Medicine and Health Sciences Commons^™

Socio-Cultural Factors Influencing Male Involvement In Reproductive Health During Pregnancy, Childbirth And The Postnatal Period In Rural Districts Of Malawi, Jane Dzumbila-Namasasu

Theses: Doctorates and Masters

This thesis focuses on socio cultural factors influencing male involvement in reproductive health during pregnancy, childbirth and the postnatal period in rural districts of Malawi. This research stems from my fourteen years of experience in designing and overseeing the implementation of reproductive health services in Malawi, which led me to question why men as partners/husbands are not considered in the design and implementation of such services. Men as partners/husbands bear witness to most of the reproductive health problems that women go through and they are in a position of power, making decisions for their families‟ welfare. In addition to men‟s …

Conceptualising Bullying In An Aboriginal Context As Reported By The Yamaji Community, To Inform The Development Of A Bullying Prevention Program That Is Culturally Sensitive To The Needs Of Aboriginal Students, Juli Coffin

Theses: Doctorates and Masters

The Solid Kids Solid Schools project aimed to capture the unheard voices of Aboriginal children and community members on the issues surrounding ‘bullying’. In an Aboriginal context bullying is different and the outcomes are different, yet mainstream programs are utilized to combat the issue. We need to know how bullying is different for Aboriginal children and young people, why it is different and what does this difference mean in terms of addressing this issue in a school and community setting? A community based steering group guided the direction of this study and the larger Solid Kids Solid Schools project. Snowball …

Low Back Pain In Schoolgirl Rowers: Prevalence, Bio-Psycho-Social Factors And Prevention, Debra Perich

Theses: Doctorates and Masters

Rowing is one of the largest participant sports on the Independent Girls‟ Schools Sporting Association (IGSSA) in Western Australia with approximately 400 participants competing every year. Rowing is an extra-curricular sport offered to girls 14 years of age and above, with these girls competing and training in both sweep and scull boats. Whilst the benefits of regular physical activity and exercise are well known, musculoskeletal problems have been documented in rowing. In particular, clinical evidence and previous research suggests that low back pain (LBP) is common in rowers. Adolescents who suffer from LBP are at an increased risk of recurrent …

Assessment Of Internationalised Domain Name Homograph Attack Mitigation, Peter Hannay, Christopher Bolan

Australian Information Security Management Conference

With the advent of internationalised domains the threat posed by non-english character sets has eventuated. Whilst this phenomenon remains well known in the development and internet industry the actual implementations of popular applications have been tested to determine their resilience to homograph based attack. The research found that most provided features that overcome such attacks, but there remain a few notable exceptions. Should an attacker take advantage of such oversights a victim would likely not be able to spot a fraudulent site or email and thus provide a perfect platform for subsequent attack.

Challenges In Improving Information Security Practice In Australian General Practice, Donald C. Mcdermid, Rachel J. Mahncke, Patricia A. Williams

Australian Information Security Management Conference

The status of information security in Australian medical general practice is discussed together with a review of the challenges facing small practices that often lack the technical knowledge and skill to secure patient information by themselves. It is proposed that an information security governance framework is required to assist practices in identifying weaknesses and gaps and then to plan and implement how to overcome their shortcomings through policies, training and changes to processes and management structure.

Measuring Information Security Governance Within General Medical Practice, Rachel J. Mahncke, Donald C. Mcdermid, Patricia A. Williams

Australian Information Security Management Conference

Information security is becoming increasingly important within the Australian general medical practice environment as legal and accreditation compliance is being enforced. Using a literature review, approaches to measuring information security governance were analysed for their potential suitability and use within General Practice for the effective protection of confidential information. The models, frameworks and guidelines selected were analysed to evaluate if they were Key Performance Indicator (KPI), or process driven; whether the approach taken was strategic, tactical or operational; and if governance or management assessment tools were presented. To measure information security governance, and be both effective and practical, the approach …

Leisure Participation For School-Aged Children With Down Syndrome, Alinta Oates

Theses : Honours

Background. A review of existing literature is necessary to determine the future directions required in research exploring friendships and leisure for school-aged children with Down syndrome. Purpose. This review examines research published in peer-reviewed journals describing participation in friendships and leisure for school-aged children with Down syndrome. The review is guided by the theoretical framework of the World Health Organisation's International Classification of Functioning, Disability and Health (ICF ). Methods. Electronic searches of PubMed, PsychInfo, CINAHL, SportsDiscus and ERIC were conducted using the key terms Down syndrome, leisure and friendships. Keywords identified while using the ICF framework to explore factors …

Children's Exposure To Lead And Nickel In Esperance - A Case Study, Matthew Tristan Winters

Theses : Honours

This is a cross-sectional study of lead and nickel exposure of children aged 2-12 years living at varying distances from a point source of pollution in Esperance. Esperance was an ideal case study location because of previous environmental contamination with lead and nickel above background levels. Non-invasive biological samples of hair, toenails and urine were collected from participating children, and environmental samples, including house dust, soil and drinking water were also sampled from each participant household. Exposure was assessed by measuring the concentration of metals found in the biological samples, and determining their relationships with the environmental samples from each …

Metabolomic Investigation Of A New Rat Model Of Autosomal Recessive Polycystic Kidney Disease, Hayley White

Theses : Honours

Metabolomics is complementary to genomics, transcriptomics and proteomics; however, it has the capacity to reflect the activities of the organism at a functional level. Metabolomics can therefore be used as a diagnostic tool by identifying the up- or down-regulation of metabolites in the cell, tissue, plasma, serum or urine. Specifically, these are, but are not limited to, identifying biomarkers of disease, monitoring drug treatments, and monitoring surgical procedures such as organ transplant. Autosomal recessive polycystic kidney disease (ARPKD) makes up 5-8% of patients requiring kidney dialysis and/or transplantation and of these, an estimated 50% of patients progress to end-stage renal …

A Narrative Analysis Of The Experiences Of Living With Hiv For Heterosexual Men, Tanya Millard

Theses : Honours

The number of heterosexual men presenting with Human Immunodeficiency Virus (HIV) is steadily increasing in Australia. A paucity of literature currently exists surrounding the experience of living with HIV for heterosexual men, with most information targeted towards gay men, injecting drug users (IDUs) and women. This narrative literature review examines the body of knowledge concerning the experiences of heterosexual men living with HIV. The findings of this review indicate that for heterosexual men, HIV significantly impacts on their physical, psychological and social well being. In particular, they struggle with social and intimate relationships, negotiating disclosure, managing their stigmatised identity, and …

Balancing Multiple Roles: A Pilot Study Exploring The Complexity Of Role Balance In Working Mothers With Primary School Aged Children, Katherine Prince

Theses : Honours

For working mothers, maintaining a balance between work and parenting roles is a challenge. Each role presents its own set of physical, mental and temporal demands which frequently compete for the limited personal and environmental resources available to the mother. These competing demands can create conflict and stress, which prompts a coping response. The coping response initiated is a physiological reaction to the mother's appraisal of her situational conflict, and follows a process of appraisal. Firstly the working mother appraises the conflict itself. This is followed by the appraisal of the personal and environmental resources, constraints and demands. Finally, a …

Gross Motor Abilities And Interventions In Girls And Women With Rett Syndrome: A Literature Review ; Longitudinal Video Analysis Of Gross Motor Abilities Of Girls And Women With Rett Syndrome, Kitty-Rose R. Foley

Theses : Honours

Objective: To explore research relevant to an understanding of gross motor abilities and highlight possible directions for gross motor intervention in girls and women with Rett syndrome. A secondary objective was to describe mouse model research which has the potential to add to an understanding of gross motor abilities in this population. Methods: Electronic searches of five databases, manual searches of an external resource library and manual searches of reference lists were undertaken. The key words imputed during these searches included; mobility, Rett syndrome, functioning, mouse model, therapy and intervention. Search terms were truncated, exploded and adjusted to achieve optimum …

Evaluating Mental Health Services To Promote Recovery-Oriented Practice: A Literature Review ; And, Resident Perceptions On Recovery-Orientation At A Supported Residential Unit For People With Severe Mental Illness, Lydia Forbes

Theses : Honours

Topic: A literature review was conducted to describe and critically examine the research evidence for evaluating the recovery-orientation of mental health services. Purpose: Evaluating recovery-orientation within mental health services is a critical part of quality improvement, and the eventual widespread adoption of recovery-oriented practice. This review aimed to recommend future directions for research, highlight positive changes resulting from recovery-focussed evaluation, and facilitate more effective, consumer-driven evaluation in the future. Sources Used: Electronic databases CINAHL, Psycinfo, Medline and Meditext were searched. Articles were restricted to the English language, and included if they discussed the evaluation or exploration of recovery-oriented practices within …

Medical Conditions In Children With Down Syndrome: A Literature Review ; Changes Over Time In Medical Conditions And Service Use By Children With Down Syndrome, Kelly Thomas

Theses : Honours

Background: Children with Down syndrome experience an array of medical conditions and health care problems. Although there have been vast improvements in the medical management of these conditions, they still significantly impact on quality of life for families and children with Down syndrome. However, despite the magnitude of this problem limited literature has described the overall health status of children with Down syndrome. Aim: The purpose of this review was to describe the medical conditions commonly experienced by children with Down syndrome and to consider the clinical implications of this knowledge. Methods: Databases Medline, CINHAL and PsychINFO were electronically searched …

E-Help: Community Perspectives On Help-Seeking Using Electronic Forms Of Communication, Jacqueline D. Myles-Pallister

Theses : Honours

The provision of mental health services using telephones, the Internet, and mobile phones (e-help), has been widely recommended as part of a solution to closing the gap between high prevalence of mental illness and low rates of service uptake. However, little is known about how potential users of these services view them. To address this gap, three focus groups (N = 17, age 17 - 69 years) were conducted to explore general community perspectives on using e-help. Interpretative phenomenological analysis identified three themes with related subthemes: (1) awareness; (2) trust and feeling safe when seeking and using e-help; (3) it …

Hope (Health Of Prisoner Evaluation): Pilot Study Of Prisoner Physical Health And Psychological Wellbeing, Sharan Kraemer, Natalie Gately, Jenny Kessell

Research outputs pre 2011

Prisons offer a unique opportunity to make positive interventions not only in relation to health issues but also to address the social determinants of ill health. Even with the limited knowledge we have had in regard to the health of WA's prisoners it is apparent that prisons concentrate patients with significantly greater levels of morbidity than most other environments. It is also apparent that this concentration of morbidity parallels deficits in housing, nutrition, employment, education and family structure and is multiplied dramatically by the blight of mental illness and drug and alcohol abuse. Western Australia is unequalled in the Western …

The Impact Of Centre Based Respite On Occupational Performance For People With Dementia, Kristy Ness

Theses : Honours

Dementia affects occupational performance by restricting one's ability to carry out valued roles and activities. Centre based respite has been described as one intervention to maintain or improve occupational performance and prevent or delay institutionalisation for people with dementia. The purpose of this study was to explore the impact of centre based respite on occupational performance components as outlined by the Occupational Performance Model (Australia) for people with dementia. Five spousal caregivers, recruited through Alzheimer's Australia WA, participated in semi-structured interviews. Data was analysed using framework analysis techniques. Findings revealed centre based respite attendance can positively influence marital relationships, mood, …

An Analysis Of Use Of Equipment And Respite Services By Families With A Daughter With Rett Syndrome, Anna Urbanowicz

Theses : Honours

Purpose: This literature review examines the body of knowledge concerning the use of respite services and assistive products and technology, child and family characteristics, and parental well-being among families with a daughter with Rett syndrome or with a child with another developmental disability. Method: Literature published in the time period 1983-2009 was searched. Studies were included in this review if they reported use of respite services or assistive products and technology among families with a daughter with Rett syndrome or with a child with another developmental disability. Child and family characteristics and parental well-being were also considered. Results and conclusions: …

Powered Mobility As An Intervention For Children With Cerebral Palsy: A Systematic Review ; The Smart Wheelchair: Is It An Appropriate Mobility Training Tool For Children With Cerebral Palsy?, Sarah Mcgarry

Theses : Honours

Purpose. To systematically review the effectiveness of powered mobility training interventions in improving driving skills and psychosocial outcomes in children with cerebral palsy. Method. Electronic searches of CINAHL, Medline and Meditext were conducted. Using two assessment tools, two independent reviewers assessed the quality of selected studies and level of evidence. Studies were included if a powered mobility training intervention was described, at least one participant had cerebral palsy and if the majority of participants were aged between 18 months and 18 years old. A narrative analysis was conducted. Results. Seven articles were eligible for inclusion. Intervention protocols included computer simulator …

Review Of Cancer Among Indigenous Peoples, Sasha Stumpers, Neil Thomson

Research outputs pre 2011

This review provides a comprehensive synthesis of population-level cancer statistics and other key information for Aboriginal and Torres Strait Islander people alongside comparative figures for non-Indigenous Australians. It includes general information on the extent of cancer, including: incidence, hospitalisation and mortality. The review also provides information on the extent of cancer for specific cancers: lung, cervical, breast, prostate, liver, pancreatic and colorectal (bowel). Finally, the review discusses issues surrounding Aboriginal and Torres Strait Islander people’s use of cancer services.

The Australian Imaging, Biomarkers And Lifestyle (Aibl) Study Of Aging: Methodology And Baseline Characteristics Of 1112 Individuals Recruited For A Longitudinal Study Of Alzheimer's Disease, Kathryn Ellis, Ashley Bush, David Darby, Daniel De Fazio, Jonathan Foster, Peter Hudson, Nicola Lautenschlager, Nat Lenzo, Ralph Martins, Paul Maruff, Colin Masters, Andrew Milner, Kevin Pike, Christopher Rowe, Greg Savage, Cassandra Szoeke, Kevin Taddei, Victor Villemagne, Michael Woodward, David Ames

Research outputs pre 2011

Background: The Australian Imaging, Biomarkers and Lifestyle (AIBL) flagship study of aging aimed to recruit 1000 individuals aged over 60 to assist with prospective research into Alzheimer's disease (AD). This paper describes the recruitment of the cohort and gives information about the study methodology, baseline demography, diagnoses, medical comorbidities, medication use, and cognitive function of the participants. Methods: Volunteers underwent a screening interview, had comprehensive cognitive testing, gave 80 ml of blood, and completed health and lifestyle questionnaires. One quarter of the sample also underwent amyloid PET brain imaging with Pittsburgh compound B (PiB PET) and MRI brain imaging, and …

Health Communication Theories: Implications For Hiv Reporting In Asia And The Pacific, Trevor Cullen

Research outputs pre 2011

This paper focuses on the expanding HIV (Human Immunodeficiency Virus) epidemic in parts of Asia and the Pacific region and recommends the adoption of insights from particular health communication theories. The author argues that these paradigms can assist in broadening the current scope and content of HIV reporting. One theory in particular - Social Change Communication (SCC) - challenges the media to extend the framing of HIV from primarily a health story to one that is linked to more macro socio-economic, cultural and political factors. Asian and Pacific countries that have an emerging or expanding HIV epidemic need to realise …

A Quest Through Chaos: My Narrative Of Illness And Recovery, Katie Ellis

Research outputs pre 2011

Narrative is vital, as the ill person works out their changing identity, and position in the world of health, continuing when they are no longer ill, but remain marked by their experience. 2 Following the tradition of illness auto ethnographers (Frank, The Wounded Storyteller; Ettore; Rier), this article critically examines the role of narrative throughout recovery from serious illness or trauma by connecting the (my) autobiographical to the social, political and cultural. The focus then shifts to the recent emergence of illness narrative blogging to consider their cultural significance before exploring stigma and resistance to the telling of illness narratives …

Dietary Composition Modulates Brain Mass And Solubilizable Abeta Levels In A Mouse Model Of Aggressive Alzheimer's Amyloid Pathology, Steve Pedrini, Carlos Thomas, Hannah Brautigam, James Schmeidler, Lap Ho, Paul Fraser, David Westaway, Peter St George Hyslop, Ralph Martins, Joseph Buxbaum, Giulio Pasinetti, Dara Dickstein, Patrick Hof, Michelle Ehrlich, Sam Gandy

Research outputs pre 2011

Objective: Alzheimer's disease (AD) is a progressive neurodegenerative disease of the central nervous system (CNS). Recently, an increased interest in the role diet plays in the pathology of AD has resulted in a focus on the detrimental effects of diets high in cholesterol and fat and the beneficial effects of caloric restriction. The current study examines how dietary composition modulates cerebral amyloidosis and neuronal integrity in the TgCRND8 mouse model of AD. Methods: From 4 wks until 18 wks of age, male and female TgCRND8 mice were maintained on one of four diets: (1) reference (regular) commercial chow; (2) high …

Organisational Effectiveness In Selected Grass Roots Sport Clubs In Western Australia, Elissa J. Burton

Theses: Doctorates and Masters

Grass roots sport clubs are the foundation for sport in Australia, they cater for mass participation across all ages and are predominantly managed by volunteers. The benefits of being involved in sport and in particular a sport club, both from a health and social capital perspective are well documented (Houlihan & Green, 2006; Hoye & Nicholson, 2008; Stewart, Nicholson, Smith, & Westerbeek, 2004). Australian governments at every level, provide funding for sport to support these benefits and often directly to sport clubs. Yet there is little published research on what makes a grass roots sport club effective (Koski, 1995), particularly …

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 …

Genetic Counselling And Testing For Inherited Gene Mutations In Newly Diagnosed Patients With Breast Cancer: A Review Of The Existing Literature And A Proposed Research Agenda, Bettina Meiser, Kathy Tucker, Michael Friedlander, Kristine Barlow-Stewart, Elizabeth Lobb, Christobel Saunders, Gillian Mitchell

Research outputs pre 2011

Many women newly diagnosed with breast cancer and with a strong family history of breast cancer are referred to a family cancer service for genetic counselling and for consideration of genetic testing for germline mutations in cancer predisposition genes following completion of their cancer treatment. However, there is growing evidence that mutation status may influence treatment recommendations, and that there may be benefits in having 'treatment-focused genetic counselling and testing' available shortly after cancer diagnosis. This article reviews the literature that could inform the development of treatment-focused genetic counselling and testing, including: the rationale for genetic testing to aid with …

A Luteinizing Hormone Receptor Intronic Variant Is Significantly Associated With Decreased Risk Of Alzheimer's Disease In Males Carrying An Apolipoprotein E Epsilon 4 Allele, Ryan J. Haasl, M Reza Ahmadi, Sivan Vadakkadath Meethal, Carey E. Gleason, Sterling C. Johnson, Sanjay Asthana, Richard L. Bowen, Craig S. Atwood

Research outputs pre 2011

Genetic and biochemical studies support the apolipoprotein E (APOE) ε4 allele as a major risk factor for late-onset Alzheimer's disease (AD), though ~50% of AD patients do not carry the allele. APOE transports cholesterol for luteinizing hormone (LH)-regulated steroidogenesis, and both LH and neurosteroids have been implicated in the etiology of AD. Since polymorphisms of LH beta-subunit (LHB) and its receptor (LHCGR) have not been tested for their association with AD, we scored AD and age-matched control samples for APOE genotype and 14 polymorphisms of LHB and LHCGR. Thirteen gene-gene interactions between the …

Developing The Anker Bilateral Spatial System, Janet Richmond

ECU Posters

Determining the effect of using the Anker Bilateral Spatial System (ABSS) to enhance the development of bilateral and spatial functioning of individuals with visual perceptual or sensory processing difficulties.