Allison Tong

Summary

Affiliation: University of Sydney
Country: Australia

Publications

  1. doi request reprint Consumer involvement in topic and outcome selection in the development of clinical practice guidelines
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, Australia
    Health Expect 15:410-23. 2012
  2. pmc Test performance of faecal occult blood testing for the detection of bowel cancer in people with chronic kidney disease (DETECT) protocol
    Germaine Wong
    Sydney School of Public Health University of Sydney, Australia
    BMC Public Health 11:516. 2011
  3. ncbi request reprint Parental perspectives on caring for a child with chronic kidney disease: an in-depth interview study
    A Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, NSW, Australia
    Child Care Health Dev 36:549-57. 2010
  4. doi request reprint Screening and follow-up of living kidney donors: a systematic review of clinical practice guidelines
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Sydney, NSW, Australia
    Transplantation 92:962-72. 2011
  5. doi request reprint Nephrologists' perspectives on waitlisting and allocation of deceased donor kidneys for transplant
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Sydney, NSW, Australia
    Am J Kidney Dis 58:704-16. 2011
  6. doi request reprint Quality of life of adolescent kidney transplant recipients
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, New South Wales, Australia
    J Pediatr 159:670-5.e2. 2011
  7. doi request reprint "When I had my transplant, I became normal." Adolescent perspectives on life after kidney transplantation
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, NSW, Australia
    Pediatr Transplant 15:285-93. 2011
  8. doi request reprint The perspectives of kidney transplant recipients on medicine taking: a systematic review of qualitative studies
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, NSW 2145, Australia
    Nephrol Dial Transplant 26:344-54. 2011
  9. doi request reprint Community preferences for the allocation of solid organs for transplantation: a systematic review
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Sydney, NSW 2145, Australia
    Transplantation 89:796-805. 2010
  10. doi request reprint Adolescent experiences following organ transplantation: a systematic review of qualitative studies
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Sydney, NSW 2145, Australia
    J Pediatr 155:542-9. 2009

Detail Information

Publications55

  1. doi request reprint Consumer involvement in topic and outcome selection in the development of clinical practice guidelines
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, Australia
    Health Expect 15:410-23. 2012
    ..Little is known about how to involve consumers more effectively in guideline development...
  2. pmc Test performance of faecal occult blood testing for the detection of bowel cancer in people with chronic kidney disease (DETECT) protocol
    Germaine Wong
    Sydney School of Public Health University of Sydney, Australia
    BMC Public Health 11:516. 2011
    ..Among those with CKD, the effectiveness, the efficacy and patients' preferences for cancer screening are unknown...
  3. ncbi request reprint Parental perspectives on caring for a child with chronic kidney disease: an in-depth interview study
    A Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, NSW, Australia
    Child Care Health Dev 36:549-57. 2010
    ..Children diagnosed with chronic kidney disease (CKD) depend on their parents for complex, continuous and intensive support. The study aimed to explore the experiences of parents who have children with CKD...
  4. doi request reprint Screening and follow-up of living kidney donors: a systematic review of clinical practice guidelines
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Sydney, NSW, Australia
    Transplantation 92:962-72. 2011
    ..There is an urgent need for international collaboration and coordination to ensure, where possible, that guidelines for living donation are consistent, evidence based, and comprehensive to promote best outcomes for a precious resource...
  5. doi request reprint Nephrologists' perspectives on waitlisting and allocation of deceased donor kidneys for transplant
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Sydney, NSW, Australia
    Am J Kidney Dis 58:704-16. 2011
    ..This study aims to elicit nephrologists' perspectives on waitlisting patients for kidney transplant and the allocation of deceased kidneys...
  6. doi request reprint Quality of life of adolescent kidney transplant recipients
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, New South Wales, Australia
    J Pediatr 159:670-5.e2. 2011
    ..To elicit utility-based quality of life (QOL) of adolescent kidney transplant recipients...
  7. doi request reprint "When I had my transplant, I became normal." Adolescent perspectives on life after kidney transplantation
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, NSW, Australia
    Pediatr Transplant 15:285-93. 2011
    ..Novel approaches are needed to foster self-confidence and sense of normality and to provide comprehensive information on the patient journey following kidney transplantation...
  8. doi request reprint The perspectives of kidney transplant recipients on medicine taking: a systematic review of qualitative studies
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, NSW 2145, Australia
    Nephrol Dial Transplant 26:344-54. 2011
    ..This study aimed to describe the beliefs, experiences and perspectives of kidney transplant recipients on medicine taking...
  9. doi request reprint Community preferences for the allocation of solid organs for transplantation: a systematic review
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Sydney, NSW 2145, Australia
    Transplantation 89:796-805. 2010
    ..This systematic review aimed to ascertain community preferences for organ allocation and the principles underpinning these preferences...
  10. doi request reprint Adolescent experiences following organ transplantation: a systematic review of qualitative studies
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Sydney, NSW 2145, Australia
    J Pediatr 155:542-9. 2009
    ..To describe the experiences of adolescents who underwent organ transplantation...
  11. doi request reprint Experiences of parents who have children with chronic kidney disease: a systematic review of qualitative studies
    Allison Tong
    NHMRC Centre for Clinical Research Excellence in Renal Medicine, Centre for Kidney Research, Children s Hospital at Westmead, Westmead, NSW 2145, Australia
    Pediatrics 121:349-60. 2008
    ..The objective of this study was to describe the experiences of parents who have children with chronic kidney disease...
  12. doi request reprint Patients' experiences and perspectives of living with CKD
    Allison Tong
    NHMRC Centre for Clinical Research Excellence in Renal Medicine, Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, NSW, Australia
    Am J Kidney Dis 53:689-700. 2009
    ..Rather than focusing on clinical targets, greater attention may need to be given to providing information and psychosocial and practical support at a patient-level not organ-specific level, to maximize patient quality of life...
  13. ncbi request reprint Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups
    Allison Tong
    School of Public Health, University of Sydney, NSW, Australia
    Int J Qual Health Care 19:349-57. 2007
    ..Although partial checklists are available, no consolidated reporting framework exists for any type of qualitative design...
  14. doi request reprint Support interventions for caregivers of people with chronic kidney disease: a systematic review
    Allison Tong
    NHMRC Centre for Clinical Research Excellence in Renal Medicine, Centre for Kidney Research, Children s Hospital at Westmead, Westmead, NSW 2145, Australia
    Nephrol Dial Transplant 23:3960-5. 2008
    ..Yet, the needs of caregivers are often neglected and under-prioritized. The objective of this review is to evaluate the effectiveness of interventions aimed at providing support to caregivers of people with CKD...
  15. doi request reprint An analysis of media coverage on the prevention and early detection of CKD in Australia
    Allison Tong
    NHMRC Centre for Clinical Research Excellence in Renal Medicine, Centre for Kidney Research, Children s Hospital at Westmead, Westmead, NSW, Australia
    Am J Kidney Dis 52:159-70. 2008
    ..Extending news media coverage can help exert an influence on health policies and agenda setting and increase public awareness to improve prevention and early detection of CKD...
  16. doi request reprint Patients' priorities for health research: focus group study of patients with chronic kidney disease
    Allison Tong
    NHMRC Centre for Clinical Research Excellence in Renal Medicine, Centre for Kidney Research, Children s Hospital at Westmead, Westmead, NSW 2145, Australia
    Nephrol Dial Transplant 23:3206-14. 2008
    ..The inclusion of consumer preferences in prioritizing research topics is widely advocated, but prioritization is driven largely by professional agendas...
  17. doi request reprint Community preferences for the allocation of deceased donor organs for transplantation: a focus group study
    Michelle J Irving
    School of Public Health, The University of Sydney, Sydney, NSW, Australia
    Nephrol Dial Transplant 28:2187-93. 2013
    ..Little is known about community preferences for the allocation of those organs. We aimed to determine community preferences for organ allocation and reasons for their choices...
  18. ncbi request reprint Public attitudes and beliefs about living kidney donation: focus group study
    Allison Tong
    1 Sydney School of Public Health, The University of Sydney, Sydney, Australia 2 Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, Australia 3 Centre for Transplant and Renal Research, Westmead Hospital, Westmead, Australia 4 Division of Nephrology, University of British Columbia, Vancouver, Canada 5 Department of Medicine, The University of Chicago, Chicago, IL 6 Address correspondence to Allison Tong, Ph D, Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, NSW 2145, Sydney, Australia
    Transplantation 97:977-85. 2014
    ..Knowledge about the attitudes and beliefs among the general public about living kidney donation is limited. We aimed to describe public perspectives on living kidney donation...
  19. doi request reprint Rationing scarce organs for transplantation: healthcare provider perspectives on wait-listing and organ allocation
    Allison Tong
    Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia
    Clin Transplant 27:60-71. 2013
    ..Ongoing engagement with stakeholders is needed to enhance transparency, a reasonable balance between efficiency and equity, and avoid discrimination against specific populations...
  20. doi request reprint Factors that influence the decision to be an organ donor: a systematic review of the qualitative literature
    Michelle J Irving
    School of Public Health, The University of Sydney, Sydney, Australia
    Nephrol Dial Transplant 27:2526-33. 2012
    ..We conducted a systematic review of qualitative studies that explored community attitudes towards living and deceased solid organ donation to inform strategies to improve organ donation rates...
  21. doi request reprint Community attitudes to deceased organ donation: a focus group study
    Michelle J Irving
    School of Public Health, The University of Sydney, Sydney, NSW, Australia
    Transplantation 93:1064-9. 2012
    ..Despite broad community support for organ donation, there is a chronic shortage of donor organs for transplantation. This study elicited community attitudes on deceased organ donation and the current Australian organ donation system...
  22. pmc Community Preferences for the Allocation & Donation of Organs--the PAraDOx Study
    Kirsten Howard
    School of Public Health, University of Sydney, NSW, 2006, Australia
    BMC Public Health 11:386. 2011
    ..Reasons for the chronic shortage of deceased organ donations are unclear; there appears to be no lack of 'in principle' public support for organ donation...
  23. doi request reprint The experiences of commercial kidney donors: thematic synthesis of qualitative research
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, NSW, Australia
    Transpl Int 25:1138-49. 2012
    ..Review of this published literature supports the need for effective implementation of the WHO guiding principles and legislated regulation to deter potential recipients and healthcare providers from pursuing commercial transplantation...
  24. pmc Patient preferences for the allocation of deceased donor kidneys for transplantation: a mixed methods study
    Allison Tong
    Sydney School of Public Health, The University of Sydney, Sydney, NSW 2006, Australia
    BMC Nephrol 13:18. 2012
    ..Deceased donor kidneys are a scarce health resource, yet patient preferences for organ allocation are largely unknown. The aim of this study was to determine patient preferences for how kidneys should be allocated for transplantation...
  25. pmc Comparative survival and economic benefits of deceased donor kidney transplantation and dialysis in people with varying ages and co-morbidities
    Germaine Wong
    Centre for Kidney Research, Children s Hospital at Westmead, Westmead, Australia
    PLoS ONE 7:e29591. 2012
    ..The aim of our study is to estimate the average and incremental survival benefits and health care costs of listing and transplantation compared to dialysis among individuals with varying co-morbidities...
  26. doi request reprint Quality of life of young adults and adolescents with chronic kidney disease
    Allison Tong
    Center for Kidney Research, The Children s Hospital at Westmead, Westmead, New South Wales, Australia Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia Electronic address
    J Pediatr 163:1179-85.e5. 2013
    ..To elicit utility-based quality of life (QOL) in adolescents and young adults with chronic kidney disease (CKD)...
  27. doi request reprint Health benefits and costs of screening for colorectal cancer in people on dialysis or who have received a kidney transplant
    Germaine Wong
    Centre of Kidney Research, The Children s Hospital at Westmead, Westmead, NSW, Australia
    Nephrol Dial Transplant 28:917-26. 2013
    ..We aimed to determine the costs and health benefits of CRC screening in people on dialysis or who have received a kidney transplant...
  28. doi request reprint The motivations and experiences of living kidney donors: a thematic synthesis
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, NSW, Australia
    Am J Kidney Dis 60:15-26. 2012
    ..The aim of this study was to synthesize published qualitative studies of the experiences and perspectives of living kidney donors...
  29. ncbi request reprint What factors influence people's decisions to register for organ donation? The results of a nominal group study
    Michelle J Irving
    Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia Centre for Kidney Research, The Children s Hospital Westmead, Sydney, NSW, Australia
    Transpl Int 27:617-24. 2014
    ..Many believe the sole right to consent to donation is theirs and not their families; consent policies reflecting this should be explored. ..
  30. doi request reprint Clinical practice guidelines on wait-listing for kidney transplantation: consistent and equitable?
    Pikli Batabyal
    Centre for Kidney Research, The Children s Hospital at Westmead, Sydney, NSW, Australia
    Transplantation 94:703-13. 2012
    ..This study aimed to compare the quality, the scope, and the consistency of international guidelines on wait-listing for kidney transplantation...
  31. doi request reprint Important outcomes for kidney transplant recipients: a nominal group and qualitative study
    Martin Howell
    Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, Australia
    Am J Kidney Dis 60:186-96. 2012
    ..The aim of this study was to elicit patient perspectives and priorities for outcomes after transplant and the reasons underpinning these priorities...
  32. doi request reprint The perspectives of adults living with peritoneal dialysis: thematic synthesis of qualitative studies
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, Australia
    Am J Kidney Dis 61:873-88. 2013
    ..This study aims to synthesize published qualitative studies of patients' experiences, beliefs, and attitudes about PD...
  33. ncbi request reprint Catheter-related interventions to prevent peritonitis in peritoneal dialysis: a systematic review of randomized, controlled trials
    Giovanni F M Strippoli
    NHMRC Centre for Clinical Research Excellence in Renal Medicine, Cochrane Renal Group, Locked Bag 4001, University of Sydney, Australia
    J Am Soc Nephrol 15:2735-46. 2004
    ....
  34. doi request reprint Children's experiences of living with juvenile idiopathic arthritis: a thematic synthesis of qualitative studies
    Allison Tong
    University of Sydney, Sydney, New South Wales, Australia
    Arthritis Care Res (Hoboken) 64:1392-404. 2012
    ..To describe the experiences and perspectives of children and adolescents living with juvenile idiopathic arthritis (JIA)...
  35. doi request reprint How do people with chronic kidney disease value cancer-related quality of life?
    Germaine Wong
    Centre for Kidney Research, The Children s Hospital at Westmead, School of Public Health, Sydney University, New South Wales, Australia
    Nephrology (Carlton) 17:32-41. 2012
    ..To estimate the utility-based quality of life (QOL) of people with chronic kidney disease (CKD) and to estimate the QOL associated with two hypothetical colorectal cancer health states...
  36. doi request reprint Consumer perspectives on pediatric rheumatology care and service delivery: a qualitative study
    Allison Tong
    Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia
    J Clin Rheumatol 19:234-40. 2013
    ..This study aimed to elicit parental and adolescent perspectives on pediatric rheumatology care and service delivery and to describe the impact of this process on a proposed model of care addressing pediatric rheumatology service delivery...
  37. doi request reprint Exercise training in solid organ transplant recipients: a systematic review and meta-analysis
    Madeleine Didsbury
    Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia
    Transplantation 95:679-87. 2013
    ..This study aims to assess the health benefits and harms of supervised exercise training programs in solid organ recipients...
  38. doi request reprint "It was just an unconditional gift." Self reflections of non-directed living kidney donors
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Australia
    Clin Transplant 26:589-99. 2012
    ..Reluctance to consider non-directed donation programs solely on concerns of unrealistic or ill-motivations and potential feelings of donor regret appear unwarranted...
  39. doi request reprint Knowledge, beliefs and attitudes of kidney transplant recipients regarding their risk of cancer
    Narelle C Williams
    Centre for Kidney Research, The Children s Hospital at Westmead, Sydney, New South Wales, Australia
    Nephrology (Carlton) 17:300-6. 2012
    ..This study aims to explore these beliefs and attitudes, to better understand patient motives and potential barriers to early detection of cancer...
  40. ncbi request reprint Health and wealth in children and adolescents with chronic kidney disease (K-CAD study)
    Germaine Wong
    Centre for Kidney Research, Kids Research Institute, The Children s Hospital at Westmead, Sydney, Australia
    BMC Public Health 14:307. 2014
    ..In addition to biological influences, the socioeconomic circumstances of caregivers may play a significant role in the health and well-being of children with CKD...
  41. doi request reprint Public awareness and attitudes to living organ donation: systematic review and integrative synthesis
    Allison Tong
    Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia
    Transplantation 96:429-37. 2013
    ..Yet, public views on living donation are not well understood. This study aims to synthesize studies on public awareness and attitudes toward living organ donation...
  42. doi request reprint Children's experiences of dialysis: a systematic review of qualitative studies
    Lidwien Tjaden
    Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, Australia
    Arch Dis Child 97:395-402. 2012
    ..To describe the experiences and perspectives of children and adolescents on dialysis...
  43. doi request reprint Prevention, detection and management of early chronic kidney disease: a systematic review of clinical practice guidelines
    Pamela A Lopez-Vargas
    Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia
    Nephrology (Carlton) 18:592-604. 2013
    ..This study aims to compare the scope, content and consistency of published guidelines on CKD stages I-III...
  44. doi request reprint Motivations, experiences, and perspectives of bone marrow and peripheral blood stem cell donors: thematic synthesis of qualitative studies
    Maria C Garcia
    Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia
    Biol Blood Marrow Transplant 19:1046-58. 2013
    ..To maximize donor satisfaction and mitigate the psychosocial risks for HSC donors, strategies to address the emotional challenges of anxiety, sense of coercion, guilt, and grief in donors are warranted. ..
  45. ncbi request reprint Adolescent views on transition in diabetes and nephrology
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Sydney, NSW, Australia
    Eur J Pediatr 172:293-304. 2013
    ....
  46. ncbi request reprint Experiences and perspectives of adolescents and young adults with advanced CKD
    Allison Tong
    Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, Sydney, NSW 2145, Australia
    Am J Kidney Dis 61:375-84. 2013
    ..Young people with advanced chronic kidney disease experience delayed growth and poor psychosocial outcomes. This study aims to elicit the experiences and perspectives of young people waiting for a kidney transplant...
  47. doi request reprint Nephrologists' perspectives on the effect of guidelines on clinical practice: a semistructured interview study
    Michelle J Irving
    Centre for Kidney Research, The Children s Hospital at Westmead, NSW, Australia 2145
    Am J Kidney Dis 55:241-9. 2010
    ..This study aims to explore nephrologists' perspectives on guidelines and elicit their perspectives on the effects of guidelines on clinical decisions...
  48. ncbi request reprint Meta-analysis of biochemical and patient-level effects of calcimimetic therapy
    Giovanni F M Strippoli
    NHMRC Centre for Clinical Research Excellence in Renal Medicine, Cochrane Renal Group, School of Public Health, University of Sydney, Australia
    Am J Kidney Dis 47:715-26. 2006
    ..We conducted a meta-analysis to evaluate outcomes of therapy with these novel agents...
  49. doi request reprint Characteristics of dialysis important to patients and family caregivers: a mixed methods approach
    Rachael L Morton
    Sydney School of Public Health, The University of Sydney, Sydney, Australia
    Nephrol Dial Transplant 26:4038-46. 2011
    ..The aim of this study was to rank the most important characteristics of dialysis on which patients and caregivers make decisions about treatment...
  50. doi request reprint Cancer screening in people who have chronic disease: the example of kidney disease
    Germaine Wong
    Centre for Kidney Research, Kids Research Institute, Children s Hospital at Westmead, Westmead, New South Wales, Australia
    Semin Dial 24:72-8. 2011
    ....
  51. doi request reprint Knowledge deficit of patients with stage 1-4 CKD: a focus group study
    Pamela A Lopez-Vargas
    Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia Centre for Kidney Research, The Sydney Children s Hospitals Network, Sydney, New South Wales, Australia
    Nephrology (Carlton) 19:234-43. 2014
    ..The aim of this study was to elicit the perspectives of patients with stage 1-4 CKD about their disease, with a specific focus on their information needs in managing and living with CKD and its sequelae...
  52. ncbi request reprint Parental perspectives on evaluation and management of fever in young infants: an interview study
    Sukanya De
    Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia Centre for Kidney Research, The Children s Hospital at Westmead, Sydney, New South Wales, Australia
    Arch Dis Child 99:717-23. 2014
    ..This study aimed to describe the perspectives of parents of young infants presenting to hospital with fever...
  53. ncbi request reprint Thematic synthesis of qualitative studies on patient and caregiver perspectives on end-of-life care in CKD
    Allison Tong
    Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia Centre for Kidney Research, The Children s Hospital at Westmead, Westmead, NSW, Australia Electronic address
    Am J Kidney Dis 63:913-27. 2014
    ..This study aims to describe patients' and caregivers' perspectives on conservative treatment and end-of-life care in chronic kidney disease (CKD)...
  54. pmc Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ
    Allison Tong
    Sydney School of Public Health, University of Sydney, Sydney, NSW, 2006, Australia
    BMC Med Res Methodol 12:181. 2012
    ..abstract:..
  55. ncbi request reprint Antimicrobial agents to prevent peritonitis in peritoneal dialysis: a systematic review of randomized controlled trials
    Giovanni F M Strippoli
    Centre for Kidney Research, National Health and Medical Research Council Centre for Clinical Research Excellence in Renal Medicine, Cochrane Renal Group, Children s Hospital at Westmead, University of Sydney, Sydney, Australia
    Am J Kidney Dis 44:591-603. 2004
    ..Oral, nasal, and topical antibiotic prophylaxis; exit-site disinfectants; and other antimicrobial interventions are used to prevent it. This study was conducted to assess what evidence supports these approaches...