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Full-Text Articles in Medicine and Health Sciences

Training And Competition Demands Of Adolescent Rugby Union Players, Timothy B. Hartwig Dec 2009

Training And Competition Demands Of Adolescent Rugby Union Players, Timothy B. Hartwig

Theses

Background: An emerging trend in adolescent sport is a greater emphasis on identifying and developing talent in young athletes and improving articulation to elite adult participation. Adolescent athletes appear to be increasingly engaged in strenuous training processes thought to best serve these ends. The ability to adapt and recover from strenuous physical loading is finite and influenced by many unique factors during adolescence. Consequently, training and non-training stressors and, or, responses to stressors may exceed individual adaptation thresholds with deleterious, rather than beneficial outcomes. Undesirable consequences of training manifest in complex psychosociobiological signs and symptoms, often defined as overreaching or ...


Drugs And Having Babies: An Exploration Of How A Specialist Clinic Meets The Needs Of Chemically Dependent Women, Michelle Morris Dec 2009

Drugs And Having Babies: An Exploration Of How A Specialist Clinic Meets The Needs Of Chemically Dependent Women, Michelle Morris

Theses

This study sought to evaluate the care provided to chemically dependent pregnant women by a specialist clinic, the Transitions Clinic of the Mercy Hospital for Women, a major Victorian metropolitan women‘s hospital. A critical ethnographic approach informed by critical, feminist and postmodern perspectives, namely Habermas, Foucault and feminist interpretations of Foucault, was employed. During the process of data analysis I was also drawn to the existential theorists, Frankl and Yalom. Twenty women were interviewed three times (twice prior to giving birth and once post birth). As well, interactions between clinic staff and the women were observed over a twenty-five ...


The Nexus Between Cognitive Function And Self-Care Ablility In Patients With Chronic Heart Failure, Janette Cameron Sep 2009

The Nexus Between Cognitive Function And Self-Care Ablility In Patients With Chronic Heart Failure, Janette Cameron

Theses

Background: The prevalence of chronic heart failure (CHF) within in the Western World remains high and is rapidly increasing in developing nations. The clinical trajectory of CHF is often characterised by chronic symptoms with periods of acute decompensation requiring hospitalisations for treatment. Yet almost half of these readmissions are potentially preventable through better adherence with self-care practices. For patients with CHF, self-care involves a level of confidence to adhere to behaviours that maintain physiological stability as well as recognising and making pertinent decisions in response to symptom changes. These self-care skills are not readily learnt and there are many barriers ...


Pioneering A New Model Of Midwifery Care: A Phenomenological Study Of A Midwifery Group Practice, Anne Moore Aug 2009

Pioneering A New Model Of Midwifery Care: A Phenomenological Study Of A Midwifery Group Practice, Anne Moore

Theses

This study explores the essence of the experience of midwives working within a new midwifery model of care: A Midwifery Group Practice (MGP) and is one component in a quality assurance project to evaluate the new service. In March 2005 the Re-Birthing Report was released in Queensland. This report reviewed maternity services in Queensland and contained key recommendations and guiding principles which were subsequently endorsed by the Queensland Government. The Re-Birthing Report clearly articulates that maternity care in Queensland must change to meet the needs of women and families birthing in Queensland in the 21st Century (Hirst, 2005). Consequently this ...


An Exploratory Descriptive Study Of Mission Integration And Sustainability In A Not-For-Profit Australian Catholic Hospital, Monica Whelan Jun 2009

An Exploratory Descriptive Study Of Mission Integration And Sustainability In A Not-For-Profit Australian Catholic Hospital, Monica Whelan

Theses

Literature indicates that the issues of mission, and mission integration and sustainability, are of importance in organisations, including Catholic hospitals. However, there is minimal research to inform and guide mission integration in organisations. The aim of the study was to identify aspects of mission integration in a not-for-profit Australian Catholic hospital from employees' perspectives. The research questions addressed: (1) the knowledge and experience of mission integration by current employees, (2) the issues, problems, barriers, and (3) strategies for leadership, ownership and sustainability for the future. Following a three stage pilot process, eight questions were formulated to guide and stimulate discussion ...


Putting The Pieces Together: The Subjective Experience Of Anorexia Nervosa Over The Course Of The Disorder, Sarah N. Pegrum Jun 2009

Putting The Pieces Together: The Subjective Experience Of Anorexia Nervosa Over The Course Of The Disorder, Sarah N. Pegrum

Theses

Throughout the history of psychology there is evidence of fragmentation, at multiple levels. As a result of this fragmentation knowledge of mental illness exists in the form of separate fragments or pieces, and the understanding of the subjective experience of a mental illness as a whole is often lost in the pieces. Such fragmentation is a concern as it has a significant impact on those suffering from a mental illness, as they may not feel understood, or aspects of their experience of mental illness may be missed or overlooked. Thus potentially reducing the individual's ability and willingness to approach ...


Contribution Of Gait Analysis To The Understanding Of Motor Development, Cameron Wilson Mar 2009

Contribution Of Gait Analysis To The Understanding Of Motor Development, Cameron Wilson

Theses

Findings from two studies are presented. Both focused on the gait of Australian primary aged children and the information that this fundamental motor skill provides towards understanding the development of motor performance. In study one 87 (47 male, 40 female) children (5 - 9 years) participated. Children were tested using the Movement Assessment Battery for Children (MABC) (Henderson & Sugden, 1996), and the GAITRite walkway system. Gait parameters of the motor impaired and typically developing children were compared. Walking at a self-selected normal pace the motor impaired children did not significantly differ from their typically developing peers. A comparison of the gait ...


Relocation To A Nursing Home: The Significance Of Cultural Diversity, Cecelia Akuda Yeboah Jan 2009

Relocation To A Nursing Home: The Significance Of Cultural Diversity, Cecelia Akuda Yeboah

Theses

Australian society is changing in its composition. People are living longer than previously which has led to increase in older people. Increased immigration during the past few decades has led to a significant increase in the number of older Australia residents who are both culturally and linguistically diverse (CALD). Also families, familial relationships and traditional support structures are altering. These demographic changes have significant implications for the challenges that Australia faces with its ageing population. The longevity is partially due to advances in preventative and curative health care, as well as to improvements in living standards. Research suggests alterations to ...


Outcomes And Costs Of Primary Care Surveillance And Intervention For Overweight Or Obese Children: The Leap 2 Randomised Controlled Trial, Melissa Wake, Louise A. Baur, Bibi Gerner, Kay Gibbons, Lisa Gold, Jane Gunn, Penny Levickis, Zoe Mccallum, Geraldine Naughton, Lena Sanci, Obioha C. Ukoumunne Jan 2009

Outcomes And Costs Of Primary Care Surveillance And Intervention For Overweight Or Obese Children: The Leap 2 Randomised Controlled Trial, Melissa Wake, Louise A. Baur, Bibi Gerner, Kay Gibbons, Lisa Gold, Jane Gunn, Penny Levickis, Zoe Mccallum, Geraldine Naughton, Lena Sanci, Obioha C. Ukoumunne

Faculty of Health Sciences Publications

Objective: To determine whether ascertainment of childhood obesity by surveillance followed by structured secondary prevention in primary care improved outcomes in overweight or mildly obese children.

Design: Randomised controlled trial nested within a baseline cross sectional survey of body mass index (BMI). Randomisation and outcomes measurement, but not participants, were blinded to group assignment.

Setting: 45 family practices (66 general practitioners) in Melbourne, Australia.

Participants: 3958 children visiting their general practitioner in May 2005-July 2006 were surveyed for BMI. Of these, 258 children aged 5 years 0 months up to their 10th birthday who were overweight or obese by International ...


Postural Stability And Gait Among Older Adults With Age-Related Maculopathy, Joanne M. Wood, Philippe F. Lacherez, Alex A. Black, Michael H. Cole, Mei Ying Boon, Graham K. Kerr Jan 2009

Postural Stability And Gait Among Older Adults With Age-Related Maculopathy, Joanne M. Wood, Philippe F. Lacherez, Alex A. Black, Michael H. Cole, Mei Ying Boon, Graham K. Kerr

Faculty of Health Sciences Publications

Purpose. To assess the postural stability and gait characteristics of adults with age-related maculopathy (ARM) and to identify the visual factors associated with postural stability and gait in this clinical population.

Methods. Participants included 80 individuals with a range of severity of ARM (mean age, 77.2 years). Binocular visual function measures included visual acuity, contrast sensitivity, and merged binocular visual fields. Postural stability was assessed on both a firm and a foam surface using center-of-pressure measures derived from a force platform. Forty three of the participants underwent a three-dimensional motion analysis to quantify gait characteristics, including walking velocity, proportion ...


The X-Factor And Its Relationship To Golfing Performance, Michael H. Cole, Paul N. Grimshaw Jan 2009

The X-Factor And Its Relationship To Golfing Performance, Michael H. Cole, Paul N. Grimshaw

Faculty of Health Sciences Publications

It is often postulated that an increased hip to shoulder differential angle (`X-Factor') during the early downswing better utilises the stretch-shorten cycle and improves golf performance. The current study aims to examine the potential relationship between the X-Factor and performance during the tee-shot. Seven golfers with handicaps between 0 and 10 strokes comprised the low-handicap group, whilst the high-handicap group consisted of eight golfers with handicaps between 11 and 20 strokes. The golfers performed 20 drives and three-dimensional kinematic data were used to quantify hip and shoulder rotation and the subsequent X-Factor. Compared with the low-handicap group, the high-handicap golfers ...