Tag Archives: oceania

Newborn baby's death may have been prevented in Adelaide

A newborn baby's death may have been prevented had his heart rate been properly monitored and his delivery hastened, a coroner has found.

Bodhi Leo Searle died in August 2021, the day after his birth at Flinders Medical Centre in Adelaide.

The cause of death was hypoxic ischaemic encephalopathy or a lack of blood and oxygen to the brain.

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In her findings on Friday, South Australian Coroner Naomi Kereru said the mother's pregnancy had been largely uneventful but after being admitted to hospital and with her labour not progressing a decision was made to watch her more closely.

During this time there was a period when Bodhi's heart rate went unchecked with a monitor connected to his mother's heart instead in what coroner Kereru said was a "fundamental and tragic error".

By the time the baby was properly monitored he was found to be in foetal distress, with a trace showing a severely abnormal heart rate for a period of about 13 minutes.

A decision was made to deliver Bodhi urgently but the doctor on site was not sufficiently experienced to conduct the complicated instrument procedure.

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An on-call consultant was contacted but by the time she arrived at the hospital the boy's mother had begun to effectively push and he was delivered a few minutes later.

Resuscitation efforts were performed, but were not enough to reverse the damage that had been done, the coroner found.

"It is difficult to know at what point exactly the hypoxia from which Bodhi succumbed was irreversible," Kereru said.

"However, it is important to acknowledge that delivering him at any time earlier than he was may have prevented his death."

The coroner said expert evidence to the inquest suggested there were signs of foetal distress as early as 90 minutes before the birth and that there were a number of missed opportunities during the course of the labour to recognise those issues and adequately respond.

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The coroner said following the boy's death, a number of practical and sensible changes had been made at the hospital to provide a safety net for when errors occurred, including a check system to ensure heart rate monitors were correctly connected and a nurse allocated to watch it at all times.

But she said the hospital's current procedures did not require a consultant to be on-site overnight, with the onus on a more junior doctor to notify the senior clinician if they wanted them there.

Kereru said that was an unrealistic expectation and placed an uncomfortable onus on the less-experienced doctor.

The coroner recommended all SA maternity hospitals consider a policy that ensured the most senior registrar on duty was appropriately credentialled to perform complex deliveries independently, unless there was a consultant on-site and available.

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'Desperate' carer laced husband's soup with drugs

Judith Ann Venn had reached the end of the road when she overdosed her husband of over 40 years by lacing his favourite soup with pills before cutting his wrist, a court has been told.

The now 69-year-old was not coping as carer of Lance Hilton Venn whose bipolar disorder had worsened significantly over the previous 18 months.

But she also could not bear the prospect of their daughters enduring the difficulty of caring, monitoring and managing him, Venn's barrister Christopher Wilson said on Friday.

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Venn pleaded guilty to manslaughter in the Brisbane Supreme Court over the death of her husband in their home at Alexandra Hills, southeast of Brisbane, in August 2020.

Venn felt trapped as part of a close Christadelphian Church community that did not look outside for help, Wilson said.

"Because of her shame and her desire not to besmirch her husband in that group she kept secret a lot of what was going on in his mental health and his deterioration."

The month before her husband's killing Venn told a mental health service of her desperation but received very limited support.

"For her it was the end of the line, for them it was the first presentation," Wilson said.

A psychiatrist surmised Venn habitually understated her husband's physical violence to her, perhaps because she was ashamed, thought she failed him or knew he couldn't help it, the court heard.

"Out of sheer loyalty to him (she) did not mention it or did not make a big issue of it," Wilson told the court.

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She was also likely chronically sleep-deprived and getting more and more isolated and desperate.

Shortly before he was killed Venn, a former fisherman, used money they could not afford to buy a boat, although they already had four in the yard, indicating how bad his condition was.

On the morning of August 14, Venn was hopeful of some relief in managing her husband as he was due to see a psychologist that day.

But Venn ended up at their daughter's house at the end of one his nocturnal walks.

Venn cancelled the appointment and overdosed him by dissolving prescribed pills in his favourite vegetable soup.

"She had just reached the end of the road," Wilson said.

She cut his wrist when he was unconscious before eating the laced soup in an attempt to take her own life.

Venn admitted to police she had decided to end her husband's life and her own due to frustration with his behaviour.

She was a stoic woman with an extraordinary ability to cope who reached the end of her tether because she was doing it all on her own, Wilson said.

Venn – who wiped away tears during the sentencing submissions – pleaded guilty to one count of manslaughter over her husband's death.

She has been behind bars since the day she killed her husband and was in the trusted position of working in the prison's reception counter.

Justice Frances Williams has reserved her decision until a date to be set.

Readers seeking support and information about suicide prevention can contact Lifeline on 13 11 14.

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Possible disruptions to Sydney's water supplies as strike action brews

Sydney Water workers are threatening to strike after an ongoing dispute with management over pay and conditions but potential industrial action could impact the city's residents.

The Australian Services Union – which is responsible for Sydney Water workers – said negotiations with their management have broken down, leading to the union lodging a dispute with the Fair Work Commission.

Workers are looking for improved pay and conditions after claims management slashed current salaries and imposed "secretive" contracts.

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Warragamba Dam spills on January 6, 2020.

"The relationship between the people who work at Sydney Water and senior management has never been worse," deputy secretary Jan Primrose said.

Primrose claimed long-term skilled workers are quitting the organisation as a result of the deteriorating pay and working conditions.

"Sydney Water is a great public asset, but it is being dragged backwards," she said.

"These workers are essential to keeping our water clean, and our beaches pristine."

"The people of NSW who are the owners of Sydney Water deserve better and so do the workers who have been delivering Australia's safest water."

A Sydney Water spokesperson told 9news.com.au it has proposed an 11 per cent increase over three years and "has agreed to a number of proposals put forth by the joint unions".

"Sydney Water states that they have been bargaining with their employees in good faith, and with an additional meeting scheduled for next week, we're hopeful that an agreement may have been reached," the spokesperson said.

Primrose called on the government to step in and rectify the dispute between workers and management by formalising an enterprise agreement.

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Premier Chris Minns

Premier Chris Minns said he was unaware of the industrial negotiations going on at Sydney Water but wants the senior management to better liaise with the workforce.

"I urge all parties to sit down and work through the circumstances of both the union claims and the ability of this particular agency to meet them," he said.

"It's going to be a rocky road and I've said this in relation to other industrial disputes.

"We don't welcome it but unfortunately it's part of the process."

If a strike is to occur, Sydney residents could be impacted if workers don't show up.

Minns warned there could be flow-on disruptions for residents if the strike goes ahead.

"I'm not promising that it will run smoothly but I am promising we will make progress and keep more people in the public sector to deliver better service to the people of this state," he said.

Sydney Water has more than 3000 employees and services 5.3 million customers in Greater Sydney, the Blue Mountains and Illawarra.

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Passengers warned not to fly with fully charged devices

Passengers have been warned not to fly with fully charged devices due to an increased cabin fire risk by the United States' Federal Aviation Administration.

The safety regulator has warned travellers everyday items like mobile phones, laptops, tablets and smartwatches all contain lithium batteries, which can be potential fire hazards.

Fire safety branch manager Robert Ochs said the batteries had "high energy density" so there was a lot of electrical power in a relatively small pack on the Air Up There podcast which was posted on X, formerly Twitter, this week.

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Passengers have been warned not to fly with fully charged devices due to an increased cabin fire risk by the United States' Federal Aviation Administration.

Fire safety branch manager Robert Ochs said the batteries had "high energy density" so there was a lot of electrical power in a relatively small pack.

"They can however undergo a failure mode called thermal runaway," Ochs explained.

"So this thermal runaway occurs if there is an internal short circuit within the battery itself where energy will start to flow within the battery.

"That creates a good amount of heat and if that heat can't be dissipated then the heat just keeps building and building to the point where the cell fails.

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https://twitter.com/FAANews/status/1683162628254846976?ref_src=twsrc%5Etfw

"You can have everything from fires to explosions and it's a very, very dangerous situation."

He said the main difference between a fire occurring in the air opposed to the ground was the inability to escape a fire if it was on a plane.

"If you do notice any of these signs (devices heating up)… get the attention of the cabin crew immediately, they are trained to handle these type of situations."

He said the best way to avoid the situation was to turn the device off or travel with it at 30 per cent or lower.

The event is rare but it does happen, Ochs said.

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Meat allergy caused by tick spit is 'getting more common'

More than 100,000 people in the US have become allergic to red meat since 2010 because of a weird syndrome triggered by tick bites, according to a government report, but health officials believe many more have the problem and don't know it.

A second report estimated that as many as 450,000 Americans have developed the allergy.

That would make it the 10th most common food allergy in the US, said Dr Scott Commins, a University of North Carolina researcher who co-authored both papers published by the Centres for Disease Control and Prevention.

Health officials said they are not aware of any confirmed deaths, but people with the allergy have described it as bewildering and terrifying.

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As ticks are very small and their bites do not usually hurt, ticks can easily be overlooked on the body.

“I never connected it with any food because it was hours after eating,” said one patient, Bernadine Heller-Greenman.

The reaction, called alpha-gal syndrome, occurs when an infected person eats beef, pork, venison or other meat from mammals — or ingests milk, gelatin or other mammal products.

It’s not caused by a germ but by a sugar, alpha-gal, that is in meat from mammals — and in tick spit.

When the sugar enters the body through the skin, it triggers an immune response and can lead to a severe allergic reaction.

Scientists had seen reactions in patients taking a cancer drug that was made in mouse cells containing the alpha-gal sugar. But in 2011 researchers first reported that it could spread through tick bites, too.

They tied it to the lone star tick, which despite its Texas-themed name is most common in the eastern and southern US. (About 4 per cent of all US cases have been in the eastern end of New York’s Long Island.)

One of the studies released Thursday examined 2017-2022 test results from the main US commercial lab looking for alpha-gal antibodies. They noted the number of people testing positive rose from about 13,000 in 2017 to 19,000 in 2022.

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steak

Experts say cases may be up for a variety of reasons, including lone star ticks' expanding range, more people coming into contact with the ticks or more doctors learning about it and ordering tests for it.

But many doctors are not. The second study was a survey last year of 1,500 US primary care doctors and health professionals.

The survey found nearly half had never heard of alpha-gal syndrome, and only 5 per cent said they felt very confident they could diagnose it. Researchers used that information to estimate the number of people with the allergy — 450,000.

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People with the syndrome can experience symptoms including hives, nausea, vomiting, diarrhea, severe stomach pain, difficulty breathing, dizziness and swelling of the lips, throat, tongue or eyelids.

Unlike some other food allergies, which occur soon after eating, these reactions hit hours later.

Some patients have only stomach symptoms, and the American Gastroenterological Association says people with unexplained diarrhea, nausea and abdominal pain should be tested for the syndrome.

Doctors counsel people with the allergy to change their diet, carry epinephrine and avoid tick bites.

The allergy can fade away in some people — Commins has seen that happen in about 15 per cent to 20 per cent of his patients. But a key is avoiding being re-bitten.

“The tick bites are central to this. They perpetuate the allergy,” he said.

One of his patients is Heller-Greenman, a 78-year-old New York art historian who spends summers on Martha's Vineyard. She has grown accustomed to getting bitten by ticks on the island and said she has had Lyme disease four times.

About five years ago, she started experiencing terrible, itchy hives on her back, torso and thighs in the middle of the night. Her doctors concluded it was an allergic reaction, but couldn't pinpoint the trigger.

She was never a big meat eater, but one day in January 2020 she had a hamburger and then a big, fatty steak the following evening. Six hours after dinner, she woke up nauseated, then suffered terrible spells of vomiting, diarrhea and dizziness. She passed out three times.

She was diagnosed with alpha-gal syndrome shortly after that, and was told to avoid ticks and to stop eating red meat and dairy products. There have been no allergic reactions since.

“I have one grandchild that watches me like a hawk," she said, making sure she reads packaged food labels and avoids foods that could trigger a reaction.

“I feel very lucky, really, that this has worked out for me," she said. “Not all doctors are knowledgeable about this.”

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