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Journal articles on the topic "Checks Western Australia"

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Protat, Alain, Valentin Louf, Joshua Soderholm, Jordan Brook, and William Ponsonby. "Three-way calibration checks using ground-based, ship-based, and spaceborne radars." Atmospheric Measurement Techniques 15, no. 4 (February 21, 2022): 915–26. http://dx.doi.org/10.5194/amt-15-915-2022.

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Abstract. This study uses ship-based weather radar observations collected from research vessel Investigator to evaluate the Australian weather radar network calibration monitoring technique that uses spaceborne radar observations from the NASA Global Precipitation Mission (GPM). Quantitative operational applications such as rainfall and hail nowcasting require a calibration accuracy of ±1 dB for radars of the Australian network covering capital cities. Seven ground-based radars along the western coast of Australia and the ship-based OceanPOL radar are first calibrated independently using GPM radar overpasses over a 3-month period. The calibration difference between the OceanPOL radar (used as a moving reference for the second step of the study) and each of the seven operational radars is then estimated using collocated, gridded, radar observations to quantify the accuracy of the GPM technique. For all seven radars the calibration difference with the ship radar lies within ±0.5 dB, therefore fulfilling the 1 dB requirement. This result validates the concept of using the GPM spaceborne radar observations to calibrate national weather radar networks (provided that the spaceborne radar maintains a high calibration accuracy). The analysis of the day-to-day and hourly variability of calibration differences between the OceanPOL and Darwin (Berrimah) radars also demonstrates that quantitative comparisons of gridded radar observations can accurately track daily and hourly calibration differences between pairs of operational radars with overlapping coverage (daily and hourly standard deviations of ∼ 0.3 and ∼ 1 dB, respectively).
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Mukhtar, S. Aqif, Debbie A. Smith, Maureen A. Phillips, Maire C. Kelly, Renate R. Zilkens, and James B. Semmens. "Capturing sexual assault data: An information system designed by forensic clinicians and healthcare researchers." Health Information Management Journal 47, no. 1 (January 12, 2017): 46–55. http://dx.doi.org/10.1177/1833358316687575.

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Background: The Sexual Assault Resource Center (SARC) in Perth, Western Australia provides free 24-hour medical, forensic, and counseling services to persons aged over 13 years following sexual assault. Objective: The aim of this research was to design a data management system that maintains accurate quality information on all sexual assault cases referred to SARC, facilitating audit and peer-reviewed research. Methods: The work to develop SARC Medical Services Clinical Information System (SARC-MSCIS) took place during 2007–2009 as a collaboration between SARC and Curtin University, Perth, Western Australia. Patient demographics, assault details, including injury documentation, and counseling sessions were identified as core data sections. A user authentication system was set up for data security. Data quality checks were incorporated to ensure high-quality data. Results: An SARC-MSCIS was developed containing three core data sections having 427 data elements to capture patient’s data. Development of the SARC-MSCIS has resulted in comprehensive capacity to support sexual assault research. Four additional projects are underway to explore both the public health and criminal justice considerations in responding to sexual violence. The data showed that 1,933 sexual assault episodes had occurred among 1881 patients between January 1, 2009 and December 31, 2015. Sexual assault patients knew the assailant as a friend, carer, acquaintance, relative, partner, or ex-partner in 70% of cases, with 16% assailants being a stranger to the patient. Conclusion: This project has resulted in the development of a high-quality data management system to maintain information for medical and forensic services offered by SARC. This system has also proven to be a reliable resource enabling research in the area of sexual violence.
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Durre, Imke, Russell S. Vose, and David B. Wuertz. "Overview of the Integrated Global Radiosonde Archive." Journal of Climate 19, no. 1 (January 1, 2006): 53–68. http://dx.doi.org/10.1175/jcli3594.1.

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Abstract This paper provides a general description of the Integrated Global Radiosonde Archive (IGRA), a new radiosonde dataset from the National Climatic Data Center (NCDC). IGRA consists of radiosonde and pilot balloon observations at more than 1500 globally distributed stations with varying periods of record, many of which extend from the 1960s to present. Observations include pressure, temperature, geopotential height, dewpoint depression, wind direction, and wind speed at standard, surface, tropopause, and significant levels. IGRA contains quality-assured data from 11 different sources. Rigorous procedures are employed to ensure proper station identification, eliminate duplicate levels within soundings, and select one sounding for every station, date, and time. The quality assurance algorithms check for format problems, physically implausible values, internal inconsistencies among variables, runs of values across soundings and levels, climatological outliers, and temporal and vertical inconsistencies in temperature. The performance of the various checks was evaluated by careful inspection of selected soundings and time series. In its final form, IGRA is the largest and most comprehensive dataset of quality-assured radiosonde observations freely available. Its temporal and spatial coverage is most complete over the United States, western Europe, Russia, and Australia. The vertical resolution and extent of soundings improve significantly over time, with nearly three-quarters of all soundings reaching up to at least 100 hPa by 2003. IGRA data are updated on a daily basis and are available online from NCDC as both individual soundings and monthly means.
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Dowla, Mirza A. N. N. U., Shahidul Islam, Katia Stefanova, Graham O’ Hara, Wujun Ma, and Ian Edwards. "Phenology and Dwarfing Gene Interaction Effects on the Adaptation of Selected Wheat (Triticum aestivum L.) Advanced Lines across Diverse Water-Limited Environments of Western Australia." Agriculture 10, no. 10 (October 13, 2020): 470. http://dx.doi.org/10.3390/agriculture10100470.

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Photoperiod, vernalization, and plant height controlling genes are major developmental genes in wheat that govern environmental adaptation and hence, knowledge on the interaction effects among different alleles of these genes is crucial in breeding cultivars for target environments. The interaction effects among these genes were studied in nineteen Australian advanced lines from diverse germplasm pools and four commercial checks. Diagnostic markers for the Vrn-A1 locus revealed the presence of the spring allele Vrn-A1a in 10 lines and Vrn-A1c in one line. The dominant alleles of Vrn-B1a and Vrn-D1a were identified in 19 and 8 lines, respectively. The most common photoperiod-insensitive allele of Ppd-D1a was identified in 19 lines and three and four copy photoperiod-insensitive alleles (Ppd-B1a and Ppd-B1c) were present in five and one lines, respectively. All the lines were photoperiod-sensitive for the Ppd-A1 locus. All lines were semi-dwarf, having either of the two dwarfing alleles; 14 lines had the Rht-B1b (Rht-1) and the remaining had the Rht-D1b (Rht-2) dwarfing allele. The presence of the photoperiod-insensitive allele Ppd-D1a along with one or two spring alleles at the Vrn1 loci resulted in an earlier heading and better yield. Dwarfing genes were found to modify the heading time—the Rht-D1b allele advanced heading by three days and also showed superior effects on yield-contributing traits, indicating its beneficial role in yield under rain-fed conditions along with an appropriate combination of photoperiod and vernalization alleles. This study also identified the adaptability value of these allelic combinations for higher grain yield and protein content across the different the water-limited environments.
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Giraud, Jérémie, Mark Lindsay, Mark Jessell, and Vitaliy Ogarko. "Towards plausible lithological classification from geophysical inversion: honouring geological principles in subsurface imaging." Solid Earth 11, no. 2 (March 31, 2020): 419–36. http://dx.doi.org/10.5194/se-11-419-2020.

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Abstract. We propose a methodology for the recovery of lithologies from geological and geophysical modelling results and apply it to field data. Our technique relies on classification using self-organizing maps (SOMs) paired with geoscientific consistency checks and uncertainty analysis. In the procedure we develop, the SOM is trained using prior geological information in the form of geological uncertainty, the expected spatial distribution of petrophysical properties and constrained geophysical inversion results. We ensure local geological plausibility in the lithological model recovered from classification by enforcing basic topological rules through a process called “post-regularization”. This prevents the three-dimensional recovered lithological model from violating elementary geological principles while maintaining geophysical consistency. Interpretation of the resulting lithologies is complemented by the estimation of the uncertainty associated with the different nodes of the trained SOM. The application case we investigate uses data and models from the Yerrida Basin (Western Australia). Our results generally corroborate previous models of the region but they also suggest that the structural setting in some areas needs to be updated. In particular, our results suggest the thinning of one of the greenstone belts in the area may be related to a deep structure not sampled by surface geological measurements and which was absent in previous geological models.
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Oldham, C., D. Real, H. J. Bailey, D. Thomas, A. Van Burgel, P. Vercoe, E. Correal, and S. Rios. "Australian and Spanish scientists are collaborating in the domestication of tedera: young Merino sheep grazing a monoculture of tedera in autumn showed preference for certain accessions but no signs of ill health." Crop and Pasture Science 64, no. 4 (2013): 399. http://dx.doi.org/10.1071/cp13059.

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We hypothesised (i) that sheep grazing a monoculture of tedera (Bituminaria bituminosa (L.) C.H. Stirton var. albomarginata and var. crassiuscula) would not show signs of photosensitisation or ill health, and (ii) that when given free grazing choice they would show a repeatable preference for certain accessions of tedera related to their chemical composition. We tested this by grazing a group of young merino wethers on a monoculture containing seven accessions of tedera for 21 days. General health was assessed via daily visual checks for skin pinkness on the nose and ears, weekly measures of liveweight, condition score, and blood analysis compared with a group of control sheep fed wheaten hay ad libitum. The Chesson–Manly selection index was used to examine the relative preference of sheep for the seven accessions of tedera over the 21 days. Each accession of tedera was sampled weekly to estimate the dry matter on offer, and these samples were also analysed for crude protein, neutral detergent fibre, acid detergent fibre, in vitro digestibility, water soluble carbohydrates, minerals, and concentrations of the furanocoumarins psoralen and angelicin. None of the sheep showed any signs of ill health, with all blood parameters being within the normal reference range. All sheep gained weight and body condition over the 21 days. The difference in the rate of gain in condition score in favour of the sheep grazing tedera over the 21 days (0.014 v. 0.002 unit/sheep.day) was significant (P < 0.001). Sheep showed repeated preference for accessions T31 and T43 (α >0.143). Nutritive value of all accessions of tedera was high. However, only acid detergent fibre and neutral detergent fibre affected the relative preference of the sheep (P < 0.05) and they were only weakly correlated (r2 = 0.208 and 0.165, respectively). We conclude that there are accessions of tedera that are preferred by sheep that could be used to fill the autumn feed gap experienced in the south of Western Australia without any risk to the health of the sheep.
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Marriott, Ross J., Brent Wise, and Jill St John. "Historical changes in fishing efficiency in the west coast demersal scalefish fishery, Western Australia: implications for assessment and management." ICES Journal of Marine Science 68, no. 1 (November 9, 2010): 76–86. http://dx.doi.org/10.1093/icesjms/fsq157.

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Abstract Marriott, R. J., Wise, B., and St John, J. 2011. Historical changes in fishing efficiency in the west coast demersal scalefish fishery, Western Australia: implications for assessment and management. – ICES Journal of Marine Science, 68: 76–86. The west coast demersal scalefish fishery off the southern part of Western Australia has experienced technological creep over the past 20 years, resulting in improved fishing efficiency. The aim of this study was to obtain quantitative measures of efficiency improvements arising from the historical adoption of several important technologies from the surveys of experienced skippers. Survey results suggest that the relatively rapid adoption of Global Positioning Systems from 1989 to 1991 had a large and overriding effect on fleet-wide fishing efficiency. Additive effects from the fleet-wide adoption of colour sounders and hydraulic reels on effective fishing effort and the catch rates of West Australian dhufish (Glaucosoma hebraicum) and pink snapper (Pagrus auratus) were also demonstrated. Historical logbook data were independently analysed as a secondary check of these findings for three of the surveyed skippers, which identified that GPS adoption had a significant, positive influence on the catch rate for two vessels, but not for the third, highlighting potential variation in this response among skippers. The results have contributed towards improved understanding of the historical dynamics of the fishery and of the factors that have affected, at least in part, historical changes or, in some instances, a lack of change in observed effort and catch rates.
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Kampanelis, Sotiris. "It’s time for Westernization: the advantages of the early start for long-term economic development at the local level." Oxford Economic Papers 71, no. 4 (December 5, 2018): 996–1025. http://dx.doi.org/10.1093/oep/gpy064.

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Abstract This article examines the ‘early start’ hypothesis at the local level in the context of Australian colonization. It is found that the longer a place experiences economic activity under European management, the higher the level of economic development it achieves in the long-run. A theoretical framework is proposed under which a set of dynamic forces work in aggregate and enhance urban economic development. Results from several robustness checks that account for an array of possible biases validate the initial findings. Overall, the nature of Australian colonization reflects a relatively random variation in the duration of the Western presence at the local level, causing uneven urban development.
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Garton, Alison F., Stephen R. Zubrick, and Sven R. Silburn. "The Western Australian Child Health Survey: A Pilot Study." Australian & New Zealand Journal of Psychiatry 29, no. 1 (March 1995): 48–57. http://dx.doi.org/10.3109/00048679509075891.

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A pilot survey of 200 households was undertaken to field test the survey instruments and trial the validation and calibration procedures for the Western Australian Child Health Survey (WACHS) conducted in 1992. This paper describes the background to the WACHS, the development of the instrumentation and the conduct of the pilot study. This survey aims to replicate and extend previous epidemiological surveys conducted in other countries, and to provide Australian norms for mental health morbidity in 4 to 16 year old children. The measurement of mental health was undertaken through the use of the Child Behaviour Checklist (CBCL). This screening instrument provided data on the prevalence of mental health morbidity and of specific mental disorders in 4 to 16 year olds. Its reliability and validity as a diagnostic indicator were checked through a clinical calibration technique. The pilot survey also permitted an examination of the sampling strategy adopted to ensure that the sample selected reflected “normality” in terms of expected trends and results. Modifications to the content of the questionnaires are described in light of both psychometric qualities of the data and comments from field interviewers and professionals who have examined the instrument. Finally, changes to data collection strategies are discussed.
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Cerimagic, Sabina, Nariman Ahmadi, Howard Gurney, Tania Hossack, and Manish I. Patel. "Positive lifestyle changes following urological cancer diagnoses – an Australian interview based study." International Journal of Human Rights in Healthcare 8, no. 2 (June 15, 2015): 110–19. http://dx.doi.org/10.1108/ijhrh-10-2014-0027.

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Purpose – The purpose of this paper is to examine ethnic Australian urological cancer patients and the positive life changes that those patients report after cancer diagnosis. Design/methodology/approach – A sample of 50 Australian urological cancer patients of ethnic origin were chosen to participate in this study. One-on-one semi structured interviews were conducted with the patients. Findings – Cancer diagnosis often serves as an impetus for making positive lifestyle changes. Most (98 per cent) of this study’s participants reported that they made positive lifestyle changes following a diagnosis of cancer. Those positive lifestyle changes include: greater appreciation of health and life (100 per cent); improved diet (94 per cent); closer relationships with family and friends (90 per cent); more frequent visits to the doctor for check-ups (74 per cent); increased physical activity (48 per cent); starting a new hobby (36 per cent); greater knowledge about their health in general (32 per cent) and increased spirituality (22 per cent). Research limitations/implications – The limitation of this study is the small sample of patients with ethnic diversity specific to western Sydney. Larger multicentre studies across Australia are required to confirm the findings. Additionally, this study focused on positive life changes, because 98 per cent of the participants reported positive lifestyle changes after diagnosis. However, there are related negative health behaviour changes, which this study has not addressed in depth. Furthermore, a comparison between positive life changes of ethnic Australian patients’ against the experience of post cancer diagnosis of non-ethnic Australian patients could investigate this issue further and possibly provide further insight. Originality/value – The majority (98 per cent) of the participants report positive lifestyle changes following urological cancer diagnoses. The patient population of predominantly elderly (84 per cent), males (90 per cent) differs from the current literate which states that positive lifestyle changes (posttraumatic growth) are mainly found to be significantly correlated to being female, younger and non-white and greater event severity.
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Dissertations / Theses on the topic "Checks Western Australia"

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"Geochemical Characteristic of Archean Cherts and Other Sedimentary Rocks in the Pilbara Block,Western Australia: Evidence for the Archean Sea-Water Enrichedin Hydrothermally-Derived Iron and Silica." Thesis, 1992. http://hdl.handle.net/2237/6396.

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Sugitani, Kenichiro, and 健一郎 杉谷. "Geochemical Characteristic of Archean Cherts and Other Sedimentary Rocks in the Pilbara Block,Western Australia: Evidence for the Archean Sea-Water Enrichedin Hydrothermally-Derived Iron and Silica." Thesis, 1992. http://hdl.handle.net/2237/6396.

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Book chapters on the topic "Checks Western Australia"

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Kinsella, John. "Being back: place, storage, waste and (un)belonging." In Polysituatedness. Manchester University Press, 2017. http://dx.doi.org/10.7228/manchester/9781526113344.003.0045.

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What is being back? We’ve just returned to Schull, West Cork, from Italy, Switzerland, France, England and Wales. Is here – Rosewood Cottage/Schull – a substitute, a placebo for ‘being back’ at Jam Tree Gully in the Western Australian wheatbelt, our legal home in accordance with our ‘nationality’ (to which I don’t subscribe) and ‘place of permanent residence’? Is it another layer of ‘home’, a three-dimensional chess configuration of desired belonging? Are we ‘just’ visitors or because we want to stay as long as we can, are we in some way different? Does Irish ‘heritage’ mean we belong in some distant if disconnected way, does the feeling of empathy and connection with the land itself matter?...
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Sándor, Lénárd. "Fundamental Rights Adjudication in the Central European Region." In Comparative Constitutionalism in Central Europe : Analysis on Certain Central and Eastern European Countries, 385–400. Central European Academic Publishing, 2022. http://dx.doi.org/10.54171/2022.lcslt.ccice_20.

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The protection and adjudication of fundamental rights have been playing an increasingly important role in the legal systems of Western countries since the end of World War II. However, the early origins of fundamental rights go back well over two millennia. The theories of fundamental rights first appeared in the legal system of the ancient empires. The Code of Hammurabi in the ancient Babylon articulated the first requirement for fair trial as it provided that unfair judges be fined and removed from their positions. The Torah first revealed by Moses (c.1304–1237 bce) also contained provisions on the prohibition of false witnesses. The first human rights document has been claimed to be the Charter of Cyrus from 539 bce because the word ‘rights’ specifically appears therein. However, the modern concept of human rights that the state is for the people and not the other way around began to take root at the end of the eighteenth century. After their first appearances, the historical development of fundamental rights has taken place either through an organic and gradual process or as a result of independence or revolutionary movements. Different phases of this development can be distinguished, which involved the rights of the noble, limitation of the power of absolute monarchies, and individual and collective rights. The development in England is an example of the former where the power of monarchs were bound by law and rights as early as the adoption of the Magna Charta Libertatum in 1215. The subsequently created Petition of Right (1628), Habeas Corpus Act (1679) and Bill of Rights (1689) are gradual fulfillment of the historic path of rights. In the CEE region, Hungary underwent similar organic development with the adoption of the ‘Aranybulla’ in 1222, which set constitutional limits on the power of the monarch and granted rights to the Hungarian nobility. In contrast to this type of gradual expansion, in other countries, the recognition and codification of fundamental rights were the result of cataclysmic events such as an independence movement or revolutionary war, e.g. in France or in the United States. It must also be mentioned that while national constitutions served as the cradle of the modern conception of fundamental rights, they began to enjoy the protection of international law with the adoption of the UN Charter (1945) along with the Universal Declaration of Human Rights (1948). This so-called ‘normative revolution’ marked a major turning point in the development of both human rights law and international public law. However, the universality of human rights, instead of standardising rights, would allow – and also require from – states to implement these rights according to the national, historical, cultural and religious traditions of their respective communities. Consequently, the primary places of nurturing and protecting fundamental rights remain within the states and local communities. Accordingly, not only individual rights in the abstract but also the institutions and control mechanisms that serve to protect them are embedded and shaped by the various histories, traditions and legal cultures of the states. In numerous countries – such as the United States of America, Australia, Japan or the Scandinavian countries in Europe – ordinary courts are empowered to conduct a ‘judicial review’ to protect rights enshrined in the constitution. This type of ‘judicial review’ was first applied by the Supreme Court of the United States of America in the famous case of Marbury v. Madison in 1803 as part of the system of checks and balances, whereby the judicial branch serves as a check on the legislative as well as on the executive. In other countries – such as those in continental Europe – a separate and centralised institution – the Constitutional Court – is responsible for conducting fundamental rights adjudication. This chapter aims to provide a comparative analysis on the historical path, major institutions and mechanisms of fundamental rights adjudication in countries of the CEE region. To this end, it first outlines the concept, function, characteristics as well as the institutions of fundamental rights adjudication along with the aspects of limitation of fundamental rights (Section II). Then, it turns to the countries of the Central European region. This chapter aspires to provide a comparative overview about the unique characteristics of the systems of each country’s fundamental rights’ adjudication and concludes with a short assessment (Section III).
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Conference papers on the topic "Checks Western Australia"

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Graham, Uschi, Kenichiro Sugitani, and Hiroshi Ohmoto. "Discoveries of microfossils of Fe-oxidizing bacteria in 3.46 Ga- and 3.35 Ga-old cherts from Pilbara, Western Australia." In Goldschmidt2021. France: European Association of Geochemistry, 2021. http://dx.doi.org/10.7185/gold2021.6330.

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Reports on the topic "Checks Western Australia"

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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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