Journal articles on the topic 'Electronic commerce Australia'

Electronic commerce is causing fundamental changes in the insurance sector. Inherent opportunities of this innovative sales channel are driving the development of a new customer relationship paradigm, development of new products, pursuit of low cost ‘self service’ strategies, and emergence of ‘virtual brokers’. The Australian insurance sector is well positioned to take advantage of electronic commerce due to the high level of PC penetration, high Internet usage, and extensive broadband infrastructure. The perception is that the Australian insurance sector is meeting these challenges. Surprisingly, despite the emergence of electronic commerce as a ‘hot topic’ in the information technology and insurance sector literature, little empirical research has been reported. Much of the extant literature can be criticized as being too generic and superficial. It is argued that until research is focused on specific aspects of electronic commerce, we will fail to capture meaningful insights. The aim of this research project is to develop a research framework appropriate for electronic commerce, research and to apply it to a specific sector (insurance), in a specific geographical region (Australia), using a specific electronic commerce, medium (Internet), for a specific purpose (business to consumer sale of risk products). The research objective is to discover which Australian insurance companies are using electronic commerce for what. The survey found that of the 21 largest Australian insurance companies only 18 have web sites. These sites are mainly used for promotional purposes and not for directly generating sales. Only six companies offer customer-specific pricing of their products. And of these, only four companies sell any of their products over the Internet. Paradoxically, despite pressing business drivers in the insurance sector and a favourable electronic commerce environment in Australia, these findings demonstrate a significant gap between appreciation of the importance of electronic commerce and realization of commercial potential. Whilst most Australian insurance companies are well aware of the special importance of electronic commerce, many fail to take full advantage. Although further qualitative research is recommended to understand why this is so, it is clear that a significant gap remains between the technical capabilities of electronic commerce and actual practice in the Australian insurance sector.

The use of e-commerce systems has increased substantially in the past five years, and now a number of companies in the construction industry have joined consortiums to develop e-commerce portals. These new systems encourage companies to review the way in which existing processes are undertaken, and often re-engineered process are introduced. It is important to understand the difference between the terms e-commerce and e-business, e-commerce refers to buying and seeling transactions which use some24The Australian Journal of Construction Economics & Building Page (iii)form of electronic media, while e-business suggests a review and redefinition of business models linked to the greater use of IT. It is argued that the greater use of the internet and e-commerce, and the move towards the integration of applications will compel construction companies to re-engineer processes and introduce e-commerce systems. A series of business drivers and business designs are discussed in later sections of this paper.There are many benefits associated with the introduction of e-commerce systems, and these include increases in GDP, real wages and employment together with reduced transaction costs. It has been forecast that there will be more than 400,000 companies in Australia using e-commerce systems by 2005 (NOIE 2000). For the construction industry, the benefits will include increased project efficiencies, communications, control, and reduced design and construction times as well as reduced costs (BuildOnline 2000). In the past year, two local consortiums have been formed to develop and offer e-commerce applications, and this heightens the need for all companies to reflect on how they might engage with these new technologies.

The purpose of this paper is to present the perceptions and experiences of Electronic Commerce (EC) implementation in Australia. The study is investigated from the perspective of Small- and Medium-sized Enterprises (SMEs) and the framework of implementation is represented by the extent of deployment. Based on the sample of about 115 small businesses in Australia, this paper uses regression modelling to explore and establish the factors that are related to the extent of deployment in EC. A multiple regression analysis shows that seven factors: perceived relative advantage, trialability, observability, variety of information sources, communication amount, competitive pressure, and non-trading institutional influences, significantly influence the extent of EC deployment by SMEs in Australia. The results and interpretations have some implications for managers in determining the appropriateness of deploying EC strategies to achieve profitability and operational efficiency.

Rapid developments in information technology and telecommunications have set the pace for an electronic revolution leading to emergence of E-commerce. The advent of internet offers many business firms new opportunities and challenges. However, there are various psychological and behavioural issues such as trust, security of the internet transactions, reluctance to change, and preference for human interface which appear to impede the growth of E-commerce. This paper analyses the current situation of E- commerce in Malaysia, the merits of E-commerce, and factors affecting the adoption of E-commerce. Internet has transformed the traditional marketing model and system. Besides functioning as a communication medium, it has been used as a market space where buyers and sellers exchange information, goods, and services without the hindrance of time and geographical constraints. Marketing functions are performed under a hypermedia-computer-mediated-environment where interactivity and connectivity are replacing the traditional mode of ‘face to face’ negotiation and communication. Internet allows interactivity between buyers and sellers to create a shared real-time common marketspace. Connectivity links buyers-sellers worldwide creating a shared global marketspace. No other industry in the world history has achieved a rapid growth in as short a time as E-commerce. Though only a few years old, E-commerce has taken off at an unprecedented speed despite much skepticism and some initial hesitation. It is univer-sally accepted that the world is in the grip of an E-commerce revolution. But, the hyper growth of Internet sales is still an American phenomenon and E-commerce has not taken off in other parts of the globe although some countries like Europe, Japan, and Australia are rapidly joining the bandwagon. Although E-commerce is a relatively new method of business, it has radically altered the marketing and distribution paradigms. The scale of business generated through E- commerce is multiplying exponentially. However, Malaysian E-commerce industry has not taken off as expected. Based on primary data collected by MATRADE using a survey of 222 Malaysian manufacturers, traders, and service providers, this paper examines the perceived benefits as well as barriers to E-commerce adoption. Though the sample firms felt that E-commerce was beneficial to business in general, they were uncertain as to how it would benefit their actual business operations. The perceived benefits included: competitiveness better image efficient processes better information system. However, despite the perceived benefits, E-commerce adoption was hindered by a number of constraints. Major barriers were thought to be the problems of keeping up and understanding the technology itself lack of trained manpower uncertainties with regard to its operations and regulations high switching costs. These findings are helpful in providing the firms' perspective of E-commerce in terms of its benefits to their companies as well as barriers to its full scale adoption. Hence, any policy that aims at promoting E-commerce should take these factors into consideration. The results support the development of E-business portals to cater to their needs and rectify their problems. E-commerce portals would enable companies to share the high investment cost of constantly changing technology, reduce the manpower requirement, and keep abreast with the advances in technology.

Background: Internet trade popularize the ornamental interest of plants but can also threaten species’ wild populations, if this activity is performed in uncontrolled and unauthorised ways. Questions: What endemic plants of Morocco and Tunisia are traded over the Internet by whom and at what prices? Studied species: 94 endemic plants of northern Morocco and 83 of Tunisia. Study site and dates: Tunisia and northern Morocco (Mediterranean coast and Rif region); internet survey between September 2018 and December 2019. Methods: To understand the extent of this new form of trade, We recorded the type of plant material sold over the Internet for the studied taxa, their prices and suppliers using online platforms. Results: Four northern Moroccan taxa (4.25 % of the total local endemics) were found as marketed by 18 nurseries in Europe, North America, Australia and New Zealand, while no marketing activity was detected for Tunisian endemic plants. The nurseries involved offer for sale and distribution living individuals of Abies marocana at €12.00-259.50, Rhodanthemum hosmariense at €0.35-19.5, Salvia interrupta subsp. paui at €6.23-8.90, and bulbs of Acis tangitana at €1.05-3.95. Although these taxa are classified as endangered, they are traded worldwide without permit of the Moroccan authorities. The source and origin of the plant material are not clearly indicated, and only some nurseries report that their marketed material comes from own cultivated stocks. Conclusions: The implementation of protection laws/regulations and the monitoring of nurseries’ websites are recommended to control the illegal trade of wild plant material.

Background: Internet trade popularize the ornamental interest of plants but can also threaten species’ wild populations, if this activity is performed in uncontrolled and unauthorised ways. Questions: What endemic plants of Morocco and Tunisia are traded over the Internet by whom and at what prices? Studied species: 94 endemic plants of northern Morocco and 83 of Tunisia. Study site and dates: Tunisia and northern Morocco (Mediterranean coast and Rif region); internet survey between September 2018 and December 2019. Methods: To understand the extent of this new form of trade, We recorded the type of plant material sold over the Internet for the studied taxa, their prices and suppliers using online platforms. Results: Four northern Moroccan taxa (4.25 % of the total local endemics) were found as marketed by 18 nurseries in Europe, North America, Australia and New Zealand, while no marketing activity was detected for Tunisian endemic plants. The nurseries involved offer for sale and distribution living individuals of Abies marocana at €12.00-259.50, Rhodanthemum hosmariense at €0.35-19.5, Salvia interrupta subsp. paui at €6.23-8.90, and bulbs of Acis tangitana at €1.05-3.95. Although these taxa are classified as endangered, they are traded worldwide without permit of the Moroccan authorities. The source and origin of the plant material are not clearly indicated, and only some nurseries report that their marketed material comes from own cultivated stocks. Conclusions: The implementation of protection laws/regulations and the monitoring of nurseries’ websites are recommended to control the illegal trade of wild plant material.

This reflective article describes and analyses the use of Facebook and Twitter over a five-year timeframe by two journalism academics in Australia, whose industry and research expertise are in the Asia-Pacific. The use of social media has made possible for journalism educators an active electronic space in which to conduct discourse on development, publication, networking and career opportunities with students and alumni. This discourse and the educators, students or alumni who engage in it reflect the nature of the global media industry as inherently network-based (in contrast to employment approaches found in other industries such as graduate programmes in commerce, law or engineering). Because it operates using electronic communication, such discourse also reflects the industry which journalism graduates seek to enter as not being geographically confined to one city or state within Australia—instead, reflecting a rapid rate of movement between cities and states, or between countries, or between urban and rural locations. Using active participant observation, the researchers argue that social media can be used to develop and retain links with their students and alumni, by making use of the social connectedness that is coming to characterise communication. The researchers were early adopters of Facebook and Twitter communication with students. The article argues that social media has been beneficial in the conduct of these activities while exploring the use of social networking in relation to the politics of ‘friending’ or ‘following’ and ‘being followed’ by students.

Abstract This paper analyses the challenges and opportunities of E-banking in Bangladesh. It also discusses the success of E-banking in Small to Midsized Enterprise-SMEs of Bangladesh and gives a reliable assessment of Bangladesh’s present E-banking infrastructure and its future organizational structure. This paper mainly has used secondary research data and methods to provide a broad investigation of E-banking in Bangladesh, how to overcome the hurdles in SMEs of Bangladesh necessary for SMEs to help facilitate E-banking adoption. The research is subject to academic journal articles, project reports, media articles, corporation based documents and other appropriate information. This paper also analyses the data that was collected from Bangladeshi government and non-government organisations and banking sector. It gathers answers from E-commerce experts, IT students and academics as the respondents’ through interview on the basis of questionnaires which were prepared for this study purpose. Data was also collected by using interviews from Bangladesh E-banking based organizations that are offering their goods and services on electronic channels and professionals involved with E-banking related activities. The study found that E-banking is steadily transforming the way businesses to be conducted and changing the business environment in Bangladesh. E-banking can provide speedier, faster and reliable services to the customers for which they are relatively happy. E-banking services not only can develop new competitive advantages, it can improve its relationships with customers. As a developing country, Bangladesh is not fully known about E-banking sector. As a result this paper also overviews the issues associated with E-banking e.g. cybercrime and try to explore the future challenges and prospects in Bangladesh. This paper also compares the local E-banking sites with worldwide brand E-banking sites to make an effective solution of Bangladesh’s E-banking.

It is widely known that online shopping has several advantages including time and energy-saving as well as its diversity in making choices. In spite of that, online purchasing activities are prone to a certain number of misuses, particularly to the exposure of fraud and deception by online merchants. Therefore, this article intended to address the necessity for a specific and clear definition of deceit in the context of online purchases. The need for up-to-date legal provisions is crucial to ensure consumers’ protection from any acts of deception by irresponsible merchants, taking into account the act of misleading consumers through unclear definitions and elements of deceit within online purchases in accordance with existing laws. Using content analysis methodology, the existing legal provisions on fraud have been reviewed by focusing on Section 17 of the Contracts Act 1950 in Malaysia alongside regulations on e-commerce fraud practices implemented in the United States, European Union, and Australia. Furthermore, a review of literature from past scholars is included to evaluate their point of view towards e-commerce deception. This article finds that there is a need to provide a distinct and precise definition of deceit and fraud against online purchases through existing legal provisions. It is suggested that Section 17 of the Contracts Act 1950 should include terms that denote its application in the electronic context apart from improving and clarifying the definition and elements of existing provisions to ensure the protection of consumers from the acts of deceit in online purchases.

The current study attempts to develop and examine framework of e-commerce success. In order to obtain comprehensive and robust measures, the framework accomodates key factors that are identified in the literature concerning the success of electronic commerce. The structural model comprises of four exogenous variables (Internal Driver, Internal Impediment, External Driver and Exgternal Impediment) and one endogenous variable (Electornic Commerce Success) eith 24 observed variables. The study that was administered within large Australian companies using questionaire survey concluded that benefits for both internal organization and external parties from the use of e-commerce were the main factor tro predict perceived and/or expected success of electronic commerce.

BACKGROUND: The illegal electronic trade of NPS substances on the deep web and the darknet have never been thoroughly mapped. This study will propose and illustrate a blueprint for mapping of the darknet e-marketplace, including activities originating from the Middle East.MATERIALS & METHODS: Multiple Internet snapshots were taken for the darkest e-marketplace, e-markets, Grams search engine, and e-vendors. In relation to the most popular and high-risk NPS substances, the most dominant e-market will be identified. Special correlation will be carried out with the; population count of shipping countries of NPS, the incidence of rape and sexual assaults, and religious affiliation.RESULTS: The most popular high-risk NPS were identified; cannabis and cannabimimetic, MDMA, crack, Meth, and LSD. These were geo-mapped primarily into; Netherlands, US, UK, Germany, Australia, Canada, France, and Spain. AlphaBay e-market was found to be a proper representative for the darknet e-marketplace; the main advertised NPS were categorised into cannabis and cannabinoids (1), stimulants (2), empathogens (3), psychedelics (4), benzodiazepines (5), opioids (6), and prescription-related substances (7). The contributing Middle Eastern and Arabic countries included; UAE, Oman, Morocco, Egypt, and Cyprus.CONCLUSION: The e-commerce activities on the darknet have been ever evolving. Future attempts to study this e-marketplace should be innovative and rely on statistical inference. A blueprint is required for geo-mapping of the shipping countries, including those from the region of the Middle East. Principles of social sciences, including the analysis of the individual basis of power, should be considered.

Regulation of online dispute resolution (ODR) has become an important element in the conceptualisation of its role as an appropriate dispute resolution mechanism. Given the lack of specific legislation regarding ODR nationally and internationally, there is a growing tendency towards seeking appropriate regulatory models for its regulation in the ODR literature, international organisations, governments and the private sector. While recognising the valuable contributions made in all these fields, this article maps the regulatory approaches for ODR adopted by governments in the Guidelines for Consumer Protection in the Context of Electronic Commerce developed by the Organisation for Economic Co-operation and Development in 1999 and the Australian Guidelines for Electronic Commerce in 2006. In addition, the viability of the regulatory approaches of these instruments is explored in the context of online consumer arbitration used for the resolution of cross-border business-to-consumer electronic commerce disputes. In the course of the discussion, some insights on further improvements to these guidelines are also provided.

The article is devoted to the experience of legal regulation of the digital economy on the example of the world's leading countries. The main spheres and branches of the digital economy that are the subject of legal regulation in the leading countries of the world are identified. A review of acts of legislation of foreign countries governing certain areas and types of legal relations covered by the concept of "digital economy". The opinion is substantiated that the development of the digital economy and its spread have set before the leading countries of the world a priority task to ensure the legal regulation of the relevant processes. The author examines the legislation of such foreign countries as Australia, Great Britain, Italy, France, USA, Japan and others, which defines the basic concepts and terms in the digital economy, establishes the legal regime of digital technology in the economy. It is argued that the peculiarity of the legislation of foreign countries in the study area is that it pays special attention to ensuring the protection of human rights, prevention of cyberattacks. The author describes international and European acts in the field of regulating the development of the digital economy. Based on the review of international law, it was found that its main achievements are: the formation and unification of terminological and conceptual apparatus, regulation and generalization of rules for concluding contracts in electronic form, determining the legal force of notifications and data transmission. used in the conduct of activities in the field of e-commerce, as well as measures to protect consumer rights. Based on the analysis of the experience of foreign countries in the field of digital economy regulation, a number of recommendations have been developed to improve national legislation in the field of digital economy regulation. It is substantiated that the primary task is to plan legislative activities in this area, which will ensure the consistency and orderliness of the adoption of relevant legal acts in the field of digital economy regulation.

International Business Research wishes to acknowledge the following individuals for their assistance with peer review of manuscripts for this issue. Their help and contributions in maintaining the quality of the journal are greatly appreciated.International Business Research is recruiting reviewers for the journal. If you are interested in becoming a reviewer, we welcome you to join us. Please find the application form and details at http://recruitment.ccsenet.org and e-mail the completed application form to ibr@ccsenet.org.Reviewers for Volume 10, Number 10Alina Badulescu, University of Oradea, RomaniaAshford C Chea, Benedict College, USAAtallah Ahmad Alhosban, Aqaba University of Technology, JordanAurelija Burinskiene, Vilnius Gediminas Technical University, LithuaniaBenjamin James Inyang, University of Calabar, NigeriaCelina Maria Olszak, University of Economics in Katowice, PolandDea’a Al-Deen Al-Sraheen, Al-Zaytoonah University of Jordan, JordanEjindu Iwelu MacDonald Morah, University of Westminster, London, UKEva Mira Bolfíková, Univerzity of P. J. Šafárik in Košice, Slovak RepublicFederica De Santis, University of Pisa , ItalyFlorin Ionita, The Bucharest Academy of Economic Studies, RomaniaFoued Hamouda, Ecole Supérieure de Commerce, TunisiaFrancesco Ciampi, Florence University, ItalyHanna Trojanowska, Warsaw University of Technology, PolandHerald Monis, Milagres College, IndiaHongliang Qiu, Tourism College of Zhejiang, ChinaHsiao-Ching Kuo, Washington and Jefferson College, USAHung-Che Wu, Nanfang College of Sun Yat-sen University, ChinaJoanna Katarzyna Blach, University of Economics in Katowice, PolandJorge Mongay-Hurtado, ESIC Business and Marketing School, SpainMansour Esmaeil Zaei, Panjab University, India/IranMarcelino José Jorge, Evandro Chagas Clinical Research Institute of Oswaldo Cruz Foundation, BrazilMaria Teresa Bianchi, University of Rome “LA SAPIENZA”, ItalyMithat Turhan, Mersin University, TurkeyMuath Eleswed, American University of Kuwait, USAPascal Stiefenhofer, University of Brighton, UKRadoslav Jankal, University of Zilina, SlovakiaRafiuddin Ahmed, James Cook University, AustraliaRoberto Campos da Rocha Miranda, University Center Iesb, BrazilRoxanne Helm Stevens, Azusa Pacific University, USASang-Bing Tsai, University of Electronic Science and Technology of China, ChinaSerhii Kozlovskiy, Donetsk National University, UkraineShun Mun Helen Wong, The Hong Kong Polytechnic University, Hong KongSumathisri Bhoopalan, Sastra University, IndiaVassili JOANNIDES de LAUTOUR, Grenoble École de Management (France) and Queensland University of Technology School of Accountancy (Australia), FranceVincent Grèzes, University of Applied Sciences Western Switzerland (HES-SO Valais-Wallis), SwitzerlandWejdene Yangui, Institute of High Business Studies of Sfax _ Tunisia (IHEC), Tunisia

Exploitation of the World Wide Web (WWW) is a pipedream for many businesses, as they do not or cannot analyse their motives for having a web site. Many do not understand that there is more to a successful web site than having a corporate logo on a home page. They do not foresee the effort that goes into maintaining a web site, the increased competition from exposure to a ‘global market’ via the Internet and the impact a web site will have on the existing business. This case study allows analysis of the opportunities and risks of launching electronic commerce (EC) services in the case of the Co-op Bookshop, Australia's largest academic bookseller. The case describes Co-op's difficult progression to a profitable WWW presence and investigates potential developments due to growing competition from ‘global players’ and increasing amalgamation between bookselling over the WWW and electronic publishing. The case outlines the four possibilities by which a firm can profit from its Internet activities and transfers these general benefits to Internet service provision by bookstores. In particular, it directs attention to thinking of the core goals of the business, how a WWW presence helps to meet these goals and whether the introduction of a web site changes the direction of the business. This leads to a consideration of the nature of the web site. The case study allows exploration of the current customers and markets and why the firm focuses on these. Further, there are the issues of the resources required to set up and maintain a web site, how the site may be integrated into the existing business and its growth path. These issues are explored and modelled in the teaching notes and further background detail is given.

The world of marketing has changed through the incorporation of electronic means through which new customers and new markets can be reached. As a result, the world of trade and commerce has been revolutionized, revealing new and sometimes less scrupulous ways of dealing in an online marketplace. The article provides three Australian examples (each featuring a nexus between e-marketing and fraudulent online transactions) in order to gain a deeper appreciation of the darker side that exists to e-marketing. It also explores education and adult learning as means of raising awareness and skills in dealing with harmful e-marketing practices found in occurrences such as Internet fraud.

The paper examines how Quantity Surveying practices can improve their business performance, market share and profit levels by embracing and evolving with the latest technological developments in electronic business practices and data/information analysis and exchange in the construction industry. Firms in the new millenium will need towork smarterto gain competitive advantage and electronic commerce provides probably the greatest scope for this to be achieved. More importantly, current project procurement trends strongly indicate that firms not able to communicating electronically at all levels with project participants will find it increasingly difficult to secure work. The results of three nationwide surveys of the Australian Quantity Surveying profession spanning from 1995 to 1999 are used to identify current business practices and technology utilisation by Quantity Surveying firms and to analyse whether firms are positioning themselves to meet future industryrequirements. The paper concludes with a range of Information Technology strategies aimed at improving business opportunities and performance for Quantity Surveying firms.

Introduction: The COVID-19 pandemic had an unprecedented global effect on teaching and education. This review discusses research, education and diagnostics from the perspectives of four academic clinicians and researchers across different facilities in Australia. Materials and methods: The study adopted a literature review and an Australian researcher’s perspective on the impact of the COVID-19 pandemic on health education, research and diagnostics. Results: At the start of the pandemic, medical facilities had to adhere urgently to major work restrictions, including social distancing, mask-wearing rules and/or the closure of facilities to protect staff, students and patients from the risk of COVID-19 infection. Telemedicine and telehealth services were rapidly implemented and adapted to meet the needs of medical education, the teaching of students, trainee doctors, nursing and allied health staff and became a widely accepted norm. The impact on clinical research and education saw the closure of clinical trials and the implementation of new methods in the conducting of trials, including electronic consents, remote patient assessments and the ability to commence fully virtual clinical trials. Academic teaching adapted augmented reality and competency-based teaching to become important new modes of education delivery. Diagnostic services also required new policies and procedures to ensure the safety of personnel. Conclusions: As a by-product of the COVID-19 pandemic, traditional, face-to-face learning and clinical research were converted into online formats. An hybrid environment of traditional methods and novel technological tools has emerged in readiness for future pandemics that allows for virtual learning with concurrent recognition of the need to provide for interpersonal interactions.

Background:JAK inhibitors (JAKi) are oral tsDMARDs with a different mode of action (MOA) to both oral cs- and parenteral bDMARDs. In Australia the cost of b/tsDMARDs for treatment of RA is subsidized if the patient has documented high levels of clinical/laboratory disease activity and has not responded to a pre-specified combination of csDMARDs, including MTX. Once eligible for subsidy the clinician can prescribe the b/tsDMARD deemed most clinically appropriate.Objectives:To determine the patterns of use and reasons for initiation and discontinuation of JAKi in real-world rheumatology practice in Australia.Methods:Deidentified clinical data were sourced from the OPAL dataset, which is collected in a custom-built electronic medical record at the time of the consultation1by 94 rheumatologists in Australia, representing one third of Australian clinical rheumatologists. Data from patients >18 years with a diagnosis of RA who commenced a b/tsDMARD between Jan-2007 and Sept-2019 were included in the analysis. Tableau®was used to display data on medication initiation and cessation dates, and reasons for starting and stopping b/tsDMARDs, which is recorded at the time of the decision.Results:At Sept 2019, there were 45,317 patients with RA in the data set, with 27% prescribed b/tsDMARDs. Of patients currently on treatment at Sept 2019, 53% were receiving a TNFi and 21% a JAKi, with the remainder receiving tocilizumab, abatacept or rituximab. Of patients who commenced their current treatment after JAKi’s become available in Sept 2015, 46% were treated with a TNFi, and 32% were treated with a JAKi. Tofacitinib (TOF) has been the most prescribed b/tsDMARD since Sept 2015 with 22% of all initiations; however, since baricitinib (BARI) became available in Sept 2018, it has taken over as the preferred JAKi with 24% of new initiations compared to 14% for TOF. From Sept 2018-Sept 2019 etanercept and adalimumab were the most commonly prescribed agents in first line, followed by TOF then BARI; however, BARI was the most prescribed agent in lines 2-6+ (figure 1). The main clinician-listed reason for choice of TOF was MOA in 54%, efficacy compared with alternatives in 30%, mode of administration in 7%, efficacy as monotherapy in 7%, and safety in 1%. BARI was chosen for MOA in 35%, efficacy compared with alternatives in 38%, mode of administration in 12%, efficacy as monotherapy in 12%, and safety in 1%. The main reasons for stopping TOF were lack of efficacy (34%), better alternative (25%) and adverse reaction (13%); those for BARI were lack of efficacy (35%) and adverse reaction (25%) which is consistent with the rates observed in the first 12-months of clinical experience with TOF, and better alternative (12%). Patient non-adherence was listed in 1% and 2% of cessations for TOF and BARI, respectively. 45% of patients discontinuing a JAKi in first line switched to a TNFi in second line, and 40% switched to another JAKi, citing lack of efficacy, adverse reaction, and better alternative as the reason for switching.Figure 1.Rank of new initiations by line of therapy (Sept 2018-Sept 2019)Conclusion:There has been significant and sustained uptake of JAKi for the management of RA in Australia. MOA and perceived efficacy rate much higher than mode of administration for clinicians when selecting a JAKi. Clinical outcomes and persistence following JAKi cycling requires further investigation.References:Littlejohn GO, Tymms KE, Smith T, Griffiths HT. Using big data from real-world Australian rheumatology encounters to enhance clinical care and research. Clin Exp Rheum Nov 2019Disclosure of Interests:None declared

Abstract Background There are limited robust population prevalence data and the natural history of central hypersomnolence disorders in Australia. We conducted a retrospective chart review of multiple sleep latency tests (MSLTs) conducted in an Australian Sleep unit and reviewed clinical outcomes over time, response to treatment and duration of follow-up. Methods 517 MSLTs were extracted from a metropolitan hospital’s database between 2011 and 2021; 215 were positive. Data were extracted from overnight polysomnography (PSG), MSLTs and electronic medical records. The results were analysed using t-test and linear regression models. Results The mean age was 36.7 years and 58% were female. 37 patients met the criteria for type 1 or 2 narcolepsy, 157 for idiopathic hypersomnolence and 21 for an alternative sleep disorder. Of those with narcolepsy, 84.6% were commenced on medication. Modafinil was the most commonly prescribed first line medication. At 1 year, 48% of patients in the narcolepsy group had complete or partial treatment success, compared with 24% in the idiopathic hypersomnolence group. At 3 years, 31% of narcolepsy patients and 12% of idiopathic hypersomnolence patients reported complete or partial treatment success. At 5 years, only 19% of narcolepsy patients and 6% of idiopathic hypersomnolence patients described ongoing treatment success. Discussion This study demonstrated a much higher prevalence of idiopathic hypersomnolence than expected. A significant number of patients were lost to follow-up, predominantly in the first 12 months, with progressive losses over the subsequent years. The reasons for these are unclear; however, would be important to explore in future studies.

Background Evidence of effectiveness of mobile health (mHealth) apps as well as their usability as non-drug interventions in primary care are emerging around the globe. Objective This study aimed to explore the feasibility of mHealth app prescription by general practitioners (GPs) and to evaluate the effectiveness of an implementation intervention to increase app prescription. Methods A single-group, before-and-after study was conducted in Australian general practice. GPs were given prescription pads for 6 mHealth apps and reported the number of prescriptions dispensed for 4 months. After the reporting of month 2, a 2-minute video of one of the apps was randomly selected and sent to each GP. Data were collected through a prestudy questionnaire, monthly electronic reporting, and end-of-study interviews. The primary outcome was the number of app prescriptions (total, monthly, per GP, and per GP per fortnight). Secondary outcomes included confidence in prescribing apps (0-5 scale), the impact of the intervention video on subsequent prescription numbers, and acceptability of the interventions. Results Of 40 GPs recruited, 39 commenced, and 36 completed the study. In total, 1324 app prescriptions were dispensed over 4 months. The median number of apps prescribed per GP was 30 (range 6-111 apps). The median number of apps prescribed per GP per fortnight increased from the pre-study level of 1.7 to 4.1. Confidence about prescribing apps doubled from a mean of 2 (not so confident) to 4 (very confident). App videos did not affect subsequent prescription rates substantially. Post-study interviews revealed that the intervention was highly acceptable. Conclusions mHealth app prescription in general practice is feasible, and our implementation intervention was effective in increasing app prescription. GPs need more tailored education and training on the value of mHealth apps and knowledge of prescribable apps to be able to successfully change their prescribing habits to include apps. The future of sustainable and scalable app prescription requires a trustworthy electronic app repository of prescribable mHealth apps for GPs.

Purpose: The purpose of this study was to determine the proportion of patients admitted to a major tertiary teaching hospital in Australia aged 50 years and older with a confirmed neck of femur or vertebral minimal trauma fracture, who are commenced on colecalciferol supplementation by discharge, and to describe the doses prescribed. Methods: A subanalysis of a retrospective audit of electronic medical files for patients admitted with a minimal trauma fracture of the hip or vertebra between January 1, 2016, and June 30, 2016, was conducted. Results: A total of 406 patients were screened and 64 patients were included in the audit. In this subanalysis of these 64 patients eligible for inclusion, 38 were not on any vitamin or mineral supplementation at admission. Of these, 26 patients (68.4%) had their serum colecalciferol levels measured, and 21 patients (55.2%) overall were initiated on colecalciferol. Conclusion: Over half of patients with a minimal trauma fracture were commenced on colecalciferol therapy, but a noteworthy proportion of patients remain untreated. Patients with colecalciferol levels are more likely to be initiated on therapy compared with those of whom levels were not taken during admission. This is a missed opportunity for intervention that may place patients at a higher risk of subsequent fracture; therefore, effective strategies should be implemented to address this treatment gap in the future.

International Business Research wishes to acknowledge the following individuals for their assistance with peer review of manuscripts for this issue. Their help and contributions in maintaining the quality of the journal are greatly appreciated. International Business Research is recruiting reviewers for the journal. If you are interested in becoming a reviewer, we welcome you to join us. Please find the application form and details at http://www.ccsenet.org/journal/index.php/ibr/editor/recruitment and e-mail the completed application form to ibr@ccsenet.org. Reviewers for Volume 12, Number 3   Alireza Athari, Eastern Mediterranean University, Iran Anca Gabriela Turtureanu, “DANUBIUS” University Galati, Romania Andrea Carosi, University of Sassari, Italy Anna Paola Micheli, Univrtsity of Cassino and Southern Lazio, Italy Antônio André Cunha Callado, Universidade Federal Rural de Pernmabuco, Brazil Ashford C Chea, Benedict College, USA Bruno Marsigalia, University of Casino and Southern Lazio, Italy Chokri Kooli, International Center for Basic Research applied, Paris, Canada Christopher Alozie, Tansian University, Nigeria Cristian Marian Barbu, “ARTIFEX” University, Romania Duminda Kuruppuarachchi, University of Otago, New Zealand Essia Ries Ahmed, Universiti Sains Malaysia, Malaysia Federica Caboni, University of Cagliari, Italy Federica De Santis, University of Pisa, Italy Florin Ionita, The Bucharest Academy of Economic Studies, Romania Foued Hamouda, Ecole Supérieure de Commerce, Tunisia Francesco Ciampi, Florence University, Italy Francesco Scalera, University of Bari "Aldo Moro", Italy Gianluca Ginesti, University of Naples “FEDERICO II”, Italy Hillary Odor, University of Benin, Nigeria Ivana Tomic, IT Company CloudTech, Republic of Serbia Joanna Katarzyna Blach, University of Economics in Katowice, Poland Joseph Lok-Man Lee, The Hong Kong Polytechnic University, Hong Kong Khaled Mokni, Northern Border University, Tunisia L. Leo Franklin, Bharathidasn University, India Ladislav Mura, University of Ss. Cyril and Methodius in Trnava, Slovakia Leow Hon Wei, SEGi University, Malaysia Manuel A. R. da Fonseca, Federal University of Rio de Janeiro (UFRJ), Brazil Marcelino José Jorge, Evandro Chagas Clinical Research Institute of Oswaldo Cruz Foundation, Brazil Maria do Céu Gaspar Alves, University of Beira Interior, Portugal Maria Teresa Bianchi, University of Rome “LA SAPIENZA”, Italy Miriam Jankalová, University of Zilina, Slovakia Mongi Arfaoui, University of Monastir, Tunisia Muath Eleswed, American University of Kuwait, USA Ozgur Demirtas, Turkish Air Force Academy, Turkey Pascal Stiefenhofer, University of Brighton, UK Prosper Senyo Koto, Dalhousie University, Canada Rafiuddin Ahmed, James Cook University, Australia Razana Juhaida Johari, Universiti Teknologi MARA, Malaysia Riccardo Cimini, University of Tuscia, Viterbo, Italy Roberto Campos da Rocha Miranda, University Center Iesb, Brazil Sang- Bing Tsai, University of Electronic Science and Technology of China, China Sara Saggese, University of Naples Federico II, Italy Shun Mun Helen Wong, The Hong Kong Polytechnic University, Hong Kong Slavoljub M. Vujović, Economic Institute, Belgrade, Serbia Tariq Tawfeeq Yousif Alabdullah, University of Basrah, Iraq Valerija Botric, The Institute of Economics, Zagreb, Croatia Velia Gabriella Cenciarelli, University of Pisa, Italy Yan Lu, University of Central Florida, USA Yasmin Tahira, Al Ain University of Science and Technology, Al Ain, UAE

Abstract Background A lack of IBD-specific reproductive knowledge has been associated with increased ‘voluntary childlessness’.Furthermore, a lack of patient and clinician knowledge may contribute to inappropriate medication changes during or after pregnancy that may lead to a flare of disease. Evidence exists for the benefit of decision aids to support decision-making in pregnancy in general, as well as in multiple other chronic disease; however, such a resource for pregnancy in IBD has not been identified. Methods Using International Patient Decision Aids Standards, we have commenced design of our Pregnancy in IBD Decision Aid (PIDA). A steering committee consisting of Canadian and Australian Healthcare professionals with an interest in IBD management in pregnancy, in addition to a patient representative was established. Initial patient and clinician focus groups were conducted. Themes prospectively chosen for discussion included inheritance, fertility, nutrition, medications, mode of delivery, breastfeeding, infant infections and vaccinations. We designed an electronic PIDA draft that incorporates individualised information (for example, type of IBD, pre-conception or pregnant, surgical history and current medications) in personalised decision-making. Further patient focus groups and interviews were conducted to obtain user opinion of the PIDA draft. Results In July 2017, patient and clinician focus groups were conducted at a Canadian site. Patient concerns regarding pregnancy included the impact of disease, previous surgical history on fertility, preterm delivery; the potential impact of current and past drug therapies on the fetus/ infant; and the negative impact of active disease on both maternal and fetal/infant health. Clinician concerns included the absence of pre-conception counselling and potential for lack of patient understanding about the impact of disease activity and IBD medication use in pregnancy. Patient feedback (n = 15) obtained through interviews at two Canadian and one Australian site regarding the current electronic PIDA draft was predominantly positive, with comments pertaining to the adequacy of content coverage, personalisation, readability and unbiased information presentation. Suggestions were made for inclusion of further content such as the impact of IBD on sexual function, expected laboratory changes and the timing of recommencement of medications post-partum. Conclusion The completion of pre and post-PIDA design focus groups and interviews affirmed the role for PIDA. Main decisions that were considered necessary to address included ideal timing of conception pending disease activity, management of medications and delivery methods. Ongoing user feedback is being obtained at Australian and Canadian sites currently.

IntroductionThe benefits of patient-reported feedback, using questionnaires that allow patients to report how they feel and function without any interpretation from healthcare professionals, are well established. However, patient-reported outcomes measures (PROMs) are not routinely collected in patients with melanoma in Australia. The aim of this study is to evaluate the feasibility and acceptability of implementing electronic PROMs (ePROMs) into routine care from the perspectives of patients with stage III melanoma and their treating clinical team.Methods and analysisA minimum of 50 patients and 5 clinicians will be recruited to this prospective, longitudinal pilot study (ePROMs-MELanoma). The study uses a mixed-methods approach (quantitative PROMs questionnaires and end-of-study surveys with qualitative interviews) and commenced in May 2021 in surgical and medical melanoma clinics at two sites in metropolitan Sydney, Australia. The primary outcomes are measures of feasibility and acceptability, comprising descriptive questionnaire completion statistics, and proportion of patients who reported that these PROMs were easy to complete and measured items they considered important. Clinician and clinic staff views will be canvassed on the appropriateness of these PROMs for their patients, change in referral practice and uptake and incorporation into routine practice. Secondary aims include measurement of improvements in patients’ emotional and physical health and well-being, and utility of real-time data capture and clinician feedback. All participants will complete the Distress Thermometer and EQ-5D-5L questionnaires in the clinic using a tablet computer at baseline and two to three subsequent follow-up appointments. Participants who report a score of 4 or higher on the Distress Thermometer will be triaged to complete an additional three questionnaires: the QLQ-C30, Depression, Anxiety and Stress Scale and Melanoma Concerns Questionnaire-28. Results will be generated in real time; patients with psychosocial distress or poor quality of life will discuss possible referral to appropriate allied health services with their clinician. Thematic analysis of interviews will be conducted.Ethics and disseminationEthics approval obtained from St Vincent’s Hospital Human Research Ethics Committee on 19 September 2019 (2019/ETH10558), with amendments approved on 8 June 2022. Patient consent is obtained electronically prior to questionnaire commencement. Dissemination strategies will include publication in peer-reviewed journals and presentation at international conferences, tailored presentations for clinical societies and government bodies, organisational reporting through multidisciplinary meetings and research symposia for local clinicians and clinic staff, and more informal, lay reports and presentations for consumer melanoma representative bodies and patient participants and their families.Trial registration numberACTRN12620001149954.

Background:There are currently eleven biologic and targeted synthetic (b/ts)DMARDs acting via five different modes of action available for the treatment of RA in Australia. The cost of b/tsDMARDs is subsidized by government for patients that have active RA despite six months of combination csDMARD therapy. Once a patient is eligible, the clinician can prescribe the b/tsDMARD they deem to be the most clinically appropriate for the patient. In Oct 2015 the first JAK inhibitor (JAKi) became available in Australia (tofacitinib, TOF), baricitinib (BARI) became available in Sept 2018, and upadacitinib (UPA) in May 2020. Each of these oral tsDMARDs possess different selectivity profiles towards different members of the JAK family (JAK1–3 and Tyk2).Objectives:The aim of this analysis was to determine the patterns of JAKi cycling in real-world practice in Australia.Methods:Deidentified clinical data were sourced from the OPAL dataset, which is collected in a custom-built electronic medical record during the routine consultation1. Data from patients >18 years with RA who commenced a b/tsDMARD between Jan-2007 and Dec-2020 were included in the analysis. A visual analytics software program was used to display data on medication initiation and cessation dates, and reasons for stopping tsDMARDs, which is recorded in the medical record at the time of the decision.Results:At Dec 2020, 28% of the 52,190 patients with RA in the OPAL dataset were prescribed b/tsDMARDs. Of these patients, 3,850 (26.3%) were currently prescribed a JAKi with 51.4% receiving TOF, 29.2% BARI and 19.4% UPA. In 2020, JAKi initiations accounted for 48.8% of all initiations and 30.7% of 1st line initiations; an increase of 6.1% and 3.5% from 2019, respectively. The percentage of patients switching from a first line JAKi to a second line JAKi rather than an agent with another mode of action increased from 33.1% in 2019 to 42.6% in 2020. This is despite 26.2% in 2019 and 45.8% in 2020 of the patients switching to another JAKi citing lack of efficacy as the reason for JAKi discontinuation. In the period between May 2020, when a third JAKi (UPA) become available, and Dec 2020, the majority of patients switching from first line TOF or BARI to another JAKI switched to UPA (69.4% and 83.9%, respectively), whilst 30.6% of first line TOF patients switched to BARI (30.6%), and 16.1% of first line BARI patients switched to TOF in second line. The majority of patients switching from second line TOF or BARI to a third line JAKi switched to UPA (73% and 96%, respectively), with 27% of second line TOF patients switching to BARI and a very low number moving from second line BARI to TOF (4%). JAKi choice after a third line TOF or BARI was almost exclusively UPA (86.2% and 95.5%, respectively).Conclusion:There has been significant and sustained uptake of JAKi for the management of RA in Australia and JAKi cycling is increasingly common in routine clinical care. Clinical outcomes and persistence following JAKi cycling requires further investigation.References:[1]Littlejohn GO, Tymms KE, Smith T, Griffiths HT. Using big data from real-world Australian rheumatology encounters to enhance clinical care and research. Clin Exp Rheumatol. Sep-Oct 2020;38(5):874-880.Figure 1.Patterns of JAKi cycling for the management of rheumatoid arthritis in first, second and third line switching.Acknowledgements:The authors acknowledge the members of OPAL Rheumatology Ltd and their patients for providing clinical data for this study, and Software4Specialists Pty Ltd for providing the Audit4 platformDisclosure of Interests:Sabina Ciciriello: None declared, Tegan Smith: None declared, Catherine OSullivan: None declared, Kathleen Tymms: None declared, Peter Youssef: None declared, David Mathers: None declared, Claire Deakin: None declared, Hedley Griffiths Consultant of: AbbVie, Gilead, Novartis and Lilly., Geoff Littlejohn Speakers bureau: Over the last 5 years Geoffrey Littlejohn has received educational grants and consulting fees from AbbVie, Bristol Myers Squibb, Eli Lilly, Gilead, Novartis, Pfizer, Janssen, Sandoz, Sanofi and Seqirus.

This issue is a Special Issue in that it predominantly features a series of articles that have arisen from the CPCE Health Conference 2019. The special issue commences with an editorial where Professor Yuen emphasises the ongoing collaboration with this Journal, the ACHSM and the Hong College of health Services Executives and with the CPCE. His leadership and contribution are appreciated. The first article of the Special Issue is by Hasegawa, Matsumoto, and Hirata of Toho University Tokyo Japan who present an article entitled ‘Aging and Diversity of Medical Needs: Cost of Illness of Cerebrovascular Disease in Each Prefecture of Japan. This is followed by the contribution from Ng, Fong and Kwong of Hong Kong on the ‘Transition of hospital acute-centric to long term care in an ageing population in Hong Kong - is it an issue of service gap’. In the next article, Chu and Chong of Hong Kong address the ‘Oncology Pharmacist’s role and the impact on multidisciplinary patient-centred practice of oncology clinic in public hospitals in Hong Kong. Two interesting articles follow from Kwan, Yick and Wong of the Institute of Textiles and Clothing, Hong Kong Polytechnic University of Hong Kong who provide a research article on the ‘Impact of Co- creation Footwear Workshops on Older Women in Elderly Centres in Hong Kong’ and the following article from Yick, Yip and Ng, again from the Institute of Textiles and Clothing and from the Division of Science and Technology of the Hong Kong College of the same University. The latter article examines the importance of thermal comfort in foot wear design for the elderly and is entitled ‘Thermal equations for predicting foot skin temperature’. In conclusion, Kwong and Fong provide a review article on a contemporary issue of ‘promotion of appropriate use of electronic devices among Hong Kong adolescents. We thank Professor Yuen and his authors for this important contribution to our understanding of humane, wholistic and integrated care from diverse international health systems. In support of this effort of our colleagues above, we have added some more articles ready for publication. This includes an editorial on Health Reform that was prompted by my plenary session contribution at the CPCE Hong Kong Conference. We also continue the international emphasis of this issue with a contribution from Sharma of Maharishi Markandeshwar University, Northern India with a research article on the ‘Extrinsic Rewards, Occupational Commitment, Career Entrenchment and Career Satisfaction of Dentists’. Our next article is by Mak and colleagues in a research article entitled ‘What is the Professional Identity of Allied Health Managers?’ Isouard and Martin provide a further contribution about the Australian workforce in an article entitled ‘Managers of aged care residential services: 2006-2016.’ Way and colleagues conclude this issue with an analysis of management practice in one local health district in Australia entitled ‘The pursuit of purposeful partnerships-making a health matrix successful’.

e12554 Background: Triple-negative breast cancer is a biologically aggressive disease that accounts for 15% of all breast cancers, of which around 4-5% are metastatic (mTNBC) at diagnosis. Notably, there is no standard of care for mTNBC in the first line (1L) setting. This, in addition to higher relapse rates and poor long-term survival, warrants evaluation of real-world treatment patterns, especially in the 1L setting, to better inform on clinical outcomes. Methods: This observational, retrospective, chart review study included a cohort of twenty-six mTNBC patients from six different sites Australia, who commenced 1L treatment between July 1, 2012 and June 30, 2015. Medical records of eligible patients were abstracted using electronic case report forms after gaining relevant ethics approvals. Data on treatment patterns and clinical outcomes in the 1L setting were then collected from the index date until the end of data abstraction or death. The index date is defined as the date of initiation of 1L systemic therapy for mTNBC. Results: In the 1L setting, patients that received combination (52%) chemotherapy was slightly higher than single-agent (48%) chemotherapy. The commonest combination used was Carboplatin-Gemcitabine (12%), and the most common monotherapy was Nab-Paclitaxel (24%). The overall response rate and disease control rate were estimated to be 32% and 60% in the 1L setting. The median duration of treatment and the median time to next line of therapy were calculated to be 98 days and 12.45 (95% CI 2.79, 20.30) months respectively. Importantly, the median progression free survival (sensitivity analysis) and the median overall survival were estimated to be 3.17 (95% CI 1.91, 5.09) and 10.41 (95% CI 5.36, 16.53) months respectively. Conclusions: Chemotherapy is currently the mainstay of treatment for mTNBC. However, disease progression and chemo-related toxicities warrant stratified use of more efficacious and tolerable treatment options, especially in the 1L setting. Results from this study could be useful in comparing the efficacy and cost effectiveness of these emerging targeted and immuno-therapies outside the clinical trial setting.

e20045 Background: In the pre-PET era, weight loss is a harbinger of occult metastatic disease in patients with stage III NSCLC. Identifying the relationship between weight loss and pattern of relapse (POR), may enable stratification of patients into prognostic groups associated with increased risk of relapse. We sought to identify if weight loss remains a negative independent prognostic factor after FDG-PET staging. Methods: A retrospective audit (using web-based and electronic databases) was conducted in all patients with stage III NSCLC treated with definitive CRT between 01/07/2013 and 30/06/2018 at the Royal Brisbane and Women’s Hospital and The Prince Charles Hospital, Queensland, Australia. A descriptive analysis was applied to describe the primary end-point of PFS and secondary end-points of OS and POR, in relation to the percentage of pre-treatment weight loss (0-10% vs > 10-20% vs > 20%). A subset analysis looked at other prognostic factors identified in NSCLC to account for potential confounders. Results: Of the 127 patients (mean age 65 years, mean weight 76kg, 57% male, 42% current smokers) who commenced treatment during the study period, 24% lost > 10% and 3% lost > 20% weight. Median TTP for the entire cohort was 9 months. Based on multivariable modelling, risk of PD or death was 45% higher with > 10% loss of body weight (p = 0.004), and risk of death was 36% higher with > 10% of body weight (p = 0.05). Of the 54% that died during follow-up, 31 had distant PD, 18 had locoregional PD, 6 had local PD, and 10 had no PD. Males were at increased risk of PD. Conclusions: A prognostic link continues to be identified between significant (> 10%) weight loss and risk of progressive disease or death in stage III NSCLC treated with definitive CRT despite pre-treatment FDG-PET. These findings identify a sub-group of patients where weight loss could still be a surrogate for micro-metastases not detected on PET, or other adverse prognostic markers. Other treatment strategies or improved diagnostic strategies are warranted.

It was the Canadian philosopher Marshall McLuhan who first introduced the term ‘global village’ into the lexicon, almost fifty years ago. He was referring to the phenomenon of global interconnectedness of which we are all too aware today. At that time, we were witnessing the world just opening up. In 1946, British Airways had commenced a twice weekly service from London to New York. The flight involved one or two touch downs en-route and took a scheduled 19 hours and 45 minutes. By the time McLuhan had published his book “Understanding media; the extensions of man”, there were regular services by jet around the globe. London to Sydney was travelled in just under 35 hours. Moving forward to a time immediately pre-covid, there were over 30 non-stop flights a day in each direction between London and New York. The travel time from London to Sydney had been cut by a third, to slightly under 22 hours, with just one touchdown en-route. The world has well and truly ‘opened up’. No place is unreachable by regular services. But that is just one part of the picture. In 1962, the very first live television pictures were transmitted across the Atlantic, via satellite. It was a time when sports’ fans would tune in besides a crackling radio set to hear commentary of their favourite game relayed from the other side of the world. Today of course, not only can we watch a live telecast of the Olympic Games in the comfort of our own homes wherever the games are being held, but we can pick up a telephone and talk face to face with friends and relatives in real time, wherever they may be in the world. To today’s generation – generation Z – this does not seem in the least bit remarkable. Indeed, they have been nicknamed ‘the connected generation’ precisely because such a degree of human interconnectedness no longer seems worth commenting on. The media technology and the transport advances that underpin this level of connectedness, have become taken for granted assumptions to them. This is why the global events of 2020 and the associated public health related reactions, have proved to be so remarkable to them. It is mass travel and the closeness and variety of human contact in day-to-day interactions, that have provided the breeding ground for the pandemic. Consequently, moving around and sharing close proximity with many strangers, have been the activities that have had to be curbed, as the initial primary means to manage the spread of the virus. This has caused hardship to many, either through the loss of a job and the associated income or, the lengthy enforced separation from family and friends – for the many who find themselves living and working far removed from their original home. McLuhan’s powerful metaphor was ahead of its time. His thoughts were centred around media and electronic communications well prior to the notion of a ‘physical’ pandemic, which today has provided an equally potent image of how all of our fortunes have become intertwined, no matter where we sit in the world. Yet it is this event which seems paradoxically to have for the first time forced us to consider more closely the path of progress pursued over the last half century. It is as if we are experiencing for the first time the unleashing of powerful and competing forces, which are both centripetal and centrifugal. On the one hand we are in a world where we have a World Health Organisation. This is a body which has acted as a global force, first declaring the pandemic and subsequently acting in response to it as a part of its brief for international public health. It has brought the world’s scientists and global health professionals together to accelerate the research and development process and develop new norms and standards to contain the spread of the coronavirus pandemic and help care for those affected. At the same time, we have been witnessing nations retreating from each other and closing their borders in order to restrict the interaction of their citizens with those from other nations around the world. We have perceived that danger and risk are increased by international travel and human to human interaction. As a result, increasingly communication has been carried out from the safety and comfort of one’s own home, with electronic media taking the place of personal interaction in the real world. The change to the media dominated world, foreseen by McLuhan a half century ago, has been hastened and consolidated by the threats posed by Covid 19. Real time interactions can be conducted more safely and more economically by means of the global reach of the internet and the ever-enhanced technologies that are being offered to facilitate that. Yet at a geopolitical level prior to Covid 19, the processes of globalism and nationalism were already being recognised as competing forces. In many countries, tensions have emerged between those who are benefitting from the opportunities presented by the development of free trade between countries and those who are invested in more traditional ventures, set in their own nations and communities. The emerging beneficiaries have become characterised as the global elites. Their demographic profile is one associated with youth, education and progressive social ideas. However, they are counter-balanced by those who, rather than opportunities, have experienced threats from the disruptions and turbulence around them. Among the ideas challenged, have been the expected certainties of employment, social values and the security with which many grew up. Industries which have been the lifeblood of their communities are facing extinction and even the security of housing and a roof over the heads of self and family may be under threat. In such circumstances, some people may see waves of new immigrants, technology, and changing social values as being tides which need to be turned back. Their profile is characterised by a demographic less equipped to face such changes - the more mature, less well educated and less mobile. Yet this tension appears to be creating something more than just the latest version of the generational divide. The recent clashes between Republicans and Democrats in the US have provided a very potent example of these societal stresses. The US has itself exported some of these arenas of conflict to the rest of the world. Black lives Matter and #Me too, are social movements with their foundation in the US which have found their way far beyond the immediate contexts which gave them birth. In the different national settings where these various tensions have emerged, they have been characterised through labels such as left and right, progressive and traditional, the ‘haves’ versus the ‘have nots’ etc. Yet common to all of this growing competitiveness between ideologies and values is a common thread. The common thread lies in the notion of competition itself. It finds itself expressed most potently in the spread and adoption of ideas based on what has been termed the neoliberal values of the free market. These values have become ingrained in the language and concepts we employ every day. Thus, everything has a price and ultimately the price can be represented by a dollar value. We see this process of commodification around us on a daily basis. Sports studies’ scholars have long drawn attention to its continuing growth in the world of sport, especially in situations when it overwhelms the human characteristics of the athletes who are at the very heart of sport. When the dollar value of the athlete and their performance becomes more important than the individual and the game, then we find ourselves at the heart of some of the core problems reported today. It is at the point where sport changes from an experience, where the athletes develop themselves and become more complete persons experiencing positive and enriching interactions with fellow athletes, to an environment where young athletes experience stress and mental and physical ill health as result of their experiences. Those who are supremely talented (and lucky?) are rewarded with fabulous riches. Others can find themselves cast out on the scrap heap as a result of an unfair selection process or just the misfortune of injury. Sport as always, has proved to be a mirror of life in reflecting this process in the world at large, highlighting the heights that can be climbed by the fortunate as well as the depths that can be plumbed by the ill-fated. Advocates of the free-market approach will point to the opportunities it can offer. Figures can show that in a period of capitalist organised economies, there has been an unprecedented reduction in the amount of poverty in the world. Despite rapid growth in populations, there has been some extraordinary progress in lifting people out of extreme poverty. Between 1990 and 2010, the numbers in poverty fell by half as a share of the total population in developing countries, from 43% to 21%—a reduction of almost 1 billion people (The Economist Leader, June 1st, 2013). Nonetheless the critics of capitalism will continue to point to an increasing gap between the haves and don’t haves and specifically a decline in the ‘middle classes’, which have for so long provided the backbone of stable democratic societies. This delicate balance between retreating into our own boundaries as a means to manage the pandemic and resuming open borders to prevent economic damage to those whose businesses and employment depend upon the continuing movement of people and goods, is one which is being agonised over at this time in liberal democratic societies around the world. The experience of the pandemic has varied between countries, not solely because of the strategies adopted by politicians, but also because of the current health systems and varying social and economic conditions of life in different parts of the world. For many of us, the crises and social disturbances noted above have been played out on our television screens and websites. Increasingly it seems that we have been consuming our life experiences in a world dominated by our screens and sheltered from the real messiness of life. Meanwhile, in those countries with a choice, the debate has been between public health concerns and economic health concerns. Some have argued that the two are not totally independent of each other, while others have argued that the extent to which they are seen as interrelated lies in the extent to which life’s values have themselves become commodified. Others have pointed to the mental health problems experienced by people of all ages as a result of being confined for long periods of time within limited spaces and experiencing few chances to meet with others outside their immediate household. Still others have experienced different conditions – such as the chance to work from home in a comfortable environment and be freed from the drudgery of commuting in crowded traffic or public transport. So, at a national/communal level as well as at an individual level, this international crisis has exposed people to different decisions. It has offered, for many, a chance to recalibrate their lives. Those who have the resources, are leaving the confines of the big capital cities and seeking a healthier and less turbulent existence in quieter urban centres. For those of us in what can be loosely termed ‘an information industry’, today’s work practices are already an age away from what they were in pre-pandemic times. Yet again, a clear split is evident. The notion of ‘essential industries’ has been reclassified. The delivery of goods, the facilitation of necessary purchase such as food; these and other tasks have acquired a new significance which has enhanced the value of those who deliver these services. However, for those whose tasks can be handled via the internet or offloaded to other anonymous beings a readjustment of a different kind is occurring. So to the future - for those who have suffered ill-health and lost loved ones, the pandemic only reinforces the human priority. Health and well-being trumps economic health and wealth where choices can be made. The closeness of human contact has been reinforced by the tales of families who have been deprived of the touch of their loved ones, many of whom still don’t know when that opportunity will be offered again. When writing our editorial, a year ago, I little expected to be still pursuing a Covid related theme today. Yet where once we were expecting to look back on this time as a minor hiccough, with normal service being resumed sometime last year, it has not turned out to be that way. Rather, it seems that we have been offered a major reset opportunity in the way in which we continue to progress our future as humans. The question is, will we be bold enough to see the opportunity and embrace a healthier more equitable more locally responsible lifestyle or, will we revert to a style of ‘progress’ where powerful countries, organisations and individuals continue to amass increased amounts of wealth and influence and become increasingly less responsive to the needs of individuals in the throng below. Of course, any retreat from globalisation as it has evolved to date, will involve disruption of a different kind, which will inevitably lead to pain for some. It seems inevitable that any change and consequent progress is going to involve winners and losers. Already airline companies and the travel industry are putting pressure on governments to “get back to normal” i.e. where things were previously. Yet, in the shadow of widespread support for climate activism and the extinction rebellion movement, reports have emerged that since the lockdowns air pollution has dropped dramatically around the world – a finding that clearly offers benefits to all our population. In a similar vein the impossibility of overseas air travel in Australia has resulted in a major increase in local tourism, where more inhabitants are discovering the pleasures of their own nation. The transfer of their tourist and holiday dollars from overseas to local tourist providers has produced at one level a traditional zero-sum outcome, but it has also been accompanied by a growing appreciation of local citizens for the wonders of their own land and understanding of the lives of their fellow citizens as well as massive savings in foregone air travel. Continuing to define life in terms of competition for limited resources will inevitably result in an ever-continuing run of zero-sum games. Looking beyond the prism of competition and personal reward has the potential to add to what Michael Sandel (2020) has termed ‘the common good’. Does the possibility of a reset, offer the opportunity to recalibrate our views of effort and reward to go beyond a dollar value and include this important dimension? How has sport been experiencing the pandemic and are there chances for a reset here? An opinion piece from Peter Horton in this edition, has highlighted the growing disconnect of professional sport at the highest level from the communities that gave them birth. Is this just another example of the outcome of unrestrained commodification? Professional sport has suffered in the pandemic with the cancelling of fixtures and the enforced absence of crowds. Yet it has shown remarkable resilience. Sport science staff may have been reduced alongside all the auxiliary workers who go to make up the total support staff on match days and other times. Crowds have been absent, but the game has gone on. Players have still been able to play and receive the support they have become used to from trainers, physiotherapists and analysts, although for the moment there may be fewer of them. Fans have had to rely on electronic media to watch their favourites in action– but perhaps that has just encouraged the continuing spread of support now possible through technology which is no longer dependent on personal attendance through the turnstile. Perhaps for those committed to the watching of live sport in the outdoors, this might offer a chance for more attention to be paid to sport at local and community levels. Might the local villagers be encouraged to interrelate with their hometown heroes, rather than the million-dollar entertainers brought in from afar by the big city clubs? To return to the village analogy and the tensions between global and local, could it be that the social structure of the village has become maladapted to the reality of globalisation? If we wish to retain the traditional values of village life, is returning to our village a necessary strategy? If, however we see that today the benefits and advantages lie in functioning as one single global community, then perhaps we need to do some serious thinking as to how that community can function more effectively for all of its members and not just its ‘elites’. As indicated earlier, sport has always been a reflection of our society. Whichever way our communities decide to progress, sport will have a place at their heart and sport scholars will have a place in critically reflecting the nature of the society we are building. It is on such a note that I am pleased to introduce the content of volume 43:1 to you. We start with a reminder from Hoyoon Jung of the importance of considering the richness provided by a deep analysis of context, when attempting to evaluate and compare outcomes for similar events. He examines the concept of nation building through sport, an outcome that has been frequently attributed to the conduct of successful events. In particular, he examines this outcome in the context of the experiences of South Africa and Brazil as hosts of world sporting events. The mega sporting event that both shared was the FIFA world cup, in 2010 and 2014 respectively. Additional information could be gained by looking backwards to the 1995 Rugby World Cup in the case of South Africa and forward to the 2016 Olympics with regard to Brazil. Differentiating the settings in terms of timing as well as in the makeup of the respective local cultures, has led Jung to conclude that a successful outcome for nation building proved possible in the case of South Africa. However, different settings, both economically and socially, made it impossible for Brazil to replicate the South African experience. From a globally oriented perspective to a more local one, our second paper by Rafal Gotowski and Marta Anna Zurawak examines the growth and development, with regard to both participation and performance, of a more localised activity in Poland - the Nordic walking marathon. Their analysis showed that this is a locally relevant activity that is meeting the health-related exercise needs of an increasing number of people in the middle and later years, including women. It is proving particularly beneficial as an activity due to its ability to offer a high level of intensity while reducing the impact - particularly on the knees. The article by Petr Vlček, Richard Bailey, Jana Vašíčková XXABSTRACT Claude Scheuer is also concerned with health promoting physical activity. Their focus however is on how the necessary habit of regular and relevant physical activity is currently being introduced to the younger generation in European schools through the various physical education curricula. They conclude that physical education lessons, as they are currently being conducted, are not providing the needed 50% minimum threshold of moderate to vigorous physical activity. They go further, to suggest that in reality, depending on the physical education curriculum to provide the necessary quantum of activity within the child’s week, is going to be a flawed vision, given the instructional and other objectives they are also expected to achieve. They suggest implementing instead an ‘Active Schools’ concept, where the PE lessons are augmented by other school-based contexts within a whole school programme of health enhancing physical activity for children. Finally, we step back to the global and international context and the current Pandemic. Eric Burhaein, Nevzt Demirci, Carla Cristina Vieira Lourenco, Zsolt Nemeth and Diajeng Tyas Pinru Phytanza have collaborated as a concerned group of physical educators to provide an important international position statement which addresses the role which structured and systematic physical activity should assume in the current crisis. This edition then concludes with two brief contributions. The first is an opinion piece by Peter Horton which provides a professional and scholarly reaction to the recent attempt by a group of European football club owners to challenge the global football community and establish a self-governing and exclusive European Super League. It is an event that has created great alarm and consternation in the world of football. Horton reflects the outrage expressed by that community and concludes: While recognising the benefits accruing from well managed professionalism, the essential conflict between the values of sport and the values of market capitalism will continue to simmer below the surface wherever sport is commodified rather than practised for more ‘intrinsic’ reasons. We conclude however on a more celebratory note. We are pleased to acknowledge the recognition achieved by one of the members of our International Review Board. The career and achievements of Professor John Wang – a local ‘scholar’- have been recognised in his being appointed as the foundation E.W. Barker Professor in Physical Education and Sport at the Nanyang Technological University. This is a well-deserved honour and one that reflects the growing stature of the Singapore Physical Education and Sports Science community within the world of International Sport Studies. John Saunders Brisbane, June 2021

PurposeThis exploratory study aims to examine how wine stakeholders' are adopting innovative advancements in smart industry 4.0 application technology (SI4.0AT) coupled with electronic word-of-mouth (e-WOM) techniques to increase winery visitation and wine sales, prior to and during a global pandemic in the Yarra Valley in Victoria, Australia.Design/methodology/approachA qualitative interpretivist geographical bounded case study approach was used to collect data from fifteen Victorian wine stakeholder's prior to and during the global pandemic COVID-19. A thematic analysis was applied to interpret participant responses and how they viewed, reacted to and harnessed S14.0AT and e-WOM to continue and increase wine sales.FindingsThe findings suggest few wine stakeholders' were actively implementing SI4.0AT prior to the global pandemic, COVID -19. With the forced closure of wineries to visitors across Australia, most small to medium-sized wineries immediately changed their business models to concentrate on domestic e-commerce wine sales and home delivery. To support these new business models, e-WOM techniques were quickly adopted or increased whereas other S14.0AT technologies were not, due to financial restraints.Research limitations/implicationsThe number of participants used in this study is a limitation, however, this can be overcome by replicating this study in other wine regions. This research focused on the wine stakeholders' viewpoint only and may not be easily generalised. Future studies may examine the “what” aspect of SI4.0AT is being used and e-WOM content such as investigating what consumers are saying about these wineries, the method of communication and the motivations for consumers to engage with a winery.Practical implicationsThe implications for the wine industry and overall results offer insight into the wine stakeholders' perceptions of SI4.0AT and e-WOM and consequent marketing strategy of wineries in the Yarra Valley, Victoria, both pre- and during forced face-to-face winery closures due to a global pandemic. Wineries need to continue to harness and leverage the benefits of e-WOM wine marketing in their marketing strategies and continue to explore the affordability of 4.0 app technology and Tourism 4.0 options.Originality/valueThis study is the first attempt at investigating how wine stakeholders' view; react to and harness SI4.0AT and e-WOM through formalised online marketing strategies which should continue to be investigated in the future.

IntroductionIn July 1997, the Mackay campus of Central Queensland University hosted a conference with the theme Regional Australia: Visions of Mackay. It was the first academic conference to be held at the young campus, and its aim was to provide an opportunity for academics, business people, government officials, and other interested parties to discuss their visions for the development of Mackay, a regional community of 75,000 people situated on the Central Queensland coast (Danaher). I delivered a presentation at that conference and authored a chapter in the book that emerged from its proceedings. The chapter entitled “Mackay Online” explored the potential impact that the Internet could have on the Mackay region, particularly in the areas of regional business, education, health, and entertainment (Pace). Two decades later, how does the reality compare with that vision?Broadband BluesAt the time of the Visions of Mackay conference, public commercial use of the Internet was in its infancy. Many Internet services and technologies that users take for granted today were uncommon or non-existent then. Examples include online video, video-conferencing, Voice over Internet Protocol (VoIP), blogs, social media, peer-to-peer file sharing, payment gateways, content management systems, wireless data communications, smartphones, mobile applications, and tablet computers. In 1997, most users connected to the Internet using slow dial-up modems with speeds ranging from 28.8 Kbps to 33.6 Kbps. 56 Kbps modems had just become available. Lamenting these slow data transmission speeds, I looked forward to a time when widespread availability of high-bandwidth networks would allow the Internet’s services to “expand to include electronic commerce, home entertainment and desktop video-conferencing” (Pace 103). Although that future eventually arrived, I incorrectly anticipated how it would arrive.In 1997, Optus and Telstra were engaged in the rollout of hybrid fibre coaxial (HFC) networks in Sydney, Melbourne, and Brisbane for the Optus Vision and Foxtel pay TV services (Meredith). These HFC networks had a large amount of unused bandwidth, which both Telstra and Optus planned to use to provide broadband Internet services. Telstra's Big Pond Cable broadband service was already available to approximately one million households in Sydney and Melbourne (Taylor), and Optus was considering extending its cable network into regional Australia through partnerships with smaller regional telecommunications companies (Lewis). These promising developments seemed to point the way forward to a future high-bandwidth network, but that was not the case. A short time after the Visions of Mackay conference, Telstra and Optus ceased the rollout of their HFC networks in response to the invention of Asynchronous Digital Subscriber Line (ADSL), a technology that increases the bandwidth of copper wire and enables Internet connections of up to 6 Mbps over the existing phone network. ADSL was significantly faster than a dial-up service, it was broadly available to homes and businesses across the country, and it did not require enormous investment in infrastructure. However, ADSL could not offer speeds anywhere near the 27 Mbps of the HFC networks. When it came to broadband provision, Australia seemed destined to continue playing catch-up with the rest of the world. According to data from the Organisation for Economic Cooperation and Development (OECD), in 2009 Australia ranked 18th in the world for broadband penetration, with 24.1 percent of Australians having a fixed-line broadband subscription. Statistics like these eventually prompted the federal government to commit to the deployment of a National Broadband Network (NBN). In 2009, the Kevin Rudd Government announced that the NBN would combine fibre-to-the-premises (FTTP), fixed wireless, and satellite technologies to deliver Internet speeds of up to 100 Mbps to 90 percent of Australian homes, schools, and workplaces (Rudd).The rollout of the NBN in Mackay commenced in 2013 and continued, suburb by suburb, until its completion in 2017 (Frost, “Mackay”; Garvey). The rollout was anything but smooth. After a change of government in 2013, the NBN was redesigned to reduce costs. A mixed copper/optical technology known as fibre-to-the-node (FTTN) replaced FTTP as the preferred approach for providing most NBN connections. The resulting connection speeds were significantly slower than the 100 Mbps that was originally proposed. Many Mackay premises could only achieve a maximum speed of 40 Mbps, which led to some overcharging by Internet service providers, and subsequent compensation for failing to deliver services they had promised (“Optus”). Some Mackay residents even complained that their new NBN connections were slower than their former ADSL connections. NBN Co representatives claimed that the problems were due to “service providers not buying enough space in the network to provide the service they had promised to customers” (“Telcos”). Unsurprisingly, the number of complaints about the NBN that were lodged with the Telecommunications Industry Ombudsman skyrocketed during the last six months of 2017. Queensland complaints increased by approximately 40 percent when compared with the same period during the previous year (“Qld”).Despite the challenges presented by infrastructure limitations, the rollout of the NBN was a boost for the Mackay region. For some rural residents, it meant having reliable Internet access for the first time. Frost, for example, reports on the experiences of a Mackay couple who could not get an ADSL service at their rural home because it was too far away from the nearest telephone exchange. Unreliable 3G mobile broadband was the only option for operating their air-conditioning business. All of that changed with the arrival of the NBN. “It’s so fast we can run a number of things at the same time”, the couple reported (“NBN”).Networking the NationOne factor that contributed to the uptake of Internet services in the Mackay region after the Visions of Mackay conference was the Australian Government’s Networking the Nation (NTN) program. When the national telecommunications carrier Telstra was partially privatised in 1997, and further sold in 1999, proceeds from the sale were used to fund an ambitious communications infrastructure program named Networking the Nation (Department of Communications, Information Technology and the Arts). The program funded projects that improved the availability, accessibility, affordability, and use of communications facilities and services throughout regional Australia. Eligibility for funding was limited to not-for-profit organisations, including local councils, regional development organisations, community groups, local government associations, and state and territory governments.In 1998, the Mackay region received $930,000 in Networking the Nation funding for Mackay Regionlink, a project that aimed to provide equitable community access to online services, skills development for local residents, an affordable online presence for local business and community organisations, and increased external awareness of the Mackay region (Jewell et al.). One element of the project was a training program that provided basic Internet skills to 2,168 people across the region over a period of two years. A second element of the project involved the establishment of 20 public Internet access centres in locations throughout the region, such as libraries, community centres, and tourist information centres. The centres provided free Internet access to users and encouraged local participation and skill development. More than 9,200 users were recorded in these centres during the first year of the project, and the facilities remained active until 2006. A third element of the project was a regional web portal that provided a free easily-updated online presence for community organisations. The project aimed to have every business and community group in the Mackay region represented on the website, with hosting fees for the business web pages funding its ongoing operation and development. More than 6,000 organisations were listed on the site, and the project remained financially viable until 2005.The availability, affordability and use of communications facilities and services in Mackay increased significantly during the period of the Regionlink project. Changes in technology, services, markets, competition, and many other factors contributed to this increase, so it is difficult to ascertain the extent to which Mackay Regionlink fostered those outcomes. However, the large number of people who participated in the Regionlink training program and made use of the public Internet access centres, suggests that the project had a positive influence on digital literacy in the Mackay region.The Impact on BusinessThe Internet has transformed regional business for both consumers and business owners alike since the Visions of Mackay conference. When Mackay residents made a purchase in 1997, their choice of suppliers was limited to a few local businesses. Today they can shop online in a global market. Security concerns were initially a major obstacle to the growth of electronic commerce. Consumers were slow to adopt the Internet as a place for doing business, fearing that their credit card details would be vulnerable to hackers once they were placed online. After observing the efforts that finance and software companies were making to eliminate those obstacles, I anticipated that it would only be a matter of time before online transactions became commonplace:Consumers seeking a particular product will be able to quickly find the names of suitable suppliers around the world, compare their prices, and place an order with the one that can deliver the product at the cheapest price. (Pace 106)This expectation was soon fulfilled by the arrival of online payment systems such as PayPal in 1998, and online shopping services such as eBay in 1997. eBay is a global online auction and shopping website where individuals and businesses buy and sell goods and services worldwide. The eBay service is free to use for buyers, but sellers are charged modest fees when they make a sale. It exemplifies the notion of “friction-free capitalism” articulated by Gates (157).In 1997, regional Australian business owners were largely sceptical about the potential benefits the Internet could bring to their businesses. Only 11 percent of Australian businesses had some form of web presence, and less than 35 percent of those early adopters felt that their website was significant to their business (Department of Industry, Science and Tourism). Anticipating the significant opportunities that the Internet offered Mackay businesses to compete in new markets, I recommended that they work “towards the goal of providing products and services that meet the needs of international consumers as well as local ones” (107). In the two decades that have passed since that time, many Mackay businesses have been doing just that. One prime example is Big on Shoes (bigonshoes.com.au), a retailer of ladies’ shoes from sizes five to fifteen (Plane). Big on Shoes has physical shopfronts in Mackay and Moranbah, an online store that has been operating since 2009, and more than 12,000 followers on Facebook. This speciality store caters for women who have traditionally been unable to find shoes in their size. As the store’s customer base has grown within Australia and internationally, an unexpected transgender market has also emerged. In 2018 Big on Shoes was one of 30 regional businesses featured in the first Facebook and Instagram Annual Gift Guide, and it continues to build on its strengths (Cureton).The Impact on HealthThe growth of the Internet has improved the availability of specialist health services for people in the Mackay region. Traditionally, access to surgical services in Mackay has been much more limited than in metropolitan areas because of the shortage of specialists willing to practise in regional areas (Green). In 2003, a senior informant from the Royal Australasian College of Surgeons bluntly described the Central Queensland region from Mackay to Gladstone as “a black hole in terms of surgery” (Birrell et al. 15). In 1997 I anticipated that, although the Internet would never completely replace a visit to a local doctor or hospital, it would provide tools that improve the availability of specialist medical services for people living in regional areas. Using these tools, doctors would be able to “analyse medical images captured from patients living in remote locations” and “diagnose patients at a distance” (Pace 108).These expectations have been realised in the form of Queensland Health’s Telehealth initiative, which permits medical specialists in Brisbane and Townsville to conduct consultations with patients at the Mackay Base Hospital using video-conference technology. Telehealth reduces the need for patients to travel for specialist advice, and it provides health professionals with access to peer support. Averill (7), for example, reports on the experience of a breast cancer patient at the Mackay Base Hospital who was able to participate in a drug trial with a Townsville oncologist through the Telehealth network. Mackay health professionals organised the patient’s scans, administered blood tests, and checked her lymph nodes, blood pressure and weight. Townsville health professionals then used this information to advise the Mackay team about her ongoing treatment. The patient expressed appreciation that the service allowed her to avoid the lengthy round-trip to Townsville. Prior to being offered the Telehealth option, she had refused to participate in the trial because “the trip was just too much of a stumbling block” (Averill 7).The Impact on Media and EntertainmentThe field of media and entertainment is another aspect of regional life that has been reshaped by the Internet since the Visions of Mackay conference. Most of these changes have been equally apparent in both regional and metropolitan areas. Over the past decade, the way individuals consume media has been transformed by new online services offering user-generated video, video-on-demand, and catch-up TV. These developments were among the changes I anticipated in 1997:The convergence of television and the Internet will stimulate the creation of new services such as video-on-demand. Today television is a synchronous media—programs are usually viewed while they are being broadcast. When high-quality video can be transmitted over the information superhighway, users will be able to watch what they want, when and where they like. […] Newly released movies will continue to be rented, but probably not from stores. Instead, consumers will shop on the information superhighway for movies that can be delivered on demand.In the mid-2000s, free online video-sharing services such as YouTube and Vimeo began to emerge. These websites allow users to freely upload, view, share, comment on, and curate online videos. Subscription-based streaming services such as Netflix and Amazon Prime have also become increasingly popular since that time. These services offer online streaming of a library of films and television programs for a fee of less than 20 dollars per month. Computers, smart TVs, Blu-ray players, game consoles, mobile phones, tablets, and other devices provide a multitude of ways of accessing streaming services. Some of these devices cost less than 100 dollars, while higher-end electronic devices include the capability as a bundled feature. Netflix became available in Mackay at the time of its Australian launch in 2015. The growth of streaming services greatly reduced the demand for video rental shops in the region, and all closed down as a result. The last remaining video rental store in Mackay closed its doors in 2018 after trading for 26 years (“Last”).Some of the most dramatic transformations that have occurred the field of media and entertainment were not anticipated in 1997. The rise of mobile technology, including wireless data communications, smartphones, mobile applications, and tablet computers, was largely unforeseen at that time. Some Internet luminaries such as Vinton Cerf expected that mobile access to the Internet via laptop computers would become commonplace (Lange), but this view did not encompass the evolution of smartphones, and it was not widely held. Similarly, the rise of social media services and the impact they have had on the way people share content and communicate was generally unexpected. In some respects, these phenomena resemble the Black Swan events described by Nassim Nicholas Taleb (xvii)—surprising events with a major effect that are often inappropriately rationalised after the fact. They remind us of how difficult it is to predict the future media landscape by extrapolating from things we know, while failing to take into consideration what we do not know.The Challenge for MackayIn 1997, when exploring the potential impact that the Internet could have on the Mackay region, I identified a special challenge that the community faced if it wanted to be competitive in this new environment:The region has traditionally prospered from industries that control physical resources such as coal, sugar and tourism, but over the last two decades there has been a global ‘shift away from physical assets and towards information as the principal driver of wealth creation’ (Petre and Harrington 1996). The risk for Mackay is that its residents may be inclined to believe that wealth can only be created by means of industries that control physical assets. The community must realise that its value-added information is at least as precious as its abundant natural resources. (110)The Mackay region has not responded well to this challenge, as evidenced by measures such as the Knowledge City Index (KCI), a collection of six indicators that assess how well a city is positioned to grow and advance in today’s technology-driven, knowledge-based economy. A 2017 study used the KCI to conduct a comparative analysis of 25 Australian cities (Pratchett, Hu, Walsh, and Tuli). Mackay rated reasonably well in the areas of Income and Digital Access. But the city’s ratings were “very limited across all the other measures of the KCI”: Knowledge Capacity, Knowledge Mobility, Knowledge Industries and Smart Work (44).The need to be competitive in a technology-driven, knowledge-based economy is likely to become even more pressing in the years ahead. The 2017 World Energy Outlook Report estimated that China’s coal use is likely to have peaked in 2013 amid a rapid shift toward renewable energy, which means that demand for Mackay’s coal will continue to decline (International Energy Agency). The sugar industry is in crisis, finding itself unable to diversify its revenue base or increase production enough to offset falling global sugar prices (Rynne). The region’s biggest tourism drawcard, the Great Barrier Reef, continues to be degraded by mass coral bleaching events and ongoing threats posed by climate change and poor water quality (Great Barrier Reef Marine Park Authority). All of these developments have disturbing implications for Mackay’s regional economy and its reliance on coal, sugar, and tourism. Diversifying the local economy through the introduction of new knowledge industries would be one way of preparing the Mackay region for the impact of new technologies and the economic challenges that lie ahead.ReferencesAverill, Zizi. “Webcam Consultations.” Daily Mercury 22 Nov. 2018: 7.Birrell, Bob, Lesleyanne Hawthorne, and Virginia Rapson. The Outlook for Surgical Services in Australasia. Melbourne: Monash University Centre for Population and Urban Research, 2003.Cureton, Aidan. “Big Shoes, Big Ideas.” Daily Mercury 8 Dec. 2018: 12.Danaher, Geoff. Ed. Visions of Mackay: Conference Papers. Rockhampton: Central Queensland UP, 1998.Department of Communications, Information Technology and the Arts. Networking the Nation: Evaluation of Outcomes and Impacts. Canberra: Australian Government, 2005.Department of Industry, Science and Tourism. Electronic Commerce in Australia. Canberra: Australian Government, 1998.Frost, Pamela. “Mackay Is Up with Switch to Speed to NBN.” Daily Mercury 15 Aug. 2013: 8.———. “NBN Boost to Business.” Daily Mercury 29 Oct. 2013: 3.Gates, Bill. The Road Ahead. New York: Viking Penguin, 1995.Garvey, Cas. “NBN Rollout Hit, Miss in Mackay.” Daily Mercury 11 Jul. 2017: 6.Great Barrier Reef Marine Park Authority. Reef Blueprint: Great Barrier Reef Blueprint for Resilience. Townsville: Great Barrier Reef Marine Park Authority, 2017.Green, Anthony. “Surgical Services and Referrals in Rural and Remote Australia.” Medical Journal of Australia 177.2 (2002): 110–11.International Energy Agency. World Energy Outlook 2017. France: IEA Publications, 2017.Jewell, Roderick, Mary O’Flynn, Fiorella De Cindio, and Margaret Cameron. “RCM and MRL—A Reflection on Two Approaches to Constructing Communication Memory.” Constructing and Sharing Memory: Community Informatics, Identity and Empowerment. Eds. Larry Stillman and Graeme Johanson. Newcastle: Cambridge Scholars Publishing, 2007. 73–86.Lange, Larry. “The Internet: Where’s It All Going?” Information Week 17 Jul. 1995: 30.“Last Man Standing Shuts Doors after 26 Years of Trade.” Daily Mercury 28 Aug. 2018: 7.Lewis, Steve. “Optus Plans to Share Cost Burden.” Australian Financial Review 22 May 1997: 26.Meredith, Helen. “Time Short for Cable Modem.” Australian Financial Review 10 Apr. 1997: 42Nassim Nicholas Taleb. The Black Swan: The Impact of the Highly Improbable. New York: Random House, 2007.“Optus Offers Comp for Slow NBN.” Daily Mercury 10 Nov. 2017: 15.Organisation for Economic Cooperation and Development. “Fixed Broadband Subscriptions.” OECD Data, n.d. <https://data.oecd.org/broadband/fixed-broadband-subscriptions.htm>.Pace, Steven. “Mackay Online.” Visions of Mackay: Conference Papers. Ed. Geoff Danaher. Rockhampton: Central Queensland University Press, 1998. 111–19.Petre, Daniel and David Harrington. The Clever Country? Australia’s Digital Future. Sydney: Lansdown Publishing, 1996.Plane, Melanie. “A Shoe-In for Big Success.” Daily Mercury 9 Sep. 2017: 6.Pratchett, Lawrence, Richard Hu, Michael Walsh, and Sajeda Tuli. The Knowledge City Index: A Tale of 25 Cities in Australia. Canberra: University of Canberra neXus Research Centre, 2017.“Qld Customers NB-uN Happy Complaints about NBN Service Double in 12 Months.” Daily Mercury 17 Apr. 2018: 1.Rudd, Kevin. “Media Release: New National Broadband Network.” Parliament of Australia Press Release, 7 Apr. 2009 <https://parlinfo.aph.gov.au/parlInfo/search/display/display.w3p;query=Id:"media/pressrel/PS8T6">.Rynne, David. “Revitalising the Sugar Industry.” Sugar Policy Insights Feb. 2019: 2–3.Taylor, Emma. “A Dip in the Pond.” Sydney Morning Herald 16 Aug. 1997: 12.“Telcos and NBN Co in a Crisis.” Daily Mercury 27 Jul. 2017: 6.

We present information on acute stroke care for the first wave of the COVID-19 pandemic in Australia using data from the Australian Stroke Clinical Registry (AuSCR). The first case of COVID-19 in Australia was recorded in late January 2020 and national restrictions to control the virus commenced in March. To account for seasonal effects of stroke admissions, patient-level data from the registry from January to June 2020 were compared to the same period in 2019 (historical-control) from 61 public hospitals. We compared periods using descriptive statistics and performed interrupted time series analyses. Perceptions of stroke clinicians were obtained from 53/72 (74%) hospitals participating in the AuSCR (80% nurses) via a voluntary, electronic feedback survey. Survey data were summarized to provide contextual information for the registry-based analysis. Data from the registry covered locations that had 91% of Australian COVID-19 cases to the end of June 2020. For the historical-control period, 9,308 episodes of care were compared with the pandemic period (8,992 episodes). Patient characteristics were similar for each cohort (median age: 75 years; 56% male; ischemic stroke 69%). Treatment in stroke units decreased progressively during the pandemic period (control: 76% pandemic: 70%, p &lt; 0.001). Clinical staff reported fewer resources available for stroke including 10% reporting reduced stroke unit beds. Several time-based metrics were unchanged whereas door-to-needle times were longer during the peak pandemic period (March-April, 2020; 82 min, control: 74 min, p = 0.012). Our data emphasize the need to maintain appropriate acute stroke care during times of national emergency such as pandemic management.

Electronic transaction agreement between PT. Juang Abadi Alam with Australian Rural Exports Pty. Ltd in the perspective of the ITE Law is legal and has consequences. In another perspective, Article 1320 of the Civil Code sees that an agreement will be valid when two conditions are fulfilled, namely subjective and objective conditions. The focus of this study is related to the validity of the digital signature (scanner) of an agreement in the perspective of civil law as well as the legal consequences of the agreement carried out online / electronically when one party defaults/breach of contract. The legal research method used in this study is normative juridical.The results of this study showed that the process of electronic commerce transactions (e-commerce) is carried out with 4 stages of the agreement theory namely supply, acceptance, payment and delivery. The validity of agreement with digital signatures in the perspective of civil law is referring to the National Electronic Transaction Information law and Government Regulations as implementing regulations of Electronic Transactions, which are associated with the principles of agreement in the Civil Code. In addition, the legal consequences of an agreement made online/electronically when one of the parties to the default/breach of contract is that a cancellation of the agreement can be requested from the judge as a legal consequence or the legal consequences of the contract in the sale and purchase agreement of goods online.

History of Seal and Printing Cultures Implications of the four important Chinese inventions, the compass, gun powder, papermaking, and printing, have far-reaching significance for human civilisation. The Chinese seal is intimately related to printing. Seals have the practical function of duplicating impressions of words or patterns. This process shares a very similar concept to printing on a small scale. Printing originated from the function of seals for making duplicated impressions, and for this reason Wang believes that seals constitute the prototype of printing. Seals in Traditional Commere Seals in certain Asian countries, such as Taiwan and Japan, play a vital role similar to that played by signatures in Western society. Particularly, the Chinese seal has been an integral part of Chinese heritage and culture. Wong states that seals usually symbolise tokens of promise in Chinese society. Ancient seals in their various forms have played a major role in information systems, in terms of authority, authentication, identification, certified proof, and authenticity, and have also been used for tamper-proofing, impression duplication, and branding purposes. To illustrate, clay sealing has been applied to folded documents to detect when sealed documents have been exposed or tampered with. Interestingly, one of the features of digital signature technology is also designed to achieve this purpose. Wong records that when the commodity economy began to develop and business transactions became more frequent, seals were used to prove that particular goods had been certified by customs. Moreover, when the goods were subject to tax by the government, seals were applied to the goods to prove the levy paid. Seals continue to be used in Chinese society as personal identification and in business transactions, official and legal documents, administrative warrants and charters. Paper-based Contract Signing with Seal Certificates In Taiwan and Japan, in certain circumstances, when two parties wish to formalise a contract, the seals of the two parties must be affixed to the contract. As Figure 1 illustrates, seal certificates are required to be attached to the signed and sealed contract for authentication as well as the statement of intent of a voluntary agreement in Taiwan. Figure 1. Example of a contract attached with the seal certificates A person can have more than one seal; however, only one seal at a time is allowed to be registered with a jurisdictional registration authority. The purpose of seal registration is to prevent seal forgery and to prove the identity of the seal owner. Namely, the seal registration process aims to associate the identity of the seal owner with the seal owner’s nominated seal, through attestation by a jurisdictional registration authority. Upon confirmation of the seal registration, the registration authority issues a seal certificate with both the seals of the registration authority and the registration authority executive. Digital Signatures for Electronic Commerce Handwritten signatures and tangible ink seals are highly impractical within the electronic commerce environment. However, the shift towards electronic commerce by both the public and private sector is an inevitable trend. ‘Trust’ in electronic commerce is developed through the use of ‘digital signatures’ in conjunction with a trustworthy environment. In principle, digital signatures are designed to simulate the functions of handwritten signatures and traditional seals for the purposes of authentication, data integrity, and non-repudiation within the electronic commerce environment. Various forms of Public Key Infrastructure (PKI) are employed to ensure the reliability of using digital signatures so as to ensure the integrity of the message. PKI does not, however, contribute in any way to the signatory’s ability to verify and approve the content of an electronic document prior to the affixation of his/her digital signature. Shortcomings of Digital Signature Scheme One of the primary problems with existing digital signatures is that a digital signature does not ’feel’ like, or resemble, a traditional seal or signature to the human observer; it does not have a recognisably individual or aesthetic quality. Historically, the authenticity of documents has always been verified by visual examination of the document. Often in legal proceedings, examination of both the affixed signature or seal as an integral part of the document will occur, as well as the detection of any possible modifications to the document. Yet, the current digital signature regime overlooks the importance of this sense of visualisation. Currently, digital signatures, such as the OpenPGP (Pretty Good Privacy) digital signature, are appended to an electronic document as a long, incomprehensible string of arbitrary characters. As shown in Figure 2, this offers no sense of identity or ownership by simple visual inspection. Figure 2. Example of a PGP signature To add to this confusion for the user, a digital signature will be different each time the user applies it. The usual digital signature is formed as an amalgam of the contents of the digital document and the user’s private key, meaning that a digital signature attached to an electronic document will vary with each document. This again represents a departure from the traditional use of the term ‘signature’. A digital signature application generates its output by firstly applying a hash algorithm over the contents of the digital document and then encrypting that hash output value using the user’s private cryptographic key of the normal dual-key pair provided by the Public Key cryptography systems. Therefore, digital signatures are not like traditional signatures which an individual can identify as being uniquely theirs, or as a recognisable identity attributable to an individual entity. New Visualised Digital Signature Scheme Liu et al. have developed the visualised digital signature scheme to enhance existing digital signature schemes through visualisation; namely, this scheme makes the intangible digital signature virtually tangible. Liu et al.’s work employs the visualised digital signature scheme with the aim of developing visualised signing and verification in electronic situations. The visualised digital signature scheme is sustained by the digital certificate containing both the certificate issuer’s and potential signer’s seal images. This thereby facilitates verification of a signer’s seal by reference to the appropriate certificate. The mechanism of ensuring the integrity and authenticity of seal images is to incorporate the signer’s seal image into an X.509 v3 certificate, as outlined in RFC 3280. Thus, visualised digital signature applications will be able to accept the visualised digital certificate for use. The data structure format of the visualised digital certificate is detailed in Liu. The visualised signing and verification processes are intended to simulate traditional signing techniques incorporating visualisation. When the signer is signing the document, the user interface of the electronic contracting application should allow the signer to insert the seal from the seal image file location into the document. After the seal image object is embedded in the document, the document is referred to as a ’visually sealed’ document. The sealed document is ready to be submitted to the digital signing process, to be transmitted with the signer’s digital certificate to the other party for verification. The visualised signature verification process is analogous to the traditional, sealed paper-based document with the seal certificate attached for verification. In history, documents have always required visual stimulus for verification, which highlights the need for visual stimulus evidence to rapidly facilitate verification. The user interface of the electronic contracting application should display the visually sealed document together with the associated digital certificate for human verification. The verifier immediately perceives the claimed signer’s seal on the document, particularly when the signer’s seal is recognisable to the verifier. This would be the case particularity where regular business transactions between parties occur. Significantly, having both the issuing CA’s and the signer’s seal images on the digital certificate instils confidence that the signer’s public key is attested to by the CA, as shown in Figure 3. This is unlike the current digital signature verification process which presents long, meaningless strings to the verifier. Figure 3. Example of a new digital certificate presentation Conclusions Seals have a long history accompanying the civilisation of mankind. In particular, certain business documents and government communities within seal-culture societies still require the imprints of the participating entities. Inevitably, the use of modern technologies will replace traditional seals and handwritten signatures. Many involved in implementing electronic government services and electronic commerce care little about the absence of imprints and/or signatures; however, there is concern that the population may experience difficulty in adapting to a new electronic commerce system where traditional practices have become obsolete. The purpose of the visualised digital signature scheme is to explore enhancements to existing digital signature schemes through the integration of culturally relevant features. This article highlights the experience of the use and development of Chinese seals, particularly in visualised seals used in a recognition process. Importantly, seals in their various forms have played a major role in information systems for thousands of years. In the advent of the electronic commerce, seal cultures still remain in the digital signing environment. References Housley, R., et al. RFC 3280 Internet X.509 Public Key Infrastructure: Certificate and Certificate Revocation List (CRL) Profile. The Internet Engineering Task Force, 2002. Liu, V., et al. “Visually Sealed and Digital Signed Documents.” 27th Australasian Computer Science Conference. Dunedin, NZ: Australian Computer Science Communications, 2004. Liu, V. “Visually Sealed and Digital Signed Electronic Documents: Building on Asian Tradition.” Dissertation. Queensland University of Technology, 2004. Wang, P.Y. The Art of Seal Carving. Taipei: Council for Cultural Planning and Development, Executive Yuan, 1991. Wong, Y.C., and H.W. Yau. The Art of Chinese Seals through the Ages. Hong Kong: The Zhejiang Provincial Museum and the Art Museum of the Chinese University Hong Kong, 2000. Citation reference for this article MLA Style Liu, Vicky. "Seal Culture Still Remains in Electronic Commerce." M/C Journal 8.2 (2005). echo date('d M. Y'); ?> <http://journal.media-culture.org.au/0506/03-liu.php>. APA Style Liu, V. (Jun. 2005) "Seal Culture Still Remains in Electronic Commerce," M/C Journal, 8(2). Retrieved echo date('d M. Y'); ?> from <http://journal.media-culture.org.au/0506/03-liu.php>.

There are many ways to construct, shape and frame a history of popular music. From a focus on performers to a stress on cities, from theories of modernity to reveling in ‘the post,’ innovative music has been matched by evocative writing about it. One arc of analysis in popular music studies focuses on the record label. Much has been written about Sun, Motown, Factory and Apple, but there are many labels that have not reached this level of notoriety and fame but offer much to our contemporary understanding of music, identity and capitalism. The aim of this article is to capture an underwritten history of 21st century music, capturing and tracking moments of collaboration, movement and contact. Through investigating a specific record label, we explore the interconnectiveness of electronica and city-based creative industries’ initiatives. While urban dance culture is still pathologised through drug scares and law and order concerns, clubbing studies and emerging theories of sonic media and auditory cultures offer a significant trigger and frame for this current research. The focus on Off World Sounds (OWS) traces a meta-independent label that summons, critiques, reinscribes and provokes the conventional narratives of capitalism in music. We show how OWS has remade and remixed the collaborations of punk to forge innovative ways of thinking about creativity, policy and popular culture. While commencing with a review of the origin, ideology and intent of OWS, the final part of the paper shows where the experiment went wrong and what can be learnt from this sonic label laboratory. Moving Off World Popular cultural studies evoke and explore discursive formations and texts that activate dissent, conflict and struggle. This strategy is particularly potent when exploring how immigration narratives fray the borders of the nation state. At its most direct, this analysis provides a case study to assess and answer some of Nabeel Zuberi’s questions about sonic topography that he raises in Sounds English. I’m concerned less with music as a reflection of national history and geography than how the practices of popular music culture themselves construct the spaces of the local, national, and transnational. How does the music imagine the past and place? How does it function as a memory-machine, a technology for the production of subjective and collective versions of location and identity? How do the techniques of sounds, images, and activities centered on popular music create landscapes with figures? (3) Dance music is mashed between creativity, consumerism and capitalism. Picking up on Zuberi’s challenge, the story of OWS is also a history of what happens to English migrants who travel to Australia, and how they negotiate the boundaries of the Australian nation. Immigration is important to any understanding of contemporary music. The two proprietors of OWS are Pete Carroll and, one of the two writers of this current article, Stephen Mallinder. Both English proprietors immigrated to Perth in Australia. They used their contacts to sign electronica performers from beyond this single city. They encouraged the tracks to move freely through lymphatic digital networks for remixing—‘lymphatic’ signalling a secondary pathway for commerce and creativity where new musical relationships were being formed outside the influence of major record companies. Performers signed to OWS form independent networks with other performers. This mobility of sound has operated in parallel with the immigration policies of the Howard government that have encouraged insularity and xenophobia. In other eras of racial inequality and discrimination, the independent record label has been not only an integral part of the music industry, but a springboard for political dissent. The histories of jazz and rhythm and blues capture a pivotal moment of independent entrepreneurialism that transformed new and strange sounds/noises into popular music. In monitoring and researching this complex process of musical movement and translation, the independent label has remained the home of the peripheral, the misunderstood, and the uncompromising. Soul music in the United States of America is an example of a sonic form that sustained independence while corporate labels made a profit. Labels like Atlantic Records became synonymous with the success of black vocal music in the 1960s and 1970s, while the smaller independent labels like Chess and Invicta constructed a brand identity. While the division between the majors and the independents increasingly dissolves, particularly at the level of distribution, the independent label remains significant as innovator and instigator. It retains its status and pedagogic function in teaching an audience about new sounds and developing aural literacies. OWS inked its well from an idealistic and collaborative period of label evolution. The punk aesthetic of the late 1970s not only triggered wide-ranging implications for youth culture, but also opened spaces for alternative record labels and label identity. Rough Trade was instrumental in imbuing a spirit of cooperation and a benign mode of competition. A shift in the distribution of records and associated merchandizing to strengthen product association—such as magazines, fanzines and T-Shirts—enabled Rough Trade to deal directly with pivotal stores and outlets and then later establish cartels with stores to provide market security and a workable infrastructure. Links were built with ancillary agents such as concert promoters, press, booking agents, record producers and sleeve designers, to create a national, then European and international, network to produce an (under the counter) culture. Such methods can also be traced in the history of Postcard Records from Edinburgh, Zoo Records from Liverpool, Warp in Sheffield, Pork Recordings in Hull, Hospital Records in London, and both Grand Central and Factory in Manchester. From the ashes of the post-1976 punk blitzkrieg, independent labels bloomed with varying impact, effect and success, but they held an economic and political agenda. The desire was to create a strong brand identity by forming a tight collaboration between artists and distributors. Perceptions of a label’s size and significance was enhanced and enlarged through this collaborative relationship. OWS acknowledged and rewrote this history of the independent label. There was a desire to fuse the branding of the label with the artists signed, released and distributed. No long term obligations on behalf of the artists were required. A 50/50 split after costs was shared. While such an ‘agreement’ appeared anachronistic, it was also a respectful nod to the initial label/artist split offered by Rough Trade. Collaboration with artists throughout the process offered clear statements of intent, with idealism undercut by pragmatism. From track selection, sleeve design, promotion strategy and interview schedule, the level of communication created a sense of joint ownership and dialogue between label and artist. This reinscription of independent record history is complex because OWS’ stable of performers and producers is an amalgamation of dub, trance, hip hop, soul and house genres. Much of trans-localism of OWS was encouraged by its base in Perth. Metaphorically ‘off world’, Perth is a pad for international music to land, be remixed, recut and re-released. Just as Wellington is the capital of Tolkien’s Middle Earth as well as New Zealand, Perth is a remix capital for Paris or New York-based performers. The brand name ‘Off World Sounds’ was designed to emphasise isolation: to capture the negativity of isolation but rewrite separation and distinctiveness with a positive inflection. The title was poached from Ridley Scott’s 1980s film Bladerunner, which was in turn based on Philip K. Dick’s story, “Do Androids Dream of Electric Sheep?” Affirming this isolation summoned an ironic commentary on Perth’s geographical location, while also mocking the 1980s discourses of modernity and the near future. The key was to align punk’s history of collaboration with this narrative of isolation and independence, to explore mobility, collaboration, and immigration. Spaces in the Music Discussions of place dictate a particular methodology to researching music. Dreams of escape and, concurrently, intense desires for home pepper the history of popular music. What makes OWS important to theories of musical collaboration is that not only was there a global spread of musicians, producers and designers, but they worked together in a series of strategic trans-localisms. There were precedents for disconnecting place and label, although not of the scale instigated by OWS. Fast Products, although based in Glasgow, signed The Human League from Sheffield and Gang of Four from Leeds. OWS was unique in signing artists disconnected on a global scale, with the goal of building collaborations in remixing and design. Gripper, from the north east of England, Little Egypt from New York, The Bone Idle from Vienna, Hull and Los Angeles, Looped for Pleasure from Sheffield, Barney Mullhouse from Australia and the United Kingdom, Ooblo from Manchester, Attache from Adelaide, Crackpot from Melbourne and DB Chills from Sydney are also joined by artists resident in Perth, such as Soundlab, the Ku-Ling Bros and Blue Jay. Compact Disc mastering is completed in Sydney, London, and Perth. The artwork for vinyl and CD sleeves, alongside flyers, press advertising and posters, is derived from Manchester, England. These movements in the music flattened geographical hierarchies, where European and American tracks were implicitly valued over Australian-derived material. Through pop music history, the primary music markets of the United Kingdom and United States made success for Australian artists difficult. Off World emphasised that the product was not licensed. It was previously unreleased material specifically recorded for the label and an exclusive Australian first territory release. Importantly, this licensing agreement also broadened definitions and interpretations of ‘Australian music’. Such a critique and initiative was important. For example, Paul Bodlovich, Director of the West Australian Music Industry (WAM), believed he was extending the brief of his organisation during his tenure. Once more though, rock was the framework, structure and genre of interest. Explaining the difference from his predecessor, he stated that: [James Nagy] very much saw the music industry as being only bands who were playing all original music—to him they were the only people who actually constituted the music industry. I have a much broader view on that, that all those other people who are around the band—the manager, the promoters, the labels, the audio guys, the whole shebang—that they are part of the music industry too. (33) Much was absent from his ‘whole shebang,’ including the fans who actually buy the music and attend the pubs and clubs. A diversity of genres was also not acknowledged. If hip hop, and urban music generally, is added to his list of new interests, then clubs, graf galleries, dance instructors and fashion and jewelry designers could extend the network of musical collaborations. A parody of corporate culture and a pastiche of the post-punk aesthetic, OWS networked and franchised itself into existence. It was a cottage industry superimposed onto a corporate infrastructure. Attempting to make inroads into an insular Perth arts community and build creative industries’ networks without state government policy support, Off World offered an optimistic perspective on the city’s status and value in a national and global electronic market. Yet in commercial terms, OWS failed. What OWS captures through its failures conveys more about music policy in Australia than any success. The label has been able to catalogue the lack of changes to Perth’s music policy. The proprietors, performers and designers were not approached in 2002 by the Western Australian Contemporary Music Taskforce to offer comment. Yet Matthew Benson and Poppy Wise, researchers for that report, stated that “the solution lies in the industry becoming more outwardly focused, and to do this, it must seek the input of successful professionals who have proven track records in the marketing of music nationally and globally” (9). The resultant document argued that the industry needed to the look to Sydney and Melbourne for knowledge of “international” markets. Yet Paul Bodlovich, the Director of WAM, singled out the insularity of ‘England,’ not Britain, and ‘America’ in comparison to the ‘outward’ Perth music industry: To us, they’re all centre of the universe, but they don’t look past their walls, they don’t have a clue what goes in other parts of the world … All they see say in England is English TV, or in America it’s American TV. Whereas we sit in a very isolated part of the world and we absorb culture from everywhere because we think we have to just to be on an equal arc with everyone else. We think we have to absorb stuff from other cultures because unless we do then we really are isolated … It’s a similar belief to the ongoing issue of women in the workplace, where there’s a belief that to be seen on equal footing you have to be better. (33) This knight’s move affiliation of Perth’s musicians with women in the workplace is bizarre and inappropriate. This unfortunate connection is made worse when recognizing that Perth’s music institutions and organisations, such as WAM, are dominated by white, Australian-born men. To promote the outwardness of Perth culture while not mentioning the role and function of immigration is not addressing how mobility, creativity and commerce is activated. To unify ‘England’ and ‘America,’ without recognizing the crucial differences between Manchester and Bristol, New York and New Orleans, is conservative, arrogant, and wrong. National models of music, administered by Australian-born white men and funded through grants-oriented peer review models rather than creative industries’ infrastructural initiatives, still punctuate Western Australian music. Off World Sounds has been caught in non-collaborative, nationalist models for organising culture and economics. It is always easy to affirm the specialness and difference of a city’s sound or music. While affirming the nation and rock, outsiders appear threatening to the social order. When pondering cities and electronica, collaboration, movement and meaning dance through the margins. References Benson, Matthew, and Poppy Wise. A Study into the Current State of the Western Australian Contemporary Music Industry and Its Potential for Economic Growth. Department of Culture and the Arts, Government of Western Australia, December 2002. Bodlovich, Paul. “Director’s Report.” X-Press 940 (17 Feb. 2005): 33. Zuberi, Nabeel. Sounds English: Transnational Popular Music. Urbana: U of Illinois P, 2001. Citation reference for this article MLA Style Brabazon, Tara, and Stephen Mallinder. "Off World Sounds: Building a Collaborative Soundscape." M/C Journal 9.2 (2006). echo date('d M. Y'); ?> <http://journal.media-culture.org.au/0605/13-brabazonmallinder.php>. APA Style Brabazon, T., and S. Mallinder. (May 2006) "Off World Sounds: Building a Collaborative Soundscape," M/C Journal, 9(2). Retrieved echo date('d M. Y'); ?> from <http://journal.media-culture.org.au/0605/13-brabazonmallinder.php>.

Abstract Background Stroke is one of the most devastating complications of atrial fibrillation (AF) and is associated with poor patient outcomes. Recent registry data has demonstrated improved use of stroke prevention therapy with the advent of direct-acting oral anticoagulants, but little data exists in the Australian health care setting. Purpose To examine the use of oral anticoagulant therapy in a cohort of individuals presenting to the emergency department (ED) due to AF. Methods A total of 437 consecutive individuals who presented to the ED with a primary diagnosis of AF to three tertiary hospitals in our city in South Australia between March 2013 and March 2014 were included. Data were collected retrospectively from electronic medical record review. CHA2DS2-VASc and HAS-BLED scores were calculated and any documented contraindications to the use of oral anticoagulation (OAC) taken in to consideration. Results Mean age was 69±15 years and 49.9% were male. A total of 244 (55.8%) individuals had a prior diagnosis of AF at index presentation. 179 (73.4%) of these individuals recorded a CHA2DS2-VASc score of ≥2. A total of 124 of these individuals were appropriately anticoagulated (69.3%) whilst 37 individuals were not treated with OAC and did not have a documented contraindication (20.7%). Anticoagulation status was unknown in 18 individuals due to a lack of documentation (10.0%). A CHA2DS2-VASc score of 0 was recorded in 25 individuals with a prior diagnosis of AF at index presentation with 3 individuals (12%) inappropriately overtreated with OAC. The remaining 193 individuals (44.2%) presented with a first episode of AF. In 129 (66.8%) of these individuals a CHA2DS2-VASc score of ≥2 was recorded and only 10 individuals had a documented contraindication to the use of OAC. In 119 (61.7%) individuals there were no documented contraindications to the use of OAC. In 74 (62.2%) of these presentations OAC was not commenced, whilst in 45 (37.8%) individuals OAC was prescribed. Conclusions Significant opportunity exists to improve the use of stroke prevention therapy in AF. Despite repeated opportunities to commence this therapy within the hospital setting, it remains frequently underutilised in individuals at high risk of stroke. Funding Acknowledgement Type of funding source: None

Objective: Clozapine is the most effective antipsychotic available for treatment-resistant schizophrenia. Unfortunately, it is often underutilised or administered late in the treatment course, if at all. This issue is further augmented in rural and remote regions where access to treatment is sparse. This study is the first of its kind to investigate the use of clozapine in a remote and regional area of Australia with a high proportion of Aboriginal and/or Torres Strait Islander individuals. Methods: This study includes all individuals who were commenced on clozapine between June 2013 and June 2018. Relevant clinical information was sourced from electronic medical records and descriptive statistical analysis performed. Results: A total of 3850 patients with psychotic disorders were reviewed over 5 years, of whom 63 were commenced on clozapine. The majority were male ( n = 50, 79.4%) with a mean age of 33.9 years (standard deviation 11.0). A total of 34.9% ( n = 22) identified as Aboriginal and/or Torres Strait Islander. The mean length of time between diagnosis and commencement of clozapine was 7.2 years (standard deviation ±4.6 years), while the mean number of antipsychotic medications tried prior to clozapine was 4.2 (standard deviation ±1.6 antipsychotics). Clozapine was discontinued in 57.1% of the individuals in this study (41% within the first 12 months). The most common cause for cessation was poor compliance ( n = 19, 30.2%). Conclusion: While clozapine remains the most effective antipsychotic treatment, it is often commenced late in the treatment or ceased prematurely. Further work is required, particularly in remote and regional populations, to ensure treatment adherence for optimal patient outcomes.

The alumni tracer study investigated the profile, current employment conditions, and place of work of USPian alumni in 20 higher education programs including only those who major in English, Political Science, Psychology, Music, Social Work, Elementary Education, Secondary Education, Pharmacy, Commerce, Accountancy, Civil Engineering, Mechanical Engineering, Electronics & Communications Engineering, Geodetic Engineering, Electrical Engineering, Architecture, Computer Science, Information Technology, Nursing, and Law from Classes 2001 to 2010. The descriptive research design is utilized in tracing 2668 USPian alumni with a success rate of 12.7% or 340 actual alumni response. Based on the general findings of the study, the majority of the USPian alumni are working in line with the degree they earned at the University and were mostly Philippine-based. The minority are spread out to 15 foreign countries: Australia, Bahrain, Canada, Japan, Jeddah, KSA, Netherlands, New Zealand, Norway, Oman, Qatar, Singapore, UAE, UK, and the USA. Recommendations to improve alumni profiling, eliminate current conditions of unemployment, embark on industry-perspective alumni research and other topics for future researches are recommended.

At one point in Victor Hugo’s novel, The Hunchback of Notre Dame, the archdeacon, Claude Frollo, looked up from a book on his table to the edifice of the gothic cathedral, visible from his canon’s cell in the cloister of Notre Dame: “Alas!” he said, “this will kill that” (146). Frollo’s lament, that the book would destroy the edifice, captures the medieval cleric’s anxiety about the way in which Gutenberg’s print technology would become the new universal means for recording and communicating humanity’s ideas and artistic expression, replacing the grand monuments of architecture, human engineering, and craftsmanship. For Hugo, architecture was “the great handwriting of humankind” (149). The cathedral as the material outcome of human technology was being replaced by the first great machine—the printing press. At this point in the third millennium, some people undoubtedly have similar anxieties to Frollo: is it now the book’s turn to be destroyed by yet another great machine? The inclusion of “post print” in our title is not intended to sound the death knell of the book. Rather, we contend that despite the enduring value of print, digital publishing is “present and active” and is changing the way in which research, particularly in the humanities, is being undertaken. Our approach has three related parts. First, we consider how digital technologies are changing the way in which content is constructed, customised, modified, disseminated, and accessed within a global, distributed network. This section argues that the transition from print to electronic or digital publishing means both losses and gains, particularly with respect to shifts in our approaches to textuality, information, and innovative publishing. Second, we discuss the Children’s Literature Digital Resources (CLDR) project, with which we are involved. This case study of a digitising initiative opens out the transformative possibilities and challenges of digital publishing and e-scholarship for research communities. Third, we reflect on technology’s capacity to bring about major changes in the light of the theoretical and practical issues that have arisen from our discussion. I. Digitising in a “post-print age” We are living in an era that is commonly referred to as “the late age of print” (see Kho) or the “post-print age” (see Gunkel). According to Aarseth, we have reached a point whereby nearly all of our public and personal media have become more or less digital (37). As Kho notes, web newspapers are not only becoming increasingly more popular, but they are also making rather than losing money, and paper-based newspapers are finding it difficult to recruit new readers from the younger generations (37). Not only can such online-only publications update format, content, and structure more economically than print-based publications, but their wide distribution network, speed, and flexibility attract advertising revenue. Hype and hyperbole aside, publishers are not so much discarding their legacy of print, but recognising the folly of not embracing innovative technologies that can add value by presenting information in ways that satisfy users’ needs for content to-go or for edutainment. As Kho notes: “no longer able to satisfy customer demand by producing print-only products, or even by enabling online access to semi-static content, established publishers are embracing new models for publishing, web-style” (42). Advocates of online publishing contend that the major benefits of online publishing over print technology are that it is faster, more economical, and more interactive. However, as Hovav and Gray caution, “e-publishing also involves risks, hidden costs, and trade-offs” (79). The specific focus for these authors is e-journal publishing and they contend that while cost reduction is in editing, production and distribution, if the journal is not open access, then costs relating to storage and bandwith will be transferred to the user. If we put economics aside for the moment, the transition from print to electronic text (e-text), especially with electronic literary works, brings additional considerations, particularly in their ability to make available different reading strategies to print, such as “animation, rollovers, screen design, navigation strategies, and so on” (Hayles 38). Transition from print to e-text In his book, Writing Space, David Bolter follows Victor Hugo’s lead, but does not ask if print technology will be destroyed. Rather, he argues that “the idea and ideal of the book will change: print will no longer define the organization and presentation of knowledge, as it has for the past five centuries” (2). As Hayles noted above, one significant indicator of this change, which is a consequence of the shift from analogue to digital, is the addition of graphical, audio, visual, sonic, and kinetic elements to the written word. A significant consequence of this transition is the reinvention of the book in a networked environment. Unlike the printed book, the networked book is not bound by space and time. Rather, it is an evolving entity within an ecology of readers, authors, and texts. The Web 2.0 platform has enabled more experimentation with blending of digital technology and traditional writing, particularly in the use of blogs, which have spawned blogwriting and the wikinovel. Siva Vaidhyanathan’s The Googlization of Everything: How One Company is Disrupting Culture, Commerce and Community … and Why We Should Worry is a wikinovel or blog book that was produced over a series of weeks with contributions from other bloggers (see: http://www.sivacracy.net/). Penguin Books, in collaboration with a media company, “Six Stories to Start,” have developed six stories—“We Tell Stories,” which involve different forms of interactivity from users through blog entries, Twitter text messages, an interactive google map, and other features. For example, the story titled “Fairy Tales” allows users to customise the story using their own choice of names for characters and descriptions of character traits. Each story is loosely based on a classic story and links take users to synopses of these original stories and their authors and to online purchase of the texts through the Penguin Books sales website. These examples of digital stories are a small part of the digital environment, which exploits computer and online technologies’ capacity to be interactive and immersive. As Janet Murray notes, the interactive qualities of digital environments are characterised by their procedural and participatory abilities, while their immersive qualities are characterised by their spatial and encyclopedic dimensions (71–89). These immersive and interactive qualities highlight different ways of reading texts, which entail different embodied and cognitive functions from those that reading print texts requires. As Hayles argues: the advent of electronic textuality presents us with an unparalleled opportunity to reformulate fundamental ideas about texts and, in the process, to see print as well as electronic texts with fresh eyes (89–90). The transition to e-text also highlights how digitality is changing all aspects of everyday life both inside and outside the academy. Online teaching and e-research Another aspect of the commercial arm of publishing that is impacting on academe and other organisations is the digitising and indexing of print content for niche distribution. Kho offers the example of the Mark Logic Corporation, which uses its XML content platform to repurpose content, create new content, and distribute this content through multiple portals. As the promotional website video for Mark Logic explains, academics can use this service to customise their own textbooks for students by including only articles and book chapters that are relevant to their subject. These are then organised, bound, and distributed by Mark Logic for sale to students at a cost that is generally cheaper than most textbooks. A further example of how print and digital materials can form an integrated, customised source for teachers and students is eFictions (Trimmer, Jennings, & Patterson). eFictions was one of the first print and online short story anthologies that teachers of literature could customise to their own needs. Produced as both a print text collection and a website, eFictions offers popular short stories in English by well-known traditional and contemporary writers from the US, Australia, New Zealand, UK, and Europe, with summaries, notes on literary features, author biographies, and, in one instance, a YouTube movie of the story. In using the eFictions website, teachers can build a customised anthology of traditional and innovative stories to suit their teaching preferences. These examples provide useful indicators of how content is constructed, customised, modified, disseminated, and accessed within a distributed network. However, the question remains as to how to measure their impact and outcomes within teaching and learning communities. As Harley suggests in her study on the use and users of digital resources in the humanities and social sciences, several factors warrant attention, such as personal teaching style, philosophy, and specific disciplinary requirements. However, in terms of understanding the benefits of digital resources for teaching and learning, Harley notes that few providers in her sample had developed any plans to evaluate use and users in a systematic way. In addition to the problems raised in Harley’s study, another relates to how researchers can be supported to take full advantage of digital technologies for e-research. The transformation brought about by information and communication technologies extends and broadens the impact of research, by making its outputs more discoverable and usable by other researchers, and its benefits more available to industry, governments, and the wider community. Traditional repositories of knowledge and information, such as libraries, are juggling the space demands of books and computer hardware alongside increasing reader demand for anywhere, anytime, anyplace access to information. Researchers’ expectations about online access to journals, eprints, bibliographic data, and the views of others through wikis, blogs, and associated social and information networking sites such as YouTube compete with the traditional expectations of the institutions that fund libraries for paper-based archives and book repositories. While university libraries are finding it increasingly difficult to purchase all hardcover books relevant to numerous and varied disciplines, a significant proportion of their budgets goes towards digital repositories (e.g., STORS), indexes, and other resources, such as full-text electronic specialised and multidisciplinary journal databases (e.g., Project Muse and Proquest); electronic serials; e-books; and specialised information sources through fast (online) document delivery services. An area that is becoming increasingly significant for those working in the humanities is the digitising of historical and cultural texts. II. Bringing back the dead: The CLDR project The CLDR project is led by researchers and librarians at the Queensland University of Technology, in collaboration with Deakin University, University of Sydney, and members of the AustLit team at The University of Queensland. The CLDR project is a “Research Community” of the electronic bibliographic database AustLit: The Australian Literature Resource, which is working towards the goal of providing a complete bibliographic record of the nation’s literature. AustLit offers users with a single entry point to enhanced scholarly resources on Australian writers, their works, and other aspects of Australian literary culture and activities. AustLit and its Research Communities are supported by grants from the Australian Research Council and financial and in-kind contributions from a consortium of Australian universities, and by other external funding sources such as the National Collaborative Research Infrastructure Strategy. Like other more extensive digitisation projects, such as Project Gutenberg and the Rosetta Project, the CLDR project aims to provide a centralised access point for digital surrogates of early published works of Australian children’s literature, with access pathways to existing resources. The first stage of the CLDR project is to provide access to digitised, full-text, out-of-copyright Australian children’s literature from European settlement to 1945, with selected digitised critical works relevant to the field. Texts comprise a range of genres, including poetry, drama, and narrative for young readers and picture books, songs, and rhymes for infants. Currently, a selection of 75 e-texts and digital scans of original texts from Project Gutenberg and Internet Archive have been linked to the Children’s Literature Research Community. By the end of 2009, the CLDR will have digitised approximately 1000 literary texts and a significant number of critical works. Stage II and subsequent development will involve digitisation of selected texts from 1945 onwards. A precursor to the CLDR project has been undertaken by Deakin University in collaboration with the State Library of Victoria, whereby a digital bibliographic index comprising Victorian School Readers has been completed with plans for full-text digital surrogates of a selection of these texts. These texts provide valuable insights into citizenship, identity, and values formation from the 1930s onwards. At the time of writing, the CLDR is at an early stage of development. An extensive survey of out-of-copyright texts has been completed and the digitisation of these resources is about to commence. The project plans to make rich content searchable, allowing scholars from children’s literature studies and education to benefit from the many advantages of online scholarship. What digital publishing and associated digital archives, electronic texts, hypermedia, and so forth foreground is the fact that writers, readers, publishers, programmers, designers, critics, booksellers, teachers, and copyright laws operate within a context that is highly mediated by technology. In his article on large-scale digitisation projects carried out by Cornell and University of Michigan with the Making of America collection of 19th-century American serials and monographs, Hirtle notes that when special collections’ materials are available via the Web, with appropriate metadata and software, then they can “increase use of the material, contribute to new forms of research, and attract new users to the material” (44). Furthermore, Hirtle contends that despite the poor ergonomics associated with most electronic displays and e-book readers, “people will, when given the opportunity, consult an electronic text over the print original” (46). If this preference is universally accurate, especially for researchers and students, then it follows that not only will the preference for electronic surrogates of original material increase, but preference for other kinds of electronic texts will also increase. It is with this preference for electronic resources in mind that we approached the field of children’s literature in Australia and asked questions about how future generations of researchers would prefer to work. If electronic texts become the reference of choice for primary as well as secondary sources, then it seems sensible to assume that researchers would prefer to sit at the end of the keyboard than to travel considerable distances at considerable cost to access paper-based print texts in distant libraries and archives. We considered the best means for providing access to digitised primary and secondary, full text material, and digital pathways to existing online resources, particularly an extensive indexing and bibliographic database. Prior to the commencement of the CLDR project, AustLit had already indexed an extensive number of children’s literature. Challenges and dilemmas The CLDR project, even in its early stages of development, has encountered a number of challenges and dilemmas that centre on access, copyright, economic capital, and practical aspects of digitisation, and sustainability. These issues have relevance for digital publishing and e-research. A decision is yet to be made as to whether the digital texts in CLDR will be available on open or closed/tolled access. The preference is for open access. As Hayles argues, copyright is more than a legal basis for intellectual property, as it also entails ideas about authorship, creativity, and the work as an “immaterial mental construct” that goes “beyond the paper, binding, or ink” (144). Seeking copyright permission is therefore only part of the issue. Determining how the item will be accessed is a further matter, particularly as future technologies may impact upon how a digital item is used. In the case of e-journals, the issue of copyright payment structures are evolving towards a collective licensing system, pay-per-view, and other combinations of print and electronic subscription (see Hovav and Gray). For research purposes, digitisation of items for CLDR is not simply a scan and deliver process. Rather it is one that needs to ensure that the best quality is provided and that the item is both accessible and usable by researchers, and sustainable for future researchers. Sustainability is an important consideration and provides a challenge for institutions that host projects such as CLDR. Therefore, items need to be scanned to a high quality and this requires an expensive scanner and personnel costs. Files need to be in a variety of formats for preservation purposes and so that they may be manipulated to be useable in different technologies (for example, Archival Tiff, Tiff, Jpeg, PDF, HTML). Hovav and Gray warn that when technology becomes obsolete, then content becomes unreadable unless backward integration is maintained. The CLDR items will be annotatable given AustLit’s NeAt funded project: Aus-e-Lit. The Aus-e-Lit project will extend and enhance the existing AustLit web portal with data integration and search services, empirical reporting services, collaborative annotation services, and compound object authoring, editing, and publishing services. For users to be able to get the most out of a digital item, it needs to be searchable, either through double keying or OCR (optimal character recognition). The value of CLDR’s contribution The value of the CLDR project lies in its goal to provide a comprehensive, searchable body of texts (fictional and critical) to researchers across the humanities and social sciences. Other projects seem to be intent on putting up as many items as possible to be considered as a first resort for online texts. CLDR is more specific and is not interested in simply generating a presence on the Web. Rather, it is research driven both in its design and implementation, and in its focussed outcomes of assisting academics and students primarily in their e-research endeavours. To this end, we have concentrated on the following: an extensive survey of appropriate texts; best models for file location, distribution, and use; and high standards of digitising protocols. These issues that relate to data storage, digitisation, collections, management, and end-users of data are aligned with the “Development of an Australian Research Data Strategy” outlined in An Australian e-Research Strategy and Implementation Framework (2006). CLDR is not designed to simply replicate resources, as it has a distinct focus, audience, and research potential. In addition, it looks at resources that may be forgotten or are no longer available in reproduction by current publishing companies. Thus, the aim of CLDR is to preserve both the time and a period of Australian history and literary culture. It will also provide users with an accessible repository of rare and early texts written for children. III. Future directions It is now commonplace to recognize that the Web’s role as information provider has changed over the past decade. New forms of “collective intelligence” or “distributed cognition” (Oblinger and Lombardi) are emerging within and outside formal research communities. Technology’s capacity to initiate major cultural, social, educational, economic, political and commercial shifts has conditioned us to expect the “next big thing.” We have learnt to adapt swiftly to the many challenges that online technologies have presented, and we have reaped the benefits. As the examples in this discussion have highlighted, the changes in online publishing and digitisation have provided many material, network, pedagogical, and research possibilities: we teach online units providing students with access to e-journals, e-books, and customized archives of digitised materials; we communicate via various online technologies; we attend virtual conferences; and we participate in e-research through a global, digital network. In other words, technology is deeply engrained in our everyday lives. In returning to Frollo’s concern that the book would destroy architecture, Umberto Eco offers a placatory note: “in the history of culture it has never happened that something has simply killed something else. Something has profoundly changed something else” (n. pag.). Eco’s point has relevance to our discussion of digital publishing. The transition from print to digital necessitates a profound change that impacts on the ways we read, write, and research. As we have illustrated with our case study of the CLDR project, the move to creating digitised texts of print literature needs to be considered within a dynamic network of multiple causalities, emergent technological processes, and complex negotiations through which digital texts are created, stored, disseminated, and used. Technological changes in just the past five years have, in many ways, created an expectation in the minds of people that the future is no longer some distant time from the present. Rather, as our title suggests, the future is both present and active. References Aarseth, Espen. “How we became Postdigital: From Cyberstudies to Game Studies.” Critical Cyber-culture Studies. Ed. David Silver and Adrienne Massanari. New York: New York UP, 2006. 37–46. An Australian e-Research Strategy and Implementation Framework: Final Report of the e-Research Coordinating Committee. Commonwealth of Australia, 2006. Bolter, Jay David. Writing Space: The Computer, Hypertext, and the History of Writing. Hillsdale, NJ: Erlbaum, 1991. Eco, Umberto. “The Future of the Book.” 1994. 3 June 2008 ‹http://www.themodernword.com/eco/eco_future_of_book.html>. Gunkel, David. J. “What's the Matter with Books?” Configurations 11.3 (2003): 277–303. Harley, Diane. “Use and Users of Digital Resources: A Focus on Undergraduate Education in the Humanities and Social Sciences.” Research and Occasional Papers Series. Berkeley: University of California. Centre for Studies in Higher Education. 12 June 2008 ‹http://www.themodernword.com/eco/eco_future_of_book.html>. Hayles, N. Katherine. My Mother was a Computer: Digital Subjects and Literary Texts. Chicago: U of Chicago P, 2005. Hirtle, Peter B. “The Impact of Digitization on Special Collections in Libraries.” Libraries & Culture 37.1 (2002): 42–52. Hovav, Anat and Paul Gray. “Managing Academic E-journals.” Communications of the ACM 47.4 (2004): 79–82. Hugo, Victor. The Hunchback of Notre Dame (Notre-Dame de Paris). Ware, Hertfordshire: Wordsworth editions, 1993. Kho, Nancy D. “The Medium Gets the Message: Post-Print Publishing Models.” EContent 30.6 (2007): 42–48. Oblinger, Diana and Marilyn Lombardi. “Common Knowledge: Openness in Higher Education.” Opening up Education: The Collective Advancement of Education Through Open Technology, Open Content and Open Knowledge. Ed. Toru Liyoshi and M. S. Vijay Kumar. Cambridge, MA: MIT Press, 2007. 389–400. Murray, Janet H. Hamlet on the Holodeck: The Future of Narrative in Cyberspace. Cambridge, MA: MIT Press, 2001. Trimmer, Joseph F., Wade Jennings, and Annette Patterson. eFictions. New York: Harcourt, 2001.

Abstract Background The global deficit of nurses demands urgent attention in the recruitment and education of this future workforce. Graduate entry nursing (GEN) programmes are one option for people with undergraduate degrees who are seeking nursing education. Determining the key motivations for enrolling in these programmes will support the development of new initiatives in the education sector to both recruit and retain this future workforce and inform future primary research. This scoping review aims to comprehensively describe what motivates graduates to enrol in GEN programmes. Methods Peer reviewed studies of quantitative, qualitative and mixed-method research investigating motivations to commence a graduate entry nursing programme were included, following a pre-determined protocol. Electronic databases searched included Cumulative Index to Nursing and Allied Health Literature (CINAHL), Emcare, ERIC, Medline and Scopus. Screening, data extraction and analysis was initially in duplicate and independent, then consensus reached. Qualitative and quantitative data was analysed and reported separately then combined thematically as a narrative synthesis in a convergent segregated approach. Reporting followed preferred reporting guidelines for scoping reviews. Results Of the 491 studies retrieved in July 2020, across the five databases and reference list search, six met the inclusion criteria. Four were qualitative studies, one mixed-methods, and one quantitative, respectively from Australia, USA, and New Zealand. Four themes of motivation were identified: 1) finding meaning and purpose through altruism and caring; 2) seeking a satisfying career, 3) looking for a change in direction and, 4) reduced financial burden due to course length and provision of scholarships. Conclusions There is a paucity of studies specifically seeking to investigate student motivations for enrolling in a GEN programme and only limited studies giving insights into motivators for enrolling in a GEN programme, therefore this scoping review contributes new understandings on the reason’s students choose GEN programmes. These are both altruistic and practical and include personal desires to help others, the need to pursue a satisfying and meaningful career and the shorter period out of the workforce offered by an accelerated programme of study.