Monthly Archives: March 2019

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Screen babies for immunodeficiencies

Newborns should be screened for primary immunodeficiency diseases, an expert says.n newborns should be screened for severe immunodeficiency diseases to improve survival and health outcomes for those born without a functional immune system, a paediatric specialist says.
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Currently babies are screened, via the heel prick blood test, for more than 40 different conditions, including inborn errors of metabolism and cystic fibrosis.

Dr Jovanka King, a specialist paediatric immunologist and immunopathologist at SA Pathology at the Women’s and Children’s Hospital, and the University of Adelaide, wants screening to be expanded to include inherited primary immunodeficiency diseases (PID).

She says infants with an inherited PID – of which there are more than 150 types – are in-and-out of hospital with severe and recurrent infections.

Within one year they can face eight or more ear infections, two or more serious sinus infections and two or more bouts of pneumonia.

Babies born with Severe Combined Immunodeficiency (SCID) – which inhibits the production of T and B immune cells – become critically unwell relatively quickly, says Dr King.

“They require long stays in hospital, expensive treatments and medications, intensive care admissions and the condition is associated with a high rate of death and other complications arising from that,” Dr King said.

A bone marrow or stem cell transplant offers a cure for SCID and the evidence shows survival is greatly improved when performed before the age of three-and-a-half months, Dr King said.

“Beyond this age, affected babies have a higher burden of infection and other complications due to their untreated disease,” she said.

“The only realistic way to achieve the goal of early transplantation for babies with SCID is to diagnose them early in the newborn period, before they develop symptoms of the disease,” she said.

But currently a diagnosis can take months and for this reason expanding screening should be a health priority, Dr King told experts at the Pathology Update 2018, the Royal College of Pathologists of Australasia’s (RCPA) annual conference held at the weekend.

“Conditions such as SCID are life-threatening, therefore making a diagnosis and starting treatment as early as possible is essential, Dr King said.

Studies in Sweden have demonstrated expanding screening to include PID would save lives.

“Affected infants were detected by an abnormal screening test, which enabled rapid medical assessment, confirmatory testing and commencement of treatment within the first weeks of life,” Dr King said.

Doctor King also believes this new screening would also be cost effective.

“Economic analyses performed in other countries have demonstrated that it is more cost effective to screen newborns for SCID than it is to manage a critically unwell child in whom diagnosis and treatment was delayed, which is costly to health systems.”

Xenophon wants to lure Qantas to SA

Alan Joyce is looking for a location to establish an international flight academy to train pilots.Nick Xenophon wants Qantas pilots to train in regional South .
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The SA-BEST leader says he’ll ensure the next state government provide the airline with a financial incentive to set up a training base in Whyalla or Port Lincoln, if his party holds the balance of power after the March 17 election.

“The training staff, trainee pilots, support staff and ancillary staff would all live and work in the area, injecting millions of dollars a year into the local economy,” Mr Xenophon said.

Last month Qantas announced plans to address the global pilot shortage by setting up what it said could eventually be the southern hemisphere’s largest flight academy.

“Boeing estimates the world will need about 640,000 more pilots in the next 20 years, with 40 per cent in the Asia Pacific region,” Chief executive Alan Joyce said last month.

He said the company would look not just at the financial incentive package offered by states but existing infrastructure when picking a location.

“Over time, we see the potential for the academy to become a competitive advantage for in the region, it could train pilots for other airlines and grow into the largest academy of its kind in the southern hemisphere,” he said.

The company plans to open the $20 million school in 2019 and train 500 pilots a year.

South will face tough competition with Northern Territory Chief Minister Michael Gunner indicating his government would prepare a business case and mayors in far-north Queensland indicating they would also bid for the facility.

SA-BEST said an incentive for Qantas to come to SA would be similar to the $10 million offered to OZ Minerals to relocate their headquarters from Melbourne to Adelaide.

Newcastle Jets coach Ernie Merrick praises toughness of Nigel Boogaard after season-threatening injury

TWO days after slamming the histrionics of Sydney defender Jordy Buijs, Jets coach Ernie Merrick has praised the toughness of Newcastle skipperNigel Boogaard, who is likely to miss the rest of the season.
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Boogaardwas on Tuesday found to have a fractured tibia and torn calf in his left leg from an incident late in the 2-1 win over Sydney on Saturday night. He is expected to miss between six to 10 weeks, giving him only a slight chance of featuring in the finals.

The centre-back, who shook off a knee muscle strain to take on Sydney, walked off in the 82ndminute as the 10-man Jets fought to retain their advantage at McDonald Jones Stadium.

Buijs, on the other hand, came in for heavy criticism for his theatrics an hour earlier when rolling on the ground andholding his face after a seemingly minor collision with Roy O’Donovan, who was sent off.

@NewcastleJetsFC coach Ernie Merrick on the departure of @[email protected]@ALeaguepic.twitter苏州夜总会招聘/OJ5i2RIHHB

— Craig Kerry (@craigkerry77) March 6, 2018Herald that Buijs “put on an injury display like a B-grade actor that was embarrassing”.

On Tuesday, he praised the resilienceof Boogaard in facing his injury blow.

“He’s taken it well, he’s a tough character, mentally and physically,” Merrick said.“He walked off the park and if I ever ask him how it is, he always says it’s 100 per cent, ready to go, but he’ll have to sit out for a few weeks now.

“He’s had a great year withhe and Nikolai [Topor-Stanley] as the centre of defence, their stats this year have been better than any other pair in the league.”

@NewcastleJetsFC coach Ernie Merrick on the injury to Nigel Boogaard @[email protected]苏州夜总会招聘/5nxaHzRZ7W

— Craig Kerry (@craigkerry77) March 6, 2018

Merrick held out little hope of having Boogaard back this season, which could end for the Jetswith the grand final on May 5.

Nigel Boogaard

“Because he hyper-extended his knee, there’s a compression fracture on his tibia,” he said.“It’s not a slight fracture, it’s fairly major.

“The good news is there’s no damage to the articular area of the knee and nor has the ACL been damaged.

“If either of those had been damaged, it would have been very bad and he would have been out for a very long time.

“The good news is it’s a six to 10 week injury. It’s unlikely, but there’s a very small chance he could play in the finals, but he doesn’t have to have an operation. He can gostraight into rehabilitation, which he’s doing upstairs as we speak.”

Boogaard is off-contract at season’s endand Merrick said the injury would have no bearing on the club’s desire to retain the 31-year-old.

“His contract negotiations will continue. It will make no difference to those. We want to keep him at this club,” he said.“He’s very good technically.Strategically, he’s a good on-field leader and he’s a good person to have aroundon and off the fieldat the club.”

The Jets next play on March 17 against Welllington and Merrick indicated Lachlan Jackson would get first crack at replacing Boogaard.

“Lachlan Jackson comes into consideration,Ben Kantarovski canplay as a centre-back, so can Ivan Vujic and Johnny Koutroumbis, so we’ve got a few options,” he said.“Lachlan seems the most obvious one because he’s played twice now against Sydney and has done a very good job.”

Knights the great unknown of NRL: Manly

Tom Trbojevic and Daly Cherry-Evans will carry much of the attacking burden for Manly in 2018.Expect the unexpected from Newcastle this NRL season.
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That’s the opinion of Manly ace Tom Trbojevic as the Knights get set to launch their campaign against the Sea Eagles on Friday night.

There’s high expectation in the Hunter that the arrival of Mitchell Pearce, Connor Watson and Kalyn Ponga will usher in a new era for Nathan Brown’s side after three years of failure.

A bumper 25,000-strong crowd is expected for the round-one clash and some rusted-on supporters are tipping the Knights to climb into finals contention for the first time since 2013.

Trbojevic said the Knights were an unknown quantity for everyone in the competition and they didn’t know what they were set to throw at them.

“It’s very tough to do homework,” Trbojevic said.

“That’s why we can’t really do too much, it’s all about yourselves.

“They’ve got some really big name inclusions – Mitchell Pearce, Connor Watson, Kalyn Ponga, there’s some great players there.

“They haven’t played much together, so you don’t know how to take them on.”

Bookmakers have the Knights and Sea Eagles at even money, with the jury still out on Trent Barrett’s side after the departure of Blake Green, who is set to be replaced by rookie Lachlan Croker at five-eighth.

The hype around the Knights has reached fever pitch with the club having signed up 13,935 members – about 2000 more than they had last year.

Trbojevic said he was bracing for an inhospitable welcome at McDonald Jones Stadium and it was up to his side to embrace the pressure.

“It’s going to be a hostile environment,” he said.

“But then again everyone loves playing the big stages and that’s going to be a big one on Friday night.”

Women’s team ready for Indian cricket test

captain Meg Lanning had an interrupted Women’s World Cup campaign last year.Returning captain Meg Lanning says the n women’s cricket team is well prepared for difficult conditions in India.
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The star batter is back from a seven-month stint on the sidelines due to a shoulder injury and will bolster the visitors significantly for the one-day series starting on March 12.

The three ODIs will be followed by a T20 tri-series against the hosts and England.

have two warm-up matches against India A in Mumbai, on March 6 and tywo days later.

Lanning said there is no need for a dramatic shake-up for after they won the Ashes during the summer.

“We need to slightly tweak our games to suit the conditions and the opposition, but there won’t be any major changes,” she said.

“It’s about adapting to the conditions… the heat and the different pitch conditions and once we get into the matches we’ll be getting more specific about how we want to play the game.”

Lanning, who averages 54.52 in the one-day format, will slot straight back in at No.3 after last playing in the World Cup semi-final loss against India last July.

Veteran vice-captain Alex Blackwell has retired, meaning acting Ashes captain Rachael Haynes will be Lanning’s permanent deputy.

Lanning has high hopes for uncapped pair Nicola Carey and Sophie Molineux, with allrounder Tahlia McGrath missing due to injury.

“They’ve had good domestic seasons and slotted in very nicely so we’re looking forward to seeing how they go in the tour,” Lanning said.

Molineux could provide a spinning option with her left-arm orthodox, an art that is crucial on the turning wickets of India.

“Our spinners have done quite well over here in the past,” Lanning said.

“We’ve got good some variety within our spinning ranks and these two practice matches will see how they operate best.”