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Article ; Online: Radiolucent foreign bodies presenting as inflammatory bowel disease: the case of an ingested plastic straw disguising as Crohn's.

Wadham, B / Connolly, T / Ledda, V / Satchidanand, R Y

Annals of the Royal College of Surgeons of England

2021 Volume 104, Issue 5, Page(s) e147–e149

Abstract: More than 80% of ingested foreign bodies are thought to pass spontaneously in the faeces, with fewer than 1% requiring surgical intervention. 'Missed' gastrointestinal foreign bodies are rare and often due to the lack of an obtainable history in patients ...

Abstract	More than 80% of ingested foreign bodies are thought to pass spontaneously in the faeces, with fewer than 1% requiring surgical intervention. 'Missed' gastrointestinal foreign bodies are rare and often due to the lack of an obtainable history in patients with communication difficulties or radiolucent foreign bodies. We present the rare case of a 27-year-old woman with severe learning difficulties and a complex surgical history who presented with a 2-year history of increasing abdominal discomfort due to a 'missed' foreign body. Initially diagnosed as Crohn's disease, this case highlights the value of oral contrast enhancement imaging in patients who do not fit a 'classical' inflammatory bowel disease presentation.
MeSH term(s)	Adult ; Chronic Disease ; Crohn Disease/diagnosis ; Crohn Disease/diagnostic imaging ; Female ; Foreign Bodies/complications ; Foreign Bodies/diagnostic imaging ; Foreign Bodies/surgery ; Humans ; Plastics
Chemical Substances	Plastics
Language	English
Publishing date	2021-12-23
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	80044-2
ISSN	1478-7083 ; 0035-8843
ISSN (online)	1478-7083
ISSN	0035-8843
DOI	10.1308/rcsann.2021.0204
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Article ; Online: Level playing field: young males, masculinity and mental wellbeing through sport.

Drummond, Murray / Wadham, Ben / Prichard, Ivanka / Elliott, Sam / Drummond, Claire / Crossman, Sarah

BMC public health

2022 Volume 22, Issue 1, Page(s) 756

Abstract: In Australia, and throughout the world, it is evident that the mental health and wellbeing of young males aged 15-24, is not a priority. In Australia suicide is the leading cause of death in people aged 15-24 years and 75% are male (Australian Institute ... ...

Abstract	In Australia, and throughout the world, it is evident that the mental health and wellbeing of young males aged 15-24, is not a priority. In Australia suicide is the leading cause of death in people aged 15-24 years and 75% are male (Australian Institute of Health and Welfare. Australian hospital statistics 2011-12, 2021). It is clear young males as well as those who identify as indigenous or LGBTIQ are at risk groups with respect to self arm and suicide (Drummond, MJN, et al. 2019). It is the transition period from adolescence to adluthood that is of particular concern. Often young males must pass through this phase of life with minimal guidance or direction and without a "safe space" where they can attain emotional support. Sport is a significant part of boys' and young males' lives and offers that "safe space". Sport can play a substantial role in protective mental health through socialization and engagement in a socially endorsed activity that seemingly has far more positive outcomes than negative ones. This research is underpinned by both quantitative and qualitative research with young males involved masculinised sporting clubs. Its aim is to provide insights into how we can create safe spaces for males and influence positive forms of masculinities that can enhance mental health promotion among young males. This mixed methods research explores issues around mental health in young males involved across two male dominated sporting codes in Australian (Australian football and cricket). Surveys and interviews with young males age 15-24 as well as parents, coaches and key stakeholders underpin this research. While the data is designed to assist in the development of educational resources for males to influence positive forms of masculinities that can enhance mental health promotion among young males involved in these sporting codes, this paper reports on the exploratory nature of the data and raises important issues emerging among young males with respect to mental health and the role of the sporting club.
MeSH term(s)	Adolescent ; Female ; Humans ; Male ; Australia ; Health Promotion ; Masculinity ; Team Sports
Language	English
Publishing date	2022-04-14
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2041338-5
ISSN	1471-2458 ; 1471-2458
ISSN (online)	1471-2458
ISSN	1471-2458
DOI	10.1186/s12889-022-13200-1
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Article ; Online: Promoting mental health among young males in sporting contexts: A systematic review.

Petersen, Jasmine M / Drummond, Murray / Rasheed, Kate / Elliott, Sam / Drummond, Claire / Smith, James A / Wadham, Ben / Prichard, Ivanka

Psychology of sport and exercise

2023 Volume 70, Page(s) 102551

Abstract: Background: Young males experience markedly poorer mental health outcomes. Organised sport settings provide novel prospects to improve the mental health of this subpopulation.: Aim: This systematic review aimed to evaluate interventions targeted at ... ...

Abstract	Background: Young males experience markedly poorer mental health outcomes. Organised sport settings provide novel prospects to improve the mental health of this subpopulation. Aim: This systematic review aimed to evaluate interventions targeted at the promotion of mental health and wellbeing among young males in organised sporting contexts. Methods: Six databases (SportDiscus, PsycInfo, Medline, Web of Science, Scopus, CINAHL) were searched from inception to June 2022 (and updated in September 2023). Eligible studies examined interventions targeting the mental health and wellbeing (e.g., depression, anxiety, resilience) or mental health literacy (e.g., stigmatising attitudes, help-seeking) of young males aged 10-24 years (or associated stakeholder samples; e.g., parents or coaches of male youth). Results: A total of 15 studies were included in this review. Overall, the findings indicate promising effects of sport-based interventions on the mental health and mental health literacy outcomes of young males. Conclusions: This review suggests that there is scope to improve the capacity of sports-based interventions to affect positive change in the mental health of male youth. The findings from this review also have important implications for the development and evaluation of sports-based interventions targeted at young males in future.
MeSH term(s)	Adolescent ; Male ; Humans ; Mental Health ; Sports/psychology ; Health Literacy ; Anxiety ; Anxiety Disorders
Language	English
Publishing date	2023-10-20
Publishing country	Netherlands
Document type	Systematic Review ; Journal Article ; Review
ISSN	1878-5476
ISSN (online)	1878-5476
DOI	10.1016/j.psychsport.2023.102551
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Article ; Online: No Women's Land: Australian Women Veterans' Experiences of the Culture of Military Service and Transition.

Lawn, Sharon / Waddell, Elaine / Roberts, Louise / Rioseco, Pilar / Beks, Tiffany / Sharp, Tiffany / McNeill, Liz / Everitt, David / Bowes, Lee / Mordaunt, Dylan / Tarrant, Amanda / Van Hooff, Miranda / Lane, Jonathan / Wadham, Ben

International journal of environmental research and public health

2024 Volume 21, Issue 4

Abstract: Women's experiences of military service and transition occur within a highly dominant masculinized culture. The vast majority of research on military veterans reflects men's experiences and needs. Women veterans' experiences, and therefore their ... ...

Abstract	Women's experiences of military service and transition occur within a highly dominant masculinized culture. The vast majority of research on military veterans reflects men's experiences and needs. Women veterans' experiences, and therefore their transition support needs, are largely invisible. This study sought to understand the role and impact of gender in the context of the dominant masculinized culture on women veterans' experiences of military service and transition to civilian life. In-depth qualitative interviews with 22 Australian women veterans elicited four themes: (1) Fitting in a managing identity with the military; (2) Gender-based challenges in conforming to a masculinized culture-proving worthiness, assimilation, and survival strategies within that culture; (3) Women are valued less than men-consequences for women veterans, including misogyny, sexual harassment and assault, and system failures to recognize women's specific health needs and role as mothers; and (4) Separation and transition: being invisible as a woman veteran in the civilian world. Gendered military experiences can have long-term negative impacts on women veterans' mental and physical health, relationships, and identity due to a pervasive masculinized culture in which they remain largely invisible. This can create significant gender-based barriers to services and support for women veterans during their service, and it can also impede their transition support needs.
MeSH term(s)	Humans ; Female ; Veterans/psychology ; Australia ; Adult ; Middle Aged ; Military Personnel/psychology ; Culture ; Aged
Language	English
Publishing date	2024-04-15
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph21040479
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Article ; Online: The place of retroperitoneoscopic hemi-nephroureterectomy for duplex kidney in children; risk of damage to the remnant moiety and strategies to reduce the risk.

Wadham, Bianca / DeSilva, Amila / Connolly, Thomas / Alshafei, Abdulrahman / Keene, David / Hennayake, Supul

Journal of pediatric urology

2021 Volume 17, Issue 5, Page(s) 708.e1–708.e8

Abstract: Objective: To analyse the outcomes of retroperitoneoscopic upper and lower moiety hemi-nephroureterectomy (HNU) and to assess the different variables that may have an impact on outcome; remnant moiety damage, morbidity and the need for secondary surgery. ...

Abstract	Objective: To analyse the outcomes of retroperitoneoscopic upper and lower moiety hemi-nephroureterectomy (HNU) and to assess the different variables that may have an impact on outcome; remnant moiety damage, morbidity and the need for secondary surgery. Methods: Prospectively recorded data of retroperitoneoscopic HNU's performed by a single surgeon from 2005 to 2018 were analysed. Patients were split into 2 groups according to moiety affected (UMHNU and LMHNU). Clinical presentation, underlying pathology, remnant moiety DRF on renal scintigraphy, and need for further surgery were recorded. Detailed operation notes were studied regards to renal vasculature, degree of dilatation, inflammatory changes and operative difficulties encountered. Renal loss was defined as remnant moiety DRF <10% post-operatively. Change in DRF was assessed regards to the moiety, pathology and age at surgery (<1 year, 1-2 years and ≥2 years). UMHNU group was further sub-divided into 3 subgroups: ureteroceles, ectopic ureters and 'other' pathology. Statistical analysis was performed using Fishers Exact test; findings were considered statistically significant at p < 0.05. Results: 78 operations met the inclusion criteria on 75 patients (3 bilateral). There were no conversions to open, and 67% were performed as day-case procedures (53/78 patients). In 91.2% (71/78) patients the procedure was definitive in resolving pathology and symptoms. 7 patients needed further procedures after HNU, 5 for ureterocele/ureteric stump. Overall, there was remnant moiety renal loss in 5.1% (4/78) patients, all with UM surgery (3 ectopic ureters and 1 ureterocele). All 4 operations were recorded prospectively as 'difficult operations' due to grossly dilated UM ureter/pelvis measuring >2 cm in diameter. 2 patients had a thinned out lower moiety (LM) sitting on top of the UM renal pelvis like a pancake with all vessels stretched over this dilated pelvis/ureter causing difficulty in accurate identification. There was intra-operative concern about some damage to LM vessels in 3 patients. Age <1year was also related to increased renal loss (2/8 patients <1 year, 1/25 patients 1-2 years, 1/45 patients ≥2 years of age P = 0.005). Conclusion: Retroperitoneoscopic LMHNU is a safe and definitive procedure with rapid recovery and minimal scarring. UMHNU has higher rates of remnant moiety loss due to more complex renal pathology, but remains a safe, successful operation on the majority of patients. Renal damage was also related to age <1year (p = 0.005) and re-operation risk after UMHNU correlated to the presence of ureterocele (p = 0.003).
MeSH term(s)	Child ; Humans ; Infant ; Kidney/diagnostic imaging ; Kidney/surgery ; Nephroureterectomy ; Retrospective Studies ; Ureter/diagnostic imaging ; Ureter/surgery ; Ureterocele/surgery
Language	English
Publishing date	2021-08-09
Publishing country	England
Document type	Journal Article
ZDB-ID	2237683-5
ISSN	1873-4898 ; 1477-5131
ISSN (online)	1873-4898
ISSN	1477-5131
DOI	10.1016/j.jpurol.2021.07.033
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Article ; Online: An audit of fluid resuscitation practice in trauma patients with mmajor haemorrhage at Christchurch Hospital.

Jones, Calan / Wadham, Bianca / Morriss, Wayne / McCombie, Andrew / Evans, Melissa / Wakeman, Christopher

The New Zealand medical journal

2020 Volume 133, Issue 1525, Page(s) 11–17

Abstract: Aims: Damage control resuscitation with limited crystalloids and early use of blood products is now considered standard care in major trauma. The purpose of this study was to audit resuscitation practice in trauma patients where a massive transfusion ... ...

Abstract	Aims: Damage control resuscitation with limited crystalloids and early use of blood products is now considered standard care in major trauma. The purpose of this study was to audit resuscitation practice in trauma patients where a massive transfusion protocol (MTP) had been activated, to determine whether crystalloid administration and adherence to the MTP had improved since an audit and education sessions in July 2017. Methods: We conducted a retrospective study looking at trauma patients presenting to Christchurch Hospital who had a MTP activated form the 1 May 2016 to 1 March 2019. Patients were identified by cross-referencing the trauma call database with the electronic transfusion registry. Results: Thirty-four patients were included in the audit. There was no significant difference in mean crystalloid administration before and after July 2017 (5.74 litres and 4.86 litres respectively). Patients presenting before July 2017 received a significantly lower mean fresh frozen plasma to red blood cells (FFP:RBC) compared to patients after July 2017. Conclusions: Trauma patients with major haemorrhage at Christchurch Hospital are still receiving excess crystalloids; however, our audit suggests that compliance with the MTP has improved. Further education involving the entire trauma team is required to improve fluid resuscitation practice.
MeSH term(s)	Adult ; Blood Transfusion/methods ; Clinical Audit ; Crystalloid Solutions ; Female ; Fluid Therapy/methods ; Hemorrhage/blood ; Hemorrhage/therapy ; Hospitals ; Humans ; Male ; Middle Aged ; New Zealand ; Plasma ; Resuscitation/methods ; Retrospective Studies ; Wounds and Injuries/blood ; Wounds and Injuries/therapy
Chemical Substances	Crystalloid Solutions
Language	English
Publishing date	2020-11-20
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	390590-1
ISSN	1175-8716 ; 0028-8446 ; 0110-7704
ISSN (online)	1175-8716
ISSN	0028-8446 ; 0110-7704
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Article ; Online: Families' experiences of supporting Australian veterans to seek help for a mental health problem: a linked data analysis of national surveys with families and veterans.

Waddell, Elaine / Rioseco, Pilar / Van Hooff, Miranda / Daraganova, Galina / Lawrence, David / Rikkers, Wavne / Roberts, Louise / Beks, Tiffany / Sharp, Tiffany / Wadham, Ben / Lawn, Sharon

Journal of mental health (Abingdon, England)

2023 Volume 32, Issue 5, Page(s) 899–909

Abstract: Background: Families play a critical role in supporting currently serving and transitioned veterans' wellbeing and help-seeking for mental health concerns; however, little is known about families' experiences.: Aims: This study used Australian ... ...

Abstract	Background: Families play a critical role in supporting currently serving and transitioned veterans' wellbeing and help-seeking for mental health concerns; however, little is known about families' experiences. Aims: This study used Australian national survey linked-data (n = 1217) from families (Family Wellbeing Study-FWS) and veterans (Mental Health Wellbeing Transition Study-MHWTS) to understand veteran-family help-seeking relationships. Methods: Veterans' and family members' responses to mental health and help-seeking questions in FWS and MHWTS datasets from perspective of family members were cross-tabulated. Help-seeking support provided by family members was compared by veterans' probable disorder. Results: Results highlighted high levels of involvement and continuous assistance provided by families. Two in three family members thought the veteran had probable mental health concerns although they have never been diagnosed or treated. Clear disparities between family and veteran perspectives regarding mental health concerns indicates the extent of non-treatment seeking in this population, missed opportunities for early intervention, and need for greater support to families to promote help-seeking. Conclusions: Encouraging help-seeking is complex for veteran families particularly where veterans' reluctance to seek help may lead to family relationship strain and conflict. Families need early information, support, and recognition by service agencies of the role of the family in encouraging help-seeking.
MeSH term(s)	Humans ; Veterans/psychology ; Mental Health ; Australia/epidemiology ; Mental Health Services ; Data Analysis
Language	English
Publishing date	2023-03-07
Publishing country	England
Document type	Journal Article
ZDB-ID	1145439-8
ISSN	1360-0567 ; 0963-8237
ISSN (online)	1360-0567
ISSN	0963-8237
DOI	10.1080/09638237.2023.2182418
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Article ; Online: Families' experiences of supporting Australian veterans and emergency service first responders (ESFRs) to seek help for mental health problems.

Lawn, Sharon / Waddell, Elaine / Rikkers, Wavne / Roberts, Louise / Beks, Tiffany / Lawrence, David / Rioseco, Pilar / Sharp, Tiffany / Wadham, Ben / Daraganova, Galina / Van Hooff, Miranda

Health & social care in the community

2022 Volume 30, Issue 6, Page(s) e4522–e4534

Abstract: The objective of this phenomenological study was to describe families' experiences of supporting veterans and emergency service first responders (ESFRs) (known also as public safety personnel) to seek help for a mental health problem. In-depth semi- ... ...

Abstract	The objective of this phenomenological study was to describe families' experiences of supporting veterans and emergency service first responders (ESFRs) (known also as public safety personnel) to seek help for a mental health problem. In-depth semi-structured open-ended interviews were undertaken with 25 family members of Australian veterans and ESFRs. Fourteen participants were family members of police officers. Data were analysed thematically. Participants described a long and difficult journey of supporting the person's help-seeking across six themes. Traumatic exposures, bullying in the workplace and lack of organisational support experienced by veterans/ESFRs caused significant family distress. Families played a vital role in help-seeking but were largely ignored by veteran/ESFR organisations. The research provides a rich understanding of distress and moral injury that is experienced not only by the service members but is transferred vicariously to their family within the mental health help-seeking journey. Veteran and ESFR organisations and mental health services need to shift from a predominant view of distress as located within an individual (intrapsychic) towards a life-course view of distress as impacting families and which is more relational, systemic, cultural and contextual.
MeSH term(s)	Humans ; Veterans/psychology ; Mental Health ; Australia ; Mental Health Services ; Emergency Responders
Language	English
Publishing date	2022-06-05
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1155902-0
ISSN	1365-2524 ; 0966-0410
ISSN (online)	1365-2524
ISSN	0966-0410
DOI	10.1111/hsc.13856
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Article: Manus Island.

WADHAM, B M

Journal of the Royal Naval Medical Service

1958 Volume 44, Issue 4, Page(s) 261–265

MeSH term(s)	Hand ; Military Medicine ; Military Personnel ; Naval Medicine
Language	English
Publishing date	1958
Publishing country	England
Document type	Journal Article
ZDB-ID	764213-1
ISSN	0035-9033
ISSN	0035-9033
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Article: Incidence and location of accessory spleens.

Wadham, B M / Adams, P B / Johnson, M A

The New England journal of medicine

1981 Volume 304, Issue 18, Page(s) 1111

MeSH term(s)	Abdominal Neoplasms/epidemiology ; Abdominal Neoplasms/pathology ; Aged ; Choristoma/epidemiology ; Choristoma/pathology ; Humans ; Middle Aged ; Spleen
Language	English
Publishing date	1981-04-30
Publishing country	United States
Document type	Letter
ZDB-ID	207154-x
ISSN	1533-4406 ; 0028-4793
ISSN (online)	1533-4406
ISSN	0028-4793
DOI	10.1056/nejm198104303041822
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