Medicine and Health Sciences Commons^™

At The Cultural Interface: A Systematic Review Of Study Characteristics And Cultural Integrity From Twenty Years Of Randomised Controlled Trials With Indigenous Participants, Tuguy Esgin, Rona Macniven, Alan Crouch, Alexandra Martiniuk

Research outputs 2022 to 2026

Purpose and aim: To identify and describe characteristics of Randomised Control Trial (RCT) design, implementation, and interpretation with a view tostrengtheningen the cultural integrity and scientific quality of this genre of research when used with, for and by Indigenous peoples. Issue: RCTs are widely regarded as the ‘gold standard’ method for evaluating the efficacy of an intervention. However, issues of cultural acceptability and higher attrition rates among RCT participants from diverse populations, including Indigenous participants, have been reported. A better understanding of cultural acceptability and attrition rates of RCTs has the potential to impact the translation of findings into effective …

Bullied Because Of Their Teeth: Evidence From A Longitudinal Study On The Impact Of Oral Health On Bullying Victimization Among Australian Indigenous Children, Md Irteja Islam, Verity Chadwick, Tuguy Esgin, Alexandra Martiniuk

Research outputs 2022 to 2026

Making life better for Indigenous peoples is a global priority. Although bullying and oral health have always been a topic of concern, there is limited information regarding the impact of this problem on the general population, with no evidence in this regard among the Australian Indigenous population. Thus, we aimed to quantify the relationship between bullying victimization and oral health problems by remoteness among 766 Australian Indigenous children aged between 10–15-years using data from the LSIC study. Bivariate and multilevel mixed-effect logistic regression analyses were employed. Findings indicated children self-reported bullying more than parents reported their children were being bullied …

Parents' Experiences Of Children With A Rare Disease Attending A Mainstream School: Australia, Mandie Foster, Esther Adama, Diana Arabiat, Kevin Runions, Rena Vithiatharan, Maggie Zgambo, Ashleigh Lin

Research outputs 2022 to 2026

Purpose:

To explore the perceptions of parents who had a child or adolescent (6-18 years) diagnosed with a rare disease who attended a mainstream school in Western Australia.

Design and methods:

A cross-sectional online survey was conducted with 41 parents of children with a rare disease. Here we report the findings of 14 open-ended questions on their experience of illness-related factors and impact on school-related social activities, such as sports, school camps and leadership roles whilst their child with a rare disease attended a mainstream school in Australia. Responses were analysed using an inductive thematic content approach.

Results:

We identified …

Global Journey To Post-Pandemic Normalcy And Revival, Andrzej Sankowski

Journal of Global Awareness

After a year of COVID-19, countries, societies, and individuals are longing for normalcy and beginning to consider what life will be like post-pandemic. Efforts and experiences of countries in the European Union, Asia, Asia-Pacific, Australia, Africa, Latin America, the Caribbean, and the United States are examined as they face challenges to end the pandemic and prepare for the post-pandemic reality. What will be the post-pandemic "new normalcy"? What changes caused by the pandemic are permanent in societies and the world? What are the necessary reforms that have to take place as part of normalcy? Reflections on the impacts of vaccinations, …

Covid-19 Governance, Legitimacy, And Sustainability: Lessons From The Australian Experience, Michael Lester, Marie Dela Rama, Julie Crews

Research outputs 2014 to 2021

During 2020, Australia managed the global and systemic COVID-19 crisis successfully as measured by health and economic indicators. It marshalled the government’s delivery capacity to control the health crisis and put in place measures to offset the induced economic and social costs. At the same time, the crisis revealed long-standing structural weaknesses in a small, democratic, wealthy, and economically successful country that raised questions about post COVID resilience and sustainability. This paper examines that experience by applying a “co-production” governance model that sees success in “crisis management” as the striking of a balance between government capacity and its legitimacy in …

Covid-19 And Management Education: Reflections On Challenges, Opportunities, And Potential Futures, Steve Brammer, Timothy Clark

Research Collection Lee Kong Chian School Of Business

COVID-19 is having profound impacts on tertiary education globally. Border closures, cuts to aviation capacity, mandatory quarantine on entering a country, restrictions on mass gatherings, and social distancing all pose challenges to higher education (HE) institutions. Business Schools (BSs) have larger and more internationally diverse cohorts of students and staff, generating particular challenges, but also often have more mature digital and remote education capabilities that enable responses to COVID-19. Therefore, exploring emergent evidence on how BSs are likely to be affected by COVID-19 over the short, medium, and long term is of significant importance to our community. In this commentary, …

Promising Practices For Boating Safety Initiatives That Target Indigenous Peoples In New Zealand, Australia, The United States Of America, And Canada, Mitchell Crozier, Audrey R. Giles

International Journal of Aquatic Research and Education

Boating-related incidents are responsible for a significant number of the drowning fatalities that occur within Indigenous communities in New Zealand, Australia, the USA, and Canada. The aim of this paper was to identify promising practices for boating safety initiatives that target Indigenous peoples within these countries and evaluate past and ongoing boating safety initiatives delivered to/with Indigenous peoples within these countries to suggest the ways in which they – or programs that follow them - may be more effective. Based upon evidence from previous research, boating safety initiatives that target Indigenous peoples in New Zealand, Australia, the USA, and Canada …

Australian Consumers Are Willing To Pay For The Health Star Rating Front-Of-Pack Nutrition Label, Sheri L. Cooper, Lucy M. Butcher, Simone D. Scagnelli, Johnny Lo, Maria M. Ryan, Amanda Devine, Therese A. O’Sullivan

Research outputs 2014 to 2021

© 2020 by the authors. Licensee MDPI, Basel, Switzerland. The Australia and New Zealand Ministerial Forum on Food Regulation has supported the recommendations set out in the 2019 Health Star Rating System Five Year Review Report. Specifically, the forum supported, in principle, Recommendation 9, to mandate the Health Star Rating if clear uptake targets were not achieved while the system is voluntary. Given that mandatory labelling is being considered, it is important to investigate how much consumers value the Health Star Rating in order to understand potential consumer uptake and inform industry. The aim of this study was to assess …

Appraisal Of Free Online Symptom Checkers And Applications For Self-Diagnosis And Triage: An Australian Evaluation, Michella Gaye Hill

Theses: Doctorates and Masters

The internet has impacted society and changed the way companies and individuals operate on a daily basis. Seeking information online via computer or mobile device is common practice. The phrase ‘Google it’ is now part of modern vernacular and is a resource increasingly utilised by young and old alike. Around 80% of Australian’s search health-related information online as it is convenient, cheap, and available 24/7. Symptom checkers are one tool used by consumers to investigate their health issues. Symptom checkers are automated online programs which use computerised algorithms, asking a series of questions to help determine a potential diagnosis and/or …

What Are The Characteristics Of Vitamin D Metabolism In Opioid Dependence? An Exploratory Longitudinal Study In Australian Primary Care, Albert Stuart Reece, Gary Hulse

Research outputs 2014 to 2021

OBJECTIVE: Compare vitamin D levels in opioid dependence and control population and adjust for relevant confounding effects. Nuclear hormone receptors (including the vitamin D receptor) have been shown to be key transducers and regulators of intracellular metabolism and comprise an important site of pathophysiological immune and metabolic dysregulation potentially contributing towards pro-ageing changes observed in opioid-dependent patients (ODPs).

DESIGN: Longitudinal prospective comparing ODPs with general medical controls (GMCs).

SETTING: Primary care.

PARTICIPANTS: Prospective review comparing 1168 ODP (72.5% men) and 415 GMC (51.6% men, p

INTERVENTIONS: Nil. Observational study only.

PRIMARY AND SECONDARY OUTCOMES: Serum vitamin D levels and relevant …

Finding A Space For Women: The British Medical Association And Women Doctors In Australia, 1880-1939, Louella R. Mccarthy

Faculty of Science, Medicine and Health - Papers: part A

This paper examines the experiences of women in one professional organisation - the British Medical Association in Australia - during a significant period in the development of such bodies. In doing so it offers an opportunity to consider the relationship between professional societies and the construction of a gendered profession. For the medical profession in particular the time-frame of this study, from the 1880s to the 1930s, has been regarded by scholars as especially important. In this period various features of medical professionalism came to prominence: the status and authority of doctors, the processes of formally registering medical credentials, and …

Island-Hopping Study Shows The Most Likely Route The First People Took To Australia, Kasih Norman

Faculty of Science, Medicine and Health - Papers: part A

The First Australians were among the world's earliest great ocean explorers, undertaking a remarkable 2,000km maritime migration through Indonesia which led to the discovery of Australia at least 65,000 years ago. But the voyaging routes taken through Indonesia's islands, and the location of first landfall in Australia, remain a much debated mystery to archaeologists. Our research, published earlier this year in Quaternary Science Reviews, highlights the most likely route by mapping islands in the region over time through changing sea levels.

Tracking The 10be-26al Source-Area Signal In Sediment-Routing Systems Of Arid Central Australia, Martin Struck, John D. Jansen, Toshiyuki Fujioka, Alexandru Tiberiu Codilean, David Fink, Reka H. Fulop, Klaus M. Wilcken, David M. Price, Steven Kotevski, L Keith Fifield, John Chappell

Faculty of Science, Medicine and Health - Papers: part A

Sediment-routing systems continuously transfer information and mass from eroding source areas to depositional sinks. Understanding how these systems alter environmental signals is critical when it comes to inferring source-area properties from the sedimentary record. We measure cosmogenic 10Be and 26Al along three large sediment-routing systems ( ∼  100 000 km2) in central Australia with the aim of tracking downstream variations in 10Be-26Al inventories and identifying the factors responsible for these variations. By comparing 56 new cosmogenic 10Be and 26Al measurements in stream sediments with matching data (n =  55) from source areas, we show that 10Be-26Al inventories in hillslope bedrock …

Geographic Disparities In Previously Diagnosed Health Conditions In Colorectal Cancer Patients Are Largely Explained By Age And Area Level Disadvantage, Belinda C Goodwin, Sonja March, Michael J Ireland, Fiona Crawford-Williams, Shu-Kay Ng, Peter D Baade, Suzanne K. Chambers, Joanne F Aitken, Jeff Dunn

Research outputs 2014 to 2021

Background: Geographical disparity in colorectal cancer (CRC) survival rates may be partly due to aging populations and disadvantage in more remote locations; factors that also impact the incidence and outcomes of other chronic health conditions. The current study investigates whether geographic disparity exists amongst previously diagnosed health conditions in CRC patients above and beyond age and area-level disadvantage and whether this disparity is linked to geographic disparity in CRC survival.

Methods: Data regarding previously diagnosed health conditions were collected via computer-assisted telephone interviews with a cross-sectional sample of n = 1,966 Australian CRC patients between 2003 and 2004. Ten-year survival …

Exploring The Preparedness Of Novice (Student) Paramedics For The Mental Health Challenges Of The Paramedic Profession: Using The Wisdom Of The Elders, Lisa Holmes

Theses: Doctorates and Masters

This study investigates the preparedness of novice (student) paramedics for the mental health challenges of the paramedic profession and identifies the coping strategies used by veteran paramedics to successfully meet these challenges. The lived experience of veteran paramedics is utilised to provide this important assistance.

Initially, two surveys were developed and administered to 16 course coordinators and 302 students of the 16 accredited undergraduate degree paramedicine courses across Australia and New Zealand, to identify the perceived need (for preparation) within the curriculum. In addition, the anticipations, confidence and fears of novice (student) paramedics, course coordinators and veteran paramedics were also …

A Profile Of Game Style, Physical, Technical And Tactical Skills, And The Pathways That Underpin Expertise In Australian Youth Soccer Players, Bradley Scott Keller

Theses: Doctorates and Masters

The attainment of expertise has been the focus of research in many domains including music, chess and sport. This research has progressed with many theories detailing the best way to develop expertise and nurture talent in sport. Soccer is a multifaceted sport which requires a number of physical, technical and tactical skills to be successful, making it difficult to achieve expertise. Although Australia’s performance on the international stage is improving, there is a lack of evidence to inform the most effective development pathways to support the next wave of talented youth soccer players. Therefore, the aim of the thesis was …

Effectiveness Of Switching Smoking-Cessation Medications Following Relapse, Bryan W. Heckman, K. Michael Cummings, Karin A. Kasza, Ron Borland, Jessica L. Burris, Geoffrey T. Fong, Ann Mcneill, Matthew J. Carpenter

Psychology Faculty Publications

Introduction—Nicotine dependence is a chronic disorder often characterized by multiple failed quit attempts (QAs). Yet, little is known about the sequence of methods used across multiple QAs or how this may impact future ability to abstain from smoking. This prospective cohort study examines the effectiveness of switching smoking-cessation medications (SCMs) across multiple QAs.

Methods—Adult smokers (aged ≥ 18 years) participating in International Tobacco Control surveys in the United Kingdom, U.S., Canada, and Australia (N=795) who: (1) completed two consecutive surveys between 2006 and 2011; (2) initiated a QA at least 1 month before each survey; and (3) provided …

Manufactured Home Villages In Australia - A Melting Pot Of Chronic Disease?, Karin Robinson, Abhijeet Ghosh, Elizabeth J. Halcomb

Faculty of Science, Medicine and Health - Papers: part A

Manufactured home villages (MHVs) are an increasingly popular housing option for older Australians. This paper reports a cross-sectional survey that sought to describe the health status and health service access of MHV residents. The survey tool comprised demographic and health status items, primary healthcare access perceptions and the World Health Organization Quality of Life tool (WHOQOL-BREF). One-hundred-eighty-six MHV residents from regional NSW completed the survey. Hypertension (54.8%) and arthritis (46.5%) were the most prevalent chronic diseases reported. Overall, respondents expressed a high level of satisfaction with the sense of safety and security (82.8%), neighbours (69.4%) and the overall location of …

Movement Of Lithics By Trampling: An Experiment In The Madjedbebe Sediments, Northern Australia, Benjamin Marwick, Elspeth Hayes, Christopher Clarkson, Richard Fullagar

Faculty of Science, Medicine and Health - Papers: part A

Understanding post-depositional movement of artefacts is vital to making reliable claims about the formation of archaeological deposits. Human trampling has long been recognised as a contributor to post-depositional artefact displacement. We investigate the degree to which artefact form (shape-and-size) attributes can predict how an artefact is moved by trampling. We use the Zingg classification system to describe artefact form. Our trampling substrate is the recently excavated archaeological deposits from Madjedbebe, northern Australia. Madjedbebe is an important site because it contains early evidence of human activity in Australia. The age of artefacts at Madjedbebe is contentious because of the possibility of …

Development Of Advanced Practice Competency Standards For Dietetics In Australia, Claire Palermo, Sandra Capra, Eleanor J. Beck, Janeane Dart, J Conway, Susan Ash

Faculty of Science, Medicine and Health - Papers: part A

Aim: This study aimed to explore the work roles, major tasks and core activities of advanced practice dietitians in Australia to define the Competency Standards for advanced practice. Methods: A qualitative approach was used to review advanced dietetic practice in Australia involving experienced professionals, mostly dietitians. Four focus groups were conducted with a total of 17 participants and an average of 20 years experience: 15 dietitian practitioners plus 2 employers (1 dietitian and 1 non-dietitian). The focus groups explored the key purpose, roles and outcomes of these practitioners. Data from the focus groups were confirmed with in-depth interviews about their …

Evaluation Of Acceptance And Efficiency Of Exercise For Indigenous Australians To Benefit Physiological, Anthropometric And Metabolic Syndrome Outcomes, Tuguy Esgin

Theses: Doctorates and Masters

The proposed study will provide an increased understanding in a much-understudied area of how the Australian Indigenous community perceives physical activity and the beneficial effects for improving health outcomes.

The PhD will be made up of three studies:

1) To design an exercise prescription that is culturally appropriate and specifically addresses the major Indigenous health issues around metabolic syndrome.

The first will be a cross sectional study that surveys the motivators and barriers to physical activity within the Perth Noongar community. The results of this study will be used to enhance the intervention section of the PhD. It will provide …

Aboriginal Health Worker Perceptions Of Oral Health: A Qualitative Study In Perth, Western Australia, Angela Durey, Dan Mcaullay, Barry Gibson, Linda Slack-Smith

Research outputs 2014 to 2021

Background:

Improving oral health for Aboriginal Australians has been slow. Despite dental disease being largely preventable, Aboriginal Australians have worse periodontal disease, more decayed teeth and untreated dental caries than other Australians. Reasons for this are complex and risk factors include broader social and historic determinants such as marginalisation and discrimination that impact on Aboriginal people making optimum choices about oral health. This paper presents findings from a qualitative study conducted in the Perth metropolitan area investigating Aboriginal Health Workers’ (AHWs) perceptions of barriers and enablers to oral health for Aboriginal people.

Methods:

Following extensive consultation with Aboriginal stakeholders, …

Addressing The Deficiencies In The Evidence-Base For Primary Practice In Regional Australia - Sentinel Practices Data Sourcing (Spds) Project: A Pilot Study, Abhijeet Ghosh, Karen E. Charlton, Lisa Girdo, Marijka J. Batterham, Keith Mcdonald

Dr Marijka Batterham

Background Chronic disease risk on a population level can be quantified through health surveys, either continuous or periodic. To date, information gathered from primary care interactions, using sentinel sites, has not been investigated as a potentially valuable surveillance system in Australia. Methods A pilot study was conducted in a single General Practice in a regional area of New South Wales, Australia to assess the feasibility of accessing data obtained through a computerised chronic disease management program that has been designed for desktop application (Pen Computer Systems (PCS) Clinical Audit Tool: ™ PCS CAT). Collated patient data included information on chronic …

Organic Geochemistry Of Non-Marine Permian-Triassic Mass Extinction (Ptme) Sections In The Sydney Basin, Australia, Simon George, Megan L. Williams, Justine Wheeler, Shirin Baydjanova, Nathan Camilleri, Benjamin Hanssen, Regina Maher, Uvana Meek, Adrian Nelson, Caiden O'Connor, William Porter, Brian G. Jones

Faculty of Science, Medicine and Health - Papers: part A

Most organic geochemical studies of the Permian-Triassic mass extinction (PTME) have utilised marine sections, and the boundary is readily identified by a negative carbon isotope excursion. It is now well understood from various locations around the world that the marine ecosystem collapse is accompanied by biomarker evidence for photic zone euxinia, including isorenieratane, crocetane and 2,3,6-aryl isoprenoids (e.g. Grice et al., 2005). Far fewer studies have been carried out on non-marine PTME sections, and in particular no biomarker studies have been carried out on Australian sections, despite there being extensive Permian and Triassic sequences in eastern Australia, notably in the …

Simulation In Dietetic Education In Australia, Peter Williams, Eleanor Beck

Peter Williams

In 2011 the Dietitians Association of Australia conducted a survey of simulated learning experiences in all universities offering dietetic course in Australia. A total of 35 SLEs currently used were identified: 14 paper-based, 15 physical-based and 6 computer or video based.

First Recorded Evidence Of Subaqueously-Deposited Late Pleistocene Interstadial (Mis 5c) Coastal Strata Above Present Sea Level In Australia, Amy Blakemore, Colin Murray-Wallace, Terry Lachlan

Faculty of Science, Medicine and Health - Papers: part A

Significant differences in the elevation of late Pleistocene interstadial coastal strata have been noted at the global scale resulting from the combined effects of tectonism, proximity of field sites to Pleistocene ice sheets, and the variable effects of glacio-hydro-isostatic adjustment processes. Here we report the first recorded example of subaqueously deposited late Pleistocene interstadial coastal sediments above present sea level in Australia, in a far-field location to Pleistocene ice sheets and characterised by minimal to modest rates of vertical crustal movements. Located at Port MacDonnell, in Southern Australia, the sedimentary succession is represented by a flint conglomerate beach facies with …

Late-Holocene Climatic Variability Indicated By Three Natural Archives In Arid Southern Australia, Luke A. Gliganic, Timothy J. Cohen, Jan-Hendrik May, John D. Jansen, Gerald C. Nanson, Anthony Dosseto, Joshua R. Larsen, Maxime Aubert

Faculty of Science, Medicine and Health - Papers: part A

Three terrestrial climate proxies are used to investigate the evolution of Holocene palaeoenvironments in southern central Australia, all of which present a coherent record of palaeohydrology. Single-grain optically stimulated luminescence from sediments supplemented by 14C from charcoal and lacustrine shells was obtained to date shoreline deposits (Lake Callabonna) and the adjacent Mt Chambers Creek alluvial fan. Our findings are complemented by a U/Th-based record of speleothem growth in the Mt Chambers Creek catchment, which we interpret to reflect increased precipitation. Together, these archives shed light on the timing of, and possible sources of water for, Holocene pluvial intervals. We identified …

Salt Intake Assessed By 24 H Urinary Sodium Excretion In A Random And Opportunistic Sample In Australia, Mary-Anne Land, Jacqui Webster, Anthea Christoforou, D Praveen, Paul Jeffery, John Chalmers, Wayne Smith, Mark Woodward, Federica Barzi, Caryl A. Nowson, Victoria Flood, Bruce Neal

Faculty of Science, Medicine and Health - Papers: part A

Objective: The gold standard method for measuring population sodium intake is based on a 24 h urine collection carried out in a random population sample. However, because participant burden is high, response rates are typically low with less than one in four agreeing to provide specimens. At this low level of response it is possible that simply asking for volunteers would produce the same results.

Setting: Lithgow, New South Wales, Australia.

Participants: We randomly selected 2152 adults and obtained usable 24 h urine samples from 306 (response rate 16%). Specimens were also collected from a further 113 volunteers. Estimated salt …

Cross Sectional Survey Of Human-Bat Interaction In Australia: Public Health Implications, Beverley J. Paterson, Michelle T. Butler, Keith Eastwood, Patrick M. Cashman, Alison Jones, David N. Durrheim

Faculty of Science, Medicine and Health - Papers: part A

Background Flying foxes (megachiroptera) and insectivorous microbats (microchiroptera) are the known reservoirs for a range of recently emerged, highly pathogenic viruses. In Australia there is public health concern relating to bats' role as reservoirs of Australian Bat Lyssavirus (ABLV), which has clinical features identical to classical rabies. Three deaths from ABLV have occurred in Australia. A survey was conducted to determine the frequency of bat exposures amongst adults in Australia's most populous state, New South Wales; explore reasons for handling bats; examine reported practices upon encountering injured or trapped bats or experiencing bat bites or scratches; and investigate knowledge of …

Depositional History And Archaeology Of The Central Lake Mungo Lunette, Willandra Lakes, Southeast Australia, Kathryn E. Fitzsimmons, Nicola Stern, Colin V. Murray-Wallace

Faculty of Science, Medicine and Health - Papers: part A

Lake Mungo, presently a dry lake in the semi-arid zone of southeastern Australia, preserves a unique record of human settlement and past environmental change within the transverse lunette that built up on its downwind margin. The lunette is >30 km long and the variable morphology along its length suggests spatial variability in deposition over time. Consequently this presents differential potential for the preservation of past activity traces of different ages along the lunette. Earlier work at Lake Mungo focused primarily on the southern section of the lunette, where two ritual burials of considerable antiquity were found. Here we describe the …