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We report the isolation of Equid herpesvirus 8 from a rescued donkey that suffered severe postcastration complications. Despite intensive treatment, the donkey deteriorated and was euthanized. Postmortem virologic analysis revealed the isolation of a herpesvirus that is closely related to herpesviruses reported from donkeys and horses in Australia, China, and Ireland, causing respiratory disease in donkeys and abortion in mares. To our knowledge, this is the first report of this equid herpesvirus in Israel. The potential significance of this herpesvirus to the equid population in Israel needs further investigation., (Copyright © 2020 Elsevier Inc. All rights reserved.)

Objective: Electrode placement in electroconvulsive therapy (ECT) is one of the many variables that can influence clinical outcome. Quantitative electroencephalographic (EEG) measures of the ECT-induced seizure have been studied in an attempt to determine differences in various electrode placements. The objective of this study was to evaluate the differences in the EEG between bifrontal (BF) and bitemporal (BT) placement., Method: Seventeen patients of maintenance ECT (10 males and 7 females) who received both BT and BF ECTs for a 12-month period starting January 2007 were identified through chart review. Patients were included if their medications, dosages and ECT parameters, and clinical condition remained stable during the study period. Each patient received both BF (n = 124) and BT (n = 112) placements., Results: We found no significant differences in EEG measures between the 2 placements. We demonstrated that the qualitative EEG measures in both BT and BF electrode placements are similar., Conclusions: Our findings support that BF electrode placement produces similar quality seizures when compared with BT placement and may be a viable alternative placement to BT.

Objective: To estimate the number of unlicensed brothels operating in Melbourne, Australia, and the sexual health of the women working in them., Methods: Advertisements from Melbourne newspapers published in July 2006 were systematically analysed based on the language used to identify premises likely to be unlicensed brothels. A visit was made to each of the businesses where an address was available. Participating sex workers were tested for Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma genitalium and Trichomonas vaginalis using self-collected tampons and polymerase chain reaction., Results: There were 438 advertisements collated, representing 174 separate establishments. Of these, 78 were not considered likely to be brothels. Of the remaining 96, addresses were available for 42 and all of these premises were visited. Thirteen were confirmed as unlicensed brothels. We estimate there were between 13 and 70 unlicensed brothels in Melbourne. Twenty-three women were recruited from four brothels. Only 56% (95% confidence interval (CI) 35-77%) reported having regular sexual health checks and only 13% (95%CI 3-36%) reported prior testing for HIV. Among the 22 women tested, one had chlamydia while another had gonorrhoea, a prevalence of 4.5% (95%CI: 2.3-20.4%) for each infection., Conclusions: The number of unlicensed brothels in Melbourne is much smaller than is generally believed. Women in the sector are infrequently tested for STIs., Implications: As long as a licensing system persists, promotion of sexual health among women in this sector is likely to face hurdles. Further research is needed into the best model for regulating or not regulating sex industries., (© 2010 The Authors. Journal Compilation © 2010 Public Health Association of Australia.)

Pre-service teachers are required to become reflective practitioners who can adapt their skills to a range of contexts and the diverse needs of learners. Many consider the practicum experience as critical to forming values and dispositions that are essential to a professional teacher identity. This article focuses on the experiences of five White pre-service teachers who volunteered to teach in remote Indigenous communities in South Australia, specifically the Anangu Pitjantjatjara Yankunytjatjara Lands, a desert environment in the far northwest of the state. As these pre-service teachers document their experiences, we draw upon Gee's work on identity to gain insights into how they understand the "rules" of their context and their own positionality. Our research reveals the ways privilege can foster possibilities and constraints, which afford certain subject positions for these pre-service teachers. We focus specifically on a prominent theme in their narratives – "authenticity" concerning their conception of teaching and learning. [ABSTRACT FROM AUTHOR]

'Counter-urbanisation' has attracted international attention for decades, as an elusive concept that runs against the overwhelming trend of an urbanising world. In Australia, interest in counter-urbanisation waned after the peak interest from the 1970s until the early 2000s, however a recent resurgence of interest has grown due to anecdotal evidence of rising migration out of major cities. Advances in the ability to telecommute, the impacts of COVID-19 and lockdowns in major cities, and the impact of climate change on migration movements are some contemporary changes prompting the need for a renewed critical and theoretical analysis of counter-urbanisation. This editorial introduces the special issue that offers renewed insights to counter-urbanisation in Australia. We present three arguments to ground the elusive concept of 'counter-urbanisation' that underpins this special issue. We argue (1) that the contemporary examples of counter-urbanisation we are witnessing presently in Australia involve migration from major cities to regional spaces; (2) counter-urbanisation is determined by geographical context, in this case Australia and places within, and (3) Australian counter-urban movements are strongly linked to amenity and lifestyle migration. This editorial then introduces the special issue papers which together define and challenge the concept of counter-urbanisation within the Australian context. [ABSTRACT FROM AUTHOR]

Objective: To formulate clinical consensus recommendations on the presentation, assessment, and management of primary hyperparathyroidism (PHPT) in adults., Methods: Representatives from relevant Australian and New Zealand Societies used a systematic approach for adaptation of guidelines (ADAPTE) to derive an evidence-informed position statement addressing nine key questions., Results: PHPT is a biochemical diagnosis. Serum calcium should be measured in patients with suggestive symptoms, reduced bone mineral density or minimal trauma fractures, and in those with renal stones. Other indications are detailed in the manuscript. In patients with hypercalcaemia, intact parathyroid hormone, 25-hydroxy vitamin D, phosphate, and renal function should be measured. In established PHPT, assessment of bone mineral density, vertebral fractures, urinary tract calculi/nephrocalcinosis and quantification of urinary calcium excretion is warranted. Parathyroidectomy is the only definitive treatment and is warranted for all symptomatic patients and should be considered for asymptomatic patients without contraindications to surgery and with >10 years life expectancy. In patients who do not undergo surgery, we recommend annual evaluation for disease progression. Where the diagnosis is not clear or the risk-benefit ratio is not obvious, multidisciplinary discussion and formulation of a consensus management plan is appropriate. Genetic testing for familial hyperparathyroidism is recommended in selected patients., Conclusions: These clinical consensus recommendations were developed to provide clinicians with contemporary guidance on the assessment and management of PHPT in adults. It is anticipated that improved health outcomes for individuals and the population will be achieved at a decreased cost to the community., (© 2021 John Wiley & Sons Ltd.)

Background Vaccination against influenza may reduce antibiotic use, but data are limited and imprecise. Methods We conducted a case-control study using deidentified data from a large national primary care database to evaluate antibiotic prescribing changes following influenza vaccination in children 1-4 years old attending primary care in the Australian 2018 and 2019 influenza seasons. Cases were prescribed β-lactam or macrolide antibiotics during the influenza season and controls were not. Influenza vaccination was documented in the medical records. Adjusted odds ratios for antibiotic prescribing according to influenza vaccination status were estimated using generalized estimating equations, controlling for age, asthma diagnosis, other vaccinations, practice visit frequency, and attendance week. Results In 2018, 11 282 cases and 32 020 controls were eligible, and in 2019, 12 705 cases and 36 858 controls. Antibiotic prescriptions were less likely in vaccinated participants in 2018 (aOR, 0.65; 95% CI, 0.62-0.69) and 2019 (aOR, 0.78; 95% CI, 0.73-0.82) and did not vary by age, the number of GP visits, or prior prescribing of antibiotics. In the subgroup of children vaccinated in the preceding season, influenza vaccination was not associated with a reduction in antibiotic use (2018—aOR, 1.12; 95% CI, 0.90-1.39; 2019—aOR, 1.30; 95% CI, 1.16-1.46). From our estimates, potentially 100 000 antibiotic prescriptions could be avoided annually in Australia if all children in this age range were vaccinated. Conclusions Influenza vaccination may substantially reduce antibiotic prescribing among young children. This effect should be considered in the overall assessment of the costs and benefits of childhood influenza vaccination programs. [ABSTRACT FROM AUTHOR]

Background In 2017, Australia experienced record influenza notifications. Two surveillance programs combined to summarize the epidemiology of hospitalized influenza in children and report on vaccine effectiveness (VE) in the context of a limited nationally funded vaccination program. Methods Subjects were prospectively recruited (April–October 2017). Case patients were children aged ≤16 years admitted to 11 hospitals with an acute respiratory illness and laboratory-confirmed influenza. Controls were hospitalized with acute respiratory illness and tested negative for influenza. VE estimates were calculated using the test-negative design. Results A total of 1268 children were hospitalized with influenza: 31.5% were <2 years old, 8.3% were indigenous, and 45.1% had comorbid conditions predisposing to severe influenza. Influenza B was detected in 34.1% with influenza A/H1N1 and A/H3N2 detected in 47.2% and 52.8% of subtyped influenza A specimens. The median length of stay was 3 days (interquartile range, 1–5), 14.5% were admitted to the intensive care unit, and 15.9% received oseltamivir. Four in-hospital deaths occurred (0.3%): one was considered influenza associated. Only 17.1% of test-negative-controls were vaccinated. The VE of inactivated quadrivalent influenza vaccine for preventing hospitalized influenza was estimated at 30.3% (95% confidence interval, 2.6%–50.2%). Conclusions Significant influenza-associated morbidity was observed in 2017 in Australia. Most hospitalized children had no comorbid conditions. Vaccine coverage and antiviral use was inadequate. Influenza vaccine was protective in 2017, yet VE was lower than previous seasons. Multiple Australian states have introduced funded preschool vaccination programs in 2018. Additional efforts to promote vaccination and monitor effectiveness are required. [ABSTRACT FROM AUTHOR]

Background: Older people living in Residential Aged Care Facilities (RACF) are a vulnerable, frail and complex population. They are more likely than people who reside in the community to become acutely unwell, present to the Emergency Department (ED) and require admission to hospital. For many, hospitalisation carries with it risks. Importantly, evidence suggests that some admissions are avoidable. A new collaborative model of care, the Aged Care Emergency Service (ACE), was developed to provide clinical support to nurses in the RACFs, allowing residents to be managed in place and avoid transfer to the ED. This paper examines the effects of the ACE service on RACF residents' transfer to hospital using a controlled pre-post design.Methods: Four intervention RACFs were matched with eight control RACFs based on number of total beds, dementia specific beds, and ratio of high to low care beds in Newcastle, Australia, between March and November 2011. The intervention consisted of a clinical care manual to support care along with a nurse led telephone triage line, education, establishing goals of care prior to ED transfer, case management when in the ED, along with the development of collaborative relationships between stakeholders. Outcomes included ED presentations, length of stay, hospital admission and 28-day readmission pre- and post-intervention. Generalised estimating equations were used to estimate mean differences in outcomes between intervention and controls RACFs, pre- and post-intervention means, and their interaction, accounting for repeated measures and adjusting for matching factors.Results: Residents had a mean age of 86 years. ED presentations ranged between 16 and 211 visits/100 RACF beds/year across all RACFs. There was no overall reduction in ED presentations (OR = 1.17, p = 0.56) with the ACE intervention. However, when compared to the controls, the intervention group reduced their ED length of stay by 45 min (p = 0.0575), and was 40 % less likely to be admitted to hospital, . The latter was highly significant (p = 0.0012).Conclusions: Transfers to ED and admission to hospital are common for residents of RACFs. This study has demonstrated that a complex multi-strategy intervention led by nursing staff can successfully reduce hospital admissions for older people living in Residential Aged Care Facilities. By defining goals of care prior to transfer to the ED, clinicians have the opportunity to better deliver care that patients require. Integrated care requires accountability from multiple stakeholders.Trial Registration: The Australian New Zealand Clinical Trials Registration number is ACTRN12616000588493 It was registered on 6(th) May 2016. [ABSTRACT FROM AUTHOR]

Many of Australia's second homes are located in peripheral locations along the coast, away from suburbia and cities. Many of these areas have specific challenges relating to a declining or consolidating agricultural sector and the need to diversify economies in a climate of uncertainty. This offers specific challenges for coastal local governments, who are often resource poor, managing transitional economies with unclear futures in terms of current and projected populations. This article begins with this broad landscape and focuses on two southeastern Victorian coastal areas that are known second home hotspots. Our article presents the findings of a residential survey conducted in Inverloch and Philip Island that specifically captured second home owners to discover who they are, why they have a second home in that area, what local area concerns they have, and what they intend to do with their second homes in the future. Within the limitations of our data, we find ambivalence among second home owners as a group, supporting the scholarship that identifies the difficulties of pinning this phenomenon down. That said, there are some discernible patterns among second home owners, particularly when they are put in contrast with the permanent residents of these communities. [ABSTRACT FROM AUTHOR]

The aim of this study was to explore treatment burden among people with a variety of chronic conditions and comorbidities and their unpaid carers. The burden of living with ongoing chronic illness has been well established. However, the burden associated with proactively treating and managing chronic illness, commonly referred to as 'treatment burden', is less understood. This study helps to bridge this gap in our understanding by providing an in-depth analysis of qualitative data collected from a large sample of adults from diverse backgrounds and with various chronic conditions. Using semi-structured in-depth interviews, data were collected with a large sample of 97 participants that included a high representation of people from culturally and linguistically diverse backgrounds and indigenous populations across four regions of Australia. Interviews were conducted during May-October 2012, either face to face ( n = 49) or over the telephone ( n = 48) depending on the participant's preference and location. Data were analysed using an iterative thematic approach and the constant comparison method. The findings revealed four interrelated components of treatment burden: financial burden, time and travel burden, medication burden and healthcare access burden. However, financial burden was the most problematic component with the cost of treatment being significant for most people. Financial burden had a detrimental impact on a person's use of medication and also exacerbated other types of burden such as access to healthcare services and the time and travel associated with treatment. The four components of treatment burden operated in a cyclical manner and although treatment burden was objective in some ways (number of medications, and time to access treatment), it was also a subjective experience. Overall, this study underscores the urgent need for healthcare professionals to identify patients overwhelmed by their treatment and develop 'individualised' treatment options to alleviate treatment burden. [ABSTRACT FROM AUTHOR]

The formation of extensive peri-urban regions around Australia's cities as sites of population growth and land use change has resulted in a critical divergence in agricultural production patterns over several decades. Unlike more distant agricultural regions where farm numbers have typically declined, peri-urban areas have experienced a proliferation of small and sub-commercial farm businesses and the continued presence of fewer large operations. Despite this, agricultural production has not collapsed in these regions. This article reviews changes in farm output and structure occurring in some example peri-urban regions with a view to exploring the nature of viability and vulnerability of the agricultural systems in these areas. It concludes that farming in these regions is changing in significantly different ways to other agricultural regions. The key components of peri-urban farming productivity centre on a few high value activities, and some, such as intensive poultry, face significant constraints to growth through population and landscape pressures in an effectively post-productive environment. This presents consequent risks to ongoing food production in the regions closest to our largest cities. The majority of peri-urban farming has the potential to provide important landscape services functions, but is unable to adjust to changing productivity regimes creating vulnerabilities for peri-urban farming systems. [ABSTRACT FROM AUTHOR]

Geographical Information Science ( GIScience) has become an important sub-discipline for North American geographers but in Australia few geographers are engaged in this 'research in GIS' area. Australian geographers seem more concerned with 'research using GIS' which has become absorbed into the geographical tradition of thinking and communicating with diagrams, images, and maps. The breakdown of disciplinary boundaries in Australia makes it difficult to be sure, but most of those engaged in GIScience in Australia seem to identify with disciplines other than geography. [ABSTRACT FROM AUTHOR]

There is confusion surrounding the roles and clinical responsibilities of urology nurses employed in Australia and New Zealand. A study of members of the Australian and New Zealand Urological Nurses Society (ANZUNS Inc.) was undertaken to provide baseline information about their clinical practices. A descriptive survey utilizing a questionnaire consisting of 28 questions was sent to all 623 members on the ANZUNS Inc. database. Demographic data, information on role development and the current clinical skill set of each nurse was collected. Information was provided on education received to perform these various activities and which role respondents believed most appropriate to carry out the activity, e.g. RN, clinical nurse specialist, nurse practitioner (NP) or doctor. Respondents identified over 35 job titles with 26% of roles created independently. One-third of these job titles had no guidelines for role development. Almost 80% of respondents have been working in a urology setting for longer than 5 years, with almost 60% holding specialist nursing positions. The preparation for a variety of identified advanced clinical practices varied widely between respondents from being self-taught to receiving informal ‘on the job’ training and undertaking formal competency programmes. Similarly, there was wide disparity between respondent's opinions about which role was best suited to perform these clinical practices. This study highlights the need to introduce consistency across the urological nursing workforce in Australia and New Zealand to standardize role titles and associated clinical responsibilities, with clear guidelines required to define appropriate preparation for advanced practice. [ABSTRACT FROM AUTHOR]

The aim of this study was to identify the conditions that Australian nurses believe support or hinder the development of evidence-based nursing. A survey instrument was developed from the results of content analysis of the UK and the USA research and of interviews with 12 Australian nurses. Eight hundred and sixteen nurses working in three large hospitals responded representing a response rate of 65%. Principal axis factor analysis of the survey results revealed six conditions that the participants believed were necessary for evidence-based nursing to take place. The results of this study may be used to develop models for the improvement of evidence-based nursing in Australia. [ABSTRACT FROM AUTHOR]