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Jack Jumper ant venom allergy is a uniquely Australian medical issue. The stinging ant is a leading cause of insect venom allergy in south‐eastern Australia. An effective venom immunotherapy‐based treatment was successfully developed by the Tasmanian Jack Jumper Allergy Research group. This paper provides a synopsis of our 25 years' research journey in developing this evidence‐based treatment modality. [ABSTRACT FROM AUTHOR]

Background: Perceptual, cognitive and previous clinical experience may influence a novice Videofluoroscopic Swallowing Study (VFSS) analyst's trajectory towards competency. Understanding these factors may allow trainees to be better prepared for VFSS training and may allow training to be developed to accommodate differences between trainees. Aims: This study explored a range of factors previously suggested in the literature as influencing the development of novice analysts' VFSS skills. We hypothesised that knowledge of swallow anatomy and physiology, visual perceptual skills, self‐efficacy and interest, and prior clinical exposure would all influence VFSS novice analysts' skill development. Methods & Procedures: Participants were undergraduate speech pathology students recruited from an Australian university, who had completed the required theoretical units in dysphagia. Data assessing the factors of interest were collected—the participants identified anatomical structures on a still radiographic image, completed a physiology questionnaire, completed subsections of the Developmental Test of Visual Processing—Adults, self‐reported the number of dysphagia cases they managed on placement, and self‐rated their confidence and interest. Data for 64 participants relating to the factors of interest were compared with their ability to accurately identify swallowing impairments following 15 h of VFSS analytical training, using correlation and regression analysis. Outcomes & Results: Success in VFSS analytical training was best predicted by clinical exposure to dysphagia cases and the ability to identify anatomical landmarks on still radiographic images. Conclusions & Implications: Novice analysts vary in the acquisition of beginner‐level VFSS analytical skill. Our findings suggest that speech pathologists who are new to VFSS may benefit from clinical exposure to dysphagia cases, sound foundational knowledge of anatomy relevant to swallowing and the ability to see the anatomical landmarks on still radiographic images. Further research is required to equip VFSS trainers and trainees for training, to understand differences between learners during skill development. WHAT THIS PAPER ADDS: What is already known on the subject: The existing literature suggests that no vice Video fluoroscopic Swallowing Study (VFSS) analysts training may be influenced by their personal characteristics and experience. What this study adds: This study found that student clinicians, clinical exposure to dysphagia cases and their ability to identify anatomical landmarks relevant to swallowing on still radiographic images prior to training best predicted their ability to identify swallowing impairments after training. What are the clinical implications of this work?: Given the expense of training health professionals, further research is required into the factors that successfully prepare clinicians for VFSS training, including clinical exposure, foundational knowledge of anatomy relevant to swallowing and the ability to identify the anatomical landmarks on still radiographic images. [ABSTRACT FROM AUTHOR]

Objectives: The Future Proofing Study (FPS) was established to examine factors associated with the onset and course of mental health conditions during adolescence. This paper describes the design, methods, and baseline characteristics of the FPS cohort. Methods: The FPS is an Australian school‐based prospective cohort study with an embedded cluster‐randomized controlled trial examining the effects of digital prevention programs on mental health. Data sources include self‐report questionnaires, cognitive functioning, linkage to health and education records, and smartphone sensor data. Participants are assessed annually for 5 years. Results: The baseline cohort (N = 6388, M = 13.9 years) is broadly representative of the Australian adolescent population. The clinical profile of participants is comparable to other population estimates. Overall, 15.1% of the cohort met the clinical threshold for depression, 18.6% for anxiety, 31.6% for psychological distress, and 4.9% for suicidal ideation. These rates were significantly higher in adolescents who identified as female, gender diverse, sexuality diverse, or Aboriginal and/or Torres Strait Islander (all ps < 0.05). Conclusions: This paper provides current and comprehensive data about the status of adolescent mental health in Australia. The FPS cohort is expected to provide significant insights into the risk, protective, and mediating factors associated with development of mental health conditions during adolescence. [ABSTRACT FROM AUTHOR]

Research remains one of the essential elements that drive the growth of a profession since it contributes to the development of knowledge. Research also creates value for public service and leads to better health outcomes. Research output from the Medical Imaging and Radiation Sciences (MIRS) profession is currently lacking in New Zealand while the output from Australia can also be improved. For research to be improved, there needs to be intentionality. This commentary presents proposed considerations that could contribute toward increasing research impact and research output in the MIRS profession in Australia and New Zealand. [ABSTRACT FROM AUTHOR]

Baru is a genus that includes several large mekosuchine crocodylians from the Oligo‐Miocene of Australia. Here we describe Baru iylwenpeny sp. nov. from a large sample of cranial bones from the Upper Miocene Alcoota Local Fauna of the Northern Territory. Baru iylwenpeny can be diagnosed by several autapomorphies that include, but are not limited to: extreme reduction of the pneumatic foramina associated with the diverticula that invade the bones of the suspensorium; and enlargement of the postcaniniform maxillary teeth resulting in crowding of the postcaniniform alveoli and a reduction in the number of maxillary alveoli to 12. The new species is the geologically youngest known member of the genus. While species of Baru are a ubiquitous component of Oligo‐Miocene crocodylian assemblages from northern Australia, they are absent from all known Plio‐Pleistocene sites, suggesting the extinction of the genus by the latest Miocene. We suggest that the marked taxonomic turnover of crocodylian assemblages between the Upper Miocene Alcoota Local Fauna and the Lower Pliocene is the result of a short period of severe aridity during the latest Miocene, causing widespread crocodylian extinctions across Australia, followed by the establishment of taxonomically novel crocodylian faunas in the Pliocene. This event mirrors similar contemporary losses of crocodylian diversity in Africa and South America, although these cases are partly driven by local tectonic events. It is likely that late Cenozoic global cooling also played a role in these extinctions. [ABSTRACT FROM AUTHOR]

Background: Depression is common among people with dementia. Despite most people with dementia living in the community, there have been few investigations of self‐reported depressive symptoms and suicidal ideation among community‐dwelling people with dementia in Australia. This study aimed to explore the proportion of people with mild, moderate and severe levels of depressive symptoms, and suicidal ideation among a sample of people living with dementia in Australia. Correlates of reporting depressive symptoms were also explored. Methods: Adults diagnosed with dementia by a medical professional who were English speaking and community‐dwelling were asked to complete a paper and pencil survey. Those who were unable to provide independent consent were excluded. Depression was assessed using the Geriatric Depression Scale −15, and suicidal ideation was assessed using two study‐specific items. Multivariable analyses examined quality of life, unmet needs and sociodemographic factors associated with having a score of five or more on the Geriatric Depression Scale‐15. Results: Ninety‐four people participated in the study. Thirty‐seven percent (n = 35) reported some level of depressive symptoms, with most of these (21%, n = 20) classified as having mild depressive symptoms. Five participants (5%) reported they had had thoughts of being better off dead or hurting themselves, while three (3%) reported having had a plan to end their life. For each additional unmet need, the odds of being depressed increased by 25%(P < 0.001). For each point increase in quality of life, the odds of being depressed decreased by 48% (P < 0.001). Conclusions: The high proportion of people with dementia who report depressive symptoms suggests the need to routinely assess depressive symptoms among this group. There may also be benefits in assessing unmet needs and addressing these where possible as part of an approach to reducing depression among people living with dementia in the community. [ABSTRACT FROM AUTHOR]

Globally, there is a recognized need for widespread restoration of coastal wetlands. Despite this recognition, progress in many places has been slow, for reasons including legal and policy barriers. In Australia many of these legal barriers have been overcome in the development of the Carbon Credits (Carbon Farming Initiative ‐ Tidal Restoration of Blue Carbon Ecosystems) Methodology Determination 2022, which allows for certain coastal restoration projects to be accredited and ultimately receive Australian Carbon Credit Units. This paper describes the new methodology, outlines the key legal barriers which had to be addressed in its development, and analyzes the legal solutions utilized. It concludes with some general observations for fucoastal wetland restoration projects. Despite the jurisdictional focus on Australia, it is anticipated that these lessons will be of broader relevance to other countries grappling with restoration projects in the intertidal zone. [ABSTRACT FROM AUTHOR]

Hypoxic blackwater events occur worldwide, affecting inland and coastal waters. These events have been exacerbated by man‐made floodplain drainage, leading to large‐scale fish kills and ecological degradation. This paper presents a new method to identify estuarine catchment areas that are most likely to generate hypoxic conditions. The method uses established risk factors, including vegetation type, inundation extent and duration, ground‐truthed in eastern Australia. A catchment is at higher risk of hypoxic blackwater generation if (a) it is located where floodwaters are high and/or drainage is impeded, (b) the site topography includes an extensive, low‐lying floodplain; and/or (c) the land‐use and environmental characteristics have a high deoxygenation potential. Consequent impacts to an estuary are determined by the floodplain connectivity with the estuary, and the discharge characteristics of the catchment drainage system. Where multiple, proximate catchments have similar drainage conditions, compounding plumes of hypoxic blackwater can overwhelm the assimilation capacity of the estuary. Climate change may significantly increase the volume and frequency of blackwater events in estuarine environments as a result of reduced drainage due to sea level rise, higher temperatures, and more intense and sporadic rainfall events. It is recommended that management measures be introduced to mitigate the effects of climate change and avoid further widespread hypoxic blackwater events. Key Points: A methodology is presented to differentiate estuarine catchments by their potential to generate hypoxic blackwater eventsLocal topographic and hydrodynamic conditions strongly influence the potential volume of hypoxic blackwater generated over a catchmentClimate change may increase the frequency and severity and change the distribution of blackwater risk throughout an estuary [ABSTRACT FROM AUTHOR]

The cyanobacterium Trichodesmium is responsible for approximately half of the ocean's nitrogen input through nitrogen fixation. Although it was first recorded near Australia in the 18th century, the knowledge of where and when large quantity of Trichodesmium around Australia could be found is still lacking. Here, using multi‐band satellite imagery acquired between 2012 and 2021, we fill this knowledge gap through the use of deep learning, designed to recognize both the spectral shapes of individual pixels and spatial morphology of surface aggregations (scums) of Trichodesmium. Trichodesmium scums were found nearly everywhere around Australia, with a cumulative footprint (i.e., where the 10‐year average density is >0.001‰) exceeding 4.6 million km2. Strong seasonality was found, with peak months between September and November. Furthermore, temperature, iron‐rich dust and black carbon aerosols, with the latter being a result of frequent bushfires, play major roles in determining the spatial distributions and seasonality of Trichodesmium. Plain Language Summary: Responsible for half of the ocean's nitrogen input through nitrogen fixation, the saltwater cyanobacterium Trichodesmium is ubiquitous in global tropical and subtropical oceans but particularly abundant around Australia. However, although the earliest report goes back to the 18th century, the knowledge of where and when large quantities of Trichodesmium can be found around Australia is still incomplete. Based on satellite imagery and deep learning, we quantified relative abundance of Trichodesmium around Australia for the period of 2012–2021. Surface aggregations of Trichodesmium were found almost everywhere except the southern coast, with a cumulative footprint exceeding 4.6 million km2. Strong seasonality was found, with peak months between September and November. The spatial distributions and seasonality were found to correlate well with water temperature, iron‐rich dust from Australian desert, and black carbon aerosols from frequent bushfires. With the projected ocean warming in the coming century, Trichodesmium may expand further south, making the cumulative footprint even larger. Key Points: Deep learning was applied to multi‐band satellite images to detect and quantify Trichodesmium surface scums around AustraliaTrichodesmium scums were found nearly everywhere around Australia with a seasonality and a cumulative footprint exceeding 4.6 million km2Distribution and seasonality of Trichodesmium were driven by temperature, iron‐rich dust and black carbon from the mainland bushfires [ABSTRACT FROM AUTHOR]

For over a century, numerous proposals for increasing available water in central Australia have been raised, inspired in part by the natural occurrence of the ephemeral lake, Kati Thanda‐Lake Eyre. It has also been proposed that additional rainfall generated by the lake would spread beyond the lake itself, potentially opening up large tracts of uncultivated land to dryland agriculture. Here we use a climate model to examine how adding a permanent lake to Australia's arid center might influence local and regional precipitation. Locally, evaporative cooling from the lake increases low‐level divergence, suppressing precipitation. Regionally, additional moisture from the lake is spread thinly over the Australian continent, resulting in little change to total precipitation. Overall, our results do not support the assertion that maintaining a large inland lake like Kati Thanda‐Lake Eyre in central Australia would significantly increase precipitation, either locally or regionally. Plain Language Summary: The Bradfield water scheme proposed opening central Australia up to agriculture by diverting water inland. Supporters of the plan have argued that this might also increase rainfall. We use a climate model to simulate how precipitation would be impacted by an idealized permanent lake in central Australia. The model simulations show that the presence of a large lake has negligible impact on rainfall, both locally and regionally. Key Points: A climate model is used to test the hypothesis that creating a large lake in central Australia would increase rainfallLocally, surface cooling effects of the lake suppress the formation of precipitationRegionally, moisture from the lake is exported to other areas but the amount is small compared to natural variability in Australian rainfall [ABSTRACT FROM AUTHOR]

Historically there is a strong, amiable and mutually respectful relationship between Australian and New Zealand obstetricians and gynaecologists (O&Gs) and the British O&G establishment represented by the Royal College of Obstetricians and Gynaecologists (RCOG). The 'Royal' prefix pays homage to this relationship. With the evolution of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG), there have been suggestions that the Royal prefix no longer accurately reflects the raison d'être and aspirations of RANZCOG. This paper will explore the arguments in favour and against dropping the Royal prefix from RANZCOG., (© 2023 Royal Australian and New Zealand College of Obstetricians and Gynaecologists.)

The views expressed here are based on my professional experience as a consultant obstetrician, and previous role as clinical head of service for a small (<1800 births/year) obstetric unit in Perth metro. The obstetric unit in which I work has no 24/7 on-site staffed theatre capacity, no high dependency unit, and at night is staffed by a resident medical officer and junior obstetric registrar, with a consultant on-call within 30 min travel time. Based on my review of the literature on obstetric services nationally and various state guidelines (see Sources section), other Australian metro-located obstetric services appear to have similar challenges, but in this paper I focus on the health service models and patient safety systems that I am most familiar with (Perth metro) and ask why obstetric services in this, and by inference, other areas of the country which have similar high population density, would continue to have these staffing/service profiles., (© 2023 Royal Australian and New Zealand College of Obstetricians and Gynaecologists.)

The Australian Native Title Act 1993 (Cth) provides for the recognition of rights and interests which arise from the traditional laws and customs of Australian First Nation peoples. Processing applications for a determination of native title can take many years and involves numerous stakeholders, presentation of evidence of ongoing connection with the land and sea within a claim area, negotiations with other parties including from industry and government, as well as negotiations between Indigenous groups. The process can be long, arduous, and often outcomes fail to satisfy the expectations of native title claimants. In this paper we investigate how individuals who either disagree with the premise underlying native title, or who have suffered negative impacts through the course of native title claims, may be either targeted by, or swept up in, Australian sovereign citizen rhetoric. We aim to contextualise presentations of sovereign citizen ideas in native title claim processes by providing an overview of the history of sovereign citizen thought, and examples of its contemporary expression in some Australian online forums. In doing this we aim to provide a broad foundation for future research into the issue. The dialogue in sovereign citizen online communities exposes people to extremism and superconspiracies. This article will provide a theoretical framework and historical context to the Australian sovereign citizen phenomena and describe online amplification of disinformation in Australia that has the potential to cause harm. We illustrate how stakeholders who are drawn to relatively moderate online content (such as opposing native title) may be radicalised through gradual exposure to extremist anti‐government sentiment and hate speech. This article highlights the need for further research into sovereign citizenry in Australia, and strategies for native title practitioners to engage claimants who subscribe to and disseminate sovereign citizen disinformation in native title processes. [ABSTRACT FROM AUTHOR]

Background: Australia's National Disability Insurance Scheme (NDIS) was launched in 2013 to provide financial support packages for people with disability to purchase supports and services to enhance independence. People with disability are required to develop a plan with the National Disability Insurance Agency (NDIA), the government department responsible for managing the NDIS. This scoping review aims to ascertain the level of research into people's experience of the NDIS planning process in these geographic areas. Methodology: Research publication databases were searched using a specific search string to identify research about people with disability and their families/carer's experiences of the NDIS planning process in regional, rural and remote regions of Australia. The Mixed Methods Appraisal Tool (MMAT) was adopted to appraise the quality of the research publications. Research publications focused on Aboriginal and Torres Strait Islander people were additionally appraised using the Aboriginal and Torres Strait Islander Quality Appraisal Tool developed by the Centre for Excellence in Aboriginal Chronic Disease Knowledge Translation and Exchange. A thematic synthesis of the publications' contents was undertaken to ascertain people with disabilities and carers experience of the NDIS planning process. Results: Ten (N = 10) research papers were found that met the inclusion criteria. Two papers were policy reviews and reported on the improvements of the NDIS planning process since its conception. The analysis found the research archive focused on five themes: (1) healthcare workforce and NDIA staff; (2) NDIS package holders and carers lack of awareness of the NDIS; (3) cultural/socio‐economic barriers; (4) travel funding; and (5) emotional burden of the NDIS planning process. Conclusion: There are limited papers available that explore people's experiences of the NDIS planning process in regional, rural and remote regions of Australia. This systematic review illuminates the difficulties, barriers and concerns of people with disability and their carers about the planning process. [ABSTRACT FROM AUTHOR]

Objective: The purpose of this paper is to report on enablers and barriers during the first 2 years of the health systems integration project that included the implementation of a health navigator role. The project aims to improve health outcomes for children and young people residing in out of home care in rural Australia with a health navigator co‐located between child protection practitioners and community health services clinicians. Setting: Rural Northwest Victoria. Participants: Sunraysia Community Health Services and the Department of Health and Human Services. Design: The qualitative design of the project evaluation involved semi‐structured interviews and documentary evidence analysis. Analyses of interviews and documentary data demonstrate the challenging nature of siloed service delivery in rural Australia, particularly during a time that comprised multiple interruptions due to COVID‐19. Results: A limited synergy between organisational priorities and reporting systems hindered project progress. The lack of a shared definition of 'health' challenged the effective collaboration between health clinicians and child protection practitioners and the role of the health navigator. The health navigator raising health awareness through project involvement, training and sector‐wide stakeholder engagement resulted in a slow but steady process of increased prioritisation of health care, increased health literacy among the child protection workforce, and broadening participation of area‐based stakeholders, but did not translate to increased access to health plans for children. Conclusion: Integrating health systems across multiple sites with support of a health navigator revealed difficulties, particularly during COVID‐19. The first phase of the project demonstrated the value of shared governance and partnerships as an imperative foundation for fundamental change. Relationships strengthened throughout the project, leading to a better understanding of area‐based strengths, which in turn supports improved pathways to health care for children and young people in OOHC within rural communities and driving the subsequent phases of the 10‐year project. [ABSTRACT FROM AUTHOR]

Introduction: Culturally safe and meaningful cognitive assessment methods for use with Aboriginal and Torres Strait Islander peoples are scarce. Concerns are raised regarding the efficacy of existing methods in cross‐cultural contexts. The Perceive, Recall, Plan and Perform (PRPP) Assessment offers a person‐centred alternative whereby cognitive strategy application is examined during performance of culturally relevant everyday tasks. This paper explores its use with Aboriginal and Torres Strait Islander peoples in Australia. Methods: A critical case study design was applied to examine the effectiveness and relevance of the PRPP Assessment with two Aboriginal Australian people in the Northern Territory of Australia. 'Ivan' and 'Jean' were each receiving occupational therapy through a rehabilitation service over a 6‐month period following acquired brain injuries. Ivan and Jean were assessed performing everyday tasks of interest and importance to them as part of routine care. A partnership approach was adopted throughout the process, and both consented to their stories being told. Results: The PRPP Assessment was able to measure changes in Ivan's and Jean's cognitive strategy use and its impact on performance of meaningful tasks. Ivan demonstrated a 46% increase in performance mastery and a 29% increase in cognitive strategy use with most improvements identified in his ability to sense information, initiate action, and continue performance. Jean demonstrated a 71% increase in performance mastery and a 32% increase in cognitive strategy use. Her greatest improvements were in the ability to recall schemes, self‐evaluate, and initiate action. Conclusion: The two critical case stories shared in this study suggest that the PRPP Assessment has emerging evidence of clinical utility when used with Aboriginal people with acquired brain impairment. The information gained revealed strengths in performance; it was effective in measuring change in cognitive strategy use, was able to inform the goal setting process, and guided intervention to support cognitive strategy use during task performance. [ABSTRACT FROM AUTHOR]

In Australia, there are more than 46 000 children in out‐of‐home care (OOHC). Most of these children have been in OOHC for more than 2 years. Similarly, there are more than 407 000 children in the United States and over 80 800 in England who are 'looked after' with approximately one third of these children being in OOHC for more than 2 years. This paper concerns 'looked after' children's rights to contact with their birth parents. The United Nations Convention on the Rights of the Child (UNCRC) requires child protection systems to recognize the rights of children to maintain contact with their families except where this is not in the child's 'best interests'. In this paper, we report on a qualitative study conducted in Australia exploring legal and family support practitioners' perceptions of barriers to contact between children in OOHC and their birth parents. The thematic analysis identified four themes: These were as follows: a focus on systems driven responses; lack of cultural recognition and responsiveness; carers' disconnection from birth parents; and parents' exclusion. We discuss the implications of these findings for understanding and recognizing children's right to contact with birth parents. [ABSTRACT FROM AUTHOR]

Increased predation where ground cover is reduced after severe wildfire is increasingly implicated as a factor causing decline of vulnerable prey populations. In arid central Australia, one species detrimentally affected by repeated wildfire is the great desert skink or tjakura (Liopholis kintorei), a distinctive lizard of the central Australian arid zone that constructs and inhabits multi‐entranced communal burrows. We aimed to test whether tjakura or predator activity at burrow entrances varied with cover and how tjakura respond to predator presence. Using time‐lapse photography, we monitored tjakura and predator activity at the largest entrance of 12 burrows ranging from high (>70%) to low (<50%) cover and at multiple entrances of two other burrows. Overall activity did not vary between burrows with high and low cover. Within burrow systems tjakura were more active at sparsely vegetated entrances, often sitting wholly or partly inside the burrow. However, consistent between and within burrow systems, skinks spent proportionally more time fully outside where cover was higher. Predators—mostly native—were detected at most burrows, with no apparent relationship between predator activity and cover. Skinks also did not appear to modify their activity in response to predator visits. Our results indicate that tjakura may spend more time outside burrow entrances when cover is higher but there was no direct evidence that this related to perceived or real predation risk. Differences in food availability, thermoregulatory opportunities and opportunities for ambush foraging associated with differences in vegetation cover or composition are other factors likely to be important in determining the activity of tjakura at burrows. Our research demonstrates the usefulness of camera traps for behavioural studies of ectothermic burrowing animals. The complex relationships between tjakura activity and vegetation cover thereby revealed, suggest outcomes of fire‐mediated habitat change on predator–prey interactions are not easily predictable. [ABSTRACT FROM AUTHOR]

Interference competition has the potential to alter avian assemblages at long‐lasting arid zone waterholes, particularly in a warming world, as more potentially aggressive species frequent these sites to drink. We used camera traps and observational surveys to investigate interference competition between terrestrial avian species at six long‐lasting waterholes across three sampling seasons (two summers and one winter) within the MacDonnell Ranges Bioregion in central Australia. The proportion of individuals drinking for each of four dietary classes (granivores, nectarivores, omnivores, and insectivores) was modelled in relation to their abundance in the immediate waterhole habitat, which informed the potential for competition in each season. We then used the temporal overlap estimators to quantify the degree of competition between species at waterholes with species grouped into families (Meliphagidae, Ptilonorhynchidae, Estrildidae, and Rhipiduridae). We found the proportion of individuals drinking at waterholes was greatest during hot and dry periods, suggesting the potential for interference competition is greatest during these times. This was particularly the case for nectarivores where, in hot and dry conditions, the proportion of drinking individuals increased significantly as their abundance also increased in the waterhole habitat. We predicted that subordinate species would alter their activity periods to avoid competitive interactions with meliphagids (honeyeaters), however, we found there was a high degree of temporal overlap between all families sampled across all seasons. These results suggest subordinate species are unlikely to be excluded from long‐lasting waterholes by potentially aggressive species, such as honeyeaters. However, some species may face trade‐offs between foraging and accessing waterholes to stay hydrated as they shift their activity to avoid the hottest parts of the day during the summer months. Under global warming, extended hot and dry periods will likely create conditions where balancing energy and hydration requirements becomes increasingly difficult and results in the loss of body condition. [ABSTRACT FROM AUTHOR]

Australia was a world leader in managing the earlier waves of the COVID‐19 pandemic. Subsequently, three major turning points changed the trajectory of the pandemic: mass vaccinations, emergence of more transmissible variants and re‐opening of Australia's borders. However, there were also concomitant missteps and premature shifts in pandemic response policy that led to mixed messaging, slow initial vaccination uptake and minimal mitigation measures in response to the Omicron variant. The latter marked Australia's entry into a new phase of (or approach to) the pandemic: widespread transmission. This led to an exponential increase in cases and significant impacts on the health system, particularly, EDs. This paper reflects on this phase of the pandemic to urge for system‐level changes that instal better safeguards for ED capacity, safety and staff well‐being for future pandemics. This is essential to strengthening our health system's resilience and to better protecting our communities against such emergencies. [ABSTRACT FROM AUTHOR]

That parties fulfil their pre‐election pledges once they are in government is a fundamental idea of many democracy models. This paper addresses the question of whether the government/opposition status of their party affects how much citizens want governments to fulfil their promises. We hypothesize that interest‐driven, rational voters are more likely to prefer their own party to keep its promises and investigate whether this rationale is impacted by public opinion and expert views. The analysis is based on a survey experiment conducted in Australia and Austria. It finds that voters broadly adhere to the democratic principle of expecting pledge fulfilment but, at the same time, some take a rational approach to government promises. The opinions of the public and experts mitigate but do not change this effect. Another key finding is the significant difference in the preference for promise keeping versus promise breaking between government and opposition voters in the Austrian case, the country with the more heterogeneous and polarized political system. This paper contributes to the literature on voters' attitudes on democracy and pledge fulfilment by showing that voters are normatively driven but a significant number of voters deviate and instead follow the rational voter logic. [ABSTRACT FROM AUTHOR]

First Nations peoples are revitalising diverse cultural fire practices and knowledge. Institutional and societal recognition of these practices is growing. Yet there has been little academic research on these fire practices in south‐east Australia, let alone research led by Aboriginal people. We are a group of Indigenous and settler academics, practitioners, and experts focused on cultural fire management in the Victorian Loddon Mallee region. Using interviews and workshops, we facilitated knowledge sharing and discussion. In this paper, we describe three practice‐oriented principles to develop and maintain collaborations across Aboriginal groups, researchers, and government in the Indigenous‐led revitalisation of fire on Country: relationships (creating reciprocity and trust), Country (working with place and people), and power (acknowledging structures and values). Collaborations based on these principles will be unique to each temporal, social, cultural, and geographic context. Considering our findings, we acknowledge the challenges that exist and the opportunities that emerge to constructively hold space to grow genuinely collaborative research that creates change. We suggest that the principles we identify can be applied by anyone wanting to form genuine collaborations around the world as the need for social–ecological justice grows. [ABSTRACT FROM AUTHOR]

Objectives: Peer‐to‐peer communication approaches have been previously described as the 'power of personal referral'. Rather than relying on official channels of information, peer‐to‐peer communication may have a role in supporting changes in understanding and possibly behaviours. However, in emergency or pandemic situations, there is currently limited understanding of whether community members feel comfortable speaking about their vaccine experiences or advocating to others. This study explored the perceptions of COVID‐19 vaccinated and unvaccinated Australian adults regarding their preferences and opinions about peer‐peer communication and other vaccine communication strategies. Study Design: Qualitative interview research. Methods: In‐depth interviews were conducted in September 2021 with 41 members of the Australian community. Thirty‐three participants self‐identified as being vaccinated against COVID‐19, while the remainder were not vaccinated at the time or did not intend on receiving a COVID vaccine. Results: Amongst those who were vaccinated, participants spoke about being willing to promote the vaccine and correct misinformation and felt empowered following their vaccination. They highlighted the importance of peer‐to‐peer communication and community messaging, expressing the need for both strategies in an immunisation promotional campaign, with a slight emphasis on the persuasive power of communication between family and friends. However, those who were unvaccinated tended to dismiss the role of community messaging, commenting on a desire not to be like one of the many who listened to the advice of others. Conclusion: During emergency situations, governments and other relevant community organisations should consider harnessing peer‐to‐peer communication amongst motivated individuals as a health communication intervention. However further work is needed to understand the support that this constituent‐involving strategy requires. Patient or Public Contribution: Participants were invited to participate through a series of online promotional pathways including emails and social media posts. Those who completed the expression of interest and met the study criteria were contacted and sent the full study participant information documentation. A time for a 30 min semi‐structured interview was set and provided with a $50 gift voucher at the conclusion. [ABSTRACT FROM AUTHOR]

The introduction of long‐acting injectable buprenorphine preparations for opioid use disorder has been widely heralded as a breakthrough treatment, with several studies indicating positive results when using these medications. In many locations, nurse practitioners prescribe, administer, and monitor long‐acting injectable preparations. The objective of this paper is to explore whether a reduction in dispensed needles and syringes is attributable to increased nurse practitioner prescribing of LAIB. We used a retrospective audit of needles dispensed through the health service needle and syringe program vending machine, and individuals treated with long‐acting injectable buprenorphine by the nurse practitioner led model. In addition, we examined potential factors that may influence changes in the number of needles dispensed. Linear regression found that each individual with opioid dependence treated with long‐acting injectable buprenorphine was associated with 90 fewer needles dispensed each month (p < 0.001). The nurse practitioner led model of care for individuals with opioid dependence appears to have influenced the number of needles dispensed at the needle and syringe program. Although all confounding factors could not be discounted entirely, such as substance availability, affordability, and individuals obtaining injecting equipment elsewhere, our research indicates that a nurse practitioner led model of treating individuals with opioid use disorder influenced needle and syringe dispensing in the study setting. [ABSTRACT FROM AUTHOR]

Aim: This article aimed to provide a snapshot of demographics and professional characteristics of nursing and midwifery workforce in Australian primary health care (PHC) settings during 2015–2019 and factors that influenced their decisions to work in PHC. Design: Longitudinal retrospective survey. Methods: Longitudinal data that were collected from a descriptive workforce survey were retrieved retrospectively. After collation and cleaning, data from 7066 participants were analysed using descriptive and inferential statistics in SPSS version 27.0. Results: The majority of the participants were female, aged between 45 and 64 years old and working in general practice. There was a small yet steady increase in the number of participants in the 25–34 age group and a downward trend in the percentage of postgraduate study completion among participants. While factors perceived most/least important to their decision to work in PHC were consistent during 2015–2019, these factors differed among different age groups and postgraduate qualification holders. This study's findings are both novel and supported by previous research. It is necessary to tailor recruitment and retention strategies to nurses/midwives' age groups and qualifications to attract and retain highly skilled and qualified nursing and midwifery workforce in PHC settings. [ABSTRACT FROM AUTHOR]

This article presents new insights into the views of families regarding the educational opportunities for their children in special school settings. It reports on a study designed to capture the perspectives of families regarding the opportunities to consult and engage with teachers on the education of their child or children with disabilities across special schools in Australia. The methodology provided a framework of investigation critical to the research in this study. Furthermore, a significant body of parental voices was manifested through the study providing a rich bank of perspectives regarding their preferred delivery models of education for their families and children with disabilities. Key pointsThe findings of this study provide deep insights into families' perspectives on curriculum and inclusive programmes that add value to the learning experiences of their children with disabilities in special school settings in Australia.The paper articulates the reasons why an overwhelming majority of parents who completed a large mix methods survey expressed confidence in the expertise of teachers, staff and leaders in the provision of education for students with disabilities in special school settings in Australia.For the first time in recent research in Australia, the voices of parents of students with disabilities are heard, respected and valued through a set of open‐ended questions within a large‐scale survey.A strong call from parents to sustain the provision of special schools in Australia, in keeping with the UN Rights of the Child (1990), is expressed and is supported by evidence elicited from parents in over 300 schools in Australia. [ABSTRACT FROM AUTHOR]

While the pivotal role of the Indonesian Throughflow (ITF) in the global ocean circulation and climate has been widely recognized, accurate estimation of its volume transport based on observational data remains challenging. This work provides an updated estimate of the monthly ITF geostrophic transport (ITFG) in the upper 700 m at the IX1 section between Indonesia and Australia. The ITFG estimate is better constrained by improved data correction and new salinity data products. The mean ITFG of 1993–2018 is 8.2 ± 0.2 Sv, in which contributions of the temperature and salinity components (ITFT and ITFS) are 5.5 ± 0.2 and 2.8 ± 0.1 Sv, respectively. The interannual variability (∼4.4 Sv in standard deviation) is dominated by ITFT, as the result of wind‐driven thermocline dynamics, and slightly attenuated in amplitude by ITFS. The strengthening trend of 1.33 Sv decade−1 during 1993–2018 primarily arises from ITFS and secondarily from ITFT. Plain Language Summary: The Indonesian Throughflow (ITF) is of worldwide importance for the ocean circulation and climate. Existing estimates of the ITF's volume transport are subjected to uncertainties associated with data biases and simplified approaches. Here, we provide a more accurate estimate of the ITF geostrophic transport (ITFG) at the IX1 line, by adopting improved historical data correction and more realistically considering the ocean salinity effect. The IX1 line has the best and longest data coverage to represent the net transport of the upper‐layer throughflow. The mean ITFG of 0–700 m is 8.2 ± 0.2 Sv, wherein the contributions of temperature and salinity are 5.5 ± 0.2 and 2.8 ± 0.1 Sv, respectively. The ITFG variabilities on seasonal and interannual timescales are dominated by the temperature component, whereas most part of the increasing trend of 1.33 Sv decade−1 during 1993–2018 arises from the salinity component. Key Points: An updated estimate of the Indonesian Throughflow (ITF) is provided, with improvements in data correction, uncertainty estimation, and salinity effectThe ITF in the upper 700 m is of a mean geostrophic transport of 8.2 ± 0.2 Sv and interannual variability of ∼4.4 SvSalinity exerts a weak damping effect on ITF's interannual variability but fundamentally contributes to its strengthening trend since 1993 [ABSTRACT FROM AUTHOR]

Background: Breast cancer survival in Australia varies according to socio‐economic status (SES) and between rural and urban places of residence. Part of this disparity may be due to differences in prognostic factors at the time of diagnosis. Methods: Women with invasive breast cancer diagnosed from 2008 until 2012 (n = 14,165) were identified from the Victorian Cancer Registry and followed up for 5 years, with death from breast cancer or other causes recorded. A prognostic score, based on stage at diagnosis, cancer grade, whether the cancer was detected via screening, reported comorbidities and age at diagnosis, was constructed for use in a mediation analysis. Results: Five‐year breast cancer mortality for women with breast cancer who were in the lowest quintile of SES (10.3%) was almost double that of those in the highest quintile (5.7%). There was a small survival advantage (1.7% on average, within each socio‐economic quintile) of living in inner‐regional areas compared with major cities. About half of the socio‐economic disparity was mediated by prognostic factors, particularly stage at diagnosis and the presence of comorbidities. The inner‐regional survival advantage was not due to differences in prognostic factors. Conclusions: Part of the socio‐economic disparity in breast cancer survival could be addressed by earlier detection in, and improved general health for, more disadvantaged women. Further research is required to identify additional causes of socio‐economic disparities as well as the observed inner‐regional survival advantage. [ABSTRACT FROM AUTHOR]

Introduction: Around half of Australian students aged 16-17 are estimated to have drunk alcohol in the past month, with 11% drinking at 'risky' levels. This study investigated: (i) how many Australian adolescents aged 16-17 had parental permission to drink at home in 2016/17 and whether prevalence differed by adolescent sex; (ii) whether adolescents allowed to drink at home had drunk more recently and were drinking greater quantities; (iii) if adolescents allowed to drink at home experienced more alcohol-related harms; and (iv) if parental drinking patterns were associated with permitting adolescents to drink at home., Methods: Data from Wave 7 of the Longitudinal Study of Australian Children were used. Descriptive and bivariate analyses addressed Aims i-iii. Nested multivariable logistic regression models addressed aim iv., Results: In 2016/17, 28% of Australian adolescents aged 16-17 were allowed to drink alcohol at home. More adolescents with permission had drunk alcohol in the past month (77% vs. 63% of those without permission). There was no difference in quantity of alcohol consumed in the past week between groups. More adolescents allowed to drink at home had experienced alcohol-related harm compared to those without permission (23% vs. 17%). In multivariable analyses, alcohol consumption by primary parents was associated with an increased likelihood of allowing adolescents to drink at home., Discussions and Conclusions: In order to reduce adolescent alcohol use and associated harms, parents should avoid permitting alcohol use among adolescents at home. Frequent (twice or more/week) primary parental alcohol consumption was especially associated with greater odds of allowing adolescents to drink at home., (© 2023 The Authors. Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs.)

Introduction: Excessive alcohol use is associated with non-communicable diseases and social problems, such as work absence, financial problems and family violence. Expenditure and expenditure shares on alcohol are valuable measures to monitor financial activities on this risk behaviour. The aim of this paper is to report trends in alcohol expenditure in Australia over the last two decades., Methods: Data are from six waves of Australian Household Expenditure Surveys from 1984 to 2015-2016. We explored trends of alcohol expenditure among Australians and in different socio-demographic groups in the last 30 years. We further examined changes of expenditure on different on- and off-premises beverages over time., Results: Absolute alcohol expenditure has remained the same between the 1980s and 2016, after accounting for inflation. However, a declining trend in relative alcohol expenditure as a proportion of total household expenditure was found across nearly all demographic groups (e.g., sex, age, employment, household income), except for women aged 45-54, who showed an increasing trend of alcohol expenditure after 1998-1999., Discussion and Conclusions: The current study shows declines in relative alcohol expenditure, which may reflect declines in alcohol's relative importance within the elements of the person's lifestyle they need to pay for and/or increased awareness of alcohol's health and social harms. Further longitudinal analysis should explore additional predictors of household expenditure on alcohol. Results suggest that current bi-annual indexation increases in alcohol tax should account for increases in income to ensure the effectiveness of pricing. Moreover, attention is needed to address drinking among middle-aged females., (© 2023 The Authors. Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs.)

In Australia, nicotine vaping products are regulated as prescription-only medicines which can only be sold from a pharmacy, with the aim of preventing youth access and allowing use by adult smokers with a doctor's support. The Therapeutic Goods Administration has acknowledged that this policy has not achieved its goals. Instead, a thriving black market has developed which sells unregulated vape products to children and adults. Very few adult vapers use the legal prescription pathway. Regulation should find the optimal balance between facilitating legal access for adult smokers while restricting access by youth. The preferred approach is a tightly regulated consumer model with nicotine vaping products sold by licenced retail outlets with strict age-of-sale verification. Regulations should be proportionate to risk and reflect the lower harms of vaping relative to smoking. A consumer model would bring Australia into line with other Western countries and improve population health., (© 2023 Australasian Professional Society on Alcohol and other Drugs.)

Transitions to working from home due to the COVID pandemic led to a proliferation of literature and industry reports on changed work practices. However, this study set out to advance understanding of how human resource professionals managed the crises – adding to the limited literature on this perspective. Data was collected during late 2020/early 2021 through interviews with human resource professionals. Data was analysed using coding techniques enabling findings to be organised into relevant concepts and categories. Contributions to practice include the range of challenges and opportunities associated with working from home, which are outlined here as technical and behavioural recommendations. These include the need for improved IT support and IT literacy across the workforce; issues linked to employee isolation, managing privacy, workload, and the management of remote employees. This paper draws on institutional theory, stressing the importance of context in shaping HRM strategies in times of crises. [ABSTRACT FROM AUTHOR]

Current methods for climate change assessment ignore the significant differences in uncertainty in model projections of the two key constituents of drought, precipitation, and evapotranspiration. We present here a new basis for assessing future drought using climate model simulations that addresses this limitation. The new method estimates the Standardized Precipitation Evapotranspiration Index (SPEI) in a two‐stage process. The first stage of our proposed approach is to derive the Standardized Precipitation Index (SPI) using reliable atmospheric variables, which are filtered with a wavelet‐based spectral transformation. This derived SPI is then converted to an equivalent SPEI by combining it with climate model evapotranspiration simulations. We assess the performance of our proposed approach across Australia. The consistency of general circulation model (GCM) drought projections, in terms of both frequency and severity, is improved using the derived SPI. Incorporating evapotranspiration further improves the consistency of the multiple GCMs and drought time scales. The proposed framework can also be generalized to other water resources applications, where the differences in GCM uncertainty for precipitation and evapotranspiration affect climate change impact assessments. Plain Language Summary: Drought is affected by both rainfall and evapotranspiration. Drought indices represent drought severity compared to normal conditions as a function of time. Some drought indices are based on rainfall alone and some use both rainfall and evapotranspiration in the calculations. To understand future drought risk, simulations from climate models are needed. Unfortunately, different climate models often disagree on amounts and patterns of rainfall in the future, the disagreement being considerably more on rainfall than for evapotranspiration. In this study, we attempt to reduce the impact of these differences by developing a new method to estimate future drought. We used a mathematical method known as wavelets to estimate drought indices based on rainfall. Evapotranspiration is then used directly from the climate model and combined with the rainfall based drought index to create one overall drought index. We used projections from multiple climate models to understand if our new method led to a greater agreement in how often and severe future droughts may be. Our results confirm that the new method offers greater consistency in drought projections for the future. Key Points: Current methods for projecting drought ignore differences in uncertainty between P and ET simulationsA new basis for projecting drought is proposed that explicitly accounts for relative uncertainty between P and ETOur results show that the new method offers greater consistency in drought projections for the future [ABSTRACT FROM AUTHOR]

Madagascar is home to many endemic plant and animal species owing to its ancient isolation from other landmasses. This unique fauna includes several lineages of termites, a group of insects known for their key role in organic matter decomposition in many terrestrial ecosystems. How and when termites colonised Madagascar remains unknown. In this study, we used 601 mitochondrial genomes, 93 of which were generated from Malagasy samples, to infer the global historical biogeography of Neoisoptera, a lineage containing more than 80% of described termite species. Our results indicate that Neoisoptera colonised Madagascar between 7 and 10 times independently during the Miocene, between 8.4 and 16.6 Ma (95% HPD: 6.1-19.9 Ma). This timing matches that of the colonization of Australia by Neoisoptera. Furthermore, the taxonomic composition of the Neoisopteran fauna of Madagascar and Australia are strikingly similar, with Madagascar harbouring an additional two lineages absent from Australia. Therefore, akin to Australia, Neoisoptera colonised Madagascar during the global expansion of grasslands, possibly helped by the ecological opportunities arising from the spread of this new biome. [ABSTRACT FROM AUTHOR]

This paper examines the impact of daylight saving time (DST) on fatal road crashes in Australia. I exploit within year transitions to and from DST in a regression discontinuity in time framework. To examine the long run effect of the policy, I use trials of DST implemented in various states, and a DST extension due to the Sydney Olympics. Neither the transition to or out of DST, nor the long run effects of DST have an impact on fatalities on the road. However, there is evidence of reallocation of accidents over the day due to ambient light. [ABSTRACT FROM AUTHOR]

With the development of the electric market, electric load forecasting has been increasingly pursued by many scholars. Because the electric load is affected by many factors, it is characterized by volatility and uncertainty, and it cannot be forecasted accurately only by a single model. In the research, a short‐term load forecasting integrated model is proposed to solve the problem of inaccurate forecasting of a single model. The key point of using the integrated model to forecast is to optimize the decomposed sequence to improve the accuracy of the forecast. empirical wavelet decomposition (EWT) is used to decompose the sequence into stationary sequences and avoid modal aliasing; the sparrow search algorithm (SSA) simulates the forecasting and anti‐forecasting behavior of the sparrow population, which is very similar to the electricity consumption behavior of various industries and has good optimization effect; generalized regression neural network (GRNN) is used for forecast and reconstruction; This is the EWT‐SSA‐GRNN model. This paper studies and analyzes the power load of a city in southern Australia. The results show that the integrated model reduces volatility through decomposition and optimization, and can improve forecast accuracy. [ABSTRACT FROM AUTHOR]

To date, older adults have received little attention in the newly emerging technological narratives of transnational religion. This is surprising, given the strong association of later life with spiritual and religious engagement, but it likely reflects the ongoing assumption that older adults are technophobic or technologically incompetent. Drawing on ethnographic interviews with older Sinhalese Buddhist migrants from Sri Lanka, living in Melbourne, this paper explores the digital articulations of transnational religion that arise from older migrants' uses of digital media. We focus on how engagements with digital media enable older Sinhalese to respond to an urgent need to accumulate merit in later life, facilitating their temporal strategies for ageing as migrants. We argue that these digital articulations transform both the religious imaginary and the religious practices that validate and legitimize a life well‐lived. [ABSTRACT FROM AUTHOR]

The Austroads Fitness to Drive Guidelines were updated in 2022. Most of the focus to date has been on Part 2 of the Guidelines, which provide guidance as to specific medical conditions. Less attention has been paid to Part 1 of the Guidelines, which cover a medical practitioner's ethical and legal obligations. This paper addresses the imbalance by considering and amplifying the obligations discussed in Part 1 of the Guidelines. [ABSTRACT FROM AUTHOR]

Background: A wealth of evidence supports the important role high‐quality parent–child interactions play in children's early language acquisition. However, the impact on later language outcomes remains unclear. Aims: To examine the associations between responsive parental behaviours across the early years and child language outcomes at age 7 years with families from an Australian longitudinal cohort study (N = 1148, 50% female). Methods & Procedures: At child ages 12, 24 and 36 months, parents completed a self‐report measure of responsive parental behaviours. Child language was directly assessed at age 7 using the Clinical Evaluation of Language Fundamentals, 4th edition (CELF‐4), Australian Standardisation. Linear regression was used to examine associations between responsive parental behaviours from 12 to 36 months (consistently high, inconsistent and consistently low responsive parental behaviours at the three time points) and language scores at age 7 years. Adjusted models were run, including the following potential confounders: child sex; birth weight; birth order; maternal education; socio‐economic disadvantage; non‐English‐speaking background; family history of speech–language problems; mother's vocabulary score; maternal mental health score; and mother's age at birth of child. A final adjusted model was run, including the potential confounder variables as well as adjusting for children's earlier language skills. Outcomes & Results: Linear regression results showed children with parents who rated high on responsive parental behaviours at all three time points had higher mean language scores at age 7 than children whose parents reported low responsive parental behaviours across early childhood. This association attenuated after adjusting for earlier child language skills. Conclusions & Implications: Findings support the consistent use of responsive parental behaviours across the very early years of childhood to support long‐term language outcomes. Findings also suggest that models of surveillance and support which monitor and assist families at multiple time‐points over the early years are likely to be most effective for preventing ongoing language difficulties. WHAT THIS PAPER ADDS: What is already known on this subject: There is extensive evidence consistently demonstrating the important contribution of aspects of parent–child interaction, specifically responsive parental behaviours, to children's language development. What this paper adds to the existing knowledge: Understanding the cumulative benefit of responsive parent–child interactions across the very early years may help to inform preventive interventions and service delivery models for supporting young children's language development. This study demonstrates in a large, population‐based cohort the contribution of consistency of responsive parental behaviours during infancy and toddlerhood to school‐age language outcomes, accounting for other child, family and environmental factors. Capturing regular parent behaviours via self‐report during the early years may be a more efficient and less costly method than parent–child interaction observations to monitor the home language‐learning environment during routine developmental checks. What are the potential or actual clinical implications of this work?: Findings support the need for surveillance of children and families in the early years, ensuring that intervention occurs when families need it most, that is, support is responsive to changing needs and that nuanced advice and support strategies are provided to activate positive developmental cascades. Capturing both parent behaviours and child language may assist clinicians to identify those families who may benefit from parent–child interaction intervention. [ABSTRACT FROM AUTHOR]

Tracking farmland purchases is central to interpreting transnational finance's growing power in agrarian restructuring. Australia's public Register of foreign land ownership reveals little about agrarian change, however. In presenting the first comprehensive mapping of farmland purchases made between 2008 and 2020, this paper examines the ways that financial investments are altering farm ownership patterns in Australia. First, we show that most foreign owned land has been purchased by only 10 pastoral companies, which are implicated in speculative development activities. Second, foreign investment in cropping and horticulture is more significant than it appears in the Register, with investments in agricultural infrastructure increasingly driving land use change. Third, we illustrate the deepening entrenchment of institutional finance. By engaging with the findings from our dataset as well as with the politics of data that have shaped the availability of information, the paper progresses understandings of the financialization of farmland in both its material and ideational aspects. [ABSTRACT FROM AUTHOR]

Drawing on long‐term ethnographic fieldwork with Seasonal Worker Programme (SWP) workers in south‐east Australia, I reflect in this paper on the experience of interminable temporariness and on its implications for the structural conditions underpinning contemporary horticultural labour in Australia. Although in many ways reflective of the specificities of a unique historical moment, the interminable temporariness experienced through the COVID‐19 pandemic also speaks to broader, enduring conditions produced within contemporary Australian agriculture. Here, the restructuring of the agri‐industry produces for many what Lauren Berlant describes as the "impasse" or "crisis ordinariness" of life under neoliberalism. At the same time, logics of development—including racialized imaginaries and border regimes—articulate with agricultural guest worker schemes in ways that seek to fix whole populations and regions in relations of suspended hope. In this context, I argue, the pandemic exposed and intensified structural vulnerabilities and unequal distributions of risk, which are encoded in the political economy of farm work in Australia, while also cleaving open new, if tentative, possibilities for agency and solidarity. [ABSTRACT FROM AUTHOR]

Breastfeeding initiation rates in Australia are high but duration rates fall well below the World Health Organization targets. Return to work is a known factor impacting 6 months exclusive breastfeeding and continuation into the infants second year of life. Work related factors can influence a woman's confidence in maintaining breastmilk supply after return to employment and determine whether she meets her personal breastfeeding goals. This cross‐sectional online survey is the first Australian study to explore women's experience of maintaining breastfeeding after return to work, in all work sectors. Results revealed variations across work sectors reflected in worker autonomy and confidence in speaking up about breastfeeding rights. Women who had autonomy or flexibility in planning their workday were more likely to be confident in maintaining breastmilk supply. The main predictors for milk supply confidence and meeting personal breastfeeding goals included having: a suitable place to express milk; confidence in speaking out about rights; a formal return‐to‐work plan; a supportive workplace; and returning to work after the period of exclusive breastfeeding. This study reveals that supportive workplace environments can lead to increased confidence in maintaining milk supply, extending durations of breastfeeding. Women who are confident in their rights to express breastmilk, or breastfeed at work, are more likely to meet their own breastfeeding goals. Education, and awareness raising, on the rights of breastfeeding women in the workplace, is a gender equity imperative that can improve experiences for breastfeeding women, and, increase manager and co‐worker knowledge for creating enabling workplace environments for breastfeeding employees. Key messages: Return to work after the birth of a baby impacts breastfeeding duration and personal goal attainment. Unsupportive employment factors can lead to a loss of confidence in ability to maintain adequate breastmilk supply.Having access to sufficient paid parental leave, a suitable place to express milk, autonomy, or ability to take lactation breaks, a formal return to work plan, and confidence in speaking up about breastfeeding rights, impacts meeting breastfeeding goals.Increasing knowledge and awareness on the rights of breastfeeding workers, and the components of supportive and enabling environments, will improve women's confidence in their ability to maintain adequate breastmilk supply, and meet their breastfeeding goals, after return to work. [ABSTRACT FROM AUTHOR]

Low‐carbohydrate diets (LCDs) are popular among people attempting weight loss and recommended for pregnant women with gestational diabetes (GDM), but they may increase health risks if nutritionally inadequate. We aimed to describe the dietary intake of post‐partum women according to their relative carbohydrate intake, overall, and among women attempting weight loss or diagnosed with GDM in their recent pregnancy. This cross‐sectional population‐based cohort study included 2093 post‐partum women aged 25–36 years who participated in the Australian Longitudinal Study on Women's Health. Dietary intake was assessed using a validated food frequency questionnaire. Relative carbohydrate intake was determined using a previously developed LCD score. Data were weighted to account for oversampling of women from rural/remote areas. More than half of women (n[weighted] = 1362, 66.3%) were trying to lose weight, and 4.6% (n[weighted]=88) had GDM in their recent pregnancy. Women with the lowest relative carbohydrate intake (LCD score quartile 4) consumed 36.8% of total energy intake from carbohydrates, and had a lower intake of refined grains, whole grains, fruit and fruit juice, and a higher intake of red and processed meat, compared with women with the highest relative carbohydrate intake (quartile 1). Different food groups, both healthy and unhealthy, were restricted depending on whether women were attempting weight loss and had recent GDM. These findings may reflect a lack of knowledge among post‐partum women on carbohydrates and dietary guidelines. Health professionals may have an important role in providing advice and support for post‐partum women who wish to restrict their carbohydrate intake, to ensure optimal diet quality. Key messages: Low‐carbohydrate diets have become increasingly popular, but they may increase health risks if nutritionally inadequate.In a national population‐based study of Australian post‐partum women, relatively low carbohydrate intake was associated with healthy and unhealthy food choices, including consumption of less refined grains and fruit juice, but also less whole grains and fruit and more red meat and processed meat.Given the critical role of carbohydrate quantity and quality in disease prevention, health professionals should inform and support women who wish to restrict their carbohydrate intake to consume a balanced diet in line with dietary guidelines. [ABSTRACT FROM AUTHOR]

One of the most basic understandings of nursing is that a nurse is a caregiver for a patient who helps to prevent illness, treat health conditions, and manage the physical needs of patients. Nursing is often presented as a caring profession, which provides patient care driven by ideals of empathy, compassion and kindness. These ideals of care have further been foregrounded through the development and implementation of stress on patient centred care (PCC) and/or person‐centred practice (PCP). Although the idealisation of nursing as a caring profession is common, and one certainly seen as integral by nurses and written into the heart of regulatory documentation, we contend that the actual delivery of care is being undercut by the very regulatory climate that strives to professionalise care. As we outline, with specific reference to the context of Australian Nursing, this transformation delivers a commodified, even McDonaldized, model of patient management rather than care. It seems that even with its explicit stress on PCC and PCP, Australian Nursing cannot live up to its own care ideals. Having outlined this problem, the paper then demonstrates the ways in which PCC is thwarted at the coal face of nursing practice and that there must be an institutionalised change to be able to provide genuine patient‐centred care. [ABSTRACT FROM AUTHOR]

The Larrakia terminology is a member of the very small class of asymmetric terminologies in Australia, but it is the most poorly described. There are a number of documentary sources, and this paper considers principled bases for the comparative evaluation of sources in order to produce a well‐founded description which can contribute to theories of kinship both in Australia and more generally. In terms of general kinship theory, the reconstructed Larrakia terminology raises issues for the analysis of Omaha skewing as a category. The prototype equation for Omaha skewing is MB = MBS, with equations such as MMB = MMBS being extensions. The Larrakia kin terminology is unusual among kin terminologies in having the extension equation MMB = MMBS but not the prototype equation. This raises a question as to the sufficiency conditions for membership of the Omaha category and the implications of the inclusion or exclusion of the Larrakia terminology in debates over the Omaha category. [ABSTRACT FROM AUTHOR]

Purpose: While optometrists' attitudes toward established retinal imaging types are generally positive, they are unknown for optical coherence tomography angiography (OCTA). We performed a cross‐sectional survey to estimate attitudes toward OCTA and identify clinician and/or practice characteristics that influence them. Methods: A paper‐based survey was mailed to 252 randomly selected optometrists in Australia. Five‐point Likert‐scale items from a previous survey assessing attitudes toward new technology were included to probe respondent characteristics and attitudes toward retinal imaging. Performance expectancy attitudes toward OCTA were elicited by the statement 'I believe OCTA is useful in daily practice'. Mean scores out of five (mean [SD]) were rounded and mapped to appropriate descriptive statements. Results: The response rate was 47% (118/252). The mean (SD) age of respondents was 44.0 (13.8) years and 50.8% (60/118) were female. Optometrists had 19.9 (14.0) years of clinical experience and 66.9% (79/118) worked at independent practices. In total, 8.5% (10/118) of respondents used OCTA to provide clinical care. Optometrists agreed that optical coherence tomography (OCT), colour fundus imaging, ultra‐wide field imaging and fundus autofluorescence (mean scores 3.6–4.7 out of 5) were useful in daily practice but felt neutral about whether OCTA was useful (3.4 [0.8]). Optometrists believed that OCTA was less enjoyable to use (p < 0.0001), less endorsed by peers (p < 0.0001) and felt less confident that they had the knowledge to interpret OCTA (p < 0.0001) compared to other retinal imaging types. Conclusions: Optometrists are undecided on whether OCTA is useful in daily practice and had lower expectations that using OCTA would confer job performance benefits compared to other retinal imaging types. Further work is needed to advocate the benefits of using OCTA across the profession. [ABSTRACT FROM AUTHOR]

This paper critically analyses a statement by Australia's National Health and Medical Research Council (NHMRC) on e-cigarettes in May 2022 that will be used to guide national policy. We reviewed the evidence and the conclusions drawn in the NHMRC Statement. In our view, the Statement is not a balanced reflection of the benefits and risks of vaping because it exaggerates the risks of vaping and fails to compare them to the far greater risks of smoking; it uncritically accepts evidence of harms from e-cigarettes while adopting a highly sceptical attitude towards evidence of their benefits; it incorrectly claims that the association between adolescent vaping and subsequent smoking is causal; and it understates the evidence of the benefits of e-cigarettes in assisting smokers to quit. The Statement dismisses the evidence that vaping is probably already having a positive net public health effect and misapplies the precautionary principle. Several sources of evidence supporting our assessment were published after the NHMRC Statement's publication and are also referenced. The NHMRC Statement on e-cigarettes does not present a balanced assessment of the available scientific literature and fails to meet the standard expected of a leading national scientific body., (© 2023 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.)

Background: Neonatal hypoxic ischaemic encephalopathy (HIE) is the most common cause of encephalopathy in the neonatal period and carries a high risk of mortality and long-term morbidity., Aim: The aim of this study was to investigate key antecedents of moderate and severe HIE in a large contemporary birth cohort., Methods: A retrospective cohort study of births meeting criteria was conducted between 2016 and 2020 at the Mater Mothers' Hospital, Brisbane, Australia. This is a quaternary perinatal centre and Australia's largest maternity hospital. Univariate and multivariate Firth logistic regression were used to account for imbalanced frequency classes between non-HIE and HIE groups. Maternal variables and intrapartum factors were investigated for associations with neonatal moderate and severe HIE., Results: Overall, 133 of 46 041 (0.29%) infants were diagnosed with HIE: 77 (0.17%) with mild HIE and 56 (0.12%) with moderate/severe HIE. Nulliparity, type 1 diabetes mellitus and maternal intensive care unit admission were associated with increased odds of moderate/severe HIE. Intrapartum risk factors included emergency caesarean birth, emergency caesarean for non-reassuring fetal status or failure to process, intrapartum haemorrhage and an intrapartum sentinel event (shoulder dystocia, cord prolapse, uterine rupture and placental abruption). Neonatal risk factors included male sex, late preterm gestation (35 +0 -36 +6  weeks), Apgar score less than four at 5 min, severe respiratory distress requiring ventilatory support and severe acidosis at birth., Conclusions: This cohort study identified a series of potentially modifiable maternal and obstetric risk factors for HIE. Risk factors for HIE do not appear to have changed significantly with evolution in modern obstetric care., (© 2023 Royal Australian and New Zealand College of Obstetricians and Gynaecologists.)

Rationale: Traditional whole systems of medicine, such as naturopathy, are founded upon holism; a philosophical paradigm consistent with contemporary complexity science. Naturopathic case management is predicated upon the understanding of an intimately interconnected internal physiological and external context of the human organism-potentially indicating a worldview aligned with a complexity perspective. In this study we investigate naturopathic clinical reasoning using a complexity lens with the aim of ascertaining the extent of correspondence between the two., Method: Mind maps depicting case presentations were sought from Australian degree qualified naturopaths. A network mapping was undertaken, which was then analysed in accordance with a complexity science framework using exploratory data analysis and network analysis processes and tools., Results: Naturopathic case schematics, in the form of mind maps (n = 70), were collected, network mapped, and analysed. A total of 739 unique elements and 2724 links were identified across the network. Integral elements across the network were: stress, fatigue, general anxiety, systemic inflammation, gut dysbiosis, and diet. A modularity algorithm detected 11 communities, the primary ones of these representing the nervous system and mood; the gastrointestinal tract, liver, and nutrition; immune function and the immune system; and diet and nutrients., Conclusions: Naturopathic case management is holistic and based on a perspective of an integrated physiology and external context of the human organism. The traditional concept of holism, when subjected to a complexity lens, leads to the emergence of a contemporary holistic paradigm cognisant of the human organism being a complex system. The application of complexity science to investigate naturopathic case management as employed in this study, demonstrates that it is possible to investigate traditional philosophies and principles in a scientific and critical manner. A complexity science research approach may offer a suitable scientific paradigm to develop our understanding of traditional whole systems of medicine., (© 2022 The Authors. Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd.)

Accelerated soil erosion and landslides are destructive consequences of road development and intensive agriculture in the central highlands of Sri Lanka. Properly designed vegetation covers can play a vital role in erosion control. Identifying a plant that can adapt to eroded land with a low‐nutrient supply is critical for natural erosion management. A perennial creeper legume, Vigna marina, adaptable for marginal lands and used to control soil erosion in Australia, was introduced to Sri Lanka via the 2004 tsunami. The objective of this study was to assess V. marina under five different soil substrates, including a reference treatment (RT) recommended for optimal legume growth and subsoil (SS) and decomposing parent materials (DPM) without or with 20% Pinus wood biochar (SSb, DPMb). The growth parameters of V. marina were in the order RT > SSb = DPMb > SS = DPM. Following V. marina growth, nitrogen (N) content in DPM and DPMb increased from non‐detectable to 1.83 and 0.99 mg g−1, respectively. The SSb and SS recorded an increase in N by 1.38 and 0.77 mg g−1, respectively. The RT lost soil N by 3.31 mg g−1. Compared to the RT, root nodules were 3× in SSb and DPMb, 2× in SS, and >2× in DPM. Amending SS and DPM with biochar enhanced the growth of V. marina. The V. marina, in conjunction with biochar, can be an effective tool to provide vegetative cover to exposed soils and, thus, minimize soil erosion on road cuts and other land resources. Core Ideas: Vigna marina can potentially grow under extremely degraded soil conditions.Poor soil fertility favors the root nodulation and biological nitrogen fixation of V. marina.Biochar enhances legume growth, root nodulation, and biological N fixation in degraded soils. [ABSTRACT FROM AUTHOR]