Digital Commons Network^™

What Is The Optimal Management Of Metastatic Spine Patients With Intermediate Spinal Instability Neoplastic Scores: To Operate Or Not To Operate?, William Chu Kwan, Matthew L Goodwin, Et Al.

2020-Current year OA Pubs

STUDY DESIGN: Systematic review.

OBJECTIVE: In patients with extradural metastatic spine disease, we sought to systematically review the outcomes and complications of patients with intermediate Spinal Instability Neoplastic Score (SINS) lesions undergoing radiation therapy, percutaneous interventions, minimally invasive surgeries, or open spinal surgeries.

METHODS: Following PRISMA guidelines for systematic reviews, MEDLINE, EMBASE, Web of Science, the Cochrane Database of Systematic Reviews and the Cochrane Center Register of Controlled Trials were queried for studies that reported on SINS intermediate patients who underwent: 1) radiotherapy, 2) percutaneous intervention, 3) minimally invasive, or 4) open surgery. Dates of publication were between 2013-22. Patients …

Submission To The Nsw Standing Committee On Social Issues Inquiry “Impacts Of Harmful Pornography On Mental, Emotional, And Physical Health”, Giselle Woodley, Lelia Green

Research outputs 2022 to 2026

Our submission is formed from a combined experience of decades of working with teens and more recently, the Australian Research Council funded project (DP190102435), Perceptions of harm from adolescents accessing online sexual content, which explored Australian teens and young people’s (aged 11-17) perspectives of Sexually Explicit Material (SEM) including pornography. Qualitative data was collected between 2021 to 2023, and involved 30 teen interviews, with another 19 interviews with teens occurring a year later (49 interviews in total), and four focus groups (n-18) to explore these issues further. 26 parents of these teens from 24 families were also interviewed, followed by …

Supporting People Bereaved By Suicide In The South West Region Of Western Australia: Report, Colleen M. Carlon

Research outputs 2022 to 2026

This paper reports on the practices of service providers in working with people and communities bereaved by suicide in regional contexts. For people bereaved by suicide experiences of grief, trauma and stigma and the questioning of why someone has died create a complex mix of need and emotion that can leave people vulnerable to complicated grief and poor physical and mental health. These effects may also be exacerbated by stigma in social and communal contexts. As such experiences of suicide grief are different to other forms of grief and loss, effectively supporting people and communities bereaved by suicide requires knowledge …

A Brief History Of Antenatal Colostrum Expression, And Where To From Here, Therese A. O’Sullivan, Connie N. Ihlein

Research outputs 2022 to 2026

The practice of antenatal colostrum expression (ACE), or the extraction of colostrum from the breasts during pregnancy, has an interesting history and continues to evolve. This narrative review aims to describe how perception and practices of ACE have changed over time, summarise the evidence on ACE in maternal and infant care, and highlight areas for future research. The literature demonstrates that ACE is safe for low-risk women when done from around 36 weeks’ gestation. Women should be reassured that the skill of hand expressing is a valuable tool post-birth, regardless of whether they are able to collect colostrum antenatally or …

Comusichiamo. First Language, Life-Soundtracks And Storytelling To Support The Cultural Wellbeing Of Migrants Living With Dementia, Simone Marino, Loretta Baldassar

Research outputs 2022 to 2026

This study, located at the intersection of anthropology, ageing, music therapy and dementia, explores the value of music, life-storytelling and first language, to support the cultural identity and wellbeing of people from culturally and linguistically diverse backgrounds living with dementia in Australia. It uses participant observation, the collection of oral histories and ‘life soundtracks’ to co-create a song with older Italian migrants and their families. This paper presents the first case study which informed the development of the music engagement program we call Comusichiamo (let’s make music together). The case study shows that the co-creation of a culturally tailored song, …

Emotional Safety In Maternity Care: An Evolutionary Concept Analysis, Elliesha O'Reilly, Kate Buchanan, Sara Bayes

Research outputs 2022 to 2026

Background: Safety in maternity care is a priority, and a broadened view of safety (e.g., emotional, psychological, cultural) is evident in scientific literature and in lay discourse. ‘Emotional safety’ is being referred to with increasing frequency in this context; however, there is a lack of clarity in its use and meaning. Aim: The aim of this concept analysis was to examine the concept of emotional safety in maternity care. Methods: The evolutionary approach was used for this concept analysis. Data sources: This concept analysis was literature-based, with a systematic search conducted of CINAHL, MIDIRS, and MEDLINE databases. Ten articles published …

Cancer-Targeted Pro-Theranostic Bi-Metallic Organo-Coordination Nanoparticles, Hengbo Huang, Lei Fang, Janaka Wansapura, Julie L Prior, Brad Manion, Baogang Xu, Cody Hongsermeier, Nisha Gamadia, Nicole Blasi, Rui Tang, Christopher Egbulefu, Monica Shokeen, James D Quirk, Samuel Achilefu

2020-Current year OA Pubs

No abstract provided.

An Anti-Junk Food Ad From A Sports Commercial Break Reduced Junk Food Consumption Inclinations, Yet Junk Food Ads Had Minimal To No Impact, Ross C. Hollett, Julia Butt, Brennen Mills, Stephanie L. Godrich, Gina S.A. Trapp, Amanda Devine

Research outputs 2022 to 2026

Background: In Australia, there are concerns that unrestricted junk food advertising during sports broadcasts increases short-term junk food consumption among viewers. Therefore, the present study aimed to estimate the impact of junk food and anti-junk food advertising on consumption inclinations. Methods: We conducted a content analysis across a sample (N = 16) of Australian Football League (AFL) and National Rugby League (NRL) matches to determine the prevalence of junk food and anti-junk food advertising video clips. We also exposed participants (N = 428) to a single randomly selected junk food advertisement or a single anti-junk food advertisement and measured the …

Empowerment Through Choice: The Interplay Of Choice And Control After Spinal Cord Or Brain Injury, Gisela Van Kessel, Shylie Mackintosh, Carolyn M. Murray, Michelle Guerin, Caroline Elizabeth Fryer, Mandy Stanley

Research outputs 2022 to 2026

Purpose: To gain knowledge of the early phase post-injury experiences related to choice and control for individuals living with acquired brain injury or spinal cord injury, as well as their caregivers. Materials and Methods: A qualitative study was conducted to understand the experiences of individuals with acquired brain injury or spinal cord injury and their caregivers in the early phase post-injury, focusing on the aspects of choice and control. Nine individuals with acquired brain injury or spinal cord injury and four of their caregivers participated in semi-structured in-depth interviews, and the data was analysed using thematic analysis. Results: Four themes …

Framing Theory Insights: The Co-Existence Of Frame Coupling And Frame Mirroring In Social Media And Online News About A Disaster-Affected Destination, Violetta Wilk, Ashlee Morgan, Greg Willson, Ruth Sibson

Research outputs 2022 to 2026

Through the lens of framing theory, this paper explores social media and news media online narratives about a destination affected by a natural disaster. It presents original insights into the co-existence of frame coupling and frame mirroring in online content. Online news media, and local and overseas social media user-generated content (UGC) was examined. The aim of such triangulation of data, was to understand how different online sources framed the destination in the context of the disaster. 24,985 Twitter (now X) posts were sourced using Salesforce Social Studio and 1,248 online news media articles from Factiva. Leximancer-driven thematic analysis via …

Intake Of Total, Classes, And Subclasses Of (Poly)Phenols And Risk Of Lymphoid Neoplasms: A Prospective Analysis In The Epic Cohort, Enrique Almanza-Aguilera, David Guananga-Álvarez, Yolanda Benavente, Alexandra Nieters, Caroline Besson, Fatemeh Saberi Hosnijeh, Cecilie Kyrø, Nicola P. Bondonno, Christina C. Dahm, Elisabete Weiderpass, Therese Truong, Mariem Louati-Hajji, Xuan Ren, Verena Katzke, Matthias B. Schulze, Fabrizio Pasanisi, Claudia Vener, Giovanna Masala, Maria Teresa Giraudo, Rosario Tumino, Amaia Aizpurua, Maria Jose Sánchez, José María Huerta, Marcela Guevara, Cristina Lasheras, Paolo Vineis

Research outputs 2022 to 2026

Background: Existing epidemiological evidence regarding the potential role of (poly)phenol intake in lymphoma development is limited. Methods: We investigated the associations between the intake of total and individual classes and subclasses of (poly)phenols and the risk of lymphoma, including main frequent subtypes in the EPIC cohort using multivariable-adjusted Cox proportional hazards models. Results: During a mean 14-year follow-up (time frame: from 1990–1994 to 2008–2013), 2394 incident lymphoma cases were diagnosed from a total of 367,463 individuals. No significant associations were observed between total intakes of (poly)phenols, flavonoids, and phenolic acids and overall lymphoma risk. Total (poly)phenols, phenolic acid and hydroxycinnamic …

A Scoping Review Of Randomised Controlled Trials Of Vaccines That Recruited Care Home Residents: Lessons For Future Trials, Selvarani Selvarani Subbarayan, Imogen Smith-Dodd, Gabriel Nicolson, Jennifer Kirsty Burton, Janet T. Scott, Seshadri S. Vasan, Susan D. Shenkin, Roy L. Soiza

Research outputs 2022 to 2026

Introduction: Older care home (CH) residents are particularly vulnerable to infections and often experience adverse outcomes. Despite this group being frequently prioritised for vaccinations, trials of vaccines rarely recruit CH residents. Given that the social and biological characteristics of CH residents may influence vaccine effectiveness, it is crucial to test vaccines in this population.

Methods: The Widening Access to Trials in Care Homes project was established to develop best practice guidance on designing and conducting vaccine trials in the CH population. As part of this project, a scoping review following Joanna Briggs Institute methodology was conducted to identify vaccine trials …

Beyond Gatekeeping: Web Series As Entrepreneurial Emancipation In The Contemporary Streaming Era, Sarah De Possesse, Brian Yecies, Steinar Ellingsen, Sue Turnbull

Research outputs 2022 to 2026

This study explores fictional web series as a disruptive alternative to traditional television industry gatekeeping systems, offering actor/producers unprecedented pathways to creative agency and entrepreneurial career development. This research documents how practitioners, industry bodies, broadcasters, and audiences define “successful” web series, examining how “value” is generated beyond traditional economic metrics. Drawing on semi-structured interviews with a cross-section of Australian screen industry representatives, it applies an “entrepreneuring as emancipation” framework to reconceptualize the industrial significance of web series as vehicles for challenging established hierarchies. Finally, it analyzes how the low-budget format enables actor/producers to develop entrepreneurial identities through digital platforms while …

Articles That May Change Your Practice: Prehospital Extracorporeal Membrane Oxygenation Alerts And Extracorporeal Cardiopulmonary Resuscitation In Out-Of-Hospital Cardiac Arrest, James L Li, Aaron J Lacy, Bridgette B Svancarek

2020-Current year OA Pubs

No abstract provided.

From The Icu Bedside: Applying The Transnational Clinical Academic Doctorate Lens To A Clinically Embedded Phd Journey, Gideon U. Johnson

Research outputs 2022 to 2026

Aim: To critically reflect on a transnational, clinically embedded doctoral journey undertaken during and after the COVID-19 pandemic, and to draw conceptual and systemic lessons for doctoral education and clinical academic nursing pathways. Background: Reflective accounts of doctoral study exist, yet few examine practice-based PhDs conducted across different countries and health systems during a global crisis. This paper analyses one such pathway—enrolment at an Australian university with research embedded within the UK National Health Service—to explore resilience, identity formation, mentorship ecologies and organisational conditions that support or hinder clinical academic development. Method: Using analytic autoethnography and reflective case study logic, …

Usability Of The Mayo Test Drive Remote Self-Administered Web-Based Cognitive Screening Battery In Adults Aged 35-100 With And Without Cognitive Impairment, Jay S Patel, Jason Hassenstab, Et Al.

2020-Current year OA Pubs

BACKGROUND: Mayo Test Drive (MTD): Mayo Test Development through Rapid Iteration, Validation and Expansion, is a web-based remote cognitive assessment platform for self-administered neuropsychological measures with previously demonstrated validity and reliability. We examined the usability of MTD and hypothesized that completion rates would be greater than 90%. We explored whether completion and participation rates differed by cognitive status and demographic factors.

METHODS: A total of 1,950 Mayo Clinic Study of Aging and Mayo Alzheimer's Disease Research Center participants (97% White, 99% Non-Hispanic) were invited to participate in this ancillary, uncompensated remote study. Most invitees were cognitively unimpaired (CU;

RESULTS: Baseline …

It Was Either Food Or Petrol: Financial Hardship During Professional Experience For Pre-Service Teachers, Tammy Green, Christina Gray, Kirsten Lambert

Research outputs 2022 to 2026

Many pre-service teachers prolong studies or fail to complete teaching degrees due to financial hardship. This attrition exacerbates the teacher shortage in Australian schools. Our research uses critical theory to explore the challenges for pre-service teachers as they complete the compulsory professional experience component of initial teacher education. This phenomenological study, based on interviews with eight pre-service teachers at a university in Western Australia, gives voice to pre-service teachers experiencing placement poverty, revealing the difficulties faced in their quest to become teachers. The findings highlight the importance of addressing the financial barriers that hamper students’ abilities to become quality teachers.

Navigating Ethical Complexities In Health Education: Exploring Challenges In Teaching Food And Health, E. Oljans, M. Quennerstedt, D. Barker, A. Caldeborg, V. Varea

Research outputs 2022 to 2026

Teaching food and health may be challenging, especially in classrooms where young people from different cultures, ethnicities, and religions meet. This article explores teachers’ navigation of ethical complexities when teaching food and health in classrooms with immigrant students. Five didactical strategies were identified: (1) The educare strategy, (2) The tiptoeing strategy, (3) The collegial support strategy, (4) The intercultural strategy, and (5) The pluralistic strategy. These didactical strategies are embedded in various educational settings. Our results demonstrate that a further focus on ethical and intercultural competence should be carefully supported and implemented in teacher education and continual professional development programmes …

An Exploratory Graphical Analysis Of The Montgomery-Åsberg Depression Rating Scale Pre- And Post-Treatment Using Pooled Antidepressant Trial Secondary Data, David Byrne, Arunangshu Ghoshal, Fiona Boland, Susan Brannick, Robert M Carney, Pim Cuijpers, Alexandra L Dima, Kenneth E Freedland, Suzanne Guerin, David Hevey, Bishember Kathuria, Vincent Mcdarby, Emma Wallace, Frank Doyle

2020-Current year OA Pubs

BACKGROUND: The 10-item Montgomery-Åsberg Depression Rating Scale (MADRS) is a commonly used measure of depression in antidepressant clinical trials. Numerous studies have adopted classical test theory perspectives to assess the psychometric properties of this scale, finding generally positive results. However, its network configural structure and stability is unexplored across different time-points and treatment groups.

AIMS: To assess the network structure and stability of the MADRS in clinical settings pre- and post-treatment, and to determine a configurally invariant and stable model across time-points and treatment groups (placebo and intervention).

METHOD: Individual participant data for 6440 participants from 14 clinical trials of …

Playgrounds On Paper: Children’S Drawings As A Window Into Outdoor Play Preferences, Sebnem Cetken-Aktas, Serap Sevimli-Celik

Research outputs 2022 to 2026

Children’s creativity in expressing themselves through traditional media, such as drawing, remains strong and reflects their keen awareness of their surroundings. Involving children in the design process provides a valuable opportunity to understand their perspectives. This study engaged 47 five-year-old children to explore their preferences for outdoor play environments through their drawings. The methodology involved analysing these drawings to gain insights into the children’s understanding and desires related to playground experiences. Conducted in multiple stages, the study revealed significant aspects of children’s preferences. The findings highlighted the children’s interest in imaginative features that extend beyond traditional playground structures, as well …

Sorghum And Sorghum-Based Products: Nutritional Composition, Prebiotic Potential And Health Benefits In Gut Microbiota Interactions, W. M.A.D.Binosha Fernando, Rasheed A. Abdulraheem, Kalmee Pramoda Kariyawasam, Amal Sudaraka Samarasinghe, W. M.Kendrea T. Fernando, Hannah Barnes, Malina Robertson, D. P.W. Jayatunga, B. G.D.N.K. De Silva, Vijay Jayasena

Research outputs 2022 to 2026

Sorghum (Sorghum bicolor L.) is a member of the Poaceae family and is the fifth most important crop globally. Sorghum grains (SGs) are rich in health-promoting macro- and micronutrients and phytochemicals. SGs are commonly consumed as food or as ingredients in food, especially in African countries. Therefore, food products such as ogi, bread and flour have been and are still being developed from SGs to provide nutritional and health benefits. However, the nutritional and prebiotic potential of SGs, especially the pigment pericarps, has not been fully exploited. This review describes micronutrients in different varieties of sorghum and the health benefits …

The Monstrous-Digital: Data Necropolitics, Social Media, And The Assassination Of Brian Thompson, Laura Glitsos

Research outputs 2022 to 2026

This research article examines the assassination of UnitedHealthcare CEO Brian Thompson and the ensuing social media attention on the alleged shooter Luigi Mangione. I argue that the incident can be read as a cultural moment that captures the essence of an emergent sensibility that I call the “monstrous-digital” because of its layered and complex interconnections with the digital apparatus as a space of control and contestation. Specifically, I connect it to the biopolitical weaponization of computational systems, McQuillan’s (2015) algorithmic states of exception, and Pele and Mulholland’s (2023) data necropolitics. I approach this research using a qualitative case study method, …

Western Australian Graduate Teacher Perceptions Of Teacher Performance Assessments, Janine E. Wyatt, Caroline Mansfield, Paula Mildenhall

Research outputs 2022 to 2026

This study examined the views of 1593 first-year graduates from five Western Australian universities concerning three nationally endorsed teacher performance assessment (TPA) instruments. Quantitative and qualitative data obtained through the Department of Education Western Australia’s annual first year graduate teacher surveys from 2021-2023 was used. Study findings revealed that overall, most graduates were satisfied that the TPA supported their classroom readiness and understanding of the graduate level of the Australian Professional Standards for Teachers, and that mentors/supervisors played a critical role in these perceptions. We recommend incorporating the first-year graduates’ insights into the refinement of TPAs. Our study advocates for …

Integrated Sensing And Covert Communications With Ris Adaptive And Non-Adaptive Modes, Jia Zhang, Dengfeng Zhang, Ke Liu, Jiande Sun, Min Li, Shihao Yan

Research outputs 2022 to 2026

In this work, we consider an integrated sensing and covert communication (ISACC) system with a finite blocklength L aided by a reconfigurable intelligent surface (RIS) with N elements. Specifically, with the aid of RIS, a transmitter Alice is to sense the potential existence of a target, and she is also probabilistically trying to send information to a receiver Bob covertly (i.e., trying to hide her transmissions from a warden Willie). Meanwhile, Willie is to detect whether Alice is sensing the target only or conducting ISACC. We consider two RIS operation modes, i.e., a non-adaptive mode, where RIS employs a common …

Effects Of Vagus Nerve Stimulation On Daily Function And Quality Of Life In Markedly Treatment-Resistant Major Depression: Findings From A One-Year, Randomized, Sham-Controlled Trial, A John Rush, Charles R Conway, Et Al.

2020-Current year OA Pubs

BACKGROUND: Depression treatments aim to minimize symptom burden and optimize quality of life (QoL) and psychosocial function.

OBJECTIVE: Compare the effects of adjunctive versus sham vagus nerve stimulation (VNS) on QoL and function in markedly treatment-resistant depression (TRD).

METHODS: In this multicenter, double-blind, sham-controlled trial, 493 adults with TRD and ≥4 adequate but unsuccessful antidepressant treatment trials (current episode) were randomized to active (n = 249) or sham (n = 244) VNS (plus treatment as usual) over a 12-month observation period. Quarterly outcomes included QoL with the Q-LES-Q, Mini-Q-LES-Q, and EQ-5D-5L, and function with the WHODAS 2.0 and Work Productivity …

Exploring Factors Contributing To Patient Decision-Making In The Care Journey To Elective Hernia Care In Kenya, Helen W. Li, Jesse Kiprono Too, Sarah Nyanchama Nyariki, Charles Nathan Nessle, Sara Malone, Rachel Matsumoto, Teddy Ashibende Aurah, Jeffrey A. Blatnik, Joanna Hunter-Squires, Ivan Seno Saruni

2020-Current year OA Pubs

BACKGROUND: Capacity for elective general surgical care is an important reflection of a health system's ability to meet a population's surgical needs and is currently known to be inadequate in many low- and middle-income countries. Patient agency is a key, understudied factor which shapes how and when patients ultimately decide to engage with formal care. Understanding factors which influence patient care seeking activity can have important implications for how current and future health systems may be utilized. This study aims to explore how patients approach the navigation and triage of their elective hernia condition within the Kenyan surgical care system. …

Diagnosis And Management Of Gastroesophageal Reflux Disease: Current Insights, Abhinav Vayal-Veettil, C Prakash Gyawali

2020-Current year OA Pubs

Gastroesophageal reflux disease (GERD) results from retrograde movement of gastric content into the esophagus and beyond, resulting in symptoms, mucosal injury and long-term complications. Typical symptoms of heartburn and regurgitation are highly suggestive of GERD, but atypical presentations require careful evaluation to rule out alternative diagnoses. Diagnostic modalities, including endoscopy, ambulatory reflux monitoring, and high-resolution manometry, play a pivotal role in confirming GERD and guiding personalized treatment. Management strategies consist of lifestyle modifications, pharmacologic therapy with anti-secretory agents, and adjunctive treatments such as alginates and baclofen. For refractory cases, surgical and endoscopic interventions offer durable symptom relief. Complications of GERD …

Surgeons, Physiatrists And Neurologists Speaking "Edx And Nerve Surgery": A Paradigm Shift For Nerve Injured Patients, Deng Pan, Aneri U Patel, J Megan Patterson, Anna Rose Johnson, Travis Gordon, Susan E Mackinnon

2020-Current year OA Pubs

Surgeons' ability to interpret electrodiagnostic (EDX) studies has greatly enhanced patient selection and outcome for nerve surgeries as it has informed our understanding of the classification of nerve injury. EDX measures axons present, lost, or demyelinated. It does not measure an area where axons experience chronic ischemia, making a Sunderland Zero nerve injury a clinical diagnosis that should be suspected when patients have normal EDX, decreased recruitment on electromyography (EMG), and no atrophy. Only observation of recovery in the earliest postoperative period would confirm a Sunderland Zero. In this article, we present an expanded classification of nerve injury, highlighting Sunderland …

Seagrasses Are Most Vulnerable To Marine Heatwaves In Tropical Zones: Local-Scale And Broad Climatic Zone Variation In Thermal Tolerances, Nicole Said, Chanelle Webster, Simone Strydom, Natasha Dunham, Matthew P. Adams, Kathryn Mcmahon

Research outputs 2022 to 2026

Under a changing climate, it is imperative that we understand how species may respond to temperature impacts, which can differ among populations of the same species due to local drivers. Thermal tolerance data, which can be used to assess an organism's upper thermal limits, is valuable to identify species and/or populations' susceptibility to thermal stress. This study assessed the variation in thermal tolerance of six seagrass species at both broad latitudinal (c. 500–1000 km) and local scales (c. 25 km). Photosynthesis–temperature curves (15–45°C) were conducted, by measuring oxygen in closed incubation chambers, and thermal optima (Topt) was extracted. We found …

To Discard Or Not To Discard 1pns? A Systematic Review And Meta-Analysis On 291,474 Embryos, T. Lee, F. Qi, K. Peirce, J. Natalwala, V. Chapple, P. J. Mark, K. Sanders, Y. Liu

Research outputs 2022 to 2026

Unlike embryos that display two pronuclei (2PN), monopronucleated (1PN) embryos are assumed to be haploid and can be routinely discarded. Although there are reports of live births after 1PN embryo transfer, the developmental and clinical prognosis of 1PN embryos has not been systematically evaluated. The aim of this review was to elucidate the developmental, clinical and neonatal outcomes of 1PN embryos compared with 2PN embryos. Twenty-four studies met the inclusion criteria. The blastulation rate was lower in 1PN embryos compared with 2PN embryos [risk ratio (RR) 0.50, 95% CI 0.48–0.51]. The live birth rate was lower in 1PN blastocysts when …