Medicine and Health Sciences Commons^™

Does Providing Pill Testing At Festivals Increase Intention To Use Ecstasy?, Sherri Lee Murphy

Theses : Honours

Calls to provide sanctioned pill testing (drug checking) at music festivals has met with resistance from most Australian governments due to a concern that such services would increase use of ecstasy and other drugs. To address an important gap in current knowledge, I investigated how a pill testing service might influence intention to use ecstasy. I also drew from the Theory of Planned Behaviour to examine what determinants of behaviour predict intention to use a pill testing service. Music festival attendees (N = 247) were presented with three hypothetical pill testing scenarios: The current legal circumstance where consumers only …

Quantifying The Heterogeneity Of The Immunoglobulin G N-Glycome In An Ageing Australian Population: The Busselton Healthy Ageing Study, Alyce Russell

Theses: Doctorates and Masters

The use of immunoglobulin G N-glycomics to study chronic non-communicable disorders and other complex phenotypes emerged following the Human Genome Project. The consortium discovered that most phenotypes were too complex to be explained by genetics alone. Thus, the biological importance of epigenetics was recognised; heritable modifications to gene expression rather than the genome itself. Nglycosylation is a form of epigenetic regulation known as a post-translational modification. It stabilises the immunoglobulin G structure and alters downstream responses elicited by the antibody and is extensively studied as a candidate biomarker in the post-genomic era.

The N-glycosylation of immunoglobulin G itself is complex, …

An Exploration Of The Critical Success Factors Associated With Implementing A Public Health Plan In Local Governments Within Western Australia, Anne Polley

Theses: Doctorates and Masters

Public Health planning in local governments in Western Australia (WA) is a relatively new approach to addressing local health needs. The Western Australian Public Health Act came into effect in 2016. The Public Health Act 2016 encompasses a range of legislative requirements, some of which include the development of Local Public Health Plans. A range of roles within the local government workforce therefore are likely to require support to plan and implement Public Health Plans, which in the past have not directly been a component of their role. There is limited understanding and evidence of the barriers and enablers that …

Breathing New Life: Investigating Ways To Improve The Mental Health Of People Living With Chronic Obstructive Pulmonary Disease In Western Australia, Tina Phan

Theses: Doctorates and Masters

Anxiety and depression are common comorbidities in people with chronic obstructive pulmonary disease (COPD), contributing to greater morbidity and mortality in an already vulnerable population. Despite the prevalence, few recommendations exist in global management guidelines for the detection and treatment of these comorbidities, reflecting the limited literature available on effective strategies for dealing with mental health issues in COPD populations. There is promising evidence that cognitive behavioural therapy (CBT) improves mental health outcomes in people with COPD. However, investigational studies have commonly reported participants’ lack of transport, lack of time and illness as barriers to recruitment and successful completion. This …

Antibiotic Resistance In Gram Negative Bacteria Isolated From Fish Sold In Western Australia, Hannah Kathleen Robinson

Theses: Doctorates and Masters

Background Information The global misuse and overuse of antibiotics in human medicine and the animal production industry is contributing to the development of antibiotic resistance in bacteria. This is a serious threat to modern medicine and public health. Antibiotic resistant organisms can cause severe infections in humans which are difficult to treat, and in some cases impossible to resolve which can lead to premature death. Several studies have been conducted across the globe to assess the use of antibiotics in the seafood industry and the associated health risks, however, limited studies have recently explored this risk in an Australian setting. …

Investigating The Practice And Capacity Of Paediatric Occupational Therapists To Promote The Physical Activity Levels Of Children In Western Australia, Sally Coombs

Theses: Doctorates and Masters

Reorientation of the Australian health care system to meet the increasing burden of disease requires health workers to develop a focus on disease prevention and health promotion. In Western Australia (WA) a priority area for the promotion of health involves increasing the physical activity levels (PAL) of children in accordance with Australia’s Physical Activity and Sedentary Behaviour Guidelines. There is substantial support in the literature for paediatric occupational therapists, who assist children to participate in a range of meaningful occupations, to incorporate the promotion of children’s PAL into their service. However, there is a dearth of research world-wide regarding occupational …

The Association Between Environmental Cadmium Exposure And All-Cause Mortality And Cardiovascular Disease In A Cohort Of Elderly Western Australian Women, Kane Deering

Theses : Honours

Introduction: Recent research suggests an association between environmental cadmium exposure and increased risk of, and death from, cardiovascular disease, the number one cause of mortality in Australia and worldwide. However, the research to date is neither comprehensive nor have there been any studies conducted on an Australian population. This study identified whether increasing concentrations of urinary cadmium in elderly West Australian women was associated with an increased odds of incidence of, and deaths from CVD, as well as all-cause mortality.

Method: Cadmium excretion was measured in urine samples collected at baseline (1998) from 1359 women from Perth who …

Accidental Opioid Overdose Fatalities In Western Australia, 2008-2012: A Case For More Targeted Intervention, Natalie J. Castalanelli

Theses : Honours

While there are current opioid overdose prevention strategies in Western Australia, these strategies are targeted at illicit opioid users and rely on bystander presence to intervene. The aim of the current study was to identify disparities between current overdose prevention strategies and the actual circumstances surrounding opioid related fatalities, to inform the development of best-practice opioid overdose prevention strategies for Western Australia. To do this, coronial files were drawn from the National Coronial Information System for accidental illicit opioid related fatalities (N = 329) and accidental prescription opioid related fatalities (N = 126) for the years 2008 to 2012. Each …

Construct Validity Of The Developmental Test Of Visual-Perception Third Edition (Dtvp-3) In Western Australian Primary School Children, Kirsten Clarke

Theses : Honours

Visual perception is the ability to identify, organise, make meaning of and provide sense to what is seen in the world in which we live. Visual perceptual skills continuously develop in primary school children as seen in academic performance. If visual perceptual difficulties are unaddressed, the cumulative academic result can be detrimental throughout life. Thus, visual perceptual difficulties must be identified using tests that possess sound measurement properties to allow for early intervention. The purpose of the research was to determine the construct validity of the Developmental Test of Visual Perception Third Edition (DTVP-3). The DTVP-3 was designed and standardised …

Parkinson's Diagnosis From The Caregiver's Perspective, Helen Maree Bradley

Theses : Honours

Parkinson’s disease (Parkinson’s) is a progressive neurodegenerative disorder. The irreversible and accumulating disability experienced means that people with Parkinson’s progressively lose their autonomy, eventually requiring complete care. Consequently, Parkinson’s significantly impacts sufferers and the people who care for them. Informal care, predominantly provided by female spouses becomes exceptionally demanding over time, and caregivers experience significant morbidity. Stress manifests across all stages of the caregiving trajectory, with diagnosis reported as a particularly stressful period for caregivers; however, few attempts have been made to understand what makes it stressful. The current study explored female spousal caregivers’ subjective experience of the Parkinson’s diagnosis, …

An Investigation Into Dust, Gases And Vapours Expulsed During The Oxidation Of Pyritic Black Shale, And Their Potential For Impacting On Employee Health, Tristan Lynn

Theses: Doctorates and Masters

Pyritic black shale (PBS) is occasionally extracted as a waste product of iron ore mining in the Pilbara region of Western Australia. Mineralogical studies such as Brocks, Summons, Buick, and Logan (2003) of the PBS located at Mount Tom Price Operations have established that PBS can contain elevated concentrations of pyrite, carbon, bitumens, polyaromatic hydrocarbons and volatile organic compounds (VOCs). The natural oxidative weathering of PBS can cause exothermic reactions leading to the shale reaching temperatures that cause the expulsion of toxic gases such as hydrogen sulphide, sulphur dioxide, methane and carbon monoxide.

Current management of the potential hazards of …

Homebirth In Wa: Why Women Make This Choice, Colleen Ball

Theses: Doctorates and Masters

Background: Homebirths in Western Australia (WA) account for approximately 0.8% of all births. Two consecutive reports from the Perinatal and Infant Mortality Monitoring Committee found increased rates of perinatal mortality in homebirths and recommended a prospective cohort study to assess mortality and morbidity outcomes for women with planned home births in WA. The Homebirth in WA Study, of which this thesis is a component, has been funded by a directed research grant.

Aim: The aim of this study was to explore the specific reasons why women in WA choose homebirth. Research on homebirths is focused on perinatal outcomes and …

Causes And Effects Of Physical Injuries To Prison Officers Employed In A High Risk And High Need Offender Management Environment In Western Australia, Bigboy Ngwenya

Theses: Doctorates and Masters

Prison Officers (POs) involved in high need offender management frequently face risks that could affect their health, safety and wellbeing. Several studies have shown that direct client centred violence, inadequate management systems and the general nature of prison environments are major factors impacting on the well being of POs (Fisher & Gunnison, 2001; Kiekbusch, Price, & Theis, 2003; Mitchell, Mackenzie, Styve, & Gover, 2000).There is limited literature on causes and effects of physical injuries on this group of law enforcements officers. This is the first study conducted in Western Australia (WA) that investigated the causes and effects of physical injuries …

Self-Determination Theory In Motivation To Adopt Physical Activity In Older Adults: A Community Based Approach, Alastair Stewart

Theses: Doctorates and Masters

Australia has an increasingly aging population with increasing levels of physical inactivity. The potential detrimental effects of these two factors on the health of the community highlight the need to investigate methods to increase physical activity in older Australian adults. The study reported in this thesis formed part of the PATH (Physical Activity Time for Health) Project, a community-based research trial that compared two strategies to increase physical activity in underactive, 60-80 year old men (n = 66) and women (n = 188). Twelve recreation centres were randomised to either a supervised group based walking intervention with behavioural change components, …

The Role Of Information And Communication Technologies In Managing Transition And Sustaining Women's Health During Their Midlife Years, Julie Dare

Theses: Doctorates and Masters

This research has been motivated primarily by a desire to extend and enrich existing research on women’s uses of information and communication technologies (ICTs) to manage relationships, and access and construct social support during their transitional midlife years. In doing so, this research addresses a gap in the literature on women’s consumption of such technologies. Since the late 1980s, when several landmark studies investigated women’s use of the telephone, there has been little systematic evaluation of the degree to which newer communication technologies have become integrated into women’s communication practices.

Another key feature of this research is an examination of …

The Prediction Of Antenatal And Postnatal Depression In A Sample Of Western Australian Women, Debbie A. Lien

Theses: Doctorates and Masters

In Australia, the Edinburgh Postnatal Depression Scale (EPDS; Cox, Holden & Sagovsky, 1987) has been increasingly used to screen for antenatal depression prior to its evaluation on a sample of Australian pregnant women. Also, the identification of predictors associated with antenatal depression has been neglected relative to the research focus on postpartum depression. An aim of the study was to evaluate the antenatal screening properties of the EPDS against diagnoses of major depression with the Mini International Neuropsychiatric Interview (MINI; Sheehan eta!., 1998). The aims were also to develop predictive models of risk factors associated with antenatal depression as measured …

Other People's Country: A Memoir; And, Developing A Trustworthy Narrator: An Essay, Maureen Helen

Theses: Doctorates and Masters

This thesis comprises two interrelated sections. The first section is a substantial piece of creative writing, which l have cailed 'Other People's Country: A Memoir, in the genre of travel memoir, and an essay. The memoir borrows techniques from fiction, drama and poetry to tell a story of a middle-aged, middle-class city nurse, who travels to a remote settlement at the edge of the Western Desert of Western Australia to provide health care for a fluctuating population of around 400 people, for whom English is a third or fourth language.

Writing that includes stories about vulnerable people from another culture, …

In Search Of Possibilities : Informal Responding To Domestic Violence, Marilyn Palmer

Theses: Doctorates and Masters

This thesis is based on a feminist ethnography. designed to explore how we as members of informal networks (family, social,,student/work and neighbourhood networks) can respond usefully where there is domestic violence. Here, domestic violence refers to violence against women by their intimate partners and I have filtered the various discourses which seek to explain domestic violence through the lens of a feminist ecological model. The inquiry process has been informed by a postmodem feminism. Non-foundationalist ideas about knowledge have influenced the gathering, interpretatation and representation of the research data. The ideas which emanate from the stady have been informed by …

A Comparative Investigation Of Longevity And Morbidity In Angelman Syndrome And Prader-Willi Syndrome, Allyson K. Thomson

Theses: Doctorates and Masters

The present study examined the life histories of individuals In Western Australia with a diagnosis of Angelman or Prader-Willi syndrome. Angelman and Prader_Willi syndrome, are phenoypically diverse disorders both of which result from the failure of imprinting at the chrl5qll-q13 locus. In most cases, loss of the maternal imprint from the region leads to Angelman syndrome, while lack of a paternal pattern results in Prader-WilIi syndrome. Between 4-14% of Angelman cases have a mutation in a single gene, UBE3A.

Meeting The Challenge : The Female Carers' Perspective Of Managing Dyspnoea, Kim A. Skett

Theses: Doctorates and Masters

The aim of this descriptive, explorative study was to describe the lived experience of informal carers providing care within the home, to a family member who has lung cancer and the symptom of dyspnoea. Many studies have highlighted the stressors associated with care provision, but no studies have focused on the experience associated with caring for a family member who is dyspnoeic. Ten carers were interviewed regarding their experiences of providing care to the family member during the palliative phase of the illness and while the family member was experiencing the symptom of dyspnoea. Analysis of the initial data highlighted …

Providing Education And Support For Rural Palliative Care Nurses In Western Australia: An Intervention Study, Ruth Mcconigley

Theses: Doctorates and Masters

Rural palliative care nurses (RPCNs) in Western Australia (WA) are a small population, who have embraced the specialist palliative care role since the first palliative care service in rural WA began in 1990. However, there are some challenges involved with being a specialist nurse in a generalist health care setting. fu particular, there is a suggestion in the literature that RPCNs may be professionally isolated, may be prone to burnout, and may therefore experience decreased job satisfaction and may consider leaving the palliative care field.

Internet Health Promotion: Designing Guidelines, Jane Burns

Theses : Honours

The aim of this research was to investigate the factors which facilitate the communication of health promotion on the Internet and to produce guidelines for developing web pages for health promotion. Health communication in general is a growing field, however there appears to be limited infom1ation in the literature on how the factors of communication on the Internet (such as sender, message, channel, medium, receiver and their subsets), can be incorporated into the design of an

Internet health promotion intervention. Draft guidelines were developed from a critical analysis of the literature. These draft guidelines were used in the production and …

Covert Violence In Nursing, Susette Bakker

Theses: Doctorates and Masters

There is no official avenue in nursing for the reporting of incidences of covert violence to staff and so they remain unrecorded and often stressful. This study sought to collect data from currently employed nurses concerning covert violence in their workplace, and to collate the information to obtain a valid assessment of this hidden problem. A qualitative methodology was used to report on the experiences of nurses in relation to covert violence directed at them by their peers, other health professionals, patients and patients' families. The participants were all registered nurses employed by a suburban health service. Each was given …

Clarifying The Lower Incidence Of Birth Defects In The Midwest Of Western Australia : A Study Using Capture Re-Capture Methodology, Donna Baker

Theses: Doctorates and Masters

In April 2000 the Western Australian Birth Defects Registry held its 20th Anniversary Scientific Symposium to signify the first 20 years of the Birth Defects Registry in Western Australia. At the Symposium, significant trends and occurrences in birth defects within Western Australia over the past 20 years were addressed. One factor highlighted in the Registry's 1980-1999 report was that birth defects were reported less frequently in rural regions compared with metropolitan areas. Data collected from the metropolitan area is considered by the Birth Defects Registry to be the most accurate. Therefore, incidence rates of birth defects in this area arc …

Big Boys Don't Cry : Understanding Barriers To Seeking Support For Mental Health Problems Among Adolescent Males, Amanda Miraudo

Theses: Doctorates and Masters

This study explored the possible barriers encountered by adolescents in developing and achieving positive mental health. Male adolescents in Perth, Western Australia were consulted in an attempt to provide insight into the motivating and inhibiting factors influencing help-seeking as a coping strategy. Barriers to seeking help for mental health problems were investigated through the inductive process of grounded theory (Glaser & Strauss, 1967) to obtain a more detailed understanding of help-seeking than previous studies have provided; The study found that the coping responses most frequently enacted by the adolescent males sampled included avoidance, diversion, and private resolution. Help-seeking was far …

A Retrospective Cohort Study Of Workers' Compensation Indicators From An Occupational Safety And Health Perspective, Alan D. Verdonk

Theses: Doctorates and Masters

Since 1984 the role of the government in Western Australia, has changed in relation to occupational safety and health. This study considers the effect of the occupational safety and health legislation using workers' compensation accident data. Academic and general staff accident data from a Western Australian University were researched. The time period is 20 years- 1979 through 1998 inclusive. 2,773 worker's compensation claims were analysed using Mann Whitney -U tests and cross-tabulations of safety prevention expenditure against the claims. The work environment provides the full spectrum of workplace activities ranging from domicile duties (student housing services) to heavy machinery work …

A Deconstruction And Reconstruction Of Advanced Nurse Specialisation And Education, Miriam E. Langridge

Theses: Doctorates and Masters

The purpose of this study was to present issues and the paradoxes surrounding advanced nurse specialisation (ANS) and education, This study was conducted in two parts. Part A examined the prospective experiences of 13 registered nurses (RNs) who were advancing in an area of special is III ion: they were working in a specialist area of practice and studying in II course specific 10 their specialisation. Two rounds of interviews were completed over six-month intervals. Part B examined the data gathered from a focus group interview and follow-up feedback from 10 nurse executives as stakeholders. The intersubjective data from this …

Depressed Men Angry Women: Non-Stereotypical Gender Responses To Anti-Smoking Messages In Older Smokers, Debora Brown

Theses: Doctorates and Masters

This qualitative study into the effective use of fear arousal in social marketing advertising, focused on exploring gender differences in smokers' attitudes towards threats in anti-smoking messages in the 40 to 50 year old age group. This age group of smokers has received relatively little attention in the fear arousal literature to date, presumably because their 'hard core' attitudes are perceived as difficult to change by social marketing and medical practitioners. The key purpose of this study was to explore the attitudinal responses of male and female smokers in the 40 to 50 year old age group to anti-smoking messages …

How General Practitioners And Aged Care Workers Perceive Incidences Of Elder Abuse, Paul Howrie

Theses: Doctorates and Masters

As the Australian population is expanding and ageing, there is an associated need for a focus to be placed on the Individual rights of elderly people, and for the general populus to be made more aware of areas related to our older generation. Elder abuse, as an area of concern, developed as an offshoot of investigations into child abuse and general domestic violence, and initially surfaced in the 1970s and 80s. Some sections of the medical profession were made specifically aware of the problem initially in 1975, through a letter that was sent to the British Medical Journal. However, throughout …

Attitudes, Practices And Knowledge Regarding Cervical Cancer Screening Among Greek Women In The Area Of Perth, Panagiota Karnaki

Theses: Doctorates and Masters

The purpose of this thesis is to study the attitudes, practices and knowledge of Greek women in Perth, Western Australia, regarding cervical cancer screening. This is important because no study has yet examined the cervical screening pattern of this group, despite their low participation rate in screening programs. Qualitative semi-structured interviews among 15 Greek women in Perth were used for data collection. Interviews were conducted both in English and Greek. Eight out of the 15 women interviewed did not participate in frequent screening and many had had only one Pap test in their life. Culture and religion influenced negative attitudes …