype of 197 British patients with McArdle disease: An observational single-centre study

McArdle disease is caused by recessive mutations in PYGM gene. The condition is considered to cause a “pure” muscle phenotype with symptoms including exercise intolerance, inability to perform isometric activities, contracture, and acute rhabdomyolysis leading to acute renal failure. This is a retrospective observational study aiming to describe phenotypic and genotypic features of a large cohort of patients with McArdle disease between 2011 and 2019. Data relating to genotype and phenotype, including frequency of rhabdomyolysis, fixed muscle weakness, gout and comorbidities, inclusive of retinal disease (pattern retinal dystrophy) and thyroid disease, were collected. Data from 197 patients are presented. Seven previously unpublished PYGM mutations are described. Exercise intolerance (100%) and episodic rhabdomyolysis (75.6%) were the most common symptoms. Fixed muscle weakness was present in 82 (41.6%) subjects. Unexpectedly, ptosis was observed in 28 patients (14.2%). Hyperuricaemia was a common finding present in 88 subjects (44.7%), complicated by gout in 25% of cases. Thyroid dysfunction was described in 30 subjects (15.2%), and in 3 cases, papillary thyroid cancer was observed. Pattern retinal dystrophy was detected in 15 out of the 41 subjects that underwent an ophthalmic assessment (36.6%). In addition to fixed muscle weakness, ptosis was a relatively common finding. Surprisingly, dysfunction of thyroid and retinal abnormalities were relatively frequent comorbidities. Further studies are needed to better clarify this association, although our finding may have important implication for patient management