Digital Commons Network^™

Benefits Of Prehabilitative Exercise On Physiological, Functional And Patient-Reported Outcomes In Patients Undergoing Oncologic Surgery: A Systematic Review And Meta-Analysis, Natália Casagrande, Favil Singh, Anderson Rech, Régis Radaelli, Bruna M. Paniz, Guilherme T. Silvestro, Guilherme N. Eberhardt, Janaína Brollo, Maximiliano C. Kneubil, Claudio P. Júnior, Pedro W.M. De Almeida, Maria Cristina F. Magalhães, Francesco Bettariga, Pedro Lopez

Research outputs 2022 to 2026

Purpose: Prehabilitation, delivered between cancer diagnosis and surgery, may enhance functional reserve and improve tolerance to surgical stress, but evidence remains conflicting across cancer types and outcomes. We aimed to evaluate the effects of prehabilitative exercise on physiological, functional, and patient-reported outcomes in patients undergoing oncologic surgery.

Methods: A systematic review and meta-analysis was conducted (PROSPERO: CRD420251072796). Randomized controlled trials comparing structured exercise interventions with usual care in adults undergoing oncologic surgery were included. Searches were performed across seven databases until June 2025. Outcomes included cardiorespiratory fitness, muscle strength, physical function, fatigue, psychological distress, and quality of life. A three-level …

Beyond Compliance: Transformative Co-Design For Gender-Based Violence Prevention In Higher Education, Narelle Lemon, Christina Gray, Jason Goopy, Lisa Holmes, Bec Ball, Melissa Perry, Elisa Fear

Research outputs 2022 to 2026

This study examines how university staff and students experience transformative learning through voluntary participation in a gender-based violence (GBV) prevention programme that transcended compliance-oriented approaches. While universities increasingly rely on mandatory modules that fail to create sustainable change, this research investigates whether self-nominated participation and co-design pedagogy can foster genuine transformation and voice development among participants from diverse disciplinary backgrounds. A qualitative multi-method design examined eight university students (aged 18–24) at an Australian university through pre-post focus groups, observational field notes, and artefact analysis. Participants voluntarily engaged in workshops co-designing peer-focused social media prevention messaging. Inductive thematic analysis identified patterns …

Commission Pathways For Sexual Offences Against Children: A Novel Methodological Approach Exposing Distinct Pathways As A Function Of Offending History, Kelly Jackson, Raphaële Arlettaz, Alfred Allan, Joseph Clare, Frank Morgan, Hilde Tubex

Research outputs 2022 to 2026

Purpose: Using neural network analysis, we examined how specific dispositional and situational factors influence pathways for the commission of sexual offending against children. Use of non-linear multifactorial models is still developing in psychological and criminological research, making this a unique contribution to these fields.

Method: We used prior offence status as the outcome variable in a multi-stage analytical strategy that included chi-squared analysis, sequential binary regression and neural network modelling. Subjects came from a database containing pre-collected psychological and criminological information on Western Australian men who had sexually offended. An initial sample of offenders convicted of sexual offences against children …

Crisis, Credit Risk, And Productivity: Lessons From The Vietnamese Banking Sector During Covid-19, Van Nguyen, Phuong Thanh Le, Reza Kiani Mavi, Amir Arjomandi

Research outputs 2022 to 2026

This study investigates how an unprecedented systemic shock, the COVID-19 pandemic, reshaped bank productivity and intermediation efficiency in Vietnam, one of the fastest-growing emerging economies. We develop a novel risk-adjusted total factor productivity (TFP) measure based on the by-production Luenberger–Hicks–Moorsteen (LHM) indicator, which incorporates non-performing loans as undesirable outputs to better capture credit-risk dynamics. Using a balanced panel covering both the pre-pandemic and pandemic periods (2016–2022), our results show that Vietnamese banks experienced a general decline in productivity before and during COVID-19, driven largely by reductions in technical and scale efficiency. However, foreign and state-owned banks recorded stronger technological progress …

Development And Application Of A Frailty Index Derived From Patient-Reported Outcome Measures And Comorbidities In Oncology Patients, Divya Mathew, Heather Lane, David Ward, Rosemary Saunders, Lesley Millar, Christopher Etherton-Beer

Research outputs 2022 to 2026

Background: Emerging evidence supports the use of a frailty index as an objective measure of frailty. We constructed a frailty index from patient-derived outcome measures, as well as self-reported comorbidity data, and tested its correlation with survival.

Method: Data from 464 patients with lung, breast and colorectal cancer were obtained from the Continuous Improvement in Care – Cancer Project database, and a 42-variable frailty index was generated by dividing the total number of deficits present by the total number assessed and expressed as a ratio between 0 and 1. Frailty was defined as a frailty index of >0.2. Its association …

Diet And Physical Activity Behaviours Among People With Insomnia Symptoms: A Cross-Sectional Survey To Understand Treatment Needs And Acceptability, Jacy Hyland, Moira Junge, Joseph J. Scott, David Cunnington, Mia A. Schaumberg, Mathew J. Summers, Timothy Baird, Claire M. Ellender, Caitlin Fehily, Emma Axelsson, Sara Winter, Jenny Bowman, Hattie H. Wright, Christopher D. Askew, Alexandra P. Metse

Research outputs 2022 to 2026

Background: High adherence to a Mediterranean diet and regular moderate-intensity physical activity (≥5 days/week, ≥30 minutes/day) reduce the risk of insomnia symptom onset and maintenance, yet engagement in these behaviours among adults with insomnia symptoms and the acceptability of lifestyle support are not well understood.

Methods: Objectives: (1) characterise diet and physical activity behaviours among people with insomnia symptoms, including adherence to the Mediterranean diet and physical activity guidelines (moderate-intensity physical activity on ≥5days/week for ≥30 minutes/day), as well as the regularity of these behaviours; (2) explore clinical and socio-demographic factors associated with these behaviours; and (3) investigate the acceptability …

Effects Of Immediate Skin-To-Skin Contact In Preterm Infants In High-Resource Settings: A Systematic Review, Victoria Rettedal, Siren Rettedal, Maren Johanne Heilskov Rytter, Linea Grothe Larsen, Frederikke Buskov, Evalotte Mörelius, Katrin Mehler, Karoline Lode-Kolz

Research outputs 2022 to 2026

Aim: A landmark trial published in 2021 demonstrated a 25% reduction in neonatal mortality when comparing immediate skin-to-skin contact (iSSC) to conventional care in infants with birthweight 1–1.8 kg in low- and middle-resource settings. New evidence from randomised clinical trials on iSSC in high-resource settings has recently become available. This systematic review aimed to evaluate evidence for immediate/early SSC, defined as initiated within 1 h after birth, versus conventional care in inborn preterm infants in high-resource settings.

Methods: Ten electronic databases, including PubMed, Embase, and Cochrane CENTRAL, from 2000 until February 2026, were searched. Randomised clinical trials comparing iSSC to …

From Awareness To Articulation: How Character Strengths Support Wellbeing Literacy In Pre-Service Teachers, Narelle Lemon, Marnie Harris, Rozita Dass, Carli Sanbrook, Rikki James, Tammy Green, Bev Adkin, Gail Berman

Research outputs 2022 to 2026

Teacher wellbeing demands urgent attention given documented attrition and burnout, yet teacher education programmes often treat wellbeing as peripheral to professional preparation. Sustained teacher wellbeing is also linked to enhanced pedagogical efficacy, professional engagement, and the modelling of wellbeing for learners. This study examines how character strengths function as a scaffolding language through which wellbeing literacy, the intentional language to comprehend and compose wellbeing for self and others, is integrated within initial teacher education for pre-service teachers. Six podcast episodes from the Teachers Supporting Teachers series captured conversations between pre-service teachers and university academics exploring character strengths understanding and enactment. …

Healthcare Professionals’ Perspectives On Implementing Postoperative Care Alongside Phase 1 Cardiac Rehabilitation: A Descriptive Qualitative Study, Dima Nasrawi, Sharon Latimer, Debbie Massey, Brigid M. Gillespie

Research outputs 2022 to 2026

Background: Following Coronary Artery Bypass Grafting (CABG) surgery, Healthcare Professionals (HCPs) implement postoperative patient care alongside Phase 1 Cardiac Rehabilitation (CR). Yet, HCPs’ experiences, including enablers and barriers to the implementation of postoperative care alongside Phase 1 CR, are largely unknown. This study aimed to explore HCPs’ perceptions of implementing postoperative care alongside Phase 1 CR, including assessing patient engagement, following CABG surgery.

Design: A qualitative study was undertaken using semi-structured interviews with 10 HCPs in a cardiothoracic unit at a large Australian tertiary hospital. Interview questions were underpinned by the Theoretical Domains Framework (TDF). Using purposive sampling, HCPs (registered …

Influence Of Rice Hull Biochar And Cedar Bark Media On Strawberry Productivity And Carbon Sequestration Potential In Hydroponic Systems, Sakalya Rajapakse, Munehiro Tanaka

Research outputs 2022 to 2026

This study evaluated the influence of rice hull biochar (RHB) and cedar bark media (CBM) as sustainable substrates for hydroponic strawberry cultivation. The total yield from virgin CBM was 413 g/plant and that from virgin RHB was 354 g/plant. Used CBM increased the yield by 4 % (429 g/plant) while used RHB increased yield by 18 % (419 g/plant) compared to the virgin, with no significant substrate differences. Fruit yields and physical properties were strongly correlated, particularly with particle density (R2 = 0.573). After 7 years of cultivation, plant residues had accumulated in both substrates. Uncarbonized carbohydrates in RHB indicated …

It Will Only Work If Everyone Is On Board: A Needs And Context Assessment To Inform Exercise Oncology Implementation Within A Public Healthcare Organisation, Georgia L. White, Mary A. Kennedy, Bryan A. Chan, Hattie Wright, Grace L. Rose

Research outputs 2022 to 2026

Introduction: Exercise has well-established benefits across the cancer continuum for people living with and beyond cancer, yet the exercise oncology field faces a research-to-practice gap. Understanding the factors that influence implementation in any given context is essential to ensure implementation strategies have the greatest likelihood of success. The study mapped onsite exercise oncology services, staff-reported implementation barriers and facilitators, organisational readiness, and experiences reported by people living with or beyond cancer, across a large public healthcare organisation.

Methods: Staff and people living with and beyond cancer across cancer care centres within the public healthcare organisation completed an online survey. Data …

Living On Display: Reciprocal Gazes, Everyday Encounters, And The Politics Of Visibility In The Sunshine Coast Tourism Community, Madura Thiwanka Pathirana, Noel Scott

Research outputs 2022 to 2026

This community case study analyses the production, negotiation, and contestation of reciprocal gazes within everyday settings, particularly focusing on contemporary lifestyle tourism destinations, and the examination of the Sunshine Coast, Australia. Based on 48 in-depth interviews with tourists and locals, this case study looks at the politics of visibility that are part of host-guest relations in everyday encounters at the beach, cafe, marketplace, and online-mediated market. Intersecting with critical tourism studies, and tourism studies on the traveler, host, and reciprocal gaze, this study focuses on residents' experiences of being observed, judged, and photographed and the impacts of their experiences on …

Modifiable Risk Factors And Hearing Loss: The National Health And Nutrition Examination Survey 1999–2020, Yulu Zheng, Tingting Li, Zhiyuan Wu, Yahong Zhu, Zheng Guo, Xingang Li

Research outputs 2022 to 2026

Objective: To explore the associations between major modifiable risk factors and hearing loss.

Methods: This serial cross-sectional study was conducted within the National Health and Nutrition Examination Survey 1999–2020 in the United States. Associations were assessed using modified Poisson regression and within-sample population attributable fraction (PAF).

Results: Eight thousand seven hundred and seventy adults aged 40–85 years were included in the analyses, the mean (SD) age was 58.0 (11.7) years, with 4002 men (45.6%). Hearing loss was associated with low educational attainment with prevalence ratio 1.23, 95% confidence interval (1.15, 1.31); low income 1.11 (1.04, 1.19); diabetes 1.10 (1.03, 1.18); …

Enhancing Monitoring In Protected Areas: Evaluating Mobile Apps As A Tourism Proxy, Jorge Costa, Alberto Gomes, Martin Stokes, Miguel Saraiva

School of Geography, Earth and Environmental Sciences

Crowdsourced data, such as that from mobile fitness apps (MFAs), has the potential to transform tourism research. This opportunity is particularly valuable as tourism to protected areas (PAs) increases, making it more difficult to manage their environmental impacts. However, such data sources come with challenges. Therefore, their representativeness should be carefully evaluated, particularly as their use continues to grow. We use the Paiva Walkways (Portugal) to assess MFAs as a tourism proxy using Spearman’s rank correlation, to evaluate kernel density and fishnet methods for spatialising visitor movements, and to analyse the visitors’ spatiotemporal behaviour using GIS, kernel density estimation, and …

Assessing The Application Of Optical-Photothermal Infrared Spectroscopy For Single-Grain Chemical Palynology, Laura Scoble, Hao Meng, Simon J. Ussher, Mark F. Fitzsimons, Lauren Ansell, Mustafa Kansiz, Billy Simmonds, Nick Stone, Ralph M. Fyfe

School of Geography, Earth and Environmental Sciences

Single-grain pollen analysis is essential for advancing chemical palynology, which classifies morphologically similar taxa based on taxon-specific pollen and sporopollenin chemistry. Fourier-Transform Infrared (FT-IR) spectroscopy and microspectroscopy (μFT-IR) are widely used to differentiate morphologically similar grains but face limitations from Mie scattering and coarse spatial resolution. Here, we present the first application of Optical-PhotoThermal Infrared (O-PTIR) spectroscopy to chemically treated single pollen grains, using Molinia caerulea as a model taxon to fully test and evaluate the technical capabilities and limitations of this technique. O-PTIR achieves sub-micron “super-resolution” infrared spectroscopy through non-contact, non-destructive measurements by exploiting the photothermal effect. O-PTIR spectra …

Rock On Technology: Perspectives Of People With Neurological Conditions On Robot-Assisted Lower Limb And Gait Neurorehabilitation, Rachel G. Buckingham, Saran Chamberlain, Amanda Timler, Matthew K. Bagg, Nikki E. Bakhtazad, Taya Hamilton, Patricia Martinet, Bianca Haagman, Stuart I. Hodgetts, Barbara Singer, Ann Maree Vallence, Jodie Marquez, Eric Gaitho, Emma Gee, Jessica Nolan

Research outputs 2022 to 2026

Purpose: Explore perspectives of people living with neurological conditions in Western Australia (WA) on robot-assisted lower limb neurorehabilitation (RALLR), and implementation requirements. Materials and methods: This co-designed, qualitative descriptive study included people living with neurological conditions. In-person semi-structured focus groups (FGs) were facilitated by a person with lived experience of stroke. FGs were recorded, data were transcribed, and thematically analysed using a reflexive approach. Results: Five FGs included 24 participants (54.2% women, median age 50 years). Of these, thirteen participants had RALLR experience. Primary neurological conditions represented among participants comprised spinal cord injury (n = 11), stroke (n = 3), …

Nutrient Legacy And Cycling In The Somerset Levels And Moors, Oscar Kemble, Paul Lunt

School of Geography, Earth and Environmental Sciences

1. Executive summaryThe Somerset Levels and Moors (SLMs) are one of the UK’s most extensive and ecologically significant lowland wetland systems, supporting internationally important bird populations and nationally important assemblages of wetland plants and invertebrates. However, the ecological condition of the SLMs Ramsar and underpinning SSSIs has deteriorated in recent decades, driven primarily by phosphorus (P) enrichment. In 2021, Natural England downgraded the SLMs to “unfavourable declining”, citing persistent eutrophication, floating plant dominance, and loss of submerged macrophytes as key symptoms.This review synthesises current evidence and provides critical overviews for the following themes: (1) The Somerset Levels and Moors (SLMs) …

Exploring The Views Of Children With Cerebral Palsy, Their Parents And Physiotherapists On Participating In A Feasibility Randomised Controlled Trial Testing An Exergaming Device: A Qualitative Study, Rachel Rapson, Jos M. Latour, Jonathan Marsden, Bernie Carter

School of Nursing and Midwifery

Background: This study aimed to understand the experiences and views of children with cerebral palsy, their parents and physiotherapists participating in the ACCEPT feasibility randomised controlled trial, which explored a 10-week physiotherapy intervention using an interactive gaming training device. Design: Qualitative methods included semi-structured interviews, e-diary and photographs. Nine parent–child dyads and three physiotherapists participated. Children were aged between 7 and 16 years; four had co-existing additional needs. Interviews were transcribed. Reflexive thematic analysis was used. Results: Five themes covered the breadth of participants’ experiences: (1) Fitting in therapy; (2) Motivation; (3) New opportunities; (4) Physiotherapists out of their comfort …

Humanizing The Base Of The Pyramid: Exploring The Influence Of Resource (Dis)Advantages On Value Creation, Ted London, Lisa Jones Christensen, Tyson Mackey, Alison Mackey, Heather Esper, Andrew Grogan-Kaylor

Faculty Publications

Base of the pyramid (BoP) scholarship emphasizes the potential for enterprises to generate profits by enhancing the wellbeing of the impoverished, often by selling socially-beneficial products (SBPs). Yet, many such BoP enterprises have experienced mixed results. We argue that this may stem from insufficient attention to how BoP consumers value SBPs and other products. We frame SBPs as a type of human capital investment and thus use human capital theory to study how the consumption of SBPs does or does not create value for consumers. Specifically, we use a novel data set from rural India to measure value creation in …

Developmental Themes Associated With Religious Activity After Early Return From A Latter-Day Saint Mission, Samuel E. Hancock, Sam A. Hardy, Michael Goodman, Camron Angell, Jenae M. Nelson

Faculty Publications

In the Church of Jesus Christ of Latter-day Saints, qualified young men are expected (and young women are given the option) to complete extended missionary service during the transition to adulthood. Some youth end their missionary service short of the anticipated duration, which is associated with markedly lower rates of religious activity post-return. This study is a qualitative inquiry into the developmental themes associated with early returned missionaries from the Church of Jesus Christ of Latter-day Saints who chose to remain active (be consistently involved with the church), sampling from areas with high rates of Latter-day Saint activity, where stigmatization …

The Transformational Possibilities Of Liberal Vocationalism: A Case Study Of Post-Year 10 Outdoor Education In Western Australia, David Aldous, Dawn Penney

Research outputs 2022 to 2026

This paper discusses the transformative potential that liberal vocationalism, aligned with contemporary visions of lifelong and lifewide learning, presents for outdoor learning across institutional and industry settings. Utilising Bernstein’s sociological theory, the paper explores this transformation through an illustrative case study of the relations, knowledges and identities of post-Year10 Outdoor Education in Western Australia (WA). The case study highlights how Outdoor Education in WA has been organised through distinct classificatory relations that exist between government, regulatory bodies and individual industry providers that serve to distinguish Outdoor Education from outdoor learning that is ongoing and able to be pursued by people …

Redox-Mediator Enhanced Electrochemiluminescence Under Non-Aqueous Conditions, Steven J. Blom, Fazeleh Mesgari, El M.S. Martin, Egan H. Doeven, David J. Hayne, Timothy U. Connell, Peter J. Barnard, Narges Saeedizadeh, Seyed Mohammad Jafar Jalali, Paul S. Francis

Research outputs 2022 to 2026

The introduction of small-molecule redox mediators into aqueous co-reactant electrochemiluminescence (ECL) systems has emerged as an effective strategy to increase signal intensity. Herein, we investigate the influence of a series of neutral iridium(iii) complexes (Ir(pmi)3, Ir(ppy)3, Ir(ppz)3 and Ir(ppy)2(acac)) as redox mediators for co-reactant ECL in acetonitrile. Using [Ru(bpy)3]²⁺ as a benchmark luminophore and tri-n-propylamine (TPrA) as a co-reactant, the redox mediators elicit similar effects in this solvent to those of their sulfonated [Ir(sppy)3]³⁻ and [Ir(sppz)3]³⁻ analogues under aqueous conditions. The Ir(ppz)3 complex was most effective; at a concentration of 100 µM it produced an 11-fold increase …

Making Room For ‘Feelings’: What's At Stake For The Theory Of Practice Architectures?, George Variyan, Brad Gobby

Research outputs 2022 to 2026

This paper responds to Thelin, K. [2024. What about feelings? Elaboration on and consideration of the theoretical construct of emotions in practice and practice architectures. International Journal of Leadership in Education, 1–14] intriguing proposal that the theory of practice architectures (hereafter TPA) would benefit from an augmentation to its oft-repeated analytical mantra of ‘sayings, doings and relatings’ by adding the notion of feelings. Thelin's work is motivated by the increasing realisation amongst adherents that TPA has thus far been relatively silent on how emotions mediate practice. As such, there are ongoing efforts to think through the place of emotions in …

Comparative Bioassay-Guided Fractionation Of Citrus Species: Phytochemical Characterization And Nanoformulation Of A Polyphenol-Rich Leaf Fraction From Citrus Aurantifolia For Skin Anti-Aging Applications, Noha Swilam, Khaled Nematallah, Amgad Albohy, Noha Badawi, Sameh S. Gad, Maha M. Shouman, Saeed S. Al-Ghamdi, Nahla Ayoub

Pharmacy

Background: Skin aging is driven by oxidative stress and ultraviolet (UV) exposure, leading to extracellular matrix degradation and loss of skin elasticity. This study aimed to identify the most biologically active Citrus species using a bioassay-guided approach and evaluate its potential for dermal applications. Methods: Hydroalcohol extracts and ethyl acetate fractions of Citrus sinensis, Citrus aurantifolia, and Citrus reticulata leaves were screened for antioxidant, enzyme-inhibitory, and polyphenol content. The most active fraction was characterized by UPLC-PDA and LC–MS/MS, formulated into Span-based nanovesicles, and evaluated for physicochemical properties and drug release. Biological activity was assessed using an in vitro scratch wound-healing …