Journal articles on the topic 'Quality of life Queensland'
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Posner, T. Natasha, and Sirous Momenzadeh. "Swollen limbs: The impact on quality of life." Australian Journal of Primary Health 10, no. 2 (2004): 90. http://dx.doi.org/10.1071/py04031.
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A swollen limb from lymphoedema is a chronic condition that has not had a high medical profile. Very little research on how it is experienced has been carried out. This paper reports on part of the results of a survey of 137 people with lymphoedema conducted among members of the Lymphoedema Association of Queensland. One of the aims of the study was to assess the degree and nature of the impact of the condition on individual lives. Responses to two open-ended questions were analysed, revealing a considerable variation in the effects of the condition from ?minimal? to ?devastating?, and a range of impacts across functional and emotional dimensions. The condition can substantially reduce mobility and capacity for many activities, cause embarrassment and distress, and make wearing normal clothes difficult, and thus can have a considerable impact on quality of life. For many, the condition is secondary to treatment for cancer, resulting from removal of lymph nodes, and develops with no prior warning or information at a time when recovery from cancer is in prospect. This can make acceptance, participation in treatment and adjustment particularly difficult. Our data map the nature of the impact of a swollen limb (or limbs) on quality of life and body image.
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J. Lee Long, W., R. G. Coles, and L. J. McKenzie. "Issues for seagrass conservation management in Queensland." Pacific Conservation Biology 5, no. 4 (1999): 321. http://dx.doi.org/10.1071/pc000321.
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Coastal, reef-associated and deepwater (> 15 m) seagrass habitats form a large and ecologically important community on the Queensland continental shelf. Broad-scale resource inventories of coastal seagrasses were completed in the 1980s and were used in marine park and fisheries zoning to protect some seagrasses. At least eleven of the fifteen known species in the region reach their latitudinal limits of distribution in Queensland and at least two Halophila species may be endemic to Queensland or northeastern Australia. The importance of seagrasses to Dugongs Dugong dugon, Green Turtles Chelonia mydas and commercially valuable prawn fisheries, will continue to strongly influence directions in seagrass research and conservation management in Queensland. Widespread loss of seagrasses following natural cyclone and flood events in some locations has had serious consequences to regional populations of Dugong. However, the impacts to Queensland fisheries are little studied. Agricultural land use practices may exacerbate the effects of natural catastrophic events, but the long-term impacts of nutrients, pesticides and sediment loads on Queensland seagrasses are also unknown. Most areas studied are nutrient limited and human impacts on seagrasses in Queensland are low to moderate, and could include increases in habitat since modern settlement. Most impacts are in southern, populated localities where shelter and water conditions ideal for productive seagrass habitat are often targets for port development, and are at the downstream end of heavily modified catchments. For Queensland to avoid losses experienced by other states, incremental increases in impacts associated with population and development pressure must be managed. Seagrass areas receive priority consideration in oil spill management within the Great Barrier Reef and coastal ports. Present fisheries legislation for marine plant protection, marine parks and area closures to trawl fishing help protect inshore seagrass prawn nursery and Dugong feeding habitat, but seagrasses in deep water do not yet receive any special zoning protection. Efficacy of the various Local, State and Commonwealth Acts and planning programmes for seagrass conservation is limited by the expanse and remoteness of Queensland's northern coast, but is improving through broad-based education programmes. Institutional support is sought to enable community groups to augment limited research and monitoring programmes with local "habitat watch" programmes. Research is helping to describe the responses of seagrass to natural and human impacts and to determine acceptable levels of changes in seagrass meadows and water quality conditions that may cause those changes. The management of loss and regeneration of sea grass is benefiting from new information collected on life histories and mechanisms of natural recovery in Queensland species. Maintenance of Queensland's seagrasses systems will depend on improved community awareness, regional and long-term planning and active changes in coastal land use to contain overall downstream impacts and stresses.
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Tyack, Zephanie, Megan Simons, Steven M. McPhail, Gillian Harvey, Tania Zappala, Robert S. Ware, and Roy M. Kimble. "Improving the patient-centred care of children with life-altering skin conditions using feedback from electronic patient-reported outcome measures: protocol for a hybrid effectiveness-implementation study (PEDS-ePROM)." BMJ Open 11, no. 4 (April 2021): e041861. http://dx.doi.org/10.1136/bmjopen-2020-041861.
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IntroductionUsing patient-reported outcome measures (PROMs) with children have been described as ‘giving a voice to the child’. Few studies have examined the routine use of these measures as potentially therapeutic interventions. This study aims to investigate: (1) the effectiveness of feedback using graphical displays of information from electronic PROMs (ePROMs) that target health-related quality of life, to improve health outcomes, referrals and treatment satisfaction and (2) the implementation of ePROMs and graphical displays by assessing acceptability, sustainability, cost, fidelity and context of the intervention and study processes.Methods and analysisA hybrid II effectiveness-implementation study will be conducted from February 2020 with children with life-altering skin conditions attending two outpatient clinics at a specialist paediatric children’s hospital. A pragmatic randomised controlled trial and mixed methods process evaluation will be completed. Randomisation will occur at the child participant level. Children or parent proxies completing baseline ePROMs will be randomised to: (1) completion of ePROMs plus graphical displays of ePROM results to treating clinicians in consultations, versus (2) completion of ePROMs without graphical display of ePROM results. The primary outcome of the effectiveness trial will be overall health-related quality of life of children. Secondary outcomes will include other health-related quality of life outcomes (eg, child psychosocial and physical health, parent psychosocial health), referrals and treatment satisfaction. Trial data will be primarily analysed using linear mixed-effects models; and implementation data using inductive thematic analysis of interviews, meeting minutes, observational field notes and study communication mapped to the Consolidated Framework for Implementation Research.Ethics and disseminationEthical approval was obtained from Children’s Health Queensland Human Research Ethics Committee (HREC/2019/QCHQ/56290), The University of Queensland (2019002233) and Queensland University of Technology (1900000847). Dissemination will occur through stakeholder groups, scientific meetings and peer-reviewed publications.Trial registration numberAustralian New Zealand Clinical Trials Registry (ACTRN12620000174987).
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Correa-Velez, Ignacio, Alexandra Clavarino, Adrian G. Barnett, and Heather Eastwood. "Use of complementary and alternative medicine and quality of life: changes at the end of life." Palliative Medicine 17, no. 8 (December 2003): 695–703. http://dx.doi.org/10.1191/0269216303pm834oa.
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The purpose of this study was to compare the physical, psychological and social dimensions associated with quality-of-life outcomes over the last year of life, between advanced cancer users and nonusers of complementary and alternative medicine. One hundred and eleven patients were identified through Queensland Cancer Registry records, and followed up every four to six weeks until close to death using standardized protocols. Outcome measures were symptom burden, psychological distress, subjective wellbeing, satisfaction with conventional medicine and need for control over treatment decisions. At the initial interview, 36 (32%) participants had used complementary/alternative medicine the previous week; mainly vitamins, minerals and tonics and herbal remedies. Among all participants, 53 (48%) used at least one form of complementary/alternative medicine over the study period. Only six (11%) visited alternative practitioners on a regular basis. Overall, complementary/alternative medicine users reported higher levels of anxiety and pain, less satisfaction with conventional medicine and lower need for control over treatment decisions compared with nonusers. These differences tend to change as death approaches. A more rigorous assessment of complementary/alternative medicine use, psychological distress, pain and subjective wellbeing among patients with advanced cancer is needed in the clinical setting.
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Shyy, T‐K, R. Stimson, P. Chhetri, and J. Western. "Mapping quality of life in the south east Queensland region with a web‐based application." Journal of Spatial Science 52, no. 2 (December 2007): 13–22. http://dx.doi.org/10.1080/14498596.2007.9635119.
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Parker, James L. "An affective needs support resource for students in the school system: Overdue." Queensland Journal of Guidance and Counselling 2 (November 1988): 57–61. http://dx.doi.org/10.1017/s1030316200000091.
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This paper argues the need for the setting up of an Affective Needs Support Resource to complement needs support functions currently being implemented in Queensland State high schools. Such a resource is valuable in its own right for enhancing the quality of life of all students but is seen to be an urgent need if the integration of disabled students is to succeed.
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Lynch, Brigid M., Ester Cerin, Neville Owen, Anna L. Hawkes, and Joanne F. Aitken. "Prospective Relationships of Physical Activity With Quality of Life Among Colorectal Cancer Survivors." Journal of Clinical Oncology 26, no. 27 (September 20, 2008): 4480–87. http://dx.doi.org/10.1200/jco.2007.15.7917.
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Purpose Physical activity can enhance quality of life for cancer survivors. However, few longitudinal studies have examined whether physical activity has a sustained effect on improvements in quality of life. The present study aims to examine the relationships between physical activity and quality of life over 2 years after a colorectal cancer diagnosis. Patients and Methods Data were collected within the Colorectal Cancer and Quality of Life Study, in which 1,966 people diagnosed with colorectal cancer were recruited through the Queensland Cancer Registry. Participants completed telephone interviews at approximately 6, 12, and 24 months after diagnosis. Generalized linear mixed models were used to estimate the overall, interindividual, and intraindividual level independent effects of participation in physical activity on quality of life. Results There was an overall independent association between physical activity and quality of life. At a given time point, participants achieving at least 150 minutes of physical activity per week had an 18% higher quality of life score than those who reported no physical activity. Significant associations were also present at the interindividual level (differences between participants) and intraindividual level (within participant changes). Conclusion These findings suggest that the positive association between physical activity and quality of life is consistent over time. Encouraging colorectal cancer survivors to be physically active may be a helpful strategy for enhancing quality of life.
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Peetz, David, and Georgina Murray. "‘You Get Really Old, Really Quick’: Involuntary Long Hours in the Mining Industry." Journal of Industrial Relations 53, no. 1 (February 2011): 13–29. http://dx.doi.org/10.1177/0022185610390294.
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Is there a job-quality problem in mining? Is part of this problem that mining employees are working involuntary long hours? If so, how extensive is this problem? What is the impact, if any, of involuntary long hours in mining on family life? And how much control do mining employees have over their working-time arrangements? What are the possible policy responses? We address these questions through analysis of data from the Australian Bureau of Statistics, the Australian Work and Life Index survey, a survey of employees in Queensland, and qualitative interviews with 135 people associated with the Queensland mining industry. We find evidence of substantial involuntary long hours in mining, closely related to 24-hour operations and 12-hour shifts, with adverse implications for the work—life balance, which is made worse where employees lack input into the design of rosters. The findings suggest that, in order to promote ‘good jobs’ in the mining industry, there is both a need to revisit protections for employees against being forced to work ‘unreasonable’ hours above the ostensible national standard of 38 hours per week and strong support even amongst mine-workers for a ceiling on hours worked per week.
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Gardiner, Bernard. "Grit and stigma: Gay men ageing with HIV in regional Queensland." Journal of Sociology 54, no. 2 (April 4, 2018): 214–25. http://dx.doi.org/10.1177/1440783318766162.
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The ageing of the first generation of HIV long-term survivors brings into sharp focus the suffering that activism and the clinical management of HIV has not solved, particularly in regional areas. Although HIV is now usually a manageable chronic condition, it also involves navigating unrelenting social stigma. Quality of life beyond viral suppression is not assured. Despite a history of affected communities demanding equal partnership with health-care providers, an increasingly biomedicalized orientation risks neglecting the psycho-social needs of those with a history of trauma, depression and other co-morbidities often more difficult to manage than HIV itself.
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Smith, LG. "Effects of ethephon on ripening and quality of freshmarket pineapples." Australian Journal of Experimental Agriculture 31, no. 1 (1991): 123. http://dx.doi.org/10.1071/ea9910123.
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The potential benefits of ethephon (2-chloroethyl phosponic acid) on freshmarket pineapples (Ananas comosus L.) growing in subtropical Queensland were examined in 2 experiments. Fruit harvested from treated plots and stored for up to 20 days had less (1-2%) soluble solids, varied more in percentage soluble solids and reached full yellow colour 2-3 days earlier than untreated fruits. The effect on eating quality was variable. Treated fruits had superior eating quality to untreated controls 10 days after harvest, while treated fruit left on the plant for 23 days had inferior eating quality to controls. Harvested, treated fruits 'coloured' (degreened) more evenly and, thus, presented better in the carton but had shorter shelf life due to accelerated skin senescence. It was concluded that any important advantages for the freshmarket industry remain to be demonstrated.
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Trott, Paul, and Ilse Blignault. "Cost evaluation of a telepsychiatry service in northern Queensland." Journal of Telemedicine and Telecare 4, no. 1_suppl (March 1998): 66–68. http://dx.doi.org/10.1258/1357633981931515.
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We conducted a simple comparison of the costs associated with delivering a mental health service by telepsychiatry and by conventional methods. The telepsychiatry rural outreach service was delivered to a mining town 900km from the regional hospital in Townsville. When the telemedicine service was well established, 40 cases a month were seen for general adult psychiatry, four for child and adolescent mental health, four for psychology and two for forensic services. Costs and quality-of-life issues were considered. The savings to the health authority were estimated to be $85,380 in the first year and $112,790 in subsequent years, not allowing for maintenance and equipment upgrading. We also estimated a 40%reduction in patient transfers due to the introduction of telemedicine. Based on the previous year's figures of 27 transfers at $8920 each, this would produce an annual saving of $96,336 for the Royal Flying Doctor Service. The results of the study showed considerable savings from reduced travel by patients and health-care workers.
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Bilic, Shontel, Ingrid Blomberg, Kate Burry, Erica Chong, Eric Yeung, and Anura Ariyawardana. "Oral-health-related quality of life of dental patients: a hospital based study in far north Queensland, Australia." Journal of Investigative and Clinical Dentistry 8, no. 3 (April 20, 2016): e12216. http://dx.doi.org/10.1111/jicd.12216.
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DiSipio, Tracey, Sandi Hayes, Beth Newman, and Monika Janda. "Health-related quality of life 18 months after breast cancer: comparison with the general population of Queensland, Australia." Supportive Care in Cancer 16, no. 10 (January 16, 2008): 1141–50. http://dx.doi.org/10.1007/s00520-007-0392-y.
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Boonjindasup, Wicharn, Julie M. Marchant, Margaret S. McElrea, Stephanie T. Yerkovich, Ian Brent Masters, and Anne B. Chang. "Impact of using spirometry on clinical decision making and quality of life in children: protocol for a single centre randomised controlled trial." BMJ Open 11, no. 9 (September 2021): e050974. http://dx.doi.org/10.1136/bmjopen-2021-050974.
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IntroductionAlthough spirometry has been available for decades, it is underused in paediatric practice, other than in specialist clinics. This is unsurprising as there is limited evidence on the benefit of routine spirometry in improving clinical decision making and/or outcomes for children. We hypothesised that using spirometry for children being evaluated for respiratory diseases impacts on clinical decision making and/or improves patient-related outcome measures (PROMs) and/or quality of life (QoL), compared with not using spirometry.Methods and analysisWe are undertaking a randomised controlled trial (commenced in March 2020) that will include 106 children (aged 4–18 years) recruited from respiratory clinics at Queensland Children’s Hospital, Australia. Inclusion criteria are able to perform reliable spirometry and a parent/guardian who can complete questionnaire(s). Children (1:1 allocation) are randomised to clinical medical review with spirometry (intervention group) or without spirometry (control group) within strata of consultation status (new/review), and cough condition (present/absent). The primary outcome is change in clinical decision making. The secondary outcomes are change in PROM scores, opinions regarding spirometry and degree of diagnosis certainty. Intergroup differences of these outcomes will be determined by χ2 test or unpaired t-test (or Mann-Whitney if not normally distributed). Change in outcomes within the control group after review of spirometry will also be assessed by McNemar’s test or paired t-test/Wilcoxon signed-rank test.Ethics and disseminationThe Human Research Ethics Committee of the Queensland Children’s Hospital approved the study. The trial results will be disseminated through conference presentations, teaching avenues and publications.Trial registration numberACTRN12619001686190; Pre-results.
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Bagnato, N., A. Klieber, R. Barrett, and M. Sedgley. "Optimising ripening temperatures of Cavendish bananas var. 'Williams' harvested throughout the year in Queensland, Australia." Australian Journal of Experimental Agriculture 42, no. 7 (2002): 1017. http://dx.doi.org/10.1071/ea01162.
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Varying banana ripening temperatures were examined throughout the year to ensure optimum quality and shelf life of commercially ripened fruit in Australia. Cavendish bananas (var. 'Williams') were harvested throughout the year 2000 and were ripened at 14, 16, 18 and 20°C with 300 μL/L ethylene on 2 consecutive days until fruit were more yellow than green and then subsequently stored at 22°C until the end of the experiment. Ripening bananas at 14 and 16°C extended shelf life by up to 50 and 32%, respectively. However, ripening bananas at 14 and 16°C did increase peel discolouration, especially on bananas chilled in the field in winter. Bananas ripened at 18 or 20°C throughout the year had an average shelf life of 6 days and consistently lower peel discolouration. Therefore, ripening at 18 or 20°C throughout the year results in a better visual appearance of the fruit, which is essential for consumers.
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Silcock, RG, LM Williams, and F. Smith. "Quality and storage characteristics of the seeds of important native pasture species in South-West Queensland." Rangeland Journal 12, no. 1 (1990): 14. http://dx.doi.org/10.1071/rj9900014.
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Seeds of native plants can be difficult to germinate reliably. In addition, the useful life of a carefully harvested seed lot needs to be known. This paper reports on the laboratory germination over eight years of seed of 27 native pasture species hand-harvested near Charleville after the 1972-73 summer and stored in a laboratory without special conditions. The legumes had prolonged hard-seededness and high viability. Forb species varied in their degree of hard-seededness and the level of initial dormancy, Most perennial grasses produced high quality seed which attained best germination between one and three years after harvest. The Andropogoneae had much poorer seed fill than most other species. Laboratory germination of annual and small seeded grasses was often low, even after scarification. Thus, the use of freshly harvested or old, untested seed of native rangeland species in - research programmes is very unwise.
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Sakzewski, Leanne, Sarah Reedman, Kate McLeod, Megan Thorley, Andrea Burgess, Stewart Trost, Matthew Ahmadi, et al. "Preschool HABIT-ILE: study protocol for a randomised controlled trial to determine efficacy of intensive rehabilitation compared with usual care to improve motor skills of children, aged 2–5 years, with bilateral cerebral palsy." BMJ Open 11, no. 3 (March 2021): e041542. http://dx.doi.org/10.1136/bmjopen-2020-041542.
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IntroductionYoung children with bilateral cerebral palsy (BCP) often experience difficulties with gross motor function, manual ability and posture, impacting developing independence in daily life activities, participation and quality of life. Hand Arm Bimanual Intensive Training Including Lower Extremity (HABIT-ILE) is a novel intensive motor intervention integrating upper and lower extremity training that has been developed and tested in older school-aged children with unilateral and BCP. This study aims to compare an adapted preschool version of HABIT-ILE to usual care in a randomised controlled trial.Methods and analysis60 children with BCP aged 2–5 years, Gross Motor Function Classification System (GMFCS) II–IV will be recruited. Children will be stratified by GMFCS and randomised using concealed allocation to either receive Preschool HABIT-ILE or usual care. Preschool HABIT-ILE will be delivered in groups of four to six children, for 3 hours/day for 10 days (total 30 hours). Children receiving Preschool HABIT-ILE be provided a written home programme with the aim of achieving an additional 10 hours of home practice (total dose 40 hours). Outcomes will be assessed at baseline, immediately following intervention and then retention of effects will be tested at 26 weeks. The primary outcome will be the Peabody Developmental Motors Scales–Second Edition to evaluate gross and fine motor skills. Secondary outcomes will be gross motor function (Gross Motor Function Measure-66), bimanual hand performance (Both Hands Assessment), self-care and mobility (Pediatric Evaluation of Disability Inventory-Computer Adapted Test), goal attainment (Canadian Occupational Performance Measure), global performance of daily activities (ACTIVLIM-CP), cognition and adaptive function (Behavior Rating Inventory of Executive Function—Preschool Version), habitual physical activity (ActiGraph GT3X+) and quality of life (Infant Toddler Quality of Life Questionnaire and Child Health Utility Index-9). Analyses will follow standard principles for RCTs using two-group comparisons on all participants on an intention-to-treat basis. Comparisons between groups for primary and secondary outcomes will be conducted using regression models.Ethics and disseminationEthics approval has been granted by the Medical Research Ethics Committee Children’s Health Queensland Hospital and Health Service Human Research Ethics Committee (HREC/19/QCHQ/59444) and The University of Queensland (2020000336/HREC/19/QCHQ/59444).Trial registration numberACTRN126200000719.
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Cadilhac, Dominique A., Nadine E. Andrew, Monique F. Kilkenny, Kelvin Hill, Brenda Grabsch, Natasha A. Lannin, Amanda G. Thrift, et al. "Improving quality and outcomes of stroke care in hospitals: Protocol and statistical analysis plan for the Stroke123 implementation study." International Journal of Stroke 13, no. 1 (September 15, 2017): 96–106. http://dx.doi.org/10.1177/1747493017730741.
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Rationale The effectiveness of clinician-focused interventions to improve stroke care is uncertain. Aims To determine whether an organizational intervention can improve the quality of stroke care over usual care. Sample size estimates To detect an absolute 10% difference in overall performance (composite outcome), a minimum of 21 hospitals and 843 patients per group was determined. Methods and design Before and after controlled design in hospitals in Queensland, Australia. Intervention Externally facilitated program (StrokeLink) using outreach workshops incorporating clinical performance feedback, patient outcomes (survival, quality of life at 90–180 days), local barrier assessments to best practice care, action planning, and ongoing support. Descriptive and multivariable analyses adjusted for patient correlations by hospital (intention-to-treat method). Context Concurrent implementation of financial incentives to increase stroke unit access and use of the Australian Stroke Clinical Registry for performance monitoring. Study outcome(s) Primary outcome: net change in composite score (i.e. total number of process indicators achieved divided by the sum of eligible indicators for each cohort). Secondary outcomes: change in individual indicators, change in composite score comparing hospitals that did or did not develop action plans (per-protocol analysis), impact on 90–180-day health outcomes. Sensitivity analyses: hospital self-rated status, alternate cross-sectional audit data (Stroke Foundation). To account for temporal effects, comparison of Queensland hospital performance relative to other Australian hospitals will also be undertaken. Discussion Twenty-one hospitals were recruited; however, one was unable to participate within the study time frame. Workshops were held between 11 March 2014 and 7 November 2014. Data are ready for analysis.
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Beesley, Vanessa L., B. Mark Smithers, Kiarash Khosrotehrani, Mohsina Khatun, Peter O'Rourke, Maria Celia B. Hughes, Maryrose K. Malt, et al. "Supportive care needs, anxiety, depression and quality of life amongst newly diagnosed patients with localised invasive cutaneous melanoma in Queensland, Australia." Psycho-Oncology 24, no. 7 (October 29, 2014): 763–70. http://dx.doi.org/10.1002/pon.3718.
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Cheng, Qinglu, Stuart A. Kinner, Xing J. Lee, Kathryn J. Snow, and Nicholas Graves. "Cost–utility analysis of low-intensity case management to increase contact with health services among ex-prisoners in Australia." BMJ Open 8, no. 8 (August 2018): e023082. http://dx.doi.org/10.1136/bmjopen-2018-023082.
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ObjectivesThe economic burden of incarceration is substantial in Australia. People released from prison are at high risk of poor health and this is an important predictor of recidivism. The ‘Passports Study’ was a randomised controlled trial of an intervention designed to increase health service utilisation after release from prison. The aim of this study is to conduct a cost–utility analysis of this transitional programme.SettingAustraliaDesignA hybrid simulation model was developed to estimate the changes to total economic costs and effectiveness expressed as quality-adjusted life-years (QALYs) from the adoption of the ’Passports’ intervention compared with the control group. Model parameters were informed by linked data from Queensland Corrective Services, Medicare, Pharmaceutical Benefits Scheme, Queensland Hospital Admission Patient Data Collection, Emergency Department Information System and National Death Index. Health-related quality of life was measured using the Short-Form 8 Health Survey (SF-8). The primary outcomes were the costs and estimated QALYs associated with the intervention group and the control group. Probabilistic sensitivity analysis was conducted to test parameter uncertainties.ResultsCompared with the control group where no attempt was made to encourage health service utilisation, an average participant in the intervention group incurred an extra cost of AUD 1790 and experienced slightly reduced QALYs, which indicated that the intervention was dominated in the baseline analysis. Probabilistic sensitivity analysis revealed that the transitional programme had a low probability of being cost-effective with the outcome measures selected.ConclusionThe findings of this study do not provide economic evidence to support the widespread adoption of the Passports intervention. Due to the reductionist nature of the cost–utility approach, it may be that important health-related benefits have been omitted. Another research approach using a wider range of health-related measures might generate different conclusions.
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Thomas, Clare, Penny Mitchell, Peter O’Rourke, and Claire Wainwright. "Quality-of-life in children and adolescents with cystic fibrosis managed in both regional outreach and cystic fibrosis center settings in queensland." Journal of Pediatrics 148, no. 4 (April 2006): 508–16. http://dx.doi.org/10.1016/j.jpeds.2005.11.040.
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Fleet, Graham, and Hugh Dircks. "Yeast, cocoa beans and chocolate." Microbiology Australia 28, no. 2 (2007): 48. http://dx.doi.org/10.1071/ma07048.
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Yeast play a key role in the fermentation of many foods andbeverages. The best known examples are bread, beer and wine, where understanding of the ecology, biochemistry, physiology and genomics of the yeast contribution is well advanced. Yeast also have prominent roles in the production of other well-known commodities, such as cheeses, salami-style meat sausages, and soy sauce, where their activities in the fermentation and maturation processes are attracting increasing research. Still, there are many other products where yeast have a significant role in fermentation, but aspects of their contributions and how these impact on product quality remain a mystery. Such products include many indigenous fermented foods of Asia, Africa and Central and South America, and two economically important cash crops, cocoa beans and coffee. Consider life without chocolate or good quality coffee! We have been studying cocoa bean fermentations in Indonesia and now in North Queensland, Australia. In this article, we review the role of yeast in the production of cocoa beans and chocolate.
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IP, DAVID, CHI WAI LUI, and WING HONG CHUI. "Veiled entrapment: a study of social isolation of older Chinese migrants in Brisbane, Queensland." Ageing and Society 27, no. 5 (August 29, 2007): 719–38. http://dx.doi.org/10.1017/s0144686x07006083.
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ABSTRACTThis paper presents the findings of a study of the support and service needs of older Chinese people in Brisbane, the capital city of Queensland, Australia. There were two specific objectives: to ascertain the problems encountered by older Chinese-Australians in their daily lives and social activities; and to develop policy and service development recommendations, with a view to mitigating their problems, meeting their unmet needs, improving their quality of life, and enhancing their participation in Australian society. The study used multiple methods, including a literature review, focus group meetings, and a community survey. The findings indicate that older Chinese people, and particularly women, experience significant restrictions in their activity patterns, social isolation and loneliness. Their lack of proficiency in the English language, and the difficulties they have in accessing language-support and interpretation services, limit their autonomous mobility and make them heavily dependent on their adult children, not least for transport. Their physical and psychological wellbeing is affected further by strained relations with their adult children, and these are compounded by financial concerns. The implications of the findings for welfare policy and practice are discussed at the end of the paper.
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Guhathakurta, Subhrajit, and Robert J. Stimson. "What is Driving the Growth of New “Sunbelt” Metropolises? Quality of Life and Urban Regimes in Greater Phoenix and Brisbane-South East Queensland Region." International Planning Studies 12, no. 2 (May 2007): 129–52. http://dx.doi.org/10.1080/13563470701453794.
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Walter, Zoe, Catherine A. Quinn, Genevieve Dingle, Nina Pocuca, Amanda L. Baker, Alison Beck, Dominique De Andrade, Maree Toombs, and Leanne Hides. "FullFix: a randomised controlled trial of a telephone delivered transdiagnostic intervention for comorbid substance and mental health problems in young people." BMJ Open 11, no. 10 (October 2021): e045607. http://dx.doi.org/10.1136/bmjopen-2020-045607.
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IntroductionTransdiagnostic cognitive–behavioural therapy (CBT) targets common psychological factors that underlie multiple disorders. While transdiagnostic interventions are a promising new approach, limited research has evaluated these treatments within the alcohol and other drug (AOD) sector for young people with comorbid mental health symptoms. This project will examine the feasibility and preliminary efficacy of FullFix—a new risk-targeted transdiagnostic CBT telehealth programme for comorbid AOD and depression/anxiety disorders in young people. Secondary aims are to identify moderators and mediators of treatment outcomes, to determine how and why treatment is effective and who is most likely to benefit.Methods/designParticipants will be 130 young people (aged 16–35) accessing AOD services in Queensland, Australia, with comorbid mental health symptoms. They will be randomised to receive either the FullFix intervention plus standard AOD care or standard AOD care alone. Primary outcomes on AOD use and mental health symptoms will be reassessed at 6 weeks, 3 months, 6 months and 12 months, along with secondary outcomes of emotion regulation, social connectedness, perceived self-efficacy, coping skills and quality of life. The trial commenced on October 2018 and expected completion date is September 2021.Ethics and disseminationEthical approval for this trial was provided by the University of Queensland (#2018001185). The results of the trial will be disseminated through publication in a peer-reviewed scientific journal, scientific presentations at conferences and distributed via a report and presentations to the partner organisation.Trial registration numberACTRN12618001563257.
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Sendall, Marguerite C., Lauren Fox, and Darren Wraith. "University Staff and Students’ Attitudes towards a Completely Smoke-Free Campus: Shifting Social Norms and Organisational Culture for Health Promotion." International Journal of Environmental Research and Public Health 18, no. 13 (July 2, 2021): 7104. http://dx.doi.org/10.3390/ijerph18137104.
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A large university in Queensland, Australia with a diverse staff and student community introduced a campus wide smoke-free policy in 2016. The purpose of this enquiry was to understand attitudes about a new smoke-free policy, its potential impact and the shift in social norms and organizational culture to inform the next phase of implementation. An electronic survey was distributed to all staff and students approximately 12 weeks after the smoke-free policy was implemented. The survey consisted of multiple-choice questions about demographics, smoking behaviour, attitudes towards smoking and tobacco control, awareness of the smoke-free policy, and attitudes towards the effect of a completely smoke-free campus on quality of life, learning and enrolment. The survey was completed by 641 university staff and students. Respondents reported seeking out (80.4%) and socialising in smoke-free environments (86.6%) and supported smoke-free buildings (96.1%), indoor areas (91.6%), and outdoor areas (79%). The results revealed overwhelming support for a completely smoke-free campus (83%) and minority support for designated smoking areas (31%). Overall, respondents reflected positively towards a campus wide smoke-free policy. These findings suggest Queensland’s early adoption of tobacco control laws influenced the social environment, de-normalised smoking, changed behaviour, preference for smoke-free environments and shifted social norms. These findings provide convincing evidence for organisational change and suggest health promotion policy makers should progress the implementation of smoke-free policies nationally across the higher education sector.
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Wade, Rachael, Nancy A. Pachana, George Mellick, and Nadeeka Dissanayaka. "Factors related to sleep disturbances for individuals with Parkinson’s disease: a regional perspective." International Psychogeriatrics 32, no. 7 (September 23, 2019): 827–38. http://dx.doi.org/10.1017/s1041610219001212.
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ABSTRACTObjectives:Sleep disturbances negatively impact the quality of life of patients with Parkinson’s disease (PD). While persons living in regional areas are at higher risk of PD, PD is poorly managed in regional communities. This study examined factors associated with sleep problems in PD in a regional context.Design:A mixed-methods cross-sectional design was used.Participants:Patients with PD were recruited from the Queensland Parkinson’s Project database.Measurements:Those who agreed to participate were sent a questionnaire assessing aspects of sleep, depression, anxiety, quality of life, and PD severity. Qualitative information was also gathered. Correlations between variables were examined; thematic analyses were performed for qualitative data.Results:All participants (n = 49) reported sleep disturbances, with 73% (n = 36) reporting sleep disturbance to be problematic. Global sleep dysfunction positively correlated with daytime napping (r = .34, p = .01), watching the clock when unable to sleep (r = .38, p = <.01), staying in bed when unable to sleep (r = .43, p = <.01), and going to bed hungry (r = .31, p = .03) and negatively correlated with daytime exercise (r = -.32, p = .02). Positive correlations were observed between global sleep dysfunction and depression (r = .55, p = <.01), anxiety (r = .31, p = .04), and dysfunctional sleep beliefs (r = .39, p = <.01).Conclusion:There is a clear need for identifying factors related to sleep disturbances in PD for effective management.
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Butow, Phyllis Noemi, Lynley Aldridge, Melanie Bell, Ming Sze, Maurice Eisenbruch, Madeleine King, Michael Jefford, Penelope Schofield, Priya Duggal-Beri, and David Goldstein. "Cancer survivorship outcomes in immigrants." Journal of Clinical Oncology 30, no. 15_suppl (May 20, 2012): 6111. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.6111.
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6111 Background: Immigration is increasing world-wide. Cancer survivorship is now recognised as a period of difficult adjustment for all patients, and possibly more so for immigrants. We explored disparities in quality of life outcomes for immigrant (IM) versus Anglo-Australian (AA) cancer survivors. Methods: In a cross-sectional design, cancer survivors were recruited through the New South Wales, Queensland and Victorian Cancer Registries in Australia. IM participants, their parents and grandparents were born in a country where Chinese, Greek, or Arabic is spoken and spoke one of those languages. AAs were born in Australia and spoke English. All were diagnosed with cancer 1-3 years previously. Questionnaires (completed in preferred language) included the Hospital Anxiety and Depression Scale (anxiety/ depression), FACT-G (quality of life) and Supportive Care Needs Survey (unmet needs). Outcomes were compared between AA and IM groups in adjusted regression models that included age, gender, socio-economic status, education, marital status, religion, time since diagnosis and cancer type (prostate, colorectal, breast and other). Results: There were 599 participants (response rate 41%). Consent was unrelated to demographic and disease variables. AA and IM groups were similar except that immigrants had higher proportions in the low and highly educated groups (p < 0.0001), and higher socioeconomic status (p = 0.0003). In adjusted analyses (see table), IMs had clinically significant higher depression (possible range 0-21), greater unmet information and physical needs, and lower quality of life than AAs. The possible range for the latter three is 0-100. Conclusions: Immigrants experience poorer outcomes in cancer survivorship, even after adjusting for socio-economic, demographic and disease differences. Interventions are required to improve their adjustment after cancer. Results highlight areas of unmet need that might be better addressed by the health system (particularly with regard to provision of information and support. [Table: see text]
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Hennessy, Maria, and Karen A. Sullivan. "Quality of life, community integration, service needs and clinical outcomes of people with traumatic brain injury in urban, regional and remote areas of Queensland, Australia." Australian Journal of Rural Health 30, no. 2 (January 16, 2022): 164–74. http://dx.doi.org/10.1111/ajr.12823.
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Quinn, Tom. "Building regional strength through supporting social and economic activity in Queensland's gasfield communities." APPEA Journal 59, no. 2 (2019): 690. http://dx.doi.org/10.1071/aj18149.
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Queensland boasts a rich endowment of resource wealth, which has seen the state develop a world-class industry that contributes in many ways to the quality of life for our local communities. The development of the coal seam gas industry has become an integral part of regional Queensland, playing a pivotal role in the economic prosperity of local towns. Building regional strength is achieved by providing employment and training, using and building the capability of businesses and supporting community projects. Local recruitment strategies include regional recruitment roadshows, Yarn Ups and partnering with local labour hire agencies. For the sustainment of local employment over the long term, companies must build processes to develop our skilled workers of the future, investing in initiatives such as apprenticeship programs. Maximising local economy interaction is achieved by prioritising local procurement, using local Chambers of Commerce to build strong local supplier networks and committing to supporting and developing local business capability through mentoring, business incubation and training and competency development to improve the ability of local businesses to meet contractual commitments. Investing in and supporting local grass roots community groups, clubs and associations that provide important services to their communities through a community grants program provides lasting benefits for community members who count on the vital support of these organisations in their day-to-day lives. The oil and gas industry brings value to local communities and it is imperative that we are collectively focused on building positive relationships and supporting local economic sustainability.
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Roper, Joanna C., Nirmala Amber, Osanna Yee Ki Wan, Abdul H. Sultan, and Ranee Thakar. "Review of available national guidelines for obstetric anal sphincter injury." International Urogynecology Journal 31, no. 11 (August 13, 2020): 2247–59. http://dx.doi.org/10.1007/s00192-020-04464-5.
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Abstract Introduction and hypothesis Obstetric anal sphincter injuries (OASIs) are the most severe form of perineal trauma with potentially devastating effects on a mother’s quality of life. There are various national guidelines available for their management. The aim of this study was to review and compare recommendations from published national guidelines regarding management and prevention of OASI. Methods We searched the PUBMED, EMBASE, MEDLINE, CINAHL and COCHRANE databases from January 2008 till October 2019 using relevant Medical Subject Headings (MeSH), including all subheadings. The guideline characteristics were mapped and methodological quality assessed with the Appraisal of Guidelines for Research and Evaluation (AGREE) II tool by three independent reviewers. To compare the methodological quality of the guidelines, the interpretation of the six domain scores were taken into consideration. By consensus of the authors, a score of 70% was taken as a cut-off, and scores above this were considered ‘high quality’. Results Thirteen national guidelines on perineal trauma were included and analysed. Nine of these were specific to OASI. There is wide variation in methodological quality and evidence used for recommendations. AGREE scores for overall guideline assessment were > 70% in eight of the guidelines, with Australia-Queensland, Canada, the UK and USA scoring highest. Conclusions The wide variation in methodological quality and evidence used for recommendations suggests that there is a need for an agreed international guideline. This will enable healthcare practitioners to follow the same recommendations, with the most recent evidence, and provide evidence-based care to all women globally.
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Sakzewski, Leanne, Yannick Bleyenheuft, Roslyn N. Boyd, Iona Novak, Catherine Elliott, Sarah Reedman, Cathy Morgan, et al. "Protocol for a multisite randomised trial of Hand–Arm Bimanual Intensive Training Including Lower Extremity training for children with bilateral cerebral palsy: HABIT-ILE Australia." BMJ Open 9, no. 9 (September 2019): e032194. http://dx.doi.org/10.1136/bmjopen-2019-032194.
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IntroductionChildren with bilateral cerebral palsy often experience difficulties with posture, gross motor function and manual ability, impacting independence in daily life activities, participation and quality of life (QOL). Hand–Arm Bimanual Intensive Training Including Lower Extremity (HABIT-ILE) is a novel intensive motor intervention integrating upper and lower extremity training. This study aimed to compare HABIT-ILE to usual care in a large randomised controlled trial (RCT) in terms of gross motor function, manual ability, goal attainment, walking endurance, mobility, self-care and QOL. A within-trial cost–utility analysis will be conducted to synthesise costs and benefits of HABIT-ILE compared with usual care.Methods and analysis126 children with bilateral cerebral palsy aged 6–16 years will be recruited across three sites in Australia. Children will be stratified by site and Gross Motor Function Classification System and randomised using concealed allocation to either receiving HABIT-ILE immediately or being waitlisted for 26 weeks. HABIT-ILE will be delivered in groups of 8–12 children, for 6.5 hours per day for 10 days (total 65 hours, 2 weeks). Outcomes will be assessed at baseline, immediately following intervention, and then retention of effects will be tested at 26 weeks. Primary outcomes will be the Gross Motor Function Measure and ABILHAND-Kids. Secondary outcomes will be brain structural integrity, walking endurance, bimanual hand performance, self-care, mobility, performance and satisfaction with individualised goals, and QOL. Analyses will follow standard principles for RCTs using two-group comparisons on all participants on an intention-to-treat basis. Comparisons between groups for primary and secondary outcomes will be conducted using regression models.Ethics and disseminationEthics approval has been granted by the Medical Research Ethics Committee of Children’s Health Queensland Hospital and the Health Service Human Research Ethics Committee (HREC/17/QRCH/282) of The University of Queensland (2018000017/HREC/17/QRCH/2820), and The Cerebral Palsy Alliance Ethics Committee (2018_04_01/HREC/17/QRCH/282).Trial registration numberACTRN12618000164291.
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Niven, DR, and DA Pritchard. "Effects of control of the sheep body louse (Damalinia ovis) on wool production and quality." Australian Journal of Experimental Agriculture 25, no. 1 (1985): 27. http://dx.doi.org/10.1071/ea9850027.
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Groups of 35 Merino wethers under natural challenge by sheep body lice, Damalinia ovis, in south-western Queensland were subjected to four different chemical lice control treatments (arsenic, diazinon, cypermethrin and deltamethrin) over a 12-month period. Shearing took place in June. Louse populations were reduced by repeated treatments with cypermethrin. Despite high temperatures and some rainfall, populations in controls peaked at the end of summer, indicating that wool length influenced population growth. Greasy and clean fleece weights of treated sheep were higher (P<0.05) than those of controls by 0.4-1.1 kg/sheep and 0.3-0.9 kg/sheep, respectively, depending on treatment. Wool base yield was 2-45.5% higher. Sheep that were repeatedly treated with cypermethrin produced more (P<0.05) sound fleece wool (3.0 vs 1.7 kg/head greasy) and less cast fleece wool (0.1 vs 0.4 kg/head greasy) than controls. The differences in wool value between treated groups and controls ranged from $A0.45 to $A3.19 per sheep. No effect on liveweight could be attributed to treatment.
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Kennedy, Craig, and Peter Yellowlees. "A community-based approach to evaluation of health outcomes and costs for telepsychiatry in a rural population: Preliminary results." Journal of Telemedicine and Telecare 6, no. 1_suppl (February 2000): 155–57. http://dx.doi.org/10.1258/1357633001934492.
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A pilot trial was established to support visiting psychiatric services and local public and private practitioners through the use of videoconferencing. The purpose of the trial was to determine whether people in the community received better health-care with telemedicine. A community-based approach was used to evaluate health outcomes, costs, utilization, accessibility, quality and needs for such services in a rural community in Queensland. Over a two-year period data were collected from 124 subjects who met the criteria of having a mental health problem or mental disorder. Nine further subjects refused to participate in the study. Only 32 subjects used videoconferencing to receive mental health services. Preliminary results did not show any significant improvements in wellbeing or quality of life, although the time span was relatively short. However, the results confirmed that the people were no worse off from a consumer or a practitioner perspective from using videoconferencing. Most consumers found that videoconferencing with a psychiatrist moderately or greatly helped them in managing their treatment, with 98% of them preferring to be offered videoconferencing in combination with local services. Overall, videoconferencing is a crucial part of enhancing psychiatry services in rural areas. However, it is not necessarily cost-effective for all consumers, general practitioners, psychiatrists, or the public mental health service.
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Pegler, Lachlan, Renée Moore, and Delphine Bentley. "Bore drain replacement in south-west Queensland: benefits and costs for land managers." Rangeland Journal 24, no. 2 (2002): 185. http://dx.doi.org/10.1071/rj02010.
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The Bore Drain Replacement Project (BDRP) in south-west Queensland provided government subsidies to land managers to convert water distribution systems from open earth bore drains to piped water systems, thereby addressing Great Artesian Basin (GAB) sustainability issues. To fully evaluate the benefits and costs of the project for land managers, both a financial benefit-cost analysis and a study of land managers' perceptions were conducted. The main benefit for land managers from bore drain replacement, was a substantial decrease in operating costs (mean decrease of 87%). Results of the financial benefit-cost analysis showed that the mean private benefit to total cost ratio (BP:CT) (0.86, at a real discount rate of 6%, over 10 years) was less than the break-even value of unity . The mean BP:CT (0.6) for land managers with less than 50% of bore drains on mulga (Acacia aneura F. Muell ex. Benth) land systems was also less than unity, while those land managers with bore drains predominately on mulga land systems had a mean BP:CT that only marginally exceeded unity (1.1). With a government subsidy (study mean 72%), the private benefits to private cost ratio (BP:CP), averaged across all land managers in the study, was 2.25. The break-even subsidy level for land managers was calculated as 17% of the total capital cost. Land managers perceived a number of important benefits from bore drain replacement that were not included in the financial benefit-cost analysis, due to difficulty quantifying values. These included benefits from changes in grazing management, increased time-savings and an improved quality of life. In general, there were no changes documented in animal productivity, native and feral animal populations, or carrying capacity in the 18 months since piping, although potential changes for the future were identified. Some land managers noted improvements to natural resource condition near bore drains after closure, while most expected little deterioration in natural resource condition near the new water points. Recommendations are made for ongoing funding support for bore drain replacement, including further monitoring and evaluation, with emphasis on conducting an economic public and private benefit-cost analysis. Land managers' capacity to pay, willingness to adopt change and public benefits of the project should be considered in cost sharing arrangements and determination of future government subsidy levels.
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Devlin, M., J. Waterhouse, and J. Brodie. "Community and connectivity: summary of a community based monitoring program set up to assess the movement of nutrients and sediments into the Great Barrier Reef during high flow events." Water Science and Technology 43, no. 9 (May 1, 2001): 121–31. http://dx.doi.org/10.2166/wst.2001.0522.
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The Great Barrier Reef (GBR) system encompasses the largest system of corals and related life forms anywhere in the world. The health of this extensive system, particularly the inshore area, is dependent on the relationship between the GBR and adjacent coastal catchments. The major impact of agricultural practices on the GBR is the degradation of water quality in receiving (rivers) waters, caused by increased inputs of nutrients, suspended sediments and other pollutants. For the past three years, the Great Barrier Reef Marine Park Authority (GBRMPA) has been involved with the co-ordination of a river-monitoring program, specifically targeting the sampling of rivers during flood events. Representative sites were set up along two North Queensland rivers, the Russell-Mulgrave and Barron Rivers. This monitoring program is run in conjunction with the Queensland Department of Natural Resources' Waterwatch program. The program involves intensive sampling of first flush, extreme flow and post flood conditions over the two rivers. Extreme flow conditions are sampled over a limited time span (48 hours) with trained volunteers at 4-hour intervals. Concentrations measured in the flood events are dependent on landuse characteristic, and extent of flow. Concentrations of dissolved and particulate nutrients are higher if the extreme flow event is part of the first flush cycle. Concentrations of DIN and DIP measured before, during and after a major flood event suggest that there is a large storage of inorganic material within the Barron and Russell-Mulgrave agricultural subcatchments that move over a period of days, and perhaps weeks. This program created a forum in which GBRMPA liased with the Barron and Russell-Mulgrave community about the connectivity existing between the river and the Great Barrier Reef lagoon.
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McBride, Craig Antony, Sarfaraz Rahiman, Luregn J. Schlapbach, Jessica A. Schults, Tricia M. Kleidon, Melanie Kennedy, Rebecca S. Paterson, Joshua Byrnes, Robert S. Ware, and Amanda Judith Ullman. "Comparing ivWatch biosensor to standard care to identify extravasation injuries in the paediatric intensive care: a protocol for a randomised controlled trial." BMJ Open 12, no. 2 (February 2022): e047765. http://dx.doi.org/10.1136/bmjopen-2020-047765.
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IntroductionPeripheral intravenous catheters (PIVCs) frequently fail during therapy administration, resulting in infusates pooling in the surrounding tissue. These extravasation injuries can cause significant pain, tissue destruction and scarring. ivWatch is a biosensor that uses visible and near-infrared light to measure tissue changes surrounding the PIVC and alert clinicians when extravasation may occur. The effectiveness of ivWatch, in comparison to clinical observation, in decreasing injury severity is unknown. The present study aims to investigate whether using ivWatch may potentially detect injury earlier and decrease the severity of PIVC extravasation injuries.Methods and analysisA single centre, parallel group, open-label superiority randomised controlled trial comparing (a) standard care (clinical observation) to (b) ivWatch monitoring in addition to standard care, to decrease the severity of extravasation injuries. 200 children with PIVCs inserted in the distal half of the limb, receiving intermediate-risk to high-risk infusates for ≥24 hours, will be consecutively recruited at a paediatric intensive care unit in Queensland, Australia. The primary outcome is extravasation severity, measured by the Cincinnati Children’s Extravasation Harm Scale. Secondary outcomes include severity assessed with three-dimensional camera imaging, extravasation volume, treatment sequelae, the number of PIVCs used and dwell time, quality of life and healthcare costs. The between treatment difference in extravasation severity will be compared using ordinal logistic regression, with the treatment group included as the main effect, and reported with corresponding 95% CIs. Estimates of value will be presented as net monetary benefits and cost per reduction in extravasation injury severity, both presented with corresponding 95% credible intervals.Ethics and disseminationThis study received approval from the Children’s Health Queensland Hospital and Health Service Human Research Ethics Committee (HREC) (reference number: HREC/20/QCHQ/60867) and the Griffith University HREC (reference number: 2020/310) and will be disseminated via peer-reviewed publications and conference presentations.Trial registration numberACTRN12620000317998.
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Adie, John William, Wayne Graham, and Marianne Wallis. "Factors associated with choice of health service delivery for after-hours, urgent, non-life-threatening conditions: a patient survey." Australian Journal of Primary Health 28, no. 2 (February 1, 2022): 137–42. http://dx.doi.org/10.1071/py21078.
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The objective of this study was to determine factors associated with patient or carer choice of presentation to an emergency department, an urgent care clinic and an after-hours general practice on Sundays in south-east Queensland. The design of the study was a cross-sectional survey of patients or carers. The study setting was an emergency department, an urgent care clinic and an after-hours general practice. Patients or carers of patients were invited to take part in the study while they were waiting to consult the doctor. Patients were more likely to present to community clinics (i.e. urgent care clinic and an after-hours general practice) if they usually came to the facility (P < 0.001), were concerned about cost (P < 0.001), were influenced by the perceived severity of the sickness (P < 0.001), were unable to get an appointment elsewhere (P < 0.001), thought that there would be less waiting time (P < 0.001) and thought there was better doctor explanation (P = 0.007). This research was limited to 337 surveys. Larger studies could further explore insights gained from this study. The results suggest that public health campaigns could focus on promoting community clinic care for urgent non-life-threatening conditions. These campaigns should include information on waiting times, need for referral, conditions safely managed, range of services provided and quality of service. Designing community facilities for hospital avoidance of patients with non-life-threatening urgent conditions could involve public health campaigns, facility upgrades, and subsidies for transport and attendance.
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Poussade, Y., F. Vince, and C. Robillot. "Energy consumption and greenhouse gases emissions from the use of alternative water sources in South East Queensland." Water Supply 11, no. 3 (July 1, 2011): 281–87. http://dx.doi.org/10.2166/ws.2011.042.
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Between 1999 and 2007, several successive years of severe drought put South East Queensland's water supply under immense pressure. The decision was taken in 2005 to build a seawater desalination plant and three water recycling advanced treatment plants as part of a large investment plan to secure the region's potable water supply. The infrastructure built and commissioned in the past 3 years has a combined capacity producing more than 350,000 m3 per day of very high quality water that can be used either directly (seawater desalination) or indirectly (recycled water) for supplying drinking water. All the plants primarily rely on reverse osmosis membranes for water purification which is an effective and reliable barrier to contaminants, but also requires high energy consumption and a high level of pre-treatment and chemicals. In this paper, the actual energy consumption of two of the plants (the seawater desalination plant and one water recycling plant) was investigated with the perspective of drinking water production over the July 2009–June 2010 period. Eolia™ Potable Water, a Life Cycle Analysis tool developed by Veolia Environnement Research & Innovation, was used to model the processes and estimate the greenhouse gases (GHG) emissions from both plants. As expected, the energy requirement of the desalination was higher (approximately 2.2 times) than the water recycling plant. The plants were found to be significantly more energy efficient when operated at higher flow. In both cases, the purchase of electrical energy represented by far the major contribution to GHG emissions. Indirect GHG emissions from chemical consumption could be reduced at the water recycling plant by optimising the dose of ferric chloride used at the plant and sourcing the chemical from a less distant supplier.
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Ross, Victoria, Kairi Kõlves, and Diego De Leo. "Beyond psychopathology: A case–control psychological autopsy study of young adult males." International Journal of Social Psychiatry 63, no. 2 (January 23, 2017): 151–60. http://dx.doi.org/10.1177/0020764016688041.
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Background: As young Australian males are at a high risk of suicide, the identification of risk factors other than psychopathology is vital for the development of comprehensive suicide prevention measures. Aims: The study investigated whether there were differences in risk factors and pathways to suicide in young adult males from Queensland, Australia, with and without a diagnosable psychiatric disorder. Methods: A case–control, psychological autopsy method was applied using a control group of young males who had died suddenly from causes other than suicide. Results: Suicide cases without a psychiatric diagnosis more frequently displayed behaviours indicative of their suicidality (such as previous attempts, disposing of possessions and making statements of hopelessness) than controls without a diagnosis. Suicides without a diagnosis also displayed more ‘difficult’ personality traits, such as higher levels of neuroticism and aggression. They also experienced poorer quality of life and were significantly more likely than their controls to have experienced a recent separation from a spouse or partner. Conclusion: The results of this study confirmed the existence of several distinct characteristics of young males who die by suicide in the absence of any diagnosable psychiatric disorder.
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George, Joanne M., Alex M. Pagnozzi, Samudragupta Bora, Roslyn N. Boyd, Paul B. Colditz, Stephen E. Rose, Robert S. Ware, et al. "Prediction of childhood brain outcomes in infants born preterm using neonatal MRI and concurrent clinical biomarkers (PREBO-6): study protocol for a prospective cohort study." BMJ Open 10, no. 5 (May 2020): e036480. http://dx.doi.org/10.1136/bmjopen-2019-036480.
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IntroductionInfants born very preterm are at risk of adverse neurodevelopmental outcomes, including cognitive deficits, motor impairments and cerebral palsy. Earlier identification enables targeted early interventions to be implemented with the aim of improving outcomes.Methods and analysisProtocol for 6-year follow-up of two cohorts of infants born <31 weeks gestational age (PPREMO: Prediction of Preterm Motor Outcomes; PREBO: Prediction of Preterm Brain Outcomes) and a small term-born reference sample in Brisbane, Australia. Both preterm cohorts underwent very early MRI and concurrent clinical assessment at 32 and 40 weeks postmenstrual age (PMA) and were followed up at 3, 12 and 24 months corrected age (CA). This study will perform MRI and electroencephalography (EEG). Primary outcomes include the Movement Assessment Battery for Children second edition and Full-Scale IQ score from the Wechsler Intelligence Scale for Children fifth edition (WISC-V). Secondary outcomes include the Gross Motor Function Classification System for children with cerebral palsy; executive function (Behavior Rating Inventory of Executive Function second edition, WISC-V Digit Span and Picture Span, Wisconsin Card Sorting Test 64 Card Version); attention (Test of Everyday Attention for Children second edition); language (Clinical Evaluation of Language Fundamentals fifth edition), academic achievement (Woodcock Johnson IV Tests of Achievement); mental health and quality of life (Development and Well-Being Assessment, Autism Spectrum Quotient-10 Items Child version and Child Health Utility-9D).AimsExamine the ability of early neonatal MRI, EEG and concurrent clinical measures at 32 weeks PMA to predict motor, cognitive, language, academic achievement and mental health outcomes at 6 years CA.Determine if early brain abnormalities persist and are evident on brain MRI at 6 years CA and the relationship to EEG and concurrent motor, cognitive, language, academic achievement and mental health outcomes.Ethics and disseminationEthical approval has been obtained from Human Research Ethics Committees at Children’s Health Queensland (HREC/19/QCHQ/49800) and The University of Queensland (2019000426). Study findings will be presented at national and international conferences and published in peer-reviewed journals.Trial registration numberACTRN12619000155190p.Web address of trialhttp://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12619000155190p
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Albion, Majella J., Gerard J. Fogarty, Michael A. Machin, and Jeff Patrick. "Predicting absenteeism and turnover intentions in the health professions." Australian Health Review 32, no. 2 (2008): 271. http://dx.doi.org/10.1071/ah080271.
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Objectives: The study examined the mediating influence of individual psychological reactions to work on the relationship between organisational climate and job withdrawal behaviours (viz, intention to leave and absenteeism). Methods: 1097 hospital employees were surveyed using the Queensland Public Agency Staff Survey (QPASS) to obtain measures of organisational climate, psychological reactions to work, job satisfaction, and self-reported levels of intention to leave. Group-level absenteeism data were provided from the Health Service District files. Results: Two psychological states, quality of work life and job satisfaction, were found to fully mediate the relationship between the organisational climate variable, role clarity, and intention to leave, while individual distress was found to partially mediate the same relationship. However, the hypothesised mediation effect of psychological states on the relationship between organisational climate and absenteeism did not emerge. Conclusion: Skills shortages and increasing demands for health services make retention of staff in the health service industry vitally important. As a means of addressing this issue, this study presents an emergent mediating model defining relationships among individual psychological factors, aspects of organisational climate and intention to leave. Identification of the processes associated with staff withdrawal behaviours or intentions will assist in devising interventions to improve retention.
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Golbabaei, Fahimeh, Tan Yigitcanlar, Alexander Paz, and Jonathan Bunker. "Understanding Autonomous Shuttle Adoption Intention: Predictive Power of Pre-Trial Perceptions and Attitudes." Sensors 22, no. 23 (November 26, 2022): 9193. http://dx.doi.org/10.3390/s22239193.
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The capability of ‘demand-responsive transport’, particularly in autonomous shared form, to better facilitate road-based mobility is considered a significant advantage because improved mobility leads to enhanced quality of life and wellbeing. A central point in implementing a demand-responsive transit system in a new area is adapting the operational concept to the respective structural and socioeconomic conditions. This requires an extensive analysis of the users’ needs. There is presently limited understanding of public perceptions and attitudes toward the adoption of autonomous demand-responsive transport. To address this gap, a theory-based conceptual framework is proposed to provide detailed empirical insights into the public’s adoption intention of ‘autonomous shuttle buses’ as a form of autonomous demand-responsive transport. South East Queensland, Australia, was selected as the testbed. In this case study, relationships between perceptions, attitudes, and usage intention were examined by employing a partial least squares structural equation modeling method. The results support the basic technology acceptance model casual relationships that correspond with previous studies. Although the direct effects of perceived relative advantages and perceived service quality on usage intention are not significant, they could still affect usage intention indirectly through the attitude factor. Conversely, perceived risks are shown to have no association with perceived usefulness but can negatively impact travelers’ attitudes and usage intention toward autonomous shuttle buses. The research findings provide implications to assist policymakers, transport planners, and engineers in their policy decisions and system plans as well as achieving higher public acknowledgment and wider uptake of autonomous demand-responsive transport technology solutions.
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Dugmore, Jaslyn A., Copeland G. Winten, Hannah E. Niven, and Judy Bauer. "Effects of weight-neutral approaches compared with traditional weight-loss approaches on behavioral, physical, and psychological health outcomes: a systematic review and meta-analysis." Nutrition Reviews 78, no. 1 (August 8, 2019): 39–55. http://dx.doi.org/10.1093/nutrit/nuz020.
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Abstract Context Weight-neutral approaches for health are emerging therapeutic alternatives to traditional weight-loss approaches. The existing literature base comparing these approaches has not yet been systematically evaluated by a meta-analysis. Objective This review aims to determine if weight-neutral approaches are valid alternatives to weight-loss approaches for improving physical, psychological, and behavioral health outcomes. Data Sources Embase, Scopus, PsycINFO, PubMed, CINAHL, and the University of Queensland Library databases were searched. Study Selection Peer-reviewed, experimental, or quasi-experimental studies that included weight-neutral and weight-loss arms and reported physical, psychological, or behavioral outcomes were eligible. A total of 525 studies were identified through initial database searches, with 10 included in the final analysis after exclusion criteria were applied. Data Extraction Screening and eligibility assessment of studies followed the PRISMA protocol. The following outcomes were extracted: weight, body mass index, lipid and glucose variables, blood pressure, eating behavior, self-esteem, depression, quality of life, physical activity, and diet quality. Data Analysis Studies were graded per the National Health and Medical Research Council (NHMRC) level-of-evidence tool and the Academy of Nutrition and Dietetics quality-evaluation tool. Effect sizes were examined as a meta-analysis of standardized and mean differences using a random-effects inverse-variance model with 95%CIs. Practice recommendations for each outcome were graded per NHMRC body-of-evidence guidelines. Conclusions Weight-neutral approaches resulted in greater improvement in bulimia (P = 0.02), but no significant differences were observed for any other outcome. Weight-neutral approaches may be as effective as weight-loss methods for improving physical, psychological, and behavioral outcomes. Limitations include inconsistent definitions of both approaches and variable time frames of follow-up.
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Hill, Anne-Marie, Rachael Moorin, Susan Slatyer, Christina Bryant, Keith Hill, Nicholas Waldron, Samar Aoun, et al. "Evaluating the provision of Further Enabling Care at Home (FECH+) for informal caregivers of older adults discharged home from hospital: protocol for a multicentre randomised controlled trial." BMJ Open 11, no. 6 (June 2021): e046600. http://dx.doi.org/10.1136/bmjopen-2020-046600.
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IntroductionThere are personal and societal benefits from caregiving; however, caregiving can jeopardise caregivers’ health. The Further Enabling Care at Home (FECH+) programme provides structured nurse support, through telephone outreach, to informal caregivers of older adults following discharge from acute hospital care to home. The trial aims to evaluate the efficacy of the FECH+ programme on caregivers’ health-related quality of life (HRQOL) after care recipients’ hospital discharge.Methods and analysisA multisite, parallel-group, randomised controlled trial with blinded baseline and outcome assessment and intention-to-treat analysis, adhering to Consolidated Standards of Reporting Trials guidelines will be conducted. Participants (N=925 dyads) comprising informal home caregiver (18 years or older) and care recipient (70 years or older) will be recruited when the care recipient is discharged from hospital. Caregivers of patients discharged from wards in three hospitals in Australia (one in Western Australia and two in Queensland) are eligible for inclusion. Participants will be randomly assigned to one of the two groups. The intervention group receive the FECH+ programme, which provides structured support and problem-solving for the caregiver after the care recipient’s discharge, in addition to usual care. The control group receives usual care. The programme is delivered by a registered nurse and comprises six 30–45 min telephone support sessions over 6 months. The primary outcome is caregivers’ HRQOL measured using the Assessment of Quality of Life—eight dimensions. Secondary outcomes include caregiver preparedness, strain and distress and use of healthcare services. Changes in HRQOL between groups will be compared using a mixed regression model that accounts for the correlation between repeated measurements.Ethics and disseminationParticipants will provide written informed consent. Ethics approvals have been obtained from Sir Charles Gairdner and Osborne Park Health Care Group, Curtin University, Griffith University, Gold Coast Health Service and government health data linkage services. Findings will be disseminated through presentations, peer-reviewed journals and conferences.Trial registration numberACTRN12620000060943.
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Jablensky, Assen, John McGrath, Helen Herrman, David Castle, Oye Gureje, Mandy Evans, Vaughan Carr, Vera Morgan, Ailsa Korten, and Carol Harvey. "Psychotic Disorders in Urban Areas: An Overview of the Study on Low Prevalence Disorders." Australian & New Zealand Journal of Psychiatry 34, no. 2 (April 2000): 221–36. http://dx.doi.org/10.1080/j.1440-1614.2000.00728.x.
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Objective: This paper reports on a study designed within the framework of the National Survey of Mental Health and Wellbeing to: estimate the prevalence of psychoses in urban areas of Australia; identify profiles of symptomatology, impairments and disabilities; collect information on services received and needed; and explore quality of life issues in a broadly representative sample of people with psychotic illnesses. Method: The study was conducted over four areas in the Australian Capital Territory, Queensland, Victoria and Western Australia, as a two-phase survey: (i) a census and screening for psychosis of all individuals who made contacts with mental health services during a period of 1 month in 1997; and (ii) interviews with a stratified random sample (n = 980) of the screen-positive individuals (n = 3800) using a standardised instrument. Results: The point prevalence (1 month) of psychotic disorders in the urban population aged 18–64 is in the range of 4–7 per 1000 with a weighted mean of 4.7 per 1000. People with psychotic disorders experience high rates of functional impairments and disability, decreased quality of life, persistent symptoms, substance-use comorbidity and frequent side effects of medication. Although the utilisation of hospital-based and community mental health services, as well as of public and non-governmental helping agencies, is high, the majority live in extreme social isolation and adverse socioeconomic circumstances. Among the many unmet needs, the limited availability of community-based rehabilitation, supported accommodation and employment opportunities is particularly prominent. Conclusions: The so-called ‘low-prevalence’ psychotic disorders represent a major and complex public health problem, associated with heavy personal and social costs. There is a need for a broad programmatic approach, involving various sectors of the community, to tackle the multiple dimensions of clinical disorder, personal functioning and socioeconomic environment that influence the course and outcome of psychosis and ultimately determine the effectiveness of service-based intervention.
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Katzenellenbogen, Judith M., Daniela Bond-Smith, Anna P. Ralph, Mathilda Wilmot, Julie Marsh, Ross Bailie, and Veronica Matthews. "Priorities for improved management of acute rheumatic fever and rheumatic heart disease: analysis of cross-sectional continuous quality improvement data in Aboriginal primary healthcare centres in Australia." Australian Health Review 44, no. 2 (2020): 212. http://dx.doi.org/10.1071/ah19132.
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ObjectiveThis study investigated the delivery of guideline-recommended services for the management of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) in Australian primary healthcare centres participating in the Audit and Best Practice for Chronic Disease (ABCD) National Research Partnership project. MethodsARF and RHD clinical audit data were collected from 63 Aboriginal centres in four Australian jurisdictions using the ABCD ARF/RHD audit tool. Records of up to 30 patients treated for ARF and/or RHD were analysed per centre from the most recent audit conducted between 2009 and 2014. The main outcome measure was a quality of ARF and RHD care composite indicator consisting of nine best-practice service items. ResultsOf 1081 patients, most were Indigenous (96%), female (61%), from the Northern Territory and Queensland (97%) and <25 years of age (49%). The composite indicator was highest in the 0–14 year age group (77% vs 65–67% in other age groups). Timely injections and provision of client education are important specific areas for improvement. Multiple regression showed age >15 years to be a significant negative factor for several care indicators, particularly for the delivery of long-acting antibiotic injections and specialist services in the 15–24 year age group. ConclusionsThe results suggest that timely injection and patient education are priorities for managing ARF and RHD, particularly focusing on child-to-adult transition care. What is known about the topic?The burden of rheumatic fever and RHD in some Aboriginal communities is among the highest documented globally. Guideline-adherent RHD prevention and management in primary health care (PHC) settings are critically important to reduce this burden. Continuous quality improvement (CQI) is a proven strategy to improve guideline adherence, using audit cycles and proactive engagement of PHC end users with their own data. Previously, such CQI strategies using a systems approach were shown to improve delivery of ARF and RHD care in six Aboriginal health services (three government and three community controlled). What does this paper add?This paper focuses on the variation across age groups in the quality of ARF and/or RHD care according to nine quality of care indicators across 63 PHC centres serving the Aboriginal population in the Northern Territory, Queensland, South Australia and Western Australia. These new findings provide insight into difference in quality of care by life stage, indicating particular areas for improvement of the management of ARF and RHD at the PHC level, and can act as a baseline for monitoring of care quality for ARF and RHD into the future. What are the implications for practitioners?Management plans and innovative strategies or systems for improving adherence need to be developed as a matter of urgency. PHC professionals need to closely monitor adherence to secondary prophylaxis at both the clinic and individual level. RHD priority status needs to be assigned and recorded as a tool to guide management. Systems strengthening needs to particularly target child-to-adult transition care. Practitioners are urged to keep a quick link to the RHDAustralia website to access resources and guidelines pertaining to ARF and RHD (https://www.rhdaustralia.org.au/arf-rhd-guideline, accessed 3 October 2019). CQI strategies can assist PHC centres to improve the care they provide to patients.
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Hu, Xin, Bo Xia, Martin Skitmore, and Laurie Buys. "Providing a sustainable living environment in not-for-profit retirement villages." Facilities 36, no. 5/6 (April 3, 2018): 272–90. http://dx.doi.org/10.1108/f-02-2017-0013.
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Purpose As a viable housing option for older people, retirement villages need to provide a sustainable living environment that satisfies their residents’ needs in terms of affordability, lifestyle and environmental friendliness. This is, however, a significant challenge for not-for-profit developers because of the high upfront costs involved in using sustainable practices. The purpose of this paper is to identify the sustainable features and practices adopted in not-for-profit retirement villages. Design/methodology/approach Because of the lack of quantitative historical data, a case study approach was adopted to identify the sustainable features and practices used in a not-for-profit retirement village in Sunshine Coast, Queensland, Australia. Data were collected based on interviews, direct observation and documentation, and collected data were analysed by using content analysis. Findings The research findings indicate that similar to private developers, not-for-profit developers also have the capability to make their village environment sustainable. In this case, the sustainable practices cover various aspects including the selection of village location, site planning, provision of facilities and services, social life and living costs. Although the associated costs of adopting sustainable features is a concern for both developers and residents, some of the identified sustainable practices in this case do not result in significant cost increase but can improve the residents’ quality of life substantially. Practical implications The research findings provide a number of practical implications on how to deliver sustainable retirement villages in a not-for-profit village setting. Originality/value This paper provides a first look at sustainable features and practices adopted in both the development and operation stages of a not-for-profit retirement village.
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Marchant, Julie M., Anne L. Cook, Jack Roberts, Stephanie T. Yerkovich, Vikas Goyal, Daniel Arnold, Hannah E. O’Farrell, and Anne B. Chang. "Burden of Care for Children with Bronchiectasis from Parents/Carers Perspective." Journal of Clinical Medicine 10, no. 24 (December 14, 2021): 5856. http://dx.doi.org/10.3390/jcm10245856.
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Bronchiectasis is a neglected chronic respiratory condition. In children optimal appropriate management can halt the disease process, and in some cases reverse the radiological abnormality. This requires many facets, including parental/carer bronchiectasis-specific knowledge, for which there is currently no such published data. Further, the importance of patient voices in guiding clinical research is becoming increasingly appreciated. To address these issues, we aimed to describe the voices of parents of children with bronchiectasis relating to (a) burden of illness and quality of life (QoL), (b) their major worries/concerns and (c) understanding/management of exacerbations. The parents of 152 children with bronchiectasis (median age = 5.8 years, range 3.5–8.4) recruited from the Queensland Children’s Hospital (Australia) completed questionnaires, including a parent-proxy cough-specific QoL. We found that parents of children with bronchiectasis had impaired QoL (median 4.38, range 3.13–5.63) and a high disease burden with median 7.0 (range 4.0–10.0) doctor visits in 12-months. Parental knowledge varied with only 41% understanding appropriate management of an exacerbation. The highest worry/concern expressed were long-term effects (n = 42, 29.8%) and perceived declining health (n = 36, 25.5%). Our study has highlighted the need for improved education, high parental burden and areas of concern/worry which may inform development of a bronchiectasis-specific paediatric QoL tool.
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Hall, Leanne M., Manuela Ferreira, Jenny Setchell, Simon French, Jessica Kasza, Kim L. Bennell, David Hunter, Bill Vicenzino, Chris Dickson, and Paul Hodges. "MyBackPain—evaluation of an innovative consumer-focused website for low back pain: study protocol for a randomised controlled trial." BMJ Open 9, no. 5 (May 2019): e027516. http://dx.doi.org/10.1136/bmjopen-2018-027516.
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IntroductionDespite the prevalence of low back pain (LBP) worldwide, many people with the condition do not receive evidence-based care or achieve the best possible outcomes. There is a gap in the dissemination of evidence-based information across the globe. The advent of the internet has changed the way people obtain health information. As such, trustworthy, tailored and validated LBP resources may help bridge the gap. This study aims to measure the effectiveness of a new website (MyBackPain) in improving spinal health literacy, treatment preferences and clinical outcomes for people with LBP, in comparison with other online resources.Methods and analysisThis online, pragmatic, randomised controlled trial will comprise 440 people with non-specific LBP of any duration. In addition to access to publicly available online information (control group), the intervention group will be given access to the MyBackPain.org.au website. Participants and research staff, including the biostatistician, will be blinded to treatment allocation. Data will be collected at baseline, 1, 3 (primary end-point), 6 and 12 months via online surveys and questionnaires. The primary outcome is spinal health literacy. Secondary outcomes include quality of treatment preferences (stated and observed) and LBP clinical outcomes (pain, disability and quality of life). Analyses will be by intention-to-treat and include outcome data on all randomised participants. Descriptive statistics will be presented for demographic and clinical characteristics.Ethics and disseminationThis trial has been prospectively registered with the Australian New Zealand Clinical Trials Registry and has ethical approval from the University of Queensland Human Research Ethics Committee (2017000995). Trial outcomes will be shared via national and international conference presentations and peer-reviewed journal publications.Trial registration numberACTRN12617001292369; Pre-results.