Digital Commons Network^™

Association Between Ambient Air Pollution And Hospital Admissions, Length Of Hospital Stay And Hospital Cost For Patients With Cardiovascular Diseases And Comorbid Diabetes Mellitus: Base On 1,969,755 Cases In Beijing, China, 2014–2019, Zhiwei Li, Mengyang Liu, Zhiyuan Wu, Yue Liu, Weiming Li, Mengmeng Liu, Shiyun Lv, Siqi Yu, Yanshuang Jiang, Bo Gao, Xiaonan Wang, Xia Li, Wei Wang, Hualiang Lin, Xiuhua Guo, Xiangtong Liu

Research outputs 2022 to 2026

Background: Evidence on the effects of the air pollutants on the hospital admissions, hospital cost and length of stay (LOS) among patients with comorbidities remains limited in China, particularly for patients with cardiovascular diseases and comorbid diabetes mellitus (CVD-DM). Methods: We collected daily data on CVD-DM patients from 242 hospitals in Beijing between 2014 and 2019. Generalized additive model was employed to quantify the associations between admissions, LOS, and hospital cost for CVD-DM patients and air pollutants. We further evaluated the attributable risk posed by air pollutants to CVD-DM patients, using both Chinese and WHO air quality guidelines as reference. …

Bap1 Loss By Immunohistochemistry Predicts Improved Survival To First-Line Platinum And Pemetrexed Chemotherapy For Patients With Pleural Mesothelioma: A Validation Study, Amber Louw, Vasiliki Panou, Weronika Maria Szejniuk, Christos Meristoudis, Siaw Ming Chai, Chris Van Vliet, Y. C.Gary Lee, Ian M. Dick, Tina Firth, Louise Andersen Lynggaard, Azadeh Birbaneh Asghari, Mogens Vyberg, Johnni Hansen, Jenette Creaney, Oluf Dimitri Røe

Research outputs 2022 to 2026

Introduction: Pleural mesothelioma (PM) is an aggressive malignancy with no identified predictive biomarkers. We assessed whether tumor BAP1 status is a predictive biomarker for survival in patients receiving first-line combination platinum and pemetrexed therapy. Methods: PM cases (n = 114) from Aalborg, Denmark, were stained for BAP1 on tissue microarrays. Demographic, clinical, and survival data were extracted from registries and medical records. Surgical cases were excluded. BAP1 status was associated with overall survival (OS) by Cox regression and Kaplan-Meier methods. Results were validated in an independent cohort from Perth, Australia (n = 234). Results: BAP1 loss was found in 62% …

Genomic Epidemiology Of Salmonella Typhi In Central Division, Fiji, 2012 To 2016, Mark R. Davies, Sebastian Duchene, Mary Valcanis, Aaron P. Jenkins, Adam Jenney, Varanisese Rosa, Andrew J. Hayes, Aneley Getahun Strobel, Liam Mcintyre, Jake A. Lacey, Elizabeth J. Klemm, Vanessa K. Wong, Aalisha Sahukhan, Helen Thomson, Andrew Page, Dianna Hocking, Nancy Wang, Litia Tudravu, Eric Rafai, Gordon Dougan, Benjamin P. Howden, John A. Crump, Kim Mulholland, Richard A. Strugnell

Research outputs 2022 to 2026

Background: Typhoid fever is endemic in some Pacific Island Countries including Fiji and Samoa yet genomic surveillance is not routine in such settings. Previous studies suggested imports of the global H58 clade of Salmonella enterica var Typhi (Salmonella Typhi) contribute to disease in these countries which, given the MDR potential of H58, does not auger well for treatment. The objective of the study was to define the genomic epidemiology of Salmonella Typhi in Fiji. Methods: Genomic sequencing approaches were implemented to study the distribution of 255 Salmonella Typhi isolates from the Central Division of Fiji. We augmented epidemiological surveillance and …

Wetlands As Social Ecological Systems, And Relationality In The Policy Domain, Pierre Horwitz

Research outputs 2022 to 2026

A wetland policy perspective based on social ecological systems accepts that wetlands are part of landwaterscapes, that people are part of wetland ecosystems, and that the health of wetlands and the health of people are interdependent, evidence of the close, reciprocal and indivisible relationships between nature and culture. These relationships are storied and place-based, associated with place attachment, and are representations of relational values. They are most easily located wherever and whenever Indigenous and local peoples’ knowledge and interests are at play in wetland settings. Legal and administrative processes that recognise Chthonic law and rights for wetlands will elevate relational …

Dietary Supplements In People With Metastatic Cancer Who Are Experiencing Malnutrition, Cachexia, Sarcopenia, And Frailty: A Scoping Review, Jolyn Johal, Chad Yixian Han, Ria Joseph, Zachary Munn, Oluwaseyifunmi Andi Agbejule, Fiona Crawford‐Williams, Matthew P. Wallen, Raymond J. Chan, Nicolas H. Hart

Research outputs 2022 to 2026

Cancer‐associated malnutrition, or cachexia, stemming from cancer or its treatments, is particularly prevalent in metastatic cancers, and is often interrelated with sarcopenia and frailty. Evidence suggests that dietary supplements play a role in managing these conditions. As metastatic cancer cells are associated with notable genomic and phenotypic alterations, response to dietary supplements may differ between metastatic and non‐metastatic cancers. However, research in this area is lacking. This scoping review aims to identify the dietary supplements that have been studied in patients with metastatic cancers and malnutrition‐related conditions, along with their proposed effects, mechanisms, outcome measures, and tools used. A systematic …

High Hybrid Power Converter Performance Using Modern‐Optimization‐Methods‐Based Pwm Strategy, Khaled Nusair, Feras Alasali, William Holderbaum, Arangarajan Vinayagam, Asma Aziz

Research outputs 2022 to 2026

Recently, interest in DC networks and converters has increased due to the high number of applications in renewable energy systems. Consequently, the importance of improving the efficiency of the hybrid converters has been highlighted. An optimal control strategy is a significant solution to handle the challenges of controlling the hybrid interleaved boost–Cuk converter. In this article, a modern‐optimization‐methods‐based PWM strategy for a hybrid power converter is developed. In order to improve the performance of the hybrid converter, four modern optimization algorithms—namely, Manta ray foraging optimization (MRFO), Marine Predators Algorithm (MPA), Jellyfish Search Optimizer (JS), and Equilibrium Optimizer (EO)—are employed to …

Location-Specific Cutaneous Electrical Stimulation Of The Footsole Modulates Corticospinal Excitability To The Plantarflexors And Dorsiflexors During Standing, Gagan Gill, Davis A. Forman, Joanna E. Reeves, Janet L. Taylor, Leah R. Bent

Research outputs 2022 to 2026

Non-noxious electrical stimulation to distinct locations of the foot sole evokes location-specific cutaneous reflex responses in lower limb muscles. These reflexes occur at latencies that may enable them to be mediated via a transcortical pathway. Corticospinal excitability to the plantarflexors and dorsiflexors was measured in 16 participants using motor evoked potentials (MEPs). Spinal excitability was measured in eight of the original participants using cervicomedullary motor evoked potentials (CMEPs). Measurements were collected with and without preceding cutaneous stimulus to either the heel (HEEL) or metatarsal (MET) locations of the foot sole, and evoked potentials were elicited to coincide with the arrival …

Offspring Conceived Through Art Have Normal Thyroid Function In Adolescence And As Young Adults, L. A. Wijs, D. A. Doherty, J. A. Keelan, V. Panicker, P. Burton, J. L. Yovich, R. J. Hart

Research outputs 2022 to 2026

STUDY QUESTION: Are there differences in thyroid function between adolescents and young adults conceived with and without ART? SUMMARY ANSWER: This study demonstrated no evidence of clinically relevant differences in thyroid function between adolescents and young adults conceived with and without ART. WHAT IS KNOWN ALREADY: Studies to date have reported an increase in subclinical hypothyroidism in offspring conceived after ART. It has been suggested that the increase in maternal estrogen (E2) after fresh embryo transfers could affect thyroid function of the offspring. Suboptimal thyroid function at a young age can cause irreversible damage to the central nervous system, which …

Prospective Dietary Polyunsaturated Fatty Acid Intake Is Associated With Trajectories Of Fatty Liver Disease: An 8 Year Follow-Up Study From Adolescence To Young Adulthood, Fuzhen Wan, Feng Pan, Oyekoya Ayonrinde, Leon A. Adams, Trevor A. Mori, Lawrence J. Beilin, Therese A. O’Sullivan, John K. Olynyk, Wendy H. Oddy

Research outputs 2022 to 2026

Background and aim:

Dietary fat intake has long been associated with fatty liver. Our study aimed to determine the effect of dietary fats on longitudinal fatty liver index (FLI) trajectories from adolescence to young adulthood.

Methods:

Nine hundred eighty-five participants in the Raine Study, Perth, Western Australia, Australia, had cross-sectional assessments at ages 14, 17, 20 and 22 years, during which anthropometric measurements and blood tests were obtained. FLI trajectories were derived from the longitudinal FLI results. Dietary fat intake was measured with a semi-quantitative food frequency questionnaire at 14 years and log multinominal regression analyses were used to estimate …

Urban Sprawl And Microclimate In The Ga East Municipality Of Ghana, Kwasi Frimpong, Darko Eugene Atiemo, E. J. Van Etten

Research outputs 2022 to 2026

Climatic elements such as temperature and rainfall provide great and unquantifiable benefits to human health. However, rapid urban sprawl has the tendency to undermine these health consequences. The relationship between urban sprawl and microclimate in the Ga East Municipality has been assessed to present the extent of sprawl that inhibit temperature and rainfall in recent times. Methodologically, satellite imagery and meteorological data (minimum and maximum temperature and rainfall) from 1990 to 2020 were used. The results indicate that rapid urban sprawl in recent times has significantly undermined the local climate through land use and land cover changes. There was strong …

Torturous Journeys: Cruelty, International Law, And Pushbacks And Pullbacks Over The Mediterranean Sea, Jamal Barnes

Research outputs 2022 to 2026

Boat pushbacks and pullbacks by Italy and the European Union (EU) have returned migrants and refugees to Libya where they have been subjected to brutal human rights violations, such as torture and ill-treatment. This article argues that these pushbacks and pullbacks not only undermine key human rights principles, but they are also an act of cruelty. As Italy and the EU have used the law to evade their international human rights and refugee obligations, the law has had distributive effects that have shaped migration pathways and exacerbated the vulnerability of migrants and refugees to torture. Not only have legal manoeuvres …

The Competitiveness Of Qatari Tourism: A Comparative And Swot Analysis, Ghialy Yap, Shrabani Saha, Saif S. Alsowaidi

Research outputs 2022 to 2026

Purpose: Qatar has placed its tourism sector as one of the main strategies of economic diversification to achieve sustainable tourism goal. The country aims to develop diverse tourism products, ranging from cultural, urban, and nature tourism to education. The government has invested a huge amount in designing and building tourism infrastructures such as the eight new stadiums to host the 2022 World Cup, the national museum, Museum of Islamic Art, Katara Cultural Village, Souq Waqif, and many resorts and high end hotels. Given these significant tourism investments, it is unquestionable that the country reaps commensurate long-term benefits in terms of …

Youth Participation: Adultism, Human Rights And Professional Youth Work, Tim Corney, Trudi Cooper, Harry Shier, Howard Williamson

Research outputs 2022 to 2026

This article argues that the right of young people to participate in decisions being made about them forms the basis for professional youth work practice. The authors consider the nature of ‘participation’ and its relation to human rights, and introduces the concept of ‘adultism’ and the challenges for youth workers combatting ‘adultist’ beliefs and practices in the work of participation. The paper considers the benefits and limitations of youth participation models, and addresses the relationship between rights-based participation practice, and critical pedagogy (dialogical) in youth work.

Effect Of Organic Acids On Co2-Rock And Water-Rock Interfacial Tension: Implications For Co2 Geo-Storage, Ahmed Al-Yaseri, Nurudeen Yekeen, Muhammad Ali, Nilanjan Pal, Amit Verma, Hesham Abdulelah, Hussein Hoteit, Mohammad Sarmadivaleh

Research outputs 2022 to 2026

A small concentration of organic acid in carbon dioxide (CO2) storage formations and caprocks could significantly alter the wettability of such formations into less water-wet conditions, decreasing the CO2-storage potential and containment security. Recent studies have attempted to infer the influence of the organic acid concentration on the wettability of rock–CO2–brine systems by measuring advancing and receding contact angles. However, no studies have investigated the influence of organic acid contamination on CO2-storage capacities from rock-fluid interfacial tension (IFT) data because solid-brine and solid-CO2 IFT values cannot be experimentally measured. Equilibrium contact angles and rock-fluid IFT datasets were used to evaluate …

Using Noise For The Better: The Effects Of Transcranial Random Noise Stimulation On The Brain And Behavior, Onno Van Der Groen, Weronika Potok, Nicole Wenderoth, Grace Edwards, Jason B. Mattingley, Dylan Edwards

Research outputs 2022 to 2026

NEUROSCI BIOBEHAV REV X (X) XXX-XXX 2021.- Transcranial random noise stimulation (tRNS) is a non-invasive electrical brain stimulation method that is increasingly employed in studies of human brain function and behavior, in health and disease. tRNS is effective in modulating perception acutely and can improve learning. By contrast, its effectiveness for modulating higher cognitive processes is variable. Prolonged stimulation with tRNS, either as one longer application, or multiple shorter applications, may engage plasticity mechanisms that can result in long-term benefits. Here we provide an overview of the current understanding of the effects of tRNS on the brain and behavior and …

Cybersecurity Of Critical Infrastructures: Challenges And Solutions, Leandros Maglaras, Helge Janicke, Mohamed Amine Ferrag

Research outputs 2022 to 2026

People’s lives are becoming more and more dependent on information and computer technology. This is accomplished by the enormous benefits that the ICT offers for everyday life. Digital technology creates an avenue for communication and networking, which is characterized by the exchange of data, some of which are considered sensitive or private. There have been many reports recently of data being hijacked or leaked, often for malicious purposes. Maintaining security and privacy of information and systems has become a herculean task. It is therefore imperative to understand how an individual’s or organization’s personal data can be protected. Moreover, critical infrastructures …

The Nutritional Quality Of Kids’ Menus From Cafés And Restaurants: An Australian Cross‐Sectional Study, Gina S. A. Trapp, Claire E. Pulker, Miriam Hurworth, Kristy K. Law, Sally Brinkman, Christina M. Pollard, Amelia J. Harray, Ros Sambell, Joelie Mandzufas, Stephanie Anzman‐Frasca, Siobhan Hickling

Research outputs 2022 to 2026

Australian families increasingly rely on eating foods from outside the home, which in-creases intake of energy‐dense nutrient‐poor foods. ‘Kids’ Menus’ are designed to appeal to families and typically lack healthy options. However, the nutritional quality of Kids’ Menus from cafes and full‐service restaurants (as opposed to fast‐food outlets) has not been investigated in Australia. The aim of this study was to evaluate the nutritional quality of Kids’ Menus in restaurants and cafés in metropolitan Perth, Western Australia. All 787 cafes and restaurants located within the East Metropolitan Health Service area were contacted and 33% had a separate Kids’ Menu. The …

The Quality Of Life Of Regional And Remote Cancer Caregivers In Australia, Belinda C. Goodwin, Fiona Crawford-Williams, Michael Ireland, Sonja March, Suzanne K. Chambers, Joanne F. Aitken, Jeff Dunn

Research outputs 2022 to 2026

Objective: This study compares the well-being of rural caregivers with that of the general population and explores the potential drivers of poorer outcomes. Method: Patient–caregiver dyads (n = 241) residing in regional or remote Queensland, Australia, reported on QoL, chronic illness, caregiver burden, depression, anxiety and stress. Caregiver outcomes were compared with population norms and patient outcomes. Multiple regressions were conducted to identify factors associated with poorer caregiver outcomes. Results: Caregivers reported lower mental health-related QoL (M = 0.436, 95% CI = 0.410–0.462) in comparison with age-matched population norms (M = 0.556, 95% CI = 0.532–0.580). No differences existed between …

Tackling Hotel Employees’ Turnover: A Moderated-Mediation Analysis Of Transformational Leadership, Organisational Embeddedness, And Community Embeddedness, Albert Amankwaa, Pi Shen Seet, Pattanee Susomrith

Research outputs 2022 to 2026

Research in the last two decades suggests that job embeddedness may reduce employee turnover. However, little is known about whether this is the case in the hotel industry despite its high turnover rates. Besides, most studies have been conducted in the US, where the job embeddedness construct was developed and tested, suggesting the need to test the job embeddedness-turnover link in other contexts to improve its theoretical accuracy and generalisability. Additionally, while appropriate leader behaviours may enhance follower job embeddedness, empirical studies are sparse. Drawing from the Conservation of Resources theory, this study examines how transformational leaders may address hotel …

Beyond Sightseeing: How Can Tourism Affect Public/Global Health In Modern Society?, Jun Wen, Metin Kozak, Yangyang Jiang

Research outputs 2022 to 2026

Tourism was historically regarded as a practical and business-oriented domain rather than as a research dis - cipline [1,2]. Ontologically, tourism was seen as a field in which to apply theory and as a means of fulfilling needs related to leisure, pleasure, and social health. Little effort has been made to uncover its more nuanced meanings. In 2006, John Tribe, a leading tourism scholar, published a commentary challenging the truth of tourism research and described a complex phenomenon in which the construct’s psychological, philosophi - cal, and social dimensions/values were not well understood [ 3]. He also suggested that much …

“You Never Exhale Fully Because You're Not Sure What's Next”: Parents' Experiences Of Stress Caring For Children With Chronic Conditions, Stephanie Smith, Mary Tallon, Carrie Clark, Lauren Jones, Evalotte Mörelius

Research outputs 2022 to 2026

Children with chronic conditions are experiencing improved survival worldwide, and it is well-known that their parents are stressed. Yet, despite this knowledge, parents continue to experience stress. Our study explored the lived experience of parental stress when caring for children with various chronic conditions to identify opportunities to potentially reduce stress for these parents. This was an exploratory qualitative study using semi-structured interviews. To ensure appropriate research priorities were addressed, the study was co-designed with consumer and stakeholder involvement. Twenty parents were interviewed. Parents were recruited through a recognized family support organization for children with various care needs in Western …

Effects Of A Multicomponent Resistance-Based Exercise Program With Protein, Vitamin D And Calcium Supplementation On Cognition In Men With Prostate Cancer Treated With Adt: Secondary Analysis Of A 12-Month Randomised Controlled Trial, Niamh Liana Mundell, Patrick J. Owen, Jack Dalla Via, Helen Macpherson, Robin Daly, Patricia M. Livingston, Timo Rantalainen, Stephen Foulkes, Jerremy Millar, Declan G. Murphy, Steve Fraser

Research outputs 2022 to 2026

OBJECTIVES: The aim of this preplanned secondary analysis of a 12-month randomised controlled trial was to investigate the effects of a multicomponent exercise programme combined with daily whey protein, calcium and vitamin D supplementation on cognition in men with prostate cancer treated with androgen deprivation therapy (ADT). DESIGN: 12-month, two-arm, randomised controlled trial. SETTING: University clinical exercise centre. PARTICIPANTS: 70 ADT-treated men were randomised to exercise-training plus supplementation (Ex+ Suppl, n=34) or usual care (control, n=36). INTERVENTION: Men allocated to Ex + Suppl undertook thrice weekly resistance training with weight-bearing exercise training plus daily whey protein (25 g), calcium (1200 …

Effectiveness Of Nurse-Led Volunteer Support And Technology-Driven Pain Assessment In Improving The Outcomes Of Hospitalised Older Adults: Protocol For A Cluster Randomised Controlled Trial, Rosemary Saunders, Kate Crookes, Karla Seaman, Seng Giap Marcus Ang, Caroline Bulsara, Max K. Bulsara, Beverley Ewens, Olivia Gallagher, Renee M. Graham, Karen Gullick, Sue Haydon, Jeff Hughes, Mustafa Atee, Kim Huong Nguyen, Bev O'Connell, Debra Scaini, Christopher Etherton-Beer

Research outputs 2022 to 2026

Introduction:

Hospitalised older adults are prone to functional deterioration, which is more evident in frail older patients and can be further exacerbated by pain. Two interventions that have the potential to prevent progression of frailty and improve patient outcomes in hospitalised older adults but have yet to be subject to clinical trials are nurse-led volunteer support and technology-driven assessment of pain.

Methods and Analysis:

This single-centre, prospective, non-blinded, cluster randomised controlled trial will compare the efficacy of nurse-led volunteer support, technology-driven pain assessment and the combination of the two interventions to usual care for hospitalised older adults. Prior to commencing …

Association Of Plasma Neurofilament Light Chain With Glycaemic Control And Insulin Resistance In Middle-Aged Adults, Rohith N. Thota, Pratishtha Chatterjee, Steve Pedrini, Eugene Hone, Jessica J. A. Ferguson, Manohar L. Garg, Ralph N. Martins

Research outputs 2022 to 2026

Aims: This study aimed to determine the association of plasma neurofilament light (NfL), a marker of neurodegeneration, with diabetes status and glycaemic parameters in people with normal glycaemia (NG), pre-diabetes (PD) and type 2 diabetes (T2D). Methods: Clinical and descriptive data for the diagnostic groups, NG (n=30), PD (n=48) and T2D (n=29), aged between 40 and 75 years were included in this cross-sectional analysis. Plasma NfL levels were analyzed using the ultra-sensitive single-molecule array (Simoa) platform. Results: A positive correlation was evident between plasma NfL and fasting glucose (r = 0.2824; p = 0.0032). Plasma NfL levels were not correlated …

She'll Be ‘Right… But Are They? An Australian Perspective On Women In High Performance Sport Coaching, Alexandra H. Roberts, Anthea Clarke, Caitlin Fox-Harding, Georgia Askew, Clare Macmahon, Sophia Nimphius

Research outputs 2022 to 2026

Participation and media coverage of women in high-performance sport has been steadily increasing in recent years throughout the world. While this increase in interest has led to many young women and girls becoming involved in grassroots sport, there has yet to be a significant change in the number of women in coaching roles, particularly at the high-performance level. This paper synthesizes and summarizes the current challenges facing women sport coaches in Australia, drawing from existing research, media and government reports to understand the barriers for women entering and progressing in these roles. We also present some of the more recent …

The Association Between Fgf21 And Diabetic Erectile Dysfunction: Evidence From Clinical And Animal Studies, Song Yang, Yichun Zhang, Xiaohui Lyu, Yuanyuan Gu, Guodong Zhang, Pengcheng Liu, Yulu Zheng, Zheng Guo, Yanbo Zhang, Haifeng Hou

Research outputs 2022 to 2026

Erectile dysfunction (ED), a complication of diabetes mellitus (DM), affects 50–75% of men with diabetes. Fibroblast growth factor 21 (FGF21) is a liver-derived metabolic regulator which plays a role in insulin-independent glucose uptake in adipocytes. We designed a clinical study and an animal experiment to investigate the relationship between FGF21 and DM-induced ED. The clinical study enrolled 93 participants aged > 18 years (61 patients with type 2 DM and 32 healthy controls) from Taian City Central Hospital (TCCH) in Shandong Province, China, amongst whom the association between serum FGF21 and diabetic ED was analyzed. To further validate this association, we …

Changes In Insulin Sensitivity And Lipid Profile Markers Following Initial And Secondary Bouts Of Multiple Eccentric Exercises, Trevor C. Chen, Min Jyue Huang, Leonardo C. R. Lima, Tai Ying Chou, Hung Hao Wang, Jui Hung Tu, Shi Che Lin, Kazunori Nosaka

Research outputs 2022 to 2026

An acute bout of eccentric exercise affects insulin sensitivity and lipid profile, but how the magnitude of muscle damage affects them is not clear. We compared changes in blood insulin sensitivity and lipid markers after the first (EC1) and second (EC2) eccentric exercise bouts. Fifteen sedentary young men performed arm, leg and trunk muscle eccentric exercises, and repeated them 2 weeks later. Fasting blood samples were taken before, 2 h and 1–5 days after each exercise bout to analyze plasma creatine kinase (CK) activity, serum glucose (GLU), insulin, homeostasis model assessment (HOMA), triacylglycerols (TG), total (TC) and low- (LDLC) and …

Living Clinical Guidelines For Stroke: Updates, Challenges And Opportunities, Coralie English, Kelvin Hill, Dominique A. Cadilhac, Maree L. Hackett, Natasha A. Lannin, Sandy Middleton, Annemarei Ranta, Nigel P. Stocks, Julie Davey, Steven G. Faux, Erin Godecke, Bruce C. V. Campbell

Research outputs 2022 to 2026

Continued growth in the number of published clinical studies has necessitated changes to the way evidence-based resources such as clinical guidelines are developed and updated. The Australian and New Zealand Clinical Guidelines for Stroke Management (https://informme.org.au/guidelines/clinical-guidelines-for-stroke-management) are based on continual evidence surveillance and timely updates to recommendations as new research is published. In this article, we outline the main updates to recommendations since the guidelines moved into a living mode in 2018, and discuss key challenges and benefits of living guidelines.

Weight Loss For Overweight And Obese Patients With Prostate Cancer: A Study Protocol Of A Randomised Trial Comparing Clinic-Based Versus Telehealth Delivered Exercise And Nutrition Intervention (The Telex Trial), Daniel A. Galvão, Dennis R. Taaffe, Dickon Hayne, Pedro Lopez, Philippa Lyons-Wall, Colin I. Tang, Suzanne K. Chambers, Amanda Devine, Nigel Spry, Emily Jeffery, Christine Kudiarasu, David Joseph, Robert U. Newton

Research outputs 2022 to 2026

Introduction Obese men with prostate cancer have an increased risk of biochemical recurrence, metastatic disease and mortality. For those undergoing androgen deprivation therapy (ADT), substantial increases in fat mass are observed in the first year of treatment. Recently, we showed that a targeted supervised clinic-based exercise and nutrition intervention can result in a substantial reduction in fat mass with muscle mass preserved in ADT-treated patients. However, the intervention needs to be accessible to all patients and not just those who can access a supervised clinic-based programme. The purpose of this study was to evaluate the efficacy of telehealth delivered compared …

Multi-Tiered Culturally Responsive Behavior Support: A Qualitative Study Of Trauma-Informed Education In An Australian Primary School, Dayna Schimke, Govind Krishnamoorthy, Kay Ayre, Emily Berger, Bronwyn Rees

Research outputs 2022 to 2026

There is growing awareness of the impact of intergenerational trauma and community disadvantage on the educational achievement of Aboriginal and Torres Strait Islander (First Nations) children in Australia. Scholars have identified the need for culturally responsive and trauma-informed approaches to complement existing disciplinary and behavior support practices utilized in schools. This pilot research project explored the experiences of primary school teachers who were supported to implement trauma-informed practices in a regional primary school with a large number of First Nations students. Qualitative interviews with eight teachers were conducted after a 3-year (2017–2020) implementation of the Trauma-Informed Behavior Support (TIBS) program. …