Journal articles: 'Mental Victoria Case studies'

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King, Robert. "Caseload Management, Work-Related Stress and Case Manager Self-Efficacy Among Victorian Mental Health Case Managers." Australian & New Zealand Journal of Psychiatry 43, no. 5 (January 1, 2009): 453–59. http://dx.doi.org/10.1080/00048670902817661.

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Objective: In Australia and comparable countries, case management has become the dominant process by which public mental health services provide outpatient clinical services to people with severe mental illness. There is recognition that caseload size impacts on service provision and that management of caseloads is an important dimension of overall service management. There has been little empirical investigation, however, of caseload and its management. The present study was undertaken in the context of an industrial agreement in Victoria, Australia that required services to introduce standardized approaches to caseload management. The aims of the present study were therefore to (i) investigate caseload size and approaches to caseload management in Victoria's mental health services; and (ii) determine whether caseload size and/or approach to caseload management is associated with work-related stress or case manager self-efficacy among community mental health professionals employed in Victoria's mental health services. Method: A total of 188 case managers responded to an online cross-sectional survey with both purpose-developed items investigating methods of case allocation and caseload monitoring, and standard measures of work-related stress and case manager personal efficacy. Results: The mean caseload size was 20 per full-time case manager. Both work-related stress scores and case manager personal efficacy scores were broadly comparable with those reported in previous studies. Higher caseloads were associated with higher levels of work-related stress and lower levels of case manager personal efficacy. Active monitoring of caseload was associated with lower scores for work-related stress and higher scores for case manager personal efficacy, regardless of size of caseload. Although caseloads were most frequently monitored by the case manager, there was evidence that monitoring by a supervisor was more beneficial than self-monitoring. Conclusion: Routine monitoring of caseload, especially by a workplace supervisor, may be effective in reducing work-related stress and enhancing case manager personal efficacy.

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Ramchandani, Dilip. "Pathological grief: Two victorian case studies." Psychiatric Quarterly 67, no. 1 (March 1996): 75–84. http://dx.doi.org/10.1007/bf02244277.

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Meadows, Graham, Philip Burgess, and Irene Bobevski. "Distributing Mental Health Care Resources: Strategic Implications from The National Survey of Mental Health and Wellbeing." Australian & New Zealand Journal of Psychiatry 36, no. 2 (April 2002): 217–23. http://dx.doi.org/10.1046/j.1440-1614.2002.01011.x.

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Objective: This paper considers mental health services resource distribution under the Australian second national mental health plan, with its direction to mental health services to be more inclusive of people with higher prevalence psychiatric disorders. We consider inequalities in mental health in Australia, and describe the performance of the composite census variable employed in the Victorian mental health funding distribution formula, the index of relative socioeconomic disadvantage (IRSED), in predicting disorder rates and perceived needs for care. Method: We review data sets generated through the National Survey of Mental Health and Wellbeing (NSMHWB) for their utility in development of resource distribution formulae. We present analyses from the 10 641 cases examined in the household survey to explore the role of the IRSED in predicting prevalence rates of anxiety, affective, substance misuse and other disorders, as well as perceived need for care. Results: Recent epidemiological studies provide some additional sources of data to guide resource distribution, although the available data sets are found not to be optimized for examination of this issue. Greater levels of socioeconomic disadvantage of areas are associated with increased rates of morbidity in metropolitan areas, with different patterns for different disorder groups. The influence of the IRSED is more complex outside the major cities. Conclusions: The descriptive epidemiological data now available, despite significant investment, are relatively crude instruments for this current purpose. The findings support the case for using the IRSED as a proxy indicator for morbidity for the high prevalence disorders, but only within metropolitan areas. This examination confirms the existence of significant inequalities in mental health between Australian urban areas with different socioeconomic characteristics.

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Ford, Natalie Mera. "Spectral Sterility in Bucknill and Tuke’s A Manual of Psychological Medicine and Bulwer Lytton’s A Strange Story." Humanities 8, no. 1 (March 23, 2019): 59. http://dx.doi.org/10.3390/h8010059.

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This essay identifies and examines a narrative structure—here called the sterility plot—that is shown to recur in British mid-19th century psychiatric texts and imaginative literature engaging mental science. Treating physicians Bucknill and Tuke’s A Manual of Psychological Medicine and novelist Bulwer Lytton’s A Strange Story as influential case studies, it explores in particular the Gothic-styled spectralisation used by both Victorian medical and literary authors to characterize females whose mental disorders are depicted as bound with a short- or long-term inability to reproduce. The narratives thereby gender, pathologize, and suspensefully dramatize the plot trajectory of mentally ill patients’ clinical and fictional case histories, which, taken together, is argued to reveal mid-century medico-cultural anxieties about the health of Britain’s imperial future being threatened by potentially sterile Englishwomen.

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Hampton, Mark. "Journalists and the ‘Professional Ideal’ in Britain: the Institute of Journalists, 1884–1907*." Historical Research 72, no. 178 (June 1, 1999): 183–201. http://dx.doi.org/10.1111/1468-2281.00080.

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Abstract This article examines the early history of the Institute of Journalists as a case study of occupational development in late Victorian and Edwardian Britain. It argues that disagreements over the putative meaning of ‘professional’ led to widespread belief that journalists’ interests were best served by organizing as a trade union rather than as a ‘professional organization’. Drawing on trade periodicals, memoirs and journalism handbooks, this article illustrates the complexities of the ‘professional ideal’ and underscores the ambiguous position of the ‘mental labourer’ in British society.

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Taylor, Steven J. "Children, poverty and mental health in rural and urban England (1850–1907)." Rural History 31, no. 2 (October 2020): 151–64. http://dx.doi.org/10.1017/s0956793319000372.

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Abstract Over the course of the nineteenth century children increasingly became social, economic and scientific concerns. Their physical and mental well-being was deemed intrinsic to the future development of Britain and its Empire, and thus maintaining healthy youngsters was, by the turn of the twentieth century, considered a national priority. This article explores the interconnectivity between poverty and the child residents of pauper lunatic asylums in England. It draws on a corpus of extant patient case files from four pauper lunatic asylums between 1851 and 1907 and engages with detailed information about the children and their mental conditions. Additionally, there will be a focus on understanding family backgrounds, parental occupations, the correlation between diagnoses and class, and methods of ‘treatment’ designed to equip children for independent working lifestyles. The overarching objective is to consider the socio-economic ramifications of child mental illness for parents and families and better understand how Victorian institutions accommodated this specific class of patient.

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Gilchrist, Gail, Sandra Davidson, Aves Middleton, Helen Herrman, Kelsey Hegarty, and Jane Gunn. "Factors associated with smoking and smoking cessation among primary care patients with depression: a naturalistic cohort study." Advances in Dual Diagnosis 8, no. 1 (February 16, 2015): 18–28. http://dx.doi.org/10.1108/add-10-2014-0036.

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Purpose – People with a history of depression are more likely to smoke and less likely to achieve abstinence from smoking long term. The purpose of this paper is to understand the factors associated with smoking and smoking cessation among patients with depression. Design/methodology/approach – This paper reports on smoking prevalence and cessation in a cohort of 789 primary care attendees with depressive symptoms (Centre for Epidemiologic Studies Depression Scale score of=16) recruited from 30 randomly selected Primary Care Practices in Victoria, Australia in 2005. Findings – At baseline, 32 per cent of participants smoked. Smokers were more likely to be male, unmarried, receive government benefits, have difficulty managing on available income, have emphysema, a chronic illness, poor self-rated health, to have more severe depressive and anxiety symptoms, to be taking anti-depressants, to be hazardous drinkers, to report suicidal ideation and to have experienced childhood physical or sexual abuse. At 12 months, 20 participants reported quitting. Females and people with good or better self-rated health were significantly more likely to have quit, while people with a chronic illness or suicidal ideation were less likely to quit. Smoking cessation was not associated with increases in depression or anxiety symptoms. Only six participants remained quit over four years. Practical implications – Rates of smoking were high, and long-term cessation was low among primary care patients with depressive symptoms. Primary care physicians should provide additional monitoring and support to assist smokers with depression quit and remain quit. Originality/value – This is the first naturalistic study of smoking patterns among primary care attendees with depressive symptoms.

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Catroppa, Cathy, Nikita Tuli Sood, Elle Morrison, Justin Kenardy, Suncica Lah, Audrey McKinlay, Nicholas Ryan, et al. "The Australian and New Zealand brain injury lifespan cohort protocol: Leveraging common data elements to characterise longitudinal outcome and recovery." BMJ Open 13, no. 1 (January 2023): e067712. http://dx.doi.org/10.1136/bmjopen-2022-067712.

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IntroductionCognitive, behavioural, academic, mental health and social impairments are common following paediatric traumatic brain injury (TBI). However, studies are often reliant on small samples of children drawn from narrow age bands, and employ highly variable methodologies, which make it challenging to generalise existing research findings and understand the lifetime history of TBI.Method and analysisThis study will synthesise common data sets from national (Victoria, New South Wales, Queensland) and international (New Zealand) collaborators, such that common data elements from multiple cohorts recruited from these four sites will be extracted and harmonised. Participant-level harmonised data will then be pooled to create a single integrated data set of participants including common cognitive, social, academic and mental health outcome variables. The large sample size (n=1816), consisting of participants with mild, moderate and severe TBI, will provide statistical power to answer important questions that cannot be addressed by small, individual cohorts. Complex statistical modelling, such as generalised estimation equation, multilevel and latent growth models, will be conducted.Ethics and disseminationEthics approval was granted by the Human Research Ethics Committee (HREC) of the Royal Children’s Hospital (RCH), Melbourne (HREC Reference Number 2019.168). The approved study protocol will be used for all study-related procedures. Findings will be translated into clinical practice, inform policy decisions, guide the appropriate allocation of limited healthcare resources and support the implementation of individualised care.

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Pack, Margaret. "Defining moments in practice. Clinical supervision as a method of promoting critical reflection in fieldwork: A qualitative inquiry." Aotearoa New Zealand Social Work 23, no. 4 (July 8, 2016): 45–54. http://dx.doi.org/10.11157/anzswj-vol23iss4id150.

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In 2008, as coordinator and lecturer of a postgraduate allied mental health programme, I asked clinical supervisors and their supervisees who were completing the programme what their ‘most difficult’ practice scenario taken to supervision had been as part of a research project approved for ethics by Victoria University. Secondly, I asked clinical supervisees and clinical supervisors about how they had re- solved or dealt with this practice issue. The aim of the research was to determine if the self reflective and reflexive process described by Napier and Fook (2001) and Gardner (2009) was experienced by the social workers and occupational therapists completing their post- graduate studies. The results indicate that for students, through discussing complex and difficult cases in clinical supervision, they came to view their practice both more positively and more self reflectively and reflexively through engagement in clinical supervision. For supervisors, the most difficult scenarios for those who were the students’ line managers involved navigating a mixed role that balanced providing performance feedback in addition to clinical supervision. The implications for clinical supervision as the method of learning in fieldwork education are discussed.

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Roberts, Susan B., Christine A. Hill, Brian Dean, Nicholas A. Keks, Ken Opeskin, and David L. Copolov. "Confirmation of the Diagnosis of Schizophrenia after Death Using DSM-IV: A Victorian Experience." Australian & New Zealand Journal of Psychiatry 32, no. 1 (February 1998): 73–76. http://dx.doi.org/10.3109/00048679809062709.

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Objective: This study examines the reliability of antemortem diagnoses of schizophrenia using DSM-IV criteria. Method: The case histories of 83 subjects with a provisional diagnosis of schizophrenia at autopsy were retrospectively reviewed using a semi-structured chart review and application of DSM-IV criteria. Agreement between antemortem and postmortem diagnoses of schizophrenia was examined, as well as the concordance between DSM-IV diagnoses and previously obtained diagnoses using DSM-Ill-R and ICD-10 criteria for schizophrenia. Results: According to DSM-IV, 30.1% of cases did not have schizophrenia, compared to 36.1% using DSM-Ill-R criteria and 51.8% of cases using ICD-10 criteria. Concordance between DSM-IV and DSM-Ill-R diagnoses of schizophrenia was excellent (k = 0.81), but only fair between DSM-IV and ICD-10 (k = 0.57). Of the cases that did not meet the formal criteria for schizophrenia, the majority were reassigned diagnoses of schizoaffective disorder and affective disorder. Conclusions: The use of human brain tissue in postmortem studies of schizophrenia must be linked to standardised diagnostic assessment procedures. Diagnoses can be upgraded with the development of new criteria, providing sufficient clinical data is available in case histories.

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Goldfeld, Sharon, Hannah Bryson, Fiona Mensah, Anna Price, Lisa Gold, Francesca Orsini, Bridget Kenny, et al. "Nurse home visiting to improve child and maternal outcomes: 5-year follow-up of an Australian randomised controlled trial." PLOS ONE 17, no. 11 (November 28, 2022): e0277773. http://dx.doi.org/10.1371/journal.pone.0277773.

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Objectives Nurse home visiting (NHV) is widely implemented to address inequities in child and maternal health. However, few studies have examined longer-term effectiveness or delivery within universal healthcare systems. We evaluated the benefits of an Australian NHV program (“right@home”) in promoting children’s language and learning, general and mental health, maternal mental health and wellbeing, parenting and family relationships, at child ages 4 and 5 years. Setting and participants Randomised controlled trial of NHV delivered via universal, child and family health services (the comparator). Pregnant women experiencing adversity (≥2 of 10 risk factors) were recruited from 10 antenatal clinics across 2 states (Victoria, Tasmania) in Australia. Intervention Mothers in the intervention arm were offered 25 nurse home visits (mean 23·2 home visits [SD 7·4, range 1–43] received) of 60–90 minutes, commencing antenatally and continuing until children’s second birthdays. Primary and secondary outcomes measured At 4 and 5 years, outcomes were assessed via parent interview and direct assessment of children’s language and learning (receptive and expressive language, phonological awareness, attention, and executive function). Outcomes were compared between intervention and usual care arms (intention to treat) using adjusted regression with robust estimation to account for nurse/site. Missing data were addressed using multiple imputation and inverse probability weighting. Results Of 722 women enrolled in the trial, 225 of 363 (62%) intervention and 201 of 359 (56%) usual care women provided data at 5 years. Estimated group differences showed an overall pattern favouring the intervention. Statistical evidence of benefits was found across child and maternal mental health and wellbeing, parenting and family relationships with effect sizes ranging 0·01–0·27. Conclusion An Australian NHV program promoted longer-term family functioning and wellbeing for women experiencing adversity. NHV can offer an important component of a proportionate universal system that delivers support and intervention relative to need. Trial registration 2013–2016, registration ISRCTN89962120

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Maciel, Ricardo, Rodrigo Castilho, Daniel Baumfeld, and Tiago Baumfeld. "A comparative study of single-vs. double-row technique in surgical treatment of insertional Achilles tendinopathy." Journal of the Foot & Ankle 15, no. 1 (April 30, 2021): 8–13. http://dx.doi.org/10.30795/jfootankle.2021.v15.1242.

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Objective: This retrospective study compared the clinical and functional results of single- and double-row surgical techniques for insertional Achilles tendinopathy in the postoperative period. Methods: In this case series, 29 patients who underwent surgery with one of the two techniques were followed up for one year postoperatively. Data were collected from medical records, imaging exams, and visual analog scale (VAS), Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire, 12-item Short Form Health Survey (SF-12), and Foot and Ankle Ability Measure (FAAM) scores. Results: The following mean values (5% significance level) were found for single- and double-row techniques, respectively: postoperative VAS (2.9/2.2), FAAM-ADL (71.9/74.4), FAAM-Sports (28.3/29.8), SF-12 physical component (45.2/47.0), SF-12 mental component (44.9/48.2), and VISA-A (72.1/75.9). The complication rate did not differ significantly between the techniques. Conclusion: No significant differences were found in any of the scores between the two surgical techniques. Level of Evidence III; Therapeutic Studies, Comparative Retrospective Study.

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Johnson, Hilary, Barbara Solarsh, Karen Bloomberg, and Denise West. "Supporting people with complex communication needs through community capacity building: the Communication Access Network." Tizard Learning Disability Review 21, no. 3 (July 4, 2016): 130–39. http://dx.doi.org/10.1108/tldr-10-2015-0044.

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Purpose – The purpose of this paper is to describe specific features of a Victorian (Australia) state-wide hub and spoke model of speech pathology provision established for adults with complex communication needs (CCN). Two case studies highlighting successful examples of services developed to enhance community inclusion will be described and the challenges discussed. Design/methodology/approach – The route to community inclusion is described through a case study illustration of one communication accessible community site and one disability service study. The disability service research involved focus groups, survey and interview data and demonstrated the efficacy and sustainability of a support worker training model. Findings – Sustainable change in the community and in disability services can occur through partnerships, training, and long-term commitment. Support workers who can facilitate interactions for people who have cognitive and communicative disabilities are an essential component of building the capacity of communities to include people with CCN. Collaboration between community members, specialised supports and people with disabilities enhances active community participation. Originality/value – This innovative, state-wide model has the capacity to be replicated elsewhere. On-going speech pathology services are integral to support adults with CCN providing both short-term individualised services, sustainable staff training and community engagement.

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To, Quyen G., Mitch J. Duncan, Anetta Van Itallie, and Corneel Vandelanotte. "Impact of COVID-19 on Physical Activity Among 10,000 Steps Members and Engagement With the Program in Australia: Prospective Study." Journal of Medical Internet Research 23, no. 1 (January 25, 2021): e23946. http://dx.doi.org/10.2196/23946.

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Background Physical activity is an important health behavior, due to its association with many physical and mental health conditions. During distressing events, such as the COVID-19 pandemic, there is a concern that physical activity levels may be negatively impacted. However, recent studies have shown inconsistent results. Additionally, there is a lack of studies in Australia on this topic. Objective The aim of this study is to investigate changes in physical activity reported through the 10,000 Steps program and changes in engagement with the program during the COVID-19 pandemic. Methods Data between January 1, 2018, and June 30, 2020, from registered members of the 10,000 Steps program, which included 3,548,825 days with step data, were used. The number of daily steps were logged manually by the members or synced automatically from their activity trackers connected to the program. Measures on program usage were the number of new registered members per day, the number of newly registered organizations per day, the number of steps logged per day, and the number of step entries per day. Key dates used for comparison were as follows: the first case with symptoms in Wuhan, China; the first case reported in Australia; the implementation of a 14-day ban for noncitizens arriving in Australia from China; the start of the lockdown in Australia; and the relaxing of restrictions by the Australian Government. Wilcoxon signed-rank tests were used to test for significant differences in number of steps between subgroups, between engagement measures in 2019 versus 2020, and before and after an event. Results A decrease in steps was observed after the first case in Australia was reported (1.5%; P=.02) and after the start of the lockdown (3.4%; P<.001). At the time that the relaxing of restrictions started, the steps had already recovered from the lockdown. Additionally, the trends were consistent across genders and age groups. New South Wales, Australian Capital Territory, and Victoria had the greatest step reductions, with decreases of 7.0% (P<.001), 6.2% (P=.02), and 4.7% (P<.001), respectively. During the lockdown, the use of the program increased steeply. On the peak day, there were more than 9000 step entries per day, with nearly 100 million steps logged per day; in addition, more than 450 new users and more than 15 new organizations registered per day, although the numbers decreased quickly when restrictions were relaxed. On average per day, there were about 55 new registered users (P<.001), 2 new organizations (P<.001), 25.6 million steps (P<.001), and 2672 log entries (P<.001) more in 2020 compared to the same period in 2019. Conclusions The pandemic has had negative effects on steps among Australians across age groups and genders. However, the effect was relatively small, with steps recovering quickly after the lockdown. There was a large increase in program usage during the pandemic, which might help minimize the health impact of the lockdown and confirms the important role of physical activity programs during times of distress and lockdowns.

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Dickson-Swift, Virginia, Christopher Fox, Karen Marshall, Nicky Welch, and Jon Willis. "What really improves employee health and wellbeing." International Journal of Workplace Health Management 7, no. 3 (September 2, 2014): 138–55. http://dx.doi.org/10.1108/ijwhm-10-2012-0026.

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Purpose – Factors for successful workplace health promotion (WHP) are well described in the literature, but often sourced from evaluations of wellness programmes. Less well understood are the features of an organisation that contribute to employee health which are not part of a health promotion programme. The purpose of this paper is to inform policy on best practice principles and provide real life examples of health promotion in regional Victorian workplaces. Design/methodology/approach – Individual case studies were conducted on three organisations, each with a health and wellbeing programme in place. In total, 42 employers and employees participated in a face to face interview. Interviews were transcribed verbatim and the qualitative data were thematically coded. Findings – Employers and senior management had a greater focus on occupational health and safety than employees, who felt that mental/emotional health and happiness were the areas most benefited by a health promoting workplace. An organisational culture which supported the psychosocial needs of the employees emerged as a significant factor in employee's overall wellbeing. Respectful personal relationships, flexible work, supportive management and good communication were some of the key factors identified as creating a health promoting working environment. Practical implications – Currently in Australia, the main focus of WHP programmes is physical health. Government workplace health policy and funding must expand to include psychosocial factors. Employers will require assistance to understand the benefits to their business of creating environments which support employee's mental and emotional health. Originality/value – This study took a qualitative approach to an area dominated by quantitative biomedical programme evaluations. It revealed new information about what employees really feel is impacting their health at work.

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Honigsbaum, Mark. "10 What can we learn from the nervous sequelae of past pandemics?" Journal of Neurology, Neurosurgery & Psychiatry 93, no. 12 (November 14, 2022): e3.2. http://dx.doi.org/10.1136/jnnp-2022-bnpa.10.

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Dr Mark Honigsbaum, medical historian and senior lecturer, City University of London. A regular contributor to The Observer & The Lancet, the author of five books including The Pandemic Century: One Hundred Years of Panic, Hysteria, and Hubris (New York and London: Norton; Hurst, 2019), The Fever Trail: In Search of the Cure for Malaria (Farrar Straus Giroux, 2002), and Living With Enza: The Forgotten Story of Britain and the Great Flu Pandemic of 1918 (Macmillan, 2009), which was longlisted for the Royal Society science book of the year in 2009. A specialist in the history of pandemics and infectious disease, his academic work combines insights from the medical and environmental humanities and the philosophy and sociology of science. His current research focuses on the phenomenon of ‘vaccine hesitancy’. Through case studies of recent vaccine controversies he seeks to understand the role that the media and partial or incomplete scientific knowledge of vaccines plays in suspicion of this valuable medical technology. He is also developing a project interrogating the phenomenon of pandemic remembrance and the tension between narrative framings of Covid-19 as a ‘crisis’ and collective experiences of grief and loss enabled by connective digital technologies.AbstractPandemics of respiratory disease have long been associated with peculiar fatigue states and an array of neurological conditions. However, in the absence of compelling biological evidence, in practice it has proved difficult to differentiate these post-viral syndromes from wider epidemiological signals and medical syndromes.Focussing on the ‘Russian influenza’ pandemic of the 1890s, this talk examines the way in which Victorian nerve doctors sought to make sense of the peculiar nervous sequelae that trailed the pandemic. These sequels included nerve exhaustion, psychosis, insomnia and fatigue and, as with Long Covid, provoked disquisitions and disputes inThe Lancetand other medical journals.Unlike Long Covid, however, men were more likely to fall prey to these syndromes than women. The result was that rather than stigmatizing male sufferers as malingerers, Victorian neurologists provided a functional diagnosis, the ‘psychoses of influenza’. Drawing on notions of ‘overwork’ and ‘overworry’ and theories of entropy, the psychoses closely resembled neurasthenia and, I argue, provided a similarly acceptable label for a spectrum of somatic and psychosomatic disorders.

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Benavent, D., M. Garrido-Cumbrera, C. Plasencia, L. Christen, H. Marzo-Ortega, J. Correa-Fernández, P. Plazuelo-Ramos, D. Webb, and V. Navarro-Compán. "AB0500 IMPACT OF COVID-19 PANDEMIC IN OVERALL HEALTH AND FUNCTIONING IN PATIENTS WITH AXIAL SPONDYLOARTHRITIS: RESULTS FROM THE REUMAVID STUDY (PHASE 1)." Annals of the Rheumatic Diseases 80, Suppl 1 (May 19, 2021): 1277.2–1278. http://dx.doi.org/10.1136/annrheumdis-2021-eular.2153.

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Background:Evidence on the impact of the COVID-19 pandemic on the overall health and functioning in patients with axial spondyloarthritis (axSpA) is scarce.Objectives:To analyse the impact of the COVID-19 pandemic on the overall health and functioning in patients with axSpA.Methods:Data from axSpA patients participating in the first phase of the REUMAVID study were analysed. REUMAVID is a cross-sectional, observational study collecting data through an online questionnaire of unselected patients with rheumatic and musculoskeletal diseases (RMDs), recruited by patient organizations. The survey was disseminated during the beginning of the COVID-19 pandemic (April-July 2020) in seven European countries (Cyprus, France, Greece, Italy, Portugal, Spain, and the United Kingdom). Patients with axSpA who completed the ASAS health index (ASAS-HI) questionnaire were included in this analysis. Descriptive analyses were used to present socio-demographic and clinical characteristics, as well as daily habits. Overall health and functioning were defined according to the ASAS-HI (0-17), as follows: good health (ASAS-HI ≤5), acceptable health (ASAS-HI 6-11), and poor health (ASAS-HI ≥12). As secondary outcomes, well-being (WHO-5), self-perceived health status, and HADS for anxiety and depression were assessed.Results:Out of 670 axSpA patients, 587 (87.6%) completed ASAS-HI. Of these, 70.4% were female, 72.6% were married or in a relationship, 46.7% had university studies and 37.6% were currently employed. Mean age was 49.9±12.8 years and mean BMI was 26.7±5.5. Regarding extraarticular manifestations, 13.6% had psoriasis, 12.1% inflammatory bowel disease and 18.7% uveitis. Before the COVID-19 pandemic, 50.9% were receiving biological drugs, 46.3% NSAIDs, 26.4% painkillers, 24.7% conventional DMARDs, and 11.9% oral corticosteroids. According to the ASAS-HI, 19.6 % of patients were classified as having poor health, with the most affected aspects being pain (92.0%), movement (86.5%), maintenance of body position (80.6%), energy (79.0%) and sleep (75.3%). Regarding self-perceived health status, 14% reported their health status as “bad” or “very bad”, and 46.8% reported worsening health during the pandemic (Table 1). A distribution of the results of the total ASAS-HI scores can be seen in Figure 1.Table 1.Overall health and well-being, disease activity, and mental health.Primary Outcome (ASAS-HI)Mean ± SD orn (%)ASAS-HI (0-17), n=5878.0 (±3.9)ASAS-HI <5 (good health)159 (27.1) 5-12 (acceptable health)313 (53.3) ≥12 (poor health)115 (19.6)Secondary OutcomesWHO-5 WHO-5, (0-100), n=58446.3 (±23.1) WHO- 5 Poor wellbeing WHO- ≤50330 (56.5)Self-perceived health status, n=585 Very good33 (5.6) Good214 (36.6) Fair256 (43.8) Bad69 (11.8) Very bad13 (2.2)Change in health status during lockdown, n=587 Much worse than before54 (9.2) Moderately worse220 (37.6) Same as before270 (46.0) Moderately better35 (6.0) Much better than before6 (1.0)HADSHADS Anxiety (0-21), n=5878.4 (±4.1)HADS Anxiety No case (0-7)248 (42.7) Borderline case (8-10)151 (26.0) Case (11-21)182 (31.3) HADS Depression (0-21), n=5877.0 (±4.3)HADS Depression No case (0-7)329 (56.6) Borderline case (8-10)134 (23.1) Case (11-21)118 (20.3)Figure 1.Distribution of the result of ASAS-HI scores (N= 587)Conclusion:One out of five patients with axSpA reported poor health and functioning according to the ASAS-HI, and almost half of patients reported worsening self-perceived health status during the first wave of the COVID-19 pandemic.Keywords: COVID-19, axial spondyloarthritis, ASAS-HI, healthDisclosure of Interests:Diego Benavent Grant/research support from: Abbvie, Novartis and Roche, Marco Garrido-Cumbrera: None declared., Chamaida Plasencia Grant/research support from: Pfizer, Sanofi, Novartis, Roche and Lilly, Laura Christen Employee of: Novartis Pharma AG, Helena Marzo-Ortega Grant/research support from: Abbvie, Celgene, Janssen, Elli-Lilly, Novartis, Pfizer, UCB and Takeda Pharmaceutical Company, José Correa-Fernández: None declared., Pedro Plazuelo-Ramos: None declared., Dale Webb: None declared., Victoria Navarro-Compán Grant/research support from: Abbvie, BMS, Lilly, MSD, Novartis, Pfizer, Roche, UCB.

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Teare, Sheldon, and Danielle Measday. "Pyrite Rehousing – Recent Case Studies at Two Australian Museums." Biodiversity Information Science and Standards 2 (June 13, 2018): e26343. http://dx.doi.org/10.3897/biss.2.26343.

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Two major collecting institutions in Australia, the Australian Museum (Sydney) and Museums Victoria (Melbourne), are currently undertaking large-scale anoxic rehousing projects in their collections to control conservation issues caused by pyrite oxidation. This paper will highlight the successes and challenges of the rehousing projects at both institutions, which have collaborated on developing strategies to mitigate loss to their collections. In 2017, Museums Victoria Conservation undertook a survey with an Oxybaby M+ Gas Analyser to assess the oxygen levels in all their existing anoxic microclimates before launching a program to replace failed microclimates and expand the number of specimens housed in anoxic storage. This project included a literature review of current conservation materials and techniques associated with anoxic storage, and informed the selection of the RP System oxygen scavenger and Escal Neo barrier film from Mitsubishi Gas Chemical Company as the best-practice products to use for this application. Conservation at the Australian Museum in Sydney was notified of wide-scale pyrite decay in the Palaeontology and Mineral collections. It was noted that many of the old high-barrier film enclosures, done more than ten years ago, were showing signs of failing. None of the Palaeontology specimens had ever been placed in microclimates. After consultation with Museums Victoria and Collection staff, a similar pathway used by Museums Victoria was adopted. Because of the scale of the rehousing project, standardized custom boxes were made, making the construction of hundreds of boxes easier. It is hoped that new products, like the tube-style Escal film, will extend the life of this rehousing project. Enclosures are being tested at the Australian Museum with a digital oxygen meter. Pyrite rehousing projects highlight the loss of Collection materials and data brought about by the inherent properties of some specimens. The steps undertaken to mitigate or reduce the levels of corrosion are linked to the preservation of both the specimens and the data kept with them (paper labels). These projects benefited from the collaboration of Natural Sciences conservators in Australia with Geosciences collections staff. Natural Science is a relatively recent specialization for the Australian conservation profession and it is important to build resources and capacity for conservators to care for these collections. This applied knowledge has already been passed on to other regions in Australia.

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Booth, Alison. "MILLENNIAL VICTORIA." Victorian Literature and Culture 29, no. 1 (March 2001): 159–70. http://dx.doi.org/10.1017/s1060150301291104.

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HAVING SURVIVED THE Y2K HYSTERIA, we may feel we have entered new corridors of one hundred and one thousand years. But it is only in 2001 that the punctilious and historical among us may at last observe a centennial, truly the final year of the past century and the hundredth anniversary of the death of Queen Victoria.1 The Jubilees in the last decades of Victoria’s life, and the ceremonies of international mourning that followed her death, might seem to have said goodbye to all that, but in many ways we are still under the sway of the great queen who lent her name to the age before “the American century.” Our own fin-de-siècle urges us to rediscover the many forms of Victoria that have “been hidden in plain view for a hundred years,” as Margaret Homans and Adrienne Munich put it in their co-edited collection of essays, Remaking Queen Victoria (1).2 While North American and British feminist studies have dwelt among Victorian ways since the 1970s — with implications that I will consider below — the queen herself has recently commanded critical attention that might seem, like so many features of Victoria’s public performance, out of proportion. Yet that excess, like our obeisance to the arbitrary power of the calendar, seems to be the very stuff of imagined community and ideological construction, and thus worth watching in action. In any case, when feminist literary critics such as Adrienne Munich, Margaret Homans, and Gail Turley Houston

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Parmentier, Marie-Agnès. "When David Met Victoria." Family Business Review 24, no. 3 (May 10, 2011): 217–32. http://dx.doi.org/10.1177/0894486511408415.

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This article seeks to understand how distinctive family brands are created. Recent studies in family business have focused on the benefits for a firm to be known as family owned or family controlled. Few studies have paid attention to the distinct meanings stakeholders associate with a given family or to how that family comes to have those associations in the eyes of external stakeholders. Based on a case study of one of the entertainment industry’s most successful family brands—The Beckhams—four practices conducive to building brand distinctiveness and brand visibility are identified.

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Edvardsson, Kristina, Elizabeth Hughes, Beverley Copnell, Ingrid Mogren, Don Vicendese, and Richard Gray. "Severe mental illness and pregnancy outcomes in Australia. A population-based study of 595 792 singleton births 2009–2016." PLOS ONE 17, no. 2 (February 28, 2022): e0264512. http://dx.doi.org/10.1371/journal.pone.0264512.

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Background Women with Severe Mental Illness (SMI) may have more complex pregnancies and pregnancy outcomes that require different care and management, but this has not been extensively studied. The aim of this study was to explore associations between SMI and adverse maternal and infant outcomes in the state of Victoria, Australia. Methods Our sample included all reported live singleton births in Victoria 2009–2016 (N = 595 792). Associations between SMI and adverse pregnancy outcomes were explored using Odds Ratios (OR), adjusted for sociodemographic and lifestyle factors, and co-morbidities, including any other mental illness. Results Of all singleton births, 2046 (0.34%) were to a mother diagnosed with a SMI. We found evidence of an association between SMI and a range of adverse maternal and infant outcomes. Compared to women without SMI, women with a SMI had higher adjusted odds of being admitted to a High Dependency Unit or Intensive Care Unit (aOR 1.83, 1.37–2.43), having gestational diabetes mellitus (1.57, 1.34–1.84), undergoing an unplanned caesarean section (1.17, 1.02–1.33), induction of labour (1.17, 1.05–1.30) and postpartum haemorrhage (1.15, 1.03–1.29). Newborns of women with SMI had higher adjusted odds of being admitted to Special Care Nursery (aOR 1.61, 1.43–1.80), a low Apgar score at 5 minutes (1.50, 1.19–1.90), preterm birth (1.40, 1.20–1.63), and low birthweight (1.26, 1.06–1.49). Conclusion Women with SMI are at higher risk for a range of adverse maternal and infant outcomes and are a population that may benefit from targeted early identification and enhanced antenatal care.

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Parker, Neville. "The Garry David Case." Australian & New Zealand Journal of Psychiatry 25, no. 3 (September 1991): 371–74. http://dx.doi.org/10.3109/00048679109062638.

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A prisoner with an antisocial personality disorder had almost completed his sentence for attempted murder and there was considerable public concern over his imminent release. The article discusses the many attempts made by the Victorian Government during the past six months to detain him. A recommendation was made to change the Mental Health Act 1986 by including personality disorders as a form of “mental illness”. The outcome of such advice has enormous implications for the practice of psychiatry in Victoria.

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Kesic, Dragana, Stuart D. M. Thomas, and James R. P. Ogloff. "Mental Illness Among Police Fatalities in Victoria 1982–2007: Case Linkage Study." Australian & New Zealand Journal of Psychiatry 44, no. 5 (May 2010): 463–68. http://dx.doi.org/10.3109/00048670903493355.

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Wheeler, Fiona, and Jennifer Laing. "Tourism as a Vehicle for Liveable Communities: Case studies from regional Victoria, Australia." Annals of Leisure Research 11, no. 1-2 (January 2008): 242–63. http://dx.doi.org/10.1080/11745398.2008.9686795.

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Monk, Evelyn Millings. "Student mental health: the case studies." Counselling Psychology Quarterly 17, no. 4 (December 2004): 395–412. http://dx.doi.org/10.1080/09515070412331331200.

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Burnard, Philip. "Case studies in mental health nursing." Nurse Education Today 7, no. 6 (December 1987): 302. http://dx.doi.org/10.1016/0260-6917(87)90148-1.

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Serena, M., and G. A. Williams. "Movements and cumulative range size of the platypus (Ornithorhynchus anatinus) inferred from mark–recapture studies." Australian Journal of Zoology 60, no. 5 (2012): 352. http://dx.doi.org/10.1071/zo12121.

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The extent of mammalian movements often varies with size, sex and/or reproductive status. Fyke nets were set along streams and rivers near Melbourne (southern Victoria) from the mid-1990s to 2007, and in the Wimmera River catchment (western Victoria) from 1997 to 2005, to assess how far platypus of different age and sex classes travelled between captures and over longer periods. The mean distance between consecutive captures of adults did not vary significantly as intervals increased from 1–3 months to >3 years, suggesting that most individuals occupied stable ranges. However, adult females travelled, on average, only 35% as far between captures as males in southern Victoria, and 29% as far in the Wimmera. Up to half of this difference may be explained by variation in size-related metabolic requirements. Immature males and females respectively moved 61% and 53% as far, on average, as their adult equivalents, although two young males dispersed >40 km. Adults incrementally occupied up to 13.9 km of channel in the case of a male (based on six captures over 67 months) and 4.4 km of channel in the case of a female (based on five captures over 127 months).

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Battams, Samantha, Toni Delany-Crowe, Matt Fisher, Lester Wright, Anthea Krieg, Dennis McDermott, and Fran Baum. "Applying Crime Prevention and Health Promotion Frameworks to the Problem of High Incarceration Rates for Aboriginal and Torres Strait Islander Populations: Lessons from a Case Study from Victoria." International Indigenous Policy Journal 12, no. 2 (May 14, 2021): 1–29. http://dx.doi.org/10.18584/iipj.2021.12.2.10208.

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This article examines what kinds of policy reforms are required to reduce incarceration rates of Aboriginal and Torres Strait Islander people through a case study of policy in the Australian state of Victoria. This state provides a good example of a jurisdiction with policies focused upon, and developed in partnership with, Aboriginal communities in Victoria, but which despite this has steadily increasing incarceration rates of Indigenous people. The case study consisted of a qualitative analysis of two key justice sector policies focused upon the Indigenous community in Victoria and interviews with key justice sector staff. Case study results are analysed in terms of primary, secondary, and tertiary crime prevention; the social determinants of Indigenous health; and recommended actions from the Ottawa Charter for Health Promotion. Finally, recommendations are made for future justice sector policies and approaches that may help to reduce the high levels of incarceration of Aboriginal and Torres Strait Islander people.

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Laing, Jennifer, and Warwick Frost. "Food, Wine … Heritage, Identity? Two Case Studies of Italian Diaspora Festivals in Regional Victoria." Tourism Analysis 18, no. 3 (August 9, 2013): 323–34. http://dx.doi.org/10.3727/108354213x13673398610817.

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Slick, Daniel J., Jing E. Tan, Esther Strauss, Catherine A. Mateer, Michael Harnadek, and Elisabeth M. S. Sherman. "Victoria Symptom Validity Test Scores of Patients with Profound Memory Impairment: NonLitigant Case Studies." Clinical Neuropsychologist 17, no. 3 (August 2003): 390–94. http://dx.doi.org/10.1076/clin.17.3.390.18090.

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Porter, Joanne E., Nareeda Miller, Anita Giannis, and Nicole Coombs. "Family Presence During Resuscitation (FPDR): Observational case studies of emergency personnel in Victoria, Australia." International Emergency Nursing 33 (July 2017): 37–42. http://dx.doi.org/10.1016/j.ienj.2016.12.002.

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Beed, Clive, and Patrick Moriarty. "How Convincing was the Economic Case for Restructuring Local Government in Victoria?" Urban Policy and Research 5, no. 3 (September 1987): 117–25. http://dx.doi.org/10.1080/08111148708551304.

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Garrido-Cumbrera, M., H. Marzo-Ortega, J. Correa-Fernández, S. Sanz-Gómez, L. Christen, and V. Navarro-Compán. "POS1175 ASSESSMENT OF THE COVID-19 PANDEMIC FROM THE PERSPECTIVE OF PEOPLE WITH RHEUMATIC MUSCULOSKELETAL DISEASES IN EUROPE. RESULTS FROM THE REUMAVID STUDY (PHASE 1)." Annals of the Rheumatic Diseases 80, Suppl 1 (May 19, 2021): 868–69. http://dx.doi.org/10.1136/annrheumdis-2021-eular.956.

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Background:The COVID-19 pandemic is an unprecedented public health crisis affecting people worldwide, including those with rheumatic and musculoskeletal diseases (RMDs).Objectives:REUMAVID aims to assess the impact of the COVID-19 pandemic and lockdown on the wellbeing, mental health, disease activity and function, access to health care and treatment, support services, and hopes and fears of people RMDs.Methods:REUMAVID is an international collaboration led by the Health & Territory Research group at University of Seville, Spain, together with a multidisciplinary team including patient organization and rheumatologists. This cross-sectional study consisting of an online survey gathering data from patients with a diagnosis of 15 RMDs in Cyprus, France, Greece, Italy, Portugal, Spain and the United Kingdom. Participants are recruited by patient organizations. Data is collected in two phases: 1) during the first peak of the COVID-19 pandemic (Spring 2020), and 2) as a follow-up to the pandemic (Winter 2020). This analysis presents descriptive results of the aggregated data, summarizing continuous and categorical variables.Results:A total of 1,800 RMD patients have participated in the first wave of the COVID-19 pandemic (from early April to mid-June 2020). The most frequent reported diagnosis were axial spondyloarthritis (37.2%), rheumatoid arthritis (29.2%) and osteoarthritis (17.2%). Mean age was 52.6±13.2, 80.1% were female, 69.6% were in a relationship or married and 48.6% had university studies. In total, 1.1% had tested positive for COVID-19, 10.8 % reported symptoms but were not tested, while 88.1% did not experience any symptoms. 46.6% reported worsening health during the pandemic. 63.9% perceived their health status to be “fair to very bad”. Access to care was limited with 58.4% being unable to keep the rheumatologist appointment, of which, 35.2% were cancelled by the provider and 54.4% was attended by phone or online. 15.8% changed their medication, for which 65.5% were changed by the provider and 24.6% by own decision. Reported wellbeing and psychological health during the pandemic was poor, with 49.0% reporting poor wellbeing according to the WHO-5 scale, 57.3% marking as anxiety and 45.8% as depression in the HADS scale. During the pandemic, 24.6% smoked and 18.2% drank more than before and 54.5% were unable to exercise at home.Conclusion:Results from the first phase of REUMAVID show disturbance of the healthcare quality, substantial changes in harmful health behaviors and an unprecedented impairment of mental health in REUMAVID participants. REUMAVID will continue to collect information in order to assess the impact of the COVID-19 pandemic in people affected by RMDs across Europe.Acknowledgements:This study was supported by Novartis Pharma AG. We would like to thank all patients that completed the survey as well as all of the patient organisations that participated in the REUMAVID study including: the Cyprus League Against Rheumatism (CYPLAR) from Cyprus, the Association Française de Lutte Anti-Rhumatismale (AFLAR) from France, the Hellenic League Against Rheumatism (ELEANA) from Greece, the Associazione Nazionale Persone con Malattie Reumatologiche e Rare (APMARR) from Italy, the Portuguese League Against Rheumatic Diseases (LPCDR), from Portugal, the Spanish Federation of Spondyloarthritis Associations, the Spanish Patients’ Forum (FEP), UNiMiD, Spanish Rheumatology League (LIRE), Andalusian Rheumatology League (LIRA), Catalonia Rheumatology League and Galician Rheumatology League from Spain, and the National Axial Spondyloarthritis Society (NASS), National Rheumatoid Arthritis (NRAS) and Arthritis Action from the United Kingdom.Disclosure of Interests:Marco Garrido-Cumbrera: None declared, Helena Marzo-Ortega Speakers bureau: AbbVie, Biogen, Celgene, Janssen, Lilly, Novartis, Pfizer, Takeda and UCB, Consultant of: AbbVie, Celgene, Janssen, Lilly, Novartis, Pfizer and UCB, Grant/research support from: Janssen and Novartis, José Correa-Fernández: None declared, Sergio Sanz-Gómez: None declared, Laura Christen Employee of: Novartis Pharma AG, Victoria Navarro-Compán Grant/research support from: Abbvie, BMS, Janssen, Lilly, MSD, Novartis, Pfizer, Roche, and UCB.

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Thacore, Vinod Rai, and Shashjit Lal Varma. "A Study of Suicides in Ballarat, Victoria, Australia." Crisis 21, no. 1 (January 2000): 26–30. http://dx.doi.org/10.1027//0227-5910.21.1.26.

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Objective:To study suicides occurring in Ballarat with regard to incidence, demographic variables, possible causal factors, and association with psychiatric disorders over a period of 5 years. Method:A detailed review of the coroner's record of every suicide occurring during 1992-1996 was undertaken. Information was obtained on socio-demographic variables, method and circumstances of suicide, and associated psychiatric disorders in each case and subjected to psychological autopsy. Results:75 suicides were recorded. The male to female ratio was 4:1 and average age was 43 years. 60% had associated psychiatric illnesses, mainly affective disorders. Carbon monoxide self-poisoning accounted for 40%, firearms for 30%, and hanging, overdose, asphyxia and other methods for the remaining 30%. It was statistically significant that the younger age group preferred firearms to other methods, and that their suicides were precipitated by interpersonal conflicts. Social and personal difficulties were associated in 33%, and triggering factors were present in 40%. Previous suicide attempts were present in 28%, while 32% had manifest behavior changes preceding suicides or verbalized their intent to suicide. Conclusions:Suicide rates in Ballarat were higher than the average overall Victorian and Australian rates. After a consistent decline over 4 years an increase occurred in 1996. The preferred method of suicide was carbon monoxide, although the young preferred firearms. Demographic and other psychosocial factors were similar to the rest of Australia. Unemployment was not a significant factor. Psychiatric conditions, personal and social problems figured prominently as factors of etiological significance in suicide subjects.

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Turner, Trevor. "Erotomania and Queen Victoria: or love among the assassins?" Psychiatric Bulletin 14, no. 4 (April 1990): 224–27. http://dx.doi.org/10.1192/pb.14.4.224.

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The issue of crime and insanity in Victorian Britain is dominated by the 1843 case of Daniel McNaughton. Hounded by paranoid delusions, about which he was relatively unforthcoming despite detailed questioning, he succeeded in shooting Henry Drummond, private secretary to the Prime Minister, Robert Peel. Thinking that it was Peel himself he had shot, McNaughton is quoted by the arresting policeman as stating “he shall break my peace of mind no longer”. The furore over his trial and non-execution filtered down the century, via the McNaughton rules. Daniel himself mouldered in Bethlem and Broadmoor for the rest of his days (West & Walk, 1977, esp. p. 93). But much more prevalent in the public's eye were the seven (at least) serious assaults on the Queen. Not only did they bring about a new criminal charge (vide infra) – but their recurrence tended to promote pro-royalist sympathies as well as pro-custodial attitudes towards “the insane”.

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Muhlebach, Robyn. "Curriculum and Professional Development in Environmental Education: A Case Study." Australian Journal of Environmental Education 11 (1995): 49–58. http://dx.doi.org/10.1017/s0814062600002962.

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This particular case study looks at the problem of curriculum and professional development in environmental education at a small semi rural primary school in south western Victoria. In this paper the ‘study’ refers to the case study research at Elliminyt Primary School and the ‘project’ refers to a wider OECD-CERI ENSI project which included many other case studies other than the one described here.

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Simon, Joel. "Three Case Studies." Journal of Family Psychotherapy 16, no. 1-2 (July 20, 2005): 149–54. http://dx.doi.org/10.1300/j085v16n01_38.

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Feeney, Sean. "Psychopharmacology Case Studies." International Clinical Psychopharmacology 3, no. 3 (July 1988): 273. http://dx.doi.org/10.1097/00004850-198807000-00011.

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Jackson, W. Clay. "Case Studies in Psychopharmacology." Primary Care Companion to The Journal of Clinical Psychiatry 05, no. 03 (June 1, 2003): 142. http://dx.doi.org/10.4088/pcc.v05n0309.

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FINLAYSON, B. L., and S. O. BRIZGA. "The Oral Tradition, Environmental Change and River Basin Management: Case Studies from Queensland and Victoria." Australian Geographical Studies 33, no. 2 (October 1995): 180–92. http://dx.doi.org/10.1111/j.1467-8470.1995.tb00693.x.

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Weiler, Betty, and Xin Yu. "Case Studies of the Experiences of Chinese Visitors to Three Tourist Attractions in Victoria, Australia." Annals of Leisure Research 11, no. 1-2 (January 2008): 225–41. http://dx.doi.org/10.1080/11745398.2008.9686794.

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Young, Suzanne. "Outsourcing: two case studies from the Victorian public hospital sector." Australian Health Review 31, no. 1 (2007): 140. http://dx.doi.org/10.1071/ah070140.

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Outsourcing was one process of privatisation used in the Victorian public health sector in the 1990s. However it was used to varying degrees and across a variety of different services. This paper attempts to answer the questions: Why have managers outsourced? What have managers considered when they have decided to outsource? The research was carried out in a rural hospital and a metropolitan network in Victoria. The key findings highlight the factors that decision makers considered to be important and those that led to negative outcomes. Economic factors, such as frequency of exchange, length of relationships between the parties, and information availability, were often ignored. However, other factors such as outcome measurability, technology, risk, labour market characteristics and goal conflict, and political factors such as relative power of management over labour were often perceived as important in the decision-making process. Negative outcomes from outsourcing were due to the short length of relationships and accompanying difficulties with trust, commitment and loyalty; poor quality; and excessive monitoring and the measurement of outcomes.

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Fiederlein, Suzanne L. "The 1994 Elections in Mexico: The Case of Chiapas." Mexican Studies/Estudios Mexicanos 12, no. 1 (January 1, 1996): 107–30. http://dx.doi.org/10.2307/1052080.

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Este artículo examina las elecciones de 1994 en Chiapas, así como los acontecimientos previos y sus resultados y ramificaciones. El levantamiento zapatista tuvo un impacto profundo en el proceso electoral en Chiapas, así como sobre el movimiento nacional de democratización en México. Mientras que las irregularidades electorales ocurridas por todo el país no fueron vistas como lo suficientemente importantes para desafiar la victoria del partido en el poder en cuanto a la elección de presidente, los resultados oficiales en Chiapas, en particular sobre la elección de gobernador, no se consideraron limpios. Desde las elecciones, los zapatistas y una sociedad civil más vigorosa han continuado la presión sobre el gobierno nacional para implementar una reforma electoral y para resolver cuestiones más amplias, como justicia económica, democratización y responsabilidad gubernamental.

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Willey, Stephen. "Planning Appeals: Are Third Party Rights Legitimate? The Case Study of Victoria, Australia." Urban Policy and Research 24, no. 3 (September 2006): 369–89. http://dx.doi.org/10.1080/08111140600877032.

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Welch, Tony, Brenda Happell, and Karen-leigh Edward. "Getting That Piece of Paper: Mental Health Nurses' Experience of Undertaking Doctoral Studies in Victoria, Australia." Archives of Psychiatric Nursing 24, no. 3 (June 2010): 145–54. http://dx.doi.org/10.1016/j.apnu.2009.04.005.

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Yoon, Yeohyun, and Kyoung Cheon Cha. "A Qualitative Review of Cruise Service Quality: Case Studies from Asia." Sustainability 12, no. 19 (September 30, 2020): 8073. http://dx.doi.org/10.3390/su12198073.

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Although the cruise sector is considered an ‘unreplaceable’ form of tourism, with the cruise industry recording steady growth over the years, there is a lack of research and analysis on cruise ships themselves. Accordingly, this study sought to determine whether service quality differences among ships operating in the Asian market could suggest broader implications for the sustainability of the cruise industry. We chose the SERVQUAL framework for the analysis; we also employed the multiple case study method and topic synthesis to compare the service quality of three ships. Of the ships investigated—the Costa Victoria, Diamond Princess, and Superstar Virgo—the Diamond Princess had the highest service quality. Based on the results, we outlined suggestions for improving the quality of cruise services, including introducing the latest large ships and high-tech facilities, complying with the departure and arrival times of sailing schedules, improving the ratio of crew members per passenger, establishing a cruise personnel training system, and expanding membership program operations.

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Meyer, Britta S., Adrian Indermaur, Xenia Ehrensperger, Bernd Egger, Gaspard Banyankimbona, Jos Snoeks, and Walter Salzburger. "Back to Tanganyika: a case of recent trans-species-flock dispersal in East African haplochromine cichlid fishes." Royal Society Open Science 2, no. 3 (March 2015): 140498. http://dx.doi.org/10.1098/rsos.140498.

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The species flocks of cichlid fishes in the East African Great Lakes are the largest vertebrate adaptive radiations in the world and illustrious textbook examples of convergent evolution between independent species assemblages. Although recent studies suggest some degrees of genetic exchange between riverine taxa and the lake faunas, not a single cichlid species is known from Lakes Tanganyika, Malawi and Victoria that is derived from the radiation associated with another of these lakes. Here, we report the discovery of a haplochromine cichlid species in Lake Tanganyika, which belongs genetically to the species flock of haplochromines of the Lake Victoria region. The new species colonized Lake Tanganyika only recently, suggesting that faunal exchange across watersheds and, hence, between isolated ichthyofaunas, is more common than previously thought.

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LAMONT, JOHN H. "Psychoanalytic Case Studies." Journal of the American Academy of Child & Adolescent Psychiatry 31, no. 5 (September 1992): 997–98. http://dx.doi.org/10.1097/00004583-199209000-00047.

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IEVERS, CAROLYN E., RONALD T. BROWN, SHAWN E. McCANDLESS, and DANIELLE E. DEVINE. "Case Studies." Journal of Developmental & Behavioral Pediatrics 20, no. 1 (February 1999): 31–35. http://dx.doi.org/10.1097/00004703-199902000-00005.

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Fulford, Megan, and John Farhall. "Hospital Versus Home Care for the Acutely Mentally Ill? Preferences of Caregivers Who Have Experienced Both Forms of Service." Australian & New Zealand Journal of Psychiatry 35, no. 5 (October 2001): 619–25. http://dx.doi.org/10.1080/0004867010060510.

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Objective: Demonstration studies of community treatment as an alternative to hospitalization have reported high degrees of satisfaction by family carers. We aimed to determine the extent of carer preference for hospital versus community treatment for acute mental illness in a routine setting where carers had experienced both service types. Method: Patients who had contact with both a hospital inpatient service and a Crisis Assessment and Treatment (CAT) team within the previous 5 years were identified. Seventy-seven family carers of these patients completed a questionnaire which identified their preference for services, and psychological and demographic variables likely to be predictive of their choice. Results: Only half the carers preferred a CAT service to treat their relative in the event of a future relapse. Psychological variables were better predictors of choice than were demographic variables. Conclusions: The proportion of caregivers who prefer community treatment for acute psychosis may be smaller than previously thought. The lower carer satisfaction found here may be associated with the short-term interventions of Victoria's CAT teams, the severity of acute relapses and the duration of the patient's mental health problem.

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Journal articles on the topic 'Mental Victoria Case studies'

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