Digital Commons Network^™

Epidemiological Principles In Claims Of Causality: An Enquiry Into Repetitive Head Impacts (Rhi) And Chronic Traumatic Encephalopathy (Cte), Lauren V. Fortington, J. David Cassidy, Rudolph J. Castellani, Andrew J. Gardner, Andrew S. Mcintosh, Michael Austen, Zachary Yukio Kerr, Kenneth L. Quarrie

Research outputs 2022 to 2026

Determining whether repetitive head impacts (RHI) cause the development of chronic traumatic encephalopathy (CTE)-neuropathological change (NC) and whether pathological changes cause clinical syndromes are topics of considerable interest to the global sports medicine community. In 2022, an article was published that used the Bradford Hill criteria to evaluate the claim that RHI cause CTE. The publication garnered international media attention and has since been promoted as definitive proof that causality has been established. Our counterpoint presents an appraisal of the published article in terms of the claims made and the scientific literature used in developing those claims. We conclude that …

Exercise In Cancer Care For People With Lung Cancer: A Narrative Synthesis, Kellie Toohey, David Mizrahi, Nicolas H. Hart, Ben Singh, Pedro Lopez, Maddison Hunter, Robert U. Newton, Kathryn H. Schmitz, Diana Adams, Lara Edbrooke, Sandi Hayes

Research outputs 2022 to 2026

Objectives: Lung cancer is the second most common cancer diagnosed worldwide, resulting in significant physical and psychological consequences. In this narrative review, we explore the role of exercise as an adjunct therapy to counteract health issues experienced by people before, during and after treatment for lung cancer, and offer recommendations for exercise prescription and future research. Design: Narrative cornerstone review. Methods: A narrative review was conducted to explore the role of exercise in cancer care for people diagnosed with lung cancer. Results: Improvements in fitness, strength and quality of life have been demonstrated in people with lung cancer following participation …

Outdoor Adventure Education For Adolescent Social And Emotional Wellbeing: A Systematic Review And Meta-Analysis, Michael J.A. Down, D. Picknoll, T. Edwards, F. Farringdon, G. Hoyne, B. Piggott, M. C. Murphy

Research outputs 2022 to 2026

This study examines the effects of OAE on adolescent social and emotional wellbeing and their contributors. Intervention studies (single or multi-arm) assessing the effects of OAE on wellbeing were included. Meta-analysis was conducted on outcomes of interest, and the Cochrane Risk of Bias (RoB) Tool assessed RoB in multi-arm studies. Four studies assessed within-group change (n = 368), and six assessed between-group change (n = 1,143). Findings indicate significant between-group improvements in resilience, self-esteem and social belonging when OAE was compared to no intervention, but no self-efficacy and overall wellbeing changes were observed. Studies were at high risk of bias, …

Responding To Children’S Voices: The New Frontier In Education Policy Reform, Amelia Ruscoe

Research outputs 2022 to 2026

More than thirty years on from the United Nations Convention of the Child honouring a child’s right to be heard (Article 12) has unlocked a new frontier in ethical research. In education, children have demonstrated competence to contribute with insight to recent policy development in Australia. This paper provides further evidence of the critical role children stand to play in education reform. A post-structural perspective is adopted and underpinned with Foucauldian theory of discursive power in the context of school-based affordances. Visual and dialogic qualitative methods are used to compare the impact of powerful discourses upon children’s affordances in the …

Student’S Reported Satisfaction At University: The Role Of Personal Characteristics And Secondary School Background, Ian W. Li, Denise Jackson, Paul Koshy

Research outputs 2022 to 2026

Widening participation and improving outcomes for under-represented and disadvantaged groups in higher education are part of the strategic agenda of governments across the globe. A critical aspect of this challenge is enhancing the experience of students from such backgrounds. However, there is relatively limited evidence on the effects of student background, including social and geographical disadvantage and secondary education preparation, on self-reported student experience. This study addressed this topic in the Australian context using data from the annual Student Experience Survey (2016–2020 waves) with linkage to administrative records for 24,292 students from seven higher education institutions. This included data on …

The Contributions Of Transcription Skills To Paper-Based And Computer-Based Text Composing In The Early Years, Anabela Anabela Malpique, Mustafa Asil, Deborah Pino-Pasternak, Susan Ledger, Timothy Teo

Research outputs 2022 to 2026

Digital tools are an integral part of most writing communities across the globe, enhancing the criticality of gaining a comprehensive understanding of both paper and computer-based writing acquisition and development. The relationships between transcription skills and children’s paper-based writing performance are well documented. Less is known about the relationships between transcription skills and children’s computer-based writing performance. In this study, we examined the unique contributions of transcription skills (i.e., handwriting automaticity, keyboarding automaticity and spelling) in predicting Grade 2 students (N = 544) paper-based and computer-based writing performance (i.e., compositional quality and productivity) after controlling for other student-level factors (i.e., …

The Development Of A Family-Led Novel Intervention For Delirium Prevention And Management In The Adult Intensive Care Unit: A Co-Design Qualitative Study, Gideon U. Johnson, Amanda Towell-Barnard, Christopher Mclean, Beverley Ewens

Research outputs 2022 to 2026

Aim: The aim of this study was to codesign a Family Members’ Voice Reorientation Intervention (FAMVR) for delirium prevention and management in critically ill adult patients through collaborative process with previous patients, families, and clinical staff. Background: Delirium is a common consequence of intensive care admission, and there is limited evidence to support family-led interventions to prevent or minimise delirium in intensive care. People with lived experience of intensive care are seldom involved in codesigning delirium prevention and management interventions despite the identified benefits of their involvement in delirium care. Design: Codesign qualitative study. Methods: The process of co-designing was …

Using Online Critical Reflection To Enhance Students’ Confidence, Motivation, And Engagement In Higher Education, Isaiah T. Awidi, Jonas Quashie Klutsey

Research outputs 2022 to 2026

This research examines the effect of critical reflection activities in an educational environment that uses active and blended learning experiences for students to develop confidence, motivation, and engagement with their learning. A mixed-methods research approach was adopted on a sample of 137 Communications and Media students, who were involved in a game-based project. Using a validated survey instrument to measure the students’ perceptions of their experiences, Pearson Correlation coefficient was used to estimate the relationship between the learning activities and students’ perceived confidence, motivation, and engagement. Finally, multiple linear regression was used to determine the effect of the critical reflection …

Work-Life Imbalance, Burning Out, Feeling Down, I Will Quit, But Quietly – The Case Of Hospitality Employees, Catherine Prentice, Sergio Dominique-Ferreira, Xuequn Wang, Jesse Tuominen, Márcia Duarte, Helena Rocha

Research outputs 2022 to 2026

Given the long and irregular working hours and low wages in the hospitality sector, employees often experience poor well-being and suffer from burnout. Instead of leaving their jobs, these employees engage in quiet quitting, which negatively impacts organizations. This study investigates the relationships between role conflicts, employee well-being, burnout, and quiet quitting among hospitality employees. The study was undertaken at hotels with different star ratings in Portugal. Data were collected from both frontline and backstage employees from different departments at the survey hotels, Structural equation modeling with Mplus was performed to analyze the data. The results indicate that role conflicts …

Critical Success Criteria For Construction Projects: A Systematic Literature Evaluation, Neda Kiani Mavi, Kerry Brown, Richard Glenn Fulford, Mark Goh

Research outputs 2022 to 2026

Purpose: Evaluating project success within the construction industry presents challenges due to the unique characteristics of the sector, the complexity of projects, and the involvement of diverse stakeholders. Conducting a bibliometric analysis, this paper aims to unravel the major research themes and methodologies utilised by researchers in studying the critical success criteria for construction projects, as well as extracting these success criteria. Design/methodology/approach: The researchers systematically searched and screened 95 papers from Scopus and Web of Science (WoS) databases. This study conducted research focus parallelship network (RFPN) analysis and keywords co-occurrence network (KCON) analysis using BibExcel and Gephi to cluster …

Methylene Blue Adsorption On Y-Zeolite As A Nano-Porous Adsorbent: Equilibrium And Kinetic Studies, Mehdi Narimani, Maryam Gonbadi, Mohammad Mahdi Zerafat

Research outputs 2022 to 2026

The elimination of dye pollutants from industrial wastewaters, notably from sectors such as textiles and dyeing, remains a pivotal aspect of pollution mitigation endeavours. This research introduces an innovative strategy employing Y zeolite as a nano-porous adsorbent for eliminating methylene blue (MB), a prevalent cationic dye. Y zeolite was synthesised via hydrothermal technique. Through methodical experimentation, the impact of temperature, contact time, concentration, pH and adsorbent quantity on removal efficiency were examined with optimal conditions achieving 93.83% MB removal. The synthesised Y zeolite underwent characterisation utilising diverse techniques, including SEM, TEM, XRD, BET, and FTIR, which elucidated the structural and …

Post-Stroke Lateropulsion In Australia And New Zealand: A Survey Investigating Current Knowledge, Priorities And Practice, Jessica Nolan, Angela Jacques, Barbara Singer

Research outputs 2022 to 2026

Background: Post-stroke lateropulsion is prevalent and associated with poor rehabilitation outcomes, but evidence to guide rehabilitation of affected stroke survivors is limited. Current post-stroke lateropulsion rehabilitation practice across Australia and New Zealand has not been previously described. Objectives: This study aimed to describe lateropulsion rehabilitation practice in Australia and New Zealand, determine clinicians,’ educators’ and researchers’ opinions about the need for educational resources to guide best-practice, and to identify current barriers to, and enablers of, optimal rehabilitation delivery. Methods: This cross-sectional survey was distributed to stroke rehabilitation clinicians, educators and researchers across Australia and New Zealand using Qualtrics. Data were …

Adaptive Crisis Management At The Operational Level: Responses To Covid-19 In The Australian Resources Sector, Michael M. Ajith, Andrei A. Lux, Tim Bentley, Michelle Striepe

Research outputs 2022 to 2026

The COVID-19 pandemic in 2020 significantly impacted Australia’s resources sector, particularly mining, oil, and gas industries, posing challenges for operational leaders. This study applied Adaptive Crisis Management Theory (ACMT) to understand how these leaders adapted during the crisis. Through interviews with 32 operational leaders, it was found that their roles evolved as crisis demands changed. Initially, they addressed immediate needs, then shifted focus to remote work facilitation and digital transformation, and finally emphasised recovery, trust, and resilience. These adaptations influenced leaders’ behaviours, highlighting the importance of flexibility in supporting employee wellbeing and organisational continuity during crises.

Career Resources And Securing Quality Work: Graduate Perspectives, Denise Jackson, Claire Lambert, Matalena Tofa, Ruth Bridgstock, Ruth Sibson

Research outputs 2022 to 2026

Empowering graduates to secure quality post-graduation employment is a key goal for higher education institutions and their students. University support in developing career resources may aid transition to work by enhancing social support and networks, fostering a strong sense of professional self, promoting career self-management, and instilling career confidence. Yet there lacks empirical understanding of these resources and the role they play, including how they interrelate, how they vary by personal characteristics, and how they are developed. This study examines how graduates fare in the labour market, characterises their career resources, and explores the relationship between career resources and graduate-level …

Clinical Is The Pinnacle: Nurse Academics' Perspectives And Opinions Of Their Students Undertaking Mental Health Clinical Placements, Lorna Moxham, Kim Foster, Brenda Happell, Richard Lakeman, Michael Hazelton, John Hurley

Research outputs 2022 to 2026

Clinical placements form an integral and important part of preregistration nursing student learning. The theory–practice gap has been identified as problematic, with clinical experience being a key strategy to address this. Despite this, the perceptions of nurse academics teaching preregistration mental health nursing regarding clinical placements have not been widely explored. To garner perspectives and experiences of mental health clinical placements from nurse academics teaching mental health nursing to preregistration nursing students. A descriptive qualitative study involving 19 nurse academics from 13 metropolitan and regional Australian universities, who were involved in the design and delivery of preregistration mental health nursing …

Exercise And Sports Science Australia Updated Position Statement On Exercise For Preventing Falls In Older People Living In The Community, Anne Tiedemann, Daina L. Sturnieks, Elissa Burton, Jeannette M. Thom, Stephen R. Lord, Stacey Scott, Catherine Sherrington

Research outputs 2022 to 2026

Backgrounds: Falls affect a significant number of older Australians and present a major challenge to health care providers and health systems with over 380 older Australians hospitalised for a fall each day.

Objectives: This statement seeks to inform and guide exercise practitioners and health professionals in safe and effective prescription of exercise to prevent falls amongst community-dwelling older people.

Exercise prescription to prevent falls: Exercise is crucial for preventing falls in older age. Research evidence has identified that programmes which include functional balance and muscle strength training are the most effective in preventing falls. It is also important for exercise …

Four Overlooked Errors In Roc Analysis: How To Prevent And Avoid, Zhuoqiao He, Qingying Zhang, Manshu Song, Xuerui Tan, Wei Wang

Research outputs 2022 to 2026

Diagnostic tests are frequently applied within clinical practice to assist with disease diagnosis, differential diagnosis, disease grading and prognosis evaluation. Receiver operating characteristic (ROC) curve analysis is one common approach for analysing discriminative performance of a diagnostic test, where it can determine the optimal cut-off value with the best diagnostic performance.1 However, as a majority of clinicians are non-statisticians, several errors have been observed in clinical research when applying ROC curves. These errors may be misleading in the selection of diagnostic tests and disease diagnosis, thus adding to patient burden. To address these errors, clinicians do not need a …

Impact Of Rurality On Health Care Utilization Among Australian Residents From 2009 To 2021, Engida Yisma, Martin Jones, Lee San Pauh, Sandra Walsh, Sara Jones, Esther May, Marianne Gillam

Research outputs 2022 to 2026

Purpose: In Australia, there is limited research regarding the effect of rurality on health care utilization using longitudinal data.

Methods: We analyzed data from four annual waves (2009, 2013, 2017, and 2021) of the longitudinal Household, Income and Labour Dynamics in Australia (HILDA) Survey to examine changes in the health care utilization over time among urban and rural residents. Poisson regression models estimated adjusted incidence rate ratios (aIRR) and 95% confidence intervals (CIs) for rural versus urban residents, accounting for a range of health-related and sociodemographic characteristics. Health care utilization was measured using four key indicators: visits to family doctor …

Innovation Through Conceptual Research: Tips For Stoking Curiosity, Jun Wen

Research outputs 2022 to 2026

Conceptual research represents a critical step in the theory-building process and contributes innovative ideas that inspire empirical studies. This feature article highlights the importance of such research in academia with examples drawn from the tourism literature. It also critically discusses issues related to publishing conceptual research in premier journals. By using a five-dimension framework of curiosity (i.e., deprivation sensitivity, joyous exploration, social curiosity, stress tolerance, and thrill seeking), scholars can assess researchers’ conceptual topics and readers’ responses when contemplating “what's new” to gauge a paper's publication potential. Several tips are offered to guide like-minded scholars in conducting sound conceptual research: …

Methyl Jasmonate Application Downregulates Drupelet Reversion And Enhances Phenolic Biosynthesis And Antioxidant Potential Of Blackberries, Hafiz Muhammad Shoaib Shah, Zora Singh, Mahmood Ul Hasan, Jashanpreet Kaur, Eben Afrifa-Yamoah, Andrew Woodward

Research outputs 2022 to 2026

Blackberry plants were sprayed with methyl jasmonate (MJ 0, 1, 2 or 3 mmol L−1), 2 weeks before tentative harvest maturity, to evaluate its influence on red drupelet reversion (RDR), antioxidant capacity and postharvest quality during cold storage up to 12 days. MJ significantly reduced RDR and weight loss while maintaining higher anthocyanins and flavonoids during cold storage for 12 days. MJ application upregulated phenolic metabolism by maintaining higher phenylalanine ammonia lyase activity, and showed higher total antioxidants, ascorbic acid, and glutathione content. MJ-treated blackberries displayed higher activities of superoxide dismutase, catalase, ascorbate peroxidase, monodehydroascorbate reductase, dehydroascorbate reductase and glutathione …

Pedagogy Of Belonging: Cultivating Wellbeing Literacy In Higher Education, Narelle Lemon, Siobhan O’Brien, Naja Later, Shaun Britton, Julia Prendergast

Research outputs 2022 to 2026

Wellbeing literacy is the capability to set intentions and comprehend and compose wellbeing language. This is cultivated and embodied across contexts with the intention of maintaining or improving the wellbeing of oneself, others, or the world. In this paper, as co-authors we share the way we understand our wellbeing as educators in higher education, that is, through a Pedagogy of Belonging. Belonging is one of the domains to our wellbeing as academics and educators, as well as students in the studied higher education learning context. Pedagogy of Belonging helps us develop our wellbeing literacy individually and collectively. Through an authentic …

People With Hip Osteoarthritis Have Reduced Quadriceps Voluntary Activation And Altered Motor Cortex Function, Myles C. Murphy, Molly Coventry, Janet L. Taylor, Ebonie K. Rio, Andrea B. Mosler, Jackie L. Whittaker, Christopher Latella

Research outputs 2022 to 2026

Aims: Compare quadriceps voluntary activation, corticospinal and intracortical excitability between people with and without hip osteoarthritis (OA). Exploratory objectives include quantifying the association of corticospinal/intracortical excitability with voluntary activation, corticospinal/intracortical excitability with hip related pain, and motor threshold with motor cortex inhibition and facilitation. Methods: Case-control study including participants with clinically and radiologically confirmed hip OA and non-OA controls. Quadriceps voluntary activation was assessed using twitch interpolation via femoral nerve stimulation. Single- and paired-pulse transcranial magnetic stimulation over the motor cortex assessed resting motor threshold (RMT), active motor threshold (AMT), short-interval intracortical inhibition (SICI), intracortical facilitation (ICF) and silent period. …

The Impact Of The Covid-19 Pandemic On Nurses' And Junior Doctors' Workloads, Gemma Doleman, Annemarie De Leo, Dianne Bloxsome

Research outputs 2022 to 2026

Aims: To explore the impact of the COVID-19 pandemic on nurses' and junior doctors' workload, changes to direct care and the impact of workload on resource allocation. Design: Mixed-method design was used. Methods: Data were collected from direct observation, hospital administrative database and a survey. Nurses and junior doctors were observed on two COVID-19 wards and one non-COVID-19 ward using a semi-structured observation schedule. Survey data were collected from nurses and junior doctors that had worked on the COVID-19 ward during the pandemic. Patient data were collected from Web Patient Administration System during the period of March–August 2021 and compared …

Translating Acceptability To Sustained Delivery: Clinician And Manager Perspectives On Implementing Modified Constraint-Induced Movement Therapy In An Early-Supported Discharge Rehabilitation Service, Ashan Weerakkody, Erin Godecke, Barby Singer

Research outputs 2022 to 2026

Background: Modified constraint-induced movement therapy (mCIMT) improves upper limb (UL) function after stroke. Despite up to one-third of stroke survivors being eligible, clinical uptake remains poor. To address this, a multi-modal behaviour change intervention was implemented across a large seven-site early-supported discharge (ESD) rehabilitation service. This study investigated the acceptability of mCIMT implementation within this ESD service and identified adaptations required for sustained delivery.

Methods: This qualitative study was nested within a mixed-methods process evaluation of mCIMT implementation. Four focus groups (n = 24) comprising therapists (two groups), therapy assistants (one group), and allied health managers (one group) were conducted. …

Ability In Physical Education – No, I Can’T Discuss It! Insights From Lower Secondary Physical Education Teachers In Western Australia, Jeffrey Giles, Dawn Penney, Justen O’Connor

Research outputs 2022 to 2026

Ability has been positioned as a crucial concept in the construction of a subject that is inclusive of and meaningful for all students. Almost two decades since Evans (2004) called on the field to re-engage in discourse concerning ability, how ability is conceptualised by physical education (PE) teachers remains relatively unexplored. Furthermore, relatively little is known about how understandings of ability are enacted through curriculum, pedagogy and assessment in PE. This research explored these issues with lower secondary PE teachers in Western Australia through self-recorded audio responses to two research questions. Data from 38 participants revealed the struggles that PE …

Joint 3d Beamforming-And-Trajectory Design For Uav-Satellite Uplink Covert Communication, Jihong Yu, Yuting Cai, Shihao Yan, Yun Li, Jingjing Wang, Jiahao Liu, Jianping An

Research outputs 2022 to 2026

In this paper,we study uplink covert communication in a space-air system,where an unmanned aerial vehicle (UAV) transmits sensitive data to a Geosynchronous Earth Orbit (GEO) satellite while preventing the transmission action from being discovered by a warden. We derive the optimal decision threshold of the warden. We investigate the 3-dimensional (3D) beamformer and 3D trajectory design for the transmitter UAV against this optimum warden to maximize the covert transmission rate in the presence of imperfect channel state information and uncertain noise. Due to the non-convex structure and dependence between beamforming vectors and locations of the transmitter UAV,we develop a decoupling …

Circulating Medium- And Long-Chain Acylcarnitines Are Associated With Plasma P-Tau181 In Cognitively Normal Older Adults, Tahmida Sharmin, Pratishtha Chatterjee, James D. Doecke, Nicholas J. Ashton, Kevin Huynh, Steve Pedrini, Hamid R. Sohrabi, Benjamin Heng, Shaun Eslick, Henrik Zetterberg, Kaj Blennow, Manohar Garg, Ralph N. Martins

Research outputs 2022 to 2026

Alzheimer's disease (AD) pathogenesis involves dysregulation in diverse biochemical processes. Nevertheless, plasma tau phosphorylated at threonine 181 (P-tau181), a recognised AD biomarker, has been described to reflect early-stage cortical amyloid-β (Aβ) deposition in cognitively normal (CN) adults. Therefore, identifying changes in plasma metabolites associated with plasma P-tau181 at the pre-clinical stage may provide insights into underlying biochemical mechanisms to better understand initial AD pathogenesis. In the current study, plasma P-tau181, quantified via single molecule array (Simoa) technology, and plasma metabolites, quantified via targeted-mass spectrometry, were investigated for associations in CN older adults and upon stratification by positron emission tomography (PET)-Aβ …

Cultural Influences, Experiences And Interventions Targeting Self-Management Behaviours For Prediabetes Or Type 2 Diabetes In First-Generation Immigrants: A Scoping Review, Min Zhang, Kirsten Coppell, Johnny Lo, Lisa Whitehead

Research outputs 2022 to 2026

Aim: To map the existing evidence and identify research gaps regarding the self-management of prediabetes or type 2 diabetes among first-generation immigrants ≥ 18 years. Design: A scoping review followed the JBI guidelines and was in accordance with the PRISMA extension for Scoping Reviews. Methods: A systematic search of CINAHL, Cochrane, EMBASE, MEDLINE, PsycINFO, ProQuest, SCOPUS and the Web of Science was conducted. Grey literature and reference lists of included studies were searched for additional citations. Articles published in English from the database inception to February 2023 were included. Results: We included 96 studies, of which 28.1% were published within …

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 …

Exploring The Association Between Sarcopenic Obesity And Cardiovascular Risk: A Summary Of Findings From Longitudinal Studies And Potential Mechanisms, Zhongyang Guan, Blossom C.M. Stephan, Lorenzo Maria Donini, Carla M. Prado, Marc Sim, Mario Siervo

Research outputs 2022 to 2026

It is estimated that more than one-tenth of adults aged ≥60 years are now classified as having sarcopenic obesity (SO), a clinical condition characterized by the concurrent presence of sarcopenia (low muscle mass and weakness) and obesity (excessive fat mass). Independently, sarcopenia and obesity are associated with a high risk of numerous adverse health outcomes including cardiovascular diseases (CVDs) and neurological conditions (e.g. dementia), but SO may confer a greater risk, exceeding either condition alone. This imposes a substantial burden on individuals, healthcare systems and society. In recent years, an increasing number of observational studies have explored the association between …