Social and Behavioral Sciences Commons^™

Yatros.Thesis.2018.Docx, Nicolette Yatros

Nicolette Yatros

Reducing The Burden Of Suffering From Eating Disorders: Unmet Treatment Needs, Cost Of Illness, And The Quest For Cost-Effectiveness, Ruth Striegel Weissman

Ruth Striegel Weissman

The Fate Of Pharmaceuticals, Steroid Hormones, Phytoestrogens, Uv-Filters And Pesticides During Mbr Treatment, Kaushalya C. Wijekoon, Faisal I. Hai, Jinguo Kang, William E. Price, Wenshan Guo, Hao H. Ngo, Long D. Nghiem

Faisal I Hai

This study examined the relationship between molecular properties and the fate of trace organic contaminants (TrOCs) in the aqueous and solid phases during wastewater treatment by MBR. A set of 29 TrOCs was selected to represent pharmaceuticals, steroid hormones, phytoestrogens, UV-filters and pesticides that occur ubiquitously in municipal wastewater. Both adsorption and biodegradation/transformation were found responsible for the removal of TrOCs by MBR treatment. A connection between biodegradation and molecular structure could be observed while adsorption was the dominant removal mechanism for the hydrophobic (logD > 3.2) compounds. Highly hydrophobic (logD > 3.2) but readily biodegradable compounds did not accumulate in sludge. …

Sludge Cycling Between Aerobic, Anoxic And Anaerobic Regimes To Reduce Sludge Production During Wastewater Treatment: Performance, Mechanisms, And Implications, Galilee Semblante, Faisal Ibney Hai, Huu H. Ngo, Wenshan Guo, Sheng-Jie You, William Price, Long Nghiem

Faisal I Hai

Alternate cycling of sludge in aerobic, anoxic, and anaerobic regimes is a promising strategy that can reduce the sludge yield of conventional activated sludge (CAS) by up to 50% with potentially lower capital and operating cost than physical- and/or chemical-based sludge minimisation techniques. The mechanisms responsible for reducing sludge yield include alterations to cellular metabolism and feeding behaviour (metabolic uncoupling, feasting/fasting, and endogenous decay), biological floc destruction, and predation on bacteria by higher organisms. Though discrepancies across various studies are recognisable, it is apparent that sludge retention time, oxygen-reduction potential of the anaerobic tank, temperature, sludge return ratio and loading …

Removal Of Emerging Trace Organic Contaminants By Mbr-Based Hybrid Treatment Processes, Luong Nguyen, Faisal Ibney Hai, Jinguo Kang, William E. Price, Long D. Nghiem

Faisal I Hai

The aim of this study was to demonstrate the complementarity of combining membrane bioreactor (MBR) treatment with UV oxidation or high pressure membrane filtration processes such as nanofiltration (NF) or reverse osmosis (RO) for the removal of trace organic contaminants (TrOC). The results suggest that the removal mechanisms of TrOC by either UV oxidation or NF/RO membrane filtration differ significantly from those of an MBR system. Thus, they can complement MBR treatment very well to significantly improve the removal of TrOC. MBR treatment can effectively remove hydrophobic and readily biodegradable hydrophilic TrOC. The remaining hydrophilic and biologically persistent TrOC were …

Coupling Granular Activated Carbon Adsorption With Membrane Bioreactor Treatment For Trace Organic Contaminant Removal: Breakthrough Behaviour Of Persistent And Hydrophilic Compounds, Luong N. Nguyen, Faisal I. Hai, William E. Price, Jinguo Kang, Long D. Nghiem

Faisal I Hai

This study investigated the removal of trace organic contaminants by a combined membrane bioreactor - granular activated carbon (MBR-GAC) system over a period of 196 days. Of the 22 compounds investigated here, all six hydrophilic compounds with electron-withdrawing functional groups (i.e., metronidazole, carbamazepine, ketoprofen, naproxen, fenoprop and diclofenac) exhibited very low removal efficiency by MBR-only treatment. GAC post-treatment initially complemented MBR treatment very well; however, a compound-specific gradual deterioration of the removal of the above-mentioned problematic compounds was noted. While a 20% breakthrough of all four negatively charged compounds namely ketoprofen, naproxen, fenoprop and diclofenac occurred within 1000-3000 bed volumes …

Coupling Powdered Activated Carbon (Pac) Adsorption With Membrane Bioreactor (Mbr) Treatment For Enhanced Removal Of Trace Organics, Luong Nguyen, Faisal Ibney Hai, Long Nghiem, Jinguo Kang, William Price

Faisal I Hai

the occurrence of trace organics such as pesticides, pharmaceutically active compounds, natural and synthetic hormones as well as varous industrial compounds in the aquatic environment is of great concern due to their potential adverse effects on human health and those of other biota. Therefore, the removal of these compounds from wastewater is an important consideration to ensure safe drinking water and better protection of the environment. In the literature, several techniques have been explored for trace organics removal, namely, conventional activated sludge, membrane bioreactors (MBRs), and absorptioin. However it has been found that neither MBR nor activated carbon on its …

A Review On The Occurrence Of Micropollutants In The Aquatic Environment And Their Fate And Removal During Wastewater Treatment, Yunlong Luo, Wenshan Guo, Huu Hao Ngo, Long Duc Nghiem, Faisal Ibney Hai, Jian Zhang, Shuang Liang, Xiaochang C. Wang

Faisal I Hai

Micropollutants are emerging as a new challenge to the scientific community. This review provides a summary of the recent occurrence of micropollutants in the aquatic environment including sewage, surface water, groundwater and drinking water. The discharge of treated effluent from WWTPs is a major pathway for the introduction of micropollutants to surface water. WWTPs act as primary barriers against the spread of micropollutants. WWTP removal efficiency of the selected micropollutants in 14 countries/regions depicts compound-specific variation in removal, ranging from 12.5 to 100%. Advanced treatment processes, such as activated carbon adsorption, advanced oxidation processes, nanofiltration, reverse osmosis, and membrane bioreactors …

I-125 Ropes Eye Plaque Dosimetry: Validation Of A Commercial 3d Ophthalmic Brachytherapy Treatment Planning System And Independent Dose Calculation Software With Gafchromic Ebt3 Films, Joel Poder, Stephanie Corde

Stéphanie Corde

Purpose: The purpose of this study was to measure the dose distributions for different Radiation Oncology Physics and Engineering Services, Australia (ROPES) type eye plaques loaded with I-125 (model 6711) seeds using GafChromic R EBT3 films, in order to verify the dose distributions in the Plaque SimulatorTM (PS) ophthalmic 3D treatment planning system. The brachytherapy module of RADCALC R was used to independently check the dose distributions calculated by PS. Correction factors were derived from the measured data to be used in PS to account for the effect of the stainless steel ROPES plaque backing on the 3D dose distribution. …

Cognitive Bias Modification: Past Perspectives, Current Findings, And Future Applications, Paula T. Hertel, Andrew Mathews

Paula T Hertel

Research conducted within the general paradigm of Cognitive Bias Modification (CBM) reveals that emotional biases in attention, interpretation, and memory are not merely associated with emotional disorders but contribute to them. After briefly describing research on both emotional biases and their modification, we examine similarities between CBM paradigms and older experimental paradigms used in research on learning and memory. We also compare the techniques and goals of CBM research to other approaches to understanding cognition/emotion interactions. From a functional perspective, the CBM tradition reminds us to use experimental tools to evaluate assumptions about clinical phenomena and more generally, about causal …

Ropes Eye Plaque Dosimetry: Commissioning And Verification Of An Ophthalmic Brachytherapy Treatment Planning System, J Poder, N Annabell, M Geso, M Alqathami, S Corde

Stéphanie Corde

In this study, the Plaque SimulatorTM eye plaque brachytherapy planning system was commissioned for ROPES eye plaques and Amersham Health model 6711 Iodine 125 seeds, using TG43-UI data. The brachytherapy module of the RADCALC® independent checking program was configured to allow verification of the accuracy of the dose calculated by Plaque SimulatorTM. Central axis depth dose distributions were compared and observed to agree to within 2% for all ROPES plaque models and depths of interest. Experimental measurements were performed with a customized PRESAGEm 3-D type dosimeter to validate the calculated depth dose distributions. Preliminary results have shown the effect of …

Coupling Granular Activated Carbon Adsorption With Membrane Bioreactor Treatment For Trace Organic Contaminant Removal: Breakthrough Behaviour Of Persistent And Hydrophilic Compounds, Luong N. Nguyen, Faisal I. Hai, William E. Price, Jinguo Kang, Long D. Nghiem

William E. Price

This study investigated the removal of trace organic contaminants by a combined membrane bioreactor - granular activated carbon (MBR-GAC) system over a period of 196 days. Of the 22 compounds investigated here, all six hydrophilic compounds with electron-withdrawing functional groups (i.e., metronidazole, carbamazepine, ketoprofen, naproxen, fenoprop and diclofenac) exhibited very low removal efficiency by MBR-only treatment. GAC post-treatment initially complemented MBR treatment very well; however, a compound-specific gradual deterioration of the removal of the above-mentioned problematic compounds was noted. While a 20% breakthrough of all four negatively charged compounds namely ketoprofen, naproxen, fenoprop and diclofenac occurred within 1000-3000 bed volumes …

Predicting The Fate Of Emerging Trace Organic Contaminants Of Concern During Mbr Treatment Based On Their Molecular Properties, K C. Wijekoon, L D. Nghiem, F I. Hai, J Kang, W E. Price

William E. Price

We demonstrate that the fate of emerging trace organic contaminants during membrane bioreactor (MBR) treatment can be qualitatively predicted by assessing their molecular properties. This work futher expands the qualitative framework for the prdiction of trace organic removal by MBR treatment reported in our recent study.

The Fate Of Pharmaceuticals, Steroid Hormones, Phytoestrogens, Uv-Filters And Pesticides During Mbr Treatment, Kaushalya C. Wijekoon, Faisal I. Hai, Jinguo Kang, William E. Price, Wenshan Guo, Hao H. Ngo, Long D. Nghiem

William E. Price

This study examined the relationship between molecular properties and the fate of trace organic contaminants (TrOCs) in the aqueous and solid phases during wastewater treatment by MBR. A set of 29 TrOCs was selected to represent pharmaceuticals, steroid hormones, phytoestrogens, UV-filters and pesticides that occur ubiquitously in municipal wastewater. Both adsorption and biodegradation/transformation were found responsible for the removal of TrOCs by MBR treatment. A connection between biodegradation and molecular structure could be observed while adsorption was the dominant removal mechanism for the hydrophobic (logD > 3.2) compounds. Highly hydrophobic (logD > 3.2) but readily biodegradable compounds did not accumulate in sludge. …

Predicting The Fate Of Emerging Trace Organic Contaminants Of Concern During Mbr Treatment Based On Their Molecular Properties, K C. Wijekoon, L D. Nghiem, F I. Hai, J Kang, W E. Price

Faisal I Hai

We demonstrate that the fate of emerging trace organic contaminants during membrane bioreactor (MBR) treatment can be qualitatively predicted by assessing their molecular properties. This work futher expands the qualitative framework for the prdiction of trace organic removal by MBR treatment reported in our recent study.

Predicting Dropout In The First 3 Months Of 12-Step Residential Drug And Alcohol Treatment In An Australian Sample, Frank P. Deane, David J. Wootton, Ching-I Hsu, Peter J. Kelly

Peter Kelly

Objective: Premature termination from treatment is a major factor associated with poorer drug and alcohol treatment outcomes. The present study investigated client-related baseline predictors of dropout at 3 months from a faith-based 12-step residential drug treatment program. Method: Data were collected over a period of 14 months from eight residential drug and alcohol treatment programs run by The Australian Salvation Army. The final sample consisted of 618 participants, including 524 men (84.8%) and 94 women (15.2%). Predictor variables of interest were age, gender, primary drug of concern, criminal involvement, psychological distress, drug cravings, self-efficacy to abstain, spirituality, forgiveness of self …

A Comparison Of Treatment Outcomes For Individuals With Substance Use Disorder Alone And Individuals With Probable Dual Diagnosis, Elizabeth K. Cridland, Frank P. Deane, Ching-I Hsu, Peter J. Kelly

Peter Kelly

The co-occurrence of substance use and mental health problems, often referred to as dual diagnosis (DD), is increasingly recognised as commonplace within substance abuse treatment programs. Two-hundred and thirty-four individuals from 9 Australian Salvation Army drug and alcohol rehabilitation programs completed a 3-month post-discharge telephone follow-up. Using a cut-off score from the Psychiatric Subscale of the Addiction Severity Index (5th ed.), 66.7% were classified as likely to have DD and 33.3% as substance use disorder only (SUD). Both groups reported comparable and decreased substance use levels at follow-up, yet DD individuals perceived less improvement in substance use problems. Comparable improvements …

Prevalence Of Smoking And Other Health Risk Factors In People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Amanda L. Baker, Frank P. Deane, Frances Kay-Lambkin, Billie Bonevski, Jenna Tregarthen

Peter Kelly

Introduction and Aims. People attending substance abuse treatment have an elevated risk of developing cardiovascular disease (CVD) and cancer. Consequently, there have been increasing calls for substance abuse treatment services to address smoking.The current study examined smoking behaviours of people attending residential substance abuse treatment. Additionally, the study examined rates of other potentially modifiable health risk factors for the development of CVD and cancer. Design and Methods. A cross-sectional survey was completed by participants attending Australian Salvation Army residential substance abuse treatment services (n = 228). Rates of smoking, exercise, dietary fat intake, body mass index and depression were identified …

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

Peter Kelly

"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 …

Self-Reported Side Effects Of Breast Cancer Treatment: A Cross-Sectional Study Of Incidence, Associations, And The Influence Of Exercise, Sheridan A. Gho, Julie R. Steele, Sandra C. Jones, Bridget J. Munro

Sandra Jones

Purpose Side effects as a result of breast cancer treatment may have a lasting detrimental impact on quality of life. Exercise has been shown to be an effective intervention in post-treatment care. This study aimed to gain a better understanding of breast cancer treatment-related side effects through identifying potential patient characteristic associations, including current levels of exercise. Methods Four hundred and thirty-two breast cancer patients completed an online survey covering their treatment and demographic background, current exercise levels, and self-reported treatment side effects. Side effects were considered in a binary logistic regression against age, surgery, currently undergoing treatment, and exercise …

Neuregulin-1 Signalling And Antipsychotic Treatment: Potential Therapeutic Targets In A Schizophrenia Candidate Signalling Pathway, Chao Deng, Bo Pan, Martin Engel, Xu-Feng Huang

Xu-Feng Huang

Identifying the signalling pathways underlying the pathophysiology of schizophrenia is an essential step in the rational development of new antipsychotic drugs for this devastating disease. Evidence from genetic, transgenic and post-mortem studies have strongly supported neuregulin-1 (NRG1)-ErbB4 signalling as a schizophrenia susceptibility pathway. NRG1-ErbB4 signalling plays crucial roles in regulating neurodevelopment and neurotransmission, with implications for the pathophysiology of schizophrenia. Post-mortem studies have demonstrated altered NRG1-ErbB4 signalling in the brain of schizophrenia patients. Antipsychotic drugs have different effects on NRG1-ErbB4 signalling depending on treatment duration. Abnormal behaviours relevant to certain features of schizophrenia are displayed in NRG1/ErbB4 knockout mice or …

When Treatment Becomes Trauma: Defining, Preventing, And Transforming Medical Trauma, Michelle Flaum Hall, Scott E. Hall

Scott E. Hall, Ph.D., LPCC-S

Bias In White: A Longitudinal Natural Experiment Measuring Changes In Discrimination, Brian Rubineau, Yoon Kang

Brian Rubineau

Many professions are plagued by disparities in service delivery. Racial disparities in policing, mortgage lending, and healthcare are some notable examples. Because disparities can result from a myriad of mechanisms, crafting effective disparity mitigation policies requires knowing which mechanisms are active and which are not. In this study we can distinguish whether one mechanism—statistical discrimination—is a primary explanation for racial disparities in physicians’ treatment of patients. In a longitudinal natural experiment using repeated quasi-audit studies of medical students, we test for within-cohort changes in disparities from medical student behaviors as they interact with white and black patient actors. We find …

Predicting Dropout In The First 3 Months Of 12-Step Residential Drug And Alcohol Treatment In An Australian Sample, Frank P. Deane, David J. Wootton, Ching-I Hsu, Peter J. Kelly

Frank Deane

Objective: Premature termination from treatment is a major factor associated with poorer drug and alcohol treatment outcomes. The present study investigated client-related baseline predictors of dropout at 3 months from a faith-based 12-step residential drug treatment program. Method: Data were collected over a period of 14 months from eight residential drug and alcohol treatment programs run by The Australian Salvation Army. The final sample consisted of 618 participants, including 524 men (84.8%) and 94 women (15.2%). Predictor variables of interest were age, gender, primary drug of concern, criminal involvement, psychological distress, drug cravings, self-efficacy to abstain, spirituality, forgiveness of self …

Prevalence Of Smoking And Other Health Risk Factors In People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Amanda L. Baker, Frank P. Deane, Frances Kay-Lambkin, Billie Bonevski, Jenna Tregarthen

Frank Deane

Introduction and Aims. People attending substance abuse treatment have an elevated risk of developing cardiovascular disease (CVD) and cancer. Consequently, there have been increasing calls for substance abuse treatment services to address smoking.The current study examined smoking behaviours of people attending residential substance abuse treatment. Additionally, the study examined rates of other potentially modifiable health risk factors for the development of CVD and cancer. Design and Methods. A cross-sectional survey was completed by participants attending Australian Salvation Army residential substance abuse treatment services (n = 228). Rates of smoking, exercise, dietary fat intake, body mass index and depression were identified …

A Comparison Of Treatment Outcomes For Individuals With Substance Use Disorder Alone And Individuals With Probable Dual Diagnosis, Elizabeth K. Cridland, Frank P. Deane, Ching-I Hsu, Peter J. Kelly

Frank Deane

The co-occurrence of substance use and mental health problems, often referred to as dual diagnosis (DD), is increasingly recognised as commonplace within substance abuse treatment programs. Two-hundred and thirty-four individuals from 9 Australian Salvation Army drug and alcohol rehabilitation programs completed a 3-month post-discharge telephone follow-up. Using a cut-off score from the Psychiatric Subscale of the Addiction Severity Index (5th ed.), 66.7% were classified as likely to have DD and 33.3% as substance use disorder only (SUD). Both groups reported comparable and decreased substance use levels at follow-up, yet DD individuals perceived less improvement in substance use problems. Comparable improvements …

Using The Theory Of Planned Behavior And Barriers To Treatment To Predict Intention To Enter Further Treatment Following Residential Drug And Alcohol Detoxification: A Pilot Study, Peter J. Kelly, Frank P. Deane, Zoe Mccarthy, Trevor P. Crowe

Trevor Crowe

There has been limited research examining the impact of clients’ behavioural beliefs on whether they intend to access further treatment following residential drug and alcohol detoxification. Treatment post-detoxification is generally recommended to reduce relapse and for more sustained positive outcomes. The present pilot study examined the extent to which (1) primary components of the Theory of Planned Behaviour (TPB), (2) perceived barriers to accessing treatment and (3) the participants’ previous involvement in substance abuse treatment predicted intentions to enter further treatment following residential detoxification. One hundred and sixty eight participants accessing Salvation Army detoxification units in Australia completed a survey …

Targeting C-Reactive Protein For The Treatment Of Cardiovascular Disease, Mark B. Pepys, Gideon M. Hirschfield, Glenys A. Tennent, J Ruth Gallimore, Melvyn C. Kahan, Vittorio Bellotti, Philip N. Hawkins, Rebecca M. Myers, Martin D. Smith, Alessandra Polara, Alexander J. A Cobb, Steven V. Ley, J. Andrew Aquilina, Carol V. Robinson, Isam Sharif, Gillian A. Gray, Caroline A. Sabin, Michelle C. Jenvey, Simon E. Kolstoe, Darren Thompson, Stephen P. Wood

J. A. Aquilina

Complement-mediated inflammation exacerbates the tissue injury of ischaemic necrosis in heart attacks and strokes, the most common causes of death in developed countries. Large infarct size increases immediate morbidity and mortality and, in survivors of the acute event, larger non-functional scars adversely affect long-term prognosis. There is thus an important unmet medical need for new cardioprotective and neuroprotective treatments. We have previously shown that human C-reactive protein (CRP), the classical acute-phase protein that binds to ligands exposed in damaged tissue and then activates complement1, increases myocardial and cerebral infarct size in rats subjected to coronary or cerebral artery ligation, respectively2,3. …

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

Frank Deane

"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 …

Do Spirituality And Religiosity Help In The Management Of Cravings In Substance Abuse Treatment?, Sarah J. Mason, Frank P. Deane, Peter Kelly, Trevor P. Crowe

Frank Deane

The purpose of this study was to examine the relationship of spirituality, religiosity and self-efficacy with drug and/or alcohol cravings. A cross-sectional survey was completed by 77 male participants at an Australian Salvation Army residential rehabilitation service in 2007. The survey included questions relating to the participants’ drug and/or alcohol use and also measures for spirituality, religiosity, cravings, and self-efficacy. The sample included participants aged between 19 and 74 years, with more than 57% reporting a diagnosis for a mental disorder and 78% reporting polysubstance misuse with alcohol most frequently endorsed as the primary drug of concern (71%). Seventy-five percent …