Medicine (St Vincent's) - Research Publications

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    Two cases of occupationally acquired Mycobacterium marinum infection in Chinese restaurant workers in Melbourne, Australia
    Sim, E ; Li, J ; Williams, R ; Pan, Y ; Mohamed, M ; Aboltins, C ; Chong, AH (WILEY, 2018-08)
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    Skin cancer history, sun-related attitudes, behaviour and sunburn among renal transplant recipients versus general population
    Leung, VKY ; Dobbinson, SJ ; Goodman, DJ ; Kanellis, J ; Chong, AH (WILEY, 2018-05)
    BACKGROUND/OBJECTIVES: Renal transplant recipients (RTR) have both an excessive skin cancer incidence and a high mortality rate. In Australia RTR receive extensive public education on skin cancer and many undergo further education pre/post-transplant. This study examines whether RTR have sufficiently rigorous sun protection behaviour compared with the general population. METHODS: Altogether 179 RTR from two large Melbourne hospitals involving skin clinic teams in patient care were recruited to undergo cross-sectional telephone interviews. Comparisons were made with residents (25-69 years) surveyed using equivalent measures and methods in adjacent summers (2006-2007, n = 904; 2010-2011, n = 942) for regular population monitoring surveys. Multivariate analyses of weekend behaviour were adjusted for related ambient temperature records. RESULTS: RTR were more compliant with sun protection behaviour on the weekend prior to interview than the residents surveyed. For example, for 2006-2007 and 2010-2011, the odds ratio and confidence intervals (CI 95%) were respectively: used sunscreen: 2.0 (1.1-3.8) and 2.8 (1.4-5.3); wore a long-sleeved top: 4.5 (2.4-8.5) and 3.6 (1.9-7.0). RTR sunburn prevalence (5%) appeared similar to that of residents (odds ratios comparing 2006-2007 and 2010-2011 0.6 [95% CI, 0.2-1.6] and 0.7 [95% CI, 0.3-1.9]). Despite generally good sun protection behaviour, many RTR (47%) had skin cancers treated. CONCLUSION: The intensive education of RTR may have contributed to their better sun protection. Some RTR with excessive exposure to UV radiation introduction of may benefit from implementation of further photoprotection strategies. These findings may be particularly relevant to other RTR groups receiving education about sun protection.
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    Dermatology teaching in Australian medical schools
    Bala, HR ; Scarff, CE ; Chong, AH (WILEY-BLACKWELL, 2016-11)
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    A case of actinic granuloma responding to oral retinoids
    Kok, Y ; Braue, A ; Martyres, R ; Varigos, G (WILEY, 2019-05)
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    Merkel cell carcinoma in a patient treated with infliximab: Beware of the subcutaneous nodule.
    Davenport, R ; Brennand, S ; Goh, MS ; Prakash, S ; Chong, AH (Wiley, 2018-11)
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    The relationship between physical activity levels and symptoms of depression, anxiety and stress in individuals with alopecia Areata
    Rajoo, Y ; Wong, J ; Cooper, G ; Raj, IS ; Castle, DJ ; Chong, AH ; Green, J ; Kennedy, GA (SPRINGERNATURE, 2019)
    BACKGROUND: Alopecia Areata (AA) is an autoimmune condition that is characterised by non-scarring hair loss. Its aesthetic repercussions can lead to profound changes in psychological well-being. Although physical activity (PA) has been associated with better mental health outcomes in diverse populations, the association in individuals with AA has not been established. The aim of this study was to examine the associations between PA and mental health outcomes in individuals with AA to inform intervention strategies for this specific population. METHODS: A cross-sectional study was conducted among individuals who were diagnosed with AA. A total of 83 respondents aged (40.95 ± 13.24 years) completed a self-report questionnaire consisting of International Physical Activity Questionnaire-Short Form (IPAQ-SF) and the Depression and Anxiety Stress Scale (DASS-21). Three-way contingency Chi-square analyses were used to determine the associations between PA, mental health outcomes and participants with hair loss of more than 50% on the scalp. RESULTS: 81.9% of the participants did not meet PA guidelines. Participants with hair loss of more than 50% on the scalp, and who did not meet PA guidelines, were significantly more likely to experience symptoms of severe depression (p = .003), moderate anxiety (p = .04) and mild stress (p = .003) than those who met guidelines CONCLUSION: Findings suggest that increased PA participation in AA individuals with severe hair loss is associated with improved mental health status. Intervention efforts for this specific population should consider barriers and enablers to PA participation as they face challenges that differ from the general population.