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Metro North is committed to providing a platform to acknowledge and promote research excellence within our health service. Below is a list of research publications from across our hospitals and services.
- Prevalence and Incidence of Diabetes-Related Peripheral Neuropathy, Peripheral Artery Disease, Foot Ulcers and Lower Extremity Amputations in Ireland; A Systematic Review 17 March 2026CONCLUSION: This review found there is a paucity of information on prevalence and incidence of diabetes-related foot disease in Ireland. However, these findings suggest that prevalence is similar to, if not lower than, global rates of peripheral neuropathy, peripheral artery disease outcomes and amputation incidence outcomes. High heterogeneity in populations and outcomes highlights the need […]Sinead Kavanagh
- The Impact of Mindfulness Interventions on the Well-Being of Intensive Care, Emergency Department and Anaesthesia Staff: A Systematic Review 17 March 2026CONCLUSION: This review highlights the potential of MBIs in enhancing resilience and well-being among critical care staff, offering a targeted synthesis not previously available.Amanda Zahumensky
- Culturally and Linguistically Diverse Fathers' Experiences of Early Parenting: A Qualitative Study 17 March 2026CONCLUSION: Culturally and linguistically diverse fathers experience challenges in navigating maternal health care settings and at times interactions with health professionals. However, findings from this study showed that fathers were determined to navigate resources, services and networks that supported their transition to fatherhood in the early postpartum weeks. There is a need for maternity settings […]Rakime Elmir
- BJS commission on the surgical management of pancreatic neuroendocrine tumours 17 March 2026No abstractJulie Hallet
- Extracorporeal Life Support for Post-Cardiotomy Acute Right Ventricular Failure: a Retrospective Observational Multicenter Study 16 March 2026CONCLUSIONS: Patients requiring ECLS for post-cardiotomy aRVF, despite higher pre-operative risks and complex clinical courses, achieve survival rates comparable to other indications patients.Giacomo Bianchi
- Open Tibial Fractures Part 2: A Narrative Review of Definitive Treatment and Potential Applicability to the Southern African Context 16 March 2026The purpose of this study was to conduct a review of contemporary definitive treatment options, potential complications and clinical outcomes for open tibial shaft fractures and while assessing their relevance and applicability within South African context. Treatment options available in high-income countries may not be accessible in low-resource settings, requiring adaptations to the treatment approach […]Erik Hohmann
- Reply to Lai and Huang, "Which beta-lactam infusion strategy is superior in ICU pneumonia? A Bayesian network meta-analysis of continuous, extended, and intermittent approaches" 16 March 2026No abstractYixuan Li
- Beyond Human Error: Building Intelligent Resilience for Medication Safety in the ICU 14 March 2026Background/Objectives: Medication errors (MEs) in intensive care units (ICUs) remain a persistent threat to patient safety. A significant surveillance gap exists where traditional voluntary reporting detects as few as 0.02 MEs per patient-day, leaving approximately 98% of errors invisible to standard audits. This review critically examines how artificial intelligence (AI) and implementation science can bridge […]Sung Min Yun
- Association Between Hyperchloremia and Neurological Outcomes in Traumatic Brain Injury: A Narrative Review 14 March 2026Background/Objectives: Traumatic brain injury (TBI) is a leading cause of morbidity and mortality worldwide. Electrolyte disturbances are common in this patient cohort, with serum chloride frequently elevated. Chloride dysregulation may be associated with poor neurological outcomes through mechanisms including paradoxical gamma amino butyric acid receptor excitation, cytotoxic edema, and ferroptosis. The aim of this review […]Philippa McIlroy
- The silent burden: Contextualising challenges in a contemporary intensive care unit 14 March 2026Quantifying the challenges of intensive care work remains difficult. Conventional data fails to capture the realities of the intensive care unit (ICU) environment, and without identification of the problem, there is little chance of a solution. This paper presents novel workforce and operational data from a large Australian ICU, illustrating the complexity, unpredictability, and ethical […]Annabel Levido
- Muscle Dysfunction and Bone Loss in a Woman With Cystic Fibrosis and Obesity Treated With Glucagon-Like Peptide 1 Agonist: A Case Report 13 March 2026Cystic fibrosis (CF) modulator therapies can lead to rapid and excessive weight gain. Obesity in CF can lead to undesirable metabolic complications including type 2 diabetes. Therefore, glucagon-like peptide 1 (GLP-1) agonists which can facilitate weight loss and improve metabolic profiles are increasingly prescribed to people with CF. We present the first case report documenting […]Shanal Kumar
- Ultrasound imaging of the spinal accessory nerve in the neck 13 March 2026CONCLUSION: Awareness of the spinal accessory nerve anatomy and imaging appearances is required when sonographically imaging the neck to identify the spinal accessory nerve, ensuring it is not in the needle path during ultrasound-guided neck biopsies and identifying any potential injury or pathological involvement.Michelle Fenech
- Effectiveness of artificial intelligence chatbot-assisted flipped learning on patient handover for nursing students: A mixed-methods study 13 March 2026CONCLUSIONS: AI chatbot-assisted flipped learning effectively improved students' handover competency. Integration of the AI chatbot promoted reflective learning. The study presents an innovative strategy for preparing students for clinical communication.Wen Chang
- Effects of Antibiotics and Anti-Inflammatory Drugs on Enamel Development: A Systematic Review with Quantitative Synthesis 13 March 2026CONCLUSIONS: Certain antibiotics and NSAIDs may disrupt ameloblast integrity and enamel biomineralization in experimental animal models. These findings are hypothesis-generating, and further well-designed human observational and mechanistic studies are required before clinical translation.Nadia Zamri
- Delayed Admission to the Intensive Care Unit Is Associated With Increased Mortality Risk in Critically Ill Patients: A Prospective Cohort Study 13 March 2026CONCLUSIONS: Delayed ICU admission was significantly associated with increased mortality, particularly in patients with elevated SOFA scores, indicating worsening organ dysfunction and clinical instability.Shivaprasad Anagi
