Digital Commons Network^™

Planning And Pedagogical Considerations For Teaching Children With Autism Spectrum Disorder In Physical Education, Andrew Sortwell

Medical Papers and Journal Articles

Around the world, autism spectrum disorder (ASD) is a prevalent neurodevelopmental condition. It is linked to a wide range of deficiencies across multiple domains, including restrictive and repetitive behaviors that impair interaction or engagement with others. School-aged children with ASD face challenges that make physical activity more difficult. To address challenges associated with ASD, physical education interventions need to be tailored to the child’s needs and abilities. Despite advances in research on children with ASD in physical education, adopting contemporary approaches is yet to be the norm. This review aimed to examine the literature on intervention models to improve the …

20-Year Outcomes Of High Tibial Osteotomy: Determinants Of Survival And Functional Outcome, Harry Constantin, Lucy Salmon, Vivianne Russell, Keran Sundaraj, Justin Roe, Leo Pinczewski

Medical Papers and Journal Articles

Background: High tibial osteotomy (HTO) is a successful joint-preserving procedure for the treatment of medial compartment osteoarthritis. Long-term survivorship of HTO ranges from 40% to 85%. There are consistent factors that predict failure.

Purpose: To determine the 20-year survival of HTO and identify predictors of failure.

Study Design: Case series; Level of evidence, 4.

Methods: A total of 100 consecutive patients with medial bone-on-bone arthritis were prospectively studied to provide long-term patient-reported outcome measures after lateral closing-wedge HTO and determine the time to failure. Failure was defined as conversion to arthroplasty (total knee arthroplasty or unicompartmental knee arthroplasty) or revision …

Integral Human Development: Hurling Into The Soul, Glenn J. Morrison

Theology Papers and Journal Articles

The article offers a reflection on the relation between integral human development and integral ecology to create a lens for an incarnational spirituality of the soul. Grounded in and through God’s word and questions “hurling” into the soul, we are invited into the “play” of the Spirit, offering opportunities for memory, grace and hope to resound through the “seasons” of life and death. Through boldness, endurance and devotion to “the gospel of Christ” (1 Cor 9: 12), the hurling depths of the soul arises to witness to “become all things to all people” (1 Cor 9: 22). The article concludes …

Vulnerability To Environmental And Climatic Health Provocations Among Women And Men Hospitalized With Chronic Heart Disease: Insights From The Resilience Trial Cohort, Simon Stewart, Sheila Patel, Terase Lancefield, Thalys Rodrigues, Nicholas Doumtsis, Ashleigh Jess, Emily-Rose Vaughan-Fowler, Yih Kai Chan, Jay Ramchand, Paul Yates, Jason Kwong, Christine Mcdonald, Louise Burrell

IHR Papers and Journal Articles

Aims: We aimed to recruit a representative cohort of women and men with multi-morbid chronic heart disease as part of a trial testing an innovative, nurse-co-ordinated, multi-faceted intervention to lower rehospitalization and death by addressing areas of vulnerability to external challenges to their health.
Methods and results: The prospective, randomized open, blinded end-point RESILIENCE Trial recruited 203 hospital inpatients (mean age 75.7 ± 10.2 years) of whom 51% were women and 94% had combined coronary artery disease, heart failure, and/or atrial fibrillation. Levels of concurrent multi-morbidity were high (mean Charlson Index of Comorbidity Score 6.5 ± 2.7), and 8.9% had …

Association Of Pulmonary Artery Pressures With Mortality In Adults With Reduced Left Ventricular Ejection Fraction, Seshika Ratwatte, Simon Stewart, Geoff Strange, David Playford, David Celermajer

IHR Papers and Journal Articles

Background

The independent effect of pulmonary hypertension (PHT) severity on mortality in those with reduced left ventricular ejection fraction (LVEF) is not well known.

Objectives

The authors aimed to examine the prognostic impact of increasingly elevated pulmonary pressures in a large clinical cohort of adults with reduced LVEF.

Methods

The authors analyzed data from the National Echocardiography Database of Australia, a large clinical registry linking routine echocardiographic investigations to mortality. In 23,675 adults with a recorded tricuspid regurgitation peak velocity (TRV) and reduced LVEF (<50%), the authors evaluated the relationship between conventional thresholds of increasing risk of PHT and mortality during median follow-up of 2.9 years (Q1-Q3: 1.0-5.4 years).

Results

Mean age was 70 ± 15 years, and 7,498 (31.7%) individuals were female. Overall, …

Audit Firm Executives Under Pressure: A Discursive Analysis Of Legitimisation And Resistance To Reform, Michael Harber, Warren Maroun, Alan Duboisee De Ricquebourg

Business Papers and Journal Articles

The UK audit profession is facing a crisis of public trust and legitimacy following a series of high-profile audit failures. This resulted in the executive leadership of UK audit firms being summoned before a House of Commons Select Committee as part of its inquiry into ‘the future of audit’. During this inquiry the audit executives walked a tightrope, to both defend the social contract from an existential threat and attempt to influence policy reforms in their favour. This paper draws on ‘neutralisation techniques’ from deviance theory and the ‘grammar of legitimation’ from legitimacy theory to inform a discursive analysis of …

Walk To Country, Talk To Country, Anne Poelina, Sandra Wooltorton, Mindy Blaise, Len Collard

Nulungu Journal Articles

“It’s good to talk to Country,” says Anne Poelina, affirming that from a very early age, in the Kimberley region of northern Australia, Indigenous people are ‘taught Country’. They learn that the land is alive, that it has agency, and that it holds memories of our shared experiences, both human and other-than-human. “It’s good for your mental state to talk to Country,” Poelina continues, “to meditate on how your mind and heart, spirit and soul are aligned with the Earth on which you walk, knowing that when you walk on this Earth, the Earth can actually feel your presence, and …

Lessons From The Trenches: A Call For Transformative Leadership Perspectives In Tesol, Lauren Stephenson

Education Papers and Journal Articles

In these complex times of high-velocity global events, there is a sense of loss and, in particular, a question as to whom leadership, teacher education and the broader education profession are meant to serve, and what roles and function they should play in our lives. It is therefore appropriate to advocate for a pedagogy of hope and optimism, for enhanced teacher leadership and for continually enhancing individual and collective learning. If such change is grounded in the principles of transformative leadership, we must keep sight of key values of empathy, liberation, emancipation, democracy, equity and justice through our teacher leadership …

'Ice In The Family': Exploring The Experiences Of Close Family Members When Another Family Member Is Using Methamphetamine: A Longitudinal Qualitative Study, Douglas Greg Gordon, Kylie Russell, Tracey Coventry

Medical Papers and Journal Articles

Objective: To explore the experiences of close family members when another family member is using methamphetamine and how the family member responds over time.

Background: Methamphetamine use has widespread implications and harms for both people who use the drug and those that live with them. While there is a significant representation in the literature relating to family members of people who use drugs or alcohol, there are limited studies specifically considering family members experiences of methamphetamine use. Families have been shown to have both positive and negative impacts on people using drugs, but less is known on the impact on …

"My Back Is Fit For Movement": A Qualitative Study Alongside A Randomized Controlled Trial For Chronic Low Back Pain, Rodrigo Rn Rizzo, Benedict Wand, Hayley B. Leake, Edel O'Hagan, Matthew K. Bagg, Samantha Bunzli, Adrian C. Traeger, Sylvia M. Gustin, G. Lorimer Moseley, Saurab Sharma, Aidan Cashin, James Mcauley

Physiotherapy Papers and Journal Articles

A new wave of treatments has emerged to target nervous system alterations and maladaptive conceptualizations about pain for chronic low back pain. The acceptability of these treatments is still uncertain. We conducted a qualitative study alongside a randomized controlled trial to identify perceptions of facilitators or barriers to participation in a non-pharmacological intervention that resulted in clinically meaningful reductions across 12 months for disability compared to a sham intervention. We conducted semi-structured interviews with participants from the trial's active arm after they completed the 12-week program. We included a purposeful sample (baseline and clinical characteristics) (n = 20). We used …

Discovering A.J.M. (Fr. Arthur J. Mchugh), A Visionary Of Catholic Universities In Australia, Glenn J. Morrison

Theology Papers and Journal Articles

No abstract provided.

Character Composition: A New Framework For Tv Serial Drama Characters, Marco Ianniello

Arts Papers and Journal Articles

From an industry and craft perspective, despite the many manuals and ‘how to’ guides, feature film paradigms (notably three- to five-act structures) and character arc frameworks (e.g., the hero’s journey) dominate the discussions of character development in serial TV drama. The work of structure-based industry writers, notably Christopher Booker, Christopher Vogler, Linda Aronson and Craig Batty, focuses on feature films and this article will connect their influential frameworks and analyses with the practice of serial TV drama screenwriting. While there are several key screenwriting manuals specifically for writing television, particularly Pamela Douglas’s Writing the TV Drama Series (2018) and John …

Is Capital Punishment Contrary To The Dignity Of The Human Person? Reflections About The Meaning Of The Revised Paragraph 2267 Of The Catechism Of The Catholic Church, Mariusz Biliniewicz

Theology Papers and Journal Articles

No abstract provided.

The Impact Of Breast Awareness On The Early Detection Of Breast Cancer In Young Women: A Systematic Review, Dorsa Banihashemi, Meagan E. Brennan

Medical Papers and Journal Articles

Background: “Breast awareness” is a recommendation that women understand the symptoms of breast cancer and become familiar with the usual look and feel of their breasts. It is recommended for women of all ages in breast cancer screening guidelines around the world. The objective of this study was to assess the evidence for breast awareness by investigating its effect on breast cancer outcomes in women of pre-mammographic-screening age (under age 40), at average risk of breast cancer.

Methods: A systematic review was performed using PRISMA methodology. Following the search, abstracts and full-text articles were assessed against eligibility criteria. Data …

Provocative Synodality And Truth: "What No Eye Has Seen, Nor Ear Heard", Glenn J. Morrison

Theology Papers and Journal Articles

No abstract provided.

Impact Of Multimorbidity On Mortality In Heart Failure With Reduced Ejection Fraction: Which Comorbidities Matter Most? An Analysis Of Paradigm-Hf And Atmosphere, Pooja Dewan, Joao P. Ferreira, Jawad H. Butt, Mark C. Petrie, William T. Abraham, Akshay S. Desai, Kenneth Dickstein, Lars Kober, Milton Packer, Jean L. Rouleau, Simon Stewart, Karl Swedberg, Michael R. Zile, Scott D. Solomon, Pardeep S. Jhund, John Jv Mcmurray

IHR Papers and Journal Articles

Aims: Multimorbidity, the coexistence of two or more chronic conditions, is synonymous with heart failure (HF). How risk related to comorbidities compares at individual and population levels is unknown. The aim of this study is to examine the risk related to comorbidities, alone and in combination, both at individual and population levels.

Methods and results: Using two clinical trials in HF – the Prospective comparison of ARNI (Angiotensin Receptor–Neprilysin Inhibitor) with ACEI (Angiotensin-Converting Enzyme Inhibitor) to Determine Impact on Global Mortality and morbidity in HF trial (PARADIGM-HF) and the Aliskiren Trial to Minimize Outcomes in Patients with Heart Failure trials …

Economic Cost Of Secondary Postpartum Haemorrhage: A Case-Control Study At A Tertiary Hospital In Australia, Nicole Young, Julie Quinlivan, Rachael Fox, Jess Anderson, Laura Davis, Samantha S. Mooney

IHR Papers and Journal Articles

Background

Secondary postpartum haemorrhage (PPH) is a condition which affects 0.2–3.0% of women. Despite its impact on maternal morbidity, there is a lack of understanding of the cost burden of disease.

Aims

To determine the economic cost of secondary PPH in the postpartum period, compared to the costs for women without this diagnosis.

Materials and methods

Data were prospectively collected on a cohort of 97 women who presented with secondary PPH to the emergency department (ED) between July 2020 and February 2021. A case–control design was then used to compare postpartum cost data from these patients to a group of …

Technology-Guided Assessment Of Vocalisations And Their Diagnostic Value As Pain Indicators For People Living With Dementia, Kreshnik Hoti, Atee Mustafa, Paola Chivers, Ipsit Vahia, Jeff Hughes

IHR Papers and Journal Articles

Background

during pain assessment in persons unable to self-report, such as people living with dementia, vocalisations are commonly used as pain indicators. However, there is a lack of evidence from clinical practice regarding their diagnostic value and relationship with pain. We aimed to explore vocalisations and pain in people with dementia undergoing pain assessments in clinical practice settings. Methods

a total of 22,194 pain assessments were reviewed in people with dementia (n = 3,144) from 34 different Australian aged care homes and two dementia specific programs. Pain assessments were conducted by 389 purposely trained health care professionals and cares …

Outcomes Of Completed Quality Activities In An Australian Tertiary Hospital, 2015-2019, Qun Catherine Li, Jonathan Karnon, Jim Codde

IHR Papers and Journal Articles

Quality activities including quality assurance and quality improvement are an integral part of safety and quality governance for hospitals. Previous studies identified that (i) majority are for quality assurance and knowledge-acquiring purposes and (ii) adherence to the quality cycle as well as impact on patient-related outcomes at the hospital level are unclear, neither associated with costs. This study aims to (i) assess adherence to the quality cycle for quality activities in a large Australian tertiary hospital; (ii) report outcomes of quality activities at the hospital level, including impact on patient-related outcomes measured by the occurrence of hospital-acquired complications; and (iii) …

Humans Versus Robots: Converting Golf Putter Trajectories For Robotic Guidance, Stephen R. Bested, Valentin A. Crainic, Gerome A. Manson, Luc Tremblay

Medical Papers and Journal Articles

Robotic devices are used to provide physical guidance when teaching different movements. To advance our knowledge of robotic guidance in training complex movements, this investigation tested different kinematic data filtering methods of individual’s golf putts to convert them into trajectories to be employed by a robot arm. The purpose of the current study was to identify a simple filtering method to aptly replicate participants’ individual golf putter trajectories which could be used by the robot to execute them with greater consistency and accuracy than their human counterpart.

Participants putted towards 3 targets where three-dimensional data of the putter’s head was …

Further Validation Of The Perceptions Of Uncertainties In Genome Sequencing Scale Among Patients With Cancer Undergoing Tumor Sequencing, Kendall L. Umstead, Rachel Campbell, Christine E. Napier, Nicole Bartley, Megan C. Best, Phyllis N. Butow, Barbara B. Biesecker

IES Papers and Journal Articles

It is important to understand how individuals perceive uncertainties and the consequent impact on their psychological well-being and health behavior. The Perceptions of Uncertainties in Genome Sequencing (PUGS) scale measures clinical, affective, and evaluative uncertainties about information from sequencing. The PUGS scale has been shown to be valid and reliable among individuals receiving results about their genomes. This study assessed whether its validity generalized to patients with cancer undergoing tumor sequencing. Exploratory factor analysis (EFA) was conducted on data from the Molecular Screening and Therapeutics Program (n = 310) to identify a measurement model. Confirmatory factor analysis (CFA) was …

What Is The Role Of Spiritual Care Specialists In Teaching Generalist Spiritual Care? The Perspectives Of Pastoral Care Staff In A Large Catholic Health And Aged Care Organisation, Kate Fiona Jones, Jennifer Washington, Matthew Kearney, Megan C. Best

IES Papers and Journal Articles

The value of spiritual care training for all staff working in health and aged care has been demonstrated. This study investigated how spiritual care specialists (SCSs) perceive their role in delivering spiritual care education to other staff. Fourteen SCSs participated in three online focus groups. Two key themes were identified: First, SCSs build upon existing capacity of staff by: (i) recognising existing strengths and capabilities; (ii) using relevant stories; (iii) using language which makes spiritual care accessible; (iv) making training relevant and practical; (v) tapping into staff vocation or calling; and (vi) building awareness of one’s own spirituality. Second, SCSs …

The Commercialist Identity Of Mid-Tier Firm Auditors: A Precarious Balancing Of Priorities, Michael Harber, Gizelle D. Willows

Business Papers and Journal Articles

Purpose: This paper aims to extend our understanding of how mid-tier firm auditors legitimise and institutionalise the logic of commercialism within their profession. This paper is responsive to research that shows how Big Four auditors have restructured the market and re-cast the relationality between the two logics to forge an identity that suits them commercially. Such research provides insight into auditor agency and intentionality, illustrating how auditors maintain and indeed grow their status and role within society.

Design/methodology/approach: Semi-structured interviews with audit executives situated in a strategically challenging regulatory context are interpreted through a theoretical framework developed from institutional …

Disputed Interpretations And Active Strategies Of Resistance During An Audit Regulatory Debate, Michael Harber, Grietjie Verhoef, Charl De Villiers

Business Papers and Journal Articles

Purpose: The paper aims to examine disputed interpretations of “key meanings” between the audit regulator and Big 4 firms during a highly contentious regulatory debate, showcasing their use of “strategies of resistance” to achieve their intended outcomes.

Design/methodology/approach: A qualitative analysis is performed of the discourse in a South African audit regulatory debate, set within the country's unique political and historical context. The analysis is informed by the theoretical construct of a “regulatory space” and an established typology of strategic responses to institutional pressures.

Findings: The study’s findings show how resistance to regulatory intentions from influential actors, notably the Big …

International Service Learning: Benefits, Challenges And Experiences Of Pre-Service Teachers, Dianne Chambers, Shane Lavery

Education Papers and Journal Articles

This study explores the experiences and perceptions of 13 Australian early childhood, primary and secondary pre-service teachers who undertook a two-week international service-learning immersion in an educational setting in Phnom Penh, Cambodia. Qualitative data were collected pre-immersion through an anonymous questionnaire, and post-immersion through reflective journals/reports and focus group interviews. Results suggest that benefits included academic development and cross-cultural learning. Challenges involved language difficulties and coming to terms with the poverty and history of Cambodia. The participants indicated that the immersion was extremely relevant to them, both professionally and personally. Finally, cultural experiences encouraged the participants to generate cultural knowledge …

Enablers And Barriers To Non-Dispensing Pharmacist Integration Into The Primary Health Care Teams Of Aboriginal Community-Controlled Health Services, Aaron Drovandi, Deborah Smith, Robyn Preston, Lucy Morris, Priscilla Page, Lindy Swain, Erik Biros, Megan Tremlett, Hannah Loller, Mike Stephens, Alice Nugent, Fran Vaughan, Sophia Couzos

Nulungu Journal Articles

Background: The primary health care management of chronic disease affecting Aboriginal and Torres Strait Islander peoples requires healthcare quality and equity demands to be met, and systems that foster better team-based care. Non-dispensing pharmacists (NDPs) integrated within primary healthcare settings can enhance the quality of patient care, although factors that enable or challenge integration within these settings need to be better understood.

Objectives: To investigate enabling factors and barriers influencing integration of NDPs within Aboriginal community-controlled health services delivering primary health care. This was achieved through qualitative evaluation of the Integrating Pharmacists within Aboriginal Community Controlled Health Services (IPAC) Trial …

St. Patrick's Gift To Australia: Catholic Universities, Glenn J. Morrison

Theology Papers and Journal Articles

No abstract provided.

Perceptions Of Pre-Service And Graduate Early Childhood And Primary Teachers Regarding Their Confidence In Teaching Religious Education In Catholic Primary Schools, Sharon Law-Davis, John Topliss

Education Papers and Journal Articles

This research reports an exploratory study of 22 pre-service teachers involved in the Religious Education courses offered by The University of Notre Dame Australia, as part of the university’s accreditation to teach religious education. The study examined the influence of key factors on how confident these pre-service teachers perceived themselves to be to engage with the necessary knowledge to effectively teach religious education in a Catholic school. The pre-service teachers were surveyed pre and post their final-year internship, and subsequently, six of these were interviewed at the end of their first term of employment. Results indicated that out of the …

Cardiorespiratory Fitness Is A Risk Factor For Lower-Limb And Back Injury In Law Enforcement Officers Commencing Their Basic Training: A Prospective Cohort Study, Myles C. Murphy, Nicole Merrick, Andrea B. Mosler, Garth Allen, Paola Chivers, Nicolas H. Hart

Physiotherapy Papers and Journal Articles

We aimed to report the epidemiology of lower-limb and lumbosacral injuries in Police Force recruits. We performed a cohort study of Police Force recruits undergoing a six-month training program with prospective injury data collected between 2018 and 2021. Cardiorespiratory fitness was quantified by the beep-test and police-specific-functional-capacity was quantified using a specifically designed physical performance evaluation (PPE) tool. Injury frequency and prevalence were reported. Fifteen percent (n = 180) of study Police Force recruits (n = 1,181) sustained a lower-limb or lumbosacral injury. The six-month training program significantly improved cardiorespiratory fitness (p < 0.001) and functional capacity (p < 0.001). Increased cardiorespiratory fitness at baseline decreased injury risk (OR = 0.8, 95%CI: 0.66–0.97, p = 0.019). Injury rates decreased over time and females were injured significantly earlier than males (HR = 0.70, 95%CI: 0.52 to 0.95, p = 0.021). Interventions that can pre-condition Police Force recruits prior to the commencement of their basic physical training may reduce the number of lower-limb and lumbosacral injuries.

Teaching And Assessment Of Clinical Diagnostic Reasoning In Medical Students, Lucy Gilkes, Narelle Kealley, Jacqueline Frayne

Medical Papers and Journal Articles

Background: Teaching diagnostic reasoning and giving feedback has an important role in medical education. Clinicians who teach may recognise errors, but be unfamiliar with the terminology used to describe them, leading to a lack of consistent and useful student feedback.

Objective: This prospective project evaluation study aimed to develop an examiner training package regarding errors in diagnostic reasoning, utilising consistent language and feedback tool, and report on diagnostic reasoning errors in second year medical students over the transition from preclinical to early clinical training at objective structured clinical exams (OSCEs).

Results: Likert questionnaire regarding examining, assessment and feedback pre- and …