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Teacher professional development in writing is an increasing area of interest due to the complex nature of the profession including learning needs of students and the demands of external assessment regimes in the contemporary landscape. However, professional development often denies the contextual experiences and expertise of teachers in favor of prescriptive top-down approaches. This paper contributes to the literature on effective teacher professional learning by showing how co-design between teachers and researchers can have an impact on student learning. In this study we focus on professional learning for the teaching of writing in the elementary classroom context, working with third grade students in the age range of 8-9. Through a reflexive analysis of multiple data sets including student writing samples, interviews, classroom observation footage, and teacher testimony, this study reveals the importance of teacher confidence in enabling students to view themselves as writers with a clear audience and purpose. The findings show how positioning teachers as research partners throughout a co-design process of professional learning benefits both students and teachers as it provides authentic, contextualized and creative approaches to teaching writing and improved writing outcomes for students.

Australian students come from a wide range of linguistic and cultural backgrounds with each context providing unique challenges. Tensions however exist between the intentions to address diversity and the competing influence of a high-stakes context that prioritizes monolingual classroom practices and diminishes teachers' use of engaging pedagogy. Viewed through the lens of socio-spatial theory, these tensions highlight how the ideal of education for diversity is re-shaped by the everyday practices in schools and systems. This can result in monolingual 'firstspace' practices that do little to develop the knowledge of language and culture that is central to students' engagement with learning. This article reports ethnographic research in which secondary subject English teachers challenged routinized monolingual practices and re-imagined their classroom practices. The use of translanguaging and the reading and writing of poetry -- translanguaging poetry pedagogy -- created 'space' to support a dynamic process in which students could use all their linguistic resources to produce identity texts. The use of translanguaging and identity texts disrupts a transmission pedagogy that positions the student as a blank slate. Teachers reported how translanguaging poetry pedagogy moved from a 'thirdspace' practice to a 'what we do' or 'firstspace' practice as they came to see that using students' full language repertoire is a way to return the power of language to their students. The resultant translanguaging space and the symbolic propensity of poetry helped students to develop powerful personal representations and reinforces the need for pedagogies that acknowledge students' diverse backgrounds, and honor the languages and identity of all students.

Many studies have reported the disruption and anxiety associated with initial teacher education programs across the world lurching in and out of online and remote teaching because of COVID-19 related lockdowns. Few studies, however, have homed in on the day-to-day experiences of teacher educators in particular disciplinary specialisms or 'methods', or explored how these disciplinary contexts shaped the experience of teaching in the time of COVID-19. This essay presents extended autobiographical accounts of four English teacher educators from different universities on the east coast of Australia, who taught English methods during lockdowns in 2020 and 2021. The study affirms the uniqueness of their experiences, but also recognises four key dimensions of the English teacher educators' work: relational work; curriculum and pedagogical work; identity work; and professional learning. The study has implications for how English teacher education responds to the challenges of teaching during and beyond the pandemic.

This paper reports on selected findings from a research study with 211 secondary school English teachers in New South Wales (NSW), Australia. A questionnaire was utilised to gather evidence of teachers' perspectives on teaching, including the continued salience of their initial motivations for entering the teaching profession and their career intentions. The relationship between the durability of initial intrinsic and altruistic motivations to teach and teachers' commitment to the profession over time has been implicated in career foreclosure and teacher turnover. This research investigated the relationship between teacher motivation, levels of satisfaction with teaching and career intentions for 'invested teachers' (Glazer, 2017) with ten or more years of service. The findings confirmed the predominance of altruistic and intrinsic motivations in the initial decision to become a teacher. One third of experienced teachers had not maintained their original motivations. More than one third were 'unsure', 'dissatisfied' or 'very dissatisfied' with teaching. Twenty per cent reported that they would only be teaching for another one to five years. The findings identify a range of extrinsic factors influencing declining teacher motivation, wellbeing, perceived self-efficacy, job satisfaction and early exit career intentions. The data point to flagging levels of motivation as risk indicators for teachers' decision-making about their future in the profession.

Background: Anaemia during pregnancy is common worldwide. In Australia, approximately 17% of non-pregnant women of reproductive age have anaemia, increasing to a rate of 25% in pregnant women. This study sought to determine the rate of screening for anaemia in pregnancy in regional New South Wales, and to determine whether screening and treatment protocols followed the recommended guidelines. Methods: This retrospective study reviewed antenatal and postnatal (48 h) data of women (n = 150) who had a live birth at Bathurst Hospital between 01/01/2020 and 30/04/2020. Demographic data, risk factors for anaemia in pregnancy, antenatal bloods, treatments provided in trimesters one (T1), two (T2) and three (T3), and postpartum complications were recorded. These were compared to the Australian Red Cross Guidelines (ARCG) using descriptive statistics. Results: Of the women with screening data available (n = 103), they were mostly aged 20-35yrs (79.6%), 23.3% were obese, 97.1% were iron deficient, 17% were anaemic and only a few (5.3%) completed the full pregnancy screening as recommended by the ARCG while a majority completed only partial screenings specifically Hb levels in T1 (56.7%), T2 (44.7%) and T3 (36.6%). Compliance to oral iron was largely undocumented, but constipation was a common side effect among the women. IV iron was administered in 14.0% of women, approximately 1.75x higher than the recommended rate. Conclusions: This study provided useful information about compliance to screening and treatment guidelines for anaemia in pregnancy. We identified the need for improved documentation and communication between various health providers to ensure adequate antenatal care to prevent maternal complications during pregnancy. This will improve patient care and encourage further developments in maternal care, bridging the rural health gap. [ABSTRACT FROM AUTHOR]

English teachers often feel blamed for low results on high-stakes standardised literacy tests such as Australia's National Assessment Program--Literacy and Numeracy (NAPLAN). Faced with pressure for their students to produce high scores, teachers can react by making changes to both content and strategies which result in a narrowing of curriculum and teacher pedagogy. The 'Identity Texts Professional Learning Project' began when a group of Australian secondary English teachers sought to eschew this propensity to narrow curriculum and practice and instead developed a creative, syllabus aligned way through which to improve the literacy and engagement predominantly for students with Language Backgrounds other than English (LBOTE) or for whom English is an Additional Language or Dialect (EAL/D). The resulting approach involved the use of drama-based pedagogy to craft "identity texts" (Cummins, 2000) that incorporated students' cultures and linguistic resources, including first languages. Teachers in this professional learning project have described gains in student literacy and engagement, and strengthened links with community. This article will report on the ways these teachers came to value the role of drama pedagogy to strengthen student literacy and respond to the demands made by testing regimes that are currently used to assess students and their teachers.

This paper reports on the findings of a study of 211 secondary school English teachers in New South Wales, Australia. The study aimed to gather data on English teachers' work and lives, including their perspectives on workload, motivation, work satisfaction, wellbeing, and career intentions. In an educational environment dominated by a culture of 'performativity' (Ball, 2003, p. 216) manifested through the institutionalising of standards-based systems designed to codify, measure and judge teacher quality, the views and voices of teachers themselves are too often marginalised or absent from research and policy debates. In this paper, we represent English teachers' perspectives on their work and lives and draw attention to the impact of an intensified workload on their capacity for quality teaching and continued investment in teaching as a career. The findings highlight a range of professional and situated factors (Day et al., 2006) experienced by teachers as a consequence of: administrative and accountability compliance demands associated with monitoring and reporting of teacher and student performance; high-stakes test preparation, associated data gathering, administration, and heightened expectations from the school executive, students, parents and the wider community; the speed of centralised curriculum change and policy reform; and diminished resources and support, including inadequate support for implementing new curriculum. The phenomenon of an intensified and excessive workload was perceived to be the single most determinant factor in impeding English teachers' desire to focus on the 'core business' of teaching to their best. The paper calls for urgent attention to teacher workload and its far-reaching implications for quality teaching, student learning and the retention and support of high-calibre teachers in the profession.

The koala (Phascolarctos cinereus) population in Australia has been subjected to numerous threats leading to a significant decline in their numbers. The Port Macquarie region serves as a vital habitat for these iconic marsupials. Analysing records of 1227 koalas admitted to the Port Macquarie Koala Hospital (2014–2022), this study aimed to understand admission causes, temporal trends, and risk factors. Anthropogenic activities accounted for almost half (49.7%) of all admissions with 'dangerous area' and 'motor vehicle accident' (MVA) being common aetiologies. Young koalas were more susceptible to 'dangerous area', 'MVA', and 'dog attack' than other age groups. Koalas admitted for suspected chlamydia were also a significant contributing factor for admissions, and was most common in young koalas. Overall, the majority of koalas were candidates for rehabilitation or release (54.3%), but mature and aged koalas had the highest odds for mortality. This study highlights the ongoing impact of anthropogenic activities on koalas, emphasises the need for public education and reporting to mitigate risks, and underscores the importance of addressing diseases like chlamydia. These results contribute to our understanding of the factors influencing koala hospital admissions and can inform conservation and management strategies for this iconic Australian species. The iconic koala population in Australia faces alarming decline due to human-induced threats. This study analyses koala admissions to the Port Macquarie Koala Hospital, revealing that dangerous areas and motor vehicle accidents account for almost half of the cases. Additionally, diseases like chlamydia pose a significant risk, particularly for mature koalas. Urgent action is needed to address these anthropogenic impacts, emphasising public education, reporting, and disease management. These findings provide crucial insights to conserve and protect this beloved Australian species. Photograph from https://www.britannica.com/animal/koala. [ABSTRACT FROM AUTHOR]

A multi-sectoral assessment of risks can support the management and investment decisions necessary for emerging blue economy industries to succeed. Traditional risk assessment methods will be challenged when applied to the complex socio-ecological systems that characterise offshore environments, and when data available to support management are lacking. Therefore, there is a need for assessments that account for multiple sectors. Here we describe the development of an efficient method for an integrated hazard analysis that is a precursor to full risk assessments. Our approach combines diverse disciplinary expertise, expert elicitation and multi-criteria analysis to rank hazards, so it encompasses all types of hazards including human-caused, natural and technological. We demonstrate our approach for two sectors that are predicted to grow rapidly in Australia: offshore aquaculture and marine renewable energy. Experts ranked Climate Change as the hazard with the highest overall concern, but hazards including Altered Ecosystem Function , Biosecurity , Cumulative Effects , Structural Failure and Social Licence were also highly ranked. We show here how outputs from this approach (multi-criteria scores and ranks) could be used to identify hazards that; i) could be safely retired, ii) should be progressed to more quantitative risk assessments or iii) require ongoing information collection. The approach can encompass all types of hazards, which enables it to holistically consider priorities. The expert-based multi-criteria approach outlined here represents a pragmatic way to solve some of the challenges of applying risk assessments to emerging industries by using a method that can be applied across multiple blue economy sectors. • We develop an integrated method to assess hazards to and from blue growth sectors. • We combine diverse expertise, expert elicitation and multi-criteria analysis. • Our approach provides a clear process for prioritizing hazards. [ABSTRACT FROM AUTHOR]

Objective: To explore the benefits and challenges of electronic prescribing (e‐prescribing) for general practitioners (GPs) and pharmacists in regional New South Wales (NSW). Methods: This qualitative study utilised semistructured interviews conducted virtually or in‐person between July and September 2021. Setting and Participants: General practitioners and pharmacists practising in Bathurst NSW. Main Outcomes: Self‐reported perceived and experienced benefits and challenges of e‐prescribing. Results: Two GPs and four pharmacists participated in the study. Reported benefits of e‐prescribing included improvement in the prescribing and dispensing process, patient adherence, and prescription safety and security. The increased convenience for the patients was appreciated particularly during the COVID‐19 pandemic. Challenges discussed were how the system was perceived to be unsafe and insecure, costs of messaging and updating general practice software, utilisation of new systems and patient awareness. Pharmacists reported the need for education to patients and staff to minimise the impact of inexperience with the novel technology on workflow efficacy. Conclusion: This study provided first insight and information on the perspectives of GPs and pharmacists 12 months after the implementation of e‐prescribing. Further nationwide studies are required to consolidate these findings; provide comparisons with the system's progress since conception; determine whether metropolitan and rural health care professionals share similar perspectives; and shed light on where additional government support may be required. [ABSTRACT FROM AUTHOR]

The authors evaluated empirical research addressing the relationship between induced abortion and women's mental health. Two issues were addressed: (a) the relative risks associated with abortion compared with the risks associated with its alternatives and (b) sources of variability in women's responses following abortion. This article reflects and updates the report of the American Psychological Association Task Force on Mental Health and Abortion (2008). Major methodological problems pervaded most of the research reviewed. The most rigorous studies indicated that within the United States, the relative risk of mental health problems among adult women who have a single, legal, first-trimester abortion of an unwanted pregnancy is no greater than the risk among women who deliver an unwanted pregnancy. Evidence did not support the claim that observed associations between abortion and mental health problems are caused by abortion per se as opposed to other preexisting and co-occurring risk factors. Most adult women who terminate a pregnancy do not experience mental health problems. Some women do, however. It is important that women's varied experiences of abortion be recognized, validated, and understood. (Contains 4 footnotes.)

Background: There is global pressure to protect more of the world's oceans, primarily to protect biodiversity, and to fulfill the "30 by 30" goal set by the International Union for the Conservation of Nature (IUCN) that has recently been ratified under the Kunming-Montreal Global Biodiversity Framework at the fifteenth Conference of Parties (COP-15). Fully protected marine protected areas (MPAs) provide the highest level of protection for biodiversity from destructive or extractive practices and may limit access to the area itself. Fully protected MPAs (also commonly referred to as 'no-take MPAs') ban all fishing activities, thereby removing the realisation of direct economic and social benefits from resource extraction within these areas. However, fully protected MPAs can still act as source of productivity to surrounding areas, while also providing an important scientific reference role for off-reserve management thereby providing indirect economic and social outcomes, as well as biodiversity benefits. Sustainable marine resource management strives to achieve 'triple-bottom line' benefits, where economic, social, and biodiversity benefits are maximised in managed areas of the ocean. Implementing 'partially protected' areas (PPAs) in areas of high biodiversity value (i.e., inshore, productive areas of the ocean) that allow for some extractive activities, may allow us to supplement fully MPAs to meet IUCN conservation goals, while maximising social and economic benefits. However, our current understanding lacks explicit quantitative assessments of whether and how PPAs can benefit (or otherwise) biodiversity, while also providing economic and social benefits. This study provides a method to systematically review the scientific and legislative literature to understand how PPAs may contribute to conserving biodiversity while also providing social and economic benefits to Australia. Methods and expected outputs: The implementation of partially protected areas (PPAs) requires careful consideration of many potentially competing factors, and an understanding of the types of partial protection already in place in a region. We have developed a systematic literature review protocol focussing on the primary research question: "What is the current state of partially protected area (PPA) implementation across Australian marine areas?". The aim of the review is to provide marine resource managers with a comprehensive overview of PPAs in Australia, including associated goals and stated management strategies to achieve these goals, and a methodological approach that may be utilised globally. The review protocol was designed by the research team for a Fisheries Resource and Development Corporation (FRDC) strategic research grant and will seek input from a project steering committee for the project on aggregation of the initial results. The steering committee is made up of stakeholders from a wide range of backgrounds and interests, covering marine conservation, fisheries management, Indigenous values, and academic research in Australia. Multiple academic databases, alongside Australian Federal, State, and Territory legislation and related policies will be reviewed using Boolean keyword search strings for both academic databases and relevant grey literature. Results from eligible documents will be compiled and insights from the review collated to provide information on the status of PPA implementation in Australia. [ABSTRACT FROM AUTHOR]

Combined hepatitis A and typhoid vaccine is available in Australia, but licensed for use from age 16 years; however it is used "off-label" in children. The combined vaccine is well tolerated in children aged 2–16 years and the risk of adverse events is similar to those receiving concurrent monovalent vaccines. [ABSTRACT FROM AUTHOR]

This commentary article describes the clinical context in the Northern Territory, Australia, and the concerns and changes in practice brought forth by COVID-19. We provide an overview of the local response, which has included a shift to telepractice, and discuss the merits and potential issues of telepractice service provision in remote and very remote Australia. [ABSTRACT FROM AUTHOR]

Background: Aboriginal women experience disproportionately higher rates of cervical cancer mortality yet are less likely to participate in screening for early detection. This study sought to determine whether a community-based HPV self-sampling service model can effectively recruit never-screened and under-screened Aboriginal women to participate in cervical cancer screening; assess the clinical outcomes; and explore the acceptability of the model from the perspective of the participants.Methods: Aboriginal women aged 25-69 years of age were recruited from eight rural and remote communities in New South Wales, Australia to participate in HPV self-sampling via a community-based service model. Outcome measures were: number of women screened by HPV self-sampling, their prior cervical screening status (under-screened or never-screened), clinical outcomes and participation in follow-up pathways of care, and satisfaction with the service model.Results: In total, 215 women conducted a HPV self-sampling test and 200 evaluation surveys were completed. One-fifth of participants (n = 46) were never-screened and one-third (n = 69) were under-screened. Many were unsure of their screening status. Nine women were HPV 16/18 positive and eight had completed all follow up by the conclusion of the study. A further 30 women tested positive for a high risk type other than HPV 16/18 (HPV other), of which 14 had completed follow up at the conclusion of the study. Satisfaction with the HPV self-sampling kit, the process of self-sampling and the service model was high (> 92% satisfied on all items). Many women had difficulty understanding their official HPV results and placed high importance on the nurse explaining it to them.Conclusions: A community-based service model that respects Aboriginal Women's Business can effectively recruit under-screened and never-screened Aboriginal women to complete cervical cancer screening. Furthermore, this service model supports them to complete recommended follow-up care and engage with their local existing health services. [ABSTRACT FROM AUTHOR]

Background The international literature advocates for cancer screening in newly diagnosed patients with autoimmune myositis; however, there is no widely accepted consensus or guideline to outline the optimal cancer screening strategy and the evidence is currently insufficient to support any recommendation. Aim Our study aimed to establish the current trends in practice in malignancy screening in autoimmune myositis among Australian rheumatologists. Methods All rheumatologists who were full members of the Australian Rheumatology Association in 2016 (386) were invited to complete an online questionnaire. Respondent demographics and information on screening approach and concerns were collected using multiple choice and open-response questions. There were 60 respondents (16% response rate). All available quantitative data were analysed and reported using statistical software. Qualitative data were analysed and grouped according to themes. Results Most respondents (93%) performed cancer screening. Significant variation was found in terms of approach to patient selection, choice of screening test, delegation of screening and repeat screening. A lack of clinical practice consensus and guideline (77%), test selection knowledge (37%), knowledge on repeated screening (53%) and the potential for harm (62%) were identified challenges in this area. Conclusion Malignancy screening in autoimmune myositis was variable among this small cohort of Australian rheumatologists. The observed differences were driven by patient factors and clinician preferences. The group identified several challenges in the cancer screening process. Further research is warranted to address these challenges, close the evidence gap and develop workable guidelines. [ABSTRACT FROM AUTHOR]

Background: After hours general practice clinics provide medical attention for clients with non-emergency situations but are seeking immediate treatment and unable to wait for a general practitioner during routine opening hours. Evidence on the impact that after hours clinics have on emergency department presentations is equivocal. This study explored outcomes of the Bathurst After Hours General Practice Clinic (BAHGPC). Specifically it examined: clients' perceived urgency of, and satisfaction with their presentation to the BAHGPC; general practitioners' perception of the appropriateness of presentations to the BAHGPC; and whether the frequency of non-urgent and semi-urgent emergency department presentations at Bathurst Base Hospital has changed since the opening of the BAHGPC. Methods: Clients presenting to the BAHGPC from 01/02/2015 to 30/06/2015 were asked to participate in the client presentation survey and follow-up satisfaction survey. General practitioner surveys were completed for individual clients from 01/12/2014 to 30/06/2015 to document the appropriateness of each presentation. Descriptive statistics are used to describe survey responses. Thematic analysis was applied for qualitative responses. Emergency department presentations were retrieved from the Emergency Department Data Collection. A comparison of presentations in the two years prior and subsequent to the opening of the BAHGPC was conducted using independent T-tests and Chi-square tests to compare mean presentations and proportional data for the different time periods examined. Results: Most clients (76%) presenting to the BAHGPC classified their visit as essential. General practitioners considered most presentations to be appropriate (87%). Sixty percent (60%) of clients would have gone to the emergency department had the BAHGPC not been operational. Client satisfaction was high and 99% would use the clinic again. A significant reduction in total non-urgent presentations to the Emergency Department occurred in the two years since the opening of the BAHGPC clinic compared to the two years prior (418.5 vs. 245.5; P < 0.05). Conclusions: There was concordance between general practitioners and clients regarding the appropriateness of presentations to the BAHGPC. The findings of this study highlight that after hours general practitioner clinics are an essential service in regional areas and contribute to reducing the burden of non-urgent presentations to the local emergency department. [ABSTRACT FROM AUTHOR]

Governance systems are complex adaptive systems where multiple components interact extensively. This is the case for governance of the blue economy, focused on sustainable development of marine resources. Here, the relevant policy and legislative arrangements are fragmented, and marine uses, activities and resources are generally managed on a sectoral basis by independent entities from multiple jurisdictions. In Australia, for example, complex arrangements have created uncertainty in relation to what, when, how, and by whom blue economy activities are possible. Network approaches to map and analyse complex systems could potentially improve our understanding and facilitate management of policy and legal complexity. Yet, there are few studies that have adopted such approaches in ocean governance. Our research demonstrates the application of an innovative approach based on network graphs and text mining to analyse a policy and legislative system associated with Australia's blue economy (i.e., policy and legal arrangements applicable to the coastal and marine areas within the seaward boundaries of the continental shelf around the State of Tasmania). Using a database of over 2000 international, federal, state policy and legislative arrangements, cross-sector analyses were undertaken to identify potential gaps and overlaps that may hinder the deployment of blue economy activities, particularly those relating to integrated seafood and energy production systems. Our graphs allowed quick and easy visualisation of policy and legislative clusters around government entities, relationships between those entities and clusters, as well as potential gaps and overlaps in the existing policy and legislative landscape. Results point to a lack of integration and a need for fit-for-purpose policy and legislation, particularly for the development of co-located blue economy activities. Our approach may be used in research of other complex governance settings to inform policymaking as well as for communication and educational purposes. • Our network approach facilitates understanding of policy and legal complexity. • The blue economy policy and legislative system in Tasmania, Australia, is analysed. • Results show a need for greater integration and fit-for-purpose legislation. • Regulatory complexity and fragmentation is very high for co-located activities. [ABSTRACT FROM AUTHOR]

Traditionally, GPs have been responsible for physical activity (PA) assessment within the general practice setting. Multiple questionnaires are available to support uptake of PA assessment but less than 30% of patients are assessed. A range of barriers hamper uptake. Evidence indicates that practice nurses (PNs) and patients are resourceful members of the general practice team but have been underutilised. This study assessed the validity and reliability of two instruments for assessing PA, administered by PNs and patients. The study aimed to identify robust tool(s) to support the evolving role of PNs and patients in prevention and management strategies in general practice. A purposive sample of PNs and patients from general practices in Sydney was invited to participate. The results of the PN- or patient-administered general practice physical activity questionnaire (GPPAQ) and the three-question physical activity questionnaire (3Q) were compared against accelerometer activity. The study examined agreement in classification of PA levels according to Australian PA recommendations. Validity showed low-moderate correlations between accelerometer and GPPAQ (rho = 0.26), 3Q (rho = 0.45). Seven-day test-retest reliability intraclass correlation coefficients (ICCs) were 0.82-0.95 for GGPAQ and 0.94-0.98 for 3Q. Agreement with PA recommendations was moderate for GPPAQ (kappa 0.73, 95% CI, 0.56-0.85) and fair for 3Q (kappa 0.62, 95% CI, 0.47-0.78). Although 3Q demonstrated higher correlation with accelerometry, GPPAQ demonstrated higher agreement with PA guidelines. Given GPPAQ showed reasonable rigour, it may prove useful for PN and patient use. [ABSTRACT FROM AUTHOR]

Background: There are a substantial number of instruments for primary-care clinicians to assess physical-activity (PA). However, there are few studies that have explored the views of clinicians regarding comparative acceptability and ease of use. A better understanding of how clinicians perceive instruments could help overcome barriers, and inform future interventions. This study explored the acceptability of five PA-assessment instruments amongst a sample of Australian primary-care clinicians, including family-physicians (FP) and practice-nurses (PN). Methods: A purposive sample of FPs (N = 9) and PNs (N = 10) from eight family-practices in southern Sydney consented to participate. Stage-1 involved semi-structured interviews with participants to select preferred instruments. An analysis of the two preferred instruments was conducted as Stage-2, to identify differences in instrument purpose and content. Stage-3 involved participants using the two instruments, selected from Stage-1, for 12-weeks. At the end of this period, semi-structured interviews were repeated to explore clinician experience. Results: Clinicians indicated preferences for the GP-Physical-Activity-Questionnaire and 3-Questionnaire Physical-Activity-Questionnaire. These instruments demonstrated distinct variations in content, theoretical orientation, and outcome measures. Reasons for preference included; variations in individual clinician PA levels, knowledge in PA-assessment and instrument features. Conclusion: Findings demonstrated two instruments as preferred. Reasons for preference related to internal characteristics of clinicians such as variations in the level of individual PA and external circumstances, such as instrument features. [ABSTRACT FROM AUTHOR]

This study aimed to document the types, management and follow up of health issues identified by all Aboriginal Health Assessments (AHA) performed at Orange Aboriginal Medical Service from 1 January 2011 to 31 December 2012. This was done with a retrospective audit of clinical records. In total, 1169 AHAs were performed: 41 % child, 53% adult and 6% older person AHAs. Newly identified health issues were documented in 85% (984). Being overweight (41%; 476) and smoking (26%; 301) were the common risk factors identified. As a result of the AHA, most children who were not up-to-date with their vaccinations received catch-up immunisations; 11 % (3 6) of adult women (n = 314) received a Pap smear, although Pap smear status was unknown or not up-to-date for 61% (192); 27% (311) of cases were prescribed new medication; and 1239 referrals were made but only 40% were attended. At 6 months following the AHA, 26% (240) of cases with newly identified health issues were completely managed and followed up, whereas 25% (226) receivedno follow up. The AHAs are useful for identifying new health issues; however, follow up of the identified health issues should be improved. If AHAs are to improve health outcomes, appropriate management and follow up of the identified health issues are essential. [ABSTRACT FROM AUTHOR]

Little is known of the current status of platypus (Ornithorhynchus anatinus) populations in the Murrumbidgee catchment and other west-flowing rivers in the Murray-Darling Basin. Platypus distribution in the Murrumbidgee catchment was determined from sightings, reports by government departments, the literature and a capture-release study. The platypus was found to be widespread in the catchment, including all subcatchment and elevation categories, but most reports were from the middle and upper subcatchments. Sixty-five captures of 55 individual platypuses were made during 61 trap-nights to 31 study sites in the Murrumbidgee catchment during 2009-10. Only three juveniles (all females) were captured and recapture rates were low, with only nine platypuses captured more than once. Adult males had body weights of 980-2180 g and body lengths of 42-60 cm (n = 32). Adult females weighed 795-1480 g and were 38-52 cm long (n = 20). Tail fat index was significantly affected by season and platypus age, while in comparison, season, platypus length and weight had a significant effect on tail volume index. This study established a baseline that provides a starting point from which the impacts of environmental disturbances or diseases occurring over time can be measured and investigated. [ABSTRACT FROM AUTHOR]

Recent research by Adler and Adler reveals contradictory claims about the job quality of hotel room attendants; suggesting that an objectively ‘bad’ job can be perceived as subjectively ‘good’ by workers. This contradiction resonates with wider issues about how job quality is conceived – objectively and/or subjectively. Drawing on empirical research of room attendant jobs in upper market hotels in three cities in the UK and Australia, this paper addresses the contradiction by examining both the objective and subjective dimensions of job quality for room attendants. In doing so it refines Adler and Adler's work, constructs a new typology of workers and a new categorisation of job quality informed by workers characteristics and preferences. This categorisation improves conceptual understanding of job quality by enjoining its objective and subjective dimensions. [ABSTRACT FROM PUBLISHER]

The role of the wound care nurse has developed to meet the need for expert wound care advice. Internationally, the role has developed with a variety of different titles. Although all positions have some common tasks and obligations, there remain gaps in knowledge around the role of the wound care nurse. This article aims to determine the state of knowledge in relation to the context of practice, scope of practice and impact of the wound care nurse. An integrative review design was used to allow a broad search strategy and to gather papers from a variety of sources. A multi-method search strategy of the literature published between 1980-2011 was undertaken. This included 5 electronic databases, a thesis search and manual search. It was found that the characteristics of the patients wound care nurses care for reflect an ageing population and disease processes, including diabetes and obesity. Internationally, there is little consensus on the level of competence, educational requirements and qualifications required to practise as a wound care nurse. There was some evidence that the wound care nurse improved healing times and decreased pressure injury prevalence. [ABSTRACT FROM AUTHOR]

Background: Photodynamic therapy with verteporfin for choroidal neovascularization (CNV) secondary to macular disease received an Australian government grant in 2002 to fund treatment for 3 years. Funding was restricted to subfoveal predominantly classic CNV where visual acuity was at least 6/60. Access to this funding was via review of angiograms by an expert panel, the Angiogram Review Panel (ARP), managed by the Royal Australian and New Zealand College of Ophthalmologists. Methods: De-identified data from the ARP were obtained for the period June 2002 to April 2005 inclusive and the panel's outcomes were analysed. Health Insurance Commission and Department of Veteran Affairs data for photodynamic therapy for the same interval were also retrieved. Results: A total of 7198 submissions to the ARP were received for 5867 individuals in this period. Overall 86.6% eyes submitted were accepted for initial funding (treatments 2-4). There was no change over time in the percentage rejected during this period. The first reviewer accepted 77.2%. And the second reviewer accepted a further 7.7%. An additional 1.6% were accepted on appeal. It was estimated that 29.2% of this initial cohort received five or more treatments. Conclusions: The ARP data indicate an incidence of subfoveal predominantly classic CNV secondary to macular disease in Australia of about 2000 eyes per annum. Only one quarter of patients received five or more treatments. The panel provided a unique opportunity to estimate the 'whole of nation' incidence of predominantly classic subfoveal CNV secondary to macular disease and thus provides a firm foundation upon which to plan public health spending as new treatments become available. [ABSTRACT FROM AUTHOR]

Editorial. Introduces a series of articles dealing with postcolonial studies. Profile of the poet Agha Shahid Ali; Failure of the attempt of the field to develop a genuine form of interdisciplinarity; Examination of the representation of miscegenation in Australia.

The use of negative pressure wound therapy (NPWT) for the treatment of wounds is not uncommon in modern health-care systems. However, use of NPWT as a wound prevention strategy, or 'well-wound therapy', is not so common. To date, papers that do discuss the use of NPWT in this way have focused mainly on orthopaedic and sternotomy wounds. This case study will present the use of NPWT with the goal of preventing laparotomy breakdown, utilising an innovative splinting technique. [ABSTRACT FROM AUTHOR]

Information about several papers discussed at a conference about the development of biodiversity conservation-research partnerships in Australia is presented. Among of the topics include strategies and initiatives which established efficient and effective benefits and costs of partnering environmental organizations. Commonwealth Scientific and Industrial Research Organisation (CSIRO), Northern Territory government and other international non-government organizations have participated the event.

Editorial. Comments on the problems affecting the project of reconciliation between indigenous people and colonialism in Australia. Scope of the project; Focus of the framework design; Analysis of the reconciliation project.

Background: The number of people living with chronic health conditions is increasing in Australia. The Chronic Disease Management program was introduced to Medicare Benefits Schedule (MBS) to provide a more structured approach to managing patients with chronic conditions and complex care needs. The program supports General Practitioners (GP)s claiming for up to one general practice management plan (GPMP) and one team care arrangement (TCA) every year and the patient claiming for up to five private allied health visits. We describe the profile of participants who claimed for GPMPs and/or TCAs in Central and Eastern Sydney (CES) and explore if GPMPs and/or TCAs are associated with fewer emergency hospitalisations (EH)s or potentially preventable hospitalisations (PPH)s over the following 5 years.Methods: This research used the CES Primary and Community Health Cohort/Linkage Resource (CES-P&CH) based on the 45 and Up Study to identify a community-dwelling population in the CES region. There were 30,645 participants recruited within the CES area at baseline. The CES-P&CH includes 45 and Up Study questionnaire data linked to MBS data for the period 2006-2014. It also includes data from the Admitted Patient Data Collection, Emergency Department Data Collection and Deaths Registry linked by the NSW Centre for Health Record Linkage.Results: Within a two-year health service utilisation baseline period 22% (5771) of CES participants had at least one claim for a GPMP and/or TCA. Having at least one claim for a GPMP and/or TCA was closely related to the socio-demographic and health needs of participants with higher EHs and PPHs in the 5 years that followed. However, after controlling for confounding factors such as socio-demographic need, health risk, health status and health care utilization no significant difference was found between having claimed for a GPMP and/or TCA during the two-year health service utilisation baseline period and EHs or PPHs in the subsequent 5 years.Conclusions: The use of GPMPs and/or TCAs in the CES area appears well-targeted towards those with chronic and complex care needs. There was no evidence to suggest that the use of GPMPs and /or TCAs has prevented hospitalisations in the CES region. [ABSTRACT FROM AUTHOR]

Bivalve shell Mg/Ca records can be important potential tracers of paleo-temperature, but evidence has shown that the temperature dependence of trace metal incorporation rates can vary significantly between different species and even within the same species. This study assesses one such bivalve specimen as a potential temperature proxy for the east coast of Australia. Specimens of the Sydney rock oyster ( Saccostrea glomerata ) were cultured for approximately one year at two locations on the east coast of Australia: Moreton Bay, Queensland, a semi-enclosed bay with consistently marine conditions, and Pambula Lake, New South Wales, a tidal lake which can undergo significant variations in salinity as a result of rainfall and river discharge. Transects of the oysters' growth axis were analysed via LA-ICP-MS. Mg/Ca-temperature relationships for the oysters show a robust temperature dependence but there is also a clear discrepancy between the two sites. However, this discrepancy was not evident when the temperature dependence of Mg partition coefficients ( D Mg ) was determined, indicating that the difference seen in the direct Mg/Ca shell -temperature relationships can be accounted for by variation in salinity at the estuarine site of Pambula Lake. This has implications for the use of Mg/Ca as a paleo-temperature tracer within estuarine fauna as knowledge of the water chemistry is required to determine D Mg values. However, S. glomerata Mg/Ca remains a promising paleo-temperature tracer as the direct Mg/Ca-temperature relationships can still be applied to samples from environments that experienced little variation in salinity. Combined analysis of Mg/Ca coupled with δ 18 O shell records has the potential to enable the deconvolution of the combined salinity/temperature signal in the δ 18 O shell and Mg/Ca shell records. [ABSTRACT FROM AUTHOR]