Medicine and Health Sciences Commons^™

"It Could Probably Help Someone Else But Not Me": A Feasibility Study Of A Snack Programme Offered To Meals On Wheels Clients, K E. Charlton, K Walton, L Moon, K Smith, A T. Mcmahon, F Ralph, M Stuckey, F Manning, J Krassie

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

Objectives Community-based services, such as Meals on Wheels (MOW), allow older adults to remain in their homes for as long as possible. Many MOW recipients experience decreased appetite that limits intake at mealtimes. This pilot study aimed to determine the feasibility of providing high protein high energy snacks to improve nutrient intakes of MOW clients in a regional centre of New South Wales, Australia.

Participants A convenience sample of 12 MOW clients.

Intervention Participants received snacks five times a week, in addition to their usual MOW order, for four weeks.

Measurements Nutritional status was assessed using the Mini Nutritional Assessment …

Simulation Study Of Ion Pairing In Concentrated Aqueous Salt Solutions With A Polarizable Force Field, Yun Luo, Wei Jiang, Haibo Yu, Alexander D. Mackerrell, Benoit Roux

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

The accuracy of empirical force fields is critical for meaningful molecular dynamics simulations of concentrated ionic solutions. Current models are typically developed on the basis of single ion properties such as the monohydrate energy in the gas phase, or the absolute hydration free energy at infinite dilution. However, the failure of these models to represent accurately the properties of concentrated solutions cannot be excluded. Here, these issues are illustrated for a polarizable potential based on classical Drude oscillators. To model accurately concentrated ionic solutions, the parameters of the potential functions are optimized to reproduce osmotic pressure data. The sodium-chloride potential …

Using Interviews And Peer Pairs To Better Understand How School Environments Affect Young Children's Playground Physical Activity Levels: A Qualitative Study, Anne-Maree Parrish, Heather Yeatman, Donald Iverson, Ken Russell

Faculty of Health and Behavioural Sciences - Papers (Archive)

School break times provide a daily opportunity for children to be active; however, research indicates this time is underutilized. Reasons for low children’s playground activity levels have primarily focused on physical barriers. This research aimed to contribute to physical environmental findings affecting children’s playground physical activity levels by identifying additional variables through the interview process. Thirteen public schools were included in the sample (total 2946 children). Physical activity and environmental data were collected over 3 days. Environmental variables were manually assessed at each of the 13 schools. Observational data were used to determine which three schools were the most and …

The Effect Of Dairy Consumption On Blood Pressure In Mid-Childhood: Caps Cohort Study, A M. Rangan, V L. Flood, G Denyer, J G. Ayer, K L. Webb, G B. Marks, D S. Celermajer, Tim Gill

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background/objectives: It has been postulated that higher dairy consumption may affect blood pressure regulation. The aim of this study was to examine the association between dairy consumption and blood pressure in mid-childhood. Methods: Subjects (n=335) were participants of a birth cohort at high risk of asthma withinformation on diet at 18 months and blood pressure at 8 years. Multivariate analyses were used to assess the association of dairy consumption (serves) and micronutrient intakes (mg) at 18 m with blood pressure at 8 y. In a subgroup of children (n=201), dietary intake was measured at age 18 m and 9 y …

A Study Of Psychiatric And Physical Morbidity Among Residents Of Old Age Home, Vaishali Hedge, Srinivas Kosgi, Satheesh Rao, Nagesh Pai, Shankarappa Mudgal

Graduate School of Medicine - Papers (Archive)

Aims/objectives: To determine the frequency of psychiatric and physical morbidity and also to look into the association between psycho- social factors, morbidity and disability among residents of old age home. Materials and Methods: Study was conducted at an old age home where two hundred and forty five residents were screened using short psychiatric evaluation schedule (SPES).Hundred and ten residents scoring ≥ 4 on SPES suggestive of psychopathology were further evaluated. Information regarding socio-demography, past & present medical and psychiatric illness history was collected. Each individual’s detailed physical examination findings were recorded and Mini-International Neuropsychiatric Interview (MINI), social support scale, disability …

The Longitudinal Relationship Between Depression Symptoms And Disability For Older Adults: A Population-Based Study, Chun-Min Chen, Judy Mullan, Yung-Yu Su, David Atherton Griffiths, Irene Kreis, Herng-Chia Chiu

Graduate School of Medicine - Papers (Archive)

Background. Although depressive symptoms in older adults are common, their relationship with disability and the influence of disability on the development of depressive symptoms over time is not well understood. This longitudinal study investigates the change trajectories of both depressive symptoms and disability, as well as their associations over time. Methods. Participants included 442 community-dwelling older adults living in Taiwan, aged 65 years or older, who completed six waves of survey interviews. Depression was scored with the Short Psychiatric Evaluation Schedule and disability with the instrumental and physical activities of daily living measure during each consecutive data collection wave. The …

Patient Perceptions Of Anaesthesia Research Priorities - A Failed Study, Natalie A. Smith, D Martin

Graduate School of Medicine - Papers (Archive)

Professor Steven Shafer alerted conference delegates at a recent international meeting to the value of considering topics for future research in terms of what the most important questions are that remain to be solved1. He quoted from an issue of Science magazine, in which the editors reported questions they thought pointed to the greatest current scientific knowledge gaps2. Two of the top 25 related to anaesthesia in a broad sense: the biological basis of consciousness and how memories are stored and retrieved. Others have noted the relevance of asking patients what they considered research priorities to be3,4. We designed a …

Reducing Olanzapine-Induced Weight Gain Side-Effect By Using Betahistine: A Study In The Rat Model, Chao Deng, Jiamei Lian, Nagesh Brahmavar Pai, Xu-Feng Huang

Graduate School of Medicine - Papers (Archive)

Olanzapine is effective at treating multiple domains of schizophrenia symptoms. However, it induces serious metabolic side effects. Antipsychotic drug’s antagonistic affinity to histamine H1 receptors has been identified as a main contributor for weight gain/obesity side effects. This study therefore investigated whether a combined treatment of betahistine (a H1 receptor agonist and H3 receptor antagonist) could reduce the body weight/obesity induced by olanzapine. Female Sprague Dawley rats were treated orally with olanzapine (1 mg/kg, t.i.d.) and/or betahistine (2.67 mg/kg, t.i.d.), or vehicle for two weeks. Rats treated with olanzapine exhibited significant body weight gain and increased food intake. Co-treatment of …

Translation Of Tobacco Policy Into Practice In Disadvantaged And Marginalized Subpopulations: A Study Of Challenges And Opportunities In Remote Australian Indigenous Communities, Jan A. Robertson, Katherine M. Conigrave, Rowena Ivers, Kim Usher, Alan R. Clough

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background: In Australia generally, smoking prevalence more than halved after 1980 and recently commenced to decline among Australia's disadvantaged Indigenous peoples. However, in some remote Indigenous Australian communities in the Northern Territory (NT), extremely high rates of up to 83% have not changed over the past 25 years. The World Health Organisation has called for public health and political leadership to address a global tobacco epidemic. For Indigenous Australians, unprecedented policies aim to overcome disadvantage and close the 'health gap' with reducing tobacco use the top priority. This study identifies challenges and opportunities to implementing these important new tobacco initiatives …

Study Of The Relationship Between Infrared Stimulated Luminescence And Blue Light Stimulated Luminescence For Potassium-Feldspar From Sediments, Zhijun Gong, Bo Li, Sheng-Hua Li

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

In luminescence measurements of potassium-feldspar (K-feldspar), both infrared (IR) and blue light (BL) can be used as stimulation sources. Component analysis suggests that the blue light stimulated luminescence (BLSL) measured at 60 °C from K-feldspar can be fitted using three components, namely fast, medium and slow. In order to explore the relationship between the origin of the infrared stimulated luminescence (IRSL) signal and the different components of the BLSL, five sets of experiments were conducted, namely post-IR BLSL (pIR-BLSL), post-BL IRSL (pBL-IRSL), pulse annealing tests, dose response and laboratory fading rate tests. It is observed that most of the IRSL …

Bioregional Assessment Project: Sydney Metropolitan, Southern Rivers And Hawkesbury-Nepean Catchments: Data Collation Phase To Study The Impact Of Mining Activity And Coal Seam Gas On Environmental Assets, John Bradd, Tim Cohen, Sam Marx, Sol Buckman, Emma Burkhardt, A Clarke, Nicole Cook, Stephen Cullen, James Daley, Alexi Gavin, Ren Hu, Emma Kiekebosch-Fitt, Matt Lemcke, Andrew Lowe, Thomas Mcmahon, Luke Mcneilage, Kaitlyn O'Mara, Garth Nagle, Sam Robson, Carolyn Silveri, Joe Stammers

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

This study was commissioned by the Hawkesbury-Nepean (HNCMA), Sydney Metropolitan (SMCMA) and Southern Rivers (SRCMA) Catchment Management Authorities and undertaken by the University of Wollongong to collate existing data and to provide a preliminary assessment of the potential impacts of coal seam gas (CSG) and coal mining activities on environmental assets within the three CMA regions, where environmental assets were defined under three broad themes; water, land and biodiversity. This study formed part of the Australian Federal Government’s Department of Sustainability, Environment, Water, Population and Communities (SEWPaC) Bioregional Assessment initiative within regions potentially affected by CSG and coal mining activities. …

Learning Analytics: A Case Study Of The Process Of Design Of Visualizations, Martin M. Olmos, Linda Corrin

Graduate School of Medicine - Papers (Archive)

The ability to visualize student engagement and experience data provides valuable opportunities for learning support and curriculum design. With the rise of the use of learning analytics to provide "actionable intelligence" [1]on students' learning, the challenge is to create visualizations of the data which are clear and useful to the intended audience. This process of finding the best way to visually represent data is often iterative, with many different designs being trialled before the final design is settled upon. This paper presents a case study of the process of refining a visualization of students' learning experience data. In this case …

An Innovative Osce Clinical Log Station: A Quantitative Study Of Its Influence On Log Use By Medical Students, Judith N. Hudson, Helen Rienits, Linda Corrin, Martin Olmos

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

Background A Clinical Log was introduced as part of a medical student learning portfolio, aiming to develop a habit of critical reflection while learning was taking place, and provide feedback to students and the institution on learning progress. It was designed as a longitudinal self-directed structured record of student learning events, with reflection on these for personal and professional development, and actions planned or taken for learning. As incentive was needed to encourage student engagement, an innovative Clinical Log station was introduced in the OSCE, an assessment format with established acceptance at the School. This study questions: How does an …

Response Of Marine Invertebrate Larvae To Natural And Anthropogenic Sound: A Pilot Study, J R. Stocks, Alison Broad, C Radford, T E. Minchinton, Andrew R. Davis

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

Many vertebrates and invertebrates in the marine environment create and respond to sound. Due to increasing use of waterways, levels of anthropogenic sound are greater than ever. We examined the responses of larvae of temperate invertebrates to three sound treatments: natural ambient sound (shallow rocky reef), anthropogenic sound (an outboard motor) and no sound (control). Sound recordings were played to molluscan, echinoderm and bryozoan larvae in Petri dishes in the laboratory and the movement of swimming larvae was filmed and quantified in two-dimensional space. Larvae of the gastropod Bembicium nanum increased their swimming activity in response to both natural and …

Curriculum Renewal For Public Health Nutrition - A National Case Study, Australia, Heather Yeatman, Andrea Begley, Roger Hughes, Lisa Schubert, Lauren Williamns, Claire Palermo

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

Effective workforce preparation and continuing professional development in public health nutrition are essential to address the immense challenges facing nutrition in the world today. A national Curriculum Renewal in Public Health Nutrition project in Australia (2011/12) built on previous international work on PHN competencies and facilitated scholarly dialogue on innovative teaching and learning and curriculum mapping strategies.

The Role Of Health Literacy And Social Networks In Arthritis Patient's Health Information-Seeking Behaviour: A Qualitative Study, Janette Ellis, Judy Mullan, Anthony Worsley, Nagesh Brahmavar Pai

Graduate School of Medicine - Papers (Archive)

Background. Patients engage in health information-seeking behaviour to maintain their wellbeing and to manage chronic diseases such as arthritis. Health literacy allows patients to understand available treatments and to critically appraise information they obtain from a wide range of sources. Aims. To explore how arthritis patients’ health literacy affects engagement in arthritis-focused health information-seeking behaviour and the selection of sources of health information available through their informal social network. Methods. An exploratory, qualitative study consisting of one-on-one semi-structured interviews. Twenty participants with arthritis were recruited from community organizations. The interviews were designed to elicit participants’ understanding about their arthritis and …

Connectgpr: Coast City Country Online Network For An Educational Community Of Training For Gp Registrars. A Case Study, Stephen Barnett, Tim Caton, Sandra C. Jones, Donald C. Iverson, Sue Bennett

Graduate School of Medicine - Papers (Archive)

Powerpoint-presentation

Role on online communities.

Effect on isolation and knowledge sharing.

What works: Community THEN, technology.

Framework: Barnett BMC Family Practice 2012.

Pilot Study: ConnectGPR

Risk Of Road Traffic Accidents In Patients Discharged Following Treatment For Psychotropic Drug Overdose: A Self-Controlled Case Series Study In Australia, Tharaka L. Dassanayake, Alison L. Jones, Patricia Michie, Gregory Carter, Patrick Mcelduff, Barrie J. Stokes, Ian Whyte

Graduate School of Medicine - Papers (Archive)

Background: Use of psychotropic drugs is known to impair driving and increase the risk of road traffic accidents. They are also the most common drugs taken in overdose in hospital-treated episodes of self-poisoning. Most patients who take psychotropic drug overdoses are discharged within 48 hours, while they still have possible subclinical drug effects. Objective: Using a self-controlled case series design, we aimed to determine whether patients with psychotropic drug overdose are at a higher risk of a traffic accident in the period following discharge compared with a control period not associated with hospital-treated drug overdose. Methodology: Using the New South …

Patient Perceptions Of Innovative Longitudinal Integrated Clerkships Based In Regional, Rural And Remote Primary Care: A Qualitative Study, Judith N. Hudson, Patricia J. Knight, Kathryn M. Weston

Graduate School of Medicine - Papers (Archive)

No abstract provided.

The Study Design And Methodology For The Archer Study - Adolescent Rural Cohort Study Of Hormones, Health, Education, Environments And Relationships, Katharine Steinbeck, P Hazell, Robert Cumming, S Skinner, Rebecca Ivers, Robert Booy, G Fulcher, D Handelsman, Andrew Martin, Geoff Morgan, J M. Starling, Adrian E. Bauman, M Rawsthorne, D Bennett, C Chow, Mary K. Lam, P Kelly, Ngiare J. Brown, K Paxton, C Hawke

Graduate School of Medicine - Papers (Archive)

Background: Adolescence is characterized by marked psychosocial, behavioural and biological changes and represents a critical life transition through which adult health and well-being are established. Substantial research confirms the role of psycho-social and environmental influences on this transition, but objective research examining the role of puberty hormones, testosterone in males and oestradiol in females (as biomarkers of puberty) on adolescent events is lacking. Neither has the tempo of puberty, the time from onset to completion of puberty within an individual been studied, nor the interaction between age of onset and tempo. This study has been designed to provide evidence on …

Circumventing The Who Code? An Observational Study, Nina J. Berry, Sandra C. Jones, Donald C. Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background This study compares the formula milk advertisements that appeared in parenting magazines published in two countries that have enacted measures to restrict the advertising of infant formula products in response to the international code with two that have not. Methods Content analysis was used to compare the type and frequency of formula milk advertisements that appeared in parenting magazines collected from the USA, Canada, the UK and Australia during 2007, and to examine whether there was a relationship between these frequencies and advertising regulations. Findings Advertisements that promoted formula products or brands occurred in all of the magazines sampled …

Healthy Beginnings Trial Phase 2 Study: Follow-Up And Cost-Effectiveness Analysis, Li Ming Wen, Louise A. Baur, Chris Rissel, Vicki Flood, Judy M. Simpson, Alison Hayes, Louise L. Hardy, Karen Wardle

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background: In 2007, we commenced the Healthy Beginnings Trial (HBT) Phase 1 study, which is the first randomised controlled trial (RCT) to test the effectiveness of an early childhood obesity intervention in children aged up to 2 years. The results were promising with significant improvements in infant feeding practices and a lower mean body mass index (BMI). The aims of this proposed Phase 2 study are to determine if the early intervention will lead to a lower mean BMI, lower screen time, improved dietary behaviours and demonstrated costeffectiveness of the intervention, in children aged 3½ and 5 years. Methods/design: In …

Study Protocol: A Randomized Controlled Trial Of A Computer-Based Depression And Substance Abuse Intervention For People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Frances Kay-Lambkin, Amanda Baker, Frank P. Deane, Adam C. Brooks, Alexandra Mitchell, Sarah Marshall, Meredith Whittington, Genevieve A. Dingle

Faculty of Health and Behavioural Sciences - Papers (Archive)

"Background: A large proportion of people attending residential alcohol and other substance abuse treatment have a co-occurring mental illness. Empirical evidence suggests that it is important to treat both the substance abuse problem and co-occurring mental illness concurrently and in an integrated fashion. However, the majority of residential alcohol and other substance abuse services do not address mental illness in a systematic way. It is likely that computer delivered interventions could improve the ability of substance abuse services to address co-occurring mental illness. This protocol describes a study in which we will assess the effectiveness of adding a computer delivered …

Why (Not) Alcohol Energy Drinks? A Qualitative Study With Australian University Students, Sandra C. Jones, Lance R. Barrie, Nina J. Berry

Faculty of Health and Behavioural Sciences - Papers (Archive)

Introduction and Aims. Alcohol energy drinks (AEDs) are a recent entry to the ready-to-drink market, but there is an absence of research into the reasons young people consume these products and their consumption-related experiences.The aim of the current study was to investigate university students’ perceptions of, and experiences with, pre-mixed AEDs.

Design and Methods. Four focus groups with undergraduate university students in a large regional city in New South Wales; with transcripts coded for key themes.

Results.Participants reported a number of benefits of AED consumption,many of which were similar to other ready-to-drinks, such as taste and image. However, the primary …

Study Protocol For A Randomized Controlled Trial Of Humor Therapy In Residential Care: The Sydney Multisite Intervention Of Laughterbosses And Elderclowns (Smile), Belinda Goodenough, Lee-Fay Low, Anne-Nicole Casey, Lynn Chenoweth, Richard Fleming, Peter Spitzer, Jean-Paul Bell, Henry Brodaty

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background: Humor therapy is a non-pharmacological intervention with potential to improve mood and quality of life for institutionalized older persons, including those with dementia. The primary aims of the Sydney Multisite Intervention of LaughterBosses and ElderClowns (SMILE) are to examine the effects of humor therapy on residents' mood, quality of life, social engagement, and agitation. Methods: SMILE is a single-blinded cluster-randomized controlled trial where 398 consented residents in 35 residential aged care facilities will be allocated to receive humor therapy or usual care. Residents allocated to the intervention group will engage in humor therapy with professional performers (ElderClowns) and trained …