Search

The Journal revisits two historic papers from 1971 covering the thermal design and environmental controls in repeater shelters of the Australian East-West radio relay system from Northam in Western Australia to Port Pirie in South Australia. [ABSTRACT FROM AUTHOR]

The article presents several lists of government records and documents from South Australia in the second half of the 19th century, highlighting its contributions to the history of the labor movement in the nation. Documents indexed include immigration records, railway management documentation, and government contracts.

Despite the growing intersection between sustainability and organisational learning, current empirical research offers limited understanding of specific ways in which an industry learns to be sustainable. This paper explores industry sustainability from an organisational learning perspective in the Eyre Peninsula's fishing industry in Australia. Drawing on organisational learning literature, it argues that a better understanding of how an industry pursues sustainability is necessary if we explore the specific ways in which they learn. The findings from our analysis of data from interviews with 54 participants support and underscore the importance of learning through social networks and interactions, observation, experimentation, experiences and formal education in order to adopt socially, economically and environmentally sustainable practices. To develop a sustainable industry, managers and stakeholders should explore the specific ways in which they learn. This paper advances current studies that seek to understand industry commitment towards sustainability from an organisational learning perspective. [ABSTRACT FROM AUTHOR]

Vitamin A deficiency is the leading cause of preventable blindness in children and increases the risk of disease and death from severe infections. In addition, fat soluble vitamin A and associated retinoids directly regulate the expression of genes involved in fatty acid metabolism. Conventional methods for measuring vitamin A involve venipuncture, centrifugation and refrigeration all of which make measuring vitamin A in nutritional surveys expensive. We aimed to develop a simple and robust system for measurement of retinol (biomarker for vitamin A) using dried blood spot (DBS) samples. Low recoveries and inconsistent results reported by others were found to be due to poor extraction efficiency rather than retinol instability. Maintaining acid conditions during extraction resulted in recoveries >95% with <6.5% of coefficient of variation. Using isocratic high performance liquid chromatography, separation was achieved in <3.5 min. Detector response was linear (R(2)=0.9939) within a range of 0.05-2 μg/mL, with a limit of quantification of 0.05 μg/mL. Retinol in DBS was shown to be stable (>95%) at room temperature for up to 10 weeks. DBS values for retinol were highly correlated with venous blood samples from 24 healthy subjects (r=0.9724) and were consistent with results from a commercial laboratory. This simple and reliable method for the determination of vitamin A status should prove particularly valuable for population studies and large clinical trials., (Copyright © 2015 Elsevier Ltd. All rights reserved.)

Describes the contribution of a series of focus groups and a revised discussion paper to the evolution of health care reform in South Australia. Impact of health care reform on health care agencies; Reasons for the struggles of evaluators to evaluate health care reform programs; Relationships between bureaucracy and health care service providers.

Objective We sought to determine the relative frequency and nature of personal display of cigarette packs by smokers in two Australian cities where 30% front-of-pack and 90% back-of-pack health warnings have been used since 2006 and comprehensive tobacco marketing restrictions apply. Methods An observational study counted patrons, active smokers and tobacco packs at cafés, restaurants and bars with outdoor seating. Pack orientation and use of cigarette cases were also noted. Results Overall, 18 954 patrons, 1576 active smokers and 2153 packs were observed, meaning that one out of every 12.0 patrons was actively smoking, and one of every 8.8 patrons displayed a pack. Packs were more frequently observed in lower socio-economic neighbourhoods, reflecting the higher prevalence of smoking in those regions. Packs were displayed less often in venues where children were present, suggesting a greater tendency not to smoke around children. Most packs (81.4%) were oriented face-up, permitting prominent brand display. Only 1.5% of observed packs were cigarette cases, and 4.2% of packs were concealed by another item, such as a phone or wallet. Conclusions Tobacco packs are frequently seen on table-tops in café strips, providing many opportunities for other patrons and passers-by to be incidentally exposed to cigarette brand names and imagery. Use of cigarette cases is rare, suggesting that smokers eventually habituate to pictorial warnings on branded packs and/or find repeated decanting of each newly purchased branded pack into a case to be inconvenient. [ABSTRACT FROM AUTHOR]

Background: Reliable and valid written tests of higher cognitive function are difficult to produce, particularly for the assessment of clinical problem solving. Modified Essay Questions (MEQs) are often used to assess these higher order abilities in preference to other forms of assessment, including multiple-choice questions (MCQs). MEQs often form a vital component of end-of-course assessments in higher education. It is not clear how effectively these questions assess higher order cognitive skills. This study was designed to assess the effectiveness of the MEQ to measure higher-order cognitive skills in an undergraduate institution., Methods: An analysis of multiple-choice questions and modified essay questions (MEQs) used for summative assessment in a clinical undergraduate curriculum was undertaken. A total of 50 MCQs and 139 stages of MEQs were examined, which came from three exams run over two years. The effectiveness of the questions was determined by two assessors and was defined by the questions ability to measure higher cognitive skills, as determined by a modification of Bloom's taxonomy, and its quality as determined by the presence of item writing flaws., Results: Over 50% of all of the MEQs tested factual recall. This was similar to the percentage of MCQs testing factual recall. The modified essay question failed in its role of consistently assessing higher cognitive skills whereas the MCQ frequently tested more than mere recall of knowledge., Conclusion: Construction of MEQs, which will assess higher order cognitive skills cannot be assumed to be a simple task. Well-constructed MCQs should be considered a satisfactory replacement for MEQs if the MEQs cannot be designed to adequately test higher order skills. Such MCQs are capable of withstanding the intellectual and statistical scrutiny imposed by a high stakes exit examination.

John Davies Thomas (1844-1893) described a two-ounce drop-bottle for chloroform in 1872 while he was a resident medical officer at University College Hospital, London. After working as a ship's surgeon, he settled in Australia. In May 1875, Thomas presented a paper on the mortality from ether and chloroform at a meeting of the Medical Society of Victoria in Melbourne, Victoria. Surveys conducted in Europe and North America had established that the mortality from chloroform was eight to ten times higher than that from ether. At that time, chloroform was the most widely administered anaesthetic in Australia. Thomas' paper was published in The Australian Medical Journal and reprinted by the Medical Society of Victoria for distribution to hospitals in the Colony of Victoria. Later that year, Thomas moved to Adelaide, South Australia, where he may have been influential at the Adelaide Hospital in ensuring that ether was administered more often than chloroform. It does not appear that Thomas' papers on anaesthesia had a significant effect on the conduct of anaesthesia in Victoria or New South Wales. [ABSTRACT FROM AUTHOR]

The South Australian Health Commission has embarked on a long term project to establish an Electronic Patient Record (EPR) for South Australia. The process requires extensive evaluation at the conclusion of each phase of development using a range of existing and purpose-developed evaluation tools. This paper describes a purpose-developed evaluation tool that uses the functional aspects of, and existing standards for, paper-based medical records in hospitals as its basis. The resulting EPR Standards are a tool which can be used to establish a benchmark against which to evaluate the efficiency and effectiveness of an electronic patient record.

Objective: To provide the first document map of sustainability and decarbonisation actions across the Australian healthcare sector, as reported in publicly available documents online, and to identify gaps in actions. Methods: Healthcare providers were identified across all state and territories. Structured Google searches between August and December 2022 were followed by document searches. Updates were undertaken, most recently in December 2023. Targeted documents included position statements, strategies, and reports. Key points from these documents pertaining to sustainability and/or decarbonisation were extracted and descriptively analysed. Results: A total of 294 documents were included, mostly focused on power generation, transport, building design, and circular procurement/waste pathways. In contrast, relatively few plans for decarbonisation of clinical care were identified (n = 42). National and two state governments (New South Wales, Western Australia) have established healthcare sustainability and decarbonisation units, and two further states have publicly committed to doing so (Queensland, Tasmania). However, these documents generally reported separate, siloed actions. While attempts were made to make this review comprehensive, some documents may have been missed or are only available inside an organisation, and new actions will continue to emerge. Conclusion: Broad sustainability plans have been developed by many healthcare providers; however, to achieve net zero, decarbonising of clinical practices is also needed, and this is where the least action is currently occurring. To decarbonise clinical care, the sector needs to come together in a more coordinated way. What is known about the topic? Little is known about what actions are occurring to make healthcare more sustainable and to reduce the carbon footprint of healthcare in Australia. What does this paper add? This paper provides a snapshot of publicly available documents from healthcare providers and professional organisations as they relate to healthcare sustainability and helps reveal the gaps and siloed nature of current actions. What are the implications for practitioners? This paper can help jurisdictions identify gaps or areas for improvement and may aid in targeted and coordinated interventions, especially as they relate to decarbonised clinical care. [ABSTRACT FROM AUTHOR]

Introduction: This discussion paper investigates workforce shortage of Australian sonographers through identifying educational responses to the shortage. Method: An ethnographic content analysis of insights into the sonographer workforce provided in the Australian Government Department of Employment occupational reports (2007‐2016) and current education models across providers of prequalification sonographer education and data correlation with Australian Sonographer Accreditation Registry, education provider correspondence, and website information were conducted. Results: Industry‐identified shortage factors related to prequalification education including sonographer quantity and suitability, education model and location, student admission, and skill and attribute training. Educational changes related to these factors were identified. Queensland demonstrated the greatest increase in sonographer (166%) and student (1000%) numbers (2007‐2016). Population‐weighted binomial ratios identified South Australia with the highest number of sonographers and students per head of population (2016). In 2016, sonographers graduated from the UG+1 Postgraduate Model (74.6%), Direct Entry Postgraduate Model (18%), and UG+1 Postgraduate Model with mandatory simulated skill training (7.4%). Discussion Sonographer and student supply increased, indicating growth in clinical training capacity (2007‐2016). Increased sonographer demand meant workforce shortage was relatively static. Educational response involved change to education models with characteristics related to shortage factors. Research into these education models may identify strategies to further increase clinical training capacity. [ABSTRACT FROM AUTHOR]

The significant risk associated with fault reactivation often necessitates slip tendency analyses for effective risk assessment. However, such analyses are challenging, particularly in large areas with limited or absent reliable stress measurements and where the cost of extensive geomechanical analyses or simulations is prohibitive. In this paper, we propose a novel approach using a physics‐informed neural network that integrates stress orientation and satellite displacement observations in a top‐down multi‐scale framework to estimate two‐dimensional slip tendency analyses even in regions lacking comprehensive stress data. Our study demonstrates that velocities derived from a continental scale analysis, combined with reliable stress orientation averages, can effectively guide models at smaller scales to generate qualitative slip tendency maps. By offering customizable data selection and stress resolution options, this method presents a robust solution to address data scarcity issues, as exemplified through a case study of the South Australian Eyre Peninsula. Plain Language Summary: Fault reactivation poses significant risks, often requiring slip tendency analyses for thorough risk assessment. Yet, such analyses face challenges, especially in large areas lacking reliable stress measurements or where extensive geomechanical analyses are too costly. Our paper suggests a new method using a physics‐based neural network. This approach combines compressive direction and satellite displacement observations to estimate slip tendencies in two dimensions, even where stress data is lacking. Our study shows that by using displacements from a continental scale analysis and reliable averages of compressive directions, we can guide models to create smaller‐scale maps indicating where faults are more likely to reactivate. This method allows for customizable data selection and stress resolution, offering a strong solution to data scarcity issues. We demonstrate its effectiveness through a case study of South Australia's Eyre Peninsula. Key Points: Physics‐based neural networks allow two‐dimensional slip tendency analyses without prior full‐stress informationA multi‐scale approach provides required displacement constraints when inferring full stresses from global navigation satellite system (GNSS) and stress orientation dataWe present a new application for GNSS data that would welcome more stations, even in seismically stable areas [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to determine the feasibility of capturing antimicrobial usage data from prisons for inclusion in the Antimicrobial Use and Resistance in Australia (AURA) surveillance system and to analyse 2021 and 2022 South Australian (SA) usage data for notable trends. Methods: Monthly antimicrobial supply data for eight SA prisons were collected. Antimicrobial volume was converted into the World Health Organization metric, defined daily doses (DDD). Usage rates were calculated relative to prison occupied bed days (OBD). Results: Annual usage of systemic antimicrobials across eight SA prisons totalled 26,448 DDD and 23,526 DDD in 2021 and 2022 respectively. Antibacterials accounted for 80.6% of all antimicrobials dispensed during the study period. The average antibacterial usage rate in female prisons was higher on average than in male prisons. The state-wide systemic antibacterial usage rate in SA prisons declined by 11.3% from 23.8 DDDs/1000 OBD in 2021 to 21.1 DDDs/1000 OBD. Doxycycline, amoxicillin, flucloxacillin, amoxicillin-clavulanic acid, and cefalexin accounted for 72% of the total systemic antibacterial usage rate. Variation in the oral and topical antifungal agents used and the rate of use was observed between prisons. Conclusions: This SA pilot study demonstrates the feasibility of including prisons in routine national antimicrobial surveillance using similar methodology to hospital surveillance. The contributing facilities comprised 6.1% of all Australian prison beds, and extrapolation of the results suggests that the identified gap in surveillance may equate to over 400,000 DDD per annum in prisons nationwide, equating to approximately 5% of hospital inpatient antimicrobial usage. What is known about the topic? Surveillance of antimicrobial use is a useful tool to identify overuse or inappropriate use and enable targeted interventions to optimise antimicrobial prescribing and reduce the risk of antimicrobial resistance. What does this paper add? The methodology currently used to monitor antimicrobial use in Australian hospitals could be utilised to conduct facility-level surveillance in Australian prisons and would provide a mechanism to benchmark use between facilities and identify unexpected or inappropriate use. What are the implications for practitioners? Surveillance of antimicrobial use in prisons would support prison healthcare workers to monitor use over time, identify any increasing or unexpected trends in use, and target educational interventions to ensure compliance with antimicrobial prescribing guidelines. [ABSTRACT FROM AUTHOR]

Background: This paper describes how First Nations Kidney Warriors (Aboriginal and Torres Strait Islander people living with kidney disease), dental hygienists, kidney health care professionals, an Aboriginal hostel accommodation manager and researchers co-designed an approach to improve oral health in South Australia. Kidney Warriors have strong connection to Country, Community and family that underpins health, wellbeing and approaches to research. However, significant colonisation, racism and marginalisation have impacted Kidney Warriors' social, cultural and financial determinants of health, leading to increased chronic conditions including kidney disease. Access to culturally safe, affordable and responsive oral health care is vital but challenging for First Nations Peoples undergoing dialysis and kidney transplantation; Australian oral health care is generally provided privately, in metropolitan centres, by professionals who may hold unconscious bias about First Nations Peoples and incorrect assumptions regarding equal access to care. Methods: The AKction – Aboriginal Kidney Care Together Improving Outcomes Now kidney care oral health working group codesigned strategies to address disparities and gaps in care, and co-create more accessible, responsive, culturally safe and sustainable models of care. A decolonising and collaborative participatory action research was informed by Dadirri Deep Listening and Ganma Knowledge Sharing with repeated cycles of Look and Listen, Think and Discuss, Take Action Together. A small pilot evaluation survey of clinical placement in an Aboriginal setting was undertaken. Results: Four phases of collaboration were undertaken. Community and health professional consultations identified key gaps and priorities. Clinical yarning and cultural safety training and an interprofessional skills day was co-facilitated. Dental hygienist student clinical placement at Kanggawodli Aboriginal Hostel was initiated and evaluated. First Nations Kidney Warriors were positioned as educators and experts of their own lives and health care needs. A new framework for kidney health—oral health cultural safety and clinical education was developed. Conclusion: This codesigned approach involving inter-professional collaboration and joint decision making with community members has significantly informed improvements in oral health care information, services and referral with and for First Nations Peoples with kidney disease. This project provides a working example of how to decolonise health service and education programs from the ground up. Trial registration: NHMRC PAR 2004389. [ABSTRACT FROM AUTHOR]

Background: Limited access to specialist medical services is a major barrier to healthcare in rural areas. We compared rural-urban specialist doctor consultations outside hospital by older adults (≥ 60 years) across South Australia. Methods: Cross-sectional data were available from the South Australia's Department of Health. The Modified Monash Model (MM1-7) of remoteness was used to categorize data into rural (MM 3–4), remote (MM5-7), and urban (MM1-MM2) of participants in urban and non-urban South Australia. The analysis was conducted on older adults (n = 20,522), self-reporting chronic physical and common mental health conditions. Results: Specialist doctor consultation in the past 4 weeks was 14.6% in our sample. In multivariable analysis, increasing age (odds ratio 1.3, 95% CI: 1.2-1.4), higher education (odds ratio 1.5, 95% CI: 1.3-1.9), physical health conditions [diabetes (odds ratio 1.2, 95% CI: 1.1-1.3); cancer (odds ratio1.8, 95% CI: 1.7-2.0); heart disease (odds ratio 1.9, 95% CI: 1.6-2.1)], and common mental disorders [depression (odds ratio 1.3, 95% CI: 1.1-1.5); anxiety (odds ratio 1.4, 95% CI: 1.1-1.6)] were associated with higher specialist care use. Specialist care use among rural (odds ratio 0.8, 95% CI: 0.6–0.9), and remote (odds ratio 0.8, 95% CI: 0.7–0.9) older people was significantly lower than their urban counterparts after controlling for age, education, and chronic disease. Conclusion: Our findings demonstrate a disparity in the use of out of hospital specialist medical services between urban and non-urban areas. What is already known • Specialist care is crucial in chronic disease management • Ageing is associated with higher care needs, including specialty care • There is limited evidence relating to factors associated with specialist services use in old age What this paper adds • This study demonstrates a disparity in the use of specialty services between urban and rural environments • Beside availability of specialty services, socioeconomic factors are associated with specialist care visits Application of study findings: • Interprofessional care coordination could be a vital resource in chronic health management • Appropriate specialty care provision and use in rural areas could help reduce the rural-urban health disparities. [ABSTRACT FROM AUTHOR]

Background: Lentil (Lens culinaris Medik.) is a globally-significant agricultural crop used to feed millions of people. Lentils have been cultivated in the Australian states of Victoria and South Australia for several decades, but efforts are now being made to expand their cultivation into Western Australia and New South Wales. Plant architecture plays a pivotal role in adaptation, leading to improved and stable yields especially in new expansion regions. Image-based high-throughput phenomics technologies provide opportunities for an improved understanding of plant development, architecture, and trait genetics. This paper describes a novel method for mapping and quantifying individual branch structures on immature glasshouse-grown lentil plants grown using a LemnaTec Scanalyser 3D high-throughput phenomics platform, which collected side-view RGB images at regular intervals under controlled photographic conditions throughout the experiment. A queue and distance-based algorithm that analysed morphological skeletons generated from images of lentil plants was developed in Python. This code was incorporated into an image analysis pipeline using open-source software (PlantCV) to measure the number, angle, and length of individual branches on lentil plants. Results: Branching structures could be accurately identified and quantified in immature plants, which is sufficient for calculating early vigour traits, however the accuracy declined as the plants matured. Absolute accuracy for branch counts was 77.9% for plants at 22 days after sowing (DAS), 57.9% at 29 DAS and 51.9% at 36 DAS. Allowing for an error of ± 1 branch, the associated accuracies for the same time periods were 97.6%, 90.8% and 79.2% respectively. Occlusion in more mature plants made the mapping of branches less accurate, but the information collected could still be useful for trait estimation. For branch length calculations, the amount of variance explained by linear mixed-effects models was 82% for geodesic length and 87% for Euclidean branch lengths. Within these models, both the mean geodesic and Euclidean distance measurements of branches were found to be significantly affected by genotype, DAS and their interaction. Two informative metrices were derived from the calculations of branch angle; 'splay' is a measure of how far a branch angle deviates from being fully upright whilst 'angle-difference' is the difference between the smallest and largest recorded branch angle on each plant. The amount of variance explained by linear mixed-effects models was 38% for splay and 50% for angle difference. These lower R2 values are likely due to the inherent difficulties in measuring these parameters, nevertheless both splay and angle difference were found to be significantly affected by cultivar, DAS and their interaction. When 276 diverse lentil genotypes with varying degrees of salt tolerance were grown in a glasshouse-based experiment where a portion were subjected to a salt treatment, the branching algorithm was able to distinguish between salt-treated and untreated lentil lines based on differences in branch counts. Likewise, the mean geodesic and Euclidean distance measurements of branches were both found to be significantly affected by cultivar, DAS and salt treatment. The amount of variance explained by the linear mixed-effects models was 57.8% for geodesic branch length and 46.5% for Euclidean branch length. Conclusion: The methodology enabled the accurate quantification of the number, angle, and length of individual branches on glasshouse-grown lentil plants. This methodology could be applied to other dicotyledonous species. [ABSTRACT FROM AUTHOR]

Copyright of Urban Policy & Research is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Addressing intergenerational trauma caused through the impacts of colonization requires healing processes that are specific to the experiences and needs of First Nations peoples. This paper details an evaluation of two Aboriginal healing camps held in South Australia in 2021 and 2022. The camps focused on supporting members of the Stolen Generations, through a combination of First Nations and western healing practices. This paper details the framework used to structure the camps and provides an analysis of interviews with attendees. For the 2021 camp, nine attendees were interviewed before the camp and eight took part in a follow-up interview after the camp. For the 2022 camp, four attendees took part in a single time point interview. Thematic analysis of the interviews resulted in the development of five interrelated themes, focused on connections, belonging, healing, and truth-telling. The paper concludes by considering what the findings suggest for institutional change and growth in terms of future iterations of the camps, and the importance of First Nations-led opportunities for healing from intergenerational trauma. [ABSTRACT FROM AUTHOR]

Community leaders in culturally and linguistically diverse (CALD) communities in Australia, particularly Afghan migrant communities, may play an important role in understanding and responding to family violence. This paper explores the role and perspectives of religious and community leaders in the Afghan community in South Australia in relation to preventing and responding to family violence. It is argued that these leaders play a pivotal role in their community as they can act as gatekeepers between their own and the Australian community. This paper concludes that it is imperative that governments and the legal system engage with CALD communities to better understand faith related factors such as the relevance of Islamic law and culture for Afghan Muslim communities in South Australia. At the same time, the education of the broader Australian and Afghan communities and their religious and community leaders in both Islamic law and the Australian legal system is a vital factor in combating and reducing family violence. [ABSTRACT FROM AUTHOR]

Objectives: To explore general practitioners' perspectives on the discharge summaries they receive about their patients who have been discharged from hospital. Methods: A survey of general practitioners in the catchment of a major metropolitan South Australian health service consisting of three teaching hospitals was undertaken. Surveys were disseminated electronically and via hardcopy mailout to general practitioners. The 36-question survey focused on five constructs of discharge summaries: accessibility, length and clarity, format, transparency, and medicines content. Results: A total of 150 general practitioners responded (response rate, 27.6%). Respondents were vocationally registered (96%), predominately from metropolitan practices (90.2%), and 65.8% were female. Overwhelmingly, 86.7% of general practitioners stated that the optimal time for receipt of discharge summaries was <48 h post-discharge, and 96.6% considered that late arrival of discharge summaries adversely impacts patient care. The ideal length of discharge summaries was reported as <4 pages by 64% of respondents. A large proportion of respondents (84.6%) would like to be notified when their patients are admitted and discharged from hospital, and 82.7% were supportive of patients receiving their own copy of the discharge summary. A total of 76.7% general practitioners reported that they had detected omissions or discrepancies in the discharge summaries. Provision of rationale for medication changes was viewed as important by 86.7%, however, only 29.3% reported that it is always or often communicated. Conclusions: General practitioners supported timely receipt, concise length of discharge summary and format refinement to improve the utility and communication of this important clinical handover from hospital to community care. What is known about the topic? Discharge summaries are an important handover document when transitioning care from hospital to general practice. Delays, omissions and inaccuracies in discharge summaries can contribute to adverse patient outcomes. What does this paper add? This paper provides contemporary perspectives of general practitioners about discharge summaries and scope for improvements. What are the implications for practitioners? General practitioners value receiving discharge summaries that are timely, follow a format, provide clear details for ongoing care, and are an appropriate length. [ABSTRACT FROM AUTHOR]

The article reports on the discovery of the trunk contained a significant portion of the papers and photographs of Ursula Hope McConnel from 1888-1957, an Australian who was trained by A.R. Radcliffe-Brown at Sydney and Edward Sapir at Yale in Adelaide, South Australia. An approximately 450 field photographs are included in the trunk. It also contains hundreds of pages of typewritten and handwritten drafts of her publications, a number of unpublished drafts and public lectures.

The Forest Fire Danger Index (FFDI) is the main measure used in Australia for estimating fire risk. Recent work by the authors showed that the FFDI forms stable state regimes, nominated as fire climate regimes. These regimes shifted to greater intensity in southern and eastern Australia around the year 2000 and, a decade later, further north. Reductions in atmospheric moisture were the primary contributor. These changes have not been fully incorporated into future projections. This paper compares the recent regime shifts with the most recent national projections of FFDI, published in 2015. They show that for most states and regions, the 2030 upper limit is approached or exceeded by the recent shift, except for two states with large arid zones, South Australia and Western Australia. Methods for attributing past changes, constructing projections, and the inability of climate models to reproduce the recent decreases in atmospheric moisture, all contribute to these underestimates. To address these shortcomings, we make some suggestions to modify efforts aiming to develop seamless predictions and projections of future fire risk. [ABSTRACT FROM AUTHOR]

Objective: It is widely understood that a key means of improving health systems and patient outcomes is through research – accessing, understanding, generating and applying research evidence-based practice. To promote more targeted and strategic research in Allied Health practice, this study sought to establish the principles, areas and priorities for clinical research as perceived by Allied Health leaders in the South Australian public health system. Methods: The study used a mixed-methods design (full, sequential and equal model). Participants were recruited from the South Australian Department of Health and Wellbeing employment lists for Allied Health senior leaders. Consenting participants attended face-to-face focus groups; after an overview presentation, they discussed the principles for Allied Health research, followed by areas and priorities for research. Summaries of the responses were themed descriptively and circulated electronically so participants could confirm the research areas and ascribe priority ratings, clinical populations and services. Results: A total of 28 people attended the stakeholder forum (5 online); 20 responded to the second-round electronic summary. Nine principles of research action were agreed. Fourteen research areas were identified and prioritised. There was a relatively consistent prioritisation of measuring Allied Health value, Allied Health workforce, hospital avoidance and closing the gap for Aboriginal and Torres Strait Islander peoples health outcomes – whether the individuals were thinking about their own service or the state as a whole. Conclusions: Allied Health leadership identified key principles and priorities for research to improve service delivery and patient outcomes. These priorities should generate further discussion and interest for novice and experienced researchers and leaders and can be used to inform granting and project plans. What is known about the topic? Allied Health are well equipped to engage in research but have limited capacity. What does this paper add? We have identified key priorities and principles to inform Allied Health research activity. What are the implications for practitioners? Practitioners, funders and other stakeholders can develop these identified principles and priorities to direct research time and resources for the most impact on health outcomes. [ABSTRACT FROM AUTHOR]

Introduction: This paper explores the fate of South Australia's highly regarded Police Drug Diversion Initiative over the past 10 years. Methods: The paper uses historical and legal analysis, including publicly available data as to rates of drug use, arrests and diversions, media reports, legislation and Hansard debates. Results: In the mid‐2010s, amidst growing anxiety about levels of amphetamine‐type stimulants use in Adelaide, a coroner's report became the poster child for what was seen by the Liberal opposition as the excessive leniency and 'waste of resources' of the Police Drug Diversion Initiative. Despite being universally praised for its efficacy, the Liberal government, when elected, passed amendments to the legislation which 'capped' diversions at two. This ended the period in which diversions from criminal to social justice systems was mandatory for all persons charged with simple drug possession. But since then, the diversion rate in South Australia has plummeted in ways that cannot be explained merely because of these amendments. Discussion and Conclusions: The most highly regarded scheme for diversion of minor drug offenders to treatment is no longer effective. Indeed, the best scheme in the country may now be the worst. The essay draws attention to a catastrophe whose extent is not yet fully appreciated and suggests ways in which we can begin to explain why such a small change has had such dramatic and unforeseen consequences. Like some sort of perverse alchemy, Australia's gold standard for drug diversion has been turned into lead. [ABSTRACT FROM AUTHOR]

We further support the development of adaptation pathways for the future directions for water management in light of expected climate changes (Finlayson I et al i ., [9]; Gell I et al i ., [17]), being aware that the Australasian chapter in the recent report by the Intergovernmental Panel on Climate Change (Lawrence I et al i ., [32]) has drawn attention to the difficulties that may arise with water sharing in the basin. ([4]) advocate with confidence that Lake Alexandrina must be kept fresh (as defined by Lester I et al., i [33], presumably) for the foreseeable future, as it was ever thus. ([4]) paper, as it was in similar advocacy papers and reports emerging from South Australia (Fluin I et al i ., [12]; Sim & Muller, [38]; Tibby I et al i ., [42]; and even Chiew I et al i ., [5]; who despite noting the records of the "mid-basin cores [are] indicative of intermediate salinity" [[5], p. 24], conclude that the lake was "largely fresh"). Maybe too, the father of Australian coastal geomorphology, Prof. Eric Bird, was misguided when he wrote in 1962 'After winter rains, and particularly after flooding in the Murray valley, the lakes became I almost fresh i , but in drought periods the reduction in freshwater inflow led to invasion of the lakes by sea water, and I high levels of salinity i were attained' (Bird, [3], p. 204). [Extracted from the article]

The article discusses the mesoproterozoic continental flood rhyolite province, the Gawler Range Volcanics (GRV) in South Australia. It presents a viable mechanism for sustaining a large volume felsic igneous province and suggests that the GRV province represents an end member of the Large Igneous Province clan. It notes that the low viscosity of the felsic magmas has produced a unique igneous system on a scale which is either not present or poorly preserved elsewhere on the planet.

Participation in electronic gaming machine (EGM) gambling has declined sharply in Australia over the last two decades. At the same time, there has been a gradual slowing and decline in revenue from this form of gambling. In this paper, we use data drawn from a series of population surveys in a single jurisdiction (South Australia) to gain insights into these changes. In particular, we examine whether changes in EGM participation have been reflected similarly in different demographic groups. The results indicate that there have been declines in every age group, in both men and women, and at different levels of household income. However, the decline has been greater in some groups than others, including for women, for middle aged groups (46–64 years), and for those living in the metropolitan area. The paper discusses some of the socio-demographic explanations for these changes. In particular, we highlight the role of population ageing and its potential implications for the long-term future for this form of gambling. EGM gamblers are now older and are not necessarily being replaced by a new generation of younger gamblers, which has implications for the industry and the State government finances as well as gambling-treatment services. At the same time, the evidence we present here does not, however, indicate a strong trend towards a concentration of EGM gambling in more vulnerable groups (e.g. disproportionately in lower income groups or the unemployed). [ABSTRACT FROM AUTHOR]

In this paper, a Median Grid Search algorithm based on the median values is proposed to develop a more accurate algorithm used to investigate the optimal hyperparameter of the SVR model for load forecasting. In addition, the methodology to benchmark the proposed Grid Search and the conventional Grid Search is built and sufficiently utilized. The data gathered from the South Australia state, Australia and Ho Chi Minh City load demands are used in experiments. Experimental results demonstrate that the proposed algorithm outperforms the conventional algorithm. [ABSTRACT FROM AUTHOR]

The effect of Eucalyptus plantations on water balance is thought to be more severe than for commercial alternatives such as Pinus species. Although this perception is firmly entrenched, even in the scientific community, only four direct comparisons of the effect on the water balance of a Eucalyptus species and a commercial alternative have been published. One of these, from South Africa, showed that Eucalyptus grandis caused a larger and more rapid reduction in streamflow than Pinus patula. The other three, one in South Australia and two in Chile, did not find any significant difference between the annual evapotranspiration of E. globulus and P. radiata after canopy closure. While direct comparisons are few, there are at least 57 published estimates of annual evapotranspiration of either the Eucalyptus or Pinus species. This paper presents a meta-analysis of these published data. Zhang et al. (2004) fitted a relationship between the vegetation evaporation efficiency and the climate wetness index to published data from catchment studies and proposed this approach for comparing land uses. We fitted this model to the published data for Eucalyptus and Pinus and found that the single parameter of this model did not differ significantly between the two genera (p=0.48). This was also the case for all parameters of an exponential relationship between evapotranspiration and rainfall (p=0.589) and a linear relationship between the vegetation evaporation index and rainfall (p=0.155). These results provide strong evidence that, for a given climate wetness index, the two genera have similar annual water use. The residuals compared to the model of Zhang et al. (2004) were significantly correlated with soil depth for Eucalyptus, but this was not the case for Pinus. For Eucalyptus, the model overestimates the vegetation evaporation efficiency on deep soils and underestimates the vegetation evaporation efficiency on shallow soils. [ABSTRACT FROM AUTHOR]

Purpose: The characteristics of organics in sulphite pulp mill effluent and in the receiving environment of effluent discharge were investigated to assess the basis for the persistence or attenuation of colour., Methods: Characterization of organics was conducted through determination of SUVA, specific colour, and molecular weight distribution of organics using high performance size exclusion chromatography and by solid-state (13) C cross polarization (CP) NMR. The characteristics of organics from mill wastewater before and after secondary aerobic treatment, followed by lime treatment and from the receiving environment, an enclosed brackish lake were compared. Changes in the character of organics in lake water over a period of 14 years were studied in the context of changes in mill processing and climate impacts., Results: High colour in mill effluent and in receiving waters correlated with high SUVA and specific colour levels, high molecular weight range and aromatic content. Conversely, lake waters with low colour had UV absorbing compounds of much lower molecular weight range and low relative abundance of aromatic compounds. Attenuation of colour and changes in the character of organics in the receiving environment coincided with increased concentrations of metal cations., Conclusions: These increased concentrations appear to be due to the effects of climate change, lake management and their presence in mill effluent, with subsequent discharge to the lake. Attenuation of colour was found to be predominantly through removal of high molecular weight aromatic compounds where the removal processes could be through adsorption and co-precipitation with divalent metals, as well as through dilution processes.

Background: Medication errors are a leading cause of harm to patients in hospital that can be decreased by electronic medication management systems. Aims: This study determined the effects of electronic prescribing using the Enterprise Patient Administration System (EPAS) on prescribing errors and adverse drug reaction (ADR) documentation in South Australian public hospitals. Methods: A prospective structured medication chart audit was conducted before (in 2012) and after the implementation (in Dec 2014) of EPAS, comparing the paper‐based National Inpatient Medication Chart (NIMC) with prescribing. All inpatients were eligible for inclusion in the study. Prescribing order errors were determined by the percentage of medication orders that had unclear, illegal or unsafe prescriptions. The quality of ADR documentation was assessed by the percentage of patients with correct documentation. Results: The total number of prescribing errors before and after the implementation of EPAS was 67.7 and 2.8 per 100 orders, respectively. The frequency of prescribing order errors due to unclear, illegal and unsafe prescriptions decreased to almost zero with EPAS. Prescriptions classified as unsafe due to incorrect dose, route of administration or dosing frequency decreased from 5.8% to 0.03% of medication orders before versus after EPAS implementation (p < 0.0001). Completed ADR documentation was similar between the paper‐based NIMC and EPAS, but the percentage of patients with ADR alerts who required them was 100% in EPAS compared with 27% on the NIMC (p < 0.0001). Conclusions: E‐prescribing using EPAS significantly decreased prescribing errors and increased ADR alerts. Continued implementation of electronic medication management systems is an important approach to improve medication safety. [ABSTRACT FROM AUTHOR]

It is known that parental experiences of perceived racism are associated with poorer mental health in children. However, little is known about the mechanism of transmission of intergenerational racism among Aboriginal Australians. This study aims to explore the causal effect of Aboriginal mothers' experience of perceived racism on children's social and emotional well-being mediated by parenting sense of competence. Pregnant Aboriginal women (N = 159) reported their experiences of perceived racism using the Measure of Indigenous Racism Experiences instrument, and completed a five year follow-up survey, reporting their sense of parenting competence using the Parenting Sense of Competence Scale and their child's social and emotional well-being using the Strengths and Difficulties Questionnaire. A single causal mediation analysis was used to examine the causal effects while accounting for confounding variables (mother's age, education, and socioeconomic status). Mothers who experienced perceived racism in at least one setting were at an increased odds of their child experiencing social and emotional difficulties (OR = 1.28, 95% CI [0.55, 2.98]). This effect was not mediated by parenting sense of competence, despite an effect between parenting competence and children's social and emotional well-being (OR = 0.44, 95% CI [0.19, 1.06]). The findings suggest that maternal experiences of perceived racism has a longitudinal effect on their children's social and emotional well-being, which is not mediated through the mothers' parenting sense of competence. These findings highlight the importance of reducing racism as these may have far-reaching effects across generations on socio-social and emotional well-being. What is already known about this topic: Racism is a significant public health issue in Australia as experiences of racism are highly prevalent among Aboriginal Australians, and associated with adverse health and wellbeing. The effects of racism are known to have pervasive intergenerational impacts, with parental experiences of racism affecting children's social and emotional wellbeing. To date, little is known about the mechanism by which parental perceptions of racism lead to adverse social-emotional wellbeing for children. What this topic adds: This paper is the first to explore whether parenting sense of competence mediates the effect of maternal experience of perceived racism on children's social and emotional well-being. Children aged five years were at an increased risk of social and emotional difficulties if their mother had experienced perceived racism in at least one setting during pregnancy. The impact of maternal experience of perceived racism on children's social and emotional well-being was not transmitted through the mother's parenting sense of competence. [ABSTRACT FROM AUTHOR]

Purpose: The reverse logistics supply chain (RLSC) for demolition waste management (DWM) is a complex process that inherits significant interdependent risks. However, studies on the RLSC have not explicitly identified the risks of its inter-relationships by disentangling their effects on operational performance. Accordingly, this paper aims to identify and assess the inter-dependencies of the risks in the RLSC to improve quality-related operational performance. Design/methodology/approach: A sequential exploratory mixed-method research approach, consisting of qualitative and quantitative methods, was employed. The qualitative approach involved 25 semi-structured interviews, whereas the 18 subsequent structured interviews were conducted with stakeholders in the entire RLSC as part of the quantitative method. These were used to identify the cause and effect relationships of the identified risks. The data were analysed using thematic analysis, and the Bayesian belief network (BBN) technique was used to develop a conceptual risk model. Findings: In total 20 risks in four RLSC sub-processes, namely, dismantling and on-site process, off-site resource recovery process, marketing of secondary products and residue disposal, emerged. Among cause and effect relationships of identified risk factors, inferior quality of secondary products was found to have the strongest relationship with customer satisfaction. Under-pricing of dismantling job, improper landfill operations and inadequacy of landfill levy are independent risks that initiate other risks down the supply chain. The aggregate effects of these risks affect customer dissatisfaction of the end-product, as well as health and safety risks in on-site, off-site and residue disposal. Research limitations/implications: This study only identify the cause and effect relationships of the identified risks within the RLSC for DWM operations. It has not targeted a specific construction material or any secondary production, which could be practiced through a case study in future research. Practical implications: The results encourage the investigation of RLSC process quality by maintaining the relationship between recycler and customer to enable a safe workplace environment. Hence, the role of relevant practitioners and government is inseparable in supporting decision-making. Future research could discuss the impact of those inter-related risks in relation to time- or cost-related operational performance criteria. Originality/value: This study contributes to the field through presenting the first major study on the identification and assessment of the inter-dependencies of the risks in the RLSC in South Australia. The RLSC process mapping had been identified as a tactical and operational management approach. However, the risk management process is a strategic management approach. Therefore, the integration of both process mapping and the risk management approaches in one platform is germane to construction management research. [ABSTRACT FROM AUTHOR]

The paper presents an evaluation of History and Korean Studies WIL internships at Monash University Library, focusing on past students' views of the program in relation to their future career, and past host-supervisors' perceptions of its benefits. Data collection for the qualitative research was conducted through semi-structured interviews with past students and host-supervisors. The results revealed that both past students and hostsupervisors expected the internships to facilitate students to gain hands-on experiences and develop 'soft-skills.' There was a gap where past host-supervisors consistently mentioned teamwork in their expectations, yet none of the past students had teamwork as one of their expectations. Both past students and host-supervisors view the program as beneficial for students, therefore, they suggested that the programs continue to be offered. Upon being asked what the benefits of internships were for themselves however, the host-supervisors put forward benefits that were more related to the library. [ABSTRACT FROM AUTHOR]

Housing is an important part of building a new life for people from refugee and asylum seeker backgrounds. However, relatively little is known about how housing and neighbourhood experiences affect resettlement and integration. This paper explored experiences of housing and neighbourhood for refugees and asylum seekers in South Australia, Australia. A survey was completed by 423 participants, recruited through service providers, community networks and snowball sampling. Data was analysed using frequencies, chi-square analyses and multivariate logistic regression. The study identified aspects of housing and neighbourhood that were important to participants, as well as highlighting key problems. Housing satisfaction and neighbourhood satisfaction were positively associated, but housing satisfaction was lower than neighbourhood satisfaction. Both were significantly associated with overall satisfaction with life in Australia, although only neighbourhood satisfaction remained significant in the final multivariate model (alongside region of origin, visa and financial situation). Overall, the findings suggest that where housing is situated may be more important for resettlement satisfaction and integration than the housing itself. Policy and practice implications of the findings are discussed, alongside considerations for conceptualising integration. [ABSTRACT FROM AUTHOR]

Analyses of the prevalence of homelessness suggest homelessness is increasing in Australia and other countries. Yet, difficulties exist in obtaining an accurate picture of homelessness due to a dearth of robust data and inconsistent definitions. This study aimed to build a comprehensive descriptive profile of homelessness and associated health needs in Adelaide. Five data sources were analysed and compared to produce descriptive sociodemographic and health statistics. Across data sources, people experiencing homelessness had a high prevalence of poor health outcomes and service utilisation. Consistent with the international literature, high rates of physical and mental health conditions were reported, including depression, anxiety and dental problems. While there was variability in demographic data, Aboriginal and Torres Strait Islander peoples were consistently over‐represented. Analysing data from multiple sources provided a richer understanding of who is experiencing homelessness and their health needs, highlights it is not always necessary to collect new data to overcome dataset limitations and illustrates how data comparison can improve the use of existing data. The paper concludes with reflections on the challenges and potential of the methodology. Overall, the study shows analysing data from multiple sources can provide rich information to service providers and government departments to inform more nuanced and effective services. [ABSTRACT FROM AUTHOR]

Common vetch is one of the most profitable forage legumes due to its versatility in end-use which includes grain, hay, green manure, and silage. Furthermore, common vetch is one of the best crops to rotate with cereals as it can increase soil fertility which results in higher yield in cereal crops. The National Vetch Breeding Program located in South Australia is focused on developing new vetch varieties with higher grain and dry matter yields, better resistance to major diseases, and wider adaptability to Australian cropping environments. As part of this program, a study was conducted with 35 field trials from 2015 to 2021 in South Australia, Western Australia, Victoria, and New South Wales with the objective of determining the best parents for future crosses and the vetch lines with highest commercial value in terms of grain yield production. A total of 392 varieties were evaluated. The individual field trials were combined in a multi-environment trial data, where each trial is identified as an environment. Multiplicative mixed models were used to analyze the data and a factor analytic approach to model the genetic by environment interaction effects. The pedigree of the lines was then assembled and incorporated into the analysis. This approach allowed to partition the total effects into additive and non-additive components. The total and additive genetic effects were inspected across and within environments for broad and specific selections of the lines with the best commercial value and the best parents. Summary measures of overall performance and stability were used to aid with selection of parents. To the best of our knowledge, this is the first study which used the pedigree information to breed common vetch. In this paper, the application of this statistical methodology has been successfully implemented with the inclusion of the pedigree improving the fit of the models to the data with most of the total genetic variation explained by the additive heritable component. The results of this study have shown the importance of including the pedigree information for common vetch breeding programs and have improved the ability of breeders to select superior commercial lines and parents. [ABSTRACT FROM AUTHOR]

While the vulnerability of natural resource-dependent rural communities and regions to environmental, technological, and market-based shifts and shocks has long been recognised there has also been recent appreciation of the fact that more remote, non-metropolitan places can and do thrive in neoliberal spaces and times. Drawing on the notion of related variety, itself an offshoot of evolutionary economic geography, this paper examines the factors that best explain the relative robustness and adaptiveness of Kangaroo Island, South Australia, economically, in the face of a severe market and regulatory crisis. Based on semi-structured interviews with local farmers, other representatives of the local business community, and key members of local and State Government and regional development agencies this paper argues that Island producers' dedication to overcome the region's isolation, together with their commitment to quality, niche and value-added products carefully tuned to export markets, has been a key element of this success. Local spillovers within and between sectors and firms sharing cognitive proximity have also been fundamental in fostering production, processing, marketing, and logistics innovations. This case study demonstrates how the local farming sector was brought into a new direct relation with major international markets for food and fibre, based on the Island's developing global reputation for high quality, high value produce. It underscores the capacity of local scale businesses to develop innovative market strategies and to combine efforts in order to form broader networks that 'jumped scale' and ensured their farming business success and, crucially, their ties to the land. [ABSTRACT FROM AUTHOR]

This paper provides an unexpected and extraordinary example of research data from a Photovoice project conducted with ex-prisoners in South Australia. It focusses on the contribution made by one of the participants who chose the pseudonym 'Deer'. Deer joins me as a co-author, her voice shines in this paper, albeit through a pseudonym she chose for the project. Photovoice, a qualitative research method, uses a feminist framework and typically produces rich thick accounts of lives and experiences that cannot be adequately captured by quantitative research. Both qualitative and quantitative methods of research data collection each have merits, but qualitative approaches tend to engage the researcher, participant and later the reader on a more personal level. Moreover, unexpected findings are more likely to arise when researchers ask participants to express what they believe is important to their experience. This paper provides such an example, where the unexpected gift of poetry adds a deeper dimension to research findings. [ABSTRACT FROM AUTHOR]