Academic literature on the topic 'Australian European influences'

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Journal articles on the topic "Australian European influences"

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Reed, Rosslyn. "European influences on Australian organisational culture." History of European Ideas 19, no. 1-3 (December 1994): 17–24. http://dx.doi.org/10.1016/0191-6599(94)90192-9.

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Li-Wey Soh, Nerissa, Stephen Touyz, Timothy A. Dobbins, Lois J. Surgenor, Simon Clarke, Michael R. Kohn, Ee Lian Lee, et al. "Restraint and Eating Concern in North European and East Asian Women with and without Eating Disorders in Australia and Singapore." Australian & New Zealand Journal of Psychiatry 41, no. 6 (June 2007): 536–45. http://dx.doi.org/10.1080/00048670701332318.

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Objective: To investigate eating disorder psychopathology, restraint and eating concern in young women with and without an eating disorder from two different ethnic groups in Australia and Singapore. Method: The relationship of Eating Disorder Examination Questionnaire Global, Restraint and Eating Concern scores to cultural orientation and sociocultural factors was analysed in 154 women with and without an eating disorder. Participants were from the following backgrounds: North European Australian, East Asian Australian, Singaporean Chinese and North European expatriates in Singapore. Results: Women with eating disorders had similar psychopathology across the cultural groups. Among controls, Singaporean Chinese reported significantly greater overall eating disorder psychopathology than other cultural groups and greater restraint than North European Australians/expatriates. Eating concern was not associated with cultural group overall or acculturation to Western culture. Dissatisfaction with family functioning, socioeconomic status and education level were not significantly associated with any of the eating disorder measures. Conclusion: In eating disorder psychopathology, the specific symptom of eating concern may transcend cultural influences.
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Marjoribanks, Kevin. "Sibling Effects, Environmental Influences, and University Attendance: A Follow-up Study." Psychological Reports 95, no. 3_suppl (December 2004): 1267–70. http://dx.doi.org/10.2466/pr0.95.3f.1267-1270.

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In 2002 Marjoribanks examined relations among sibling variables, environmental influences, and school dropout. In this follow-up study, relations were examined between sibling variables (number of children in the family, birth order position) and university attendance. Data were collected from 8,005 (4,116 women, 3,889 men) Australian young adults ( M age = 20.1 yr., SD = 0.5). Logistic regression analyses in the two studies indicated that (a) young adults from Asian, Middle Eastern, and middle-class families were less likely to drop out of school and more likely to attend a university than were young Australians from Anglo-Australian, English, European, and working-class backgrounds, and (b) after taking into account differences in family background and learning environment measures, there continued to be small but significant relations between the number of children in families, birth-order position, and the likelihood that young people would drop out of school or attend a university.
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Godfrey, Jayne M., and Ian A. Langfield-Smith. "Regulatory Capture in the Globalisation of Accounting Standards." Environment and Planning A: Economy and Space 37, no. 11 (November 2005): 1975–93. http://dx.doi.org/10.1068/a3790.

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The Australian Financial Reporting Council recently shocked the world business community by unexpectedly announcing a change in the nation's approach to global-accounting-standards development. The change involved switching from ensuring consistency of Australian accounting standards with International Financial Reporting Standards (IFRSs) developed by the International Accounting Standards Board to outright adoption of IFRSs by 2005. At the time of the announcement, Australia had the most developed international harmonisation programme of any country with a well-developed financial reporting system. Events surrounding the change demonstrate how political the accounting standard-setting process can be as it continues to receive front-page media attention, and as it provides a platform in parliamentary and electoral debate. In the meantime, the US role in the global accounting standard-setting arena has moved through phases of indifference to potential active dominance, and European influences have waxed and waned. We examine whether swings in political and regulatory influences that occur when globalisation becomes a national and international goal are explained by regulatory capture theory. We also address the extent to which a subset of a single nation's regulatory system plays a key role in a series of larger national and international games. Drawing upon experiences in Australia, the United States, and the European Union, we identify political influences on initiatives to reform accounting-standard-setting environments, policies, and processes.
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Smyth, Paul. "British and European Influences on the “Australian Way” from the 1980s." Social Policy & Administration 36, no. 4 (August 2002): 426–42. http://dx.doi.org/10.1111/1467-9515.t01-1-00263.

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McMurtrie, Kevin J., and Brett R. C. Molesworth. "The Impact of a Legally Defined Just Culture on Voluntary Reporting of Safety Information." Aviation Psychology and Applied Human Factors 11, no. 2 (September 2021): 88–97. http://dx.doi.org/10.1027/2192-0923/a000215.

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Abstract. The aim of the present study was to examine commercial pilots’ reporting behavior and confidence in their airlines’ just culture. In pursuit of this aim, 539 European-based pilots participated in the study by answering an online questionnaire. The results are compared with an earlier study comprising Australian-based pilots. The results reveal that 84% and 57% of the European and Australian pilots, respectively, trust their airlines’ just culture. When comparing reporting behaviors, it was found that 53% of the Australian pilots and 33% of the European pilots stated they had failed to report, or had under-reported, safety information in their airlines’ safety management system. A distinct difference with the aviation regulatory backdrop that the two pilot groups operate within is the legal legitimization of just culture in European law. It is unknown whether this difference influences confidence in just culture or has an effect on reporting behavior.
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Bowen, James. "EDUCATION, SOCIAL CLASS AND PRIVILEGE: European Influences and the Australian Response, 1788‐1988." Discourse: Studies in the Cultural Politics of Education 8, no. 2 (April 1988): 1–36. http://dx.doi.org/10.1080/0159630880080201.

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Howard, Scarlett R., Mani Shrestha, Juergen Schramme, Jair E. Garcia, Aurore Avarguès-Weber, Andrew D. Greentree, and Adrian G. Dyer. "Honeybees prefer novel insect-pollinated flower shapes over bird-pollinated flower shapes." Current Zoology 65, no. 4 (December 13, 2018): 457–65. http://dx.doi.org/10.1093/cz/zoy095.

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AbstractPlant–pollinator interactions have a fundamental influence on flower evolution. Flower color signals are frequently tuned to the visual capabilities of important pollinators such as either bees or birds, but far less is known about whether flower shape influences the choices of pollinators. We tested European honeybee Apis mellifera preferences using novel achromatic (gray-scale) images of 12 insect-pollinated and 12 bird-pollinated native Australian flowers in Germany; thus, avoiding influences of color, odor, or prior experience. Independent bees were tested with a number of parameterized images specifically designed to assess preferences for size, shape, brightness, or the number of flower-like shapes present in an image. We show that honeybees have a preference for visiting images of insect-pollinated flowers and such a preference is most-likely mediated by holistic information rather than by individual image parameters. Our results indicate angiosperms have evolved flower shapes which influence the choice behavior of important pollinators, and thus suggest spatial achromatic flower properties are an important part of visual signaling for plant–pollinator interactions.
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Bivol, Svetlana, George D. Mellick, Jacob Gratten, Richard Parker, Aoibhe Mulcahy, Philip E. Mosley, Peter C. Poortvliet, et al. "Australian Parkinson’s Genetics Study (APGS): pilot (n=1532)." BMJ Open 12, no. 2 (February 2022): e052032. http://dx.doi.org/10.1136/bmjopen-2021-052032.

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PurposeParkinson’s disease (PD) is a neurodegenerative disorder associated with progressive disability. While the precise aetiology is unknown, there is evidence of significant genetic and environmental influences on individual risk. The Australian Parkinson’s Genetics Study seeks to study genetic and patient-reported data from a large cohort of individuals with PD in Australia to understand the sociodemographic, genetic and environmental basis of PD susceptibility, symptoms and progression.ParticipantsIn the pilot phase reported here, 1819 participants were recruited through assisted mailouts facilitated by Services Australia based on having three or more prescriptions for anti-PD medications in their Pharmaceutical Benefits Scheme records. The average age at the time of the questionnaire was 64±6 years. We collected patient-reported information and sociodemographic variables via an online (93% of the cohort) or paper-based (7%) questionnaire. One thousand five hundred and thirty-two participants (84.2%) met all inclusion criteria, and 1499 provided a DNA sample via traditional post.Findings to date65% of participants were men, and 92% identified as being of European descent. A previous traumatic brain injury was reported by 16% of participants and was correlated with a younger age of symptom onset. At the time of the questionnaire, constipation (36% of participants), depression (34%), anxiety (17%), melanoma (16%) and diabetes (10%) were the most reported comorbid conditions.Future plansWe plan to recruit sex-matched and age-matched unaffected controls, genotype all participants and collect non-motor symptoms and cognitive function data. Future work will explore the role of genetic and environmental factors in the aetiology of PD susceptibility, onset, symptoms, and progression, including as part of international PD research consortia.
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Sanders, Paul, and Marissa Lindquist. "Charles Fulton: the regional reach of modernism in Australia." Cure and Care, no. 62 (2020): 86–93. http://dx.doi.org/10.52200/62.a.agpqon3z.

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Charles Fulton (1905-1987) was an Australian architect who applied influences of European Modernism, particularly the civic architecture of Willem Dudok, into the design for several hospital projects in regional towns across Queensland, at the same time adapting a climatic responsive rationale to the projects. As with many remote contexts that have been overlooked by a European and American centric focus upon Modern architecture, the account of Australian Modernism has not been widely acknowledged outside its borders, despite a local momentum to effectively document and publish its achievements. Compounding this predicament, Queensland has suffered from its own exclusion relative to the southern states of New South Wales (Sydney) and Victoria (Melbourne), which have always been the dominant centers of the national profession, its conferences and publications. This paper seeks to address these schisms through the presentation of the work of Fulton, demonstrating how even in remote areas of Queensland, thousands of kilometers from major cities, the reach of Modern architecture found a place. Mobilized by the national federal body, the Office of Health and Home Affairs, drive to improve health services across the country post WWI, Fulton became a leading architect to modernize health facilities and brought about a cultural shift in the reception of Modern architecture across the regions.
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Dissertations / Theses on the topic "Australian European influences"

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Pierre, Mikaël. "La « France de l’hémisphère sud » : transférer un modèle viti-vinicole européen en Australie au XIXe siècle." Thesis, Bordeaux 3, 2020. http://www.theses.fr/2020BOR30007.

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Le développement de la viticulture en Australie au XIXe siècle découlait du transfert de modèles européens pour diffuser la production et la consommation de vin dans les sociétés coloniales. Parmi ces modèles, la France se révéla progressivement comme un choix à part, du fait de la réputation de ses vins et de l’influence de ses pratiques culturelles dans le monde britannique. Cette thèse cherche à analyser les transferts de cépages, compétences, technologies et experts de différentes régions françaises vers les colonies australiennes de Nouvelle-Galles du Sud, Victoria et Australie-Méridionale. Ces trois colonies regroupaient alors les principales régions viticoles des antipodes et les traces les plus évidentes d’une présence française. Cette circulation de savoir reposait essentiellement sur les initiatives de colons britanniques aisés dont le but était de développer économiquement et culturellement les colonies. Ce processus illustre l’importance des phénomènes interculturels et transnationaux qui participèrent au façonnement d’une industrie vinicole mondiale au XIXe siècle. Il permet également de révéler la manière dont l’Australie s’appropria ces transferts viti-vinicoles français pour les adapter à son environnement naturel, économique, politique et socio-culturel. Cette thèse, située à l’intersection de l’histoire du vin et de l’histoire transnationale, tente d’apporter une nouvelle perspective sur les effets de la première mondialisation qui facilita la circulation de connaissances, technologies et modèles de production de l’Europe vers les Nouveaux Mondes. Il s’agit de souligner l’importance des échanges interpersonnels et interinstitutionnels à travers les frontières impériales et nationales pour développer agriculture, commerce et savoir scientifique. Ce sujet se propose aussi de questionner la réflexivité des transferts franco-australiens à la façon d’une histoire croisée. C’est dans ce but que ce projet de recherche a été réalisé en France et en Australie, dans une perspective transnationale de croisement des regards entre les mondes francophone et anglophone
The development of viticulture in Australia in the nineteenth century mostly drew on European models to spread both wine production and consumption in the colonial societies during the nineteenth century. Among these models, France gradually appeared as a specific choice due to the reputation of its wines and its cultural practices in the British world. This thesis intends to analyse the transfers of skills, technologies, vine grapes and experts from various French regions to the Australian colonies of New South Wales, Victoria and South Australia. These three colonies collectively represented the most productive wine district during the nineteenth century and the most evident marks of a French influence. This circulation of knowledge mostly relied on wealthy British colonists’ initiatives in order to develop economically and culturally the colonies. This thesis presents new evidence of the importance of the cross-cultural and transnational aspects which shaped the world wine industry in the nineteenth century. It also shows how Australia instigated these transfers of French practices and ideas and reshaped them to fit its natural, economic, political and socio-cultural environment. Overall, this thesis, situated at the intersection of wine history and transnational history, gives a new insight on the effects of the first wave of globalization which facilitated the circulation of knowledge, technologies and production models from Europe to the New World. It highlights the importance of interpersonal and interinstitutional exchanges occurring across national boundaries in the development of agricultural production, commodity trade and scientific knowledge. It also questions Franco-Australian transfers as a reflexivity process peculiar to histoire croisée. As such, this research project has been conducted both in Australia and in France as a transnational investigation mixing perspectives from the English-speaking world and the French-speaking world
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Books on the topic "Australian European influences"

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The visitable past: Images of Europe in Anglo-Australian literature. Bern: P. Lang, 1992.

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The birth of love: Dus̆an and Voitre Marek, artist brothers in Czechoslovakia and post-war Australia. Norwood, S. Aust: Moon Arrow Press, 2008.

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1948-, Butler Roger, and National Gallery of Australia, eds. The Europeans: Emigré artists in Australia, 1930-1960. Canberra: National Gallery of Australia, 1997.

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Webb, EK, ed. Windows on Meteorology. CSIRO Publishing, 1997. http://dx.doi.org/10.1071/9780643101500.

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Windows on Meteorology: Australian Perspective answers a host of questions about Australia's weather and climate, and explains the underlying causes of floods, droughts and cyclones. Vivid accounts of dust storms and the mysteries of the 'morning glory' cloud lines are revealed.The book highlights the perception in Aboriginal culture of the connection between seasons and natural cycles, through aspects of Aboriginal mythology and language, and contains a unique Aboriginal seasonal calendar. The influence of climate on Australia's wildlife is illustrated with fascinating accounts of the evolution of burrowing frogs, shrimps and desert kangaroos. A history of Australian meteorology from early European settlement onwards, covers subjects such as a nineteenth century view of the links between climate and health, the development of instruments, cloud physics research and the Southern Oscillation connection. The final chapters bring the reader up to date with the most recent technical developments in research and applications such as satellite remote sensing, radar and fast response instruments.
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Fire and Hearth: A Study of Aboriginal Usage and European Usurpation in South-Western Australia. UWA Publishing, 2014.

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Boon, Paul. The Hawkesbury River. CSIRO Publishing, 2017. http://dx.doi.org/10.1071/9780643107601.

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The Hawkesbury River is the longest coastal river in New South Wales. A vital source of water and food, it has a long Aboriginal history and was critical for the survival of the early British colony at Sydney. The Hawkesbury’s weathered shores, cliffs and fertile plains have inspired generations of artists. It is surrounded by an unparalleled mosaic of national parks, including the second-oldest national park in Australia, Ku-ring-gai National Park. Although it lies only 35 km north of Sydney, to many today the Hawkesbury is a ‘hidden river’ – its historical and natural significance not understood or appreciated. Until now, the Hawkesbury has lacked an up-to-date and comprehensive book describing how and when the river formed, how it functions ecologically, how it has influenced humans and their patterns of settlement and, in turn, how it has been affected by those settlements and their people. The Hawkesbury River: A Social and Natural History fills this gap. With chapters on the geography, geology, hydrology and ecology of the river through to discussion of its use by Aboriginal and European people and its role in transport, defence and culture, this highly readable and richly illustrated book paints a picture of a landscape worthy of protection and conservation. It will be of value to those who live, visit or work in the region, those interested in Australian environmental history, and professionals in biology, natural resource management and education.
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Reid, Kenneth G. C., Marius J. de Waal, and Reinhard Zimmermann, eds. Comparative Succession Law. Oxford University Press, 2020. http://dx.doi.org/10.1093/oso/9780198850397.001.0001.

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This third volume in a series on Comparative Succession Law concerns the entitlement of family members to override the provisions of a deceased person’s will to obtain money or assets (or more money or assets) from the person’s estate. Some countries, notably those in the civil law tradition (such as France or Germany), confer a pre-ordained share of the deceased’s estate or of its value on certain members of the deceased’s family, and especially on the deceased’s children and spouse. Other countries, notably those in the common law tradition (such as England, Canada, or Australia), leave the matter to the discretion of the court, the amount awarded depending primarily on financial need. Whichever form it takes, mandatory family provision is both a protection against disinheritance and also, therefore, a restriction on testamentary freedom. The volume focuses on Europe and on countries influenced by the European experience. In addition to detailed treatment of the law in Austria, England and Wales, France, Germany, Hungary, Italy, the Netherlands, Norway, Poland, Scotland, and Spain, the book also has chapters on Australia and New Zealand, South Africa, the United States, Canada, the countries of Latin America, and the People’s Republic of China. Some other countries are covered more briefly, and there is a separate chapter on Islamic law. The book opens with accounts of Roman law and of the law in medieval and early-modern Europe, and it concludes with a comparative assessment of the law as it is today in the countries and legal traditions surveyed in this volume.
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Brunsson, Nils. Constructing Organizations: The Example of Public Sector Reform. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198296706.003.0003.

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This chapter discusses the social construction of organizations and the way in which this is influenced by the theoretical concept of organization. It considers examples from recent publicsector reforms in several European countries, including Denmark, France, Germany, Great Britain, and Sweden, as well as in Australia and New Zealand. Constructing organizations involves the setting up or changing of entities in such a way that they come to resemble the general and abstract concept of organization. It is argued that traditional public services in many countries have lacked some of the key aspects of organization. They can be described, at the most, as conspicuously ‘incomplete’ organizations.
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Hagemann, Karen, Stefan Dudink, and Sonya O. Rose, eds. The Oxford Handbook of Gender, War, and the Western World since 1600. Oxford University Press, 2020. http://dx.doi.org/10.1093/oxfordhb/9780199948710.001.0001.

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The handbook is a reference work of thirty-two essays jointly written by specialists in the history of military and war and experts in gender and women’s history. The collection, covering four centuries from the Thirty Years’ War to the present Wars of Globalization, investigates how gender contributed to the shaping of warfare and the military and was at the same time transformed by them. The essays explore this question by focusing on themes such as the cultural representations of military and war; war mobilization of and war support by society; war experiences on the home fronts and battlefronts; gendered war violence; military service and citizenship; war demobilization, postwar societies, and memories; and attempts to regulate and tame warfare and prevent new wars. The volume covers chronologically the major periods in the development of warfare since the seventeenth century. Its content reflects the state of research on the history of gender and war. Therefore, the main geographical focus of the handbook in several chapters is on the best explored regions of eastern and western Europe, the Americas and Australia. But it also systematically covers the long-term processes of colonization and empire-building originating in early modern Europe and their aftermath in the Americas, Asia, Africa, and Australia, which are more recent fields of research. Thus, the handbook allows for both temporal comparisons that explore continuities and changes in a long-term perspective and regional comparisons, as well as an assessment of transnational influences on the entangled relationships between and among gender, warfare, and military culture. All essays are thematic, comparative or transnational.
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Sell, Zach. Trouble of the World. University of North Carolina Press, 2021. http://dx.doi.org/10.5149/northcarolina/9781469661346.001.0001.

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In this innovative new study, Zach Sell returns to the explosive era of capitalist crisis, upheaval, and warfare between emancipation in the British Empire and Black emancipation in the United States. In this age of global capital, U.S. slavery exploded to a vastness hitherto unseen, propelled forward by the outrush of slavery-produced commodities to Britain, continental Europe, and beyond. As slavery-produced commodities poured out of the United States, U.S. slaveholders transformed their profits into slavery expansion. Ranging from colonial India to Australia and Belize, Sell’s examination further reveals how U.S. slavery provided not only the raw material for Britain’s explosive manufacturing growth but also inspired new hallucinatory imperial visions of colonial domination that took root on a global scale. What emerges is a tale of a system too powerful and too profitable to end, even after emancipation; it is the story of how slavery's influence survived emancipation, infusing empire and capitalism to this day.
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Book chapters on the topic "Australian European influences"

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Rubenfeld, Sheldon, and Daniel P. Sulmasy. "Physician-Assisted Suicide, Euthanasia, and Bioethics in Nazi and Contemporary Cinema." In The International Library of Bioethics, 173–208. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-01987-6_10.

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AbstractToday, physician-assisted suicide and/or euthanasia are legal in several European countries, Canada, several jurisdictions in the United States and Australia, and may soon become legal in many more jurisdictions. While traditional Hippocratic and religious medical ethics have long opposed these practices, contemporary culture and politics have slowly weakened opposition to physician-assisted suicide and euthanasia. Our chapter examines how assisted suicide and euthanasia have been presented in cinema, one of the most powerful influences on culture, by Nazi propagandists during the German Third Reich and by Western filmmakers since the end of World War II.Almost all contemporary films about assisted suicide and euthanasia, including six winners of Academy Awards, promote these practices as did Ich klage an (I Accuse) (1941), the best and archetypal Nazi feature film about euthanasia. The bioethical justifications of assisted suicide or euthanasia in both Ich klage an and contemporary films are strikingly similar: showing mercy; avoiding fear and/or disgust; equating loss of capability with loss of a reason to live; enabling self-determination and the right-to-die; conflating voluntary with involuntary and nonvoluntary euthanasia; and casting opposition as out-of-date traditionalism. Economics and eugenics, two powerful arguments for euthanasia during the Third Reich, are not highlighted in Ich klage an and are only obliquely mentioned in contemporary cinema. One dramatic difference in the cinema of the two periods is the prominence of medical professionals in Ich klage an and their conspicuous absence in contemporary films about assisted suicide and euthanasia. A discussion of the medical ethos of the two time periods reveals how cinema both reflects and influences the growing acceptance of assisted suicide and euthanasia.
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Garner, Alice, and Diane Kirkby. "‘Mutual benefit’ v. ‘the needs of the country’: Programming academic fields." In Academic ambassadors, Pacific allies, 67–86. Manchester University Press, 2019. http://dx.doi.org/10.7228/manchester/9781526128973.003.0005.

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A vital aspect of the Fulbright program’s history is showing how the program influenced changes, especially in the development of academic fields. The field of research emphases in awards reveals how tensions between the US and Australia could surface in regard to what might be seen as changing national preoccupations. Australia at first struggled to attract humanities and social science scholars as it was not seen to be very attractive and Americans preferred Europe or countries in Asia. Fulbright awards were nevertheless valuable in developing fields that made Australia the focus of study, e.g. Australian literature.
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Campbell, Gordon. "9. America, Africa, and Australia." In Garden History: A Very Short Introduction, 116–32. Oxford University Press, 2019. http://dx.doi.org/10.1093/actrade/9780199689873.003.0009.

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‘America, Africa, and Australia’ provides highlights of garden history in North America, Central America, South America, South Africa, and Australia. North America’s earliest traditional gardens were influenced by the settlers from Spain, France, the Netherlands, and England. After independence, garden design was transformed by designers such as Frederick Law Olmsted, the Colonial Revival movement, the Prairie School, and the California Style. The most important gardens in Central America are in Mexico and, in South America, the move away from European styles was led by the Brazilian plantsman and designer Roberto Burle Marx. Australia’s most important and influential garden designers have been William Guilfoyle and Edna Walling.
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Allen, Jim. "Perspectives of a Sentimental Journey: V. Gordon Childe in Australia 1917–1921 (1981)." In Histories of Archaeology. Oxford University Press, 2008. http://dx.doi.org/10.1093/oso/9780199550074.003.0007.

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This chapter is a revised version of a seminar paper given in the Australian National University in 1978, at the time when I was preparing the Childe entry for The Australian Dictionary of Biography (Allen 1979). Ann Turner, a Melbourne historian, was at the same time researching in the Australian Archives Office among First World War censorship reports compiled by the Australian Department of Defence, and had encountered a number of letters written to and by Childe, which she passed on to me. I am indebted to her for the time and trouble she took on my account. These letters are valuable for a number of reasons. They assist in reconstructing Childe’s movements and activities in Australia for the four years before he returned to Britain; they shed light on Childe’s relationship with other members of his family, and his alienation from them; they provide important insights into the Australian society of the period, with the generally left-wing contents more than balanced by the appended censorial minutes; more specifically they offer an intimate view of Childe’s political ideology and personality as a young man. Lacking these sources I had previously proposed (Allen 1967) that Childe’s Australian experience had directly influenced his later archaeological contributions. This chapter attempts to develop this theme further. The decision to write this paper has been triggered by the recent Antiquity editorial (March 1980) that reproduced a Childe letter that removes the last doubt that Childe took his own life. It is clear from this editorial that there is wide interest in Childe, his works, and their inspiration. As well, however, Childe reiterates in this letter the dissatisfaction with Australian society that he expressed elsewhere shortly before his death: ‘I like Australian society much less than European without believing I can do anything to better it; for I have lost faith with all my old ideals.’ I contend that this loss of faith can be traced to his Australian experiences between 1917 and 1921. In ‘Retrospect’, Childe’s apologia pro vita sua published in Antiquity in 1958, in the year following his death, Childe dismissed his return to Australia some forty years earlier in a single phrase as a ‘sentimental excursion into Australian politics’.
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Mason, Anthony. "Human Rights and Legislative Supremacy." In The United Kingdom's Statutory Bill of Rights. British Academy, 2013. http://dx.doi.org/10.5871/bacad/9780197265376.003.0009.

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This chapter outlines the measures implemented for the protection for human rights available in New Zealand, Australia, and Hong Kong. It examines the influence of jurisprudence from the United Kingdom and European Court of Human Rights on those systems, and traces the conditioning effect of the doctrine of legislative supremacy on the development and implementation of rights instruments in New Zealand and Australia.
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Day, Kenneth A., and Kenwyn G. Rickert. "Monitoring Agricultural Drought in Australia." In Monitoring and Predicting Agricultural Drought. Oxford University Press, 2005. http://dx.doi.org/10.1093/oso/9780195162349.003.0040.

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Since European settlement of Australia began in 1788, drought has been viewed as a major natural threat. Despite warnings by scientists (e.g., Ratcliffe, 1947) and many public inquiries, government policies have, in the past, encouraged closer land settlement and intensification of cropping and grazing during wetter periods. Not surprisingly, drought forms part of the Australian psyche and has been well described in poetry, literature (e.g., Ker Conway, 1993), art, and the contemporary media (newspapers and television). Droughts have resulted in social, economic, and environmental losses. Attitudes toward drought in Australia are changing. Government policies now consider drought to be part of the natural variability of rainfall and acknowledge that drought should be better managed both by governments and by primary producers. Nonetheless, each drought serves as a reminder of the difficult challenges facing primary producers during such times. We begin this chapter with a brief overview of drought in Australia and its impacts on agricultural production, the environment, rural communities, and the national economy. We outline some of the ways governments and primary producers plan for and respond to drought and describe in detail an operational national drought alert system. Australia has mainly an arid or semiarid climate. Only 22% of the country has rainfall in excess of 600mmper annum, confined to coastal areas to the north, east, southeast, and far southwest of the country (http://www.bom.gov.au/climate/ahead/soirain.shtml). Australia also has high year-to-year and decade-to-decade variation in rainfall due, in part, to the influence of the El Niño/Southern Oscillation (ENSO) phenomenon (http://www.bom.gov.au/climate/ahead/soirain.shtml). The Interdecadal Pacific Oscillation (IPO) also contributes to the rainfall variability at annual and decadal scales and modulates ENSO impacts on rainfall (Power et al., 1999). The current geographic boundaries of agricultural production were reached in the late 19th century, and the entire agricultural region has experienced drought, in some form, over the past 100 years. Protracted dry periods occurred during the period from late 1890s to 1902 in eastern Australia, during the mid to late 1920s and 1930s over most of the continent, during the 1940s in eastern Australia, during the 1960s over central and eastern Australia, and during 1991–95 in parts of central and northeastern Australia.
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Kost, Fiona. "Burning the Bush: The Development of Australia’s Southwest Botanical Province." In Humans and the Environment. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199590292.003.0015.

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Though early historical records frequently mention Aboriginal, or Noongar, firing in south-western Australia, little is known about how the Noongar people managed the vegetation with fire, or the impact this has had on the environment. This study uses interdisciplinary archaeology, with information from ethnographic data, historical records, and pollen records from the last 6,000 years to determine the actions of the Noongar people and demonstrate how the Southwest Botanical Province can be viewed as an artefact of Noongar land management. It is widely accepted that Aboriginal people have had an effect on some of Australia’s vegetation types through fire (Bowman 1998; Hallam 1975; Kershaw et al. 2002) although the extent of the influence of Aboriginal firing is debated (Mooney et al. 2007). However, pollen data and the study of fire indicators in Xanthorrhoea and Eucalyptus trunks have been used to demonstrate that the frequency of fire events in the south-west has decreased since European colonization (Atahan et al. 2004; Ward et al. 2001), resulting in the loss of fire-dependent vegetation species and changes in vegetation distribution patterns. This disruption of the vegetation communities has been compounded by the extensive clearing of land for farming and the displacement of the Noongar people (Dodson 2001). The impact that European colonization had on vegetation becomes more apparent as an understanding of the Noongar fire management practices is gained. There is increasing acknowledgement by researchers of the need to understand the influence of the past fire regime on vegetation patterns and to acknowledge traditional land management practices (Hopper and Gioia 2004), as well as the changes caused by European attempts to create a ‘natural’ regime, so that land management groups can take them into account when determining modern-day prescribed burning timetables. Archaeological studies such as this one can provide a unique insight into the past actions of people such as the Noongar, allowing us to determine how they shaped the landscape prior to European colonization (see Balée, Chapter 3 this volume for a more direct discussion of the ‘indigenous’ nature of pre-colonial landscapes; see Stump, Chapter 10 this volume for similar discussions of colonial and postcolonial environmental narratives).
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Hallam, Tony. "The influence of humans." In Catastrophes and Lesser Calamities. Oxford University Press, 2004. http://dx.doi.org/10.1093/oso/9780198524977.003.0014.

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We saw in Chapters 5 and 7 that the Quaternary was a time of low extinction rates despite a succession of strong environmental changes induced ultimately by climate. This began to change from a few tens of thousands of years ago with the arrival on our planet of Homo sapiens sapiens, which can be translated from the Latin as the rather smug ‘ultrawise Man’. It is widely accepted today that the Earth is undergoing a loss of species on a scale that would certainly rank in geological terms as a catastrophe, and has indeed, been dubbed ‘the sixth mass extinction’. Although the disturbance to the biosphere being created in modern times is more or less entirely attributable to human activity, we must use the best information available from historical, archaeological, and geological records to attempt to determine just when it began. Towards the end of the last ice age, known in Europe as the Würm and in North America as the Wisconsin, the continents were much richer in large mammals than today: for example, there were mammoths, mastodonts, and giant ground sloths in the Americas; woolly mammoths, elephants, rhinos, giant deer, bison, and hippos in northern Eurasia; and giant marsupials in Australia. Outside Africa most genera of large mammals, defined as exceeding 44 kilograms adult weight, disappeared within the past 100,000 years, an increasing number becoming extinct towards the end of that period. This indicates that there was a significant extinction event near the end of the Pleistocene. This event was not simultaneous across the world, however: it took place later in the Americas than Australia, and Africa and Asia have suffered fewer extinctions than other continents. There are three reasons for citing humans as the main reason for the late Pleistocene extinctions. First, the extinctions follow the appearance of humans in various parts of the world. Very few of the megafaunal extinctions that took place in the late Pleistocene can definitely be shown to pre-date the arrival of humans. There has, on the other hand, been a sequence of extinctions following human dispersal, culminating most recently on oceanic islands. Second, it was generally only large mammals that became extinct.
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Kawharu, Amokura, and Luke Nottage. "Towards an Asia-Pacific Regional Investment Regime." In China's International Investment Strategy, 258–89. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780198827450.003.0015.

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Many similarities and occasional differences are evident concerning the current approaches of Australia and New Zealand towards investment treaties, including the now politically sensitive issue of investor–state dispute settlement (ISDS). This chapter considers the potential of these two closely integrated countries to influence the future design of investment treaties in the Asia Pacific region, including for the Regional Comprehensive Economic Partnership (RCEP or ‘ASEAN+6’ agreement) – the negotiations for which include China. The chapter compares key areas of existing treaties already signed by Australia and New Zealand, as well as apparent positions set out by them in a leaked draft RCEP investment chapter. Given the concerns about US–style treaty drafting displayed recently by Indonesia and India, major economies still negotiating RCEP with Australia and New Zealand (as well as bilateral agreements with the former), the chapter also considers the scope for Australia and New Zealand to promote more pro-state provisions regarding both substantive commitments and procedures such as ISDS, which characterize contemporary preferences of the European Union. The chapter concludes that a transition to a new generation of treaties is likely not only given the evolving preferences of counterparties and local politics, but also because of various policy arguments for dialing back treaty commitments to foreign investors—albeit without eschewing them altogether.
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Jain, Sachin, and Milind T. Phadtare. "Influencers for Adoption of Robots in Indian Construction Industry." In Rapid Automation, 1236–58. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-8060-7.ch058.

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Robots are developed for various construction processes and used in countries such as the USA, Japan and China. However, their adoption in India is very limited due to weaknesses in the construction sector. The Indian construction industry is poised to grow at a faster rate due to planned investment. Robots will benefit construction industry by way of better productivity, quality, timely completion, etc. resulting in the growth of construction industry. This paper identifies the structure of influencers of adoption of robots in the Indian infrastructure construction sector using exploratory factor analsis. This structure was validated using confirmatory factor analysis. A total of 20 influencers are identified and grouped in eight factors. Based on these influencers, strategies are recommended to enhance adoption of robots in Indian infrastructure construction industry. Finally the authors identify the influencers that are common to India and other countries in Asia, America, Europe and Australia.
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Conference papers on the topic "Australian European influences"

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Moulis, Antony. "Architecture in Translation: Le Corbusier’s influence in Australia." In LC2015 - Le Corbusier, 50 years later. Valencia: Universitat Politècnica València, 2015. http://dx.doi.org/10.4995/lc2015.2015.752.

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Abstract: While there is an abundance of commentary and criticism on Le Corbusier’s effect upon architecture and planning globally – in Europe, Northern Africa, the Americas and the Indian sub-continent – there is very little dealing with other contexts such as Australia. The paper will offer a first appraisal of Le Corbusier’s relationship with Australia, providing example of the significant international reach of his ideas to places he was never to set foot. It draws attention to Le Corbusier's contacts with architects who practiced in Australia and little known instances of his connections - his drawing of the City of Adelaide plan (1950) and his commission for art at Jorn Utzon's Sydney Opera House (1958). The paper also considers the ways that Le Corbusier’s work underwent translation into Australian architecture and urbanism in the mid to late 20th century through the influence his work exerted on others, identifying further possibilities for research on the topic. Keywords: Le Corbusier; post-war architecture; international modernism; Australian architecture, 20th century architecture. DOI: http://dx.doi.org/10.4995/LC2015.2015.752
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Soņeca, Viktorija. "Tehnoloģiju milžu ietekme uz suverēnu." In The 8th International Scientific Conference of the Faculty of Law of the University of Latvia. University of Latvia Press, 2022. http://dx.doi.org/10.22364/iscflul.8.1.18.

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In the last two decades, we have seen the rise of companies providing digital services. Big Tech firms have become all-pervasive, playing critical roles in our social interactions, in the way we access information, and in the way we consume. These firms not only strive to be dominant players in one market, but with their giant monopoly power and domination of online ecosystems, they want to become the market itself. They are gaining not just economic, but also political power. This can be illustrated by Donald Trump’s campaigns, in which he attempted to influence the sovereign will, as the sovereign power is vested in the people. The Trump campaigns' use of Facebook's advertising tools contributed to Trump's win at the 2016 presidential election. After criticism of that election, Facebook stated that it would implement a series of measures to prevent future abuse. For example, no political ads will be accepted in the week before an election. Another example of how Big Tech firms can effect the sovereign is by national legislator. For example, Australia had a dispute with digital platforms such as Facebook and Google. That was because Australia began to develop a News Media and Digital Platforms Mandatory Code. To persuade the Australian legislature to abandon the idea of this code, Facebook prevented Australian press publishers, news media and users from sharing/viewing Australian as well as international news content, including blocking information from government agencies. Such action demonstrated how large digital platforms can affect the flow of information to encourage the state and its legislature to change their position. Because of such pressure, Australia eventually made adjustments to the code in order to find a compromise with the digital platform. Also, when we are referring to political power, it should include lobbying and the European Union legislator. Tech giants are lobbying their interests to influence the European Union’s digital policy, which has the most direct effect on member states, given that the member states are bound by European Union law.
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Rhodes, Steve, Bryan Donoghue, and Philip Icke. "Traffic loading – AASHTO, State Implementations and International Codes of Practice." In IABSE Congress, New York, New York 2019: The Evolving Metropolis. Zurich, Switzerland: International Association for Bridge and Structural Engineering (IABSE), 2019. http://dx.doi.org/10.2749/newyork.2019.0984.

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<p>Highway bridge design and rating requires the application of notional traffic load models, with the most onerous load patterns being determined using influence surfaces. Software speeds the process of obtaining critical traffic load patterns and effects. This paper compares the requirements of – and load effects arising from – AASHTO LRFD, various State Bridge Design Manual implementations, also touching on selected international Codes from Europe, Australia, Canada and China.</p>
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Ang, Andrew S. M., Christopher C. Berndt, Vladimir Luzin, Travis Crowe, and Howard Gabel. "Study of Mechanical Performance and Residual Stress in Kinetic Metallization WC-Co Coatings." In ITSC2018, edited by F. Azarmi, K. Balani, H. Li, T. Eden, K. Shinoda, T. Hussain, F. L. Toma, Y. C. Lau, and J. Veilleux. ASM International, 2018. http://dx.doi.org/10.31399/asm.cp.itsc2018p0062.

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Abstract The metal finishing process of electrolytic hard chrome (EHC) plating has been identified as a source of environmental pollution in most industrialized countries like Australia, Europe and USA. The key driver for the technology replacement is that the EHC plating process uses hexavalent chromium, which is a known carcinogen. Our previous research has identified that cold spray nanostructured tungsten carbide cobalt (WC-Co) coatings can be a suitable alternative to provide a functional coating in wear applications. This work explores at another similar technology- Kinetic Metallization for deposition of WC-Co coatings. In this work, the objective is to characterize the residual stress profile of these WC-Co coatings that are deposited by the latest KM systems. These coating systems are used in critical applications such as landing gear pistons and axle journals, hydraulic rods, engine shaft journals, and numerous other external surfaces that operate under high cyclic loading conditions. As such, the residual stress developed during the KM coating process has a significant influence on the fatigue properties of the components. Thus, knowledge of stresses and their linkage with other properties and production parameters is essential for the quality control of these critical structures.
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Reports on the topic "Australian European influences"

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Langenkamp, Max, and Melissa Flagg. AI Hubs: Europe and CANZUK. Center for Security and Emerging Technology, April 2021. http://dx.doi.org/10.51593/20200061.

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U.S. policymakers need to understand the landscape of artificial intelligence talent and investment as AI becomes increasingly important to national and economic security. This knowledge is critical as leaders develop new alliances and work to curb China’s growing influence. As an initial effort, an earlier CSET report, “AI Hubs in the United States,” examined the domestic AI ecosystem by mapping where U.S. AI talent is produced, where it is concentrated, and where AI private equity funding goes. Given the global nature of the AI ecosystem and the importance of international talent flows, this paper looks for the centers of AI talent and investment in regions and countries that are key U.S. partners: Europe and the CANZUK countries (Canada, Australia, New Zealand, and the United Kingdom).
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Smit, Amelia, Kate Dunlop, Nehal Singh, Diona Damian, Kylie Vuong, and Anne Cust. Primary prevention of skin cancer in primary care settings. The Sax Institute, August 2022. http://dx.doi.org/10.57022/qpsm1481.

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Overview Skin cancer prevention is a component of the new Cancer Plan 2022–27, which guides the work of the Cancer Institute NSW. To lessen the impact of skin cancer on the community, the Cancer Institute NSW works closely with the NSW Skin Cancer Prevention Advisory Committee, comprising governmental and non-governmental organisation representatives, to develop and implement the NSW Skin Cancer Prevention Strategy. Primary Health Networks and primary care providers are seen as important stakeholders in this work. To guide improvements in skin cancer prevention and inform the development of the next NSW Skin Cancer Prevention Strategy, an up-to-date review of the evidence on the effectiveness and feasibility of skin cancer prevention activities in primary care is required. A research team led by the Daffodil Centre, a joint venture between the University of Sydney and Cancer Council NSW, was contracted to undertake an Evidence Check review to address the questions below. Evidence Check questions This Evidence Check aimed to address the following questions: Question 1: What skin cancer primary prevention activities can be effectively administered in primary care settings? As part of this, identify the key components of such messages, strategies, programs or initiatives that have been effectively implemented and their feasibility in the NSW/Australian context. Question 2: What are the main barriers and enablers for primary care providers in delivering skin cancer primary prevention activities within their setting? Summary of methods The research team conducted a detailed analysis of the published and grey literature, based on a comprehensive search. We developed the search strategy in consultation with a medical librarian at the University of Sydney and the Cancer Institute NSW team, and implemented it across the databases Embase, MEDLINE, PsycInfo, Scopus, Cochrane Central and CINAHL. Results were exported and uploaded to Covidence for screening and further selection. The search strategy was designed according to the SPIDER tool for Qualitative and Mixed-Methods Evidence Synthesis, which is a systematic strategy for searching qualitative and mixed-methods research studies. The SPIDER tool facilitates rigour in research by defining key elements of non-quantitative research questions. We included peer-reviewed and grey literature that included skin cancer primary prevention strategies/ interventions/ techniques/ programs within primary care settings, e.g. involving general practitioners and primary care nurses. The literature was limited to publications since 2014, and for studies or programs conducted in Australia, the UK, New Zealand, Canada, Ireland, Western Europe and Scandinavia. We also included relevant systematic reviews and evidence syntheses based on a range of international evidence where also relevant to the Australian context. To address Question 1, about the effectiveness of skin cancer prevention activities in primary care settings, we summarised findings from the Evidence Check according to different skin cancer prevention activities. To address Question 2, about the barriers and enablers of skin cancer prevention activities in primary care settings, we summarised findings according to the Consolidated Framework for Implementation Research (CFIR). The CFIR is a framework for identifying important implementation considerations for novel interventions in healthcare settings and provides a practical guide for systematically assessing potential barriers and facilitators in preparation for implementing a new activity or program. We assessed study quality using the National Health and Medical Research Council (NHMRC) levels of evidence. Key findings We identified 25 peer-reviewed journal articles that met the eligibility criteria and we included these in the Evidence Check. Eight of the studies were conducted in Australia, six in the UK, and the others elsewhere (mainly other European countries). In addition, the grey literature search identified four relevant guidelines, 12 education/training resources, two Cancer Care pathways, two position statements, three reports and five other resources that we included in the Evidence Check. Question 1 (related to effectiveness) We categorised the studies into different types of skin cancer prevention activities: behavioural counselling (n=3); risk assessment and delivering risk-tailored information (n=10); new technologies for early detection and accompanying prevention advice (n=4); and education and training programs for general practitioners (GPs) and primary care nurses regarding skin cancer prevention (n=3). There was good evidence that behavioural counselling interventions can result in a small improvement in sun protection behaviours among adults with fair skin types (defined as ivory or pale skin, light hair and eye colour, freckles, or those who sunburn easily), which would include the majority of Australians. It was found that clinicians play an important role in counselling patients about sun-protective behaviours, and recommended tailoring messages to the age and demographics of target groups (e.g. high-risk groups) to have maximal influence on behaviours. Several web-based melanoma risk prediction tools are now available in Australia, mainly designed for health professionals to identify patients’ risk of a new or subsequent primary melanoma and guide discussions with patients about primary prevention and early detection. Intervention studies have demonstrated that use of these melanoma risk prediction tools is feasible and acceptable to participants in primary care settings, and there is some evidence, including from Australian studies, that using these risk prediction tools to tailor primary prevention and early detection messages can improve sun-related behaviours. Some studies examined novel technologies, such as apps, to support early detection through skin examinations, including a very limited focus on the provision of preventive advice. These novel technologies are still largely in the research domain rather than recommended for routine use but provide a potential future opportunity to incorporate more primary prevention tailored advice. There are a number of online short courses available for primary healthcare professionals specifically focusing on skin cancer prevention. Most education and training programs for GPs and primary care nurses in the field of skin cancer focus on treatment and early detection, though some programs have specifically incorporated primary prevention education and training. A notable example is the Dermoscopy for Victorian General Practice Program, in which 93% of participating GPs reported that they had increased preventive information provided to high-risk patients and during skin examinations. Question 2 (related to barriers and enablers) Key enablers of performing skin cancer prevention activities in primary care settings included: • Easy access and availability of guidelines and point-of-care tools and resources • A fit with existing workflows and systems, so there is minimal disruption to flow of care • Easy-to-understand patient information • Using the waiting room for collection of risk assessment information on an electronic device such as an iPad/tablet where possible • Pairing with early detection activities • Sharing of successful programs across jurisdictions. Key barriers to performing skin cancer prevention activities in primary care settings included: • Unclear requirements and lack of confidence (self-efficacy) about prevention counselling • Limited availability of GP services especially in regional and remote areas • Competing demands, low priority, lack of time • Lack of incentives.
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Rankin, Nicole, Deborah McGregor, Candice Donnelly, Bethany Van Dort, Richard De Abreu Lourenco, Anne Cust, and Emily Stone. Lung cancer screening using low-dose computed tomography for high risk populations: Investigating effectiveness and screening program implementation considerations: An Evidence Check rapid review brokered by the Sax Institute (www.saxinstitute.org.au) for the Cancer Institute NSW. The Sax Institute, October 2019. http://dx.doi.org/10.57022/clzt5093.

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Background Lung cancer is the number one cause of cancer death worldwide.(1) It is the fifth most commonly diagnosed cancer in Australia (12,741 cases diagnosed in 2018) and the leading cause of cancer death.(2) The number of years of potential life lost to lung cancer in Australia is estimated to be 58,450, similar to that of colorectal and breast cancer combined.(3) While tobacco control strategies are most effective for disease prevention in the general population, early detection via low dose computed tomography (LDCT) screening in high-risk populations is a viable option for detecting asymptomatic disease in current (13%) and former (24%) Australian smokers.(4) The purpose of this Evidence Check review is to identify and analyse existing and emerging evidence for LDCT lung cancer screening in high-risk individuals to guide future program and policy planning. Evidence Check questions This review aimed to address the following questions: 1. What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? 2. What is the evidence of potential harms from lung cancer screening for higher-risk individuals? 3. What are the main components of recent major lung cancer screening programs or trials? 4. What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Summary of methods The authors searched the peer-reviewed literature across three databases (MEDLINE, PsycINFO and Embase) for existing systematic reviews and original studies published between 1 January 2009 and 8 August 2019. Fifteen systematic reviews (of which 8 were contemporary) and 64 original publications met the inclusion criteria set across the four questions. Key findings Question 1: What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? There is sufficient evidence from systematic reviews and meta-analyses of combined (pooled) data from screening trials (of high-risk individuals) to indicate that LDCT examination is clinically effective in reducing lung cancer mortality. In 2011, the landmark National Lung Cancer Screening Trial (NLST, a large-scale randomised controlled trial [RCT] conducted in the US) reported a 20% (95% CI 6.8% – 26.7%; P=0.004) relative reduction in mortality among long-term heavy smokers over three rounds of annual screening. High-risk eligibility criteria was defined as people aged 55–74 years with a smoking history of ≥30 pack-years (years in which a smoker has consumed 20-plus cigarettes each day) and, for former smokers, ≥30 pack-years and have quit within the past 15 years.(5) All-cause mortality was reduced by 6.7% (95% CI, 1.2% – 13.6%; P=0.02). Initial data from the second landmark RCT, the NEderlands-Leuvens Longkanker Screenings ONderzoek (known as the NELSON trial), have found an even greater reduction of 26% (95% CI, 9% – 41%) in lung cancer mortality, with full trial results yet to be published.(6, 7) Pooled analyses, including several smaller-scale European LDCT screening trials insufficiently powered in their own right, collectively demonstrate a statistically significant reduction in lung cancer mortality (RR 0.82, 95% CI 0.73–0.91).(8) Despite the reduction in all-cause mortality found in the NLST, pooled analyses of seven trials found no statistically significant difference in all-cause mortality (RR 0.95, 95% CI 0.90–1.00).(8) However, cancer-specific mortality is currently the most relevant outcome in cancer screening trials. These seven trials demonstrated a significantly greater proportion of early stage cancers in LDCT groups compared with controls (RR 2.08, 95% CI 1.43–3.03). Thus, when considering results across mortality outcomes and early stage cancers diagnosed, LDCT screening is considered to be clinically effective. Question 2: What is the evidence of potential harms from lung cancer screening for higher-risk individuals? The harms of LDCT lung cancer screening include false positive tests and the consequences of unnecessary invasive follow-up procedures for conditions that are eventually diagnosed as benign. While LDCT screening leads to an increased frequency of invasive procedures, it does not result in greater mortality soon after an invasive procedure (in trial settings when compared with the control arm).(8) Overdiagnosis, exposure to radiation, psychological distress and an impact on quality of life are other known harms. Systematic review evidence indicates the benefits of LDCT screening are likely to outweigh the harms. The potential harms are likely to be reduced as refinements are made to LDCT screening protocols through: i) the application of risk predication models (e.g. the PLCOm2012), which enable a more accurate selection of the high-risk population through the use of specific criteria (beyond age and smoking history); ii) the use of nodule management algorithms (e.g. Lung-RADS, PanCan), which assist in the diagnostic evaluation of screen-detected nodules and cancers (e.g. more precise volumetric assessment of nodules); and, iii) more judicious selection of patients for invasive procedures. Recent evidence suggests a positive LDCT result may transiently increase psychological distress but does not have long-term adverse effects on psychological distress or health-related quality of life (HRQoL). With regards to smoking cessation, there is no evidence to suggest screening participation invokes a false sense of assurance in smokers, nor a reduction in motivation to quit. The NELSON and Danish trials found no difference in smoking cessation rates between LDCT screening and control groups. Higher net cessation rates, compared with general population, suggest those who participate in screening trials may already be motivated to quit. Question 3: What are the main components of recent major lung cancer screening programs or trials? There are no systematic reviews that capture the main components of recent major lung cancer screening trials and programs. We extracted evidence from original studies and clinical guidance documents and organised this into key groups to form a concise set of components for potential implementation of a national lung cancer screening program in Australia: 1. Identifying the high-risk population: recruitment, eligibility, selection and referral 2. Educating the public, people at high risk and healthcare providers; this includes creating awareness of lung cancer, the benefits and harms of LDCT screening, and shared decision-making 3. Components necessary for health services to deliver a screening program: a. Planning phase: e.g. human resources to coordinate the program, electronic data systems that integrate medical records information and link to an established national registry b. Implementation phase: e.g. human and technological resources required to conduct LDCT examinations, interpretation of reports and communication of results to participants c. Monitoring and evaluation phase: e.g. monitoring outcomes across patients, radiological reporting, compliance with established standards and a quality assurance program 4. Data reporting and research, e.g. audit and feedback to multidisciplinary teams, reporting outcomes to enhance international research into LDCT screening 5. Incorporation of smoking cessation interventions, e.g. specific programs designed for LDCT screening or referral to existing community or hospital-based services that deliver cessation interventions. Most original studies are single-institution evaluations that contain descriptive data about the processes required to establish and implement a high-risk population-based screening program. Across all studies there is a consistent message as to the challenges and complexities of establishing LDCT screening programs to attract people at high risk who will receive the greatest benefits from participation. With regards to smoking cessation, evidence from one systematic review indicates the optimal strategy for incorporating smoking cessation interventions into a LDCT screening program is unclear. There is widespread agreement that LDCT screening attendance presents a ‘teachable moment’ for cessation advice, especially among those people who receive a positive scan result. Smoking cessation is an area of significant research investment; for instance, eight US-based clinical trials are now underway that aim to address how best to design and deliver cessation programs within large-scale LDCT screening programs.(9) Question 4: What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Assessing the value or cost-effectiveness of LDCT screening involves a complex interplay of factors including data on effectiveness and costs, and institutional context. A key input is data about the effectiveness of potential and current screening programs with respect to case detection, and the likely outcomes of treating those cases sooner (in the presence of LDCT screening) as opposed to later (in the absence of LDCT screening). Evidence about the cost-effectiveness of LDCT screening programs has been summarised in two systematic reviews. We identified a further 13 studies—five modelling studies, one discrete choice experiment and seven articles—that used a variety of methods to assess cost-effectiveness. Three modelling studies indicated LDCT screening was cost-effective in the settings of the US and Europe. Two studies—one from Australia and one from New Zealand—reported LDCT screening would not be cost-effective using NLST-like protocols. We anticipate that, following the full publication of the NELSON trial, cost-effectiveness studies will likely be updated with new data that reduce uncertainty about factors that influence modelling outcomes, including the findings of indeterminate nodules. Gaps in the evidence There is a large and accessible body of evidence as to the effectiveness (Q1) and harms (Q2) of LDCT screening for lung cancer. Nevertheless, there are significant gaps in the evidence about the program components that are required to implement an effective LDCT screening program (Q3). Questions about LDCT screening acceptability and feasibility were not explicitly included in the scope. However, as the evidence is based primarily on US programs and UK pilot studies, the relevance to the local setting requires careful consideration. The Queensland Lung Cancer Screening Study provides feasibility data about clinical aspects of LDCT screening but little about program design. The International Lung Screening Trial is still in the recruitment phase and findings are not yet available for inclusion in this Evidence Check. The Australian Population Based Screening Framework was developed to “inform decision-makers on the key issues to be considered when assessing potential screening programs in Australia”.(10) As the Framework is specific to population-based, rather than high-risk, screening programs, there is a lack of clarity about transferability of criteria. However, the Framework criteria do stipulate that a screening program must be acceptable to “important subgroups such as target participants who are from culturally and linguistically diverse backgrounds, Aboriginal and Torres Strait Islander people, people from disadvantaged groups and people with a disability”.(10) An extensive search of the literature highlighted that there is very little information about the acceptability of LDCT screening to these population groups in Australia. Yet they are part of the high-risk population.(10) There are also considerable gaps in the evidence about the cost-effectiveness of LDCT screening in different settings, including Australia. The evidence base in this area is rapidly evolving and is likely to include new data from the NELSON trial and incorporate data about the costs of targeted- and immuno-therapies as these treatments become more widely available in Australia.
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