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The article presents abstracts on nutrition and dietetics topics which include supporting mental health of dietetic students, exploration of learner autonomy in a pre-placement work-incorporated learning experience for dietetic students, and evaluation of a protected mealtimes programme in a general surgical ward.

The article presents abstracts on nutrition and dietetics topics including the role of nits in glycaemia and weight management, the use of technology to improve practice in clinical dietetics, and the evolutionary influences in nutrition, diet, and metabolism.

Aim: To establish the burden of respiratory illness in cerebral palsy (CP) on the Western Australian health care system by quantifying the costs of respiratory hospitalizations in children with CP, compared with non‐respiratory hospitalizations. Method: A 2‐year (2014–2015) retrospective study using linked hospital data (excluding emergency department visits), in a population of children with CP in Western Australia aged 18 years and under (median age at hospitalization 7 years; interquartile range 5–12 years). Results: In 671 individuals (57% male) there were 726 emergency hospitalizations, and 1631 elective hospitalizations. Although there were more elective hospitalizations, emergency hospitalizations were associated with longer stays in hospital, and more days in an intensive care unit, resulting in a higher total cost of emergency hospitalizations than elective hospitalizations (total costs: emergency AU$7 748 718 vs elective AU$6 738 187). 'Respiratory' was the leading cause of emergency hospitalizations, contributing to 36% of all emergency admission costs. For a group of high‐cost inpatient users (top 5% of individuals with the highest total inpatient costs) the most common reason for hospitalization was 'respiratory'. Where non‐respiratory admissions were complicated by an additional respiratory diagnosis, length of stay was greater. Interpretation: Respiratory hospitalizations in CP are a significant driver of health care costs. In the paediatric group, they are a burden for a subgroup of children with CP. What this paper adds: Respiratory illness is the most costly area for unplanned, emergency hospitalizations for children and young people with cerebral palsy.The top 5% of individuals with the highest total inpatient costs account for a disproportionate amount of health care costs. What this paper adds: Respiratory illness is the most costly area for unplanned, emergency hospitalizations for children and young people with cerebral palsy.The top 5% of individuals with the highest total inpatient costs account for a disproportionate amount of health care costs. [ABSTRACT FROM AUTHOR]

This paper relates evidence from the COVID‐19 pandemic to the concept of pandemic refuges, as developed in literature on global catastrophic risk. In this literature, a refuge is a place or facility designed to keep a portion of the population alive during extreme global catastrophes. COVID‐19 is not the most extreme pandemic scenario, but it is nonetheless a very severe global event, and it therefore provides an important source of evidence. Through the first 2 years of the COVID‐19 pandemic, several political jurisdictions have achieved low spread of COVID‐19 via isolation from the rest of the world and can therefore classify as pandemic refuges. Their suppression and elimination of COVID‐19 demonstrates the viability of pandemic refuges as a risk management measure. Whereas prior research emphasizes island nations as pandemic refuges, this paper uses case studies of China and Western Australia to show that other types of jurisdictions can also successfully function as pandemic refuges. The paper also refines the concept of pandemic refuges and discusses implications for future pandemics. [ABSTRACT FROM AUTHOR]

Wild salmon stocks in the Pacific Northwest are imperiled by a variety of declining habitat factors, including riparian shade and in‐channel large wood. In this paper, a relatively simple lidar model of the riparian canopy was used along anadromous streams in the Skagit River watershed in western Washington State, United States, to delineate where riparian trees were most lacking, and where restoration efforts would have the greatest benefit in terms of shade and large wood recruitment potential. Within a 45‐m riparian buffer, 61% of riparian zones were currently incapable of delivering large wood to the stream. Current potential for large wood recruitment is greatest adjacent to stream edges and falls off rapidly with distance from the channel. Approximately 99% of large wood recruitment potential lies within 45 m of the channel edge, and 50% of the wood potential is within 9 m. A hypothetical canopy model in which all trees mature to a 100‐year height would provide 18% more shade distributed over the entire watershed, and 90% more shade in the tributaries. Most of the potential gains in improved shade and large wood contributions are in agricultural areas, as opposed to forestry or urban land uses. The shade and large wood models were constructed from widely available geographic information system tools and are readily transferable to other watersheds with similar characteristics. Model outputs are intended for use in planning restoration projects, as an input to stream temperature models, and to inform policy on restoration priorities and regulatory buffer widths. [ABSTRACT FROM AUTHOR]

This paper is guided by Conservation of Resources theory and aims to investigate the impact of personal and organisational support on the quality of clinical care given to aged care residents in for‐profit (FP) and not‐for‐profit (NFP) facilities. Broadly, the paper addresses challenges faced by governments in designing contract specifications that ensure quality outcomes from aged care providers. The argument is that the present accreditation standards that are used to assess the status of aged care providers are too narrow to capture the complexity in delivering social services. Data were collected from 442 aged care workers from aged care facilities in NSW, QLD and WA. The results show that carer support (personal and organisational support) explained half of the variance in quality of clinical care in NFP facilities, and a third of the variance in FP facilities. In particular, the findings suggest support for carers is important for carer retention, and ultimately the clinical care of residents. The findings provide supporting evidence to widen the required contract specifications for aged care provider accreditation to include organisational and personal support for carers. This paper argues for a widening of the 18 indicators applied as accreditation standards to assess the status of aged care providers to include the provision of organisational support for workers. We justify this claim based on evidence by Jeon et al. (2015) that developing employee perceptions of leadership support in Australian aged care resulted in, among other things, improved quality of care delivered to residents. [ABSTRACT FROM AUTHOR]

Under the right conditions, compounding socio‐political and economic change can dramatically alter government policy. From 2000, Western Australia, a resource‐rich jurisdiction, experienced significant change owing to a once‐in‐a‐generation resources boom, which forced a break with earlier development approaches. In 2008, regional interventionism returned to the State via the State Government's Royalties for Regions program. Departing from the neo‐liberal tradition, the program allocated 25 per cent of the State's royalty income to non‐metropolitan regions, over and above existing regional allocations, and its success remains disputed. While it is easy to question the program retrospectively, the socio‐economic and political circumstances from 2000 to 2008 reveal a "perfect storm" of conditions enabling the transition from neo‐liberalism to interventionism in regional development. This paper sets out to understand the multi‐faceted conditions that enabled the dramatic paradigm shift embodied by the program. To this end, it examines the State's rural–urban settlement dichotomy, its staples economy, and the policy context leading up to the program. Following that, the paper proposes a causal framework mapping out the factors driving and rationalising the program. These factors are then examined in detail and include perceived rural voter disenchantment, ineffectual regional development policy, the State's mining boom, inadequate regional development funding, the contrasting fortunes of two regions (illustrative of the impact of growth, and the lack thereof), and the political manoeuvring during the 2008 election. Finally, the paper concludes by considering how the conversion of these conditions resulted in the State's most significant regional policy redirection in decades. [ABSTRACT FROM AUTHOR]

The paper voices Derbarl Yerrigan, a significant river in Western Australia, through three imperfect, non‐innocent, and necessary river‐child stories. These stories highlight the emergence of a feminist anti‐colonial methodology that is attentive to settler response‐abilities to Derbarl Yerrigan through situated, relational, active, and generative research methods. Voicing Derbarl Yerrigan influences the methodological practices used as part of an ongoing river‐child walking inquiry that is concerned with generating climate change pedagogies in response to the global climate crises and calls for new ways of thinking and producing knowledge. In particular, the authors found that voicing as a methodology includes listening and being responsive to Derbarl Yerrigan's invitations, paying attention to pastspresentsfutures, and forming attachments through naming. By telling lively settler river‐child stories, this paper shows how voicing Derbarl Yerrigan is vital to open new possibilities for education and has implications for settler‐colonial contexts, where the focus on learning shifts from learning about the world to learning to become with multispecies river worlds. [ABSTRACT FROM AUTHOR]

Introduction Method Results Discussion and Conclusions Police‐issued barring notices are currently used in Western Australia in response to alcohol‐related disorderly and anti‐social behaviour. This paper examines the type, severity and trajectory of the offending behaviours associated with served barring notices.WA Police Force de‐identified the data for 3815 individuals who had received one or more police‐imposed barring notice/s between 2011 and 2020. The offence category associated with each barring notice was examined to explore the overall breakdown and whether/how offending categories change for recipients of subsequent barring notices.For single and multiple barring notice recipients, the most common offence categories were fighting/physical violence and public order offences. Within a subset of the data, non‐anti‐social offences also spiked. Aggressive behaviours predominate for recipients in metropolitan areas, compared with public order offences in regional locations.For recipients of multiple barring notices, behaviours do not become more serious but neither do they moderate to any notable extent. The low number of repeat barring notices (5%) may suggest an overall beneficial effect on recipient behaviours but more analysis is needed to examine the potential confounding effects of factors, such as fly‐in/fly‐out workers, policing and locational differences. [ABSTRACT FROM AUTHOR]

While there is growing recognition of the importance of meaningful youth participation in activities and decisions which impact their lives, facilitating such engagement within different forums requires varied approaches. A programme of youth research at one Western Australian university has sought to embed pathways for ongoing youth participation in longitudinal research. In particular, we discuss Navigating Through Life, a large‐scale WA research project comprising three sub‐studies exploring young people's transitions from out of home care (OOHC) to independence. We established a youth advisory group to run alongside the project and employed peer researchers to conduct research tasks. In this paper, we seek to explicate the development and various iterations of youth participation in the project. We utilise our reflections, interview data and documentation from YAG meetings and feedback sessions with the peer researchers to illustrate the processes of transformation and flexibility required to develop and maintain youth participation in various ways across the project's life. Drawing on our findings and current literature, we highlight how funding bodies and researchers must consider the additional needs, unique and changeable life circumstances of young people to best facilitate their involvement in research. [ABSTRACT FROM AUTHOR]

Introduction: Individuals who engage in problematic behaviours within Australian night‐time entertainment precincts can be banned from entering certain locations. Bans are expected to deter recipients, and prospective recipients, from further inappropriate behaviours. The collective effect is intended to reduce crime and increase community safety within entertainment precincts. This article explores key informant perspectives regarding the enforcement of two patron banning mechanisms (police barring notices and prohibition orders) used across Western Australia. Methods: Interviews were conducted with 54 participants, including licensees, venue staff, WA Police officers, ID scanner representatives, and Registered Training Organisations. Results: Few participants opposed patron banning in principle, but most identified limitations within the current operation of both provisions. Concerns were expressed about the effectiveness of enforcement, linked to questions about the way in which banned patron information is currently shared and the practicalities of identifying recipients of bans. Suggestions included improved data‐sharing protocols and the wider use of ID scanners. Discussion/Conclusion: With improvements to operational processes—particularly more effective sharing of banned patron data, and consideration of networked ID scanners—there is clear potential to improve the enforcement and increase the effectiveness of police barring notices and prohibition orders. This study is part of a wider project which has examined the use and effects of patron banning in WA. Additional findings are presented in further papers. [ABSTRACT FROM AUTHOR]

Aims: This study compared two dose frequency conditions of an explicit intervention with 50 trials per session designed to improve past tense marking in early school‐aged children with developmental language disorder (DLD). The influence of allomorphs on intervention effects was also examined. Methods: Data from previously conducted intervention studies were combined and analysed. Participants included nine children (mean age = 6;5 years) who received 20–30‐min intervention sessions provided twice per week for 10 weeks (1000 trials; 400–600 min) and 20 children (mean age = 6;6) who received 20–30‐min intervention sessions provided once per week for 10 weeks (500 trials; 200–300 min). Repeated measures included criterion‐referenced probes for production of untrained past tense verbs collected throughout baseline, intervention, and maintenance phases. The rate of progress in each phase was analysed using logistic regression. The proportion of participants who produced past tense allomorphs correctly at pre‐intervention, post‐intervention, and maintenance testing points was analysed. Results: Logistic regression showed a stable baseline, highly significant progress during the intervention phase, and a marginally significant shallow decline during the maintenance phase. Those in the twice per week group showed a greater rate of progress during the intervention phase leading to significantly higher scores in the maintenance period when compared with the once per week group. The allomorphic category of past tense verbs did not appear to influence outcomes. Conclusions: Participants receiving intervention twice per week appeared to demonstrate a greater rate of progress with intervention than those receiving it once per week, although once per week was also effective. However, these results should be interpreted with caution. Limitations to study design indicate that a larger randomised controlled trial is required. All past tense allomorphs improve to a similar degree when treated with this intervention. What this paper adds: What is already known on the subject: Understanding the parameters of dosage and intensity are important for clinical practice.Research evaluating the efficacy and/or effectiveness of interventions delivered in different dose/intensity conditions is scarce.There appears to be different interpretations of what constitutes dosage and intensity in published research. What this paper adds to existing knowledge: This study retrospectively compared dosage and intensity conditions of intervention provided twice per week to intervention provided once per week. Both dose frequencies could be delivered in clinical settings.Results from this study were analysed by grouping data from multiple testing points, rather than comparing pre‐post results. This approach demonstrated the variability of individual performance that would otherwise be lost with conventional methods of analysis.This study demonstrated that all past tense allomorphs improve to a similar degree when treated with this intervention. What are the potential or actual clinical implications of this work?: Parameters of dosage and intensity are still not clearly defined well enough for translation to clinical practice. In consideration of current research, this intervention may be more effective if delivered twice per week.If clinicians are treating past tense, all allomorphs should be considered as priorities for intervention targets. [ABSTRACT FROM AUTHOR]

This paper reports on changes in the social‐emotional well‐being of 6‐ to 12‐year‐old children tested before the COVID‐19 pandemic and during 2020 and 2021. Well‐being was assessed using a video game that empowers children to report their own well‐being, including school attachment, social and emotional well‐being, behavioural conformity and family support. We compared well‐being over time for two groups of children in government schools in Queensland, Western Australia and Tasmania. The treatment group of 580 children were tested in 2019 (Time 1) and a second time in mid‐late 2020 and early 2021 (Time 2). The comparison group of 841 children were tested twice before the pandemic. Results showed that children in the treatment group reported significantly lower family support at Time 2 than those in the comparison group. This reduction in perceived family support was stronger for girls. In addition, children in the treatment group who reported lower levels of family support at Time 1 reported a steeper decline in family support by Time 2. Finally, boys in the treatment group reported significantly better behavioural conformity and emotional well‐being relative to girls over time. Results highlight the varied impacts of the pandemic lockdowns and the need to provide continued support to vulnerable families. [ABSTRACT FROM AUTHOR]

Issue Addressed: Lifelong eating behaviours are established in childhood. Improving parents' food literacy skills is essential, as parents play a fundamental role in establishing their children's healthy eating behaviours and preferences for nutritious food. This paper describes the development and evaluation of an innovative program that combines food literacy with positive parent feeding practices, targeting parents in disadvantaged areas of Western Australia. Methods: The Food Sensations® for Parents five‐week program was delivered to participants from community‐based parenting organisations during 2020 and 2021. Formative research and a pre‐post evaluation design were adopted. Results: Pre‐ and post‐evaluation data were collected from 224 participants (96% female). There was a statistically significant improvement in the mean score for 13 food literacy behaviours, 10 positive parenting feeding practices and a mean increase in parents' daily vegetable intake of 1/3 serve. Participants reported significantly greater net improvements in food literacy behaviours than feeding practices, the largest being the Use a nutrition information panel to make food choices (33.1%). Multivariate logistic regression analyses found English as a first language, being older than 35, and from a higher Socio‐Economic Index for Areas resulted in a higher likelihood of positive changes in behaviours and practices. Conclusions: The findings indicate that the program is effective in improving the frequency of use of food literacy behaviours, positive parenting feeding practices and increasing vegetable consumption. So What?: Analysing improvements in food literacy behaviours and feeding practices provides clarity on what change can be expected with a five‐week parent program. [ABSTRACT FROM AUTHOR]

Aim: To describe post‐neonatally acquired (PNN) cerebral palsy (CP) in terms of temporal trends in prevalence, clinical and sociodemographic profiles, known causes and associations between causes, and sociodemographic variables. Method: Numerator data, a count of children with PNN‐CP confirmed at 5 years of age (n = 523), was drawn from two Australian state CP registers (birth years 1973–2012). Poisson regression was used to investigate temporal trends in the prevalence of PNN‐CP by 5‐year intervals, calculated per 10 000 live births. Using data from all state and territory Australian CP registers (n = 469), distributions of clinical characteristics, PNN‐CP causes, and sociodemographic factors were tabulated (birth years 1995–2012). χ2 and logistic regression analyses were used to assess associations between sociodemographic profile, Australian reference data, and known causes. Results: A significant temporal decline in PNN‐CP in Victoria (p = 0.047) and Western Australia (p = 0.033) was observed. The most common proximal causes of PNN‐CP were cerebrovascular accidents (34%, n = 158), infection (25%, n = 117), and non‐accidental injuries (12%, n = 58). Children born to teenage mothers, Aboriginal and/or Torres Strait Islander mothers, or children born in remote areas were over‐represented in this cohort compared with reference data (all p ≤ 0.001). Infectious causes were strongly associated with teenage motherhood (odds ratio 3.0 [95% confidence interval 1.1–8.2], p = 0.028) and remote living (odds ratio 4.5 [95% confidence interval 2.0–10.2], p < 0.001). Interpretation: Although prevalence of PNN‐CP has declined, the over‐representation of priority populations, and the relative severity of a condition that is largely preventable, suggest the need for more specific primary preventive measures and support. What this paper adds: Prevalence of post‐neonatally acquired (PNN) cerebral palsy (CP) in Australia significantly declined between 1973 and 2012.Cerebrovascular accidents are the most common proximal cause of PNN‐CP.Children born in remote areas are at greater risk of PNN‐CP. [ABSTRACT FROM AUTHOR]

In Western‐democratic countries, it is widely accepted that affected communities should be involved in natural resource planning and decisions. This is especially so when the well‐being of diverse communities is directly involved, and where alternative future options are being considered. Although there is an agreement that 'values' and 'well‐being', in some form, guide decisions, there is no consensus on the well‐being framework(s) that might be used in participatory planning.To assist a multicultural group in assessing alternative future development scenarios for the Martuwarra (Fitzroy River) in Western Australia, we developed a well‐being framework that culturally diverse communities could share and use to discuss and assess scenarios. In this paper, we aim to evaluate the effectiveness of the well‐being framework used to assess the potential impacts of scenarios by (i) analysing how effectively participants used the well‐being framework; (ii) verifying whether the well‐being framework was sensitive to the cultural diversity of participants and (iii) direct evaluation by workshop participants.Our analysis shows that participants effectively applied most well‐being categories, and the framework was sensitive to the cross‐cultural context of the application by capturing Aboriginal cultural elements. However, the approach can be improved by including principles of behaviour; producing a more complete system model; and reviewing and amending the well‐being categories in more extensive community consultation.We conclude that the interaction among different worldviews generated valuable knowledge and that, with further adaptation, the framework shows promise for applications involving similar tasks in culturally diverse contexts. Read the free Plain Language Summary for this article on the Journal blog. Read the free Plain Language Summary for this article on the Journal blog. [ABSTRACT FROM AUTHOR]

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The mining industry is a significant water user, an issue that gains a particular prominence in arid zone mining regions, such as the Pilbara region in Western Australia (WA). Mining companies extract vast amounts of water from the groundwater aquifers to access orebodies and to dewater the mine pits. Much of this water is dumped in creeks, injected back into the aquifer downstream or used in mining processing. There is increased awareness from community members for sustainable water use in mining beyond life of mine, and the emergence of Environmental, Social and Governance (ESG) principles in the mining and metals sector signals a shift towards recognizing the importance of water stewardship. Much of the land subject to dewatering in the Pilbara is also subject to native title determinations. For Traditional Owners, important cultural values are associated with water. However, water is not adequately covered in native title, especially in relation to commercial use. We argue that Traditional Owner involvement in design and management of the use of excess water from a mining proponent's water licence (dewatering) can assist in sustainable use of groundwater, as well as provide opportunities in social and economic enterprises. As a provocation style piece, this paper is based on secondary literature, rather than ethnographic data. It explores the political and regulatory landscape of mine dewatering and outlines the limitations that have existed historically and currently and which inhibit Traditional Owners to participate in water management or commercial water interests. We also provide a high‐level analysis of several mining proponents' public policy commitments to water stewardship to assess the sustainable use of water which involves stakeholders such as Traditional Owners in water decision‐making. Finally, we identify possible opportunities and provide some recommendations, for water futures in this dry region where iron ore mining and gas extraction, already massive, are expanding further. [ABSTRACT FROM AUTHOR]

Background: : Group singing for people with Parkinson's disease (PD) is an established intervention not only to improve voice and speech difficulties but also for emotional and social benefit. Less is known about the experiences of group singing on the couple—the person with PD and their spouse or partner together—and studies have not specifically tracked impact through time or in combination with songwriting. Aims: : To understand the impact of group singing/songwriting on couples (participants with PD and their spouses) to unpack whether this broader view might help explain why such interventions are reported as beneficial. Using a trajectory approach, a form of longitudinal research and focused ethnography, the research sought a deeper appreciation of participation through time for the couple in a singing/songwriting group. Methods & Procedures: : Four couples attending a singing/songwriting programme were observed for 10 weeks, and interviewed formally and informally weekly. Data were analysed thematically across‐case through framework analysis but also within‐case to explore the couples' experiences and narratives over time. Outcomes & Results: : The theme of 'improved relationships' between the couples was new and extended previous studies' findings of positivity, physical benefit, sense of self and social opportunity. The stories of each couple highlighted the importance of musical reminiscence and emotional respite, and demonstrated changes with time through the singing and songwriting group. Conclusions & Implications: : The benefits of offering singing/songwriting groups may be felt not only by participants with PD but also by their spouses/partners even if they choose not to attend themselves. Such benefits may include improved relationships related to the shared joy of music, musical reminiscence and emotional respite. The addition of songwriting encourages creativity and agency. A longitudinal trajectory approach is one way to appreciate how these benefits may unfold over time for participants. WHAT THIS PAPER ADDS: What is already known on the subject: Group singing for people with PD has been shown to have physical, emotional and social benefits as measured on mainly pre‐post‐assessments of vocal, speech, respiratory function and quality of life questionnaires. What this study adds to the existing knowledge: This study adds three new aspects: studying the benefits for the couple (both people with PD and their spouse/partner); taking an in‐depth focused ethnographic approach over time to collect couples' narratives and experiences; and exploring the potential for adding songwriting to the intervention. What are the potential or actual clinical implications of this work?: A qualitative trajectory approach may help clinicians understand why such interventions are experienced as beneficial. Clinicians running singing groups for people with PD should offer attendance to spouses/partners because of the potential for such groups to improve relationships and build new points of connection for the couple, as well as provide peer support for spouses. Songwriting is a useful addition for creativity, cognitive flexibility and self‐expression. [ABSTRACT FROM AUTHOR]

Dynamic sedimentary processes are a key parameter for establishing the habitability of planetary surface environments on Earth and beyond and thus critical for reconstructing the early evolution of life on our planet. This paper presents a sedimentary section from the ca 3.48 Ga Dresser Formation (Pilbara Craton, Western Australia) that contains high‐energy reworked sediments, possibly representing the oldest reported tsunami deposit on Earth to date. Field and petrographic evidence (e.g. up to 20 cm large imbricated clasts, hummocky bedding, Bouma‐type graded sequences) indicate that the high‐energy deposit represents a bi‐directional succession of two debrite–turbidite couplets. This succession can best be explained by deposition related to passage and rebound of tsunami waves. Sedimentary processes were possibly influenced by highly dense silica‐rich seawater. The tsunami was probably triggered by local fault‐induced seismic activity since the Dresser Formation was deposited in a volcanic caldera basin that experienced syndepositional extensional growth faulting. However, alternative triggers (meteorite impact, volcanic eruption) or a combination thereof cannot be excluded. The results of this work indicate a subaquatic habitat that was subject to tsunami‐induced high‐energy disturbance. Potentially, this was a common situation on the early Archaean Earth, which experienced frequent impacts of extraterrestrial bodies. This study thus adds to the scarce record of early Archaean high‐energy deposits and stresses the relevance of high‐energy depositional events for the early evolution of life on Earth. [ABSTRACT FROM AUTHOR]

Introduction: Substance use is a public health issue with a greater burden in rural areas. Barriers to accessing services are exacerbated for rural substance users, with confidentiality concerns, longer travel distances, workforce issues and limited availability of services. This paper presents results from a study exploring substance users' experiences of accessing services in Western Australia's South West. Methods: This qualitative study was informed by phenomenology, and drew from social determinants and socio‐ecological theories. Data were collected through 22 semi‐structured telephone interviews with current and past substance users residing in the South West. Interviews were audio‐recorded and transcripts were subjected to thematic analysis. Results: Two themes were identified: readiness to engage as a three‐way street; and building an ecosystem of recovery networks. Effective engagement with services required multi‐level readiness. Individual readiness was strongly influenced by the social environment, while service readiness required trustworthiness and responsiveness. A number of local access barriers were identified that hindered broader system readiness. Participants experienced recovery as on‐going and require an ecosystem of support with peer support at the centre and a network of healthy relationships established through meaningful connections. Discussion and Conclusions: An effective ecosystem of support for alcohol and other drugs users in the South West should include expanded access to health, community and welfare services, with an emphasis on peer‐led support programs, and strong cross‐sector collaboration to mitigate the access barriers operating at the broader community level. Lessons from our study can inform the development of rural ecosystems of support for alcohol and other drugs users. [ABSTRACT FROM AUTHOR]

Aim: To assess the degree to which timely audiological assessment of congenital hearing loss is achieved at our institution ‐ Perth Children's Hospital, Western Australia, and to review cases which breached this timeframe in order to address barriers to timely assessment. The benchmark used to determine timely assessment is that set out by The Joint Committee on Infant Hearing (JCIH) in which diagnostic audiological testing occurs by three months of age for those who do not pass newborn hearing screening. Methods: A retrospective chart review of infants who underwent diagnostic auditory assessment at Perth Children's Hospital between 2016‐2019. A total of 151 children were identified as meeting the inclusion criteria and their medical files were reviewed. Time to first dABR was the time point for whether testing was achieved within the 3 month timeframe. Results: Of the 151 children who underwent dABR assessments, 1 was identified as having breached the 90 day time limit (tested on day 91) for which no valid reason for delay could be identified. The timely delivery of dABR assessments in 99.3% of cases within this cohort compares favourably with the literature. Conclusions: Conclusion Timely diagnostic audiological assessment is achievable for children with congenital hearing loss. The reasons for patients breaching this timeframe are explored in the paper along with factors which may help avoid delays. [ABSTRACT FROM AUTHOR]

Summary: Translocations to closed systems such as fenced reserves are commonly used for conservation of threatened fauna species worldwide; however, resources are limited in these areas, and natural processes that regulate populations in response to resource availability are unable to occur. This can result in overabundance followed by overuse of resources, potentially resulting in extreme declines or local extinctions. Resource exhaustion can negatively impact other fauna in the closed environment that exploit similar resources, through inter‐specific competition. This paper discusses the reintroduction of Boodie (Bettongia lesueur) and Mala (Lagorchestes hirsutus) to a fenced reserve on the Matuwa Indigenous Protected Area, Western Australia, and raises the concern of potential competition between the two threatened species. [ABSTRACT FROM AUTHOR]

Background: The disproportionate burden of oral disease in Aboriginal children and the issues in accessing mainstream dental services are well documented. Yet little is known about dental professionals' perspectives in providing oral care for Aboriginal children. This paper presents findings from a study exploring such perspectives. Methods: Semi‐structured interviews were carried out in Western Australia following purposive sampling of non‐Aboriginal dentists, dental clinic assistants (dental nurses) and oral health therapists/dental hygienists. Interviews were recorded, transcribed and analysed guided by grounded theory for key themes related to the topic. Results: Findings included a service delivery model sometimes unresponsive to Aboriginal families' needs; dental professionals' limited education and training to work with confidence and cultural sensitivity with Aboriginal patients and socioeconomic influences on Aboriginal children's poor oral health considered outside dental professionals' remit of care. Discussion: Findings suggest oral health policies and practices and dental professionals' education and training need reviewing for how well such policies support dental professionals in an Aboriginal context. This includes engaging with Aboriginal stakeholders, working effectively with Aboriginal families, and developing shared understandings about what is needed to increase access to care and improve oral health outcomes for Aboriginal children. [ABSTRACT FROM AUTHOR]

This paper estimates the return on investment in the skeleton weed management program in Western Australia. A bioeconomic model is used to estimate costs to broadacre cropping industries over time with and without the program. Results suggest that without the program annual crop yield losses and increased growing costs, expressed in Australian dollars ($A), could reach A$13.6 million after 30 years. With the program, these losses reduce to A$5.0 million. If annual skeleton weed program costs remain approximately A$3.4 million, the program is likely to produce an annual net benefit to grain producers of A$8.6 million after 30 years. [ABSTRACT FROM AUTHOR]

Introduction: To explore whether receipt of either of two patron banning provisions currently used in Western Australia—in response to alcohol‐related disorderly and anti‐social behaviour—is associated with changes to subsequent offending. Method: Western Australia Police de‐identified the offender records and associated data for 3440 individuals who had received one or more police‐imposed barring notice/s between 2011 and 2020, and 319 individuals who had received one or more prohibition orders between 2013 and 2020. The number of offences recorded for each recipient before and after the first notice/order were examined to understand the potential effect of both provisions upon subsequent offending. Results: The low number of repeat barring notices (5% of the total) and prohibition orders (1% of the total) points to their general success. Analysis of offending records before and after receipt/expiry of either provision indicates that both have a generally positive effect on subsequent behaviours. For all barring notice recipients, 52% recorded no further offences and for all prohibition order recipients, 58% recorded no further offences. There was a less positive effect for the sub‐set of multiple ban recipients and prolific offenders. Discussion and Conclusions: Barring notices and prohibition orders appear to have a generally positive effect on subsequent behaviours for the majority of recipients. More targeted interventions are recommended for repeat offenders, for whom patron banning provisions have a more limited effect. [ABSTRACT FROM AUTHOR]

Issues Addressed: Discussion of family violence is important but many men and boys struggle to engage with the topic. Primary prevention approaches focus on communicating with and educating the population, including men and boys, in the areas of healthy relationships, gender and violence. There can be both barriers to and also gains from these interventions. This paper describes a project implemented in Geraldton, Western Australia, and discusses what has been effective and ineffective during the project.Methods: The 'Men Against Violence' project targeted men and boys through local sporting clubs in the City of Greater Geraldton, in the Midwest region of Western Australia, through the use of face to face education, community radio and television interviews and other appropriate engagement strategies. 'Men Against Violence' events were held to connect with local male community members and address the role men can have in family violence prevention.Results: We describe the three key engagement activities, working with the local Australian Rules football league, state-league basketball team and a local high school Aboriginal football academy. These strategies provided avenues for contact with and the education of men and boys aged 12 years and older.Conclusion: Through successful partnerships with a number of local organisations, the 'Men Against Violence' project saw a high level of engagement with local men. The project also gained strong community support, with pockets of resistance encountered and managed.So What: The 'Men Against Violence' project experienced highlights and barriers throughout the pilot project that can guide and inform future family violence prevention programs. [ABSTRACT FROM AUTHOR]

Issues Addressed: To explore adolescents' experiences of access to and continued use of mental health services, and identify factors influencing their perceived satisfaction with their care. This paper focusses on the role of organisational and policy-level factors in the mental health system.Method: Qualitative semi-structured face-to-face interviews with 22 adolescents aged 14-18 years living in Perth, Western Australia.Results: Adolescents identified key policy, systemic and service-based factors which influenced their access to and continued use of mental health services. These were strongly related to the processes of service intake, level of orientation towards person-centred care and adequacy of service resourcing and funding. Areas of concern for adolescents included, complex service intake procedures, suboptimal mental health service environments, lack of client-centred care and the quality of mental health support provided in school settings.Conclusions: Our research has identified a wide spectrum of factors influencing mental health service access and use amongst adolescents. The findings further support the growing national consensus for major reform to address the mental health needs of this age group. The current strengths within mental health services and the system identified by adolescents need to be supported and extended. SO WHAT?: Although there have been numerous recommendations on ways to improve mental health service access and ongoing engagement for Australian adolescents, a number of the major challenges faced by this high-risk population have shown little improvement. The findings of this research indicate the importance of now moving towards implementing meaningful plans for action. [ABSTRACT FROM AUTHOR]

This paper reports on the evaluation of "summer sowing," an innovative approach to increase the adoption of recently domesticated species of hard seeded annual legumes in Mediterranean and temperate Agriculture. The research revealed that several species of annual legumes whose seed can be readily harvested on‐farm and which possess natural hard seed dormancy, may be sown into dry soil in late summer without additional processing. These studies proved that the hard seed dormancy was broken down sufficiently in the soil over 4–6 weeks to produce robust legume pastures with more than 150 seedlings per m2 following the first winter rains, in replicated field sites established across wide agro‐ecological zones in Western Australia (WA) and New South Wales (NSW). Ornithopus sativus Brot., O. compressus L. and Trifolium spumosum L. were suitable for summer sowing based on both hard seed breakdown patterns and subsequent seedling survival in WA. While in NSW, in addition to these legumes, Biserrula pelecinus L., T. vesiculosum Savi. and T. glanduliferum Boiss. were also suitable for summer sowing. A 1.5‐ to 10‐fold increase in herbage production was achieved relative to conventionally sown T. subterraneum L. This development represents a step change in forage legume development for renovated pastures in these environments. Importantly, the experiments revealed differences in G x E effects on seedling establishment, total herbage production and seed yield in different climatic zones. The summer sowing approach is presented as a revolutionary method for pasture renovation that overcomes significant barriers to adoption. [ABSTRACT FROM AUTHOR]

Summary: Studies of recorded ground motions and simulations have shown that deep sedimentary basins can greatly increase the intensity of earthquake ground motions within a period range of approximately 1–4 s, but the economic impacts of basin effects are uncertain. This paper estimates key economic indicators of seismic performance, expressed in terms of earthquake‐induced repair costs, using empirical and simulated seismic hazard characterizations that account for the effects of basins. The methodology used is general, but the estimates are made for a series of eight‐ to 24‐story residential reinforced concrete shear wall archetype buildings in Seattle, WA, whose design neglects basin effects. All buildings are designed to comply with code‐minimum requirements (i.e., reference archetypes), as well as a series of design enhancements, which include (a) increasing design forces, (b) decreasing drift limits, and (c) a combination of these strategies. As an additional reference point, a performance‐based design is also assessed. The performance of the archetype buildings is evaluated for the seismic hazard level in Seattle according to the 2018 National Seismic Hazard Model (2018 NSHM), which explicitly considers basin effects. Inclusion of basin effects results in an average threefold increase in annualized losses for all archetypes. Incorporating physics‐based ground motion simulations to represent the large‐magnitude Cascadia subduction interface earthquake contribution to the hazard results in a further increase of 22% relative to the 2018 NSHM. The most effective of the design strategies considered combines a 25% increase in strength with a reduction in drift limits to 1.5%. [ABSTRACT FROM AUTHOR]

Background: Adrenocortical carcinoma is a rare but aggressive form of endocrine neoplasm that confers a poor prognosis. To date, the only Australian data published is from New South Wales. This paper describes our experience in Western Australia with a focus on surgical approach and outcomes. Methods: A retrospective study of patients treated for adrenocortical carcinoma in Western Australia over 14 years was performed. Results: Over the 14‐year period, a total of 33 patients underwent surgery for adrenocortical carcinoma. Resection outcomes were superior in an open en bloc approach with an 85% R0 margin (P = 0.007). Local recurrence rates were lowest in an open en bloc approach (11%) compared to laparoscopic (75%). Multivariate analysis showed that an en bloc resection is highly correlated with an R0 resection (P < 0.05) and significantly associated with lower (odds ratio = 0.06) local recurrence (P = 0.009). Higher volume surgeons (>5 cases) had lower operative times and blood loss. Compliance with mitotane was significantly improved with close monitoring of levels. The European Network for the Study of Adrenal Tumours (ENSAT) stage at presentation was most predictive of long‐term survival with 100% of stage I patients alive compared to 53% of stage II, 25% of stage III and 17% of stage IV patients at the end of the follow‐up period. Conclusion: An open en bloc approach with a low threshold for multi‐visceral resection performed by high volume surgeons have improved outcomes in local recurrence, operative times and blood loss. [ABSTRACT FROM AUTHOR]

Perioperative nurses assist in organ procurement surgery; however, there is a dearth of information of how they encounter making conscientious objection requests or refusals to participate in organ procurement surgery. Organ procurement surgical procedures can present to the operating room ad hoc and can catch a nurse who may not desire to participate by surprise with little opportunity to refuse as a result of staffing, skill mix or organizational work demands. This paper that stems from a larger doctoral research study exploring the experiences of perioperative nurses participating in multi-organ procurement surgery used a grounded theory method to develop a substantive theory of the nurses' experiences. This current paper aimed to highlight the experiences of perioperative nurses when confronted with expressing a conscientious objection towards their participation in these procedures. A number of organizational and cultural barriers within the healthcare organization were seen to hamper their ability in expressing a conscience-based refusal, which lead to their reluctant participation. Perioperative nurses must feel safe to express a conscientious objection towards these types of surgical procedures and feel supported in doing so by their respective hospital organizations and not be forced to participate unwillingly. [ABSTRACT FROM AUTHOR]

Drawing on fieldwork in an Aboriginal community in Western Australia, this article chronicles the life of a collection of Indigenous art and material culture through archival research, ethnography, observation, and interviews. Moving from a school to community keeping spaces, through a natural disaster, to an art center and a university conservation center, this examination reveals how entanglements between people and the collection play out in the local context. The moving and returning of the collection signifies various trajectories that articulate with different value systems and demonstrates that negotiating differences between groups and individuals is an inevitable and necessary part of maintaining and caring for collections in source communities. The article attests that time is needed at local levels to support Indigenous‐led processes which include value creation, cultural protocols, change, continuity, and the (re)valuation of objects. [ABSTRACT FROM AUTHOR]

Copyright of Archaeology in Oceania is the property of Wiley-Blackwell 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.)

Aim: To compare hospital admission patterns after the first year of life in Australian children with developmental disabilities and children with no known disability, according to maternal country of birth and Indigenous status.Method: This was a retrospective cohort study using linked data across health, disability, and hospital admission databases. The study investigated 656 174 children born in Western Australia between 1983 and 2008 with a total of 1 091 834 records of hospital admissions.Results: Children with no known disability born to Indigenous mothers had the highest rate of hospital admissions compared to children of non-Indigenous mothers. Children of foreign-born mothers from low-income countries had the highest rate of hospital admissions if disability was present. Children with cerebral palsy (CP) with or without associated intellectual disability had the highest rate of hospital admissions among children with developmental disability, especially if mothers were foreign-born.Interpretation: Children with CP and intellectual disability, particularly from minority backgrounds (Indigenous Australian and foreign-born mothers), were at higher risk of being admitted to hospital after the first year of life.What This Paper Adds: Hospital admissions in Australian children with and without disabilities differ according to maternal country of birth. Hospital admission rates in children without a developmental disability were greatest for Australian-born Indigenous children. Disabled Australian-born children of foreign-born mothers from low-income countries had the highest hospital admission rates. Hospital admission risk was greatest for Australian-born children with cerebral palsy, especially if mothers were foreign-born. [ABSTRACT FROM AUTHOR]

Objective: The objective of this study is to determine whether physiotherapy and counselling students, who represent a future generation of two health professions, have differing views about complementary and alternative medicine (CAM). Methods: In order to determine physiotherapy and counselling students' self‐rated knowledge and beliefs about CAM and the factors which influence that understanding, a modified 10‐item CAM Health Belief Questionnaire was administered across all year groups to physiotherapy students and counselling students at two universities in Perth, Western Australia. The self‐rated paper‐based survey measured knowledge of CAM among physiotherapy and counselling students, evaluation of their beliefs regarding the use of CAM, factors that influence their knowledge and beliefs, and their likelihood of recommending CAM to future patients. Results: A response rate of 96.8% was achieved, with 387 physiotherapy students and 88 counselling students. Moderately positive beliefs about CAM were confirmed in both groups, with mean scores of 42.8/70 for physiotherapy students and 43.3/70 for counselling students. There were no significant differences between the student groups in overall self‐rated knowledge of CAM. The main factors that influenced the students' responses were personal experience for counselling students and scientific evidence for physiotherapy students. Other factors included university training, attitudes of lecturers, tutors and fellow students, cultural background, and opinions of external practitioners. Counselling students were more likely than physiotherapy students to recommend CAM therapies to their future patients. Conclusion: The results from this study demonstrate minimal self‐rated knowledge but moderately positive attitudes towards CAM by both physiotherapy and counselling students. [ABSTRACT FROM AUTHOR]

This paper reports new zircon U–Pb ages and Hf isotopic compositions of felsic units of the Abor volcanic rocks (AVR) of Eastern Himalayan Syntaxis (EHS), Northeast India, and discusses their relationship to the Kerguelen plume activity. The AVR are bimodal and predominantly constituted by mafic rocks with minor felsic units. Mafic volcanics are identified as basalt and basaltic andesite with light rare earth elements (LREE) enriched and slightly depleted heavy rare earth elements (HREE) pattern without Eu anomalies. Low concentrations of LILE, high contents of Fe2O3, and other incompatible trace elements ratios reflect enriched nature of these mafic volcanics. Felsic volcanic rocks are dacitic to rhyolitic in composition, which have high REE content, high LREE/HREE, and pronounced negative Eu anomalies. Enriched LREE, high Th/Nb, Ce/Nb ratios, and variations in Rb/Zr, K/Rb, La/Sm ratios with negative anomalies of Ba, Nb, Sr, P, Ti in felsic rocks suggest substantial contribution of crustal contamination at the time of eruption. Zircons from felsic units yield an average U–Pb age of ~132 Ma and unradiogenic (ƐHf(t) < 0) Hf isotope values of −7.0 to −13.3 with model ages between 1.5 and 2.1 Ga, suggesting old crustal assimilation in their genesis. The AVR were emplaced in the continental rift tectonic setting, and depth of the magma source is confirmed as near spinel stability zone. The AVR are positively comparable with other flood basalts that were formed due to the Kerguelen plume activity. Therefore, our combined new geochemical and geochronological data show that the AVR were emplaced at early stage (~132 Ma) of eastern Gondwana breakup due to outbreak of the Kerguelen plume. This study thus supports the idea of the Kerguelen plume affecting a large area of Eastern India, Western Australia, and Antarctica during early stage of Gondwana breakup. [ABSTRACT FROM AUTHOR]

Reduction spheroids are small‐scale, biogenic, redox‐controlled, metal enrichments that occur within red beds globally. This study provides the first analysis of the compositionally unique reduction spheroids of the Tumblagooda Sandstone. The work aims to account for their composition and consequently improve existing models for reduction spheroids generally, which presently fail to account for the mineralogy of the Tumblagooda Sandstone reduction spheroids. Interstitial areas between detrital grains contained in the cores of these reduction spheroids are dominated by microplaty haematite, in addition to minor amounts of svanbergite, gorceixite, anatase, uraninite, monazite and illite. The haematite‐rich composition, along with an absence of base metal phases and the vanadiferous mica roscoelite, makes these reduction spheroids notable in comparison to other global reduction spheroid occurrences. Analyses of illite crystallinity provide values for samples of the Tumblagooda Sandstone host rock corresponding to heating temperatures of ca 200°C. Consequently, while Tumblagooda Sandstone reduction spheroids formed via the typical metabolic processes of dissimilatory metal‐reducing bacteria, the combination of a unique mineralogy and illite crystallinity analysis provides evidence of more complex late‐stage heating and reoxidation. This has not previously been recognised in other reduction spheroids and therefore expands the existing model for reduction spheroid genesis by also considering the potential for late‐stage alteration. As such, future reduction spheroid studies should consider the potential impact of post‐formation modification, particularly where they are to be used as evidence of ancient microbial processes; such as in the search for early evidence of life in the geological record on Earth or other planets. Additionally, because of their potential for modification, reduction spheroids serve as a record of the redox history of red beds and their study could provide insights into the evolution of redox conditions within a given red bed during its diagenesis. Finally, this paper also provides insights into the relatively understudied diagenetic history of the Tumblagooda Sandstone; supplying the first reliable and narrow constraints on its thermal history. This has important implications for the thermal history of the Carnarvon Basin and its petroleum prospectivity more broadly. [ABSTRACT FROM AUTHOR]

Issue Addressed: The aim of this study was to use a novel approach to geographically model the relationship between socio-economic disadvantage and prevalence of profound and severe disability.Method: This study used national census data and the survey of disability, ageing and carers data to geographically model the relationship between socio-economic disadvantage and prevalence of profound and severe disability.Result: The results in this study show that there were more people living in the least disadvantaged areas (wealthiest) when compared to the most disadvantaged (poorest) areas. Whereas for people with a disability as the relative socio-economic disadvantage of the area increased, the number of people reporting any disability also increased, with the highest number coming from the most disadvantaged areas. The maps show a significant distribution with fewer cases of disability in metropolitan areas and relatively higher number in the rural area along with the higher proportion of people with disability living in the relatively more disadvantaged areas.Conclusion: Socio-economic profile is one of the key factors influencing the various aspects of health and hence should hold an important place during policy making. Policy should be formulated and implemented to help reduce the inequality by either directly aiming at the most disadvantaged group or by trying to bridge the gap between them. SO WHAT?: This paper provides a geographic visualisation of the distribution of people with profound and severe disability to help identify priority areas with high prevalence of disability. [ABSTRACT FROM AUTHOR]

Depth‐resolved chemistry samples are critical to a wide range of groundwater investigations. If a well intersects zones of variable concentrations, a pumped sample is a composite of the inflows, which mix in the well. Where discrete concentrations are required, excessive mixing makes samples less useful and potentially misleading. However, installations for depth‐discrete sampling are expensive, particularly for regional studies, so sometimes there is incentive to use existing infrastructure designed for other purposes (e.g., supply wells). This paper shows how the resolution of groundwater chemistry derived from long‐screened and open borehole wells can be improved by measuring and sampling the in‐well vertical flow regimes in ambient (unpumped) and/or pumped conditions. The ambient flow regime, driven by a natural vertical head gradient, is shown to be particularly useful to sample groundwater native to defined inflow zones (head in the zone > head in the well) and avoid zones impacted by the invasion of intraborehole flow (head in the zone < head in the well). Depth‐specific samples are interpreted either as native groundwater from a discrete source, subject only to analytical error, or a mixture from multiple sources that can be deconvolved, incorporating error in both flow and concentration measurements. Depth‐resolved age tracers (chlorofluorocarbons, 14C, and He) in groundwater from three supply wells are verified with samples from a multidepth nest of piezometers. Results show old groundwater at all depths and the simultaneous occurrence of young water at shallower depths in undisturbed dual‐porosity fractured aquifers in the Pilbara region of Western Australia. Key Points: Sampling ambient vertical flows can provide more insightful data than sampling pumped flowsAmbient flows can be sampled without purging or pumping the wellIn‐well samples are either from a discrete source or the mixture that can be deconvolved [ABSTRACT FROM AUTHOR]

Wolfe Creek crater lies in northwestern Australia at the edge of the Great Sandy Desert. Together with Meteor Crater, it is one of the two largest craters on Earth from which meteorite fragments have been recovered. The age of the impact is poorly constrained and unpublished data places the event at about 300,000 years ago. In comparison, Meteor Crater is well constrained by exposure dating. In this paper, we present new ages for Wolfe Creek Crater from exposure dating using the cosmogenic nuclides 10Be and 26Al, together with optically stimulated luminescence ages (OSL) on sand from a site created by the impact. We also present a new topographic survey of the crater using photogrammetry. The exposure ages range from ~86 to 128 ka. The OSL ages indicate that the age of the impact is most likely to be ~120 ka with a maximum age of 137 ka. Considering the geomorphic setting, the most likely age of the crater is 120 ± 9 ka. Last, we review the age of Meteor Crater in Arizona. Changes in production rates and scaling factors since the original dating work revise the impact age to 61.1 ± 4.8 ka, or ~20% older than previously reported. [ABSTRACT FROM AUTHOR]

Background: Pneumothorax can cause distressing breathlessness, however the effect of the accumulated air in the pleural space and its association with diaphragmatic function and symptoms of breathlessness is not well understood. Bendopnoea is an evolving clinical symptom that has been demonstrated as clinically useful in some heart and lung conditions. Whether bendopnoea is present in patients with pneumothorax, and its potential clinical usefulness has not yet been investigated. The PASE study is a pilot study to explore the incidence and clinical relevance of bendopnoea in patients with pneumothorax and may provide better understanding of pneumothorax related dyspnoea. Methods: PASE is a prospective study. Eligible patients are assessed at baseline (pre air drainage/lung reinflation) and in patients whose pneumothorax resolves once the lung has re‐expanded (post conservative management or air drainage procedure). Outcome measures include the incidence of bendopnoea, correlation of the associated symptoms (pain and breathlessness) to the severity of bendopnoea and the size of pneumothorax; and correlation with clinical outcome (i.e., response to air drainage/lung reinflation). The study will recruit 50 participants. Discussion: This is the first study to explore bendopnoea in patients with pneumothorax. The presence and significance of bendopnoea in relation to clinical and physiological parameters in patients with pneumothorax requires investigation. The findings of this study may further current understanding of dyspnoea related pneumothorax. Trial Registration: Name of the registry: Australia New Zealand Clinical Trial Registry Trial registration number: ACTRN12623001109695p. URL of the trial registry record for this trial: https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=386631&isReview=true Date of registration: Registered on 24 October 2023. Funding of the trial: This study has not received grant support. The study is sponsored by the Institute for Respiratory Health, a not‐for‐profit organisation. Name and contact information for the trial sponsor: Mr Bi Lam; Finance manager. Level 2, 6 Verdun Street, Nedlands, WA 6009. Role of sponsor: The funder is not involved in the planning of the study, gathering, analysing, and interpreting the data, or in preparing the manuscript. Protocol version: 1. [ABSTRACT FROM AUTHOR]

Young people experiencing first‐episode psychosis taking antipsychotic medications often develop comorbidities such as obesity and cardiometabolic abnormalities at an earlier age than young people in the general population. Therefore, it is important to explore the healthcare needs and experiences of this group of consumers. This paper reports research conducted to obtain an informed understanding of young people's health literacy, physical healthcare needs, and interest and knowledge about their physical health. Grounded theory methodology was used to guide the research. Semistructured interviews were conducted with 24 young consumers aged between 18 and 35 years who were case managed by one metropolitan community mental health service. The results describe the journey of young people from the time of diagnosis, to when they developed an awareness of the need to improve their physical health and the impact of physical health issues on their overall health and well‐being. Six categories emerged from the data: (i) initial responses when diagnosed with first‐episode psychosis; (ii) focus of care on treating first‐episode psychosis; (iii) lack of education on antipsychotic medications; (iv) adverse effects from taking antipsychotic medication; (v) increased awareness of the need for good physical health; and 6) importance of social support in the community. The findings highlight the importance for health professionals improving young people's health literacy and addressing physical health and well‐being as part of first‐episode psychosis programmes. Young people require improved health education on the importance of maintaining healthy lifestyle in relation to their overall health and well‐being. [ABSTRACT FROM AUTHOR]

ABSTRACT The introduction of the convict system in 1850 into the Western Australian (WA) economy resulted in a large injection of capital into the colony, the dissemination of which cannot be overlooked when considering the transformative effect of the convict system. This injection resulted from the purchase of goods and services by the penal system that ultimately transferred money from the British Crown into the local market. For this paper, historical and archaeological data was used to develop an understanding of the breakdown of spending by the penal system, and to consider how the circumstance of individual aspects of the penal system impacted purchasing choices, and subsequently benefitted the local market. Using artefacts recovered from two sites within Fremantle Prison, one representing institutional purchases and the other relating to a wage earner, it was possible the test the variation in economic impact of spending given institutional circumstance. By considering whether purchases represented local commodities or imports, it was possible to see how capital transferred into the local economy and how much of that spending leaked out through imports. In doing this, the analysis highlighted the varying benefit of the capital injected by the penal system related to circumstance and the value of considering the penal system as an elaborate entity. [ABSTRACT FROM AUTHOR]

Objective To explore the role of women in fishing industry organisations and communities in promoting best-practice health behaviours among fishers in Australia. Design This paper reports aspects of research that examined how the fishing industry can best support physical health and mental well-being of fishers. The study employed a mixed-methods, multisite case study approach. Data were gathered from face-to-face and phone interactions. Setting Two sites in Victoria and one in Western Australia. Participants Thirty-one male fishers, including commercial licence owners, skippers, deckhands, three female family members, three fishing association representatives, one local government representative, two health care providers, and three regional health planning and funding bodies. Interventions Not applicable. Main outcome measures Not applicable. Results Often unrecognised, women associated with the fishing industry are integral to the promotion of good health for fishers. They are key to identifying health issues (particularly mental health issues) and proposing community-based health and well-being strategies. They often do so by incorporating health information and activities into 'soft entry points' - informal, non-health service mechanisms by which fishers can access health information and health services. Conclusions While not working at the industry coalface, women have a stake, and are key players, in the commercial fishing industry. Their knowledge of, and credibility within, fishing enterprises makes them valuable sources of information about health issues facing the industry and effective strategies to address them. This expertise should be applied in conjunction with industry associations and health providers to achieve better health outcomes for fishers and their families. [ABSTRACT FROM AUTHOR]

Objective This paper examines health reform which has been designed to improve cancer services across Western Australia. Setting Western Australia is a large state divided into nine regions each with differing demographics. The diversity of the state and the distribution of the population over a large area of land create significant challenge in ensuring equality in service delivery. Design A comparison was conducted looking at cancer services in Western Australia pre-2005 and service delivery in 2014. A review of the partnership initiatives and programs provides a clear discussion on the need for coordination of care between service providers. Main Outcome The approach undertaken in Western Australia has seen an increase in the delivery of cancer services closer to the patient's home as well as greater involvement of primary care professionals in cancer care. This work has resulted in demonstrated improvements in patient care and support. Conclusion Services for cancer patients need to be accessible closer to home with distance being an appreciable barrier to treatment access.A statewide approach needs to be developed to ensure all people have equitable access to service delivery. [ABSTRACT FROM AUTHOR]

Background: Leavers Festivals have become an institution for Australian youth to celebrate the completion of secondary school. Reported hazardous consumption of alcohol by leavers has focused concern on risk-taking behaviour. In response to this, campaigns such as "Don't Drink and Drown" have targeted youth to reduce alcohol consumption during aquatic activities. This research investigated intended and actual alcohol consumption, particularly during aquatic activities at a Leavers Festival located in the coastal town of Dunsborough, southern Western Australia.Method: In November 2016, 549 leavers aged 17 or 18 years completed a paper-based survey over a four-day period during the Festival.Results: Overall, 90% of leavers reported intending to drink during the Festival, with expected average daily consumption being seven to nine standard drinks; reported daily consumption was five to six standard drinks (P < 0.001). Of the 29% of leavers who consumed alcohol around water during Leavers, 47% had done so while swimming. About 91% were aware of the campaign "Don't Drink and Drown."Conclusion: Awareness of the "Don't Drink and Drown" campaign and knowledge of risks associated with alcohol consumption and swimming were relatively high. Intention and actual consumption of alcohol did not correlate, with daily consumption less than anticipated.So What: Leavers appear to have a reasonable level of awareness and knowledge of the risks associated with alcohol consumption and aquatic activities, which may reflect the impact of education campaigns. However, this knowledge is not always translated into nonrisky aquatic behaviour. [ABSTRACT FROM AUTHOR]

Copyright of Developmental Medicine & Child Neurology is the property of Wiley-Blackwell 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.)

Introduction Despite strong and growing evidence for the benefits of exclusive breastfeeding to 6 months of age, few infants in developed countries reach this milestone. Although breastfeeding practice and its determinants are well described for women in metropolitan areas, there is limited evidence for rural and regional areas of Australia. This paper describes the influence of advice and support on breastfeeding duration for women in rural areas of Western Australia in the first 6 months of their infants' lives. Methods A cohort of 427 women and their infants were recruited from hospitals in regional Western Australia and followed up for a period of 12 months. Information about feeding methods was gathered in hospital and at a further seven follow-up contacts. Results Women who had attended antenatal classes were less likely to have ceased exclusively breastfeeding before 6 months than those who had not attended classes ( aHR: 0.61, 95% CI: 0.41-0.91). No significant associations were found between provision of information alone and duration of breastfeeding. Breastfeeding advice and support in the first 6 months was most commonly sought from Child Health Nurses, General Practitioners and friends. Conclusions Antenatal group education is effective in supporting breastfeeding duration for rural women and should be a key priority for rural health service providers. Health professionals are common sources of breastfeeding support postnatally, however creating and maintaining positive and supportive social networks for mothers might also contribute to increasing the proportion of rural infants who meet the World Health Organization guidelines for exclusive breastfeeding. [ABSTRACT FROM AUTHOR]

Western Australia's domestic gas reservation policy nominally requires new gas export projects to supply the equivalent of 15 per cent of their exports to the domestic gas market. This export restriction suppresses the domestic price below the export netback price. A theoretical model shows that a binding reservation policy always causes a deadweight loss, and clarifies the source of this loss. Western Australia's reservation policy is estimated to cause losses with a present value of between $6.9 and $22.9 billion, depending on export netback prices. [ABSTRACT FROM AUTHOR]